[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5859 Introduced in House (IH)]
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119th CONGRESS
1st Session
H. R. 5859
To direct the Secretary of Health and Human Services to award grants
for the purpose of establishing, operating, or expanding one-stop
crisis facilities, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
October 28, 2025
Mr. Smith of Washington introduced the following bill; which was
referred to the Committee on Energy and Commerce, and in addition to
the Committees on Financial Services, and the Judiciary, for a period
to be subsequently determined by the Speaker, in each case for
consideration of such provisions as fall within the jurisdiction of the
committee concerned
_______________________________________________________________________
A BILL
To direct the Secretary of Health and Human Services to award grants
for the purpose of establishing, operating, or expanding one-stop
crisis 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 ``Behavioral Health Crisis Care
Centers Act of 2025''.
SEC. 2. GRANT PROGRAM FOR ONE-STOP CRISIS FACILITIES.
(a) Establishment.--The Secretary of Health and Human Services (in
this section referred to as the ``Secretary''), in consultation with
the Secretary of Housing and Urban Development, the Attorney General,
the Secretary of the Interior, and the heads of any other relevant
Federal agencies, shall award grants to eligible entities in the
amounts determined pursuant to subsection (d) for the purpose of
establishing, operating, or expanding one-stop crisis facilities.
(b) Eligible Activities.--Activities funded through a grant under
this section for establishing, operating, or expanding a one-stop
crisis facility may include--
(1) acquiring, constructing, or developing facilities;
(2) acquiring supplies or equipment;
(3) training, hiring, and retaining staff;
(4) establishing, operating, or expanding services provided
at a one-stop crisis facility, including--
(A) health care services, including behavioral
health and substance use disorder treatment, including
medication for opioid use disorder;
(B) counseling;
(C) case management services and recovery oriented
supports;
(D) housing assistance, including financial
assistance for housing;
(E) legal services; and
(F) other wrap-around services, not limited to
services that are clinical in nature, provided as part
of a one-stop crisis facility;
(5) coordinating with governmental and nongovernmental
partners (including local crisis response, law enforcement,
fire services, emergency medical services, health care
entities, workforce development programs, aging, disability,
and senior services, community-based organizations, faith-based
organizations, civic organizations, housing authorities,
continuum of care programs, immigrant and refugee assistance
organizations, veteran service organizations, deflection
initiatives led by first responders, evidence-based jail
diversion programs, such as law enforcement-assisted diversion
programs, children and family organizations, and other entities
involved in the provision of wrap-around services, not limited
to clinical services);
(6) conducting outreach services to engage with vulnerable
and high-need communities, including individuals living at
public or federally assisted housing facilities or receiving
Federal housing assistance, youths, and unhoused individuals;
and
(7) planning system-wide coordination with other entities
involved in crisis response.
(c) Subgrants.--A recipient of a grant under this section may use
such grant to award subgrants to nongovernmental entities for the
purpose of providing one-stop crisis facility services, including those
described in paragraphs (3), (4), (5), and (6) of subsection (b).
(d) Determination of Amounts.--
(1) Metropolitan cities.--Of the total amount made
available for a fiscal year pursuant to subsection (g)(2)(A),
the Secretary shall award to each metropolitan city receiving a
grant under this section an amount that bears the same
proportion to such total amount as the population of such
metropolitan city bears to the total population of all
metropolitan cities receiving grants under this section.
(2) Nonentitlement units of local government.--Of the total
amount made available for a fiscal year pursuant to subsection
(g)(2)(B), the Secretary shall award to each nonentitlement
unit of local government receiving a grant under this section
an amount that bears the same proportion to such total amount
as the population of such nonentitlement unit of local
government bears to the total population of all nonentitlement
units of local government receiving grants under this section.
(3) Counties.--The Secretary shall award to each county
receiving a grant under this section--
(A) of half of the amount made available for a
fiscal year pursuant to subsection (g)(2)(C), an amount
that is equal for each such county; and
(B) of the remaining half of the amount made
available for a fiscal year pursuant to subsection
(g)(2)(C), an amount that bears the same proportion to
such remaining half as the population of such county
bears to the total population of all counties receiving
grants under this section.
(4) States.--The Secretary shall award to each State
receiving a grant under this section--
(A) of half of the amount made available for a
fiscal year pursuant to subsection (g)(2)(D), an amount
that is equal for each such State; and
(B) of the remaining half of the amount made
available for a fiscal year pursuant to subsection
(g)(2)(D), an amount that bears the same proportion to
such remaining half as the population of such State
bears to the total population of all States receiving
grants under this section.
