Sec. 611. Community Mental Health Services Block Grant
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Section 1911(b) of the Public Health Service Act ( 42 U.S.C. 300x(b) ) is amended— by redesignating paragraphs
(1)through
(3)as paragraphs
(2)through (4), respectively; and by inserting before paragraph
(2)(as so redesignated), the following: providing community mental health services for adults with a serious mental illness and children with a serious emotional disturbance as defined in accordance with section 1912(c); . Subsection
(b)of section 1912 of the Public Health Service Act ( 42 U.S.C. 300x–1 ) is amended to read as follows: The criteria specified in this subsection are as follows: The plan provides a description of the system of care of the State, including as follows: The plan shall— identify the single State agency to be responsible for the administration of the program under the grant and any third party with whom the agency will contract (subject to such third party complying with the requirements of this part) for administering mental health services through such program; provide for an organized community-based system of care for individuals with mental illness, and describe available services and resources in a comprehensive system of care, including services for individuals with mental health and behavioral health co-occurring illness or disorders; include a description of the manner in which the State and local entities will coordinate services to maximize the efficiency, effectiveness, quality, and cost effectiveness of services and programs to produce the best possible outcomes (including health services, rehabilitation services, employment services, housing services, educational services, substance use disorder services, legal services, law enforcement services, social services, child welfare services, medical and dental care services, and other support services to be provided with Federal, State, and local public and private resources) with other agencies to enable individuals receiving services to function outside of inpatient or residential institutions, to the maximum extent of their capabilities, including services to be provided by local school systems under the Individuals with Disabilities Education Act; include a description of how the State— promotes evidence-based practices, including those evidence-based programs that address the needs of individuals with early serious mental illness regardless of the age of the individual at onset; provides comprehensive individualized treatment; or integrates mental and physical health services; include a description of case management services in the State; include a description of activities that seek to engage individuals with serious mental illness or serious emotional disturbance and their caregivers where appropriate in making health care decisions, including activities that enhance communication between individuals, families, caregivers, and treatment providers; and as appropriate to and reflective of the uses the State proposes for the block grant monies— a description of the activities intended to reduce hospitalizations and hospital stays using the block grant monies; a description of the activities intended to reduce incidents of suicide using the block grant monies; and a description of how the State integrates mental health and primary care using the block grant monies. The plan shall contain an estimate of the incidence and prevalence in the State of serious mental illness among adults and serious emotional disturbance among children and presents quantitative targets and outcome measures for programs and services provided under this subpart. In the case of children with serious emotional disturbance (as defined in accordance with subsection (c)), the plan shall provide for a system of integrated social services, educational services, child welfare services, juvenile justice services, law enforcement services, and substance use disorder services that, together with health and mental health services, will be provided in order for such children to receive care appropriate for their multiple needs (such system to include services provided under the Individuals with Disabilities Education Act). The plan shall describe the State’s outreach to and services for individuals who are homeless and how community-based services will be provided to individuals residing in rural areas. The plan shall— describe the financial resources available, the existing mental health workforce, and the workforce trained in treating individuals with co-occurring mental illness and substance use disorders; provide for the training of providers of emergency health services regarding mental health; describe the manner in which the State intends to expend the grant under section 1911 for the fiscal year involved; and describe the manner in which the State intends to comply with each of the funding agreements in this subpart and subpart III. The plan establishes goals and objectives for the period of the plan, including targets and milestones that are intended to be met, and the activities that will be undertaken to achieve those goals and objectives. . Section 1920 of the Public Health Service Act ( 42 U.S.C. 300x–9 ) is amended by adding at the end the following: A State shall expend not less than 10 percent of the amount the State receives for carrying out this subpart in each fiscal year to support evidence-based programs that address the needs of individuals with early serious mental illness, including psychotic disorders, regardless of the age of the individual at the onset of such illness. . Section 1915(b) of the Public Health Service Act ( 42 U.S.C. 300x–4(b) ) is amended— by amending paragraph
(1)to read as follows: A funding agreement for a grant under section 1911 is that the State involved will maintain State expenditures for community mental health services at a level that is not less than the average of the amounts prescribed by this paragraph (prior to any waiver under paragraph (3)) for such expenditures by such State for each of the 2 fiscal years immediately preceding the fiscal year for which the State is applying for the grant. ; in paragraph (2)— by striking under subsection
(a)and inserting specified in paragraph
(1); and by striking principle and inserting principal ; by amending paragraph
(3)to read as follows: The Secretary may, upon the request of a State, waive the requirement established in paragraph
(1)in whole or in part, if the Secretary determines that extraordinary economic conditions in the State in the fiscal year involved or in the previous fiscal year justify the waiver. The Secretary shall approve or deny a request for a waiver under this paragraph not later than 120 days after the date on which the request is made. A waiver provided by the Secretary under this paragraph shall be applicable only to the fiscal year involved. ; and in paragraph (4)— by amending subparagraph
(A)to read as follows: The Secretary shall determine, in the case of each State, and for each fiscal year, whether the State maintained material compliance with the agreement made under paragraph (1). If the Secretary determines that a State has failed to maintain such compliance for a fiscal year, the Secretary shall reduce the amount of the allotment under section 1911 for the State, for the first fiscal year beginning after such determination is final, by an amount equal to the amount constituting such failure for the previous fiscal year about which the determination was made. The Secretary may by regulation provide for an alternative method of imposing a sanction for a failure by a State to maintain material compliance with the agreement under paragraph
(1)if the Secretary determines that such alternative method would be more equitable and would be a more effective incentive for States to maintain such material compliance. ; and in subparagraph (B)— by inserting after the subparagraph designation the following: ; and Submission of information to the secretary.— by striking subparagraph
(A)and inserting subparagraph (A)(i) . Section 1917(a) of the Public Health Service Act ( 42 U.S.C. 300x–6(a) ) is amended— in paragraph (1), by striking 1941 and inserting 1942(a) ; and in paragraph (5), by striking 1915(b)(3)(B) and inserting 1915(b) .
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U.S. Code
4 references not yet in our index
- 42 USC 300x–1
- 42 USC 300x–9
- 42 USC 300x–4(b)
- 42 USC 300x–6(a)
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cites case law
Sec. 611
Community Mental Health Services Block Grant
Cite42 USC 300x–1
Cite42 USC 300x–9
Cite42 USC 300x–4(b)
Cite42 USC 300x–6(a)
Cites 5Cited by 0 across 0 sources