thoughts, including when to encourage individ-
uals with suicidal risk to seek help; and 
‘‘(C) increasing awareness of suicide pre-
vention resources of the Centers for Disease 
Control and Prevention and the Substance 
Abuse and Mental Health Services Administra-
tion (including the suicide prevention hotline 
maintained under section 520E–3, any suicide 
prevention mobile application of the Centers for 
Disease Control and Prevention or the Sub-
stance Abuse Mental Health Services Adminis-
tration, and other support resources determined 
appropriate by the Secretary). 
‘‘(2) ADDITIONAL CONSULTATION.—In addition 
to consulting with the Assistant Secretary and the 
Director under this section, the Secretary shall con-
sult with, as appropriate, State, local, Tribal, and 
territorial health departments, primary health care 
providers, hospitals with emergency departments, 
mental and behavioral health services providers, cri-
sis response services providers, paramedics, law en-
forcement, suicide prevention and mental health pro-
fessionals, patient advocacy groups, survivors of sui-
cide attempts, and representatives of television and 
social media platforms in planning the national 
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media campaign to be conducted under paragraph 
(1). 
‘‘(b) TARGET AUDIENCES.— 
‘‘(1) TAILORING ADVERTISEMENTS AND OTHER 
COMMUNICATIONS.—In 
conducting 
the 
national 
media campaign under subsection (a)(1), the Sec-
retary may tailor culturally competent advertise-
ments and other communications of the campaign 
across all available media for a target audience 
(such as a particular geographic location or demo-
graphic) across the lifespan. 
‘‘(2) TARGETING CERTAIN LOCAL AREAS.—The 
Secretary shall, to the maximum extent practicable, 
use amounts made available under subsection (f) for 
media that targets certain local areas or populations 
at disproportionate risk for suicide. 
‘‘(c) USE OF FUNDS.— 
‘‘(1) REQUIRED USES.— 
‘‘(A) IN GENERAL.—The Secretary shall, if 
reasonably feasible with the funds made avail-
able under subsection (f), carry out the fol-
lowing, with respect to the national media cam-
paign: 
‘‘(i) Testing and evaluation of adver-
tising. 
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‘‘(ii) Evaluation of the effectiveness of 
the national media campaign. 
‘‘(iii) Operational and management 
expenses. 
‘‘(iv) The creation of an educational 
toolkit for television and social media plat-
forms to use in discussing suicide and rais-
ing awareness about how to prevent sui-
cide. 
‘‘(B) SPECIFIC REQUIREMENTS.— 
‘‘(i) TESTING
AND
EVALUATION
OF 
ADVERTISING.—In testing and evaluating 
advertising under subparagraph (A)(i), the 
Secretary shall test all advertisements 
after use in the national media campaign 
to evaluate the extent to which such adver-
tisements have been effective in carrying 
out the purposes of the national media 
campaign. 
‘‘(ii) EVALUATION OF EFFECTIVENESS 
OF NATIONAL MEDIA CAMPAIGN.—In eval-
uating the effectiveness of the national 
media 
campaign 
under 
subparagraph 
(A)(ii), the Secretary shall— 
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‘‘(I) take into account the num-
ber of unique calls that are made to 
the suicide prevention hotline main-
tained under section 520E–3 and as-
sess whether there are any State and 
regional variations with respect to the 
capacity to answer such calls; 
‘‘(II) take into account the num-
ber of unique encounters with suicide 
prevention and support resources of 
the Centers for Disease Control and 
Prevention and the Substance Abuse 
and Mental Health Services Adminis-
tration and assess engagement with 
such suicide prevention and support 
resources; 
‘‘(III) assess whether the na-
tional media campaign has contrib-
uted to increased awareness that sui-
cidal individuals should be engaged, 
rather than ignored; and 
‘‘(IV) take into account such 
other measures of evaluation as the 
Secretary determines are appropriate. 
