1 | 1 | | II |
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2 | 2 | | 119THCONGRESS |
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3 | 3 | | 1 |
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4 | 4 | | STSESSION S. 1329 |
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5 | 5 | | To address the behavioral health workforce shortages through support for |
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6 | 6 | | peer support specialists, and for other purposes. |
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7 | 7 | | IN THE SENATE OF THE UNITED STATES |
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8 | 8 | | APRIL8, 2025 |
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9 | 9 | | Mr. K |
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10 | 10 | | AINE(for himself, Mr. BANKS, Ms. BALDWIN, Ms. MURKOWSKI, and |
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11 | 11 | | Mr. W |
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12 | 12 | | YDEN) introduced the following bill; which was read twice and re- |
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13 | 13 | | ferred to the Committee on Health, Education, Labor, and Pensions |
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14 | 14 | | A BILL |
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15 | 15 | | To address the behavioral health workforce shortages through |
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16 | 16 | | support for peer support specialists, and for other purposes. |
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17 | 17 | | Be it enacted by the Senate and House of Representa-1 |
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18 | 18 | | tives of the United States of America in Congress assembled, 2 |
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19 | 19 | | SECTION 1. SHORT TITLE. 3 |
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20 | 20 | | This Act may be cited as the ‘‘Providing Empathetic 4 |
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21 | 21 | | and Effective Recovery Support Act’’ or the ‘‘PEER Sup-5 |
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22 | 22 | | port Act’’. 6 |
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23 | 23 | | SEC. 2. DEFINITION OF PEER SUPPORT SPECIALIST. 7 |
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24 | 24 | | (a) I |
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25 | 25 | | NGENERAL.—In this Act, the term ‘‘peer sup-8 |
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26 | 26 | | port specialist’’ means an individual— 9 |
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29 | 29 | | •S 1329 IS |
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30 | 30 | | (1)(A) who has lived experience of recovery 1 |
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31 | 31 | | from a mental health condition or substance use dis-2 |
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32 | 32 | | order and who specializes in supporting individuals 3 |
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33 | 33 | | with mental health conditions or substance use dis-4 |
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34 | 34 | | orders; or 5 |
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35 | 35 | | (B) who has lived experience as a parent or 6 |
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36 | 36 | | caregiver of an individual with a mental health con-7 |
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37 | 37 | | dition or substance use disorder and who specializes 8 |
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38 | 38 | | in supporting families navigating mental health or 9 |
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39 | 39 | | substance use service systems; and 10 |
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40 | 40 | | (2) who is certified as qualified to furnish peer 11 |
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41 | 41 | | support services, as described in subsection (b), 12 |
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42 | 42 | | under a process that is determined by the State in 13 |
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43 | 43 | | which such individual furnishes such services or de-14 |
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44 | 44 | | termined appropriate by the Secretary of Health and 15 |
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45 | 45 | | Human Services. 16 |
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46 | 46 | | (b) P |
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47 | 47 | | EERSUPPORTSERVICES.—The services de-17 |
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48 | 48 | | scribed in this subsection shall be consistent with the Na-18 |
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49 | 49 | | tional Practice Guidelines for Peer Supporters issued by 19 |
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50 | 50 | | the National Association of Peer Supporters (or a suc-20 |
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51 | 51 | | cessor publication) and inclusive of the Core Competencies 21 |
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52 | 52 | | for Peer Workers in Behavioral Health Services of the 22 |
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53 | 53 | | Substance Abuse and Mental Health Services Administra-23 |
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54 | 54 | | tion. 24 |
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57 | 57 | | •S 1329 IS |
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58 | 58 | | SEC. 3. RECOGNIZING THE PEER SUPPORT SPECIALIST 1 |
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59 | 59 | | PROFESSION. 2 |
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60 | 60 | | Not later than January 1, 2026, the Director of the 3 |
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61 | 61 | | Office of Management and Budget shall revise the Stand-4 |
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62 | 62 | | ard Occupational Classification system to include an occu-5 |
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63 | 63 | | pational category for peer support specialists. 6 |
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64 | 64 | | SEC. 4. ESTABLISHING THE OFFICE OF RECOVERY. 7 |
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65 | 65 | | Part A of title V of the Public Health Service Act 8 |
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66 | 66 | | (42 U.S.C. 290aa et seq.) is amended by inserting after 9 |
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67 | 67 | | section 501C (42 U.S.C. 290aa–0b) the following: 10 |
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68 | 68 | | ‘‘SEC. 501D. OFFICE OF RECOVERY. 11 |
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69 | 69 | | ‘‘(a) I |
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70 | 70 | | NGENERAL.—There is established, in the Sub-12 |
