toxification step-down services, and resi-
dential programs. 
‘‘(iii) Adult and youth peer support 
and counselor services. 
‘‘(iv) Family support services for fam-
ilies of children with serious mental or sub-
stance abuse disorders. 
‘‘(v) Other community or regional 
services, supports, and providers, including 
schools, child welfare agencies, juvenile and 
criminal justice agencies and facilities, 
housing agencies and programs, employers, 
and other social services. 
‘‘(vi) Onsite or offsite access to pri-
mary care services. 
‘‘(vii) Enabling services, including 
outreach, transportation, and translation. 
‘‘(viii) Health and wellness services, 
including services for tobacco cessation. 
‘‘(2) FREQUENCY OF CERTIFICATION.—Certifi-
cation under paragraph (1) shall be for a 5-year pe-
riod. The Administrator shall provide an opportunity 
for recertification at the end of each certification pe-
riod. 
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‘‘(3) RULE
OF
CONSTRUCTION.—Nothing in 
paragraph (1) shall be construed as prohibiting any 
State receiving funds appropriated through the Com-
munity Mental Health Services Block Grant under 
this subpart from financing qualified community 
programs (whether such programs meet the defini-
tion of eligible programs prior to or after the date 
of enactment of the Excellence in Mental Health 
Act).’’. 
(b) REGULATIONS.—Not later than 18 months after 
the date of the enactment of this Act, the Secretary of 
Health and Human Services, in consultation with State 
mental health and substance abuse authorities, shall issue 
final regulations for certifying nonprofit or local govern-
ment centers under subsection (c) of section 1913 of the 
Public Health Service Act, as amended by this section. 
SEC. 3. MEDICAID COVERAGE AND PAYMENT FOR COMMU-
NITY BEHAVIORAL HEALTH CENTER SERV-
ICES. 
(a) PAYMENT FOR SERVICES PROVIDED BY FEDER-
ALLY
QUALIFIED
COMMUNITY
BEHAVIORAL
HEALTH 
CENTERS.—Section 1902(bb) of the Social Security Act 
(42 U.S.C. 1396a(bb)) is amended— 
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(1) in the heading, by striking ‘‘AND RURAL 
HEALTH CLINICS’’ and inserting ‘‘, SELECTED CER-
TIFIED FQCBHCS, AND RURAL HEALTH CLINICS’’; 
(2) in paragraph (1), by inserting ‘‘(and begin-
ning with fiscal year 2014 with respect to services 
furnished on or after January 1, 2014, and each 
succeeding fiscal year, for services described in sec-
tion 1905(a)(2)(D) furnished by a selected certified 
FQCBHC)’’ after ‘‘by a rural health clinic’’; 
(3) in paragraph (2)— 
(A) by striking the heading and inserting 
‘‘INITIAL FISCAL YEAR’’; 
(B) by inserting ‘‘(or, in the case of serv-
ices described in section 1905(a)(2)(D) fur-
nished by a selected certified FQCBHC, for 
services furnished on and after January 1, 
2014, during fiscal year 2014)’’ after ‘‘January 
1, 2001, during fiscal year 2001’’; 
(C) by inserting ‘‘(or, in the case of serv-
ices described in section 1905(a)(2)(D) fur-
nished by a selected certified FQCBHC, during 
fiscal years 2012 and 2013)’’ after ‘‘1999 and 
2000’’; and 
(D) by inserting ‘‘(or, in the case of serv-
ices described in section 1905(a)(2)(D) fur-
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nished by a selected certified FQCBHC, during 
fiscal year 2014)’’ before the period; 
(4) in paragraph (3)— 
(A) in the heading, by striking ‘‘FISCAL 
YEAR
2002
AND
SUCCEEDING’’ and inserting 
‘‘SUCCEEDING’’; and 
(B) by inserting ‘‘(or, in the case of serv-
ices described in section 1905(a)(2)(D) fur-
nished by a selected certified FQCBHC, for 
services furnished during fiscal year 2015 or a 
succeeding fiscal year)’’ after ‘‘2002 or a suc-
ceeding fiscal year’’; 
(5) in paragraph (4)— 
(A) by inserting ‘‘(or as a selected certified 
FQCBHC after fiscal year 2013)’’ after ‘‘or 
rural health clinic after fiscal year 2000’’; 
(B) by striking ‘‘furnished by the center 
or’’ and inserting ‘‘furnished by the federally 
qualified health center, services described in 
section 1905(a)(2)(D) furnished by the selected 
certified FQCBHC, or’’; and 
(C) in the second sentence, by striking ‘‘or 
rural health clinic’’ and inserting ‘‘, selected 
certified FQCBHC, or rural health clinic’’; 
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(6) in paragraph (5), in each of subparagraphs 
(A) and (B), by striking ‘‘or rural health clinic’’ and 
inserting ‘‘, selected certified FQCBHC, or rural 
health clinic’’; 
(7) in paragraph (6), by striking ‘‘or to a rural 
health clinic’’ and inserting ‘‘, to a selected certified 
FQCBHC 
for 
services 
described 
in 
section 
1905(a)(2)(D), or to a rural health clinic’’; and 
(8) by adding at the end the following: 
‘‘(7) SELECTED CERTIFIED FQCBHC.—For pur-
poses of this subsection, the term ‘selected certified 
FQCBHC’ shall have the meaning given such term 
in section 1905(l)(4)(B).’’. 
