skip to main content

H.R. 1205 (117th): Improving Mental Health Access from the Emergency Department Act of 2021


The text of the bill below is as of May 7, 2021 (Preprint (Suspension)).


I




                                                                       117TH CONGRESS
                                                                          1ST SESSION
                                                                                                            H. R. 1205
                                                                       To authorize the Secretary of Health and Human Services, acting through
                                                                           the Director of the Center for Mental Health Services of the Substance
                                                                           Abuse and Mental Health Services Administration, to award grants to
                                                                           implement innovative approaches to securing prompt access to appro-
                                                                           priate follow-on care for individuals who experience an acute mental
                                                                           health episode and present for care in an emergency department, and
                                                                           for other purposes.




                                                                                     IN THE HOUSE OF REPRESENTATIVES
                                                                                                          FEBRUARY 22, 2021
                                                                         Mr. RUIZ       introduced the following bill; which was referred to the Committee
                                                                                                       on Energy and Commerce




                                                                                                                 A BILL
                                                                       To authorize the Secretary of Health and Human Services,
                                                                          acting through the Director of the Center for Mental
                                                                          Health Services of the Substance Abuse and Mental
                                                                          Health Services Administration, to award grants to im-
                                                                          plement innovative approaches to securing prompt access
                                                                          to appropriate follow-on care for individuals who experi-
                                                                          ence an acute mental health episode and present for
                                                                          care in an emergency department, and for other pur-
                                                                          poses.
khammond on DSKJM1Z7X2PROD with BILLS




                                                                         1              Be it enacted by the Senate and House of Representa-
                                                                         2 tives of the United States of America in Congress assembled,



                                        VerDate Sep 11 2014   22:19 Mar 13, 2021   Jkt 019200   PO 00000   Frm 00001   Fmt 6652   Sfmt 6201   E:\BILLS\H1205.IH   H1205

2 1 SECTION 1. SHORT TITLE. 2 This Act may be cited as the ‘‘Improving Mental 3 Health Access from the Emergency Department Act of 4 2021’’. 5 SEC. 2. SECURING APPROPRIATE FOLLOW-ON CARE FOR 6 ACUTE MENTAL HEALTH ILLNESS AFTER AN 7 EMERGENCY DEPARTMENT ENCOUNTER. 8 The Public Health Service Act is amended by insert- 9 ing after section 520J of such Act (42 U.S.C. 290bb–31) 10 the following new section: 11 ‘‘SEC. 520J–1. SECURING APPROPRIATE FOLLOW-ON CARE 12 FOR ACUTE MENTAL HEALTH ILLNESS AFTER 13 AN EMERGENCY DEPARTMENT ENCOUNTER. 14 ‘‘(a) IN GENERAL.—The Secretary may award grants 15 on a competitive basis to qualifying health providers to 16 implement innovative approaches to securing prompt ac- 17 cess to appropriate follow-on care for individuals who ex- 18 perience an acute mental health episode and present for 19 care in an emergency department. 20 ‘‘(b) ELIGIBLE GRANT RECIPIENTS.—In this section, 21 the term ‘qualifying health provider’ means a health care 22 facility licensed under applicable law that— 23 ‘‘(1) has an emergency department; 24 khammond on DSKJM1Z7X2PROD with BILLS ‘‘(2) is staffed by medical personnel (such as 25 emergency physicians, psychiatrists, psychiatric reg- 26 istered nurses, mental health technicians, clinical so- •HR 1205 IH VerDate Sep 11 2014 22:19 Mar 13, 2021 Jkt 019200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H1205.IH H1205
3 1 cial workers, psychologists, and therapists) capable 2 of providing treatment focused on stabilizing acute 3 mental health conditions and assisting patients to 4 access resources to continue treatment in the least 5 restrictive appropriate setting; and 6 ‘‘(3) has arrangements in place with other pro- 7 viders of care that can provide a full range of medi- 8 cally appropriate, evidence-based services for the 9 treatment of acute mental health episodes. 10 ‘‘(c) USE OF FUNDS.—A qualifying health provider 11 receiving funds under this section shall use such funds to 12 create, support, or expand programs or projects intended 13 to assist individuals who are treated at the provider’s 14 emergency department for acute mental health episodes 15 and to expeditiously transition such individuals to an ap- 16 propriate facility or setting for follow-on care. Such use 17 of funds may support the following: 18 ‘‘(1) Expediting placement in appropriate facili- 19 ties through activities such as expanded coordination 20 with regional service providers, assessment, peer 21 navigators, bed availability tracking and manage- 22 ment, transfer protocol development, networking in- 23 frastructure development, and transportation serv- khammond on DSKJM1Z7X2PROD with BILLS 24 ices. •HR 1205 IH VerDate Sep 11 2014 22:19 Mar 13, 2021 Jkt 019200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H1205.IH H1205
4 1 ‘‘(2) Increasing the supply of inpatient psy- 2 chiatric beds and alternative care settings such as 3 regional emergency psychiatric facilities. 4 ‘‘(3) Use of alternative approaches to providing 5 psychiatric care in the emergency department set- 6 ting, including through tele-psychiatric support and 7 other remote psychiatric consultation, implementa- 8 tion of peak period crisis clinics, or creation of psy- 9 chiatric emergency service units. 10 ‘‘(4) Use of approaches that include proactive 11 followup such as telephone check-ins, telemedicine, 12 or other technology-based outreach to individuals 13 during the period of transition. 14 ‘‘(5) Such other activities as are determined by 15 the Secretary to be appropriate, consistent with sub- 16 section (a). 17 ‘‘(d) APPLICATION.—A qualifying health provider de- 18 siring a grant under this section shall prepare and submit 19 an application to the Secretary at such time and in such 20 manner as the Secretary may require. At a minimum, the 21 application shall include the following: 22 ‘‘(1) A description of identified need for acute 23 mental health services in the provider’s service area. khammond on DSKJM1Z7X2PROD with BILLS 24 ‘‘(2) A description of the existing efforts of the 25 provider to meet the need for acute mental health •HR 1205 IH VerDate Sep 11 2014 22:19 Mar 13, 2021 Jkt 019200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\H1205.IH H1205
5 1 services in the service area, and identified gaps in 2 the provision of such services. 3 ‘‘(3) A description of the proposed use of funds 4 to meet the need and gaps identified pursuant to 5 paragraph (2). 6 ‘‘(4) A description of how the provider will co- 7 ordinate efforts with Federal, State, local, and pri- 8 vate entities within the service area. 9 ‘‘(5) A description of program objectives, how 10 the objectives are proposed to be met, and how the 11 provider will evaluate outcomes relative to objectives. 12 ‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—To 13 carry out this section, there is authorized to be appro- 14 priated $15,000,000 for each of fiscal years 2022 through 15 2026.’’. Æ khammond on DSKJM1Z7X2PROD with BILLS •HR 1205 IH VerDate Sep 11 2014 22:19 Mar 13, 2021 Jkt 019200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6301 E:\BILLS\H1205.IH H1205