I 118th CONGRESS 2d Session H. R. 7186 IN THE HOUSE OF REPRESENTATIVES February 1, 2024 Mr. Calvert (for himself, Mr. Issa , Mr. Valadao , Mrs. Chavez-DeRemer , Mr. LaMalfa , and Mr. Williams of New York ) introduced the following bill; which was referred to the Committee on Financial Services A BILL To provide for the integration of participant treatment within the Continuum of Care Program with Certified Community Behavioral Health Clinics, and for other purposes.

1. Short title This Act may be cited as the Treatment and Homelessness Housing Integration Act of 2024 . 2. Addition of Treatment Section 425 of the McKinney-Vento Homeless Assistance Act ( 42 U.S.C. 11385 ) is amended— (1) in subsection (a) by inserting and behavioral health, mental health, substance use disorder treatment after supportive services ; and (2) by adding at the end the following: (f) Behavioral health, mental health, and substance use disorder treatment (1) In general Behavioral health, mental health, and substance use disorder treatment shall, to the degree practicable, be provided to qualified program participants and may include— (A) crisis behavioral health services; (B) screening, assessment, and diagnosis; (C) outpatient mental health and substance use services; (D) targeted case management services; (E) psychiatric rehabilitation services; (F) in the case of veterans, intensive, community-based mental healthcare; and (G) other treatments provided through a Certified Community Behavioral Health Clinic program. (2) Qualified participant defined In this subsection, the term qualified participant means an individual or family member that— (A) receives supportive housing, including Rapid Re-Housing, Permanent Supportive Housing, or any other type of housing assistance through the Continuum of Care Program; (B) has qualified for supportive housing through receipt of Supplemental Security Income or Social Security Disability Income benefits; or (C) is considered a homeless individual with a disability as defined in section 401. . 3. Integration of treatment Section 426 of the McKinney-Vento Homeless Assistance Act ( 42 U.S.C. 11386 ) is amended by adding at the end the following: (h) Integration of treatment Each recipient or project sponsor shall, to the degree practicable, with respect to each homeless individual or homeless family residing in a project that provides supportive housing, integrate treatment for qualified participants with a regional Certified Community Behavioral Health Clinic to provide behavioral health, mental health, substance use disorder treatment for such individual or family if— (1) there is a Certified Community Behavioral Health Clinic within 50 miles of the project and such clinic serves participants of the Continuum of Care Program; and (2) the participant qualified to reside in the project through the receipt of benefits paid through the Supplemental Security Income program or the Social Security Disability Insurance program. . 4. Allocation of Amounts Section 428 of the McKinney-Vento Homeless Assistance Act ( 42 U.S.C. 11386 ) is amended by adding at the end the following: (h) Set-Aside for integration with Certified Community Behavioral Health Clinics (1) In general Not less than 2 percent of the amounts made available to carry out this subtitle each year shall be used to facilitate integration with Certified Community Behavioral Health Clinics with respect to behavioral health, mental health, substance use disorder treatment for individuals and families who qualify for supportive housing through Supplemental Security Income or the Social Security Disability Insurance program. (2) Incentives (A) In general Out the amounts set aside in paragraph (1), the Secretary may provide bonuses or other incentives to projects located in areas where there are high numbers of homeless individuals, as reported in the most recent point in time count for the region in which the project is located. (B) Amount (i) In general With respect to the bonuses and incentives described in subparagraph (A), the Secretary may provide $500,000 or more for each 1,000 homeless individuals in the area in which the project is located. (ii) Caps Notwithstanding clause (i), the Secretary may not provide— (I) more than $2,000,000 to any 1 project; or (II) more than $5,000,000 in the aggregate to projects in a single region. . 5. Exemption Section 425(e) of the McKinney-Vento Homeless Assistance Act ( 42 U.S.C. 11385(e) ) is amended by adding at the end the following: (3) Exemption The requirements described in this subsection may not be applied if the application for assistance under this subtitle that includes the provision of outpatient health services also describes a plan to provide such services through a Certified Community Behavioral Health Clinic. . 6. Report The Secretary of Housing and Urban Development shall, not later 1 year after the date of the enactment of this Act, and every year there after for 5 years, submit to the Committee on Financial Services of the House of Representatives and the Committee on Banking, Housing, and Urban Affairs of the Senate a report that describes the progress the Secretary of Housing and Urban Development has made with respect to implementing the amendments made under this Act.