[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[H.R. 7237 Introduced in House (IH)]
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117th CONGRESS
2d Session
H. R. 7237
To amend the Public Health Service Act to reauthorize certain mental
health, suicide prevention, and crisis care programs, and for other
purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
March 28, 2022
Mr. Griffith (for himself, Ms. Tenney, Ms. Davids of Kansas, and Ms.
Craig) introduced the following bill; which was referred to the
Committee on Energy and Commerce
_______________________________________________________________________
A BILL
To amend the Public Health Service Act to reauthorize certain mental
health, suicide prevention, and crisis care programs, and for other
purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Reauthorizing Evidence-based And
Crisis Help Initiatives Needed to Generate Improved Mental Health
Outcomes for Patients Act of 2022'' or the ``REACHING Improved Mental
Health Outcomes for Patients Act of 2022''.
SEC. 2. INNOVATION FOR MENTAL HEALTH.
(a) National Mental Health and Substance Use Policy Laboratory.--
Section 501A of the Public Health Service Act (42 U.S.C. 290aa-0) is
amended--
(1) in subsection (e)(1), by striking ``Indian tribes or
tribal organizations'' and inserting ``Indian Tribes or Tribal
organizations'';
(2) by striking subsection (e)(3); and
(3) by adding at the end the following:
``(f) Authorization of Appropriations.--To carry out this section,
there is authorized to be appropriated $10,000,000 for each of fiscal
years 2023 through 2027.''.
(b) Priority Mental Health Needs of Regional and National
Significance.--Section 520A of the Public Health Service Act (42 U.S.C.
290bb-32) is amended--
(1) in subsection (a), by striking ``Indian tribes or
tribal organizations'' and inserting ``Indian Tribes or Tribal
organizations''; and
(2) in subsection (f), by striking ``$394,550,000 for each
of fiscal years 2018 through 2022'' and inserting
``$599,036,000 for each of fiscal years 2023 through 2027''.
(c) Integration Incentive Grants and Cooperative Agreements for
Supporting the Improvement of Integrated Care for Primary Care and
Behavioral Health Care.--Section 520K of the Public Health Service Act
(42 U.S.C. 290bb-42) is amended--
(1) in subsection (g)(2), by striking ``Indian tribes or
tribal organizations'' and inserting ``Indian Tribes or Tribal
organizations''; and
(2) in subsection (h), by striking ``$51,878,000 for each
of fiscal years 2018 through 2022'' and inserting ``$52,877,000
for each of fiscal years 2023 through 2027''.
SEC. 3. CRISIS CARE COORDINATION.
(a) Strengthening Community Crisis Response Systems.--Section 520F
of the Public Health Service Act (42 U.S.C. 290bb-37) is amended to
read as follows:
``SEC. 520F. STRENGTHENING COMMUNITY CRISIS RESPONSE SYSTEMS.
``(a) In General.--The Secretary shall award competitive grants to
State and local governments, Indian Tribes, and Tribal organizations
to--
``(1) enhance community-based crisis response systems; and
``(2) implement strategies that improve care coordination,
and referral to inpatient psychiatric facilities, crisis
stabilization units, and residential community mental health
and residential substance use disorder treatment facilities, as
appropriate, for adults with a serious mental illness, children
with a serious emotional disturbance, or individuals with a
substance use disorder.
``(b) Applications.--
``(1) In general.--To receive a grant under subsection (a),
an entity shall submit to the Secretary an application, at such
time, in such manner, and containing such information as the
Secretary may require.
``(2) Community-based crisis response plan.--An application
for a grant under subsection (a) shall include a plan for--
``(A) promoting integration and coordination
between local public and private entities engaged in
crisis response, which shall include first responders,
law enforcement, emergency health care providers,
primary care providers, court systems, health care
payers, social service providers, and behavioral health
providers;
``(B) developing memoranda of understanding with
public and private entities to implement crisis
response services;
``(C) addressing gaps in community resources for
crisis intervention and prevention;
``(D) developing models for minimizing hospital
readmissions, including through appropriate discharge
planning;
``(E) developing, maintaining, or enhancing
directories to collect, aggregate, and display
information about local inpatient psychiatric
facilities and crisis stabilization units, and
residential community mental health and residential
substance use disorder treatment facilities, to
facilitate the identification and designation of such
facilities and units for the temporary treatment of
individuals in mental or substance use disorder crisis;
and
``(F) including in such directories real-time
information about--
``(i) the number of available beds at each
facility or unit;
``(ii) the types of patients that may be
admitted to each facility or unit; and
``(iii) any other information necessary to
allow for the proper identification and
designation of appropriate facilities or units
for treatment of individuals in mental or
substance use disorder crisis.
``(c) Evaluation.--An entity receiving a grant under subsection (a)
shall submit to the Secretary, at such time, in such manner, and
containing such information as the Secretary may reasonably require, a
report, including an evaluation of the effect of such grant on--
``(1) local crisis response services and measures for
individuals receiving crisis planning and early intervention
supports;
``(2) individuals reporting improved functional outcomes;
and
``(3) individuals receiving regular followup care following
a crisis.
``(d) Authorization of Appropriations.--There is authorized to be
appropriated to carry out this section $12,500,000 for the period of
fiscal years 2023 through 2027.''.
