; and (II) include formalized activities, peer supports, and counselor services, and family supports to help individuals develop resilience to changes in psychiatric symptoms and stressors of all kinds to prevent crisis and promote functioning and stability. . (3) Quality and other reporting Subparagraph (E) of section 223(a)(2) of the Protecting Access to Medicare Act of 2014 ( 42 U.S.C. 1396a note) is amended to read as follows: (E) Quality and other reporting Reporting of— (i) encounter data; (ii) clinical outcomes data; (iii) quality data; (iv) patient-reported outcome measures that assess people’s loneliness, quality of life, thriving, and other outcomes of recovery; and (v) such other data as the Secretary requires. . (b) Definitions Section 223(e) of the Protecting Access to Medicare Act of 2014 ( 42 U.S.C. 1396a note) is amended— (1) by redesignating paragraphs (1), (2), (3), and (4) as paragraphs (2), (3), (4), and (5), respectively; (2) by inserting before paragraph (2) (as so redesignated) the following: (1) Clubhouse The term clubhouse means a therapeutic social environment that— (A) is accredited, or is in the process of becoming accredited, by a recognized body or bodies approved by the Secretary for purposes of this paragraph; (B) addresses psychosocial deficits and social drivers of health; (C) uses a therapeutic approach that emphasizes purposeful work, engagement, relationship development, and mutual support for people with serious mental illness; (D) uses blended leadership of professional mental health staff and individuals with lived experience to create and manage the therapeutic community and its services in a nonclinical setting; (E) offers members a community-based rehabilitative environment that both addresses often-unmet psychosocial needs of people living with serious mental illness and provides structures that offer support in natural, community environments