114 S2680 IS: Mental Health Reform Act of 2016
U.S. Senate
2016-03-15
text/xml
EN
Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.
1.Short title; table of contents
(a)This Act may be cited as the Mental Health Reform Act of 2016
.
(b)The table of contents for this Act is as follows:Sec. 1. Short title; table of contents. TITLE I—Strengthening leadership and accountability Sec. 101. Improving oversight of mental and substance use disorder programs. Sec. 102. Strengthening leadership of the Substance Abuse and Mental Health Services Administration. Sec. 103. Chief Medical Officer. Sec. 104. Strategic plan. Sec. 105. Biennial report concerning activities and progress. Sec. 106. Authorities of centers for mental health services. Sec. 107. Advisory councils. Sec. 108. Peer review. Sec. 109. Inter-Departmental Serious Mental Illness Coordinating Committee. TITLE II—Ensuring mental and substance use disorder prevention, treatment, and recovery programs keep pace with science Sec. 201. Encouraging innovation and evidence-based programs. Sec. 202. Promoting access to information on evidence-based programs and practices. Sec. 203. Priority mental health needs of regional and national significance. TITLE III—Supporting State Responses to Mental Health and Substance Use Disorder Needs Sec. 301. Community Mental Health Services Block Grant. Sec. 302. Additional provisions related to the block grants. Sec. 303. Study of distribution of funds under the Substance Abuse Prevention and Treatment Block Grant and the Community Mental Health Services Block Grant. TITLE IV—Promoting access to mental health and substance use disorder care Sec. 401. Grants for treatment and recovery for homeless individuals. Sec. 402. Grants for jail diversion programs. Sec. 403. Promoting integration of primary and behavioral health care. Sec. 404. Projects for assistance in transition from homelessness. Sec. 405. National Suicide Prevention Lifeline program. Sec. 406. Connecting individuals and families with care. Sec. 407. Streamlining mental and behavioral health workforce programs. Sec. 408. Reports. Sec. 409. Centers and program repeals. TITLE V—Strengthening mental and substance use disorder care for children and adolescents Sec. 501. Programs for children with serious emotional disturbances. Sec. 502. Telehealth child psychiatry access grants. Sec. 503. Substance use disorder treatment and early intervention services for children and adolescents. Sec. 504. Residential treatment programs for pregnant and parenting women. TITLE VI—Improving patient care and access to mental and substance use disorder benefits Sec. 601. HIPAA clarification. Sec. 602. Identification of model training programs. Sec. 603. Confidentiality of records. Sec. 604. Enhanced compliance with mental health and substance use disorder coverage requirements. Sec. 605. Action plan for enhanced enforcement of mental health and substance use disorder coverage. Sec. 606. Report on investigations regarding parity in mental health and substance use disorder benefits. Sec. 607. GAO study on coverage limitations for individuals with serious mental illness and substance use disorders. Sec. 608. Clarification of existing parity rules. <enum>I</enum><header>Strengthening leadership and accountability</header> <section id="id2febc9c1f8fa40858a1b251e4531f261"><enum>101.</enum><header>Improving oversight of mental and substance use disorder programs</header> <subsection id="id78535090046448be81cbe733e336a070"><enum>(a)</enum><header>In general</header><text>The Secretary of Health and Human Services, acting through the Assistant Secretary for Planning and Evaluation (referred to in this section as the <quote>Assistant Secretary</quote>), shall ensure efficient and effective planning and evaluation of mental and substance use disorder programs and related activities.</text>
</subsection><subsection id="idaa5d7c568b5a460883e4941a3bebb1e4"><enum>(b)</enum><header>Activities</header><text>In carrying out subsection (a), the Assistant Secretary shall—</text> <paragraph id="idff88e21529d2480a89e48becaa12e3a7"><enum>(1)</enum><text>evaluate programs related to mental and substance use disorders, including co-occurring disorders, across agencies and other organizations, as appropriate, including programs related to—</text>
<subparagraph id="id5484c5cfb6cf4e45b706c8157133effb"><enum>(A)</enum><text>prevention, intervention, treatment, and recovery support services, including such services for individuals with a serious mental illness or serious emotional disturbance;</text>
</subparagraph><subparagraph id="id843f6d15e5364d6292ca88de6c974859"><enum>(B)</enum><text>the reduction of homelessness and incarceration among individuals with a mental or substance use disorder; and</text>
</subparagraph><subparagraph id="id5113bf135e1a453dba74fe46a7018c58"><enum>(C)</enum><text>public health and health services; and</text> </subparagraph></paragraph><paragraph id="id7ad0bd310f2d4fdb8abfde563c2f860b"><enum>(2)</enum><text>consult, as appropriate, with the Administrator of the Substance Abuse and Mental Health Services Administration, the Chief Medical Officer of the Substance Abuse and Mental Health Services Administration, established under section 501(g) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290aa">42 U.S.C. 290aa(g)</external-xref>) as amended by section 103, other agencies within the Department of Health and Human Services, and other relevant Federal departments.</text>
</paragraph></subsection><subsection id="idd75cc32eaa02480aaa0ca73b6d69054a"><enum>(c)</enum><header>Recommendations</header><text>The Assistant Secretary shall evaluate and provide recommendations to the Substance Abuse and Mental Health Services Administration and other relevant agencies within the Department of Health and Human Services on improving programs and activities based on the evaluation described in subsection (b)(1).</text>
</subsection></section><section id="id0a600729fdbb4e0a905564a047a28a97"><enum>102.</enum><header>Strengthening leadership of the Substance Abuse and Mental Health Services Administration</header><text display-inline="no-display-inline">Section 501 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290aa">42 U.S.C. 290aa</external-xref>) is amended—</text> <paragraph id="id0CCD3B7E22194E44B434437DC42A2285"><enum>(1)</enum><text display-inline="yes-display-inline">in subsection (b)—</text>
<subparagraph id="idE855816E600B4EC69D4B23CD69A65FD5"><enum>(A)</enum><text display-inline="yes-display-inline">by striking the heading and inserting <quote><header-in-text level="subsection" style="OLC">Centers</header-in-text></quote>; and</text> </subparagraph><subparagraph id="idB7190C62A1BC4E3FB9757B7965AC7A77"><enum>(B)</enum><text>in the matter preceding paragraph (1), by striking <quote>entities</quote> and inserting <quote>Centers</quote>; and</text>
</subparagraph></paragraph><paragraph id="id71bc3510a3e94526b6437092957a427e"><enum>(2)</enum><text>in subsection (d)—</text> <subparagraph id="id0e849017e0d9489aa5819b710c812f44"><enum>(A)</enum><text>in paragraph (1)—</text>
<clause id="id112c347b4beb4067b68918e5cb13a962"><enum>(i)</enum><text>by striking <quote>agencies</quote> each place the term appears and inserting <quote>Centers</quote>; and</text> </clause><clause id="ide31524a5fa2e48a9a18d941d1de58247"><enum>(ii)</enum><text>by striking <quote>such agency</quote> and inserting <quote>such Center</quote>;</text>
</clause></subparagraph><subparagraph id="ida5e19e735ce24179ad63d6c2c8c6fa9d"><enum>(B)</enum><text>in paragraph (2)—</text> <clause id="id272ac3f619bc43e69e8fc10eab4c2355"><enum>(i)</enum><text>by striking <quote>agencies</quote> and inserting <quote>Centers</quote>;</text>
</clause><clause id="id6a3335fc15d44bdea81ae2deace1cd1d"><enum>(ii)</enum><text>by striking <quote>with respect to substance abuse</quote> and inserting <quote>with respect to substance use disorders</quote>; and</text> </clause><clause id="idff6aae70c73640d99339027015451f0d"><enum>(iii)</enum><text>by striking <quote>and individuals who are substance abusers</quote> and inserting <quote>and individuals with substance use disorders</quote>;</text>
</clause></subparagraph><subparagraph id="id9a7add678f2241f3a125ad345235158b"><enum>(C)</enum><text>in paragraph (5), by striking <quote>substance abuse</quote> and inserting <quote>substance use disorder</quote>;</text> </subparagraph><subparagraph id="idfbe5935642a4419fb01edf95b7b04960"><enum>(D)</enum><text>in paragraph (6)—</text>
<clause id="id6669fb93144a418384143592924ef71c"><enum>(i)</enum><text>by striking <quote>the Centers for Disease Control</quote> and inserting <quote>the Centers for Disease Control and Prevention,</quote>;</text> </clause><clause id="idbb33f60017b344b4a8593a6b38285f63"><enum>(ii)</enum><text>by striking <quote>HIV or tuberculosis among substance abusers and individuals with mental illness</quote> and inserting <quote>HIV, hepatitis C, tuberculosis, and other communicable diseases among individuals with mental illness or substance use disorders,</quote>; and</text>
</clause><clause id="id34e59920ce1e42518e10683389945c10"><enum>(iii)</enum><text>by inserting <quote>or disorders</quote> before the semicolon;</text> </clause></subparagraph><subparagraph id="ide0350e5f5b0f43688ce0360a0d13eddc"><enum>(E)</enum><text>in paragraph (7), by striking <quote>abuse utilizing anti-addiction medications, including methadone</quote> and inserting <quote>use disorders, including services that utilize drugs or devices approved by the Food and Drug Administration for substance use disorders</quote>;</text>
</subparagraph><subparagraph id="id5afb2439e5114932a1b67453a70281af"><enum>(F)</enum><text>in paragraph (8)—</text> <clause id="ida5cfbb76771e40ddad0499e613a55747"><enum>(i)</enum><text>by striking <quote>Agency for Health Care Policy Research</quote> and inserting <quote>Agency for Healthcare Research and Quality</quote>; and</text>
</clause><clause id="id3433238930ed4085b3574dcb99762f28"><enum>(ii)</enum><text>by striking <quote>treatment and prevention</quote> and inserting <quote>prevention and treatment</quote>;</text> </clause></subparagraph><subparagraph id="ida4b14227664b4cf3a907c620aaed8b9f"><enum>(G)</enum><text>in paragraph (9)—</text>
<clause id="id87c0a411b386405ca4bfd7d4003e2fd3"><enum>(i)</enum><text>by inserting <quote>and maintenance</quote> after <quote>development</quote>;</text> </clause><clause id="iddd06946f90f145a880b3cf607c6084ad"><enum>(ii)</enum><text>by striking <quote>Agency for Health Care Policy Research</quote> and inserting <quote>Agency for Healthcare Research and Quality</quote>; and</text>
</clause><clause id="id91c9f1e165b14253ad2d18c20c2ccabe"><enum>(iii)</enum><text>by striking <quote>treatment and prevention</quote> and inserting <quote>prevention and treatment and appropriately incorporated into programs carried out by the Administration</quote>;</text>
</clause></subparagraph><subparagraph id="id5da5ba63eb8d48b5870a8ee18b0e1cfc"><enum>(H)</enum><text>in paragraph (10), by striking <quote>abuse</quote> and inserting <quote>use disorder</quote>;</text> </subparagraph><subparagraph id="id1f8bdff15a9f4a7e8bb252e16fe8c289"><enum>(I)</enum><text>by striking paragraph (11) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="idADBE0E720E284EA997B4DB57A314BC50" style="OLC">
<paragraph id="idE60B9DEE20134C8CB409A0686F17D6EA"><enum>(11)</enum><text>work with relevant agencies of the Department of Health and Human Services on integrating mental health promotion and substance use disorder prevention with general health promotion and disease prevention and integrating mental and substance use disorder treatment services with physical health treatment services;</text></paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph><subparagraph id="idf342d0fd502244e4952106f6b9345656"><enum>(J)</enum><text>in paragraph (13)—</text> <clause id="ida01697ff94354aa09cb29ad58fa9db7b"><enum>(i)</enum><text>in the matter preceding subparagraph (A), by striking <quote>this title, assure that</quote> and inserting <quote>this title, or part B of title XIX, or grant programs otherwise funded by the Administration</quote>;</text>
</clause><clause id="id67d656b4672f4ec5b076f3901b4555fd"><enum>(ii)</enum><text>in subparagraph (A)—</text> <subclause id="idb6184aed6c1f49d0b16f444f7649040f"><enum>(I)</enum><text>by inserting <quote>require that</quote> before <quote>all grants</quote>; and</text>
</subclause><subclause id="idd5253481e6c84124b100f5dad0fb7e9b"><enum>(II)</enum><text>by striking <quote>and</quote> at the end;</text> </subclause></clause><clause id="id7fe622977c8c4616b20faeb84361a762"><enum>(iii)</enum><text>by redesignating subparagraph (B) as subparagraph (C);</text>
</clause><clause id="id37e2d48a24234ea1b7f8add7c9d8ec09"><enum>(iv)</enum><text>by inserting after subparagraph (A) the following:</text> <quoted-block display-inline="no-display-inline" id="id75b13ffb2e974e6885af72c046a43579" style="OLC"> <subparagraph id="idfe84ce63b8be454aa6363a6932887a0f"><enum>(B)</enum><text>ensure that the director of each Center of the Administration consistently documents the application of criteria when awarding grants and the ongoing oversight of grantees after such grants are awarded;</text></subparagraph><after-quoted-block>;</after-quoted-block></quoted-block>
</clause><clause id="idb64805db22fa4f689e3790718693a62e"><enum>(v)</enum><text>in subparagraph (C), as so redesignated—</text> <subclause id="id72c993738f0145b18d4171070d9d3959"><enum>(I)</enum><text>by inserting <quote>require that</quote> before <quote>all grants</quote>; and</text>
</subclause><subclause id="id99435945b13b4314b068b5ff8e9fb4cc"><enum>(II)</enum><text>by inserting <quote>and</quote> after the semicolon at the end; and</text> </subclause></clause><clause id="id62f422e821964b5993c7d997edf3a01b"><enum>(vi)</enum><text>by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="id5768f3318a4f4bd2b1fcc23653cf5891" style="OLC">
<subparagraph id="ida64b1c51e8d04182a08d2b5746624fb6"><enum>(D)</enum><text>inform a State when any funds are awarded through such a grant to any entity within such State;</text></subparagraph><after-quoted-block>;</after-quoted-block></quoted-block> </clause></subparagraph><subparagraph id="idf95865b378d14ec3ab0a59054e97b378"><enum>(K)</enum><text>in paragraph (16)—</text>
<clause id="id7549a53422254f3abf619363f7ae8c63"><enum>(i)</enum><text>by striking <quote>abuse and mental health information</quote> and inserting <quote>use disorder, including evidence-based and promising best practices for prevention, treatment, and recovery support services for individuals with mental and substance use disorders,</quote>;</text>
</clause></subparagraph><subparagraph id="id44e8a344bfbd4d3788572dce7d7c7c1b"><enum>(L)</enum><text>in paragraph (17)—</text> <clause id="id4f8fee6da4294cc290d22660eae2d51a"><enum>(i)</enum><text>by striking <quote>substance abuse</quote> and inserting <quote>mental and substance use disorder</quote>; and</text>
</clause><clause id="id9fb0ac64d6ee45fca5f5486374846e34"><enum>(ii)</enum><text>by striking <quote>and</quote> at the end;</text> </clause></subparagraph><subparagraph id="id7597fb036fb745e69dc49a810c8be38b"><enum>(M)</enum><text>in paragraph (18), by striking the period and inserting a semicolon; and</text>
</subparagraph><subparagraph id="id79fc6b6ae5f64e5bafc9cefc445cff86"><enum>(N)</enum><text>by adding at the end the following:</text> <quoted-block display-inline="no-display-inline" id="idd3e95f39285247a8a1763a31fbda8945" style="OLC"> <paragraph id="id176ccd2141a9409aa7ddea3ca514f575"><enum>(19)</enum><text>consult with State, local, and tribal governments, nongovernmental entities, and individuals with mental illness, particularly individuals with a serious mental illness and children and adolescents with a serious emotional disturbance, and their family members, with respect to improving community-based and other mental health services;</text>
</paragraph><paragraph id="id6b932ebadf394dd98e44b61383b005f8"><enum>(20)</enum><text>collaborate with the Secretary of Defense and the Secretary of Veterans Affairs to improve the provision of mental and substance use disorder services provided by the Department of Defense and the Department of Veterans Affairs to veterans, including through the provision of services using the telehealth capabilities of the Department of Veterans Affairs;</text>
</paragraph><paragraph id="id4fbfb337ba5247f3893a398a7c578d04"><enum>(21)</enum><text>collaborate with the heads of Federal departments and programs that are members of the United States Interagency Council on Homelessness, particularly the Secretary of Housing and Urban Development, the Secretary of Labor, and the Secretary of Veterans Affairs, and with the heads of other agencies within the Department of Health and Human Services, particularly the Administrator of the Health Resources and Services Administration, the Assistant Secretary for the Administration for Children and Families, and the Administrator of the Centers for Medicare & Medicaid Services, to design national strategies for providing services in supportive housing to assist in ending chronic homelessness and to implement programs that address chronic homelessness; and</text>
</paragraph><paragraph id="id24a01ff537eb4a38b44f3e0b0ee5e51d"><enum>(22)</enum><text>work with States and other stakeholders to develop and support activities to recruit and retain a workforce addressing mental and substance use disorders.</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph></section><section id="idaa0fe94b23294de0a2c23cdfdeb05714"><enum>103.</enum><header>Chief Medical Officer</header>
<text display-inline="no-display-inline">Section 501 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290aa">42 U.S.C. 290aa</external-xref>), as amended by section 102, is further amended—</text>
<paragraph id="id0056d59c5c954927955cd32f97ae5a06"><enum>(1)</enum><text>by redesignating subsections (g) through (j) and subsections (k) through (o) as subsections (h) through (k) and subsections (m) through (q), respectively;</text>
</paragraph><paragraph id="idB7BA1A1E27C14493A2C008D83BA8C44A"><enum>(2)</enum><text>in subsection (e)(3)(C), by striking <quote>subsection (k)</quote> and inserting <quote>subsection (m)</quote>;</text> </paragraph><paragraph id="id746A945F1E0543C892E812078A84A813"><enum>(3)</enum><text>in subsection (f)(2)(C)(iii), by striking <quote>subsection (k)</quote> and inserting <quote>subsection (m)</quote>; and</text>
</paragraph><paragraph id="idcb94b72e1f17429a85261599b53166dc"><enum>(4)</enum><text>by inserting after subsection (f) the following:</text> <quoted-block display-inline="no-display-inline" id="id101bfa95444a4bea817989d4b8d2d11e" style="OLC"> <subsection id="id5d2211672bcc486483e8f93014f9a309"><enum>(g)</enum><header>Chief medical officer</header> <paragraph id="idDA64D7C4442D46C796A8A36CAA30E1AE"><enum>(1)</enum><header>In general</header><text>The Administrator, with the approval of the Secretary, shall appoint a Chief Medical Officer within the Administration.</text>
</paragraph><paragraph id="idca7c8dee724c4aed9a9437710b472a44"><enum>(2)</enum><header>Eligible candidates</header><text>The Administrator shall select the Chief Medical Officer from among individuals who—</text> <subparagraph id="idc3447538e91545febea1da1322061951"><enum>(A)</enum><text>have a doctoral degree in medicine or osteopathic medicine;</text>
</subparagraph><subparagraph id="id6e5d05cc81ac4d818c1f60abdca0a74b"><enum>(B)</enum><text>have experience in the provision of mental or substance use disorder services;</text> </subparagraph><subparagraph id="id36aacaf52a12410aba7ad23405e92bc7"><enum>(C)</enum><text>have experience working with mental or substance use disorder programs; and</text>
</subparagraph><subparagraph id="id94f50356709f445b8dbd4dadc2a4e1ec"><enum>(D)</enum><text>have an understanding of biological, psychosocial, and pharmaceutical treatments of mental or substance use disorders.</text>
</subparagraph></paragraph><paragraph id="id5c642dce91f941229812e314c46a9cae"><enum>(3)</enum><header>Duties</header><text>The Chief Medical Officer shall—</text> <subparagraph id="idfd4afa1bc7fc4923b1068152a2452b43"><enum>(A)</enum><text>serve as a liaison between the Administration and providers of mental and substance use disorder prevention, treatment, and recovery services;</text>
</subparagraph><subparagraph id="id721500a300ea4863b10802cc32ae449c"><enum>(B)</enum><text>assist the Administrator in the evaluation, organization, integration, and coordination of programs operated by the Administration;</text>
</subparagraph><subparagraph id="idb785696e7b4941338199355cf2c35ad6"><enum>(C)</enum><text>promote evidence-based and promising best practices, including culturally and linguistically appropriate practices, as appropriate, for the prevention, treatment, and recovery of substance use disorders and mental illness, including serious mental illness and serious emotional disturbance; and</text>
</subparagraph><subparagraph id="idc3fbb33d5d0a492589ec3f6e3316c8c6"><enum>(D)</enum><text>participate in regular strategic planning for the Administration.</text></subparagraph></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block> </paragraph></section><section id="id9ACABE4CB3154B7AB8EE2ED12E6899EB"><enum>104.</enum><header>Strategic plan</header><text display-inline="no-display-inline">Section 501 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290aa">42 U.S.C. 290aa</external-xref>), as amended by section 103, is further amended by inserting after subsection (k), as redesignated in section 103, the following:</text>
<quoted-block display-inline="no-display-inline" id="idFBDF2342672D421593B06CC8A7994398" style="OLC">
<subsection id="id859410FE73CE4E2CB74FB37551CC74D1"><enum>(l)</enum><header>Strategic plan</header>
<paragraph id="id7d010eddc4944d9d94a4640f9a278fb0"><enum>(1)</enum><header>In general</header><text>Not later than December 1, 2017, and every 4 years thereafter, the Administrator shall develop and carry out a strategic plan in accordance with this subsection for the planning and operation of programs and grants carried out by the Administration.</text>
</paragraph><paragraph id="id83e48225c15044dabc801720e2620a13"><enum>(2)</enum><header>Coordination</header><text>In developing and carrying out the strategic plan under this section, the Administrator shall take into consideration the findings and recommendations of the Assistant Secretary for Planning and Evaluation under section 101 of the <short-title>Mental Health Reform Act of 2016</short-title> and the report of the Inter-Departmental Serious Mental Illness Coordinating Committee under section 109 of such Act.</text>
</paragraph><paragraph id="idd169bf27e2214d70bbbd46e0bef3118e"><enum>(3)</enum><header>Publication of plan</header><text>Not later than December 1, 2017, and every 4 years thereafter, the Administrator shall—</text> <subparagraph id="id8eb581ec7ac541428047d0a49f072453"><enum>(A)</enum><text>submit the strategic plan developed under paragraph (1) to the appropriate committees of Congress; and</text>
</subparagraph><subparagraph id="idef7734ceaedb47a7b116c314bf6ee6c5"><enum>(B)</enum><text>post such plan on the Internet website of the Administration.</text> </subparagraph></paragraph><paragraph id="id903f060563194b4294e60e37e22380ae"><enum>(4)</enum><header>Contents</header><text>The strategic plan developed under paragraph (1) shall—</text>
<subparagraph id="idafb66a49b8364f12ba02a8c9d49ddef6"><enum>(A)</enum><text>identify strategic priorities, goals, and measurable objectives for mental and substance use disorder activities and programs operated and supported by the Administration;</text>
</subparagraph><subparagraph id="id96cf6ca486bf425c93b27e3cc518b5dd"><enum>(B)</enum><text>identify ways to improve services for individuals with a mental or substance use disorder, including services related to the prevention of, diagnosis of, intervention in, treatment of, and recovery from, mental or substance use disorders, including serious mental illness or serious emotional disturbance, and access to services and supports for individuals with a serious mental illness or serious emotional disturbance;</text>