(b) 
INCLUSION
OF
COMMUNITY
BEHAVIORAL 
HEALTH CENTER SERVICES IN THE TERM MEDICAL AS-
SISTANCE.—Section 1905(a)(2) of the Social Security Act 
(42 U.S.C. 1396d(a)(2)) is amended— 
(1) by striking ‘‘and’’ before ‘‘(C)’’; and 
(2) by inserting before the semicolon at the end 
the following: ‘‘, and (D) federally qualified commu-
nity behavioral health center services (as defined in 
subsection (l)(4))’’. 
(c) DEFINITION OF FEDERALLY QUALIFIED COMMU-
NITY BEHAVIORAL HEALTH CENTER SERVICES.—Section 
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1905(l) of the Social Security Act (42 U.S.C. 1396d(l)) 
is amended by adding at the end the following paragraph: 
‘‘(4)(A) The term ‘community behavioral health 
center services’ means services furnished to an indi-
vidual at a selected certified FQCBHC (as defined 
by subparagraph (B)). 
‘‘(B) The term ‘selected certified FQCBHC’ 
means, with respect to a fiscal year, a certified fed-
erally qualified community behavioral health center 
that is selected by the Secretary under subparagraph 
(D) for such fiscal year. 
‘‘(C) With respect to a fiscal year, for purposes 
of this paragraph, an entity is a certified federally 
qualified community behavioral health center for 
such fiscal year if the entity is a certified federally 
qualified community behavioral health center under 
section 1913(c) of the Public Health Service Act for 
such fiscal year. 
‘‘(D)(i) For purposes of this section and section 
1902(bb)— 
‘‘(I) for fiscal years 2014 through 2018, 
the Secretary shall select 20 percent of the total 
number of certified federally qualified commu-
nity behavioral health centers; 
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‘‘(II) for fiscal years 2019 through 2023, 
the Secretary shall select the certified federally 
qualified community behavioral health centers 
selected under subclause (II) and an additional 
20 percent of the total number of certified fed-
erally qualified community behavioral health 
centers; and 
‘‘(III) for fiscal year 2024 and subsequent 
fiscal years, the Secretary shall select all cer-
tified federally qualified community behavioral 
health centers. 
‘‘(ii) In making the selections under subclauses 
(I) and (II) of clause (i), the Secretary shall— 
‘‘(I) ensure geographic diversity of the se-
lected certified FQCBHCs; and 
‘‘(II) take into account the ability of such 
centers to provide the services required by sec-
tion 1913 of the Public Health Service Act and 
to report data as required under this title.’’. 
SEC. 4. COMMUNITY-BASED MENTAL HEALTH INFRASTRUC-
TURE IMPROVEMENT. 
Title V of the Public Health Service Act (42 U.S.C. 
280g et seq.) is amended— 
(1) by redesignating the second part G, as 
added by section 144 of the Community Renewal 
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Tax Relief Act of 2000 (as enacted into law by sec-
tion 1(a)(7) of Public Law 106–554; 114 Stat. 
2763A–619), as part J; 
(2) by redesignating sections 581 through 584 
in such part (42 U.S.C. 290kk through 290kk–3) as 
sections 595C through 595F, respectively; and 
(3) by inserting after part J, as so redesig-
nated, the following: 
‘‘PART K—COMMUNITY-BASED MENTAL HEALTH 
INFRASTRUCTURE IMPROVEMENTS 
‘‘SEC. 595G. GRANTS FOR COMMUNITY-BASED MENTAL 
HEALTH INFRASTRUCTURE IMPROVEMENTS. 
