With licensure passage in the Hawaii, OT licensure is achieved in all 50 states and 3 jurisdictions. Implementation of the Excellence in Mental Health Act results in the inclusion of occupational therapy as one of the professions that can be covered under the new Certified Community Behavioral Health Centers. Occupational therapy is included in SAMHSA’s Primary Behavioral Health Integration Grants. AOTA adopts the Occupational Therapy Practice Framework, 3rd Edition.