I 118th CONGRESS 1st Session H. R. 2977 IN THE HOUSE OF REPRESENTATIVES April 27, 2023 Mr. Smith of Washington introduced the following bill; which was referred to the Committee on Energy and Commerce , and in addition to the Committees on Financial Services , and the Judiciary , for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned A BILL 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.

1. Short title This Act may be cited as the Behavioral Health Crisis Care Centers Act of 2023 . 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, 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, including medication for opioid use disorder; (B) counseling; (C) case management services and recovery oriented supports; (D) housing assistance, including financial assistance for housing; (E) legal services; and (F) other wrap-around services, not limited to services that are clinical in nature, provided as part of a one-stop crisis facility; (5) coordinating with governmental and nongovernmental partners (including local crisis response, law enforcement, fire services, emergency medical services, health care entities, workforce development programs, aging, disability, and senior services, community-based organizations, faith-based organizations, civic organizations, housing authorities, continuum of care programs, immigrant and refugee assistance organizations, veteran service organizations, deflection initiatives led by first responders, evidence-based jail diversion programs, such as law enforcement-assisted diversion programs, children and family organizations, and other entities involved in the provision of wrap-around services, not limited to clinical services); (6) conducting outreach services to engage with vulnerable and high-need communities, including individuals living at public or federally assisted housing facilities or receiving Federal housing assistance, 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, especially people with lived experiences with a behavioral health crisis , people with disabilities, and community organizations that work with these communities; (B) how the recipient will collaborate with community-based organizations to connect individuals with appropriate services in a timely and direct manner; (C) how the recipient will establish a housing first policy strategy for adults experiencing homelessness and a transitional housing, wrap around services strategy for youth in crisis; (D) how the recipient will prioritize equitable access for people facing language, cultural, disability-related, 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, fire services, emergency medical services, homeless outreach, community health workers, and emergency departments to divert individuals experiencing a behavioral health or substance use crisis to the one-stop crisis facility; (F) how the recipient will consult with people with lived experience with a behavioral health crisis to design centers that have a home-like environment that is accessible; (G) how the recipient will work in conjunction with continuum of care programs and housing providers to connect individuals at assisted housing facilities with the one-stop crisis facility to receive supportive services; and (H) how the recipient intends to create programming and services specific to the needs of youth. (f) Nondiscrimination No person in the United States shall, on the basis of actual or perceived race, color, religion, national origin, sex (including sexual orientation and gender identity), or disability, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program or activity funded, in whole or in part, with funds made available under this Act. (g) 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. (h) 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 2024 through 2028. (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.