H.R. 5859: Behavioral Health Crisis Care Centers Act of 2025

This bill, titled the Behavioral Health Crisis Care Centers Act of 2025, is designed to create, operate, or expand facilities known as one-stop crisis facilities. The objective is to provide comprehensive support for individuals experiencing behavioral health crises. The bill directs the Secretary of Health and Human Services to award grants to eligible entities, which could include cities, counties, states, Indian tribes, and territories, to help establish these facilities.

Grant Program for One-Stop Crisis Facilities

The grants can be used for a variety of activities, such as:

• Acquiring or developing facilities to serve as crisis centers.
• Purchasing necessary supplies and equipment.
• Hiring and training staff to provide essential services.
• Expanding the range of services offered, which may include:
• Health care services, including behavioral health and substance use disorder treatment.
• Counseling services.
• Case management and recovery support.
• Assistance with housing and legal services.
• Additional support services tailored to individual needs.
• Coordinating with local partners, including law enforcement and community organizations.
• Conducting outreach to at-risk communities.
• Planning for system-wide coordination among crisis response entities.

Subgrants

Entities that receive these grants may also award subgrants to non-governmental organizations to extend the services provided at the one-stop crisis facilities.

Determination of Grant Amounts

The grant amounts will be determined based on population metrics:

• For metropolitan cities, allocations will correspond to their population relative to other cities receiving grants.
• Non-entitlement units of local government and counties will receive grant amounts similarly based on population size and equal distribution of funds.
• States will also have a proportional allocation based on population.
• Indian tribes and territories will receive designated portions of the funding, with some amounts equally distributed and others based on population metrics.

Application Process

To apply for a grant, eligible entities must submit a plan detailing how the funds will be utilized, focusing on community engagement and equitable access to services, especially for those with disabilities or in marginalized groups. The plan should also outline strategies for collaboration with community organizations and provide specifics on service offerings for different populations.

Nondiscrimination Clause

The bill ensures that no individual will face discrimination based on race, religion, national origin, sex, or disability in any program funded by the grants from this act.

Definitions

Key terms used in the bill include:

• One-stop crisis facility: A location that provides immediate services for behavioral health and substance use issues, housing assistance, and coordination with community support services.
• Eligible entities: This includes metropolitan cities, counties, states, Indian tribes, and territories capable of applying for grants.

Funding Authorization

The bill authorizes appropriations amounting to $11.5 billion from fiscal years 2026 through 2030 to fund the program. Specific allocations include:

• $3 billion for metropolitan cities
• $1 billion for non-entitlement local governments
• $3 billion for counties
• $2 billion for states
• $2 billion for Indian tribes
• $500 million for territories

Relevant Companies

• None found