<?xml version="1.0"?>
<?xml-stylesheet type="text/xsl" href="billres.xsl"?>
<!DOCTYPE bill PUBLIC "-//US Congress//DTDs/bill.dtd//EN" "bill.dtd">
<bill bill-stage="Introduced-in-House" dms-id="H06DDC9FF227D4CF98B33A4CBA141BE6E" public-private="public" key="H" bill-type="olc"><metadata xmlns:dc="http://purl.org/dc/elements/1.1/">
<dublinCore>
<dc:title>119 HR 10245 IH: 9–8–8 and 9–1–1 Integration Act</dc:title>
<dc:publisher>U.S. House of Representatives</dc:publisher>
<dc:date>2026-09-03</dc:date>
<dc:format>text/xml</dc:format>
<dc:language>EN</dc:language>
<dc:rights>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.</dc:rights>
</dublinCore>
</metadata>
<form>
<distribution-code display="yes">I</distribution-code><congress display="yes">119th CONGRESS</congress><session display="yes">2d Session</session><legis-num display="yes">H. R. 10245</legis-num><current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber><action display="yes"><action-date date="20260903">September 3, 2026</action-date><action-desc><sponsor name-id="B001318">Ms. Balint</sponsor> (for herself, <cosponsor name-id="M001163">Ms. Matsui</cosponsor>, <cosponsor name-id="T000482">Mrs. Trahan</cosponsor>, <cosponsor name-id="S000510">Mr. Smith of Washington</cosponsor>, <cosponsor name-id="M001227">Ms. McClellan</cosponsor>, <cosponsor name-id="B001300">Ms. Barragán</cosponsor>, and <cosponsor name-id="N000147">Ms. Norton</cosponsor>) introduced the following bill; which was referred to the <committee-name committee-id="HIF00">Committee on Energy and Commerce</committee-name></action-desc></action><legis-type>A BILL</legis-type><official-title display="yes">To direct the Secretary of Health and Human Services to convene a panel to issue recommendations relating to the training requirements and protocols for 9–1–1 dispatchers, and for other purposes.</official-title></form><legis-body id="H22D0BA3382F544948CE716C4C6BACEC5" style="OLC"> 
<section id="H6840665B3787414780E8DB1D647B14E1" section-type="section-one"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>9–8–8 and 9–1–1 Integration Act</short-title></quote>.</text></section> <section id="H84E8E5D626A743B691D3BBC9F7C4BDEC"><enum>2.</enum><header>Incident reporting</header> <subsection id="HC9FF035696D143BC86C442711D730BD7"><enum>(a)</enum><header>Establishment of panel</header><text display-inline="yes-display-inline">The Secretary of Health and Human Services (referred to in this section as the <quote>Secretary</quote>), in consultation with the Attorney General, shall convene a panel (referred to in this section as the <quote>panel</quote>) to issue recommendations relating to the training requirements and protocols for 9–1–1 dispatchers.</text></subsection> 
<subsection id="H8348781BA3C74CF7BF4CE1F090D5E35A"><enum>(b)</enum><header>Purpose of recommendations</header><text>The purpose of the recommendations to be issued under subsection (a) shall be to ensure that 9–1–1 dispatchers respond appropriately to individuals experiencing a behavioral health crisis based on the characteristics of the incident and the needs of the caller.</text></subsection> <subsection id="H62D565FFCDD5443E83563BF2268C0967"><enum>(c)</enum><header>Membership</header> <paragraph id="H49FD1B1FA2114B62AC36868B22D4ADE7"><enum>(1)</enum><header>Appointment</header><text>The panel shall be composed of members to be appointed by the Secretary and shall include—</text> 
<subparagraph id="H4C5EA56D37C1440B8BC95D8A1A9D4226"><enum>(A)</enum><text>psychiatrists;</text></subparagraph> <subparagraph id="H71228545DB394BB0B68B494FE3282091"><enum>(B)</enum><text>paramedics and other emergency medical services personnel;</text></subparagraph> 
<subparagraph id="HC5256806E3464F4B94D3645DB1F01CD3"><enum>(C)</enum><text>law enforcement officers and 9–1–1 dispatchers;</text></subparagraph> <subparagraph id="H43C1FDA43E14440A94A07C3B2588E803"><enum>(D)</enum><text>representatives from each segment of the crisis response continuum, including 9–8–8 dispatchers;</text> </subparagraph> 
