Sec. 108. Block grants

1,405 words·~6 min read·/bill/114/hr/4435/ih/section-108·

A research copy — for the controlling text, always check the official state or federal source. Not legal advice.

Section 1920 of the Public Health Service Act ( 42 U.S.C. 300x–9 ) is amended by adding at the end the following: The Substance Abuse and Mental Health Services Administration, acting in collaboration with the Director of the National Institute of Mental Health, shall require States to obligate at least 5 percent of the amounts appropriated for a fiscal year under subsection

(a)to support evidence-based programs that address the needs of individuals with early serious mental illness or serious emotional disturbance, including psychotic disorders, regardless of the age of individual onset. Such models shall translate evidence-based interventions and best available science into systems of care, such as through models such as— the Recovery After an Initial Schizophrenia Episode research project of the National Institute of Mental Health; and the North American Prodrome Longitudinal Study. . Subsection (b)(1) of section 1912 of the Public Health Service Act ( 42 U.S.C. 300x–1(b)(1) ) is amended— by striking The plan provides and inserting: The plan provides ; in subparagraph (A), as inserted by paragraph (1), in the second sentence, by striking health and mental health services and inserting integrated physical and mental health services ; in such subparagraph (A), by striking The plan shall include through the period at the end and inserting The plan shall integrate and coordinate services to maximize the efficiency, effectiveness, quality, coordination, and cost effectiveness of those services and programs to produce the best possible outcomes for those with serious mental illness or serious emotional disturbance. ; and by adding at the end the following new subparagraph: The plan shall include a separate description of case management services and provide for activities leading to improved outcomes, such as reduction of rates of suicides, suicide attempts, substance abuse, overdose deaths, emergency hospitalizations, incarceration, crimes, arrest, victimization, homelessness, joblessness, medication nonadherence, and education and vocational programs drop outs. The plan must also include a detailed list of services available for individuals with serious mental illness or serious emotional disturbance in each county or county equivalent. The plan shall include a separate description of active programs that seek to engage individuals with serious mental illness in proactively making their own health care decisions and enhancing communication among themselves, their families, and their treatment providers by allowing for early intervention by reducing legal proceedings related to involuntary treatment. Such programs may include services that help develop psychiatric advanced directives. . Subsection (b)(2) of section 1912 of the Public Health Service Act ( 42 U.S.C. 300x–1(b)(2) ) is amended— by striking The plan contains an estimate of and inserting the following: The plan contains— an estimate of ; in subparagraph (A), as inserted by paragraph (1), by inserting , such as reductions in homelessness, emergency hospitalization, incarceration, and unemployment after targets ; in such subparagraph, by striking the period at the end and inserting ; and ; and by adding at the end the following new subparagraph: an agreement by the State to report to the Secretary such data as may be required by the Secretary concerning— comprehensive community mental health services in the State; and public health outcomes for persons with serious mental illness or serious emotional disturbance in the State, such as rates of suicides, suicide attempts, substance abuse, overdose deaths, emergency hospitalizations, incarceration, crimes, arrest, victimization, homelessness, joblessness, medication nonadherence, and education and vocational programs drop outs. . Subsection (d)(1) of section 1912 of the Public Health Service Act ( 42 U.S.C. 300x–1(d)(1) ) is amended— by striking Except as provided and inserting: Except as provided ; and by adding at the end the following new subparagraph: For individuals receiving treatment through funds awarded under a grant under section 1911, a State shall include in the State plan for the first year beginning after the date of the enactment of this subparagraph and each subsequent year, a de-individualized report, containing information that is de-identified, on the services provided to those individuals, including— outcomes and the overall cost of such treatment provided; and county or county equivalent level data on such population, such as overall costs and raw number data on rates of involuntary commitment orders, suicides, suicide attempts, substance abuse, overdose deaths, emergency hospitalizations, incarceration, crimes, arrest, victimization, homelessness, joblessness, medication nonadherence, and education and vocational programs drop outs. . Section 1920 of the Public Health Service Act ( 42 U.S.C. 300x–9 ) is amended by adding at the end the following: In addition to the amounts made available under subsection