</subparagraph><subparagraph id="idb2d12715f6df4ef19537e4af382371a4"><enum>(C)</enum><text>ensure that programs provide, as appropriate, access to effective and evidence-based diagnosis, prevention, intervention, treatment, and recovery services, including culturally and linguistically appropriate services, as appropriate, for individuals with a mental or substance use disorder;</text>
</subparagraph><subparagraph id="id46be3c3ac3e54b728119ab8cd94c2765"><enum>(D)</enum><text>identify opportunities to collaborate with the Health Resources and Services Administration to develop or improve—</text>
<clause id="id03a3f03946754353a66804f029a12027"><enum>(i)</enum><text>initiatives to encourage individuals to pursue careers (especially in rural and underserved areas and populations) as psychiatrists, psychologists, psychiatric nurse practitioners, physician assistants, clinical social workers, certified peer support specialists, or other licensed or certified mental health professionals, including such professionals specializing in the diagnosis, evaluation, or treatment of individuals with a serious mental illness or serious emotional disturbance; and</text>
</clause><clause id="idcb893c1e54e44524a75d4c6d6129da0f"><enum>(ii)</enum><text>a strategy to improve the recruitment, training, and retention of a workforce for the treatment of individuals with mental or substance use disorders, or co-occurring disorders; and</text>
</clause></subparagraph><subparagraph id="id4d32dcca16424efab45997274b1ee3b6"><enum>(E)</enum><text>disseminate evidenced-based and promising best practices related to prevention, early intervention, treatment, and recovery services related to mental illness, particularly for individuals with a serious mental illness and children and adolescents with a serious emotional disturbance, and substance use disorders.</text></subparagraph></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="id5C76602BAD9E4D5B968EADB312D1D8F7"><enum>105.</enum><header>Biennial report concerning activities and progress</header>
<subsection id="id16B168AFBE504FE2A7CF55B84E8E804B"><enum>(a)</enum><header>In general</header><text>Section 501 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290aa">42 U.S.C. 290aa</external-xref>), as amended by section 104, is further amended by amending subsection (m), as redesignated by section 103, to read as follows:</text>
<quoted-block display-inline="no-display-inline" id="id4B1D2B376913416283AF620D786CDC70" style="OLC">
<subsection id="id707de10c65d14066a32e7d86e52448e7"><enum>(m)</enum><header>Biennial report concerning activities and progress</header><text>Not later than December of 2019, and every 2 years thereafter, the Administrator shall prepare and submit to the Committee on Energy and Commerce and the Committee on Appropriations of the House of Representatives and the Committee on Health, Education, Labor, and Pensions and the Committee on Appropriations of the Senate, and post on the Internet website of the Administration, a report containing at a minimum—</text>
<paragraph id="ided2aae72ae6f4f01b231aa4a4b6557ab"><enum>(1)</enum><text>a review of activities conducted or supported by the Administration, including progress toward strategic priorities, goals, and objectives identified in the strategic plan developed under subsection (l);</text>
</paragraph><paragraph id="id4fbcfc347dc54dc3ad7bedb07eb65c7c"><enum>(2)</enum><text>an assessment of programs and activities carried out by the Administrator, including the extent to which programs and activities under this title and part B of title XIX meet identified goals and performance measures developed for the respective programs and activities;</text>
</paragraph><paragraph id="id82c7bf450562405ebcf1842323c7e9f4"><enum>(3)</enum><text>a description of the progress made in addressing gaps in mental and substance use disorder prevention, treatment, and recovery services and improving outcomes by the Administration, including with respect to co-occurring disorders;</text>
</paragraph><paragraph id="id293a4b8c8a05410f87bc64b65f076a78"><enum>(4)</enum><text>a description of the manner in which the Administration coordinates and partners with other Federal agencies and departments related to mental and substance use disorders, including activities related to—</text>
<subparagraph id="idd3588b387b524b58834d034e9b3a89a7"><enum>(A)</enum><text>the translation of research findings into improved programs, including with respect to how advances in serious mental illness and serious emotional disturbance research have been incorporated into programs;</text>
</subparagraph><subparagraph id="id8a8305d9c7eb4cee8ed736221ddf9d13"><enum>(B)</enum><text>the recruitment, training, and retention of a mental and substance use disorder workforce;</text> </subparagraph><subparagraph id="id9d83c5ebb7f245deb1555cd00684af9e"><enum>(C)</enum><text>the integration of mental or substance use disorder services and physical health services;</text>
</subparagraph><subparagraph id="id5b35adfdec7a4e4c9d5c36c5df9a750d"><enum>(D)</enum><text>homelessness; and</text> </subparagraph><subparagraph id="idfb50e5bedc0a48adb191d99104b644aa"><enum>(E)</enum><text>veterans;</text>
</subparagraph></paragraph><paragraph id="id4473a1d5415f46e3bb21b95d6ecad5c6"><enum>(5)</enum><text>a description of the manner in which the Administration promotes coordination by grantees under this title, and part B of title XIX, with State or local agencies; and</text>
</paragraph><paragraph id="idfe4c88a547e948d58f29733d31f3d437"><enum>(6)</enum><text>a description of the activities carried out by the Office of Policy, Planning, and Innovation under section 501A with respect to mental and substance use disorders, including—</text>
<subparagraph id="id57c96bd221c34fe0b04a3cb5e4a2ea2a"><enum>(A)</enum><text>the number and a description of grants awarded;</text> </subparagraph><subparagraph id="id6056f50ca51a42d69ce60acf55d29459"><enum>(B)</enum><text>the total amount of funding for grants awarded;</text>
</subparagraph><subparagraph id="id8fe339d8bd654253af2f99aed7ebffed"><enum>(C)</enum><text>a description of the activities supported through such grants, including outcomes of programs supported; and</text>
</subparagraph><subparagraph id="ida0b265b24e5e4c508eddee1e4b97de1b"><enum>(D)</enum><text>information on how the Office of Policy, Planning, and Innovation is consulting with the Assistant Secretary for Planning and Evaluation, and collaborating with the Center of Substance Abuse Treatment, the Center of Substance Abuse Prevention, and the Center for Mental Health Services to carry out such activities; and</text>
</subparagraph></paragraph><paragraph id="id49114504ae3f4d1ab65931f30a9151d1"><enum>(7)</enum><text>recommendations made by the Assistant Secretary for Planning and Evaluation to improve programs within the Administration.</text></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="id73D08E0AF167411F826B9407F2CF6E12"><enum>(b)</enum><header>Conforming amendment</header><text>Section 508(p) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb-1">42 U.S.C. 290bb–1</external-xref>) is amended by striking <quote>section 501(k)</quote> and inserting <quote>section 501(m)</quote>.</text> </subsection></section><section id="idd0cb59fef9bb40b09cad11e56c6c68a6"><enum>106.</enum><header>Authorities of centers for mental health services</header> <text display-inline="no-display-inline">Section 520(b) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb-31">42 U.S.C. 290bb–31(b)</external-xref>) is amended—</text>
<paragraph id="id00ff8d8b874f411687f931920a2ab487"><enum>(1)</enum><text>by redesignating paragraphs (3) through (15) as paragraphs (4) through (16), respectively;</text> </paragraph><paragraph id="id54541c234fbf4b9a8493fdd82e1a7e1f"><enum>(2)</enum><text>by inserting after paragraph (2) the following:</text>
<quoted-block display-inline="no-display-inline" id="idDAFAE9DDF34046B79363318A64FAB4E3" style="OLC">
<paragraph id="idb708976932e146c7ad5cb4f5289d7b43"><enum>(3)</enum><text>collaborate with the Director of the National Institute of Mental Health and the Chief Medical Officer, appointed under section 501(g), to ensure that, as appropriate, programs related to the prevention of mental illness and the promotion of mental health are carried out in a manner that reflects the best available science and evidence-based practices, including culturally and linguistically appropriate services, as appropriate;</text></paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph id="id3c249ba87a3c47cd86808754dc862473"><enum>(3)</enum><text>in paragraph (5), as so redesignated, by inserting <quote>through programs that reduce risk and promote resiliency</quote> before the semicolon;</text> </paragraph><paragraph id="id2da965d6cb824fc1bad810184b059dbb"><enum>(4)</enum><text>in paragraph (6), as so redesignated, by inserting <quote>in collaboration with the Director of the National Institute of Mental Health,</quote> before <quote>develop</quote>;</text>
</paragraph><paragraph id="ide2aafbab78cd452087a7198e01843b69"><enum>(5)</enum><text>in paragraph (8), as so redesignated, by inserting <quote>, increase meaningful participation of individuals with mental illness,</quote> before <quote>and protect the legal</quote>;</text> </paragraph><paragraph id="idc476b3b823814c2a93827adf57fdfc01"><enum>(6)</enum><text>in paragraph (10), as so redesignated, by striking <quote>professional and paraprofessional personnel pursuant to section 303</quote> and inserting <quote>paraprofessional personnel and health professionals</quote>;</text>
</paragraph><paragraph id="idede8cb10c4e947b99c222ebd40ff5d13"><enum>(7)</enum><text>in paragraph (11), as so redesignated, by inserting <quote>and tele-mental health,</quote> after <quote>rural mental health,</quote>;</text> </paragraph><paragraph id="idf84364ce7fdc4b26914d7b62211fb4eb"><enum>(8)</enum><text>in paragraph (12), as so redesignated, by striking <quote>establish a clearinghouse for mental health information to assure the widespread dissemination of such information</quote> and inserting <quote>disseminate mental health information, including evidenced-based practices,</quote>;</text>
</paragraph><paragraph id="idafdc2833eef8472e81a74eaad8f6745b"><enum>(9)</enum><text>in paragraph (15), as so redesignated, by striking <quote>and</quote> at the end;</text> </paragraph><paragraph id="idd9746d26a72742f9940e828ec5078b71"><enum>(10)</enum><text>in paragraph (16), as so redesignated, by striking the period and inserting <quote>; and</quote>; and</text>
</paragraph><paragraph id="id7442569eb738496cbb737999e737257f"><enum>(11)</enum><text>by adding at the end the following:</text> <quoted-block display-inline="no-display-inline" id="id53ccc8a0cd6b489081b2a38316319601" style="OLC"> <paragraph id="id42159a2a149c43e9aab35a1f7f74734a"><enum>(17)</enum><text>ensure the consistent documentation of the application of criteria when awarding grants and the ongoing oversight of grantees after such grants are awarded.</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section id="ide00dfb208f304e67b6d111b39393d10c"><enum>107.</enum><header>Advisory councils</header><text display-inline="no-display-inline">Section 502 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290aa-1">42 U.S.C. 290aa–1</external-xref>) is amended—</text> <paragraph id="ida59d2e5401b3447fbc800ba4e7743089"><enum>(1)</enum><text>in subsection (a)(1), in the matter following subparagraph (D), by adding at the end the following: <quote>Each such advisory council may also recommend subjects for evaluation under section 101 of the <short-title>Mental Health Reform Act of 2016</short-title> to the Assistant Secretary for Planning and Evaluation</quote>; and</text>
</paragraph><paragraph id="id4d8fd9939c22489082743248fe490310"><enum>(2)</enum><text>in subsection (b)—</text> <subparagraph id="ida755c1f15489490da0fcd05a826976e4"><enum>(A)</enum><text>in paragraph (2)—</text>
<clause id="iddc0c68606db0485f94fc907e16788a47"><enum>(i)</enum><text>in subparagraph (E), by striking <quote>and</quote> after the semicolon;</text> </clause><clause id="idb97da75f7bad412095b0242235b5a40b"><enum>(ii)</enum><text>by redesignating subparagraph (F) as subparagraph (J); and</text>
</clause><clause id="idd9c8c33d29fe4e1aae4692f00cf3ad5d"><enum>(iii)</enum><text>by inserting after subparagraph (E), the following:</text> <quoted-block display-inline="no-display-inline" id="idda88535d21434307a546957939f82a0e" style="OLC"> <subparagraph id="id93baaf5899834155906a1979195d2524"><enum>(F)</enum><text>the Chief Medical Officer, appointed under section 501(g);</text>
</subparagraph><subparagraph id="id9301b0238d8642e581b599119fa6b251"><enum>(G)</enum><text>the Director of the National Institute of Mental Health for the advisory councils appointed under subsections (a)(1)(A) and (a)(1)(D);</text>
</subparagraph><subparagraph id="ida34dba28a1a54ee78a1463692a60058e"><enum>(H)</enum><text>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);</text>
</subparagraph><subparagraph id="id568a07dae5df47aba71bbd8ad45880d3"><enum>(I)</enum><text>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</text></subparagraph><after-quoted-block>; and</after-quoted-block></quoted-block>
</clause></subparagraph><subparagraph id="id5e57726e3f1346c2828a7840576f7d9e"><enum>(B)</enum><text>in paragraph (3), by adding at the end the following:</text> <quoted-block display-inline="no-display-inline" id="id8CEDCFBF620748C99E4F50002BF13E48" style="OLC"> <subparagraph id="idfc1f7dc1ed8c46cb8490ff2cc69eb2ba"><enum>(C)</enum><text>Not less than half of the members of the advisory council appointed under subsection (a)(1)(D)—</text>
<clause id="idea5fe955646c497fb9180c6cdef4678a"><enum>(i)</enum><text>shall have—</text> <subclause id="id2fc56caab3f14ce38772aa6c73b240ba"><enum>(I)</enum><text>a medical degree;</text>
</subclause><subclause id="id9353d3b47c6a4e70be363d4209e28d69"><enum>(II)</enum><text>a doctoral degree in psychology; or</text> </subclause><subclause id="id73f73476a0284add823a826f106e2f9f"><enum>(III)</enum><text>an advanced degree in nursing or social work from an accredited graduate school or be a certified physician assistant; and</text>
</subclause></clause><clause id="id0910c94ca6de42659baa7ae4ddf35519"><enum>(ii)</enum><text>shall specialize in the mental health field.</text></clause></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block> </subparagraph></paragraph></section><section id="idfc3ff70f72b14d1b8eb47055bf5fbd04"><enum>108.</enum><header>Peer review</header><text display-inline="no-display-inline">Section 504(b) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290aa-3">42 U.S.C. 290aa–3(b)</external-xref>) is amended by adding at the end the following: <quote>In the case of any such peer review group that is reviewing a grant, cooperative agreement, or contract related to mental illness, not less than half of the members of such peer review group shall be licensed and experienced professionals in the prevention, diagnosis, treatment, and recovery of mental illness or 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.</quote>.</text>
</section><section id="ide8236570025e42d98ea48c7587cfde88"><enum>109.</enum><header>Inter-Departmental Serious Mental Illness Coordinating Committee</header>
<subsection id="ida92d864be69f4f619014b3031cf668c5"><enum>(a)</enum><header>Establishment</header>
<paragraph id="idD59BA590246044259F223560B72557EE"><enum>(1)</enum><header>In general</header><text>Not later than 3 months after the date of enactment of this Act, the Secretary of Health and Human Services, or the designee of the Secretary, shall establish a committee to be known as the <quote>Inter-Departmental Serious Mental Illness Coordinating Committee</quote> (in this section referred to as the <quote>Committee</quote>).</text>
</paragraph><paragraph id="idC4117853E6BD4AEBA1470ED8DA0F0E2D"><enum>(2)</enum><header>Federal Advisory Committee Act</header><text>Except as provided in this section, the provisions of the Federal Advisory Committee Act (5 U.S.C. App.) shall apply to the Committee.</text>
</paragraph></subsection><subsection id="id4FCB343749DD43CE8AAD9CE448C11281"><enum>(b)</enum><header>Meetings</header><text>The Committee shall meet not fewer than 2 times each year.</text> </subsection><subsection id="id42b2e8af12724e15915b1435468d3575"><enum>(c)</enum><header>Responsibilities</header><text>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 a report including—</text>
<paragraph id="ida266d34731a549dcab7b36303dbbe57b"><enum>(1)</enum><text>a summary of advances in serious mental illness research related to the prevention of, diagnosis of, intervention in, and treatment and recovery of, serious mental illnesses, and advances in access to services and support for individuals with a serious mental illness;</text>
</paragraph><paragraph id="idd396ba11835e4b6da096a5f97907c8eb"><enum>(2)</enum><text>an evaluation of the impact on public health of Federal programs related to serious mental illness, including measurements of public health outcomes including—</text>
<subparagraph id="id1f41b05db83249dda7f4bf11d8aee9d5"><enum>(A)</enum><text>rates of suicide, suicide attempts, prevalence of serious mental illness and substance use disorders, overdose, overdose deaths, emergency hospitalizations, emergency room boarding, preventable emergency room visits, incarceration, crime, arrest, homelessness, and unemployment;</text>
</subparagraph><subparagraph id="idc824ef3a52634e71a211aee323aa0c59"><enum>(B)</enum><text>increased rates of employment and enrollment in educational and vocational programs;</text> </subparagraph><subparagraph id="idb44619ba73c847cd90aca5c33fc45b71"><enum>(C)</enum><text>quality of mental and substance use disorder treatment services; or</text>
</subparagraph><subparagraph id="idb94d324b1a904d52b3c30f5e06a7caab"><enum>(D)</enum><text>any other criteria as may be determined by the Secretary; and</text> </subparagraph></paragraph><paragraph id="idBC72530A7F5D4686B367512DF3C34E2A"><enum>(3)</enum><text>specific recommendations for actions that agencies can take to better coordinate the administration of mental health services for people with serious mental illness.</text>
</paragraph></subsection><subsection id="idbeb1bcf1eaca4db08a2711097cc7719a"><enum>(d)</enum><header>Committee extension</header><text>Upon the submission of the second report under subsection (c), the Secretary shall submit a recommendation to Congress on whether to extend the operation of the Committee.</text>
</subsection><subsection id="id2994f75dfc794b08a4a164b366fb75fd"><enum>(e)</enum><header>Membership</header>
<paragraph id="idd3e7592c2600446bb4dd3a266f1ab6bd"><enum>(1)</enum><header>Federal members</header><text>The Committee shall be composed of the following Federal representatives, or their designee—</text> <subparagraph id="id75044baf64054fb382f09adf423be71b"><enum>(A)</enum><text>the Secretary of Health and Human Services, who shall serve as the Chair of the Committee;</text>
</subparagraph><subparagraph id="id349766fa2dfa47b1ac9561be1c8d2d27"><enum>(B)</enum><text>the Administrator of the Substance Abuse and Mental Health Services Administration;</text> </subparagraph><subparagraph id="id78be54c615a74ccaaaa42336ff6f7b40"><enum>(C)</enum><text>the Attorney General of the United States;</text>
</subparagraph><subparagraph id="idbe6744ab5527476c83f1bc3b190efd48"><enum>(D)</enum><text>the Secretary of Veterans Affairs;</text> </subparagraph><subparagraph id="id95d9d113cfa641fdb41a73563285051b"><enum>(E)</enum><text>the Secretary of Defense;</text>
</subparagraph><subparagraph id="id709b8424e8be4271a573279348c6472f"><enum>(F)</enum><text>the Secretary of Housing and Urban Development;</text> </subparagraph><subparagraph id="id1f5f0766e0364893b149f4c9d6951576"><enum>(G)</enum><text>the Secretary of Education;</text>
</subparagraph><subparagraph id="id265e80471143470a8dd10be437f895c2"><enum>(H)</enum><text>the Secretary of Labor; and</text> </subparagraph><subparagraph id="id7ae18a484325496a99ed7599c939f7c0"><enum>(I)</enum><text>the Commissioner of Social Security.</text>
</subparagraph></paragraph><paragraph id="id0b3eb4980f034d549afde669bebeb76b"><enum>(2)</enum><header>Non-Federal members</header><text>The Committee shall also include not less than 14 non-Federal public members appointed by the Secretary of Health and Human Services, of which—</text>
<subparagraph id="id5e87f08d84a84208ba2d4613a0c2ecb3"><enum>(A)</enum><text>at least 1 member shall be an individual who has received treatment for a diagnosis of a serious mental illness;</text>
</subparagraph><subparagraph id="id3e2751713a7340d29f612b48818618f2"><enum>(B)</enum><text>at least 1 member shall be a parent or legal guardian of an individual with a history of serious mental illness;</text>
</subparagraph><subparagraph id="id2d1469e5abf6461abfde862b5aefcd6c"><enum>(C)</enum><text>at least 1 member shall be a representative of a leading research, advocacy, or service organization for individuals with serious mental illnesses;</text>
</subparagraph><subparagraph id="id5bb62212d5d4407ab289ea79358eb621"><enum>(D)</enum><text>at least 2 members shall be—</text> <clause id="id514d7c1619854bcf9403f11b9d7f9c71"><enum>(i)</enum><text>a licensed psychiatrist with experience treating serious mental illness;</text>
</clause><clause id="id0817b615423f47d5b0f85b13de3d8076"><enum>(ii)</enum><text>a licensed psychologist with experience treating serious mental illness;</text> </clause><clause id="id8db40a4266394117824bcf4f52f6d4df"><enum>(iii)</enum><text>a licensed clinical social worker; or</text>
</clause><clause id="idf8e8763077384fa79986decd5a45c6d5"><enum>(iv)</enum><text>a licensed psychiatric nurse, nurse practitioner, or physician assistant with experience treating serious mental illness;</text>
</clause></subparagraph><subparagraph id="idcafff7763e174bb8b47be54342dfc8bf"><enum>(E)</enum><text>at least 1 member shall be a licensed mental health professional with a specialty in treating children and adolescents;</text>
</subparagraph><subparagraph id="idb090a0c5c2a8492b9b305c1b2ab854d4"><enum>(F)</enum><text>at least 1 member shall be a mental health professional who has research or clinical mental health experience working with minorities;</text>
</subparagraph><subparagraph id="idd1e457ece4704e549519b9b6d464e2d2"><enum>(G)</enum><text>at least 1 member shall be a mental health professional who has research or clinical mental health experience working with medically underserved populations;</text>
</subparagraph><subparagraph id="id644efaaa445847a091550253fd6b55fd"><enum>(H)</enum><text>at least 1 member shall be a State certified mental health peer specialist;</text> </subparagraph><subparagraph id="idde7f58de5a1a43369691ef9d0d235870"><enum>(I)</enum><text>at least 1 member shall be a judge with experience adjudicating cases related to criminal justice or serious mental illness; and</text>
</subparagraph><subparagraph id="idda353b20bbbd43f38d1826702366c74d"><enum>(J)</enum><text>at least 1 member shall be a law enforcement officer or corrections officer with extensive experience in interfacing with individuals with serious mental illness or in mental health crisis.</text>
</subparagraph></paragraph><paragraph id="idc8665be667eb4717b0a0954397552b5b"><enum>(3)</enum><header>Terms</header><text>A member of the Committee appointed under subsection (e)(2) shall serve for a term of 3 years, and may be reappointed for one or more additional 3-year terms. Any member appointed to fill a vacancy for an unexpired term shall be appointed for the remainder of such term. A member may serve after the expiration of the member’s term until a successor has been appointed.</text>
</paragraph></subsection><subsection id="id391a29bc00744c0aa69772e3a0f6f4c0"><enum>(f)</enum><header>Working groups</header><text>In carrying out its functions, the Committee may establish working groups. Such working groups shall be composed of Committee members, or their designees, and may hold such meetings as are necessary.</text>