(5) Indian tribes.--The Secretary shall award to each
Indian Tribe receiving a grant under this section--
(A) of 25 percent of the amount made available for
a fiscal year pursuant to subsection (g)(2)(E), an
amount that is equal for each such Indian Tribe; and
(B) of 75 percent of the amount made available for
a fiscal year pursuant to subsection (g)(2)(E), an
amount determined by the Secretary of the Interior.
(6) Territories.--Of the total amount made available for a
fiscal year pursuant to subsection (g)(2)(F), the Secretary
shall award to each territory receiving a grant under this
section an amount that bears the same proportion to such total
amount as the population of such territory bears to the total
population of all territories receiving grants under this
section.
(e) Application.--
(1) In general.--To seek a grant under this section, an
eligible entity shall submit an application to the Secretary at
such time, in such manner, and accompanied by such information
as the Secretary may require.
(2) Plan.--Such an application shall include a plan for how
the grant funds will be used, including--
(A) how such plan is informed by stakeholders in
the community, especially people with lived experiences
with a behavioral health crisis, people with
disabilities, and community organizations that work
with these communities;
(B) how the recipient will collaborate with
community-based organizations to connect individuals
with appropriate services in a timely and direct
manner;
(C) how the recipient will establish a housing
first policy strategy for adults experiencing
homelessness and a transitional housing, wrap-around
services strategy for youth in crisis;
(D) how the recipient will prioritize equitable
access for people facing language, cultural,
disability-related, and other barriers, including how
staff will be trained in cultural competency and
trauma-informed care;
(E) how the recipient will work in conjunction with
crisis response systems, law enforcement, fire
services, emergency medical services, homeless
outreach, community health workers, and emergency
departments to divert individuals experiencing a
behavioral health or substance use crisis to the one-
stop crisis facility;
(F) how the recipient will consult with people with
lived experience with a behavioral health crisis to
design centers that have a ``home-like'' environment
that is accessible;
(G) how the recipient will work in conjunction with
continuum of care programs and housing providers to
connect individuals at assisted housing facilities with
the one-stop crisis facility to receive supportive
services; and
(H) how the recipient intends to create programming
and services specific to the needs of youth.
(f) Nondiscrimination.--No person in the United States shall, on
the basis of actual or perceived race, color, religion, national
origin, sex (including sexual orientation and gender identity), or
disability, be excluded from participation in, be denied the benefits
of, or be subjected to discrimination under any program or activity
funded, in whole or in part, with funds made available under this Act.
(g) Definitions.--In this section:
(1) The terms ``county'', ``metropolitan city'', and
``nonentitlement unit of local government'' have the meanings
given to such terms in section 603(g) of the Social Security
Act (42 U.S.C. 803(g)).
(2) The term ``eligible entity'' means a metropolitan city,
a nonentitlement unit of local government, a county, a State,
an Indian Tribe, or a territory.
(3) The term ``Indian Tribe'' has the meaning given to the
term ``Indian tribe'' in section 102 of the Federally
Recognized Indian Tribe List Act of 1994 (25 U.S.C. 5130).
(4) The term ``one-stop crisis facility'' means a facility
that provides, at a single location--
(A) on-site services for behavioral health and
substance use disorder;
(B) housing services; and
(C) coordination with health care services, housing
services, legal aid, or other case management or wrap-
around services available in the community.
(5) The term ``State'' means each State of the United
States and the District of Columbia.
(6) The term ``territory'' means the Commonwealth of Puerto
Rico, the United States Virgin Islands, Guam, the Commonwealth
of the Northern Mariana Islands, and American Samoa.
(h) Authorization of Appropriations.--
(1) In general.--There is authorized to be appropriated to
carry out this section $11,500,000,000 for each of fiscal years
2026 through 2030.
(2) Reservation.--Of the amounts authorized to be
appropriated by paragraph (1)--
(A) $3,000,000,000 shall be for grants to
metropolitan cities;
(B) $1,000,000,000 shall be for grants to
nonentitlement units of local government;
(C) $3,000,000,000 shall be for grants to counties;
(D) $2,000,000,000 shall be for grants to States;
(E) $2,000,000,000 shall be for grants to Indian
Tribes; and
(F) $500,000,000 shall be for grants to
territories.
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