II 

108TH CONGRESS 

2D SESSION S. 2572

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 

JUNE 24, 2004

Mrs. CLINTON (for herself, Ms. COLLINS, and Mr. BREAUX) 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 2004’’. 
2

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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 
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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— 
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1 (1) in section 303 (42 U.S.C. 3023), by adding 

2 at the end the following: 

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 2005 and each 

7 of the 5 succeeding fiscal years.’’; 

8 (2) in section 304(a)(1) (42 U.S.C. 

9 3024(a)(1)), by inserting ‘‘and subsection (f)’’ after 

10 ‘‘through (d)’’; and 

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

12 ‘‘PART F—MENTAL HEALTH SCREENING AND 

13 TREATMENT SERVICES FOR OLDER INDIVIDUALS 

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

15 MENTAL HEALTH SCREENING AND TREAT16 MENT SERVICES FOR OLDER INDIVIDUALS. 

17 ‘‘(a) PROGRAM AUTHORIZED.—The Assistant Sec18 retary shall carry out a program for making grants to 

19 States under State plans approved under section 307 for 

20 the development and operation of— 

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

22 screening and treatment services for older individ23 uals who lack access to such services; and 

24 ‘‘(2) programs to— 
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1 ‘‘(A) increase public awareness regarding 

2 the benefits of prevention and treatment of 

3 mental disorders; and 

4 ‘‘(B) reduce the stigma associated with 

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

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

8 agency that receives funds through a grant made under 

9 this section shall allocate the funds to area agencies on 

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

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

12 shall give priority to planning and service areas in the 

13 State— 

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

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

16 individuals. 

17 ‘‘(c) AREA COORDINATION OF SERVICES WITH

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

19 efficiently and effectively deliver services to older individ20 uals, each area agency on aging shall— 

21 ‘‘(1) coordinate services described in subsection 

22 (a) with other community agencies, and voluntary 

23 organizations, providing similar or related services; 

24 and
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1 ‘‘(2) to the greatest extent practicable, integrate 

2 outreach and educational activities with existing (as 

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

4 service providers serving older individuals in the 

5 planning and service area involved. 

6 ‘‘(d) RELATIONSHIP TO OTHER FUNDING

7 SOURCES.—Funds made available under this part shall 

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

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

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

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

12 SEC. 104. DEMONSTRATION PROJECTS PROVIDING MENTAL 

13 HEALTH SCREENING AND TREATMENT SERV14 ICES TO OLDER INDIVIDUALS LIVING IN 

15 RURAL AREAS. 

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

17 et seq.) is amended—

18 (1) by inserting before section 401 (42 U.S.C. 

19 3031) the following: 

20 ‘‘TITLE IV—GRANTS FOR EDU21 CATION, TRAINING, AND RE22 SEARCH’’; 

23 and 

24 (2) in part A of title IV (42 U.S.C. 3032 et 

25 seq.), by adding at the end the following: 
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1 ‘‘SEC. 422. DEMONSTRATION PROJECTS PROVIDING MEN2 TAL HEALTH SCREENING AND TREATMENT 

3 SERVICES TO OLDER INDIVIDUALS LIVING IN 

4 RURAL AREAS. 

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

6 area’ means— 

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

8 statistical area (as defined by the Director of the Of9 fice of Management and Budget); or 

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

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

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

13 1395ww(d)(2)(D)). 

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

15 make grants to eligible public agencies and nonprofit pri16 vate organizations to pay part or all of the cost of devel17 oping or operating model health care service projects in18 volving the provision of mental health screening and treat19 ment services to older individuals residing in rural areas. 

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

21 shall be made for 3-year periods. 

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

23 under this section, a public agency or nonprofit private 

24 organization shall submit to the Assistant Secretary an 

25 application containing such information and assurances as 

26 the Secretary may require, including— 
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1 ‘‘(1) information describing— 

2 ‘‘(A) the geographic area and target popu3 lation (including the racial and ethnic composi4 tion of the target population) to be served by 

5 the project; and 

6 ‘‘(B) the nature and extent of the appli7 cant’s experience in providing mental health 

8 screening and treatment services of the type to 

9 be provided in the project; 

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

11 out the project— 

12 ‘‘(A) through a multidisciplinary team of 

13 licensed mental health professionals; 

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

15 treatment protocols to the extent such protocols 

16 are available; 

17 ‘‘(C) using telecommunications tech18 nologies as appropriate and available; and 

19 ‘‘(D) in coordination with other providers 

20 of health care and social services (such as sen21 ior centers and adult day care providers) serv22 ing the area; and 

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

24 and submit to the Assistant Secretary such evalua-
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1 tions and reports as the Assistant Secretary may re2 quire. 