</subsection><subsection id="id02980b21a14144049382c4780ba98f4b"><enum>(g)</enum><header>Sunset</header><text>The Committee shall terminate on the date that is 6 years after the date on which the Committee is established under subsection (a)(1).</text>
</subsection></section><enum>II</enum><header>Ensuring mental and substance use disorder prevention, treatment, and recovery programs keep pace
with science</header>
<section id="idE735E368D04048658023ADDCB0E31D22"><enum>201.</enum><header>Encouraging innovation and evidence-based programs</header>
<text display-inline="no-display-inline">Title V of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290aa">42 U.S.C. 290aa et seq.</external-xref>), as amended by title I, is further amended by inserting after section 501 (<external-xref legal-doc="usc" parsable-cite="usc/42/290aa">42 U.S.C. 290aa</external-xref>) the following:</text>
<quoted-block display-inline="no-display-inline" id="id15f4fe904a914babb66e6a2b016d1a5e" style="OLC">
<section id="id22092fb699f744339532e005dbf3f9c1"><enum>501A.</enum><header>Office of Policy, Planning, and Innovation</header>
<subsection id="id2B2846BBCE544495BDB4C271D713E246"><enum>(a)</enum><header>In general</header><text>There shall be established within the Administration an Office of Policy, Planning, and Innovation (referred to in this section as the <quote>Office</quote>).</text>
</subsection><subsection id="id7e407ed7fcbd4ac18a743b092223fd31"><enum>(b)</enum><header>Responsibilities</header><text>The Office shall—</text> <paragraph id="idf6570a04332a4598825ec8daa8333d9b"><enum>(1)</enum><text>continue to carry out the authorities that were in effect for the Office of Policy, Planning, and Innovation as such Office existed prior to the date of enactment of the <short-title>Mental Health Reform Act of 2016</short-title>;</text>
</paragraph><paragraph id="id0C1CFA4DDAB14CA89AA15ABCDB3014A2"><enum>(2)</enum><text>identify, coordinate, and facilitate the implementation of policy changes likely to have a significant impact on mental and substance use disorder services;</text>
</paragraph><paragraph id="id4b38829e96394f23bbf732a8caeb5496"><enum>(3)</enum><text>collect, as appropriate, information from grantees under programs operated by the Administration in order to evaluate and disseminate information on evidence-based practices and service delivery models;</text>
</paragraph><paragraph id="id5099be2bb98e4df5b7611c091706cf43"><enum>(4)</enum><text>provide leadership in identifying and coordinating policies and programs related to mental health and substance use disorders;</text>
</paragraph><paragraph id="id9a3201ddecc1417796d45dda15a388c0"><enum>(5)</enum><text>in consultation with the Assistant Secretary for Planning and Evaluation, as appropriate, periodically review programs and activities relating to the diagnosis or prevention of, or treatment or rehabilitation for, mental illness and substance use disorders, including by—</text>
<subparagraph id="iddc7cb94217f043f5830aa78cc342ce73"><enum>(A)</enum><text>identifying any such programs or activities that are duplicative;</text> </subparagraph><subparagraph id="idb242d072804242fd89fa7efbde7ef7c2"><enum>(B)</enum><text>identifying any such programs or activities that are not evidence-based, effective, or efficient;</text>
</subparagraph><subparagraph id="id9960dfe73ecc4ccebdb329b43771c7c3"><enum>(C)</enum><text>identifying any such programs or activities that have proven to be effective or efficient in improving outcomes or increasing access to evidence-based programs; and</text>
</subparagraph><subparagraph id="id740d59cac84d4580823016510f5ed34e"><enum>(D)</enum><text>formulating recommendations for coordinating, eliminating, or improving programs or activities identified under subparagraph (A), (B), or (C), and merging such programs or activities into other successful programs or activities; and</text>
</subparagraph></paragraph><paragraph id="idEBDA22DB240145A8B823C7C7BDFA3E8D"><enum>(6)</enum><text>carry out other activities as deemed necessary to continue to encourage innovation and disseminate evidence-based programs and practices.</text>
</paragraph></subsection><subsection id="id2319b10ef63d48dcab9081a562435896"><enum>(c)</enum><header>Promoting innovation</header>
<paragraph id="id204d9ebfe4bd433e91e2a44c631cbf0f"><enum>(1)</enum><header>In general</header><text>The Administrator, in coordination with the Office, may award grants to States, local governments, Indian tribes or tribal organizations (as such terms are defined in section 4 of the Indian Self-Determination and Education Assistance Act (<external-xref legal-doc="usc" parsable-cite="usc/25/450b">25 U.S.C. 450b</external-xref>)), educational institutions, and nonprofit organizations to develop evidence-based interventions, including culturally and linguistically appropriate services, as appropriate, for—</text>
<subparagraph id="id29617e4a560e4a63aaf7ccd547ecdcbb"><enum>(A)</enum><text>evaluating a model that has been scientifically demonstrated to show promise, but would benefit from further applied development, for—</text>
<clause id="id2b1d045476d34d45b2ad1cecb2e60af4"><enum>(i)</enum><text>enhancing the prevention, diagnosis, intervention, treatment, and recovery of mental illness, serious emotional disturbance, substance use disorders, and co-occurring disorders; or</text>
</clause><clause id="id1e6011104c5544f1937c568a678e48d5"><enum>(ii)</enum><text>integrating or coordinating physical health services and mental and substance use disorder services; and</text>
</clause></subparagraph><subparagraph id="id8906537dd762440b8d3b2eb7cfdcc288"><enum>(B)</enum><text>expanding, replicating, or scaling evidence-based programs across a wider area to enhance effective screening, early diagnosis, intervention, and treatment with respect to mental illness, serious mental illness, and serious emotional disturbance, primarily by—</text>
<clause id="id4afcdace5f7642fab4d18f08733320f4"><enum>(i)</enum><text>applying delivery of care, including training staff in effective evidence-based treatment; or</text> </clause><clause id="id9d3c54699cd6421e834c83419c626e9a"><enum>(ii)</enum><text>integrating models of care across specialties and jurisdictions.</text>
</clause></subparagraph></paragraph><paragraph id="id3ef2a6eb383e409f936ff86ef6a23c57"><enum>(2)</enum><header>Consultation</header><text>In awarding grants under this paragraph, the Administrator shall, as appropriate, consult with the Chief Medical Officer, the advisory councils described in section 502, the National Institute of Mental Health, the National Institute on Drug Abuse, and the National Institute on Alcohol Abuse and Alcoholism.</text>
</paragraph></subsection><subsection id="id8a8f72e781b946ab941b94d4dc7e3518"><enum>(d)</enum><header>Authorization of appropriations</header><text>To carry out the activities under subsection (c), there are authorized to be appropriated such sums as may be necessary for each of fiscal years 2017 through 2021.</text></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="idc0c427bda2e2435d8902a2743c8e43a9"><enum>202.</enum><header>Promoting access to information on evidence-based programs and practices</header>
<subsection id="id808dffb5b8584116aee651a957df36fd"><enum>(a)</enum><header>In general</header><text>The Administrator of the Substance Abuse and Mental Health Services Administration (referred to in this section as the <quote>Administrator</quote>) may 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 website of the Administration information on evidence-based programs and practices that have been reviewed by the Administrator pursuant to the requirements of this section.</text>
</subsection><subsection id="id25e925eac6994c1687b9bfa555aa56cb"><enum>(b)</enum><header>Notice</header><text>In carrying out subsection (a), the Administrator 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 establishing such application period, the Administrator shall provide for the public notice of such application period in the Federal Register. Such notice may solicit applications for evidence-based practices and programs to address gaps identified by the Assistant Secretary for Planning and Evaluation of the Department of Health and Human Services in the evaluation and recommendations under section 101 or priorities identified in the strategic plan established under section 501(l) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290aa">42 U.S.C. 290aa</external-xref>).</text>
</subsection><subsection id="id6fead7d37dfb4c51a72174b17465e822"><enum>(c)</enum><header>Requirements</header><text>The Administrator may establish minimum requirements for applications referred to under this section, including applications related to the submission of research and evaluation.</text>
</subsection><subsection id="id38bd7c3d2df346efaddeca18c34f56d6"><enum>(d)</enum><header>Review and rating</header><text>The Administrator shall review applications prior to public posting, and may prioritize the review of applications for evidenced-based practices and programs that are related to topics included in the notice established under subsection (b). The Administrator may utilize a rating and review system, which may include information on the strength of evidence associated with such programs and practices and a rating of the methodological rigor of the research supporting the application.</text>
</subsection></section><section id="id05a6cb4c7ee8454493b0987db0324e26"><enum>203.</enum><header>Priority mental health needs of regional and national significance</header><text display-inline="no-display-inline">Section 520A of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb-32">42 U.S.C. 290bb–32</external-xref>) is amended—</text> <paragraph id="idb334a2260c4240a1b15a14c91ccc0bec"><enum>(1)</enum><text>in subsection (a)—</text>
<subparagraph id="id3d06f6cf215140629b79bc8005951583"><enum>(A)</enum><text>in paragraph (4), by inserting before the period <quote>, that may include technical assistance centers</quote>; and</text> </subparagraph><subparagraph id="idd75f2eac6f734064be74cc21a29affaa"><enum>(B)</enum><text>in the flush sentence following paragraph (4)—</text>
<clause id="id90d06ba0d97a4f91b32aefe1df4b425d"><enum>(i)</enum><text>by inserting <quote>, contracts,</quote> before <quote>or cooperative agreements</quote>; and</text> </clause><clause id="id736a94712ee7451fa9314fde18c50b00"><enum>(ii)</enum><text>by striking <quote>Indian tribes and tribal organizations</quote> and inserting <quote>territories, Indian tribes or tribal organizations (as such terms are defined in section 4 of the Indian Self-Determination and Education Assistance Act), health facilities, or programs operated by or pursuant to a contract or grant with the Indian Health Service, or</quote>; and</text>
</clause></subparagraph></paragraph><paragraph id="id4D79172C3BCC41659C322D442A628CE7"><enum>(2)</enum><text>in subsection (f)—</text> <subparagraph id="id8225268eef6b4d5a86c09a8ce9a850c0"><enum>(A)</enum><text>in paragraph (1) by striking the paragraph heading;</text>
</subparagraph><subparagraph id="id9d2f22f67c8440ac954a7aefeb6eb3f3"><enum>(B)</enum><text>by striking <quote>$300,000,000</quote> and all that follows through <quote>2003</quote> and inserting <quote>such sums as may be necessary for each of fiscal years 2017 through 2021</quote>; and</text> </subparagraph><subparagraph id="idde50649948e2463c8df5f505ba52a972"><enum>(C)</enum><text>by striking paragraph (2).</text>
</subparagraph></paragraph></section><enum>III</enum><header>Supporting State Responses to Mental Health and Substance Use Disorder Needs</header>
<section commented="no" id="id4CEC799308C040E89A70F0563539239E"><enum>301.</enum><header>Community Mental Health Services Block Grant</header>
<subsection id="id034115A7F7214C67B6D1D0CF84D41C3C"><enum>(a)</enum><header>Formula grants</header><text>Section 1911(b) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300x">42 U.S.C. 300x(b)</external-xref>) is amended—</text> <paragraph id="id268A1A7106FE44FDA5D1FE9E1C62A774"><enum>(1)</enum><text>by redesignating paragraphs (1) through (3) as paragraphs (2) through (4), respectively; and</text>
</paragraph><paragraph id="idA36A5AB3D5FC4CC4B06E07F758FAD2BF"><enum>(2)</enum><text>by inserting before paragraph (2) (as so redesignated), the following:</text> <quoted-block display-inline="no-display-inline" id="id890ECDDF599D48ACBA407983E9435BE7" style="OLC"> <paragraph id="id0E66618E19BD4794B6EC7DCAF5DB2F22"><enum>(1)</enum><text>providing community mental health services for adults with serious mental illness and children with serious emotional disturbances as defined in accordance with section 1912(c);</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection id="idE335501348FC4718A4A9C24787B3839C"><enum>(b)</enum><header>State plan</header><text>Section 1912(b) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300x-1">42 U.S.C. 300x–1(b)</external-xref>) is amended—</text> <paragraph id="idFA53AA5B83CB4B75AB0FED75ACB56C5E"><enum>(1)</enum><text>in paragraph (3), by redesignating subparagraphs (A) through (C) as clauses (i) through (iii), respectively, and realigning the margins accordingly;</text>
</paragraph><paragraph id="idE64D261332D14B0BBA86BBD859E8A00F"><enum>(2)</enum><text>by redesignating paragraphs (1) through (5) as subparagraphs (A) through (E), respectively, and realigning the margins accordingly;</text>
</paragraph><paragraph id="id462128FF59614AA093D77B6B70F03C3F"><enum>(3)</enum><text>by striking the matter preceding subparagraph (A) (as so redesignated), and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="id836AA7ADA76B49E3A4B0EBE05A224C7D" style="OLC">
<subsection id="id57026A91CAF04A08ABA51A01534A07F7"><enum>(b)</enum><header>Criteria for plan</header><text>In accordance with subsection (a), a State shall submit to the Secretary a plan that, at a minimum, includes the following:</text>
<paragraph id="id7E9EAF47A77D477085D5CF0DEB22148A"><enum>(1)</enum><header>System of care</header><text>A description of the State’s system of care that contains the following:</text></paragraph></subsection><after-quoted-block>;</after-quoted-block></quoted-block> </paragraph><paragraph id="id027ED3D4080B484AA1803A7D59694E0F"><enum>(4)</enum><text>by striking subparagraph (A) (as so redesignated), and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="idDBBD43B27E6D4928BDCF9651D94770B1" style="OLC">
<subparagraph id="idE18B70285664459AAD670E947D4166A8"><enum>(A)</enum><header>Comprehensive community-based health systems</header><text>The plan shall—</text> <clause id="id290e74bbaa5749078f99692fcf7fd8a7"><enum>(i)</enum><text>identify the single State agency to be responsible for the administration of the program under the grant, including any third party who administers mental health services and is responsible for complying with the requirements of this part with respect to the grant;</text>
</clause><clause id="id2691bf86d4314cb2bfb5afc941a8c0df"><enum>(ii)</enum><text>provide for an organized community-based system of care for individuals with mental illness and describe available services and resources in a comprehensive system of care, including services for individuals with co-occurring disorders;</text>
</clause><clause id="id39bc01c1bc6a47b5b3aa19ade18992c5"><enum>(iii)</enum><text>include a description of the manner in which the State and local entities will coordinate services to maximize the efficiency, effectiveness, quality, and cost effectiveness of services and programs to produce the best possible outcomes (including health services, rehabilitation services, employment services, housing services, educational services, substance use disorder services, legal services, law enforcement services, social services, child welfare services, medical and dental care services, and other support services to be provided with Federal, State, and local public and private resources) with other agencies to enable individuals receiving services to function outside of inpatient or residential institutions, to the maximum extent of their capabilities, including services to be provided by local school systems under the Individuals with Disabilities Education Act;</text>
</clause><clause id="id4d6f267a7df34be48cc52ae6cc409091"><enum>(iv)</enum><text>include a description of how the State promotes evidence-based practices, including those evidence-based programs that address the needs of individuals with early serious mental illness regardless of the age of the individual at onset;</text>
</clause><clause id="idb802bf08b5a942cfa118065264a9f6d8"><enum>(v)</enum><text>include a description of case management services;</text> </clause><clause id="idabb0d3637b8842d9b7ad57a5d4140924"><enum>(vi)</enum><text>include a description of activities leading to reduction of hospitalization, arrest, incarceration, or suicide, including through promoting comprehensive, individualized treatment;</text>
</clause><clause id="id3523998b545d4ef99a3acf93a334d097"><enum>(vii)</enum><text>include a description of activities that seek to engage individuals with serious mental illness in making health care decisions, including activities that enhance communication between individuals, families, and treatment providers;</text>
</clause><clause id="id6bc5932061024fd9a1fe82a3787b250e"><enum>(viii)</enum><text>include a description of how the State integrates mental health and primary health care, which may include providing, in the case of individuals with co-occurring mental and substance use disorders, both mental and substance use disorder services in primary care settings or arrangements to provide primary and specialty care services in community-based mental and substance use disorder service settings; and</text>
</clause><clause id="id1b716c544a22475280dc51b5aa8b76e7"><enum>(ix)</enum><text>include a description of how the State ensures a smooth transition for children with serious emotion disturbances from the children’s service system to the adult service system.</text></clause></subparagraph><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph id="id27ED12EBEADE4BDFBBAC5ED9B588E77B"><enum>(5)</enum><text>in subparagraph (B) (as so redesignated), by striking <quote>to be achieved in the implementation of the system described in paragraph (1)</quote> and inserting <quote>and outcome measures for programs and services provided under this subpart</quote>;</text> </paragraph><paragraph id="id2DFAB76892D143A9A12EA240A4932713"><enum>(6)</enum><text>in subparagraph (C) (as so redesignated)—</text>
<subparagraph id="id1AAF3F5AD53043D99E14AA4B14BCEB42"><enum>(A)</enum><text>by striking <quote>disturbance</quote> in the matter preceding clause (i) (as so redesignated) and all that follows through <quote>substance abuse services</quote> in clause (i) (as so redesignated) and inserting the following: <quote>disturbance (as defined pursuant to subsection (c)), the plan shall provide for a system of integrated social services, educational services, child welfare services, juvenile justice services, law enforcement services, and substance use disorder services</quote>;</text>
</subparagraph><subparagraph id="id743BC1FFEA2742978D53E55607328DEB"><enum>(B)</enum><text>by striking <quote>Education Act;</quote> and inserting <quote>Education Act.</quote>; and</text> </subparagraph><subparagraph id="id5C88A24BEB8145E2A3D2232DC8FB6C8F"><enum>(C)</enum><text>by striking clauses (ii) and (iii) (as so redesignated);</text>
</subparagraph></paragraph><paragraph id="id5EB9F3F42F124534954EFCCF34606582"><enum>(7)</enum><text>in subparagraph (D) (as so redesignated), by striking <quote>plan described</quote> and inserting <quote>plan shall describe</quote>;</text> </paragraph><paragraph id="id31C8DC28083B49F4A99A479117CAA7B3"><enum>(8)</enum><text>in subparagraph (E) (as so redesignated)—</text>
<subparagraph id="idF47F988BCD3046E79FC1EFF8FA100BFE"><enum>(A)</enum><text>in the subparagraph heading by striking <quote><header-in-text level="subparagraph" style="OLC">systems</header-in-text></quote> and inserting <quote><header-in-text level="subparagraph" style="OLC">services</header-in-text></quote>;</text> </subparagraph><subparagraph id="idDBAE65CE9D3541A089A240770978CE1E"><enum>(B)</enum><text>by striking <quote>plan describes</quote> and all that follows through <quote>and provides for</quote> and inserting <quote>plan shall describe the financial resources available, the existing mental health workforce, and workforce trained in treating individuals with co-occurring mental and substance use disorders, and provides for</quote>; and</text>
</subparagraph><subparagraph id="id5C4ABC79AE554290BF7014C94B773959"><enum>(C)</enum><text>by inserting before the period the following: <quote>, and the manner in which the State intends to comply with each of the funding agreements in this subpart and subpart III</quote>;</text>
</subparagraph></paragraph><paragraph id="id7A07B0EDF41848E6BE4E6584B89C330E"><enum>(9)</enum><text>by striking the flush matter at the end; and</text> </paragraph><paragraph id="id6B6EA7FEE0CA4EE4B7C3A2413D895951"><enum>(10)</enum><text>by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="id7B063A3691954596B249F7B5628E9BA0" style="OLC">
<paragraph id="id9973398238F34564BEB7B2AB799E37C2"><enum>(2)</enum><header>Goals and objectives</header><text>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.</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection id="id80A8692E4AAD48E1BC11258FC4F2D345"><enum>(c)</enum><header>Best practices in clinical care models</header><text>Section 1920 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300x-9">42 U.S.C. 300x–9</external-xref>) is amended by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="id7DA7E09070CE42A089E8AE50C4272AB0" style="OLC">
<subsection id="id1EDED22EC7AD439685BD6BBA72FDB7B9"><enum>(c)</enum><header>Best practices in clinical care models</header>
<paragraph id="id112C73436A7C4ED6B833F5292A4EC043"><enum>(1)</enum><header>In general</header><text>Except as provided in paragraph (2), a State shall expend not less than 5 percent of the amount the State receives for carrying out this section in each fiscal year to support evidence-based programs that address the needs of individuals with early serious mental illness, including psychotic disorders, regardless of the age of the individual at onset.</text>
</paragraph><paragraph id="idE3F51856FD8E472E827696EA4D1D374E"><enum>(2)</enum><header>State flexibility</header><text>In lieu of expending 5 percent of the amount the State receives under this section in a fiscal year as required under paragraph (1), a State may elect to expend not less than 10 percent of such amount in the succeeding fiscal year.</text></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="id910C03FB952C41E389B2E38584C895C2"><enum>(d)</enum><header>Additional provisions</header><text>Section 1915(b) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300x-4">42 U.S.C. 300x–4(b)</external-xref>) is amended—</text> <paragraph id="id928FFA1998DC4C2C80C077912419F063"><enum>(1)</enum><text>by redesignating paragraph (1) as subparagraph (A), and realigning the margin accordingly;</text>
</paragraph><paragraph id="id88CD20B89C284197AFA8CEBCD4E61869"><enum>(2)</enum><text>by inserting after the subsection heading the following:</text> <quoted-block display-inline="no-display-inline" id="idFE95389E809F41498D8F4BE4F4102570" style="OLC"> <paragraph id="id3991AEA346CB4A7EB8619D43E9987A38"><enum>(1)</enum><header>Requirement</header></paragraph><after-quoted-block>;</after-quoted-block></quoted-block> </paragraph><paragraph id="idBD4AC81C3BFF4D169E0F53941B85E4CF"><enum>(3)</enum><text>by inserting after subparagraph (A) (as so redesignated), the following:</text>
<quoted-block display-inline="no-display-inline" id="id756DCBC743C04CEE96C1B46C7DA32F34" style="OLC">
<subparagraph id="id6413B1D0E93B4F58A4C906A02AB90598"><enum>(B)</enum><header>Condition</header><text>A State shall be deemed to be in compliance with subparagraph (A) for a fiscal year if State expenditures of the type described in such subparagraph for such fiscal year are at least 97 percent of the average of such State expenditures for the preceding 2-fiscal-year period.</text></subparagraph><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph id="id6D8AE3036B85460C8EAD987A1808E7DB"><enum>(4)</enum><text>by redesignating paragraphs (2) through (4) as paragraphs (3) through (5), respectively;</text> </paragraph><paragraph id="id82D086E98BAB4994A52E6E9E4825780E"><enum>(5)</enum><text>by inserting after paragraph (1), the following:</text>
