Greater Mental Health Access Act

To establish a special enrollment period for family members of an individual who has died by suicide, to establish a competitive grant program to provide services and support to friends and family members impacted by an individual’s suicide, and for other purposes. 1. Short title This Act may be cited as the Greater Mental Health Access Act 2. Findings Congress finds the following: (1) One in five adults in America experience some form of mental illness, and nearly one in twenty-five adults live with serious mental illness. (2) Access to mental health services is a particularly pervasive problem; 28 million residents of the United States are uninsured and have no access to mental health services. Studies show that nearly 60 percent of adults and 50 percent of children with a mental illness did not receive mental health services in the previous calendar year. (3) The lack of access to mental health services has, in part, contributed to an increase in the suicide rate in the United States, which is now the tenth leading cause of death in this country. (4) In 2017, 47,173 Americans died by suicide. (5) In 2017, there were an estimated 1,400,000 suicide attempts in the United States. (6) Suicide by a loved one often results in suicide contagion (7) Family and friends who lost a loved one to suicide are 80 percent more likely to drop out of school or stop working. (8) Access to mental health services is important to mitigate suicide, suicide contagion, and bereavement. Access to care also reduces the financial burden for individuals in need of mental health services. (9) The Patient Protection and Affordable Care Act has increased access to mental health services, but there is still a large population that is uninsured or has insufficient coverage to seek mental health services. (10) Family and friends who have lost a loved one to suicide should not face hurdles when attempting to access mental health services. As such, a suicide or suicide attempt should constitute a qualifying life event 3. Providing for a special enrollment period for family members of individuals who have committed suicide (a) Public Health Service Act Section 2702(b)(2) of the Public Health Service Act ( 42 U.S.C. 300gg–1(b)(2) including a special enrollment period for family members of individuals who have died by suicide, allowing them to enroll in, or change, their health care plan, beginning on the date on which the suicide is reported to the health insurance issuer (b) Patient Protection and Affordable Care Act Section 1311(c)(6) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 18031(c)(6) (1) in subparagraph (C), by striking and (2) by redesignating subparagraph (D) as subparagraph (E); and (3) by inserting after subparagraph (C) the following new subparagraph: (D) a special enrollment period for family members of individuals who have died by suicide, beginning on the date on which the suicide is reported to the Exchange; and . (c) Special Enrollment Periods Section 9801(f) 26 U.S.C. 9801(f) (4) For family members of individuals who have died by suicide (A) A group health plan shall permit an employee who is eligible, but not enrolled, for coverage under the terms of the plan (or a dependent of such an employee if the dependent is eligible, but not enrolled, for coverage under such terms) to enroll for coverage under the terms of the plan upon the suicide of a family member, with the special enrollment period beginning on the date on which the suicide is reported to the group health plan. (B) The Secretary shall promulgate regulations with respect to the special enrollment period under subparagraph (A), including establishing a time period for family members of an individual who has died by suicide to enroll in coverage or change coverage, and effective date of such coverage. . (d) Federal Employees’ Health Benefits Program The requirements imposed by the amendments made by subsections (a), (b), and (c) of this section shall apply to any plan provided under the Federal Employees’ Health Benefits Program ( chapter 89 (e) Effective Date The amendments made by this section shall apply with respect to plan years beginning after the date of enactment. 4. Outpatient mental health services Subpart 3 of part B of title V of the Public Health Service Act is amended by inserting after section 520E–4 ( 42 U.S.C. 290bb–36d 520E–5 Outpatient mental health services (a) In general The Secretary, acting through the Assistant Secretary for Mental Health and Substance Use, shall award grants to medical providers, hospitals, clinics, not-for-profit organizations, and religious organizations, to provide outpatient mental health services for individuals impacted by the attempted or completed suicide of a friend or family member. (b) Transfer of funds Of the unobligated balance of the amount appropriated under section 4002 of the Patient Protection and Affordable Care Act, the Secretary shall transfer $6,000,000 to carry out this section. (c) Report Not later than 2 years after the date of enactment, the Secretary shall submit a report to Congress on the implementation of this section. (d) Outpatient mental health services In this section, the term outpatient mental health services (1) Short-term counseling. (2) Referral services. (3) Follow-up services. .

Summary: Greater Mental Health Access Act This bill establishes a special enrollment period for family members of individuals who died by suicide to enroll in, or change enrollment under, a health insurance plan. The bill also requires the Substance Abuse and Mental Health Services Administration to use funds from the Prevention and Public Health Fund to award grants to medical providers and others to provide outpatient mental health services for individuals impacted by the attempted or completed suicide of a friend or family member.