Positive Aging Act of 2009 - Amends the Public Health Service Act to require the Secretary of Health and Human Services (HHS) to make grants to public and private nonprofit entities to: (1) demonstrate ways of integrating mental health services for older adults into primary care settings; and (2) support the establishment and maintenance of interdisciplinary geriatric mental health outreach teams in community settings where older adults reside or receive social services.
Requires the Director of the Center for Mental Health Services to designate a Deputy Director for Older Adult Mental Health Services to develop and implement initiatives to address the mental health needs of older adults.
Includes representatives of older adults or their families and geriatric mental health professionals on the Advisory Council for the Center.
Directs the Secretary to give special consideration to providing treatment for older adults with substance abuse disorders when developing program priorities for addressing priority substance abuse treatment needs of regional and national significance.
Requires state plans for community mental health services grants to describe: (1) the state's outreach to, and services for, older individuals, individuals who are homeless, and individuals living in rural areas; and (2) how community-based services will be provided to these individuals.
[Congressional Bills 111th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3191 Introduced in House (IH)]
111th CONGRESS
1st Session
H. R. 3191
To amend the Public Health Service Act to provide for integration of
mental health services and mental health treatment outreach teams, and
for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
July 13, 2009
Mr. Kennedy (for himself, Ms. Ros-Lehtinen, and Mr. Davis of Illinois)
introduced the following bill; which was referred to the Committee on
Energy and Commerce
_______________________________________________________________________
A BILL
To amend the Public Health Service Act to provide for integration of
mental health services and mental health treatment outreach teams, 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 ``Positive Aging Act of 2009''.
SEC. 2. DEMONSTRATION PROJECTS TO SUPPORT INTEGRATION OF MENTAL HEALTH
SERVICES IN PRIMARY CARE SETTINGS.
Subpart 3 of part B of title V of the Public Health Service Act (42
U.S.C. 290bb-31 et seq.) is amended--
(1) in section 520(b)--
(A) in paragraph (14), by striking ``and'' after
the semicolon;
(B) in paragraph (15), by striking the period at
the end and inserting ``; and''; and
(C) by adding at the end the following:
``(16) conduct the demonstration projects specified in
section 520K.''; and
(2) by adding at the end the following:
``SEC. 520K. PROJECTS TO DEMONSTRATE INTEGRATION OF MENTAL HEALTH
SERVICES IN PRIMARY CARE SETTINGS.
``(a) In General.--The Secretary, acting through the Director of
the Center for Mental Health Services, shall award grants to public and
private nonprofit entities for projects to demonstrate ways of
integrating mental health services for older adults into primary care
settings, such as health centers receiving a grant under section 330
(or determined by the Secretary to meet the requirements for receiving
such a grant), other federally qualified health centers, primary care
clinics, and private practice sites.
``(b) Requirements.--In order to be eligible for a grant under this
section, the project to be carried out by the entity shall provide for
collaborative care within a primary care setting, provided by licensed
mental health professionals with appropriate training and experience in
the treatment of older adults, in which screening, assessment, and
intervention services are combined into an integrated service delivery
model, including--
``(1) screening services by a mental health professional
with at least a masters degree in an appropriate field of
training;
``(2) referrals for necessary prevention, intervention,
follow-up care, consultations, and care planning oversight for
mental health and other service needs, as indicated; and
``(3) adoption and implementation of evidence-based
intervention and treatment protocols (to the extent such
protocols are available) for mental disorders prevalent in
older adults including, but not limited to, mood and anxiety
disorders, dementias of all kinds (including the behavioral and
psychological symptoms of dementia), psychotic disorders, and
substance-related disorders.
``(c) Considerations in Awarding Grants.--In awarding grants under
this section, the Secretary, to the extent feasible, shall ensure
that--
``(1) projects are funded in a variety of geographic areas,
including urban and rural areas; and
``(2) a variety of populations, including racial and ethnic
minorities and low-income populations, are served by projects
funded under this section.
