I 

109TH CONGRESS 

1ST SESSION H. R. 2629 

To amend the Older Americans Act of 1965 to provide for mental health 

screening and treatment services, to amend the Public Health Service 

Act to provide for integration of mental health services and mental 

health treatment outreach teams, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

MAY 25, 2005 

Mr. KENNEDY of Rhode Island (for himself, Ms. ROS-LEHTINEN, Mr. 

MCDERMOTT, Ms. WASSERMAN SCHULTZ, Mr. STARK, and Mr. OWENS) 

introduced the following bill; which was referred to the Committee on 

Education and the Workforce, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the 

Speaker, in each case for consideration of such provisions as fall within 

the jurisdiction of the committee concerned 

A BILL 

To amend the Older Americans Act of 1965 to provide 

for mental health screening and treatment services, to 

amend the Public Health Service Act to provide for 

integration of mental health services and mental health 

treatment outreach teams, and for other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Positive Aging Act of 

5 2005’’. 
2 

•HR 2629 IH 

1 TITLE I—AMENDMENTS TO THE 

2 OLDER AMERICANS ACT OF 1965 

3 SEC. 101. DEFINITIONS. 

4 Section 102 of the Older Americans Act of 1965 (42 

5 U.S.C. 3002) is amended by adding at the end the fol6 lowing: 

7 ‘‘(44) MENTAL HEALTH SCREENING AND

8 TREATMENT SERVICES.—The term ‘mental health 

9 screening and treatment services’ means patient 

10 screening, diagnostic services, care planning and 

11 oversight, therapeutic interventions, and referrals 

12 that are— 

13 ‘‘(A) provided pursuant to evidence-based 

14 intervention and treatment protocols (to the ex15 tent such protocols are available) for mental 

16 disorders prevalent in older individuals (includ17 ing, but not limited to, mood and anxiety dis18 orders, dementias of all kinds, psychotic dis19 orders, and substances and alcohol abuse), rely20 ing to the greatest extent feasible on protocols 

21 that have been developed— 

22 ‘‘(i) by or under the auspices of the 

23 Secretary; or 

24 ‘‘(ii) by academicians with expertise in 

25 mental health and aging; and 
3 

•HR 2629 IH 

1 ‘‘(B) coordinated and integrated with the 

2 services of social service, mental health, and 

3 health care providers in an area in order to— 

4 ‘‘(i) improve patient outcomes; and 

5 ‘‘(ii) assure, to the maximum extent 

6 feasible, the continuing independence of 

7 older individuals who are residing in the 

8 area.’’. 

9 SEC. 102. OFFICE OF OLDER ADULT MENTAL HEALTH SERV10 ICES. 

11 Section 301(b) of the Older Americans Act of 1965 

12 (42 U.S.C. 3021(b)) is amended by adding at the end the 

13 following: 

14 ‘‘(3) The Assistant Secretary shall establish within 

15 the Administration an Office of Older Adult Mental 

16 Health Services, which shall be responsible for the devel17 opment and implementation of initiatives to address the 

18 mental health needs of older individuals.’’. 

19 SEC. 103. GRANTS TO STATES FOR THE DEVELOPMENT AND 

20 OPERATION OF SYSTEMS FOR PROVIDING 

21 MENTAL HEALTH SCREENING AND TREAT22 MENT SERVICES TO OLDER INDIVIDUALS 

23 LACKING ACCESS TO SUCH SERVICES. 

24 Title III of the Older Americans Act of 1965 (42 

25 U.S.C. 3021 et seq.) is amended— 
4 

•HR 2629 IH 

1 (1) in section 303, by adding at the end the fol2 lowing: 

3 ‘‘(f) There are authorized to be appropriated to carry 

4 out part F (relating to grants for programs providing 

5 mental health screening and treatment services) such 

6 sums as may be necessary for fiscal year 2006 and each 

7 of the 5 succeeding fiscal years.’’; 

8 (2) in section 304(a)(1), by inserting ‘‘and sub9 section (f)’’ after ‘‘through (d)’’; and 

