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. ...
108th CONGRESS
2d Session
H. R. 4694
To amend the Older Americans Act of 1965 to provide for mental health
screening and treatment services, 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
June 24, 2004
Mr. Kennedy of Rhode Island (for himself and Ms. Ros-Lehtinen)
introduced the following bill; which was referred to the Committee on
Education and the Workforce, and in addition to the Committee on Energy
and Commerce, 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 amend the Older Americans Act of 1965 to provide for mental health
screening and treatment services, 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 2004''.
TITLE I--AMENDMENTS TO THE OLDER AMERICANS ACT OF 1965
SEC. 101. DEFINITIONS.
Section 102 of the Older Americans Act of 1965 (42 U.S.C. 3002) is
amended by adding at the end the following:
``(44) Mental health screening and treatment services.--The
term `mental health screening and treatment services' means
patient screening, diagnostic services, care planning and
oversight, therapeutic interventions, and referrals that are--
``(A) provided pursuant to 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 substances and
alcohol abuse), relying to the greatest extent feasible
on protocols that have been developed--
``(i) by or under the auspices of the
Secretary; or
``(ii) by academicians with expertise in
mental health and aging; and
``(B) coordinated and integrated with the services
of social service, mental health, and health care
providers in an area in order to--
``(i) improve patient outcomes; and
``(ii) assure, to the maximum extent
feasible, the continuing independence of older
individuals who are residing in the area.''.
SEC. 102. OFFICE OF OLDER ADULT MENTAL HEALTH SERVICES.
Section 301(b) of the Older Americans Act of 1965 (42 U.S.C.
3021(b)) is amended by adding at the end the following:
``(3) The Assistant Secretary shall establish within the
Administration an Office of Older Adult Mental Health Services, which
shall be responsible for the development and implementation of
initiatives to address the mental health needs of older individuals.''.
SEC. 103. GRANTS TO STATES FOR THE DEVELOPMENT AND OPERATION OF SYSTEMS
FOR PROVIDING MENTAL HEALTH SCREENING AND TREATMENT
SERVICES TO OLDER INDIVIDUALS LACKING ACCESS TO SUCH
SERVICES.
Title III of the Older Americans Act of 1965 (42 U.S.C. 3021 et
seq.) is amended--
(1) in section 303 (42 U.S.C. 3023), by adding at the end
the following:
``(f) There are authorized to be appropriated to carry out part F
(relating to grants for programs providing mental health screening and
treatment services) such sums as may be necessary for fiscal year 2005
and each of the 5 succeeding fiscal years.'';
(2) in section 304(a)(1) (42 U.S.C. 3024(a)(1)), by
inserting ``and subsection (f)'' after ``through (d)''; and
(3) by adding at the end the following:
``PART F--MENTAL HEALTH SCREENING AND TREATMENT SERVICES FOR OLDER
INDIVIDUALS
``SEC. 381. GRANTS TO STATES FOR PROGRAMS PROVIDING MENTAL HEALTH
SCREENING AND TREATMENT SERVICES FOR OLDER INDIVIDUALS.
``(a) Program Authorized.--The Assistant Secretary shall carry out
a program for making grants to States under State plans approved under
section 307 for the development and operation of--
``(1) systems for the delivery of mental health screening
and treatment services for older individuals who lack access to
such services; and
``(2) programs to--
``(A) increase public awareness regarding the
benefits of prevention and treatment of mental
disorders; and
``(B) reduce the stigma associated with mental
disorders and other barriers to the diagnosis and
treatment of the disorders.
``(b) State Allocation and Priorities.--A State agency that
receives funds through a grant made under this section shall allocate
the funds to area agencies on aging to carry out this part in planning
and service areas in the State. In allocating the funds, the State
agency shall give priority to planning and service areas in the State--
``(1) that are medically underserved; and
``(2) in which there are a large number of older
individuals.
``(c) Area Coordination of Services With Other Providers.--In
carrying out this part, to more efficiently and effectively deliver
services to older individuals, each area agency on aging shall--
``(1) coordinate services described in subsection (a) with
other community agencies, and voluntary organizations,
providing similar or related services; and
``(2) to the greatest extent practicable, integrate
outreach and educational activities with existing (as of the
date of the integration) health care and social service
providers serving older individuals in the planning and service
area involved.
``(d) Relationship to Other Funding Sources.--Funds made available
under this part shall supplement, and not supplant, any Federal, State,
and local funds expended by a State or unit of general purpose local
government (including an area agency on aging) to provide the services
described in subsection (a).''.
SEC. 104. DEMONSTRATION PROJECTS PROVIDING MENTAL HEALTH SCREENING AND
TREATMENT SERVICES TO OLDER INDIVIDUALS LIVING IN RURAL
AREAS.
The Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) is
amended--
(1) by inserting before section 401 (42 U.S.C. 3031) the
following:
``TITLE IV--GRANTS FOR EDUCATION, TRAINING, AND RESEARCH'';
and
(2) in part A of title IV (42 U.S.C. 3032 et seq.), by
adding at the end the following:
``SEC. 422. DEMONSTRATION PROJECTS PROVIDING MENTAL HEALTH SCREENING
AND TREATMENT SERVICES TO OLDER INDIVIDUALS LIVING IN
RURAL AREAS.