<quoted-block display-inline="no-display-inline" id="idE584D76D83FA497BB9DCEE47D8EB8C27" style="OLC">
<paragraph id="id71519BF46690457C88EA32CE668C74EB"><enum>(2)</enum><header>Future fiscal years</header><text>Determinations of whether a State has complied with paragraph (1) for each fiscal year shall be based on the State funding level for the preceding 2-fiscal-year period, as required under paragraph (1)(A), without regard to reductions in the actual amount of State expenditures as permitted under paragraph (1)(B) or under a waiver under paragraph (4).</text></paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph id="idA56F2AC9EFC84DFD8FC2DFB70B042BD8"><enum>(6)</enum><text>in paragraph (3) (as so redesignated), by striking <quote>subsection (a)</quote> and inserting <quote>paragraph (1)</quote>;</text> </paragraph><paragraph id="idC2FCA86BC73B4A56AD5A6D4B568AD13C"><enum>(7)</enum><text>in paragraph (4) (as so redesignated)—</text>
<subparagraph id="id91CB0A31F2DB4C41B2809050C0F37BDF"><enum>(A)</enum><text>by striking <quote>The Secretary</quote> and inserting the following:</text> <quoted-block display-inline="no-display-inline" id="idA40B6BBCFBB34A5BB368F05A35497FB2" style="OLC"> <subparagraph id="idE60E986431E44BB1B6C77B7A2B6CF720"><enum>(A)</enum><header>In general</header><text>The Secretary</text></subparagraph><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph><subparagraph id="id155F1C20DEBC4AC1AAF7C753CABD01CF"><enum>(B)</enum><text>by striking <quote>paragraph (1) if the Secretary</quote> and inserting the following: “paragraph (1) in whole or in part, if—</text> <quoted-block display-inline="no-display-inline" id="idF568A4B8A0F44596B669308B07543E9A" style="OLC"> <clause id="id64076FB2F40B48BFBB750C0317922F62"><enum>(i)</enum><text>the Secretary</text></clause><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph><subparagraph id="idCDB0BB4D7A2542CC821D3F5A177BF61E"><enum>(C)</enum><text>by striking <quote>State justify the waiver.</quote> and inserting <quote>State in the fiscal year involved or in the previous fiscal year justify the waiver; or</quote>; and</text> </subparagraph><subparagraph id="id9A543087E0704B1A8D0CC7E5F0CA6E06"><enum>(D)</enum><text>by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="idEA9AD90A752C4833B689FE90820DCA42" style="OLC">
<clause id="idF904A4AD12FA43D48A89B8B41475F43A"><enum>(ii)</enum><text>the State, or any part of the State, has experienced a natural disaster that has received a Presidential Disaster Declaration under section 102 of the Robert T. Stafford Disaster Relief Emergency Assistance Act.</text>
</clause><subparagraph id="id969BE50FB90D4B308BFC4A3341EF9919"><enum>(B)</enum><header>Date certain for action upon request</header><text>The Secretary shall approve or deny a request for a waiver under subparagraph (A) not later than 120 days after the date on which the request is made.</text>
</subparagraph><subparagraph id="idE3441211A4B245E28FE2B3E5FE065A4C"><enum>(C)</enum><header>Applicability of waiver</header><text>A waiver provided by the Secretary under subparagraph (A) shall be applicable only to the fiscal year involved.</text></subparagraph><after-quoted-block>; and</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="id32ABF98CA6474C75AC923E79EC1AE54B"><enum>(8)</enum><text>in paragraph (5) (as so redesignated)—</text> <subparagraph id="id2B01E8F2FCA648FDAF3C39846D2D83D6"><enum>(A)</enum><text>in subparagraph (A)—</text>
<clause id="id1D94887EDCC74324B4EEED38F0170735"><enum>(i)</enum><text>by inserting after the subparagraph designation the following: <quote><header-in-text level="subparagraph" style="OLC">In general</header-in-text></quote>; and</text> </clause><clause id="idF1B7BDAEA577464B930D5E50D5E301B9"><enum>(ii)</enum><text>by striking <quote>maintained material compliance</quote> and insert <quote>complied</quote>; and</text>
</clause></subparagraph><subparagraph id="id355CF08E0CAA4922B9798C274048302D"><enum>(B)</enum><text>in subparagraph (B), by inserting after the subparagraph designation the following: <quote><header-in-text level="subparagraph" style="OLC">Submission of information to the secretary</header-in-text></quote>.</text> </subparagraph></paragraph></subsection><subsection id="id62947089969D45CFBF5739876609F4C7"><enum>(e)</enum><header>Application for grant</header><text>Section 1917(a) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300x-6">42 U.S.C. 300x–6(a)</external-xref>) is amended—</text>
<paragraph id="id7DE93D09E05C43B287803687C32D333B"><enum>(1)</enum><text>in paragraph (1), by striking <quote>1941</quote> and inserting <quote>1942(a)</quote>; and</text> </paragraph><paragraph id="idC91484560C19424F85495C527C825EA0"><enum>(2)</enum><text>in paragraph (5), by striking <quote>1915(b)(3)(B)</quote> and inserting <quote>1915(b)</quote>.</text>
</paragraph></subsection><subsection commented="no" id="id5C477A7541004071B6688778508B8F1F"><enum>(f)</enum><header>Funding</header><text>Section 1920(a) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300x-9">42 U.S.C. 300x–9(a)</external-xref>) is amended by striking <quote>$450,000,000</quote> and all that follows and inserting <quote>such sums as may be necessary for each of fiscal years 2017 through 2021.</quote>.</text> </subsection></section><section id="id473633B5252841549FFB9B0772FF28BB"><enum>302.</enum><header>Additional provisions related to the block grants</header><text display-inline="no-display-inline">Subpart III of part B of title XIX of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300x-51">42 U.S.C. 300x–51 et seq.</external-xref>) is amended—</text>
<paragraph id="idCBADCCD4ED28475A86036691454B1BC4"><enum>(1)</enum><text>in section 1953(b) (<external-xref legal-doc="usc" parsable-cite="usc/42/300x-63">42 U.S.C. 300x–63(b)</external-xref>), by striking <quote>substance abuse</quote> and inserting <quote>substance use disorder</quote>; and</text> </paragraph><paragraph id="id746B332D4D2F4C3A8F69FC675ABAE901"><enum>(2)</enum><text>by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="id5834A4E8EEE94D068C805EDEEDF679C8" style="OLC">
<section id="id809FB5D3BD2549D6993E21D28D6621FA"><enum>1957.</enum><header>Public health emergencies</header><text display-inline="no-display-inline">In the case of a public health emergency (as defined in section 319), the Administrator, on a State-by-State basis, may grant an extension or waive application deadlines and compliance with any other requirements of sections 521, 1911, and 1921, and <external-xref legal-doc="public-law" parsable-cite="pl/99/319">Public Law 99–319</external-xref> (<external-xref legal-doc="usc" parsable-cite="usc/42/10801">42 U.S.C. 10801 et seq.</external-xref>) as the circumstances of such emergency reasonably require and for the period of such public health emergency.</text>
</section><section id="id9D49042C415D4ECCBE82EF95C90AD92C"><enum>1958.</enum><header>Joint applications</header><text display-inline="no-display-inline">The Secretary, acting through the Administrator, shall permit a joint application to be submitted for grants under subpart I and subpart II upon the request of a State. Such application may be jointly reviewed and approved by the Secretary with respect to such subparts, consistent with the purposes and authorized activities of each such grant program. A State submitting such a joint application shall otherwise meet the requirements with respect to each such subpart.</text></section><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section id="id998B99B63D7F4282A0FE6D2FC1A15C75"><enum>303.</enum><header>Study of distribution of funds under the Substance Abuse Prevention and Treatment Block Grant and
the Community Mental Health Services Block Grant</header>
<subsection id="id8bcf2045013948a5980ef00abf69e4b2"><enum>(a)</enum><header>In general</header><text>The Secretary of Health and Human Services, acting through the Administrator of the Substance Abuse and Mental Health Services Administration, shall, directly or through a grant or contract, conduct a study to examine whether the funds under the substance abuse prevention and treatment block grant and the community mental health services block grant under title XIX of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300w">42 U.S.C. 300w et seq.</external-xref>) are being distributed to States and territories according to need, and to recommend changes in such distribution if necessary. Such study shall include—</text>
<paragraph id="idb148b18ae3204eb797d27782e5a3d10b"><enum>(1)</enum><text>an analysis of whether the distributions under such block grants accurately reflect the need for the services under the grants in such States and territories;</text>
</paragraph><paragraph id="ide3e87ea370914a56b4254c028787549b"><enum>(2)</enum><text>an examination of whether the indices used under the formulas for distribution of funds under such block grants are appropriate, and if not, alternatives recommended by the Secretary;</text>
</paragraph><paragraph id="id10af9b169c304ade9c11018cfb3f174e"><enum>(3)</enum><text>where recommendations are included under paragraph (2) for the use of different indices, a description of the variables and data sources that should be used to determine the indices;</text>
</paragraph><paragraph id="iddd8fe663821d4c6cbca77c5a3319ec07"><enum>(4)</enum><text>an evaluation of the variables and data sources that are being used for each of the indices involved, and whether such variables and data sources accurately represent the need for services, the cost of providing services, and the ability of the States to pay for such services;</text>
</paragraph><paragraph id="idfaa2a53ddcc5425da7e8391a3a09bd8c"><enum>(5)</enum><text>the impact that the minimum allotment provisions under each such block grant have on each State’s final allotment and its effect, if any, on each State’s formula-based allotment;</text>
</paragraph><paragraph id="ide7e43b08248e4c5abdaf54adbecfb282"><enum>(6)</enum><text>recommendations for modifications to the minimum allotment provisions to ensure an appropriate distribution of funds; and</text>
</paragraph><paragraph id="ida4348b1ebdd1435a914ab4609aaf7818"><enum>(7)</enum><text>any other information that the Secretary determines appropriate.</text> </paragraph></subsection><subsection id="iddaca0ba168c646a8bc45207bdead3f0e"><enum>(b)</enum><header>Report</header><text>Not later than 24 months after the date of enactment of this Act, the Secretary of Health and Human Services shall submit to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives, a report containing the findings and recommendations of the study conducted under subsection (a).</text>
</subsection></section><enum>IV</enum><header>Promoting access to mental health and substance use disorder care</header>
<section id="id987cf2f6c9c84e5da671ad1191e32812"><enum>401.</enum><header>Grants for treatment and recovery for homeless individuals</header><text display-inline="no-display-inline">Section 506 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290aa-5">42 U.S.C. 290aa–5</external-xref>) is amended—</text> <paragraph id="id389ae85ca4c64481a98f9e5a1ca940c4"><enum>(1)</enum><text>in subsections (a), by striking <quote>substance abuse</quote> and inserting <quote>substance use disorder</quote>;</text>
</paragraph><paragraph id="id56F1934B17FC4DF3843A2633D386FF68"><enum>(2)</enum><text>in subsection (b)—</text> <subparagraph id="id02745CB676974BD395E90BFA62AECF7B"><enum>(A)</enum><text>in paragraphs (1) and (3), by striking <quote>substance abuse</quote> each place the term appears and inserting <quote>substance use disorder</quote>; and</text>
</subparagraph><subparagraph id="id0CA6DC9BBDE84202AFE56892F5C3C44E"><enum>(B)</enum><text>in paragraph (4), by striking <quote>substance abuse</quote> and inserting <quote>a substance use disorder</quote>;</text> </subparagraph></paragraph><paragraph id="id2a85903afd53460c8c16adc5e1c63aa0"><enum>(3)</enum><text>in subsection (c)—</text>
<subparagraph id="ide3d74e85d19749c695ebe70f2a7b1dee"><enum>(A)</enum><text>in paragraph (1), by striking <quote>substance abuse disorder</quote> and inserting <quote>substance use disorder</quote>; and</text> </subparagraph><subparagraph id="ida7c0731b1cdf4e2ca889c208d1b956db"><enum>(B)</enum><text>in paragraph (2)—</text>
<clause id="id52B403DAC7C84E8D82E44A8CCE9244D3"><enum>(i)</enum><text>in subparagraph (A), by striking <quote>substance abuse</quote> and inserting <quote>a substance use disorder</quote>; and</text> </clause><clause id="idB1D06BCD58FF4AF0ACEB4B8ED7057A7F"><enum>(ii)</enum><text>in subparagraph (B), by striking <quote>substance abuse</quote> and inserting <quote>substance use disorder</quote>; and</text>
</clause></subparagraph></paragraph><paragraph id="idf4471910576b4eb2be51f7132600fe1a"><enum>(4)</enum><text>in subsection (e), by striking <quote>, $50,000,000 for fiscal year 2001, and such sums as may be necessary for each of the fiscal years 2002 and 2003</quote> and inserting <quote>such sums as may be necessary for each of fiscal years 2017 through 2021</quote>.</text>
</paragraph></section><section id="id156a0013da7e48db81a701938f4d145e"><enum>402.</enum><header>Grants for jail diversion programs</header><text display-inline="no-display-inline">Section 520G of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb-38">42 U.S.C. 290bb–38</external-xref>) is amended—</text> <paragraph id="id0a695bec9f8a4f5b96bf0129465a8980"><enum>(1)</enum><text>by striking <quote>substance abuse</quote> each place such term appears and inserting <quote>substance use disorder</quote>;</text>
</paragraph><paragraph id="id89e90e3b75324bd2af2836591495ae82"><enum>(2)</enum><text>in subsection (a)—</text> <subparagraph id="idf5c10d21802447d48a7db62dd8a29ee6"><enum>(A)</enum><text>by striking <quote>Indian tribes, and tribal organizations</quote> and inserting <quote>and Indian tribes and tribal organizations (as such terms are defined in section 4 of the Indian Self-Determination and Education Assistance Act (<external-xref legal-doc="usc" parsable-cite="usc/25/450b">25 U.S.C. 450b</external-xref>))</quote>; and</text>
</subparagraph><subparagraph id="idc26f625ca72543eca29142db568d850d"><enum>(B)</enum><text>by inserting <quote>or a health facility or program operated by or pursuant to a contract or grant with the Indian Health Service,</quote> after <quote>entities,</quote>;</text>
</subparagraph></paragraph><paragraph id="idc68366c34079491c8359d3abbb2651db"><enum>(3)</enum><text>in subsection (c)(2)(A)(i), by striking <quote>the best known</quote> and inserting <quote>evidence-based</quote>; and</text> </paragraph><paragraph commented="no" id="id25518b18f0a44735a6af44c33bba324b"><enum>(4)</enum><text>in subsection (i), by striking <quote>$10,000,000 for fiscal year 2001, and such sums as may be necessary for fiscal years 2002 through 2003</quote> and inserting <quote>such sums as may be necessary for each of fiscal years 2017 through 2021</quote>.</text>
</paragraph></section><section id="id6ba382869bae41b688a5978bf470dd34"><enum>403.</enum><header>Promoting integration of primary and behavioral health care</header><text display-inline="no-display-inline">Section 520K of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb-42">42 U.S.C. 290bb–42</external-xref>) is amended to read as follows:</text> <quoted-block display-inline="no-display-inline" id="id923513581F9047D8A9A96696596CA810" style="OLC"> <section id="idF86E90B934A747F2B21125E377708CD7"><enum>520K.</enum><header>Integration incentive grants</header> <subsection id="id9A1DEED91445439987EBA1C729AC8974"><enum>(a)</enum><header>Definitions</header><text>In this section:</text>
<paragraph id="id959EC25FBF1E4FF98721697416B1D6B6"><enum>(1)</enum><header>Eligible entity</header><text>The term <term>eligible entity</term> means a State, or other appropriate State agency, in collaboration with one or more qualified community programs as described in section 1913(b)(1).</text>
</paragraph><paragraph id="id2FF2D640D81649A89506FD3A190D60BD"><enum>(2)</enum><header>Integrated care</header><text>The term <term>integrated care</term> means collaboration in merged or transformed practices offering mental and physical health services within the same shared practice space in the same facility.</text>
</paragraph><paragraph id="id2F9207ABA4FD4315B374C0B84AA80D4C"><enum>(3)</enum><header>Special population</header><text>The term <term>special population</term> means—</text> <subparagraph id="idded1682f68234630a377e3170778b0ea"><enum>(A)</enum><text>adults with mental illnesses who have co-occurring primary care conditions or chronic diseases;</text>
</subparagraph><subparagraph id="id4ccde36a1a6d47078defffa158cc6eda"><enum>(B)</enum><text>adults with serious mental illnesses who have co-occurring primary care conditions or chronic diseases;</text>
</subparagraph><subparagraph id="id235fb3379f7e4b92936c239a8096cb2a"><enum>(C)</enum><text>children and adolescents with serious emotional disturbance with co-occurring primary care conditions or chronic diseases; or</text>
</subparagraph><subparagraph id="idaab45a23cd7f42e9b71a80cc06a3a6a1"><enum>(D)</enum><text>individuals with substance use disorders.</text> </subparagraph></paragraph></subsection><subsection id="id1C3F27E09B624DA5AA926A8A4D4E6F5E"><enum>(b)</enum><header>Grants</header> <paragraph id="id87079711FA9A4755AFCA8F8D57E53DD3"><enum>(1)</enum><header>In general</header><text>The Secretary may award grants and cooperative agreements to eligible entities to support the improvement of integrated care for primary care and behavioral health care in accordance with paragraph (2).</text>
</paragraph><paragraph id="id4900E948A94A4C46A8F529DBFCC55C67"><enum>(2)</enum><header>Purposes</header><text>Grants and cooperative agreements awarded under this section shall be designed to—</text> <subparagraph id="id25c97ff37aff44d69aa13187298ffde6"><enum>(A)</enum><text>promote full collaboration in clinical practices between primary and behavioral health care;</text>
</subparagraph><subparagraph id="idd39bf142b10942eca07a3f89c3410d78"><enum>(B)</enum><text>support the improvement of integrated care models for primary care and behavioral health care to improve the overall wellness and physical health status of individuals with serious mental illness or serious emotional disturbance; and</text>
</subparagraph><subparagraph id="id5dd626c7316241d6bf15c85e5bbc5d79"><enum>(C)</enum><text>promote integrated care services related to screening, diagnosis, and treatment of mental illness and co-occurring primary care conditions and chronic diseases.</text>
</subparagraph></paragraph></subsection><subsection id="idCB897B0675EE4C208BF27D8FBDA3E59A"><enum>(c)</enum><header>Applications</header>
<paragraph id="idD66D1D023088487D9A7778B1119D53A3"><enum>(1)</enum><header>In general</header><text>An eligible entity desiring a grant or cooperative agreement under this section shall submit an application to the Secretary at such time, in such manner, and accompanied by such information as the Secretary may require, including the contents described in paragraph (2).</text>
</paragraph><paragraph id="idDDFD853D51B94B458B0AD1B1BA329C2E"><enum>(2)</enum><header>Contents</header><text>The contents described in this paragraph are—</text> <subparagraph id="idF973FE138C034D3D87834F12916FED0D"><enum>(A)</enum><text>a description of a plan to achieve fully collaborative agreements to provide services to special populations;</text>
</subparagraph><subparagraph id="id6dfc8e5742a44a00942b76a7522e6a9d"><enum>(B)</enum><text>a document that summarizes the policies, if any, that serve as barriers to the provision of integrated care, and the specific steps, if applicable, that will be taken to address such barriers;</text>
</subparagraph><subparagraph id="id4ea7a75230ed47608960673d4711502e"><enum>(C)</enum><text>a description of partnerships or other arrangements with local health care providers to provide services to special populations;</text>
</subparagraph><subparagraph id="ide812e3e3cf644cc69c9697aaf50f13dd"><enum>(D)</enum><text>an agreement and plan to report performance measures necessary to evaluate patient outcomes and to facilitate evaluations across participating projects to the Secretary; and</text>
</subparagraph><subparagraph id="id106f2df6f2cd4261b1c9af8e552c3da0"><enum>(E)</enum><text>a plan for sustainability beyond the grant or cooperative agreement period under subsection (e).</text> </subparagraph></paragraph></subsection><subsection id="idD12330C3FA174DA98C566EDF8D4EF2F7"><enum>(d)</enum><header>Grant amounts</header><text>The maximum amount that an eligible entity may receive for a year through a grant or cooperative agreement under this section shall be $2,000,000. In the case of a recipient of funding under this section that is a State, not more than 10 percent of funds awarded under this section may be allocated to State administrative functions, and the remaining amounts shall be allocated to health facilities that provide integrated care.</text>
</subsection><subsection id="id82BBC3FBD5184C9CAB3072AF9283B0FF"><enum>(e)</enum><header>Duration</header><text>A grant or cooperative agreement under this section shall be for a period not to exceed 5 years.</text> </subsection><subsection id="id9C983A82FAAE48AAA5E29DCCB685A40A"><enum>(f)</enum><header>Report on program outcomes</header><text>An eligible entity receiving a grant or cooperative agreement under this section shall submit an annual report to the Secretary that includes—</text>
<paragraph id="id0bc87c5ece8640899abdca3289c4e178"><enum>(1)</enum><text>the progress to reduce barriers to integrated care as described in the entity's application under subsection (c); and</text>
</paragraph><paragraph id="id7c71463939454d7ea542ebd8a08f0230"><enum>(2)</enum><text>a description of functional outcomes of special populations, including—</text> <subparagraph id="id0b7ef2126f6641f0901d7c39c0c7292c"><enum>(A)</enum><text>with respect to individuals with serious mental illness, participation in supportive housing or independent living programs, attendance in social and rehabilitative programs, participation in job training opportunities, satisfactory performance in work settings, attendance at scheduled medical and mental health appointments, and compliance with prescribed medication regimes;</text>
</subparagraph><subparagraph id="ideb271c918790442497a2c562615fea50"><enum>(B)</enum><text>with respect to individuals with co-occurring mental illness and primary care conditions and chronic diseases, attendance at scheduled medical and mental health appointments, compliance with prescribed medication regimes, and participation in learning opportunities related to improved health and lifestyle practices; and</text>
</subparagraph><subparagraph id="id7d2087d86b84473caa300fc9da8b67c7"><enum>(C)</enum><text>with respect to children and adolescents with serious emotional disorders who have co-occurring primary care conditions and chronic diseases, attendance at scheduled medical and mental health appointments, compliance with prescribed medication regimes, and participation in learning opportunities at school and extracurricular activities.</text>
</subparagraph></paragraph></subsection><subsection id="id67A61ACBB238489B9E220D10D934A439"><enum>(g)</enum><header>Technical assistance for primary-Behavioral health care integration</header>
<paragraph id="id7814EE6030B74C9CB5AEC0D05EC30D95"><enum>(1)</enum><header>In general</header><text>The Secretary may provide appropriate information, training, and technical assistance to eligible entities that receive a grant or cooperative agreement under this section, in order to help such entities meet the requirements of this section, including assistance with—</text>
<subparagraph id="idae8951e77c7d4f039702b5c18bf3cfa4"><enum>(A)</enum><text>development and selection of integrated care models;</text> </subparagraph><subparagraph id="id8e0ae42ade094f60a44d5883682e3d31"><enum>(B)</enum><text>dissemination of evidence-based interventions in integrated care;</text>
