I 
110TH CONGRESS 
1ST SESSION H. R. 4232 
To improve mental and substance use health care. 
IN THE HOUSE OF REPRESENTATIVES 
NOVEMBER 15, 2007 
Mr. KENNEDY (for himself and Mr. RAMSTAD) introduced the following bill; 
which was referred to the Committee on Energy and Commerce 
A BILL 
To improve mental and substance use health care. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE; TABLE OF CONTENTS; FINDINGS. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘Improving the Quality of Mental and Substance Use 
Health Care Act of 2007’’. 
(b) TABLE OF CONTENTS.—The table of contents of 
this Act is as follows: 
Sec. 1. Short title; table of contents; findings. 
Sec. 2. Evidence-based mental and substance use health care. 
Sec. 3. Improved coordination of care. 
Sec. 4. Information technology for mental health and substance use health care 
providers. 
Sec. 5. Council on the Mental Health and Substance Use Health Care Work-
force. 
Sec. 6. Funding of research through national centers of excellence. 
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Sec. 7. Patient-centered care. 
Sec. 8. Uniform methodologies for reimbursing behavioral health claims. 
Sec. 9. Study on use of public mental health and addiction services by individ-
uals with private health coverage. 
Sec. 10. High-quality mental health and substance use health care Medicaid 
demonstration project. 
Sec. 11. Medicaid requirement for State repeal of laws denying health benefits 
coverage based on intoxication. 
(c) FINDINGS.—The Congress finds the following: 
(1) In its study, ‘‘Improving the Quality of 
Health Care for Mental and Substance-Use Condi-
tions’’, the Institute of Medicine found that each 
year, more than 33,000,000 Americans use health 
care services for their mental problems and illnesses, 
and for conditions resulting from their use of alco-
hol, inappropriate use of prescription medications, 
or, less often, illegal drugs. In the United States, 
mental and substance use illnesses (which often 
occur together) are the leading cause of death and 
disability for women, the highest for men ages 15 to 
44, and the second highest for all men. 
(2) Effective treatments for these medical ill-
nesses exist, but multiple barriers prevent many 
from receiving them. The consequences of these bar-
riers are serious for these individuals and their fami-
lies, for their employers and the workforce, for the 
Nation’s economy, and for the Nation’s education, 
welfare, and justice systems. The Institute of Medi-
cine further found that a comprehensive approach is 
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needed to remedy this issue that addresses the dis-
tinguishing characteristics of mental and substance 
use health care in the United States. 
(3) The Institute of Medicine recommended a 
multifaceted and comprehensive strategy to improve 
the quality of mental and substance use health care 
in the United States and thereby ensure that— 
(A) individual patient preferences, needs, 
and values prevail in the face of residual stig-
ma, discrimination, and coercion into treatment; 
(B) the necessary infrastructure exists to 
produce scientific evidence more quickly and 
promote its application in patient care; 
(C) multiple providers’ care of the same 
patient is coordinated; 
(D) emerging information technology re-
lated to health care benefits people with mental 
or substance use problems and illnesses; 
(E) the health care workforce has the edu-
cation, training, and capacity to deliver high- 
quality care for mental and substance use con-
ditions; and 
(F) government programs, employers, and 
other group purchasers of health care for men-
tal and substance use conditions use their dol-
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lars in ways that support the delivery of high- 
quality care. 
(4) To implement this strategy, the Institute of 
Medicine noted that action is needed from many 
health care leaders, including the Congress. 
SEC. 2. EVIDENCE-BASED MENTAL AND SUBSTANCE USE 
HEALTH CARE. 
(a) COMMISSION
FOR EVIDENCE-BASED MENTAL 
AND SUBSTANCE USE HEALTH CARE.— 
(1) ESTABLISHMENT.—The Secretary of Health 
and Human Services (in this Act referred to as the 
‘‘Secretary’’) shall establish a Commission for Evi-
dence-Based Mental and Substance Use Health Care 
(in this section referred to as the ‘‘Commission’’) to 
strengthen, coordinate, and consolidate the synthesis 
and dissemination of evidence on effective mental 
and substance use treatments and services. 
