Home > 105th Congressional Bills > H.R. 4695 (ih) For the relief of Oleg Rasulyevich Rafikov, Alfia Fanilevna Rafikova, Evgenia Olegovna Rafikova, and Ruslan Khamitovich Yagudin. ...H.R. 4695 (ih) For the relief of Oleg Rasulyevich Rafikov, Alfia Fanilevna Rafikova, Evgenia Olegovna Rafikova, and Ruslan Khamitovich Yagudin. ...
(14);
(B) by striking the period at the end of paragraph
(15) and inserting in lieu thereof ``; 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 patients 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, involving
psychiatrists, psychologists, and other licensed mental health
professionals (such as social workers and advanced practice nurses)
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
protocols, to the extent available, for prevalent mental health
disorders, including depression, anxiety, behavioral and
psychological symptoms of dementia, psychosis, and misuse of,
or dependence on, alcohol or medication.
``(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 necessary to evaluate patient
outcomes and to facilitate evaluations across participating
projects.
``(f) Evaluation.--Not later than July 31 of each calendar year,
the Secretary shall submit to Congress a report evaluating the projects
receiving awards under this section for such year.
``(g) Authorization of Appropriations.--There are authorized to be
appropriated such sums as may be necessary to carry out this section
for fiscal year 2005 and each fiscal year thereafter.''.
SEC. 202. 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 201, 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 multi-disciplinary 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 individuals (including, but
not limited to, mood and anxiety disorders, dementias of all
kinds, psychotic disorders, and substance and alcohol abuse),
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 with expertise in mental
health and aging;
``(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 senior
citizens 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 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 each calendar year,
the Secretary shall submit to Congress a report evaluating the projects
receiving awards under this section for such year.
``(h) Authorization of Appropriations.--There are authorized to be
appropriated such sums as may be necessary to carry out this section
for fiscal year 2005 and each fiscal year thereafter.''.
SEC. 203. 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 geriatric population;
``(2) innovative demonstration projects for the delivery of
community-based mental health services for older Americans;
``(3) support for the development and dissemination of
evidence-based practice models, including models to address
dependence on, and misuse of, alcohol and medication in older
adults; and
``(4) development of model training programs for mental
health professionals and care givers serving older adults.''.
SEC. 204. 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.
269aa-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 Americans, their
families, and geriatric mental health specialists.''.
SEC. 205. 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 alcohol or
substance abuse or addiction, including medication misuse or
dependence''.
SEC. 206 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-1(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.
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