Undertaking Needed Investments in Therapy, Education, and De-Escalation Act of 2022

To provide for increased authorization of funding to secure schools and improve access to mental health and crisis care. 1. Short title This Act may be cited as the Undertaking Needed Investments in Therapy, Education, and De-Escalation Act of 2022 2. Table of contents The table of contents of this Act is as follows: Sec. 1. Short title. Sec. 2. Table of contents. Sec. 3. Youth suicide prevention and early intervention grant programs. Sec. 4. Community services mental health services block grant programs. Sec. 5. Establishment of a National Center for Healing, Empowerment, Learning, and Prevention (HELP) through Behavioral Health. Sec. 6. Crisis care response and coordination. Sec. 7. Adult and youth grant programs for serious mental illnesses and emotional disturbances. Sec. 8. Lifeline call center program. Sec. 9. Extension of emergency telehealth services. Sec. 10. Pediatric mental health care access grants. 3. Youth suicide prevention and early intervention grant programs (a) Suicide prevention resource center Section 520C(c) of the Public Health Service Act ( 42 U.S.C. 290bb–34(c) $5,988,000 for each of fiscal years 2018 through 2022 $10,000,000 for each of fiscal years 2023 through 2027 (b) Garrett Lee Smith Campus Suicide Prevention Program Section 520E–2(i) of the Public Health Service Act (42 U.S.C. 290bb–36b(i)) is amended by striking 2018 through 2022 2023 through 2027 (c) Mental and behavioral health outreach and education Section 549(f) of the Public Health Service Act ( 42 U.S.C. 290ee–4(f) $1,000,000 for the period of fiscal years 2018 through 2022 $9,000,000 for each of fiscal years 2023 through 2027 (d) Garrett Lee Smith State and Tribal Youth Suicide Prevention and Early Intervention Grant Program Section 520E(m) of the Public Health Service Act ( 42 U.S.C. 290bb–36(m) $30,000,000 for each of fiscal years 2018 through 2022 $50,000,000 for each of fiscal years 2023 through 2027 4. Community services mental health services block grant programs Section 1920(a) of the Public Health Service Act ( 42 U.S.C. 300x–9(a) $532,571,000 for each of fiscal years 2018 through 2022 $1,000,000,000 for each of fiscal years 2023 through 2027 5. Establishment of a National Center for Healing, Empowerment, Learning, and Prevention (HELP) through Behavioral Health Part D of title III of the Public Health Service Act ( 42 U.S.C. 254b et seq. XIII Healing, Empowerment, Learning, and Prevention through Behavioral Health 340H. National Center for Healing, Empowerment, Learning, and Prevention through Behavioral Health (a) Establishment For the purpose described in subsection (b), the Administrator of the Health Resources and Services Administration shall establish within the Office of Rural Health Policy of the Health Resources and Services Administration a national center (in this section referred to as the National Center (b) Purpose The purpose of the National Center shall be to facilitate the exchange of knowledge and perspectives among experts in medicine, behavioral health, telementoring, telemedicine, telehealth, training and technical assistance, education, health promotion, culturally competent community engagement, and implementation of science necessary to rapidly implement behavioral health services for community recovery. (c) Authorization of appropriations There is authorized to be appropriated to carry out this section $10,000,000 for the period of fiscal years 2023 through 2027. . 6. Crisis care response and coordination (a) Strengthening community crisis response systems Section 520F of the Public Health Service Act ( 42 U.S.C. 290bb–37 520F. Strengthening community crisis response systems (a) In general The Secretary shall award competitive grants to State and local governments, Indian Tribes, and Tribal organizations to— (1) enhance community-based crisis response systems; and (2) implement strategies that improve care coordination, and referral to inpatient psychiatric facilities, crisis stabilization units, and residential community mental health and residential substance use disorder treatment facilities, as appropriate, for adults with a serious mental illness, children with a serious emotional disturbance, or individuals with a substance use disorder. (b) Applications (1) In general To receive a grant under subsection (a), an entity shall submit to the Secretary an application, at such time, in such manner, and containing such information as the Secretary may require. (2) Community-based crisis response plan An application for a grant under subsection (a) shall include a plan for— (A) promoting integration and coordination between local public and private entities engaged in crisis response, which shall include first responders, law enforcement, emergency health care providers, primary care providers, court systems, health care payers, social service providers, and behavioral health providers; (B) developing memoranda of understanding with public and private entities to implement crisis response services; (C) addressing gaps in community resources for crisis intervention and prevention; (D) developing models for minimizing hospital readmissions, including through appropriate discharge planning; (E) developing, maintaining, or enhancing directories to collect, aggregate, and display information about local inpatient psychiatric facilities and crisis stabilization units, and residential community mental health and residential substance use disorder treatment facilities, to facilitate the identification and designation of such facilities and units for the temporary treatment of individuals in mental or substance use disorder crisis; and (F) including in such directories real-time information about— (i) the number of available beds at each facility or unit; (ii) the types of patients that may be admitted to each facility or unit; and (iii) any other information necessary to allow for the proper identification and designation of appropriate facilities or units for treatment of individuals in mental or substance use disorder crisis. (c) Evaluation An entity receiving a grant under subsection (a) shall submit to the