``(d) Duration.--A project may receive funding pursuant to a grant
under this section for a period of up to 3 years, with an extension
period of 2 additional years at the discretion of the Secretary.
``(e) Application.--To be eligible to receive a grant under this
section, a public or private nonprofit entity shall--
``(1) submit an application to the Secretary (in such form,
containing such information, and at such time as the Secretary
may specify); and
``(2) agree to report to the Secretary standardized
clinical and behavioral data and other performance data
necessary to evaluate patient outcomes and to facilitate
evaluations across participating projects.
``(f) Evaluation.--Not later than July 31 of the second calendar
year after the date of enactment of this section, and July 31 of every
year thereafter, the Secretary shall submit to Congress a report
evaluating the projects receiving awards under this section for the
year involved.
``(g) Supplement, Not Supplant.--Funds made available under this
section shall supplement, and not supplant, other Federal, State, or
local funds available to an entity to carry out activities described in
this section.
``(h) Authorization of Appropriations.--There are authorized to be
appropriated such sums as may be necessary to carry out this section
for fiscal year 2010 and each fiscal year thereafter.''.
SEC. 3. GRANTS FOR COMMUNITY-BASED MENTAL HEALTH TREATMENT OUTREACH
TEAMS.
Subpart 3 of part B of title V of the Public Health Service Act (42
U.S.C. 290bb-31 et seq.), as amended by section 2, is further amended
by adding at the end the following:
``SEC. 520L. GRANTS FOR COMMUNITY-BASED MENTAL HEALTH TREATMENT
OUTREACH TEAMS.
``(a) In General.--The Secretary, acting through the Director of
the Center for Mental Health Services, shall award grants to public or
private nonprofit entities that are community-based providers of
geriatric mental health services, to support the establishment and
maintenance by such entities of interdisciplinary geriatric mental
health outreach teams in community settings where older adults reside
or receive social services. Entities eligible for such grants include--
``(1) mental health service providers of a State or local
government;
``(2) outpatient programs of private, nonprofit hospitals;
``(3) community mental health centers meeting the criteria
specified in section 1913(c); and
``(4) other community-based providers of mental health
services.
``(b) Requirements.--To be eligible to receive a grant under this
section, an entity shall--
``(1) adopt and implement, for use by its mental health
outreach team, evidence-based intervention and treatment
protocols (to the extent such protocols are available) for
mental disorders prevalent in older adults including, but not
limited to, mood and anxiety disorders, dementias of all kinds
(including the behavioral and psychological symptoms of
dementia), psychotic disorders, and substance-related
disorders, relying to the greatest extent feasible on protocols
that have been developed--
``(A) by or under the auspices of the Secretary; or
``(B) by academicians;
``(2) provide screening for mental disorders, diagnostic
services, referrals for treatment, and case management and
coordination through such teams; and
``(3) coordinate and integrate the services provided by
such team with the services of social service, mental health,
and medical providers at the site or sites where the team is
based in order to--
``(A) improve patient outcomes; and
``(B) to assure, to the maximum extent feasible,
the continuing independence of older adults who are
residing in the community.
``(c) Cooperative Arrangements With Sites Serving as Bases for
Outreach.--An entity receiving a grant under this section may enter
into an agreement with a person operating a site at which a geriatric
mental health outreach team of the entity is based, including--
``(1) senior centers;
``(2) adult day care programs;
``(3) assisted living facilities; and
``(4) recipients of grants to provide services to older
adults under the Older Americans Act of 1965, under which such
person provides (and is reimbursed by the entity, out of funds
received under the grant, for) any supportive services, such as
transportation and administrative support, that such person
provides to an outreach team of such entity.
``(d) Considerations in Awarding Grants.--In awarding grants under
this section, the Secretary, to the extent feasible, shall ensure
that--
``(1) projects are funded in a variety of geographic areas,
including urban and rural areas; and
``(2) a variety of populations, including racial and ethnic
minorities and low-income populations, are served by projects
funded under this section.
