I 118th CONGRESS 2d Session H. R. 7301 IN THE HOUSE OF REPRESENTATIVES February 7, 2024 Mr. Torres of New York (for himself and Mr. Thanedar ) 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 2024 . 2. Clarifying psychiatric rehabilitation services under demonstration programs to improve community mental health services (a) Psychosocial rehabilitation services (1) Care coordination Section 223(a)(2)(C) of the Protecting Access to Medicare Act of 2014 ( 42 U.S.C. 1396a note) is amended— (A) in the matter preceding clause (i), by inserting psychosocial, after chronic, ; (B) by redesignating clauses (iv) and (v) as clauses (v) and (vi), respectively; (C) by inserting after clause (iii) the following: (iv) Clubhouses located within the same metropolitan statistical area as the certified community behavioral health clinic, if any such clubhouses exist. ; and (D) by adding at the end the following: (vii) Housing and residential programs. . (2) 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 amending clause (iii) to read as follows: (iii) Patient-centered treatment planning or similar processes, including— (I) risk assessment and crisis planning; (II) programs that are respectful of the person’s autonomy to choose the services they prefer and are provided equitably; and (III) equity-based and noncompulsory programmatic practices in which persons are invited to support each other and participate in decision-making around community activities and services. ; (B) by redesignating clause (viii) as clause (ix); and (C) by striking clause (vii) and inserting the following: (vii) Supporting self-management, including in— (I) managing the person’s finances, medications, and self-care; and (II) using community resources. (viii) Psychiatric rehabilitation services, and psychosocial rehabilitation services, that— (I) restore, rehabilitate, and support daily functioning, skills development, self-esteem, and agency to improve self-management of the negative effects of psychiatric and emotional symptoms; and (II) include formalized activities, peer supports, and counselor services, and family supports to help individuals develop resilience to changes in psychiatric symptoms and stressors of all kinds to prevent crisis and promote functioning and stability. . (3) Quality and other reporting Subparagraph (E) of section 223(a)(2) of the Protecting Access to Medicare Act of 2014 ( 42 U.S.C. 1396a note) is amended to read as follows: (E) Quality and other reporting Reporting of— (i) encounter data; (ii) clinical outcomes data; (iii) quality data; (iv) patient-reported outcome measures that assess people’s loneliness, quality of life, thriving, and other outcomes of recovery; and (v) such other data as the Secretary requires. . (b) Definitions Section 223(e) of the Protecting Access to Medicare Act of 2014 ( 42 U.S.C. 1396a note) is amended— (1) by redesignating paragraphs (1), (2), (3), and (4) as paragraphs (2), (3), (4), and (5), respectively; (2) by inserting before paragraph (2) (as so redesignated) the following: (1) Clubhouse The term clubhouse means a therapeutic social environment that— (A) is accredited, or is in the process of becoming accredited, by a recognized body or bodies approved by the Secretary for purposes of this paragraph; (B) addresses psychosocial deficits and social drivers of health; (C) uses a therapeutic approach that emphasizes purposeful work, engagement, relationship development, and mutual support for people with serious mental illness; (D) uses blended leadership of professional mental health staff and individuals with lived experience to create and manage the therapeutic community and its services in a nonclinical setting; (E) offers members a community-based rehabilitative environment that both addresses often-unmet psychosocial needs of people living with serious mental illness and provides structures that offer support in natural, community environments; (F) offers support services for employment, education, health care, housing, and more to broadly address health-related social care needs; (G) is an essential part of the continuum of care and works in tandem with other medical and behavioral health services; (H) relies on the restorative power of work and work-mediated relationships to build a firm foundation for growth and individual achievement for members; (I) emphasizes strengths-based teamwork and opportunities to contribute to operations through a work-ordered day; and (J) offers naturalistic social and community-based recreational opportunities to contribute to a member’s path and success in recovery. . (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.