H.R. 8542House117th Congress (2021-2023)Passed House

Mental Health Justice Act of 2022

Introduced July 27, 2022

AI-Generated Summary

Updated February 8, 2026 at 4:57 PM UTC

The Mental Health Justice Act of 2022 amends the Public Health Service Act to create a grant program that lets states, Indian tribes, tribal and urban Indian organizations, and local governments hire, train, and send mental‑health professionals to respond to emergencies instead of police. It aims to reduce arrests, use of force, and deaths among people with mental illness or intellectual/developmental disabilities, while linking them to community services. The program also includes reporting, technical assistance, and a study to measure effectiveness.

Key Provisions

  • Grants are awarded to eligible jurisdictions to establish or expand programs that hire, train, and dispatch mental‑health professionals as first responders in crises involving mental illness, developmental disabilities, or substance influence.
  • Training must cover de‑escalation and developmentally appropriate techniques, and dispatch center staff receive similar training.
  • Grantees must coordinate with law‑enforcement agencies but may operate independently or within them.
  • Additional funding each fiscal year is given to programs that show notable reductions in incarceration, deaths, or police use of force, and increases in voluntary community referrals.
  • Priority for grants goes to areas with high arrest rates of affected persons, commitments to expand mental‑health resources, or existing peer‑support models.
  • Grantees must submit quarterly and final reports on dispatch outcomes, incarceration impacts, and demographic data; the Secretary reports annually to Congress.
  • If a grant leads to increased incarceration or institutionalization, the Secretary can revoke the grant and require repayment of unspent funds.
  • The Secretary provides technical assistance to help jurisdictions set up these programs.
  • $250 million is authorized for the program for fiscal years 2023‑2027.
  • A study, to be completed within three years, will evaluate the program’s effectiveness on diversion from arrests, recidivism, use‑of‑force incidents, and resource utilization.
  • The Act does not limit states’ ability to hire or use career law‑enforcement officers in situations requiring immediate danger response.

Legislative Activity

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14 earlier actions
SenateIntro Referral Latest Action

Received in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

September 27, 2022

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HouseIntro Referral

Introduced in House

July 27, 2022

HouseIntro Referral

Referred to the Committee on Energy and Commerce, and in addition to the Committee on the Judiciary, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

July 27, 2022

HouseFloor

Rules Committee Resolution H. Res. 1377 Reported to House. Rule provides for consideration of H.R. 4118, H.R. 5768, H.R. 6448 and H.R. 8542. Resolution provides for 30 minutes of general debate with one motion to recommit for each bill.

September 21, 2022 • 5:16 PM

HouseFloor

Rule H. Res. 1377 passed House.

September 22, 2022 • 1:32 PM

HouseFloor

Considered under the provisions of rule H. Res. 1377. (consideration: CR H8081-8085)

September 22, 2022 • 1:34 PM

HouseFloor

Rule provides for consideration of H.R. 4118, H.R. 5768, H.R. 6448 and H.R. 8542. Resolution provides for 30 minutes of general debate with one motion to recommit for each bill.

September 22, 2022 • 1:34 PM

HouseFloor

DEBATE - The House proceeded with 30 miunutes of debate on H.R. 8542.

September 22, 2022 • 1:36 PM

HouseFloor

DEBATE - The House resumed with debate on H.R. 8542.

September 22, 2022 • 1:46 PM

HouseFloor

The previous question was ordered pursuant to the rule.

September 22, 2022 • 1:57 PM

HouseFloor

POSTPONED PROCEEDINGS - At the conclusion of debate on H.R. 8542, the Chair put the question on passage of the bill and by voice vote, announced that the ayes had prevailed. Mr. Armstrong demanded the yeas and nays and the Chair postponed further proceedings until a time to be announced.

September 22, 2022 • 1:58 PM

HouseFloor

Considered as unfinished business. (consideration: CR H8101-8102)

September 22, 2022 • 3:55 PM

HouseFloor

Passed/agreed to in House: On passage Passed by the Yeas and Nays: 223 - 206 (Roll no. 452).

September 22, 2022 • 4:11 PM

HouseFloor

On passage Passed by the Yeas and Nays: 223 - 206 (Roll no. 452). (text: CR H8081-8082)

September 22, 2022 • 4:11 PM

HouseFloor

Motion to reconsider laid on the table Agreed to without objection.

