Behavioral Health Crisis Care Centers Act of 2022
Bill: H.R.8979 | Sponsor: Rep. Smith, Adam (D-WA)
Policy area: Health

Summary:
Behavioral Health Crisis Care Centers Act of 2022
This bill requires the Department of Health and Human Services to establish a grant program for states, Indian tribes, territories, and localities to support one-stop crisis facilities. These are facilities that provide behavioral health, substance use disorder, and housing services at a single location, as well as coordinate with other services available in the community.

To direct the Secretary of Health and Human Services to award grants 
   for the purpose of establishing, operating, or expanding one-stop 
               crisis facilities, and for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Behavioral Health Crisis Care 
Centers Act of 2022''.

SEC. 2. GRANT PROGRAM FOR ONE-STOP CRISIS FACILITIES.

    (a) Establishment.--The Secretary of Health and Human Services (in 
this section referred to as the ``Secretary''), in consultation with 
the Secretary of Housing and Urban Development, the Attorney General of 
the United States, the Secretary of the Interior, and the heads of any 
other relevant Federal agencies, shall award grants to eligible 
entities in the amounts determined pursuant to subsection (d) for the 
purpose of establishing, operating, or expanding one-stop crisis 
facilities.
    (b) Eligible Activities.--Activities funded through a grant under 
this section for establishing, operating, or expanding a one-stop 
crisis facility may include--
            (1) acquiring, constructing, or developing facilities;
            (2) acquiring supplies or equipment;
            (3) training, hiring, and retaining staff;
            (4) establishing, operating, or expanding services provided 
        at a one-stop crisis facility, including--
                    (A) health care services, including behavioral 
                health and substance use disorder treatment;
                    (B) counseling or case management services;
                    (C) housing assistance, including financial 
                assistance for housing;
                    (D) legal services; and
                    (E) other wrap-around services provided as part of 
                a one-stop crisis facility;
            (5) coordinating with governmental and nongovernmental 
        partners, including local crisis response, law enforcement, 
        health care entities, workforce development programs, aging, 
        disability, and senior services, community-based organizations, 
        housing authorities, continuum of care programs, immigrant and 
        refugee assistance organizations, veteran service 
        organizations, evidence-based diversion programs such as law 
        enforcement-assisted diversion programs, children and family 
        organizations, and other entities involved in the provision of 
        wrap-around services;
            (6) conducting outreach services to engage with vulnerable 
        and high-need communities, including individuals at public and 
        federally assisted housing facilities, youths, and unhoused 
        individuals; and
            (7) planning system-wide coordination with other entities 
        involved in crisis response.
    (c) Subgrants.--A recipient of a grant under this section may use 
such grant to award subgrants to nongovernmental entities for the 
purpose of providing one-stop crisis facility services, including those 
described in paragraphs (3), (4), (5), and (6) of subsection (b).
    (d) Determination of Amounts.--
            (1) Metropolitan cities.--Of the total amount made 
        available for a fiscal year pursuant to subsection (g)(2)(A), 
        the Secretary shall award to each metropolitan city receiving a 
        grant under this section an amount that bears the same 
        proportion to such total amount as the population of such 
        metropolitan city bears to the total population of all 
        metropolitan cities receiving grants under this section.
            (2) Nonentitlement units of local government.--Of the total 
        amount made available for a fiscal year pursuant to subsection 
        (g)(2)(B), the Secretary shall award to each nonentitlement 
        unit of local government receiving a grant under this section 
        an amount that bears the same proportion to such total amount 
        as the population of such nonentitlement unit of local 
        government bears to the total population of all nonentitlement 
        units of local government receiving grants under this section.
            (3) Counties.--The Secretary shall award to each county 
        receiving a grant under this section--
                    (A) of half of the amount made available for a 
                fiscal year pursuant to subsection (g)(2)(C), an amount 
                that is equal for each such county; and
                    (B) of the remaining half of the amount made 
                available for a fiscal year pursuant to subsection 
                (g)(2)(C), an amount that bears the same proportion to 
                such remaining half as the population of such county 
                bears to the total population of all counties receiving 
                grants under this section.
            (4) States.--The Secretary shall award to each State 
        receiving a grant under this section--
                    (A) of half of the amount made available for a 
                fiscal year pursuant to subsection (g)(2)(D), an amount 
                that is equal for each such State; and