(2) DUTIES.—For the purposes described in 
paragraph (1), the Commission shall, on an ongoing 
basis— 
(A) identify, describe, and categorize the 
available evidence-based preventive, diagnostic, 
and therapeutic interventions (including screen-
ing, diagnostic, and symptom-monitoring tools), 
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including interventions for various age and eth-
nic groups; 
(B) recommend procedure and payment 
codes and definitions for such evidence-based 
interventions and tools for their use in adminis-
trative datasets under part C of title XI of the 
Social Security Act and recommend standards 
for health data collection relating to such inter-
ventions; 
(C) identify on an annual basis priority 
areas for research on— 
(i) the development of new evidence- 
based preventive, diagnostic, and thera-
peutic interventions; 
(ii) comparative effectiveness and cost 
effectiveness of existing interventions and 
new evidence-based interventions; and 
(iii) how best to translate new evi-
dence-based findings into practice in com-
munity-based clinical settings. 
(D) recommend to the Director of the Na-
tional Institute of Mental Health, the Director 
of the National Institute on Drug Abuse, the 
Director of the National Institute on Alcohol 
Abuse and Alcoholism, and other Federal offi-
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cials methods to coordinate the conduct or sup-
port of research described in subparagraph (C); 
(E) collect, synthesize, and disseminate in-
formation on research concerning evidence- 
based strategies for promoting the use of evi-
dence-based preventive, diagnostic, and thera-
peutic interventions; 
(F) provide guidance on effective mental 
and substance use interventions to Federal 
agencies that provide or support such interven-
tions, including the Centers for Medicare & 
Medicaid Services, the Substance Abuse and 
Mental Health Services Administration, the 
Agency for Healthcare Research and Quality, 
the Centers for Disease Control and Prevention, 
the Health Resources and Services Administra-
tion, the Department of Defense, the Depart-
ment of Veterans Affairs, the Indian Health 
Service, and the Bureau of Prisons; and 
(G) periodically assess the progress of 
agencies described in subparagraph (F) in im-
plementing such interventions. 
(3) CONSULTATION.—In carrying out this sec-
tion, the Commission shall— 
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(A) seek consultation from leading public 
and private State and national authorities, and 
consolidate evidence, opinions, and findings of 
these authorities as they see fit; and 
(B) ensure that interested parties have op-
portunities to provide input before the Commis-
sion makes recommendations or decisions. 
(4) MEMBERSHIP.—The Commission shall be 
composed of not fewer than 15 and not more than 
20 members, who shall be appointed by the Presi-
dent from among experts in evidence-based mental 
and substance use health care. Such members shall 
include— 
(A) researchers; 
(B) practitioners from various specialties, 
professions, and practice settings; 
(C) mental health and substance abuse 
health care consumers; and 
(D) health care payers. 
(5) TERMS.— 
(A) IN GENERAL.—Each member of the 
Commission shall be appointed for a term of 4 
years, except as provided in subparagraphs (B) 
and (C). 
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(B) TERMS OF INITIAL APPOINTEES.—As 
designated by the President at the time of ap-
pointment, of the members of the Commission 
first appointed, 1⁄4 shall each be appointed for 
terms of 1, 2, and 3 years and the remainder 
shall be appointed for a term of 4 years. 
(C) VACANCIES.—Any member appointed 
to fill a vacancy occurring before the expiration 
of the term for which the member’s predecessor 
was appointed shall be appointed only for the 
remainder of that term. A member may serve 
after the expiration of that member’s term until 
a successor has taken office. 
(b) CMS ANNUAL REPORT.—The Administrator of 
the Centers for Medicare & Medicaid Services shall report 
annually to the Congress on the extent to which the Med-
icaid program under title XIX of the Social Security Act 
provides coverage of evidence-based interventions identi-
fied by the Commission, including— 
(1) a list of those interventions not so covered 
and the reasons why they are not covered; 
(2) a justification for each evidence-based inter-
vention that is not so covered; and 
(3) a list of evidence-based interventions that 
can be covered only with statutory change. 
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(c) CONSTRUCTION
REGARDING
APPLICATION.— 
Nothing in this section shall be construed as requiring, 
as a condition of payment under the Medicaid program 
under title XIX of the Social Security Act, that an inter-
vention must be an evidence-based practice. 
(d) PROMPT DEVELOPMENT AND IMPLEMENTATION 
OF CLAIMS PROCESSING AND DATA CODES.—The Sec-
retary, acting through the Administrator of the Centers 
for Medicare & Medicaid Services, shall establish, or enter 
into an agreement with, one or more entities for the pur-
pose of developing, as soon as practicable after the date 
of the enactment of this Act, codes that should be applied 
to claims processing and health data collection activities 
as recommended by the Commission pursuant to sub-
section (a)(2)(B). 
(e) DEFINITION.—In this section, the term ‘‘interven-
tion’’ means a preventive, diagnostic, or therapeutic action 
with respect to a mental health or substance use disease 
process. 
