I 117th CONGRESS 2d Session H. R. 9499 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 services under demonstration programs to improve community mental health services, and for other purposes.

1. Short title This Act may be cited as the Certified Community Behavioral Health Clinic Expansion Act of 2022 . 2. Clarifying psychiatric rehabilitation services 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 following: (3) Psychiatric rehabilitation services The term psychiatric rehabilitation services includes community-based services and programs that promote community integration and address social 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 following: (viii) Psychosocial rehabilitation services. . (2) Definition Section 223(e) of the Protecting Access to Medicare Act of 2014 ( 42 U.S.C. 1396a note) is amended by inserting after paragraph (3), as inserted by subsection (a), the following: (4) Psychosocial rehabilitation services The term psychosocial rehabilitation services 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 development, 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— (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 eligible for services; and (iii) include equity-based and noncompulsory programmatic practices in which individuals are invited to support each other in peer relationships and participate in decisionmaking around community activities. (D) Restoration, rehabilitation, and support of daily functioning to improve self-management 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 individuals 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 Administrator of the Centers for Medicare & Medicaid Services. (G) Other rehabilitation and support through ongoing engagement, including both informal supports such as friends, family, or peers, and formal supports such as peer support professionals, other mental health professionals, and paraprofessionals that restore skills, self-esteem, confidence, and agency to function in natural community environments. . (c) Implementation timeline Not later than 1 year after the date of enactment of this Act, the Secretary of Health and Human Services shall publish revised criteria under subsection (a) of section 223 of the Protecting Access to Medicare Act of 2014 ( 42 U.S.C. 1396a note) for a clinic to be certified by a State as a certified community behavioral health clinic for purposes of participating in a demonstration program conducted under subsection (d) of such section.