Behavioral Health Crisis Care Centers Act of 2023

Subjects: Health


<html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2977 Introduced in House (IH)]

&lt;DOC&gt;






118th CONGRESS
  1st Session
                                H. R. 2977

 To direct the Secretary of Health and Human Services to award grants 
   for the purpose of establishing, operating, or expanding one-stop 
               crisis facilities, and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             April 27, 2023

   Mr. Smith of Washington introduced the following bill; which was 
 referred to the Committee on Energy and Commerce, and in addition to 
 the Committees on Financial Services, and the Judiciary, 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 direct the Secretary of Health and Human Services to award grants 
   for the purpose of establishing, operating, or expanding one-stop 
               crisis facilities, and for other purposes.

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

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Behavioral Health Crisis Care 
Centers Act of 2023''.

SEC. 2. GRANT PROGRAM FOR ONE-STOP CRISIS FACILITIES.

    (a) Establishment.--The Secretary of Health and Human Services (in 
this section referred to as the ``Secretary''), in consultation with 
the Secretary of Housing and Urban Development, the Attorney General, 
the Secretary of the Interior, and the heads of any other relevant 
Federal agencies, shall award grants to eligible entities in the 
amounts determined pursuant to subsection (d) for the purpose of 
establishing, operating, or expanding one-stop crisis facilities.
    (b) Eligible Activities.--Activities funded through a grant under 
this section for establishing, operating, or expanding a one-stop 
crisis facility may include--
            (1) acquiring, constructing, or developing facilities;
            (2) acquiring supplies or equipment;
            (3) training, hiring, and retaining staff;
            (4) establishing, operating, or expanding services provided 
        at a one-stop crisis facility, including--
                    (A) health care services, including behavioral 
                health and substance use disorder treatment, including 
                medication for opioid use disorder;
                    (B) counseling;
                    (C) case management services and recovery oriented 
                supports;
                    (D) housing assistance, including financial 
                assistance for housing;
                    (E) legal services; and
                    (F) other wrap-around services, not limited to 
                services that are clinical in nature, provided as part 
                of a one-stop crisis facility;
            (5) coordinating with governmental and nongovernmental 
        partners (including local crisis response, law enforcement, 
        fire services, emergency medical services, health care 
        entities, workforce development programs, aging, disability, 
        and senior services, community-based organizations, faith-based 
        organizations, civic organizations, housing authorities, 
        continuum of care programs, immigrant and refugee assistance 
        organizations, veteran service organizations, deflection 
        initiatives led by first responders, evidence-based jail 
        diversion programs, such as law enforcement-assisted diversion 
        programs, children and family organizations, and other entities 
        involved in the provision of wrap-around services, not limited 
        to clinical services);
            (6) conducting outreach services to engage with vulnerable 
        and high-need communities, including individuals living at 
        public or federally assisted housing facilities or receiving 
        Federal housing assistance, youths, and unhoused individuals; 
        and
            (7) planning system-wide coordination with other entities 
        involved in crisis response.
    (c) Subgrants.--A recipient of a grant under this section may use 
such grant to award subgrants to nongovernmental entities for the 
purpose of providing one-stop crisis facility services, including those 
described in paragraphs (3), (4), (5), and (6) of subsection (b).
    (d) Determination of Amounts.--
            (1) Metropolitan cities.--Of the total amount made 
        available for a fiscal year pursuant to subsection (g)(2)(A), 
        the Secretary shall award to each metropolitan city receiving a 
        grant under this section an amount that bears the same 
        proportion to such total amount as the population of such 
        metropolitan city bears to the total population of all 
        metropolitan cities receiving grants under this section.
            (2) Nonentitlement units of local government.--Of the total 
        amount made available for a fiscal year pursuant to subsection 
        (g)(2)(B), the Secretary shall award to each nonentitlement 
        unit of local government receiving a grant under this section 
        an amount that bears the same proportion to such total amount 
        as the population of such nonentitlement unit of local 
        government bears to the total population of all nonentitlement 
        units of local government receiving grants under this section.
            (3) Counties.--The Secretary shall award to each county 
        receiving a grant under this section--
                    (A) of half of the amount made available for a 
                fiscal year pursuant to subsection (g)(2)(C), an amount 
                that is equal for each such county; and
                    (B) of the remaining half of the amount made 
                available for a fiscal year pursuant to subsection 
                (g)(2)(C), an amount that bears the same proportion to 
                such remaining half as the population of such county 
                bears to the total population of all counties receiving 
                grants under this section.
            (4) States.--The Secretary shall award to each State 
        receiving a grant under this section--
                    (A) of half of the amount made available for a 
                fiscal year pursuant to subsection (g)(2)(D), an amount 
                that is equal for each such State; and
                    (B) of the remaining half of the amount made 
                available for a fiscal year pursuant to subsection 
                (g)(2)(D), an amount that bears the same proportion to 
