Positive Aging Act of 2004 (S.2572) (Introduced 6/25/04)
They have already passed, in the last few months,
mental screening programs to start assessing every child, pregnant woman,
state wards... and a second plan for the adolescents calling it "suicide
prevention" assessments, now this is the elderly part coming in ...
ONE ASSESSMENT - NO WRONG DOOR - PERMANENT DATABASES -
NO COURT TO TURN IT AROUND ONCE YOU ARE ASSESSED IT IS TOO LATE - SERVICES ARE
NOT VOLUNTARY - NON COMPLIANCE IS A "CRIME"
STOP THE ROBOTS NOW
THEY ARE MAKING THEIR MOVES IN ALL DIRECTIONS ON US
....
THIS IS DOMESTIC TERRORISM ON AMERICA BY A
CORPORATE QUASI GOVERNMENT WHO HAVE OCCUPIED OUR LAWFUL OFFICES AND ARE ACTING,
MOVING AGAINST THE PEOPLE OPENLY NOW
We are all at EXTREME RISK.....
pamela gaston www.avoiceforchildren.com
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
S.2572
Title: 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.
Sponsor:
Sen Clinton, Hillary Rodham [NY]
(introduced 6/24/2004) Cosponsors (2)
Latest Major Action:
6/24/2004 Referred to Senate committee. Status: Read twice and referred to
the Committee on Health, Education, Labor, and Pensions.
STATUS:
(color indicates Senate actions)
6/24/2004:
Introductory remarks on measure. (CR 6/25/2004
S7437-7438)
6/24/2004:
Read twice and referred to the
Committee on Health, Education, Labor, and Pensions. (text of measure as
introduced: CR 6/25/2004 S7438-7440)
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more info on this
bill:
http://www.senate.gov/pagelayout/legislative/g_three_sections_with_teasers/legislative_home.htm
(Type
the bill number "S.2572" into the Bill Search By Number
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Following
is an excerpt from S.2572:
`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 mentalhealthscreening 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 mentaldisorders; and
`(B) reduce the stigma associated
with mentaldisorders 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) healthcare 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 healthcare service
projects involving the provision of mentalhealthscreening 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 mentalhealthscreening 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 mentalhealthprofessionals;
`(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
healthcare 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 HealthService 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 healthcare service
projects involving the provision of mentalhealthscreening 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
mentalhealthscreening 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
mentalhealthprofessionals;
`(B) using evidence-based intervention and
treatment protocols to the extent such protocols are available; and
`(C)
in coordination with other providers of healthcare 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 HealthService 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
HealthService 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 (14);
(B) by striking the period
at the end of paragraph (15) and inserting in lieu thereof `; and';
and
(C) by adding at the end the following:
`(16) conduct the
demonstration projects specified in section 520K.'; and
(2) by adding at
the end the following:
`SEC. 520K. PROJECTS TO DEMONSTRATE INTEGRATION OF MENTAL HEALTH SERVICES IN
PRIMARY CARE SETTINGS.
`(a) IN GENERAL- The Secretary, acting through the
Director of the Center for MentalHealthServices, shall award grants to public
and private nonprofit entities for projects to demonstrate ways of integrating
mentalhealthservices for older patients into primary care settings, such as
healthcenters receiving a grant under section 330 (or determined by the
Secretary to meet the requirements for receiving such a grant), other Federally
qualified healthcenters, primary care clinics, and private practice
sites.
`(b) REQUIREMENTS- In order to be eligible for a grant under this
section, the project to be carried out by the entity shall provide for
collaborative care within a primary care setting, involving psychiatrists,
psychologists, and other licensed mentalhealthprofessionals (such as social
workers and advanced practice nurses) with appropriate training and experience
in the treatment of older adults, in which screening, assessment, and
intervention services are combined into an integrated service delivery model,
including--
`(1) screening services by a mentalhealthprofessional with at
least a masters degree in an appropriate field of training;
`(2)
referrals for necessary prevention, intervention, follow-up care, consultations,
and care planning oversight for mentalhealthand other service needs, as
indicated; and
`(3) adoption and implementation of evidence-based
protocols, to the extent available, for prevalent
mental health
disorders, including depression, anxiety, behavioral and psychological symptoms
of dementia, psychosis, and misuse of, or dependence on, alcohol or medication.
`(c) CONSIDERATIONS IN AWARDING GRANTS- In awarding grants under this
section the Secretary, to the extent feasible, shall ensure that--
`(1)
projects are funded in a variety of geographic areas, including urban and rural
areas; and
`(2) a variety of populations, including racial and ethnic
minorities and low-income populations, are served by projects funded under this
section.
`(d) DURATION- A project may receive funding pursuant to a grant
under this section for a period of up to 3 years, with an extension period of 2
additional years at the discretion of the Secretary.
`(e) APPLICATION- To
be eligible to receive a grant under this section, a public or private nonprofit
entity shall--
`(1) submit an application to the Secretary (in such form,
containing such information, and at such time as the Secretary may specify);
and
`(2) agree to report to the Secretary standardized clinical and
behavioral data necessary to evaluate patient outcomes and to facilitate
evaluations across participating projects.