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‘‘(2) OPTIONAL USES.—The Secretary may use 
amounts made available under subsection (f) for the 
following, with respect to the national media cam-
paign: 
‘‘(A) Partnerships with professional and 
civic groups, community-based organizations, 
including faith-based organizations, and Fed-
eral agencies or Tribal organizations that the 
Secretary determines have experience in suicide 
prevention, including the Substance Abuse and 
Mental Health Services Administration and the 
Centers for Disease Control and Prevention. 
‘‘(B) Entertainment industry outreach, 
interactive outreach, media projects and activi-
ties, the dissemination of public information, 
news media outreach, outreach through tele-
vision programs, and corporate sponsorship and 
participation. 
‘‘(d) PROHIBITIONS.—None of the amounts made 
available under subsection (f) may be obligated or ex-
pended for any of the following: 
‘‘(1) To supplant Federal suicide prevention 
campaigns in effect as of the date of the enactment 
of this section. 
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‘‘(2) For partisan political purposes, or to ex-
press advocacy in support of or to defeat any clearly 
identified candidate, clearly identified ballot initia-
tive, or clearly identified legislative or regulatory 
proposal. 
‘‘(e) REPORT
TO CONGRESS.—Not later than 18 
months after implementation of the national media cam-
paign has begun, the Secretary, in coordination with the 
Assistant Secretary and the Director, shall, with respect 
to the first year of the national media campaign, submit 
to Congress a report that describes— 
‘‘(1) the strategy of the national media cam-
paign and whether specific objectives of such cam-
paign were accomplished, including whether such 
campaign impacted the number of calls made to life-
line crisis centers and the capacity of such centers 
to manage such calls; 
‘‘(2) steps taken to ensure that the national 
media campaign operates in an effective and effi-
cient manner consistent with the overall strategy 
and focus of the national media campaign; 
‘‘(3) plans to purchase advertising time and 
space; 
‘‘(4) policies and practices implemented to en-
sure that Federal funds are used responsibly to pur-
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chase advertising time and space and eliminate the 
potential for waste, fraud, and abuse; and 
‘‘(5) all contracts entered into with a corpora-
tion, a partnership, or an individual working on be-
half of the national media campaign. 
‘‘(f) AUTHORIZATION
OF
APPROPRIATIONS.—For 
purposes of carrying out this section, there is authorized 
to be appropriated $10,000,000 for each of fiscal years 
2022 through 2026.’’. 
TITLE II—HEALTH RESOURCES 
AND SERVICES ADMINISTRA-
TION 
SEC. 201. HEALTH CENTER CAPITAL GRANTS. 
Subpart 1 of part D of title III of the Public Health 
Service Act (42 U.S.C. 254b et seq.) is amended by adding 
at the end the following: 
‘‘SEC. 330O. HEALTH CENTER CAPITAL GRANTS. 
‘‘(a) IN
GENERAL.—The Secretary shall award 
grants to eligible entities for capital projects. 
‘‘(b) ELIGIBLE ENTITY.—In this section, the term 
‘eligible entity’ is an entity that is— 
‘‘(1) a health center funded under section 330, 
or in the case of a Tribe or Tribal organization, eli-
gible, to be awarded without regard to the time limi-
tation 
in 
subsection 
(e)(3) 
and 
subsections 
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(e)(6)(A)(iii), (e)(6)(B)(iii), and (r)(2)(B) of such 
section; or 
‘‘(2) a mental health and substance use crisis 
receiving and stabilization program and crisis call 
center described in section 302(c)(1) of the 9–8–8 
Implementation Act of 2022 that have a working re-
lationship with one or more local community mental 
health and substance use organizations, community 
mental health centers, and certified community be-
havioral health clinics, or other local mental health 
and substance use care providers, including inpatient 
and residential treatment settings. 
‘‘(c) USE OF FUNDS.—Amounts made available to a 
recipient of a grant or cooperative agreement pursuant to 
subsection (a) shall be used for crisis response program 
facility alteration, renovation, remodeling, expansion, con-
struction, and other capital improvement costs, including 
the costs of amortizing the principal of, and paying inter-
est on, loans for such purposes. 
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
$1,000,000,000, to remain available until expended.’’. 
