121 
HR 4302 RDS
(c) SELECTING
AMONG
APPLICANTS.—The Sec-
retary— 
(1) may only award grants under this section to 
applicants that have not previously implemented an 
assisted outpatient treatment program; and 
(2) shall evaluate applicants based on their po-
tential to reduce hospitalization, homelessness, incar-
ceration, and interaction with the criminal justice 
system while improving the health and social out-
comes of the patient. 
(d) USE OF GRANT.—An assisted outpatient treat-
ment program funded with a grant awarded under this 
section shall include— 
(1) evaluating the medical and social needs of 
the patients who are participating in the program; 
(2) preparing and executing treatment plans for 
such patients that— 
(A) include criteria for completion of 
court-ordered treatment; and 
(B) provide for monitoring of the patient’s 
compliance with the treatment plan, including 
compliance with medication and other treat-
ment regimens; 
(3) providing for such patients case manage-
ment services that support the treatment plan; 
VerDate Mar 15 2010 
23:18 Mar 31, 2014
Jkt 039200
PO 00000
Frm 00121
Fmt 6652
Sfmt 6201
E:\BILLS\H4302.RDS
H4302
emcdonald on DSK67QTVN1PROD with BILLS
122 
HR 4302 RDS
(4) ensuring appropriate referrals to medical 
and social service providers; 
(5) evaluating the process for implementing the 
program to ensure consistency with the patient’s 
needs and State law; and 
(6) measuring treatment outcomes, including 
health and social outcomes such as rates of incarcer-
ation, health care utilization, and homelessness. 
(e) REPORT.—Not later than the end of each of fiscal 
years 2016, 2017, and 2018, the Secretary shall submit 
a report to the appropriate congressional committees on 
the grant program under this section. Each such report 
shall include an evaluation of the following: 
(1) Cost savings and public health outcomes 
such as mortality, suicide, substance abuse, hos-
pitalization, and use of services. 
(2) Rates of incarceration by patients. 
(3) Rates of homelessness among patients. 
(4) Patient and family satisfaction with pro-
gram participation. 
(f) DEFINITIONS.—In this section: 
(1) The term ‘‘assisted outpatient treatment’’ 
means medically prescribed mental health treatment 
that a patient receives while living in a community 
VerDate Mar 15 2010 
23:18 Mar 31, 2014
Jkt 039200
PO 00000
Frm 00122
Fmt 6652
Sfmt 6201
E:\BILLS\H4302.RDS
H4302
emcdonald on DSK67QTVN1PROD with BILLS
123 
HR 4302 RDS
under the terms of a law authorizing a State or local 
court to order such treatment. 
(2) The term ‘‘eligible entity’’ means a county, 
city, mental health system, mental health court, or 
any other entity with authority under the law of the 
State in which the grantee is located to implement, 
monitor, and oversee assisted outpatient treatment 
programs. 
(3) The term ‘‘Secretary’’ means the Secretary 
of Health and Human Services. 
(g) FUNDING.— 
(1) AMOUNT OF GRANTS.—A grant under this 
section shall be in an amount that is not more than 
$1,000,000 for each of fiscal years 2015 through 
2018. Subject to the preceding sentence, the Sec-
retary shall determine the amount of each grant 
based on the population of the area, including esti-
mated patients, to be served under the grant. 
(2) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this section $15,000,000 for each of fiscal years 
2015 through 2018. 
SEC. 225. EXCLUSION FROM PAYGO SCORECARDS. 
(a) STATUTORY PAY-AS-YOU-GO SCORECARDS.—The 
budgetary effects of this Act shall not be entered on either 
VerDate Mar 15 2010 
23:18 Mar 31, 2014
Jkt 039200
PO 00000
Frm 00123
Fmt 6652
Sfmt 6201
E:\BILLS\H4302.RDS
H4302
emcdonald on DSK67QTVN1PROD with BILLS
124 
HR 4302 RDS
PAYGO scorecard maintained pursuant to section 4(d) of 
the Statutory Pay-As-You-Go Act of 2010. 
(b) SENATE PAYGO SCORECARDS.—The budgetary 
effects of this Act shall not be entered on any PAYGO 
scorecard maintained for purposes of section 201 of S. 
Con. Res. 21 (110th Congress). 
Passed the House of Representatives March 27, 
2014. 
Attest: 
KAREN L. HAAS, 
Clerk. 
VerDate Mar 15 2010 
23:18 Mar 31, 2014
Jkt 039200
PO 00000
Frm 00124
Fmt 6652
Sfmt 6201
E:\BILLS\H4302.RDS
H4302
emcdonald on DSK67QTVN1PROD with BILLS