I 
117TH CONGRESS 
2D SESSION 
H. R. 9499 
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 
DECEMBER 12, 2022 
Mr. TORRES of New York 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 2022’’. 
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SEC. 2. CLARIFYING PSYCHIATRIC REHABILITATION SERV-
ICES UNDER DEMONSTRATION PROGRAMS 
TO IMPROVE COMMUNITY MENTAL HEALTH 
SERVICES. 
(a) DEFINITION.—Section 223(e) of the Protecting 
Access to Medicare Act of 2014 (42 U.S.C. 1396a note) 
is amended— 
(1) by redesignating paragraphs (3) and (4) as 
paragraphs (5) and (6), respectively; and 
(2) by inserting after paragraph (2) the fol-
lowing: 
‘‘(3) 
PSYCHIATRIC
REHABILITATION
SERV-
ICES.—The term ‘psychiatric rehabilitation services’ 
includes community-based services and programs 
that promote community integration and address so-
cial needs.’’. 
(b) PSYCHOSOCIAL REHABILITATION SERVICES.— 
(1) 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— 
(A) by redesignating clauses (viii) and (ix) 
as clauses (ix) and (x), respectively; and 
(B) by inserting after clause (vii) the fol-
lowing: 
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‘‘(viii) 
Psychosocial 
rehabilitation 
services.’’. 
(2) DEFINITION.—Section 223(e) of the Pro-
tecting Access to Medicare Act of 2014 (42 U.S.C. 
1396a note) is amended by inserting after para-
graph (3), as inserted by subsection (a), the fol-
lowing: 
‘‘(4) PSYCHOSOCIAL
REHABILITATION
SERV-
ICES.—The term ‘psychosocial rehabilitation serv-
ices’ includes each of the following elements, tailored 
to the needs of the individual: 
‘‘(A) Intensive, structured, goal-oriented 
community engagement that enables recovery 
through the creation of social opportunities, 
promotion 
of 
resiliency 
and 
interpersonal 
growth, and access to psychosocial supports, 
such as employment, housing, skills develop-
ment, wellness initiatives, and clinical services. 
‘‘(B) Focus on restoration and promotion 
of social skills, problem-solving abilities, and 
connection that promote effective functioning in 
the individual’s social environment, including 
home, work, and school. 
‘‘(C) Programmatic practices that— 
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‘‘(i) are respectful of the individual’s 
autonomy and value peer relationships and 
supports; 
‘‘(ii) are provided fairly and without 
preferential treatment to any groups eligi-
ble for services; and 
‘‘(iii) include equity-based and non-
compulsory 
programmatic 
practices 
in 
which individuals are invited to support 
each other in peer relationships and par-
ticipate in decisionmaking around commu-
nity activities. 
‘‘(D) Restoration, rehabilitation, and sup-
port of daily functioning to improve self-man-
agement of the negative effects of psychiatric or 
emotional symptoms, and to provide support in 
managing their money, medications, self-care, 
and using community resources. 
‘‘(E) Formalized activities to help individ-
uals develop resilience to changes in psychiatric 
symptoms and stressors of all kinds to prevent 
crisis and promote functioning and stability. 
‘‘(F) Standardized measures of loneliness 
and social isolation developed by the Adminis-
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