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H.R.4302: "Protecting Access to Medicare Act of 2014" SEC.224 Forced Drugging

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    status: passed the House of Representatives March 27, 2014; passed the US Senate March 31, 2014.


    Sec. 224. Assisted outpatient treatment grant program for individuals with serious mental illness

    (a)In general

    The Secretary shall establish a 4-year pilot program to award not more than 50 grants each year to eligible entities for assisted outpatient treatment programs for individuals with serious mental illness.


    The Secretary shall carry out this section in consultation with the Director of the National Institute of Mental Health, the Attorney General of the United States, the Administrator of the Administration for Community Living, and the Administrator of the Substance Abuse and Mental Health Services Administration.

    (c)Selecting among applicants

    The Secretary—

    (1)may only award grants under this section to applicants that have not previously implemented an assisted outpatient treatment program; and

    (2)shall evaluate applicants based on their potential to reduce hospitalization, homelessness, incarceration, and interaction with the criminal justice system while improving the health and social outcomes of the patient.

    (d)Use of grant

    An assisted outpatient treatment program funded with a grant awarded under this section shall include—

    (1)evaluating the medical and social needs of the patients who are participating in the program;

    (2)preparing and executing treatment plans for such patients that—

    (A)include criteria for completion of court-ordered treatment; and

    (B)provide for monitoring of the patient’s compliance with the treatment plan, including compliance with medication and other treatment regimens;

    (3)providing for such patients case management services that support the treatment plan;

    (4)ensuring appropriate referrals to medical and social service providers;

    (5)evaluating the process for implementing the program to ensure consistency with the patient’s needs and State law; and

    (6)measuring treatment outcomes, including health and social outcomes such as rates of incarceration, health care utilization, and homelessness.


    Not later than the end of each of fiscal years 2016, 2017, and 2018, the Secretary shall submit a report to the appropriate congressional committees on the grant program under this section. Each such report shall include an evaluation of the following:

    (1)Cost savings and public health outcomes such as mortality, suicide, substance abuse, hospitalization, and use of services.

    (2)Rates of incarceration by patients.

    (3)Rates of homelessness among patients.

    (4)Patient and family satisfaction with program participation.


    In this section:

    (1)The term assisted outpatient treatment means medically prescribed mental health treatment that a patient receives while living in a community under the terms of a law authorizing a State or local court to order such treatment.

    (2)The term eligible entity means a county, city, mental health system, mental health court, or any other entity with authority under the law of the State in which the grantee is located to implement, monitor, and oversee assisted outpatient treatment programs.

    (3)The term Secretary means the Secretary of Health and Human Services.


    (1)Amount of grants

    A grant under this section shall be in an amount that is not more than $1,000,000 for each of fiscal years 2015 through 2018. Subject to the preceding sentence, the Secretary shall determine the amount of each grant based on the population of the area, including estimated patients, to be served under the grant.

    (2)Authorization of appropriations

    There is authorized to be appropriated to carry out this section $15,000,000 for each of fiscal years 2015 through 2018.



    ARLINGTON, Va., March 10, 2014 /PRNewswire-USNewswire/ — The National Alliance on Mental Illness (NAMI) today issued the following statement by NAMI Executive Director Mary Giliberti in response to the announcement by the U.S. Department of Health & Human Services (HHS) that it will not move forward to “finalize” proposed rule changes under Medicare Part D that would have restricted access to antidepressant and antipsychotic medications.

    NAMI pharma


    Is this how some applied this? Under Federal investigation:

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