text: SECTION 1. SHORT TITLE.
  
      This Act may be cited as the ``Community Mental Health and 
  Addiction Safety Net Equity Act of 2010''.
  
  SEC. 2. FEDERALLY QUALIFIED BEHAVIORAL HEALTH CENTERS.
  
      Section 1913 of the Public Health Service Act (42 U.S.C. 300x-3) is 
  amended--
              (1) in subsection (a)(2)(A), by striking ``community mental 
          health services'' and inserting ``behavioral health services 
          (of the type offered by federally qualified behavioral health 
          centers consistent with subsection (c)(3))'';
              (2) in subsection (b)--
                      (A) by striking paragraph (1) and inserting the 
                  following:
              ``(1) services under the plan will be provided only through 
          appropriate, qualified community programs (which may include 
          federally qualified behavioral health centers, child mental 
          health programs, psychosocial rehabilitation programs, mental 
          health peer-support programs, and mental health primary 
          consumer-directed programs); and''; and
                      (B) in paragraph (2), by striking ``community 
                  mental health centers'' and inserting ``federally 
                  qualified behavioral health centers''; and
              (3) by striking subsection (c) and inserting the following:
      ``(c) Criteria for Federally Qualified Behavioral Health Centers.--
              ``(1) In general.--The Administrator shall certify, and 
          recertify at least every 5 years, federally qualified 
          behavioral health centers as meeting the criteria specified in 
          this subsection.
              ``(2) Regulations.--Not later than 18 months after the date 
          of the enactment of the Community Mental Health and Addiction 
          Safety Net Equity Act of 2010, the Administrator shall issue 
          final regulations for certifying non-profit or local government 
          centers as centers under paragraph (1).
              ``(3) Criteria.--The criteria referred to in subsection 
          (b)(2) are that the center performs each of the following:
                      ``(A) Provide services in locations that ensure 
                  services will be available and accessible promptly and 
                  in a manner which preserves human dignity and assures 
                  continuity of care.
                      ``(B) Provide services in a mode of service 
                  delivery appropriate for the target population.
                      ``(C) Provide individuals with a choice of service 
                  options where there is more than one efficacious 
                  treatment.
                      ``(D) Employ a core staff of clinical staff that is 
                  multidisciplinary and culturally and linguistically 
                  competent.
                      ``(E) Provide services, within the limits of the 
                  capacities of the center, to any individual residing or 
                  employed in the service area of the center, regardless 
                  of the ability of the individual to pay.
                      ``(F) Provide, directly or through contract, to the 
                  extent covered for adults in the State Medicaid plan 
                  under title XIX of the Social Security Act and for 
                  children in accordance with section 1905(r) of such Act 
                  regarding early and periodic screening, diagnosis, and 
                  treatment, each of the following services:
                              ``(i) Screening, assessment, and diagnosis, 
                          including risk assessment.
                              ``(ii) Person-centered treatment planning 
                          or similar processes, including risk assessment 
                          and crisis planning.
                              ``(iii) Outpatient clinic mental health 
                          services, including screening, assessment, 
                          diagnosis, psychotherapy, substance abuse 
                          counseling, medication management, and 
                          integrated treatment for mental illness and 
                          substance abuse which shall be evidence-based 
                          (including cognitive behavioral therapy and 
                          other such therapies which are evidence-based).
                              ``(iv) Outpatient clinic primary care 
                          services, including screening and monitoring of 
                          key health indicators and health risk 
                          (including screening for diabetes, 
                          hypertension, and cardiovascular disease and 
                          monitoring of weight, height, body mass index 
                          (BMI), blood pressure, blood glucose or HbA1C, 
                          and lipid profile).
                              ``(v) Crisis mental health services, 
                          including 24-hour mobile crisis teams, 
                          emergency crisis intervention services, and 
                          crisis stabilization.
                              ``(vi) Targeted case management (services 
                          to assist individuals gaining access to needed 
                          medical, social, educational, and other 
                          services and applying for income security and 
                          other benefits to which they may be entitled).
                              ``(vii) Psychiatric rehabilitation services 
                          including skills training, assertive community 
                          treatment, family psychoeducation, disability 
                          self-management, supported employment, 
                          supported housing services, therapeutic foster 
                          care services, and such other evidence-based 
                          practices as the Secretary may require.
                              ``(viii) Peer support and counselor 
                          services and family supports.
                      ``(G) Maintain linkages, and where possible enter 
                  into formal contracts with the following:
                              ``(i) Inpatient psychiatric facilities and 
                          substance abuse detoxification and residential 
                          programs.
                              ``(ii) Adult and youth peer support and 
                          counselor services.
                              ``(iii) Family support services for 
                          families of children with serious mental 
                          disorders.
                              ``(iv) Other community or regional 
                          services, supports, and providers, including 
                          schools, child welfare agencies, juvenile and 
                          criminal justice agencies and facilities, 
                          housing agencies and programs, employers, and 
                          other social services.
                              ``(v) Onsite or offsite access to primary 
                          care services.
                              ``(vi) Enabling services, including 
                          outreach, transportation, and translation.
                              ``(vii) Health and wellness services, 
                          including services for tobacco cessation.''.
  
