Overview

Title

To amend the Public Health Service Act to direct the Secretary of Health and Human Services, acting through the Assistant Secretary for Mental Health and Substance Abuse, to award grants to eligible crisis centers to provide follow-up services to individuals receiving suicide prevention and crisis intervention services, and for other purposes.

ELI5 AI

The bill wants to help places that support people who feel really sad or in danger of hurting themselves. It plans to give them money so they can check up on these people to make sure they're okay after getting help.

Summary AI

H.R. 6928, known as the “CONNECT Act of 2024,” seeks to amend the Public Health Service Act to better support individuals who have received suicide prevention and crisis intervention services. The bill directs the Secretary of Health and Human Services, through the Assistant Secretary for Mental Health and Substance Abuse, to provide grants to eligible crisis centers. These grants are intended to fund follow-up services, which can include checking in on individuals, ensuring they are engaged in necessary services, coordinating with their support networks, and providing necessary referrals. The bill authorizes $30 million for these activities for the fiscal year 2024.

Published

2024-01-09
Congress: 118
Session: 2
Chamber: HOUSE
Status: Introduced in House
Date: 2024-01-09
Package ID: BILLS-118hr6928ih

Bill Statistics

Size

Sections:
3
Words:
717
Pages:
4
Sentences:
15

Language

Nouns: 235
Verbs: 61
Adjectives: 31
Adverbs: 0
Numbers: 19
Entities: 29

Complexity

Average Token Length:
4.37
Average Sentence Length:
47.80
Token Entropy:
4.85
Readability (ARI):
26.35

AnalysisAI

General Summary of the Bill

The bill, titled the "CONtinuity in Necessary Evaluative Crisis Treatment Act of 2024” or the “CONNECT Act of 2024,” proposes amendments to the Public Health Service Act. It focuses on suicide prevention and crisis intervention, specifically by allocating grants to eligible crisis centers. The purpose of these grants is to provide follow-up services to individuals who have utilized suicide prevention and crisis intervention services.

Summary of Significant Issues

The bill raises several significant issues, primarily because some of its language is vague and lacks specificity:

  • Eligibility and Selection Criteria: The criteria for determining which crisis centers are eligible for grants and how they will be selected based on 'relative needs' is not clearly defined. This ambiguity might lead to unfair distribution of resources.

  • Accountability and Oversight: There is an absence of specific accountability or reporting requirements for crisis centers receiving the grants. This lack of oversight poses a risk of inefficient or potentially wasteful use of funds.

  • Undefined Terms and Ambiguity: The term 'network of crisis centers' is not clearly established, potentially causing confusion around eligibility. Additionally, phrases like 'to the extent possible' in service eligibility criteria could be interpreted inconsistently.

  • Technical Assistance and Evaluation: The bill provides for technical assistance but does not define what this entails. Furthermore, there is no mention of how the effectiveness of the follow-up services will be measured or assessed, which could hinder improvements over time.

Impact on the Public

Broadly, this bill aims to enhance the continuity of care for individuals who have experienced a mental health crisis, which is a positive step toward comprehensive mental health services. By providing follow-up care, the bill seeks to ensure that individuals remain engaged with necessary services after an initial intervention. This continuity is critical to prevent further crises and could significantly improve mental health outcomes for individuals.

Impact on Specific Stakeholders

Crisis Centers: The centers stand to benefit from increased funding, which can help fill capacity and service gaps. However, the vague criteria for grant eligibility and the absence of detailed procedures might lead to some centers being unfairly overlooked or underfunded.

Individuals in Crisis: For those receiving services, the proposed follow-up care can be essential in sustaining mental stability and preventing relapses into crisis. However, inconsistent application due to vague guidelines might result in unequal access to these benefits.

Families and Care Networks: Family members and caregivers would likely see positive impacts as more coordinated follow-up care could relieve some of their burdens. Yet, without clear definitions, coordination with 'natural social supports' might vary widely in effectiveness.

Overall, while the CONNECT Act of 2024 intends to strengthen suicide prevention and crisis intervention services, the success of its implementation depends heavily on clarifying its language and establishing robust oversight mechanisms. Ensuring fairness, efficiency, and accountability in grant allocation and service provision is crucial to maximizing its potential benefits for all stakeholders involved.

Financial Assessment

The bill H.R. 6928, referred to as the “CONNECT Act of 2024,” focuses on promoting the continuity of care for individuals receiving suicide prevention and crisis intervention services. It does so by authorizing financial support, prominently outlined in its provisions.

Financial Appropriation

The bill specifically authorizes $30,000,000 for fiscal year 2024 to support its initiatives, which include providing grants to eligible crisis centers. This substantial fiscal allocation is intended to ensure these centers have the necessary resources to deliver follow-up services to individuals who have utilized suicide prevention or crisis intervention services. This funding will remain available until it is expended, providing flexibility to the crisis centers in managing the resources over time.

Relationship to Identified Issues

While the authorization of $30,000,000 is clearly articulated, the bill does not break down how this sum is expected to be spent in detail. This lack of specificity raises potential issues concerning financial transparency and responsible spending, as pointed out in the issues section. Without a detailed expenditure plan, there may be challenges in ensuring these funds are used efficiently and for the intended purpose.

