[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[H.R. 8180 Introduced in House (IH)]
<DOC>
117th CONGRESS
2d Session
H. R. 8180
To provide for increased authorization of funding to secure schools and
improve access to mental health and crisis care.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
June 22, 2022
Mr. Tony Gonzales of Texas introduced the following bill; which was
referred to the Committee on Energy and Commerce, and in addition to
the Committee on Ways and Means, for a period to be subsequently
determined by the Speaker, in each case for consideration of such
provisions as fall within the jurisdiction of the committee concerned
_______________________________________________________________________
A BILL
To provide for increased authorization of funding to secure schools and
improve access to mental health and crisis care.
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 ``Undertaking Needed Investments in
Therapy, Education, and De-Escalation Act of 2022''.
SEC. 2. TABLE OF CONTENTS.
The table of contents of this Act is as follows:
Sec. 1. Short title.
Sec. 2. Table of contents.
Sec. 3. Youth suicide prevention and early intervention grant programs.
Sec. 4. Community services mental health services block grant programs.
Sec. 5. Establishment of a National Center for Healing, Empowerment,
Learning, and Prevention (HELP) through
Behavioral Health.
Sec. 6. Crisis care response and coordination.
Sec. 7. Adult and youth grant programs for serious mental illnesses and
emotional disturbances.
Sec. 8. Lifeline call center program.
Sec. 9. Extension of emergency telehealth services.
Sec. 10. Pediatric mental health care access grants.
SEC. 3. YOUTH SUICIDE PREVENTION AND EARLY INTERVENTION GRANT PROGRAMS.
(a) Suicide Prevention Resource Center.--Section 520C(c) of the
Public Health Service Act (42 U.S.C. 290bb-34(c)) is amended by
striking ``$5,988,000 for each of fiscal years 2018 through 2022'' and
inserting ``$10,000,000 for each of fiscal years 2023 through 2027''.
(b) Garrett Lee Smith Campus Suicide Prevention Program.--Section
520E-2(i) of the Public Health Service Act (42 U.S.C. 290bb-36b(i)) is
amended by striking ``2018 through 2022'' and inserting ``2023 through
2027''.
(c) Mental and Behavioral Health Outreach and Education.--Section
549(f) of the Public Health Service Act (42 U.S.C. 290ee-4(f)) is
amended by striking ``$1,000,000 for the period of fiscal years 2018
through 2022'' and inserting ``$9,000,000 for each of fiscal years 2023
through 2027''.
(d) Garrett Lee Smith State and Tribal Youth Suicide Prevention and
Early Intervention Grant Program.--Section 520E(m) of the Public Health
Service Act (42 U.S.C. 290bb-36(m)) is amended by striking
``$30,000,000 for each of fiscal years 2018 through 2022'' and
inserting ``$50,000,000 for each of fiscal years 2023 through 2027''.
SEC. 4. COMMUNITY SERVICES MENTAL HEALTH SERVICES BLOCK GRANT PROGRAMS.
Section 1920(a) of the Public Health Service Act (42 U.S.C. 300x-
9(a)) is amended by striking ``$532,571,000 for each of fiscal years
2018 through 2022'' and inserting ``$1,000,000,000 for each of fiscal
years 2023 through 2027''.
SEC. 5. ESTABLISHMENT OF A NATIONAL CENTER FOR HEALING, EMPOWERMENT,
LEARNING, AND PREVENTION (HELP) THROUGH BEHAVIORAL
HEALTH.
Part D of title III of the Public Health Service Act (42 U.S.C.
254b et seq.) is amended by adding at the end the following:
``Subpart XIII--Healing, Empowerment, Learning, and Prevention Through
Behavioral Health
``SEC. 340H. NATIONAL CENTER FOR HEALING, EMPOWERMENT, LEARNING, AND
PREVENTION THROUGH BEHAVIORAL HEALTH.
``(a) Establishment.--For the purpose described in subsection (b),
the Administrator of the Health Resources and Services Administration
shall establish within the Office of Rural Health Policy of the Health
Resources and Services Administration a national center (in this
section referred to as the `National Center'), to be known as the
National Center for Healing, Empowerment, Learning, and Prevention
through Behavioral Health.
``(b) Purpose.--The purpose of the National Center shall be to
facilitate the exchange of knowledge and perspectives among experts in
medicine, behavioral health, telementoring, telemedicine, telehealth,
training and technical assistance, education, health promotion,
culturally competent community engagement, and implementation of
science necessary to rapidly implement behavioral health services for
community recovery.
``(c) Authorization of Appropriations.--There is authorized to be
appropriated to carry out this section $10,000,000 for the period of
fiscal years 2023 through 2027.''.