SEC. 3. IMPROVED COORDINATION OF CARE. 
(a) INTERAGENCY COLLABORATIVE GROUP.— 
(1) ESTABLISHMENT.—The Secretary shall con-
vene an interagency collaborative group (in this sec-
tion referred to as the ‘‘interagency collaborative 
group’’) to provide for the coordination at the clin-
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ical and programmatic level of mental health and 
substance use services and primary care services, 
funded in whole or in part through the Department 
of Health and Human Services, the Department of 
Justice, the Department of Veterans Affairs, the De-
partment of Defense, and the Department of Edu-
cation, using one or more evidence-based coordina-
tion models, such as the following: 
(A) Formal agreements between mental 
health, substance use, and primary care pro-
viders. 
(B) Case management of mental health, 
substance use, and primary care. 
(C) Co-location of mental health, substance 
use, and primary care providers. 
(D) Delivery of mental health, substance 
use, and primary care in integrated practices. 
(2) DUTIES.—The interagency collaborative 
group shall— 
(A) develop a plan for government agencies 
to implement the recommendations made by the 
Commission for Evidence-Based Mental and 
Substance Use Health Care; 
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(B) coordinate with States and appropriate 
public stakeholders to foster interagency col-
laboration at the State and local level; 
(C) make recommendations to the Presi-
dent and the Congress to break down barriers 
to coordination of existing Federal programs 
funding mental health and substance use serv-
ices and to allow for more effective integration 
of such programs across agencies and pro-
grams; 
(D) assess progress toward such coordina-
tion through development and monitoring of 
performance measures of coordination; and 
(E) report to the Congress biannually on 
the status of such coordination. 
(3) COMPOSITION.—The interagency collabo-
rative group shall include the following members: 
(A) The Secretary of Health and Human 
Services (or the Secretary’s designee). 
(B) The Attorney General (or the Attorney 
General’s designee). 
(C) The Secretary of Veterans Affairs (or 
such Secretary’s designee). 
(D) The Secretary of Defense (or such 
Secretary’s designee). 
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(E) The Secretary of Education (or such 
Secretary’s designee). 
(4) MEETINGS.—The interagency collaborative 
group shall meet not less than quarterly. 
(5) STAFF AND SUPPORT.—The Secretary shall 
provide, without the requirement for reimbursement, 
staff and other administrative support necessary for 
the operation of the interagency collaborative group. 
(b) COORDINATED DELIVERY OF CARE.—The Fed-
eral agencies participating in the interagency collaborative 
group shall modify internal policies and practices, to the 
extent practicable and consistent with legal authority, in 
order to implement one or more of the evidence-based co-
ordination models referred to in subsection (a)(1). 
(c) NO EFFECT ON HIPAA PRIVACY RULES.—Noth-
ing in this section shall be construed to alter the applica-
tion of rules promulgated under section 264(c) of the 
Health Insurance Portability and Accountability Act of 
1996. 
(d) GAO REPORT.—Not later than 2 years after the 
date of the enactment of this Act, the Comptroller General 
of the United States shall conduct a study and submit a 
report to the Congress on the implementation of this sec-
tion. 
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(e) CLARIFICATION OF MEDICAID REIMBURSEMENT 
OPTIONS.—The Secretary shall provide, by regulation, for 
a change in the rules under title XIX of the Social Secu-
rity Act relating to reimbursement for primary care serv-
ices and mental health and substance use services to the 
same patient on the same day so as to permit payment 
for the legitimate provisions of both types of services on 
the same day to a patient. 
SEC. 4. INFORMATION TECHNOLOGY FOR MENTAL HEALTH 
AND SUBSTANCE USE HEALTH CARE PRO-
VIDERS. 
(a) DEVELOPMENT
AND
IMPLEMENTATION
OF 
PLAN.—The Secretary, acting through the National Coor-
dinator for Health Information Technology and the Ad-
ministrator of the Substance Abuse and Mental Health 
Services Administration, shall develop and implement a 
plan for ensuring that activities of the Department of 
Health and Human Services to promote the use of infor-
mation technology by health care providers include pro-
motion of information technology that is accessible and 
pertinent to mental health and substance use health care 
providers and consumers. 
