CHAPTER 4 —SAINT ELIZABETHS HOSPITAL
SUBCHAPTER I—ESTABLISHMENT AND MANAGEMENT; PENSIONS, MONEYS, AND APPROPRIATIONS
SUBCHAPTER II—INMATES; BURDEN OF EXPENSES THEREOF; DETENTION OF INSANE
SUBCHAPTER III—MENTAL HEALTH SERVICE FOR DISTRICT OF COLUMBIA
SUBCHAPTER I—ESTABLISHMENT AND MANAGEMENT; PENSIONS, MONEYS, AND APPROPRIATIONS
§161. Repealed. Pub. L. 98–621, §10(a), Nov. 8, 1984, 98 Stat. 3379
Section, R.S. §4838; July 1, 1916, ch. 209,
Statutory Notes and Related Subsidiaries
Effective Date of Repeal
Repeal effective Oct. 1, 1987, see section 12(b) of
§§162, 163. Repealed. Pub. L. 89–554, §8(a), Sept. 6, 1966, 80 Stat. 632
Section 162, R.S. §4840; July 1, 1916, ch. 209, §1,
Section 163, R.S. §4841, related to selection of president of Board of Visitors for St. Elizabeths Hospital.
§§164, 165. Repealed. Pub. L. 98–621, §10(a), Nov. 8, 1984, 98 Stat. 3379
Section 164, R.S. §4842; July 1, 1916, ch. 209,
Section 165, R.S. §4839; Feb. 2, 1909, ch. 58, §1,
Statutory Notes and Related Subsidiaries
Effective Date of Repeal
Repeal effective Oct. 1, 1987, see section 12(b) of
§165a. Omitted
Editorial Notes
Codification
Section,
§166. Repealed. Pub. L. 98–621, §10(b), Nov. 8, 1984, 98 Stat. 3379
Section, acts June 5, 1920, ch. 235,
Statutory Notes and Related Subsidiaries
Effective Date of Repeal
Repeal effective Oct. 1, 1987, see section 12(b) of
§167. Repealed. Pub. L. 89–554, §8(a), Sept. 6, 1966, 80 Stat. 644
Section, act July 19, 1919, ch. 24,
§168. Repealed. Pub. L. 98–621, §10(c), Nov. 8, 1984, 98 Stat. 3379
Section, acts Mar. 6, 1920, ch. 94,
Statutory Notes and Related Subsidiaries
Effective Date of Repeal
Repeal effective Oct. 1, 1987, see section 12(b) of
§168a. Repealed. Pub. L. 98–621, §10(d)(1), Nov. 8, 1984, 98 Stat. 3379
Section, act Aug. 4, 1947, ch. 478, §2,
Statutory Notes and Related Subsidiaries
Effective Date of Repeal
Repeal effective Oct. 1, 1987, see section 12(b) of
§168b. Computation of maximum amount available from Federal sources
Amounts chargeable to and available from Federal sources for inpatient and outpatient services provided through Saint Elizabeths Hospital as authorized by
(
Editorial Notes
References in Text
This heading, referred to in text, refers to the headings "
Codification
Section is from the appropriation act cited as the credit to this section.
Statutory Notes and Related Subsidiaries
Similar Provisions
Similar provisions were contained in the following prior appropriation acts:
1 See References in Text note below.
§§169, 169a. Repealed. Pub. L. 98–621, §10(d)(1), Nov. 8, 1984, 98 Stat. 3379
Section 169, act Aug. 4, 1947, ch. 478, §3,
July 8, 1947, ch. 210, title II,
July 26, 1946, ch. 672, title II,
July 3, 1945, ch. 263, title II,
June 28, 1944, ch. 302, title II,
July 12, 1943, ch. 221, title II,
July 2, 1942, ch. 475, title II,
July 1, 1941, ch. 269, title II,
June 18, 1940, ch. 395,
May 10, 1939, ch. 119,
May 9, 1938, ch. 187,
Aug. 9, 1937, ch. 570,
June 22, 1936, ch. 691,
May 9, 1935, ch. 101,
Mar. 2, 1934, ch. 38,
Feb. 17, 1933, ch. 98,
Apr. 22, 1932, ch. 125,
Feb. 14, 1931, ch. 187,
May 14, 1930, ch. 273,
Mar. 4, 1929, ch. 705,
Mar. 7, 1928, ch. 137,
Jan. 12, 1927, ch. 27,
May 10, 1926, ch. 277,
Mar. 3, 1925, ch. 462,
June 5, 1924, ch. 264,
Section 169a, acts Aug. 4, 1947, ch. 478, §4,
Statutory Notes and Related Subsidiaries
Effective Date of Repeal
Repeal effective Oct. 1, 1987, see section 12(b) of
§170. Repealed. Pub. L. 98–621, §10(a), Nov. 8, 1984, 98 Stat. 3379
Section, R.S. §4858; July 1, 1916, ch. 209,
Statutory Notes and Related Subsidiaries
Effective Date of Repeal
Repeal effective Oct. 1, 1987, see section 12(b) of
§170a. Maximum amount available from Federal sources
In fiscal year 1989 and thereafter, the maximum amount available to Saint Elizabeths Hospital from Federal sources shall not exceed the total of the following amounts: the appropriations made under this heading, amounts billed to Federal agencies and entities by the District of Columbia for services provided at Saint Elizabeths Hospital, and amounts authorized by titles XVIII and XIX of the Social Security Act [
(
Editorial Notes
References in Text
The appropriations made under this heading, referred to in text, refers to appropriations under the headings
The Social Security Act, referred to in text, is act Aug. 14, 1935, ch. 531,
Section 9(c) of
Codification
Section is from the appropriation act cited as the credit to this section.