</subparagraph><subparagraph id="idd01f2c952d2f47d28fe2a083de1a6d66"><enum>(C)</enum><text>establishment of organizational practices to support operational and administrative success; and</text> </subparagraph><subparagraph id="idf9c80482a71f4f49ba15b25a6dd0ff4f"><enum>(D)</enum><text>other activities, as the Secretary determines appropriate.</text>
</subparagraph></paragraph><paragraph id="id6CCDCF3298EB416DAA78B4E6D700D493"><enum>(2)</enum><header>Additional dissemination of technical information</header><text>The information and resources provided by the Secretary under paragraph (1) shall, as appropriate, be made available to States, political subdivisions of States, Indian tribes or tribal organizations (as defined in section 4 of the Indian Self-Determination and Education Assistance Act), outpatient mental health and addiction treatment centers, community mental health centers that meet the criteria under section 1913(c), certified community behavioral health clinics described in section 223 of the Protecting Access to Medicare Act of 2014 (<external-xref legal-doc="usc" parsable-cite="usc/42/1396a">42 U.S.C. 1396a</external-xref> note), primary care organizations such as Federally qualified health centers or rural health clinics as defined in section 1861(aa) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395x">42 U.S.C. 1395x(aa)</external-xref>), other community-based organizations, or other entities engaging in integrated care activities, as the Secretary determines appropriate.</text>
</paragraph></subsection><subsection id="id9E9B6C41683D43CD8D7C8D3EDED80217"><enum>(h)</enum><header>Authorization of appropriations</header><text>To carry out this section, there are authorized to be appropriated such sums as may be necessary for each of fiscal years 2017 through 2021.</text></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="ide16119e0bd1b45ecbb136432c492ff52"><enum>404.</enum><header>Projects for assistance in transition from homelessness</header>
<subsection id="id7eb49c6b90f04a30872f0f1be0d7fbf9"><enum>(a)</enum><header>Formula grants to States</header><text>Section 521 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290cc-21">42 U.S.C. 290cc–21</external-xref>) is amended by striking <quote>each of the fiscal years 1991 through 1994</quote> and inserting <quote>fiscal year 2017 and each subsequent fiscal year</quote>.</text> </subsection><subsection id="idb89ca85952eb4e63a008c4fb4a601a7d"><enum>(b)</enum><header>Purpose of grants</header><text>Section 522 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290cc-22">42 U.S.C. 290cc–22</external-xref>) is amended—</text>
<paragraph id="id763D7E1FFC83436993C382CE32DEE17B"><enum>(1)</enum><text>in subsection (a)(1)(B), by striking <quote>substance abuse</quote> and inserting <quote>a substance use disorder</quote>;</text> </paragraph><paragraph id="id53617E827E32491FBC09F0EDDE06CF99"><enum>(2)</enum><text>in subsection (b)(6), by striking <quote>substance abuse</quote> and inserting <quote>substance use disorder</quote>;</text>
</paragraph><paragraph id="idF007D718C79144F2A10CE49B5256F8A1"><enum>(3)</enum><text>in subsection (c), by striking <quote>substance abuse</quote> and inserting <quote>a substance use disorder</quote>;</text> </paragraph><paragraph id="id31641F88169145049A404E4CC5EADCC8"><enum>(4)</enum><text>in subsection (e)—</text>
<subparagraph id="id413F346B39CB4ECC930B8FED2A91BEE9"><enum>(A)</enum><text>in paragraph (1), by striking <quote>substance abuse</quote> and inserting <quote>a substance use disorder</quote>; and</text> </subparagraph><subparagraph id="idC7325E0736D9458580678425187F02F4"><enum>(B)</enum><text>in paragraph (2), by striking <quote>substance abuse</quote> and inserting <quote>substance use disorder</quote>; and</text>
</subparagraph></paragraph><paragraph id="id3806F063AF0C4E4691AAB28A6DA7C335"><enum>(5)</enum><text>in subsection (h), by striking <quote>substance abuse</quote> each place such term appears and inserting <quote>substance use disorder</quote>.</text> </paragraph></subsection><subsection id="id05d80936a01b4f5bbb2c2a67e2f92352"><enum>(c)</enum><header>Description of intended expenditures of grant</header><text>Section 527 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290cc-27">42 U.S.C. 290cc–27</external-xref>) is amended by striking <quote>substance abuse</quote> each place such term appears and inserting <quote>substance use disorder</quote>.</text>
</subsection><subsection id="idcbfa6b50c087479e873ad43e18f91d23"><enum>(d)</enum><header>Technical assistance</header><text>Section 530 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290cc-30">42 U.S.C. 290cc–30</external-xref>) is amended by striking <quote>through the National Institute of Mental Health, the National Institute of Alcohol Abuse and Alcoholism, and the National Institute on Drug Abuse</quote> and inserting <quote>acting through the Administrator</quote>.</text>
</subsection><subsection id="id0d576da9241742f9aeea8457bc11acf2"><enum>(e)</enum><header>Definitions</header><text>Section 534(4) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290cc-34">42 U.S.C. 290cc–34(4)</external-xref>) is amended to read as follows:</text>
<quoted-block display-inline="no-display-inline" id="id361aa062adb44dee814cc6ed1bfe7061" style="OLC">
<paragraph id="id3f8fa56e9fab4d2796a1641ef46924bb"><enum>(4)</enum><header>Substance use disorder services</header><text>The term <term>substance use disorder services</term> has the meaning given the term <term>substance abuse services</term> in section 330(h)(5)(C).</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block> </subsection><subsection commented="no" id="id792a23638b6f43499bfee6083d1c058f"><enum>(f)</enum><header>Funding</header><text>Section 535(a) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290cc-35">42 U.S.C. 290cc–35(a)</external-xref>) is amended by striking <quote>$75,000,000 for each of the fiscal years 2001 through 2003</quote> and inserting <quote>such sums as may be necessary for each of fiscal years 2017 through 2021</quote>.</text>
</subsection><subsection id="id3fdb9abe9b584652b506cac8d789829e"><enum>(g)</enum><header>Study concerning formula</header>
<paragraph id="idBE41651AED7946ABA463A29F0DC2558E"><enum>(1)</enum><header>In general</header><text>Not later than 1 year after the date of enactment of this Act, the Administrator of the Substance Abuse and Mental Health Services Administration (referred to in this section as the <quote>Administrator</quote>) shall conduct a study concerning the formula used under section 524(a) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290cc-24">42 U.S.C. 290cc–24(a)</external-xref>) for making allotments to States under section 521 of such Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290cc-21">42 U.S.C. 290cc–21</external-xref>). Such study shall include an evaluation of quality indicators of need for purposes of revising the formula for determining the amount of each allotment for the fiscal years following the submission of the study.</text>
</paragraph><paragraph id="id1AD68FC9E7CE40A891E096CB66F846A0"><enum>(2)</enum><header>Report</header><text>The Administrator shall submit to the appropriate committees of Congress a report concerning the results of the study conducted under paragraph (1).</text>
</paragraph></subsection></section><section id="id09447bf9b2c14ac6b44755229266001f"><enum>405.</enum><header>National suicide prevention lifeline program</header><text display-inline="no-display-inline">Subpart 3 of part B of title V of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb-31">42 U.S.C. 290bb–31 et seq.</external-xref>) is amended by inserting after section 520E–2 (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb-36">42 U.S.C. 290bb–36</external-xref>) the following:</text>
<quoted-block display-inline="no-display-inline" id="id5acf75c3af4c4339a024aa06f84a0f8b" style="OLC">
<section id="id76bd25d9ec1e43159deaf10fd61316f3"><enum>520E–3.</enum><header>National Suicide Prevention Lifeline program</header>
<subsection id="idd6380494aa3648389993cd93dde8868c"><enum>(a)</enum><header>In general</header><text>The Secretary, acting through the Administrator, shall maintain the National Suicide Prevention Lifeline program (referred to in this section as the <quote>program</quote>), authorized under section 520A and in effect prior to the date of enactment of the <short-title>Mental Health Reform Act of 2016</short-title>.</text>
</subsection><subsection id="id9E74EB8DC2334E159754C6350BC128E0"><enum>(b)</enum><header>Activities</header><text>In maintaining the program, the activities of the Secretary shall include—</text>
<paragraph id="idc1269a4a2cff49a3b28776293f007dde"><enum>(1)</enum><text>coordinating a network of crisis centers across the United States for providing suicide prevention and crisis intervention services to individuals seeking help at any time, day or night;</text>
</paragraph><paragraph id="id465800a1c0094c528074110b5470d0d7"><enum>(2)</enum><text>maintaining a suicide prevention hotline to link callers to local emergency, mental health, and social services resources; and</text>
</paragraph><paragraph id="id7eaadd5bf1da4690af0944b841d64e7e"><enum>(3)</enum><text>consulting with the Secretary of Veterans Affairs to ensure that veterans calling the suicide prevention hotline have access to a specialized veterans’ suicide prevention hotline.</text>
</paragraph></subsection><subsection id="idef79cba073b0448ebd42874e10b8bc6b"><enum>(c)</enum><header>Authorization of appropriations</header><text>To carry out this section, there are authorized to be appropriated such sums as may be necessary for each of fiscal years 2017 through 2021.</text></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="ida9bfb30b823844658586e411683ce396"><enum>406.</enum><header>Connecting individuals and families with care</header><text display-inline="no-display-inline">Subpart 3 of part B of title V of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb-31">42 U.S.C. 290bb–31 et seq.</external-xref>), as amended by section 405, is further amended by inserting after section 520E–3, the following:</text>
<quoted-block display-inline="no-display-inline" id="idb6bf6849a7e54da39e47d1e1831eb2ec" style="OLC">
<section id="ideb724cea7022492983e09eb59081c7c3"><enum>520E–4.</enum><header>Treatment referral routing service</header>
<subsection id="ida05bbbacf72f47db90af9e392dc283fa"><enum>(a)</enum><header>In general</header><text>The Secretary, acting through the Administrator, shall maintain the National Treatment Referral Routing Service (referred to in this section as the <quote>Routing Service</quote>) to assist individuals and families in locating mental and substance use disorder treatment providers.</text>
</subsection><subsection id="id7C7300B588444E8FB1A9AA69EFF1AAC1"><enum>(b)</enum><header>Activities of the Secretary</header><text>To maintain the Routing Service, the activities of the Secretary shall include administering—</text> <paragraph id="id5552bf4eabff4418a889b69bdfb1d262"><enum>(1)</enum><text>a nationwide, telephone number providing year-round access to information that is updated on a regular basis regarding local behavioral health providers and community-based organizations in a manner that is confidential, without requiring individuals to identify themselves, is in languages that include at least English and Spanish, and is at no cost to the individual using the Routing Service; and</text>
</paragraph><paragraph id="idb06693a23acb4a62b1419e41fa0986e2"><enum>(2)</enum><text>an Internet website to provide a searchable, online treatment services locator that includes information on the name, location, contact information, and basic services provided for behavioral health treatment providers and community-based organizations.</text>
</paragraph></subsection><subsection id="id2afbeec0da87438aacbf20098fae8c05"><enum>(c)</enum><header>Rule of construction</header><text>Nothing in this section shall be construed to prevent the Administrator from using any unobligated amounts otherwise made available to the Substance Abuse and Mental Health Services Administration to maintain the Routing Service.</text></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="id740378ff982742fa9b5643f16666df10"><enum>407.</enum><header>Streamlining mental and behavioral health workforce programs</header>
<subsection id="idA9B03BD87D0A420FA843079BBCE40CAB"><enum>(a)</enum><header>In general</header><text>Part D of title VII of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/294">42 U.S.C. 294 et seq.</external-xref>) is amended—</text> <paragraph id="id304B184DC35047FEA23D1F809FF2F5B3"><enum>(1)</enum><text display-inline="yes-display-inline">by striking sections 755 (<external-xref legal-doc="usc" parsable-cite="usc/42/294e">42 U.S.C. 294e</external-xref>) and 756 (<external-xref legal-doc="usc" parsable-cite="usc/42/294e-1">42 U.S.C. 294e–1</external-xref>);</text>
</paragraph><paragraph id="id7AB964BF2E3D47528B3B59FB0E896B1C"><enum>(2)</enum><text display-inline="yes-display-inline">by redesignating sections 757 and 759 as sections 756 and 757, respectively; and</text> </paragraph><paragraph id="id1F5844348F174B6CA909B21B1C1B2458"><enum>(3)</enum><text>by inserting after section 754 the following:</text>
<quoted-block display-inline="no-display-inline" id="id38d7002fc21541dfa89a384a295b021d" style="OLC">
<section id="id2107d5ca46dc4ef8b72eb90b070fd8e5"><enum>755.</enum><header>Mental and behavioral health education and training grants</header>
<subsection id="id4e00eaab184a4293b413969204f49bf7"><enum>(a)</enum><header>Grants authorized</header><text>The Secretary may award grants to eligible institutions of higher education to support the recruitment of students for, and education and clinical experience of the students in—</text>
<paragraph id="id07feb4e4258e463d8224d1ffb65d3af5"><enum>(1)</enum><text>accredited institutions of higher education or accredited professional training programs that are establishing or expanding internships or other field placement programs in mental health in psychiatry, psychology, school psychology, behavioral pediatrics, psychiatric nursing, social work, school social work, substance use disorder prevention and treatment, marriage and family therapy, occupational therapy, school counseling, or professional counseling, including such internships or programs with a focus on child and adolescent mental health and transitional-age youth;</text>
</paragraph><paragraph id="id6f22532bf17f45ea824f07c246cc69fb"><enum>(2)</enum><text>accredited doctoral, internship, and post-doctoral residency programs of health service psychology, including clinical psychology, counseling, and school psychology, for the development and implementation of interdisciplinary training of psychology graduate students for providing behavioral and mental health services, including substance use disorder prevention and treatment services, and the development of faculty in health service psychology;</text>
</paragraph><paragraph id="ide22436ac6f5c450e8474f6f38fe8fe06"><enum>(3)</enum><text>accredited master’s and doctoral degree programs of social work for the development and implementation of interdisciplinary training of social work graduate students for providing behavioral and mental health services, including substance use disorder prevention and treatment services, and the development of faculty in social work; or</text>
</paragraph><paragraph id="id9d21d291a5284ad5ba97b325fb182ddc"><enum>(4)</enum><text>State-licensed mental health nonprofit and for-profit organizations to enable such organizations to pay for programs for preservice or in-service training in a behavioral health-related paraprofessional field with preference for preservice or in-service training of paraprofessional child and adolescent mental health workers.</text>
</paragraph></subsection><subsection id="id4a9bb89829224a61883d1a7c8c4a9a0a"><enum>(b)</enum><header>Eligibility requirements</header><text>To be eligible for a grant under this section, an institution of higher education shall demonstrate—</text>
<paragraph id="id2435b775bbc84111889570ba3d4b2771"><enum>(1)</enum><text>an ability to recruit and place the students described in subsection (a) in areas with a high need and high demand population;</text>
</paragraph><paragraph id="ided9be5276df54a1eba4190d1745432be"><enum>(2)</enum><text>that individuals and groups from different racial, ethnic, cultural, geographic, religious, linguistic, and class backgrounds, and different genders and sexual orientations, participate in the programs of the institution;</text>
</paragraph><paragraph id="idc81577f040b84e5d8cba07bb6675470f"><enum>(3)</enum><text>knowledge and understanding of the concerns of the individuals and groups described in paragraph (2), especially individuals with mental health symptoms or diagnoses, particularly children and adolescents, and transitional-age youth;</text>
</paragraph><paragraph id="id51cea3ce1b6f4bc4aa7a2fd7e4129248"><enum>(4)</enum><text>that any internship or other field placement program assisted through the grant will prioritize cultural and linguistic competency; and</text>
</paragraph><paragraph id="id4fa7076b870b49d5b8f3c247d0a436d6"><enum>(5)</enum><text>that the institution of higher education will provide to the Secretary such data, assurances, and information as the Secretary may require.</text>
</paragraph></subsection><subsection id="ided8851ad95c745cb8a3e5f4b863b80e9"><enum>(c)</enum><header>Institutional requirement</header><text>For grants awarded under paragraphs (2) and (3) of subsection (a), at least 4 of the grant recipients shall be historically black colleges or universities or other minority-serving institutions.</text>
</subsection><subsection id="idc3d628ff873846f38953a5faafe92147"><enum>(d)</enum><header>Priority</header><text>In selecting grant recipients, the Secretary shall give priority to—</text> <paragraph id="ide4510eb4d5034252b4340aa215c599fe"><enum>(1)</enum><text>for grants awarded under paragraphs (1), (2), and (3) of subsection (a), programs that have demonstrated the ability to train psychology and social work professionals to work in integrated care settings; and</text>
</paragraph><paragraph id="id84a3604a0d9c435fbfb7455400e2e49a"><enum>(2)</enum><text>for a grant under subsection (a)(4), programs for paraprofessionals that emphasize the role of the family and the lived experience of the consumer and family-paraprofessional partnerships.</text>
</paragraph></subsection><subsection id="id9fd1bbacf13e4ab680112864623153c3"><enum>(e)</enum><header>Report to Congress</header><text>Not later than 2 years after the date of enactment of the <short-title>Mental Health Reform Act of 2016</short-title>, and annually thereafter, the Secretary shall submit to Congress a report on the effectiveness of the grants under this section in—</text>
<paragraph id="idb874fb7135cf43c499571595b9719f04"><enum>(1)</enum><text>providing graduate students support for experiential training (internship or field placement);</text> </paragraph><paragraph id="ide79c2e4cdd19411cbea87e06bcb43cef"><enum>(2)</enum><text>recruiting of students interested in behavioral health practice;</text>
</paragraph><paragraph id="id618e893af3a2489c91e935d5a0c71b5b"><enum>(3)</enum><text>developing and implementing interprofessional training and integration within primary care;</text> </paragraph><paragraph id="id7d709a6685cd49c9aecc9a01cdde4506"><enum>(4)</enum><text>developing and implementing accredited field placements and internships; and</text>
</paragraph><paragraph id="idd6f25c19848b43bc8f0a2632829de561"><enum>(5)</enum><text>collecting data on the number of students trained in mental health and the number of available accredited internships and field placements.</text>
</paragraph></subsection><subsection commented="no" id="id2fe6d111891c488ba60e8eef0cc698f6"><enum>(f)</enum><header>Authorization of appropriation</header><text>There are authorized to be appropriated to carry out this section such sums as may be necessary for each of fiscal years 2017 through 2021.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection id="id765FCF4D39F84577AB4834EB527E3BFC"><enum>(b)</enum><header>Conforming amendments</header><text>The Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/201">42 U.S.C. 201 et seq.</external-xref>), as amended by subsection (a), is further amended—</text>
<paragraph id="id5CF3510305E1440185FAE90D45255F3F"><enum>(1)</enum><text>in section 338A(d)(2)(A) (<external-xref legal-doc="usc" parsable-cite="usc/42/254l">42 U.S.C. 254l(d)(2)(A)</external-xref>), by striking <quote>or under section 758</quote>;</text> </paragraph><paragraph id="id6169EA4A0D20428A916253196B8C0788"><enum>(2)</enum><text>in section 756(b)(2) (<external-xref legal-doc="usc" parsable-cite="usc/42/794f">42 U.S.C. 794f(b)(2)</external-xref>), as redesignated by subsection (a), by striking <quote>753(b), and 755(b)</quote> and inserting <quote>and 753(b)</quote>; and</text>
</paragraph><paragraph id="idAD647A29F5954E29B4D59ECCE5192111"><enum>(3)</enum><text>in section 761 (<external-xref legal-doc="usc" parsable-cite="usc/42/294n">42 U.S.C. 294n</external-xref>)—</text> <subparagraph id="id5DD29C13268147B8A3894733007A6A8C"><enum>(A)</enum><text>in subsection (b)(2)(E), by striking <quote>757(d)(3)</quote> and inserting <quote>756(d)(3)</quote>;</text>
</subparagraph><subparagraph id="idF3AD036BE09C49778A98E3B7481965CE"><enum>(B)</enum><text>in subsection (d)(2)(B), by striking <quote>757(d)(3)</quote> and inserting <quote>756(d)(3)</quote>; and</text> </subparagraph><subparagraph id="id5644C4CE35414399B4AA6869E87CBB9F"><enum>(C)</enum><text>in subsection (d)(3), by striking <quote>757(d)(4)</quote> and inserting <quote>756(d)(4)</quote>.</text>
</subparagraph></paragraph></subsection></section><section id="id226457f4e1a44947b6477f8ad82dc229"><enum>408.</enum><header>Reports</header>
<subsection id="idac2fb1fbdd5a431e85988608ea1fc6d2"><enum>(a)</enum><header>Report on mental health and substance use treatment in States</header>
<paragraph id="id61b069b6c60f4b939be315f19d2f4f85"><enum>(1)</enum><header>In general</header><text>Not later than 18 months after the date of enactment of this Act, and not less than every 2 years thereafter, the Assistant Secretary for Planning and Evaluation of the Department of Health and Human Services, in collaboration with the Administrator of the Substance Abuse and Mental Health Services Administration, the Director of the Agency for Healthcare Research and Quality, and the Director of the National Institutes of Health, shall submit to Congress and make available on the Internet website of the Department a report on mental and substance use disorder treatment in the States, including each of the following:</text>
<subparagraph id="id3874898e12144b3cb2120af7d0aa9a21"><enum>(A)</enum><text>A detailed description on how Federal mental and substance use disorder treatment funds are used in each State, including—</text>
<clause id="id2840c7388b2242a7a812df4656f1beaa"><enum>(i)</enum><text>the numbers of individuals with mental illness, serious mental illness, serious emotional disturbance, substance use disorders, or co-occurring disorders who are served using Federal funds; and</text>
</clause><clause id="id4c88db9480dd4d038e57d4cd62066dcf"><enum>(ii)</enum><text>the types of Federal programs made available to individuals with mental illness, serious mental illness, serious emotional disturbance, substance use disorders, or co-occurring disorders.</text>
</clause></subparagraph><subparagraph id="id05c13a87c1384271b0750159178f94fb"><enum>(B)</enum><text>A summary of best practices or evidence-based models in the States, including programs that are cost-effective, provide evidence-based care, increase access to care, integrate physical, psychiatric, psychological, and behavioral medicine, and improve outcomes for individuals with serious mental illness, serious emotional disturbance, or substance use disorders.</text>
