I 
113TH CONGRESS 
1ST SESSION H. R. 1263 
To increase access to community behavioral health services for all Americans 
and to improve Medicaid reimbursement for community behavioral health 
services. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 19, 2013 
Ms. MATSUI (for herself, Mr. LANCE, Mr. WAXMAN, Mr. ENGEL, Ms. 
DEGETTE, and Ms. JENKINS) introduced the following bill; which was re-
ferred to the Committee on Energy and Commerce 
A BILL 
To increase access to community behavioral health services 
for all Americans and to improve Medicaid reimburse-
ment for community behavioral health services. 
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 ‘‘Excellence in Mental 
Health Act’’. 
SEC. 2. ESTABLISHING COMMUNITY BEHAVIORAL HEALTH 
CENTERS. 
(a) IN GENERAL.—Section 1913 of the Public Health 
Service Act (42 U.S.C. 300x–2) is amended— 
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(1) in subsection (a)(2)(A), by striking ‘‘com-
munity mental health services’’ and inserting ‘‘be-
havioral health services (of the type offered by a cer-
tified federally qualified community behavioral 
health center)’’; 
(2) in subsection (b)— 
(A) in paragraph (1), by striking ‘‘commu-
nity mental health centers’’ and inserting ‘‘cer-
tified federally qualified community behavioral 
health centers’’; and 
(B) in paragraph (2), by striking ‘‘commu-
nity mental health centers’’ and inserting ‘‘cer-
tified federally qualified community behavioral 
health centers’’; and 
(3) by striking subsection (c) and inserting the 
following: 
‘‘(c) CERTIFIED FEDERALLY QUALIFIED COMMU-
NITY BEHAVIORAL HEALTH CENTERS.— 
‘‘(1) DEFINITION.—For purposes of subsection 
(a)(2) and subsection (b), the term ‘certified feder-
ally qualified community behavioral health center’ 
means a nonprofit or local government center that is 
certified by the Secretary as performing each of the 
following actions: 
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‘‘(A) Providing services in locations that 
ensure services will be available and accessible 
promptly and in a manner which preserves 
human dignity and assures continuity of care. 
‘‘(B) Providing services in a mode of serv-
ice delivery appropriate for the target popu-
lation. 
‘‘(C) Providing individuals with a choice of 
service options where there is more than one ef-
ficacious treatment. 
‘‘(D) Employing a core staff of clinical 
staff that is multidisciplinary and culturally and 
linguistically competent. 
‘‘(E) Providing services, within the limits 
of the capacities of the center, to any individual 
residing or employed in the service area of the 
center, regardless of the ability of the individual 
to pay. 
‘‘(F) Providing, directly or through con-
tract, to the extent covered for adults in the 
State Medicaid plan under title XIX of the So-
cial Security 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: 
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‘‘(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 mental health and 
substance use services, including screening, 
assessment, 
diagnosis, 
psychotherapy, 
medication management, and integrated 
treatment for mental illness and substance 
abuse which shall be evidence-based (in-
cluding cognitive behavioral therapy and 
other such therapies which are evidence- 
based). 
‘‘(iv) Outpatient clinic primary care 
screening and monitoring of key health in-
dicators and health risk (including screen-
ing for diabetes, hypertension, and cardio-
vascular disease and monitoring of weight, 
height, body mass index (BMI), blood pres-
sure, blood glucose or HbA1C, and lipid 
profile). 
‘‘(v) Crisis mental health services, in-
cluding 24-hour mobile crisis teams, emer-
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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 
other evidence-based practices as the Sec-
retary may require. 
‘‘(viii) Peer support and counselor 
services and family supports. 
‘‘(G) Maintaining linkages, and where pos-
sible entering into formal contracts with the fol-
lowing: 
‘‘(i) Federally qualified health centers. 
‘‘(ii) Inpatient psychiatric facilities 
and substance use detoxification, post de-
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