I 
118TH CONGRESS 
2D SESSION 
H. R. 7301 
To amend the Protecting Access to Medicare Act of 2014 to clarify the 
meaning of psychiatric rehabilitation services under demonstration pro-
grams to improve community mental health services, and for other pur-
poses. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 7, 2024 
Mr. TORRES of New York (for himself and Mr. THANEDAR) introduced the 
following bill; which was referred to the Committee on Energy and Commerce 
A BILL 
To amend the Protecting Access to Medicare Act of 2014 
to clarify the meaning of psychiatric rehabilitation serv-
ices under demonstration programs to improve commu-
nity mental health services, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Certified Community 
Behavioral Health Clinic Expansion Act of 2024’’. 
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SEC. 2. CLARIFYING PSYCHIATRIC REHABILITATION SERV-
ICES UNDER DEMONSTRATION PROGRAMS 
TO IMPROVE COMMUNITY MENTAL HEALTH 
SERVICES. 
(a) PSYCHOSOCIAL REHABILITATION SERVICES.— 
(1) 
CARE
COORDINATION.—Section 
223(a)(2)(C) of the Protecting Access to Medicare 
Act of 2014 (42 U.S.C. 1396a note) is amended— 
(A) in the matter preceding clause (i), by 
inserting ‘‘psychosocial,’’ after ‘‘chronic,’’; 
(B) by redesignating clauses (iv) and (v) 
as clauses (v) and (vi), respectively; 
(C) by inserting after clause (iii) the fol-
lowing: 
‘‘(iv) Clubhouses located within the 
same metropolitan statistical area as the 
certified community behavioral health clin-
ic, if any such clubhouses exist.’’; and 
(D) by adding at the end the following: 
‘‘(vii) Housing and residential pro-
grams.’’. 
(2) SCOPE OF SERVICES FOR CERTIFICATION.— 
Section 223(a)(2)(D) of the Protecting Access to 
Medicare Act of 2014 (42 U.S.C. 1396a note) is 
amended— 
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(A) by amending clause (iii) to read as fol-
lows: 
‘‘(iii) Patient-centered treatment plan-
ning or similar processes, including— 
‘‘(I) risk assessment and crisis 
planning; 
‘‘(II) programs that are respect-
ful of the person’s autonomy to choose 
the services they prefer and are pro-
vided equitably; and 
‘‘(III) 
equity-based 
and 
non-
compulsory programmatic practices in 
which persons are invited to support 
each other and participate in decision- 
making around community activities 
and services.’’; 
(B) by redesignating clause (viii) as clause 
(ix); and 
(C) by striking clause (vii) and inserting 
the following: 
‘‘(vii) Supporting self-management, 
including in— 
‘‘(I) managing the person’s fi-
nances, medications, and self-care; 
and 
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‘‘(II) using community resources. 
‘‘(viii) Psychiatric rehabilitation serv-
ices, and psychosocial rehabilitation serv-
ices, that— 
‘‘(I) restore, rehabilitate, and 
support daily functioning, skills devel-
opment, self-esteem, and agency to 
improve self-management of the nega-
tive effects of psychiatric and emo-
tional symptoms; and 
‘‘(II) include formalized activi-
ties, peer supports, and counselor 
services, and family supports to help 
individuals 
develop 
resilience 
to 
changes in psychiatric symptoms and 
stressors of all kinds to prevent crisis 
and promote functioning and sta-
bility.’’. 
(3) QUALITY
AND
OTHER
REPORTING.—Sub-
paragraph (E) of section 223(a)(2) of the Protecting 
Access to Medicare Act of 2014 (42 U.S.C. 1396a 
note) is amended to read as follows: 
‘‘(E) QUALITY AND OTHER REPORTING.— 
Reporting of— 
‘‘(i) encounter data; 
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‘‘(ii) clinical outcomes data; 
‘‘(iii) quality data; 
‘‘(iv) patient-reported outcome meas-
ures that assess people’s loneliness, quality 
of life, thriving, and other outcomes of re-
covery; and 
‘‘(v) such other data as the Secretary 
requires.’’. 
(b) DEFINITIONS.—Section 223(e) of the Protecting 
Access to Medicare Act of 2014 (42 U.S.C. 1396a note) 
is amended— 
(1) by redesignating paragraphs (1), (2), (3), 
and (4) as paragraphs (2), (3), (4), and (5), respec-
tively; 
(2) by inserting before paragraph (2) (as so re-
designated) the following: 
‘‘(1) 
CLUBHOUSE.—The 
term 
‘clubhouse’ 
means a therapeutic social environment that— 
‘‘(A) is accredited, or is in the process of 
becoming accredited, by a recognized body or 
bodies approved by the Secretary for purposes 
of this paragraph; 
‘‘(B) addresses psychosocial deficits and 
social drivers of health; 
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‘‘(C) uses a therapeutic approach that em-
phasizes purposeful work, engagement, relation-
ship development, and mutual support for peo-
ple with serious mental illness; 
‘‘(D) uses blended leadership of profes-
sional mental health staff and individuals with 
lived experience to create and manage the 
therapeutic community and its services in a 
nonclinical setting; 
‘‘(E) offers members a community-based 
rehabilitative environment that both addresses 
often-unmet psychosocial needs of people living 
with serious mental illness and provides struc-
tures that offer support in natural, community 
environments; 
‘‘(F) offers support services for employ-
ment, education, health care, housing, and more 
to broadly address health-related social care 
needs; 
‘‘(G) is an essential part of the continuum 
of care and works in tandem with other medical 
and behavioral health services; 
‘‘(H) relies on the restorative power of 
work and work-mediated relationships to build 
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a firm foundation for growth and individual 
achievement for members; 
‘‘(I) emphasizes strengths-based teamwork 
and opportunities to contribute to operations 
through a work-ordered day; and 
‘‘(J) offers naturalistic social and commu-
nity-based recreational opportunities to con-
tribute to a member’s path and success in re-
covery.’’. 
(c) IMPLEMENTATION TIMELINE.—Not later than 1 
year after the date of enactment of this Act, the Secretary 
of Health and Human Services shall publish revised cri-
teria under subsection (a) of section 223 of the Protecting 
Access to Medicare Act of 2014 (42 U.S.C. 1396a note) 
for a clinic to be certified by a State as a certified commu-
nity behavioral health clinic for purposes of participating 
in a demonstration program conducted under subsection 
(d) of such section. 
Æ 
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