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119-hr-5859119th CongressWALLET

Behavioral Health Crisis Care Centers Act of 2025

Sponsored By: Representative Smith, Adam [D-WA-9]

Introduced

Summary

One-stop behavioral health crisis care centers. This bill would create a federal grant program to build, expand, and operate single-location crisis facilities that combine on-site mental health and substance use disorder treatment with housing help, legal aid, and other wrap-around services. It would direct the Secretary of Health and Human Services to award grants in coordination with HUD, the Justice Department, the Department of the Interior, and other relevant agencies.

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  • Families and people in crisis: Centers would offer on-site behavioral health and substance use disorder services, including medication for opioid use disorder, counseling, case management, and housing assistance for adults and transitional housing supports for youth.
  • Local governments, tribes, and territories: Eligible entities can use grants to acquire or build facilities, buy equipment, hire and train staff, and award subgrants to community providers to run services and outreach.
  • Crisis responders and communities: The program requires coordination with law enforcement, first responders, jail diversion programs, housing authorities, community organizations, and organizations serving veterans, immigrants, youths, seniors, and people with disabilities to connect people to services quickly.

*Authorizes $11.5 billion per year from 2026–2030, allocated across metropolitan cities ($3 billion), nonentitlement units ($1 billion), counties ($3 billion), States ($2 billion), Indian Tribes ($2 billion), and territories ($500 million).*

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

Grants for local crisis care centers

This bill would create an HHS grant program to build and run one-stop crisis care centers. It would authorize $11.5 billion each year from 2026 through 2030. Each year, money would be reserved: $3 billion for large cities, $1 billion for small local governments, $3 billion for counties, $2 billion for states, $2 billion for tribes, and $500 million for territories. Within each group, funds would be distributed by population or equal shares, as laid out in the bill. Grants could pay for buildings, equipment, and hiring and training staff. Centers would offer on-site mental health and substance use treatment (including medication for opioid use), counseling, case management, housing help, legal aid, outreach, and coordination with first responders and other partners. Applicants would have to show plans for community input, housing-first strategies, youth supports, and culturally competent, trauma-informed care. Recipients could subgrant to nonprofits, and programs funded could not discriminate against protected groups.

Sponsors & CoSponsors

Sponsor

Smith, Adam [D-WA-9]

WA • D

Cosponsors

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

    DC • D

    Sponsored 11/7/2025

Roll Call Votes

No roll call votes available for this bill.

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