114 S2680 RS: 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 accountabilitySec. 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 scienceSec. 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 NeedsSec. 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 careSec. 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 adolescentsSec. 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 benefitsSec. 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 changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="idADBE0E720E284EA997B4DB57A314BC50" reported-display-style="strikethrough" 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 changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="id75b13ffb2e974e6885af72c046a43579" reported-display-style="strikethrough" 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 changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="id5768f3318a4f4bd2b1fcc23653cf5891" reported-display-style="strikethrough" 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 changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="idd3e95f39285247a8a1763a31fbda8945" reported-display-style="strikethrough" 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 changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="id101bfa95444a4bea817989d4b8d2d11e" reported-display-style="strikethrough" 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 changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="idFBDF2342672D421593B06CC8A7994398" reported-display-style="strikethrough" 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 changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="id4B1D2B376913416283AF620D786CDC70" reported-display-style="strikethrough" 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 changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="idDAFAE9DDF34046B79363318A64FAB4E3" reported-display-style="strikethrough" 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 changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="id53ccc8a0cd6b489081b2a38316319601" reported-display-style="strikethrough" 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 changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="idda88535d21434307a546957939f82a0e" reported-display-style="strikethrough" 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 changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="id8CEDCFBF620748C99E4F50002BF13E48" reported-display-style="strikethrough" 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 changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="id15f4fe904a914babb66e6a2b016d1a5e" reported-display-style="strikethrough" 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 changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="id890ECDDF599D48ACBA407983E9435BE7" reported-display-style="strikethrough" 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 changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="id836AA7ADA76B49E3A4B0EBE05A224C7D" reported-display-style="strikethrough" 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 changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="idDBBD43B27E6D4928BDCF9651D94770B1" reported-display-style="strikethrough" 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 changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="id7B063A3691954596B249F7B5628E9BA0" reported-display-style="strikethrough" 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 changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="id7DA7E09070CE42A089E8AE50C4272AB0" reported-display-style="strikethrough" 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 changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="idFE95389E809F41498D8F4BE4F4102570" reported-display-style="strikethrough" 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 changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="id756DCBC743C04CEE96C1B46C7DA32F34" reported-display-style="strikethrough" 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 changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="idE584D76D83FA497BB9DCEE47D8EB8C27" reported-display-style="strikethrough" 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 changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="idA40B6BBCFBB34A5BB368F05A35497FB2" reported-display-style="strikethrough" 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 changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="idF568A4B8A0F44596B669308B07543E9A" reported-display-style="strikethrough" 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 changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="idEA9AD90A752C4833B689FE90820DCA42" reported-display-style="strikethrough" 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 changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="id5834A4E8EEE94D068C805EDEEDF679C8" reported-display-style="strikethrough" 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 changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="id923513581F9047D8A9A96696596CA810" reported-display-style="strikethrough" 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 changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="id361aa062adb44dee814cc6ed1bfe7061" reported-display-style="strikethrough" 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 changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="id5acf75c3af4c4339a024aa06f84a0f8b" reported-display-style="strikethrough" 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>
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<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 changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="id38d7002fc21541dfa89a384a295b021d" reported-display-style="strikethrough" 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 changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="id0cd3388c0d9248d2904e6de74058799a" reported-display-style="strikethrough" 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 changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="ide9cc6abb959a4f71a8c6c1f6a2f7e88c" reported-display-style="strikethrough" 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 changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="id043779877CE94269A041A4B6C0F61BD3" reported-display-style="strikethrough" 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 changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="idCCBDD98B34014F03B01FF73DC9474CEB" reported-display-style="strikethrough" 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 changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="id175DE2631AF34B4C8ADB7167C4BDDBD9" reported-display-style="strikethrough" 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 changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="idD398C0CA18C344C383D7651EEF1DE108" reported-display-style="strikethrough" 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 changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="id5AB845328DA64E19A8BD0F0143C820CD" reported-display-style="strikethrough" 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 changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="id890FD709CF564E05B31CC9DE66A9F961" reported-display-style="strikethrough" 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 changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="idCF735F554C974A1D976076EC0A3BB1B7" reported-display-style="strikethrough" 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 changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="id0f8fbed814d242bea43d14be51b26778" reported-display-style="strikethrough" 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 changed="deleted" committee-id="SSHR00" display-inline="no-display-inline" id="id671c2b1330854bc4b5463ff45dcb4f89" reported-display-style="strikethrough" 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>
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, substance abuse prevention, and substance abuse treatment. Sec. 107. Advisory councils. Sec. 108. Peer review. Sec. 109. Inter-departmental Serious Mental Illness Coordinating Committee. Sec. 110. GAO study. 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. Sec. 204. Substance use disorder treatment needs of regional and national significance. Sec. 205. Priority substance use disorder prevention 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. Block Grant for Prevention and Treatment of Substance Use Disorders. Sec. 303. Additional provisions related to the block grants. Sec. 304. Study of distribution of funds under the substance use disorder prevention and treatment block grant and the community mental health services block grant. Sec. 305. Helping States and local communities address emerging drug issues. 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. Mental and behavioral health education and training grants. Sec. 408. Information and awareness on eating disorders. Sec. 409. Education and training on eating disorders. Sec. 410. Strengthening community crisis response systems. Sec. 411. Strengthening the mental and substance use disorder workforce. Sec. 412. Reports. Sec. 413. Center and program repeals. Sec. 414. Minority fellowship program. TITLE V—Strengthening mental and substance use disorder care for women, 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. Sec. 505. Screening and treatment for maternal depression. Sec. 506. Infant and early childhood prevention, intervention and treatment. 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. Clarification of existing parity rules. Sec. 605. Enhanced compliance with mental health and substance use disorder coverage requirements. Sec. 606. Action plan for enhanced enforcement of mental health and substance use disorder coverage. Sec. 607. Report on investigations regarding parity in mental health and substance use disorder benefits. Sec. 608. GAO study on parity in mental health and substance use disorder benefits. TITLE VII—Mental health awareness and improvement Sec. 701. Short title. Sec. 702. Garrett Lee Smith Memorial Act reauthorization. Sec. 703. Mental health awareness training grants. Sec. 704. Children's recovery from trauma. Sec. 705. Assessing barriers to behavioral health integration. Sec. 706. Increasing education and awareness of treatments for opioid use disorders. Sec. 707. Examining mental health care for children. Sec. 708. Evidence based practices for older adults. Sec. 709. National violent death reporting system. Sec. 710. GAO study on Virginia Tech recommendations. Sec. 711. Performance metrics. TITLE VIII—Prevention and treatment of opioid use disorder Sec. 801. FDA opioid action plan. Sec. 802. Disclosure of information to State controlled substance monitoring programs. Sec. 803. GAO report on State prescription drug monitoring programs. Sec. 804. NIH opioid research. Sec. 805. Ensuring provider access to best practices for combating prescription drug overdose. Sec. 806. Partial fill of schedule II prescriptions. TITLE IX—Mental health on campus improvement Sec. 901. Short title. Sec. 902. Findings. Sec. 903. Improving mental and behavioral health on college campuses. Sec. 904. Interagency Working Group on College Mental Health. <enum>I</enum><header>Strengthening leadership and accountability</header> <section id="id5fe0e492-405e-4eba-82ba-d0750899d863"><enum>101.</enum><header>Improving oversight of mental and substance use disorder programs</header> <subsection id="id06d4336b-f0f6-46b5-9edf-d071737b4f16"><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="idcbdb883f-5def-4204-a3df-c0b40712c6b5"><enum>(b)</enum><header>Activities</header><text>In carrying out subsection (a), the Assistant Secretary shall—</text> <paragraph id="ida2ab597b-99bd-4441-98df-722d815e1be4"><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="idcdca3d89-edc1-472e-938b-7b48c0e1bc1d"><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="id6be8b5e2-f601-4ebd-b886-f6ad7fe239c1"><enum>(B)</enum><text>the reduction of homelessness and incarceration among individuals with a mental or substance use disorder; and</text>
</subparagraph><subparagraph id="idfb0373c6-9eec-4059-a3ce-fe300c62e1c6"><enum>(C)</enum><text>public health and health services;</text> </subparagraph></paragraph><paragraph id="idbd4612dc-6da4-458c-be59-7bcd0ce022f4"><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, the Behavioral Health Coordinating Council of the Department of Health and Human Services, other agencies within the Department of Health and Human Services, and other relevant Federal departments.</text>
</paragraph></subsection><subsection id="id9b7ff610-47d0-4982-92ae-52296afc789d"><enum>(c)</enum><header>Recommendations</header><text>The Assistant Secretary shall develop an evaluation strategy that identifies priority programs to be evaluated by the Assistant Secretary and priority programs to be evaluated by other relevant agencies within the Department of Health and Human Services. The Assistant Secretary shall provide recommendations on improving programs and activities based on the evaluation described in subsection (b)(1).</text>
</subsection></section><section id="ida0d4162d-d908-4e9b-84db-2f101d466ae7"><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="id1813a752-95fc-4cc0-a2d1-777d842d6456"><enum>(1)</enum><text display-inline="yes-display-inline">in subsection (b)—</text>
<subparagraph id="id15cfe831-3cea-49da-a028-8eccc6d6dcee"><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="id052ccb8a-5ed8-43df-bcff-121f36d0433c"><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="id1f13b1bb-bbc8-4768-b839-ca5a014cdaac"><enum>(2)</enum><text>in subsection (d)—</text> <subparagraph id="id2ed61077-3456-4ad6-a620-0e4b68cd53e2"><enum>(A)</enum><text>in paragraph (1)—</text>
<clause id="id0e570a8e-c4e4-403a-a1d4-9d13304b1559"><enum>(i)</enum><text>by striking <quote>agencies</quote> each place the term appears and inserting <quote>Centers</quote>; and</text> </clause><clause id="id9229de76-6ef2-4784-a128-4508c570768e"><enum>(ii)</enum><text>by striking <quote>such agency</quote> and inserting <quote>such Center</quote>;</text>
</clause></subparagraph><subparagraph id="id1538b987-128d-4edc-a49d-da3aa925c23c"><enum>(B)</enum><text>in paragraph (2)—</text> <clause id="id71625196-fbd0-45cb-8a9c-3419d471532d"><enum>(i)</enum><text>by striking <quote>agencies</quote> and inserting <quote>Centers</quote>;</text>
</clause><clause id="id341eb080-cc65-4094-b66f-eb4093c4e391"><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="id6661393a-55f3-4412-b55e-6aa0104cc2ae"><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="idb0d93982-26df-43cc-acf3-da19e7a6a9ca"><enum>(C)</enum><text>in paragraph (5), by striking <quote>substance abuse</quote> and inserting <quote>substance use disorder</quote>;</text> </subparagraph><subparagraph id="ide82d6f45-e723-4545-8de0-3f23238d30d9"><enum>(D)</enum><text>in paragraph (6)—</text>
<clause id="id98be75a9-dc06-4d61-9984-f5ba7f67fc35"><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="id6e6f2f6c-d1fa-4072-bf63-b00f84976a9a"><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="idb7131f09-dafd-4df9-90b9-1e634ed83800"><enum>(iii)</enum><text>by inserting <quote>or disorders</quote> before the semicolon;</text> </clause></subparagraph><subparagraph id="id9f48215c-7ec4-4ef7-8232-5008c4755045"><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="id4140c5f1-33cd-4ce6-aa8b-7cc0c4852993"><enum>(F)</enum><text>in paragraph (8)—</text> <clause id="id2c217b8c-46a3-4eba-bb40-fd5582cf1e95"><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="id2a4bc180-9447-4ec5-8ffb-6a22cb0e3579"><enum>(ii)</enum><text>by striking <quote>treatment and prevention</quote> and inserting <quote>prevention and treatment</quote>;</text> </clause></subparagraph><subparagraph id="idad8fa95b-80b4-41fb-846e-1961dbcc0545"><enum>(G)</enum><text>in paragraph (9)—</text>
<clause id="id085349dd-d2bc-4620-a8f7-3ce5bfa648e4"><enum>(i)</enum><text>by inserting <quote>and maintenance</quote> after <quote>development</quote>;</text> </clause><clause id="id88886b35-a591-454e-bab6-efef1fae02cc"><enum>(ii)</enum><text>by striking <quote>Agency for Health Care Policy Research</quote> and inserting <quote>Agency for Healthcare Research and Quality</quote>;</text>
</clause><clause id="id00cb2753-7ceb-47dd-9703-af9d18ea4ee7"><enum>(iii)</enum><text>by striking <quote>treatment and prevention services</quote> and inserting <quote>prevention and treatment services and are appropriately incorporated into programs carried out by the Administration</quote>;</text>
</clause></subparagraph><subparagraph id="id2a23047f-8abf-4f49-ba25-b1d996b783a4"><enum>(H)</enum><text>in paragraph (10), by striking <quote>abuse</quote> and inserting <quote>use disorder</quote>;</text> </subparagraph><subparagraph id="idd964db60-556f-4f43-87fe-b7bb56d7452b"><enum>(I)</enum><text>by striking paragraph (11) and inserting the following:</text>
<quoted-block changed="added" display-inline="no-display-inline" id="iddd47957c-08dd-4754-9dab-de68669c041a" reported-display-style="italic" style="OLC">
<paragraph id="id28fc7394-c384-4bb9-9131-2ed4ab082a2e"><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="ide7147d88-8ea8-4292-8935-ae0fa8aac41a"><enum>(J)</enum><text>in paragraph (13)—</text> <clause id="id4962d331-517a-4d22-9dac-5d3984e2de06"><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="idb96f01f8-56e1-48d1-8c7d-632f18cf2fe7"><enum>(ii)</enum><text>in subparagraph (A)—</text> <subclause id="id87a85ab1-9c46-4435-85cc-4980ede7ba89"><enum>(I)</enum><text>by inserting <quote>require that</quote> before <quote>all grants</quote>; and</text>
</subclause><subclause id="id11d2f792-ba7a-4294-976e-84b5d2d91c22"><enum>(II)</enum><text>by striking <quote>and</quote> at the end;</text> </subclause></clause><clause id="id9096eeba-b894-4691-aa56-35685d5790c6"><enum>(iii)</enum><text>by redesignating subparagraph (B) as subparagraph (C);</text>
</clause><clause id="idcc0d135d-2b52-47f3-a29d-82ec60226476"><enum>(iv)</enum><text>by inserting after subparagraph (A) the following:</text> <quoted-block changed="added" display-inline="no-display-inline" id="id597b11d5-5c5f-4284-8051-f2522df53e1e" reported-display-style="italic" style="OLC"> <subparagraph id="id4b9dace5-50f0-45dc-82c5-6d63f0def96b"><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="idd732260f-e48a-4adc-adee-a588398e288f"><enum>(v)</enum><text>in subparagraph (C), as so redesignated—</text> <subclause id="id0023fec5-92a8-4049-8231-28ff35c9c134"><enum>(I)</enum><text>by inserting <quote>require that</quote> before <quote>all grants</quote>; and</text>