(b) CONTENTS OF PLAN.—The plan developed under 
subsection (a) shall address— 
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(1) how the development of an electronic health 
information infrastructure, including the awarding 
of grants and contracts to promote the use of elec-
tronic health records (EHRs), personal health 
records (PHRs), regional health information organi-
zations (RHIOs), and other forms of health informa-
tion technology, and the establishment of data 
standards, will ensure that the needs of mental and 
substance use health care providers and consumers 
are met with particular emphasis on the privacy con-
cerns of consumers; 
(2) how financial incentives that are generally 
made available for the development of such infra-
structure for health care providers can be provided 
to individual mental health and substance use clini-
cians and organizations (and particularly publicly- 
funded providers) for investments in information 
technology to enable them to participate on a full 
and equal basis in the emerging electronic health in-
frastructure; 
(3) how any continuing technical assistance and 
training for developing virtual networks may be 
made available to give individual and small group 
providers of mental health and substance use serv-
ices standard access to software, clinical and popu-
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lation data and health records, and billing and clin-
ical decision-support systems; and 
(4) how to create and support a continuing 
mechanism to engage mental health and substance 
use stakeholders in the public and private sectors in 
developing consensus-based recommendations for 
data elements, standards, and processes needed to 
address unique aspects of information management 
related to mental and substance use healthcare. 
(c) CONSIDERATION.—In awarding any grant or con-
tract for the development or implementation of any com-
ponent of a national electronic health infrastructure, the 
Secretary shall consider the application of such component 
to mental health and substance use health care and pro-
viders of such care. 
(d) CONTINUED PRIVACY PROTECTIONS.—In devel-
oping or promoting the national electronic health infra-
structure, the Secretary shall ensure that privacy and con-
fidentiality requirements traditionally applicable to mental 
health and substance use health care continue to be ap-
plied. 
(e) INCLUSION OF INFORMATION IN REPORTS.—In 
preparing any report to the Congress relating to the devel-
opment or implementation of a national electronic health 
infrastructure or the promotion of the use of health infor-
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mation technology, the Secretary shall include information 
on such development, implementation, or promotion in the 
field of mental health and substance use treatment. 
SEC. 5. COUNCIL ON THE MENTAL HEALTH AND SUB-
STANCE USE HEALTH CARE WORKFORCE. 
(a) ESTABLISHMENT.—The Secretary shall establish 
a public-private advisory group called the Council on the 
Mental Health and Substance Use Health Care Workforce 
(in this section referred to as the ‘‘Council’’). 
(b) DUTIES.— 
(1) 
DEVELOPMENT
OF
COMPREHENSIVE 
PLAN.—The Council shall develop and publish a 
comprehensive plan for purpose of strengthening the 
capacity of the workforce to deliver high-quality 
mental health and substance use health care. 
(2) PLAN
CONTENTS.—The plan developed 
under this subsection shall— 
(A) identify the specific clinical com-
petencies that all mental health and substance 
use professionals should possess to be certified 
or licensed and the competencies, including a 
component of patient centered care, that should 
be maintained over time; 
(B) propose national standards for the 
credentialing and licensure of mental health and 
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substance use health care providers based on 
core competencies that should be included in 
curricula and education programs across all the 
mental health and substance use disciplines and 
make recommendations regarding accreditation 
standards for mental health and substance use 
health care programs; 
(C) propose programs for funding from 
Federal, State, and local governments and the 
private sector to address and resolve long- 
standing workforce issues such as diversity, cul-
tural relevance, faculty development, training 
effectiveness, continuing shortages of well- 
trained clinicians needed to work with children 
and the elderly and in high-need areas, and pro-
grams for training competent clinical super-
visors and administrators; and 
(D) provide for continuing assessment of 
mental health and substance use workforce 
trends, issues, and financing policies. 
(3) EVALUATION; REPORTING.—On a biannual 
basis, the Council shall— 
(A) conduct an evaluation of the extent to 
which the purpose specified in paragraph (1) 
has been met; and 
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(B) submit a report to the Congress on the 
results of such evaluation, including a descrip-
tion of the status of the mental health and sub-
stance use health care workforce. 
(4) ASSISTANCE.—The Council shall collaborate 
with private sector coalitions to facilitate and imple-
ment its recommendations. 
(c) MEMBERSHIP.— 
(1) 
NUMBER; 
APPOINTMENT; 
CHAIR.—The 
Council shall be composed of not less than 21 and 
not more than 25 individuals appointed by the Sec-
retary. The Council shall elect a chair from among 
its members. 
(2) PUBLIC
SECTOR
MEMBERS.—The Council 
shall include the following officials (or their des-
ignees): 
(A) The Assistant Secretary for Health in 
the Department of Health and Human Services. 
