,i #aai? ,,congress #b;d ,session ,h4 ,r4 #ajbhj ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,septemb] #c1 #bjbf,ms4 ,matsui 7= h]self1 ,mr4 ,fitzpatrick1 ,mrs4 ,trahan1 ,ms4 ,s*ri]1 ,mr4 ,bey]1 ,ms4 ,b>ragn1 ,mr4 ,c>t] ( ,l\isiana1 ,ms4 ,bal9t1 ,mr4 ,rask91 ,mr4 ,goldman ( ,new ,york1 ,mr4 ,smi? ( ,wa%+ton1 ,ms4 ,sal9as1 ,ms4 ,mc,clellan1 ,mr4 ,m\lton1 ,mrs4 ,d+ell1 & ,mrs4 ,watson ,coleman7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce1 & 9 addition to ! ,committees on ,ways & ,means1 ,arm$ ,s]vices1 ,vet]ans' ,affairs1 ,ov]sight & ,gov]nm5t ,re=m1 & ,education & ,work=ce1 = a p]iod to be subsequ5tly det]m9$ by ! ,speak]1 9 ea* case = consid]ation ( su* provisions z fall )9 ! jurisdiction ( ! committee conc]n$ ,a ,,bill ,to provide = improvem5ts 9 ! implem5tation ( ! ,national ,suicide ,prev5tion ,lifel9e1 & = o!r purposes4 #a4 ,%ort title 7a7 ,%ort title ,?is ,act may be cit$ z ! #i-h-h ,implem5tation ,act ( #bjbf4 7b7 ,table ( cont5ts ,! table ( cont5ts = ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title4,title ,i--,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,administration,sec4 #aja4 ,regional & local lifel9e call c5t] program4,sec4 #ajb4 ,m5tal ,heal? ,crisis ,response ,p>tn]%ip ,pilot ,program4,sec4 #ajc4 ,national suicide prev5tion m$ia campaign4,title ,,ii--,heal? ,res\rces & ,s]vices ,administration,sec4 #bja4 ,heal? c5t] capital grants4,sec4 #bjb4 ,exp&+ behavioral heal? work=ce tra9+ programs4,title ,,iii--,behavioral ,heal? ,crisis ,s]vices ,expansion,sec4 #cja4 ,cov]age ( crisis response s]vices4,sec4 #cjb4 ,incid5t report+4,title ,,iv--,m$icaid amendments,sec4 #dja4 ,revisions to ! ,/ate option to provide qualify+ community-bas$ mobile crisis int]v5tion s]vices & o!r s]vices "u ,/ate plans "u ! ,m$icaid program4,sec4 #djb4 ,revisions to ! ,,imd exclusion "u ,m$icaid4 ,i ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration #aja4 ,regional & local lifel9e call c5t] program ,"p ,b ( title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb et seq47 is am5d$ by ins]t+ aft] section #ebj;,e-#d 7#db ,u4,s4,c4 #bij;bb-#cf;d7 ! foll[+3 #ebj;,e-#e4 ,regional & local lifel9e call c5t] program 7a7 ,9 g5]al ,! ,secret>y %all aw>d grants to new or exi/+ crisis call c5t]s s]v+ regional or local areas to-- 7#a7 pur*ase or upgrade call c5t] te*nology2 7#b7 provide = tra9+ ( call c5t] /aff2 7#c7 improve call c5t] op]ations2 & 7#d7 provide = hir+ ( call c5t] /aff4 7b7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #dda1jjj1jjj = fiscal ye> #bjbg1 to rema9 available until exp5d$4 4 #ajb4 ,m5tal ,heal? ,crisis ,response ,p>tn]%ip ,pilot ,program ,section #ebj;,f7e7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cg7;e77 is am5d$ by /rik+ section1 #aj1jjj1jjj = ea* ( fiscal ye>s #bjbe ?r\gh #bjbi & ins]t+ ! foll[+3 section-- 7#a7 #aj1jjj1jjj = ea* ( fiscal ye>s #bjbe & #bjbf2 & 7#b7 #ajj1jjj1jjj = ea* ( fiscal ye>s #bjbg ?r\gh #bjbi 4 #ajc4 ,national suicide prev5tion m$ia campaign 7a7 ,national suicide prev5tion lifel9e program ,section #ebj;,e-#c ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cf;c7 is am5d$-- 7#a7 9 subsection 7b7-- 7,a7 by am5d+ p>agraph 7#d7 to read z foll[s3 7#d7 conduct+ ! national suicide prev5tion m$ia campaign describ$ 9 section #ebj;,e-#e2 2 7,b7 by r$esignat+ p>agraph 7#f7 z p>agraph 7#g72 & 7,c7 by ins]t+ aft] p>agraph 7#e7 ! foll[+3 7#f7 improv+ aw>5ess ( ! program1 includ+ ?r\gh t>get$1 age1 & culturally appropriate outrea* 9 s*ools & to ! g5]al public m widely ?r\gh adv]tisem5ts 9 highly traffick$ areas or %>$ public spaces su* z rail or public transportation /ations1 on billbo>ds1 9 /adiums1 or o!r su* highly visible areas2 & 2 & 7#b7 by am5d+ subsection 7f7 to read z foll[s3 7f7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$-- 7#a7 to c>ry out subsection 7b77#d71 #aj1jjj1jjj = ea* ( fiscal ye>s #bjbf ?r\gh #bjcj2 & 7#b7 to c>ry out ?is section1 except = subsection 7b77#d71 #aja1fba1jjj = ea* ( fiscal ye>s #bjbc ?r\gh #bjbg4 4 7b7 ,national suicide prev5tion m$ia campaign ,! ,public ,heal? ,s]vice ,act is am5d$ by ins]t+ aft] section #ebj;,e-#d 7#db ,u4,s4,c4 #bij;bb-#cf;d7 ! foll[+3 #ebj;,e-#e4 ,national suicide prev5tion m$ia campaign 7a7 ,9 g5]al 7#a7 ,national m$ia campaign ,n lat] ?an ! date t is #c ye>s aft] ! date ( ! enactm5t ( ?is section1 ! ,secret>y1 9 consultation ) ! ,assi/ant ,secret>y & ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion 7ref]r$ to 9 ?is section z ! ,director71 %all conduct a national suicide prev5tion m$ia campaign 7ref]r$ to 9 ?is section z ! national m$ia campaign71 = purposes (-- 7,a7 prev5t+ suicide 9 ! ,unit$ ,/ates2 7,b7 educat+ families1 fri5ds1 & communities on h[ to address suicide & suicidal ?