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SEC. 202. EXPANDING BEHAVIORAL HEALTH WORKFORCE 
TRAINING PROGRAMS. 
(a) NATIONAL HEALTH SERVICE CORPS.—Section 
331(a)(3)(E)(i) of the Public Health Service Act 
(254d(a)(3)(E)(i)) is amended by striking ‘‘and psychia-
trists’’ and inserting ‘‘psychiatrists and professionals who 
provide crisis management services (such as at a crisis call 
center, as part of a mobile crisis team, or through crisis 
receiving and stabilization program)’’. 
(b) MINORITY
FELLOWSHIP
PROGRAM.—Section 
597(b) of the Public Health Service Act (42 U.S.C. 
290ll(b)) is amended by inserting ‘‘crisis management 
services (such as at a crisis call center, as part of a mobile 
crisis team, or through crisis receiving and stabilization 
program),’’ after ‘‘mental health counseling,’’. 
(c) BEHAVIORAL HEALTH WORKFORCE EDUCATION 
AND TRAINING.—Section 756 of the Public Health Service 
Act (42 U.S.C. 294e–1) is amended— 
(1) in subsection (a)— 
(A) in paragraph (1), by inserting ‘‘crisis 
management (such as at a crisis call center, as 
part of a mobile crisis team, or through crisis 
receiving and stabilization program),’’ after 
‘‘occupational therapy,’’; 
(B) in paragraph (2), by inserting ‘‘and 
providing crisis management services (such as 
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at a crisis call center, as part of a mobile crisis 
team, or through crisis receiving and stabiliza-
tion program)’’ after ‘‘treatment services,’’; 
(C) in paragraph (3), by inserting ‘‘and 
providing crisis management services (such as 
at a crisis call center, as part of a mobile crisis 
team, or through crisis receiving and stabiliza-
tion program),’’ after ‘‘behavioral health serv-
ices’’; and 
(D) in paragraph (4), by inserting ‘‘includ-
ing for the provision of crisis management serv-
ices (such as at a crisis call center, as part of 
a mobile crisis team, or through crisis receiving 
and stabilization program),’’ after ‘‘paraprofes-
sional field’’; 
(2) in subsection (d)(2), by inserting ‘‘or that 
emphasize training in crisis management and meet-
ing the crisis needs of diverse populations specified 
in (b)(2), including effective outreach and engage-
ment’’ after ‘‘partnerships’’; and 
(3) by adding at the end the following: 
‘‘(g) ADDITIONAL FUNDING.— 
‘‘(1) IN
GENERAL.—For each of fiscal years 
2023 through 2027, in addition to funding made 
available under subsection (f), there are authorized 
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to be appropriated $15,000,000 for workforce devel-
opment for crisis management, as specified in para-
graphs (1) through (4) of subsection (a). 
‘‘(2) PRIORITY.—In making grants for the pur-
pose specified in paragraph (1), the Secretary shall 
give priority to programs demonstrating effective re-
cruitment and retention efforts for individuals and 
groups from different racial, ethnic, cultural, geo-
graphic, religious, linguistic, and class backgrounds, 
and different genders and sexual orientations, as 
specified in subsection (b)(2).’’. 
TITLE III—BEHAVIORAL HEALTH 
CRISIS SERVICES EXPANSION 
SEC. 301. CRISIS RESPONSE CONTINUUM OF CARE. 
Subpart 3 of part B of title V of the Public Health 
Service Act (42 U.S.C. 290bb–31 et seq.), as amended by 
section 106, is further amended by adding at the end the 
following: 
‘‘SEC. 520O. CRISIS RESPONSE CONTINUUM OF CARE. 
‘‘(a) IN GENERAL.—The Secretary shall establish 
standards for a continuum of care for use by health care 
providers and communities in responding to individuals, 
including children and adolescents, experiencing mental 
health crises, substance related crises, and crises arising 
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from co-occurring disorders (referred to in this section as 
the ‘crisis response continuum’). 