<subparagraph id="HB00B8A1C12A940F08319CCA31814DEB9"><enum>(E)</enum><text>members of underserved communities;</text> </subparagraph> <subparagraph id="H7A81E4B54D77423F91EA6A14049E2B0C"><enum>(F)</enum><text>representatives of Tribes or Tribal organizations;</text></subparagraph> 
<subparagraph id="HC6936D29DADF4DC1BFDA0F580C2A5E36"><enum>(G)</enum><text display-inline="yes-display-inline">individuals with experience treating individuals with serious mental illness or post-traumatic stress disorder, including veterans and servicemembers; and</text></subparagraph> <subparagraph id="H288ED87309B5426C8DE980D41AD61C99"><enum>(H)</enum><text>such other individuals as the Secretary determines appropriate.</text></subparagraph></paragraph> 
<paragraph id="H8C582C26B6B348C88908FFA21BC80856"><enum>(2)</enum><header>Terms</header><text display-inline="yes-display-inline">The Secretary shall appoint the members of the panel to serve staggered 5-year terms.</text> </paragraph></subsection> <subsection id="HFA51F9B4CF564EBC95A6118450120ED2"><enum>(d)</enum><header>Recommendations</header> <paragraph id="H997A7FA564B64F5EBE06E5AC2C00188D"><enum>(1)</enum><header>Considerations</header><text>In making recommendations under subsection (a), the panel shall consider—</text> 
<subparagraph id="HDB810B37001847B888D51B6C5A2DC54E"><enum>(A)</enum><text>connecting 9–1–1 callers to crisis care services instead of responding with law enforcement officers;</text></subparagraph> <subparagraph id="HC8DAF707F89E4F9FAFE950373436E276"><enum>(B)</enum><text>integrating the 9–8–8 system into the 9–1–1 system, or transferring calls from the 9–1–1 system to the 9–8–8 system as appropriate;</text></subparagraph> 
<subparagraph id="HF71881C4C3614A7C895BB5297510EAD2"><enum>(C)</enum><text>a process for—</text> <clause id="H540222B9F4CE4F699B86A576CA8F49E6"><enum>(i)</enum><text>identifying 9–1–1 callers who may be experiencing psychiatric symptoms or a mental health crisis, substance use crisis, or co-occurring crisis; and</text></clause> 
<clause id="H0A1BD8FAEE1A435CBE733A3265043C86"><enum>(ii)</enum><text>evaluating the level of need of such callers, as defined by relevant, standardized assessment tools such as the Level of Care Utilization System (LOCUS), the Child and Adolescent Level of Care Utilization System (CALOCUS), and the American Society of Addiction Medicine (ASAM) Criteria; and</text></clause></subparagraph> <subparagraph id="HE8AA2B06AF04471D85042CBFE69E8C67"><enum>(D)</enum><text display-inline="yes-display-inline">establishing training, staffing, and protocol requirements, including the measures described in paragraph (2), to ensure that 9–1–1 and 9–8–8 dispatch personnel are equipped to respond appropriately to the individuals referred to in subparagraphs (E) through (H) of subsection (c)(1).</text></subparagraph> </paragraph> 
<paragraph id="H2F0D9A4BB95641D5A839864022E798C6"><enum>(2)</enum><header>Measures to meet the needs of certain 9–1–1 callers</header><text>The measures referred to in paragraph (1)(D) include—</text> <subparagraph id="H131F37FCA1F14DB9A129A2E02FDC0279"><enum>(A)</enum><text display-inline="yes-display-inline">training of dispatch personnel on cultural competency, implicit bias, and evidence-based best practices for individuals experiencing a behavioral or mental health crisis; and</text></subparagraph> 
<subparagraph id="HCE0812F4C9B441669B0B3F5916BE3831"><enum>(B)</enum><text display-inline="yes-display-inline">procedures designed to recruit, retain, or designate as dispatch personnel those individuals that have specialized training or demonstrated experience in—</text> <clause id="H5298098F3F2642FD96A2BBC31F17B03C"><enum>(i)</enum><text>serving rural or medically underserved communities; or</text></clause> 
<clause id="HF3F5A74DB0264609B8601E86C82F5DA1"><enum>(ii)</enum><text display-inline="yes-display-inline">serving individuals with serious mental illness or post-traumatic stress disorder.</text></clause></subparagraph></paragraph> <paragraph id="HE01372110EA1484BB48D8A5ED3A2615A"><enum>(3)</enum><header>Coordination with SAMHSA</header><text display-inline="yes-display-inline">In developing recommendations under paragraph (1), the panel shall coordinate with the Assistant Secretary for Mental Health and Substance Use for the purpose of ensuring consistency across Federal behavioral health crisis response systems, including alignment of—</text> 
