[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[H.R. 9499 Introduced in House (IH)]

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117th CONGRESS
  2d Session
                                H. R. 9499

 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.


_______________________________________________________________________


                    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.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Certified Community Behavioral 
Health Clinic Expansion Act of 2022''.

SEC. 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.
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