II 

109TH CONGRESS 

1ST SESSION S. 1116 

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 SENATE OF THE UNITED STATES 

MAY 25, 2005 

Mrs. CLINTON (for herself and Ms. COLLINS) introduced the following bill; 

which was read twice and referred to the Committee on Health, Education, Labor, and Pensions 

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

•S 1116 IS

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

•S 1116 IS

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

•S 1116 IS

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

•S 1116 IS

1 ‘‘(A) increase public awareness regarding 

2 the benefits of prevention and treatment of 

3 mental disorders in older individuals; 

4 ‘‘(B) reduce the stigma associated with 

5 mental disorders in older individuals and other 

6 barriers to the diagnosis and treatment of the 

7 disorders; and 

8 ‘‘(C) reduce age-related prejudice and dis9 crimination regarding mental disorders in older 

10 individuals. 

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

12 agency that receives funds through a grant made under 

13 this section shall allocate the funds to area agencies on 

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

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

16 shall give priority to planning and service areas in the 

17 State— 

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

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

20 individuals. 

21 ‘‘(c) AREA COORDINATION OF SERVICES WITH

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

23 efficiently and effectively deliver services to older individ24 uals, each area agency on aging shall— 
6

•S 1116 IS

1 ‘‘(1) coordinate services described in subsection 

2 (a) with other community agencies, and voluntary 

3 organizations, providing similar or related services; 

4 and 

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

6 outreach and educational activities with existing (as 

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

8 service providers serving older individuals in the 

9 planning and service area involved. 

10 ‘‘(d) RELATIONSHIP TO OTHER FUNDING

11 SOURCES.—Funds made available under this part shall 

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

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

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

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

16 SEC. 104. DEMONSTRATION PROJECTS PROVIDING MENTAL 

17 HEALTH SCREENING AND TREATMENT SERV18 ICES TO OLDER INDIVIDUALS LIVING IN 

19 RURAL AREAS. 

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

21 et seq.) is amended— 

22 (1) by inserting before section 401 the fol23 lowing: 
7

•S 1116 IS

1 ‘‘TITLE IV—GRANTS FOR EDU2 CATION, TRAINING, AND RE3 SEARCH’’; 

4 and 

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

6 the following: 

7 ‘‘SEC. 422. DEMONSTRATION PROJECTS PROVIDING MEN8 TAL HEALTH SCREENING AND TREATMENT 

9 SERVICES TO OLDER INDIVIDUALS LIVING IN 

10 RURAL AREAS. 

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

12 area’ means— 

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

14 statistical area (as defined by the Director of the Of15 fice of Management and Budget); or 

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

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

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

19 1395ww(d)(2)(D)). 

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

21 make grants to eligible public agencies and nonprofit pri22 vate organizations to pay part or all of the cost of devel23 oping or operating model health care service projects in24 volving the provision of mental health screening and treat25 ment services to older individuals residing in rural areas. 
8

•S 1116 IS

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

2 shall be made for 3-year periods. 

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

4 under this section, a public agency or nonprofit private 

5 organization shall submit to the Assistant Secretary an 

6 application containing such information and assurances as 

7 the Assistant Secretary may require, including— 

8 ‘‘(1) information describing— 

9 ‘‘(A) the geographic area and target popu10 lation (including the racial and ethnic composi11 tion of the target population) to be served by 

12 the project; and 

13 ‘‘(B) the nature and extent of the appli14 cant’s experience in providing mental health 

15 screening and treatment services of the type to 

16 be provided in the project; 

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

18 out the project— 

19 ‘‘(A) through a multidisciplinary team of 

20 licensed mental health professionals; 

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

22 treatment protocols to the extent such protocols 

23 are available; 

24 ‘‘(C) using telecommunications tech25 nologies as appropriate and available; and 
9

•S 1116 IS

1 ‘‘(D) in coordination with other providers 

2 of health care and social services (such as sen3 ior centers and adult day care providers) serv4 ing the area; and 

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

6 and submit to the Assistant Secretary such evalua7 tions and reports as the Assistant Secretary may re8 quire. 

9 ‘‘(e) REPORTS.—The Assistant Secretary shall pre10 pare and submit to the appropriate committees of Con11 gress a report that includes summaries of the evaluations 

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

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

14 provide for appropriate coordination of programs and ac15 tivities receiving funds pursuant to a grant under this sec16 tion with programs and activities receiving funds pursuant 

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

18 and 520L of the Public Health Service Act.’’. 
10

•S 1116 IS

1 SEC. 105. DEMONSTRATION PROJECTS PROVIDING MENTAL 

2 HEALTH SCREENING AND TREATMENT SERV3 ICES TO OLDER INDIVIDUALS LIVING IN NAT4 URALLY OCCURRING RETIREMENT COMMU5 NITIES IN URBAN AREAS. 

