69 223 retary in order to insure that the center maintains a solvent operation; "(3) the center (A) has or will have a contrac tual or other arrangement with the agency of the State in which it provides services which administers or super vises the administration of a State plan approved under title XIX of the Social Security Act for the payment of all or a part of the center's costs in providing primary health services to persons who are eligible for medical assistance under such a State plan, or (B) has made or will make every reasonable effort to enter into such an arrangement; and "(4) the center has made or will make and will continue to make every reasonable effort to collect appropriate reimbursement for its costs in providing primary health services to persons who are entitled to in surance benefits under title XVIII of such Act, to med ical assistance under a State plan approved under title XIX of such Act, or to assistance for medical expenses under any other public assistance program or private health insurance program. "(e) For the purpose of making payments under grants 23 under subsection (c), there are authorized to be appropriated 24 $220,000,000 for the fiscal year ending June 30, 1975, and 25 $240,000,000 for the fiscal year ending June 30, 1976.". [H.R. 11518, introduced by Mr. Heinz (for himself and Mr. Rogers) on November 15, 1973; H.R. 12433, introduced by Mr. Charles H. Wilson of California on January 30, 1974; H.R. 12507, introduced by Mr. Heinz (for himself, Mr. Stokes, Mr. Mollohan, Mr. Boland, Mr. Green of Pennsylvania, Mr. Preyer, Mr. Roush, Mr. Pepper, Mr. Bevill, Mr. Coughlin, Mr. Matsunaga, Mr. de Lugo, Mr. Whitehurst, Mr. Roybal, Ms. Chisholm, Mr. Bell, Mr. Moakley, Mr. Stark, Mr. Cohen, Ms. Schroeder, Mr. Fascell, Mr. Frenzel, Ms. Holtzman, Mr. Yatron, and Mr. Riegle) on February 4, 1974; and H.R. 12746, introduced by Mr. Patten on February 7, 1974, are identical as follows:] A BILL To amend the Community Mental Health Centers Act to revise the various programs of assistance authorized by that Act and to extend it to the fiscal year 1976. 1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 3 That this Act may be cited as the "Community Mental 4 Health Centers Amendments of 1973". SEC. 2. The Congress finds that (1) community mental health care is the most effective and humane form of care for a majority of mentally ill individuals; (2) the federally funded community mental health centers have had a major impact on the improvement of mental health care by 1 2 3 4 5 6 བ 7 8 9 10 11 1272 13 14 15 16 17 18 19 2 (A) fostering coordination and cooperation between various agencies responsible for mental health care which in turn has resulted in a decrease in overlapping services and more efficient utilization of available resources, (B) bringing comprehensive community mental health care to all in need within a specific geographic area regardless of ability to pay, and (C) developing a system of care which insures continuity of care for all patients, and thus are a national resource to which all Americans should enjoy access; · (3) there is currently a shortage and maldistribution of quality community mental health care resources in the United States; and (4) until such time as legislation is enacted and becomes effective which insures all Americans financial access to the mental health services which are presently available through community mental health centers, Federal funds should continue to be made available for the purposes of initiating new community mental health centers responsive to community needs and national goals relating to community mental health care. SEC. 3. The Community Mental Health Centers Act 25 is amended to read as follows: 6 CENTERS "SEC. 201. (a) For purposes of this title, the term 7 'community mental health center' means a legal entity (1) 8 through which comprehensive mental health services are 9 provided in the area served by the center (referred to in 10 this title as a 'catchment area') in the manner prescribed by 11 subsection (b), and (2) which is organized in the manner 12 prescribed by subsection (c). 13 "(b) (1) The comprehensive mental health services 14 which shall be provided through a community mental health 15 center shall include "(A) services for individuals who are inpatients in a hospital or other health services delivery facility, outpatient services, day care and similar partial hospitalization services, and emergency services; "(B) detoxification and referral services for the treatment of alcohol abuse, alcoholism, and other drug abuse and drug dependence problems (including narcotic addiction); "(C) consultation and education services for health professionals, schools, State and local law enforcement and correctional agencies, public welfare agencies, health 4 services delivery agencies, and other appropriate entities; "(D) assistance to courts and other public agencies in screening residents of the center's catchment area who are being considered for referral to a State mental health facility for treatment to determine if they should be so referred and provision, where appropriate, of treatment for such persons through the center as an alternative to treatment at such a facility; "(E) provision of followup care for residents of its catchment area who have been discharged from a State mental health facility; and "(F) provision of each of the following service pro grams (other than a service program which the Sec retary determines the center is unable to provide or for which there is not sufficient need (as determined by the Secretary) in the center's catchment area): "(i) A specialized program for the mental health of children, including a full range of diagnostic, treatment, liaison, and followup services (as prescribed by the Secretary). “(ii) A program of comprehensive specialized services for the mental health of the elderly, including a full range of diagnostic, treatment, liaison, and followup services (as prescribed by the Secretary). "(iii) A comprehensive program for the pre |