10 (3) by adding at the end the following: 

11 ‘‘PART F—MENTAL HEALTH SCREENING AND 

12 TREATMENT SERVICES FOR OLDER INDIVIDUALS 

13 ‘‘SEC. 381. GRANTS TO STATES FOR PROGRAMS PROVIDING 

14 MENTAL HEALTH SCREENING AND TREAT15 MENT SERVICES FOR OLDER INDIVIDUALS. 

16 ‘‘(a) PROGRAM AUTHORIZED.—The Assistant Sec17 retary shall carry out a program for making grants to 

18 States under State plans approved under section 307 for 

19 the development and operation of— 

20 ‘‘(1) systems for the delivery of mental health 

21 screening and treatment services for older individ22 uals who lack access to such services; and 

23 ‘‘(2) programs to— 
5 

•HR 2629 IH 

1 ‘‘(A) increase public awareness regarding 

2 the benefits of prevention and treatment of 

3 mental disorders; 

4 ‘‘(B) reduce the stigma associated with 

5 mental disorders and other barriers to the diag6 nosis and treatment of the disorders; and 

7 ‘‘(C) reduce age-related prejudice and dis8 crimination. 

9 ‘‘(b) STATE ALLOCATION AND PRIORITIES.—A State 

10 agency that receives funds through a grant made under 

11 this section shall allocate the funds to area agencies on 

12 aging to carry out this part in planning and service areas 

13 in the State. In allocating the funds, the State agency 

14 shall give priority to planning and service areas in the 

15 State— 

16 ‘‘(1) that are medically underserved; and 

17 ‘‘(2) in which there are a large number of older 

18 individuals. 

19 ‘‘(c) AREA COORDINATION OF SERVICES WITH

20 OTHER PROVIDERS.—In carrying out this part, to more 

21 efficiently and effectively deliver services to older individ22 uals, each area agency on aging shall— 

23 ‘‘(1) coordinate services described in subsection 

24 (a) with other community agencies, and voluntary 
6 

•HR 2629 IH 

1 organizations, providing similar or related services; 

2 and 

3 ‘‘(2) to the greatest extent practicable, integrate 

4 outreach and educational activities with existing (as 

5 of the date of the integration) health care and social 

6 service providers serving older individuals in the 

7 planning and service area involved. 

8 ‘‘(d) RELATIONSHIP TO OTHER FUNDING

9 SOURCES.—Funds made available under this part shall 

10 supplement, and not supplant, any Federal, State, and 

11 local funds expended by a State or unit of general purpose 

12 local government (including an area agency on aging) to 

13 provide the services described in subsection (a).’’. 

14 SEC. 104. DEMONSTRATION PROJECTS PROVIDING MENTAL 

15 HEALTH SCREENING AND TREATMENT SERV16 ICES TO OLDER INDIVIDUALS LIVING IN 

17 RURAL AREAS. 

18 The Older Americans Act of 1965 (42 U.S.C. 3001 

19 et seq.) is amended— 

20 (1) by inserting before section 401 the fol21 lowing: 

22 ‘‘TITLE IV—GRANTS FOR EDU23 CATION, TRAINING, AND RE24 SEARCH’’

; 

25 and 
7 

•HR 2629 IH 

1 (2) in part A of title IV, by adding at the end 

2 the following: 

3 ‘‘SEC. 422. DEMONSTRATION PROJECTS PROVIDING MEN4 TAL HEALTH SCREENING AND TREATMENT 

5 SERVICES TO OLDER INDIVIDUALS LIVING IN 

6 RURAL AREAS. 

7 ‘‘(a) DEFINITION.—In this section, the term ‘rural 

8 area’ means— 

9 ‘‘(1) any area that is outside a metropolitan 

10 statistical area (as defined by the Director of the Of11 fice of Management and Budget); or 

12 ‘‘(2) such similar area as the Secretary specifies 

13 in a regulation issued under section 1886(d)(2)(D) 

14 of the Social Security Act (42 U.S.C. 