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

7 (42 U.S.C. 3032 et seq.), as amended by section 104, is 

8 further amended by adding at the end the following: 

9 ‘‘SEC. 423. DEMONSTRATION PROJECTS PROVIDING MEN10 TAL HEALTH SCREENING AND TREATMENT 

11 SERVICES TO OLDER INDIVIDUALS LIVING IN 

12 NATURALLY OCCURRING RETIREMENT COM13 MUNITIES IN URBAN AREAS. 

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

15 ‘‘(1) NATURALLY OCCURRING RETIREMENT

16 COMMUNITY.—The term ‘naturally occurring retire17 ment community’ means a residential area (such as 

18 an apartment building, housing complex or develop19 ment, or neighborhood) not originally built for older 

20 individuals but in which a substantial number of in21 dividuals have aged in place (and become older indi22 viduals) while residing in such area. 

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

24 means— 
11

•S 1116 IS

1 ‘‘(A) a metropolitan statistical area (as de2 fined by the Director of the Office of Manage3 ment and Budget); or 

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

5 specifies in a regulation issued under section 

6 1886(d)(2)(D) of the Social Security Act (42 

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

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

9 make grants to eligible public agencies and nonprofit pri10 vate organizations to pay part or all of the cost of devel11 oping or operating model health care service projects in12 volving the provision of mental health screening and treat13 ment services to older individuals residing in naturally oc14 curring retirement communities located in urban areas. 

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

16 shall be made for 3-year periods. 

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

18 under this section, a public agency or nonprofit private 

19 organization shall submit to the Assistant Secretary an 

20 application containing such information and assurances as 

21 the Assistant Secretary may require, including— 

22 ‘‘(1) information describing— 

23 ‘‘(A) the naturally occurring retirement 

24 community and target population (including the 
12

•S 1116 IS

1 racial and ethnic composition of the target pop2 ulation) to be served by the project; and 

3 ‘‘(B) the nature and extent of the appli4 cant’s experience in providing mental health 

5 screening and treatment services of the type to 

6 be provided in the project; 

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

8 out the project— 

9 ‘‘(A) through a multidisciplinary team of 

10 licensed mental health professionals; 

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

12 treatment protocols to the extent such protocols 

13 are available; and 

14 ‘‘(C) in coordination with other providers 

15 of health care and social services serving the re16 tirement community; and 

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

18 and submit to the Assistant Secretary such evalua19 tions and reports as the Assistant Secretary may re20 quire. 

21 ‘‘(e) REPORTS.—The Assistant Secretary shall pre22 pare and submit to the appropriate committees of Con23 gress a report that includes summaries of the evaluations 

24 and reports required under subsection (d)(3). 
13

•S 1116 IS

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

2 provide for appropriate coordination of programs and ac3 tivities receiving funds pursuant to grants made under this 

4 section with programs and activities receiving funds pur5 suant to grants made under sections 381 and 422, and 

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

7 Act.’’. 

8 TITLE II—PUBLIC HEALTH 

9 SERVICE ACT AMENDMENTS 

10 SEC. 201. DEMONSTRATION PROJECTS TO SUPPORT INTE11 GRATION OF MENTAL HEALTH SERVICES IN 

12 PRIMARY CARE SETTINGS. 

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

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

15 (1) in section 520(b)— 

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

17 after the semicolon; 

18 (B) in paragraph (15), by striking the pe19 riod at the end and inserting ‘‘; and’’; and 

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

21 ‘‘(16) conduct the demonstration projects speci22 fied in section 520K.’’; and 

23 (2) by adding at the end the following: 
14

•S 1116 IS

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

2 MENTAL HEALTH SERVICES IN PRIMARY 

3 CARE SETTINGS. 

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

5 the Director of the Center for Mental Health Services, 

6 shall award grants to public and private nonprofit entities 

7 for projects to demonstrate ways of integrating mental 

8 health services for older patients into primary care set9 tings, such as health centers receiving a grant under sec10 tion 330 (or determined by the Secretary to meet the re11 quirements for receiving such a grant), other Federally 

12 qualified health centers, primary care clinics, and private 

13 practice sites. 