`(f) EVALUATION- Not later
than July 31 of each calendar year, the Secretary shall submit to Congress a
report evaluating the projects receiving awards under this section for such
year.
`(g) AUTHORIZATION OF APPROPRIATIONS- There are authorized to be
appropriated such sums as may be necessary to carry out this section for fiscal
year 2005 and each fiscal year thereafter.'.
SEC. 202. GRANTS FOR COMMUNITY-BASED MENTAL HEALTH TREATMENT OUTREACH
TEAMS.
Subpart 3 of part B of title V of the Public
HealthService Act (42 U.S.C. 290bb-31 et seq.), as amended by section 201, is
further amended by adding at the end the following:
`SEC. 520L. GRANTS FOR COMMUNITY-BASED MENTAL HEALTH TREATMENT OUTREACH
TEAMS.
`(a) IN GENERAL- The Secretary, acting through the
Director of the Center for MentalHealthServices, shall award grants to public or
private nonprofit entities that are community-based providers of geriatric
mentalhealthservices, to support the establishment and maintenance by such
entities of multi-disciplinary geriatric mentalhealthoutreach teams in community
settings where older adults reside or receive social services. Entities eligible
for such grants include--
`(1) mentalhealthservice providers of a State
or local government;
`(2) outpatient programs of private, nonprofit
hospitals;
`(3) community mentalhealthcenters meeting the criteria
specified in section 1913(c); and
`(4) other community-based providers of
mentalhealthservices.
`(b) REQUIREMENTS- To be eligible to receive a
grant under this section, an entity shall--
`(1) adopt and implement, for
use by its mentalhealthoutreach team, evidence-based intervention and treatment
protocols (to the extent such protocols are available) for mentaldisorders
prevalent in older individuals (including, but not limited to, mood and anxiety
disorders, dementias of all kinds, psychotic disorders, and substance and
alcohol abuse), relying to the greatest extent feasible on protocols that have
been developed--
`(A) by or under the auspices of the Secretary;
or
`(B) by academicians with expertise in mentalhealthand
aging;
`(2) provide screening for mentaldisorders, diagnostic services,
referrals for treatment, and case management and coordination through such
teams; and
`(3) coordinate and integrate the services provided by such
team with the services of social service, mentalhealth, and medical providers at
the site or sites where the team is based in order to--
`(A) improve
patient outcomes; and
`(B) to assure, to the maximum extent feasible, the
continuing independence of older adults who are residing in the
community.
`(c) COOPERATIVE ARRANGEMENTS WITH SITES SERVING AS BASES FOR
OUTREACH- An entity receiving a grant under this section may enter into an
agreement with a person operating a site at which a geriatric
mentalhealthoutreach team of the entity is based, including--
`(1) senior
centers;
`(2) adult day care programs;
`(3) assisted living
facilities; and
`(4) recipients of grants to provide services to senior
citizens under the Older Americans Act of 1965,
under which such person
provides (and is reimbursed by the entity, out of funds received under the
grant, for) any
supportive services, such as transportation and
administrative support, that such person provides to an outreach team of such
entity.
`(d) CONSIDERATIONS IN AWARDING GRANTS- In awarding grants under
this section the Secretary, to the extent feasible, shall ensure
that--
`(1) projects are funded in a variety of geographic areas,
including urban and rural areas; and
`(2) a variety of populations,
including racial and ethnic minorities and low-income populations, are served by
projects funded under this section.
`(e) APPLICATION- To be eligible to
receive a grant under this section, an entity shall--
`(1) submit an
application to the Secretary (in such form, containing such information, at such
time as the Secretary may specify); and
`(2) agree to report to the
Secretary standardized clinical and behavioral data necessary to evaluate
patient outcomes and to facilitate evaluations across participating
projects.
`(f) COORDINATION- The 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 section 520K and sections 381, 422, and 423 of the Older Americans
Act of 1965.
`(g) EVALUATION- Not later than July 31 of each calendar
year, the Secretary shall submit to Congress a report evaluating the projects
receiving awards under this section for such year.
`(h) AUTHORIZATION OF
APPROPRIATIONS- There are authorized to be appropriated such sums as may be
necessary to carry out this section for fiscal year 2005 and each fiscal year
thereafter.'.
SEC. 203. DESIGNATION OF DEPUTY DIRECTOR FOR OLDER ADULT MENTAL HEALTH
SERVICES IN CENTER FOR MENTAL HEALTH SERVICES.
Section 520 of the Public HealthService Act (42
U.S.C. 290bb-31) is amended--
(1) by redesignating subsection (c) as
subsection (d); and
(2) by inserting after subsection (b) the
following:
`(c) DEPUTY DIRECTOR FOR OLDER ADULT MENTALHEALTHSERVICES IN
CENTER FOR MENTALHEALTHSERVICES- The Director, after consultation with the
Administrator, shall designate a Deputy Director for Older Adult
MentalHealthServices, who shall be responsible for the development and
implementation of initiatives of the Center to address the mentalhealthneeds of
older adults. Such initiatives shall include--
`(1) research on
prevention and identification of mentaldisorders in the geriatric
population;