‘‘(a) GRANTS AUTHORIZED.—The Secretary may 
award grants to eligible entities to expend funds for the 
construction or modernization of facilities used to provide 
mental health and substance abuse services to individuals. 
‘‘(b) ELIGIBLE ENTITY.—In this section, the term 
‘eligible entity’ means— 
‘‘(1) a State that is the recipient of a Commu-
nity Mental Health Services Block Grant under sub-
part I of part B of title XIX and a Substance Abuse 
Prevention and Treatment Block Grant under sub-
part II of such part; or 
‘‘(2) an Indian tribe or a tribal organization (as 
such terms are defined in sections 4(b) and 4(c) of 
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the Indian Self-Determination and Education Assist-
ance Act). 
‘‘(c) APPLICATION.—An eligible entity desiring a 
grant under this section shall submit to the Secretary an 
application at such time, in such manner, and con-
taining— 
‘‘(1) a plan for the construction or moderniza-
tion of facilities used to provide mental health and 
substance abuse services to individuals that— 
‘‘(A) designates a single State or tribal 
agency as the sole agency for the supervision 
and administration of the grant; 
‘‘(B) contains satisfactory evidence that 
such agency so designated will have the author-
ity to carry out the plan; 
‘‘(C) provides for the designation of an ad-
visory council, which shall include representa-
tives of nongovernmental organizations or 
groups, and of the relevant State or tribal agen-
cies, that aided in the development of the plan 
and that will implement and monitor any grant 
awarded to the eligible entity under this section; 
‘‘(D) in the case of an eligible entity that 
is a State, includes a copy of the State plan 
under section 1912(b) and section 1932(b); 
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‘‘(E)(i) includes a listing of the projects to 
be funded by the grant; and 
‘‘(ii) in the case of an eligible entity that 
is a State, explains how each listed project 
helps the State in accomplishing its goals and 
objectives under the Community Mental Health 
Services Block Grant under subpart I of part B 
of title XIX and the Substance Abuse Preven-
tion and Treatment Block Grant under subpart 
II of such part; 
‘‘(F) includes assurances that the facilities 
will be used for a period of not less than 10 
years for the provision of community-based 
mental health or substance abuse services for 
those who cannot pay for such services, subject 
to subsection (e); and 
‘‘(G) in the case of a facility that is not a 
public facility, includes the name and executive 
director of the entity who will provide services 
in the facility; and 
‘‘(2) with respect to each construction or mod-
ernization project described in the application— 
‘‘(A) a description of the site for the 
project; 
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‘‘(B) plans and specifications for the 
project and State or tribal approval for the 
plans and specifications; 
‘‘(C) assurance that the title for the site is 
or will be vested with either the public entity or 
private nonprofit entity who will provide the 
services in the facility; 
‘‘(D) assurance that adequate financial re-
sources will be available for the construction or 
major rehabilitation of the project and for the 
maintenance and operation of the facility; 
‘‘(E) estimates of the cost of the project; 
and 
‘‘(F) the estimated length of time for com-
pletion of the project. 
‘‘(d) SUBGRANTS BY STATES.— 
‘‘(1) IN
GENERAL.—A State that receives a 
grant under this section may award a subgrant to 
a qualified community program (as such term is 
used in section 1913(b)(1)). 
‘‘(2) USE OF FUNDS.—Subgrants awarded pur-
suant to paragraph (1) may be used for activities 
such as— 
‘‘(A) the construction, expansion, and mod-
ernization of facilities used to provide mental 
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health and substance abuse services to individ-
uals; 
‘‘(B) acquiring and leasing facilities and 
equipment (including paying the costs of amor-
tizing the principal of, and paying the interest 
on, loans for such facilities and equipment) to 
support or further the operation of the sub-
grantee; 
‘‘(C) the construction and structural modi-
fication (including equipment acquisition) of fa-
cilities to permit the integrated delivery of be-
havioral health and primary care of specialty 
medical services to individuals with co-occurring 
mental illnesses and chronic medical or surgical 
diseases at a single service site; and 
‘‘(D) acquiring information technology re-
quired to accommodate the clinical needs of pri-
mary and specialty care professionals. 
‘‘(3) LIMITATION.—Not to exceed 15 percent of 
grant funds may be used for activities described in 
paragraph (2)(D). 
‘‘(e) REQUEST TO TRANSFER OBLIGATION.—An eli-
gible entity that receives a grant under this section may 
submit a request to the Secretary for permission to trans-
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