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<bill bill-stage="Introduced-in-House" dms-id="HA0CB8B738C954CBFA4DB05F9D324C3D5" public-private="public" key="H" bill-type="olc"><metadata xmlns:dc="http://purl.org/dc/elements/1.1/">
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<dc:title>119 HR 9365 IH: Healing and Equity for Enforcement-Affected Residents and Trauma Act of 2026</dc:title>
<dc:publisher>U.S. House of Representatives</dc:publisher>
<dc:date>2026-06-18</dc:date>
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<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>
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<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. 9365</legis-num><current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber><action display="yes"><action-date date="20260618">June 18, 2026</action-date><action-desc><sponsor name-id="R000620">Ms. Rivas</sponsor> (for herself, <cosponsor name-id="G000586">Mr. García of Illinois</cosponsor>, and <cosponsor name-id="C001123">Mr. Cisneros</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 establish an office to assist communities in providing mental health services to individuals experiencing fear-based trauma related to immigration law enforcement actions taken by Federal agencies, and for other purposes.</official-title></form><legis-body id="HDC3ADF843FA9490BAD11B6D8F9A94EB9" style="OLC"> 
<section id="HE333C629820943FEA6B326F35160E12A" 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>Healing and Equity for Enforcement-Affected Residents and Trauma Act of 2026</short-title></quote> or the <quote><short-title>HEART Act of 2026</short-title></quote>.</text></section> <section id="HFDC3D606C3164727B41DEB2BA4437D65"><enum>2.</enum><header>Family stability and mental health support for communities impacted by Federal immigration law enforcement actions</header> <subsection id="H16682B88B6EC4352948AE6581BF5CA0A"><enum>(a)</enum><header>Establishment of office</header><text display-inline="yes-display-inline">The Secretary shall establish within the Office of the Secretary an office to be known as the <quote>Office of Immigrant Community Mental Health and Resilience</quote>.</text></subsection> 
<subsection id="H3C615BB6A27A41A480D2C6FB7197BD30"><enum>(b)</enum><header>Director</header><text>The Office shall be headed by a Director, who shall be appointed by the Secretary.</text></subsection> <subsection id="HB75A01CB3B8E42318FBFB2C918389CE7"><enum>(c)</enum><header>Duties</header> <paragraph id="HAF02020E26D44A06BC9C13C1FA2F7505"><enum>(1)</enum><header>In general</header><text display-inline="yes-display-inline">The Director shall carry out programs and activities to assist impacted communities, including through the provision of mental health services to individuals experiencing fear-based trauma related to immigration law enforcement actions taken by Federal agencies.</text></paragraph> 
<paragraph id="H38B6896150344B56A7BF68F5BAF765E0"><enum>(2)</enum><header>Direct care and service delivery</header><text>In carrying out paragraph (1), the Director shall support impacted communities by—</text> <subparagraph id="HC199B341226D4D939987BAF66C5DDB9B"><enum>(A)</enum><text>providing for the establishment of mobile mental health response teams;</text></subparagraph> 
<subparagraph id="H88723C58A42945FFBDB6E351D4640EE1"><enum>(B)</enum><text>providing for the establishment of emergency counseling vouchers;</text></subparagraph> <subparagraph id="HB06C92B2D8BF4445B23F4DA00BA7CAEB"><enum>(C)</enum><text>carrying out the mental health grant program under subsection (d); and</text></subparagraph> 
<subparagraph id="HBAAE6A7D65BD4651A26F508FB6714518"><enum>(D)</enum><text>providing guidance to States on any Medicaid flexibilities available for assisting individuals described in paragraph (1).</text></subparagraph></paragraph> <paragraph id="HE69D806AE17C41FCAEC2B4BCFC9745BB"><enum>(3)</enum><header>Data reporting</header><text>In carrying out paragraph (1), the Director shall—</text> 
