‘‘(ii) a reduction in boarding or ex-
tended holding of patients in emergency 
room facilities who require further psy-
chiatric care, including care for substance 
use disorders; 
‘‘(iii) evidence of adequate access to 
crisis care centers and crisis bed services; 
and 
‘‘(iv) evidence of adequate linkage to 
appropriate post-crisis care and longitu-
dinal treatment for mental health or sub-
stance use disorder when relevant. 
‘‘(B) RULEMAKING.—The Secretary shall 
carry out this subsection through notice and 
comment rulemaking, following a request for in-
formation from stakeholders. 
‘‘(c) COMPONENTS
OF
CRISIS
RESPONSE
CON-
TINUUM.—The crisis response continuum consists of at 
least the following components: 
‘‘(1) CRISIS
CALL
CENTERS.—Regional clini-
cally managed crisis call centers that provide tele-
phonic crisis intervention capabilities. Such centers 
should meet National Suicide Prevention Lifeline 
operational guidelines regarding suicide risk assess-
VerDate Sep 11 2014 
04:40 Mar 29, 2022
Jkt 029200
PO 00000
Frm 00025
Fmt 6652
Sfmt 6201
E:\BILLS\H7232.IH
H7232
kjohnson on DSK79L0C42PROD with BILLS
ment and engagement and offer air traffic control- 
quality coordination of crisis care in real-time. 
‘‘(2) MOBILE CRISIS RESPONSE TEAM.—Teams 
of providers that are available to reach any indi-
vidual in the service area in their home, workplace, 
school, physician’s office or outpatient treatment set-
ting, or any other community-based location of the 
individual in crisis in a timely manner. 
‘‘(3) CRISIS RECEIVING AND STABILIZATION FA-
CILITIES.—Subacute inpatient facilities and other 
facilities specified by the Secretary that provide 
short-term observation and crisis stabilization serv-
ices to all referrals, including the following services: 
‘‘(A) 
23-HOUR
CRISIS
STABILIZATION 
SERVICES.—A direct care service that provides 
individuals in severe distress with up to 23 con-
secutive hours of supervised care to assist with 
deescalating the severity of their crisis or need 
for urgent care in a subacute inpatient setting. 
‘‘(B) SHORT-TERM
CRISIS
RESIDENTIAL 
SERVICES.—A direct care service that assists 
with deescalating the severity of an individual’s 
level of distress or need for urgent care associ-
ated with a substance use or mental health dis-
order in a residential setting. 
VerDate Sep 11 2014 
04:40 Mar 29, 2022
Jkt 029200
PO 00000
Frm 00026
Fmt 6652
Sfmt 6201
E:\BILLS\H7232.IH
H7232
kjohnson on DSK79L0C42PROD with BILLS
‘‘(4) MENTAL
HEALTH
AND
SUBSTANCE
USE 
URGENT
CARE
FACILITIES.—Ambulatory services 
available 12–24 hours per day, 7 days a week, where 
individuals experiencing crisis can walk in without 
an appointment to receive crisis assessment, crisis 
intervention, medication, and connection to con-
tinuity of care. 
‘‘(5) 
ADDITIONAL
FACILITIES
AND
PRO-
VIDERS.—The Secretary shall specify additional fa-
cilities and health care providers as part of the crisis 
response continuum, as the Secretary determines ap-
propriate. 
‘‘(d) RELATIONSHIP TO STATE LAW.— 
‘‘(1) IN GENERAL.—Subject to paragraph (2), 
the standards established under this section are min-
imum standards and nothing in this section may be 
construed to preclude a State from establishing ad-
ditional standards, so long as such standards are not 
inconsistent with the requirements of this section or 
other applicable law. 
‘‘(2) WAIVER
OR
MODIFICATION.—The Sec-
retary shall establish a process under which a State 
may request a waiver or modification of a standard 
established under this section.’’. 
VerDate Sep 11 2014 
04:40 Mar 29, 2022
Jkt 029200
PO 00000
Frm 00027
Fmt 6652
Sfmt 6201
E:\BILLS\H7232.IH
H7232
kjohnson on DSK79L0C42PROD with BILLS
TITLE IV—MENTAL HEALTH AND 
SUBSTANCE USE DISORDER 
PARITY IMPLEMENTATION 
SEC. 401. GRANTS TO SUPPORT MENTAL HEALTH AND SUB-
STANCE USE DISORDER PARITY IMPLEMEN-
TATION. 
(a) IN GENERAL.—Section 2794(c) of the Public 
Health Service Act (42 U.S.C. 300gg–94(c)) (as added by 
section 1003 of the Patient Protection and Affordable 
Care Act (Public Law 111–148)) is amended by adding 
at the end the following: 
‘‘(3) PARITY IMPLEMENTATION.— 
‘‘(A) IN
GENERAL.—Beginning 60 days 
after the date of enactment of this paragraph, 
the Secretary shall award grants to States to 
implement the mental health and substance use 
disorder parity provisions of section 2726, pro-
vided that in order to receive such a grant, a 
State is required to request and review from 
health insurance issuers offering group or indi-
vidual health insurance coverage the compara-
tive analyses and other information required of 
such health insurance issuers under subsection 
(a)(8)(A) of such section 2726 regarding the 
design and application of nonquantitative treat-
VerDate Sep 11 2014 
04:40 Mar 29, 2022
Jkt 029200
PO 00000
Frm 00028
Fmt 6652
Sfmt 6201
E:\BILLS\H7232.IH
H7232
kjohnson on DSK79L0C42PROD with BILLS
ment limitations imposed on mental health or 
substance use disorder benefits. 
‘‘(B) 
AUTHORIZATION
OF
APPROPRIA-
TIONS.—For purposes of awarding grants 
under subparagraph (A), there are authorized 
to be appropriated $25,000,000 for each of the 
first five fiscal years beginning after the date of 
the enactment of this paragraph.’’. 
(b) TECHNICAL AMENDMENT.—Section 2794 of the 
Public Health Service Act (42 U.S.C. 300gg–95), as 
added by section 6603 of the Patient Protection and Af-
fordable Care Act (Public Law 111–148) is redesignated 
as section 2795. 
Æ 
VerDate Sep 11 2014 
04:40 Mar 29, 2022
Jkt 029200
PO 00000
Frm 00029
Fmt 6652
Sfmt 6301
E:\BILLS\H7232.IH
H7232
kjohnson on DSK79L0C42PROD with BILLS