-
Initial Funding into Hotline and Crisis Centers
-Congress appropriates funding for suicide
prevention hotline.
-SAMHSA awards a competitive grant to a
single lead grantee to establish a network of
crisis centers that can answer calls from their
local communities (CMHS Cooperative Agreements to Certify, Network, and Evaluate
Crisis Programs that Offer Hotline Services, https://externallinks.samhsa.gov/grants/content/2001/sm01010-hotlines.html) -
Period: to
Bush Administration
-
The National Suicide Prevention Lifeline launched with the number 1-800-273-8255 (TALK)
With the number 1-800-273-8255
(TALK) -
SAMHSA & VA Partner to Establish the Veterans Crisis Line
By “Press 1” on 1- 800-273-8255 (TALK) -
Period: to
Obama Administration
-
HHS Awards $23 million in Planning Grants to 24 States for CCBHCs
Alaska
California
Colorado
Connecticut
Illinois
Indiana
Iowa
Kentucky
Maryland
Massachusetts
Michigan
Minnesota
Missouri
Nevada
New Mexico
New York
New Jersey
North Carolina
Oklahoma
Oregon
Pennsylvania
Rhode Island
Texas
Virginia -
HHS Selects Eight States to Participate in CCBHC Demonstration Program
-Minnesota, Missouri, Nevada, New Jersey, New York, Oklahoma, Oregon, and Pennsylvania. (Pennsylvania and Minnesota have since withdrawn from the demonstration.)
-Starting in 2017, 67 CCBHCs were established in eight states through the Section 223 CCBHC Medicaid Demonstration (Demonstration).
-For the six original states that continue to participate in the Medicaid demonstration program, the current expiration date of the demonstration is September 30, 2025. -
Period: to
Trump Administration
-
Consolidated Appropriations Act 2018
-Authorizes the CCBHC Expansion grant program and allocated $100 million in funding for fiscal year (FY) 2018.
-The initial CCBHC Expansion grants are awarded, providing up to $2 million annually for two years to facilities that met the CCBHC certification criteria.
-Grants are awarded directly to community-based behavioral health facilities that met federal certification criteria. -
The National Suicide Hotline Improvement Act becomes law.
It requires a feasibility study into designating a three-digit dialing code for a national suicide prevention and mental health crisis hotline system. -
Period: to
Covid Pandemic
-
Daniel Prude
Death of Daniel Prude reignites an active movement on racial justice with a focus on mental health and policing response. -
CARES ACT
-Provides $425 million for the Substance Abuse and Mental Health Services Administration (SAMHSA).
-Funds aimed to support mental health and substance use disorder services during the COVID-19 pandemic. -
George Floyd
Murder of George Floyd: Led to attempts to reform policing and launching alternative first response units that send unarmed civilians, instead of armed officers, to some emergencies. -
988 Active Nationwide
-
HHS Selects Two Additional States (Kentucky and Michigan) to Join The Demonstration Program
Authorized by the Coronavirus Aid, Relief, and Economic Security Act of 2020 (P.L. 116-136). Kentucky’s demonstration expires December 31, 2027, and Michigan’s demonstration expires September 30, 2027. -
FCC Adopts Rules to Establish 988 as the Nationwide Number
FCC adopted rules to establish 988 as the nationwide, easy-to-remember 3-digit dialing code for people in crisis to connect with suicide prevention and mental health crisis counselors. -
The National Suicide Hotline Designation Act of 2020 is signed into law
-The National Suicide Hotline Designation Act
of 2020 is signed into law.
-It requires the FCC to designate 988 as the universal number for a national suicide prevention and mental health crisis hotline, text service added to the Lifeline.
-On July 16, 2020, the FCC issues the final order designating 988 as the new Lifeline and
Veterans Crisis Line number, requiring all U.S.
telecommunication providers to activate 988 for
all subscribers by July 16, 2022. -
CRSSA ACT
- Allocates an additional $4.7 billion to SAMHSA. [$425 million from the third measure of CARES] -$4.25 billion specifically aimed at mental health and substance use services. -$1.65 billion was designated for each of SAMHSA’s two main block grants: Community Mental Health Services Block Grant (MHBG), and Substance Abuse (SABG)
-
5% Set Aside for Crisis MHBG
-Congress directs SAMHSA through the Consolidated Appropriations Act and the Coronavirus Response and Relief Supplement Appropriations Act to set aside 5% of the Mental Health Block Grant allocation to support crisis systems.