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71 | 71 | | stance Abuse and Mental Health Services Administration, 13 |
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72 | 72 | | an Office of Recovery (referred to in this section as the 14 |
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73 | 73 | | ‘Office’). 15 |
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74 | 74 | | ‘‘(b) D |
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75 | 75 | | IRECTOR.—The Office shall be headed by a Di-16 |
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76 | 76 | | rector who has demonstrated experience in, and lived expe-17 |
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77 | 77 | | rience with, mental health or substance use disorder recov-18 |
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78 | 78 | | ery. 19 |
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79 | 79 | | ‘‘(c) R |
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80 | 80 | | ESPONSIBILITIES.—Through the Office of Re-20 |
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81 | 81 | | covery, the responsibilities of the Director shall include— 21 |
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82 | 82 | | ‘‘(1) providing leadership in the identification of 22 |
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83 | 83 | | new and emerging issues related to recovery support 23 |
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84 | 84 | | services; 24 |
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85 | 85 | | ‘‘(2) supporting technical assistance, data anal-25 |
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86 | 86 | | ysis, and evaluation functions in order to assist 26 |
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89 | 89 | | •S 1329 IS |
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90 | 90 | | States, localities, territories, Indian Tribes, and 1 |
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91 | 91 | | Tribal organizations in developing recovery support 2 |
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92 | 92 | | services and identifying best practices with the ob-3 |
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93 | 93 | | jective of expanding the capacity of, and access to, 4 |
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94 | 94 | | recovery support services; 5 |
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95 | 95 | | ‘‘(3) providing support for the training, edu-6 |
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96 | 96 | | cation, integration, and professionalization of the 7 |
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97 | 97 | | peer support specialist workforce; 8 |
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98 | 98 | | ‘‘(4) disseminating best practice recommenda-9 |
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99 | 99 | | tions with respect to peer support specialist training, 10 |
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100 | 100 | | certification, supervision, and practice to States and 11 |
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101 | 101 | | other entities that employ peer support specialists; 12 |
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102 | 102 | | ‘‘(5) supporting peer support specialists with 13 |
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103 | 103 | | ongoing professional development and retention ac-14 |
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104 | 104 | | tivities; and 15 |
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105 | 105 | | ‘‘(6) developing recommendations on creating 16 |
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106 | 106 | | career pathways for peer support specialists. 17 |
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107 | 107 | | ‘‘(d) F |
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108 | 108 | | UNCTIONS.—Beginning on the date of enact-18 |
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109 | 109 | | ment of this section, the functions of the Office shall in-19 |
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110 | 110 | | clude the responsibilities described in subsection (c) and 20 |
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111 | 111 | | the functions of the Office of Recovery of the Substance 21 |
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112 | 112 | | Abuse and Mental Health Services Administration on the 22 |
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113 | 113 | | day before such date of enactment, including all of its per-23 |
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114 | 114 | | sonnel, assets, authorities, obligations, and liabilities, ex-24 |
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115 | 115 | | cept as otherwise specified in this section. 25 |
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118 | 118 | | •S 1329 IS |
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119 | 119 | | ‘‘(e) DEFINITION OFPEERSUPPORTSPECIALIST.— 1 |
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120 | 120 | | In this section, the term ‘peer support specialist’ has the 2 |
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121 | 121 | | meaning given such term in section 2 of the Providing 3 |
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122 | 122 | | Empathetic and Effective Recovery Support Act.’’. 4 |
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123 | 123 | | SEC. 5. RESEARCH AND RECOMMENDATIONS ON CRIMINAL 5 |
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124 | 124 | | BACKGROUND CHECK PROCESS FOR PEER 6 |
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125 | 125 | | SUPPORT SPECIALISTS. 7 |
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126 | 126 | | (a) I |
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127 | 127 | | NGENERAL.—The Secretary of Health and 8 |
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128 | 128 | | Human Services (referred to in this section as the ‘‘Sec-9 |
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129 | 129 | | retary’’), in coordination with the Attorney General, shall 10 |
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130 | 130 | | develop a report on research and recommendations with 11 |
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131 | 131 | | respect to criminal background check processes for indi-12 |
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132 | 132 | | viduals becoming peer support specialists. 13 |
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133 | 133 | | (b) C |
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134 | 134 | | ONTENTS.—The report under subsection (a) 14 |
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135 | 135 | | shall include— 15 |
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136 | 136 | | (1) a summary of evidence-informed literature 16 |
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137 | 137 | | on the effectiveness of peer support specialists in im-17 |
