Title 42The Public Health and WelfareRelease 119-73

§290ii–2 Regulations and enforcement

Title 42 › Chapter CHAPTER 6A— - PUBLIC HEALTH SERVICE › Subchapter SUBCHAPTER III–A— - SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION › Part Part H— - Requirement Relating to the Rights of Residents of Certain Facilities › § 290ii–2

Last updated Apr 6, 2026|Official source

Summary

The Secretary must create rules within one year after October 17, 2000, after talking with state and local protection and advocacy groups, doctors, facilities, other health workers, and patients. The rules apply to facilities covered by the Protection and Advocacy for Mentally Ill Individuals Act of 1986. The rules must make sure facilities have enough trained medical and support staff to evaluate patients, write individual treatment plans, and give active care; train staff about restraints and safer options; and fully report deaths as required. Any facility that does not follow the rules cannot get federal program funding.

Full Legal Text

Title 42, §290ii–2

The Public Health and Welfare — Source: USLM XML via OLRC

(a)Not later than 1 year after October 17, 2000, the Secretary, after consultation with appropriate State and local protection and advocacy organizations, physicians, facilities, and other health care professionals and patients, shall promulgate regulations that require facilities to which the Protection and Advocacy for Mentally Ill Individuals Act of 1986 11 See References in Text note below. (42 U.S.C. 10801 et seq.) applies, to meet the requirements of subsection (b).
(b)The regulations promulgated under subsection (a) shall require that—
(1)facilities described in subsection (a) ensure that there is an adequate number of qualified professional and supportive staff to evaluate patients, formulate written individualized, comprehensive treatment plans, and to provide active treatment measures;
(2)appropriate training be provided for the staff of such facilities in the use of restraints and any alternatives to the use of restraints; and
(3)such facilities provide complete and accurate notification of deaths, as required under section 290ii–1(a) of this title.
(c)A facility to which this part applies that fails to comply with any requirement of this part, including a failure to provide appropriate training, shall not be eligible for participation in any program supported in whole or in part by funds appropriated to any Federal department or agency.

Legislative History

Notes & Related Subsidiaries

Editorial Notes

References in Text

The Protection and Advocacy for Mentally Ill Individuals Act of 1986, referred to in subsec. (a), was Pub. L. 99–319, May 23, 1986, 100 Stat. 478. Pub. L. 99–319 was renamed the Protection and Advocacy for Individuals with Mental Illness Act by Pub. L. 106–310, div. B, title XXXII, § 3206(a), Oct. 17, 2000, 114 Stat. 1193, and is classified generally to chapter 114 (§ 10801 et seq.) of this title. For complete classification of this Act to the Code, see

Short Title

note set out under section 10801 of this title and Tables.

Reference

Citations & Metadata

Citation

42 U.S.C. § 290ii–2

Title 42The Public Health and Welfare

Last Updated

Apr 6, 2026

Release point: 119-73