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

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

16 the entity shall provide for collaborative care within a pri17 mary care setting, involving psychiatrists, psychologists, 

18 and other licensed mental health professionals (such as so19 cial workers and advanced practice nurses) with appro20 priate training and experience in the treatment of older 

21 adults, in which screening, assessment, and intervention 

22 services are combined into an integrated service delivery 

23 model, including— 

24 ‘‘(1) screening services by a mental health pro25 fessional with at least a masters degree in an appro26 priate field of training; 
15

•S 1116 IS

1 ‘‘(2) referrals for necessary prevention, inter2 vention, follow-up care, consultations, and care plan3 ning oversight for mental health and other service 

4 needs, as indicated; and 

5 ‘‘(3) adoption and implementation of evidence6 based protocols, to the extent available, for prevalent 

7 mental health disorders, including depression, anx8 iety, behavioral and psychological symptoms of de9 mentia, psychosis, and misuse of, or dependence on, 

10 alcohol or medication. 

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

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

13 extent feasible, shall ensure that— 

14 ‘‘(1) projects are funded in a variety of geo15 graphic areas, including urban and rural areas; and 

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

17 and ethnic minorities and low-income populations, 

18 are served by projects funded under this section. 

19 ‘‘(d) DURATION.—A project may receive funding pur20 suant to a grant under this section for a period of up to 

21 3 years, with an extension period of 2 additional years 

22 at the discretion of the Secretary. 

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

24 under this section, a public or private nonprofit entity 

25 shall— 
16

•S 1116 IS

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

2 such form, containing such information, and at such 

3 time as the Secretary may specify); and 

4 ‘‘(2) agree to report to the Secretary standard5 ized clinical and behavioral data necessary to evalu6 ate patient outcomes and to facilitate evaluations 

7 across participating projects. 

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

9 calendar year, the Secretary shall submit to Congress a 

10 report evaluating the projects receiving awards under this 

11 section for such year. 

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

13 available under this section shall supplement, and not sup14 plant, other Federal, State, or local funds available to an 

15 entity to carry out activities described in this section. 

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

17 are authorized to be appropriated such sums as may be 

18 necessary to carry out this section for fiscal year 2006 

19 and each fiscal year thereafter.’’. 

20 SEC. 202. GRANTS FOR COMMUNITY-BASED MENTAL 

21 HEALTH TREATMENT OUTREACH TEAMS. 

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

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

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

25 following: 
17

•S 1116 IS

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

2 HEALTH TREATMENT OUTREACH TEAMS. 

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

4 the Director of the Center for Mental Health Services, 

5 shall award grants to public or private nonprofit entities 

6 that are community-based providers of geriatric mental 

7 health services, to support the establishment and mainte8 nance by such entities of multi-disciplinary geriatric men9 tal health outreach teams in community settings where 

10 older adults reside or receive social services. Entities eligi11 ble for such grants include— 

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

13 or local government; 

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

15 hospitals; 

16 ‘‘(3) community mental health centers meeting 

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

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

19 health services. 

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

21 grant under this section, an entity shall— 

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

23 health outreach team, evidence-based intervention 

24 and treatment protocols (to the extent such proto25 cols are available) for mental disorders prevalent in 

26 older individuals (including, but not limited to, mood 
18

•S 1116 IS

1 and anxiety disorders, dementias of all kinds, psy2 chotic disorders, and substance and alcohol abuse), 

3 relying to the greatest extent feasible on protocols 

4 that have been developed— 

5 ‘‘(A) by or under the auspices of the Sec6 retary; or 

7 ‘‘(B) by academicians with expertise in 

8 mental health and aging; 

9 ‘‘(2) provide screening for mental disorders, di10 agnostic services, referrals for treatment, and case 

11 management and coordination through such teams; 

12 and 

13 ‘‘(3) coordinate and integrate the services pro14 vided by such team with the services of social serv15 ice, mental health, and medical providers at the site 

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

17 ‘‘(A) improve patient outcomes; and 

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

19 feasible, the continuing independence of older 

20 adults who are residing in the community. 

21 ‘‘(c) COOPERATIVE ARRANGEMENTS WITH SITES

22 SERVING AS BASES FOR OUTREACH.—An entity receiving 

23 a grant under this section may enter into an agreement 

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

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

•S 1116 IS

1 ‘‘(1) senior centers; 

2 ‘‘(2) adult day care programs; 

3 ‘‘(3) assisted living facilities; and 

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

5 senior citizens under the Older Americans Act of 

6 1965, under which such person provides (and is re7 imbursed by the entity, out of funds received under 

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

9 transportation and administrative support, that such 

10 person provides to an outreach team of such entity. 

