H.R. 5859

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5859 Introduced in House (IH)]

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119th CONGRESS
1st Session
H. R. 5859

To direct the Secretary of Health and Human Services to award grants 
for the purpose of establishing, operating, or expanding one-stop 
crisis facilities, and for other purposes.

_______________________________________________________________________

IN THE HOUSE OF REPRESENTATIVES

October 28, 2025

Mr. Smith of Washington introduced the following bill; which was 
referred to the Committee on Energy and Commerce, and in addition to 
the Committees on Financial Services, and the Judiciary, for a period 
to be subsequently determined by the Speaker, in each case for 
consideration of such provisions as fall within the jurisdiction of the 
committee concerned

_______________________________________________________________________

A BILL

To direct the Secretary of Health and Human Services to award grants 
for the purpose of establishing, operating, or expanding one-stop 
crisis facilities, and for other purposes.

Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

This Act may be cited as the ``Behavioral Health Crisis Care 
Centers Act of 2025''.

SEC. 2. GRANT PROGRAM FOR ONE-STOP CRISIS FACILITIES.

(a) Establishment.--The Secretary of Health and Human Services (in 
this section referred to as the ``Secretary''), in consultation with 
the Secretary of Housing and Urban Development, the Attorney General, 
the Secretary of the Interior, and the heads of any other relevant 
Federal agencies, shall award grants to eligible entities in the 
amounts determined pursuant to subsection (d) for the purpose of 
establishing, operating, or expanding one-stop crisis facilities.
(b) Eligible Activities.--Activities funded through a grant under 
this section for establishing, operating, or expanding a one-stop 
crisis facility may include--
(1) acquiring, constructing, or developing facilities;
(2) acquiring supplies or equipment;
(3) training, hiring, and retaining staff;
(4) establishing, operating, or expanding services provided 
at a one-stop crisis facility, including--
(A) health care services, including behavioral 
health and substance use disorder treatment, including 
medication for opioid use disorder;
(B) counseling;
(C) case management services and recovery oriented 
supports;
(D) housing assistance, including financial 
assistance for housing;
(E) legal services; and
(F) other wrap-around services, not limited to 
services that are clinical in nature, provided as part 
of a one-stop crisis facility;
(5) coordinating with governmental and nongovernmental 
partners (including local crisis response, law enforcement, 
fire services, emergency medical services, health care 
entities, workforce development programs, aging, disability, 
and senior services, community-based organizations, faith-based 
organizations, civic organizations, housing authorities, 
continuum of care programs, immigrant and refugee assistance 
organizations, veteran service organizations, deflection 
initiatives led by first responders, evidence-based jail 
diversion programs, such as law enforcement-assisted diversion 
programs, children and family organizations, and other entities 
involved in the provision of wrap-around services, not limited 
to clinical services);
(6) conducting outreach services to engage with vulnerable 
and high-need communities, including individuals living at 
public or federally assisted housing facilities or receiving 
Federal housing assistance, youths, and unhoused individuals; 
and
(7) planning system-wide coordination with other entities 
involved in crisis response.
(c) Subgrants.--A recipient of a grant under this section may use 
such grant to award subgrants to nongovernmental entities for the 
purpose of providing one-stop crisis facility services, including those 
described in paragraphs (3), (4), (5), and (6) of subsection (b).
(d) Determination of Amounts.--
(1) Metropolitan cities.--Of the total amount made 
available for a fiscal year pursuant to subsection (g)(2)(A), 
the Secretary shall award to each metropolitan city receiving a 
grant under this section an amount that bears the same 
proportion to such total amount as the population of such 
metropolitan city bears to the total population of all 
metropolitan cities receiving grants under this section.
(2) Nonentitlement units of local government.--Of the total 
amount made available for a fiscal year pursuant to subsection 
(g)(2)(B), the Secretary shall award to each nonentitlement 
unit of local government receiving a grant under this section 
an amount that bears the same proportion to such total amount 
as the population of such nonentitlement unit of local 
government bears to the total population of all nonentitlement 
units of local government receiving grants under this section.
(3) Counties.--The Secretary shall award to each county 
receiving a grant under this section--
(A) of half of the amount made available for a 
fiscal year pursuant to subsection (g)(2)(C), an amount 
that is equal for each such county; and
(B) of the remaining half of the amount made 
available for a fiscal year pursuant to subsection 
(g)(2)(C), an amount that bears the same proportion to 
such remaining half as the population of such county 
bears to the total population of all counties receiving 
grants under this section.
(4) States.--The Secretary shall award to each State 
