[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 7301 Introduced in House (IH)]

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118th CONGRESS
  2d Session
                                H. R. 7301

 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

                            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.

    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 2024''.

SEC. 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.
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