Statutory Notes and Related Subsidiaries
Similar Provisions
Similar provisions were contained in the following prior appropriation acts:
§171. Repealed. Pub. L. 98–621, §10(e), Nov. 8, 1984, 98 Stat. 3379
Section, acts Aug. 24, 1912, ch. 355,
Statutory Notes and Related Subsidiaries
Effective Date of Repeal
Repeal effective Oct. 1, 1987, see section 12(b) of
§172. Repealed. Pub. L. 98–621, §10(f)(1), Nov. 8, 1984, 98 Stat. 3380
Section, act Aug. 7, 1882, ch. 433,
Statutory Notes and Related Subsidiaries
Effective Date of Repeal
Repeal effective Oct. 1, 1987, see section 12(b) of
§§173, 174. Repealed. June 30, 1949, ch. 288, title VI, §602(a)(20), (21), formerly title V, §602(a)(20), (21), 63 Stat. 400 , 401, eff. July 1, 1949; renumbered Sept. 5, 1950, ch. 849, §6(a), (b), 64 Stat. 583
Section 173, act Aug. 1, 1914, ch. 223,
Section 174, act June 12, 1917, ch. 27,
§175. Repealed. Pub. L. 98–621, §10(g), Nov. 8, 1984, 98 Stat. 3380
Section, act Apr. 17, 1917, ch. 3,
Statutory Notes and Related Subsidiaries
Effective Date of Repeal
Repeal effective Oct. 1, 1987, see section 12(b) of
§176. Repealed. Pub. L. 98–621, §10(c), Nov. 8, 1984, 98 Stat. 3379
Section, acts Mar. 6, 1920, ch. 94,
Statutory Notes and Related Subsidiaries
Effective Date of Repeal
Repeal effective Oct. 1, 1987, see section 12(b) of
§177. Repealed. Pub. L. 98–621, §10(h), Nov. 8, 1984, 98 Stat. 3380
Section, acts June 30, 1906, ch. 3914,
Statutory Notes and Related Subsidiaries
Effective Date of Repeal
Repeal effective Oct. 1, 1987, see section 12(b) of
§178. Repealed. Oct. 31, 1951, ch. 654, §1(46), 65 Stat. 703
Section, act Oct. 6, 1917, ch. 79,
§179. Repealed. Aug. 7, 1946, ch. 770, §1(59), 60 Stat. 871
Section, acts June 4, 1880, ch. 121,
Prior to this repeal, 1940 Reorg. Plan No. IV, §11(a), eff. June 30, 1940, 5 F.R. 2422,
§180. Repealed. Pub. L. 98–621, §10(i), Nov. 8, 1984, 98 Stat. 3380
Section, acts May 9, 1941, ch. 101,
Statutory Notes and Related Subsidiaries
Effective Date of Repeal
Repeal effective Oct. 1, 1987, see section 12(b) of
§§181 to 184. Repealed. Pub. L. 98–621, §10(j), Nov. 8, 1984, 98 Stat. 3380
Section 181, acts Nov. 7, 1941, ch. 469, §1,
Section 182, act Nov. 7, 1941, ch. 469, §2,
Section 183, act Nov. 7, 1941, ch. 469, §3,
Section 184, acts Nov. 7, 1941, ch. 469, §4,
Statutory Notes and Related Subsidiaries
Effective Date of Repeal
Repeal effective Oct. 1, 1987, see section 12(b) of
§185. Repealed. Pub. L. 98–621, §10(d)(1), Nov. 8, 1984, 98 Stat. 3379
Section, acts Aug. 4, 1947, ch. 478, §5,
Statutory Notes and Related Subsidiaries
Effective Date of Repeal
Repeal effective Oct. 1, 1987, see section 12(b) of
SUBCHAPTER II—INMATES; BURDEN OF EXPENSES THEREOF; DETENTION OF INSANE
§191. Repealed. Pub. L. 98–621, §10(a), Nov. 8, 1984, 98 Stat. 3379
Section, R.S. §4843; Feb. 9, 1900, ch. 13,
Statutory Notes and Related Subsidiaries
Effective Date of Repeal
Repeal effective Oct. 1, 1987, see section 12(b) of
§191a. Repealed. Pub. L. 86–571, §10(a), July 5, 1960, 74 Stat. 310
Section, act Oct. 29, 1941, ch. 462,
Statutory Notes and Related Subsidiaries
Effective Date of Repeal
§192. Repealed. Pub. L. 98–621, §10(k), Nov. 8, 1984, 98 Stat. 3380
Section, acts July 1, 1916, ch. 209,
Statutory Notes and Related Subsidiaries
Effective Date of Repeal
Repeal effective Oct. 1, 1987, see section 12(b) of
§193. Repealed. July 1, 1944, ch. 373, title XIII, §1313, 58 Stat. 714
Section, acts Mar. 3, 1875, ch. 156, §5,
Editorial Notes
Renumbering of Repealing Act
For renumbering of act July 1, 1944, which repealed this section, see note set out under
§194. Repealed. Pub. L. 98–621, §10(l), Nov. 8, 1984, 98 Stat. 3380
Section, acts July 7, 1884, ch. 332,
Statutory Notes and Related Subsidiaries
Effective Date of Repeal
Repeal effective Oct. 1, 1987, see section 12(b) of
§195. Repealed. Pub. L. 98–621, §10(f)(2), Nov. 8, 1984, 98 Stat. 3380
Section, acts Aug. 7, 1882, ch. 433,
Statutory Notes and Related Subsidiaries
Effective Date of Repeal
Repeal effective Oct. 1, 1987, see section 12(b) of
§195a. Repealed. Pub. L. 98–621, §10(d)(1), Nov. 8, 1984, 98 Stat. 3379
Section, acts Aug. 4, 1947, ch. 478, §1,
Statutory Notes and Related Subsidiaries
Effective Date of Repeal
Repeal effective Oct. 1, 1987, see section 12(b) of
§196. Repealed. Pub. L. 98–621, §10(m), Nov. 8, 1984, 98 Stat. 3380
Section, acts June 12, 1917, ch. 27,
Statutory Notes and Related Subsidiaries
Effective Date of Repeal
Repeal effective Oct. 1, 1987, see section 12(b) of
§196a. Repealed. Pub. L. 86–571, §10(b), July 5, 1960, 74 Stat. 310