</subparagraph><subparagraph id="id6f5ac988b2034f2bb4abf949112869b2"><enum>(C)</enum><text>An analysis of outcome measures in each State for individuals with mental illness, serious mental illness, serious emotional disturbance, substance use disorders, or co-occurring disorders, including rates of suicide, suicide attempts, substance abuse, overdose, overdose deaths, positive health outcomes, emergency psychiatric hospitalizations and emergency room boarding, arrests, incarcerations, homelessness, joblessness, employment, and enrollment in educational or vocational programs.</text>
</subparagraph><subparagraph id="ide4f8bb1d1dff4c39b00a636369bc0567"><enum>(D)</enum><text>An analysis of outcomes for different models of outpatient treatment programs for individuals with a serious mental illness or serious emotional disturbance, including—</text>
<clause id="id187e1a0ddb8045b3b2fc17eaae9d8675"><enum>(i)</enum><text>rates of keeping treatment appointments and adherence to treatment plans;</text> </clause><clause id="iddfdad0483be048e587d7cf3c0b0a08fb"><enum>(ii)</enum><text>participants’ perceived effectiveness of the program;</text>
</clause><clause id="id8e3af3612ad74e0897a98bc26e1adc09"><enum>(iii)</enum><text>alcohol and drug abuse rates;</text> </clause><clause id="ide8f4104723a944ca89b4722db1cf75c7"><enum>(iv)</enum><text>incarceration and arrest rates;</text>
</clause><clause id="idd971c79f459245be853eed5841c93b2b"><enum>(v)</enum><text>violence against persons or property;</text> </clause><clause id="id467e0b07d8274f81899331e094e6428d"><enum>(vi)</enum><text>homelessness;</text>
</clause><clause id="id5edcf37035be41fc9fd3d8e43b61d660"><enum>(vii)</enum><text>total treatment costs for compliance with the program; and</text> </clause><clause id="idac9af7bbd9ee4f929099fb17b4989977"><enum>(viii)</enum><text>health outcomes.</text>
</clause></subparagraph></paragraph><paragraph id="idaeb2158eb0c747dabf83401f15e2789d"><enum>(2)</enum><header>Definition</header><text>In this subsection, the term <term>emergency room boarding</term> means the practice of admitting patients to an emergency department and holding such patients in the emergency department until inpatient psychiatric beds become available.</text>
</paragraph></subsection><subsection id="id68f89ae3cc1e4069ac7ef95119415085"><enum>(b)</enum><header>Reporting compliance study for community mental health centers</header>
<paragraph id="ide1df60f1b6e14bb9b34f1c0387291e63"><enum>(1)</enum><header>In general</header><text>The Comptroller General of the United States shall conduct a review and submit to the appropriate committees of Congress a report evaluating the combined paperwork burden of—</text>
<subparagraph id="id5523dc308e6c4da59f481958dd6fd894"><enum>(A)</enum><text>community mental health centers meeting the criteria specified in section 1913(c) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300x-2">42 U.S.C. 300x–2(c)</external-xref>), including such centers meeting such criteria as in effect on the day before the date of enactment of this Act; and</text>
</subparagraph><subparagraph id="idd4cad2a5396948b1b974b07d73e07e60"><enum>(B)</enum><text>community mental health centers, as defined in section 1861(ff)(3)(B) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395x">42 U.S.C. 1395x(ff)(3)(B)</external-xref>).</text>
</subparagraph></paragraph><paragraph id="idafb4edcbeb0f4f209f847f48fe81b317"><enum>(2)</enum><header>Scope</header><text>In preparing the report under paragraph (1), the Comptroller General of the United States shall examine requirements for licensing, certification, service definitions, claims payments, billing codes, and financial auditing that are—</text>
<subparagraph id="idda48243435114ff8a102e067dd6413cb"><enum>(A)</enum><text>used by the Office of Management and Budget, the Centers for Medicare & Medicaid Services, the Health Resources and Services Administration, the Substance Abuse and Mental Health Services Administration, the Office of the Inspector General of the Department of Health and Human Services, and State Medicaid agencies; and</text>
</subparagraph><subparagraph id="id031e0cac182b4e65be750e6751d26cf6"><enum>(B)</enum><text>required by the Federal Government for State agencies to utilize in order to make administrative and statutory recommendations to Congress (which recommendations may include a uniform methodology) to reduce the paperwork burden experienced by the centers described in paragraph (1).</text>
</subparagraph></paragraph></subsection><subsection id="idcbed2520c2a74c829a6d8d45ad1d9455"><enum>(c)</enum><header>Workforce development report</header>
<paragraph id="idcf5b53eb9cfa4679b9fae06abc15cf8b"><enum>(1)</enum><header>Public report</header>
<subparagraph id="id5abf876a002447a78b58e1e7c1ea58f9"><enum>(A)</enum><header>In general</header><text>Not later than 2 years after the date of enactment of this Act, the Administrator of the Substance Abuse and Mental Health Services Administration, in consultation with the Administrator of the Health Resources and Services Administration, shall conduct a study and publicly post on the appropriate Internet website of the Department of Health and Human Services a report on the mental health and substance use disorder workforce in order to inform Federal, State, and local efforts related to workforce enhancement.</text>
</subparagraph><subparagraph id="id095d2e183c964a9b838defae81379780"><enum>(B)</enum><header>Contents</header><text>The report under this paragraph shall contain—</text> <clause id="id7c87738fa33f4677a007c39f1751497e"><enum>(i)</enum><text>national and State-level projections of the supply and demand of mental health and substance use disorder health workers;</text>
</clause><clause id="id93fa4f46a50d43bfa74bfd3fb94be749"><enum>(ii)</enum><text>an assessment of the mental health and substance use disorder workforce capacity, strengths, and weaknesses as of the date of the report;</text>
</clause><clause id="idc1d969037c5e4c369190e5ef5cfa04ca"><enum>(iii)</enum><text>information on trends within the mental health and substance use disorder provider workforce; and</text> </clause><clause id="idd19eb03eaa2b4f0ab3c8afed7a074a2a"><enum>(iv)</enum><text>any additional information determined by the Administrator of the Substance Abuse and Mental Health Services Administration, in consultation with the Administrator of the Health Resources and Services Administration, to be relevant to the mental health and substance use disorder provider workforce.</text>
</clause></subparagraph></paragraph><paragraph id="iddef3e1a59a884e5e84932dd38f613d8a"><enum>(2)</enum><header>Report to congress</header>
<subparagraph id="id8d7e4ab9f3e04780bd8a79dc91c19e5b"><enum>(A)</enum><header>In general</header><text>Not later than 3 years after the date of enactment of this Act, the Administrator of the Substance Abuse and Mental Health Services Administration, in consultation with the Administrator of the Health Resources and Services Administration, shall evaluate and report to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives on the programs within such Administrations to support the development of the mental health and substance use disorder workforce.</text>
</subparagraph><subparagraph id="id7fd94d9ac3f04d1699b7e0b99e2feae3"><enum>(B)</enum><header>Contents</header><text>The report under this paragraph shall include—</text> <clause id="idc71483d4e5104abab126e7f79be7e3a1"><enum>(i)</enum><text>an evaluation of the outcomes of each program described in subparagraph (A), including whether the program met identified goals and performance measures developed for the respective program and activities carried out by the program;</text>
</clause><clause id="id017f339127b04b73956ba17dde2bd131"><enum>(ii)</enum><text>an evaluation of how each program, and the programs together, target any workforce weaknesses identified by the report under paragraph (1); and</text>
</clause><clause id="iddbd3b940eef74d1785e95aa193829442"><enum>(iii)</enum><text>recommendations for improving coordination among programs, and addressing gaps and overlap within programs, including recommendations for Congress, as appropriate.</text>
</clause></subparagraph></paragraph></subsection><subsection id="idffa4e3b0961548d6a9b97b2359b5cb55"><enum>(d)</enum><header>Peer-Support specialist programs</header>
<paragraph id="idaf5f58bd73c1482c87a5f1b34206b0f3"><enum>(1)</enum><header>In general</header><text>Not later than 2 years after the date of enactment of this Act, the Comptroller General of the United States shall conduct a study on peer-support specialist programs in selected States that receive funding from the Substance Abuse and Mental Health Services Administration and report to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives.</text>
</paragraph><paragraph id="idba71bd923803436faf596ea1bbc6735a"><enum>(2)</enum><header>Contents of study</header><text>In conducting the study under paragraph (1), the Comptroller General of the United States shall examine and identify best practices in the selected States related to training and credential requirements for peer-specialist programs, such as—</text>
<subparagraph id="idcf2b7bd69f314699bc43b0375dfd764d"><enum>(A)</enum><text>hours of formal work or volunteer experience related to mental and substance use disorders conducted through such programs;</text>
</subparagraph><subparagraph id="id7aa3e3346a084b6a8b15b406b89fc770"><enum>(B)</enum><text>types of peer support specialist exams required for such programs in the States;</text> </subparagraph><subparagraph id="id6cc0a468c3a246e98602060f3848ae82"><enum>(C)</enum><text>codes of ethics used by such programs in the States;</text>
</subparagraph><subparagraph id="id4eea07b4bd99480ab482db6a53484b1b"><enum>(D)</enum><text>required or recommended skill sets of such programs in the State; and</text> </subparagraph><subparagraph id="id55a1a12e96e8490e92d0705c61ee88aa"><enum>(E)</enum><text>requirements for continuing education.</text>
</subparagraph></paragraph></subsection></section><section id="ide4b16076d2be468aafc2c6cc31676b0c"><enum>409.</enum><header>Centers and program repeals</header><text display-inline="no-display-inline">Part B of title V of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb">42 U.S.C. 290bb et seq.</external-xref>) is amended by striking the second section 514 (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb-9">42 U.S.C. 290bb–9</external-xref>), relating to methamphetamine and amphetamine treatment initiatives, and sections 514A, 517, 519A, 519C, 519E, 520D, and 520H (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb-8">42 U.S.C. 290bb–8</external-xref>, 290bb–23, 290bb–25a, 290bb–25c, 290bb–25e, 290bb–35, and 290bb–39).</text>
</section><enum>V</enum><header>Strengthening mental and substance use disorder care for children and adolescents</header>
<section id="idd142f26b1cd542668a1834b458b5a675"><enum>501.</enum><header>Programs for children with serious emotional disturbances</header>
<subsection id="id3f639946f638424e8484afc0b8f06918"><enum>(a)</enum><header>Comprehensive community mental health services for children with serious emotional disturbances</header><text>Section 561(a)(1) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290ff">42 U.S.C. 290ff(a)(1)</external-xref>) is amended by inserting <quote>, which may include efforts to identify and serve children at risk</quote> before the period.</text> </subsection><subsection id="idb512c58e35c94bf4aadda55bff954c7f"><enum>(b)</enum><header>Requirements with respect to carrying out purpose of grants</header><text>Section 562(b) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290ff-1">42 U.S.C. 290ff–1(b)</external-xref>) is amended by striking <quote>will not provide an individual with access to the system if the individual is more than 21 years of age</quote> and inserting <quote>will provide an individual with access to the system through the age of 21 years</quote>.</text>
</subsection><subsection id="id1b5801b67d2c4bf3bcb34dd330d25df7"><enum>(c)</enum><header>Additional provisions</header><text>Section 564(f) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290ff-3">42 U.S.C. 290ff–3(f)</external-xref>) is amended by inserting <quote>(and provide a copy to the State involved)</quote> after <quote>to the Secretary</quote>.</text> </subsection><subsection id="idf4dab0cd26a24e96949e36da151b0afe"><enum>(d)</enum><header>General provisions</header><text>Section 565 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290ff-4">42 U.S.C. 290ff–4</external-xref>) is amended—</text>
<paragraph id="id0d87d9a223c141f3ad269f3b02a0ac8b"><enum>(1)</enum><text>in subsection (b)(1)—</text> <subparagraph id="id2c784b9dd7c246029797eac8d47d53aa"><enum>(A)</enum><text>in the matter preceding subparagraph (A), by striking <quote>receiving a grant under section 561(a)</quote> and inserting <quote>, regardless of whether such public entity is receiving a grant under section 561(a)</quote>; and</text>
</subparagraph><subparagraph id="id05ec30ec2e3a4899a81bfe92cc4bd466"><enum>(B)</enum><text>in subparagraph (B), by striking <quote>pursuant to</quote> and inserting <quote>described in</quote>;</text> </subparagraph></paragraph><paragraph id="idd6385d612723408c9f559ddf38f78255"><enum>(2)</enum><text>in subsection (d)(1), by striking <quote>not more than 21 years of age</quote> and inserting <quote>through the age of 21 years</quote>; and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id20aaa8619c164b97ad975fa7d9664040"><enum>(3)</enum><text>in subsection (f)(1), by striking <quote>$100,000,000 for fiscal year 2001, and such sums as may be necessary for each of the fiscal years 2002 and 2003</quote> and inserting <quote>such sums as may be necessary for each of fiscal years 2017 through 2021</quote>.</text>
</paragraph></subsection></section><section id="id92C5C6FD6A584404BF36D222ED7A41FD"><enum>502.</enum><header>Telehealth child psychiatry access grants</header>
<subsection id="idf30a69382851410aa7881df283c3366e"><enum>(a)</enum><header>Definitions</header><text>In this subsection:</text> <paragraph id="id68DCDB3ABC8C4C3C817D956041A9055F"><enum>(1)</enum><header>Eligible entity</header><text>The term <term>eligible entity</term> means a State, political subdivision of a State, Indian tribe, or tribal organization.</text>
</paragraph><paragraph id="id8908B5AE717244B5B648B52DB4DDB8F0"><enum>(2)</enum><header>Indian tribe; tribal organization</header><text>The terms <term>Indian tribe</term> and <term>tribal organization</term> have the meanings given such terms in section 4 of the Indian Self-Determination and Education Assistance Act (<external-xref legal-doc="usc" parsable-cite="usc/25/450b">25 U.S.C. 450b</external-xref>).</text>
</paragraph><paragraph id="id4142b12e8aaf4c36a9c1525e2708b575"><enum>(3)</enum><header>Pediatric mental health teams</header><text>The term <term>pediatric mental health team</term> means a team of case coordinators, child and adolescent psychiatrists, and a licensed clinical mental health professional, such as a psychologist, social worker, or mental health counselor. Such a team may be regionally based, provided there is access to a pediatric mental health team across the State.</text>
</paragraph><paragraph id="id95F886959BB14F3686F1AD209F83798E"><enum>(4)</enum><header>Secretary</header><text>The term <term>Secretary</term> means the Secretary of Health and Human Services.</text> </paragraph></subsection><subsection id="id5170BD2F9859485D9FABCA682EE77839"><enum>(b)</enum><header>Grants</header><text>The Secretary, acting through the Administrator of the Health Resources and Services Administration, may award grants to eligible entities that satisfy all requirements under this section to promote behavioral health integration in pediatric primary care by—</text>
<paragraph id="idc328d4d802ad485a805bd7d84aa5441e"><enum>(1)</enum><text>supporting the development of statewide or regional child psychiatry access programs; and</text> </paragraph><paragraph id="idfb4eade9693541e794cbd29aef19b46a"><enum>(2)</enum><text>supporting the improvement of statewide or regional child psychiatry access programs in existence on the day before the date of enactment of this Act.</text>
</paragraph></subsection><subsection id="id58c2454dad06414485cfcab6bfb4355d"><enum>(c)</enum><header>Child psychiatry access program requirements</header><text>To be eligible for support under subsection (b), a child psychiatry access program shall—</text> <paragraph id="id62a685d40db1489bb4075790ed46b159"><enum>(1)</enum><text>be a statewide or regional network of pediatric mental health teams that provide support to pediatric primary care sites as an integrated team;</text>
</paragraph><paragraph id="id7ec7fb42e5d4438e8726cd25c6d374ca"><enum>(2)</enum><text>support and further develop organized State networks of child and adolescent psychiatrists to provide consultative support to pediatric primary care sites;</text>
</paragraph><paragraph id="idafd94e4cad2d45e0b12cb5096d7cc752"><enum>(3)</enum><text>conduct an assessment of critical behavioral consultation needs among pediatric providers and such providers’ preferred mechanisms for receiving consultation, training, and technical assistance;</text>
</paragraph><paragraph id="id1b476c4aff2548208e7ceec089a4915a"><enum>(4)</enum><text>develop an online database and communication mechanisms, including through telehealth services, to facilitate consultation support to pediatric practices;</text>
</paragraph><paragraph id="id5ddef208001e43bba7b7f39dbffb0ac2"><enum>(5)</enum><text>provide rapid statewide or regional clinical telephone consultations when requested between the pediatric mental health teams and pediatric primary care providers;</text>
</paragraph><paragraph id="id260d40780a754cca90661d734c35f8c4"><enum>(6)</enum><text>conduct training and provide technical assistance to pediatric primary care providers to support the early identification, diagnosis, treatment, and referral of children with behavioral health conditions;</text>
</paragraph><paragraph id="ida3181904e81743a0a893b5b8a0a83dd7"><enum>(7)</enum><text>inform and assist pediatric providers in accessing child psychiatry consultations and in scheduling and conducting technical assistance;</text>
</paragraph><paragraph id="idb59b9cef68344d7ea4e68a3b4cbc8297"><enum>(8)</enum><text>assist with referrals to specialty care and community and behavioral health resources; and</text> </paragraph><paragraph id="id2561280ad5e1479aa3df57accf51ce4c"><enum>(9)</enum><text>establish mechanisms for measuring and monitoring increased access to child and adolescent psychiatric services by pediatric primary care providers and expanded capacity of pediatric primary care providers to identify, treat, and refer children with mental health problems.</text>
</paragraph></subsection><subsection id="idb23a9c187e374cb58a64a038bd9b58cc"><enum>(d)</enum><header>Application</header><text>An eligible entity that desires a grant under this section shall submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may require, including a plan for the comprehensive evaluation and the performance and outcome evaluation described in subsection (e).</text>
</subsection><subsection id="idbd99c7f79c0247f8993be05196dbbf16"><enum>(e)</enum><header>Evaluation</header><text>An eligible entity that receives a grant under this section shall prepare and submit an evaluation to the Secretary at such time, in such manner, and containing such information as the Secretary may reasonably require, including a comprehensive evaluation of activities carried out with funds received through such grant and a performance and outcome evaluation of such activities.</text>
</subsection><subsection commented="no" display-inline="no-display-inline" id="id4B03BEF6D4AA4D44AA3546557220BF72"><enum>(f)</enum><header>Funding</header>
<paragraph commented="no" display-inline="no-display-inline" id="idF0E8A15E3D6F443AB5065B9F8A101976"><enum>(1)</enum><header>Federal funds</header><text>In addition to the funding provided through contributions under paragraph (2), the Secretary shall fund the grant program under this section using such sums as may be necessary out of any unobligated amounts made available to carry out section 330I, 330K, or 330L of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/254c-14">42 U.S.C. 254c–14</external-xref>, 254c–16, 254c–18).</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id5962A1BEF39E47869C4003381794D273"><enum>(2)</enum><header>Matching requirement</header><text>The Secretary may not award a grant under this section unless the eligible entity desiring the grant agrees, with respect to the costs to be incurred by the eligible entity in carrying out the purpose of the grant described in subsection (b), to make available non-Federal contributions (in cash or in kind) toward such costs in an amount that is not less than 20 percent of Federal funds provided through the grant.</text>
</paragraph></subsection></section><section id="id43025c85ee214552ba35269b5a8c63b4"><enum>503.</enum><header>Substance use disorder treatment and early intervention services for children
and adolescents</header><text display-inline="no-display-inline">The first section 514 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb-7">42 U.S.C. 290bb–7</external-xref>), relating to substance abuse treatment services for children and adolescents, is amended—</text>
<paragraph id="idc11d26f168fc4e9597b96b695b198aef"><enum>(1)</enum><text>in the heading, by striking <quote><header-in-text level="section" style="OLC">abuse treatment</header-in-text></quote> and inserting <quote><header-in-text level="section" style="OLC">use disorder treatment and early intervention</header-in-text></quote>;</text> </paragraph><paragraph id="id6c64b62c3c4a4bf6b2b668c057bfed40"><enum>(2)</enum><text>by striking subsection (a) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="id0cd3388c0d9248d2904e6de74058799a" style="OLC">
<subsection id="id794c324977e94d96ba55c0f93cb0495a"><enum>(a)</enum><header>In general</header><text>The Secretary shall award grants, contracts, or cooperative agreements to public and private nonprofit entities, including Indian tribes or tribal organizations (as such terms are defined in section 4 of the Indian Self-Determination and Education Assistance Act (<external-xref legal-doc="usc" parsable-cite="usc/25/450b">25 U.S.C. 450b</external-xref>)), or health facilities or programs operated by or pursuant to a contract or grant with the Indian Health Service, for the purpose of—</text>
<paragraph id="id14d13fe9045b4e30a9082f4472e023db"><enum>(1)</enum><text>providing early identification and services to meet the needs of children and adolescents who are at risk of substance use disorders; and</text>
</paragraph><paragraph id="idd8d58cb0fa964a9d8be86f781c21d0c4"><enum>(2)</enum><text>providing substance use disorder treatment services for children, including children and adolescents with co-occurring mental illness and substance use disorders.</text></paragraph></subsection><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph id="idc477c1738af9433aafa098fd54156ab0"><enum>(3)</enum><text>in subsection (b)—</text> <subparagraph id="id529dccd99e39492ba8be2ec36797dc08"><enum>(A)</enum><text>by striking paragraph (1) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="ide9cc6abb959a4f71a8c6c1f6a2f7e88c" style="OLC">
<paragraph id="id951443d5eff5460baf7127580d5b96b9"><enum>(1)</enum><text>apply evidence-based and cost-effective methods</text></paragraph><after-quoted-block>;</after-quoted-block></quoted-block> </subparagraph><subparagraph id="id0bb60ef5172e4587a72012ef8affb7d2"><enum>(B)</enum><text>in paragraph (2)—</text>
<clause id="id7aeb12b1200c4e9f8d0a0aa241a90757"><enum>(i)</enum><text>by striking <quote>treatment</quote>; and</text> </clause><clause id="id9414d494ac074760b04230604a83f051"><enum>(ii)</enum><text>by inserting <quote>substance abuse,</quote> after <quote>child welfare,</quote>;</text>
</clause></subparagraph><subparagraph id="idc3b205fb18c1491684e2c8f1a3bec504"><enum>(C)</enum><text>in paragraph (3), by striking <quote>substance abuse disorders</quote> and inserting <quote>substance use disorders, including children and adolescents with co-occurring mental illness and substance use disorders,</quote>;</text>