(B) The Administrator of the Centers for 
Medicare & Medicaid Services. 
(C) The Administrator of the Substance 
Abuse and Mental Health Services Administra-
tion. 
(D) The Secretary of Veterans Affairs. 
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(3) PRIVATE SECTOR MEMBERS.—The Council 
shall include representatives from the substance use 
and mental health services and consumer commu-
nities who are not employees of the Federal Govern-
ment. Such representatives shall be appointed by the 
Secretary without regard to the Federal civil service 
laws and shall include the following: 
(A) One individual selected from full-time 
students enrolled in mental health training pro-
grams. 
(B) One individual selected from full-time 
students enrolled in substance use health care 
training programs. 
(C) One individual selected from mental 
health consumers. 
(D) One individual selected from substance 
use health care consumers. 
(E) One individual selected from faculty 
members at mental health training facilities. 
(F) One individual selected from faculty 
members at substance use health care training 
facilities. 
(G) Five individuals selected from among 
leading professional associations in the various 
fields charged with carrying out mental health 
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and substance use services, including psychi-
atry, addiction medicine, psychology, social 
work, psychiatric nursing, counseling, marriage 
and family therapy, pastoral counseling, psycho-
social rehabilitation, and substance use treat-
ment counselors. 
(H) Five individuals selected from among 
leading professional licensing and credentialing 
entities in the various fields charged with car-
rying out mental health and substance use serv-
ices including psychiatry, addiction medicine, 
psychology, social work, psychiatric nursing, 
counseling, marriage and family therapy, pas-
toral counseling, psychosocial rehabilitation, 
and substance use treatment counseling. 
(4) SELECTION.—In selecting the members of 
the Council under paragraph (3), the Secretary shall 
ensure— 
(A) the inclusion of both urban and rural 
members; 
(B) a range of members from a variety of 
practice settings and including expertise in pre-
vention and treatment across the lifespan; 
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(C) adequate representation of racial, eth-
nic, religious, and economic diversity in its 
membership; and 
(D) the members appointed under sub-
paragraphs (G) and (H) of paragraph (3) are 
equitably distributed between those specializing 
in mental health services and those specializing 
in substance use services. 
(5) TERMS.— 
(A) IN GENERAL.—Each member of the 
Council under paragraph (3) shall be appointed 
for a term of 4 years, except that except as pro-
vided in subparagraphs (B) and (C). 
(B) TERMS OF INITIAL APPOINTEES.—As 
designated by the Secretary at the time of ap-
pointment, of the members of the Council first 
appointed under paragraph (3), 1⁄4 shall each 
be appointed for terms of 1, 2, and 3 years and 
the remainder shall be appointed for a term of 
4 years. 
(C) VACANCIES.—Any member appointed 
under paragraph (3) to fill a vacancy occurring 
before the expiration of the term for which the 
member’s predecessor was appointed shall be 
appointed only for the remainder of that term. 
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A member may serve after the expiration of 
that member’s term until a successor has taken 
office. 
(d) MEETINGS.—The Council shall conduct at least 
3 meetings each year. 
(e) STAFF AND SUPPORT.—The Secretary shall pro-
vide, without the requirement for reimbursement, staff 
and other administrative support necessary for the oper-
ation of the Council. 
SEC. 6. FUNDING OF RESEARCH THROUGH NATIONAL CEN-
TERS OF EXCELLENCE. 
(a) GRANTS.—The Director of the National Insti-
tutes of Health (in this section referred to as the ‘‘Direc-
tor of NIH’’), acting through the Directors of the National 
Institute of Mental Health, the National Institute of Drug 
Abuse, and the National Institute on Alcohol Abuse and 
Alcoholism, and in consultation with the Administrator of 
the Substance Abuse and Mental Health Services Admin-
istration, shall make grants to entities to fund a network 
of national centers of excellence in mental health and sub-
stance use health care. 
(b) USE OF FUNDS.—As a condition on receipt of 
a grant under this section, an entity shall agree to use 
the grant to establish or support one or more centers of 
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provide mental health and substance use care, each such 
Department shall provide for the following: 
(1) Within the authority of the Department 
with respect to such program— 
(A) include payment for, or provision of, 
peer support and illness self-management pro-
grams that meet evidence-based standards for 
individuals with chronic mental illnesses or sub-
stance use dependence; and 
(B) provide for appropriate payment and 
coverage reforms, such as the application of co-
payments, service exclusions, and benefit limits, 
so as to eliminate barriers to the effective, ap-
propriate, and evidence-based provision of such 
care. 