September 22, 2022 • 4:11 PM

SenateIntro Referral

Received in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

September 27, 2022

Floor Debate

11 members

What members said about H.R. 8542 on the floor

6 Republicans5 Democrats
James P. McGovern
Rep. James P. McGovernD-MA-2 · Sep 22, 2022

Madam Speaker, by direction of the Committee on Rules, I call up House Resolution 1377 and ask for its immediate consideration. Madam Speaker, for the purpose of debate only, I yield the customary 30…

Michelle Fischbach
Rep. Michelle FischbachR-MN-7 · Sep 22, 2022

Madam Speaker, I thank the Representative and my colleague on the Rules Committee from Massachusetts for yielding me the customary 30 minutes, and I yield myself such time as I may consume. Madam…

Kelly Armstrong
Rep. Kelly ArmstrongR-ND · Sep 22, 2022

Mr. Speaker, I yield myself such time as I may consume. Mr. Speaker, I rise today in opposition to H.R. 8542, the Mental Health Justice Act of 2022. ``In lieu of law enforcement officers in…

Nancy Pelosi
Rep. Nancy PelosiD-CA-12 · Sep 22, 2022

Madam Speaker. I rise today in strong support of this robust public safety package--legislation rooted in two of Democrats' most cherished values: safety and justice. On behalf of our Caucus and the…

Frank Pallone, Jr.
Rep. Frank Pallone, Jr.D-NJ-6 · Sep 22, 2022

Madam Speaker, pursuant to House Resolution 1377, I call up the bill (H.R. 8542) to amend the Public Health Service Act to authorize grants to States, Indian Tribes, Tribal organizations, Urban…

Show 6 more
John H. Rutherford
Rep. John H. RutherfordR-FL-4 · Sep 22, 2022

Madam Speaker, I thank the gentlewoman for yielding. Madam Speaker, I have to tell you, I have spent 40 years in law enforcement, 12 as a sheriff, as you know, and I have to tell you, never in my…

Katie Porter
Rep. Katie PorterD-CA-45 · Sep 22, 2022

Mr. Speaker, I rise today to support getting Americans the help that they need. More than one in five 911 calls involve mental health or substance use crises. That amounts to millions of calls per…

Brett Guthrie
Rep. Brett GuthrieR-KY-2 · Sep 22, 2022

Mr. Speaker, I rise today in opposition to this bill. Make no mistake, this bill is a Trojan horse to advance the radical defund the police movement and will hurt people who need help the most. This…

Mike Thompson
Rep. Mike ThompsonD-CA-5 · Sep 22, 2022

Madam Speaker, I rise in strong support of the four public safety bills that the House is considering today. Crime, and in particular gun violence, continues to be a major problem affecting every…

Greg Pence
Rep. Greg PenceR-IN-6 · Sep 22, 2022

Mr. Speaker, I rise today in strong opposition to H.R. 8542. Plain and simple, this legislation would only amplify the violent crime wave we are currently seeing under Democratic leadership. Turn on…

John Joyce
Rep. John JoyceR-PA-13 · Sep 22, 2022

Mr. Speaker, I rise today in opposition to this bill. The crime rates that we have seen skyrocket across the United States can be traced directly back to calls from far-left Members of Congress to…

Bill Text

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Referred in SenateIssued September 27, 2022

IIB

117th CONGRESS

2d Session

H. R. 8542

IN THE SENATE OF THE UNITED STATES

September 27, 2022

Received; read twice and referred to the Committee on Health, Education, Labor, and Pensions

AN ACT

To amend the Public Health Service Act to authorize grants to States, Indian Tribes, Tribal organizations, Urban Indian organizations, and political subdivisions thereof to hire, employ, train, and dispatch mental health professionals to respond in lieu of law enforcement officers in emergencies involving one or more persons with a mental illness or an intellectual or developmental disability, and for other purposes.


1.

Short title

This Act may be cited as the Mental Health Justice Act of 2022.

2.

Grants for mental health professionals to act as first responders

Subpart 3 of part B of title V of the Public Health Service Act (42 U.S.C. 290bb–31 et seq.) is amended by adding at the end the following:

520N.

Grants for mental health professionals to act as first responders

(a)

In general

The Secretary, acting through the Assistant Secretary, and in consultation with the Assistant Attorney General for the Civil Rights Division of the Department of Justice, shall award grants to States, Indian Tribes, Tribal organizations, Urban Indian organizations, and political subdivisions thereof to establish or expand programs—

(1)

to hire, employ, train, and dispatch mental health professionals to respond in lieu of law enforcement officers in emergencies in which—

(A)

an individual calling 911, 988, or another emergency hotline states that a person—

(i)

is in a mental health crisis; or

(ii)

may have a mental illness or an intellectual or developmental disability;

(B)

a law enforcement officer or other first responder identifies a person as having (or possibly having) a mental illness or an intellectual or developmental disability; or

(C)

a law enforcement officer or other first responder identifies a person as being (or possibly being) under the influence of a legal or illegal substance;

(2)

to include in the training for mental health professionals pursuant to paragraph (1) training in—

(A)

the principles of deescalation; and

(B)

developmentally appropriate techniques;

(3)

to ensure that such mental health professionals link persons described in subparagraph (A), (B), or (C) of paragraph (1) with voluntary community-based services where appropriate;

(4)

to train the staff of dispatch centers regarding the proper handling of a report of an emergency described in paragraph (1), including training in the principles and techniques referred to in subparagraphs (A) and (B) of paragraph (2); and

(5)

to coordinate with law enforcement agencies, which may include operating independently from but in collaboration with a law enforcement agency, or operating within such an agency.