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

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

13 extent feasible, shall ensure that— 

14 ‘‘(1) projects are funded in a variety of geo15 graphic areas, including urban and rural areas; and 

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

17 and ethnic minorities and low-income populations, 

18 are served by projects funded under this section. 

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

20 under this section, an entity shall— 

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

22 such form, containing such information, at such 

23 time as the Secretary may specify); and 

24 ‘‘(2) agree to report to the Secretary standard25 ized clinical and behavioral data necessary to evalu-
20

•S 1116 IS

1 ate patient outcomes and to facilitate evaluations 

2 across participating projects. 

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

4 for appropriate coordination of programs and activities re5 ceiving funds pursuant to a grant under this section with 

6 programs and activities receiving funds pursuant to grants 

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

8 the Older Americans Act of 1965. 

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

10 calendar year, the Secretary shall submit to Congress a 

11 report evaluating the projects receiving awards under this 

12 section for such year. 

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

14 available under this section shall supplement, and not sup15 plant, other Federal, State, or local funds available to an 

16 entity to carry out activities described in this section. 

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

18 are authorized to be appropriated such sums as may be 

19 necessary to carry out this section for fiscal year 2006 

20 and each fiscal year thereafter.’’. 

21 SEC. 203. DESIGNATION OF DEPUTY DIRECTOR FOR OLDER 

22 ADULT MENTAL HEALTH SERVICES IN CEN23 TER FOR MENTAL HEALTH SERVICES. 

24 Section 520 of the Public Health Service Act (42 

25 U.S.C. 290bb–31) is amended— 
21

•S 1116 IS

1 (1) by redesignating subsection (c) as sub2 section (d); and 

3 (2) by inserting after subsection (b) the fol4 lowing: 

5 ‘‘(c) DEPUTY DIRECTOR FOR OLDER ADULT MEN6 TAL HEALTH SERVICES IN CENTER FOR MENTAL

7 HEALTH SERVICES.—The Director, after consultation 

8 with the Administrator, shall designate a Deputy Director 

9 for Older Adult Mental Health Services, who shall be re10 sponsible for the development and implementation of ini11 tiatives of the Center to address the mental health needs 

12 of older adults. Such initiatives shall include— 

13 ‘‘(1) research on prevention and identification 

14 of mental disorders in the geriatric population; 

15 ‘‘(2) innovative demonstration projects for the 

16 delivery of community-based mental health services 

17 for older Americans; 

18 ‘‘(3) support for the development and dissemi19 nation of evidence-based practice models, including 

20 models to address dependence on, and misuse of, al21 cohol and medication in older adults; and 

22 ‘‘(4) development of model training programs 

23 for mental health professionals and care givers serv24 ing older adults.’’. 
22

•S 1116 IS

1 SEC. 204. MEMBERSHIP OF ADVISORY COUNCIL FOR THE 

2 CENTER FOR MENTAL HEALTH SERVICES. 

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

4 (42 U.S.C. 290aa–1(b)(3)) is amended by adding at the 

5 end the following: 

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

7 the Center for Mental Health Services, the 

8 members appointed pursuant to subparagraphs 

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

10 older Americans, their families, and geriatric 

11 mental health specialists.’’. 

12 SEC. 205. PROJECTS OF NATIONAL SIGNIFICANCE TAR13 GETING SUBSTANCE ABUSE IN OLDER 

14 ADULTS. 

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

16 (42 U.S.C. 290bb–2(b)(2)) is amended by inserting before 

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

18 older adults with alcohol or substance abuse or addiction, 

19 including medication misuse or dependence’’. 

20 SEC. 206. CRITERIA FOR STATE PLANS UNDER COMMUNITY 

21 MENTAL HEALTH SERVICES BLOCK GRANTS. 

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

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

24 to read as follows: 

25 ‘‘(4) TARGETED SERVICES TO OLDER INDIVID26 UALS, INDIVIDUALS WHO ARE HOMELESS, AND INDI-
23

•S 1116 IS

1 VIDUALS LIVING IN RURAL AREAS.—The plan de2 scribes the State’s outreach to and services for older 

3 individuals, individuals who are homeless, and indi4 viduals living in rural areas, and how community5 based services will be provided to these individuals.’’. 

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

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

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

9 of this Act.

Æ