I 

118TH CONGRESS 

2D SESSION H. R. 7301 

To amend the Protecting Access to Medicare Act of 2014 to clarify the 

meaning of psychiatric rehabilitation services under demonstration programs to improve community mental health services, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

FEBRUARY 7, 2024 

Mr. TORRES of New York (for himself and Mr. THANEDAR) introduced the 

following bill; which was referred to the Committee on Energy and Commerce 

A BILL 

To amend the Protecting Access to Medicare Act of 2014 

to clarify the meaning of psychiatric rehabilitation services under demonstration programs to improve community mental health services, 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 ‘‘Certified Community 

5 Behavioral Health Clinic Expansion Act of 2024’’. 


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1 SEC. 2. CLARIFYING PSYCHIATRIC REHABILITATION SERV2 ICES UNDER DEMONSTRATION PROGRAMS 

3 TO IMPROVE COMMUNITY MENTAL HEALTH 

4 SERVICES. 

5 (a) PSYCHOSOCIAL REHABILITATION SERVICES.— 

6 (1) CARE COORDINATION.—Section 

7 223(a)(2)(C) of the Protecting Access to Medicare 

8 Act of 2014 (42 U.S.C. 1396a note) is amended— 

9 (A) in the matter preceding clause (i), by 

10 inserting ‘‘psychosocial,’’ after ‘‘chronic,’’; 

11 (B) by redesignating clauses (iv) and (v) 

12 as clauses (v) and (vi), respectively; 

13 (C) by inserting after clause (iii) the fol14 lowing: 

15 ‘‘(iv) Clubhouses located within the 

16 same metropolitan statistical area as the 

17 certified community behavioral health clin18 ic, if any such clubhouses exist.’’; and 

19 (D) by adding at the end the following: 

20 ‘‘(vii) Housing and residential pro21 grams.’’. 

22 (2) SCOPE OF SERVICES FOR CERTIFICATION.— 

23 Section 223(a)(2)(D) of the Protecting Access to 

24 Medicare Act of 2014 (42 U.S.C. 1396a note) is 

25 amended— 


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1 (A) by amending clause (iii) to read as fol2 lows: 

3 ‘‘(iii) Patient-centered treatment plan4 ning or similar processes, including— 

5 ‘‘(I) risk assessment and crisis 

6 planning; 

7 ‘‘(II) programs that are respect8 ful of the person’s autonomy to choose 

9 the services they prefer and are pro10 vided equitably; and 

11 ‘‘(III) equity-based and non12 compulsory programmatic practices in 

13 which persons are invited to support 

14 each other and participate in decision15 making around community activities 

16 and services.’’; 

17 (B) by redesignating clause (viii) as clause 

18 (ix); and 

19 (C) by striking clause (vii) and inserting 

20 the following: 

21 ‘‘(vii) Supporting self-management, 

22 including in— 

23 ‘‘(I) managing the person’s fi24 nances, medications, and self-care; 

25 and 


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1 ‘‘(II) using community resources. 

2 ‘‘(viii) Psychiatric rehabilitation serv3 ices, and psychosocial rehabilitation serv4 ices, that— 

5 ‘‘(I) restore, rehabilitate, and 

6 support daily functioning, skills devel7 opment, self-esteem, and agency to 

8 improve self-management of the nega9 tive effects of psychiatric and emo10 tional symptoms; and 

11 ‘‘(II) include formalized activi12 ties, peer supports, and counselor 

13 services, and family supports to help 

14 individuals develop resilience to 

15 changes in psychiatric symptoms and 

16 stressors of all kinds to prevent crisis 

17 and promote functioning and sta18 bility.’’. 

19 (3) QUALITY AND OTHER REPORTING.—Sub20 paragraph (E) of section 223(a)(2) of the Protecting 

21 Access to Medicare Act of 2014 (42 U.S.C. 1396a 

22 note) is amended to read as follows: 

23 ‘‘(E) QUALITY AND OTHER REPORTING.— 

24 Reporting of— 

25 ‘‘(i) encounter data; 


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1 ‘‘(ii) clinical outcomes data; 

2 ‘‘(iii) quality data; 

3 ‘‘(iv) patient-reported outcome meas4 ures that assess people’s loneliness, quality 

5 of life, thriving, and other outcomes of re6 covery; and 

7 ‘‘(v) such other data as the Secretary 

8 requires.’’. 

9 (b) DEFINITIONS.—Section 223(e) of the Protecting 

10 Access to Medicare Act of 2014 (42 U.S.C. 1396a note) 

11 is amended— 

12 (1) by redesignating paragraphs (1), (2), (3), 

13 and (4) as paragraphs (2), (3), (4), and (5), respec14 tively; 

15 (2) by inserting before paragraph (2) (as so re16 designated) the following: 

17 ‘‘(1) CLUBHOUSE.—The term ‘clubhouse’ 

18 means a therapeutic social environment that— 

19 ‘‘(A) is accredited, or is in the process of 

20 becoming accredited, by a recognized body or 

21 bodies approved by the Secretary for purposes 

22 of this paragraph; 

23 ‘‘(B) addresses psychosocial deficits and 

24 social drivers of health; 


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1 ‘‘(C) uses a therapeutic approach that em2 phasizes purposeful work, engagement, relation3 ship development, and mutual support for peo4 ple with serious mental illness; 

5 ‘‘(D) uses blended leadership of profes6 sional mental health staff and individuals with 

7 lived experience to create and manage the 

8 therapeutic community and its services in a 

9 nonclinical setting; 

10 ‘‘(E) offers members a community-based 

11 rehabilitative environment that both addresses 

12 often-unmet psychosocial needs of people living 

13 with serious mental illness and provides struc14 tures that offer support in natural, community 

15 environments; 

16 ‘‘(F) offers support services for employ17 ment, education, health care, housing, and more 

18 to broadly address health-related social care 

19 needs; 

20 ‘‘(G) is an essential part of the continuum 

21 of care and works in tandem with other medical 

22 and behavioral health services; 

23 ‘‘(H) relies on the restorative power of 

24 work and work-mediated relationships to build 


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1 a firm foundation for growth and individual 

2 achievement for members; 

3 ‘‘(I) emphasizes strengths-based teamwork 

4 and opportunities to contribute to operations 

5 through a work-ordered day; and 

6 ‘‘(J) offers naturalistic social and commu7 nity-based recreational opportunities to con8 tribute to a member’s path and success in re9 covery.’’. 

10 (c) IMPLEMENTATION TIMELINE.—Not later than 1 

11 year after the date of enactment of this Act, the Secretary 

12 of Health and Human Services shall publish revised cri13 teria under subsection (a) of section 223 of the Protecting 

14 Access to Medicare Act of 2014 (42 U.S.C. 1396a note) 

15 for a clinic to be certified by a State as a certified commu16 nity behavioral health clinic for purposes of participating 

17 in a demonstration program conducted under subsection 

18 (d) of such section. 

Æ 


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