<subparagraph id="HF1ACB13A90C8431B9CCD009762786D0E"><enum>(A)</enum><text display-inline="yes-display-inline">create a process for States, local governments, or community-based organizations to report immigration law enforcement actions taken by Federal agencies to help direct the resources of the Office; and</text></subparagraph> <subparagraph id="H9E41E83236FE4AB6A479415BEF32953B"><enum>(B)</enum><text display-inline="yes-display-inline">submit to Congress an annual report on the public health impacts of such immigration law enforcement actions, including recommendations for providing care to individuals described in paragraph (1) who reside in medically underserved communities.</text></subparagraph></paragraph> 
<paragraph id="H3FC3011F1EFE4751A8BF7262F9956F25"><enum>(4)</enum><header>Workforce development</header><text>In carrying out paragraph (1), the Director shall support impacted communities in—</text> <subparagraph id="H7ED28FC7D6E54564800923729C4CDEBB"><enum>(A)</enum><text>the hiring of culturally competent behavioral health specialists to address the emergent public health needs of impacted communities; and</text></subparagraph> 
<subparagraph id="H5191475177E048C09D4F4590A3E7257F"><enum>(B)</enum><text>the training of health care providers in providing mental health services for individuals described in paragraph (1).</text></subparagraph></paragraph> <paragraph id="H995C354BA4E4445C834AF2BEFD56EEB8"><enum>(5)</enum><header>Community Involvement</header><text>In carrying out paragraph (1), the Director shall support impacted communities in—</text> 
<subparagraph id="H70A2579516A34F45BE4EDEAD4209C773">
                        <enum>(A)</enum>
 <text>developing and implementing <quote>know your rights</quote> campaigns relating to health care rights;</text>
                    </subparagraph> 
<subparagraph id="H4255B38769E942E086DBA754290A49B8"><enum>(B)</enum><text display-inline="yes-display-inline">developing and implementing public awareness campaigns relating to accessing health care services in a multilingual setting;</text></subparagraph> <subparagraph id="H1BEFE919795E4F04AF5E35D1AAA5608E"><enum>(C)</enum><text>developing and distributing educational materials relating to fear-based trauma; and</text></subparagraph> 
<subparagraph id="H7A28FC0F67EC473A8EA657F09A4F712B"><enum>(D)</enum><text>providing trauma-informed mental health and family stabilization services.</text> </subparagraph></paragraph></subsection> <subsection id="HBD8BBBCB91044000A50CE6F282C69BBF"><enum>(d)</enum><header>Grants</header> <paragraph id="HEFF9C209163443CEADCAF9472449192B"><enum>(1)</enum><header>In general</header><text display-inline="yes-display-inline">The Secretary shall make grants to eligible entities serving impacted communities.</text> </paragraph> 
<paragraph id="H529041D524184731A1E97970C8BD99EC"><enum>(2)</enum><header>Use of funds</header><text display-inline="yes-display-inline">A recipient of a grant under this subsection shall use the funds received under the grant to—</text> <subparagraph id="H4BBEFDAE38F44DB68547EF9169CFAE9A"><enum>(A)</enum><text>provide trauma-informed mental health services, including crisis counseling and short-term therapeutic interventions;</text></subparagraph> 
<subparagraph id="H156323E01D174BB4BBEC01147355A22F"><enum>(B)</enum><text>address emergent behavioral health crises;</text></subparagraph> <subparagraph id="H8415FB63DFB044BCAA098287DA4C2CC1"><enum>(C)</enum><text>provide inclusive mental health and substance use prevention, response, and recovery services that an impacted community may need following immigration law enforcement actions taken by Federal agencies;</text></subparagraph> 
<subparagraph id="H6A1F1EB2E579410193DA8750CBB799FB"><enum>(D)</enum><text display-inline="yes-display-inline">develop and implement a <quote>know your rights</quote> campaign relating to health care rights;</text></subparagraph> <subparagraph id="H9D18671458C04CBDA29387888AA3C74F"><enum>(E)</enum><text>deploy mobile or community-based mental health response services; or</text></subparagraph> 
<subparagraph id="H6A42BEC7FFCC4B2382ECF35E3FDF6E3F"><enum>(F)</enum><text display-inline="yes-display-inline">integrate multilingual, trauma-informed mental health services with healthcare services provided by local educational agencies and schools, to the extent feasible.</text></subparagraph></paragraph></subsection> <subsection id="H9BB2DA59C5734F3184D622C6740D100F"><enum>(e)</enum><header>Prohibition on sharing of information</header><text display-inline="yes-display-inline">The data, actions, and information collected by the Office shall not be shared with the Department of Homeland Security or any other Federal agency that takes immigration law enforcement actions.</text> </subsection></section> 
