illness that can be diagnosed and treated in a given 
year; 
(2) mental illness costs our economy more than 
$80,000,000,000 annually, accounting for 15 per-
cent of the total economic burden of disease; 
(3) alcohol and drug abuse contributes to the 
death of more than 100,000 people and costs society 
upwards of half a trillion dollars a year; 
(4) individuals with serious mental illness die 
on average 25 years sooner than individuals in the 
general population; and 
(5) community mental and behavioral health or-
ganizations provide cost-efficient and evidence-based 
treatment and care for millions of Americans with 
mental illness and addiction disorders. 
SEC. 3. CO-LOCATING PRIMARY AND SPECIALTY CARE IN 
COMMUNITY-BASED MENTAL HEALTH SET-
TINGS. 
Subpart 3 of part B of title V of the Public Health 
Service Act (42 U.S.C. 290bb–31 et seq.) is amended by 
adding at the end the following: 
‘‘SEC. 520K. GRANTS FOR CO-LOCATING PRIMARY AND SPE-
CIALTY CARE IN COMMUNITY-BASED MENTAL 
HEALTH SETTINGS. 
‘‘(a) DEFINITIONS.—In this section: 
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‘‘(1) ELIGIBLE ENTITY.—The term ‘eligible en-
tity’ means a qualified community mental health 
program defined under section 1913(b)(1). 
‘‘(2) SPECIAL POPULATIONS.—The term ‘spe-
cial populations’ refers to the following 3 groups: 
‘‘(A) Children and adolescents with mental 
and emotional disturbances who have co-occur-
ring primary care conditions and chronic dis-
eases. 
‘‘(B) Adults with mental illnesses who have 
co-occurring primary care conditions and chron-
ic diseases. 
‘‘(C) Older adults with mental illnesses 
who have co-occurring primary care conditions 
and chronic diseases. 
‘‘(b) PROGRAM AUTHORIZED.—The Secretary, acting 
through the Administrator of the Substance Abuse and 
Mental Health Services Administration and in coordina-
tion with the Director of the Health Resources and Serv-
ices Administration, shall award grants to eligible entities 
to establish demonstration projects for the provision of co-
ordinated and integrated services to special populations 
through the co-location of primary and specialty care serv-
ices in community-based mental and behavioral health set-
tings. 
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‘‘(c) APPLICATION.—To be eligible to receive a grant 
under this section, an eligible entity shall submit an appli-
cation to the Administrator at such time, in such manner, 
and accompanied by such information as the Adminis-
trator may require. Each such application shall include— 
‘‘(1) an assessment of the primary care needs 
of the patients served by the eligible entity and a de-
scription of how the eligible entity will address such 
needs; and 
‘‘(2) a description of partnerships, cooperative 
agreements, or other arrangements with local pri-
mary care providers, including community health 
centers, to provide services to special populations. 
‘‘(d) USE OF FUNDS.— 
‘‘(1) IN GENERAL.—For the benefit of special 
populations, an eligible entity shall use funds award-
ed under this section for— 
‘‘(A) the provision, by qualified primary 
care professionals on a reasonable cost basis, 
of— 
‘‘(i) primary care services on site at 
the eligible entity; 
‘‘(ii) diagnostic and laboratory serv-
ices; or 
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‘‘(iii) adult and pediatric eye, ear, and 
dental screenings; 
‘‘(B) reasonable costs associated with 
medically necessary referrals to qualified spe-
cialty care professionals as well as to other co-
ordinators of care or, if permitted by the terms 
of the grant, for the provision, by qualified spe-
cialty care professionals on a reasonable cost 
basis on site at the eligible entity, of— 
‘‘(i) endocrinology services; 
‘‘(ii) oncology services; 
‘‘(iii) pulmonary/respiratory services; 
or 
‘‘(iv) cardiovascular services; 
‘‘(C) information technology required to 
accommodate the clinical needs of primary and 
specialty care professionals; or 
‘‘(D) facility improvements or modifica-
tions needed to bring primary and specialty 
care professionals on site at the eligible entity. 
‘‘(2) LIMITATION.—Not to exceed 15 percent of 
grant funds may be used for activities described in 
subparagraphs (C) and (D) of paragraph (1). 
‘‘(e) GEOGRAPHIC DISTRIBUTION.—The Secretary 
shall ensure that grants awarded under this section are 
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equitably distributed among the geographical regions of 
the United States and between urban and rural popu-
lations. 
‘‘(f) EVALUATION.—Not later than 3 months after a 
grant or cooperative agreement awarded under this section 
expires, an eligible entity shall submit to the Secretary the 
results of an evaluation to be conducted by the entity con-
cerning the effectiveness of the activities carried out under 
the grant or agreement. 
‘‘(g) REPORT.—Not later than 5 years after the date 
of enactment of this section, the Secretary shall prepare 
and submit to the appropriate committees of Congress a 
report that shall evaluate the activities funded under this 
section. The report shall include an evaluation of the im-
pact of co-locating primary and specialty care in commu-
nity mental and behavioral health settings on overall pa-
tient health status and recommendations on whether or 
not the demonstration program under this section should 
be made permanent. 
‘‘(h) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section, 
$50,000,0000 for fiscal year 2010 and such sums as may 
be necessary for each of fiscal years 2011 through 2014.’’. 
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