|
4356 Federal Register/Vol. 87, No. 18/Thursday, January 27, 2022/Rules and Regulations
<br /> considered"programs and services" and eligible services under SURF are not violence, or gun violence in some
<br /> are not presumed to be reasonably limited to those eligible under existing communities during the pandemic.
<br /> proportional responses to an identified federal programs. Treasury released further guidance
<br /> harm except as provided in section Given the public health emergency's identifying how enumerated eligible
<br /> Capital Expenditures in General exacerbation of the ongoing opioid and uses and eligible use categories under
<br /> Provisions:Other. overdose crisis,Treasury highlights the interim final rule could support
<br /> In other words,recipients can provide several ways that funds may be used to violence reduction efforts,including
<br /> behavioral health services to members respond to opioid use disorder and rehiring public sector staff,behavioral
<br /> of the general public without any prevent overdose mortality.79 health services, and services to address
<br /> further analysis of impacts of the Specifically,eligible uses of funds negative economic impacts of the
<br /> pandemic on those individuals and include programs to expand access to pandemic that may aid victims of crime.
<br /> whether the service is responsive. evidence-based treatment like The guidance also identified an
<br /> Recipients may also use this eligible use medications to treat opioid use disorder expanded set of enumerated eligible
<br /> category to respond to increased rates of (e.g., direct costs or incentives for uses to address increased gun violence.
<br /> behavioral health challenges at a emergency departments,prisons,jails, Public Comment:Several commenters
<br /> population level or,at an individual and outpatient providers to offer expressed support for this use of funds.
<br /> level,new behavioral health challenges medications and low-barrier treatment), Treasury Response:In the final rule,
<br /> or exacerbation of pre-existing naloxone distribution, syringe service Treasury is maintaining enumerated
<br /> challenges,including new barriers to programs, outreach to individuals in eligible uses in this area and clarifying
<br /> accessing treatment. active use,post-overdose follow up how to apply eligibility standards.
<br /> Services that respond to these impacts programs,programs for diversion from Throughout the final rule, enumerated
<br /> of the public health emergency may the criminal justice system,and eligible uses should respond to an
<br /> include services across the continuum contingency management interventions. identified impact of the COVID-19
<br /> of care,including both acute and Finally,for clarity,Treasury has public health emergency in a reasonably
<br /> chronic care,such as prevention, addressed the eligibility standard for proportional manner to the extent and
<br /> outpatient treatment,inpatient capital expenditures, or investments in type of harm experienced.Many of the
<br /> treatment, crisis care, diversion property,facilities,or equipment, in one enumerated eligible uses—like
<br /> programs (e.g.,from emergency section of this Supplementary behavioral health services, services to
<br /> departments or criminal justice system Information;see section Capital improve employment opportunities, and
<br /> involvement), outreach to individuals Expenditures in General Provisions: services to address educational
<br /> not yet engaged in treatment,harm Other.Examples of capital expenditures disparities in disproportionately
<br /> reduction, and supports for long-term related to behavioral health that impacted communities—that respond to
<br /> recovery(e.g.,peer support or recovery Treasury recognizes as eligible include the public health and negative economic
<br /> coaching,housing,transportation, impacts of the pandemic may also have
<br /> g g p behavioral health facilities and benefits for reducing crime or aiding
<br /> employment services). equipment(e.g.,inpatient or outpatient g g
<br /> Recipients may also provide services mental health or substance use victims of crime.For example,the
<br /> fors special populations,for example, pandemic exacerbated the impact of
<br /> p p p p treatment facilities,crisis centers, domestic violence, sexual assault, and
<br /> enhanced services in schools to address diversion centers), as long as they human traffickin • enumerated eli ible
<br /> increased rates of behavioral health adhere to the standards detailed in the g' g
<br /> challenges for youths,mental health Capital Expenditures section. uses like emergency housing assistance,
<br /> first responder or law enforcement- cash assistance, or assistance with food,
<br /> d. Preventing and Responding to childcare, and other needs could be
<br /> mental health co-responder programs to
<br /> divert individuals experiencing mental Violence used to support survivors of domestic
<br /> illness from the criminal justice system, Background:The interim final rule violence, sexual assault, or human
<br /> or services for pregnant women with highlighted that some types of violence trafficking who experienced public
<br /> substance use disorders or infants born had increased during the pandemic and health or economic impacts due to the
<br /> with neonatal abstinence syndrome. that the ability of victims to access pandemic.
<br /> Finally,recipients may use funds for services had decreased,noting as an Public Comment.Several commenters
<br /> expressed support for community
<br /> programs or services to support example the challenges that individuals
<br /> violence intervention programs or
<br /> equitable access to services and reduce affected by domestic violence face in
<br /> racial,ethnic,or socioeconomic accessing services.Accordingly,the argued that traditional public safety
<br /> disparities in access to high-qualityapproaches had negatively impacted the
<br /> dis
<br /> p interim final rule enumerated as an social determinants of health in their
<br /> treatment. eligible use,in disproportionately
<br /> Eligible uses of funds may include communities. Several commenters
<br /> g Y impacted communities, evidence-based recommended inclusion of approaches
<br /> services typically billable to community violence intervention
<br /> typically like mental health or substance use
<br /> insurance 78 or services not t
<br /> Yp Y programs. Following the release of the diversion programs.
<br /> billable to insurance, such as peer interim final rule,Treasury received Treasury Response:Treasury
<br /> support groups, costs for residence in several recipient questions regarding recognizes the importance of
<br /> supportive housing or recovery housing, whether and how funds may be used to comprehensive approaches to
<br /> and the 988 National Suicide Prevention respond to an increase in crime, challenges like violence.The final rule
<br /> Lifeline or other hotline services. includes an enumerated eligible use for
<br /> Recipients may also use funds in 79In line with the Department of Health and
<br /> community violence intervention
<br /> conjunction with other federal grants or Human Services,Overdose Prevention Strategy,
<br /> programs (see section Program https://www.hhs.gov/overdose-prevention/,and the programs in all communities,not just
<br /> Office of National Drug Control Policy, the disproportionately impacted
<br /> Administration Provisions),though Administration's Statement on Drug Policy communities eligible under the interim
<br /> Priorities for Year One(April 1,2021),https:// final rule. Given the increased rate of
<br /> 78 However,SLFRF funds may not be used to www.whitehouse.gov/wp-content/uploads/2021/03/
<br /> reimburse a service that was also billed to BidenHarris-Statement-of-Drug-Policy-Priorities- violence during the pandemic,Treasury
<br /> insurance. April-1.pdf. has determined that this enumerated
<br />
|