Sec. 2. Establishing community behavioral health centers

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Section 1913 of the Public Health Service Act ( 42 U.S.C. 300x–2 ) is amended— in subsection (a)(2)(A), by striking community mental health services and inserting behavioral health services (of the type offered by a certified federally qualified community behavioral health center) ; in subsection (b)— in paragraph (1), by striking community mental health centers and inserting certified federally qualified community behavioral health centers ; and in paragraph (2), by striking community mental health centers and inserting certified federally qualified community behavioral health centers ; and by striking subsection

(c)and inserting the following: For purposes of subsection (a)(2) and subsection (b), the term certified federally qualified community behavioral health center means a nonprofit or local government center that is certified by the Secretary as performing each of the following actions: Providing services in locations that ensure services will be available and accessible promptly and in a manner which preserves human dignity and assures continuity of care. Providing services in a mode of service delivery appropriate for the target population. Providing individuals with a choice of service options where there is more than one efficacious treatment. Employing a core staff of clinical staff that is multidisciplinary and culturally and linguistically competent. Providing services, within the limits of the capacities of the center, to any individual residing or employed in the service area of the center, regardless of the ability of the individual to pay. Providing, directly or through contract, to the extent covered for adults in the State Medicaid plan under title XIX of the Social Security Act and for children in accordance with section 1905(r) of such Act regarding early and periodic screening, diagnosis, and treatment, each of the following services: Screening, assessment, and diagnosis, including risk assessment. Person-centered treatment planning or similar processes, including risk assessment and crisis planning. Outpatient mental health and substance use services, including screening, assessment, diagnosis, psychotherapy, medication management, and integrated treatment for mental illness and substance abuse which shall be evidence-based (including cognitive behavioral therapy and other such therapies which are evidence-based). Outpatient clinic primary care screening and monitoring of key health indicators and health risk (including screening for diabetes, hypertension, and cardiovascular disease and monitoring of weight, height, body mass index (BMI), blood pressure, blood glucose or HbA1C, and lipid profile). Crisis mental health services, including 24-hour mobile crisis teams, emergency crisis intervention services, and crisis stabilization. Targeted case management (services to assist individuals gaining access to needed medical, social, educational, and other services and applying for income security and other benefits to which they may be entitled). Psychiatric rehabilitation services including skills training, assertive community treatment, family psychoeducation, disability self-management, supported employment, supported housing services, therapeutic foster care services, and such other evidence-based practices as the Secretary may require. Peer support and counselor services and family supports. Maintaining linkages, and where possible entering into formal contracts with the following: Federally qualified health centers. Inpatient psychiatric facilities and substance use detoxification, post detoxification step-down services, and residential programs. Adult and youth peer support and counselor services. Family support services for families of children with serious mental or substance abuse disorders. Other community or regional services, supports, and providers, including schools, child welfare agencies, juvenile and criminal justice agencies and facilities, housing agencies and programs, employers, and other social services. Onsite or offsite access to primary care services. Enabling services, including outreach, transportation, and translation. Health and wellness services, including services for tobacco cessation. Certification under paragraph

(1)shall be for a 5-year period. The Administrator shall provide an opportunity for recertification at the end of each certification period. Nothing in paragraph

(1)shall be construed as prohibiting any State receiving funds appropriated through the Community Mental Health Services Block Grant under this subpart from financing qualified community programs (whether such programs meet the definition of eligible programs prior to or after the date of enactment of the Excellence in Mental Health Act ). . Not later than 18 months after the date of the enactment of this Act, the Secretary of Health and Human Services, in consultation with State mental health and substance abuse authorities, shall issue final regulations for certifying nonprofit or local government centers under subsection

(c)of section 1913 of the Public Health Service Act, as amended by this section.

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42 USC 300x–2

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Sec. 2

Establishing community behavioral health centers

Cite42 USC 300x–2

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