II
118THCONGRESS
1
STSESSION S. 24
To fight homelessness in the United States by authorizing a grant program
within the Health Resources and Services Administration for housing
programs that offer comprehensive services and intensive case manage-
ment for homeless individuals and families.
IN THE SENATE OF THE UNITED STATES
JANUARY23 (legislative day, JANUARY3), 2023
Mrs. F
EINSTEIN(for herself, Mr. PADILLA, Ms. KLOBUCHAR, and Mrs. SHA-
HEEN) introduced the following bill; which was read twice and referred
to the Committee on Health, Education, Labor, and Pensions
A BILL
To fight homelessness in the United States by authorizing
a grant program within the Health Resources and Serv-
ices Administration for housing programs that offer com-
prehensive services and intensive case management for
homeless individuals and families.
Be it enacted by the Senate and House of Representa-1
tives of the United States of America in Congress assembled, 2
SECTION 1. SHORT TITLE. 3
This Act may be cited as the ‘‘Fighting Homelessness 4
Through Services and Housing Act’’. 5
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SEC. 2. ESTABLISHMENT OF GRANT PROGRAM. 1
(a) I
NGENERAL.—The Administrator of the Health 2
Resources and Services Administration (referred to in this 3
section as the ‘‘Administrator’’), in consultation with the 4
working group established under subsection (b), shall es-5
tablish a grant program to award competitive grants to 6
eligible entities for the planning and implementation of 7
programs to address homelessness. 8
(b) W
ORKINGGROUP.—The Administrator shall es-9
tablish an interagency working group to provide advice to 10
the Administrator in carrying out the program under sub-11
section (a). The working group shall include representa-12
tives from the United States Interagency Council on 13
Homelessness, Department of Education, Department of 14
Health and Human Services, Department of Housing and 15
Urban Development, Department of Labor, Department 16
of Transportation, Department of Veterans Affairs, De-17
partment of Agriculture, Department of the Treasury, De-18
partment of Justice, and Bureau of Indian Affairs. 19
(c) T
YPES OFGRANTS.— 20
(1) I
MPLEMENTATION GRANTS .— 21
(A) I
N GENERAL.—Under the program 22
under subsection (a), the Administrator shall 23
award 5-year implementation grants to eligible 24
entities to assist such entities in carrying out 25
activities, and paying capital building costs, as-26
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sociated with the provision of housing and serv-1
ices to homeless individuals and families, in-2
cluding homeless children and youths (as de-3
fined by section 725 of the McKinney-Vento 4
Homeless Assistance Act (42 U.S.C. 11434a)), 5
or those at risk of becoming homeless. 6
(B) A
MOUNT.—The amount awarded to an 7
entity under a grant under this paragraph shall 8
not exceed $25,000,000. 9
(C) M
ATCHING REQUIREMENT .—With re-10
spect to the costs of the activities to be carried 11
out by an entity under a grant under this para-12
graph, the entity shall make available (directly 13
or through donations from public or private en-14
tities) non-Federal contributions toward such 15
costs in an amount that equals 25 percent of 16
the amount of the grant. 17
(2) P
LANNING GRANTS.— 18
(A) I
N GENERAL.—Under the program 19
under subsection (a), the Administrator shall 20
award 1-year planning grants to eligible entities 21
to assist such entities in developing comprehen-22
sive plans to address homelessness in the com-23
munities and regions served by such entities or 24
to enhance the effectiveness of existing pro-25
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grams that serve homeless individuals and fami-1
lies, including homeless children and youths (as 2
defined by section 725 of the McKinney-Vento 3
Homeless Assistance Act (42 U.S.C. 11434a)), 4
or those at risk of becoming homeless. 5
(B) A
MOUNT.—The amount awarded to an 6
entity under a grant under this paragraph shall 7
not exceed $100,000, and such amount shall 8
not be subject to any matching requirement. 9
(d) E
LIGIBILITY.— 10
(1) I
N GENERAL.—To be eligible to receive a 11
grant under the program under subsection (a), an 12
entity shall— 13
(A) be a governmental entity (at the coun-14
ty, city, regional, or locality level), Indian tribe, 15
or tribal organization; 16
(B) demonstrate that the capacity of the 17
entity for providing services under the grant in-18
cludes the ability to address mental health, sub-19
stance use disorder and recovery services, dis-20
abling or other chronic health conditions, edu-21
cational and job training or employment out-22
comes, and life skills needs (including financial 23
literacy); and 24
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(C) submit to the Administrator an appli-1
cation that includes an assurance that, in car-2
rying out activities under the grant, the entity 3
will— 4
(i) ensure stable housing, intensive 5
case management, and comprehensive serv-6
ices that include, at minimum, mental 7
health, substance use disorder treatment 8
and recovery services, education and job 9
training, age-appropriate services for chil-10
dren, and life skills training (such as fi-11
nancial literacy training); 12
