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‘‘SEC. 520K. INTEGRATION INCENTIVE GRANTS AND COOP-
ERATIVE AGREEMENTS. 
‘‘(a) DEFINITIONS.—In this section: 
‘‘(1) COLLABORATIVE CARE MODEL.—The term 
‘collaborative care model’ means the evidence-based, 
integrated behavioral health service delivery method 
that includes— 
‘‘(A) care directed by the primary care 
team; 
‘‘(B) structured care management; 
‘‘(C) regular assessments of clinical status 
using developmentally appropriate, validated 
tools; and 
‘‘(D) modification of treatment as appro-
priate. 
‘‘(2) ELIGIBLE ENTITY.—The term ‘eligible en-
tity’ means a State, or an appropriate State agency, 
in collaboration with— 
‘‘(A) 1 or more qualified community pro-
grams as described in section 1913(b)(1); 
‘‘(B) 1 or more health centers (as defined 
in section 330(a)), a rural health clinic (as de-
fined in section 1961(aa) of the Social Security 
Act), or a Federally qualified health center (as 
defined in such section); or
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‘‘(C) 1 or more primary health care prac-
tices. 
‘‘(3) INTEGRATED CARE; BIDIRECTIONAL INTE-
GRATED CARE.— 
‘‘(A) The term ‘integrated care’ means 
models or practices for coordinating and jointly 
delivering behavioral and physical health serv-
ices, which may include practices that share the 
same space in the same facility. 
‘‘(B) The term ‘bidirectional integrated 
care’ means the integration of behavioral health 
care and specialty physical health care, as well 
as the integration of primary and physical 
health care with specialty behavioral health set-
tings, including within primary health care set-
tings. 
‘‘(4) PRIMARY HEALTH CARE PROVIDER.—The 
term ‘primary health care provider’ means a pro-
vider who— 
‘‘(A) provides health services related to 
family medicine, internal medicine, pediatrics, 
obstetrics, gynecology, or geriatrics; or 
‘‘(B) is a doctor of medicine or osteopathy, 
physician assistant, or nurse practitioner, who 
is licensed to practice medicine by the State in
176 
which such physician, assistant, or practitioner 
primarily practices, including within primary 
health care settings. 
‘‘(5) PRIMARY HEALTH CARE PRACTICE.—The 
term ‘primary health care practice’ means a medical 
practice of primary health care providers, including 
a practice within a larger health care system. 
‘‘(6) SPECIAL POPULATION.—The term ‘special 
population’, for an eligible entity that is collabo-
rating with an entity described in subparagraph (A) 
or (B) of paragraph (3), means— 
‘‘(A) adults with a serious mental illness 
who have a co-occurring physical health condi-
tion or chronic disease; 
‘‘(B) children and adolescents with a men-
tal illness who have a co-occurring physical 
health condition or chronic disease; 
‘‘(C) individuals with a substance use dis-
order; or 
‘‘(D) individuals with a mental illness who 
have a co-occurring substance use disorder. 
‘‘(b) GRANTS AND COOPERATIVE AGREEMENTS.— 
‘‘(1) IN GENERAL.—The Secretary may award 
grants and cooperative agreements to eligible entities 
to support the improvement of integrated care for
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physical and behavioral health care in accordance 
with paragraph (2). 
‘‘(2) USE OF FUNDS.—A grant or cooperative 
agreement awarded under this section shall be 
used— 
‘‘(A) in the case of an eligible entity that 
is collaborating with an entity described in sub-
paragraph (A) or (B) of subsection (a)(2)— 
‘‘(i) to promote full integration and 
collaboration in clinical practices between 
physical and behavioral health care for spe-
cial populations including each population 
listed in subsection (a)(7); 
‘‘(ii) to support the improvement of 
integrated care models for physical and be-
havioral health care to improve the overall 
wellness and physical health status of— 
‘‘(I) adults with a serious mental 
illness or children with a serious emo-
tional disturbance; and 
‘‘(II) individuals with a substance 
use disorder; and 
‘‘(iii) to promote bidirectional inte-
grated care services including screening, 
diagnosis, prevention, treatment, and re-
178 
covery of mental and substance use dis-
orders, and co-occurring physical health 
conditions and chronic diseases; and 
‘‘(B) in the case of an eligible entity that 
is collaborating with a primary health care 
practice, to support the uptake of the collabo-
rative care model, including by— 
‘‘(i) hiring staff; 
‘‘(ii) identifying and formalizing con-
tractual relationships with other health 
care providers, including providers who will 
function as psychiatric consultants and be-
havioral health care managers in providing 
behavioral 
health 
integration 
services 
through the collaborative care model; 
‘‘(iii) purchasing or upgrading soft-
ware and other resources needed to appro-
priately provide behavioral health integra-
tion services through the collaborative care 
model, including resources needed to estab-
lish a patient registry and implement 
measurement-based care; and 
‘‘(iv) for such other purposes as the 
Secretary determines to be necessary. 
‘‘(c) APPLICATIONS.—
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‘‘(1) IN GENERAL.—An eligible entity that is 
collaborating with an entity described in subpara-
graph (A) or (B) of subsection (a)(2) seeking a 
grant or cooperative agreement under subsection 
(b)(2)(A) shall submit an application to the Sec-
retary at such time, in such manner, and accom-
panied by such information as the Secretary may re-
quire, including the contents described in paragraph 
(2). 
‘‘(2) CONTENTS.—Any such application of an 
eligible entity described in subparagraph (A) or (B) 
of subsection (a)(2) shall include— 
‘‘(A) a description of a plan to achieve 
fully 
collaborative 
agreements 
to 
provide 
bidirectional integrated care to special popu-
lations; 
‘‘(B) a document that summarizes the poli-
cies, if any, that are barriers to the provision of 
integrated care, and the specific steps, if appli-
cable, that will be taken to address such bar-
riers; 
‘‘(C) a description of partnerships or other 
arrangements with local health care providers 
to provide services to special populations;