I 
117TH CONGRESS 
1ST SESSION H. R. 4323 
To expand the Medicaid certified community behavioral health clinic dem-
onstration program and to authorize funding for additional grants to 
certified community behavioral health clinics. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 1, 2021 
Ms. MATSUI (for herself, Mr. MULLIN, Ms. CRAIG, Mr. MCKINLEY, Mr. 
TONKO, and Mr. FITZPATRICK) introduced the following bill; which was 
referred to the Committee on Energy and Commerce 
A BILL 
To expand the Medicaid certified community behavioral 
health clinic demonstration program and to authorize 
funding for additional grants to certified community be-
havioral health clinics. 
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 ‘‘Excellence in Mental 
Health and Addiction Treatment Act of 2021’’. 
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SEC. 2. EXPANSION OF COMMUNITY MENTAL HEALTH 
SERVICES DEMONSTRATION PROGRAM. 
Section 223 of the Protecting Access to Medicare Act 
of 2014 (42 U.S.C. 1396a note) is amended— 
(1) in subsection (c), by adding at the end the 
following new paragraph: 
‘‘(3) PLANNING
GRANTS
FOR
ADDITIONAL 
STATES.—In addition to the planning grants award-
ed under paragraph (1), the Secretary shall award 
planning grants to States (other than States selected 
to conduct demonstration programs under para-
graphs (1) or (8) of subsection (d)) for the purpose 
of developing proposals to participate in time-limited 
demonstration programs described in subsection 
(d).’’; 
(2) in subsection (d)— 
(A) in paragraph (3), by striking ‘‘Subject 
to paragraph (8)’’ and inserting ‘‘Subject to 
paragraphs (8) and (9)’’; 
(B) in paragraph (5)(C)(iii)(II), by insert-
ing ‘‘or paragraph (9)’’ after ‘‘paragraph (8)’’; 
(C) in paragraph (7)— 
(i) in subparagraph (A), by inserting 
‘‘through the year in which the last dem-
onstration under this section ends’’ after 
‘‘annually thereafter’’; 
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(ii) in subparagraph (B)— 
(I) by striking ‘‘December 31, 
2021’’ and inserting ‘‘September 30, 
2023’’; and 
(II) by adding at the end the fol-
lowing new sentence: ‘‘Such rec-
ommendations shall include data col-
lected after 2019.’’; and 
(iii) by adding at the end the fol-
lowing new subparagraph: 
‘‘(C) FINAL EVALUATION.—Not later than 
18 months after all demonstration programs 
under this section have ended, the Secretary 
shall submit to Congress a final evaluation of 
such programs.’’; and 
(D) by adding at the end the following new 
paragraph: 
‘‘(9) FURTHER
ADDITIONAL
PROGRAMS.—In 
addition to the States selected under paragraphs (1) 
and (8), the Secretary shall select any State that 
submits an application that includes such informa-
tion as the Secretary shall require to conduct a dem-
onstration program that meets the requirements of 
paragraph (2) and paragraphs (4) through (7) for 2 
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years or through September 30, 2023, whichever is 
longer.’’; and 
(3) in subsection (f)(1)(B), by inserting ‘‘, and 
$40,000,000 for fiscal year 2021’’ before the period. 
SEC. 3. CERTIFIED COMMUNITY BEHAVIORAL HEALTH 
CLINIC EXPANSION GRANTS. 
Part D of title V of the Public Health Service Act 
(42 U.S.C. 290dd et seq.) is amended by adding at the 
end the following: 
‘‘SEC. 553. CERTIFIED COMMUNITY BEHAVIORAL HEALTH 
CLINIC EXPANSION GRANTS. 
‘‘(a) IN GENERAL.—The Assistant Secretary shall 
award grants to communities and community organiza-
tions that meet the criteria for certified community behav-
ioral health clinics under section 223(a) of the Protecting 
Access to Medicare Act A of 2014. Grants awarded under 
this subsection shall be for a period of not more than 5 
years. 
‘‘(b) TECHNICAL ASSISTANCE.—The Assistant Sec-
retary may provide appropriate information, training, and 
technical assistance through appropriate contract proce-
dures to entities receiving grants under subsection (a), or 
to health or social service providers pursuing certified 
community behavioral health clinics status or partnering 
with certified community behavioral health clinics, State 
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policymakers considering certified community behavioral 
health clinics implementation under the Medicaid pro-
gram, and other stakeholders to facilitate successful imple-
mentation of the certification model. 
‘‘(c) AUTHORIZATION OF APPROPRIATIONS.— 
‘‘(1) 
GRANT
PROGRAM.—For 
purposes 
of 
awarding grants under subsection (a), there is au-
thorized to be appropriated $500,000,000 for the pe-
riod of fiscal years 2022 through 2024. 
‘‘(2) TECHNICAL
ASSISTANCE.—For purposes 
of carrying out the technical assistance program 
under subsection (b), there are authorized to be ap-
propriated $5,000,000 for each of fiscal years 2022 
through 2026.’’. 
Æ 
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