\ghts1 includ+ :5 to enc\rage individuals ) suicidal risk to seek help2 & 7,c7 increas+ aw>5ess ( suicide prev5tion res\rces ( ! ,c5t]s = ,disease ,control & ,prev5tion & ! ,adm9i/ration 7includ+ ! suicide prev5tion hotl9e ma9ta9$ "u section #ebj;,e-#c71 any suicide prev5tion mobile application ( ! ,c5t]s = ,disease ,control & ,prev5tion or ! ,adm9i/ration1 & o!r support res\rces det]m9$ appropriate by ! ,secret>y4 7#b7 ,additional consultation ,9 addition to consult+ ) ! ,assi/ant ,secret>y & ! ,director "u ?is section1 ! ,secret>y %all consult )1 z appropriate1 ! adm9i/rator ( ! suicide prev5tion hotl9e ma9ta9$ "u section #ebj;,e-#c1 ,/ate1 local1 ,tribal1 & t]ritorial heal? dep>tm5ts1 prim>y heal? c>e provid]s1 hospitals ) em]g5cy dep>tm5ts1 m5tal & behavioral heal? s]vices provid]s1 crisis response s]vices provid]s1 fir/ respond]s1 suicide prev5tion & m5tal heal? pr(essionals1 pati5t advocacy gr\ps1 survivors ( suicide attempts1 & repres5tatives ( television & social m$ia plat=ms 9 plann+ ! national m$ia campaign to be conduct$ "u p>agraph 7#a74 7b7 ,t>get audi5ces 7#a7 ,tailor+ adv]tisem5ts & o!r communications ,9 conduct+ ! national m$ia campaign "u subsection 7a77#a71 ! ,secret>y may tailor culturally compet5t adv]tisem5ts & o!r communications ( ! campaign across all available m$ia = a t>get audi5ce 7su* z a p>ticul> geographic location or demographic74 7#b7 ,t>get+ c]ta9 local areas ,! ,secret>y %all1 to ! maximum ext5t practicable1 use funds made available to c>ry out ?is section = m$ia t t>get c]ta9 local areas or populations at disproportionate risk = suicide4 7c7 ,use ( funds 7#a7 ,requir$ uses 7,a7 ,9 g5]al ,! ,secret>y %all1 if reasonably feasible ) ! funds made available to c>ry out ?is section1 c>ry out ! foll[+1 ) respect to ! national m$ia campaign3 7i7 ,te/+ & evaluation ( adv]tis+4 7ii7 ,evaluation ( ! effectiv5ess ( ! national m$ia campaign4 7iii7 ,op]ational & managem5t exp5ses4 7iv7 ,! creation ( an educational toolkit = television & social m$ia plat=ms to use 9 discuss+ suicide & rais+ aw>5ess ab\t h[ to prev5t suicide4 7,b7 ,specific requirem5ts 7i7 ,te/+ & evaluation ( adv]tis+ ,9 te/+ & evaluat+ adv]tis+ "u subp>agraph 7,a77i71 ! ,secret>y %all te/ all adv]tisem5ts aft] use 9 ! national m$ia campaign to evaluate ! ext5t to :i* su* adv]tisem5ts h be5 effective 9 c>ry+ out ! purposes ( ! national m$ia campaign4 7ii7 ,evaluation ( effectiv5ess ( national m$ia campaign ,9 evaluat+ ! effectiv5ess ( ! national m$ia campaign "u subp>agraph 7,a77ii71 ! ,secret>y %all take into acc\nt-- 7,i7 ! numb] ( unique calls t are made to ! suicide prev5tion hotl9e ma9ta9$ "u section #ebj;,e-#c & assess :e!r !re are any ,/ate & regional v>iations ) respect to ! capacity to answ] su* calls2 7,,ii7 ! numb] ( unique enc\nt]s ) suicide prev5tion & support res\rces ( ! ,c5t]s = ,disease ,control & ,prev5tion & ! ,adm9i/ration & assess engagem5t ) su* suicide prev5tion & support res\rces2 7,,iii7 :e!r ! national m$ia campaign has contribut$ to increas$ aw>5ess t suicidal individuals %\ld be engag$1 r ?an ignor$2 & 7,,iv7 su* o!r measures ( evaluation z ! ,secret>y det]m9es are appropriate4 7#b7 ,optional uses ,! ,secret>y may use funds made available to c>ry out ?is section = ! foll[+1 ) respect to ! national m$ia campaign3 7,a7 ,p>tn]%ips ) pr(essional & civic gr\ps1 community-bas$ organizations1 includ+ fai?-bas$ organizations1 & gov]nm5t or ,tribal organizations t ! ,secret>y det]m9es h exp]i5ce 9 suicide prev5tion1 includ+ ! ,adm9i/ration & ! ,c5t]s = ,disease ,control & ,prev5tion4 7,b7 ,ent]ta9m5t indu/ry outrea*1 int]active outrea*1 m$ia projects & activities1 public in=mation1 news m$ia outrea*1 outrea* ?r\gh television programs1 & corporate sponsor%ip & p>ticipation4 7#c7 ,prohibition ,none ( ! funds made available to c>ry out ?is section may be obligat$ or exp5d$ = p>tisan political purposes1 or to express advocacy 9 support ( or to defeat any cle>ly id5tifi$ c&idate1 cle>ly id5tifi$ ballot initiative1 or cle>ly id5tifi$ legislative or regulatory proposal4 7d7 ,report to ,congress ,n lat] ?an #ah mon?s aft] ! date on :i* implem5tation ( ! national m$ia campaign has begun1 ! ,secret>y1 9 coord9ation ) ! ,assi/ant ,secret>y & ! ,director1 %all1 ) respect to ! fir/ ye> ( ! national m$ia campaign1 submit to ,congress a report t describes-- 7#a7 ! /rategy ( ! national m$ia campaign & :e!r specific objectives ( su* campaign 7 accompli%$1 includ+ :e!r su* campaign impact$ ! numb] ( calls made to lifel9e crisis c5t]s & ! capacity ( su* c5t]s to manage su* calls2 7#b7 /eps tak5 to ensure t ! national m$ia campaign op]ates 9 an effective & effici5t mann] consi/5t ) ! ov]all /rategy & focus ( ! national m$ia campaign2 7#c7 plans to pur*ase adv]tis+ "t & space2 7#d7 policies & practices implem5t$ to ensure t ,f$]al funds are us$ responsibly to pur*ase adv]tis+ "t & space & elim9ate ! pot5tial = wa/e1 fraud1 & abuse2 & 7#e7 all contracts ent]$ into ) a corporation1 a p>tn]%ip1 or an individual work+ on behalf ( ! national m$ia campaign4 4 ,,ii ,heal? ,res\rces & ,s]vices ,adm9i/ration #bja4 ,heal? c5t] capital grants ,subp>t #a ( "p ,d ( title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;b et seq47 is am5d$ by add+ at ! end ! foll[+3 #ccj,q4 ,heal? c5t] capital grants 7a7 ,9 g5]al ,! ,secret>y %all aw>d grants to eligible entities = capital projects4 7b7 ,eligible entity ,9 ?is section1 ! t]m eligible entity is an entity t is-- 7#a7 a heal? c5t] fund$ "u section #ccj1 or 9 ! case ( a ,tribe or ,tribal organization1 eligible1 to be aw>d$ )\t reg>d to ! "t limitation 9 subsection 7e77#c7 & subsections 7e77#f77;,a77iii71 