15 1395ww(d)(2)(D)). 

16 ‘‘(b) AUTHORITY.—The Assistant Secretary shall 

17 make grants to eligible public agencies and nonprofit pri18 vate organizations to pay part or all of the cost of devel19 oping or operating model health care service projects in20 volving the provision of mental health screening and treat21 ment services to older individuals residing in rural areas. 

22 ‘‘(c) DURATION.—Grants made under this section 

23 shall be made for 3-year periods. 

24 ‘‘(d) APPLICATION.—To be eligible to receive a grant 

25 under this section, a public agency or nonprofit private 
8 

•HR 2629 IH 

1 organization shall submit to the Assistant Secretary an 

2 application containing such information and assurances as 

3 the Assistant Secretary may require, including— 

4 ‘‘(1) information describing— 

5 ‘‘(A) the geographic area and target popu6 lation (including the racial and ethnic composi7 tion of the target population) to be served by 

8 the project; and 

9 ‘‘(B) the nature and extent of the appli10 cant’s experience in providing mental health 

11 screening and treatment services of the type to 

12 be provided in the project; 

13 ‘‘(2) assurances that the applicant will carry 

14 out the project— 

15 ‘‘(A) through a multidisciplinary team of 

16 licensed mental health professionals; 

17 ‘‘(B) using evidence-based intervention and 

18 treatment protocols to the extent such protocols 

19 are available; 

20 ‘‘(C) using telecommunications tech21 nologies as appropriate and available; and 

22 ‘‘(D) in coordination with other providers 

23 of health care and social services (such as sen24 ior centers and adult day care providers) serv25 ing the area; and 
9 

•HR 2629 IH 

1 ‘‘(3) assurances that the applicant will conduct 

2 and submit to the Assistant Secretary such evalua3 tions and reports as the Assistant Secretary may re4 quire. 

5 ‘‘(e) REPORTS.—The Assistant Secretary shall pre6 pare and submit to the appropriate committees of Con7 gress a report that includes summaries of the evaluations 

8 and reports required under subsection (d)(3). 

9 ‘‘(f) COORDINATION.—The Assistant Secretary shall 

10 provide for appropriate coordination of programs and ac11 tivities receiving funds pursuant to a grant under this sec12 tion with programs and activities receiving funds pursuant 

13 to grants under sections 381 and 423, and sections 520K 

14 and 520L of the Public Health Service Act.’’. 

15 SEC. 105. DEMONSTRATION PROJECTS PROVIDING MENTAL 

16 HEALTH SCREENING AND TREATMENT SERV17 ICES TO OLDER INDIVIDUALS LIVING IN NAT18 URALLY OCCURRING RETIREMENT COMMU19 NITIES IN URBAN AREAS. 

20 Part A of title IV of the Older Americans Act of 1965 

21 (42 U.S.C. 3032 et seq.), as amended by section 104, is 

22 further amended by adding at the end the following: 
10 

•HR 2629 IH 

1 ‘‘SEC. 423. DEMONSTRATION PROJECTS PROVIDING MEN2 TAL HEALTH SCREENING AND TREATMENT 

3 SERVICES TO OLDER INDIVIDUALS LIVING IN 

4 NATURALLY OCCURRING RETIREMENT COM5 MUNITIES IN URBAN AREAS. 

6 ‘‘(a) DEFINITIONS.—In this section: 

7 ‘‘(1) NATURALLY OCCURRING RETIREMENT

8 COMMUNITY.—The term ‘naturally occurring retire9 ment community’ means a residential area (such as 

10 an apartment building, housing complex or develop11 ment, or neighborhood) not originally built for older 

12 individuals but in which a substantial number of in13 dividuals have aged in place (and become older indi14 viduals) while residing in such area. 