Section, acts Mar. 2, 1929, ch. 509,
Statutory Notes and Related Subsidiaries
Effective Date of Repeal
Repeal effective upon the date of enactment of legislation appropriating funds for carrying out
§196b. Repealed. Pub. L. 98–621, §10(n), Nov. 8, 1984, 98 Stat. 3380
Section, acts July 18, 1940, ch. 638,
Statutory Notes and Related Subsidiaries
Effective Date of Repeal
Repeal effective Oct. 1, 1987, see section 12(b) of
§197. Repealed. Pub. L. 98–621, §10(o), Nov. 8, 1984, 98 Stat. 3380
Section, acts Mar. 3, 1901, ch. 853,
Statutory Notes and Related Subsidiaries
Effective Date of Repeal
Repeal effective Oct. 1, 1987, see section 12(b) of
§198. Repealed. Pub. L. 98–621, §10(p), Nov. 8, 1984, 98 Stat. 3381
Section, acts May 11, 1908, ch. 163,
Statutory Notes and Related Subsidiaries
Effective Date of Repeal
Repeal effective Oct. 1, 1987, see section 12(b) of
§§199, 200. Repealed. Pub. L. 98–621, §10(k)(2), Nov. 8, 1984, 98 Stat. 3380
Section 199, act Oct. 6, 1917, ch. 79,
Section 200, acts Oct. 6, 1917, ch. 79,
Statutory Notes and Related Subsidiaries
Effective Date of Repeal
Repeal effective Oct. 1, 1987, see section 12(b) of
§201. Repealed. Pub. L. 98–621, §10(a), Nov. 8, 1984, 98 Stat. 3379
Section, R.S. §4844; act July 1, 1916, ch. 209,
Statutory Notes and Related Subsidiaries
Effective Date of Repeal
Repeal effective Oct. 1, 1987, see section 12(b) of
§202. Repealed. Pub. L. 98–621, §10(u), Nov. 8, 1984, 98 Stat. 3381
Section, acts Mar. 3, 1877, ch. 105,
Statutory Notes and Related Subsidiaries
Effective Date of Repeal
Repeal effective Oct. 1, 1987, see section 12(b) of
§203. Repealed. Pub. L. 98–621, §10(v), Nov. 8, 1984, 98 Stat. 3381
Section, acts Mar. 3, 1879, ch. 182,
Statutory Notes and Related Subsidiaries
Effective Date of Repeal
Repeal effective Oct. 1, 1987, see section 12(b) of
§204. Repealed. Pub. L. 98–621, §10(a), Nov. 8, 1984, 98 Stat. 3379
Section, R.S. §§4853, 4854; act July 1, 1916, ch. 209,
Statutory Notes and Related Subsidiaries
Effective Date of Repeal
Repeal effective Oct. 1, 1987, see section 12(b) of
§205. Repealed. Pub. L. 88–597, §19(d), Sept. 15, 1964, 78 Stat. 953
Section, R.S. §4849; act July 1, 1916, ch. 209,
§206. Repealed. Pub. L. 98–621, §10(a), Nov. 8, 1984, 98 Stat. 3379
Section, R.S. §4850, related to admission of nonresidents of District of Columbia.
Statutory Notes and Related Subsidiaries
Effective Date of Repeal
Repeal effective Oct. 1, 1987, see section 12(b) of
§207. Omitted
Editorial Notes
Codification
Section, acts Jan. 31, 1899, ch. 78, §7,
Section, which had been set out as
§§208 to 210h. Repealed. Pub. L. 89–183, §8, Sept. 14, 1965, 79 Stat. 784 , 785, 787
Section 208, acts Mar. 3, 1903, ch. 1006,
Section 209, act Feb. 23, 1905, ch. 738, §1,
Section 210, acts Feb. 23, 1905, ch. 738, §2,
Section 210a, acts Oct. 11, 1949, ch. 672, §1,
Section 210b, act Oct. 11, 1949, ch. 672, §2,
Section 210c, act Oct. 11, 1949, ch. 672, §3,
Section 210d, act Oct. 11, 1949, ch. 672, §4,
Section 210e, act Oct. 11, 1949, ch. 672, §5,
Section 210f, act Oct. 11, 1949, ch. 672, §6,
Section 210g, act Oct. 11, 1949, ch. 672, §7,
Section 210h, act Oct. 11, 1949, ch. 672, §8,
Statutory Notes and Related Subsidiaries
Effective Date of Repeal
Repeal effective Jan. 1, 1966, see section 7 of
§§211 to 211b. Repealed. Pub. L. 98–621, §10(a), Nov. 8, 1984, 98 Stat. 3379
Section 211, R.S. §4851; July 1, 1916, ch. 209,
Section 211a, R.S. §4852; July 1, 1916, ch. 209,
Section 211b, R.S. §4855; July 1, 1916, ch. 209,
Statutory Notes and Related Subsidiaries
Effective Date of Repeal
Repeal effective Oct. 1, 1987, see section 12(b) of
§§212 to 214. Repealed. Pub. L. 98–621, §10(q), Nov. 8, 1984, 98 Stat. 3381
Section 212, acts June 23, 1874, ch. 465, §1,
Section 213, acts June 23, 1874, ch. 465, §2,
Section 214, act June 23, 1874, ch. 465, §3,
Statutory Notes and Related Subsidiaries
Effective Date of Repeal
Repeal effective Oct. 1, 1987, see section 12(b) of
§§215 to 220. Repealed. Pub. L. 88–597, §19(c), Sept. 15, 1964, 78 Stat. 953
Section 215, act Apr. 27, 1904, ch. 1618, §1,
Section 216, act Apr. 27, 1904, ch. 1618, §2,
Section 217, acts Apr. 27, 1904, ch. 1618, §3,
Section 218, acts Apr. 27, 1904, ch. 1618, §4,
Section 219, acts Apr. 27, 1904, ch. 1618, §5,
Section 220, act Apr. 27, 1904, ch. 1618, §6,
§§221, 222. Repealed. Pub. L. 98–621, §10(a), Nov. 8, 1984, 98 Stat. 3379
Section 221, R.S. §4856; June 25, 1936, ch. 804,
Section 222, R.S. §4857, provided that no insane person not charged with any breach of the peace should ever be confined in the United States jail in the District of Columbia.