7e77#f77;,b77iii71 & 7r77#b77;,b7 ( su* section2 or 7#b7 a crisis receiv+ & /abilization facility or crisis call c5t] t has a work+ relation%ip ) "o or m local community m5tal heal? & sub/ance use organizations1 community m5tal heal? c5t]s1 & c]tifi$ community behavioral heal? cl9ics1 or o!r local m5tal heal? & sub/ance use c>e provid]s1 includ+ inpati5t & resid5tial treatm5t sett+s4 7c7 ,use ( funds ,am\nts made available to a recipi5t ( a grant or coop]ative agreem5t pursuant to subsection 7a7 %all be us$ = crisis response program facility alt]ation1 r5ovation1 remodel+1 expansion1 new con/ruction1 & o!r capital improvem5t co/s1 includ+ ! co/s ( amortiz+ ! pr9cipal (1 & pay+ int]e/ on1 loans = su* purposes4 7d7 ,def9itions ,9 ?is section3 7#a7 ,crisis receiv+ & /abilization facility ,! t]m crisis receiv+ & /abilization facility means a free/&+1 non-hospital facility t-- 7,a7 qualifies = lic5sure or c]tification z a crisis receiv+ & /abilization facility1 pursuant to ,/ate law ( ! ,/ate 9 :i* su* facility furni%es crisis response s]vices2 7,b7 provides #bc-;h\r obs]vation & assessm5t *airs or b$s & #dh-;h\r crisis /abilization psy*iatric b$s inclusive ( )drawal managem5t & #bd-;h\r m$ical monitor+2 7,c7 provides crisis response s]vices #bd h\rs p] day1 #g days p] week us+ a slid+ scale ( paym5t1 & nei!r rejects s]vice nor limits s]vices on ! basis ( a pati5t's ability to pay1 place ( resid5ce1 prior =5sic engagem5t1 acuity ( m5tal heal? or sub/ance use condition1 intellectual or developm5tal disability1 age or relat$ factors2 7,d7 supports no-wrong-door admission capacity available to law en=cem5t (fic]s1 em]g5cy m$ical p]sonnel1 & family memb]s2 & 7,e7 ma9ta9s an av]age l5g?-(-/ay ( less ?an #aej h\rs4 7#b7 ,crisis response program facility ,! t]m crisis response program facility means a facility us$ = ! purposes ( m5tal heal? or sub/ance use s]vices t are furni%$ to an individual1 includ+ *ildr5 & adolesc5ts1 exp]i5c+ a m5tal heal? or sub/ance use crisis by-- 7,a7 a mobile crisis response team2 7,b7 a crisis receiv+ & /abilization facility2 7,c7 a m5tal heal? or sub/ance use urg5t c>e facility2 or 7,d7 o!r appropriate provid]1 z det]m9$ by ! ,secret>y4 7#c7 ,m5tal heal? & sub/ance use urg5t c>e facility ,! t]m m5tal heal? & sub/ance use urg5t c>e facility means an ambulatory facility 9 :i* individuals exp]i5c+ a m5tal or behavioral heal? crisis may receive crisis assessm5t s]vices1 crisis int]v5tion s]vices1 m$ication1 & connection to o!r appropriate s]vices1 )\t mak+ an appo9tm5t prior to arriv+ at ! facility4 7e7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is section #a1jjj1jjj1jjj1 to rema9 available until exp5d$4 4 #bjb4 ,exp&+ behavioral heal? work=ce tra9+ programs 7a7 ,national ,heal? ,s]vice ,corps ,section #ccb ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;e7 is am5d$ by add+ at ! end ! foll[+3 7l7 ,! ,secret>y %all collect & publi% 9 ! ,f$]al ,regi/] data comp>+ ! availability & ne$ ( crisis response s]vices 9 heal? pr(essional %ortage areas & 9 areas )9 su* heal? pr(essional %ortage areas1 includ+-- 7#a7 ! numb] ( crisis call c5t]s1 mobile crisis response units1 & crisis receiv+ & /abilization facilities 9 su* areas2 & 7#b7 ! numb] ( behavioral & m5tal heal? pr(essionals provid+ crisis managem5t s]vices or work+ 9 crisis response sett+s1 includ+ ! sett+s describ$ 9 p>agraph 7#a74 4 7b7 ,m9ority fell[%ip pilot program = crisis managem5t s]vices ,section #eig ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bijll7 is am5d$-- 7#a7 by am5d+ subsection 7b7 to read z foll[s3 7b7 ,tra9+ cov]$ ,! fell[%ips aw>d$ "u subsection 7a7 %all be = po/baccalaureate tra9+ 7includ+ = ma/]'s & doctoral degrees7 = m5tal & sub/ance use disord] treatm5t pr(essionals1 includ+-- 7#a7 9 ! fields ( psy*iatry1 addiction m$ic9e1 nurs+1 social "w1 psy*ology1 m>riage & family !rapy1 m5tal heal? c\nsel+1 & sub/ance use disord] & addiction c\nsel+2 & 7#b7 9 crisis managem5t s]vices 7su* z at a crisis call c5t]1 z "p ( a mobile crisis team1 or at a crisis receiv+ & /abilization facility74 2 & 7#b7 by am5d+ subsection 7c7 to read z foll[s3 7c7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$-- 7#a7 = c>ry+ out ?is section 7except ) respect to subsection 7b77#b771 #be1jjj1jjj = ea* ( fiscal ye>s #bjbc ?r\gh #bjbg2 & 7#b7 = aw>d+ fell[%ips describ$ 9 subsection 7b77#b71 #aj1jjj1jjj = ea* ( fiscal ye>s #bjbg ?r\gh #bjca4 4 7c7 ,behavioral heal? work=ce education & tra9+ ,section #gef ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bid;e-#a7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 9 p>agraph 7#a7-- 7i7 by ins]t+ or remote programs t (f] practicum h\rs aft] o!r field placem5t programs2 7ii7 by ins]t+ 7:i* may include tra9+ or a field practicum employ+ call1 text1 or *at respond]s = m5tal heal? crisis l9es7 aft] social "w2 & 7iii7 by ins]t+ crisis managem5t 7su* z at a crisis call c5t]1 z "p ( a mobile crisis team1 or ?r\gh crisis receiv+ & /abilization program71 aft] occupational !rapy 7:i* may include ma/]'s & doctoral level programs712 7,b7 9 p>agraph 7#b71 by ins]t+ & provid+ crisis managem5t s]vices 7su* z at a crisis call c5t]1 z "p ( a mobile crisis team1 