Sec. 3. Community mental health services block grant

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Section 1920 of the Public Health Service Act ( 42 U.S.C. 300x–9 ) is amended— in subsection (a), by striking $532,571,000 for each of fiscal years 2018 through 2022 and inserting 1,000,000,000 for each of fiscal years 2023 through 2027 ; and by adding at the end the following: Except as provided in paragraph (3), a State shall expend not less than 5 percent of the amount the State receives pursuant to section 1911 for each fiscal year to support evidenced-based programs. At the discretion of the single State agency responsible for the administration of the program of the State under a grant under section 1911, funds expended pursuant to paragraph

(1)may be used to fund some or all of the core crisis care service components, delivered according to evidence-based principles, including the following: Crisis call centers. 24/7 mobile crisis services. Crisis stabilization programs offering acute care or subacute care in a hospital or appropriately licensed facility, as determined by the Substance Abuse and Mental Health Services Administration, with referrals to inpatient or outpatient care. In lieu of expending 5 percent of the amount the State receives pursuant to section 1911 for a fiscal year to support evidence-based programs as required by paragraph (1), a State may elect to expend not less than 10 percent of such amount to support such programs by the end of 2 consecutive fiscal years. Except as provided in paragraph (3), a State shall expend not less than 5 percent of the amount the State receives pursuant to section 1911 for each fiscal year to support evidenced-based early identification and early intervention programs that prevent or mitigate the development of mental illness in individuals, including children and adolescents, who may be at risk of developing a serious mental illness or serious emotional disturbance, within the meaning of such term as defined by the Secretary pursuant to section 1912, or as determined through the use of evidence-based screening instruments or clinical assessment. At the discretion of the single State agency responsible for the administration of the program of the State under a grant under section 1911, funds expended pursuant to paragraph

(1)shall be used for evidence-based practices that follow or exceed the quality of generally accepted standards of care. In lieu of expending 5 percent of the amount the State receives pursuant to section 1911 for a fiscal year to support evidence-based early identification and early intervention programs as required by paragraph (1), a State may elect to expend not less than 10 percent of such amount to support such programs by the end of 2 consecutive fiscal years. The Secretary shall— commission longitudinal follow-up studies of the population of individuals served by funds expended pursuant to subsection (e)(1) to determine clinical outcomes that may be associated with such funds, including crisis services utilization and emergency department visits and hospitalizations related to mental illness, prevalence of suicidal behavior, mortality, disability income, high school graduation rates, employment status and successful timely reunification, placement stability, and permanency for children in foster care, disaggregated by mental illness diagnosis; and submit a biennial report summarizing incremental findings of the studies conducted under paragraph

(1)to Congress. In carrying out paragraph (1)(A), the Secretary shall— solicit feedback from stakeholders, including pediatric experts, on outcomes to use for different age groups and populations; and consider how States who have received funding are partnering with providers to increase access to mental health services specific to adults and to children. The requirements described in subsection (b)(1)(A)(vi) for a State plan required under such section shall not apply with respect to funds allocated for the purposes described in subsections

(d)and (e). . Section 1916(a) of the Public Health Service Act ( 42 U.S.C. 300x–5(a) ) is amended— in paragraph (3), by adding or after the semicolon; in paragraph (4), by striking ; or and inserting a period; and by striking paragraph (5).

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42 USC 300x–9
42 USC 300x–5(a)

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Sec. 3

Community mental health services block grant

Cite42 USC 300x–9

Cite42 USC 300x–5(a)

Cites 2Cited by 0 across 0 sources