Undertaking Needed Investments in Therapy, Education, and De-Escalation Act of 2022
This bill reauthorizes through FY2027 and establishes new mental and behavioral health programs. It also temporarily extends certain waivers related to the provision of telehealth services.
The bill reauthorizes the Community Mental Health Services Block Grant program, which supports the provision of mental health services for adults with serious mental illnesses and children with serious emotional disturbances.
Additionally, the bill reauthorizes grants for
Further, the bill establishes (1) a national center to facilitate the exchange of knowledge and expertise related to behavioral health services for community recovery; and (2) grants for crisis call centers to hire and train staff, purchase or upgrade technology, and improve operations.
With respect to telehealth services, the Department of Health and Human Services waived, using emergency authorities, certain requirements that applied to services furnished through telehealth during the COVID-19 emergency. The bill extends those waivers for two years following the end of the emergency.
To provide for increased authorization of funding to secure schools and 
            improve access to mental health and crisis care.

    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 ``Undertaking Needed Investments in 
Therapy, Education, and De-Escalation Act of 2022''.

SEC. 2. TABLE OF CONTENTS.

    The table of contents of this Act is as follows:

Sec. 1. Short title.
Sec. 2. Table of contents.
Sec. 3. Youth suicide prevention and early intervention grant programs.
Sec. 4. Community services mental health services block grant programs.
Sec. 5. Establishment of a National Center for Healing, Empowerment, 
                            Learning, and Prevention (HELP) through 
                            Behavioral Health.
Sec. 6. Crisis care response and coordination.
Sec. 7. Adult and youth grant programs for serious mental illnesses and 
                            emotional disturbances.
Sec. 8. Lifeline call center program.
Sec. 9. Extension of emergency telehealth services.
Sec. 10. Pediatric mental health care access grants.

SEC. 3. YOUTH SUICIDE PREVENTION AND EARLY INTERVENTION GRANT PROGRAMS.

    (a) Suicide Prevention Resource Center.--Section 520C(c) of the 
Public Health Service Act (42 U.S.C. 290bb-34(c)) is amended by 
striking ``$5,988,000 for each of fiscal years 2018 through 2022'' and 
inserting ``$10,000,000 for each of fiscal years 2023 through 2027''.
    (b) Garrett Lee Smith Campus Suicide Prevention Program.--Section 
520E-2(i) of the Public Health Service Act (42 U.S.C. 290bb-36b(i)) is 
amended by striking ``2018 through 2022'' and inserting ``2023 through 
2027''.
    (c) Mental and Behavioral Health Outreach and Education.--Section 
549(f) of the Public Health Service Act (42 U.S.C. 290ee-4(f)) is 
amended by striking ``$1,000,000 for the period of fiscal years 2018 
through 2022'' and inserting ``$9,000,000 for each of fiscal years 2023 
through 2027''.
    (d) Garrett Lee Smith State and Tribal Youth Suicide Prevention and 
Early Intervention Grant Program.--Section 520E(m) of the Public Health 
Service Act (42 U.S.C. 290bb-36(m)) is amended by striking 
``$30,000,000 for each of fiscal years 2018 through 2022'' and 
inserting ``$50,000,000 for each of fiscal years 2023 through 2027''.

SEC. 4. COMMUNITY SERVICES MENTAL HEALTH SERVICES BLOCK GRANT PROGRAMS.

    Section 1920(a) of the Public Health Service Act (42 U.S.C. 300x-
9(a)) is amended by striking ``$532,571,000 for each of fiscal years 
2018 through 2022'' and inserting ``$1,000,000,000 for each of fiscal 
years 2023 through 2027''.

SEC. 5. ESTABLISHMENT OF A NATIONAL CENTER FOR HEALING, EMPOWERMENT, 
              LEARNING, AND PREVENTION (HELP) THROUGH BEHAVIORAL 
              HEALTH.

    Part D of title III of the Public Health Service Act (42 U.S.C. 
254b et seq.) is amended by adding at the end the following:

``Subpart XIII--Healing, Empowerment, Learning, and Prevention Through 
                           Behavioral Health

``SEC. 340H. NATIONAL CENTER FOR HEALING, EMPOWERMENT, LEARNING, AND 
              PREVENTION THROUGH BEHAVIORAL HEALTH.