SEC. 6. CRISIS CARE RESPONSE AND 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 effects 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 $15,000,000 for the period of
fiscal years 2023 through 2027.''.
(b) Mental Health Awareness Training Grants.--Section 520J(b)(7) of
the Public Health Service Act (42 U.S.C. 290bb-41(b)(7)) is amended by
striking ``$14,693,000 for each of fiscal years 2018 through 2022'' and
inserting ``$25,000,000 for each of fiscal years 2023 through 2027''.
(c) Mental and Behavioral Health Education and Training Grants.--
Section 756(f) of the Public Health Service Act (42 U.S.C. 294e-1(f))
is amended by striking ``For each of fiscal years 2019 through 2023''
and inserting ``For each of fiscal years 2023 through 2027''.
SEC. 7. ADULT AND YOUTH GRANT PROGRAMS FOR SERIOUS MENTAL ILLNESSES AND
EMOTIONAL DISTURBANCES.
(a) Assertive Community Treatment Grant Program.--Section
520M(e)(1) of the Public Health Service Act (42 U.S.C. 290bb-44(e)(1))
is amended by striking ``$5,000,000 for the period of fiscal years 2018
through 2022'' and inserting ``$10,000,000 for each of fiscal years
2023 through 2027''.
(b) Comprehensive Community Mental Health Services for Children
With Serious Emotional Disturbances.--
(1) In general.--Section 565(f)(1) of the Public Health
Service Act (42 U.S.C. 290ff-4(f)(1)) is amended by striking
``$119,026,000 for each of fiscal years 2018 through 2022'' and
inserting ``$130,000,000 for each of fiscal years 2023 through
2027''.
(2) Technical correction.--Section 565(f) of the Public
Health Service Act (42 U.S.C. 290ff-4(f)) is amended by moving
the margin of paragraph (2) 2 ems to the right.
SEC. 8. LIFELINE CALL CENTER PROGRAM.
Part B of title V of the Public Health Service Act (42 U.S.C. 290bb
et seq.) is amended by inserting after section 520E-4 (42 U.S.C. 290bb-
36d) the following:
``SEC. 520E-5. REGIONAL AND LOCAL LIFELINE CALL CENTER PROGRAM.
``(a) In General.--The Secretary shall award grants to crisis call
centers--
``(1) to purchase or upgrade call center technology;
``(2) to provide for training of call center staff;
``(3) to improve call center operations; and
``(4) for hiring of call center staff.
``(b) Definition.--In this section, the term `crisis call center'
means a regional clinically managed crisis call center that--
``(1) provides telephonic crisis intervention capabilities;
``(2) meets the National Suicide Prevention Lifeline
operational guidelines regarding suicide risk assessment and
engagement; and
``(3) offers air traffic control-quality coordination of
crisis care in real-time.
``(c) Authorization of Appropriations.--There are authorized to be
appropriated to carry out this section $560,000,000 for fiscal year
2023, to remain available until expended.''.
SEC. 9. EXTENSION OF EMERGENCY TELEHEALTH SERVICES.
Section 1135(e) of the Social Security Act (42 U.S.C. 1320b-5(e))
is amended by adding at the end the following new paragraph:
``(3) Two-year extension of telehealth services following
the covid-19 emergency period.--Notwithstanding any other
provision of this section, a waiver or modification of
requirements pursuant to subsection (b)(8) shall terminate on
the date that is 2 years after the last day of the emergency
period described in subsection (g)(1)(B).''.
SEC. 10. PEDIATRIC MENTAL HEALTH CARE ACCESS GRANTS.
Section 330M of the Public Health Service Act (42 U.S.C. 254c-19)
is amended--
(1) in subsection (b)--
(A) by redesignating paragraph (2) as paragraph
(3);
(B) by inserting after paragraph (1) the following
new paragraph:
``(2) Support to schools and emergency departments.--In
addition to the required activities specified in paragraph (1),
a statewide or regional network of pediatric mental health
teams referred to in subsection (a), with respect to which a
grant under such subsection may be used, may provide support to
schools and emergency departments.''; and
(C) in paragraph (3), as so redesignated, by
inserting ``Such a team may include a developmental-
behavioral pediatrician.'' after ``mental health
counselor.'';
(2) by striking subsection (g); and
(3) by adding at the end the following:
``(g) Technical Assistance.--The Secretary shall award grants or
contracts to one or more eligible entities (as defined by the
Secretary) for the purposes of providing technical assistance and
evaluation support to grantees under subsection (a).
``(h) Authorization of Appropriations.--To carry out this section,
there are authorized to be appropriated--
``(1) $15,000,000 for each of fiscal years 2023 through
2025; and
``(2) $30,000,000 for each of fiscal years 2026 through
2027.''.
<all>