15 ‘‘(2) URBAN AREA.—The term ‘urban area’ 

16 means— 

17 ‘‘(A) a metropolitan statistical area (as de18 fined by the Director of the Office of Manage19 ment and Budget); or 

20 ‘‘(B) such similar area as the Secretary 

21 specifies in a regulation issued under section 

22 1886(d)(2)(D) of the Social Security Act (42 

23 U.S.C. 1395ww(d)(2)(D)). 

24 ‘‘(b) AUTHORITY.—The Assistant Secretary shall 

25 make grants to eligible public agencies and nonprofit pri26 vate organizations to pay part or all of the cost of devel-
11 

•HR 2629 IH 

1 oping or operating model health care service projects in2 volving the provision of mental health screening and treat3 ment services to older individuals residing in naturally oc4 curring retirement communities located in urban areas. 

5 ‘‘(c) DURATION.—Grants made under this section 

6 shall be made for 3-year periods. 

7 ‘‘(d) APPLICATION.—To be eligible to receive a grant 

8 under this section, a public agency or nonprofit private 

9 organization shall submit to the Assistant Secretary an 

10 application containing such information and assurances as 

11 the Assistant Secretary may require, including— 

12 ‘‘(1) information describing— 

13 ‘‘(A) the naturally occurring retirement 

14 community and target population (including the 

15 racial and ethnic composition of the target pop16 ulation) to be served by the project; and 

17 ‘‘(B) the nature and extent of the appli18 cant’s experience in providing mental health 

19 screening and treatment services of the type to 

20 be provided in the project; 

21 ‘‘(2) assurances that the applicant will carry 

22 out the project— 

23 ‘‘(A) through a multidisciplinary team of 

24 licensed mental health professionals; 
12 

•HR 2629 IH 

1 ‘‘(B) using evidence-based intervention and 

2 treatment protocols to the extent such protocols 

3 are available; and 

4 ‘‘(C) in coordination with other providers 

5 of health care and social services serving the re6 tirement community; and 

7 ‘‘(3) assurances that the applicant will conduct 

8 and submit to the Assistant Secretary such evalua9 tions and reports as the Assistant Secretary may re10 quire. 

11 ‘‘(e) REPORTS.—The Assistant Secretary shall pre12 pare and submit to the appropriate committees of Con13 gress a report that includes summaries of the evaluations 

14 and reports required under subsection (d)(3). 

15 ‘‘(f) COORDINATION.—The Assistant Secretary shall 

16 provide for appropriate coordination of programs and ac17 tivities receiving funds pursuant to grants made under this 

18 section with programs and activities receiving funds pur19 suant to grants made under sections 381 and 422, and 

20 sections 520K and 520L of the Public Health Service 

21 Act.’’. 
13 

•HR 2629 IH 

1 TITLE II—PUBLIC HEALTH 

2 SERVICE ACT AMENDMENTS 

3 SEC. 201. DEMONSTRATION PROJECTS TO SUPPORT INTE4 GRATION OF MENTAL HEALTH SERVICES IN 

5 PRIMARY CARE SETTINGS. 

6 Subpart 3 of part B of title V of the Public Health 

7 Service Act (42 U.S.C. 290bb–31 et seq.) is amended— 

8 (1) in section 520(b)— 

9 (A) in paragraph (14), by striking ‘‘and’’ 

10 after the semicolon; 

11 (B) in paragraph (15), by striking the pe12 riod at the end and inserting ‘‘; and’’; and 

13 (C) by adding at the end the following: 

14 ‘‘(16) conduct the demonstration projects speci15 fied in section 520K.’’; and 

16 (2) by adding at the end the following: 

17 ‘‘SEC. 520K. PROJECTS TO DEMONSTRATE INTEGRATION OF 

18 MENTAL HEALTH SERVICES IN PRIMARY 

19 CARE SETTINGS. 

20 ‘‘(a) IN GENERAL.—The Secretary, acting through 

21 the Director of the Center for Mental Health Services, 

22 shall award grants to public and private nonprofit entities 

23 for projects to demonstrate ways of integrating mental 

24 health services for older patients into primary care set25 tings, such as health centers receiving a grant under sec-
14 

•HR 2629 IH 

1 tion 330 (or determined by the Secretary to meet the re2 quirements for receiving such a grant), other Federally 

3 qualified health centers, primary care clinics, and private 

4 practice sites. 