(b)

Additional awards

The Secretary shall make an additional award of funds under this section each fiscal year to grantees that—

(1)

are in compliance with all conditions of their awards under this section, including the conditions specified in subsections (a) and (d); and

(2)

demonstrate that their programs under this section resulted in—

(A)

a notable reduction in the incarceration and death of persons with mental illness or an intellectual or developmental disability; or

(B)

a notable reduction in the use of force by police and a notable increase in referrals of persons with a mental illness or intellectual disability to community-based, voluntary support services (other than institutionalization or carceral support services).

(c)

Priority

In awarding grants under this section, the Secretary shall give priority to States, Indian Tribes, Tribal organizations, Urban Indian organizations, and political subdivisions thereof that—

(1)

have high rates of arrests and incarceration of persons with a mental illness or an intellectual or developmental disability;

(2)

commit to increasing resources for mental health and community-based support services or solutions for such persons; or

(3)

include peer support specialists in their current first responder model.

(d)

Reporting

(1)

By grantees

A recipient of a grant under this section shall submit to the Secretary—

(A)

a quarterly report on—

(i)

the number and percentage of emergencies where mental health professionals were dispatched in lieu of law enforcement officers pursuant to assistance under this section;

(ii)

such other matters as the Secretary may require for determining whether the recipient should receive an additional award under subsection (b); and

(iii)

any increase or decrease, compared to any previous quarter, in incarceration or institutionalization as a result of dispatching mental health professionals pursuant to assistance under this section, disaggregated to include data specific to persons with intellectual and developmental disabilities and mental illnesses where available and permitted to be disclosed under applicable privacy law, so as—

(I)

to provide a critical baseline analysis; and

(II)

to ensure that mental health practitioners are not simply funneling individuals into other institutionalized settings; and

(B)

a final report on the use of such grant.

(2)

By Secretary

Not later than 1 year after awarding the first grant under this section, and annually thereafter, the Secretary shall submit to the Congress a report on the grant program under this section.

(3)

Disaggregation of data

The reporting pursuant to paragraphs (1) and (2) shall, to the extent determined by the Secretary to be applicable, be disaggregated by age, sex, gender, race, and ethnicity.

(e)

Revocation of grant

If the Secretary finds, based on reporting under subsection (d) or other information, that activities funded through a grant under this section are leading to a significant increase in incarceration or institutionalization—

(1)

the Secretary shall revoke the grant; and

(2)

the grantee shall repay to the Federal Government any amounts that the grantee—

(A)

received through the grant; and

(B)

has not obligated or expended.

(f)

Technical assistance

The Secretary, acting through the Assistant Secretary, and in consultation with the Assistant Attorney General for the Civil Rights Division of the Department of Justice, shall provide technical assistance to grantees under this section (or other Federal law), and to other States, Indian Tribes, Tribal organizations, Urban Indian organizations, and political subdivisions thereof to hire, employ, train, and dispatch mental health professionals to respond in lieu of law enforcement officers, as described in subsection (a).

(g)

Definitions

In this section, the terms Indian Tribe, Tribal organization, and Urban Indian organization have the meanings given to the terms Indian tribe, tribal organization, and Urban Indian organization, respectively, in section 4 of the Indian Health Care Improvement Act.

(h)

Funding

To carry out this section, there is authorized to be appropriated $250,000,000 for the period of fiscal years 2023 through 2027.

.

3.

Study

(a)

In general

The Secretary of Health and Human Services and the Assistant Attorney General for the Civil Rights Division of the Department of Justice shall conduct a study on the effectiveness of programs and activities under section 520N of the Public Health Service Act, as added by section 2.

(b)

Qualitative and longitudinal examination

The study under subsection (a) shall include a qualitative and longitudinal study of—

(1)

the number of persons diverted from arrests; and

(2)

short- and long-term outcomes for those persons, including reduced recidivism, reduced incidences of use of force, and reduced utilization of resources.

(c)

Completion; report

Not later than 3 years after the date of enactment of this Act, the Secretary of Health and Human Services and the Assistant Attorney General for the Civil Rights Division of the Department of Justice shall—

(1)

complete the study under subsection (a);

(2)

submit a report to the Congress on the results of such study; and

(3)

publish such report.

4.

Rule of construction

(a)

Hiring of law enforcement officers

Nothing in this Act shall be construed to remove, supplant, alter, or limit the authority of States, public agencies, or municipalities from hiring or recruiting career law enforcement officers (as defined in section 1709 of the Omnibus Crime Control and Safe Streets Act of 1968 (34 U.S.C. 10389)) to engage in or supervise the prevention, detection, or investigation of violations of criminal laws when appropriate.

(b)

Circumstances of imminent or immediate danger

Nothing in this Act shall be construed to impede, supplant, alter, or limit the use of career law enforcement officers during emergencies which career law enforcement officers may be best suited to handle, including circumstances that are urgent, sudden, serious, or necessitate immediate action to remedy harm or avert imminent danger to life, health, or property.

Passed the House of Representatives September 22, 2022.

Cheryl L. Johnson,

Clerk.

Kevin F. McCumber,

Deputy Clerk.