  SEC. 3. MEDICAID COVERAGE AND PAYMENT FOR FEDERALLY QUALIFIED 
                BEHAVIORAL HEALTH CENTER SERVICES.
  
      (a) Payment for Services Provided by Federally Qualified Behavioral 
  Health Centers.--Section 1902(bb) of the Social Security Act (42 U.S.C. 
  1396a(bb)) is amended--
              (1) in the heading, by striking ``and Rural Health 
          Clinics'' and inserting ``, Federally Qualified Behavioral 
          Health Centers, and Rural Health Clinics'';
              (2) in paragraph (1), by inserting ``(and beginning with 
          fiscal year 2011 with respect to services furnished on or after 
          January 1, 2011, and each succeeding fiscal year, for services 
          described in section 1905(a)(2)(D) furnished by a federally 
          qualified behavioral health center)'' after ``by a rural health 
          clinic'';
              (3) in paragraph (2)--
                      (A) by striking the heading and inserting ``Initial 
                  fiscal year'';
                      (B) by inserting ``(or, in the case of services 
                  described in section 1905(a)(2)(D) furnished by a 
                  federally qualified behavioral health center, for 
                  services furnished on and after January 1, 2011, during 
                  fiscal year 2011)'' after ``January 1, 2001, during 
                  fiscal year 2001'';
                      (C) by inserting ``(or, in the case of services 
                  described in section 1905(a)(2)(D) furnished by a 
                  federally qualified behavioral health center, during 
                  fiscal years 2009 and 2010)'' after ``1999 and 2000''; 
                  and
                      (D) by inserting ``(or, in the case of services 
                  described in section 1905(a)(2)(D) furnished by a 
                  federally qualified behavioral health center, during 
                  fiscal year 2011)'' before the period;
              (4) in paragraph (3)--
                      (A) in the heading, by striking ``Fiscal year 2002 
                  and succeeding'' and inserting ``Succeeding''; and
                      (B) by inserting ``(or, in the case of services 
                  described in section 1905(a)(2)(D) furnished by a 
                  federally qualified behavioral health center, for 
                  services furnished during fiscal year 2012 or a 
                  succeeding fiscal year)'' after ``2002 or a succeeding 
                  fiscal year'';
              (5) in paragraph (4)--
                      (A) by inserting ``(or as a federally qualified 
                  behavioral health center after fiscal year 2010)'' 
                  after ``or rural health clinic after fiscal year 
                  2000'';
                      (B) by striking ``furnished by the center or'' and 
                  inserting ``furnished by the federally qualified health 
                  center, services described in section 1905(a)(2)(D) 
                  furnished by the federally qualified behavioral health 
                  center, or'';
                      (C) in the second sentence, by striking ``or rural 
                  health clinic'' and inserting ``, federally qualified 
                  behavioral health center, or rural health clinic'';
              (6) in paragraph (5), in each of subparagraphs (A) and (B), 
          by striking ``or rural health clinic'' and inserting ``, 
          federally qualified behavioral health center, or rural health 
          clinic''; and
              (7) in paragraph (6), by striking ``or to a rural health 
          clinic'' and inserting ``, to a federally qualified behavioral 
          health center for services described in section 1905(a)(2)(D), 
          or to a rural health clinic''.
      (b) Inclusion of Federally Qualified Behavioral Health Center 
  Services in the Term Medical Assistance.--Section 1905(a)(2) of the 
  Social Security Act (42 U.S.C. 1396d(a)(2)) is amended--
              (1) by striking ``and'' before ``(C)''; and
              (2) by inserting before the semicolon at the end the 
          following: ``, and (D) federally qualified behavioral health 
          center services (as defined in subsection (l)(4))''.
      (c) Definition of Federally Qualified Behavioral Health Center 
  Services.--Section 1905(l) of the Social Security Act (42 U.S.C. 
  1396d(l)) is amended by adding at the end the following paragraph:
              ``(4)(A) The term `federally qualified behavioral health 
          center services' means services furnished to an individual at a 
          federally qualified behavioral health center (as defined by 
          subparagraph (B).
              ``(B) The term `federally qualified behavioral health 
          center' means an entity that is certified under section 1913(c) 
          of the Public Health Service Act as meeting the criteria 
          described in paragraph (3) of such section.''.
  
