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Code · BILL · 117th Congress · H.R. 2617 (Enrolled) — Making consolidated appropriations for the fiscal year ending September 30, 2023, and for providing emergency assista... · Sec. 1124

Sec. 1124. Study on the costs of serious mental illness

430 words·~2 min read·/bill/117/hr/2617/enr/section-1124·

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The Secretary of Health and Human Services, in consultation with the Assistant Secretary for Mental Health and Substance Use, the Assistant Secretary for Planning and Evaluation, the Attorney General of the United States, the Secretary of Labor, and the Secretary of Housing and Urban Development, shall conduct a study on the direct and indirect costs of serious mental illness with respect to— nongovernmental entities; and the Federal Government and State, local, and Tribal governments. The study under subsection
(a)shall consider each of the following: The costs to the health care system for health services, including with respect to— office-based physician visits; residential and inpatient treatment programs; outpatient treatment programs; emergency department visits; crisis stabilization programs; home health care; skilled nursing and long-term care facilities; prescription drugs and digital therapeutics; and any other relevant health services. The costs of homelessness, including with respect to— homeless shelters; street outreach activities; crisis response center visits; and other supportive services. The costs of structured residential facilities and other supportive housing for residential and custodial care services. The costs of law enforcement encounters and encounters with the criminal justice system, including with respect to— encounters that do and do not result in an arrest; criminal and judicial proceedings; services provided by law enforcement and judicial staff (including public defenders, prosecutors, and private attorneys); and incarceration. The costs of serious mental illness on employment. With respect to family members and caregivers, the costs of caring for an individual with a serious mental illness. Any other relevant costs for programs and services administered by the Federal Government or State, Tribal, or local governments. In conducting the study under subsection (a), the Secretary of Health and Human Services shall (to the extent feasible)— disaggregate data by— costs to nongovernmental entities, the Federal Government, and State, local, and Tribal governments; types of serious mental illnesses and medical chronic diseases common in patients with a serious mental illness; and demographic characteristics, including race, ethnicity, sex, age (including pediatric subgroups), and other characteristics determined by the Secretary; and include an estimate of— the total number of individuals with a serious mental illness in the United States, including in traditional and nontraditional housing; and the percentage of such individuals in— homeless shelters; penal facilities, including Federal prisons, State prisons, and county and municipal jails; and nursing facilities. Not later than 2 years after the date of the enactment of this Act, the Secretary of Health and Human Services shall— submit to the Congress a report containing the results of the study conducted under this section; and make such report publicly available.
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