(ii) coordinate with the population to 13
be served by the entity to ensure that sup-14
portive services are tailored to meet the 15
specific and actual needs of the individuals 16
and families served; 17
(iii) coordinate with local law enforce-18
ment, courts (including specialized courts), 19
probation, and other public services agen-20
cies to conduct outreach and better iden-21
tify at-risk or homeless populations that 22
would benefit from services offered by the 23
entity; 24
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(iv) follow trauma-informed best prac-1
tices to address the needs of the popu-2
lations to be served; 3
(v) provide services under the grant 4
on-site or in-home as appropriate; 5
(vi) provide assistance in addressing 6
the transportation needs of individuals for 7
services provided under the grant off-site; 8
and 9
(vii) comply with additional require-10
ments, if the entity intends to serve fami-11
lies with children under the grant, to en-12
sure— 13
(I) that services include chil-14
dren’s behavioral and mental health 15
services, early childhood education, 16
regular and age-appropriate children’s 17
programming and activities, child 18
health, development, and nutrition 19
screening (including coordination of 20
medical and well-child services), and 21
parenting classes and support pro-22
grams; 23
(II) in conditions where family 24
housing is provided in a central facil-25
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ity and not in mixed units in a com-1
mercial building, that a safe space for 2
play and age-appropriate activities is 3
available on-site and has regular 4
hours of operation; and 5
(III) that the entity has in place 6
protocol for staff training and best 7
practices to identify and prevent child 8
trafficking, abuse, and neglect. 9
(2) C
ASE MANAGEMENT .—An entity receiving a 10
grant under this section shall ensure that case man-11
agement provided by the entity under the grant does 12
not exceed a ratio of 1 caseworker to 20 cases. 13
(3) P
ARTNERSHIPS.—An entity may enter into 14
a partnership with more than one provider that may 15
include a local health agency, non-profit service pro-16
viders, medical and mental health providers, housing 17
providers, and other service providers as necessary. 18
(e) O
VERSIGHTREQUIREMENTS.— 19
(1) A
NNUAL REPORTS.—Not later than 1 year 20
after the date on which a grant is received by an en-21
tity under subsection (a), and annually thereafter 22
for the term of the grant, such entity shall submit 23
to the Administrator a report on the activities car-24
ried out under the grant. Such report shall include, 25
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with respect to activities carried out under the grant 1
in the community served, measures of outcomes re-2
lating to— 3
(A) whether individuals and families who 4
are served continued to have housing and did 5
not experience intermittent periods of homeless-6
ness; 7
(B) whether individuals and families who 8
are served see improvements in their physical 9
and mental health, have access to a specific pri-10
mary care provider, promptly receive any need-11
ed health care, and have a health care plan that 12
meets their individual needs (including access to 13
mental health and substance use treatment as 14
applicable, and family-based treatment models); 15
(C) whether children who are served are 16
enrolled in school, attend regularly, and are re-17
ceiving services to meet their educational needs; 18
(D) whether children who are served have 19
access to trauma-informed mental health care 20
and screening for any mental and behavioral 21
health needs, as well as other services to meet 22
their needs, as appropriate; 23
(E) how grant funds are used; and 24
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(F) other matters determined appropriate 1
by the Administrator. 2
(2) R
ULE OF CONSTRUCTION .—Nothing in this 3
subsection shall be construed to condition the receipt 4
of future housing and other services by individuals 5
under the grant on the outcomes detailed in the re-6
ports submitted under paragraph (1). 7
(f) D
EFINITION.—In this section, the terms ‘‘Indian 8
tribe’’ and ‘‘tribal organization’’ have the meanings given 9
such terms in section 4 of the Indian Self-Determination 10
and Education Assistance Act (25 U.S.C. 5304) and shall 11
include tribally designated housing entities (as defined in 12
section 4(22) of the Native American Housing Assistance 13
and Self-Determination Act of 1996 (25 U.S.C. 14
4103(22))) and entities that serve Native Hawaiians (as 15
defined in section 338K(c) of the Public Health Service 16
Act (42 U.S.C. 254s(c))). 17
(g) A
UTHORIZATION OFAPPROPRIATIONS.—There is 18
authorized to be appropriated to carry out this section, 19
$1,000,000,000 for each of fiscal years 2023 through 20
2028, of which— 21
(1) not less than 5 percent of such funds shall 22
be awarded to Indian tribes and tribal organizations; 23
(2) $5,000,000 shall be made available for plan-24
ning grants under subsection (c)(2); and 25
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(3) the remainder shall be made available for 1
implementation grants under subsection (c)(1). 2
Æ
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