Statutory Notes and Related Subsidiaries
Effective Date of Repeal
Repeal effective Oct. 1, 1987, see section 12(b) of
SUBCHAPTER III—MENTAL HEALTH SERVICE FOR DISTRICT OF COLUMBIA
§225. Findings and purposes
(a) The Congress makes the following findings:
(1) Governmentally administered mental health services in the District of Columbia are currently provided through two separate public entities, the federally administered Saint Elizabeths Hospital and the Mental Health Services Administration of the District of Columbia Department of Human Resources.
(2) The District of Columbia has a continuing responsibility to provide mental health services to its residents.
(3) The Federal Government, through its operation of a national mental health program at Saint Elizabeths Hospital, has for over 100 years assisted the District of Columbia in carrying out that responsibility.
(4) Since its establishment by Congress in 1855, Saint Elizabeths Hospital has developed into a respected national mental health hospital and study, training, and treatment center, providing a range of quality mental health and related services, including—
(i) acute and chronic inpatient psychiatric care;
(ii) outpatient psychiatric and substance abuse clinical and related services;
(iii) Federal court system forensic psychiatry referral, evaluation, and patient treatment services for prisoners, and for individuals awaiting trial or requiring post-trial or post-sentence psychiatric evaluation;
(iv) patient care and related services for designated classes of individuals entitled to mental health benefits under Federal law, such as certain members and employees of the United States Armed Forces and the Foreign Service, and residents of American overseas dependencies;
(v) District of Columbia court system forensic psychiatry referral, evaluation, and patient treatment services for prisoners, and for individuals awaiting trial or requiring post-trial or postsentence psychiatric evaluation;
(vi) programs for special populations such as the mentally ill deaf;
(vii) support for basic and applied clinical psychiatric research and related patient services conducted by the National Institute of Mental Health and other institutions; and
(viii) professional and paraprofessional training in the major mental health disciplines.
(5) The continuation of the range of services currently provided by federally administered Saint Elizabeths Hospital must be assured, as these services are integrally related to—
(i) the availability of adequate mental health services to District of Columbia residents, nonresidents who require mental health services while in the District of Columbia, individuals entitled to mental health services under Federal law, and individuals referred by both Federal and local court systems; and
(ii) the Nation's capacity to increase our knowledge and understanding about mental illness and to facilitate and continue the development and broad availability of sound and modern methods and approaches for the treatment of mental illness.
(6) The assumption of all or selected functions, programs, and resources of Saint Elizabeths Hospital from the Federal Government by the District of Columbia, and the integration of those functions, resources, and programs into a comprehensive mental health care system administered solely by the District of Columbia, will improve the efficiency and effectiveness of the services currently provided through those two separate entities by shifting the primary focus of care to an integrated community-based system.
(7) Such assumption of all or selected functions, programs, and resources of Saint Elizabeths Hospital by the District of Columbia would further the principle of home rule for the District of Columbia.
(b) It is the intent of Congress that—
(1) the District of Columbia have in operation no later than October 1, 1993, an integrated coordinated mental health system in the District which provides—
(A) high quality, cost-effective, and community-based programs and facilities;
(B) a continuum of inpatient and outpatient mental health care, residential treatment, and support services through an appropriate balance of public and private resources; and
(C) assurances that patient rights and medical needs are protected;
(2) the comprehensive District mental health care system be in full compliance with the Federal court consent decree in Dixon v. Heckler;
(3) the District and Federal Governments bear equitable shares of the costs of a transition from the present system to a comprehensive District mental health system;
(4) the transition to a comprehensive District mental health system provided for by this subchapter be carried out with maximum consideration for the interests of employees of the Hospital and provide a right-of-first-refusal to such employees for employment at comparable levels in positions created under the system implementation plan;
(5) the Federal Government have the responsibility for the retraining of Hospital employees to prepare such employees for the requirements of employment in a comprehensive District mental health system;
(6) the Federal Government continue high quality mental health research, training, and demonstration programs at Saint Elizabeths Hospital;
(7) the District government establish and maintain accreditation and licensing standards for all services provided in District mental health facilities which assure quality care consistent with appropriate Federal regulations and comparable with standards of the Joint Commission on Accreditation of Hospitals; and
(8) the comprehensive mental health system plan include a component for direct services for the homeless mentally ill.
(
Editorial Notes
References in Text
This subchapter, referred to in subsec. (b)(4), was in the original "this Act", meaning
Amendments
1991—Subsec. (b)(1).
Statutory Notes and Related Subsidiaries
Effective Date
"(a) Except as provided in subsection (b), this Act [see Short Title note below] shall take effect on October 1, 1985."
"(b) Section 10 [amending
Short Title of 1991 Amendment
Short Title
§225a. Definitions
For the purpose of this subchapter:
(1) The term "Hospital" means the institution in the District of Columbia known as Saint Elizabeths Hospital operated on November 8, 1984, by the Secretary of Health and Human Services.
(2) The term "Secretary" means the Secretary of Health and Human Services.
(3) The term "Mayor" means the Mayor of the District of Columbia.
(4) The term "District" means the District of Columbia.
(5) The term "Federal court consent decree" means the consent decree in Dixon v. Heckler, Civil Action No. 74–285.
(6) The term "service coordination period" means a period beginning on October 1, 1985, and terminating on October 1, 1987.
(7) The term "financial transition period" means a period beginning on October 1, 1985, and terminating on October 1, 1991.
(8) The term "system implementation plan" means the plan for a comprehensive mental health system for the District of Columbia to be developed pursuant to this subchapter.
(9) The term "Council" means the Council of the District of Columbia.
(
§225b. Development of plan for mental health system for the District
(a) Responsibility for mental health services; effective date; final system implementation plan; comprehensive mental health program
(1) Subject to subsection (g) of this section and
(2) Not later than October 1, 1993, the Mayor shall complete the implementation of the final system implementation plan reviewed by the Congress and the Council in accordance with the provisions of this subchapter for the establishment of a comprehensive District mental health system to provide mental health services and programs through community mental health facilities to individuals in the District of Columbia.
(b) Mayor; preliminary system implementation plan; final implementation plan; submission to and review by Council and Congressional committees
(1) The Mayor shall prepare a preliminary system implementation plan for a comprehensive mental health system no later than 3 months from October 1, 1985, and a final implementation plan no later than 12 months from October 1, 1985.
