110 HR 1669 IH: Positive Aging Act of
U.S. House of Representatives
2007-03-23
text/xml
EN
Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.
1.This Act may be cited as the
Positive Aging Act of
2007
.
2.Demonstration
projects to support integration of mental health services in primary care
settingsSubpart 3 of part B
of title V of the Public Health Service
Act (42 U.S.C. 290bb–31 et seq.) is amended—
(1)in section
520(b)—
(A)in paragraph (14),
by striking and
after the semicolon;
(B)in paragraph (15),
by striking the period at the end and inserting ; and
;
and
(C)by adding at the
end the following:
(16)conduct the
demonstration projects specified in section
520K.
;
and
(2)by adding at the
end the following:
520K.Projects to
demonstrate integration of Mental Health Services in primary care
settings
(a)The Secretary, acting through the Director of the Center
for Mental Health Services, shall award grants to public and private nonprofit
entities for projects to demonstrate ways of integrating mental health services
for older adults into primary care settings, such as health centers receiving a
grant under section 330 (or determined by the Secretary to meet the
requirements for receiving such a grant), other Federally qualified health
centers, primary care clinics, and private practice sites.
(b)In
order to be eligible for a grant under this section, the project to be carried
out by the entity shall provide for collaborative care within a primary care
setting, provided by licensed mental health professionals with appropriate
training and experience in the treatment of older adults, in which screening,
assessment, and intervention services are combined into an integrated service
delivery model, including—
(1)screening services
by a mental health professional with at least a masters degree in an
appropriate field of training;
(2)referrals for
necessary prevention, intervention, follow-up care, consultations, and care
planning oversight for mental health and other service needs, as indicated;
and
(3)adoption and
implementation of evidence-based intervention and treatment protocols (to the
extent such protocols are available) for mental disorders prevalent in older
adults including, but not limited to, mood and anxiety disorders, dementias of
all kinds (including the behavioral and psychological symptoms of dementia),
psychotic disorders, and substance-related disorders.
(c)Considerations
in awarding grantsIn awarding grants under this section, the
Secretary, to the extent feasible, shall ensure that—
(1)projects are
funded in a variety of geographic areas, including urban and rural areas;
and
(2)a variety of
populations, including racial and ethnic minorities and low-income populations,
are served by projects funded under this section.
(d)A
project may receive funding pursuant to a grant under this section for a period
of up to 3 years, with an extension period of 2 additional years at the
discretion of the Secretary.
(e)To
be eligible to receive a grant under this section, a public or private
nonprofit entity shall—
(1)submit an
application to the Secretary (in such form, containing such information, and at
such time as the Secretary may specify); and
(2)agree to report to
the Secretary standardized clinical and behavioral data and other performance
data necessary to evaluate patient outcomes and to facilitate evaluations
across participating projects.
(f)Not
later than July 31 of the second calendar year after the date of enactment of
this section, and July 31 of every year thereafter, the Secretary shall submit
to Congress a report evaluating the projects receiving awards under this
section for the year involved.
(g)Funds made available under this section shall
supplement, and not supplant, other Federal, State, or local funds available to
an entity to carry out activities described in this section.
(h)Authorization of
appropriationsThere are authorized to be appropriated such sums
as may be necessary to carry out this section for fiscal year 2008 and each
fiscal year
thereafter.
.
3.Grants for
community-based mental health treatment outreach teamsSubpart 3 of part B of title V of the
Public Health Service Act (42 U.S.C.
290bb–31 et seq.), as amended by section 2, is further amended by adding at the
end the following:
520L.Grants for
community-based mental health treatment outreach teams
(a)The Secretary, acting through the Director of the Center
for Mental Health Services, shall award grants to public or private nonprofit
entities that are community-based providers of geriatric mental health
services, to support the establishment and maintenance by such entities of
multi-disciplinary geriatric mental health outreach teams in community settings
where older adults reside or receive social services. Entities eligible for
such grants include—
(1)mental health
service providers of a State or local government;
(2)outpatient
programs of private, nonprofit hospitals;
(3)community mental
health centers meeting the criteria specified in section 1913(c); and
(4)other
community-based providers of mental health services.
(b)To
be eligible to receive a grant under this section, an entity shall—
(1)adopt and
implement, for use by its mental health outreach team, evidence-based
intervention and treatment protocols (to the extent such protocols are
available) for mental disorders prevalent in older adults including, but not
limited to, mood and anxiety disorders, dementias of all kinds (including the
behavioral and psychological symptoms of dementia), psychotic disorders, and
substance-related disorders, relying to the greatest extent feasible on
protocols that have been developed—
(A)by or under the
auspices of the Secretary; or
(B)by
academicians;
(2)provide screening
for mental disorders, diagnostic services, referrals for treatment, and case
management and coordination through such teams; and
(3)coordinate and
integrate the services provided by such team with the services of social
service, mental health, and medical providers at the site or sites where the
team is based in order to—
(A)improve patient
outcomes; and
(B)to ensure, to the
maximum extent feasible, the continuing independence of older adults who are
residing in the community.
