42 U.S.C. § 300x–9 — Funding

(a) Authorization of appropriations — Congress can appropriate $857,571,000 for each of fiscal years 2023 through 2027, to carry out this subpart, subpart III, and section 290aa–4(c) of this title as it relates to mental health. (b) Allocations for technical assistance, data collection, and program evaluation (1) In general — Each fiscal year, the Secretary must obligate 5% of the amounts appropriated under subsection (a) to carry out section 300x–58(a) of this title as it relates to mental health, plus the two purposes listed below. (2) Data collection — Part of that 5% funds sections 290aa–4(c) and 300y of this title, as they relate to mental health. (3) Program evaluation — The rest funds evaluations of mental health prevention and treatment programs and services, to find ways to improve how available and effective they are. (c) Early serious mental illness (1) In general — Except as paragraph (2) allows, each fiscal year a State must spend at least 10% of the amount it receives under this section on evidence-based programs addressing the needs of people with early serious mental illness — including psychotic disorders — no matter the person's age when the illness started. (2) State flexibility — Instead of spending 10% every year, a State may choose to spend at least 20% of that amount by the end of the following fiscal year. (d) Crisis care (1) In general — Except as paragraph (3) allows, each fiscal year a State must spend at least 5% of the amount it receives under section 300x of this title on evidence-based programs addressing the crisis care needs of people with serious mental illness and children with serious emotional disturbance — which can include children and adults having mental health crises that show serious mental illness or serious emotional disturbance, as applicable. (2) Core elements — The State's single mental health agency can choose to use this crisis care money for some or all of these core service components, as applicable and appropriate: (A) crisis call centers; (B) mobile crisis services available 24/7; and (C) crisis stabilization programs that offer acute or subacute care in a hospital or appropriately licensed facility (as the State determines), with referrals on to inpatient or outpatient care. (3) State flexibility — Instead of spending 5% every year, a State may choose to spend at least 10% of that amount to support these programs by the end of two consecutive fiscal years. (4) Rule of construction — Section 300x–1(b)(1)(A)(vi) of this title cannot be read as limiting the crisis care services provided under paragraph (1).