Sec. 8001. COMMUNITY MENTAL HEALTH SERVICES BLOCK GRANT
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## SEC. 8001 COMMUNITY MENTAL HEALTH SERVICES BLOCK GRANT ###
(a)Formula Grants Section 1911(b) of the Public Health Service Act (42 U.S.C. 300x(b)) is amended— ####
(1)by redesignating paragraphs
(1)through
(3)as paragraphs
(2)through (4), respectively; and ####
(2)by inserting before paragraph
(2)(as so redesignated) the following: > > #### “(1) > > providing community mental health services for adults with a serious mental illness and children with a serious emotional disturbance as defined in accordance with section 1912(c);” > . ###
(b)State Plan Section 1912(b) of the Public Health Service Act (42 U.S.C. 300x-1(b)) is amended— ####
(1)in paragraph (3), by redesignating subparagraphs
(A)through
(C)as clauses
(i)through (iii), respectively, and realigning the margins accordingly; ####
(2)by redesignating paragraphs
(1)through
(5)as subparagraphs
(A)through (E), respectively, and realigning the margins accordingly; ####
(3)in the matter preceding subparagraph
(A)(as so redesignated), by striking “With respect to” and all that follows through “are as follows:” and inserting “In accordance with subsection (a), a State shall submit to the Secretary a plan every two years that, at a minimum, includes each of the following:”; ####
(4)by inserting before subparagraph
(A)(as so redesignated) the following: > > #### “(1) System of care > > A description of the State’s system of care that contains the following:” > ; ####
(5)by striking subparagraph
(A)(as so redesignated) and inserting the following: > > ##### “(A) Comprehensive community-based health systems > > The plan shall— > > > ###### “(i) > > 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; > > > ###### “(ii) > > 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; > > > ###### “(iii) > > 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; > > > ###### “(iv) > > 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, provide comprehensive individualized treatment, or integrate mental and physical health services; > > > ###### “(v) > > include a description of case management services; > > > ###### “(vi) > > include a description of activities that seek to engage adults with a serious mental illness or children with a serious emotional disturbance and their caregivers where appropriate in making health care decisions, including activities that enhance communication among individuals, families, caregivers, and treatment providers; and > > > ###### “(vii) > > as appropriate to, and reflective of, the uses the State proposes for the block grant funds, include— > > > ###### “(I) > > a description of the activities intended to reduce hospitalizations and hospital stays using the block grant funds; > > > ###### “(II) > > a description of the activities intended to reduce incidents of suicide using the block grant funds; > > > ###### “(III) > > a description of how the State integrates mental health and primary care using the block grant funds, which may include providing, in the case of individuals with co-occurring mental and substance use disorders, both mental and substance use disorders services in primary care settings or arrangements to provide primary and specialty care services in community-based mental and substance use disorders settings; and > > > ###### “(IV) > > a description of recovery and recovery support services for adults with a serious mental illness and children with a serious emotional disturbance.” > ; ####
(6)in subparagraph
(B)(as so redesignated)— #####
(A)by striking “The plan contains” and inserting “The plan shall contain”; and #####
(B)by striking “presents quantitative targets to be achieved in the implementation of the system described in paragraph (1)” and inserting “present quantitative targets and outcome measures for programs and services provided under this subpart”; ####
(7)in subparagraph
(C)(as so redesignated)— #####
(A)by striking “serious emotional 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: “a serious emotional 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”; #####
(B)by striking “Education Act);” and inserting “Education Act).”; and #####
(C)by striking clauses
(ii)and
(iii)(as so redesignated); ####
(8)in subparagraph
(D)(as so redesignated), by striking “plan describes” and inserting “plan shall describe”; ####
(9)in subparagraph
(E)(as so redesignated)— #####