-States are required to provide services such as: centrally deployed 24/7 mobile crisis units, short-term residential crisis stabilization etc. -
Period: to
Biden Administration
-
American Rescue Plan
-MHBG $1.5 billion (expended by the State by September 30, 2025)
-Provides $80 million for grants/contracts with qualifying rural and underserved communities to train health professionals in evidence-informed
strategies for reducing and addressing suicide, burnout, mental health conditions etc.
-Provides $420 million to HHS for grants to communities and community organizations that meet the criteria for CCBHCs
-Provides $180 million for the National Suicide Crisis Lifeline: 988. -
Additional Block Grant Money Added CARES ACT
Additional $825 million to states through the Community Mental Health Services Block Grant (MHBG) program to assist in response to the COVID-19 pandemic. https://www.samhsa.gov/sites/default/files/mhbg-coronavirus-response-relief-supplement-guidance.pdf -
Enhanced Match (American Rescue Plan)
-American Rescue Plan (March 2021) creates new state option to provide community mobile crisis services for five years beginning in April 2022.
-As an incentive to state adoption, the law provides an 85% enhanced federal matching rate for qualifying services for the first three years of state coverage.
-ARP also includes $15 million in state planning grants to support efforts to develop a state plan amendment or waiver request (e.g., Section 1115, 1915(b) or 1915(c)) to take up the option. -
Bipartisan Safer Communities Act
-Amends PAMA Section 2236 to extend length of the demonstration period for the states currently participating in the CCBHC demonstration program. Beginning July 1, 2024, and every two years after, up to 10 additional states may be selected to participate in the CCBHC demonstration program.
-Allows states no longer participating in the CCBHC demonstration program to receive federal Medicaid funding for the prospective payment system (PPS) payment rate provided to CCBHCs.
-150 million for 988 -
BJA Byrne State Crisis Intervention Program (SCIP)
-Byrne SCIP provides formula funds to implement state crisis intervention court proceedings and related programs or initiatives.
-These include but are not limited to, extreme risk protection order (ERPO) programs that work to keep guns out of the hands of those who pose a threat to themselves or others, mental health courts, drug courts, and veterans treatment courts. -Byrne SCIP is authorized by the Bipartisan Safer Communities Supplemental Appropriations Act 2022. -
CRSSA Act
-A $900 billion COVID relief bill- continuation of support from CARES
-passed in December 2022, includes several provisions to enhance and evaluate the behavioral health crisis continuum.
-The Act establishes the Behavioral Health Crisis Coordinating Office within SAMHSA, directing it to identify and publish best practices.
-Additionally, the Act tasks various agencies with producing reports that evaluate the performance measures and outcomes of the behavioral health crisis continuum. -
15 States Given Additional CCBHC Planning Grants
-HHS awards planning grants to 15 states as part of CCBHC program. Funding, authorized by the Bipartisan Safer Communities Act, provided each state $1 million for one year to support their efforts to develop Medicaid-funded behavioral health services through the CCBHC demonstration program.
-States receiving the grants included Alabama, Delaware, Georgia, Iowa, Kansas, Maine, Mississippi, Montana, North Carolina, New Hampshire, New Mexico, Ohio, Rhode Island, Vermont, and West Virginia. -
HHS Announces Ten New States have Joined the Certified Community Behavioral Health Clinic (CCBHC) Medicaid Demonstration Program.
-HHS through CMS and SAMHSA announced that ten new states have joined the Certified Community Behavioral Health Clinic (CCBHC) Medicaid Demonstration Program.
-This significant expansion aims to enhance access to mental health and substance use services across the country. The new states include: Alabama, Illinois, Indiana, Iowa, Kansas, Maine, New Hampshire, New Mexico, Rhode Island and Vermont.
-All 10 states had received planning grants authorized by BSCA in 2022