3 ‘‘(e) REPORTS.—The Assistant Secretary shall pre4 pare and submit to the appropriate committees of Con5 gress a report that includes summaries of the evaluations 

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

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

8 provide for appropriate coordination of programs and ac9 tivities receiving funds pursuant to a grant under this sec10 tion with programs and activities receiving funds pursuant 

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

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

13 SEC. 105. DEMONSTRATION PROJECTS PROVIDING MENTAL 

14 HEALTH SCREENING AND TREATMENT SERV15 ICES TO OLDER INDIVIDUALS LIVING IN NAT16 URALLY OCCURRING RETIREMENT COMMU17 NITIES IN URBAN AREAS. 

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

19 (42 U.S.C. 3032 et seq.), as amended by section 104, is 

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

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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

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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 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; 
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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.’’. 
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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 subsection (b) of section 520(b) (42 

9 U.S.C. 290bb–31(b))—

10 (A) by striking ‘‘and’’ at the end of para11 graph (14); 

12 (B) by striking the period at the end of 

13 paragraph (15) and inserting in lieu thereof ‘‘; 

14 and’’; and 

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

16 ‘‘(16) conduct the demonstration projects speci17 fied in section 520K.’’; and 

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

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

20 MENTAL HEALTH SERVICES IN PRIMARY 

21 CARE SETTINGS. 

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

23 the Director of the Center for Mental Health Services, 

24 shall award grants to public and private nonprofit entities 

25 for projects to demonstrate ways of integrating mental 
14

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1 health services for older patients into primary care set2 tings, such as health centers receiving a grant under sec3 tion 330 (or determined by the Secretary to meet the re4 quirements for receiving such a grant), other Federally 

5 qualified health centers, primary care clinics, and private 

6 practice sites. 

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

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

9 the entity shall provide for collaborative care within a pri10 mary care setting, involving psychiatrists, psychologists, 

11 and other licensed mental health professionals (such as so12 cial workers and advanced practice nurses) with appro13 priate training and experience in the treatment of older 

14 adults, in which screening, assessment, and intervention 

15 services are combined into an integrated service delivery 

16 model, including—

17 ‘‘(1) screening services by a mental health pro18 fessional with at least a masters degree in an appro19 priate field of training; 

20 ‘‘(2) referrals for necessary prevention, inter21 vention, follow-up care, consultations, and care plan22 ning oversight for mental health and other service 

23 needs, as indicated; and 

24 ‘‘(3) adoption and implementation of evidence25 based protocols, to the extent available, for prevalent
15

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1 mental health disorders, including depression, anx2 iety, behavioral and psychological symptoms of de3 mentia, psychosis, and misuse of, or dependence on, 

4 alcohol or medication. 

5 ‘‘(c) 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 ‘‘(d) DURATION.—A project may receive funding pur14 suant to a grant under this section for a period of up to 

15 3 years, with an extension period of 2 additional years 

16 at the discretion of the Secretary. 

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

18 under this section, a public or private nonprofit entity 

19 shall—

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

21 such form, containing such information, and at such 

22 time as the Secretary may specify); and 

23 ‘‘(2) agree to report to the Secretary standard24 ized clinical and behavioral data necessary to evalu-
16

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1 ate patient outcomes and to facilitate evaluations 

2 across participating projects. 

3 ‘‘(f) 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 ‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—There 

8 are authorized to be appropriated such sums as may be 

9 necessary to carry out this section for fiscal year 2005 

10 and each fiscal year thereafter.’’. 

11 SEC. 202. GRANTS FOR COMMUNITY-BASED MENTAL 

12 HEALTH TREATMENT OUTREACH TEAMS. 

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

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

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

16 following: 

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

18 HEALTH TREATMENT OUTREACH TEAMS. 

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

20 the Director of the Center for Mental Health Services, 

21 shall award grants to public or private nonprofit entities 

22 that are community-based providers of geriatric mental 

23 health services, to support the establishment and mainte24 nance by such entities of multi-disciplinary geriatric men25 tal health outreach teams in community settings where 
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1 older adults reside or receive social services. Entities eligi2 ble for such grants include—

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

4 or local government; 

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

6 hospitals; 

7 ‘‘(3) community mental health centers meeting 

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

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

10 health services. 

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

12 grant under this section, an entity shall—

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

14 health outreach team, evidence-based intervention 

15 and treatment protocols (to the extent such proto16 cols are available) for mental disorders prevalent in 

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

18 and anxiety disorders, dementias of all kinds, psy19 chotic disorders, and substance and alcohol abuse), 

20 relying to the greatest extent feasible on protocols 

21 that have been developed—

22 ‘‘(A) by or under the auspices of the Sec23 retary; or 

24 ‘‘(B) by academicians with expertise in 

25 mental health and aging; 
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1 ‘‘(2) provide screening for mental disorders, di2 agnostic services, referrals for treatment, and case 

3 management and coordination through such teams; 

4 and 

5 ‘‘(3) coordinate and integrate the services pro6 vided by such team with the services of social serv7 ice, mental health, and medical providers at the site 

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

9 ‘‘(A) improve patient outcomes; and 

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

11 feasible, the continuing independence of older 

12 adults who are residing in the community. 

