Sec. 206. Block grants

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Section 1920(a) of the Public Health Service Act ( 42 U.S.C. 300x–9(a) ) is amended by striking $450,000,000 for fiscal year 2001, and such sums as may be necessary for each of the fiscal years 2002 and 2003 and inserting $483,000,000 for fiscal year 2017 and such sums as may be necessary for each of fiscal years 2018 through 2019 . Section 1920 of the Public Health Service Act ( 42 U.S.C. 300x–9 ) is amended by adding at the end the following: The Assistant Secretary, acting through the Administrator of the Substance Abuse and Mental Health Services and in collaboration with the Director of the National Institute of Mental Health, shall obligate 5 percent of the amounts appropriated for a fiscal year under subsection

(a)for translating evidence-based (as defined in section 2 of the Mental Health Reform Act of 2015 ) interventions and best available science into systems of care, such as through models including the Recovery After an Initial Schizophrenia Episode research project of the National Institute of Mental Health. . 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 following: The plan provides ; in the second sentence, by striking health and mental health services and inserting integrated physical and mental health services ; by striking The plan shall include and all that follows 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 individuals with serious mental illness. ; 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 reduction of rates of suicides, suicide attempts, substance abuse, overdose deaths, emergency hospitalizations, incarceration, crimes, arrest, homelessness, joblessness, medication nonadherence, and education and vocational programs drop outs. The plan shall include a detailed list of services available for eligible patients in each county or county equivalent. . Subsection (b)(1)(A) (as so designated by paragraph (1)) of section 1912 of the Public Health Service Act ( 42 U.S.C. 300x–1(b)(1)(A) ) is amended by inserting legal services, and before other support services . Subsection (b)(2) of section 1912 of the Public Health Service Act ( 42 U.S.C. 300x–1(b)(2) ) is amended by inserting and outcome measures for services and resources before the period. Subsection

(d)of section 1912 of the Public Health Service Act ( 42 U.S.C. 300x–1(d) ) is amended— in paragraph (1)— by striking Except as provided and inserting the following: Except as provided ; and by adding at the end the following new subparagraph: For eligible patients 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 the Mental Health Reform Act of 2015 and each subsequent year, a de-identified report, containing information that is open source and de-identified, on the outcomes measures collected in subsection (b)(2) of section 1912 of the Public Health Service Act and the overall cost of such treatment provided. . 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 fiscal year 2019, the Secretary shall provide to each State that meets the conditions under paragraph

(2)for fiscal year 2019, an amount equal to 2 percent of the formula grant amount described in section 1911 and section 1921. The Secretary shall define the conditions under which a State is eligible to receive the additional amount under paragraph (1), based on the report on mental health and substance use treatment in the States under section 102(b) of the Mental Health Reform Act of 2015 . Any amounts made available under paragraph

(1)shall be in addition to the State’s block grant allocation and shall be made to a State for a fiscal year, as a single payment, not later than the last day of the first calendar quarter of fiscal year 2020. . 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 under section 201(a)(2)(C) of the Mental Health Reform Act of 2015 , the Assistant Secretary may, by rule, 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 Assistant Secretary for Mental Health and Substance Use Disorders (in this subsection referred to as the Assistant 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 Director of the National Institute of Mental Health determines that such expansion would improve the quality of patient care; and the Assistant 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, 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 such patients in the department until inpatient psychiatric beds become available. . Section 1913 of the Public Health Service Act ( 42 U.S.C. 300x–2 ) is amended by adding at the end the following: In implementing a plan submitted under section 1912(a), a State receiving a grant 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. . 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 patient 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; assisted outpatient treatment, 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. 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 proactively making their own health care decisions and enhancing communication between themselves, their families, and their treatment providers by allowing for early intervention and reducing legal proceedings related to involuntary treatment by developing psychiatric advanced directives through a comprehensive program— of assertive outreach and engagement services focusing on individuals diagnosed with serious mental illness or self-identifying as in recovery from serious mental illness to obtain a psychiatric advanced directive; or to support States in providing accessible legal counsel to individuals diagnosed with serious mental illness. .

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

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cites case law

Sec. 206

Block grants

Cite42 USC 300x–9(a)

Cite42 USC 300x–9

Cite42 USC 300x–1(b)(1)

Cite42 USC 300x–1(b)(1)(A)

Cite42 USC 300x–1(b)(2)

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