(c)Cooperative
arrangements with sites serving as bases for outreachAn entity
receiving a grant under this section may enter into an agreement with a person
operating a site at which a geriatric mental health outreach team of the entity
is based, including—
(1)senior
centers;
(2)adult day care
programs;
(3)assisted living
facilities; and
(4)recipients of
grants to provide services to older adults under the
Older Americans Act of 1965, under
which such person provides (and is reimbursed by the entity, out of funds
received under the grant, for) any supportive services, such as transportation
and administrative support, that such person provides to an outreach team of
such entity.
(d)Considerations
in awarding grantsIn awarding grants under this section, the
Secretary, to the extent feasible, shall ensure that—
(1)projects are
funded in a variety of geographic areas, including urban and rural areas;
and
(2)a variety of
populations, including racial and ethnic minorities and low-income populations,
are served by projects funded under this section.
(e)To
be eligible to receive a grant under this section, an entity shall—
(1)submit an
application to the Secretary (in such form, containing such information, at
such time as the Secretary may specify); and
(2)agree to report to
the Secretary standardized clinical and behavioral data and other performance
data necessary to evaluate patient outcomes and to facilitate evaluations
across participating projects.
(f)The
Secretary shall provide for appropriate coordination of programs and activities
receiving funds pursuant to a grant under this section with programs and
activities receiving funds pursuant to grants under section 520K and sections
381, 422, and 423 of the Older Americans Act of
1965.
(g)Not
later than July 31 of the second calendar year after the date of enactment of
this section, and July 31 of every year thereafter, the Secretary shall submit
to Congress a report evaluating the projects receiving awards under this
section for such year.
(h)Funds made available under this section shall
supplement, and not supplant, other Federal, State, or local funds available to
an entity to carry out activities described in this section.
(i)Authorization of
appropriationsThere are authorized to be appropriated such sums
as may be necessary to carry out this section for fiscal year 2008 and each
fiscal year
thereafter.
.
4.Designation of
Deputy Director for Older Adult Mental Health Services in Center for Mental
Health ServicesSection 520 of
the Public Health Service Act (42
U.S.C. 290bb–31) is amended—
(1)by redesignating
subsection (c) as subsection (d); and
(2)by inserting after
subsection (b) the following:
(c)Deputy Director
for Older Adult Mental Health Services in Center for Mental Health
ServicesThe Director, after consultation with the Administrator,
shall designate a Deputy Director for Older Adult Mental Health Services, who
shall be responsible for the development and implementation of initiatives of
the Center to address the mental health needs of older adults. Such initiatives
shall include—
(1)research on
prevention and identification of mental disorders in the older adult
population;
(2)innovative
demonstration projects for the delivery of community-based mental health
services for older adults;
(3)support for the
development and dissemination of evidence-based practice models, including
models to address substance-related disorders in older adults; and
(4)development of
model training programs for mental health professionals and care givers serving
older
adults.
.
5.Membership of
advisory council for the Center for Mental Health ServicesSection 502(b)(3) of the
Public Health Service Act (42 U.S.C.
290aa–1(b)(3)) is amended by adding at the end the following:
(C)In the case of the
advisory council for the Center for Mental Health Services, the members
appointed pursuant to subparagraphs (A) and (B) shall include representatives
of older adults or their families, and professionals with an expertise in
geriatric mental
health.
.
6.Projects of
national significance targeting substance abuse in older adultsSection 509(b)(2) of the
Public Health Service Act (42 U.S.C.
290bb–2(b)(2)) is amended by inserting before the period the following:
, and to providing treatment for older adults with substance-related
disorders
.
7.Criteria for
State plans under community Mental Health Services block grants
(a)Section 1912(b)(4)of the Public Health Service Act (42 U.S.C.
300x–2(b)(4)) is amended to read as follows:
(4)Targeted
services to older individuals, individuals who are homeless, and individuals
living in rural areasThe plan describes the State’s outreach to
and services for older individuals, individuals who are homeless, and
individuals living in rural areas, and how community-based services will be
provided to these
individuals.
.
(b)The amendment made by subsection (a) shall apply to State
plans submitted on or after the date that is 180 days after the date of
enactment of this Act.