or ?r\gh crisis receiv+ & /abilization program7 aft] treatm5t s]vices12 7,c7 9 p>agraph 7#c71 by ins]t+ & provid+ crisis managem5t s]vices 7su* z at a crisis call c5t]1 z "p ( a mobile crisis team1 or ?r\gh crisis receiv+ & /abilization program7 aft] behavioral heal? s]vices2 & 7,d7 9 p>agraph 7#d71 by ins]t+ 1 includ+ = ! provision ( crisis managem5t s]vices 7su* z at a crisis call c5t]1 z "p ( a mobile crisis team1 or ?r\gh crisis receiv+ & /abilization program71 aft] p>apr(essional field2 & 7#b7 by am5d+ subsection 7f7 to read z foll[s3 7f7 ,au?orization ( appropriations 7#a7 ,9 g5]al ,= ea* ( fiscal ye>s #bjbf ?r\gh #bjcj1 !re are au?oriz$ to be appropriat$ to c>ry out ?is section #ej1jjj1jjj1 to be allocat$ z foll[s3 7,a7 ,= grants describ$ 9 subsection 7a77#a71 #ae1jjj1jjj4 7,b7 ,= grants describ$ 9 subsection 7a77#b71 #ae1jjj1jjj4 7,c7 ,= grants describ$ 9 subsection 7a77#c71 #aj1jjj1jjj4 7,d7 ,= grants describ$ 9 subsection 7a77#d71 #aj1jjj1jjj4 7#b7 ,additional au?orization = crisis work=ce developm5t ,= ea* ( fiscal ye>s #bjbg ?r\gh #bjca1 9 addition to ! am\nts "u p>agraph 7#a71 !re are au?oriz$ to be appropriat$ to c>ry out ?is section ) respect to crisis work=ce developm5t #aj1jjj1jjj4 4 ,,iii ,behavioral ,heal? ,crisis ,s]vices ,expansion #cja4 ,cov]age ( crisis response s]vices 7a7 ,cov]age "u ! ,m$ic>e program 7#a7 ,9 g5]al ,section #ahfa7s77#b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7s77#b77 is am5d$-- 7,a7 9 subp>agraph 7,,jj71 by /rik+ & at ! end2 7,b7 9 subp>agraph 7,,kk71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7,c7 by add+ at ! end ! foll[+ new subp>agraph3 7,,ll7 crisis response s]vices z def9$ 9 subsection 7ooo72 4 7#b7 ,crisis response s]vices def9$ ,section #ahfa ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7ooo7 ,crisis response s]vices 7#a7 ,9 g5]al ,! t]m crisis response s]vices means m5tal heal? or sub/ance use s]vices t are furni%$ by a mobile crisis response team1 a crisis receiv+ & /abilization facility1 m5tal heal? or sub/ance use urg5t c>e facility1 or o!r appropriate provid]1 z det]m9$ by ! ,secret>y1 to an individual1 includ+ *ildr5 & adolesc5ts1 exp]i5c+ a m5tal heal? or sub/ance use crisis4 7#b7 ,crisis receiv+ & /abilization facility ,= purposes ( p>agraph 7#a71 ! t]m crisis receiv+ & /abilization facility means a facility t-- 7,a7 qualifies = lic5sure or c]tification z a crisis receiv+ & /abilization facility1 pursuant to ,/ate law ( ! ,/ate 9 :i* su* facility furni%es s]vices2 7,b7 provides #bc-;h\r obs]vation & assessm5t *airs or b$s & #dh-;h\r crisis /abilization psy*iatric b$s inclusive ( )drawal managem5t & #bd-;h\r m$ical monitor+2 7,c7 provides m5tal heal? or sub/ance use s]vices #bd h\rs p] day1 #g days p] week us+ a slid+ scale ( paym5t1 & nei!r rejects s]vice nor limits s]vices on ! basis ( a pati5t's ability to pay1 place ( resid5ce1 prior =5sic engagem5t1 acuity ( m5tal heal? or sub/ance use condition1 intellectual or developm5tal disability1 age or relat$ factors2 7,d7 supports no-wrong-door admission capacity available to law en=cem5t (fic]s1 em]g5cy m$ical p]sonnel1 & family memb]s2 & 7,e7 ma9ta9s an av]age l5g? ( /ay ( less ?an #aej h\rs4 7#c7 ,m5tal heal? & sub/ance use urg5t c>e facility ,= purposes ( p>agraph 7#a71 ! t]m m5tal heal? & sub/ance use urg5t c>e facility means an ambulatory facility :]e individuals exp]i5c+ a m5tal or behavioral heal? crisis may walk 9 )\t an appo9tm5t to receive crisis assessm5t s]vices1 crisis int]v5tion s]vices1 m$ication1 & connection to o!r appropriate s]vices4 4 7#c7 ,paym5t 7,a7 ,9 g5]al ,section #ahcc7;a77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciel7a77#a77 is am5d$-- 7i7 by /rik+ & 7,,hh7 & ins]t+ 7,,hh72 & 7ii7 by ins]t+ be=e ! semicolon at ! end ! foll[+3 & 7,,ii7 ) respect to crisis response s]vices describ$ 9 section #ahfa7s77#b77,,ll71 ! am\nts paid %all be #hj p]c5t ( ! less] ( ! actual *>ge = ! s]vice or ! am\nt det]m9$ "u ! paym5t basis e/abli%$ "u section #ahcd7;bb74 7,b7 ,e/abli%m5t ( paym5t basis ,section #ahcd ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7bb7 ,paym5t = crisis response s]vices ,! ,secret>y %all e/abli% a paym5t basis det]m9$ appropriate by ! ,secret>y ) respect to crisis response s]vices 7z def9$ 9 section #ahfa7ooo77 furni%$ by a provid] ( s]vices or suppli]4 4 7#d7 ,ambulance transport ( individuals 9 crisis 7,a7 ,9 g5]al ,section #ahcd7l7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7l77 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#ah7 ,transportation ( individuals 9 crisis ,) respect to ambulance s]vices furni%$ on or aft] ! date t is #c ye>s aft] ! date ( ! enactm5t ( ! ,behavioral ,heal? ,crisis ,s]vices ,expansion ,act1 ! regulations describ$ 9 section #ahfa7s77#g7 %all provide cov]age "u su* section = ambulance & o!r qualifi$ em]g5cy transport s]vices to transport an individual exp]i5c+ a m5tal heal? or sub/ance crisis to an appropriate facility1 su* z a community m5tal heal? c5t] 7z def9$ 9 section #ahfa7;ff77#c77;,b77 or o!r facility or provid] id5tifi$ by ! ,secret>y1 z appropriate1 = crisis response s]vices describ$ 9 section #ahfa7s77#b77,,ll74 4 7,b7 ,con=m+ am5dm5t ,section #ahfa7s77#g7 ( su* ,act 7#db ,u4,s4,c4 #aciex7s77#g77 is am5d$ by /rik+ section #ahcd7l77#ad7 & ins]t+ p>agraphs 7#ad7 & 7#ah7 ( section #ahcd7l74 7#e7 ,effective date ,! am5dm5ts made by ?is subsection %all apply to s]vices furni%$ on or aft] ! date t is #c ye>s aft] ! date ( ! enactm5t ( ?is ,act4 7b7 ,m&atory cov]age ( crisis response s]vices "u ! m$icaid program ,title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 is am5d$-- 7#a7 9 section #aijb7;a77#aj77;,a71 9 ! matt] prec$+ clause 7i71 by /rik+ & 7#cj7 & ins]t+ 7#cj71 & 7#ca72 & 7#b7 9 section #aije-- 7,a7 9 subsection 7a7-- 7i7 9 p>agraph 7#ca71 by /rik+ 2 & & ins]t+ a semicolon2 7ii7 by r$esignat+ p>agraph 7#cb7 z p>agraph 7#cc72 & 7iii7 by ins]t+ ! foll[+ p>agraph aft] p>agraph 7#ca73 7#cb7 crisis response s]vices 7z def9$ 9 section #ahfa7ooo772 & 4 7#c7 ,presumptive eligibility det]m9ation by crisis response s]vice provid]s ,section #aijb7;a77#dg77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7a77#dg77;,b77 is am5d$ by ins]t+ or provid] ( crisis response s]vices 7z def9$ 9 section #ahfa7ooo77 aft] any hospital4 7#d7 ,effective date 7,a7 ,9 g5]al ,except z provid$ 9 subp>agraph 7,b71 ! am5dm5ts made by ?is section %all take effect on ! date t is #c ye>s aft] ! date ( ! enactm5t ( ?is ,act4 7,b7 ,delay p]mitt$ if ,/ate legislation requir$ ,9 ! case ( a ,/ate plan "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 :i* ! ,secret>y ( ,heal? & ,human ,s]vices det]m9es requires ,/ate legislation 7o!r ?an legislation appropriat+ funds7 9 ord] = ! plan to meet ! additional requirem5ts impos$ by ! am5dm5ts made by ?is section1 ! ,/ate plan %all n be reg>d$ z fail+ to comply ) ! requirem5ts ( su* title solely on ! basis ( ! failure ( ! plan to meet su* additional requirem5ts be=e ! fir/ day ( ! fir/ cal5d> qu>t] beg9n+ aft] ! close ( ! fir/ regul> session ( ! ,/ate legislature t beg9s aft] ! date ( enactm5t ( ?is ,act4 ,= purposes ( ! previ\s s5t5ce1 9 ! case ( a ,/ate t has a #b-ye> legislative session1 ea* ye> ( su* session %all be deem$ to be a sep>ate regul> session ( ! ,/ate legislature4 7c7 ,gr\p heal? plans & heal? insurance issu]s 7#a7 ,,phsa ,"p ,d ( title ,,xxvii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#aaa et seq47 is am5d$ by add+ at ! end ! foll[+ new section3 #bgii;,a-#ab4 ,requir$ cov]age ( crisis response s]vices 7a7 ,9 g5]al ,a gr\p heal? plan & a heal? insurance issu] (f]+ gr\p or individual heal? insurance cov]age %all provide b5efits "u su* plan or cov]age = crisis response s]vices 7z def9$ 9 section #ahfa7ooo7 ( ! ,social ,security ,act74 7b7 ,application ( f9ancial requirem5ts & treatm5t limitations ,a gr\p heal? plan & a heal? insurance issu] (f]+ gr\p or individual heal? insurance cov]age %all ensure t1 ) respect to s]vices = :i* b5efits are requir$ to be provid$ "u su* plan or cov]age "u subsection 7a7-- 7#a7 ! f9ancial requirem5ts applicable to su* s]vices are no m re/rictive ?an ! pr$om9ant f9ancial requirem5ts appli$ to sub/antially all m$ical & surgical b5efits cov]$ by ! plan or cov]age & !re are no sep>ate co/-%>+ requirem5ts t are applicable only ) respect to su* s]vices2 & 7#b7 ! treatm5t limitations applicable to su* items & s]vices are no m re/rictive ?an ! pr$om9ant treatm5t limitations appli$ to sub/antially all m$ical & surgical b5efits cov]$ by ! plan or cov]age & !re are no sep>ate treatm5t limitations t are applicable only ) respect to su* s]vices4 7c7 ,def9itions ,9 ?is section1 ! t]ms f9ancial requirem5t1 pr$om9ant1 & treatm5t limitation h ! mean+ giv5 su* t]ms 9 clauses 7i7 ?r\gh 7iii71 respectively1 ( section #bgbf7;a77#c77;,b71 except t ! t]m f9ancial requirem5t %all include aggregate lifetime limits & annual limits4 4 7#b7 ,,erisa 7,a7 ,9 g5]al ,subp>t ,b ( "p #g ( subtitle ,b ( title ,i ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd 7#bi ,u4,s4,c4 #aahe et seq47 is am5d$ by add+ at ! end ! foll[+ new section3 #gbg4 ,requir$ cov]age ( crisis response s]vices 7a7 ,9 g5]al ,a gr\p heal? plan & a heal? insurance issu] (f]+ gr\p heal? insurance cov]age %all provide b5efits "u su* plan or cov]age = crisis response s]vices 7z def9$ 9 section #ahfa7ooo7 ( ! ,social ,security ,act74 7b7 ,application ( f9ancial requirem5ts & treatm5t limitations ,a gr\p heal? plan & a heal? insurance issu] (f]+ gr\p heal? insurance cov]age %all ensure t1 ) respect to s]vices = :i* b5efits are requir$ to be provid$ "u su* plan or cov]age "u subsection 7a7-- 7#a7 ! f9ancial requirem5ts applicable to su* s]vices are no m re/rictive ?an ! pr$om9ant f9ancial requirem5ts appli$ to sub/antially all m$ical & surgical b5efits cov]$ by ! plan or cov]age & !re are no sep>ate co/-%>+ requirem5ts t are applicable only ) respect to su* s]vices2 & 7#b7 ! treatm5t limitations applicable to su* items & s]vices are no m re/rictive ?an ! pr$om9ant treatm5t limitations appli$ to sub/antially all m$ical & surgical b5efits cov]$ by ! plan or cov]age & !re are no sep>ate treatm5t limitations t are applicable only ) respect to su* s]vices4 7c7 ,def9itions ,9 ?is section1 ! t]ms f9ancial requirem5t1 pr$om9ant1 & treatm5t limitation h ! mean+ giv5 su* t]ms 9 clauses 7i7 ?r\gh 7iii71 respectively1 ( section #gab7;a77#c77;,b71 except t ! t]m f9ancial requirem5t %all include aggregate lifetime limits & annual limits4 4 7,b7 ,cl]ical am5dm5t ,! table ( cont5ts 9 section #a ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd 7#bi ,u4,s4,c4 #ajja note7 is am5d$ by ins]t+ aft] ! item relat+ to section #gbf ! foll[+ new item3 ,sec4 #gbg4 ,requir$ cov]age ( crisis response s]vices4 4 7#c7 ,,irc 7,a7 ,9 g5]al ,sub*apt] ,b ( *apt] #ajj ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by add+ at ! end ! foll[+ new section3 #ihbg4 ,requir$ cov]age ( crisis response s]vices 7a7 ,9 g5]al ,a gr\p heal? plan %all provide b5efits "u su* plan = crisis response s]vices 7z def9$ 9 section #ahfa7ooo7 ( ! ,social ,security ,act74 7b7 ,application ( f9ancial requirem5ts & treatm5t limitations ,a gr\p heal? plan %all ensure t1 ) respect to s]vices = :i* b5efits are requir$ to be provid$ "u su* plan "u subsection 7a7-- 7#a7 ! f9ancial requirem5ts applicable to su* s]vices are no m re/rictive ?an ! pr$om9ant f9ancial requirem5ts appli$ to sub/antially all m$ical & surgical b5efits cov]$ by ! plan & !re are no sep>ate co/-%>+ requirem5ts t are applicable only ) respect to su* s]vices2 & 7#b7 ! treatm5t limitations applicable to su* items & s]vices are no m re/rictive ?an ! pr$om9ant treatm5t limitations appli$ to sub/antially all m$ical & surgical b5efits cov]$ by ! plan & !re are no sep>ate treatm5t limitations t are applicable only ) respect to su* s]vices4 7c7 ,def9itions ,9 ?is section1 ! t]ms f9ancial requirem5t1 pr$om9ant1 & treatm5t limitation h ! mean+ giv5 su* t]ms 9 clauses 7i7 ?r\gh 7iii71 respectively1 ( section #ihab7;a77#c77;,b71 except t ! t]m f9ancial requirem5t %all include aggregate lifetime limits & annual limits4 4 7,b7 ,cl]ical am5dm5t ,! table ( sections = sub*apt] ,b ( *apt] #ajj ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by add+ at ! end ! foll[+ new item3 ,sec4 #ihbg4 ,requir$ cov]age ( crisis response s]vices4 4 7#d7 ,effective date ,! am5dm5ts made by ?is subsection %all apply ) respect to plan ye>s beg9nign on or aft] ! date t is #c ye>s aft] ! date ( ! enactm5t ( ?is ,act4 7d7 ,,tric>e cov]age 7#a7 ,9 g5]al ,! ,secret>y ( ,def5se %all provide cov]age "u ! ,,tric>e program = crisis response s]vices1 z def9$ 9 section #ahfa7ooo7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex74 7#b7 ,,tric>e program def9$ ,9 ?is section1 ! t]m ,,tric>e program has ! mean+ giv5 ! t]m 9 section #ajgb ( title #aj1 ,unit$ ,/ates ,code4 7e7 ,reimbursem5t = crisis response s]vices = vet]ans ,section #agbe7;h7 ( title #ch1 ,unit$ ,/ates ,code1 is am5d$-- 7#a7 9 p>agraph 7#a71 9 ! matt] prec$+ subp>agraph 7,a71 by ins]t+ 1 includ+ crisis response s]vices1 aft] s]vices2 & 7#b7 by add+ at ! end ! foll[+ new p>agraph3 7#d7 ,! t]m crisis response s]vices has ! mean+ giv5 su* t]m 9 subsection 7ooo7 ( section #ahfa ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex74 4 7f7 ,cov]age "u ,,fehb 7#a7 ,9 g5]al ,section #hijb ( title #e1 ,unit$ ,/ates ,code1 is am5d$ by add+ at ! end ! foll[+3 7q7 ,ea* contract = a plan "u ?is *apt] %all require ! c>ri] to provide cov]age = crisis response s]vices1 z t t]m is def9$ 9 subsection 7ooo7 ( section #ahfa ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex74 4 7#b7 ,effective date ,! am5dm5t made by p>agraph 7#a7 %all apply beg9n+ ) respect to ! ?ird contract ye> = *apt] #hi ( title #e1 ,unit$ ,/ates ,code1 t beg9s on or aft] ! date t is #c ye>s aft] ! date ( enactm5t ( ?is ,act4 7g7 ,cov]age "u ,,*ip ,section #bajc7;c77#e7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;cc7c77#e77 is am5d$-- 7#a7 9 subp>agraph 7,a71 by /rik+ & at ! end2 7#b7 9 subp>agraph 7,b71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+ new subp>agraph3 7,c7 beg9n+ on ! date t is #c ye>s aft] ! date ( ! enactm5t ( ?is subp>agraph1 crisis response s]vices 7z def9$ 9 section #ahfa7ooo774 4 #cjb4 ,incid5t report+ 7a7 ,e/abli%m5t ( panel ,! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! ,secret>y71 9 consultation ) ! ,attorney ,g5]al1 %all conv5e a panel 7ref]r$ to 9 ?is section z ! panel7 to issue recomm5dations relat+ to ! tra9+ requirem5ts & protocols = #i-a-a dispat*]s4 7b7 ,purpose ( recomm5dations ,! purpose ( ! recomm5dations to be issu$ "u subsection 7a7 %all be to ensure t #i-a-a dispat*]s respond appropriately to individuals exp]i5c+ a behavioral heal? crisis bas$ on ! *>act]i/ics ( ! incid5t & ! ne$s ( ! call]4 7c7 ,memb]%ip 7#a7 ,appo9tm5t ,! panel %all be compos$ ( memb]s to be appo9t$ by ! ,secret>y & %all include-- 7,a7 psy*iatri/s2 7,b7 p>am$ics & o!r em]g5cy m$ical s]vices p]sonnel2 7,c7 law en=cem5t (fic]s & #i-a-a dispat*]s2 7,d7 repres5tatives f ea* segm5t ( ! crisis response cont9uum1 includ+ #i-h-h dispat*]s2 7,e7 memb]s ( und]s]v$ communities2 7,f7 repres5tatives ( ,tribes or ,tribal organizations2 7,g7 individuals ) exp]i5ce treat+ individuals ) s]i\s m5tal illness or po/-traumatic /ress disord]1 includ+ vet]ans & s]vicememb]s2 & 7,h7 su* o!r individuals z ! ,secret>y det]m9es appropriate4 7#b7 ,t]ms ,! ,secret>y %all appo9t ! memb]s ( ! panel to s]ve /agg]$ #e-ye> t]ms4 7d7 ,recomm5dations 7#a7 ,consid]ations ,9 