</subclause><subclause id="idd60e222e-249f-42e5-b5b5-3a9b33d2e8ef"><enum>(II)</enum><text>by inserting <quote>and</quote> after the semicolon at the end; and</text> </subclause></clause><clause id="id561224ed-3824-4745-ab49-9cee788fc398"><enum>(vi)</enum><text>by adding at the end the following:</text>
<quoted-block changed="added" display-inline="no-display-inline" id="id3d40d7e7-f119-4710-9697-7e2f747fbaa0" reported-display-style="italic" style="OLC">
<subparagraph id="id8705705c-3ce7-432d-adcc-a77d7c2c1e01"><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="id8f33719c-c7dd-4646-bad0-caeabff390ef"><enum>(K)</enum><text>in paragraph (16)—</text>
<clause id="idf65d27e8-5422-4a30-95ff-21b7f476a02a"><enum>(i)</enum><text>by striking <quote>abuse and mental health information</quote> and inserting <quote>use disorder information, 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="id294b01ea-eaf6-4adc-9dd8-d41d1b496a9c"><enum>(L)</enum><text>in paragraph (17)—</text> <clause id="id41ed1ca0-3ff3-41da-9434-89d3e422423e"><enum>(i)</enum><text>by striking <quote>substance abuse</quote> and inserting <quote>mental and substance use disorder</quote>; and</text>
</clause><clause id="ide30da2ce-d86d-4d59-a05a-ecc2a3f8f0b9"><enum>(ii)</enum><text>by striking <quote>and</quote> at the end; and</text> </clause></subparagraph><subparagraph id="id945b1fda-2b6c-4253-aa95-e7fdd3520880"><enum>(M)</enum><text>in paragraph (18), by striking the period and inserting a semicolon; and</text>
</subparagraph><subparagraph id="id84fcad55-169b-4b07-af26-6808486b190c"><enum>(N)</enum><text>by adding at the end the following:</text> <quoted-block changed="added" display-inline="no-display-inline" id="idcf5e314f-7566-4763-89fd-d95643f32e60" reported-display-style="italic" style="OLC"> <paragraph id="id8a38b8c4-62d1-4267-b17e-d4f2815e06e3"><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="id8ab1217c-9058-46c6-9a16-e1060fdc1d8d"><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 members of the Armed Forces, veterans, and their families, including through the provision of services using the telehealth capabilities of the Department of Defense and the Department of Veterans Affairs;</text>
</paragraph><paragraph id="idb88a3da1-30e1-4012-887f-bb286ee39b67"><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="id37cfd154-a5b3-4e60-9f9c-73b327eb90cf"><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="idc52ba7bc-a700-4220-93b2-16d987a8fa18"><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="id4ee7d34c-8083-4ef1-93a1-54bf59481a19"><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="id327ac1e2-abc6-4ea9-8ea5-8144c65d919e"><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="idf4b30726-33da-4e71-85b7-d961c9129407"><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="ide5342e4d-9fd1-4696-8718-c2dfdbf13213"><enum>(4)</enum><text>by inserting after subsection (f) the following:</text> <quoted-block changed="added" display-inline="no-display-inline" id="idf51eb757-00e8-44b1-9762-c2bbc3ec0b01" reported-display-style="italic" style="OLC"> <subsection id="idad46de38-389a-4bbd-9b38-7e39ca0b0881"><enum>(g)</enum><header>Chief medical officer</header> <paragraph id="id1fd7e48c-d0c0-4bfc-8443-13d40a102339"><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="id2739f9fa-c3b7-428b-a414-3d83beb6c464"><enum>(2)</enum><header>Eligible candidates</header><text>The Administrator shall select the Chief Medical Officer from among individuals who—</text> <subparagraph id="idee365843-1e51-4997-ae3c-e1d77acc99a9"><enum>(A)</enum><text>have a doctoral degree in medicine or osteopathic medicine;</text>
</subparagraph><subparagraph id="idd0f7d95c-0348-499c-82dc-b57376388b06"><enum>(B)</enum><text>have experience in the provision of mental or substance use disorder services;</text> </subparagraph><subparagraph id="id2d6a8d2c-9f8a-4638-9307-dbe0d3615ef0"><enum>(C)</enum><text>have experience working with mental or substance use disorder programs; and</text>
</subparagraph><subparagraph id="id52fb6d9b-9b17-4ffa-b474-a8d87e88d6b3"><enum>(D)</enum><text>have an understanding of biological, psychosocial, and pharmaceutical treatments of mental or substance use disorders.</text>
</subparagraph></paragraph><paragraph id="idf9f45e0e-4090-4bff-a880-a933485b85c3"><enum>(3)</enum><header>Duties</header><text>The Chief Medical Officer shall—</text> <subparagraph id="id83153a2e-45a0-4e91-8775-b7dabbd9aa1e"><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="id0df2d2b3-4532-4087-aeb5-312ce8108696"><enum>(B)</enum><text>assist the Administrator in the evaluation, organization, integration, and coordination of programs operated by the Administration;</text>
</subparagraph><subparagraph id="ide1ae1b26-d8d9-4d39-b8f3-bb2edde4f8fb"><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 mental and substance use disorders, including serious mental illness and serious emotional disturbance; and</text>
</subparagraph><subparagraph id="id7f1f9d8f-06ce-40ed-9f6e-5bb035e78564"><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="id5098344f-eff2-4195-ba20-9c4437b2da7f"><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 by such section, the following:</text>
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<subsection id="idcfed0f7d-39a1-40ec-b445-596c2c854ad4"><enum>(l)</enum><header>Strategic plan</header>
<paragraph id="id80fc85cd-6654-4b92-a711-bc3cce88787f"><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 evidence-based programs and grants carried out by the Administration.</text>
</paragraph><paragraph id="idbe2254bc-300f-4c4c-ae0e-6a50ca7be9f4"><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="id3e95140a-5f99-4e44-9df0-4816eba62459"><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="id38170e50-12aa-41dc-ad82-fa94871becaa"><enum>(A)</enum><text>submit the strategic plan developed under paragraph (1) to the appropriate committees of Congress; and</text>
</subparagraph><subparagraph id="idc7d0bb6c-92d3-41c5-9c90-84bbcf2d59a3"><enum>(B)</enum><text>post such plan on the Internet website of the Administration.</text> </subparagraph></paragraph><paragraph id="id24668cef-140f-4527-9509-a56721e7cc1f"><enum>(4)</enum><header>Contents</header><text>The strategic plan developed under paragraph (1) shall—</text>
<subparagraph id="id3f756d56-6a2d-42e0-bfad-5759cab40293"><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, including priorities to prevent or eliminate the burden of mental illness and substance use disorders;</text>
</subparagraph><subparagraph id="id821d1ae5-a998-4477-8ad0-17c6edb50faa"><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="id561a3659-47bc-44df-a964-ccc9932b83fc"><enum>(C)</enum><text>ensure that programs provide, as appropriate, access to effective and evidence-based prevention, diagnosis, 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="ide0c7a785-4ba2-49fc-95db-a5b4b68c4711"><enum>(D)</enum><text>identify opportunities to collaborate with the Health Resources and Services Administration to develop or improve—</text>
<clause id="id7c9dfcd4-0c6b-47db-a3c6-77fa1163f69d"><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, licensed professional counselors, 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="id97141606-fdcf-469c-9e57-050dc5e1a097"><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;</text>
</clause></subparagraph><subparagraph id="id64edeade707345ee94f6003cffd7d9cd"><enum>(E)</enum><text>identify opportunities to improve collaboration with States, local governments, communities, and Indian tribes and tribal organizations (as such terms are defined in section 4 of the Indian Self-Determination and Education Assistance Act (25. U.S.C. 450b)); and</text>
</subparagraph><subparagraph id="idada7a446-4f3e-464d-98a8-ff8e21505254"><enum>(F)</enum><text>disseminate evidence-based and promising best practices related to prevention, diagnosis, 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="iddc96716d-f80a-4ea7-9515-d5a4ff61ed24"><enum>105.</enum><header>Biennial report concerning activities and progress</header>
<subsection id="id3928953a-e5a8-445f-b8c4-5dd09e47f205"><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>
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<subsection id="id5ed183d0-3688-45d7-8cb9-a46557982cee"><enum>(m)</enum><header>Biennial report concerning activities and progress</header><text>Not later than December 1, 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="idd97767d2-6a31-4c75-ad61-0b02f2255ac7"><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="id3c853e4b-f2d8-4611-975b-e9daf5417b61"><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="id5944915b-08af-4ad6-b309-29ab1f1ff0af"><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 serious mental illness, serious emotional disturbances, and co-occurring disorders;</text>
</paragraph><paragraph id="id0c137ee9-b4b7-40e9-be95-7f35dc415a5e"><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="id999a4f58-6f77-4a7a-a4ec-3b5115e87ab9"><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="id48592058-a616-417e-881c-519d9fa1ed3b"><enum>(B)</enum><text>the recruitment, training, and retention of a mental and substance use disorder workforce;</text> </subparagraph><subparagraph id="id28d5a061-92a3-4a28-a184-29a098d8c3b1"><enum>(C)</enum><text>the integration of mental or substance use disorder services and physical health services;</text>
</subparagraph><subparagraph id="id6cec178b-0b41-4e50-843c-ff30f30d74db"><enum>(D)</enum><text>homelessness; and</text> </subparagraph><subparagraph id="idcda54369-13f5-48f6-9559-6d8e9a204f64"><enum>(E)</enum><text>veterans;</text>
</subparagraph></paragraph><paragraph id="id5c24aa1e-ce37-4eb4-a363-696ccac06787"><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="id26a14d0e-0a4d-4963-a4c2-66f0c31a741f"><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="idabc6c1ad-1c6a-4115-8978-4ca115c31790"><enum>(A)</enum><text>the number and a description of grants awarded;</text> </subparagraph><subparagraph id="idd8a73956-b10f-4551-a275-d7147f18b92d"><enum>(B)</enum><text>the total amount of funding for grants awarded;</text>
</subparagraph><subparagraph id="ide090a0fe-258a-4074-876c-48695d4dd34c"><enum>(C)</enum><text>a description of the activities supported through such grants, including outcomes of programs supported; and</text>
</subparagraph><subparagraph id="id9c185663-536f-4445-b700-c2003bdf6043"><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="id63243854-1e5c-4ffc-aa0f-1df7901e0b32"><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="idbcb9f83e-5bca-4fda-8edf-3d24658bb130"><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="id78335301-848d-424c-84c5-c4ed66d4180e"><enum>106.</enum><header>Authorities of centers for mental health services, substance abuse prevention, and substance abuse treatment</header> <subsection id="id44CBF36BD97F44E4982F079A61824ACD"><enum>(a)</enum><header>Center for mental health services</header><text>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="id1b885e6f-ce0c-4e72-8775-4b2df4e105ff"><enum>(1)</enum><text>by redesignating paragraphs (3) through (15) as paragraphs (4) through (16), respectively;</text> </paragraph><paragraph id="id90f26511-f6e8-4345-9383-4f526cea0fb7"><enum>(2)</enum><text>by inserting after paragraph (2) the following:</text>
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<paragraph id="id2258d3c4-cce9-4e64-bcf9-4fc86974a04b"><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 and treatment 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="id25fdffaa-828d-421e-9b72-85677c498eab"><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="idc062c69c-093e-42fb-851a-6ccd8b195a23"><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="idab1edec4-56ca-4e85-89a1-c8226e5c11d1"><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="id193b031d-8698-4aa3-9f39-81e35a86e607"><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="id16a19e70-e749-4124-8383-a0ed0205bd7c"><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="id3badf7ac-6445-4210-8ea2-3c0107405cc3"><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 evidence-based practices,</quote>;</text>
</paragraph><paragraph id="idb851ed87-21c2-44bd-99cc-3c5ef4e64623"><enum>(9)</enum><text>in paragraph (15), as so redesignated, by striking <quote>and</quote> at the end;</text> </paragraph><paragraph id="id62eff703-9989-40f5-8370-19cfbb3ac422"><enum>(10)</enum><text>in paragraph (16), as so redesignated, by striking the period and inserting <quote>; and</quote>; and</text>
</paragraph><paragraph id="idde4090cb-4c19-4e45-b876-ea1852087517"><enum>(11)</enum><text>by adding at the end the following:</text> <quoted-block changed="added" display-inline="no-display-inline" id="idec0368cb-5b88-4d54-978e-f4a6b398adc0" reported-display-style="italic" style="OLC"> <paragraph id="id71444c2a-2731-433d-a8fd-8c8c6eb51547"><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></subsection><subsection id="id7cb0994f4cbe4630a892f70c0d681d63"><enum>(b)</enum><header>Director of the center for substance abuse prevention</header>
<paragraph id="idEC9CDADFF7F842F78CAD9A881123A8A9"><enum><added-phrase reported-display-style="italic">(1)</added-phrase></enum><header>In general</header><text>Section 515 of the Public Health Service Act (290bb-21) is amended—</text> <subparagraph id="id6e3b95dc405244e9af07dc64c4d7ed41"><enum><added-phrase reported-display-style="italic">(A)</added-phrase></enum><text>in the heading, by striking <quote><header-in-text level="section" style="OLC">office</header-in-text></quote> and inserting <quote><header-in-text level="section" style="OLC">center</header-in-text></quote>;</text>
</subparagraph><subparagraph id="id9f0121fcf94c4beb836afe489ebdf633"><enum><added-phrase reported-display-style="italic">(B)</added-phrase></enum><text>in subsection (a)—</text> <clause id="idef6f68793a5a4742bf0f8109339a568b"><enum><added-phrase reported-display-style="italic">(i)</added-phrase></enum><text>by striking <quote>an Office</quote> and inserting <quote>a Center</quote>; and</text>
</clause><clause id="id25b52a3c97714226b081cecd171707f9"><enum><added-phrase reported-display-style="italic">(ii)</added-phrase></enum><text>by striking <quote>The Office</quote> and inserting <quote>The Prevention Center</quote>; and</text> </clause></subparagraph><subparagraph id="id6f7be09ad2074b71bdbbc3387b2fa6ff"><enum><added-phrase reported-display-style="italic">(C)</added-phrase></enum><text>in subsection (b)—</text>
<clause id="idf4dc99564a1b4914b566d7e52a94fca7"><enum><added-phrase reported-display-style="italic">(i)</added-phrase></enum><text>in paragraph (1), by inserting <quote>through the reduction of risk and the promotion of resiliency</quote> before the semicolon;</text> </clause><clause id="id928d2383223d4f969e2dd60acd353683"><enum><added-phrase reported-display-style="italic">(ii)</added-phrase></enum><text>by redesignating paragraphs (3) through (14) as paragraphs (4) through (15), respectively;</text>
</clause><clause id="id9638b25da2d04885957860f683f0fa99"><enum><added-phrase reported-display-style="italic">(iii)</added-phrase></enum><text>by inserting after paragraph (2) the following:</text> <quoted-block changed="added" display-inline="no-display-inline" id="idc5504b32e53141a6b33fde16aeed227f" reported-display-style="italic" style="OLC"> <paragraph id="id3dca986f4c6c4fbb9dbe331c8fb58e3c"><enum>(3)</enum><text>collaborate with the Director of the National Institute on Drug Abuse, the Director of the National Institute on Alcohol Abuse and Alcoholism, and States to promote the study, dissemination, and implementation of research findings that will improve the delivery and effectiveness of substance abuse prevention activities;</text></paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</clause><clause id="idc15cb976734849179b6d6316ef79ecaf"><enum><added-phrase reported-display-style="italic">(iv)</added-phrase></enum><text>in paragraph (4), as so redesignated, by striking <quote>literature on the adverse effects of cocaine free base (known as crack)</quote> and inserting <quote>educational information on the effects of drugs abused by individuals, including drugs that are emerging as abused drugs</quote>;</text>
</clause><clause id="id32ea9196dda04ed6accad1db9550f481"><enum><added-phrase reported-display-style="italic">(v)</added-phrase></enum><text>in paragraph (6), as so redesignated—</text> <subclause id="id7f149c0c8d6048249e2c67a5799918a8"><enum><added-phrase reported-display-style="italic">(I)</added-phrase></enum><text>by striking <quote>substance abuse counselors</quote> and inserting <quote>health professionals who provide substance use and abuse prevention and treatment</quote>; and</text>
</subclause><subclause id="id10baf83d896748e18f3afa7b6e972b7f"><enum><added-phrase reported-display-style="italic">(II)</added-phrase></enum><text>by striking <quote>drug abuse education, prevention,</quote> and inserting <quote>illicit drug use education and prevention</quote>;</text> </subclause></clause><clause id="id57dfd75bb697421ebf5c84a1944fface"><enum><added-phrase reported-display-style="italic">(vi)</added-phrase></enum><text>by amending paragraph (7), as so redesignated, to read as follows:</text>
<quoted-block changed="added" display-inline="no-display-inline" id="id8c3d0b3c076a4a29ad2f6bcce337c182" reported-display-style="italic" style="OLC">
<paragraph id="id7a5fd0b56fbe43f9985df124f69534c6"><enum>(7)</enum><text>in cooperation with the Director of the Centers for Disease Control and Prevention, develop and disseminate educational materials to increase awareness for individuals at greatest risk for substance use disorders in order to prevent the transmission of communicable diseases, such as HIV, hepatitis C, tuberculosis, and other communicable diseases;</text></paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</clause><clause id="id530ded7bdb594ad489a90d1bc65cffa6"><enum><added-phrase reported-display-style="italic">(vii)</added-phrase></enum><text>in paragraph (9), as so redesignated, by striking <quote>to discourage alcohol and drug abuse</quote> and inserting <quote>that reduce the risk of substance use and promote resiliency</quote>;</text> </clause><clause id="id4b4c28b5a3274ae7b22e6b7239a02912"><enum><added-phrase reported-display-style="italic">(viii)</added-phrase></enum><text>in paragraph (11), as so redesignated, by striking <quote>and</quote> after the semicolon;</text>
</clause><clause id="ide242af4032e848afbdd5c54be47a9b6f"><enum><added-phrase reported-display-style="italic">(ix)</added-phrase></enum><text>in paragraph (12), as so redesignated, by striking the period and inserting a semicolon; and</text> </clause><clause id="id8cb2d6611e2241a5bee96ead0ea182e3"><enum><added-phrase reported-display-style="italic">(x)</added-phrase></enum><text>by adding at the end the following:</text>
