qualified behavioral health centers as meeting the 
criteria specified in this subsection. 
‘‘(2) REGULATIONS.—Not later than 18 months 
after the date of the enactment of the Community 
Mental Health and Addiction Safety Net Equity Act 
of 2010, the Administrator shall issue final regula-
tions for certifying non-profit or local government 
centers as centers under paragraph (1). 
‘‘(3) CRITERIA.—The criteria referred to in 
subsection (b)(2) are that the center performs each 
of the following: 
‘‘(A) Provide services in locations that en-
sure services will be available and accessible 
promptly and in a manner which preserves 
human dignity and assures continuity of care. 
‘‘(B) Provide services in a mode of service 
delivery appropriate for the target population. 
‘‘(C) Provide individuals with a choice of 
service options where there is more than one ef-
ficacious treatment. 
‘‘(D) Employ a core staff of clinical staff 
that is multidisciplinary and culturally and lin-
guistically competent. 
‘‘(E) Provide services, within the limits of 
the capacities of the center, to any individual 
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residing or employed in the service area of the 
center, regardless of the ability of the individual 
to pay. 
‘‘(F) Provide, directly or through contract, 
to the extent covered for adults in the State 
Medicaid plan under title XIX of the Social Se-
curity Act and for children in accordance with 
section 1905(r) of such Act regarding early and 
periodic screening, diagnosis, and treatment, 
each of the following services: 
‘‘(i) Screening, assessment, and diag-
nosis, including risk assessment. 
‘‘(ii) Person-centered treatment plan-
ning or similar processes, including risk as-
sessment and crisis planning. 
‘‘(iii) Outpatient clinic mental health 
services, including screening, assessment, 
diagnosis, psychotherapy, substance abuse 
counseling, medication management, and 
integrated treatment for mental illness and 
substance abuse which shall be evidence- 
based (including cognitive behavioral ther-
apy and other such therapies which are 
evidence-based). 
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‘‘(iv) Outpatient clinic primary care 
services, including screening and moni-
toring of key health indicators and health 
risk (including screening for diabetes, hy-
pertension, and cardiovascular disease and 
monitoring of weight, height, body mass 
index (BMI), blood pressure, blood glucose 
or HbA1C, and lipid profile). 
‘‘(v) Crisis mental health services, in-
cluding 24-hour mobile crisis teams, emer-
gency crisis intervention services, and cri-
sis stabilization. 
‘‘(vi) 
Targeted 
case 
management 
(services to assist individuals gaining ac-
cess to needed medical, social, educational, 
and other services and applying for income 
security and other benefits to which they 
may be entitled). 
‘‘(vii) Psychiatric rehabilitation serv-
ices including skills training, assertive com-
munity treatment, family psychoeducation, 
disability self-management, supported em-
ployment, 
supported 
housing 
services, 
therapeutic foster care services, and such 
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other evidence-based practices as the Sec-
retary may require. 
‘‘(viii) Peer support and counselor 
services and family supports. 
‘‘(G) Maintain linkages, and where possible 
enter into formal contracts with the following: 
‘‘(i) Inpatient psychiatric facilities and 
substance abuse detoxification and residen-
tial programs. 
‘‘(ii) Adult and youth peer support 
and counselor services. 
‘‘(iii) Family support services for fam-
ilies of children with serious mental dis-
orders. 
‘‘(iv) 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. 
‘‘(v) Onsite or offsite access to pri-
mary care services. 
‘‘(vi) Enabling services, including out-
reach, transportation, and translation. 
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‘‘(vii) Health and wellness services, in-
cluding services for tobacco cessation.’’. 
SEC. 3. MEDICAID COVERAGE AND PAYMENT FOR FEDER-
ALLY QUALIFIED BEHAVIORAL HEALTH CEN-
TER SERVICES. 
(a) PAYMENT FOR SERVICES PROVIDED BY FEDER-
ALLY QUALIFIED BEHAVIORAL HEALTH CENTERS.—Sec-
tion 1902(bb) of the Social Security Act (42 U.S.C. 