‘‘(b) REQUIREMENTS.— 
‘‘(1) SCOPE
OF
STANDARDS.—The standards 
established under subsection (a) shall define— 
‘‘(A) minimum requirements of core crisis 
services, as determined by the Secretary, to in-
clude requirements that each entity that fur-
nishes such services should— 
‘‘(i) not require prior authorization 
from an insurance provider nor referral 
from a health care provider prior to the de-
livery of services; 
‘‘(ii) serve all individuals regardless of 
age or ability to pay; 
‘‘(iii) operate 24 hours a day, 7 days 
a week, and provide care to all individuals; 
and 
‘‘(iv) 
provide 
care 
and 
support 
through resources described in paragraph 
(2)(A) until the individual has been sta-
bilized or transfer the individual to the 
next level of crisis care; and 
‘‘(B) psychiatric stabilization, including the 
point at which a case may be closed for— 
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‘‘(i) individuals screened over the 
phone; and 
‘‘(ii) individuals stabilized on the 
scene by mobile teams. 
‘‘(2) IDENTIFICATION
OF
ESSENTIAL
FUNC-
TIONS.—The Secretary shall identify the essential 
functions of each service in the crisis response con-
tinuum, which shall include at least the following: 
‘‘(A) Identification of resources for referral 
and enrollment in continuing mental health, 
substance use, or other human services relevant 
for the individual in crisis where necessary. 
‘‘(B) Delineation of access and entry 
points to services within the crisis response con-
tinuum. 
‘‘(C) Development of and adherence to pro-
tocols and agreements for the transfer and re-
ceipt of individuals to and from other segments 
of the crisis response continuum segments as 
needed, and from outside referrals including 
health care providers, law enforcement, EMS, 
fire, education institutions, and community- 
based organizations. 
‘‘(D) Description of the qualifications of 
crisis services staff, including roles for physi-
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cians, licensed clinicians, case managers, and 
peers (in accordance with State licensing re-
quirements or requirements applicable to Tribal 
health professionals). 
‘‘(E) Requirements for the convening of 
collaborative meetings of crisis response service 
providers, first responders, such as paramedics 
and law enforcement, and community partners 
(including National Suicide Prevention Lifeline 
or 9–8–8 call centers, 9–1–1 public service an-
swering points, and local mental health and 
substance use disorder treatment providers) op-
erating in a common region for the discussion 
of case management, best practices, and general 
performance improvement. 
‘‘(3) SERVICE CAPACITY AND QUALITY STAND-
ARDS.—Such standards shall include definitions of— 
‘‘(A) adequate volume of services to meet 
population need; 
‘‘(B) appropriate timely response; and 
‘‘(C) capacity to meet the needs of dif-
ferent patient populations who may experience 
a mental health or substance use crisis, includ-
ing children, families, and all age groups, cul-
tural and linguistic minorities, individuals with 
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co-occurring mental health and substance use 
disorders, individuals with cognitive disabilities, 
individuals with developmental delays, and indi-
viduals with chronic medical conditions and 
physical disabilities. 
‘‘(4) OVERSIGHT
AND
ACCREDITATION.—The 
Secretary shall designate entities charged with the 
oversight and accreditation of entities within the cri-
sis response continuum. 
‘‘(5) IMPLEMENTATION TIMEFRAME.—Not later 
than 1 year after the date of enactment of this title, 
the Secretary shall establish the standards under 
this section. 
‘‘(6) DATA COLLECTION AND EVALUATIONS.— 
‘‘(A) IN
GENERAL.—The Secretary, di-
rectly or through grants, contracts, or inter-
agency agreements, shall collect data and con-
duct evaluations with respect to the provision of 
services and programs offered on the crisis re-
sponse continuum for purposes of assessing the 
extent to which the provision of such services 
and programs meet certain objectives and out-
comes measures as determined by the Sec-
retary. Such objectives shall include— 
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‘‘(i) a reduction in reliance on law en-
forcement response to individuals in crisis 
who would be more appropriately served by 
a mobile crisis team capable of responding 
to mental health and substance related cri-
ses; 
‘‘(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: 
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‘‘(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-
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. 
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