mak+ recomm5dations "u subsection 7a71 ! panel %all consid]-- 7,a7 connect+ #i-a-a call]s to crisis c>e s]vices in/ead ( respond+ ) law en=cem5t (fic]s2 7,b7 integrat+ ! #i-h-h sy/em into ! #i-a-a sy/em1 or transf]r+ calls f ! #i-a-a sy/em to ! #i-h-h sy/em z appropriate2 7,c7 a process =-- 7i7 id5tify+ #i-a-a call]s :o may be exp]i5c+ psy*iatric symptoms or a m5tal heal? crisis1 sub/ance use crisis1 or co-occurr+ crisis2 & 7ii7 evaluat+ ! level ( ne$ ( su* call]s1 z def9$ by relevant1 /&>diz$ assessm5t tools su* z ! ,level ( ,c>e ,utilization ,sy/em 7,,locus71 ! ,*ild & ,adolesc5t ,level ( ,c>e ,utilization ,sy/em 7,,calocus71 & ! ,am]ican ,society ( ,addiction ,m$ic9e 7,,asam7 ,crit]ia2 & 7,d7 e/abli%+ tra9+1 /aff+1 & protocol requirem5ts1 includ+ ! measures describ$ 9 p>agraph 7#b71 to ensure t #i-a-a & #i-h-h dispat* p]sonnel are equipp$ to respond appropriately to ! individuals ref]r$ to 9 subp>agraphs 7,e7 ?r\gh 7,h7 ( subsection 7c77#a74 7#b7 ,measures to meet ! ne$s ( c]ta9 #i-a-a call]s ,! measures ref]r$ to 9 p>agraph 7#a77;,d7 include-- 7,a7 tra9+ ( dispat* p]sonnel on cultural compet5cy1 implicit bias1 & evid5ce-bas$ be/ practices = individuals exp]i5c+ a behavioral or m5tal heal? crisis2 & 7,b7 proc$ures design$ to recruit1 reta91 or designate z dispat* p]sonnel ^? individuals t h specializ$ tra9+ or demon/rat$ exp]i5ce 9-- 7i7 s]v+ rural or m$ically und]s]v$ communities2 or 7ii7 s]v+ individuals ) s]i\s m5tal illness or po/-traumatic /ress disord]4 7#c7 ,coord9ation ) ,,samhsa ,9 develop+ recomm5dations "u p>agraph 7#a71 ! panel %all coord9ate ) ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use = ! purpose ( ensur+ consi/5cy across ,f$]al behavioral heal? crisis response sy/ems1 includ+ alignm5t (-- 7,a7 ! tra9+ & protocol requirem5ts = #i-a-a dispat*]s2 & 7,b7 ! developm5t ( guidance1 tra9+ /&>ds1 & be/ practices issu$ by ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration = ! #i-h-h ,suicide & ,crisis ,lifel9e4 7#d7 ,updates ,! panel %all update recomm5dations issu$ "u subsection 7a7 n less frequ5tly ?an once e #e ye>s4 7e7 ,data collection & report+ /&>ds 7#a7 ,9 g5]al ,! panel %all develop data collection & report+ /&>ds = use by ! ,secret>y 9 collect+ & assess+ outcomes = individuals :o contact #i-a-a or #i-h-h sy/ems1 includ+-- 7,a7 ! ext5t to :i* call]s are successfully connect$ to crisis c>e s]vices2 7,b7 ! frequ5cy ( law en=cem5t involvem5t 9 su* responses2 & 7,c7 any disp>ities 9 response times1 ref]rals1 or outcomes comp>$ to ! g5]al population or betwe5 diff]5t types ( populations4 7#b7 ,privacy ,9 develop+ ! /&>ds "u p>agraph 7#a71 ! panel %all ensure t data is collect$ 9 a mann] t protects call] privacy & confid5tiality4 7#c7 ,coord9ation ,9 develop+ ! /&>ds "u p>agraph 7#a71 ! panel %all coord9ate ) entities p>ticipat+ 9 ! ,national #iaa ,program1 includ+-- 7,a7 ! ,national ,highway ,traffic ,safety ,adm9i/ration2 7,b7 ! ,f$]al ,communications ,commission2 7,c7 ! ,cyb]security & ,infra/ructure ,security ,ag5cy2 7,d7 ! ,national ,telecommunications & ,in=mation ,adm9i/ration2 & 7,e7 ,/ate & local ag5cies op]at+ #i-a-a call c5t]s4 7f7 ,reports to ,congress ,on ! date ( issuance ( recomm5dations "u subsection 7a71 & on ! date ( issuance ( ea* update ( su* recomm5dations1 ! panel %all submit to ,congress a report conta9+ ! f9d+ & recomm5dations ( ! panel4 7g7 ,nonapplicability ( t]m9ation provision ,section #ajac7;a77#b7 ( title #e1 ,unit$ ,/ates ,code 7relat+ to ! t]m9ation ( advisory committees71 %all n apply to ! ,commission4 ,,iv ,m$icaid am5dm5ts #dja4 ,revisions to ! ,/ate option to provide qualify+ community-bas$ mobile crisis int]v5tion s]vices & o!r s]vices "u ,/ate plans "u ! ,m$icaid program 7a7 ,9 g5]al ,section #aidg ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifw-#f7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 by /rik+ = qualify+ community-bas$ mobile crisis int]v5tion s]vices & ins]t+ =-- 7#a7 qualify+ community-bas$ mobile crisis int]v5tion s]vices2 7#b7 regional & local lifel9e call c5t] op]ations2 & 7#c7 s]vices furni%$ by crisis receiv+ & /abilization facilities4 2 & 7,b7 by /rik+ dur+ ! #e-ye> p]iod2 7#b7 9 subsection 7c7-- 7,a7 by /rik+ #he p]c5t4 & ins]t+ ! foll[+3 #he p]c5t1 & = m$ical assi/ance = items describ$ 9 p>agraphs 7#b7 & 7#c7 ( subsection 7a7 furni%$ dur+ su* qu>t] %all be equal to #he p]c5t42 & 7,b7 by /rik+ occurr+ dur+ ! p]iod describ$ 9 subsection 7a7 t a ,/ate & ins]t+ 9 :i* a ,/ate provides m$ical assi/ance = qualify+ community-bas$ mobile crisis int]v5tion s]vices "u ?is section &2 7#c7 9 subsection 7d77#b7-- 7,a7 9 subp>agraph 7,a71 by /rik+ = ! fiscal ye> prec$+ ! fir/ fiscal qu>t] occurr+ dur+ ! p]iod describ$ 9 subsection 7a7 & ins]t+ = ! fiscal ye> prec$+ ! fir/ fiscal qu>t] 9 :i* ! ,/ate provides m$ical assi/ance = qualify+ community-bas$ mobile crisis int]v5tion s]vices "u ?is section2 & 7,b7 9 subp>agraph 7,b71 by /rik+ occurr+ dur+ ! p]iod describ$ 9 subsection 7a7 & ins]t+ occurr+ dur+ a fiscal qu>t]2 7#d7 9 subsection 7e71 by add+ at ! end at ! foll[+ new s5t5ce3 ,!re is appropriat$1 out ( any funds 9 ! ,treasury n o!rwise appropriat$1 #e1jjj1jjj to ! ,secret>y = ! purposes