Sec. 408. Reports
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Not later than 18 months after the date of enactment of this Act, and not less than every 2 years thereafter, the Assistant Secretary for Planning and Evaluation of the Department of Health and Human Services, in collaboration with the Administrator of the Substance Abuse and Mental Health Services Administration, the Director of the Agency for Healthcare Research and Quality, and the Director of the National Institutes of Health, shall submit to Congress and make available on the Internet website of the Department a report on mental and substance use disorder treatment in the States, including each of the following:
A detailed description on how Federal mental and substance use disorder treatment funds are used in each State, including— the numbers of individuals with mental illness, serious mental illness, serious emotional disturbance, substance use disorders, or co-occurring disorders who are served using Federal funds; and the types of Federal programs made available to individuals with mental illness, serious mental illness, serious emotional disturbance, substance use disorders, or co-occurring disorders.
A summary of best practices or evidence-based models in the States, including 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, serious emotional disturbance, or substance use disorders. An analysis of outcome measures in each State for individuals with mental illness, serious mental illness, serious emotional disturbance, substance use disorders, or co-occurring disorders, including rates of suicide, suicide attempts, substance abuse, overdose, overdose deaths, positive health outcomes, emergency psychiatric hospitalizations and emergency room boarding, arrests, incarcerations, homelessness, joblessness, employment, and enrollment in educational or vocational programs.
An analysis of outcomes for different models of outpatient treatment programs for individuals with a serious mental illness or serious emotional disturbance, including— rates of keeping treatment appointments and adherence to treatment plans; participants’ perceived effectiveness of the program; alcohol and drug abuse rates; incarceration and arrest rates; violence against persons or property; homelessness; total treatment costs for compliance with the 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 emergency department until inpatient psychiatric beds become available. The Comptroller General of the United States shall conduct a review and submit to the appropriate committees of Congress a report evaluating 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 ( 42 U.S.C. 1395x(ff)(3)(B) ).
In preparing the report under paragraph (1), the Comptroller General of the United States shall examine requirements for licensing, certification, service definitions, claims payments, billing codes, and financial auditing that are— 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, and State Medicaid agencies; and required by the Federal Government for State agencies to utilize in order to make administrative and statutory recommendations to Congress (which recommendations may include a uniform methodology) to reduce the paperwork burden experienced by the centers described in paragraph (1).
Not later than 2 years after the date of enactment of this Act, the Administrator of the Substance Abuse and Mental Health Services Administration, in consultation with the Administrator of the Health Resources and Services Administration, shall conduct a study and publicly post on the appropriate Internet website of the Department of Health and Human Services a report on the mental health and substance use disorder workforce in order to inform Federal, State, and local efforts related to workforce enhancement.
The report under this paragraph shall contain— national and State-level projections of the supply and demand of mental health and substance use disorder health workers; an assessment of the mental health and substance use disorder workforce capacity, strengths, and weaknesses as of the date of the report; information on trends within the mental health and substance use disorder provider workforce; and any additional information determined by the Administrator of the Substance Abuse and Mental Health Services Administration, in consultation with the Administrator of the Health Resources and Services Administration, to be relevant to the mental health and substance use disorder provider workforce.
Not later than 3 years after the date of enactment of this Act, the Administrator of the Substance Abuse and Mental Health Services Administration, in consultation with the Administrator of the Health Resources and Services Administration, shall evaluate and report to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives on the programs within such Administrations to support the development of the mental health and substance use disorder workforce.
The report under this paragraph shall include— an evaluation of the outcomes of each program described in subparagraph (A), including whether the program met identified goals and performance measures developed for the respective program and activities carried out by the program; an evaluation of how each program, and the programs together, target any workforce weaknesses identified by the report under paragraph (1); and recommendations for improving coordination among programs, and addressing gaps and overlap within programs, including recommendations for Congress, as appropriate.
Not later than 2 years after the date of enactment of this Act, the Comptroller General of the United States shall conduct a study on peer-support specialist programs in selected States that receive funding from the Substance Abuse and Mental Health Services Administration and report to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives. In conducting the study under paragraph (1), the Comptroller General of the United States shall examine and identify best practices in the selected States related to training and credential requirements for peer-specialist programs, such as— hours of formal work or volunteer experience related to mental and substance use disorders conducted through such programs; types of peer support specialist exams required for such programs in the States; codes of ethics used by such programs in the States; required or recommended skill sets of such programs in the State; and requirements for continuing education.
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U.S. Code
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- 42 USC 300x–2(c)
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