<subparagraph id="HF24E98B61D8C4FB9A50A6E5D5BB491B6"><enum>(A)</enum><text>the training and protocol requirements for 9–1–1 dispatchers; and</text></subparagraph> <subparagraph id="H53648A4D966C425C9923B7238154C08E"><enum>(B)</enum><text display-inline="yes-display-inline">the development of guidance, training standards, and best practices issued by the Substance Abuse and Mental Health Services Administration for the 9–8–8 Suicide and Crisis Lifeline.</text></subparagraph></paragraph> 
<paragraph id="H36D01E4D8C1546A99D4C13784678FC3F"><enum>(4)</enum><header>Updates</header><text>The panel shall update recommendations issued under subsection (a) not less frequently than once every 5 years.</text></paragraph></subsection> <subsection id="HD494B9654D3A4AFCAA6E805B25BC9D36"><enum>(e)</enum><header>Data collection and reporting standards</header> <paragraph id="HBF4B8DD53AE349E0A30DF06C5A1B82FF"><enum>(1)</enum><header>In general</header><text display-inline="yes-display-inline">The panel shall develop data collection and reporting standards for use by the Secretary in collecting and assessing outcomes for individuals who contact 9–1–1 or 9–8–8 systems, including—</text> 
<subparagraph id="HD2F8BD9159DF445CBAF6DAB266D32E3A"><enum>(A)</enum><text>the extent to which callers are successfully connected to crisis care services;</text></subparagraph> <subparagraph id="HCA4E01F6086D46E0815A3606C862B295"><enum>(B)</enum><text>the frequency of law enforcement involvement in such responses; and</text></subparagraph> 
<subparagraph id="H103E74F68A0C47C2B97B2309AF56ED3C"><enum>(C)</enum><text>any disparities in response times, referrals, or outcomes compared to the general population or between different types of populations.</text></subparagraph></paragraph> <paragraph id="H16C4BC757AE84818BD532FA8071C1BD1"><enum>(2)</enum><header>Privacy</header><text display-inline="yes-display-inline">In developing the standards under paragraph (1), the panel shall ensure that data is collected in a manner that protects caller privacy and confidentiality.</text> </paragraph> 
<paragraph id="HAF02DDB31454408CAE50804F86697FD7"><enum>(3)</enum><header>Coordination</header><text>In developing the standards under paragraph (1), the panel shall coordinate with entities participating in the National 911 Program, including—</text> <subparagraph id="H366D47BD4875435AB1F504E64B7FF554"><enum>(A)</enum><text>the National Highway Traffic Safety Administration;</text></subparagraph> 
<subparagraph id="H043CD077C83F48B8AB495B12E3201F3C"><enum>(B)</enum><text>the Federal Communications Commission;</text></subparagraph> <subparagraph id="H720CB68BC6334377A5DBBEA39E5DA33F"><enum>(C)</enum><text>the Cybersecurity and Infrastructure Security Agency;</text></subparagraph> 
<subparagraph id="HCF8045C16A264EF4906B188D9B62B959"><enum>(D)</enum><text display-inline="yes-display-inline">the National Telecommunications and Information Administration; and</text></subparagraph> <subparagraph id="H91F6FF3AFDB643048057B24EE21B41CC"><enum>(E)</enum><text display-inline="yes-display-inline">State and local agencies operating 9–1–1 call centers.</text></subparagraph></paragraph></subsection> 
<subsection id="HE5F5C555C3C041A3998F2C7B656EF59A"><enum>(f)</enum><header>Reports to Congress</header><text>On the date of issuance of recommendations under subsection (a), and on the date of issuance of each update of such recommendations, the panel shall submit to Congress a report containing the finding and recommendations of the panel.</text></subsection> <subsection id="H0B51A12B69CE4BFE91E7B2914331D18E"><enum>(g)</enum><header>Nonapplicability of termination provision</header><text display-inline="yes-display-inline">Section 1013(a)(2) of title 5, United States Code (relating to the termination of advisory committees), shall not apply to the Commission.</text> </subsection></section> 
</legis-body></bill>