(2) The Mayor shall submit the preliminary system implementation plan to the Council no later than 3 months from October 1, 1985. The Council shall review such plan and transmit written recommendations to the Mayor regarding any revisions to such plan no later than 60 days after such submission. The Mayor shall submit the revised preliminary plan to the Committee on the District of Columbia of the House of Representatives and the Committee on Labor and Human Resources and the Committee on Governmental Affairs of the Senate for review and comment in accordance with the provisions of this subchapter.
(3) The final system implementation plan shall be considered by the Council consistent with the provisions of section 422(12) of the District of Columbia Home Rule Act.
(4) After the review of the Council pursuant to paragraph (3), the Mayor shall submit the final implementation plan to the Committee on the District of Columbia of the House of Representatives and the Committee on Labor and Human Resources and the Committee on Governmental Affairs of the Senate for review and comment in accordance with the provisions of this subchapter.
(c) Contents of system implementation plan
The system implementation plan shall—
(1) propose and describe an integrated, comprehensive, and coordinated mental health system for the District of Columbia;
(2) identify the types of treatment to be offered, staffing patterns, and the proposed sites for service delivery within the District of Columbia comprehensive mental health system;
(3) identify mechanisms to attract and retain personnel of appropriate number and quality to meet the objectives of the comprehensive mental health system;
(4) be in full compliance with the Federal court consent decree in Dixon v. Heckler and all applicable District of Columbia statutes and court decrees;
(5) identify those positions, programs, and functions at Saint Elizabeths Hospital which are proposed for assumption by the District, those facilities at Saint Elizabeths Hospital which are proposed for utilization by the District under a comprehensive District mental health system, and the staffing patterns and programs at community facilities to which the assumed functions are to be integrated;
(6) identify any capital improvements to facilities at Saint Elizabeths Hospital and elsewhere in the District of Columbia proposed for delivery of mental health services, which are necessary for the safe and cost effective delivery of mental health services; and
(7) identify the specific real property, buildings, improvements, and personal property to be transferred pursuant to
(d) Consultation; labor-management advisory committee; public comments
(1) The Mayor shall develop the system implementation plan in close consultation with officials of Saint Elizabeths Hospital, through working groups to be established by the Secretary and the Mayor for that purpose.
(2) The Mayor and the Secretary shall establish a labor-management advisory committee, requesting the participation of Federal and District employee organizations affected by this subchapter, to make recommendations on the system implementation plan. The committee shall consider staffing patterns under a comprehensive District mental health care system, retention of Hospital employees under such system, Federal retraining for such employees, and any other areas of concern related to the establishment of a comprehensive District system. In developing the system implementation plan the Mayor shall carefully consider the recommendations of the committee. Such advisory committee shall not be subject to
(3) The Mayor and such working groups shall, in developing the plan, solicit comments from the public, which shall include professional organizations, provider agencies and individuals, and mental health advocacy groups in the District of Columbia.
(e) Shift of selected program responsibilities and staff resources; commercial activity proposals; exemption of certain studies
(1) The Mayor and the Secretary may, during the service coordination period, by mutual agreement and consistent with the requirements of the system implementation plan direct the shift of selected program responsibilities and staff resources from Saint Elizabeths Hospital to the District. The Secretary may assign staff occupying positions in affected programs to work under the supervision of the District. The Mayor shall notify the Committee on the District of Columbia of the House of Representatives and the Committee on Labor and Human Resources and the Committee on Governmental Affairs of the Senate in writing of any planned shift in program responsibilites 1 or staff resources not less than 30 days prior to the implementation of such shift.
(2)(A) Except as provided in subparagraph (B), after October 1, 1984, and during the service coordination period, no request for proposals may be issued by the Secretary for any areas of commercial activity at the Hospital pursuant to Office of Management and Budget circular A–76.
(B) The limitation under subparagraph (A) shall not apply to studies initiated pursuant to such circular prior to October 1, 1984.
(f) Financial and physical plant audits; repairs and renovations; maintenance of facilities and infrastructure
(1) To assist the Mayor in the development of the system implementation plan, the Secretary shall contract for a financial audit and a physical plant audit of all existing facilities at the Hospital to be completed by January 1, 1986. The financial audit shall be conducted according to generally accepted accounting principles. The physical plant audit shall recognize any relevant national and District codes and estimate the useful life of existing facility support systems.
(2)(A) Pursuant to such physical plant audit, the Secretary shall initiate not later than October 1, 1987, and, except as provided under an agreement entered into pursuant to subparagraph (C), complete not later than October 1, 1993, such repairs and renovations to such physical plant and facility support systems of the Hospital as are to be utilized by the District under the system implementation plan as part of a comprehensive District mental health system, as are necessary to meet any applicable code requirements or standards.
(B) At a minimum until October 1, 1987, the Secretary shall maintain all other facilities and infrastructure of the Hospital not assumed by the District in the condition described in such audit.
(C) The Secretary may enter into an agreement with the Mayor under which the Secretary shall provide funds to the Mayor to complete the repairs and renovations described in subparagraph (A) and to make other capital improvements that are necessary for the safe and cost effective delivery of mental health services in the District, except that $7,500,000 of the funds provided to the Mayor under such an agreement shall be used to make capital improvements to facilities not located at Saint Elizabeths Hospital. Of the $7,500,000 provided for improvements to facilities not located at the Hospital, not less than $5,000,000 shall be used to make capital improvements to housing facilities for seriously and chronically mentally ill individuals.
(g) Service coordination period; responsibility for providing services
During the service coordination period, the District of Columbia and the Secretary, to the extent provided in the Federal court consent decree, shall be jointly responsible for providing citizens with the full range and scope of mental health services set forth in such decree and the system implementation plan. No provision of this subchapter or any action or agreement during the service coordination period may be so construed as to absolve or relieve the District or the Federal Government of their joint or respective responsibilities to implement fully the mandates of the Federal court consent decree.
(
Editorial Notes
References in Text
Section 422 of the District of Columbia Home Rule Act, referred to in subsec. (b)(3), is section 422 of
Amendments
2022—Subsec. (d)(2).
1997—Subsec. (b)(3).
1991—Subsec. (a)(2).