<quoted-block changed="added" display-inline="no-display-inline" id="idc6f61411610d48f392fbfbd9e4ad1ae4" reported-display-style="italic" style="OLC">
<paragraph id="id571075802db640b298d56c369813e3ab"><enum>(13)</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; and</text>
</paragraph><paragraph id="id138d057872664d8cb7c186060f118302"><enum>(14)</enum><text>assist and support States in preventing illicit drug use, including emerging illicit drug use issues.</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</clause></subparagraph></paragraph><paragraph id="id8E9038CC419144248D9D555DE7DBCDDE"><enum><added-phrase reported-display-style="italic">(2)</added-phrase></enum><header>Conforming amendment</header><text>Section 517 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb-23">42 U.S.C. 290bb-23</external-xref>) is amended—</text> <subparagraph id="id5B4086EE48894487B7EDACFAE54EE731"><enum><added-phrase reported-display-style="italic">(A)</added-phrase></enum><text>in subsection (e), by striking <quote>Office</quote> and inserting <quote>Director of the Prevention Center</quote>; and</text>
</subparagraph><subparagraph id="id32460D90D84340FB8832C841DD7FFA7E"><enum>(B)</enum><text>in subsection (f), by striking <quote>Director of the Office</quote> and inserting <quote>Director of the Prevention Center</quote>.</text> </subparagraph></paragraph></subsection><subsection id="idf027bb607c0e4caa9e993ffb35141c0e"><enum>(c)</enum><header>Director of the center for substance abuse treatment</header><text>Section 507 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb">42 U.S.C. 290bb</external-xref>) is amended—</text>
<paragraph id="id6e1f2dd081cb4bacaeaff60abae9326d"><enum>(1)</enum><text>in subsection (a)—</text> <subparagraph id="id1e617fcccc1046dca6e5129adf47c867"><enum>(A)</enum><text>by striking <quote>treatment of substance abuse</quote> and inserting <quote>treatment of substance use disorders</quote>; and</text>
</subparagraph><subparagraph id="id6f14942e60954b11aab10eea65eaf4ec"><enum>(B)</enum><text>by striking <quote>abuse treatment systems</quote> and inserting <quote>use disorder treatment systems</quote>; and</text> </subparagraph></paragraph><paragraph id="id5d431572fe6e466b8afe4931a657399c"><enum>(2)</enum><text>in subsection (b)—</text>
<subparagraph id="idbcce6d5e40d8425dae9cb7423ead6b12"><enum>(A)</enum><text>in paragraph (1), by striking <quote>abuse</quote> and inserting <quote>use disorder</quote>;</text> </subparagraph><subparagraph id="id921d30e8c959406ba505600ed6becf41"><enum>(B)</enum><text>in paragraph (3), by striking <quote>abuse</quote> and inserting <quote>use disorder</quote>;</text>
</subparagraph><subparagraph id="ide86acb32ba3c4da687f7282cace9e838"><enum>(C)</enum><text>in paragraph (4)—</text> <clause id="id8B71BF3B6251477E8520D2C4767EE1E7"><enum>(i)</enum><text>by striking <quote>postpartum</quote> and inserting <quote>parenting</quote>; and</text>
</clause><clause id="idA396EAAA615B4E7EAD33B7CC0D21E6B5"><enum>(ii)</enum><text>by striking <quote>individuals who abuse drugs</quote> and inserting <quote>individuals who use drugs</quote>;</text> </clause></subparagraph><subparagraph id="id97681f1df57845bc927d5e73a0facf3d"><enum>(D)</enum><text>in paragraph (9), by striking <quote>carried out by the Director</quote>;</text>
</subparagraph><subparagraph id="idd7b53ed1f52240c2a7e01429c09ac7e9"><enum>(E)</enum><text>by striking paragraph (10);</text> </subparagraph><subparagraph id="id342edf0fc79b453185c90da3a00a379d"><enum>(F)</enum><text>by redesignating paragraphs (11) through (14) as paragraphs (10) through (13), respectively;</text>
</subparagraph><subparagraph id="id26d3d6290fa748a2ad871656da52e296"><enum>(G)</enum><text>in paragraph (12), as so redesignated, by striking <quote>; and</quote> and inserting a semicolon; and</text> </subparagraph><subparagraph id="id6766b0dd284349a1991ceb3e0c01deba"><enum>(H)</enum><text>by striking paragraph (13), as so redesignated, and inserting the following:</text>
<quoted-block changed="added" display-inline="no-display-inline" id="id13ca9f42ef874190a62663c5c0657740" reported-display-style="italic" style="OLC">
<paragraph id="ida07ea805dd0d45c29848bb01b278a07d"><enum>(13)</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; and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id2263a947d60e43298fb43e49f625f3f6"><enum>(14)</enum><text>work with States, providers, and individuals in recovery, and their families, to promote the expansion of recovery support services and systems of care oriented towards recovery.</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph></subsection></section><section id="id15823921-5232-4b04-92d4-92d414f31501"><enum>107.</enum><header>Advisory councils</header><text display-inline="no-display-inline">Section 502(b) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290aa-1">42 U.S.C. 290aa–1(b)</external-xref>) is amended—</text> <paragraph id="ide16cf516-7594-4a9f-96cb-ba5a0e5d0598"><enum>(1)</enum><text>in paragraph (2)—</text>
<subparagraph id="idf930d1d2-f121-45a0-8f6d-414f56930ed7"><enum>(A)</enum><text>in subparagraph (E), by striking <quote>and</quote> after the semicolon;</text> </subparagraph><subparagraph id="id81edf95d-4c40-4d50-9d00-21b772fc4fae"><enum>(B)</enum><text>by redesignating subparagraph (F) as subparagraph (J); and</text>
</subparagraph><subparagraph id="iddc0ebbe5-eb76-4df5-b94e-4f9bde4f2dfc"><enum>(C)</enum><text>by inserting after subparagraph (E), the following:</text> <quoted-block changed="added" display-inline="no-display-inline" id="ide5aae196-a1eb-4689-9f23-77984cfa98e1" reported-display-style="italic" style="OLC"> <subparagraph id="idf1944c5a-73cc-46d2-b133-a8e0d582ba7c"><enum>(F)</enum><text>the Chief Medical Officer, appointed under section 501(g);</text>
</subparagraph><subparagraph id="idff7ca0bf-b46d-49b2-b109-475469b1bd7d"><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="id1067e045-dcfb-4f40-b7bc-a607b7b4980d"><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><after-quoted-block>;</after-quoted-block></quoted-block>
<quoted-block changed="added" display-inline="no-display-inline" id="ideb9bbdf6-082b-41a9-96dd-2e7edd0be59b" reported-display-style="italic" style="OLC">
<subparagraph id="id442d468d-57d9-4125-8c02-6a2b9da43a2f"><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>
</subparagraph></paragraph><paragraph id="id2e24f2c2-5392-42f1-8c66-6d8d491531b9"><enum>(2)</enum><text>in paragraph (3), by adding at the end the following:</text> <quoted-block changed="added" display-inline="no-display-inline" id="ide05dca76-76c0-4f4a-b2f7-0943e4bd12fd" reported-display-style="italic" style="OLC"> <subparagraph id="id5aa34c07-4409-467f-80a6-5de070f8b8c3"><enum>(C)</enum><text>Not less than half of the members of the advisory council appointed under subsection (a)(1)(D)—</text>
<clause id="id9d47e770-5811-439a-92b5-dccbcc084f6b"><enum>(i)</enum><text>shall—</text> <subclause id="id5caca5b4-3024-4210-9860-62cf257e5320"><enum>(I)</enum><text>have a medical degree;</text>
</subclause><subclause id="id49ab2ba8-2b90-45d2-a651-669ae29c1501"><enum>(II)</enum><text>have a doctoral degree in psychology; or</text> </subclause><subclause id="id43b93582-255a-48a1-b628-802a612a175c"><enum>(III)</enum><text>have 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="idab98d265-05fd-40da-b009-e5d692d109f3"><enum>(ii)</enum><text>shall specialize in the mental health field.</text></clause></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block> </paragraph></section><section id="id426f7c83-9cc3-4688-bee9-05662526e471"><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 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="ida270708c-2d70-4012-bc42-90edaf7b5806"><enum>109.</enum><header>Inter-departmental Serious Mental Illness Coordinating Committee</header>
<subsection id="id117a9196-e9b2-445c-9eec-cce97dada0a2"><enum>(a)</enum><header>Establishment</header>
<paragraph id="id0f0df0b8-a5d1-4a02-aea5-d6839f29e067"><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="id8f6e4619-a2ca-41db-b9a2-858a2f46767e"><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="ideebe94bd-28d5-453b-b968-d75a296cd2b9"><enum>(b)</enum><header>Meetings</header><text>The Committee shall meet not fewer than 2 times each year.</text> </subsection><subsection id="id686345e2-3de6-46c9-9ee6-39e565deaa78"><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="id43643a75-f3a1-4268-97a5-bb80fbc3930b"><enum>(1)</enum><text>a summary of advances in serious mental illness and serious emotional disturbance research related to the prevention of, diagnosis of, intervention in, and treatment and recovery of, serious mental illnesses, serious emotional disturbances, and advances in access to services and support for individuals with a serious mental illness;</text>
</paragraph><paragraph id="idd7cacad8-6855-41e7-aff7-742253188fce"><enum>(2)</enum><text>an evaluation of the effect on public health of Federal programs related to serious mental illness, including measurements of public health outcomes including—</text>
<subparagraph id="idb363f96b-5086-437c-a115-3e0905c55062"><enum>(A)</enum><text>rates of suicide, suicide attempts, prevalence of serious mental illness, serious emotional disturbances, 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="id334d5f59-02ab-4b01-81a6-28adc3d6ac0d"><enum>(B)</enum><text>increased rates of employment and enrollment in educational and vocational programs;</text> </subparagraph><subparagraph id="id043c04ea-822e-40e0-81e7-65b5fc36e750"><enum>(C)</enum><text>quality of mental and substance use disorder treatment services; or</text>
</subparagraph><subparagraph id="idcc8e2153-90d9-4b08-8b84-23cb1e43e5b8"><enum>(D)</enum><text>any other criteria as may be determined by the Secretary; and</text> </subparagraph></paragraph><paragraph id="id5a071b2c-932d-4d4f-981e-7db74504a1dd"><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 or serious emotional disturbances.</text>
</paragraph></subsection><subsection id="id347ee35f-a793-4b91-824e-d691c2affa0e"><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="id7a13c29c-aaf2-4a1d-8364-74baf8a47484"><enum>(e)</enum><header>Membership</header>
<paragraph id="id01eb080c-ae27-4aa3-8305-5069306c17a5"><enum>(1)</enum><header>Federal members</header><text>The Committee shall be composed of the following Federal representatives, or their designee—</text> <subparagraph id="id666264a6-3e0b-4825-96ea-c93a45942e5e"><enum>(A)</enum><text>the Secretary of Health and Human Services, who shall serve as the Chair of the Committee;</text>
</subparagraph><subparagraph id="idefdeae15-6fa0-42d2-9d16-d06e8e2bb72b"><enum>(B)</enum><text>the Administrator of the Substance Abuse and Mental Health Services Administration;</text> </subparagraph><subparagraph id="id0cabecd6-dc8f-4b25-b617-4bfbc0436c30"><enum>(C)</enum><text>the Attorney General;</text>
</subparagraph><subparagraph id="idd9811763-8f54-4265-be43-ab0d15c9c7b2"><enum>(D)</enum><text>the Secretary of Veterans Affairs;</text> </subparagraph><subparagraph id="idd6cda530-5737-4619-a561-ce2f00afd296"><enum>(E)</enum><text>the Secretary of Defense;</text>
</subparagraph><subparagraph id="id1f82d0e2-c252-4fb6-8925-334b64f92280"><enum>(F)</enum><text>the Secretary of Housing and Urban Development;</text> </subparagraph><subparagraph id="idb04f64c6-d1b5-4cb0-8843-9a401d0a4b14"><enum>(G)</enum><text>the Secretary of Education;</text>
</subparagraph><subparagraph id="id1bd18d20-0ae6-493e-be3f-02f6f34216be"><enum>(H)</enum><text>the Secretary of Labor; and</text> </subparagraph><subparagraph id="id8a3949a8-816e-4382-9a9b-303640759e98"><enum>(I)</enum><text>the Commissioner of Social Security.</text>
</subparagraph></paragraph><paragraph id="id764cd3cc-2317-41da-95b3-cf5495653846"><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="id5d207b13-c3a7-4a9a-83f6-4ffa0034e72c"><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="id2c58f56c-1f6a-43e6-b801-914fbfe7434b"><enum>(B)</enum><text>at least 1 member shall be a parent or legal guardian of an individual with a history of a serious mental illness or serious emotional disturbance;</text>
</subparagraph><subparagraph id="id26189d77-ea49-4718-abef-b9d4cb0db30d"><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="idbd59c2af-4458-409f-9b14-0d9b9139ac53"><enum>(D)</enum><text>at least 2 members shall be—</text> <clause id="id03a0e053-9f77-4027-9207-ca60411b8945"><enum>(i)</enum><text>a licensed psychiatrist with experience treating serious mental illnesses;</text>
</clause><clause id="id8e39645f-cb48-466a-b70d-8d9e722de5cc"><enum>(ii)</enum><text>a licensed psychologist with experience treating serious mental illnesses or serious emotional disturbances;</text>
</clause><clause id="idc0011964-6f9b-40b0-8875-16499fdfd715"><enum>(iii)</enum><text>a licensed clinical social worker; or</text> </clause><clause id="id731a7313-e8f5-4727-9c69-d2c2388b6a83"><enum>(iv)</enum><text>a licensed psychiatric nurse, nurse practitioner, or physician assistant with experience treating serious mental illnesses and serious emotional disturbances;</text>
</clause></subparagraph><subparagraph id="id0b13fade-0c6f-4cf4-9f64-5128411c7e0a"><enum>(E)</enum><text>at least 1 member shall be a licensed mental health professional with a specialty in treating children and adolescents with serious emotional disturbances;</text>
</subparagraph><subparagraph id="idca752973-f6bc-4941-9018-81a0125edb84"><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="id30e1e19b-2d7c-4d59-b74d-ab5882454536"><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="id51b5f94e-0396-41d5-81c1-fa1528fd2dcc"><enum>(H)</enum><text>at least 1 member shall be a State certified mental health peer specialist;</text> </subparagraph><subparagraph id="id4e39dbd0-c38e-4d6c-96f9-bff1d9b9c23e"><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="id2b8438c1-c6bc-4af9-9639-7ae57882cf0e"><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 a serious mental illness or serious emotional disturbance, or in a mental health crisis.</text>
</subparagraph></paragraph><paragraph id="id94e84840-faf4-4502-a693-d849dbb7b590"><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="idc9b8fa48-2330-459e-ad93-a5165d031c67"><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="id62c75b19-26ae-435e-aee6-2aef23808389"><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><section id="id14AEF165FCBD4B00B614CF85269C3990"><enum>110.</enum><header>GAO study</header>
<subsection id="id4C21AD81C0EE4AAD877F173EF8BBDC2A"><enum>(a)</enum><header>In general</header><text>Not later than 18 months after the date of enactment of this Act, the Comptroller General of the United States, in consultation with the Administrator of the Substance Abuse and Mental Health Services Administration and the Secretary of Health and Human Services, shall conduct an independent evaluation, and submit a 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 programs funded by allotments made under title I of the Protection and Advocacy for Individuals with Mental Illness Act (<external-xref legal-doc="usc" parsable-cite="usc/42/10801">42 U.S.C. 10801 et seq.</external-xref>).</text>
</subsection><subsection id="id1C8138407F49415C91B4356FE7C07368"><enum>(b)</enum><header>Contents</header><text>The report and evaluation required under subsection (a) shall include—</text> <paragraph id="idC32A52BE442C48118ACAAA29CED7566F"><enum>(1)</enum><text>a review of the programs described in such subsection that are carried out by State agencies and such programs that are carried out by private, nonprofit organizations; and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id5BE9069E144B4001842923CAF65FF238"><enum>(2)</enum><text>a review of the compliance of the programs described in subsection (a) with statutory and regulatory responsibilities, such as responsibilities relating to family engagement, investigation of alleged abuse and neglect of persons with mental illness, availability of adequate medical and behavioral health treatment, denial of rights for persons with mental illness, and compliance with the Federal prohibition on lobbying.</text>
</paragraph></subsection></section><enum>II</enum><header>Ensuring mental and substance use disorder prevention, treatment, and recovery programs keep pace
with science</header>
<section id="idaebed514-bcb1-4f02-ac3f-cca4eb5c1cb2"><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 changed="added" display-inline="no-display-inline" id="iddb0908f4-bcca-4011-a5b0-3d7e228566fc" reported-display-style="italic" style="OLC">
<section id="id565879ab-0c1e-4ae3-b7ae-296d929db5b6"><enum>501A.</enum><header>Office of Policy, Planning, and Innovation</header>
<subsection id="id99323ef3-62da-4422-8522-1d99a7032acd"><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="ida96f3f82-a1ef-4874-bd9f-2601f4ad1a42"><enum>(b)</enum><header>Responsibilities</header><text>The Office shall—</text> <paragraph id="idf9c6eb05-a6fa-42ce-b247-b3b2498fddd9"><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="id5f76afbc-65a2-42cd-a811-59b690b3e8be"><enum>(2)</enum><text>identify, coordinate, and facilitate the implementation of policy changes likely to have a significant effect on mental and substance use disorder services;</text>
</paragraph><paragraph id="id096a597c-2200-40f3-b7bb-f3489be2f67c"><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, including culturally and linguistically appropriate services, as appropriate, and service delivery models;</text>
</paragraph><paragraph id="id862edda3-aef7-4244-86db-c332c2b0ced7"><enum>(4)</enum><text>provide leadership in identifying and coordinating policies and programs, including evidence-based programs, related to mental and substance use disorders;</text>
</paragraph><paragraph id="id809ad7b4-0430-4030-8eeb-925b31545396"><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="idc60fb7a0-db7e-4602-a834-608dc0c0842d"><enum>(A)</enum><text>identifying any such programs or activities that are duplicative;</text> </subparagraph><subparagraph id="id2f4a9ac7-e3c1-4fcf-a21e-c07ecd9d0e42"><enum>(B)</enum><text>identifying any such programs or activities that are not evidence-based, effective, or efficient;</text>
</subparagraph><subparagraph id="idd514e78b-156d-4b1d-b9bc-43433b4e5f86"><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="id7c4a933d-ba07-48dc-a1f8-a220603e0ddd"><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="id98393067-75bb-481d-98e2-54505df624f7"><enum>(6)</enum><text>carry out other activities as deemed necessary to continue to encourage innovation and disseminate evidence-based programs and practices, including programs and practices with scientific merit.</text>