13 ‘‘(c) COOPERATIVE ARRANGEMENTS WITH SITES

14 SERVING AS BASES FOR OUTREACH.—An entity receiving 

15 a grant under this section may enter into an agreement 

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

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

18 ‘‘(1) senior centers; 

19 ‘‘(2) adult day care programs; 

20 ‘‘(3) assisted living facilities; and 

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

22 senior citizens under the Older Americans Act of 

23 1965, 

24 under which such person provides (and is reimbursed by 

25 the entity, out of funds received under the grant, for) any
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1 supportive services, such as transportation and adminis2 trative support, that such person provides to an outreach 

3 team of such entity. 

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

5 awarding grants under this section the Secretary, to the 

6 extent feasible, shall ensure that—

7 ‘‘(1) projects are funded in a variety of geo8 graphic areas, including urban and rural areas; and 

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

10 and ethnic minorities and low-income populations, 

11 are served by projects funded under this section. 

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

13 under this section, an entity shall—

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

15 such form, containing such information, at such 

16 time as the Secretary may specify); and 

17 ‘‘(2) agree to report to the Secretary standard18 ized clinical and behavioral data necessary to evalu19 ate patient outcomes and to facilitate evaluations 

20 across participating projects. 

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

22 for appropriate coordination of programs and activities re23 ceiving funds pursuant to a grant under this section with 

24 programs and activities receiving funds pursuant to grants 
20

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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) AUTHORIZATION OF APPROPRIATIONS.—There 

8 are authorized to be appropriated such sums as may be 

9 necessary to carry out this section for fiscal year 2005 

10 and each fiscal year thereafter.’’. 

11 SEC. 203. DESIGNATION OF DEPUTY DIRECTOR FOR OLDER 

12 ADULT MENTAL HEALTH SERVICES IN CEN13 TER FOR MENTAL HEALTH SERVICES. 

14 Section 520 of the Public Health Service Act (42 

15 U.S.C. 290bb–31) is amended—

16 (1) by redesignating subsection (c) as sub17 section (d); and 

18 (2) by inserting after subsection (b) the fol19 lowing: 

20 ‘‘(c) DEPUTY DIRECTOR FOR OLDER ADULT MEN21 TAL HEALTH SERVICES IN CENTER FOR MENTAL

22 HEALTH SERVICES.—The Director, after consultation 

23 with the Administrator, shall designate a Deputy Director 

24 for Older Adult Mental Health Services, who shall be re25 sponsible for the development and implementation of ini-
21

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1 tiatives of the Center to address the mental health needs 

2 of older adults. Such initiatives shall include—

3 ‘‘(1) research on prevention and identification 

4 of mental disorders in the geriatric population; 

5 ‘‘(2) innovative demonstration projects for the 

6 delivery of community-based mental health services 

7 for older Americans; 

8 ‘‘(3) support for the development and dissemi9 nation of evidence-based practice models, including 

10 models to address dependence on, and misuse of, al11 cohol and medication in older adults; and 

12 ‘‘(4) development of model training programs 

13 for mental health professionals and care givers serv14 ing older adults.’’. 

15 SEC. 204. MEMBERSHIP OF ADVISORY COUNCIL FOR THE 

16 CENTER FOR MENTAL HEALTH SERVICES. 

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

18 (42 U.S.C. 269aa–1(b)(3)) is amended by adding at the 

19 end the following: 

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

21 the Center for Mental Health Services, the 

22 members appointed pursuant to subparagraphs 

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

24 older Americans, their families, and geriatric 

25 mental health specialists.’’. 
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1 SEC. 205. PROJECTS OF NATIONAL SIGNIFICANCE TAR2 GETING SUBSTANCE ABUSE IN OLDER 

3 ADULTS. 

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

5 (42 U.S.C. 290bb–2(b)(2)) is amended by inserting before 

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

7 older adults with alcohol or substance abuse or addiction, 

8 including medication misuse or dependence’’. 

9 SEC. 206. CRITERIA FOR STATE PLANS UNDER COMMUNITY 

10 MENTAL HEALTH SERVICES BLOCK GRANTS. 

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

12 Health Service Act (42 U.S.C. 300x–1(b)(4)) is amended 

13 to read as follows: 

14 ‘‘(4) TARGETED SERVICES TO OLDER INDIVID15 UALS, INDIVIDUALS WHO ARE HOMELESS, AND INDI16 VIDUALS LIVING IN RURAL AREAS.—The plan de17 scribes the State’s outreach to and services for older 

18 individuals, individuals who are homeless, and indi19 viduals living in rural areas, and how community20 based services will be provided to these individuals.’’. 

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

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

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

24 of this Act.

Æ