  SEC. 4. MENTAL HEALTH AND ADDICTION SAFETY NET STUDIES.
  
      (a) Paperwork Reduction Study.--
              (1) In general.--Not later than 12 months after the date of 
          the enactment of this Act, the Institute of Medicine shall 
          submit to the appropriate committees of Congress a report that 
          evaluates the combined paperwork burden of federally qualified 
          behavioral health centers certified section 1913(c) of the 
          Public Health Service Act, as inserted by section 2.
              (2) Scope.--In preparing the report under paragraph (1), 
          the Institute of Medicine shall examine licensing, 
          certification, service definitions, claims payment, billing 
          codes, and financial auditing requirements utilized by the 
          Office of Management and Budget, the Centers for Medicare & 
          Medicaid Services, the Health Resources and Services 
          Administration, the Substance Abuse and Mental Health Services 
          Administration, the Office of the Inspector General, State 
          Medicaid agencies, State departments of health, State 
          departments of education, and State and local juvenile justice 
          and social services agencies to--
                      (A) establish an estimate of the combined 
                  nationwide cost of complying with the requirements 
                  described in this paragraph, in terms of both 
                  administrative funding and staff time;
                      (B) establish an estimate of the per capita cost to 
                  each federally qualified behavioral health center 
                  certified under section 1913(c) of the Public Health 
                  Service Act to comply with the requirements described 
                  in this paragraph, in terms of both administrative 
                  funding and staff time; and
                      (C) make administrative and statutory 
                  recommendations to Congress, which may include a 
                  uniform methodology, to reduce the paperwork burden 
                  experienced by such federally qualified behavioral 
                  health centers.
              (3) Authorization of appropriations.--There are authorized 
          to be appropriated to carry out this subsection $550,000 for 
          each of the fiscal years 2012 and 2013.
      (b) Wage Study.--
              (1) In general.--Not later than 12 months after the date of 
          the enactment of this Act, the Institute of Medicine shall 
          conduct a nationwide analysis, and submit a report to the 
          appropriate committees of Congress, concerning the compensation 
          structure of professional and paraprofessional personnel 
          employed by federally qualified behavioral health centers 
          certified under section 1913(c) of the Public Health Service 
          Act, as inserted by section 2, as compared with the 
          compensation structure of comparable health safety net 
          providers and relevant private sector health care employers.
              (2) Scope.--In preparing the report under paragraph (1), 
          the Institute of Medicine shall examine compensation 
          disparities, if such disparities are determined to exist, by 
          type of personnel, type of provider or private sector employer, 
          and by geographic region.
              (3) Authorization of appropriations.--There are authorized 
          to be appropriated to carry out this subsection, $550,000 for 
          each of the fiscal years 2012 and 2013.
target: Community Mental Health and Addiction Safety Net Equity Act of 2010 - Amends the Public Health Service Act to replace community mental health centers with federally qualified behavioral health centers which treat substance abuse in addition to mental illness and other conditions.
  
  Amends title XIX (Medicaid) of the Social Security Act to extend Medicaid coverage to federally qualified behavioral health center services.
  
  Directs the Institute of Medicine to: (1) evaluate for Congress the combined paperwork burden of federally qualified behavioral health centers; and (2) analyze and report to Congress on the compensation structure of professional and paraprofessional personnel employed by federally qualified behavioral health centers nationwide as compared with the compensation structure of comparable health safety net providers and relevant private sector health care employers.
feat_title: To establish Federally Qualified Behavioral Health Centers and to require Medicaid coverage for services provided by such Centers.