``(a) Definition.--In this section, the term `rural area' means--
``(1) any area that is outside a metropolitan statistical
area (as defined by the Director of the Office of Management
and Budget); or
``(2) such similar area as the Secretary specifies in a
regulation issued under section 1886(d)(2)(D) of the Social
Security Act (42 U.S.C. 1395ww(d)(2)(D)).
``(b) Authority.--The Assistant Secretary shall make grants to
eligible public agencies and nonprofit private organizations to pay
part or all of the cost of developing or operating model health care
service projects involving the provision of mental health screening and
treatment services to older individuals residing in rural areas.
``(c) Duration.--Grants made under this section shall be made for
3-year periods.
``(d) Application.--To be eligible to receive a grant under this
section, a public agency or nonprofit private organization shall submit
to the Assistant Secretary an application containing such information
and assurances as the Secretary may require, including--
``(1) information describing--
``(A) the geographic area and target population
(including the racial and ethnic composition of the
target population) to be served by the project; and
``(B) the nature and extent of the applicant's
experience in providing mental health screening and
treatment services of the type to be provided in the
project;
``(2) assurances that the applicant will carry out the
project--
``(A) through a multidisciplinary team of licensed
mental health professionals;
``(B) using evidence-based intervention and
treatment protocols to the extent such protocols are
available;
``(C) using telecommunications technologies as
appropriate and available; and
``(D) in coordination with other providers of
health care and social services (such as senior centers
and adult day care providers) serving the area; and
``(3) assurances that the applicant will conduct and submit
to the Assistant Secretary such evaluations and reports as the
Assistant Secretary may require.
``(e) Reports.--The Assistant Secretary shall prepare and submit to
the appropriate committees of Congress a report that includes summaries
of the evaluations and reports required under subsection (d)(3).
``(f) Coordination.--The Assistant 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 sections 381 and 423, and
sections 520K and 520L of the Public Health Service Act.''.
SEC. 105. DEMONSTRATION PROJECTS PROVIDING MENTAL HEALTH SCREENING AND
TREATMENT SERVICES TO OLDER INDIVIDUALS LIVING IN
NATURALLY OCCURRING RETIREMENT COMMUNITIES IN URBAN
AREAS.
Part A of title IV of the Older Americans Act of 1965 (42 U.S.C.
3032 et seq.), as amended by section 104, is further amended by adding
at the end the following:
``SEC. 423. DEMONSTRATION PROJECTS PROVIDING MENTAL HEALTH SCREENING
AND TREATMENT SERVICES TO OLDER INDIVIDUALS LIVING IN
NATURALLY OCCURRING RETIREMENT COMMUNITIES IN URBAN
AREAS.
``(a) Definitions.--In this section:
``(1) Naturally occurring retirement community.--The term
`naturally occurring retirement community' means a residential
area (such as an apartment building, housing complex or
development, or neighborhood) not originally built for older
individuals but in which a substantial number of individuals
have aged in place (and become older individuals) while
residing in such area.
``(2) Urban area.--The term `urban area' means--
``(A) a metropolitan statistical area (as defined
by the Director of the Office of Management and
Budget); or
``(B) such similar area as the Secretary specifies
in a regulation issued under section 1886(d)(2)(D) of
the Social Security Act (42 U.S.C. 1395ww(d)(2)(D)).
``(b) Authority.--The Assistant Secretary shall make grants to
eligible public agencies and nonprofit private organizations to pay
part or all of the cost of developing or operating model health care
service projects involving the provision of mental health screening and
treatment services to older individuals residing in naturally occurring
retirement communities located in urban areas.
``(c) Duration.--Grants made under this section shall be made for
3-year periods.
``(d) Application.--To be eligible to receive a grant under this
section, a public agency or nonprofit private organization shall submit
to the Assistant Secretary an application containing such information
and assurances as the Secretary may require, including--
``(1) information describing--
``(A) the naturally occurring retirement community
and target population (including the racial and ethnic
composition of the target population) to be served by
the project; and
``(B) the nature and extent of the applicant's
experience in providing mental health screening and
treatment services of the type to be provided in the
project;
``(2) assurances that the applicant will carry out the
project--
``(A) through a multidisciplinary team of licensed
mental health professionals;
``(B) using evidence-based intervention and
treatment protocols to the extent such protocols are
available; and
``(C) in coordination with other providers of
health care and social services serving the retirement
community; and
``(3) assurances that the applicant will conduct and submit
to the Assistant Secretary such evaluations and reports as the
Assistant Secretary may require.
``(e) Reports.--The Assistant Secretary shall prepare and submit to
the appropriate committees of Congress a report that includes summaries
of the evaluations and reports required under subsection (d)(3).
``(f) Coordination.--The Assistant Secretary shall provide for
appropriate coordination of programs and activities receiving funds
pursuant to grants made under this section with programs and activities
receiving funds pursuant to grants made under sections 381 and 422, and
sections 520K and 520L of the Public Health Service Act.''.
TITLE II--PUBLIC HEALTH SERVICE ACT AMENDMENTS
SEC. 201. 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 subsection (b) of section 520(b) (42 U.S.C. 290bb-
31(b))--
(A) by striking ``and'' at the end of paragraph
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