[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[H.R. 9499 Introduced in House (IH)]
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117th CONGRESS
2d Session
H. R. 9499
To amend the Protecting Access to Medicare Act of 2014 to clarify the
meaning of psychiatric rehabilitation services under demonstration
programs to improve community mental health services, and for other
purposes.
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IN THE HOUSE OF REPRESENTATIVES
December 12, 2022
Mr. Torres of New York introduced the following bill; which was
referred to the Committee on Energy and Commerce
_______________________________________________________________________
A BILL
To amend the Protecting Access to Medicare Act of 2014 to clarify the
meaning of psychiatric rehabilitation services under demonstration
programs to improve community mental health services, 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 ``Certified Community Behavioral
Health Clinic Expansion Act of 2022''.
SEC. 2. CLARIFYING PSYCHIATRIC REHABILITATION SERVICES UNDER
DEMONSTRATION PROGRAMS TO IMPROVE COMMUNITY MENTAL HEALTH
SERVICES.
(a) Definition.--Section 223(e) of the Protecting Access to
Medicare Act of 2014 (42 U.S.C. 1396a note) is amended--
(1) by redesignating paragraphs (3) and (4) as paragraphs
(5) and (6), respectively; and
(2) by inserting after paragraph (2) the following:
``(3) Psychiatric rehabilitation services.--The term
`psychiatric rehabilitation services' includes community-based
services and programs that promote community integration and
address social needs.''.
(b) Psychosocial Rehabilitation Services.--
(1) Scope of services for certification.--Section
223(a)(2)(D) of the Protecting Access to Medicare Act of 2014
(42 U.S.C. 1396a note) is amended--
(A) by redesignating clauses (viii) and (ix) as
clauses (ix) and (x), respectively; and
(B) by inserting after clause (vii) the following:
``(viii) Psychosocial rehabilitation
services.''.
(2) Definition.--Section 223(e) of the Protecting Access to
Medicare Act of 2014 (42 U.S.C. 1396a note) is amended by
inserting after paragraph (3), as inserted by subsection (a),
the following:
``(4) Psychosocial rehabilitation services.--The term
`psychosocial rehabilitation services' includes each of the
following elements, tailored to the needs of the individual:
``(A) Intensive, structured, goal-oriented
community engagement that enables recovery through the
creation of social opportunities, promotion of
resiliency and interpersonal growth, and access to
psychosocial supports, such as employment, housing,
skills development, wellness initiatives, and clinical
services.
``(B) Focus on restoration and promotion of social
skills, problem-solving abilities, and connection that
promote effective functioning in the individual's
social environment, including home, work, and school.
``(C) Programmatic practices that--
``(i) are respectful of the individual's
autonomy and value peer relationships and
supports;
``(ii) are provided fairly and without
preferential treatment to any groups eligible
for services; and
``(iii) include equity-based and
noncompulsory programmatic practices in which
individuals are invited to support each other
in peer relationships and participate in
decisionmaking around community activities.
``(D) Restoration, rehabilitation, and support of
daily functioning to improve self-management of the
negative effects of psychiatric or emotional symptoms,
and to provide support in managing their money,
medications, self-care, and using community resources.
``(E) Formalized activities to help individuals
develop resilience to changes in psychiatric symptoms
and stressors of all kinds to prevent crisis and
promote functioning and stability.
``(F) Standardized measures of loneliness and
social isolation developed by the Administrator of the
Centers for Medicare & Medicaid Services.
``(G) Other rehabilitation and support through
ongoing engagement, including both informal supports
such as friends, family, or peers, and formal supports
such as peer support professionals, other mental health
professionals, and paraprofessionals that restore
skills, self-esteem, confidence, and agency to function
in natural community environments.''.
(c) Implementation Timeline.--Not later than 1 year after the date
of enactment of this Act, the Secretary of Health and Human Services
shall publish revised criteria under subsection (a) of section 223 of
the Protecting Access to Medicare Act of 2014 (42 U.S.C. 1396a note)
for a clinic to be certified by a State as a certified community
behavioral health clinic for purposes of participating in a
demonstration program conducted under subsection (d) of such section.
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