</subparagraph><subparagraph id="idaa1dc25b8261472c8cfdbe874600166d"><enum>(D)</enum><text>in paragraph (5), by striking <quote>treatment;</quote> and inserting <quote>services; and</quote>;</text> </subparagraph><subparagraph id="id14afd031cc684d18b1e81c72ba57523c"><enum>(E)</enum><text>in paragraph (6), by striking <quote>substance abuse treatment; and</quote> and inserting <quote>treatment.</quote>; and</text>
</subparagraph><subparagraph id="id3c21e5975fd045e18e6854bbb343c0d4"><enum>(F)</enum><text>by striking paragraph (7); and</text> </subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id25b424a2514149a0b829413fc61d3530"><enum>(4)</enum><text>in subsection (f), by striking <quote>$40,000,000</quote> and all that follows through the period and inserting <quote>such sums as may be necessary for each of fiscal years 2017 through 2021.</quote>.</text>
</paragraph></section><section id="id5cd8923f2d264f5282fc6357deff6cff"><enum>504.</enum><header>Residential treatment programs for pregnant and parenting women</header><text display-inline="no-display-inline">Section 508 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb-1">42 U.S.C. 290bb–1</external-xref>) is amended—</text> <paragraph id="id0c5ff7a0225643b2a9c7c7ee6f41eeed"><enum>(1)</enum><text>in the section heading, by striking <quote><header-in-text level="section" style="OLC">postpartum</header-in-text></quote> and inserting <quote><header-in-text level="section" style="OLC">parenting</header-in-text></quote>;</text>
</paragraph><paragraph id="id1b0cdb3c118a48ea96722a0f67b11d23"><enum>(2)</enum><text>in subsection (a)—</text> <subparagraph id="id478f15167fdf4a88acb268f630d11dbd"><enum>(A)</enum><text>in the matter preceding paragraph (1)—</text>
<clause id="id69967af2f2514d37a94246c9690be3fa"><enum>(i)</enum><text>by inserting <quote>(referred to in this section as the <quote>Director</quote>)</quote> after <quote>Treatment</quote>;</text> </clause><clause id="id4CD78010743843E2885866BCA9024479"><enum>(ii)</enum><text>by striking <quote>grants,</quote> and inserting <quote>grants, including the grants under subsection (r),</quote>;</text>
</clause><clause id="id9ed336f6315f475790a116b4976f8a23"><enum>(iii)</enum><text>by striking <quote>postpartum</quote> and inserting <quote>parenting</quote>; and</text> </clause><clause id="id10f28d6a54a445cca352d010ed51b050"><enum>(iv)</enum><text>by striking <quote>for substance abuse</quote> and inserting <quote>for substance use disorders</quote>; and</text>
</clause></subparagraph><subparagraph id="id4512650296424bd38800b05823a160dc"><enum>(B)</enum><text>in paragraph (1), by inserting <quote>or receive outpatient treatment services from</quote> after <quote>reside in</quote>;</text> </subparagraph></paragraph><paragraph id="id6ff14bd7d08945fcbef108c084c0e7f4"><enum>(3)</enum><text>in subsection (b)(2), by striking <quote>the services will be made available to each woman</quote> and inserting <quote>services will be made available to each woman and child</quote>;</text>
</paragraph><paragraph id="idAA61C03A3993492BACFFE0EAB1000BC9"><enum>(4)</enum><text>in subsection (c)—</text> <subparagraph id="id9AAD3B9EFE224F73A15A42330875F602"><enum>(A)</enum><text>in paragraph (1), by striking <quote>to the woman of the services</quote> and inserting <quote>of services for the woman and her child</quote>; and</text>
</subparagraph><subparagraph id="idD9B01C3DBF0A4B91A7B50CEBE9B8262C"><enum>(B)</enum><text>in paragraph (2)—</text> <clause id="id60199983B8324CBE95842D9D751D2D02"><enum>(i)</enum><text>in subparagraph (A), by striking <quote>substance abuse</quote> and inserting <quote>substance use disorders</quote>; and</text>
</clause><clause id="idDBA1C1AB8C974A079A4BA34CF173AE79"><enum>(ii)</enum><text>in subparagraph (B), by striking <quote>such abuse</quote> and inserting <quote>such a disorder</quote>;</text> </clause></subparagraph></paragraph><paragraph id="id92C6E6170AB24440BCFFB4739A005070"><enum>(5)</enum><text>in subsection (d)—</text>
<subparagraph id="idCE55DDAA377D47658465F427DF019964"><enum>(A)</enum><text>in paragraph (3)(A), by striking <quote>maternal substance abuse</quote> and inserting <quote>a maternal substance use disorder</quote>;</text> </subparagraph><subparagraph id="id81E10D9658564E76B400D37499C463A1"><enum>(B)</enum><text>by amending paragraph (4) to read as follows:</text>
<quoted-block display-inline="no-display-inline" id="id043779877CE94269A041A4B6C0F61BD3" style="OLC">
<paragraph id="id682E437A23AE4FA5A65C3141C94D8128"><enum>(4)</enum><text>Providing therapeutic, comprehensive child care for children during the periods in which the woman is engaged in therapy or in other necessary health and rehabilitative activities.</text></paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph><subparagraph id="id31885A5AA2C74E3DBCBB5E5F8A0F8C65"><enum>(C)</enum><text>in paragraphs (9), (10), and (11), by striking <quote>women</quote> each place such term appears and inserting <quote>woman</quote>;</text> </subparagraph><subparagraph id="id45793D34F560469AB6C20F9DEED6EA41"><enum>(D)</enum><text>in paragraph (9), by striking <quote>units</quote> and inserting <quote>unit</quote>; and</text>
</subparagraph><subparagraph id="id9E797397594E4D6485C6CC7A473624D1"><enum>(E)</enum><text>in paragraph (11)—</text> <clause id="idCC1F0DE37CA541EC92F93901F0F13EA6"><enum>(i)</enum><text>in subparagraph (A), by striking <quote>their children</quote> and inserting <quote>any child of such woman</quote>;</text>
</clause><clause id="idA019D46A057D4A44ADB2B72E9EA6AD03"><enum>(ii)</enum><text>in subparagraph (B), by striking <quote>; and</quote> and inserting a semicolon;</text> </clause><clause id="idE637F81F42E44DC09F83232AC5B9D3B1"><enum>(iii)</enum><text>in subparagraph (C), by striking the period and inserting <quote>; and</quote>; and</text>
</clause><clause id="id797FE92D225546F7BC6EDD529219097D"><enum>(iv)</enum><text>by adding at the end the following:</text> <quoted-block display-inline="no-display-inline" id="idCCBDD98B34014F03B01FF73DC9474CEB" style="OLC"> <subparagraph id="id1C39FC74077D481D8D63CC6F132BDCAD"><enum>(D)</enum><text>family reunification with children in kinship or foster care arrangements, where safe and appropriate.</text></subparagraph><after-quoted-block>;</after-quoted-block></quoted-block>
</clause></subparagraph></paragraph><paragraph id="idF8B67D5DAB1D478CB2197EF38F51CA86"><enum>(6)</enum><text>in subsection (e)—</text> <subparagraph id="idE4BACC61211D43E7BD118C16EAF25C93"><enum>(A)</enum><text>in paragraph (1)—</text>
<clause id="id12D9980F1AFE43079E489B0F25FA1D5C"><enum>(i)</enum><text>in the matter preceding subparagraph (A), by striking <quote>substance abuse</quote> and inserting <quote>substance use disorders</quote>; and</text> </clause><clause id="id85356EB39D0042BA8FD063333F2FC132"><enum>(ii)</enum><text>in subparagraph (B), by striking <quote>substance abuse</quote> and inserting <quote>substance abuse disorders</quote>; and</text>
</clause></subparagraph><subparagraph id="idF79FBEF6DD8C45D8BD8070A7F07B5A92"><enum>(B)</enum><text>in paragraph (2)—</text> <clause id="id7C91F602816240EF8D3C276674E6EACE"><enum>(i)</enum><text>by striking <quote>(A) Subject</quote> and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="id175DE2631AF34B4C8ADB7167C4BDDBD9" style="OLC">
<subparagraph id="id7F10D9D10D5645F6B7FF62BF5E0C6FAF"><enum>(A)</enum><header>In general</header><text>Subject</text></subparagraph><after-quoted-block>;</after-quoted-block></quoted-block> </clause><clause id="idB3DB02B7E9CD428CB65C4ABACFB63E1C"><enum>(ii)</enum><text>in subparagraph (B)—</text>
<subclause id="idE96D30CDD38E4CD589A3DF6043457F4C"><enum>(I)</enum><text>by striking <quote>(B)(i) In the case</quote> and inserting the following:</text> <quoted-block display-inline="no-display-inline" id="idD398C0CA18C344C383D7651EEF1DE108" style="OLC"> <subparagraph id="id535E0B22669C46F897BE49696604249D"><enum>(B)</enum><header>Waiver of participation agreements</header> <clause id="id89EE4B1F3840462FA3A27C3288469F04"><enum>(i)</enum><header>In general</header><text>In the case</text></clause></subparagraph><after-quoted-block>; and</after-quoted-block></quoted-block>
</subclause><subclause id="idE4BCF9C4FDF94E2B9098AD350219CC06"><enum>(II)</enum><text>by striking <quote>(ii) A determination</quote> and inserting the following:</text> <quoted-block display-inline="no-display-inline" id="id5AB845328DA64E19A8BD0F0143C820CD" style="OLC"> <clause id="id7796DE6302244664AD34955F3A009ADA"><enum>(ii)</enum><header>Donations</header><text>A determination</text></clause><after-quoted-block>; and</after-quoted-block></quoted-block>
</subclause></clause><clause id="idA0766547D515426BA0CD027AEF0CA45B"><enum>(iii)</enum><text>by striking <quote>(C) With respect</quote> and inserting the following:</text> <quoted-block display-inline="no-display-inline" id="id890FD709CF564E05B31CC9DE66A9F961" style="OLC"> <subparagraph id="id2741E7C41A074767B62D3B022DAC2B6D"><enum>(C)</enum><header>Nonapplication of certain requirements</header><text>With respect</text></subparagraph><after-quoted-block>;</after-quoted-block></quoted-block>
</clause></subparagraph></paragraph><paragraph id="idFC432212A4624196B41FBF5F92825FB6"><enum>(7)</enum><text>in subsection (g)—</text> <subparagraph id="id41D68BA23A5C43D8A75C5535290671C9"><enum>(A)</enum><text>by striking <quote>who are engaging in substance abuse</quote> and inserting <quote>who have a substance use disorder</quote>; and</text>
</subparagraph><subparagraph id="idA330F5105D01468A87514B67F699E823"><enum>(B)</enum><text>by striking <quote>such abuse</quote> and inserting <quote>such disorder</quote>;</text> </subparagraph></paragraph><paragraph id="id04B52BAE9044458886F90666FDB5BD5C"><enum>(8)</enum><text>in subsection (h)(1), by striking <quote>postpartum</quote> and inserting <quote>parenting</quote>;</text>
</paragraph><paragraph id="id1F0A3C5E22CF4D338AB501070454552D"><enum>(9)</enum><text>in subsection (j)—</text> <subparagraph id="id22A5F3276E4C433A8637C4E44121A57D"><enum>(A)</enum><text>in the matter preceding paragraph (1), by striking <quote>to on</quote> and inserting <quote>to or on</quote>; and</text>
</subparagraph><subparagraph id="id989D566321BE4C83A7E203BC394CEEFD"><enum>(B)</enum><text>in paragraph (3), by striking <quote>Office for</quote> and inserting <quote>Office of</quote>;</text> </subparagraph></paragraph><paragraph id="idA6F0DDEE36C34F06853BBCAEB049460D"><enum>(10)</enum><text>by amending subsection (m) to read as follows:</text>
<quoted-block display-inline="no-display-inline" id="idCF735F554C974A1D976076EC0A3BB1B7" style="OLC">
<subsection id="idD09EF8ABF5084BDD8DCD9E381F47A788"><enum>(m)</enum><header>Allocation of awards</header><text>In making awards under subsection (a), the Director shall give priority to an applicant that agrees to use the award for a program serving an area that is a rural area, an area designated under section 332 by the Secretary as a health professional shortage area, or an area determined by the Director to have a shortage of family-based substance use disorder treatment options.</text></subsection><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph id="id1EC248179DCF44DCBC7ADC162C98F509"><enum>(11)</enum><text>in subsection (q)—</text> <subparagraph id="idED6C043FF36A4E74B836601FB3BC77D1"><enum>(A)</enum><text>in paragraph (3), by striking <quote>funding agreement under subsection (a)</quote> and inserting <quote>funding agreement</quote>; and</text>
</subparagraph><subparagraph id="idE0B3AE6CBD874E11BF480A94C712731A"><enum>(B)</enum><text>in paragraph (4), by striking <quote>substance abuse</quote> and inserting <quote>a substance use disorder</quote>;</text> </subparagraph></paragraph><paragraph id="idAC7E391D4FC74C039B9B74170C260D99"><enum>(12)</enum><text>by redesignating subsection (r) as subsection (s);</text>
</paragraph><paragraph id="id3351AAAF3C6145A0834FA1C86871D0D8"><enum>(13)</enum><text>by inserting after subsection (q) the following:</text> <quoted-block display-inline="no-display-inline" id="id0f8fbed814d242bea43d14be51b26778" style="OLC"> <subsection id="idf4f49293578944dba415780419b0ba26"><enum>(r)</enum><header>Pilot program for State substance abuse agencies</header> <paragraph id="id9d46dba681d443138cdf86519d4a021b"><enum>(1)</enum><header>In general</header><text>From amounts made available under subsection (s), the Director may carry out a pilot program under which the Director makes competitive grants to State substance abuse agencies to—</text>
<subparagraph id="id722f8e06137a4653af53105a02174a50"><enum>(A)</enum><text>enhance flexibility in the use of funds designed to support family-based services for pregnant and parenting women with a primary diagnosis of a substance use disorder, including an opioid use disorder;</text>
</subparagraph><subparagraph id="idbad73db969fe4c60b948fbb7bc9128f5"><enum>(B)</enum><text>help State substance abuse agencies address identified gaps in services provided to such women along the continuum of care, including services provided to women in nonresidential based settings; and</text>
</subparagraph><subparagraph id="id7fab98bb9733470da21c27f58e077c68"><enum>(C)</enum><text>promote a coordinated, effective, and efficient State system managed by State substance abuse agencies by encouraging new approaches and models of service delivery that are evidence-based.</text>
</subparagraph></paragraph><paragraph id="id0358c0aa25ed4bbb8ac3b1682a1859be"><enum>(2)</enum><header>Requirements</header><text>Notwithstanding any other provisions of this section, in carrying out the pilot program under this subsection, the Director—</text>
<subparagraph id="id1c8281e4e58a444aa97b521c95259a7a"><enum>(A)</enum><text>shall require a State substance abuse agency to submit to the Director an application, in such form and manner and containing such information as specified by the Director, to be eligible to receive a grant under the program;</text>
</subparagraph><subparagraph id="id5b8e97b0a5134c3b9bb4aa6bcaa8d514"><enum>(B)</enum><text>shall identify, based on applications submitted under subparagraph (A), State substance abuse agencies that are eligible for such grants;</text>
</subparagraph><subparagraph id="idf802de58c7604ca080784f0033ea3b65"><enum>(C)</enum><text>shall require services proposed to be furnished through such a grant to support family-based treatment and other services for pregnant and parenting women with a primary diagnosis of a substance use disorder, including an opioid use disorder;</text>
</subparagraph><subparagraph id="id2562309a83ba462c933c08e72d60bb2d"><enum>(D)</enum><text>shall not require that services furnished through such a grant be provided solely to women that reside in facilities;</text>
</subparagraph><subparagraph id="id430d4560689e46ae93bfcad38f1819cd"><enum>(E)</enum><text>shall not require that grant recipients under the program make available all services described in subsection (d); and</text>
</subparagraph><subparagraph id="id685efb0281fc4dc1b0ff8edac092f979"><enum>(F)</enum><text>may waive the requirements of subsection (f), depending on the circumstances of the grantee.</text> </subparagraph></paragraph><paragraph id="id9717133bda8a4591ba0562ac30c30a8c"><enum>(3)</enum><header>Required services</header> <subparagraph id="idb768b76dfd5a4601a81b57f2b64c18d2"><enum>(A)</enum><header>In general</header><text>The Director shall specify minimum services required to be made available to eligible women through a grant awarded under the pilot program under this subsection. Notwithstanding any other provision of this section, such minimum services—</text>
<clause id="id923dd14d668a40998fe266007f342a18"><enum>(i)</enum><text>shall include the requirements described in subsection (c);</text> </clause><clause id="id88f5bbfe5adb47169fa512eea071b717"><enum>(ii)</enum><text>may include any of the services described in subsection (d);</text>
</clause><clause id="idbb5d6d628f7942a7a9bc56fedbd0297c"><enum>(iii)</enum><text>may include other services, as appropriate; and</text> </clause><clause id="id32d96b2791b14b43898298f84a04eb22"><enum>(iv)</enum><text>shall be based on the recommendations submitted under subparagraph (B).</text>
</clause></subparagraph><subparagraph id="iddff22cc57f2d486690eedece8351d5ab"><enum>(B)</enum><header>Stakeholder input</header><text>The Director shall consider recommendations from stakeholders, including State substance abuse agencies, health care providers, persons in recovery from substance a substance use disorder, and other appropriate individuals, for the minimum services described in subparagraph (A).</text>
</subparagraph></paragraph><paragraph id="ida231ad1a993646e3b00b006bdd7a7482"><enum>(4)</enum><header>Evaluation and report to Congress</header>
<subparagraph id="ide134bc8e737e45209fe79ef9957a60de"><enum>(A)</enum><header>Evaluations</header><text>Out of amounts made available to the Center for Behavioral Health Statistics and Quality, the Director of the Center for Behavioral Health Statistics and Quality, in cooperation with the Director of the Center for Substance Abuse Treatment and the recipients of grants under this subsection, shall conduct an evaluation of the pilot program, beginning one year after the date on which a grant is first awarded under this subsection.</text>
</subparagraph><subparagraph id="id45CF1BBD668046CC866C6D17C83A23A4"><enum>(B)</enum><header>Reports</header>
<clause id="idDA9800E1129746F6A623E057C45AF657"><enum>(i)</enum><header>In general</header><text>Not later than 120 days after the completion of the evaluation under subparagraph (A), the Director of the Center for Behavioral Health Statistics and Quality, in coordination with the Director of the Center for Substance Abuse Treatment, shall submit to the relevant Committees of the Senate and the House of Representatives a report on such evaluation.</text>
</clause><clause id="idc867cb933e96415e89a8e25432abd674"><enum>(ii)</enum><header>Contents</header><text>The report to Congress under clause (i) shall include, at a minimum, outcomes information from the pilot program under this section, including any resulting reductions in the use of alcohol and other drugs, engagement in treatment services, retention in the appropriate level and duration of services, increased access to the use of drugs approved by the Food and Drug Administration for the treatment of substance use disorders in combination with counseling, and other appropriate measures.</text>
</clause></subparagraph></paragraph><paragraph id="ida5ac8d2d64344ec287be4c7469cf958c"><enum>(5)</enum><header>State substance abuse agencies defined</header><text>For purposes of this subsection, the term <term>State substance abuse agency</term> means, with respect to a State, the agency in such State that manages the block grant for prevention and treatment of substance use disorders under subpart II of part B of title XIX with respect to the State.</text></paragraph></subsection><after-quoted-block>; and</after-quoted-block></quoted-block>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="idF3E42124AE0843FBAC9D3622C7D46621"><enum>(14)</enum><text>in subsection (s), as so redesignated, by striking <quote>such sums as may be necessary to fiscal years 2001 through 2003.</quote> and inserting <quote>such sums as may be necessary for each of fiscal years 2017 through 2021. Of the amounts made available for a fiscal year pursuant to the previous sentence, not more than 25 percent of such amounts shall be made available for such fiscal year to carry out subsection (r).</quote>.</text>
</paragraph></section><enum>VI</enum><header>Improving patient care and access to mental and substance use disorder benefits</header>
<section id="id07A787B906CF47DFBEF25D51EAD714A5"><enum>601.</enum><header>HIPAA clarification</header>
<subsection id="id17032C81BA2D4148A40ECD8DC2978542"><enum>(a)</enum><header>In general</header><text>The Secretary of Health and Human Services, acting through the Director of the Office for Civil Rights, shall ensure that providers, professionals, patients and their families, and others involved in mental or substance use disorder treatment or care have adequate, accessible, and easily comprehensible resources relating to appropriate uses and disclosures of protected health information under the regulations promulgated under section 264(c) of the Health Insurance Portability and Accountability Act of 1996 (<external-xref legal-doc="usc" parsable-cite="usc/42/1320d-2">42 U.S.C. 1320d–2</external-xref> note), including resources to clarify permitted uses and disclosures of such information that—</text>
<paragraph id="id1697EC02EAF141B89167347A18D22942"><enum>(1)</enum><text>require the patient’s consent;</text> </paragraph><paragraph id="idFF37E6F032B04B63A12F2B6ADBD3A42D"><enum>(2)</enum><text>require providing the patient with an opportunity to object;</text>
</paragraph><paragraph id="idE33D685CA70744C786D8C64225E4F64B"><enum>(3)</enum><text>are based on the exercise of professional judgment regarding whether the patient would object when the opportunity to object cannot practicably be provided because of the patient's incapacity or an emergency treatment circumstance; and</text>
</paragraph><paragraph id="idC1BCD5C9218E4E9C931A0F0FF71813F0"><enum>(4)</enum><text>are determined, based on the exercise of professional judgment, to be in the best interest of the patient when the patient is not present or otherwise incapacitated.</text>
</paragraph></subsection><subsection id="idF4EDC903AE4242E5AF5EB9A50299C41A"><enum>(b)</enum><header>Considerations</header><text>In carrying out subsection (a), the Secretary of Health and Human Services shall consider actual and perceived barriers to the ability of family members to assist in the treatment of patients with a serious mental illness.</text>
</subsection></section><section id="id061D4D6151844FD284A0DC0B7813DA42"><enum>602.</enum><header>Identification of model training programs</header>
<subsection id="idB596ABACAA2A4874BD5F6B90E307C598"><enum>(a)</enum><header>Programs and materials</header><text>Not later than 1 year after the date of enactment of this Act, the Secretary of Health and Human Services (in this section referred to as the <quote>Secretary</quote>), in consultation with appropriate experts, shall identify or, in the case that none exist, recognize private or public entities to develop—</text>
<paragraph id="id25B67E2870734DECB1653677D506B4A5"><enum>(1)</enum><text>model programs and materials for training health care providers (including physicians, emergency medical personnel, psychiatrists, psychologists, counselors, therapists, behavioral health facilities and clinics, care managers, and hospitals, including individuals such as a general counsel or regulatory compliance staff who are responsible for establishing provider privacy policies) regarding the permitted uses and disclosures, consistent with the standards governing the privacy and security of individually identifiable health information pursuant to regulations promulgated by the Secretary under section 264(c) of the Health Insurance Portability and Accountability Act of 1996 (<external-xref legal-doc="usc" parsable-cite="usc/42/1320d-2">42 U.S.C. 1320d–2</external-xref> note) and part C of title XI of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1320d">42 U.S.C. 1320d et seq.</external-xref>), of the protected health information of patients seeking or undergoing mental health or substance use disorder treatment or care; and</text>
</paragraph><paragraph id="idb0ca006ff6a545279b013b035e5d1ae2"><enum>(2)</enum><text>model programs and materials for training patients and their families regarding their rights to protect and obtain information under the standards described in paragraph (1).</text>
</paragraph></subsection><subsection id="idE2CC9CF060104F2493C35FA973399C68"><enum>(b)</enum><header>Periodic updates</header><text>The Secretary shall—</text> <paragraph id="idfa4a63da552941a298b4102ad672089f"><enum>(1)</enum><text>periodically review, evaluate, and update the model programs and materials identified under subsection (a); and</text>