(A)in the subparagraph heading by striking “systems” and inserting “services”; #####
(B)in the first sentence, 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 the workforce trained in treating individuals with co-occurring mental and substance use disorders, and shall provide for”; and #####
(C)in the second sentence— ######
(i)by striking “further describes” and inserting “shall further describe”; and ######
(ii)by striking “involved.” and inserting “involved, and the manner in which the State intends to comply with each of the funding agreements in this subpart and subpart III.”; ####
(10)by striking the flush matter at the end; and ####
(11)by adding at the end the following: > > #### “(2) Goals and objectives > > 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.” > . ###
(c)Early Serious Mental Illness Section 1920 of the Public Health Service Act (42 U.S.C. 300x-9) is amended by adding at the end the following: > > ### “(c) Early Serious Mental Illness > > > #### “(1) In general > > Except as provided in paragraph (2), a State shall expend not less than 10 percent of the amount the State receives for carrying out this section for 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. > > > #### “(2) State flexibility > > In lieu of expending 10 percent of the amount the State receives under this section for a fiscal year as required under paragraph (1), a State may elect to expend not less than 20 percent of such amount by the end of such succeeding fiscal year.” > . ###
(d)Additional Provisions Section 1915(b) of the Public Health Service Act (42 U.S.C. 300x-4(b)) is amended— ####
(1)in paragraph (3)— #####
(A)by striking “ The Secretary ” and inserting the following: > > ##### “(A) In general > > The Secretary” > ; #####
(B)by striking “paragraph
(1)if” and inserting “paragraph
(1)in whole or in part if”; #####
(C)by striking “State justify the waiver.” and inserting “State in the fiscal year involved or in the previous fiscal year justify the waiver”; and #####
(D)by adding at the end the following: > > ##### “(B) Date certain for action upon request > > The Secretary shall approve or deny a request for a waiver under this paragraph not later than 120 days after the date on which the request is made. > > > ##### “(C) Applicability of waiver > > A waiver provided by the Secretary under this paragraph shall be applicable only to the fiscal year involved.” > ; and ####
(2)in paragraph (4)— #####
(A)in subparagraph (A)— ######
(i)by inserting after the subparagraph designation the following: “In general.—”; ######
(ii)by striking “ In making a grant ” and inserting the following: > > ###### “(i) Determination > > In making a grant” > ; and ######
(iii)by inserting at the end the following: > > ###### “(ii) Alternative > > A State that has failed to comply with paragraph
(1)and would otherwise be subject to a reduction in the State’s allotment under section 1911 may, upon request by the State, in lieu of having the amount of the allotment under section 1911 for the State reduced for the fiscal year of the grant, agree to comply with a negotiated agreement that is approved by the Secretary and carried out in accordance with guidelines issued by the Secretary. If a State fails to enter into or comply with a negotiated agreement, the Secretary may take action under this paragraph or the terms of the negotiated agreement.” > ; and #####
(B)in subparagraph (B)— ######
(i)by inserting after the subparagraph designation the following: “Submission of information to the secretary.—”; and ######
(ii)by striking “subparagraph (A)” and inserting “subparagraph (A)(i)”. ###
(e)Application for Grant Section 1917(a) of the Public Health Service Act (42 U.S.C. 300x-6(a)) is amended— ####
(1)in paragraph (1), by striking “1941” and inserting “1942(a)”; and ####
(2)in paragraph (5), by striking “1915(b)(3)(B)” and inserting “1915(b)”. ###
(f)Funding Section 1920 of the Public Health Service Act (42 U.S.C. 300x-9) is amended— ####
(1)in subsection (a)— #####
(A)by striking “section 505” and inserting “section 505(c)”; and #####
(B)by striking “$450,000,000” and all that follows through the period and inserting “$532,571,000 for each of fiscal years 2018 through 2022.”; and ####
(2)in subsection (b)(2) by striking “sections 505 and” and inserting “sections 505(c) and”.
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Sec. 8001
COMMUNITY MENTAL HEALTH SERVICES BLOCK GRANT
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