</paragraph></subsection><subsection id="idae815b50-b141-47c0-b105-903277b13dec"><enum>(c)</enum><header>Promoting innovation</header>
<paragraph id="id5aa11e8d-3d5a-41bc-b042-91c212ab13eb"><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 (25. U.S.C. 450b)), educational institutions, and nonprofit organizations to develop evidence-based interventions, including culturally and linguistically appropriate services, as appropriate, for—</text>
<subparagraph id="id2895ff74-1e44-48ad-a3c6-a4917273bbd6"><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="ide8da0cac-5044-46c4-accf-0c118685076c"><enum>(i)</enum><text>enhancing the prevention, diagnosis, intervention, treatment, and recovery of mental illness, serious emotional disturbances, substance use disorders, and co-occurring disorders; or</text>
</clause><clause id="ida9ffd85c-e779-4d3c-a282-9a3e345a6fb8"><enum>(ii)</enum><text>integrating or coordinating physical health services and mental and substance use disorder services; and</text>
</clause></subparagraph><subparagraph id="id5cb2f993-ed3b-455d-a1fd-cf88efb2460d"><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="idf20391f0-9124-49a3-9888-7167df4c2d32"><enum>(i)</enum><text>applying delivery of care, including training staff in effective evidence-based treatment; or</text> </clause><clause id="id49c33d4b-1af3-4a17-aa03-8fa19889a121"><enum>(ii)</enum><text>integrating models of care across specialties and jurisdictions.</text>
</clause></subparagraph></paragraph><paragraph id="ida05e551c-636c-4fe0-884b-3640ef93c21b"><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="id97f44e97-a03b-4f43-ab22-4789a5ba0dac"><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="id6c6212c7-bb67-4603-a7e4-4c44b32c306a"><enum>202.</enum><header>Promoting access to information on evidence-based programs and practices</header>
<subsection id="id5226a241-5a3e-407d-9e60-a8ffd6eb73e9"><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="id5289a362-f08e-43f7-a944-e4cf2096f17c"><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(l)</external-xref>).</text>
</subsection><subsection id="idd721a66d-8fd0-4e72-8f58-427b8bcf20bb"><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="id0eec215e-34f3-45ae-a86b-0aaf0f7a3123"><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 evidence-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. The Administrator shall make the metrics used to evaluate applications and the resulting ratings publicly available.</text>
</subsection></section><section id="id22432d21-a7b6-4039-9833-c3b071dab545"><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="id8aab5e05-3733-4e99-a9b6-61c78fbcab3a"><enum>(1)</enum><text>in subsection (a)—</text>
<subparagraph id="id46ce1782-79bc-4f6e-a282-adaa9b947913"><enum>(A)</enum><text>in paragraph (4), by inserting before the period <quote>, which may include technical assistance centers</quote>; and</text> </subparagraph><subparagraph id="id943b7aba-d283-43fb-b132-ce6bd2c0f23e"><enum>(B)</enum><text>in the flush sentence following paragraph (4)—</text>
<clause id="id57e4d325-ca69-48e9-9d8d-148ff2857cc7"><enum>(i)</enum><text>by inserting <quote>, contracts,</quote> before <quote>or cooperative agreements</quote>; and</text> </clause><clause id="idd90928e9-e924-4ce6-8f3f-75519a416d94"><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="id94854c83-8d1a-4944-be72-f409e5959021"><enum>(2)</enum><text>in subsection (f)—</text> <subparagraph id="id6ce6f006-cd41-4b56-991f-31ea0298167e"><enum>(A)</enum><text>in paragraph (1) by striking the paragraph heading;</text>
</subparagraph><subparagraph id="id6d24c21a-49a3-4025-8af5-65a5f5a19393"><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="id96ad6184-ea4e-4dc8-a1dc-28dd5fd610ea"><enum>(C)</enum><text>by striking paragraph (2).</text>
</subparagraph></paragraph></section><section id="idfb75d19681b34a54b061229c39c960e4"><enum>204.</enum><header>Substance use disorder treatment needs of regional and national significance</header><text display-inline="no-display-inline">Section 509 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb-2">42 U.S.C. 290bb–2</external-xref>) is amended—</text> <paragraph id="id775ac2e6b69f457c87ec8f49ebac6487"><enum>(1)</enum><text>in subsection (a)—</text>
<subparagraph id="id501352618d7946cd9161a71f3c5ceb9a"><enum>(A)</enum><text>in the matter preceding paragraph (1), by striking <quote>abuse</quote> and inserting <quote>use disorder</quote>;</text> </subparagraph><subparagraph id="id3452e3ba009d4a30be7afd8e8f4aca5e"><enum>(B)</enum><text>in paragraph (3), by inserting before the period <quote>that permit States, local governments, communities, and Indian tribes and tribal organizations (as such terms are defined in section 4 of the Indian Self-Determination and Education Assistance Act) to focus on emerging trends in substance use and co-occurrence of substance use disorders with mental illness or other disorders</quote>; and</text>
</subparagraph><subparagraph id="ide4eea3460a8040feab9ecfe26deb1084"><enum>(C)</enum><text>in the flush sentence following paragraph (3)—</text> <clause id="idd59e95e6b967400292a7f29ffa8a3a15"><enum>(i)</enum><text>by inserting <quote>, contracts,</quote> before <quote>or cooperative agreements</quote>; and</text>
</clause><clause id="id594335c5d8634a98b752b1f1016bd726"><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>;</text>
</clause></subparagraph></paragraph><paragraph id="idc6c1516db4754929b15ff43e48ca3333"><enum>(2)</enum><text>in subsection (b)—</text> <subparagraph id="id2f970dea91b84a9d9e224db1bfaddcee"><enum>(A)</enum><text>in paragraph (1), by striking <quote>abuse</quote> and inserting <quote>use disorder</quote>; and</text>
</subparagraph><subparagraph id="id80a2b8610f874dd3a107049a43f9e233"><enum>(B)</enum><text>in paragraph (2), by striking <quote>abuse</quote> and inserting <quote>use disorder</quote>; and</text> </subparagraph></paragraph><paragraph id="id69f8e7b72e194dc983f1a105278287d8"><enum>(3)</enum><text>in subsection (e), by striking <quote>abuse</quote> and inserting <quote>use disorder</quote>.</text>
</paragraph></section><section id="idd79e4c2526b84936ae558570df5b9711"><enum>205.</enum><header>Priority substance use disorder prevention needs of regional and national
significance</header><text display-inline="no-display-inline">Section 516 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb-22">42 U.S.C. 290bb–22</external-xref>) is amended—</text> <paragraph id="id0dae00e77de748599f01931ed2a1d30b"><enum>(1)</enum><text>in the section heading, by striking <quote><header-in-text level="section" style="OLC">abuse</header-in-text></quote> and inserting <quote><header-in-text level="section" style="OLC">use disorder</header-in-text></quote>;</text>
</paragraph><paragraph id="idad739ef16a0a4a8d86c2a5bc0e047c44"><enum>(2)</enum><text>in subsection (a)—</text> <subparagraph id="id37e7513192c942758c3d533c8fc4af53"><enum>(A)</enum><text>in the matter preceding paragraph (1), by striking <quote>abuse</quote> and inserting <quote>use disorder</quote>;</text>
</subparagraph><subparagraph id="idadb34de6e879426caeb957d7834f3b50"><enum>(B)</enum><text>in paragraph (3), by inserting before the period <quote>, including a focus on emerging drug abuse issues</quote>; and</text> </subparagraph><subparagraph id="ida859038811b946e2a047da88a60ec336"><enum>(C)</enum><text>in the matter following paragraph (3)—</text>
<clause id="idd7e90178111947a29f3814714ae1b4b9"><enum>(i)</enum><text>by inserting <quote>, contracts,</quote> before <quote>or cooperative agreements</quote>; and</text> </clause><clause id="idfe384c8537bc465d811735e1f9f62cb0"><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,</quote>;</text>
</clause></subparagraph></paragraph><paragraph id="idb0502ee7f9424f549590dbf061107b9d"><enum>(3)</enum><text>in subsection (b)—</text> <subparagraph id="id9d058953af3144149e51e4b4c053e283"><enum>(A)</enum><text>in paragraph (1), by striking <quote>abuse</quote> and inserting <quote>use disorder</quote>; and</text>
</subparagraph><subparagraph id="ide15af31d5fd14a1e8cff4b5a17e55800"><enum>(B)</enum><text>in paragraph (2)—</text> <clause id="idb3c239df4e364f768993c03f7d20efa5"><enum>(i)</enum><text>in subparagraph (A), by striking <quote>and</quote> at the end;</text>
</clause><clause id="id6caecab322a44652bd00a291def71a7e"><enum>(ii)</enum><text>in subparagraph (B)—</text> <subclause id="iddabdcf908d21443c92f104a427dd5a69"><enum>(I)</enum><text>by striking <quote>abuse</quote> and inserting <quote>use disorder</quote>; and</text>
</subclause><subclause id="id11b58047ca0a4ecd81c182c42bbe5c38"><enum>(II)</enum><text>by striking the period and inserting <quote>; and</quote>; and</text> </subclause></clause><clause id="id48da9c0edb014373ae502fa6ce45dd55"><enum>(iii)</enum><text>by adding at the end the following:</text>
<quoted-block changed="added" display-inline="no-display-inline" id="idcee4aa9b5ba044109abffbbfab5beb8f" reported-display-style="italic" style="OLC">
<subparagraph id="id67fc93d73d664282904ecf12be486957"><enum>(C)</enum><text>substance use disorder prevention among high-risk groups.</text></subparagraph><after-quoted-block>; and</after-quoted-block></quoted-block> </clause></subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="idebd758c328e744f789171755e7c04039"><enum>(4)</enum><text>in subsection (e), by striking <quote>abuse</quote> and inserting <quote>use disorder</quote>.</text>
</paragraph></section><enum>III</enum><header>Supporting State Responses to Mental Health and Substance Use Disorder Needs</header>
<section commented="no" id="ide463aac6-7119-41d1-b69e-a62145c4b20e"><enum>301.</enum><header>Community Mental Health Services Block Grant</header>
<subsection id="id816bc7c0-cd65-4e8d-9659-b59fc9455fdf"><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="idc4943019-3e50-4a5e-b4c7-e56c9c76f95e"><enum>(1)</enum><text>by redesignating paragraphs (1) through (3) as paragraphs (2) through (4), respectively; and</text>
</paragraph><paragraph id="idc5934686-d544-4d0e-9d2d-7a1545ac364d"><enum>(2)</enum><text>by inserting before paragraph (2) (as so redesignated), the following:</text> <quoted-block changed="added" display-inline="no-display-inline" id="idc6bdbb86-5b58-4d3e-9ea3-9d10d2a16bfe" reported-display-style="italic" style="OLC"> <paragraph id="ide735d416-646f-4912-af4f-1754f4208088"><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="id923f8eb3-dc48-4284-b11e-3c1a7abe69cd"><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="id5fab4e1c-7962-4a38-8e3b-1bbc747b4f70"><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="idad67080d-da44-4c72-8664-25224f6f03cb"><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="idd3e870ab-87fa-4737-abb7-b1593bcb1924"><enum>(3)</enum><text>by striking the matter preceding subparagraph (A) (as so redesignated), and inserting the following:</text>
<quoted-block changed="added" display-inline="no-display-inline" id="id3ce1722d-1573-45f2-ae5b-ed342d194fca" reported-display-style="italic" style="OLC">
<subsection id="id35303439-1927-425f-ae40-2ac5e6a1b7e7"><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="id9f71dd74-2344-498c-afb7-d3e4bafda903"><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="iddd789136-ca64-448a-a1a4-a3855362033d"><enum>(4)</enum><text>by striking subparagraph (A) (as so redesignated), and inserting the following:</text>
<quoted-block changed="added" display-inline="no-display-inline" id="idFF48F920E2AB42C3A383380FFE76AEA4" reported-display-style="italic" style="OLC">
<subparagraph id="id85cf5f05-4dec-4ab3-9b32-69446df0f8dc"><enum>(A)</enum><header>Comprehensive community-based health systems</header><text>The plan shall—</text> <clause id="id86e1bd60-5249-408d-8eb4-7762f7669aaf"><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="ide700b801-963c-419d-abf4-5a4c14bbe25b"><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="id2ea31d2b-d1c1-4287-8f8d-15b476aba11f"><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="id64ccd4fd-5aa9-4876-9b43-6f9be57f4323"><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 or providing comprehensive individualized treatment, or integrating mental and physical health services;</text>
</clause><clause id="id369bfc04-4127-478d-ade4-de3a4c79a0de"><enum>(v)</enum><text>include a description of case management services;</text> </clause><clause id="id0df12e84168d490baf812eda96b55aa9"><enum>(vi)</enum><text>include a description of activities that seek to engage individuals with serious mental illness and their caregivers where appropriate in making health care decisions. including activities that enhance communication between individuals, families, caregivers, and treatment providers; and</text>
</clause><clause id="id441151dc11034d92a63a224308ca0cf9"><enum>(vii)</enum><text>as appropriate to and reflective of the uses the State proposes for the block grant monies—</text> <subclause id="id441f16e95981497ca93eead35a385fb6"><enum>(I)</enum><text>a description of the activities intended to reduce hospitalizations and hospital stays using the block grant monies;</text>
</subclause><subclause id="id820de8a492ad4c50af718e049095035d"><enum>(II)</enum><text>a description of the activities intended to reduce incidents of suicide using the block grant monies; and</text>
</subclause><subclause id="ide41b164300e14ed78030738dded5f8a4"><enum>(III)</enum><text>a description of how the State integrates mental health and primary care using the block grant monies, which may include providing, in the case of individuals with co-occurring mental and substance use disorders, both mental and substance use services in primary care settings or arrangements to provide primary and specialty care services in community-based mental and substance use disorder settings.</text></subclause></clause></subparagraph><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph id="id69bcfd2e-227e-43bc-8d70-4ddc779315f4"><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="idd4e8d235-0462-4774-a4fc-d20ad7fa89ec"><enum>(6)</enum><text>in subparagraph (C) (as so redesignated)—</text>
<subparagraph id="idd81b5ffb-5fbf-4548-ba38-67fa59fb92eb"><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="idcf4f280c-c449-4c46-b2f5-fa0067febb61"><enum>(B)</enum><text>by striking <quote>Education Act;</quote> and inserting <quote>Education Act.</quote>; and</text> </subparagraph><subparagraph id="id5d142c3f-2826-4d0d-a2a1-150b2dfbc27a"><enum>(C)</enum><text>by striking clauses (ii) and (iii) (as so redesignated);</text>
</subparagraph></paragraph><paragraph id="id20317d79-9032-4e0d-8a8c-0ea9bd211e5e"><enum>(7)</enum><text>in subparagraph (D) (as so redesignated), by striking <quote>plan describes</quote> and inserting <quote>plan shall describe</quote>; and</text> </paragraph><paragraph id="id4df308c4-a983-4a83-88f7-395989ef7519"><enum>(8)</enum><text>in subparagraph (E) (as so redesignated)—</text>
<subparagraph id="idd3b92552-25be-4bc6-8e6f-5309a6cf5611"><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="id17a9f437-2a2b-4a9f-b764-e52982322e6a"><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="idd856a012-1cbd-4a8c-a998-ed7c9acbe77d"><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="id3f91c421-c863-4057-993c-292e9c1d1731"><enum>(9)</enum><text>by striking the flush matter at the end; and</text> </paragraph><paragraph id="idd6bf9ddb-bb66-4359-bc6f-47244fddf8cb"><enum>(10)</enum><text>by adding at the end the following:</text>
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<paragraph id="ide4da9e0c-c9b8-4273-bf88-05d0cb9e8b89"><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="idee745a5f-34e7-4714-b271-364ee53b2d17"><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>
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<subsection id="idfb8d4a78-0473-4ea2-8404-e61a1c31fad3"><enum>(c)</enum><header>Best practices in clinical care models</header>
<paragraph id="id5f962f96-4477-425f-bc18-1addc9eb1cc2"><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="id862e4e8f-37e0-4795-808f-18d91e1fd2c1"><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="ida1540d00-8e87-4419-9b38-460ff12a2475"><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="id960f6141-7b18-48c8-acd4-320c05276707"><enum>(1)</enum><text>in paragraph (3)—</text>
<subparagraph id="id14ac4041-5d46-4feb-b868-c292e7226219"><enum>(A)</enum><text>by striking <quote>The Secretary</quote> and inserting the following:</text> <quoted-block changed="added" display-inline="no-display-inline" id="id48e9333b-8043-41cb-a6f2-5bd09a52b62b" reported-display-style="italic" style="OLC"> <subparagraph id="idb3637004-6f3b-44da-8829-75414d61ff9e"><enum>(A)</enum><header>In general</header><text>The Secretary</text></subparagraph><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph><subparagraph id="id02ea1a25-3eda-4e2f-abb3-d276dec61bdf"><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 changed="added" display-inline="no-display-inline" id="id2bb07676-16da-459a-a8b3-fbc8faeb9a0d" reported-display-style="italic" style="OLC"> <clause id="id310fc87a-7b18-4fae-9b1e-03c21e225a78"><enum>(i)</enum><text>the Secretary</text></clause><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph><subparagraph id="id79862b87-9dfd-486f-b018-172e31507ac3"><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="id57e4353c-b44e-4bba-a727-44667073b2ba"><enum>(D)</enum><text>by adding at the end the following:</text>
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<clause id="id3d83bf51-0877-4a85-84fe-2bb536141832"><enum>(ii)</enum><text>the State, or any part of the State, has experienced an emergency 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="idc11d0753-1cd6-4c77-b72b-583bb3a18951"><enum>(B)</enum><header>Date certain for action upon request</header><text>The Secretary shall approve or deny a request for a waiver under this paragraph not later than 120 days after the date on which the request is made.</text>
</subparagraph><subparagraph id="id73459b39-2265-47c1-9429-6071ad3ccb6a"><enum>(C)</enum><header>Applicability of waiver</header><text>A waiver provided by the Secretary under this paragraph shall be applicable only to the fiscal year involved.</text></subparagraph><after-quoted-block>; and</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="id7e30bdca-56e7-4208-b329-e808f04e4185"><enum>(2)</enum><text>in paragraph (4)—</text> <subparagraph id="id4e4f4d4c-c927-44a0-a199-b5d965092333"><enum>(A)</enum><text>in subparagraph (A), by inserting after the subparagraph designation the following: <quote><header-in-text level="subparagraph" style="OLC">In general.—</header-in-text></quote>; and</text>