``(e) Application.--To be eligible to receive a grant under this
section, an entity shall--
``(1) submit an application to the Secretary (in such form,
containing such information, at such time as the Secretary may
specify); and
``(2) agree to report to the Secretary standardized
clinical and behavioral data and other performance data
necessary to evaluate patient outcomes and to facilitate
evaluations across participating projects.
``(f) Coordination.--The Secretary shall provide for appropriate
coordination of programs and activities receiving funds pursuant to a
grant under this section with programs and activities receiving funds
pursuant to grants under section 520K and sections 381, 422, and 423 of
the Older Americans Act of 1965.
``(g) Evaluation.--Not later than July 31 of the second calendar
year after the date of enactment of this section, and July 31 of every
year thereafter, the Secretary shall submit to Congress a report
evaluating the projects receiving awards under this section for such
year.
``(h) Supplement, Not Supplant.--Funds made available under this
section shall supplement, and not supplant, other Federal, State, or
local funds available to an entity to carry out activities described in
this section.
``(i) Authorization of Appropriations.--There are authorized to be
appropriated such sums as may be necessary to carry out this section
for fiscal year 2010 and each fiscal year thereafter.''.
SEC. 4. DESIGNATION OF DEPUTY DIRECTOR FOR OLDER ADULT MENTAL HEALTH
SERVICES IN CENTER FOR MENTAL HEALTH SERVICES.
Section 520 of the Public Health Service Act (42 U.S.C. 290bb-31)
is amended--
(1) by redesignating subsection (c) as subsection (d); and
(2) by inserting after subsection (b) the following:
``(c) Deputy Director for Older Adult Mental Health Services in
Center for Mental Health Services.--The Director, after consultation
with the Administrator, shall designate a Deputy Director for Older
Adult Mental Health Services, who shall be responsible for the
development and implementation of initiatives of the Center to address
the mental health needs of older adults. Such initiatives shall
include--
``(1) research on prevention and identification of mental
disorders in the older adult population;
``(2) innovative demonstration projects for the delivery of
community-based mental health services for older adults;
``(3) support for the development and dissemination of
evidence-based practice models, including models to address
substance-related disorders in older adults; and
``(4) development of model training programs for mental
health professionals and caregivers serving older adults.''.
SEC. 5. MEMBERSHIP OF ADVISORY COUNCIL FOR THE CENTER FOR MENTAL HEALTH
SERVICES.
Section 502(b)(3) of the Public Health Service Act (42 U.S.C.
290aa-1(b)(3)) is amended by adding at the end the following:
``(C) In the case of the advisory council for the
Center for Mental Health Services, the members
appointed pursuant to subparagraphs (A) and (B) shall
include representatives of older adults or their
families, and professionals with an expertise in
geriatric mental health.''.
SEC. 6. PROJECTS OF NATIONAL SIGNIFICANCE TARGETING SUBSTANCE ABUSE IN
OLDER ADULTS.
Section 509(b)(2) of the Public Health Service Act (42 U.S.C.
290bb-2(b)(2)) is amended by inserting before the period the following:
``, and to providing treatment for older adults with substance-related
disorders''.
SEC. 7. CRITERIA FOR STATE PLANS UNDER COMMUNITY MENTAL HEALTH SERVICES
BLOCK GRANTS.
(a) In General.--Section 1912(b)(4) of the Public Health Service
Act (42 U.S.C. 300x-2(b)(4)) is amended to read as follows:
``(4) Targeted services to older individuals, individuals
who are homeless, and individuals living in rural areas.--The
plan describes the State's outreach to and services for older
individuals, individuals who are homeless, and individuals
living in rural areas, and how community-based services will be
provided to these individuals.''.
(b) Effective Date.--The amendment made by subsection (a) shall
apply to State plans submitted on or after the date that is 180 days
after the date of enactment of this Act.
<all>
Introduced in House
Introduced in House
Referred to the House Committee on Energy and Commerce.
Referred to the Subcommittee on Health.
Llama 3.2 · runs locally in your browser
Ask anything about this bill. The AI reads the full text to answer.
Enter to send · Shift+Enter for new line