Sec. 102. Reports

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Not later than 18 months after the date of enactment of this Act, and biannually thereafter, the Assistant Secretary shall submit to Congress and make publicly available a report on best practices and professional standards in States for— establishing and operating health care programs using peer-support specialists; and training and certifying peer-support specialists. In this subsection, the term peer-support specialist means an individual who— is credentialed by the State in which the individual practices; uses his or her lived experience of recovery from mental illness or substance abuse, plus skills learned in formal training, to facilitate support groups, and to work on a one-on-one basis, with individuals with a serious mental illness or a substance use disorder, in consultation with, and under the supervision of, a licensed mental health or substance use treatment professional; has been an active participant in mental health or substance use treatment for at least the preceding year; provides non-medical services; and performs services only within his or her area of training, expertise, competence, or scope of practice.

Each report under this subsection shall include information on best practices and standards with regard to the following: Hours of formal work or volunteer experience related to mental health and substance use issues. Types of peer specialist exams required. Code of ethics. Additional training required prior to certification, including in areas such as— ethics; scope of practice; crisis intervention; State confidentiality laws; Federal privacy protections, including under the Health Insurance Portability and Accountability Act of 1996 ( Public Law 104–191 ); and other areas, as determined by the Assistant Secretary.

Requirements to explain what, where, when, and how to accurately complete all required documentation activities. Required or recommended skill sets, including knowledge of— risk indicators and responding appropriately to individual stressors, triggers, and indicators of pre-crisis symptoms; basic crisis avoidance techniques; basic suicide prevention concepts and techniques; indicators that an individual may be experiencing abuse or neglect; stages of change or recovery; the typical process that should be followed to access or participate in community mental health and related services; and circumstances when it is appropriate to request assistance from other professionals to help meet the individual's recovery goals.

Annual requirements for continuing education credits. Not later than 18 months after the date of enactment of this Act, and not less than every 18 months thereafter, the Assistant Secretary for Mental Health and Substance Use Disorders, in collaboration with the Director of the Agency for Healthcare Research and Quality and Director of the National Institutes of Health, shall submit to Congress and make available to the public a report on mental health and substance use treatment in the States, including the following:

A detailed report on how Federal mental health and substance use treatment funds are used in each State, including: The numbers of individuals with mental illness, serious mental illness, substance use disorders, or co-occurring disorders who are served with Federal funds. The types of programs made available to individuals with mental illness, serious mental illness, substance use disorders, or co-occurring disorders. A summary of best practice models in the States highlighting programs that are cost effective, provide evidence-based care, increase access to care, integrate physical, psychiatric, psychological, and behavioral medicine, and improve outcomes for individuals with serious mental illness or substance use disorders.

A statistical report of outcome measures in each State for individuals with mental illness, serious mental illness, substance use disorders, or co-occurring disorders, including rates of suicide, suicide attempts, substance abuse, overdose, overdose deaths, health outcomes, emergency psychiatric hospitalizations and emergency room boarding, arrests, incarcerations, homelessness, joblessness, employment, and enrollment in educational or vocational programs. A comparative effectiveness research study analyzing outcomes for different models of outpatient treatment programs for the seriously mentally ill that include outpatient mental health services that are court ordered or voluntary, including— rates of keeping treatment appointments and compliance with prescribed medications; participants’ perceived effectiveness of the program; rates of the programs helping individuals with serious mental illness gain control over their lives; alcohol and drug abuse rates; incarceration and arrest rates; violence against persons or property; homelessness; total treatment costs for compliance with program; and health outcomes.

In this subsection, the term emergency room boarding means the practice of admitting patients to an emergency department and holding such patients in the department until inpatient psychiatric beds become available. The Assistant Secretary for Mental Health and Substance Use Disorders shall enter into an arrangement with the National Academy of Medicine (or, if the National Academy of Medicine declines, another appropriate entity) under which, not later than 18 months after the date of enactment of this Act, the National Academy of Medicine will submit to the appropriate committees of Congress a report that evaluates the combined paperwork burden of— community mental health centers meeting the criteria specified in section 1913(c) of the Public Health Service Act ( 42 U.S.C. 300x–2(c) ), including such centers meeting such criteria as in effect on the day before the date of enactment of this Act; and community mental health centers, as defined in section 1861(ff)(3)(B) of the Social Security Act.

In preparing the report under subsection (a), the National Academy of Medicine (or, if applicable, other appropriate entity) shall examine licensing, certification, service definitions, claims payment, billing codes, and financial auditing requirements used by the Office of Management and Budget, the Centers for Medicare & Medicaid Services, the Health Resources and Services Administration, the Substance Abuse and Mental Health Services Administration, the Office of the Inspector General of the Department of Health and Human Services, State Medicaid agencies, State departments of health, State departments of education, and State and local juvenile justice and social service agencies to make administrative and statutory recommendations to Congress (which recommendations may include a uniform methodology) to reduce the paperwork burden experienced by centers and clinics described in paragraph (1).

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Pub. L. 104-191
42 USC 300x–2(c)

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Sec. 102

Reports

Pub. L.Pub. L. 104-191

Cite42 USC 300x–2(c)

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