1. Short title This Act may be cited as the Home-Based Telemental Health Care Act of 2023 . 2. Findings Congress finds as follows: (1) According to a 2020 report by the Centers for Disease Control and Prevention, titled Mental Health, Substance Use and Suicidal Ideation during the COVID–19 Pandemic (referred to in this section as the CDC report ), elevated levels of adverse mental health conditions, substance use, and suicidal ideation were reported by adults in the United States in June 2020, after the onset of the COVID–19 pandemic. The prevalence of symptoms of anxiety disorder was 25.5 percent, compared to 8.1 percent in the second quarter of 2019. Additionally, 24.3 percent of adults experienced depressive symptoms in June 2020, 4 times the 6.5 percent reported in the second quarter of 2019. (2) According to the CDC report, approximately 30 percent of rural adults who responded to a survey of the Centers for Disease Control and Prevention suffered from symptoms of anxiety or depression, and approximately 10 percent of rural adults seriously considered suicide in the past 30 days. (3) A 2020 study by the Centers for Disease Control and Prevention suggests that people in farming, fishing, and forestry occupations (referred to in this section as the Triple–F industry) in the United States experienced rates of 31.4 suicides per 100,000 people in 2016. (4) Such 2020 study by the Centers for Disease Control and Prevention indicates that suicide rates for farmers, ranchers, and other agricultural managers were 58 percent higher than the rate for the general population in 2016. (5) According to a 2019 report of the National Survey on Drug Use and Health, 22.4 percent of residents in rural communities aged 18 or older who experienced mental illness perceived an unmet need for mental health services. Of these individuals, 17.9 percent did not receive any mental health services in the prior year. (6) The COVID–19 pandemic put additional stress on people in the Triple–F population. In the early stages, the pandemic