,i #aai? ,,congress #b;d ,session ,h4 ,r4 #iffi ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,july #ad1 #bjbf,ms4 ,adams 7= h]self1 ,ms4 ,cl>ke ( ,new ,york1 & ,mr4 ,c>son7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,a ,,bill ,to direct ! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 to e/abli% a #e-ye> pilot program "u :i* ! ,secret>y w aw>d grants to eligible entities = purposes ( exp&+ =5sic ass]tive community treatm5t team programs4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,=5sic ,ass]tive ,community ,treatm5t ,pilot ,program ,act or ! ,,fact ,pilot ,program ,act4 #b4 ,pilot program to support ,/ate & local =5sic ass]tive community treatm5t programs 7a7 ,9 g5]al 7#a7 ,e/abli%m5t ,! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use 79 ?is section ref]r$ to z ! ,secret>y71 %all e/abli% a #e-ye> pilot program "u :i* ! ,secret>y w aw>d grants to eligible entities to enable su* entities to1 directly1 or ?r\gh a subgrant to a nonpr(it organization1 lic5s$ m5tal heal? treatm5t ag5cy1 a local managem5t c>e entity_/manag$ c>e organization1 or any o!r entity ! ,secret>y consid]s appropriate1 exp& ! =5sic ass]tive community treatm5t team programs c>ri$ out 9 ! respective jurisdiction ( ! eligible entity to enable su* entity to s]ve m community memb]s4 7#b7 ,def9itions ,9 ?is subsection3 7,a7 ,! t]m eligible entity means a ,/ate or a local gov]nm5t t1 z ( ! date ( ! enactm5t ( ?is ,act1 is c>ry+ out1 or is p>tn]+ )1 a =5sic ass]tive community treatm5t team program )9 ! respective ,/ate or locality or localities s]v$ by ! local gov]nm5t4 7,b7 ,! t]m =5sic ass]tive community treatm5t team program means a program-- 7i7 ) a small cli5t-to-team ratio "u :i* ar\nd ! clock1 "t-unlimit$ c>e & int5sive1 field-bas$ s]vices1 includ+ m5tal heal? c>e1 addiction treatm5t1 vocational tra9+1 & h\s+ assi/ance1 are provid$ to individuals ) s]i\s m5tal illness1 :o may h co-occurr+ sub/ance use & physical heal? disord]s1 & :o are involv$ ) ! crim9al ju/ice sy/em2 7ii7 t ma9ta9s fidelity ) ! ,ass]tive ,community ,treatm5t model1 :ile incorporat+ adaptions t address ! crim9og5ic risk & ne$s ( ! individuals describ$ 9 clause 7i72 & 7iii7 9 :i* su* s]vices are provid$ by a multidiscipl9>y team ( provid]s t includes-- 7,i7 repres5tatives f ! field ( psy*iatry 7includ+ psy*iatric nurs+72 7,,ii7 speciali/s 9 employm5t & sub/ance use s]vices2 7,,iii7 a crim9al ju/ice p>tn] 7su* z a memb] ( local law en=cem5t1 a provid] ( pretrial s]vices1 or a probation or p>ole (fic]72 & 7,,iv7 "o or m =5sic pe] speciali/s liv+ ) s]i\s m5tal illness or a co-occurr+ disord] :o h p]sonal exp]i5ce ) crim9al ju/ice sy/em involvem5t4 7,c7 ,! t]m involv$ ) ! crim9al ju/ice sy/em means to h _h contact ) law en=cem5t1 ! c\rts1 or correctional sy/ems4 ,su* t]m includes involvem5t at any /age1 includ+ arre/1 pre-trial s]vices1 inc>c]at$ 9 jail or prison1 inc>c]at$ 9 jail or prison & p5d+ imm95t release1 rec5tly releas$ f inc>c]ation or a =5sic hospital sett+1 probation1 p>ole1 or o!r =ms ( community sup]vision4 7#c7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is subsection su* sums z may be necess>y = ea* ( fiscal ye>s #bjbg ?r\gh #bjcb4 7b7 ,/udy & report 7#a7 ,9 g5]al ,n lat] ?an #fj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all seek to ent] into an agreem5t "u :i* ! ,national ,academies ( ,sci5ces1 ,eng9e]+1 & ,m$ic9e1 %all conduct a /udy :i* %all-- 7,a7 recomm5d def9$ & measurable metrics ( effectiv5ess t ! ,secret>y & o!r ,f$]al ag5cies may use 9 evaluat+ programs1 includ+ metrics measur+-- 7i7 ! r$uction 9 recidivism1 psy*iatric hospitalizations1 em]g5cy dep>tm5t utilization1 & reoccurr+ hospitalization & ! associat$ co/s2 7ii7 ! r$uction 9 "t x takes = an at-risk individual to access /able h\s+2 7iii7 ! r$uction 9 ! "t x takes = an at-risk individual to access m5tal heal? s]vices2 7iv7 ! improvem5t 9 m5tal heal? outcomes2 7v7 any increase 9 community connection & re9tegration2 & 7vi7 improvem5t 9 ov]all public safety2 7,b7 id5tify key me*anisms ( model fidelity t c be recogniz$ despite ! v>iation betwe5 local & ,/ate programs & ju/ice sy/ems & id5tify model fidelity metrics = use 9 future evaluations2 7,c7 develop policy proposals t c be made at ! ,f$]al & ,/ate level to scale up exi/+ programs & infra/ructure1 ) att5tion to implem5tation consid]ations2 7,d7 provide an implem5tation framework = ,/ates & localities int]e/$ 9 />t+ new =5sic ass]tive community treatm5t team programs1 ) att5tion to ! unique ne$s = adaptation 9 rural communities2 7,e7 provide a co/ e/imate = ! developm5t & implem5tation ( su* policy proposals2 7,f7 provide a co/-sav+s & b5efits analysis ( ! program model1 includ+ ! impact on heal? c>e & ju/ice sy/ems2 & 7,g7 provide recomm5dations to ! ,secret>y = ! improvem5t & implem5tation ( su* model4 7#b7 ,submission to ,secret>y ,! agreem5t ent]$ into "u p>agraph 7#a7 %all require ! ,national ,academies1 n lat] ?an #ah mon?s aft] ! date ( ! enactm5t ( ?is ,act1 to submit to ! ,secret>y & to ,congress a report conta9+ ! f9d+s ( ! /udy conduct$ "u su* agreem5t4 7#c7 ,publication ,n lat] ?an #fj days aft] ! submission ( ! report "u p>agraph 7#b71 ! ,secret>y %all-- 7,a7 publi% su* report on ! public website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices2 & 7,b7 di/ribute su* report to ,/ate & local gov]nm5ts4 7#d7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is subsection #a1ejj1jjj1 to rema9 available until exp5d$4