Subsec. (f)(2)(A).
Subsec. (f)(2)(C).
Statutory Notes and Related Subsidiaries
Change of Name
Committee on Governmental Affairs of Senate changed to Committee on Homeland Security and Governmental Affairs of Senate, effective Jan. 4, 2005, by Senate Resolution No. 445, One Hundred Eighth Congress, Oct. 9, 2004.
Committee on Labor and Human Resources of Senate changed to Committee on Health, Education, Labor, and Pensions of Senate by Senate Resolution No. 20, One Hundred Sixth Congress, Jan. 19, 1999.
Effective Date of 1997 Amendment
Amendment by
Abolition of House Committee on the District of Columbia
Committee on the District of Columbia of House of Representatives abolished by House Resolution No. 6, One Hundred Fourth Congress, Jan. 4, 1995. References to Committee on the District of Columbia treated as referring to Committee on Government Reform and Oversight of House of Representatives, see section 1(b) of
Termination of Claims
"(a)
"(1) Repairs or renovations pursuant to section 4(f) of the Saint Elizabeths Hospital and District of Columbia Mental Health Services Act (
"(2) Preservation, maintenance, or repairs pursuant to a use permit executed on September 30, 1987, under which the United States (acting through the Secretary of Health and Human Services) granted permission to the District of Columbia to use and occupy portions of the Saint Elizabeths Hospital property known as the 'West Campus'.
"(3) Mental health diagnostic and treatment services for referrals as described in section 9(b) of the Saint Elizabeths Hospital and District of Columbia Mental Health Services Act (
"(b)
1 So in original. Probably should be "responsibilities".
§225c. Congressional review of system implementation plan
(a) The Committee on the District of Columbia of the House of Representatives and the Committee on Labor and Human Resources and the Committee on Governmental Affairs of the Senate shall review the preliminary system implementation plan transmitted by the Mayor pursuant to
(b) The Committee on the District of Columbia of the House of Representatives and the Committee on Labor and Human Resources and the Committee on Governmental Affairs of the Senate shall, within 90 days of submission of the final system implementation plan by the Mayor pursuant to
(
Statutory Notes and Related Subsidiaries
Change of Name
Committee on Governmental Affairs of Senate changed to Committee on Homeland Security and Governmental Affairs of Senate, effective Jan. 4, 2005, by Senate Resolution No. 445, One Hundred Eighth Congress, Oct. 9, 2004.
Committee on Labor and Human Resources of Senate changed to Committee on Health, Education, Labor, and Pensions of Senate by Senate Resolution No. 20, One Hundred Sixth Congress, Jan. 19, 1999.
Abolition of House Committee on the District of Columbia
Committee on the District of Columbia of House of Representatives abolished by House Resolution No. 6, One Hundred Fourth Congress, Jan. 4, 1995. References to Committee on the District of Columbia treated as referring to Committee on Government Reform and Oversight of House of Representatives, see section 1(b) of
§225d. Transition provisions for employees of Hospital
(a) Retirement opportunity
Employees of the Hospital directly affected by the assumption of programs and functions by the District government who meet the requirements for immediate retirement under the provisions of
(b) Specific number and types of positions; transfer to District employment
(1) The system implementation plan shall prescribe the specific number and types of positions needed by the District government at the end of the service coordination period.
(2) Notwithstanding
(c) Retention list; reemployment priority list; right-of-first-refusal; retention registers; employee appeals
(1) While on the retention list or the District or Federal agency reemployment priority list, the system implementation plan shall provide to Hospital employees a right-of-first-refusal to District employment in positions for which such employees may qualify, (A) created under the system implementation plan in the comprehensive District mental health system, (B) available under the Department of Human Services of the District, and (C) available at the District of Columbia General Hospital.
(2) In accordance with Federal regulations, the Secretary shall establish retention registers of Hospital employees and provide such retention registers to the District government. Employment in positions identified in the system implementation plan under subsection (b) shall be offered to Hospital employees by the District government according to each such employee's relative standing on the retention registers.
(3) Employee appeals concerning the retention registers established by the Secretary shall be in accordance with Federal regulations.
(4) Employee appeals concerning employment offers by the District shall be in accordance with the District of Columbia Government Comprehensive Merit Personnel Act of 1978.
(d) Federal agency reemployment priority list; right-of-first-refusal; Department of Health and Human Services; separation; maintenance of lists; District agency reemployment priority list; refusal of employment offer; acceptance of nontemporary employment
(1) Notwithstanding any other provision of law, employees of the Hospital, while on the Federal agency reemployment priority list, shall have a right-of-first-refusal to employment in comparable available positions for which they qualify within the Department of Health and Human Services in the Washington metropolitan area.
(2) If necessary to separate employees of the Hospital from Federal employment, such employees may be separated only under Federal reduction-in-force procedures.
(3) A Federal agency reemployment priority list and a displaced employees program shall be maintained for employees of the Hospital by the Secretary and the Office of Personnel Management in accordance with Federal regulations for Federal employees separated by reduction-in-force procedures.
(4) The Mayor shall create and maintain, in consultation with the Secretary, a District agency reemployment priority list of those employees of the Hospital on the retention registers who are not offered employment under subsection (c). Individuals who refuse an offer of employment under subsection (c) shall be ineligible for inclusion on the District agency reemployment priority list. Such reemployment priority list shall be administered in accordance with procedures established pursuant to the District of Columbia Government Comprehensive Merit Personnel Act of 1978 (D.C. Law 2–139).
(5) Acceptance of nontemporary employment as a result of referral from any retention list or agency reemployment priority list shall automatically terminate an individual's severance pay as of the effective date of such employment.
(e) Contracts; mental health services; preferences
Any contract entered into by the District of Columbia for the provision of mental health services formerly provided by or at the Hospital shall require the contractor or provider, in filling new positions created to perform under the contract, to give preference to qualified candidates on the District agency reemployment priority list created pursuant to subsection (d) of this section. An individual who is offered nontemporary employment with a contractor shall have his or her name remain on the District agency reemployment priority list under subsection (d) for not more than 24 months from the date of acceptance of such employment.
