Sec. 301. Primary and behavioral health care integration grant programs
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Section 520K of the Public Health Service Act ( 42 U.S.C. 290bb–42 ) is amended to read as follows: There is established within the Substance Abuse and Mental Health Services Administration a primary and behavioral health care integration grant program. The Assistant Secretary for Mental Health and Substance Use Disorders may award grants and cooperative agreements to eligible entities to expend funds for improvements in integrated settings with integrated practices. In this section:
The term integrated care means full collaboration in merged or transformed practices offering mental and physical health services within the same shared practice space in the same facility, where the entity— provides services in a shared space that ensures services will be available and accessible promptly and in a manner which preserves human dignity and assures continuity of care; ensures communication among the integrated care team that is consistent and team-based; ensures shared decisionmaking between mental health and primary care providers; provides evidence-based services in a mode of service delivery appropriate for the target population; employs staff who are multidisciplinary and culturally and linguistically competent; provides integrated services related to screening, diagnosis, and treatment of mental illness and co-occurring primary care conditions and chronic diseases; and provides targeted case management, including services to assist individuals gaining access to needed medical, social, educational, and other services and applying for income security, housing, employment, and other benefits to which they may be entitled.
The term integrated care team means a team that includes— allopathic or osteopathic medical doctors, including a primary care physician and a board certified psychiatrist; licensed clinical mental health professionals, such as psychologists or social workers; a case manager; and other members, which may include psychiatric advanced practice nurses and other allied health professionals, such as mental health counselors, or others as appropriate. The term special population means— adults with mental illnesses who have co-occurring primary care conditions with chronic diseases; adults with serious mental illnesses who have co-occurring primary care conditions with chronic diseases; children and adolescents with serious emotional disorders with co-occurring primary care conditions and chronic diseases; or individuals with substance use disorder.
The grant program under this section shall be designed to lead to full collaboration between primary and behavioral health in an integrated practice model at a statewide level, to ensure that— the overall wellness and physical health status of individuals with serious mental illness and co-occurring substance use disorders is supported through integration of primary care into community mental health centers meeting the criteria specified in section 1913(c) of the Social Security Act or certified community behavioral health clinics described in section 223 of the Protecting Access to Medicare Act of 2014; and the mental health status of individuals with significant co-occurring psychiatric and physical conditions will be supported through integration of behavioral health into primary care settings.
To be eligible to receive a grant or cooperative agreement under this section, an entity shall be a State department of health, State mental health or addiction agency, or State Medicaid agency. The Administrator shall give preference to States that have existing integrated care models, such as those authorized by section 1945 of the Social Security Act. An eligible entity desiring a grant or cooperative agreement under this section shall submit an application to the Administrator at such time, in such manner, and accompanied by such information as the Administrator may require, including a description of a plan to achieve fully collaborative agreements to provide services to special populations and— a document that summarizes the State-specific policies that inhibit the provision of integrated care, and the specific steps that will be taken to address such barriers, such as through licensing and billing procedures; and a plan to develop and share a de-identified patient registry to track treatment implementation and clinical outcomes to inform clinical interventions, patient education, and engagement with merged or transformed integrated practices in compliance with applicable national and State health information privacy laws.
The maximum annual grant amount under this section shall be $2,000,000, of which not more than 10 percent may be allocated to State administrative functions, and the remaining amounts shall be allocated to health facilities that provide integrated care. A grant under this section shall be for a period of 5 years. An entity receiving a grant or cooperative agreement under this section shall submit an annual report to the Administrator that includes— the progress to reduce barriers to integrated care, including regulatory and billing barriers, as described in the entity's application under subsection (d); and a description of functional outcomes of special populations, including— with respect to individuals with serious mental illness, participation in supportive housing or independent living programs, attendance in social and rehabilitative programs, participation in job training opportunities, satisfactory performance in work settings, attendance at scheduled medical and mental health appointments, and compliance with prescribed medication regimes; with respect to individuals with co-occurring mental illness and primary care conditions and chronic diseases, attendance at scheduled medical and mental health appointments, compliance with prescribed medication regimes, and participation in learning opportunities related to improved health and lifestyle practice; and with respect to children and adolescents with serious emotional disorders who have co-occurring primary care conditions and chronic diseases, attendance at scheduled medical and mental health appointments, compliance with prescribed medication regimes, and participation in learning opportunities at school and extracurricular activities.
The Assistant Secretary for Mental Health and Substance Use Disorders shall establish a program through which such Assistant Secretary shall provide appropriate information, training, and technical assistance to eligible entities that receive a grant or cooperative agreement under this section, in order to help such entities to meet the requirements of this section, including assistance with— development and selection of integrated care models; dissemination of evidence-based interventions in integrated care; establishment of organizational practices to support operational and administrative success; and other activities, as the Assistant Secretary for Mental Health and Substance Use Disorders determines appropriate.
The information and resources provided by the technical assistance program established under paragraph
(1)shall be made available to States, political subdivisions of a State, Indian tribes or tribal organizations (as defined in section 4 of the Indian Self-Determination and Education Assistance Act), outpatient mental health and addiction treatment centers, community mental health centers that meet the criteria under section 1913(c), certified community behavioral health clinics described in section 223 of the Protecting Access to Medicare Act of 2014, primary care organizations such as Federally qualified health centers or rural health centers, other community-based organizations, or other entities engaging in integrated care activities, as the Assistant Secretary for Mental Health and Substance Use Disorders determines appropriate. To carry out this section, there are authorized to be appropriated $50,000,000 for each of fiscal years 2017 through 2021, of which $2,000,000 shall be available to the technical assistance program under subsection (i). .
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- 42 USC 290bb–42
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Sec. 301
Primary and behavioral health care integration grant programs
Cite42 USC 290bb–42
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