    ``(a) Establishment.--For the purpose described in subsection (b), 
the Administrator of the Health Resources and Services Administration 
shall establish within the Office of Rural Health Policy of the Health 
Resources and Services Administration a national center (in this 
section referred to as the `National Center'), to be known as the 
National Center for Healing, Empowerment, Learning, and Prevention 
through Behavioral Health.
    ``(b) Purpose.--The purpose of the National Center shall be to 
facilitate the exchange of knowledge and perspectives among experts in 
medicine, behavioral health, telementoring, telemedicine, telehealth, 
training and technical assistance, education, health promotion, 
culturally competent community engagement, and implementation of 
science necessary to rapidly implement behavioral health services for 
community recovery.
    ``(c) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section $10,000,000 for the period of 
fiscal years 2023 through 2027.''.

SEC. 6. CRISIS CARE RESPONSE AND COORDINATION.

    (a) Strengthening Community Crisis Response Systems.--Section 520F 
of the Public Health Service Act (42 U.S.C. 290bb-37) is amended to 
read as follows:

``SEC. 520F. STRENGTHENING COMMUNITY CRISIS RESPONSE SYSTEMS.

    ``(a) In General.--The Secretary shall award competitive grants to 
State and local governments, Indian Tribes, and Tribal organizations 
to--
            ``(1) enhance community-based crisis response systems; and
            ``(2) implement strategies that improve care coordination, 
        and referral to inpatient psychiatric facilities, crisis 
        stabilization units, and residential community mental health 
        and residential substance use disorder treatment facilities, as 
        appropriate, for adults with a serious mental illness, children 
        with a serious emotional disturbance, or individuals with a 
        substance use disorder.
    ``(b) Applications.--
            ``(1) In general.--To receive a grant under subsection (a), 
        an entity shall submit to the Secretary an application, at such 
        time, in such manner, and containing such information as the 
        Secretary may require.
            ``(2) Community-based crisis response plan.--An application 
        for a grant under subsection (a) shall include a plan for--
                    ``(A) promoting integration and coordination 
                between local public and private entities engaged in 
                crisis response, which shall include first responders, 
                law enforcement, emergency health care providers, 
                primary care providers, court systems, health care 
                payers, social service providers, and behavioral health 
                providers;
                    ``(B) developing memoranda of understanding with 
                public and private entities to implement crisis 
                response services;
                    ``(C) addressing gaps in community resources for 
                crisis intervention and prevention;
                    ``(D) developing models for minimizing hospital 
                readmissions, including through appropriate discharge 
                planning;
                    ``(E) developing, maintaining, or enhancing 
                directories to collect, aggregate, and display 
                information about local inpatient psychiatric 
                facilities and crisis stabilization units, and 
                residential community mental health and residential 
                substance use disorder treatment facilities, to 
                facilitate the identification and designation of such 
                facilities and units for the temporary treatment of 
                individuals in mental or substance use disorder crisis; 
                and
                    ``(F) including in such directories real-time 
                information about--
                            ``(i) the number of available beds at each 
                        facility or unit;
                            ``(ii) the types of patients that may be 
                        admitted to each facility or unit; and
                            ``(iii) any other information necessary to 
                        allow for the proper identification and 
                        designation of appropriate facilities or units 
                        for treatment of individuals in mental or 
                        substance use disorder crisis.
    ``(c) Evaluation.--An entity receiving a grant under subsection (a) 
shall submit to the Secretary, at such time, in such manner, and 
containing such information as the Secretary may reasonably require, a 
report, including an evaluation of the effects of such grant on--
            ``(1) local crisis response services and measures for 
        individuals receiving crisis planning and early intervention 
        supports;
            ``(2) individuals reporting improved functional outcomes; 
        and
            ``(3) individuals receiving regular followup care following 
        a crisis.
    ``(d) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section $15,000,000 for the period of 
fiscal years 2023 through 2027.''.
    (b) Mental Health Awareness Training Grants.--Section 520J(b)(7) of 
the Public Health Service Act (42 U.S.C. 290bb-41(b)(7)) is amended by 
striking ``$14,693,000 for each of fiscal years 2018 through 2022'' and 
inserting ``$25,000,000 for each of fiscal years 2023 through 2027''.
    (c) Mental and Behavioral Health Education and Training Grants.--
Section 756(f) of the Public Health Service Act (42 U.S.C. 294e-1(f)) 
is amended by striking ``For each of fiscal years 2019 through 2023'' 
and inserting ``For each of fiscal years 2023 through 2027''.

SEC. 7. ADULT AND YOUTH GRANT PROGRAMS FOR SERIOUS MENTAL ILLNESSES AND 
              EMOTIONAL DISTURBANCES.