5 ‘‘(b) REQUIREMENTS.—In order to be eligible for a 

6 grant under this section, the project to be carried out by 

7 the entity shall provide for collaborative care within a pri8 mary care setting, involving psychiatrists, psychologists, 

9 and other licensed mental health professionals (such as so10 cial workers and advanced practice nurses) with appro11 priate training and experience in the treatment of older 

12 adults, in which screening, assessment, and intervention 

13 services are combined into an integrated service delivery 

14 model, including— 

15 ‘‘(1) screening services by a mental health pro16 fessional with at least a masters degree in an appro17 priate field of training; 

18 ‘‘(2) referrals for necessary prevention, inter19 vention, follow-up care, consultations, and care plan20 ning oversight for mental health and other service 

21 needs, as indicated; and 

22 ‘‘(3) adoption and implementation of evidence23 based protocols, to the extent available, for prevalent 

24 mental health disorders, including depression, anx25 iety, behavioral and psychological symptoms of de-
15 

•HR 2629 IH 

1 mentia, psychosis, and misuse of, or dependence on, 

2 alcohol or medication. 

3 ‘‘(c) CONSIDERATIONS IN AWARDING GRANTS.—In 

4 awarding grants under this section, the Secretary, to the 

5 extent feasible, shall ensure that— 

6 ‘‘(1) projects are funded in a variety of geo7 graphic areas, including urban and rural areas; and 

8 ‘‘(2) a variety of populations, including racial 

9 and ethnic minorities and low-income populations, 

10 are served by projects funded under this section. 

11 ‘‘(d) DURATION.—A project may receive funding pur12 suant to a grant under this section for a period of up to 

13 3 years, with an extension period of 2 additional years 

14 at the discretion of the Secretary. 

15 ‘‘(e) APPLICATION.—To be eligible to receive a grant 

16 under this section, a public or private nonprofit entity 

17 shall— 

18 ‘‘(1) submit an application to the Secretary (in 

19 such form, containing such information, and at such 

20 time as the Secretary may specify); and 

21 ‘‘(2) agree to report to the Secretary standard22 ized clinical and behavioral data necessary to evalu23 ate patient outcomes and to facilitate evaluations 

24 across participating projects. 
16 

•HR 2629 IH 

1 ‘‘(f) EVALUATION.—Not later than July 31 of each 

2 calendar year, the Secretary shall submit to Congress a 

3 report evaluating the projects receiving awards under this 

4 section for such year. 

5 ‘‘(g) SUPPLEMENT, NOT SUPPLANT.—Funds made 

6 available under this section shall supplement, and not sup7 plant, other Federal, State, or local funds available to an 

8 entity to carry out activities described in this section. 

9 ‘‘(h) AUTHORIZATION OF APPROPRIATIONS.—There 

10 are authorized to be appropriated such sums as may be 

11 necessary to carry out this section for fiscal year 2006 

12 and each fiscal year thereafter.’’. 

13 SEC. 202. GRANTS FOR COMMUNITY-BASED MENTAL 

14 HEALTH TREATMENT OUTREACH TEAMS. 

15 Subpart 3 of part B of title V of the Public Health 

16 Service Act (42 U.S.C. 290bb–31 et seq.), as amended by 

17 section 201, is further amended by adding at the end the 

18 following: 

19 ‘‘SEC. 520L. GRANTS FOR COMMUNITY-BASED MENTAL 

20 HEALTH TREATMENT OUTREACH TEAMS. 

21 ‘‘(a) IN GENERAL.—The Secretary, acting through 

22 the Director of the Center for Mental Health Services, 

23 shall award grants to public or private nonprofit entities 

24 that are community-based providers of geriatric mental 

25 health services, to support the establishment and mainte-
17 

•HR 2629 IH 

1 nance by such entities of multi-disciplinary geriatric men2 tal health outreach teams in community settings where 

3 older adults reside or receive social services. Entities eligi4 ble for such grants include— 

5 ‘‘(1) mental health service providers of a State 

6 or local government; 

7 ‘‘(2) outpatient programs of private, nonprofit 

8 hospitals; 

9 ‘‘(3) community mental health centers meeting 

10 the criteria specified in section 1913(c); and 

11 ‘‘(4) other community-based providers of mental 

12 health services. 