(a)for each fiscal year, the Secretary shall provide to each State that meets the conditions under paragraph

(2)by the end of the first quarter of the subsequent fiscal year, an equally divided share of the funding under paragraph (3). The Secretary shall define the conditions under which a State is eligible to receive the additional amount under paragraph (1). For purposes of this subsection, there is authorized to be appropriated $25,000,000 for each of fiscal years 2017 through 2021. Any amounts made available under paragraph

(1)shall be in addition to the State’s block grant allocation. . Section 1912 of the Public Health Service Act ( 42 U.S.C. 300x–1 ) is amended by adding at the end the following new subsection: Taking into account the results of evaluations of block grant programs, the Secretary may, as part of the program of block grants under this subpart, provide for expanded use across the Nation of evidence-based service delivery models by providers funded under such block grants, so long as— the Secretary determines that such expansion will— result in more effective use of funds under such block grants without reducing the quality of care; or improve the quality of patient care without significantly increasing spending; the Secretary determines that such expansion would improve the quality of patient care; and the Secretary determines that the change will— significantly reduce severity and duration of symptoms of mental illness; reduce rates of suicide, suicide attempts, substance abuse, overdose, emergency hospitalizations, emergency room boarding, incarceration, crime, arrest, victimization, homelessness, or joblessness; or significantly improve the quality of patient care and mental health crisis outcomes without significantly increasing spending. In this subsection, the term emergency room boarding means the practice of admitting patients to an emergency department and holding them in the department until inpatient psychiatric beds become available. . Section 1913 of the Public Health Service Act ( 42 U.S.C. 300x–2 ), as amended, is further amended by adding at the end the following: In implementing a plan submitted under section 1912(a), a State receiving grant funds under section 1911 may make such funds available to providers of services described in subsection

(b)for the provision of services without fiscal year limitation, so long as any carryover is spent within 3 years of the year in which the funding was provided. . Section 1915 of the Public Health Service Act ( 42 U.S.C. 300x–4 ) is amended by adding at the end of the following: A funding agreement for a grant under section 1911 is that the State involved has in effect active programs that seek to engage individuals with serious mental illness in comprehensive services in order to avert relapse, repeated hospitalizations, arrest, incarceration, suicide, and to provide the individuals with the opportunity to live in the least restrictive setting, through a comprehensive program of evidence-based and culturally relevant assertive outreach and engagement services focusing on individuals who are homeless, have co-occurring disorders, are at risk for incarceration or re-incarceration, or have a history of treatment failure, including repeated hospitalizations or emergency room usage. The Administrator of the Substance Abuse and Mental Health Services Administration, in cooperation with the Director of the National Institute of Mental Health, shall develop— a list of evidence-based culturally and linguistically relevant assertive outreach and engagement services; and criteria to be used to assess the scope and effectiveness of the approaches taken by such services, such as the ability to provide same-day appointments for emergent situations. For purposes of paragraph (1), appropriate programs of evidence-based assertive outreach and engagement services may include peer support programs; the Wellness Recovery Action Plan, Assertive Community Treatment, and Forensic Assertive Community Treatment of the Substance Abuse and Mental Health Services Administration; appropriate supportive housing programs incorporating a Housing First model; and intensive, evidence-based approaches to early intervention in psychosis, such as the Recovery After an Initial Schizophrenia Episode model of the National Institute of Mental Health and the Specialized Treatment Early in Psychosis program. .

Connections7 off-index

7 references not yet in our index

42 USC 300x–9
42 USC 300x–1(b)(1)
42 USC 300x–1(b)(2)
42 USC 300x–1(d)(1)
42 USC 300x–1
42 USC 300x–2
42 USC 300x–4

Citation graph

cites case law

Sec. 108

Block grants

Cite42 USC 300x–9

Cite42 USC 300x–1(b)(1)

Cite42 USC 300x–1(b)(2)

Cite42 USC 300x–1(d)(1)

Cite42 USC 300x–1

Cites 7 · showing 5Cited by 0 across 0 sources