1396a(bb)) is amended— 
(1) in the heading, by striking ‘‘AND RURAL 
HEALTH CLINICS’’ and inserting ‘‘, FEDERALLY 
QUALIFIED BEHAVIORAL HEALTH CENTERS, AND 
RURAL HEALTH CLINICS’’; 
(2) in paragraph (1), by inserting ‘‘(and begin-
ning with fiscal year 2011 with respect to services 
furnished on or after January 1, 2011, and each 
succeeding fiscal year, for services described in sec-
tion 1905(a)(2)(D) furnished by a federally qualified 
behavioral health center)’’ 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-
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nished by a federally qualified behavioral health 
center, for services furnished on and after Jan-
uary 1, 2011, during fiscal year 2011)’’ 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 federally qualified behavioral health 
center, during fiscal years 2009 and 2010)’’ 
after ‘‘1999 and 2000’’; and 
(D) by inserting ‘‘(or, in the case of serv-
ices described in section 1905(a)(2)(D) fur-
nished by a federally qualified behavioral health 
center, during fiscal year 2011)’’ before the pe-
riod; 
(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 federally qualified behavioral health 
center, for services furnished during fiscal year 
2012 or a succeeding fiscal year)’’ after ‘‘2002 
or a succeeding fiscal year’’; 
(5) in paragraph (4)— 
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(A) by inserting ‘‘(or as a federally quali-
fied behavioral health center after fiscal year 
2010)’’ 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 feder-
ally qualified behavioral health center, or’’; 
(C) in the second sentence, by striking ‘‘or 
rural health clinic’’ and inserting ‘‘, federally 
qualified behavioral health center, or rural 
health clinic’’; 
(6) in paragraph (5), in each of subparagraphs 
(A) and (B), by striking ‘‘or rural health clinic’’ and 
inserting ‘‘, federally qualified behavioral health cen-
ter, or rural health clinic’’; and 
(7) in paragraph (6), by striking ‘‘or to a rural 
health clinic’’ and inserting ‘‘, to a federally quali-
fied behavioral health center for services described in 
section 1905(a)(2)(D), or to a rural health clinic’’. 
(b) INCLUSION OF FEDERALLY QUALIFIED BEHAV-
IORAL HEALTH CENTER SERVICES IN THE TERM MED-
ICAL ASSISTANCE.—Section 1905(a)(2) of the Social Se-
curity Act (42 U.S.C. 1396d(a)(2)) is amended— 
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(1) by striking ‘‘and’’ before ‘‘(C)’’; and 
(2) by inserting before the semicolon at the end 
the following: ‘‘, and (D) federally qualified behav-
ioral health center services (as defined in subsection 
(l)(4))’’. 
(c) DEFINITION OF FEDERALLY QUALIFIED BEHAV-
IORAL HEALTH CENTER SERVICES.—Section 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 ‘federally qualified behavioral 
health center services’ means services furnished to 
an individual at a federally qualified behavioral 
health center (as defined by subparagraph (B). 
‘‘(B) The term ‘federally qualified behavioral 
health center’ means an entity that is certified under 
section 1913(c) of the Public Health Service Act as 
meeting the criteria described in paragraph (3) of 
such section.’’. 
SEC. 4. MENTAL HEALTH AND ADDICTION SAFETY NET 
STUDIES. 
(a) PAPERWORK REDUCTION STUDY.— 
(1) IN GENERAL.—Not later than 12 months 
after the date of the enactment of this Act, the In-
stitute of Medicine shall submit to the appropriate 
committees of Congress a report that evaluates the 
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combined paperwork burden of federally qualified be-
havioral health centers certified section 1913(c) of 
the Public Health Service Act, as inserted by section 
2. 
(2) SCOPE.—In preparing the report under 
paragraph (1), the Institute of Medicine shall exam-
ine licensing, certification, service definitions, claims 
payment, billing codes, and financial auditing re-
quirements utilized by the Office of Management 
and Budget, the Centers for Medicare & Medicaid 
Services, the Health Resources and Services Admin-
istration, the Substance Abuse and Mental Health 
Services Administration, the Office of the Inspector 
General, State Medicaid agencies, State departments 
of health, State departments of education, and State 
and local juvenile justice and social services agencies 
to— 
(A) establish an estimate of the combined 
nationwide cost of complying with the require-
ments described in this paragraph, in terms of 
both administrative funding and staff time; 
(B) establish an estimate of the per capita 
cost to each federally qualified behavioral health 
center certified under section 1913(c) of the 
Public Health Service Act to comply with the 
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requirements described in this paragraph, in 
terms of both administrative funding and staff 
time; and 
(C) make administrative and statutory rec-
ommendations to Congress, which may include 
a uniform methodology, to reduce the paper-
work burden experienced by such federally 
qualified behavioral health centers. 
(3) AUTHORIZATION
OF
APPROPRIATIONS.— 
There are authorized to be appropriated to carry out 
this subsection $550,000 for each of the fiscal years 
2012 and 2013. 
(b) WAGE STUDY.— 
(1) IN GENERAL.—Not later than 12 months 
after the date of the enactment of this Act, the In-
stitute of Medicine shall conduct a nationwide anal-
ysis, and submit a report to the appropriate commit-
tees of Congress, concerning the compensation struc-
ture of professional and paraprofessional personnel 
employed by federally qualified behavioral health 
centers certified under section 1913(c) of the Public 
Health Service Act, as inserted by section 2, as com-
pared with the compensation structure of com-
parable health safety net providers and relevant pri-
vate sector health care employers. 
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(2) SCOPE.—In preparing the report under 
paragraph (1), the Institute of Medicine shall exam-
ine compensation disparities, if such disparities are 
determined to exist, by type of personnel, type of 
provider or private sector employer, and by geo-
graphic region. 
(3) AUTHORIZATION
OF
APPROPRIATIONS.— 
There are authorized to be appropriated to carry out 
this subsection, $550,000 for each of the fiscal years 
2012 and 2013. 
Æ 
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