13 ‘‘(b) REQUIREMENTS.—To be eligible to receive a 

14 grant under this section, an entity shall— 

15 ‘‘(1) adopt and implement, for use by its mental 

16 health outreach team, evidence-based intervention 

17 and treatment protocols (to the extent such proto18 cols are available) for mental disorders prevalent in 

19 older individuals (including, but not limited to, mood 

20 and anxiety disorders, dementias of all kinds, psy21 chotic disorders, and substance and alcohol abuse), 

22 relying to the greatest extent feasible on protocols 

23 that have been developed— 

24 ‘‘(A) by or under the auspices of the Sec25 retary; or 
18 

•HR 2629 IH 

1 ‘‘(B) by academicians with expertise in 

2 mental health and aging; 

3 ‘‘(2) provide screening for mental disorders, di4 agnostic services, referrals for treatment, and case 

5 management and coordination through such teams; 

6 and 

7 ‘‘(3) coordinate and integrate the services pro8 vided by such team with the services of social serv9 ice, mental health, and medical providers at the site 

10 or sites where the team is based in order to— 

11 ‘‘(A) improve patient outcomes; and 

12 ‘‘(B) to assure, to the maximum extent 

13 feasible, the continuing independence of older 

14 adults who are residing in the community. 

15 ‘‘(c) COOPERATIVE ARRANGEMENTS WITH SITES

16 SERVING AS BASES FOR OUTREACH.—An entity receiving 

17 a grant under this section may enter into an agreement 

18 with a person operating a site at which a geriatric mental 

19 health outreach team of the entity is based, including— 

20 ‘‘(1) senior centers; 

21 ‘‘(2) adult day care programs; 

22 ‘‘(3) assisted living facilities; and 

23 ‘‘(4) recipients of grants to provide services to 

24 senior citizens under the Older Americans Act of 

25 1965, under which such person provides (and is re-
19 

•HR 2629 IH 

1 imbursed by the entity, out of funds received under 

2 the grant, for) any supportive services, such as 

3 transportation and administrative support, that such 

4 person provides to an outreach team of such entity. 

5 ‘‘(d) CONSIDERATIONS IN AWARDING GRANTS.—In 

6 awarding grants under this section, the Secretary, to the 

7 extent feasible, shall ensure that— 

8 ‘‘(1) projects are funded in a variety of geo9 graphic areas, including urban and rural areas; and 

10 ‘‘(2) a variety of populations, including racial 

11 and ethnic minorities and low-income populations, 

12 are served by projects funded under this section. 

13 ‘‘(e) APPLICATION.—To be eligible to receive a grant 

14 under this section, an entity shall— 

15 ‘‘(1) submit an application to the Secretary (in 

16 such form, containing such information, at such 

17 time as the Secretary may specify); and 

18 ‘‘(2) agree to report to the Secretary standard19 ized clinical and behavioral data necessary to evalu20 ate patient outcomes and to facilitate evaluations 

21 across participating projects. 

22 ‘‘(f) COORDINATION.—The Secretary shall provide 

23 for appropriate coordination of programs and activities re24 ceiving funds pursuant to a grant under this section with 

25 programs and activities receiving funds pursuant to grants 
20 

•HR 2629 IH 

1 under section 520K and sections 381, 422, and 423 of 

2 the Older Americans Act of 1965. 

3 ‘‘(g) EVALUATION.—Not later than July 31 of each 

4 calendar year, the Secretary shall submit to Congress a 

5 report evaluating the projects receiving awards under this 

6 section for such year. 