    (a) Assertive Community Treatment Grant Program.--Section 
520M(e)(1) of the Public Health Service Act (42 U.S.C. 290bb-44(e)(1)) 
is amended by striking ``$5,000,000 for the period of fiscal years 2018 
through 2022'' and inserting ``$10,000,000 for each of fiscal years 
2023 through 2027''.
    (b) Comprehensive Community Mental Health Services for Children 
With Serious Emotional Disturbances.--
            (1) In general.--Section 565(f)(1) of the Public Health 
        Service Act (42 U.S.C. 290ff-4(f)(1)) is amended by striking 
        ``$119,026,000 for each of fiscal years 2018 through 2022'' and 
        inserting ``$130,000,000 for each of fiscal years 2023 through 
        2027''.
            (2) Technical correction.--Section 565(f) of the Public 
        Health Service Act (42 U.S.C. 290ff-4(f)) is amended by moving 
        the margin of paragraph (2) 2 ems to the right.

SEC. 8. LIFELINE CALL CENTER PROGRAM.

    Part B of title V of the Public Health Service Act (42 U.S.C. 290bb 
et seq.) is amended by inserting after section 520E-4 (42 U.S.C. 290bb-
36d) the following:

``SEC. 520E-5. REGIONAL AND LOCAL LIFELINE CALL CENTER PROGRAM.

    ``(a) In General.--The Secretary shall award grants to crisis call 
centers--
            ``(1) to purchase or upgrade call center technology;
            ``(2) to provide for training of call center staff;
            ``(3) to improve call center operations; and
            ``(4) for hiring of call center staff.
    ``(b) Definition.--In this section, the term `crisis call center' 
means a regional clinically managed crisis call center that--
            ``(1) provides telephonic crisis intervention capabilities;
            ``(2) meets the National Suicide Prevention Lifeline 
        operational guidelines regarding suicide risk assessment and 
        engagement; and
            ``(3) offers air traffic control-quality coordination of 
        crisis care in real-time.
    ``(c) Authorization of Appropriations.--There are authorized to be 
appropriated to carry out this section $560,000,000 for fiscal year 
2023, to remain available until expended.''.

SEC. 9. EXTENSION OF EMERGENCY TELEHEALTH SERVICES.

    Section 1135(e) of the Social Security Act (42 U.S.C. 1320b-5(e)) 
is amended by adding at the end the following new paragraph:
            ``(3) Two-year extension of telehealth services following 
        the covid-19 emergency period.--Notwithstanding any other 
        provision of this section, a waiver or modification of 
        requirements pursuant to subsection (b)(8) shall terminate on 
        the date that is 2 years after the last day of the emergency 
        period described in subsection (g)(1)(B).''.

SEC. 10. PEDIATRIC MENTAL HEALTH CARE ACCESS GRANTS.

    Section 330M of the Public Health Service Act (42 U.S.C. 254c-19) 
is amended--
            (1) in subsection (b)--
                    (A) by redesignating paragraph (2) as paragraph 
                (3);
                    (B) by inserting after paragraph (1) the following 
                new paragraph:
            ``(2) Support to schools and emergency departments.--In 
        addition to the required activities specified in paragraph (1), 
        a statewide or regional network of pediatric mental health 
        teams referred to in subsection (a), with respect to which a 
        grant under such subsection may be used, may provide support to 
        schools and emergency departments.''; and
                    (C) in paragraph (3), as so redesignated, by 
                inserting ``Such a team may include a developmental-
                behavioral pediatrician.'' after ``mental health 
                counselor.'';
            (2) by striking subsection (g); and
            (3) by adding at the end the following:
    ``(g) Technical Assistance.--The Secretary shall award grants or 
contracts to one or more eligible entities (as defined by the 
Secretary) for the purposes of providing technical assistance and 
evaluation support to grantees under subsection (a).
    ``(h) Authorization of Appropriations.--To carry out this section, 
there are authorized to be appropriated--
            ``(1) $15,000,000 for each of fiscal years 2023 through 
        2025; and
            ``(2) $30,000,000 for each of fiscal years 2026 through 
        2027.''.
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Undertaking Needed Investments in Therapy, Education, and De-Escalation Act of 2022
To provide for increased authorization of funding to secure schools and improve access to mental health and crisis care.
Undertaking Needed Investments in Therapy, Education, and De-Escalation Act of 2022
Rep. Gonzales, Tony