(
Editorial Notes
References in Text
The District of Columbia Government Comprehensive Merit Personnel Act of 1978, referred to in subsecs. (c)(4) and (d)(4), is D.C. Law 2–139, Mar. 3, 1979, which is not classified to the Code.
Statutory Notes and Related Subsidiaries
Continued Coverage Under Certain Federal Employee Benefits Programs for Certain Employees of Saint Elizabeths Hospital
For provisions relating to treatment of certain Federal employees of Saint Elizabeths Hospital under certain Federal employee benefit programs, see section 207(o) of
§225e. Conditions of employment for former employees of Hospital
(a) Individuals accepting employment; without service breaks
Each individual accepting employment without a break in service with the District government pursuant to
(1) except as specifically provided in this subchapter, be required to meet all District qualifications other than licensure requirements for appointment required of other candidates, and shall become District employees in the comparable District service subject to the provisions of the District of Columbia Government Comprehensive Merit Personnel Act of 1978, and all other statutes and regulations governing District personnel;
(2) meet all licensure requirements within 18 months of appointment by the District government;
(3) notwithstanding
(4) have the grade and rate of pay determined in accordance with regulations established pursuant to title XI of the District of Columbia Comprehensive Merit Personnel Act of 1978, except that no employee shall suffer a loss in the basic rate of pay or in seniority;
(5) if applicable, retain a rate of pay including the physician's comparability allowance under the provisions of
(6) be entitled to the same health and life insurance benefits as are available to District employees in the applicable service;
(7) if employed by the Federal Government before January 1, 1984, continue to be covered by the United States Civil Service Retirement System, under
(8) if employed by the Federal Government on or after January 1, 1984, be subject to the retirement system applicable to District government employees pursuant to title XXVI, Retirement, of the District of Columbia Government Comprehensive Merit Personnel Act of 1978.
(b) Exemption from residency requirements
An individual appointed to a position in the District government without a break in service, from the retention list, or from the District or Federal agency reemployment priority lists shall be exempt from the residency requirements of title VIII of the District of Columbia Government Comprehensive Merit Personnel Act of 1978.
(c) Compensation; work related injuries
An individual receiving compensation for work injuries pursuant to
(1) continue to have the claims adjudicated and the related costs paid by the Federal Government until such individual recovers and returns to duty;
(2) if medically recovered and returned to duty, have any subsequent claim for the recurrence of the disability determined and paid under the provisions of title XXIII of the District of Columbia Comprehensive Merit Personnel Act of 1978.
(d) Actions by District against individuals accepting employment
The District government may initiate or continue an action against an individual who accepts employment under
(e) Commissioned public health service officers
Commissioned public health service officers detailed to the District of Columbia mental health system shall not be considered employees for purposes of any full-time employee equivalency total of the Department of Health and Human Services.
(f) Former patient employees
For purposes of this section, Hospital employees shall include former patient employees occupying career positions at the Hospital.
(
Editorial Notes
References in Text
The District of Columbia Government Comprehensive Merit Personnel Act of 1978, referred to in subsecs. (a)(1), (3), (4), (8), (b), and (c)(2), is D.C. Law 2–139, Mar. 3, 1979, which is not classified to the Code.
1 So in original. Probably should not be capitalized.
§225f. Property transfer
(a) Authority of Secretary; exclusion of certain real property
(1) Except as provided in paragraph (2), on October 1, 1987, the Secretary shall transfer to the District, without compensation, all right, title, and interest of the United States in all real property at Saint Elizabeths Hospital in the District of Columbia together with any buildings, improvements, and personal property used in connection with such property needed to provide mental health and other services provided by the Department of Human Services indentified 1 pursuant to
(2) Such real property as is identified by the Secretary by September 30, 1987, as necessary to Federal mental health programs at Saint Elizabeths Hospital under
(b) Preparation of master plan; consultation; approval; property transfer; exclusion of Oxon Cove Park
On or before October 1, 1992, the Mayor shall prepare, and submit to the Committee on the District of Columbia of the House of Representatives and the Committees on Governmental Affairs and Labor and Human Resources of the Senate, a master plan, not inconsistent with the comprehensive plan for the National Capital, for the use of all real property, buildings, improvements, and personal property comprising Saint Elizabeths Hospital in the District of Columbia not transferred or excluded pursuant to subsection (a) of this section. In developing such plan, the Mayor shall consult with, and provide an opportunity for review by, appropriate Federal, regional, and local agencies. Such master plan submitted by the Mayor shall be approved by a law enacted by the Congress within the 2-year period following the date such plan is submitted to the Committee on the District of Columbia of the House of Representatives and the Committees on Governmental Affairs and Labor and Human Resources of the Senate. Immediately upon the approval of any such law, the Secretary shall transfer to the District, without compensation, all right, title, and interest of the United States in and to such property in accordance with such approved plan. The real property, together with the buildings and other improvements thereon, including personal property used in connection therewith, known as the Oxon Cove Park and operated by the National Park Service, Department of the Interior, shall not be transferred under this subchapter.
(c) Transfer of J.B. Johnson Building and grounds
On October 1, 1985, the Secretary shall transfer to the District, without compensation, all right, title, and interest of the United States to lot 87, square 622, in the subdivision made by the District of Columbia Redevelopment Land Agency, as per plat recorded in the Office of the Surveyor for the District of Columbia, in liber 154 at folio 149 (901 First Street N.W., the J.B. Johnson Building and grounds).
(
Editorial Notes
Amendments
1991—Subsec. (b).
Statutory Notes and Related Subsidiaries
Change of Name
Committee on Governmental Affairs of Senate changed to Committee on Homeland Security and Governmental Affairs of Senate, effective Jan. 4, 2005, by Senate Resolution No. 445, One Hundred Eighth Congress, Oct. 9, 2004.
Committee on Labor and Human Resources of Senate changed to Committee on Health, Education, Labor, and Pensions of Senate by Senate Resolution No. 20, One Hundred Sixth Congress, Jan. 19, 1999.