</subparagraph><subparagraph id="id9e8ba493-5172-427c-b91b-4456ea2713bc"><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="id6ad83245-960b-4a79-afe1-3c7d70058e62"><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="idbdf2855d-0156-4cab-800d-5a23a34f2d23"><enum>(1)</enum><text>in paragraph (1), by striking <quote>1941</quote> and inserting <quote>1942(a)</quote>; and</text> </paragraph><paragraph id="id750c6e4d-2a7d-4e37-a1b5-98afcd12251b"><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="idaab8a0a6-d788-4bfd-9626-03a5e28df288"><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="id8B15F65A90F4425784C893892F03D29F"><enum>302.</enum><header>Block Grant for Prevention and Treatment of Substance Use Disorders</header> <subsection id="id8C1C5780F7C54BA1BB327BF334D97063"><enum>(a)</enum><header>Subpart heading</header><text>Subpart II of part B of title XIX of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300x-21">42 U.S.C. 300x-21 et seq.</external-xref>) is amended in the subpart heading by striking <quote><header-in-text level="subpart" style="OLC">Abuse</header-in-text></quote> and inserting <quote><header-in-text level="subpart" style="OLC">Use Disorders</header-in-text></quote>.</text>
</subsection><subsection id="idCB157DFFB65A46859CD05DE7F9385CD6"><enum>(b)</enum><header>Formula grants</header><text>Section 1921 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300x-21">42 U.S.C. 300x-21</external-xref>) is amended—</text> <paragraph id="id1408001654764517BF02B14B0EC69DB8"><enum>(1)</enum><text>in subsection (a)—</text>
<subparagraph id="id8F1D2BEA6866406DA6275A9AE371D64A"><enum>(A)</enum><text>in the first sentence, by striking <quote>1933</quote> and inserting <quote>1932</quote>; and</text> </subparagraph><subparagraph id="id0A2C278801C744DEB3800B4E22D94346"><enum>(B)</enum><text>in the second sentence, by striking <quote>1932</quote> and inserting <quote>1931</quote>; and</text>
</subparagraph></paragraph><paragraph id="id478569A26B854C7680C3987D0B32ABBF"><enum>(2)</enum><text>in subsection (b)—</text> <subparagraph id="id7CE963CBD5224106A29DB26AFF851D30"><enum>(A)</enum><text>by striking <quote>1931</quote> and inserting <quote>1930</quote>;</text>
</subparagraph><subparagraph id="id089DAB4727AB41C5B3ECA0F2CA4EDCFB"><enum>(B)</enum><text>by inserting <quote>carrying out the plan developed in accordance with section 1931(b) and for</quote> after <quote>for the purpose of</quote>; and</text> </subparagraph><subparagraph id="id3B9686D88A5D4DD796D70E3B737D10C2"><enum>(C)</enum><text>by striking <quote>abuse</quote> and inserting <quote>use disorders</quote>.</text>
</subparagraph></paragraph></subsection><subsection id="id6300BE4E0A6D491F9E564AE1C00B0BC7"><enum>(c)</enum><header>Outreach to persons who inject drugs</header><text>Section 1923(b) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300x-23">42 U.S.C. 300x-23(b)</external-xref>) is amended—</text> <paragraph id="idB1E6D6E00A1D443AA4FBC6202688F65E"><enum>(1)</enum><text>in the subsection heading, by striking <quote><header-in-text level="subsection" style="OLC">regarding intravenous substance abuse</header-in-text></quote> and inserting <quote><header-in-text level="subsection" style="OLC">to persons who inject drugs</header-in-text></quote>;</text>
</paragraph><paragraph id="idA57EC76BF2054BA69465A15BFC3FB861"><enum>(2)</enum><text>by striking <quote>for intravenous drug abuse</quote> and inserting <quote>for persons who inject drugs</quote>; and</text>
</paragraph><paragraph id="idEE0F052FEAA0469A93CBC8D7E1FB5A87"><enum>(3)</enum><text>by inserting <quote>who inject drugs</quote> after <quote>such treatment</quote>.</text> </paragraph></subsection><subsection id="idCF766AAF436747369827864AC0EFFD4A"><enum>(d)</enum><header>Requirements regarding tuberculosis and Human Immunodeficiency Virus</header><text>Section 1924 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300x-24">42 U.S.C. 300x-24</external-xref>) is amended—</text>
<paragraph id="id4920550AADE140BB873D4D244F448291"><enum>(1)</enum><text>in subsection (a)(1), in the matter preceding subparagraph (A), by striking <quote>substance abuse</quote> and inserting <quote>substance use disorder</quote>; and</text> </paragraph><paragraph id="idAC5F1705B2744C3A89860C9791C2A359"><enum>(2)</enum><text>in subsection (b)—</text>
<subparagraph id="id9D36D5213060458598C72A644C66C9FB"><enum>(A)</enum><text>in paragraph (1)(A), by striking <quote>substance abuse</quote> and inserting <quote>substance use disorders</quote>;</text> </subparagraph><subparagraph id="idEA9D897EC0564789928498362A5F7CCF"><enum>(B)</enum><text>in paragraph (2), by inserting <quote>and Prevention</quote> after <quote>Disease Control</quote>;</text>
</subparagraph><subparagraph id="id2F35C06BB06E4733836A4EF115FF19C9"><enum>(C)</enum><text>in paragraph (3)—</text> <clause id="id86A564991C0849409CDD99921206B6F3"><enum>(i)</enum><text>in the paragraph heading, by striking <quote><header-in-text level="subsection" style="OLC">abuse</header-in-text></quote> and inserting <quote><header-in-text level="subsection" style="OLC">use disorders</header-in-text></quote>; and</text>
</clause><clause id="idD05C4700128649538AF97771C8BC1FCD"><enum>(ii)</enum><text>by striking <quote>substance abuse</quote> and inserting <quote>substance use disorders</quote>; and</text> </clause></subparagraph><subparagraph id="idC6165E2D96DF470E8ADF4F186F1D9169"><enum>(D)</enum><text>in paragraph (6)(B), by striking <quote>substance abuse</quote> and inserting <quote>substance use disorders</quote>;</text>
</subparagraph></paragraph><paragraph id="id9775E5953C8846DCA278BB99CA2F14BA"><enum>(3)</enum><text>by striking subsection (d); and</text> </paragraph><paragraph id="idF55D3B67DF644C4FA2A7142666B8F271"><enum>(4)</enum><text>by redesignating subsection (e) as subsection (d).</text>
</paragraph></subsection><subsection id="id14601EEA587E47A1BAE474EABF4825E9"><enum>(e)</enum><header>Group homes</header><text>Section 1925 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300x-25">42 U.S.C. 300x-25</external-xref>) is amended—</text> <paragraph id="id53C46451DEA24BD892B91167494DCA14"><enum>(1)</enum><text>in the section heading, by striking <quote><header-in-text level="section" style="OLC">recovering substance abusers</header-in-text></quote> and inserting <quote><header-in-text level="section" style="OLC">persons in recovery from substance use disorders</header-in-text></quote>; and</text>
</paragraph><paragraph id="id5B594DF4AA384CFA9BE98BA662038C56"><enum>(2)</enum><text>in subsection (a), by striking <quote>recovering substance abusers</quote> and inserting <quote>persons in recovery from substance use disorders</quote>.</text> </paragraph></subsection><subsection id="id53D9B60BEA144924BF6C04F540D3890D"><enum>(f)</enum><header>Additional agreements</header><text>Section 1928 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300x-28">42 U.S.C. 300x-28</external-xref>) is amended—</text>
<paragraph id="idCD6EA587E7864F34942F2765F502E37B"><enum>(1)</enum><text>in subsection (a), by striking <quote>(relative to fiscal year 1992)</quote>;</text> </paragraph><paragraph id="idA4518B112A2A455E83F1240B827547A2"><enum>(2)</enum><text>by striking subsection (b) and inserting the following:</text>
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<subsection id="idB1BAD5D12DD4402BA0EE260A7B643E38"><enum>(b)</enum><header>Professional development</header><text>A funding agreement for a grant under section 1921 is that the State involved will ensure that prevention, treatment, and recovery personnel operating in the State’s substance use disorder prevention, treatment, and recovery systems have an opportunity to receive training, on an ongoing basis, concerning—</text>
<paragraph id="id8920d646258941869ca104354555bc93"><enum>(1)</enum><text>recent trends in drug abuse in the State;</text> </paragraph><paragraph id="id5b0a424f861844979fe707a98e0eb6bf"><enum>(2)</enum><text>improved methods and evidence-based practices for providing substance use disorder prevention and treatment services;</text>
</paragraph><paragraph id="id9ddf691e2ee44cc9a623a8cca1dff919"><enum>(3)</enum><text>performance-based accountability;</text> </paragraph><paragraph id="id759fa52ce6fc482aa684d654b37749f6"><enum>(4)</enum><text>data collection and reporting requirements;</text>
</paragraph><paragraph id="id276638a1b9ac4a75b7561c99dcbc6cf5"><enum>(5)</enum><text>any other matters that would serve to further improve the delivery of substance use disorder prevention and treatment services within the State; and</text>
</paragraph><paragraph id="id6931a9c456b44d1485e6e65f490d4658"><enum>(6)</enum><text>innovative practices developed under section 581.</text></paragraph></subsection><after-quoted-block>; and</after-quoted-block></quoted-block> </paragraph><paragraph id="idA1BE3BA067C7435DA455F86566B66B77"><enum>(3)</enum><text>in subsection (d)(1), by striking <quote>substance abuse</quote> and inserting <quote>substance use disorders</quote>.</text>
</paragraph></subsection><subsection id="id6338882A8EE94B64ADCD71447327AE99"><enum>(g)</enum><header>Repeal</header><text>Section 1929 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300x-29">42 U.S.C. 300x-29</external-xref>) is repealed.</text> </subsection><subsection id="id5C2B655238E7436DAF82B9BB227ECAA7"><enum>(h)</enum><header>Redesignations and waiver</header> <paragraph id="id2DE83809B64F4C1891A72794E7ECEB74"><enum>(1)</enum><header>Redesignations</header><text>Subpart II of part B of title XIX of the Public Health Service (<external-xref legal-doc="usc" parsable-cite="usc/42/300x-21">42 U.S.C. 300x-21 et seq.</external-xref>) is amended by redesignating sections 1930 through 1935 as sections 1929 through 1934, respectively.</text>
</paragraph><paragraph id="id251C5C5F9999434492736A9A07EE95F2"><enum>(2)</enum><header>Waiver</header><text>Section 1929(c)(1) of the Public Health Service Act (as so redesignated; (<external-xref legal-doc="usc" parsable-cite="usc/42/300x-30">42 U.S.C. 300x-30(c)(1)</external-xref>)) is amended by striking <quote>in the State justify the waiver</quote> and inserting <quote>exist in the State, or any part of the State, to justify the waiver, or if the State, or any part of the State, has experienced an emergency or a natural disaster that has received a Presidential Disaster Declaration under section 102 of the Robert T. Stafford Disaster Relief and Emergency Assistance Act</quote>.</text>
</paragraph></subsection><subsection id="id94A4B3351E354B50A71E98B5E2C35549"><enum>(i)</enum><header>Restrictions on expenditures</header><text>Section 1930(b)(1) of the Public Health Service Act (as so redesignated; (<external-xref legal-doc="usc" parsable-cite="usc/42/300x-31">42 U.S.C. 300x-31(b)(1)</external-xref>)), is amended by striking <quote>substance abuse</quote> and inserting <quote>substance use disorders</quote>.</text>
</subsection><subsection id="id41C2DDE2BF1844C38BDCB4D3D65EB7A2"><enum>(j)</enum><header>Application</header><text>Section 1931 of the Public Health Service Act (as so redesignated; (<external-xref legal-doc="usc" parsable-cite="usc/42/300x-32">42 U.S.C. 300x-32</external-xref>)) is amended—</text> <paragraph id="id3A3C2353734E4605A5BA7270C58D0D4A"><enum>(1)</enum><text>in subsection (a)—</text>
<subparagraph id="id7CFA24332D4447B29983E066186F0635"><enum>(A)</enum><text>in the matter preceding paragraph (1), strike <quote>subsections (c) and (d)(2)</quote> and insert <quote>subsection (c)</quote>; and</text> </subparagraph><subparagraph id="idF148097B5891440FA5D104E8D74F2E82"><enum>(B)</enum><text>in paragraph (5), by striking <quote>the information required in section 1930(c)(2), and the report required in section 1942(a)</quote> and insert <quote>and the report required in section 1942</quote>;</text>
</subparagraph></paragraph><paragraph id="id7542F9BAFF3D43B78894AB4CF855DAC9"><enum>(2)</enum><text>in subsection (b)—</text> <subparagraph id="idAD6D3519A3D54B42BFB7777795A6B3D7"><enum>(A)</enum><text>by striking paragraph (1) and inserting the following:</text>
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<paragraph id="idef4eeb1bf0e3499b92c3af42492a998a"><enum>(1)</enum><header>In general</header><text>In order for a State to be in compliance with subsection (a)(6), the State shall submit to the Secretary a plan that, at a minimum, shall include the following:</text>
<subparagraph id="id35a4bf9b422d48bab7b2f18587bce653"><enum>(A)</enum><text>A description of the State’s system of care that—</text> <clause id="id6a3848151a9440eda0ceab1c283cbb91"><enum>(i)</enum><text>identifies the single State agency responsible for the administration of the program, including any third party who administers substance use disorder services and is responsible for complying with the requirements of the grant;</text>
</clause><clause id="id939692a016b94e26bee98d14e5076d8a"><enum>(ii)</enum><text>provides information on the need for substance use disorder prevention and treatment services in the State, including estimates on the number of individuals who need treatment, who are pregnant women, women with dependent children, individuals with a co-occurring mental health and substance use disorders, persons who inject drugs, and persons who are experiencing homelessness;</text>
</clause><clause id="id3c60ae86674244a786ce182e875799cc"><enum>(iii)</enum><text>provides aggregate information on the number of individuals in treatment within the State, including the number of such individuals who are pregnant women, women with dependent children, individuals with a co-occurring mental health and substance use disorder, persons who inject drugs, and persons who are experiencing homelessness;</text>
</clause><clause id="ide2e8ed72475346a4b644cdf0d940b64b"><enum>(iv)</enum><text>provides a description of the system that is available to provide services by modality, including the provision of recovery support services;</text>
</clause><clause id="idca302a9306b14866a65c95b68bd00490"><enum>(v)</enum><text>provides a description of the State’s comprehensive statewide prevention efforts, including the number of individuals being served in the system, target populations, and priority needs, and provides a description of the amount of funds from the prevention set-aside expended on primary prevention;</text>
</clause><clause id="ide97fda2bf28247bf825f4c4cee928e22"><enum>(vi)</enum><text>provides a description of the financial resources available;</text> </clause><clause id="id5a9afbdc8a1e4c6fba04b955567f3718"><enum>(vii)</enum><text>provides a description of the manner in which the State and local entities coordinate prevention, treatment, and recovery services with other agencies, including health, mental health, juvenile justice, law enforcement, education, social services, and child welfare agencies;</text>
</clause><clause id="id3eaad27b91774a899488810736abf3a0"><enum>(viii)</enum><text>describes the existing substance use disorders workforce and workforce trained in treating co-occurring substance use and mental health disorders;</text>
</clause><clause id="id45e3ff5c1bee4ff283436c43fb679ac5"><enum>(ix)</enum><text>includes a description of how the State promotes evidenced-based practices; and</text> </clause><clause id="id619db303b0034424b8b920dee8eb85e6"><enum>(x)</enum><text>describes how the State integrates substance use disorder services and primary health care, which in the case of those individuals with co-occurring mental health and substance use disorders may include providing both mental health and substance use disorder services in primary care settings or providing primary and specialty care services in community-based mental health and substance use disorder service settings.</text>
</clause></subparagraph><subparagraph id="idc0d9a8502b994cb3be33f7e8873eb1a3"><enum>(B)</enum><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>
</subparagraph><subparagraph id="id9b11eca7d8174cc88f8e58f8646598b9"><enum>(C)</enum><text>A description of how the State will comply with each funding agreement for a grant under section 1921 that is applicable to the State, including a description of the manner in which the State intends to expend grant funds.</text></subparagraph></paragraph><after-quoted-block>; and</after-quoted-block></quoted-block>
</subparagraph><subparagraph id="id58B441B3DC804907941763AF42E036D9"><enum>(B)</enum><text>by striking paragraph (2) and inserting the following:</text> <quoted-block changed="added" display-inline="no-display-inline" id="id299A9576B6834F0092C4B34B4A508198" reported-display-style="italic" style="OLC"> <paragraph id="idb3da6137645840499fd70136cbf0ad49"><enum>(2)</enum><header>State request for modification</header><text>If the State determines that modifications to the plan are necessary, the State may request the Secretary to approve such modifications through its annual report required under section 1942.</text></paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="id33297FA92EDB43198CC3D3614DD3B08D"><enum>(3)</enum><text>in subsection (c), by striking <quote>1931</quote> and inserting <quote>1930</quote>; and</text> </paragraph><paragraph id="id24D5FF0804834B55B284895A949FB842"><enum>(4)</enum><text>in subsection (d)—</text>
<subparagraph id="id0CE12045D7E44E56A443AC97266A347D"><enum>(A)</enum><text>in the subsection heading, by striking <quote><header-in-text level="subsection" style="OLC">Regulations; Precondition to Making Grants</header-in-text></quote> and all that follows through <quote>Prevention,</quote> in paragraph (1), and inserting the following <quote><header-in-text level="subsection" style="OLC">Regulations.—</header-in-text>The Secretary</quote>; and</text> </subparagraph><subparagraph id="idE109C32C578F445B83A62EF564C64626"><enum>(B)</enum><text>by striking paragraph (2).</text>
</subparagraph></paragraph></subsection><subsection id="idD4FFA48B9ABC455397A1EA94EBD70D2C"><enum>(k)</enum><header>Definitions</header><text>Section 1933 of the Public Health Service Act (as so redesignated; (<external-xref legal-doc="usc" parsable-cite="usc/42/300x-34">42 U.S.C. 300x-34</external-xref>)) is amended—</text> <paragraph id="idC6917937C915426B9E3B735419E1DEDF"><enum>(1)</enum><text>in paragraph (3), by striking <quote>substance abuse</quote> and inserting <quote>substance use disorders</quote>; and</text>
