Sec. 403. Promoting integration of primary and behavioral health care
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Section 520K of the Public Health Service Act ( 42 U.S.C. 290bb–42 ) is amended to read as follows: In this section: The term eligible entity means a State, or other appropriate State agency, in collaboration with one or more qualified community programs as described in section 1913(b)(1). The term integrated care means collaboration in merged or transformed practices offering mental and physical health services within the same shared practice space in the same facility. The term special population means— adults with mental illnesses who have co-occurring primary care conditions or chronic diseases; adults with serious mental illnesses who have co-occurring primary care conditions or chronic diseases; children and adolescents with serious emotional disturbance with co-occurring primary care conditions or chronic diseases; or individuals with substance use disorders.
The Secretary may award grants and cooperative agreements to eligible entities to support the improvement of integrated care for primary care and behavioral health care in accordance with paragraph (2). Grants and cooperative agreements awarded under this section shall be designed to— promote full collaboration in clinical practices between primary and behavioral health care; support the improvement of integrated care models for primary care and behavioral health care to improve the overall wellness and physical health status of individuals with serious mental illness or serious emotional disturbance; and promote integrated care services related to screening, diagnosis, and treatment of mental illness and co-occurring primary care conditions and chronic diseases.
An eligible entity desiring a grant or cooperative agreement under this section shall submit an application to the Secretary at such time, in such manner, and accompanied by such information as the Secretary may require, including the contents described in paragraph (2). The contents described in this paragraph are— a description of a plan to achieve fully collaborative agreements to provide services to special populations; a document that summarizes the policies, if any, that serve as barriers to the provision of integrated care, and the specific steps, if applicable, that will be taken to address such barriers; a description of partnerships or other arrangements with local health care providers to provide services to special populations; an agreement and plan to report performance measures necessary to evaluate patient outcomes and to facilitate evaluations across participating projects to the Secretary; and a plan for sustainability beyond the grant or cooperative agreement period under subsection (e).
The maximum amount that an eligible entity may receive for a year through a grant or cooperative agreement under this section shall be $2,000,000. In the case of a recipient of funding under this section that is a State, not more than 10 percent of funds awarded under this section may be allocated to State administrative functions, and the remaining amounts shall be allocated to health facilities that provide integrated care. A grant or cooperative agreement under this section shall be for a period not to exceed 5 years.
An eligible entity receiving a grant or cooperative agreement under this section shall submit an annual report to the Secretary that includes— the progress to reduce barriers to integrated care as described in the entity's application under subsection (c); 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 practices; 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 Secretary may 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 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 Secretary determines appropriate.
The information and resources provided by the Secretary under paragraph
(1)shall, as appropriate, be made available to States, political subdivisions of States, 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 ( 42 U.S.C. 1396a note), primary care organizations such as Federally qualified health centers or rural health clinics as defined in section 1861(aa) of the Social Security Act ( 42 U.S.C. 1395x(aa) ), other community-based organizations, or other entities engaging in integrated care activities, as the Secretary determines appropriate. To carry out this section, there are authorized to be appropriated such sums as may be necessary for each of fiscal years 2017 through 2021. .
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- 42 USC 290bb–42
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Sec. 403
Promoting integration of primary and behavioral health care
Cite42 USC 290bb–42
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