Abolition of House Committee on the District of Columbia
Committee on the District of Columbia of House of Representatives abolished by House Resolution No. 6, One Hundred Fourth Congress, Jan. 4, 1995. References to Committee on the District of Columbia treated as referring to Committee on Government Reform and Oversight of House of Representatives, see section 1(b) of
1 So in original. Probably should be "identified".
§225g. Financing provisions
(a) Authorization of appropriations
There are authorized to be appropriated for grants by the Secretary of Health and Human Services to the District of Columbia comprehensive mental health system, $30,000,000 for fiscal year 1988, $24,000,000 for fiscal year 1989, $18,000,000 for fiscal year 1990, and $12,000,000 for fiscal year 1991.
(b) Federal agencies; payments to District of costs for treatment of certain patients; responsibility of U.S. for service costs
(1) Beginning on October 1, 1987, and in each subsequent fiscal year, the appropriate Federal agency is directed to pay the District of Columbia the full costs for the provision of mental health diagnostic and treatment services for the following types of patients:
(A) Any individual referred to the system pursuant to a Federal statute or by a responsible Federal agency.
(B) Any individual referred to the system for emergency detention or involuntary commitment after being taken into custody (i) as a direct result of the individual's action or threat of action against a Federal official, (ii) as a direct result of the individual's action or threat of action on the grounds of the White House or of the Capitol, or (iii) under
(C) Any individual referred to the system as a result of a criminal proceeding in a Federal court (including an individual admitted for treatment, observation, and diagnosis and an individual found incompetent to stand trial or found not guilty by reason of insanity). The preceding provisions of this paragraph apply to any individual referred to the system (or to Saint Elizabeths Hospital) before or after November 8, 1984.
(2) The responsibility of the United States for the cost of services for individuals described in paragraph (1) shall not affect the treatment responsibilities to the District of Columbia under the Interstate Compact on Mental Health.
(c) Financial responsibility during coordination period
(1) During the service coordination and the financial transition periods, the District of Columbia shall gradually assume a greater share of the financial responsibility for the provision of mental health services provided by the system to individuals not described in subsection (b).
(2) Omitted
(d) Shared responsibility for capital improvements
Subject to
(e) Unassigned liabilities; sole responsibility of Federal Government
Pursuant to the financial audit under
(f) Audit to determine liability of Federal Government for accrued annual leave balances; authorization of appropriations
(1) After the service coordination period, the Secretary shall conduct an audit, under generally accepted accounting procedures, to identify the liability of the Federal Government for accrued annual leave balances for those employees assumed by the District under the system implementation plan.
(2) There is authorized to be appropriated for payment by the Federal Government to the District an amount equal to the liability identified by such audit.
(g) Authority; District; collection of costs for mental health services
Nothing in this subchapter shall affect the authority of the District of Columbia under any other statute to collect costs billed by the District of Columbia for mental health services, except that payment for the same costs may not be collected from more than one party.
(h) Responsibility of United States for certain claims
The Government of the United States shall be solely responsible for—
(1) all claims and causes of action against Saint Elizabeths Hospital that accrue before October 1, 1987, regardless of the date on which legal proceedings asserting such claims were or may be filed, except that the United States shall, in the case of any tort claim, only be responsible for any such claim against the United States that accrues before October 1, 1987, and the United States shall not compromise or settle any claim resulting in District liability without the consent of the District, which consent shall not be unreasonably withheld; and
(2) all claims that result in a judgment or award against Saint Elizabeths Hospital before October 1, 1987.
(
Editorial Notes
References in Text
Codification
Subsec. (c)(2) of this section amended section 502 of the District of Columbia Self-Government and Governmental Reorganization Act (
§225h. Buy American provisions
(a) Applicability
The Mayor shall insure that the requirements of the Buy American Act of 1933, as amended, apply to all procurements made under this subchapter.
(b) Determination by Mayor
(1) If the Mayor, after consultation with the United States Trade Representative, determines that a foreign country which is party to an agreement described in paragraph (2) has violated the terms of the agreement by discriminating against certain types of products produced in the United States that are covered by the agreement, the United States Trade Representative shall rescind the waiver of the Buy American Act with respect to such types of products produced in that foreign country.
(2) An agreement referred to in paragraph (1) is any agreement,1 between the United States and a foreign country pursuant to which the head of an agency of the United States Government has waived the requirements of the Buy American Act with respect to certain products produced in the foreign country.
(c) Report to Congress
The Mayor shall submit to Congress a report on the amount of purchases from foreign entities under this subchapter from foreign entities in fiscal years 1992 and 1993. Such report shall separately indicate the dollar value of items for which the Buy American Act was waived pursuant to any agreement described in subsection (a)(2), the Trade Agreement Act of 1979 (
(d) "Buy American Act" defined
For purposes of this section, the term "Buy American Act" means title III of the Act entitled "An Act making appropriations for the Treasury and Post Office Departments for the fiscal year ending June 30, 1934, and for other purposes", approved March 3, 1933 (
(e) Restrictions on contract awards
No contract or subcontract made with funds authorized under this subchapter 2 may be awarded for the procurement of an article, material, or supply produced or manufactured in a foreign country whose government unfairly maintains in government procurement a significant and persistent pattern or practice of discrimination against United States products or services which results in identifiable harm to United States businesses, as identified by the President pursuant to 3 (g)(1)(A) of section 305 of the Trade Agreements Act of 1979 (
(f) Prohibition against fraudulent use of "Made in America" labels
If it has been finally determined by a court or Federal agency that any person intentionally affixed a label bearing a "Made in America" inscription, or any inscription with the same meaning, to any product sold in or shipped to the United States that is not made in the United States, that person shall be ineligible to receive any contract or subcontract under this subchapter, pursuant to the debarment, suspension, and ineligibility procedures in subpart 9.4 of
(
Editorial Notes
References in Text
Title III of the Act entitled "An Act making appropriations for the Treasury and Post Office Departments for the fiscal year ending June 30, 1934, and for other purposes", approved March 3, 1933, referred to in subsec. (d), is title III of act Mar. 3, 1933, ch. 212,
The Trade Agreement Act of 1979, referred to in subsec. (c), probably means the Trade Agreements Act of 1979,
This subchapter, referred to in subsec. (e), was in the original "this title" and was translated as reading "this Act", meaning
1 So in original. The comma probably should not appear.
2 See References in Text note below.
3 So in original. Probably should be followed by "subsection".