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108th CONGRESS
2d Session
S. 2937
To amend the Public Health Service Act to establish a grant program to
provide supportive services in permanent supportive housing for
chronically homeless individuals, and for other purposes.
_______________________________________________________________________
IN THE SENATE OF THE UNITED STATES
October 7, 2004
Mr. DeWine (for himself and Mr. Reed) introduced the following bill;
which was read twice and referred to the Committee on Health,
Education, Labor, and Pensions
_______________________________________________________________________
A BILL
To amend the Public Health Service Act to establish a grant program to
provide supportive services in permanent supportive housing for
chronically homeless individuals, 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 ``Services for Ending Long-Term
Homelessness Act''.
SEC. 2. FINDINGS.
Congress makes the following findings:
(1) Nationally, there are approximately 200,000 to 250,000
people who experience chronic homelessness, including some
families with children. Chronically homeless people often live
in shelters or on the streets for years at a time, experience
repeated episodes of homelessness without achieving housing
stability, or cycle between homelessness, jails, mental health
facilities, and hospitals.
(2) The President's New Freedom Commission on Mental Health
recommended the development and implementation of a
comprehensive plan designed to facilitate access to 150,000
units of permanent supportive housing for consumers and
families who are chronically homeless. The Commission found
that affordable housing alone is insufficient for many people
with severe mental illness, and that flexible, mobile,
individualized support services are also necessary to support
and sustain consumers in their housing.
(3) Congress and the President have set a goal of ending
chronic homelessness in 10 years.
(4) Permanent supportive housing is a proven and cost
effective solution to chronic homelessness. A recent study by
the University of Pennsylvania found that each unit of
supportive housing for homeless people with mental illness in
New York City resulted in public savings of $16,281 per year in
systems of care such as mental health, human services, health
care, veterans' affairs, and corrections.
(5) Current programs for funding services in permanent
supportive housing, other than those administered by the
Department of Housing and Urban Development, were not designed
to be closely coordinated with housing resources, nor were they
designed to meet the multiple needs of people who are
chronically homeless.
SEC. 3. DUTIES OF ADMINISTRATOR OF SUBSTANCE ABUSE AND MENTAL HEALTH
SERVICES ADMINISTRATION.
Section 501(d) of the Public Health Service Act (42 U.S.C.
290aa(d)) is amended--
(1) in paragraph (17), by striking ``and'' at the end;
(2) in paragraph (18), by striking the period and inserting
``; and''; and
(3) by adding at the end the following:
``(19) collaborate with Federal departments and programs
that are part of the President's Interagency Council on
Homelessness, particularly the Department of Housing and Urban
Development, the Department of Labor, and the Department of
Veterans Affairs, and with other agencies within the Department
of Health and Human Services, particularly the Health Resources
and Services Administration, the Administration on Children and
Families, and the Centers for Medicare and Medicaid Services,
to design national strategies for providing services in
supportive housing that will assist in ending chronic
homelessness and to implement programs that address chronic
homelessness.''.
SEC. 4. GRANTS FOR SERVICES FOR CHRONICALLY HOMELESS INDIVIDUALS IN
SUPPORTIVE HOUSING.
Title V of the Public Health Service Act (42 U.S.C. 290aa et seq.)
is amended by adding at the end the following:
``PART J--GRANTS FOR SERVICES TO END CHRONIC HOMELESSNESS
``SEC. 596. GRANTS FOR SERVICES TO END CHRONIC HOMELESSNESS.
``(a) In General.--
``(1) Grants.--The Secretary shall make grants to entities
described in paragraph (2) for the purpose of carrying out
projects to provide the services described in subsection (c) to
chronically homeless individuals in permanent supportive
housing.
``(2) Eligible entities.--For purposes of paragraph (1), an
entity described in this paragraph is--
``(A) a State or political subdivision of a State,
an Indian tribe or tribal organization, or a public or
nonprofit private entity, including a community-based
provider of homelessness services, health care,
housing, or other services important to individuals
experiencing chronic homelessness; or
``(B) a consortium composed of entities described
in subparagraph (A), which consortium includes a public
or nonprofit private entity that serves as the lead
applicant and has responsibility for coordinating the
activities of the consortium.
``(b) Priorities.--In making grants under subsection (a), the
Secretary shall give priority to applicants demonstrating that the
applicants--
``(1) target funds to individuals or families who--
``(A) have been homeless for longer periods of time
or have experienced more episodes of homelessness than
are required to meet the definition of chronic
homelessness under this section;
``(B) have high rates of utilization of emergency
public systems of care; or
``(C) have a history of interactions with law
enforcement and the criminal justice system;
``(2) have greater funding commitments from State or local
government agencies responsible for overseeing mental health
treatment, substance abuse treatment, medical care, and
employment (including commitments to provide Federal funds in
accordance with subsection (d)(2)(B)(ii)); and
``(3) will provide for an increase in the number of units
of permanent supportive housing that would serve chronically
homeless individuals in the community as a result of an award
of a grant under subsection (a).
``(c) Services.--The services referred to in subsection (a) are the
following:
``(1) Services provided by the grantee or by qualified
subcontractors that promote recovery and self-sufficiency and
address barriers to housing stability, including but not
limited to the following:
``(A) Mental health services, including treatment
and recovery support services.
``(B) Substance abuse treatment and recovery
support services, including counseling, treatment
planning, recovery coaching, and relapse prevention.