7 ‘‘(h) SUPPLEMENT, NOT SUPPLANT.—Funds made 

8 available under this section shall supplement, and not sup9 plant, other Federal, State, or local funds available to an 

10 entity to carry out activities described in this section. 

11 ‘‘(i) AUTHORIZATION OF APPROPRIATIONS.—There 

12 are authorized to be appropriated such sums as may be 

13 necessary to carry out this section for fiscal year 2006 

14 and each fiscal year thereafter.’’. 

15 SEC. 203. DESIGNATION OF DEPUTY DIRECTOR FOR OLDER 

16 ADULT MENTAL HEALTH SERVICES IN CEN17 TER FOR MENTAL HEALTH SERVICES. 

18 Section 520 of the Public Health Service Act (42 

19 U.S.C. 290bb–31) is amended— 

20 (1) by redesignating subsection (c) as sub21 section (d); and 

22 (2) by inserting after subsection (b) the fol23 lowing: 

24 ‘‘(c) DEPUTY DIRECTOR FOR OLDER ADULT MEN25 TAL HEALTH SERVICES IN CENTER FOR MENTAL
21 

•HR 2629 IH 

1 HEALTH SERVICES.—The Director, after consultation 

2 with the Administrator, shall designate a Deputy Director 

3 for Older Adult Mental Health Services, who shall be re4 sponsible for the development and implementation of ini5 tiatives of the Center to address the mental health needs 

6 of older adults. Such initiatives shall include— 

7 ‘‘(1) research on prevention and identification 

8 of mental disorders in the geriatric population; 

9 ‘‘(2) innovative demonstration projects for the 

10 delivery of community-based mental health services 

11 for older Americans; 

12 ‘‘(3) support for the development and dissemi13 nation of evidence-based practice models, including 

14 models to address dependence on, and misuse of, al15 cohol and medication in older adults; and 

16 ‘‘(4) development of model training programs 

17 for mental health professionals and care givers serv18 ing older adults.’’. 

19 SEC. 204. MEMBERSHIP OF ADVISORY COUNCIL FOR THE 

20 CENTER FOR MENTAL HEALTH SERVICES. 

21 Section 502(b)(3) of the Public Health Service Act 

22 (42 U.S.C. 290aa–1(b)(3)) is amended by adding at the 

23 end the following: 

24 ‘‘(C) In the case of the advisory council for 

25 the Center for Mental Health Services, the 
22 

•HR 2629 IH 

1 members appointed pursuant to subparagraphs 

2 (A) and (B) shall include representatives of 

3 older Americans, their families, and geriatric 

4 mental health specialists.’’. 

5 SEC. 205. PROJECTS OF NATIONAL SIGNIFICANCE TAR6 GETING SUBSTANCE ABUSE IN OLDER 

7 ADULTS. 

8 Section 509(b)(2) of the Public Health Service Act 

9 (42 U.S.C. 290bb–2(b)(2)) is amended by inserting before 

10 the period the following: ‘‘, and to providing treatment for 

11 older adults with alcohol or substance abuse or addiction, 

12 including medication misuse or dependence’’. 

13 SEC. 206. CRITERIA FOR STATE PLANS UNDER COMMUNITY 

14 MENTAL HEALTH SERVICES BLOCK GRANTS. 

15 (a) IN GENERAL.—Section 1912(b)(4)of the Public 

16 Health Service Act (42 U.S.C. 300x–2(b)(4)) is amended 

17 to read as follows: 

18 ‘‘(4) TARGETED SERVICES TO OLDER INDIVID19 UALS, INDIVIDUALS WHO ARE HOMELESS, AND INDI20 VIDUALS LIVING IN RURAL AREAS.—The plan de21 scribes the State’s outreach to and services for older 

22 individuals, individuals who are homeless, and indi23 viduals living in rural areas, and how community24 based services will be provided to these individuals.’’. 
23 

•HR 2629 IH 

1 (b) EFFECTIVE DATE.—The amendment made by 

2 subsection (a) shall apply to State plans submitted on or 

3 after the date that is 180 days after the date of enactment 

4 of this Act. 

Æ