<section id="H22E2784C045045B8AD1A43BC3992CA81"><enum>3.</enum><header>Definitions</header><text display-inline="no-display-inline">In this Act:</text> <paragraph id="H9D7029068E504CFF9CB3F5794ADB837E"><enum>(1)</enum><header>Behavioral health specialist</header><text>The term <quote>behavioral health specialist</quote> means a professional licensed to provide behavioral health services, including a child or adult psychiatrist, a psychologist, a social worker, a guidance counselor, a peer support specialist, or other qualified individual as determined by the Secretary.</text></paragraph> 
<paragraph id="H9295440BF9AA478EB7A6BFB7E453E51C"><enum>(2)</enum><header>Director</header><text display-inline="yes-display-inline">The term <quote>Director</quote> means the Director of the Family Stability and Mental Health Support Office established under section 2.</text></paragraph> <paragraph id="H819547B464B84A9483E71F90162A37DF"><enum>(3)</enum><header>Eligible entity</header><text display-inline="yes-display-inline">The term <quote>eligible entity</quote> means—</text> 
<subparagraph id="H5F1830CF09AD415DBF87249433300C2F"><enum>(A)</enum><text>a State or local government;</text></subparagraph> <subparagraph id="H0CD926ABE6724365B8442086253AA338"> <enum>(B)</enum> <text display-inline="yes-display-inline">a Federally qualified health center (as defined in section 1861(aa) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/2/1395x">2 U.S.C. 1395x(aa)</external-xref>));</text>
                </subparagraph> 
<subparagraph id="HE89F3E96B9B5472C97A872F1FC5ABBEF">
                    <enum>(C)</enum>
 <text display-inline="yes-display-inline">a rural health clinic (as defined in section 1861(aa) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/2/1395x">2 U.S.C. 1395x(aa)</external-xref>));</text>
                </subparagraph> 
<subparagraph id="HAACB8CD960764478B7144994924D21DB"><enum>(D)</enum><text>a Tribal health organization;</text></subparagraph> <subparagraph id="HA1B221D9C287484089A534FF17EE8BD2"><enum>(E)</enum><text>a local educational agency;</text></subparagraph> 
<subparagraph id="HD7B7FB3F8D1F4662B1D6EC9A8310ABD6"><enum>(F)</enum><text>a faith-based organization providing health or social services; or</text></subparagraph> <subparagraph id="H576594ECE88B431B86D2D1C587CC6F0E"><enum>(G)</enum><text>a community-based organization.</text></subparagraph></paragraph> 
<paragraph id="HDB0678EED7924D5EA626E3B99C951B6A"><enum>(4)</enum><header>Impacted community</header><text display-inline="yes-display-inline">The term <quote>impacted community</quote> means a local jurisdiction that demonstrates that a Federal agency has taken immigration law enforcement actions within the borders of the jurisdiction.</text></paragraph> <paragraph id="H1F1508FC2592442CB3FD697E4FB1CB9D"><enum>(5)</enum><header>Medically underserved community</header><text>The term <quote>medically underserved community</quote> has the meaning given the term in section 799B of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/295p">42 U.S.C. 295p</external-xref>).</text></paragraph> 
<paragraph id="HA06764B33A0C4020B272DB55AAEB576B"><enum>(6)</enum><header>Secretary</header><text>The term <quote>Secretary</quote> means the Secretary of Health and Human Services.</text></paragraph></section> <section id="H4967DBE75BB3495083FB6EF77D11F39B"><enum>4.</enum><header>Authorization of appropriations</header><text display-inline="no-display-inline">Notwithstanding any other provision of law, of the amounts made available under sections 90003, 100051, and 100052 of <external-xref legal-doc="public-law" parsable-cite="pl/119/21">Public Law 119–21</external-xref> (139 Stat. 72 et seq.), such sums as may be necessary shall to transferred to the Secretary to carry out this Act. Any sums so transferred shall remain available until expended.</text> </section> 
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