``(C) Integrated, coordinated treatment and
recovery support services for co-occurring disorders.
``(D) Health education, including referrals for
medical and dental care.
``(E) Services designed to help individuals make
progress toward self-sufficiency and recovery,
including benefits advocacy, money management, life-
skills training, self-help programs, and engagement and
motivational interventions.
``(F) Parental skills and family support.
``(G) Case management.
``(H) Other supportive services that promote an end
to chronic homelessness.
``(2) Services, as described in paragraph (1), that are
delivered to individuals and families who are chronically
homeless and who are scheduled to become residents of permanent
supportive housing within 90 days pending the location or
development of an appropriate unit of housing.
``(3) For individuals and families who are otherwise
eligible, and who have voluntarily chosen to seek other housing
opportunities after a period of tenancy in supportive housing,
services, as described in paragraph (1), that are delivered,
for a period of 90 days after exiting permanent supportive
housing or until the individuals have transitioned to
comprehensive services adequate to meet their current needs,
provided that the purpose of the services is to support the
individuals in their choice to transition into housing that is
responsive to their individual needs and preferences.
``(d) Matching Funds.--
``(1) In general.--A condition for the receipt of a grant
under subsection (a) is that, with respect to the cost of the
project to be carried out by an applicant pursuant to such
subsection, the applicant agree as follows:
``(A) In the case of the initial grant pursuant to
subsection (i)(1)(A), the applicant will, in accordance
with paragraphs (2) and (3), make available
contributions toward such costs in an amount that is
not less than $1 for each $3 of Federal funds provided
in the grant.
``(B) In the case of a renewal grant pursuant to
subsection (i)(1)(B), the applicant will, in accordance
with paragraphs (2) and (3), make available
contributions toward such costs in an amount that is
not less than $1 for each $1 of Federal funds provided
in the grant.
``(2) Source of contribution.--For purposes of paragraph
(1), contributions made by an applicant are in accordance with
this paragraph if made as follows:
``(A) The contribution is made from funds of the
applicant or from donations from public or private
entities.
``(B) Of the contribution--
``(i) not less than 80 percent is from non-
Federal funds; and
``(ii) not more than 20 percent is from
Federal funds provided under programs that--
``(I) are not expressly directed at
services for homeless individuals, but
whose purposes are broad enough to
include the provision of a service or
services described in subsection (c) as
authorized expenditures under such
program; and
``(II) do not prohibit Federal
funds under the program from being used
to provide a contribution that is
required as a condition for obtaining
Federal funds.
``(3) Determination of amount contributed.--Contributions
required in paragraph (1) may be in cash or in kind, fairly
evaluated, including plant, equipment, or services. Amounts
provided by the Federal Government, or services assisted or
subsidized to any significant extent by the Federal Government,
may not be included in determining the amount of non-Federal
contributions required in paragraph (2)(B)(i).
``(e) Administrative Expenses.--A condition for the receipt of a
grant under subsection (a) is that the applicant involved agree that
not more than 6 percent of the grant will be expended for
administrative expenses with respect to the grant.
``(f) Certain Uses of Funds.--Notwithstanding other provisions of
this section, a grantee under subsection (a) may expend not more than
20 percent of the grant to provide the services described in subsection
(c) to homeless individuals who are not chronically homeless.
``(g) Application for Grant.--A grant may be made under subsection
(a) only if an application for the grant is submitted to the Secretary
and the application is in such form, is made in such manner, and
contains such agreements, assurances, and information as the Secretary
determines to be necessary to carry out this section.
``(h) Certain Requirements.--A condition for the receipt of a grant
under subsection (a) is that the applicant involved demonstrate the
following:
``(1) The applicant and all direct providers of services
have the experience, infrastructure, and expertise needed to
ensure the quality and effectiveness of services, which may be
demonstrated by any of the following:
``(A) Compliance with all local, city, county, or
State requirements for licensing, accreditation, or
certification (if any) which are applicable to the
proposed project.
``(B) A minimum of two years experience providing
comparable services that do not require licensing,
accreditation, or certification.
``(C) Certification as a Medicaid service provider,
including health care for the homeless programs and
community health centers.
``(D) An executed agreement with a relevant State
or local government agency that will provide oversight
over the mental health, substance abuse, or other
services that will be delivered by the project.
``(2) There is a mechanism for determining whether
residents are chronically homeless. Such a mechanism may rely
on local data systems or records of shelter admission. If there
are no sources of data regarding the duration or number of
homeless episodes, or if such data are unreliable for the
purposes of this subsection, an applicant must demonstrate that
the project will implement appropriate procedures, taking into
consideration the capacity of local homeless service providers
to document episodes of homelessness and the challenges of
engaging persons who have been chronically homeless, to verify
that an individual or family meets the definition for being
chronically homeless under this section.
``(3) The applicant participates in a local, regional, or
statewide homeless management information system.
``(i) Duration of Initial and Renewal Grants; Additional Provisions
Regarding Renewal Grants.--
``(1) In general.--Subject to paragraphs (2) and (3), the
period during which payments are made to a grantee under
subsection (a) shall be in accordance with the following:
``(A) In the case of the initial grant, the period
of payments shall be not less than three years and not
more than five years.
``(B) In the case of a subsequent grant (referred
to in this subsection as a `renewal grant'), the period
of payments shall be not more than five years.
``(2) Annual approval; availability of appropriations;
number of grants.--The provision of payments under an initial
or renewal grant is subject to annual approval by the Secretary
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