</paragraph><paragraph id="id6B519FB8A58F408E855F94757F5FBE0C"><enum>(2)</enum><text>in paragraph (7), by striking <quote>substance abuse</quote> and inserting <quote>substance use disorder</quote>.</text> </paragraph></subsection></section><section id="idf4253764-6038-475c-bdb0-5bace60de3d3"><enum>303.</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="id6F0D69DD0DE4427BAF015547A6C5FC81"><enum>(1)</enum><text>in section 1941 (<external-xref legal-doc="usc" parsable-cite="usc/42/300x-51">42 U.S.C. 300x-51</external-xref>), by striking <quote>1932</quote> and inserting <quote>1931</quote>;</text> </paragraph><paragraph id="id05DA0458CE4449D7A9302A6F05167362"><enum>(2)</enum><text>in section 1944(b)(4) (<external-xref legal-doc="usc" parsable-cite="usc/42/300x-54">42 U.S.C. 300x-54(b)(4)</external-xref>), by striking <quote>1930</quote> and inserting <quote>1929</quote>;</text>
</paragraph><paragraph id="id2dc5e2ea-cef3-423e-9063-be245b0900e9"><enum>(3)</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 commented="no" display-inline="no-display-inline" id="id52951adb-997b-4897-9a20-8b4630154c7f"><enum>(4)</enum><text>by adding at the end the following:</text>
<quoted-block changed="added" display-inline="no-display-inline" id="id6993ff71-7310-4e6c-b70e-ef85c1265e8a" reported-display-style="italic" style="OLC">
<section id="idd7d51135-78fd-407d-9fc0-88d3a8a842f3"><enum>1957.</enum><header>Public health emergencies</header><text display-inline="no-display-inline">In the case of a public health emergency (as determined under 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 grants authorized under sections 521, 1911, and 1921, and allotments authorized under <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="id3b50b5ab-f8c3-4dbc-bcec-0213091d25e9"><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="id38fafb5f-a7f8-427e-9593-a7be1c96c4bc"><enum>304.</enum><header>Study of distribution of funds under the substance use disorder prevention and treatment block
grant and
the community mental health services block grant</header>
<subsection id="id16b78ad5-949a-4c6e-85c2-b0534185716f"><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 through a grant or contract, or through an agreement with a third party, conduct a study on the formulas for distribution of funds under the substance use disorder 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/42/300x">42 U.S.C. 300x et seq.</external-xref>) and recommend changes if necessary. Such study shall include—</text>
<paragraph id="id598dcd6d-07e8-4ef0-8f8a-58025f88ab4d"><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="id3189b71a-32f6-41a7-9728-51b0eef3d384"><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="idef3b0287-d444-46e9-aae5-07dab7191918"><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="id5b89dd47-93b9-4772-b0e8-0195fee54033"><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="id77f14c4d-c030-4fa7-ab9b-e05f5165074e"><enum>(5)</enum><text>the effect 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="id7dd83b8f-fb51-4120-a8dc-80a3c83195d7"><enum>(6)</enum><text>recommendations for modifications to the minimum allotment provisions to ensure an appropriate distribution of funds; and</text>
</paragraph><paragraph id="idf705600e-9742-47e8-9d83-d5e3213849d4"><enum>(7)</enum><text>any other information that the Secretary determines appropriate.</text> </paragraph></subsection><subsection id="idc6be33fc-d803-4ea9-b77c-172c45e5f8c9"><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><section id="id7FF1C75B1C1549369AF61189BBFBECC7"><enum>305.</enum><header>Helping States and local communities address emerging drug issues</header><text display-inline="no-display-inline">Section 506B of the Public Health Service Act (42 U.S.C. 290aa-5b) is amended to read as follows:</text> <quoted-block changed="added" display-inline="no-display-inline" id="id0A714162CC114D93869217245EC2253F" reported-display-style="italic" style="OLC"> <section id="idb030029d8eb747d1971086e744b312c6"><enum>506B.</enum><header>Services to assist States and local communities address emerging drug abuse issues</header> <subsection id="iddaa8c6a9c77a4c54a4e4cfaff8515511"><enum>(a)</enum><header>Grants</header><text>The Secretary, acting through the Administrator of the Substance Abuse and Mental Health Services Administration, shall award grants to eligible entities to assist local communities in addressing emerging drug abuse issues, which may include opioid abuse.</text>
</subsection><subsection id="idc83b2cc8127d4222a26a9462b4ed2b59"><enum>(b)</enum><header>Eligible entities</header>
<paragraph id="id26132A124CC142BFA23CF859DAE5FB51"><enum>(1)</enum><header>In general</header><text>To be eligible to receive a grant under this section, an entity shall—</text> <subparagraph id="idbc9f087fee954090aaf58ba140fd69f8"><enum>(A)</enum><text>be the State substance abuse agency that manages the Substance Abuse Prevention and Treatment Block Grant with respect to the State;</text>
</subparagraph><subparagraph id="id68981c853ab94a96a546e7eb0c8ae61d"><enum>(B)</enum><text>be a public or nonprofit private entity, including an Indian tribe or tribal organization (as such terms are defined in section 4 of the Indian Self-Determination and Education Assistance Act) or a health facility or program operated by or pursuant to a contract or grant with the Indian Health Service; and</text>
</subparagraph><subparagraph id="idc57575e140ea4f6ab9b53dc1b034f940"><enum>(C)</enum><text>submit to the Secretary, an application at such time, in such manner, and containing such information as the Secretary may require, including—</text>
<clause id="id9422eb75cb574fc9a38b1fa5522fe189"><enum>(i)</enum><text>supporting data that demonstrates that an emerging drug abuse issue exists in the area to be served under the grant and the lack of available resources to address such issue;</text>
</clause><clause id="idc7a00e3324e541e79817137eb753f80b"><enum>(ii)</enum><text>a description of the target population to be served;</text> </clause><clause id="idffc553acfa89450cbc043c135cb40c9c"><enum>(iii)</enum><text>a list of goals and objectives with respect to activities under the grant; and</text>
</clause><clause id="idc11140f3b5424ffe808571211dec1305"><enum>(iv)</enum><text>an assurance that evidenced-based treatment practices will be utilized, when available, and that treatment activities will be coordinated with prevention and recovery efforts.</text>
</clause></subparagraph></paragraph><paragraph id="idbaffa8fca74c4613bf262900abbf1306"><enum>(2)</enum><header>Required demonstration for certain entities</header><text>Eligible entities applying for a grant that are not the State substance abuse agency shall demonstrate how the proposed activities under the grant align with the State’s plan for substance use disorder service delivery.</text>
</paragraph></subsection><subsection id="ide40b1df15ea04658867534ec928c1781"><enum>(c)</enum><header>Use of funds</header><text>An entity shall use amounts received under a grant under this section to—</text> <paragraph id="ide857342dfafe456ba62789c75e511a9f"><enum>(1)</enum><text>improve access to, and participation in, drug treatment services, including screening, assessment, and care management services;</text>
</paragraph><paragraph id="id909bc5927059476c84e9e0d2686bc956"><enum>(2)</enum><text>support the involvement of friends and families in drug treatment; and</text> </paragraph><paragraph id="idf4865807f4714dfc8497057989d5b865"><enum>(3)</enum><text>provide recovery support services that help promote sustained recovery, such as assistance with gaining employment, housing, and establishing community connections.</text>
</paragraph></subsection><subsection id="id0e72e689d8f94af7b983006d355554aa"><enum>(d)</enum><header>Coordination with other programs</header><text>An entity that receives a grant under this section shall ensure that services provided under the grant are coordinated with programs conducted by mental health departments, social services departments, health departments, juvenile and adult justice systems, child welfare agencies, and others, as appropriate.</text>
</subsection><subsection id="ida630344fe79f48f2a17b46b091dcbcb7"><enum>(e)</enum><header>Priority</header><text>In awarding grants under this section, the Secretary shall give priority to entities that will use a portion of grant funds to serve rural areas.</text>
</subsection><subsection id="id7fe10cc427214d6684acaf1db2f8a2a5"><enum>(f)</enum><header>Evaluation</header><text>A grant recipient under this section shall conduct an evaluation of the activities carried out under the grant and provide the results of such evaluation to the Secretary, including aggregate outcomes information and other information necessary to demonstrate the success of the recipient in achieving the goals and objectives described in the application submitted under subsection (b)(1)(C).</text>
</subsection><subsection id="id5ddbebd445dc48b1957fe8f7610758f7"><enum>(g)</enum><header>Definition</header><text>In this section, the term <term>emerging drug abuse issue</term> means a substance use disorder issue within an area involving—</text> <paragraph id="id430f77ccadf147a59ca812e552b0a634"><enum>(1)</enum><text>a sudden increase in demand for particular drug treatment services relative to previous demand; and</text>
</paragraph><paragraph id="id3b42aaeb3c784f249407d97bc60de13f"><enum>(2)</enum><text>a lack of resources in the area to address the emerging problem.</text> </paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="id62a58ee9fa584ebaaf2bb976df06a636"><enum>(h)</enum><header>Authorization of appropriations</header><text>There is authorized to be appropriated to carry out this section, $10,000,000 for each of fiscal years 2017 through 2021.</text></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><enum>IV</enum><header>Promoting access to mental health and substance use disorder care</header>
<section id="id853df426-1cb7-405c-a65e-8b8350bc03ef"><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="id33978300-bb05-4ddc-94ed-64271a4916db"><enum>(1)</enum><text>in subsection (a), by striking <quote>substance abuse</quote> and inserting <quote>substance use disorder</quote>;</text>
</paragraph><paragraph id="id6b3479bb-68e4-472d-b1e9-7678c61f85f5"><enum>(2)</enum><text>in subsection (b)—</text> <subparagraph id="id315a8126-560a-464a-9902-a216402e87b0"><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="id7843633c-bdb3-4226-80cc-eff0d36b25bb"><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="idd5cb8f31-3d7f-4edd-a0ef-88ea2c1c40ce"><enum>(3)</enum><text>in subsection (c)—</text>
<subparagraph id="id4659c259-b1c9-4338-a4b5-41f21207b98c"><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="id5a48de67-05de-4a0e-a2be-d92ebf29fc00"><enum>(B)</enum><text>in paragraph (2)—</text>
<clause id="idf7a0cc50-017e-43b4-9195-d5d8542c3284"><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="id5b714e7d-8a40-4e87-af0d-7d5a127b4f6d"><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="idd8e74879-ee90-4e48-a4b8-2489d3a79d8c"><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="id615d653c-dc40-463e-a64d-18650dfb8da8"><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="idf7c36d19-d9d5-404e-91af-7e287de7907f"><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="idca73d5ec-0094-4616-aa5a-0266f1c708e8"><enum>(2)</enum><text>in subsection (a)—</text> <subparagraph id="id22b1413e-8975-4494-94eb-3eeaf9a16830"><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="ide6d6f5d7-7c9a-4d2d-b902-476b838ed25c"><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="id91d83f4f-d1f0-4bda-b924-323158e13548"><enum>(3)</enum><text>in subsection (c)(2)(A)(i), by striking <quote>the best known</quote> and inserting <quote>evidence-based</quote>;</text> </paragraph><paragraph id="id4E0629CD136D42A484FD3507C5F214A5"><enum>(4)</enum><text>in subsection (d)—</text>
<subparagraph id="id54F0CE81E8C649D3A2113DC2ADBB20B2"><enum>(A)</enum><text>in paragraph (3), by striking <quote>; and</quote> and inserting a semicolon;</text> </subparagraph><subparagraph id="idE846BF70B4B84BE3ACC147EEEBE8ED59"><enum>(B)</enum><text>in paragraph (4), by striking the period and inserting <quote>; and</quote>; and</text>
</subparagraph><subparagraph id="idDB959B0B36C542DDB7AAA4BB7048692F"><enum>(C)</enum><text>by adding at the end the following:</text> <quoted-block changed="added" display-inline="no-display-inline" id="id5914DE5F6E9D46529850326997465ED4" reported-display-style="italic" style="OLC"> <paragraph id="id9AFE67B417E54918BEABB5EB8938E4F2"><enum>(5)</enum><text>develop programs to divert individuals prior to booking or arrest.</text></paragraph><after-quoted-block>; and</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph commented="no" id="idda692740-c43d-44d3-a901-80f30f8e8964"><enum>(5)</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="id6e502a29-c170-457a-8590-ee13db492ece"><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 changed="added" display-inline="no-display-inline" id="idbee4bf85-53c3-4b5e-8920-779dc1f0bcf9" reported-display-style="italic" style="OLC"> <section id="id40ebd815-3215-47be-936c-dfc412c23244"><enum>520K.</enum><header>Integration incentive grants</header> <subsection id="id585892ce-56f6-469a-9541-3fb286f36628"><enum>(a)</enum><header>Definitions</header><text>In this section:</text>
<paragraph id="idd062e0e9-2f5c-464b-909b-5fef76be0ab6"><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="id5D812D2FCA184911AFF23B5FD35E32D7"><enum>(2)</enum><header>Integrated care</header><text>The term <term>integrated care</term> means collaborative models or practices offering mental and physical health services, which may include practices that share the same space in the same facility.</text>
</paragraph><paragraph id="ida72c1a98-6eb3-4c4d-be56-f0da32155995"><enum>(3)</enum><header>Special population</header><text>The term <term>special population</term> means—</text> <subparagraph id="id29c5d526-dbb7-49ad-b97b-4105a6239ac4"><enum>(A)</enum><text>adults with mental illnesses who have co-occurring physical health conditions or chronic diseases;</text>
</subparagraph><subparagraph id="id7f774a74-aa71-481c-ad1b-e048941a5b37"><enum>(B)</enum><text>adults with serious mental illnesses who have co-occurring physical health conditions or chronic diseases;</text>
</subparagraph><subparagraph id="id803342d9-3bb9-4aa5-ab08-7430d05b6254"><enum>(C)</enum><text>children and adolescents with serious emotional disturbances with co-occurring physical health conditions or chronic diseases; or</text>
</subparagraph><subparagraph id="ida1582d5e-6d88-4d4f-8296-7ed5fca9432c"><enum>(D)</enum><text>individuals with substance use disorders.</text> </subparagraph></paragraph></subsection><subsection id="ida405b958-116c-41c3-bf38-c85c6720df91"><enum>(b)</enum><header>Grants</header> <paragraph id="id1db8b700-2331-436d-a306-77edcebe280e"><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="id621711dc-02dd-42df-b2c1-6c6dee34f339"><enum>(2)</enum><header>Purposes</header><text>Grants and cooperative agreements awarded under this section shall be designed to—</text> <subparagraph id="id466fd0ad-a130-4929-8e37-296d3388ae37"><enum>(A)</enum><text>promote full integration and collaboration in clinical practices between primary and behavioral health care;</text>
</subparagraph><subparagraph id="id6b5c02c5-4829-4886-aecd-7a62ca759750"><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 disturbances; and</text>
</subparagraph><subparagraph id="ide52e35dc-cb94-456c-a156-184c8b4695f0"><enum>(C)</enum><text>promote integrated care services related to screening, diagnosis, prevention, and treatment of mental and substance use disorders, and co-occurring physical health conditions and chronic diseases.</text>
</subparagraph></paragraph></subsection><subsection id="idf38e7bb4-c30c-46d4-a7c6-3afbcb635490"><enum>(c)</enum><header>Applications</header>
<paragraph id="id6651cfd9-8dfa-482c-a073-4336342d2dff"><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="id4f258a16-449c-4239-97f2-05be87459a3e"><enum>(2)</enum><header>Contents</header><text>The contents described in this paragraph are—</text> <subparagraph id="id631f6bc0-7ec6-438d-a853-22ac2d88946e"><enum>(A)</enum><text>a description of a plan to achieve fully collaborative agreements to provide services to special populations;</text>
</subparagraph><subparagraph id="id4b5f61bb-e1bb-46ab-a8db-e27f3431b727"><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="id4c69c53c-09cd-4906-8b3b-62b37a91f6e2"><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="id434d54e3-cf8c-4ad7-ba3d-879491a568ba"><enum>(D)</enum><text>an agreement and plan to report to the Secretary performance measures necessary to evaluate patient outcomes and facilitate evaluations across participating projects; and</text>
</subparagraph><subparagraph id="id2bcf3618-5d6c-4091-a68b-ef5179f8405e"><enum>(E)</enum><text>a plan for sustainability beyond the grant or cooperative agreement period under subsection (e).</text> </subparagraph></paragraph></subsection><subsection id="id7ceb1484-ff39-4d85-8ac3-e46e29f7e7ff"><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. An eligible entity receiving funding under this section may not allocate more than 10 percent of funds awarded under this section to administrative functions, and the remaining amounts shall be allocated to health facilities that provide integrated care.</text>
</subsection><subsection id="id16a6c2ea-07a4-4327-a54a-137888805864"><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="ide0c4ae9f-4d86-4234-b89f-b335c6095b55"><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="id1025ac7d-9565-44af-91c7-1ce871293f6c"><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="id52083870-8cd7-449f-8383-673f9257c88b"><enum>(2)</enum><text>a description of functional outcomes of special populations, including—</text> <subparagraph id="id091d89a9-6c7b-4a4b-bfcc-6218850d25c9"><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="iddbeb67d0-e6b9-41b5-bd0d-c2e344f6f69d"><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="id250b658f-a43f-4729-94e3-99172c4b526d"><enum>(C)</enum><text>with respect to children and adolescents with serious emotional disorders who have co-occurring physical health 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="idf78c0749-2e50-45cd-9f37-954a1b80f744"><enum>(g)</enum><header>Technical assistance for primary-behavioral health care integration</header>
<paragraph id="id2c3ddbe8-2286-45a6-95cc-6d4ef33377bc"><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="ida4b51802-35b1-4d91-98b1-b9eb0c328629"><enum>(A)</enum><text>development and selection of integrated care models;</text> </subparagraph><subparagraph id="idb4a2ec8c-613b-4471-b968-18e0aa0ac123"><enum>(B)</enum><text>dissemination of evidence-based interventions in integrated care;</text>