Secretary, at such time, in such manner, and containing such information as the Secretary may reasonably require, a report, including an evaluation of the effects of such grant on— (1) local crisis response services and measures for individuals receiving crisis planning and early intervention supports; (2) individuals reporting improved functional outcomes; and (3) individuals receiving regular followup care following a crisis. (d) Authorization of appropriations There is authorized to be appropriated to carry out this section $15,000,000 for the period of fiscal years 2023 through 2027. . (b) Mental health awareness training grants Section 520J(b)(7) of the Public Health Service Act ( 42 U.S.C. 290bb–41(b)(7) $14,693,000 for each of fiscal years 2018 through 2022 $25,000,000 for each of fiscal years 2023 through 2027 (c) Mental and behavioral health education and training grants Section 756(f) of the Public Health Service Act ( 42 U.S.C. 294e–1(f) For each of fiscal years 2019 through 2023 For each of fiscal years 2023 through 2027 7. Adult and youth grant programs for serious mental illnesses and emotional disturbances (a) Assertive community treatment grant program Section 520M(e)(1) of the Public Health Service Act ( 42 U.S.C. 290bb–44(e)(1) $5,000,000 for the period of fiscal years 2018 through 2022 $10,000,000 for each of fiscal years 2023 through 2027 (b) Comprehensive community mental health services for children with serious emotional disturbances (1) In general Section 565(f)(1) of the Public Health Service Act ( 42 U.S.C. 290ff–4(f)(1) $119,026,000 for each of fiscal years 2018 through 2022 $130,000,000 for each of fiscal years 2023 through 2027 (2) Technical correction Section 565(f) of the Public Health Service Act ( 42 U.S.C. 290ff–4(f) 8. Lifeline call center program Part B of title V of the Public Health Service Act ( 42 U.S.C. 290bb et seq. 42 U.S.C. 290bb–36d 520E–5. Regional and local lifeline call center program (a) In general The Secretary shall award grants to crisis call centers— (1) to purchase or upgrade call center technology; (2) to provide for training of call center staff; (3) to improve call center operations; and (4) for hiring of call center staff. (b) Definition In this section, the term crisis call center (1) provides telephonic crisis intervention capabilities; (2) meets the National Suicide Prevention Lifeline operational guidelines regarding suicide risk assessment and engagement; and (3) offers air traffic control-quality coordination of crisis care in real-time. (c) Authorization of appropriations There are authorized to be appropriated to carry out this section $560,000,000 for fiscal year 2023, to remain available until expended. . 9. Extension of emergency telehealth services Section 1135(e) of the Social Security Act ( 42 U.S.C. 1320b–5(e) (3) Two-year extension of telehealth services following the COVID–19 emergency period Notwithstanding any other provision of this section, a waiver or modification of requirements pursuant to subsection (b)(8) shall terminate on the date that is 2 years after the last day of the emergency period described in subsection (g)(1)(B). . 10. Pediatric mental health care access grants Section 330M of the Public Health Service Act ( 42 U.S.C. 254c–19 (1) in subsection (b)— (A) by redesignating paragraph (2) as paragraph (3); (B) by inserting after paragraph (1) the following new paragraph: (2) Support to schools and emergency departments In addition to the required activities specified in paragraph (1), a statewide or regional network of pediatric mental health teams referred to in subsection (a), with respect to which a grant under such subsection may be used, may provide support to schools and emergency departments. ; and (C) in paragraph (3), as so redesignated, by inserting Such a team may include a developmental-behavioral pediatrician. mental health counselor. (2) by striking subsection (g); and (3) by adding at the end the following: (g) Technical assistance The Secretary shall award grants or contracts to one or more eligible entities (as defined by the Secretary) for the purposes of providing technical assistance and evaluation support to grantees under subsection (a). (h) Authorization of appropriations To carry out this section, there are authorized to be appropriated— (1) $15,000,000 for each of fiscal years 2023 through 2025; and (2) $30,000,000 for each of fiscal years 2026 through 2027. .

Summary: Undertaking Needed Investments in Therapy, Education, and De-Escalation Act of 2022 This bill reauthorizes through FY2027 and establishes new mental and behavioral health programs. It also temporarily extends certain waivers related to the provision of telehealth services. The bill reauthorizes the Community Mental Health Services Block Grant program, which supports the provision of mental health services for adults with serious mental illnesses and children with serious emotional disturbances. Additionally, the bill reauthorizes grants for the Suicide Prevention Resource Center and other suicide prevention programs, including those in institutions of higher education, schools, juvenile justice systems, and other child- and youth-serving organizations; community crisis response systems; training teachers and other school personnel to recognize symptoms of childhood and adolescent mental health disorders; clinical education and training of students seeking to enter mental and behavioral health professions; and assertive community treatment (i.e., comprehensive services for individuals with severe functional impairments associated with serious mental illness). Further, the bill establishes (1) a national center to facilitate the exchange of knowledge and expertise related to behavioral health services for community recovery; and (2) grants for crisis call centers to hire and train staff, purchase or upgrade technology, and improve operations. With respect to telehealth services, the Department of Health and Human Services waived, using emergency authorities, certain requirements that applied to services furnished through telehealth during the COVID-19 emergency. The bill extends those waivers for two years following the end of the emergency.