(b) GUIDANCE RELATING TO IMD EXCLUSION.—Not 
later than 180 days after the date of the enactment of 
this Act, the Secretary of Health and Human Services 
shall issue guidance that crisis stabilization units (as de-
scribed in section 1905(a)(1) of the Social Security Act 
(42 U.S.C. 1396d(a)(1)) are excluded from the prohibition 
specified in the parenthetical of paragraph (1) of section 
1905(a) (relating to services in an institution for mental 
diseases), including the following facilities and services: 
(1) Subacute crisis receiving in inpatient or 
other facilities specified by the Secretary that pro-
vide short-term observation for all referrals to indi-
viduals in severe distress, as further defined by the 
Secretary, with up to 23 consecutive hours of super-
vised care to assist with deescalating the severity of 
a mental health or substance use crisis or need for 
urgent care in a sub-acute inpatient setting. 
(2) Short term crisis stabilization services as-
sisting with deescalating the severity of individuals 
in severe distress, as defined by the Secretary, or 
need for urgent care associated with a substance use 
or mental health disorder in an inpatient or residen-
tial setting with reimbursement limited to 72 hours. 
(c) REPORTS ON CRISIS STABILIZATION UTILIZA-
TION.—Not later than 1 year after the date of the enact-
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ment of this Act, the Secretary shall submit to the appro-
priate congressional committees of jurisdiction a report 
addressing the utilization of facility-based crisis services, 
including the number of patients served, type and duration 
of facility-based services, linkage to community-based re-
sources, and information on the total number of law en-
forcement drop-offs and other data relevant for diverting 
mental health and substance use disorder emergencies 
from law enforcement response. 
SEC. 403. EXCELLENCE IN MENTAL HEALTH AND ADDIC-
TION TREATMENT. 
(a) 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 
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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’’; 
(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 
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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 
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 2022’’ before the period. 
(b) 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-
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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 
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-
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propriated $5,000,000 for each of fiscal years 2022 
through 2026.’’. 
Æ 
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