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138 | 138 | | proving the mental health and the substance use dis-18 |
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139 | 139 | | order recovery of other individuals; 19 |
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140 | 140 | | (2) a survey of each State’s laws (including reg-20 |
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141 | 141 | | ulations) that contain criminal background check re-21 |
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142 | 142 | | quirements for serving as a peer support specialist, 22 |
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143 | 143 | | including— 23 |
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144 | 144 | | (A) an analysis of criminal offenses that 24 |
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145 | 145 | | are included in State laws (including regula-25 |
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148 | 148 | | •S 1329 IS |
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149 | 149 | | tions) that prevent individuals from earning a 1 |
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150 | 150 | | peer support specialist certification or from 2 |
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151 | 151 | | practicing as a peer support specialist; 3 |
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152 | 152 | | (B) an analysis of requirements (if any) 4 |
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153 | 153 | | under the State plan under title XIX of the So-5 |
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154 | 154 | | cial Security Act (42 U.S.C. 1396 et seq.) or 6 |
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155 | 155 | | under a waiver of such plan relating to back-7 |
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156 | 156 | | ground checks for providers participating under 8 |
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157 | 157 | | such plan or waiver and the extent to which any 9 |
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158 | 158 | | such requirements differ from similar require-10 |
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159 | 159 | | ments imposed under State law (including regu-11 |
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160 | 160 | | lations); 12 |
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161 | 161 | | (C) an analysis of requirements (if any) of 13 |
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162 | 162 | | any State receiving a grant under part B of 14 |
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163 | 163 | | title XIX of the Public Health Service Act (42 15 |
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164 | 164 | | U.S.C. 300x et seq.) relating to background 16 |
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165 | 165 | | checks for providers participating in a program 17 |
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166 | 166 | | under, or otherwise providing services supported 18 |
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167 | 167 | | by, such grant; 19 |
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168 | 168 | | (D) a review of State laws (including regu-20 |
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169 | 169 | | lations) that provide exemptions from prohibi-21 |
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170 | 170 | | tions regarding certification or practice of peer 22 |
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171 | 171 | | support specialists; and 23 |
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172 | 172 | | (E) an indication of each State that has 24 |
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173 | 173 | | gone through the process of amending or other-25 |
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176 | 176 | | •S 1329 IS |
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177 | 177 | | wise changing criminal background check laws 1 |
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178 | 178 | | (including regulations) for the certification and 2 |
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179 | 179 | | practice of peer support specialists; and 3 |
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180 | 180 | | (3) recommendations to States on criminal 4 |
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181 | 181 | | background check processes that would reduce bar-5 |
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182 | 182 | | riers to becoming certified as peer support special-6 |
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183 | 183 | | ists. 7 |
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184 | 184 | | (c) A |
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185 | 185 | | VAILABILITY.—Not later than 1 year after the 8 |
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186 | 186 | | date of enactment of this Act, the Secretary shall— 9 |
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187 | 187 | | (1) post the report required under subsection 10 |
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188 | 188 | | (a) on the publicly accessible internet website of the 11 |
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189 | 189 | | Substance Abuse and Mental Health Services Ad-12 |
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190 | 190 | | ministration; and 13 |
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191 | 191 | | (2) distribute such report to— 14 |
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192 | 192 | | (A) State agencies responsible for certifi-15 |
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193 | 193 | | cation of peer support specialists; 16 |
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194 | 194 | | (B) the Centers for Medicare & Medicaid 17 |
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195 | 195 | | Services; 18 |
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196 | 196 | | (C) State agencies responsible for carrying 19 |
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197 | 197 | | out a State plan under title XIX of the Social 20 |
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198 | 198 | | Security Act (42 U.S.C. 1396 et seq.) or under 21 |
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199 | 199 | | a waiver of such plan; and 22 |
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200 | 200 | | (D) State agencies responsible for carrying 23 |
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201 | 201 | | out a grant under part B of title XIX of the 24 |
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204 | 204 | | •S 1329 IS |
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205 | 205 | | Public Health Service Act (42 U.S.C. 300x et 1 |
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206 | 206 | | seq.). 2 |
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207 | 207 | | Æ |
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