describ$ 9 ! prec$+ s5t5ce to rema9 available until exp5d$42 & 7#e7 by add+ at ! end ! foll[+ new subsection3 7f7 ,def9ition ,9 ?is section1 ! t]m crisis receiv+ & /abliziation facility means a facility t-- 7#a7 qualifies = lic5sure or c]tification z a crisis receiv+ & /abilization facility1 pursuant to ,/ate law ( ! ,/ate 9 :i* su* facility furni%es ! crisis response s]vices2 7#b7 provides #bc-;h\r obs]vation & assessm5t *airs or b$s & #dh-;h\r crisis /abilization psy*iatric b$s inclusive ( )drawal managem5t & #bd-;h\r m$ical monitor+2 7#c7 provides su* s]vices #bd h\rs p] day1 #g days p] week us+ a slid+ scale ( paym5t1 & nei!r rejects s]vice nor limits s]vices on ! basis ( a pati5t's ability to pay1 place ( resid5ce1 prior =5sic engagem5t1 acuity ( m5tal heal? or sub/ance use condition1 intellectual or developm5tal disability1 age or relat$ factors2 7#d7 supports no-wrong-door admission capacity available to law en=cem5t (fic]s1 em]g5cy m$ical p]sonnel1 & family memb]s2 & 7#e7 ma9ta9s an av]age l5g? ( /ay ( less ?an #aej h\rs4 4 7b7 ,effective date ,! am5dm5ts made by subsection 7a7 %all take effect z if includ$ 9 ! enactm5t ( ! ,am]ican ,rescue ,plan ,act ( #bjba 7,public ,law #aag-b74 #djb4 ,revisions to ! ,,imd exclusion "u ,m$icaid 7a7 ,9 g5]al ,section #aije ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7 is am5d$-- 7#a7 9 subsection 7i7-- 7,a7 by /rik+ ,! t]m & ins]t+ ! foll[+3 7#a7 ,subject to p>agraph 7#b71 ! t]m 2 & 7,b7 by add+ at ! end ! foll[+ new p>agraph3 7#b7 ,beg9n+ ! day aft] ! date ( ! enactm5t ( ?is p>agraph1 ! t]m in/itution = m5tal diseases does n include-- 7,a7 a cl9ic c]tifi$ by ! ,/ate z a c]tifi$ community behavioral heal? cl9ic = purposes ( p>ticipat+ 9 a demon/ration program conduct$ "u section #bbc7;d7 ( ! ,protect+ ,access to ,m$ic>e ,act ( #bjad2 7,b7 a community m5tal heal? c5t] t meets ! crit]ia specifi$ 9 section #aiac7;c7 ( ! ,public ,heal? ,s]vice ,act2 7,c7 a crisis receiv+ & /abilization facility 7z def9$ 9 subsection 7ll77#a772 or 7,d7 a m5tal heal? & sub/ance use urg5t c>e facility 7z def9$ 9 subsection 7ll77#b774 2 & 7#b7 by add+ at ! end ! foll[+ new subsection3 7ll7 ,crisis receiv+ & /abilization facility2 m5tal heal? & sub/ance use urg5t c>e facility 7#a7 ,crisis receiv+ & /abilization facility ,= purposes ( subsection 7i77#b71 ! t]m crisis receiv+ & /abilization facility means a facility t-- 7,a7 is lic5s$ or c]tifi$ to furni% crisis response s]vices "u applicable ,/ate law2 7,b7 is available to provide s]vices #bd h\rs a day & #g days a week2 7,c7 provides pati5ts )1 at a m9imum1 #bc h\rs ( obs]vation & assessm5t s]vices1 foll[$ by #dh h\rs ( crisis /abilization s]vices 7includ+ )drawal managem5t & #bd-;h\r m$ical monitor+72 7,d7 does n d5y or limit s]vices on ! basis ( a pati5t's ability to pay1 place ( resid5ce1 prior engagem5t ) ! crim9al ju/ice sy/em1 acuity ( m5tal heal? or sub/ance use condition1 intellectual or developm5tal disability1 age1 or relat$ factors2 7,e7 applies a s*$ule ( disc\nts to ! paym5t ( fees or *>ges = ! provision ( its s]vices1 :i* are adju/$ on ! basis ( ! pati5t's ability to pay2 7,f7 accepts pati5t ref]rals f law en=cem5t (fic]s1 em]g5cy m$ical p]sonnel1 & family memb]s2 & 7,g7 ma9ta9s an av]age l5g? ( /ay ( less ?an #aej h\rs4 7#b7 ,m5tal heal? & sub/ance use urg5t c>e facility ,= purposes ( subsection 7i77#b71 ! t]m m5tal heal? & sub/ance use urg5t c>e facility means a facility :]e individuals exp]i5c+ a m5tal or behavioral heal? crisis may walk 9 )\t an appo9tm5t to receive crisis assessm5t s]vices1 crisis int]v5tion s]vices1 m$ication1 & connection to o!r appropriate s]vices4 4 7b7 ,guidance ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is section1 ! ,secret>y ( ,heal? & ,human ,s]vices %all issue guidance to ,/ates relat+ to ! implem5tation ( ! am5dm5ts made by subsection 7a74 7c7 ,report 7#a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is section1 ! ,secret>y1 9 collaboration ) ! ,attorney ,g5]al & any o!r relevant ,f$]al (ficials 7z det]m9$ by ! ,secret>y71 %all submit to ,congress a report t includes ! foll[+3 7,a7 ,in=mation ) respect to ! utilization ( crisis receiv+ & /abilization facilities dur+ ! p]iod foll[+ su* date ( enactm5t1 includ+-- 7i7 ! numb] ( pati5ts s]v$2 7ii7 ! type & duration ( facility-bas$ s]vices2 7iii7 ! numb] ( ref]rals to community-bas$ outpati5t c>e2 7iv7 any tr5ds obs]v$ 9 ref]rals made by law en=cem5t ag5cies to su* facilities2 & 7v7 any o!r data relevant to assess+ ! ability = ^! facilities to div]t m5tal heal? & sub/ance use disord] em]g5cies f law en=cem5t response4 7,b7 ,an analysis ( ! ext5t to :i* access to crisis receiv+ & /abilization facilities is associat$ )-- 7i7 r$uc$ admissions to hospital em]g5cy rooms2 7ii7 adv]t$ admissions & readmissions to psy*iatric hospitals & o!r facilities def9$ z ,in/itutions = ,m5tal ,diseases2 & 7iii7 decreas$ rates ( inc>c]ation 9 p5al facilities op]at$ by a ,/ate or c\nty4 7#b7 ,crisis receiv+ & /abilization facility def9$ ,9 ?is subsection1 ! t]m crisis receiv+ & /abilization facility has ! mean+ giv5 su* t]m 9 subsection 7ll7 ( section #aije ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d74