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Code · BILL · 114th Congress · S. 2680 (Introduced in Senate) — To amend the Public Health Service Act to provide comprehensive mental health reform, and for other purposes. · Sec. 301

Sec. 301. Community Mental Health Services Block Grant

1,417 words·~6 min read·/bill/114/s/2680/is/section-301

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

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 serious mental illness and children with serious emotional disturbances as defined in accordance with section 1912(c); . Section 1912(b) of the Public Health Service Act ( 42 U.S.C. 300x–1(b) ) is amended— in paragraph (3), by redesignating subparagraphs
(A)through
(C)as clauses
(i)through (iii), respectively, and realigning the margins accordingly; by redesignating paragraphs
(1)through
(5)as subparagraphs
(A)through (E), respectively, and realigning the margins accordingly; by striking the matter preceding subparagraph
(A)(as so redesignated), and inserting the following: In accordance with subsection (a), a State shall submit to the Secretary a plan that, at a minimum, includes the following: A description of the State’s system of care that contains the following: ; by striking subparagraph
(A)(as so redesignated), and inserting the following: The plan shall— identify the single State agency to be responsible for the administration of the program under the grant, including any third party who administers mental health services and is responsible for complying with the requirements of this part with respect to the grant; 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 co-occurring 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; include a description of case management services; include a description of activities leading to reduction of hospitalization, arrest, incarceration, or suicide, including through promoting comprehensive, individualized treatment; include a description of activities that seek to engage individuals with serious mental illness in making health care decisions, including activities that enhance communication between individuals, families, and treatment providers; include a description of how the State integrates mental health and primary health care, which may include providing, in the case of individuals with co-occurring mental and substance use disorders, both mental and substance use disorder services in primary care settings or arrangements to provide primary and specialty care services in community-based mental and substance use disorder service settings; and include a description of how the State ensures a smooth transition for children with serious emotion disturbances from the children’s service system to the adult service system. ; in subparagraph
(B)(as so redesignated), by striking to be achieved in the implementation of the system described in paragraph
(1)and inserting and outcome measures for programs and services provided under this subpart ; in subparagraph
(C)(as so redesignated)— by striking disturbance in the matter preceding clause
(i)(as so redesignated) and all that follows through substance abuse services in clause
(i)(as so redesignated) and inserting the following: disturbance (as defined pursuant to 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 ; by striking Education Act; and inserting Education Act. ; and by striking clauses
(ii)and
(iii)(as so redesignated); in subparagraph
(D)(as so redesignated), by striking plan described and inserting plan shall describe ; in subparagraph
(E)(as so redesignated)— in the subparagraph heading by striking and inserting systems ; services by striking plan describes and all that follows through and provides for and inserting plan shall describe the financial resources available, the existing mental health workforce, and workforce trained in treating individuals with co-occurring mental and substance use disorders, and provides for ; and by inserting before the period the following: , and the manner in which the State intends to comply with each of the funding agreements in this subpart and subpart III ; by striking the flush matter at the end; and by adding at the end the following: The establishment of 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 targets. . Section 1920 of the Public Health Service Act ( 42 U.S.C. 300x–9 ) is amended by adding at the end the following: Except as provided in paragraph (2), a State shall expend not less than 5 percent of the amount the State receives for carrying out this section 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 onset. In lieu of expending 5 percent of the amount the State receives under this section in a fiscal year as required under paragraph (1), a State may elect to expend not less than 10 percent of such amount in the succeeding fiscal year. . Section 1915(b) of the Public Health Service Act ( 42 U.S.C. 300x–4(b) ) is amended— by redesignating paragraph
(1)as subparagraph (A), and realigning the margin accordingly; by inserting after the subsection heading the following: ; by inserting after subparagraph
(A)(as so redesignated), the following: A State shall be deemed to be in compliance with subparagraph
(A)for a fiscal year if State expenditures of the type described in such subparagraph for such fiscal year are at least 97 percent of the average of such State expenditures for the preceding 2-fiscal-year period. ; by redesignating paragraphs
(2)through
(4)as paragraphs
(3)through (5), respectively; by inserting after paragraph (1), the following: Determinations of whether a State has complied with paragraph
(1)for each fiscal year shall be based on the State funding level for the preceding 2-fiscal-year period, as required under paragraph (1)(A), without regard to reductions in the actual amount of State expenditures as permitted under paragraph (1)(B) or under a waiver under paragraph (4). ; in paragraph
(3)(as so redesignated), by striking subsection
(a)and inserting paragraph
(1); in paragraph
(4)(as so redesignated)— by striking The Secretary and inserting the following: The Secretary ; by striking paragraph
(1)if the Secretary and inserting the following: “paragraph
(1)in whole or in part, if— the Secretary ; by striking State justify the waiver. and inserting State in the fiscal year involved or in the previous fiscal year justify the waiver; or ; and by adding at the end the following: the State, or any part of the State, has experienced a natural disaster that has received a Presidential Disaster Declaration under section 102 of the Robert T. Stafford Disaster Relief Emergency Assistance Act. The Secretary shall approve or deny a request for a waiver under subparagraph
(A)not later than 120 days after the date on which the request is made. A waiver provided by the Secretary under subparagraph
(A)shall be applicable only to the fiscal year involved. ; and in paragraph
(5)(as so redesignated)— in subparagraph (A)— by inserting after the subparagraph designation the following: ; and In general by striking maintained material compliance and insert complied ; and in subparagraph (B), by inserting after the subparagraph designation the following: . Submission of information to the secretary 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) . Section 1920(a) of the Public Health Service Act ( 42 U.S.C. 300x–9(a) ) is amended by striking $450,000,000 and all that follows and inserting such sums as may be necessary for each of fiscal years 2017 through 2021. .
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5 references not yet in our index
  • 42 USC 300x–1(b)
  • 42 USC 300x–9
  • 42 USC 300x–4(b)
  • 42 USC 300x–6(a)
  • 42 USC 300x–9(a)
Citation graph
cites case law
Sec. 301
Community Mental Health Services Block Grant
Cite42 USC 300x–1(b)
Cite42 USC 300x–9
Cite42 USC 300x–4(b)
Cite42 USC 300x–6(a)
Cite42 USC 300x–9(a)
Cites 6Cited by 0 across 0 sources
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