Title: Mental Health Workforce and Language Access Act of 2022
Policy area: Health

Summary:
Mental Health Workforce and Language Access Act of 2022
This bill establishes within the Department of Health and Human Services (HHS) two demonstration programs to increase access to mental health services provided in languages other than English at federally qualified health centers (FQHCs). In carrying out the programs, HHS must give preference to FQHCs at which at least 20% of the patients are best served in a language other than English.
First, HHS must provide National Health Service Corps (NHSC) loan repayments to mental health care providers who agree to serve their period of obligated service in an FQHC. Additionally, HHS must provide enhanced payments to those who serve in an FQHC with non-English language needs. (The NHSC is a scholarship and student loan repayment program for eligible health care providers who agree to work in areas with a shortage of primary care, dental care, and mental health care providers.)
Second, HHS must award grants to FQHCs for recruiting and retaining mental health care providers who are fluent in a language other than English.

[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[S. 4677 Introduced in Senate (IS)]

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117th CONGRESS
  2d Session
                                S. 4677

To increase language access to mental health services at certain health 
                    centers, and for other purposes.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                             July 28, 2022

Mr. Heinrich (for himself, Mr. Padilla, Mr. Van Hollen, Ms. Klobuchar, 
 Mr. Booker, and Ms. Warren) introduced the following bill; which was 
 read twice and referred to the Committee on Health, Education, Labor, 
                              and Pensions

_______________________________________________________________________

                                 A BILL


 
To increase language access to mental health services at certain health 
                    centers, 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 ``Mental Health Workforce and Language 
Access Act of 2022''.

SEC. 2. PILOT PROGRAM TO INCREASE LANGUAGE ACCESS AT FEDERALLY 
              QUALIFIED HEALTH CENTERS.

