19+ Live Sex Cam Sites – Free Porn Cams & Adult Webcams – Porn Dude

In addition to the percentage point reduction under the previous sentence, the Secretary may consider making an additional percentage point reduction to such target PCR that takes into account payment rates for applicable items and services described in paragraph (21)(C) other than for services furnished by hospitals described in section 1886(d)(1)(B)(v). In making any budget neutrality adjustments under this subsection for 2018 or a subsequent year, the Secretary shall not take into account the reduced expenditures that result from the application of this subparagraph.. 1)in paragraph (3), by striking and at the end; (2)in paragraph (4), by striking the period at the end and inserting ; and; and (3)by adding at the end the following: (5)using data from the existing required annual program progress reports submitted by each system funded under this title, a detailed accounting for each such system of how funds are spent, disaggregated according to whether the funds were received from the Federal Government, the State government, a local government, or a private entity.. In order for a State to be in compliance with subsection (a)(6), the State shall submit to the Secretary a plan that, at a minimum, includes the following: (A)A description of the State’s system of care that- (i)identifies the single State agency responsible for the administration of the program, including any third party who administers substance use disorder services and is responsible for complying with the requirements of the grant; (ii)provides information on the need for substance use disorder prevention and treatment services in the State, including estimates on the number of individuals who need treatment, who are pregnant women, women with dependent children, individuals with a co-occurring mental health and substance use disorder, persons who inject drugs, and persons who are experiencing homelessness; (iii)provides aggregate information on the number of individuals in treatment within the State, including the number of such individuals who are pregnant women, women with dependent children, individuals with a co-occurring mental health and substance use disorder, persons who inject drugs, and persons who are experiencing homelessness; (iv)provides a description of the system that is available to provide services by modality, including the provision of recovery support services; (v)provides a description of the State’s comprehensive statewide prevention efforts, including the number of individuals being served in the system, target populations, and priority needs, and provides a description of the amount of funds from the prevention set-aside expended on primary prevention; (vi)provides a description of the financial resources available; (vii)describes the existing substance use disorders workforce and workforce trained in treating co-occurring substance use and mental disorders; (viii)includes a description of how the State promotes evidence-based practices; and can you get herpes from oral sex (ix)describes how the State integrates substance use disorder services and primary health care, which in the case of those individuals with co-occurring mental health and substance use disorders may include providing both mental health and substance use disorder services in primary care settings or providing primary and specialty care services in community-based mental health and substance use disorder service settings.

The Assistant Secretary shall, as appropriate, improve access to reliable and valid information on evidence-based programs and practices, including information on the strength of evidence associated with such programs and practices, related to mental and substance use disorders for States, local communities, nonprofit entities, and other stakeholders, by posting on the Internet website of the Administration information on evidence-based programs and practices that have been reviewed by the Assistant Secretary in accordance with the requirements of this section. The establishment of goals and objectives for the period of the plan, including targets and milestones that are intended to be met, and the activities that will be undertaken to achieve those targets. 2)in subsection (a)- (A)by striking an Office and inserting a Center; and (B)by striking The Office and inserting The Prevention Center; and (3)in subsection (b)- (A)in paragraph (1), by inserting through the reduction of risk and the promotion of resiliency before the semicolon; (B)by redesignating paragraphs (3) through (11) as paragraphs (4) through (12), respectively; (C)by inserting after paragraph (2) the following: (3)collaborate with the Director of the National Institute on Drug Abuse, the Director of the National Institute on Alcohol Abuse and Alcoholism, and States to promote the study of substance abuse prevention and the dissemination and implementation of research findings that will improve the delivery and effectiveness of substance abuse prevention activities;; (D)in paragraph (4), as so redesignated, by striking literature on the adverse effects of cocaine free base (known as crack) and inserting educational information on the effects of drugs abused by individuals, including drugs that are emerging as abused drugs; (E)in paragraph (6), as so redesignated- (i)by striking substance abuse counselors and inserting health professionals who provide substance use and misuse prevention and treatment services; and (ii)by striking drug abuse education, prevention, and inserting illicit drug use education and prevention; (F)by amending paragraph (7), as so redesignated, to read as follows: (7)in cooperation with the Director of the Centers for Disease Control and Prevention, develop and disseminate educational materials to increase awareness for individuals at greatest risk for substance use disorders to prevent the transmission of communicable diseases, such as HIV, hepatitis, tuberculosis, and other communicable diseases;; (G)in paragraph (9), as so redesignated- (i)by striking to discourage and inserting that reduce the risk of; and (ii)by inserting before the semicolon and promote resiliency; (H)in paragraph (11), as so redesignated, by striking and after the semicolon; (I)in paragraph (12), as so redesignated, by striking the period and inserting a semicolon; and (J)by adding at the end the following: (13)ensure the consistent documentation of the application of criteria when awarding grants and the ongoing oversight of grantees after such grants are awarded; and (14)assist and support States in preventing illicit drug use, including emerging illicit drug use issues..