                such remaining half as the population of such State 
                bears to the total population of all States receiving 
                grants under this section.
            (5) Indian tribes.--The Secretary shall award to each 
        Indian Tribe receiving a grant under this section--
                    (A) of 25 percent of the amount made available for 
                a fiscal year pursuant to subsection (g)(2)(E), an 
                amount that is equal for each such Indian Tribe; and
                    (B) of 75 percent of the amount made available for 
                a fiscal year pursuant to subsection (g)(2)(E), an 
                amount determined by the Secretary of the Interior.
            (6) Territories.--Of the total amount made available for a 
        fiscal year pursuant to subsection (g)(2)(F), the Secretary 
        shall award to each territory receiving a grant under this 
        section an amount that bears the same proportion to such total 
        amount as the population of such territory bears to the total 
        population of all territories receiving grants under this 
        section.
    (e) Application.--
            (1) In general.--To seek a grant under this section, an 
        eligible entity shall submit an application to the Secretary at 
        such time, in such manner, and accompanied by such information 
        as the Secretary may require.
            (2) Plan.--Such an application shall include a plan for how 
        the grant funds will be used, including--
                    (A) how such plan is informed by stakeholders in 
                the community, especially people with lived experiences 
                with a behavioral health crisis, people with 
                disabilities, and community organizations that work 
                with these communities;
                    (B) how the recipient will collaborate with 
                community-based organizations to connect individuals 
                with appropriate services in a timely and direct 
                manner;
                    (C) how the recipient will establish a housing 
                first policy strategy for adults experiencing 
                homelessness and a transitional housing, wrap around 
                services strategy for youth in crisis;
                    (D) how the recipient will prioritize equitable 
                access for people facing language, cultural, 
                disability-related, and other barriers, including how 
                staff will be trained in cultural competency and 
                trauma-informed care;
                    (E) how the recipient will work in conjunction with 
                crisis response systems, law enforcement, fire 
                services, emergency medical services, homeless 
                outreach, community health workers, and emergency 
                departments to divert individuals experiencing a 
                behavioral health or substance use crisis to the one-
                stop crisis facility;
                    (F) how the recipient will consult with people with 
                lived experience with a behavioral health crisis to 
                design centers that have a ``home-like'' environment 
                that is accessible;
                    (G) how the recipient will work in conjunction with 
                continuum of care programs and housing providers to 
                connect individuals at assisted housing facilities with 
                the one-stop crisis facility to receive supportive 
                services; and
                    (H) how the recipient intends to create programming 
                and services specific to the needs of youth.
    (f) Nondiscrimination.--No person in the United States shall, on 
the basis of actual or perceived race, color, religion, national 
origin, sex (including sexual orientation and gender identity), or 
disability, be excluded from participation in, be denied the benefits 
of, or be subjected to discrimination under any program or activity 
funded, in whole or in part, with funds made available under this Act.
    (g) Definitions.--In this section:
            (1) The terms ``county'', ``metropolitan city'', and 
        ``nonentitlement unit of local government'' have the meanings 
        given to such terms in section 603(g) of the Social Security 
        Act (42 U.S.C. 803(g)).
            (2) The term ``eligible entity'' means a metropolitan city, 
        a nonentitlement unit of local government, a county, a State, 
        an Indian Tribe, or a territory.
            (3) The term ``Indian Tribe'' has the meaning given to the 
        term ``Indian tribe'' in section 102 of the Federally 
        Recognized Indian Tribe List Act of 1994 (25 U.S.C. 5130).
            (4) The term ``one-stop crisis facility'' means a facility 
        that provides, at a single location--
                    (A) on-site services for behavioral health and 
                substance use disorder;
                    (B) housing services; and
                    (C) coordination with health care services, housing 
                services, legal aid, or other case management or wrap-
                around services available in the community.
            (5) The term ``State'' means each State of the United 
        States and the District of Columbia.
            (6) The term ``territory'' means the Commonwealth of Puerto 
        Rico, the United States Virgin Islands, Guam, the Commonwealth 
        of the Northern Mariana Islands, and American Samoa.
    (h) Authorization of Appropriations.--
            (1) In general.--There is authorized to be appropriated to 
        carry out this section $11,500,000,000 for each of fiscal years 
        2024 through 2028.
            (2) Reservation.--Of the amounts authorized to be 
        appropriated by paragraph (1)--
                    (A) $3,000,000,000 shall be for grants to 
                metropolitan cities;
                    (B) $1,000,000,000 shall be for grants to 
                nonentitlement units of local government;
                    (C) $3,000,000,000 shall be for grants to counties;
                    (D) $2,000,000,000 shall be for grants to States;
                    (E) $2,000,000,000 shall be for grants to Indian 
                Tribes; and
                    (F) $500,000,000 shall be for grants to 
                territories.
                                 &lt;all&gt;
</pre></body></html>