    (a) Loan Repayments to Qualified Mental Health Professionals.--
            (1) In general.--For the purpose of increasing language 
        access to mental health services, the Secretary shall carry out 
        a demonstration project under which--
                    (A) the Secretary matches qualified mental health 
                professionals with Federally qualified health centers;
                    (B) the qualified mental health professionals each 
                agree to a period of obligated service at a Federally 
                qualified health center with which they are so matched; 
                and
                    (C) the Secretary agrees to make loan repayments 
                under section 338B of the Public Health Service Act (42 
                U.S.C. 254l-1) on behalf of such qualified mental 
                health professionals.
            (2) Preference.--In matching qualified mental health 
        professionals with Federally qualified health centers under 
        paragraph (1), the Secretary shall give preference to placement 
        at Federally qualified health centers at which at least 20 
        percent of the patients are best served in a language other 
        than English, as indicated by data in the Uniform Data System 
        (or any successor database) or as otherwise determined by the 
        Secretary.
            (3) Enhanced compensation.--For each year of obligated 
        service that a qualified mental health professional contracts 
        to serve under paragraph (1) at a Federally qualified health 
        center at which at least 20 percent of the patients are best 
        served in a language other than English, as indicated by data 
        in the Uniform Data System (or any successor database) or as 
        otherwise determined by the Secretary, the Secretary shall pay 
        the qualified mental health professional--
                    (A) except as provided in subparagraph (B), $10,000 
                above the maximum amount otherwise applicable under 
                section 338B(g)(2)(A) of the Public Health Service Act 
                (42 U.S.C. 254l-1(g)(2)(A)); or
                    (B) if the qualified mental health professional is 
                fluent in a language other than English that is needed 
                by such Federally qualified health center, $15,000 
                above such maximum amount.
            (4) Achieving fluency.--A qualified mental health 
        professional subject to the pay amount specified in paragraph 
        (3)(A) at the beginning of the professional's period of 
        obligated service may transition to being subject to the higher 
        pay amount specified in paragraph (3)(B) if the professional is 
        determined by the Federally qualified health center at which 
        the professional serves to have achieved fluency in a language 
        other than English needed by that health center.
    (b) Grants to Health Centers.--
            (1) In general.--The Secretary shall carry out a 
        demonstration program consisting of awarding grants under 
        section 330 of the Public Health Service Act (42 U.S.C. 254b) 
        to Federally qualified health centers to recruit, hire, employ, 
        and supervise qualified mental health professionals who are 
        fluent in a language other than English to provide mental 
        health services in such other language.
            (2) Preference.--In selecting grant recipients under 
        paragraph (1), the Secretary shall give preference to Federally 
        qualified health centers at which at least 20 percent of the 
        patients are best served in a language other than English, as 
        indicated by data in the Uniform Data System (or any successor 
        database) or as otherwise determined by the Secretary.
            (3) Marketing.--A Federally qualified health center 
        receiving a grant under this subsection shall use a portion of 
        the grant funds to disseminate information about, and otherwise 
        market, the mental health services supported through the grant.
    (c) Reports.--
            (1) Initial report.--Not later than 6 months after the 
        first loan repayment awards have been made under subsection (a) 
        and the first grants have been awarded under subsection (b), 
        the Secretary shall submit to the Committees on Appropriations 
        of the House of Representatives and the Senate, and to other 
        appropriate congressional committees, a report on the 
        implementation of the programs under this section. Such report 
        shall include--
                    (A) the languages spoken by the qualified mental 
                health professionals receiving loan repayments pursuant 
                to subsection (a) or recruited pursuant to a grant 
                under subsection (b);
                    (B) the Federally qualified health centers at which 
                such professionals were placed;
                    (C) how many Federally qualified health centers 
                received funding through the grant program under 
                subsection (b);
                    (D) an analysis, conducted in consultation with the 
                Federally qualified health centers receiving grants 
                under section (b), of the effectiveness of such grants 
                at increasing language access to mental health 
                services; and
                    (E) best practices, developed in consultation with 
                Federally qualified health centers receiving grants 
                under section (b), for the recruitment and retention of 
                mental health professionals at Federally qualified 
                health centers.
            (2) Final report.--Not later than September 30, 2026, the 
        Secretary shall submit to the Committees on Appropriations of 
        the House of Representatives and the Senate, and to other 
        appropriate congressional committees, a final report on the 
        implementation of the programs under this section, including 
        the information, analysis, and best practices listed in 
        subparagraphs (A) through (E) of paragraph (1).
    (d) Definitions.--In this section:
            (1) Federally qualified health center.--The term 
        ``Federally qualified health center'' has the meaning given the 
        term in section 1861(aa) of the Social Security Act (42 U.S.C. 
        1395x(aa)).
            (2) Qualified mental health professional.--The term 
        ``qualified mental health professional'' means--
                    (A) a physician, allopathic physician, osteopathic 
                physician, nurse practitioner, or physician assistant 
                with a specialty in mental health and psychiatry;
                    (B) a health service psychologist;
                    (C) a licensed clinical social worker;
                    (D) a psychiatric nurse specialist;
                    (E) a marriage and family therapist;
                    (F) a licensed professional counselor;
                    (G) a substance use disorder counselor;
                    (H) an occupational therapist; or
                    (I) any other individual who--
                            (i) has not yet been licensed or certified 
                        to serve as a professional listed in any of 
                        subparagraphs (A) through (H); and
                            (ii) will serve at the Federally qualified 
                        health center under the supervision of a 
                        licensed individual or certified professional 
                        so listed.
            (3) Secretary.--The term ``Secretary'' means the Secretary 
        of Health and Human Services.
    (e) Authorization of Appropriations.--
            (1) In general.--To carry out this section, there is 
        authorized to be appropriated $75,000,000 for each of fiscal 
        years 2023 through 2027.
            (2) Supplement not supplant.--Amounts made available to 
        carry out this section shall be in addition to amounts 
        otherwise available to provide mental health services at 
        Federally qualified health centers pursuant to sections 338B 
        and 330 of the Public Health Service Act (42 U.S.C. 254l-1, 
        254b).
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