By creating account on Whitehousecams, you will unlock all our features which’ll help you have the best time of your life. This site is embedded with a lot of amazing features to make you feel sexually stimulated. Not to worry – we’ve got just the thing to make you feel better. The Assistant Secretary shall make the metrics used to evaluate applications under this section, and any resulting ratings of such applications, publicly available. 10805(a)(7)) is amended by striking is located a report and inserting is located, and make publicly available, a report. B)in the first sentence, by striking plan describes and all that follows through and provides for and inserting plan shall describe the financial resources available, the existing mental health workforce, and the workforce trained in treating individuals with co-occurring mental and substance use disorders, and shall provide for; and (C)in the second sentence- (i)by striking further describes and inserting shall further describe; and (ii)by striking involved. The strategy shall- (1)include a plan for evaluating programs related to mental and substance use disorders, including co-occurring disorders, across agencies, as appropriate, including programs related to- (A)prevention, intervention, treatment, and recovery support services, including such services for adults with a serious mental illness or children with a serious emotional disturbance; (B)the reduction of homelessness and incarceration among individuals with a mental or substance use disorder; and (C)public health and health services; and (2)include a plan for assessing the use of performance metrics to evaluate activities carried out by entities receiving grants, contracts, or cooperative agreements related to mental and substance use disorders prevention and treatment services under title V or title XIX of the Public Health Service Act (42 U.S.C.

In the case of any such peer review group that is reviewing a grant, cooperative agreement, or contract related to mental illness treatment, not less than half of the members of such peer review group shall be licensed and experienced professionals in the prevention, diagnosis, or treatment of, or recovery from, mental illness or co-occurring mental illness and substance use disorders and have a medical degree, a doctoral degree in psychology, or an advanced degree in nursing or social work from an accredited program, and the Secretary, in consultation with the Assistant Secretary, shall, to the extent possible, ensure such peer review groups include broad geographic representation, including both urban and free online cams rural representatives.. Not later than 1 year after the date of enactment of this Act, and 5 years after such date of enactment, the Committee shall submit to Congress and any other relevant Federal department or agency a report including- (1)a summary of advances in serious mental illness and serious emotional disturbance research related to the prevention of, diagnosis of, intervention in, and treatment and recovery of serious mental illnesses, serious emotional disturbances, and advances in access to services and support for adults with a serious mental illness or children with a serious emotional disturbance; (2)an evaluation of the effect Federal programs related to serious mental illness have on public health, including public health outcomes such as- (A)rates of suicide, suicide attempts, incidence and prevalence of serious mental illnesses, serious emotional disturbances, and substance use disorders, overdose, overdose deaths, emergency hospitalizations, emergency room boarding, chaterba preventable emergency room visits, interaction with the criminal justice system, homelessness, and unemployment; (B)increased rates of employment and enrollment in educational and vocational programs; (C)quality of mental and substance use disorders treatment services; or (D)any other criteria as may be determined by the Secretary; and (3)specific recommendations for actions that agencies can take to better coordinate the administration of mental health services for adults with a serious mental illness or children with a serious emotional disturbance.

The Assistant Secretary may establish minimum requirements for the applications submitted under subsection (b), including applications related to the submission of research and evaluation. In carrying out subsection (a), the Assistant Secretary may establish a period for the submission of applications for evidence-based programs and practices to be posted publicly in accordance with subsection (a). In carrying out paragraph (1), the Assistant Secretary may utilize a rating and review system, which may include information on the strength of evidence associated with the evidence-based programs and practices and a rating of the methodological rigor of the research supporting the applications. 1)in paragraph (2)- (A)in subparagraph (E), by striking and after the semicolon; (B)by redesignating subparagraph (F) as subparagraph (J); and (C)by inserting after subparagraph (E), the following: (F)the Chief Medical Officer, appointed under section 501(g); (G)the Director of the National Institute of Mental Health for the advisory councils appointed under subsections (a)(1)(A) and (a)(1)(D); (H)the Director of the National Institute on Drug Abuse for the advisory councils appointed under subsections (a)(1)(A), (a)(1)(B), and (a)(1)(C); (I)the Director of the National Institute on Alcohol Abuse and Alcoholism for the advisory councils appointed under subsections (a)(1)(A), (a)(1)(B), and (a)(1)(C); and; and (2)in paragraph (3), by adding at the end the following: (C)Not less than half of the members of the advisory council appointed under subsection (a)(1)(D)- (i)shall- (I)have a medical degree; (II)have a doctoral degree in psychology; or (III)have an advanced degree in nursing or social work from an accredited graduate school or be a certified physician assistant; and (ii)shall specialize in the mental health field.

Leave a Reply

Your email address will not be published. Required fields are marked *