</paragraph><paragraph id="idb0fbfa3c1c044196877cc524b318d34c"><enum>(2)</enum><text>disseminate the updated model programs and materials.</text> </paragraph></subsection><subsection id="id24136A13BF204E28B26BFE17EA6BBD8F"><enum>(c)</enum><header>Coordination</header><text>The Secretary shall carry out this section in coordination with the Director of the Office for Civil Rights, the Assistant Secretary for Planning and Evaluation, the Administrator of the Substance Abuse and Mental Health Services Administration, the Administrator of the Health Resources and Services Administration, and the heads of other relevant agencies within the Department of Health and Human Services.</text>
</subsection><subsection id="id060F212297C148478F17CDBF6C6B97D0"><enum>(d)</enum><header>Input of certain entities</header><text>In identifying the model programs and materials under subsections (a) and (b), the Secretary shall solicit input from key stakeholders, including relevant national, State, and local associations, medical societies licensing boards, providers of mental and substance use disorder treatment and care, and organizations representing patients and consumers.</text>
</subsection></section><section id="id6ffc77375a0f4b4db9c633e5d027e7b6"><enum>603.</enum><header>Confidentiality of records</header><text display-inline="no-display-inline">Not later than 1 year after the date on which the Secretary of Health and Human Services first finalizes the regulations updating part 2 of title 42, Code of Federal Regulations (relating to confidentiality of alcohol and drug abuse patient records), after the date of enactment of this Act, the Secretary shall convene relevant stakeholders to determine the impact of such regulations on patient care, health outcomes, and patient privacy.</text>
</section><section id="id0BBA8718929A4F4C979560275D360A8A"><enum>604.</enum><header>Enhanced compliance with mental health and substance use disorder coverage requirements</header>
<subsection id="idA5393AD1E7174C32932315956A00B739"><enum>(a)</enum><header>Guidance</header><text display-inline="yes-display-inline">Section 2726(a) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300gg-26">42 U.S.C. 300gg–26(a)</external-xref>) is amended by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="id671c2b1330854bc4b5463ff45dcb4f89" style="OLC">
<paragraph id="idcf715c6aef8a4d5280b855ace4915e96"><enum>(6)</enum><header>Additional guidance</header>
<subparagraph id="idf912ecf06116458196e3eadf6d9d4228"><enum>(A)</enum><header>In general</header><text>Not later than 1 year after the date of enactment of the <short-title>Mental Health Reform Act of 2016</short-title>, the Secretary, in coordination with the Secretary of Labor and the Secretary of the Treasury, shall issue guidance to group health plans and health insurance issuers offering group or individual health insurance coverage to assist such plans and issuers in satisfying the requirements of this section.</text>
</subparagraph><subparagraph id="idbcc3938a75b844afbd16653fe962aabd"><enum>(B)</enum><header>Disclosure</header>
<clause id="id95D65FD943B3468EA4C370E8E270F82E"><enum>(i)</enum><header>Guidance for plans and issuers</header><text>The guidance issued under this paragraph shall include specific examples of methods that group health plans and health insurance issuers offering group or individual health insurance coverage may use for disclosing information to demonstrate compliance with the requirements under this section (and any regulations promulgated pursuant to this section), including methods for complying with requirements for nonquantitative treatment limitations.</text>
</clause><clause id="idFF205A7210214906A4225DD213276BC1"><enum>(ii)</enum><header>Documents for participants, beneficiaries, or contracting providers</header><text>The guidance issued under this paragraph may include examples of standardized methods that group health plans and health insurance issuers offering group or individual health insurance coverage may use to provide any participant, beneficiary, or contracting provider, upon request, with documents containing coverage information that the health plans or issuers are required, by this section or any other provision of law, to disclose to such participants, beneficiaries, or contracting providers, including—</text>
<subclause id="id0E0899284AEC4CECBCF00E482792285B"><enum>(I)</enum><text>information, including information that is comparative in nature, on nonquantitative treatment limitations for both medical and surgical benefits and mental health and substance use disorder benefits;</text>
</subclause><subclause id="id1D08F0F7D2FA4014A451C634B304EC03"><enum>(II)</enum><text>information, including information that is comparative in nature, about the processes, strategies, evidentiary standards, and other factors used to apply nonquantitative treatment limitations for both medical and surgical benefits and mental health and substance use disorder benefits, including how such limitations are applied to mental health or substance use disorder benefits; and</text>
</subclause><subclause id="id2267340B08154F53AF143285BE97E290"><enum>(III)</enum><text>information, including information that is comparative in nature, about how nonquantitative treatment limitations are applied to medical and surgical benefits relative to how such limitations are applied to mental health or substance use disorder benefits.</text>
</subclause></clause></subparagraph><subparagraph id="id2f962964100f45419a97053ebeaf81e9"><enum>(C)</enum><header>Nonquantitative treatment limitations</header><text>The guidance issued under this paragraph shall include information that group health plans and health insurance issuers offering group or individual health insurance coverage may use to comply with requirements for nonquantitative treatment limitations under this section, including—</text>
<clause id="ideeba166a8a4d46f3ae14363cd74bea6d"><enum>(i)</enum><text>examples of appropriate types of nonquantitative treatment limitations on mental health and substance use disorder benefits that comply or do not comply with this section, including—</text>
<subclause id="id068608729cb244fc8a75480f37f3e47a"><enum>(I)</enum><text>medical management standards that limit or exclude benefits based on medical necessity, medical appropriateness, or whether a treatment is experimental or investigative;</text>
</subclause><subclause id="ida94aa553a8754ceb8eea7fe041a68deb"><enum>(II)</enum><text>limitations with respect to prescription drug formulary design; and</text> </subclause><subclause id="idcf0fc0ad1847472893502c0b362d6e99"><enum>(III)</enum><text>use of fail-first or step therapy protocols;</text>
</subclause></clause><clause id="idfd5d8e8ec7f042f8b798a88afe8cd624"><enum>(ii)</enum><text>examples of network admission standards and individual provider reimbursement rates, as such standards and rates apply to network adequacy, that comply or do not comply with this section;</text>
</clause><clause id="idd9ff29d279214836ba1bfa3bc1d68856"><enum>(iii)</enum><text>examples of sources of information that may serve as evidentiary standards for the purpose of determining compliance or noncompliance with applicable nonquantitative treatment limitation requirements;</text>
</clause><clause id="idb0f277cb1f264848b94e805806502753"><enum>(iv)</enum><text>examples of specific factors that may be used by such plans or issuers in performing a nonquantitative treatment limitation analysis;</text>
</clause><clause id="id9e2475ab41a24eefa0ed862bfde58bc9"><enum>(v)</enum><text>examples of specific evidentiary standards that may be used by such plans or issuers to evaluate the specific factors described in clause (iv);</text>
</clause><clause id="id92484b9b24054fbeb969032c46d54f04"><enum>(vi)</enum><text>examples of how a lack of clinical evidence may be taken into consideration by such plans or issuers in the case of experimental treatment exclusions;</text>
</clause><clause id="idcd50cb9c1e164f7e9cdeeac8dbddc3a0"><enum>(vii)</enum><text>examples of how specific evidentiary standards may be applied to each service category or classification of benefits;</text>
</clause><clause id="id330c59e781194ba1ae42a7ae8991e9de"><enum>(viii)</enum><text>examples of new mental health or substance use disorder treatments that comply or do not comply with this section, such as evidence-based early intervention programs for individuals with a serious mental illness and types of medical management techniques that have been determined to meet or fail to meet requirements for nonquantitative treatment limitations;</text>
</clause><clause id="idfb063c78edce4b409678381f97b46b2b"><enum>(ix)</enum><text>examples of coverage determinations that comply or do not comply with this section and for which there is an indirect relationship between the covered mental health or substance use disorder benefit and a traditional covered medical and surgical benefit, such as residential treatment or hospitalizations involving involuntary commitment;</text>
</clause><clause id="ida9626ea78d354a768d843459d5428cc1"><enum>(x)</enum><text>examples of how nonquantitative treatment limitations and their application, determinations that treatments are no longer medically necessary, and efforts to terminate or reduce care may be resolved in a manner that is least burdensome to the patient and provides for continuity of patient care; and</text>
</clause><clause id="id48a1f857d1ec4842bf164158442e5124"><enum>(xi)</enum><text>additional examples of coverage of mental health and substance use disorder benefits that comply or do not comply with this section, including cases in which restrictions based on geographic locations, facility type, provider specialty, or other criteria limit the scope or duration of benefits.</text>
</clause></subparagraph><subparagraph id="id5b95cb2d38fe4ef5ae8bdf44601bb250"><enum>(D)</enum><header>Public comment</header><text>Prior to issuing any final guidance under this section, the Secretary shall provide a public comment period of not less than 60 days during which any member of the public may provide comments on a draft of the guidance.</text></subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="id92472cc6610f4307b384267be7161e81"><enum>(b)</enum><header>Improving compliance</header>
<paragraph id="idDC970A58AA5746469F949DE503ECC05A"><enum>(1)</enum><header>In general</header><text>In the case of a group health plan or health insurance issuer offering health insurance coverage in the group or individual market with respect to which there are at least 5 findings of noncompliance with section 2726 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300gg-26">42 U.S.C. 300gg–26</external-xref>), section 712 of the Employee Retirement Income Security Act of 1974 (<external-xref legal-doc="usc" parsable-cite="usc/29/1185a">29 U.S.C. 1185a</external-xref>), or section 9812 of the Internal Revenue Code, the appropriate Secretary shall audit plan documents for such health plan or issuer in the following plan year in order to help improve compliance with such section.</text>
</paragraph><paragraph id="idEA4325B7BC744B38A56B0E19FE277A3B"><enum>(2)</enum><header>Rule of construction</header><text>Nothing in this subsection shall be construed to limit the authority, as in effect on the day before the date of enactment of this Act, of the Secretary of Health and Human Services, the Secretary of Labor, or the Secretary of the Treasury to audit documents of health plans or health insurance issuers.</text>
</paragraph></subsection></section><section id="id3657554be5904b93abdfd882bf57c9f3"><enum>605.</enum><header>Action plan for enhanced enforcement of mental health and substance use disorder coverage</header>
<subsection id="id931b7eb818f0413c8e7674c046198646"><enum>(a)</enum><header>Public meeting</header>
<paragraph id="id1cb5d354dc73403bb04f58e7ba8c6241"><enum>(1)</enum><header>In general</header><text>Not later than 6 months after the date of enactment of this Act, the Secretary of Health and Human Services shall convene a public meeting of stakeholders described in paragraph (2) to produce an action plan for improved Federal and State coordination related to the enforcement of mental health parity and addiction equity requirements.</text>
</paragraph><paragraph id="id340bf7f66958497487ab0b7e653062f0"><enum>(2)</enum><header>Stakeholders</header><text>The stakeholders described in this paragraph shall include each of the following:</text> <subparagraph id="ide246d3481bb64c6081dee0cdad09e68c"><enum>(A)</enum><text>The Federal Government, including representatives from—</text>
<clause id="id4f5f18ad18934b6582f25053ba97be2b"><enum>(i)</enum><text>the Department of Health and Human Services;</text> </clause><clause id="id6a55e929a9d14fc9b7797d5c704bfb53"><enum>(ii)</enum><text>the Department of the Treasury;</text>
</clause><clause id="id781c65de42fd4e6abb33745181a316e0"><enum>(iii)</enum><text>the Department of Labor; and</text> </clause><clause id="id770b76146af44ed0a8a8d378ade51fad"><enum>(iv)</enum><text>the Department of Justice.</text>
</clause></subparagraph><subparagraph id="id0907502521414875ab7d1bcfad531ae9"><enum>(B)</enum><text>State governments, including—</text> <clause id="id31319f261e3e4935b29a55da284cb198"><enum>(i)</enum><text>State health insurance commissioners;</text>
</clause><clause id="id4fdd46378aa14c259368d6ba8f565ab4"><enum>(ii)</enum><text>appropriate State agencies, including agencies on public health or mental health; and</text> </clause><clause id="id984ff0f348ee405abe49eb7ab36ee8be"><enum>(iii)</enum><text>State attorneys general or other representatives of State entities involved in the enforcement of mental health parity laws.</text>
</clause></subparagraph><subparagraph id="ida1403aa98cef4f2ca2fc54b215bd8fc3"><enum>(C)</enum><text>Representatives from key stakeholder groups, including—</text> <clause id="id5c37dbad0a6244e8ae422c3182bf079b"><enum>(i)</enum><text>the National Association of Insurance Commissioners;</text>
</clause><clause id="idea45d951e0264f2b9992453eb1015336"><enum>(ii)</enum><text>health insurance providers;</text> </clause><clause id="id104f0f77023f4693b28ce960955963f9"><enum>(iii)</enum><text>providers of mental health and substance use disorder treatment;</text>
</clause><clause id="idd1385f459d79404887fd956f5d3545d4"><enum>(iv)</enum><text>employers; and</text> </clause><clause id="id3918abcab3b84090bcd1edd607caa90f"><enum>(v)</enum><text>patients or their advocates.</text>
</clause></subparagraph></paragraph></subsection><subsection id="id0d514e1dcb0b407db4fa604e7fe81daf"><enum>(b)</enum><header>Action plan</header><text>Not later than 6 months after the public meeting under subsection (a), the Secretary of Health and Human Services shall finalize the action plan described in such subsection and make it plainly available on the Internet website of the Department of Health and Human Services.</text>
</subsection><subsection id="idd9490c5f97e949e1a327c7b6c2ce2e92"><enum>(c)</enum><header>Content</header><text>The action plan under this section shall—</text> <paragraph id="id9fd67ac8d90b4eeea1d982452d78c16c"><enum>(1)</enum><text>reflect the input of the stakeholders invited to the public meeting under subsection (a);</text>
</paragraph><paragraph id="id2b82efb6837845bf910b98d3d1d5dd34"><enum>(2)</enum><text>identify specific strategic objectives regarding how the various Federal and State agencies charged with enforcement of mental health parity and addiction equity requirements will collaborate to improve enforcement of such requirements;</text>
</paragraph><paragraph id="id9a26c11a9802461bb94766ae272080f0"><enum>(3)</enum><text>provide a timeline for when such objectives shall be met; and</text> </paragraph><paragraph id="idae0ff663ccf24b71b3c3f89a5111efbe"><enum>(4)</enum><text>provide specific examples of how such objectives may be met, which may include—</text>
<subparagraph id="id1978584b31684cbaa5977198770e4752"><enum>(A)</enum><text>providing common educational information and documents to patients about their rights under Federal or State mental health parity and addiction equity requirements;</text>
</subparagraph><subparagraph id="id8acc117c938b42fdb8b4510e7e783671"><enum>(B)</enum><text>facilitating the centralized collection of, monitoring of, and response to patient complaints or inquiries relating to Federal or State mental health parity and addiction equity requirements, which may be through the development and administration of a single, toll-free telephone number and an Internet website portal;</text>
</subparagraph><subparagraph id="id10910a1cf0cf49169fb37383a0cc652e"><enum>(C)</enum><text>Federal and State law enforcement agencies entering into memoranda of understanding to better coordinate enforcement responsibilities and information sharing, including whether such agencies should make the results of enforcement actions related to mental health parity and addiction equity requirements publicly available; and</text>
</subparagraph><subparagraph id="id2084e9f10d644ba994b54a158727c482"><enum>(D)</enum><text>recommendations to the Secretary and Congress regarding the need for additional legal authority to improve enforcement of mental health parity and addiction equity requirements, including requirements for nonquantitative treatment limitations and the extent and frequency of how such limitations are applied both to medical and surgical benefits and to mental health and substance use disorder benefits.</text>
</subparagraph></paragraph></subsection></section><section id="idd1bcd55e1397462fb08177011f3f3495"><enum>606.</enum><header>Report on investigations regarding parity in mental health and substance use disorder benefits</header>
<subsection id="ida91a4c92092d405589dd135cbbf4eaf8"><enum>(a)</enum><header>In general</header><text>Not later than 1 year after the date of enactment of this Act, and annually thereafter for the subsequent 5 years, the Administrator of the Centers for Medicare & Medicaid Services, in collaboration with the Assistant Secretary of Labor of the Employee Benefits Security Administration and the Secretary of the Treasury, shall submit to the Committee on Health, Education, Labor, and Pensions of the Senate a report summarizing the results of all closed Federal investigations completed during the preceding 12-month period with findings of any serious violation regarding compliance with parity in mental health and substance use disorder benefits, including benefits provided to persons with a serious mental illness or a substance use disorder, under section 2726 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300gg-26">42 U.S.C. 300gg–26</external-xref>), section 712 of the Employee Retirement Income Security Act of 1974 (<external-xref legal-doc="usc" parsable-cite="usc/29/1185a">29 U.S.C. 1185a</external-xref>), and <external-xref legal-doc="usc" parsable-cite="usc/26/9812">section 9812</external-xref> of the Internal Revenue Code of 1986.</text>
</subsection><subsection id="id9e439373ad6f495a831b90e57cee160e"><enum>(b)</enum><header>Contents</header><text>Subject to subsection (c), a report under subsection (a) shall, with respect to investigations described in such subsection, include each of the following:</text>
<paragraph id="id5afd1c6f92e74d4d8a7b011b3f8dc369"><enum>(1)</enum><text>The number of open or closed Federal investigations conducted during the covered reporting period.</text> </paragraph><paragraph id="id082056e4a3254830ab3090bb86bb7f99"><enum>(2)</enum><text>Each benefit classification examined by any such investigation conducted during the covered reporting period.</text>
</paragraph><paragraph id="idded07c28ad6b4044a4b5eca937ce6ad4"><enum>(3)</enum><text>Each subject matter, including compliance with requirements for quantitative and nonquantitative treatment limitations, of any such investigation conducted during the covered reporting period.</text>
</paragraph><paragraph id="idf571f3bc11fb4608b32e7ab371616fbd"><enum>(4)</enum><text>A summary of the basis of the final decision rendered for each closed investigation conducted during the covered reporting period that resulted in a finding of a serious violation.</text>
</paragraph></subsection><subsection id="id636ce0df5a8f48a793ddda52fbb71284"><enum>(c)</enum><header>Limitation</header><text>Any individually identifiable information shall be excluded from reports under subsection (a) consistent with protections under the health privacy and security rules promulgated under section 264(c) of the Health Insurance Portability and Accountability Act of 1996 (<external-xref legal-doc="usc" parsable-cite="usc/42/1320d-2">42 U.S.C. 1320d–2</external-xref> note).</text>
</subsection></section><section id="id5aa47f5d5b9c4bc2979900b5ec63e008"><enum>607.</enum><header>GAO study on coverage limitations for individuals with serious mental illness and substance use
disorders</header><text display-inline="no-display-inline">Not later than 3 years after the date of enactment of this Act, the Comptroller General of the United States, in consultation with the Secretary of Health and Human Services, the Secretary of Labor, and the Secretary of the Treasury, shall submit to the Committee on Health, Education, Labor, and Pensions of the Senate a report detailing the extent to which group health plans or health insurance issuers offering group or individual health insurance coverage that provides both medical and surgical benefits and mental health or substance use disorder benefits, and medicaid managed care organizations with a contract under section 1903(m) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396b">42 U.S.C. 1396b(m)</external-xref>), comply with section 2726 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300gg-26">42 U.S.C. 300gg–26</external-xref>), section 712 of the Employee Retirement Income Security Act of 1974 (<external-xref legal-doc="usc" parsable-cite="usc/29/1185a">29 U.S.C. 1185a</external-xref>), and <external-xref legal-doc="usc" parsable-cite="usc/26/9812">section 9812</external-xref> of the Internal Revenue Code of 1986, including—</text>
<paragraph id="id02f12d6a8e5541b68f569cb272d7f318"><enum>(1)</enum><text>how nonquantitative treatment limitations, including medical necessity criteria, of such plans or issuers comply with such sections;</text>
</paragraph><paragraph id="id948d3c5832354ec79481f000e76e4c7c"><enum>(2)</enum><text>how the responsible Federal departments and agencies ensure that such plans or issuers comply with such sections, including an assessment of how the Secretary of Health and Human Services has used its authority to conduct audits of such plans to ensure compliance;</text>
</paragraph><paragraph id="idbdeb3bb7763645b1bd4feee3839a456a"><enum>(3)</enum><text>a review of how the various Federal and State agencies responsible for enforcing mental health parity requirements have improved enforcement of such requirements in accordance with the objectives and timeline described in the action plan under section 605; and</text>
</paragraph><paragraph id="id3bc9bf08bbe34a98a90e510445523452"><enum>(4)</enum><text>recommendations for how additional enforcement, education, and coordination activities by responsible Federal and State departments and agencies could better ensure compliance with such sections, including recommendations regarding the need for additional legal authority.</text>
</paragraph></section><section id="id7e1cbbb6824b4ff79882fbb8a2549de7"><enum>608.</enum><header>Clarification of existing parity rules</header><text display-inline="no-display-inline">If a group health plan or a health insurance issuer offering group or individual health insurance coverage provides coverage for eating disorder benefits including, but not limited to, residential treatment, such group health plan or health insurance issuer shall provide such benefits consistent with the requirements of section 2726 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300gg-26">42 U.S.C. 300gg–26</external-xref>), section 712 of the Employee Retirement Income Security Act of 1974 (<external-xref legal-doc="usc" parsable-cite="usc/29/1185a">29 U.S.C. 1185a</external-xref>), and <external-xref legal-doc="usc" parsable-cite="usc/26/9812">section 9812</external-xref> of the Internal Revenue Code of 1986.</text></section>