                    (B) of the remaining half of the amount made 
                available for a fiscal year pursuant to subsection 
                (g)(2)(D), an amount that bears the same proportion to 
                such remaining half as the population of such State 
                bears to the total population of all States receiving 
                grants under this section.
            (5) Indian tribes.--The Secretary shall award to each 
        Indian Tribe receiving a grant under this section--
                    (A) of 25 percent of the amount made available for 
                a fiscal year pursuant to subsection (g)(2)(E), an 
                amount that is equal for each such Indian Tribe; and
                    (B) of 75 percent of the amount made available for 
                a fiscal year pursuant to subsection (g)(2)(E), an 
                amount determined by the Secretary of the Interior.
            (6) Territories.--Of the total amount made available for a 
        fiscal year pursuant to subsection (g)(2)(F), the Secretary 
        shall award to each territory receiving a grant under this 
        section an amount that bears the same proportion to such total 
        amount as the population of such territory bears to the total 
        population of all territories receiving grants under this 
        section.
    (e) Application.--
            (1) In general.--To seek a grant under this section, an 
        eligible entity shall submit an application to the Secretary at 
        such time, in such manner, and accompanied by such information 
        as the Secretary may require.
            (2) Plan.--Such an application shall include a plan for how 
        the grant funds will be used, including--
                    (A) how such plan is informed by stakeholders in 
                the community;
                    (B) how the recipient will collaborate with 
                community-based organizations to connect individuals 
                with appropriate services;
                    (C) how the recipient will establish a housing 
                first policy strategy for adults experiencing chronic 
                homeless and a transitional housing, wrap around 
                services strategy for youth in crisis;
                    (D) how the recipient will prioritize equitable 
                access for people with language, cultural, and other 
                barriers, including how staff will be trained in 
                cultural competency and trauma-informed care;
                    (E) how the recipient will work in conjunction with 
                crisis response systems, law enforcement, and emergency 
                departments to steer individuals experiencing a 
                behavioral health or substance use crisis to the one-
                stop crisis facility;
                    (F) how the recipient will work in conjunction with 
                continuum of care programs and housing providers to 
                steer individuals at assisted housing facilities to the 
                one-stop crisis facility to receive supportive 
                services; and
                    (G) how the recipient intends to create programming 
                and services specific to the needs of youth.
    (f) Definitions.--In this section:
            (1) The terms ``county'', ``metropolitan city'', and 
        ``nonentitlement unit of local government'' have the meanings 
        given to such terms in section 603(g) of the Social Security 
        Act (42 U.S.C. 803(g)).
            (2) The term ``eligible entity'' means a metropolitan city, 
        a nonentitlement unit of local government, a county, a State, 
        an Indian Tribe, or a territory.
            (3) The term ``Indian Tribe'' has the meaning given to the 
        term ``Indian tribe'' in section 102 of the Federally 
        Recognized Indian Tribe List Act of 1994 (25 U.S.C. 5130).
            (4) The term ``one-stop crisis facility'' means a facility 
        that provides, at a single location--
                    (A) on-site services for behavioral health and 
                substance use disorder;
                    (B) housing services; and
                    (C) coordination with health care services, housing 
                services, legal aid, or other case management or wrap-
                around services available in the community.
            (5) The term ``State'' means each State of the United 
        States and the District of Columbia.
            (6) The term ``territory'' means the Commonwealth of Puerto 
        Rico, the United States Virgin Islands, Guam, the Commonwealth 
        of the Northern Mariana Islands, and American Samoa.
    (g) Authorization of Appropriations.--
            (1) In general.--There is authorized to be appropriated to 
        carry out this section $11,500,000,000 for each of fiscal years 
        2023 through 2027.
            (2) Reservation.--Of the amounts authorized to be 
        appropriated by paragraph (1)--
                    (A) $3,000,000,000 shall be for grants to 
                metropolitan cities;
                    (B) $1,000,000,000 shall be for grants to 
                nonentitlement units of local government;
                    (C) $3,000,000,000 shall be for grants to counties;
                    (D) $2,000,000,000 shall be for grants to States;
                    (E) $2,000,000,000 shall be for grants to Indian 
                Tribes; and
                    (F) $500,000,000 shall be for grants to 
                territories.
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