(b) Mental Health Awareness Training Grants.--
(1) In general.--Section 520J of the Public Health Service
Act (42 U.S.C. 290bb-41) is amended--
(B) in subsection (b)(1), by striking ``Indian
tribes, tribal organizations'' and inserting ``Indian
Tribes, Tribal organizations'';
(C) in paragraphs (4), (5), and (6) of subsection
(b), by striking ``Indian tribe, tribal organization''
each place it appears and inserting ``Indian Tribe,
Tribal organization''; and
(D) in subsection (b)(7), by striking ``$14,693,000
for each of fiscal years 2018 through 2022'' and
inserting ``$24,963,000 for each of fiscal years 2023
through 2027''.
(2) Technical corrections.--Section 520J(b) of the Public
Health Service Act (42 U.S.C. 290bb-41(b)) is amended--
(A) in the heading of paragraph (2), by striking
``Emergency services personnel'' and inserting
``Emergency services personnel''; and
(B) in the heading of paragraph (3), by striking
``Distribution of awards'' and inserting ``Distribution
of awards''.
(c) Adult Suicide Prevention.--Section 520L of the Public Health
Service Act (42 U.S.C. 290bb-43) is amended--
(1) in subsection (a)(2)--
(A) by striking ``Indian tribe'' each place it
appears and inserting ``Indian Tribe''; and
(B) by striking ``tribal organization'' each place
it appears and inserting ``Tribal organization''; and
(2) in subsection (d), by striking ``$30,000,000 for the
period of fiscal years 2018 through 2022'' and inserting
``$30,000,000 for each of fiscal years 2023 through 2027''.
SEC. 4. TREATMENT OF SERIOUS MENTAL ILLNESS.
(a) Assertive Community Treatment Grant Program.--
(1) Technical amendment.--Section 520M(b) of the Public
Health Service Act (42 U.S.C. 290bb-44(b)) is amended by
striking ``Indian tribe or tribal organization'' and inserting
``Indian Tribe or Tribal organization''.
(2) Report to congress.--Section 520M(d)(1) of the Public
Health Service Act (42 U.S.C. 290bb-44(d)(1)) is amended by
striking ``not later than the end of fiscal year 2021'' and
inserting ``not later than the end of fiscal year 2026''.
(3) Authorization of appropriations.--Section 520M(e)(1) of
the Public Health Service Act (42 U.S.C. 290bb-44(d)(1)) is
amended by striking ``$5,000,000 for the period of fiscal years
2018 through 2022'' and inserting ``$9,000,000 for each of
fiscal years 2023 through 2027''.
(b) Assisted Outpatient Treatment.--Subpart 3 of part B of title V
of the Public Health Service Act (42 U.S.C. 290bb-31 et seq.) is
amended by adding at the end the following:
``SEC. 520N. ASSISTED OUTPATIENT TREATMENT GRANT PROGRAM FOR
INDIVIDUALS WITH SERIOUS MENTAL ILLNESS.
``(a) In General.--The Secretary shall award grants to eligible
entities for assisted outpatient treatment programs for individuals
with serious mental illness.
``(b) Consultation.--The Secretary shall carry out this section in
consultation with the Director of the National Institute of Mental
Health, the Attorney General of the United States, the Administrator of
the Administration for Community Living, and the Assistant Secretary
for Mental Health and Substance Use.
``(c) Selecting Among Applicants.--In awarding grants under this
section, the Secretary--
``(1) may give preference to applicants that have not
previously implemented an assisted outpatient treatment
program; and
``(2) shall evaluate applicants based on their potential to
reduce hospitalization, homelessness, incarceration, and
interaction with the criminal justice system while improving
the health and social outcomes of the patient.
``(d) Program Requirements.--An assisted outpatient treatment
program funded with a grant awarded under this section shall include--
``(1) evaluating the medical and social needs of the
patients who are participating in the program;
``(2) preparing and executing treatment plans for such
patients that--
``(A) include criteria for completion of court-
ordered treatment if applicable; and
``(B) provide for monitoring of the patient's
compliance with the treatment plan, including
compliance with medication and other treatment
regimens;
``(3) providing for case management services that support
the treatment plan;
``(4) ensuring appropriate referrals to medical and social
services providers;
``(5) evaluating the process for implementing the program
to ensure consistency with the patient's needs and State law;
and
``(6) measuring treatment outcomes, including health and
social outcomes such as rates of incarceration, health care
utilization, and homelessness.
``(e) Report.--Not later than the end of fiscal year 2027, the
Secretary shall submit a report to the appropriate congressional
committees on the grant program under this section. Such report shall
include an evaluation of the following:
``(1) Cost savings and public health outcomes such as
mortality, suicide, substance abuse, hospitalization, and use
of services.
``(2) Rates of incarceration of patients.
``(3) Rates of homelessness of patients.
``(4) Patient and family satisfaction with program
participation.
``(f) Definitions.--In this section:
``(1) The term `assisted outpatient treatment' means
medically prescribed mental health treatment that a patient
receives while living in a community under the terms of a law
authorizing a State or local court to order such treatment.
``(2) The term `eligible entity' means a county, city,
mental health system, mental health court, or any other entity
with authority under the law of the State in which the entity
is located to implement, monitor, and oversee an assisted
outpatient treatment program.
``(g) Funding.--
``(1) Amount of grants.--
``(A) Maximum amount.--The amount of a grant under
this section shall not exceed $1,000,000 for any fiscal
year.
``(B) Determination.--Subject to subparagraph (A),
the Secretary shall determine the amount of each grant
under this section based on the population of the area
to be served through the grant and an estimate of the
number of patients to be served.
``(2) Authorization of appropriations.--There is authorized
to be appropriated to carry out this section $22,000,000 for
each of fiscal years 2023 through 2027.''.
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