Moreover, accountability and reporting mechanisms for these funds are also notably absent. Without such mechanisms, there could be inefficient use of resources and a lack of oversight. This could lead to financial waste, as crisis centers receiving grants may not be compelled to demonstrate how funds are used or the effectiveness of their follow-up services.

In terms of allocating these funds to crisis centers, the bill mentions selection based on "relative needs," which are not clearly defined. This vagueness could result in subjective decision-making and potentially inequitable distribution of funds. If funds are not allocated fairly, crisis centers in dire need might be overlooked, reducing the overall effectiveness of the financial appropriation.

Furthermore, the term "to the extent possible," regarding eligible recipients of follow-up services, could lead to inconsistent service delivery, impacting the equitable use of the allocated $30,000,000. The lack of clear guidelines could cause uneven implementation, meaning some individuals might receive more comprehensive follow-up care than others due to variable interpretations of eligibility.

In conclusion, while the $30,000,000 appropriation is a significant financial commitment towards enhancing suicide prevention follow-up services, the absence of detailed expenditure plans, accountability reports, and clear definitions within the bill raises valid concerns. Addressing these issues could help ensure that the funds achieve their intended impact, benefiting individuals and communities efficiently and equitably.

Issues

  • The section on grants in SEC. 2 lacks clear criteria for determining the 'relative needs' of eligible crisis centers, which may lead to subjective or inconsistent grant awards (SEC. 520E–5(c)). This could result in unfair allocation of resources and potential misallocation of funds.

  • The bill does not include specific accountability or reporting requirements for crisis centers receiving grants (SEC. 520E–5(e)). Without oversight, there is a risk of inefficient use of funds, leading to potential wastefulness.

  • The term 'network of crisis centers' is not clearly defined in SEC. 2 (SEC. 520E–5(b)), which may cause confusion regarding eligibility for the grants, potentially excluding some centers that should be eligible.

  • The allocation of $30,000,000 without a detailed breakdown of expected expenditures (SEC. 520E–5(f)) raises concerns about financial transparency and potential wastefulness.

  • The language 'to the extent possible' in describing who is eligible for follow-up services (SEC. 520E–5(e)(1)(B)) is vague and could lead to inconsistent application of services, impacting equality of service provision.

  • There is a lack of specific guidelines on what 'technical assistance' entails (SEC. 520E–5(d)), leading to potential variability in implementation and effectiveness of follow-up services that crisis centers provide.

  • The bill does not specify how the effectiveness of follow-up services will be measured or assessed (SEC. 520E–5(e)(2)), which could hinder accountability and the opportunity for service improvement.

  • The collaboration with 'natural social supports' (SEC. 520E–5(e)(2)(C)) is not clearly defined, leading to potential interpretation issues and inconsistent application across different crisis centers.

Sections

Sections are presented as they are annotated in the original legislative text. Any missing headers, numbers, or non-consecutive order is due to the original text.

1. Short title Read Opens in new tab

Summary AI

The first section of the Act states that the official short title is the "CONtinuity in Necessary Evaluative Crisis Treatment Act of 2024," or simply the "CONNECT Act of 2024."

2. Grants for follow-up services to individuals receiving suicide prevention and crisis intervention services Read Opens in new tab

Summary AI

The section describes a grant program where the Secretary of Health awards funding to eligible crisis centers to offer follow-up care to people who have used suicide prevention or crisis services. These follow-up services can include wellness checks, engaging individuals with services, working with families and support networks, and making necessary referrals, with $30 million authorized for 2024.

Money References

  • “(f) Authorization of appropriations.—To carry out this section, there is authorized to be appropriated $30,000,000 for fiscal year 2024, to remain available until expended.”.

520E–5. Follow-up services to individuals receiving suicide prevention and crisis intervention services Read Opens in new tab

Summary AI

The Secretary, through the Assistant Secretary, will give grants to selected crisis centers to offer follow-up services to people who have received suicide prevention or crisis intervention help. These services may include checking in on individuals' well-being, ensuring they are engaged in any recommended services, coordinating with family and care providers, and making referrals as needed. The program is backed by $30 million in funding for 2024.

Money References

  • — (1) IN GENERAL.—A crisis center receiving a grant under this section shall use the grant to provide follow-up services to individuals receiving suicide prevention and crisis intervention services such as— (A) individuals who were callers at risk of, or on behalf of someone at risk of, suicide or a mental health or suicidal crisis; and (B) to the extent possible, individuals who— (i) received a response from a mobile crisis team; or (ii) made a visit to an urgent behavioral health clinic, a crisis receiving and stabilization facility, an emergency department, an inpatient unit, or another short-term crisis care site. (2) FOLLOW-UP SERVICES.—Follow-up services referred to in paragraph (1) may include— (A) check-ins to assess well-being and level of risk; (B) outreach to ensure engagement in services and supports, in coordination with mobile crisis service providers if involved; (C) collaboration with family, caregivers, and natural social supports; and (D) referrals based on the needed level of care. (f) Authorization of appropriations.—To carry out this section, there is authorized to be appropriated $30,000,000 for fiscal year 2024, to remain available until expended. ---