</subparagraph><subparagraph id="idaf99c672-74aa-4a5f-a8bb-6b777ececa5c"><enum>(C)</enum><text>establishment of organizational practices to support operational and administrative success; and</text> </subparagraph><subparagraph id="id2475d9a3-dd9e-46cf-8630-2fae910e4a1d"><enum>(D)</enum><text>other activities, as the Secretary determines appropriate.</text>
</subparagraph></paragraph><paragraph id="idaa9403a3-50e0-4247-bee9-081596e04578"><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="iddefa2b29-8ca0-4e58-a081-fc2ed3b23b9a"><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="idfa3fd8c4-a8c2-4d86-9d3f-deacdaab6f3c"><enum>404.</enum><header>Projects for assistance in transition from homelessness</header>
<subsection id="id8421e1cd-5dae-460a-901e-fe4410297f4e"><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="ida59dc5a9-e909-459b-b7a5-138df909a95a"><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="idbe28e9a0-fc8c-4215-b2f7-2d39788a0a41"><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="id21c72ba1-3eb8-4af9-8cce-118cb2925a28"><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="iddf9fe540-806b-4dd4-81d7-b1a5822bb1e6"><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="id415c06a1-40e2-400d-a45b-6faaea6ff2a9"><enum>(4)</enum><text>in subsection (e)—</text>
<subparagraph id="idfc9e49b2-06e4-484b-bc42-8eb618728aeb"><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="id1d6af14b-d079-4146-888f-b1a223eae9b9"><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="idf3c7bb37-b460-44da-8efd-8d691d92cd10"><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="id76848644-9e0d-42e0-a898-5b9975ea81e1"><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="id446cd8d9-572b-4d36-8018-67e08d6d9948"><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="id9eaab03f-05c4-4cc2-8036-beff1775f928"><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>
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<paragraph id="ida30daeb1-fff9-4308-9759-b97b19e5bf4e"><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="id265a64a6-cc75-4a2c-92e5-f90e670fc909"><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="idc7f641aa-7401-400b-8d61-bf36d921c0f6"><enum>(g)</enum><header>Study concerning formula</header>
<paragraph id="idd7265741-9b2d-4b31-aba2-75741341eaea"><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="iddaa3c127-0adb-445a-8d13-4ad91d549a40"><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="idecf6bfb5-4a2b-4eea-8c20-0a4d01858c5c"><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>
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<section id="idddb304c0-9b3f-4bde-817d-9ecdaf3b31c8"><enum>520E–3.</enum><header>National suicide prevention lifeline program</header>
<subsection id="id776337a5-d501-458f-874e-e11d65aa4611"><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="id5287d92d-882e-44d1-9b6b-59e2a05b7f9b"><enum>(b)</enum><header>Activities</header><text>In maintaining the program, the activities of the Secretary shall include—</text>
<paragraph id="id12e4e6ed-beff-4d07-8aac-bb4ca997bfaa"><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="id297d33fe-ad14-455d-961e-dfedfb1cb2f5"><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="ida14a40c5-71d1-41d7-bcec-5db13dfb9b02"><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="id8f908e13-0a13-476f-bdbf-7b7eb8cb85e8"><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="iddb6ed1fb-e013-4951-8b20-0c1425238ef1"><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>
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<section id="idcef64d51-5264-4fb6-8fac-39f61a01e4fa"><enum>520E–4.</enum><header>Treatment referral routing service</header>
<subsection id="idf1b1ed35-20a5-4b5f-b3fb-26f0963433ef"><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="id4aa847d5-749d-4bc8-ab11-f12a9b1cf96d"><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="id29fdff84-e46e-4f90-8640-4f99acf80d81"><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="idd1e4b843-cd99-4029-8778-1f1297424181"><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="id553C0621EAF6482BAAA0C3D327F86A55"><enum>(c)</enum><header>Removing practitioner contact information</header><text>In the event that the Internet website described in subsection (b)(2) contains information on any qualified practitioner that is certified to prescribe medication for opioid dependency under section 303(g)(2)(B) of the Controlled Substances Act (<external-xref legal-doc="usc" parsable-cite="usc/21/823">21 U.S.C. 823(g)(2)(B)</external-xref>), the Administrator—</text>
<paragraph id="id4e35148ba4fd4e83b5d59deee00a7dd5"><enum>(1)</enum><text>shall provide an opportunity to such practitioner to have the contact information of the practitioner removed from the website at the request of the practitioner; and</text>
</paragraph><paragraph id="id78D4D7F8EC914242AFAB2C99187B1407"><enum>(2)</enum><text>may evaluate other methods to periodically update the information displayed on such website.</text> </paragraph></subsection><subsection id="idf16112ad-109c-471f-b41c-57b125ec72d1"><enum>(d)</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="id9981292d-a50c-42b3-93f0-c182f27ef12a"><enum>407.</enum><header>Mental and behavioral health education and training grants</header><text display-inline="no-display-inline">Section 756 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/294e-1">42 U.S.C. 294e-1</external-xref>) is amended—</text> <paragraph id="idCE0C26CD8A054BE4BDEC3505FB10D4CB"><enum>(1)</enum><text>in subsection (a)—</text>
<subparagraph id="idBAFAE4F934CF43D88333A7E5575264BB"><enum>(A)</enum><text>in the matter preceding paragraph (1), by striking <quote>of higher education</quote>; and</text> </subparagraph><subparagraph id="id17881D3BD10E47CFB88E7A5B6D7C9CA9"><enum>(B)</enum><text>by striking paragraphs (1) through (4) and inserting the following:</text>
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<paragraph id="id61F9C9ED01674109AF9EF71F4ED2FB58"><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 programs with a focus on child and adolescent mental health and transitional-age youth;</text>
</paragraph><paragraph id="id0ad333a7b2c6401b93173b4be3f038e1"><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, as well as the development of faculty in health service psychology;</text>
</paragraph><paragraph id="id279d02c146504790a82c228926b9399d"><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; and</text>
</paragraph><paragraph id="idf862f545b7d745129e6b7b6ecd234478"><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><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="id1DB6AAD2F04B43CD9825007EB8E084E2"><enum>(2)</enum><text>in subsection (b)—</text> <subparagraph id="id98F06DAB67CB41F4936FDDFBBCE09887"><enum>(A)</enum><text>by striking paragraph (5);</text>
</subparagraph><subparagraph id="idFDE4024509B746EB85C4B54CCD464BEE"><enum>(B)</enum><text>by redesignating paragraphs (1) through (4) as paragraphs (2) through (5), respectively;</text> </subparagraph><subparagraph id="id27A6900866994FD4A0E7D352C671A77F"><enum>(C)</enum><text>by inserting before paragraph (2), as so redesignated, the following:</text>
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<paragraph id="id80f5987b3af145e6a10fa65bba47618c"><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><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph><subparagraph id="idc9e98cdd1e924736906cdd931407a9ee"><enum>(D)</enum><text>in paragraph (3), as so redesignated, by striking <quote>subsection (a)</quote> and inserting <quote>paragraph (2), especially individuals with mental health symptoms or diagnoses, particularly children and adolescents, and transitional-age youth</quote>;</text>
</subparagraph><subparagraph id="id18e9c34784d6463096be177876a1de11"><enum>(E)</enum><text>in paragraph (4), as so redesignated, by striking <quote>;</quote> and inserting <quote>; and</quote>; and</text> </subparagraph><subparagraph id="id64f64f05129a40aea552824149c2ed9f"><enum>(F)</enum><text>in paragraph (5), as so redesignated, by striking <quote>; and</quote> and inserting a period;</text>
</subparagraph></paragraph><paragraph id="iddf236d71ca5e4e7c8e4156d16687c858"><enum>(3)</enum><text>in subsection (c), by striking <quote>authorized under subsection (a)(1)</quote> and inserting <quote>awarded under paragraphs (2) and (3) of subsection (a)</quote>;</text> </paragraph><paragraph id="idF8CDA39BE58948D5A7024866001DBF42"><enum>(4)</enum><text>by amending subsection (d) to read as follows:</text>
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<subsection id="idae42da18f4404a52867fe0e59db9b1d3"><enum>(d)</enum><header>Priority</header><text>In selecting grant recipients under this section, the Secretary shall give priority to—</text> <paragraph id="id5e35aefe833a4af88a12198e9addedde"><enum>(1)</enum><text>programs that have demonstrated the ability to train psychology, psychiatry, and social work professionals to work in integrated care settings for purposes of recipients under paragraphs (1), (2), and (3) of subsection (a); and</text>
</paragraph><paragraph id="id4ac1898b57ba4dc0adf743cfb71e23de"><enum>(2)</enum><text>programs for paraprofessionals that emphasize the role of the family and the lived experience of the consumer and family-paraprofessional partnerships for purposes of recipients under subsection (a)(4).</text></paragraph></subsection><after-quoted-block>; and</after-quoted-block></quoted-block>
</paragraph><paragraph id="id2C55A657E02D4D449AD70513D74FB1F9"><enum>(5)</enum><text>by striking subsection (e) and inserting the following:</text> <quoted-block changed="added" display-inline="no-display-inline" id="id3E5A3FB074D24C85AF4ED608B9E6E8E6" reported-display-style="italic" style="OLC"> <subsection id="id07765acd9b5a41a3b1751efa432b2f16"><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>, the Secretary shall include in the biennial report submitted to Congress under section 501(m) an assessment on the effectiveness of the grants under this section in—</text>
<paragraph id="id7bd9cf82ecb643c7a2bd2026c12c753b"><enum>(1)</enum><text>providing graduate students support for experiential training (internship or field placement);</text> </paragraph><paragraph id="idce711c81112147be855e47b94e847dc7"><enum>(2)</enum><text>recruiting students interested in behavioral health practice;</text>
</paragraph><paragraph id="idF636E365E151441F9C1ECD62F256D23A"><enum>(3)</enum><text>recruiting students in accordance with subsection (b)(1);</text> </paragraph><paragraph id="id8ebf532b53fc4dafbf9462bf92b55a0b"><enum>(4)</enum><text>developing and implementing interprofessional training and integration within primary care;</text>
</paragraph><paragraph id="idc6aba8942288491381870ceff7d01ef6"><enum>(5)</enum><text>developing and implementing accredited field placements and internships; and</text> </paragraph><paragraph id="id4586997a34d84af183a0cdf5ce4fa962"><enum>(6)</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 id="id06F437A4AE244CA6807AA7A1F50B5E9F"><enum>(f)</enum><header>Authorization of appropriations</header><text>For each of fiscal years 2017 through 2021, there are authorized to be appropriated to carry out this section such sums as may be necessary.</text></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section id="idE81CFFFE0F0A4C179F1C91A2B39349BB"><enum>408.</enum><header>Information and awareness on eating disorders</header>
<subsection id="id9CD123A3DBCE4A189B100D5E94E35693"><enum>(a)</enum><header>Information</header><text>The Secretary of Health and Human Services (in this section referred to as the <quote>Secretary</quote>), acting through the Director of the Office on Women's Health, may—</text> <paragraph id="ide67311ef17884bca992ed80ab467d702"><enum>(1)</enum><text>update information, related fact sheets, and resource lists related to eating disorders that are available on the public Internet website of the National Women's Health Information Center sponsored by the Office on Women's Health, to include—</text>
<subparagraph id="idab797542e9f3495581d1c7ff2f71e33f"><enum>(A)</enum><text>updated findings and current research related to eating disorders, as appropriate; and</text> </subparagraph><subparagraph id="id5fe668de418b413ca983632f087a5116"><enum>(B)</enum><text>information about eating disorders, including information related to males and females;</text>
</subparagraph></paragraph><paragraph id="id8f0f5bd0f87545b484f0e3a684ab443f"><enum>(2)</enum><text>incorporate, as appropriate, and in coordination with the Secretary of Education, information from publicly available resources into appropriate obesity prevention programs developed by the Office on Women's Health; and</text>
</paragraph><paragraph id="id6b264c8723684719a0b0c6878c66621b"><enum>(3)</enum><text>make publicly available (through a public Internet website or other method) information, related fact sheets, and resource lists, as updated under paragraph (1), and the information incorporated into appropriate obesity prevention programs under paragraph (2).</text>
</paragraph></subsection><subsection id="id5268DC53F8F74723B28F4E971C0118EE"><enum>(b)</enum><header>Awareness</header><text>The Secretary may advance public awareness on—</text> <paragraph id="id892f4507a08d46a7add54d4c75bea3fa"><enum>(1)</enum><text>the types of eating disorders;</text>
</paragraph><paragraph id="id44f702c19e104c719b5b3802d46c94d7"><enum>(2)</enum><text>the seriousness of eating disorders, including prevalence, comorbidities, and physical and mental health consequences;</text>
</paragraph><paragraph id="id133a558d381d4aa2a6ce23070b96f05e"><enum>(3)</enum><text>methods to identify, intervene, refer for treatment, and prevent behaviors that may lead to the development of eating disorders;</text>
</paragraph><paragraph id="ida319018c26864f608950455390a3cae4"><enum>(4)</enum><text>discrimination and bullying based on body size;</text> </paragraph><paragraph id="id1490d01d74254539a1963fa4ddfb01e8"><enum>(5)</enum><text>the effects of media on self-esteem and body image; and</text>
</paragraph><paragraph id="id384d9827ed274bdc96b03b54dacb4f36"><enum>(6)</enum><text>the signs and symptoms of eating disorders.</text> </paragraph></subsection></section><section id="id74223A9D03104EA3A2485F3FBFA521DB"><enum>409.</enum><header>Education and training on eating disorders</header><text display-inline="no-display-inline">The Secretary of Health and Human Services may facilitate the identification of programs to educate and train health professionals in effective strategies to—</text>
<paragraph id="id96614ed24937429db9640818a37192cf"><enum>(1)</enum><text>identify individuals with eating disorders;</text> </paragraph><paragraph id="ida2def84bbfcd454cbb21fe7860357414"><enum>(2)</enum><text>provide early intervention services for individuals with eating disorders;</text>
</paragraph><paragraph id="id8073e0457e274ceca1dfae260226d3dd"><enum>(3)</enum><text>refer patients with eating disorders for appropriate treatment;</text> </paragraph><paragraph id="id75b95f79d4584d68a48ca6149757f782"><enum>(4)</enum><text>prevent the development of eating disorders; and</text>
</paragraph><paragraph id="ida23517ec94e2423eba9be284ae01428d"><enum>(5)</enum><text>provide appropriate treatment services for individuals with eating disorders.</text> </paragraph></section><section id="id58E52A0984284A62AEF20D89AF9EC927"><enum>410.</enum><header>Strengthening community crisis response systems</header><text display-inline="no-display-inline">Section 520F of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb-37">42 U.S.C. 290bb-37</external-xref>) is amended to read as follows:</text>
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<section id="idE5EF406517704B6A9E18EF3B9B80C3DE"><enum>520F.</enum><header>Strengthening community crisis response systems</header>
<subsection id="idbb544362c13041bba88453ef4415cf27"><enum>(a)</enum><header>In general</header><text>The Secretary shall award competitive grants—</text> <paragraph id="idF4F69AF755FD48619F5145F77304D2FC"><enum>(1)</enum><text>to State and local governments and Indian tribes and tribal organizations, to enhance community-based crisis response systems for individuals with serious mental illness, serious emotional disturbances, or substance use disorders; or</text>
</paragraph><paragraph id="id5E38B48FF25E4D678AE6F401680AF778"><enum>(2)</enum><text>to States to develop, maintain, or enhance a database of beds at inpatient psychiatric facilities, crisis stabilization units, and residential community mental health and residential substance use disorder treatment facilities, for individuals with serious mental illness, serious emotional disturbances, or substance use disorders.</text>
</paragraph></subsection><subsection id="id96DB537F4DD54477BAC8DCDFBC613966"><enum>(b)</enum><header>Application</header>
<paragraph id="id58E6539DDE204B00887957E538708580"><enum>(1)</enum><header>In general</header><text>To receive a grant or cooperative agreement under subsection (a), an entity shall submit to the Secretary an application, at such time, in such manner, and containing such information as the Secretary may require.</text>
</paragraph><paragraph id="idE8097580A9C64B2384805E57D925C80F"><enum>(2)</enum><header>Community-based crisis response plan</header><text>An application for a grant under subsection (a)(1) shall include a plan for—</text> <subparagraph id="id8216762DE0DB4F59916145DEB0063182"><enum>(A)</enum><text>promoting integration and coordination between local public and private entities engaged in crisis response, including first responders, emergency health care providers, primary care providers, law enforcement, court systems, health care payers, social service providers, and behavioral health providers;</text>
</subparagraph><subparagraph id="id594CF0CEB49C49BC9BA5B7C3C5E5D8D7"><enum>(B)</enum><text>developing memoranda of understanding with public and private entities to implement crisis response services;</text>
</subparagraph><subparagraph id="id7d22a36f21814807a5758745e1560384"><enum>(C)</enum><text>addressing gaps in community resources for crisis response; and</text> </subparagraph><subparagraph id="idf39eaab60cf54d4eb80dc3f2f1893532"><enum>(D)</enum><text>developing models for minimizing hospital readmissions, including through appropriate discharge planning.</text>