receiving a grant under this section--
(A) of half of the amount made available for a 
fiscal year pursuant to subsection (g)(2)(D), an amount 
that is equal for each such State; and
(B) of the remaining half of the amount made 
available for a fiscal year pursuant to subsection 
(g)(2)(D), an amount that bears the same proportion to 
such remaining half as the population of such State 
bears to the total population of all States receiving 
grants under this section.
(5) Indian tribes.--The Secretary shall award to each 
Indian Tribe receiving a grant under this section--
(A) of 25 percent of the amount made available for 
a fiscal year pursuant to subsection (g)(2)(E), an 
amount that is equal for each such Indian Tribe; and
(B) of 75 percent of the amount made available for 
a fiscal year pursuant to subsection (g)(2)(E), an 
amount determined by the Secretary of the Interior.
(6) Territories.--Of the total amount made available for a 
fiscal year pursuant to subsection (g)(2)(F), the Secretary 
shall award to each territory receiving a grant under this 
section an amount that bears the same proportion to such total 
amount as the population of such territory bears to the total 
population of all territories receiving grants under this 
section.
(e) Application.--
(1) In general.--To seek a grant under this section, an 
eligible entity shall submit an application to the Secretary at 
such time, in such manner, and accompanied by such information 
as the Secretary may require.
(2) Plan.--Such an application shall include a plan for how 
the grant funds will be used, including--
(A) how such plan is informed by stakeholders in 
the community, especially people with lived experiences 
with a behavioral health crisis, people with 
disabilities, and community organizations that work 
with these communities;
(B) how the recipient will collaborate with 
community-based organizations to connect individuals 
with appropriate services in a timely and direct 
manner;
(C) how the recipient will establish a housing 
first policy strategy for adults experiencing 
homelessness and a transitional housing, wrap-around 
services strategy for youth in crisis;
(D) how the recipient will prioritize equitable 
access for people facing language, cultural, 
disability-related, and other barriers, including how 
staff will be trained in cultural competency and 
trauma-informed care;
(E) how the recipient will work in conjunction with 
crisis response systems, law enforcement, fire 
services, emergency medical services, homeless 
outreach, community health workers, and emergency 
departments to divert individuals experiencing a 
behavioral health or substance use crisis to the one-
stop crisis facility;
(F) how the recipient will consult with people with 
lived experience with a behavioral health crisis to 
design centers that have a ``home-like'' environment 
that is accessible;
(G) how the recipient will work in conjunction with 
continuum of care programs and housing providers to 
connect individuals at assisted housing facilities with 
the one-stop crisis facility to receive supportive 
services; and
(H) how the recipient intends to create programming 
and services specific to the needs of youth.
(f) Nondiscrimination.--No person in the United States shall, on 
the basis of actual or perceived race, color, religion, national 
origin, sex (including sexual orientation and gender identity), or 
disability, be excluded from participation in, be denied the benefits 
of, or be subjected to discrimination under any program or activity 
funded, in whole or in part, with funds made available under this Act.
(g) Definitions.--In this section:
(1) The terms ``county'', ``metropolitan city'', and 
``nonentitlement unit of local government'' have the meanings 
given to such terms in section 603(g) of the Social Security 
Act (42 U.S.C. 803(g)).
(2) The term ``eligible entity'' means a metropolitan city, 
a nonentitlement unit of local government, a county, a State, 
an Indian Tribe, or a territory.
(3) The term ``Indian Tribe'' has the meaning given to the 
term ``Indian tribe'' in section 102 of the Federally 
Recognized Indian Tribe List Act of 1994 (25 U.S.C. 5130).
(4) The term ``one-stop crisis facility'' means a facility 
that provides, at a single location--
(A) on-site services for behavioral health and 
substance use disorder;
(B) housing services; and
(C) coordination with health care services, housing 
services, legal aid, or other case management or wrap-
around services available in the community.
(5) The term ``State'' means each State of the United 
States and the District of Columbia.
(6) The term ``territory'' means the Commonwealth of Puerto 
Rico, the United States Virgin Islands, Guam, the Commonwealth 
of the Northern Mariana Islands, and American Samoa.
(h) Authorization of Appropriations.--
(1) In general.--There is authorized to be appropriated to 
carry out this section $11,500,000,000 for each of fiscal years 
2026 through 2030.
(2) Reservation.--Of the amounts authorized to be 
appropriated by paragraph (1)--
(A) $3,000,000,000 shall be for grants to 
metropolitan cities;
(B) $1,000,000,000 shall be for grants to 
nonentitlement units of local government;
(C) $3,000,000,000 shall be for grants to counties;
(D) $2,000,000,000 shall be for grants to States;
(E) $2,000,000,000 shall be for grants to Indian 
Tribes; and
(F) $500,000,000 shall be for grants to 
territories.
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