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119-hr-10246119th CongressWALLET

9–8–8 Community Infrastructure Act

Sponsored By: Representative Barragán, Nanette Diaz [D-CA-44]

Introduced

Summary

Expands federal capital grants to build and upgrade mental health and substance use crisis care infrastructure. It would create the 9-8-8 Community Infrastructure Act to fund construction, renovations, remodeling, expansion, and other capital costs for health centers and crisis facilities.

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  • Families and patients would gain more local crisis capacity through facilities that offer 23-hour observation, 48-hour crisis stabilization beds, and 24/7 crisis services.
  • Health centers funded under section 330 and Tribal organizations would be eligible for capital grants for facility projects, with Tribes eligible without existing time limits.
  • Crisis receiving and stabilization facilities, crisis call centers, and mental health or substance use urgent care providers that work with local behavioral health organizations could get funds for new construction, renovations, and to amortize loan principal and interest.

*Would authorize $1.0 billion in appropriations for these grants, increasing federal spending and straining the federal budget.*

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 2 benefits, 0 costs, 0 mixed.

More funding for local crisis centers

This bill would create a Health Center Capital Grants program and authorize $1 billion to carry it out. The money would remain available until spent. Grants or cooperative agreements would go to eligible section 330 health centers (including certain tribal organizations) and to crisis receiving and stabilization facilities or crisis call centers that work with local behavioral health providers. Funds could pay for renovations, expansions, new construction, other capital improvements, and to amortize principal and interest on loans for such projects.

New rules for crisis care sites

This bill would define key crisis care site types and minimum service standards. A "crisis receiving and stabilization facility" would be freestanding, non-hospital, eligible for State licensure, offer 23-hour observation and 48-hour stabilization beds (including withdrawal management and 24-hour medical monitoring), run 24/7 crisis services on a sliding payment scale, and not reject care based on ability to pay or listed traits. The bill would also define crisis response program facilities and mental health and substance use urgent care facilities that provide crisis assessment, intervention, medication, and connections to services without appointments.

Sponsors & CoSponsors

Sponsor

Barragán, Nanette Diaz [D-CA-44]

CA • D

Cosponsors

  • Rep. Matsui, Doris O. [D-CA-7]

    CA • D

    Sponsored 9/3/2026

  • Rep. Costa, Jim [D-CA-21]

    CA • D

    Sponsored 9/3/2026

  • Rep. McClellan, Jennifer L. [D-VA-4]

    VA • D

    Sponsored 9/3/2026

  • Del. Norton, Eleanor Holmes [D-DC-At Large]

    DC • D

    Sponsored 9/3/2026

  • Rep. Smith, Adam [D-WA-9]

    WA • D

    Sponsored 9/3/2026

  • Rep. Thanedar, Shri [D-MI-13]

    MI • D

    Sponsored 9/3/2026

  • Rep. Trahan, Lori [D-MA-3]

    MA • D

    Sponsored 9/3/2026

  • Rep. Tokuda, Jill N. [D-HI-2]

    HI • D

    Sponsored 9/3/2026

  • Rep. Pou, Nellie [D-NJ-9]

    NJ • D

    Sponsored 9/21/2026

Roll Call Votes

No roll call votes available for this bill.

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