(2) Endeavor to make reliable comparative in-
formation on the quality of such care provided by 
practitioners and organizations available to con-
sumers and to encourage consumers to use this in-
formation when making decisions about from whom 
to receive such care. 
(3) Insofar as the Department does not have 
authority described in paragraph (1), make rec-
ommendations to the Congress regarding changes in 
law to provide for such authority. 
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(b) SENSE OF CONGRESS FOR ALL PROGRAMS.—It 
is the sense of the Congress that clinicians and organiza-
tions providing mental health and substance use treatment 
services should— 
(1) incorporate, consistent with applicable State 
laws, informed, patient-centered decision-making and 
(for children) informed family decision-making 
throughout their practices, including active patient 
participation in the design and revision of the pa-
tient treatment and recovery plans, psychiatric ad-
vance directives, and provision of information on the 
availability and effectiveness of mental health and 
substance use treatment options; 
(2) adopt recovery-oriented and illness self- 
management practices that support patient pref-
erence for treatment (including medications), peer 
support, and other elements of the wellness recovery 
plan; and 
(3) maintain effective, formal linkages with 
community resources to support patient illness self- 
management and recovery. 
SEC. 8. UNIFORM METHODOLOGIES FOR REIMBURSING BE-
HAVIORAL HEALTH CLAIMS. 
(a) IN GENERAL.—The Secretary, through the work-
ing group convened under subsection (b), shall develop 
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uniform methodologies across geographic areas and types 
of payers for the following with respect to medical assist-
ance, related services, and administrative costs furnished 
to individuals with mental illnesses and substance use dis-
orders in both community-based and residential settings: 
(1) Qualifications for eligibility for payment. 
(2) Financial auditing. 
(3) Claims payment (including billing codes). 
(b) CONVENING
OF WORKING GROUP.—The Sec-
retary shall carry out subsection (a) by convening a work-
ing group is composed of the Directors and Administrators 
of all relevant agencies, including the Centers for Medicare 
& Medicaid Services, the Office of Management and Budg-
et, the Health Resources and Services Administration, the 
Substance Abuse and Mental Health Services Administra-
tion, the office of the Inspector General of the Department 
of Health and Human Services, acting jointly with State 
Medicaid directors and other State, local, and private 
healthcare payers. 
(c) REQUIREMENTS.—The methodology developed 
under subsection (a)— 
(1) shall not result in new medical necessity cri-
teria, and shall not prohibit or restrict payment for 
medical assistance, related services, and administra-
tive activities under title XIX of the Social Security 
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Act that are provided or conducted in accordance 
with options under such title regarding targeted case 
management, rehabilitative services, or clinical serv-
ices; and 
(2) with respect to administrative costs, shall be 
based on— 
(A) standards related to time studies and 
populations estimates; and 
(B) a national standard for determining 
payment of such costs. 
(d) RULE OF CONSTRUCTION.—Nothing in this sec-
tion shall be construed as requiring, as a condition of pay-
ment under the Medicaid program under title XIX of the 
Social Security Act, that an intervention must be an evi-
dence-based practice. 
SEC. 9. STUDY ON USE OF PUBLIC MENTAL HEALTH AND 
ADDICTION SERVICES BY INDIVIDUALS WITH 
PRIVATE HEALTH COVERAGE. 
(a) IN GENERAL.—The Comptroller General of the 
United States shall conduct a study on the use of publicly 
supported mental health and addiction services by individ-
uals who have any level of private health insurance cov-
erage. 
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(b) REPORT.—The Comptroller General shall submit 
to the Congress a report on the study under subsection 
(a). The report shall include a description of— 
(1) the number of individuals described in sub-
section (a); 
(2) the types of private health insurance cov-
erage involved; and 
(3) the public programs providing the mental 
health and addiction services involved and the cost 
of such services provided. 
SEC. 10. HIGH-QUALITY MENTAL HEALTH AND SUBSTANCE 
USE HEALTH CARE MEDICAID DEMONSTRA-
TION PROJECT. 
(a) IN GENERAL.—The Secretary shall establish a 5- 
year demonstration project (in this section referred to as 
the ‘‘project’’) designed to demonstrate the impact of cre-
ating delivery and financing structures that deliver high- 
quality, integrated mental health and substance use health 
care. Such project shall be based upon the report of the 
Institute of Medicine (of November 2005) relating to Im-
proving the Quality of Health Care for Mental and Sub-
stance-Use Conditions: Quality Chasm Series, and shall 
include demonstrating at least the following: 
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