[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5648 Introduced in House (IH)]

<DOC>






118th CONGRESS
  1st Session
                                H. R. 5648

 To amend the National Housing Act to authorize mortgage insurance for 
         certain treatment facilities, and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                           September 21, 2023

  Mr. Mooney (for himself and Ms. Pettersen) introduced the following 
    bill; which was referred to the Committee on Financial Services

_______________________________________________________________________

                                 A BILL


 
 To amend the National Housing Act to authorize mortgage insurance for 
         certain treatment facilities, 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 ``Community Assistance for Recovery 
and Empowerment Act'' or the ``CARE Act''.

SEC. 2. MORTGAGE INSURANCE FOR CERTAIN TREATMENT FACILITIES.

    (a) In General.--Section 232 of the National Housing Act (12 U.S.C. 
1715w) is amended--
            (1) in subsection (b)--
                    (A) in paragraph (6)(C), by striking ``and'' at the 
                end;
                    (B) in paragraph (7), by striking the final period 
                and inserting a semicolon; and
                    (C) by adding at the end the following:
            ``(8) the term `inpatient psychiatric treatment facility' 
        means a public facility, proprietary facility, or facility of a 
        private nonprofit corporation or association that--
                    ``(A) is licensed or regulated by the State (or, if 
                there is no State law providing for such licensing or 
                regulation by the State, by the municipality or other 
                political subdivision in which the facility is located) 
                for inpatient psychiatric treatment; or
                    ``(B) has deemed status in the State pursuant to 
                accreditation by the Joint Commission, the Commission 
                on the Accreditation of Rehabilitation Facilities, or 
                the Council on Accreditation; and
            ``(9) the term `chemical dependence treatment facility' 
        means a public facility, proprietary facility, or facility of a 
        private nonprofit corporation or association that--
                    ``(A) is licensed or regulated by the State (or, if 
                there is no State law providing for such licensing or 
                regulation by the State, by the municipality or other 
                political subdivision in which the facility is located) 
                for chemical dependency treatment; or
                    ``(B) has deemed status in the State pursuant to 
                accreditation by the Joint Commission, the Commission 
                on the Accreditation of Rehabilitation Facilities, or 
                the Council on Accreditation.''; and
            (2) in subsection (d)--
                    (A) by striking ``, or intermediate care facility'' 
                and inserting ``, intermediate care facility, inpatient 
                psychiatric treatment facility, or chemical dependence 
                treatment facility'';
                    (B) by striking ``assisted living facility, or 
                intermediate care facility'' and inserting ``assisted 
                living facility, intermediate care facility, inpatient 
                psychiatric treatment facility, or chemical dependence 
                treatment facility''; and
                    (C) by striking ``assisted living facility, and 
                intermediate care facility'' and inserting ``assisted 
                living facility, intermediate care facility, inpatient 
                psychiatric treatment facility, and chemical dependence 
                treatment facility''.
    (b) Establishment of the Office of Psychiatric and Addiction 
Treatment Facilities.--Section 4 of the Department of Housing and Urban 
Development Act (42 U.S.C. 3533) is amended by adding at the end the 
following:
    ``(i) Office of Psychiatric and Addiction Treatment Facilities.--
            ``(1) Establishment.--There is established within the 
        Federal Housing Administration the Office of Psychiatric and 
        Addiction Treatment Facilities (referred to in this subsection 
        as the `Office').
            ``(2) Assistant director.--Not later than 1 year after the 
        date of the enactment of this subsection, the Secretary shall 
        appoint an Assistant Director, who shall--
                    ``(A) carry out the functions described in 
                paragraph (3); and
                    ``(B) report directly to the Deputy Assistant 
                Secretary for Healthcare Programs.
            ``(3) Functions.--The Office shall oversee mortgage 
        insurance that is authorized under section 232 of the National 
        Housing Act (12 U.S.C. 1715w) to be provided to an inpatient 
        psychiatric treatment facility or a chemical dependence 
        treatment facility (as such terms are defined in subsection (b) 
        of such section).''.
    (c) Authorization of Appropriations.--
            (1) In general.--There is authorized to be appropriated to 
        the Federal Housing Commissioner such sums as are necessary to 
        carry out this section, including any costs related to--
                    (A) hiring staff and temporary consultants;
                    (B) developing policies, procedures, and 
                underwriting models; and
                    (C) updating information management systems.
            (2) Limitation.--In each fiscal year, the sum of any 
        amounts appropriated pursuant to paragraph (1) and any amounts 
        appropriated pursuant to section 519 of the National Housing 
        Act (12 U.S.C. 1735c) with respect to the mortgage insurance 
        programs described in section 232 of the National Housing Act 
        (12 U.S.C. 1715w) and section 242 of the National Housing Act 
        (12 U.S.C. 1715z-7) shall not exceed the amount that is the 
        total amount generated through the collection of premiums 
        associated with such programs.
            (3) Rule of construction.--If the amount that is the total 
        amount generated through the collection of premiums associated 
        with the mortgage insurance programs described in section 232 
        of the National Housing Act (12 U.S.C. 1715w) is less than the 
        amount equal to the net present value of claims, nothing in 
        this section may be construed to waive or eliminate the 
        limitation described in paragraph (2).

SEC. 3. DISASTER PREPAREDNESS AND EFFICIENCY LOANS.

    Section 241 of the National Housing Act (12 U.S.C. 1715z-6) is 
amended--
            (1) in subsection (d)--
                    (A) by striking ``or other health facility'' and 
                inserting ``or other health facility, including housing 
                for employees or trainees of healthcare facilities 
                insured under this title''; and
                    (B) by inserting ``, including floods, hurricanes, 
                earthquakes, and other natural disasters'' after ``fire 
                or other hazards''; and
            (2) in subsection (e)(1), by inserting ``or a group 
        practice, medical practice facility, hospital, or other health 
        care facility project approved by the Secretary under section 
        232 or section 242,'' after ``in a multifamily housing 
        project''.

SEC. 4. RULEMAKING.

    Not later than 180 days after the date of the enactment of this 
Act, the Secretary of Housing and Urban Development shall establish a 
negotiated rulemaking committee as provided for under section 561 of 
title 5, United States Code, to establish the procedures for 
implementation of this Act and the amendments made by this Act.

SEC. 5. REPORTING REQUIREMENT.

    (a) In General.--Not later than 120 days after the end of the first 
fiscal year ending after the date of the enactment of this Act (and 
alternating fiscal years thereafter), the Secretary of Housing and 
Urban Development (in this section referred to as the ``Secretary'') 
shall submit to the House Committee on Financial Services and the 
Senate Committee on Banking, Housing, and Urban Affairs a report in 
accordance with subsection (b).
    (b) Report Contents.--The report required pursuant to subsection 
(a) shall include information on the operation of the mortgage 
insurance programs described in section 232 of the National Housing Act 
(12 U.S.C. 1715w) and section 242 of the National Housing Act (12 
U.S.C. 1715z-7) for the 180-day period preceding the submission of such 
report, including the following information with respect to each such 
program:
            (1) The number of applications submitted to the program.
            (2) The volume and value of loans issued under the program.
            (3) The number and causes of defaults under the program.
            (4) The number of claims filed with respect to the program.
            (5) The total premiums collected each year.
            (6) The financial status of the program, including the 
        credit subsidy level of the program during the period covered 
        by the report, as determined by the Congressional Budget 
        Office.
    (c) Public Inspection.--Not later than 30 days after the date on 
which a report is submitted pursuant to subsection (a), the Secretary 
shall make such report publicly available on the website of the 
Department of Housing and Urban Development.
                                 <all>