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1 subsection (b), and (2) which is organized in the manner

:

2 prescribed by subsection (c)..

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"(b) (1) The comprehensive mental health services 4 which shall be provided through a community mental health

5 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);

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(C) consultation and education services for health professionals, schools, State and local law enforcement and correctional agencies, public welfare agencies, health 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

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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 prevention and treatment of alcoholism and alcohol

abuse.

"(iv) A comprehensive program for the prevention, treatment, and rehabilitation of drug addicts, drug abusers, and other persons with drug dependency problems.

"(2) The provision of comprehensive mental health

25 services through a center shall be coordinated with the

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1 provision of services by other health and social service agen2 cies in the center's catchment area to insure that persons 3 receiving services through the center have access to all such 4 health and social services as they may require. The center's 5 services (A) may be provided at the center or satellite 6 centers through the staff of the center or through appropriate 7 arrangements with health professionals and others in the 8 center's catchment area, (B) shall be available and accessible 9 to the residents of the area promptly, as appropriate, and 10 in a manner which assures continuity and which overcomes 11 geographic, cultural, or economic barriers to the receipt of 12 services, and (C) when medically necessary, shall be avail13 able and accessible twenty-four hours a day and seven days a week.

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"(c) (1) The governing body of a community mental 16 health center shall be composed of individuals who reside 17 in the center's catchment area and who, as a group, represent 18 the residents of that area taking into consideration the em19 ployment, age, sex, and place of residence of the members 20 of the governing body. At least one-third of the members 21 of such body shall be individuals who are not providers of 22 health care services. For purposes of this paragraph, the

term 'provider of health care services' means an individual 24 who receives (either directly or through his spouse) more 25 than one-tenth of his gross annual income from fees or other

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1 compensation for the provision of health care services or from 2 financial interests in entities engaged in the provision of 3 health care services or in producing or supplying drugs or other articles for individuals and entities engaged in the 5 provision of such services, or from both such compensation 6 and such interests.

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"(2) A center shall have organizational arrangements, 8 established in accordance with regulations prescribed by 9 the Secretary, for (A) an ongoing quality assurance program 10 (including utilization and peer review systems) respecting 11 the center's services, and (B) maintaining the confidentiality 12 of patient records.

13 "REQUIREMENTS RESPECTING SECTIONS 203 AND

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GRANTS

204

"SEC. 202. (a) No grant may be made under section 16 203 or 204 unless an application therefor has been sub17 mitted to, and approved by the Secretary. Such applica18 tion shall be submitted in such form and manner as the Sec19 retary shall prescribe and shall contain or be supported by 20 assurances satisfactory to the Secretary that

"(1) the community mental health center for which the application is submitted will provide, in accordance with regulations of the Secretary, an effective procedure for developing, compiling, evaluating, and reporting to

the Secretary, statistics and other information (which

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the Secretary shall publish and disseminate on a periodic

basis and which the center shall disclose at least an

nually to the general public) relating to (A) the cost of the center's operation, (B) the patterns of utilization of its services, (C) the availability, accessibility, and acceptability of its services, (D) the impact of its services upon the mental health of the residents of its

catchment area, and (E) such other matters as the Secretary may require;

"(2) such community mental health center will, in consultation with the residents of its catchment area, review its program of services and the statistics and other information referred to in paragraph (1) to assure

that its services are responsive to the needs of the residents of its catchment area;

"(3) to the extent practicable, such community mental health center will enter into cooperative arrangements with health maintenance organizations serving residents of the center's catchment area for the provision through the center of mental health services for the members of such organizations;

"(4) such community mental health center will develop a plan for, and use its best efforts to insure that, adequate financial support will be available

to such community mental health center from Federal