I 
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 Commit-
tees on Financial Services, and the Judiciary, for a period to be subse-
quently 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 pur-
poses. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Behavioral Health Cri-
sis Care Centers Act of 2023’’. 
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SEC. 2. GRANT PROGRAM FOR ONE-STOP CRISIS FACILI-
TIES. 
(a) ESTABLISHMENT.—The Secretary of Health and 
Human Services (in this section referred to as the ‘‘Sec-
retary’’), in consultation with the Secretary of Housing 
and Urban Development, the Attorney General, the Sec-
retary 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, oper-
ating, or expanding a one-stop crisis facility may include— 
(1) acquiring, constructing, or developing facili-
ties; 
(2) acquiring supplies or equipment; 
(3) training, hiring, and retaining staff; 
(4) establishing, operating, or expanding serv-
ices provided at a one-stop crisis facility, including— 
(A) health care services, including behav-
ioral health and substance use disorder treat-
ment, including medication for opioid use dis-
order; 
(B) counseling; 
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(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 non-
governmental partners (including local crisis re-
sponse, law enforcement, fire services, emergency 
medical services, health care entities, workforce de-
velopment programs, aging, disability, and senior 
services, community-based organizations, faith-based 
organizations, civic organizations, housing authori-
ties, continuum of care programs, immigrant and 
refugee assistance organizations, veteran service or-
ganizations, deflection initiatives led by first re-
sponders, evidence-based jail diversion programs, 
such as law enforcement-assisted diversion pro-
grams, 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 in-
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dividuals living at public or federally assisted hous-
ing 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 non-
governmental 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 metro-
politan city bears to the total population of all met-
ropolitan cities receiving grants under this section. 
(2) NONENTITLEMENT UNITS OF LOCAL GOV-
ERNMENT.—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 
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total amount as the population of such nonentitle-
ment unit of local government bears to the total 
population of all nonentitlement units of local gov-
ernment 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 
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(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, includ-
ing— 
(A) how such plan is informed by stake-
holders in the community, especially people with 
lived experiences with a behavioral health crisis, 
people with disabilities, and community organi-
zations that work with these communities; 
(B) how the recipient will collaborate with 
community-based organizations to connect indi-
viduals with appropriate services in a timely 
and direct manner; 
(C) how the recipient will establish a hous-
ing 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 equi-
table access for people facing language, cul-
tural, disability-related, and other barriers, in-
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cluding how staff will be trained in cultural 
competency and trauma-informed care; 
(E) how the recipient will work in conjunc-
tion with crisis response systems, law enforce-
ment, fire services, emergency medical services, 
homeless outreach, community health workers, 
and emergency departments to divert individ-
uals experiencing a behavioral health or sub-
stance use crisis to the one-stop crisis facility; 
(F) how the recipient will consult with peo-
ple 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 conjunc-
tion with continuum of care programs and 
housing providers to connect individuals at as-
sisted 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 par-
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ticipation 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 metro-
politan city, a nonentitlement unit of local govern-
ment, a county, a State, an Indian Tribe, or a terri-
tory. 
(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 man-
agement or wrap-around services available in 
the community. 
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(5) The term ‘‘State’’ means each State of the 
United States and the District of Columbia. 
(6) The term ‘‘territory’’ means the Common-
wealth of Puerto Rico, the United States Virgin Is-
lands, 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 
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(F) $500,000,000 shall be for grants to 
territories. 
Æ 
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