</subparagraph></paragraph><paragraph id="id7784C22BFD4940129FCE9602A6A69749"><enum>(3)</enum><header>Beds database plan</header><text>An application for a grant under subsection (a)(2) shall include a plan for developing, maintaining, or enhancing a real-time Internet-based bed database to collect, aggregate, and display information about beds in inpatient psychiatric facilities and crisis stabilization units, and residential community mental health and residential substance use disorder treatment facilities to facilitate the identification and designation of facilities for the temporary treatment of individuals in mental or substance use disorder crisis.</text>
</paragraph></subsection><subsection id="id6867aea4320e4d4fbf8a9c0f06a9469a"><enum>(c)</enum><header>Database requirements</header><text>A bed database described in this section is a database that—</text> <paragraph id="id33de4eba5a1f43a69891e55f8e806bc0"><enum>(1)</enum><text>includes information on inpatient psychiatric facilities, crisis stabilization units, and residential community mental health and residential substance use disorder facilities in the State involved, including contact information for the facility or unit;</text>
</paragraph><paragraph id="idb01d87c06ec7445ea1982d97d364c582"><enum>(2)</enum><text>provides real-time information about the number of beds available at each facility or unit and, for each available bed, the type of patient that may be admitted, the level of security provided, and any other information that may be necessary to allow for the proper identification of appropriate facilities for treatment of individuals in mental or substance use disorder crisis; and</text>
</paragraph><paragraph id="idffd6d73b2c65405b9b1f23ce8c51efd5"><enum>(3)</enum><text>enables searches of the database to identify available beds that are appropriate for the treatment of individuals in mental or substance use disorder crisis.</text>
</paragraph></subsection><subsection id="id1070cc24ccb548ad8aff4b2bbb3c091b"><enum>(d)</enum><header>Evaluation</header><text>An entity receiving a grant under this subsection (a)(1) shall submit to the Secretary, at such time, in such manner, and containing such information as the Secretary may reasonably require, a report, including an evaluation of the effect of such grant on local crisis response service and measures of individuals receiving crisis planning and early intervention supports, individuals reporting improved functional outcomes, and individuals receiving regular follow-up care following a crisis.</text>
</subsection><subsection id="id829b5908a48f4a598d54ccce148409b1"><enum>(e)</enum><header>Authorization of appropriations</header><text>There is 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>
</section><section id="idF071388FA94142F599550B7525CBDDD6"><enum>411.</enum><header>Strengthening the mental and substance use disorder workforce</header><text display-inline="no-display-inline">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 by adding at the end the following:</text>
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<section id="idDE8AE4C884F64416BB90914F229FFA78"><enum>760.</enum><header>Training demonstration program</header>
<subsection id="idFB8F33021D384EB4B7CEA965E64AFB66"><enum>(a)</enum><header>In general</header><text>The Secretary shall establish a training demonstration program to award grants to eligible entities to support—</text>
<paragraph id="id113A78C1C7CF476F884D14EC6FF46DD3"><enum>(1)</enum><text>training for medical residents and fellows to practice psychiatry and addiction medicine in underserved, community-based settings that integrate primary care with mental and substance use disorder services;</text>
</paragraph><paragraph id="idd8784ae3e13d4d789e2f25ac763c142c"><enum>(2)</enum><text>training for nurse practitioners, physician assistants, and social workers to provide mental and substance use disorder services in underserved community-based settings that integrate primary care and mental and substance use disorder services; and</text>
</paragraph><paragraph id="id61480adbbdb84355bd1a4524575f185f"><enum>(3)</enum><text>establishing, maintaining, or improving academic units or programs that—</text> <subparagraph id="id7F361BAD3F5540A59242160914A3CBA4"><enum>(A)</enum><text>provide training for students or faculty, including through clinical experiences and research, to improve the ability to be able to recognize, diagnose, and treat mental and substance use disorders, with a special focus on addiction; or</text>
</subparagraph><subparagraph id="idFA028E5779CF479BA71FC0240F5F412A"><enum>(B)</enum><text>develop evidence-based practices or recommendations for the design of the units or programs described in subparagraph (A), including curriculum content standards.</text>
</subparagraph></paragraph></subsection><subsection id="id3B509EF8F92E4FA0B222593AB40BA34A"><enum>(b)</enum><header>Activities</header>
<paragraph id="id5CB16396674B442AAC3BB28307AEEDB0"><enum>(1)</enum><header>Training for residents and fellows</header><text>A recipient of a grant under subsection (a)(1)—</text> <subparagraph id="idF324F9D677DD443D8F6D07A4E5D384E1"><enum>(A)</enum><text>shall use the grant funds to—</text>
<clause id="id3466221DDB8C40A8939B1D2ED730FB98"><enum>(i)</enum><subclause commented="no" display-inline="yes-display-inline" id="id68A6CCA1ADB64912BCA8F9C453A7E51A"><enum><added-phrase reported-display-style="italic">(I)</added-phrase></enum><text>plan, develop, and operate a training program for medical psychiatry residents and fellows in addiction medicine practicing in eligible entities described in subsection (c)(1); or</text>
</subclause><subclause changed="added" id="id58BBB5B782B344058A818D703F333268" indent="up1" reported-display-style="italic"><enum>(II)</enum><text>train new psychiatric residents and fellows in addiction medicine to provide and expand access to integrated mental and substance use disorder services; and</text>
</subclause></clause><clause id="idC4378864E382491AB1712E5A3ACB5945"><enum>(ii)</enum><text>provide at least 1 training track that is—</text> <subclause id="idA2321B3626D94AF09016BA56CCDC5FEA"><enum>(I)</enum><text>a virtual training track that includes an in-person rotation at a teaching health center or community-based setting, followed by a virtual rotation in which the resident or fellow continues to support the care of patients at the teaching health center or community-based setting through the use of health information technology;</text>
</subclause><subclause id="id7D9A94C3CB4E48D9B1A2EC1A4DE34246"><enum>(II)</enum><text>an in-person training track that includes a rotation, during which the resident or fellow practices at a teaching health center or community-based setting; or</text>
</subclause><subclause id="id36E1AB99F3394F3493DE632D7D84A3FC"><enum>(III)</enum><text>an in-person training track that includes a rotation during which the resident practices in a community-based setting that specializes in the treatment of infants, children, adolescents, or pregnant or post-partum women; and</text>
</subclause></clause></subparagraph><subparagraph id="idEC17C858A32049A6AD2EAE260EFBA995"><enum>(B)</enum><text>may use the grant funds to provide additional support for the administration of the program or to meet the costs of projects to establish, maintain, or improve faculty development, or departments, divisions, or other units.</text>
</subparagraph></paragraph><paragraph id="id9414F3C53BFD400A8A5452FB2A123B71"><enum>(2)</enum><header>Training for other providers</header><text>A recipient of a grant under subsection (a)(2)—</text> <subparagraph id="idFFFFF8E9ABDA40948CE963146C2451DB"><enum>(A)</enum><text>shall use the grant funds to plan, develop, or operate a training program to provide mental and substance use disorder services in underserved, community-based settings that integrate primary care and mental and substance use disorder services; and</text>
</subparagraph><subparagraph id="id1C4473A188844CB1B37F8BE4FBF06756"><enum>(B)</enum><text>may use the grant funds to provide additional support for the administration of the program or to meet the costs of projects to establish, maintain, or improve faculty development, or departments, divisions, or other units of such program.</text>
</subparagraph></paragraph><paragraph id="id93EA62A116254A6EBF29ABD81E1EDC95"><enum>(3)</enum><header>Academic units or programs</header><text>A recipient of a grant under subsection (a)(3) shall enter into a partnership with an education accrediting organization (such as the Liaison Committee on Medical Education, the Accreditation Council for Graduate Medical Education, the Commission on Osteopathic College Accreditation, the Accreditation Commission For Education in Nursing, the Commission on Collegiate Nursing Education, the Accreditation Council for Pharmacy Education, the Council on Social Work Education, or the Accreditation Review Commission on Education for the Physician Assistant).</text>
</paragraph></subsection><subsection id="id686C75B2251443CC858E361D78BFD48F"><enum>(c)</enum><header>Eligible entities</header>
<paragraph id="idEC9939654BAF4C9097551F091B00E8F1"><enum>(1)</enum><header>Training for residents and fellows</header><text>To be eligible to receive a grant under subsection (a)(1), an entity shall—</text> <subparagraph id="idF28BD0C35AB04E389FC0AD1790BFC18C"><enum>(A)</enum><text>be a consortium consisting of—</text>
<clause id="id21C47BD678304F2E83F50242AC2A6F41"><enum>(i)</enum><text>at least one teaching health center; and</text> </clause><clause id="id4F5144A39091405A8D95B47A6C1479FA"><enum>(ii)</enum><text>the sponsoring institution (or parent institution of the sponsoring institution) of—</text>
<subclause id="id035C3083EF964F8E88680C0C3D81F374"><enum>(I)</enum><text>a psychiatry residency program that is accredited by the Accreditation Council of Graduate Medical Education (or the parent institution of such a program); or</text>
</subclause><subclause id="id3E9ABA2BE8474CF4AB40E3CBEC1A0BB4"><enum>(II)</enum><text>a fellowship in addiction medicine, as determined appropriate by the Secretary; or</text>
</subclause></clause></subparagraph><subparagraph id="idDA84075A2DAF49D7B212862883CCEE08"><enum>(B)</enum><text>be an entity described in subparagraph (A)(ii) that provides opportunities for residents or fellows to train in community-based settings that integrate primary care with mental and substance use disorder services.</text>
</subparagraph></paragraph><paragraph id="id994E9C0B4D1A4A45A75D4E1A277DED2F"><enum>(2)</enum><header>Training for other providers</header><text>To be eligible to receive a grant under subsection (a)(2), an entity shall be—</text> <subparagraph id="id8d344aa30df545df8f3175d193af931e"><enum>(A)</enum><text>a teaching health center (as defined in section 749A(f));</text>
</subparagraph><subparagraph id="ided3d84ff6a4549518eba487db343be10"><enum>(B)</enum><text>a Federally qualified health center (as defined in section 1905(l)(2)(B) of the Social Security Act);</text>
</subparagraph><subparagraph id="id0e79a7222fcd437aade21419c94b795a"><enum>(C)</enum><text>a community mental health center (as defined in section 1861(ff)(3)(B) of the Social Security Act);</text> </subparagraph><subparagraph id="id9b4f63a95dc34040a785b02f1b8e6a47"><enum>(D)</enum><text>a rural health clinic (as defined in section 1861(aa) of the Social Security Act); or</text>
</subparagraph><subparagraph id="ideac65453185841e8a56199d3587ade5a"><enum>(E)</enum><text>a health center operated by the Indian Health Service, an Indian tribe, a tribal organization, or an urban Indian organization (as defined in section 4 of the Indian Health Care Improvement Act); or</text>
</subparagraph><subparagraph id="id30a638ceb49d4cf4bc1a7d0aca6f1d0b"><enum>(F)</enum><text>an entity with a demonstrated record of success in providing training for nurse practitioners, physician assistants, and social workers.</text>
</subparagraph></paragraph><paragraph id="id2344160FB2C04F09B2C59408715B9EF6"><enum>(3)</enum><header>Academic units or programs</header><text>To be eligible to receive a grant under subsection (a)(3), an entity shall be a school of medicine or osteopathic medicine, a nursing school, a physician assistant training program, a school of pharmacy, a school of social work, an accredited public or nonprofit private hospital, an accredited medical residency program, or a public or private nonprofit entity.</text>
</paragraph></subsection><subsection id="idCFC1A02D9F094DFC83851DC31A5D307B"><enum>(d)</enum><header>Priority</header>
<paragraph id="id647BB134921C482F8EF56CF6D01DF662"><enum>(1)</enum><header>In general</header><text>In awarding grants under subsection (a)(1) or (a)(2), the Secretary shall give priority to eligible entities that—</text>
<subparagraph id="idfd2f6dde96a84410880a1e4e84981989"><enum>(A)</enum><text>demonstrate sufficient size, scope, and capacity to undertake the requisite training of an appropriate number of psychiatric residents, fellows, nurse practitioners, physician assistants, or social workers in addiction medicine per year to meet the needs of the area served;</text>
</subparagraph><subparagraph id="id6efade6b281541aebd05d8f2bb84be37"><enum>(B)</enum><text>demonstrate experience in training providers to practice team-based care that integrates mental and substance use disorder services with primary care in community-based settings;</text>
</subparagraph><subparagraph id="id710866f43ae1492f968e4313d0d6b602"><enum>(C)</enum><text>demonstrate experience in using health information technology to support—</text> <clause id="id249e5ad8bad943d598ca708a3af48ad3"><enum>(i)</enum><text>the delivery of mental and substance use disorder services at the eligible entities described in subsections (c)(1) and (c)(2); and</text>
</clause><clause id="id3afce83b595f415fa1673b01b3d942f1"><enum>(ii)</enum><text>community health centers in integrating primary care and mental and substance use disorder treatment; or</text>
</clause></subparagraph><subparagraph id="id815933c8886640fdb5ba8f5122383444"><enum>(D)</enum><text>have the capacity to expand access to mental and substance use disorder services in areas with demonstrated need, as determined by the Secretary, such as tribal, rural, or other underserved communities.</text>
</subparagraph></paragraph><paragraph id="id807FCB5D7468437E993F8B71197A8B8B"><enum>(2)</enum><header>Academic units or programs</header><text>In awarding grants under subsection (a)(3), the Secretary shall give priority to eligible entities that—</text>
<subparagraph id="id664361f789954b479c57d2370ce9f29e"><enum>(A)</enum><text>have a record of training the greatest percentage of mental and substance use disorder providers who enter and remain in these fields or who enter and remain in settings with integrated primary and mental and substance use disorder health care services;</text>
</subparagraph><subparagraph id="id00ab530b28ed440fbaac9034332a6f71"><enum>(B)</enum><text>have a record of training individuals who are from underrepresented minority groups, including native populations, or from a rural or disadvantaged background;</text>
</subparagraph><subparagraph id="id3f357e3e4cf04c74a510ebbe84e71c21"><enum>(C)</enum><text>provide training in the care of vulnerable populations such as infants, children, adolescents, pregnant and post-partum women, older adults, homeless individuals, victims of abuse or trauma, individuals with disabilities, and other groups as defined by the Secretary;</text>
</subparagraph><subparagraph id="idef3e67f30aff4f188ba52c47cd00e55c"><enum>(D)</enum><text>teach trainees the skills to provide interprofessional, integrated care through collaboration among health professionals; or</text>
</subparagraph><subparagraph id="idc4a60fb1a49d42038bcbbcf9e5f259fe"><enum>(E)</enum><text>provide training in cultural competency and health literacy.</text> </subparagraph></paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="idc40a34661d2b4818ad5e4df9f2ad886c"><enum>(e)</enum><header display-inline="yes-display-inline">Duration</header><text display-inline="yes-display-inline">Grants awarded under this section shall be for a minimum of 5 years.</text>
</subsection><subsection id="id98F9862102674672AC126D3EC6AD4425"><enum>(f)</enum><header>Study and report</header>
<paragraph id="id35728F459B4A40558C8BD4B29E01E465"><enum>(1)</enum><header>Study</header>
<subparagraph id="idEC58ACBBA0704549A8B32CEA264AE47A"><enum>(A)</enum><header>In general</header><text>The Secretary, acting through the Administrator of the Health Resources and Services Administration, shall conduct a study on the results of the demonstration project under this section.</text>
</subparagraph><subparagraph id="idC18B2AF5B3574F2180F28C61764DFE62"><enum>(B)</enum><header>Data submission</header><text>Not later than 90 days after the completion of the first year of the training program and each subsequent year that the program is in effect, each recipient of a grant under subsection (a) shall submit to the Secretary such data as the Secretary may require for analysis for the report described in paragraph (2).</text>
</subparagraph></paragraph><paragraph id="id1749D588B77B4A2EBDB40D116EB08B74"><enum>(2)</enum><header>Report to Congress</header><text>Not later than 1 year after receipt of the data described in paragraph (1)(B), the Secretary shall submit to Congress a report that includes—</text>
<subparagraph id="ide48dea590b6343d69c526608b2a6ebdf"><enum>(A)</enum><text>analysis of the effect of the demonstration project on the quality, quantity, and distribution of mental and substance use disorder services;</text>
</subparagraph><subparagraph id="idb002458172704a37b3f7770a44c2c6bc"><enum>(B)</enum><text>analysis of the effect of the demonstration project on the prevalence of untreated mental and substance use disorders in the surrounding communities of health centers participating in the demonstration; and</text>
</subparagraph><subparagraph id="idc7ed11bed30b4ffea1fcea8652f53bb3"><enum>(C)</enum><text>recommendations on whether the demonstration project should be expanded.</text></subparagraph></paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block> </section><section id="idd1b8d58a-584a-4adc-825d-e57e1bc8d9c1"><enum>412.</enum><header>Reports</header> <subsection id="id907b5876-ac7d-4aab-be0d-ba969322279e"><enum>(a)</enum><header>Workforce development report</header> <paragraph id="idc6b5d3c1-8f04-4c15-bf14-9a786eaee45a"><enum>(1)</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>
</paragraph><paragraph id="id52fc0f89-866b-47ac-8fa3-8f7aa2f9c6a2"><enum>(2)</enum><header>Contents</header><text>The report under this subsection shall contain—</text> <subparagraph id="id38e179f1-c700-4bde-8f52-2c9006c4e9f5"><enum>(A)</enum><text>national and State-level projections of the supply and demand of mental health and substance use disorder health workers;</text>
</subparagraph><subparagraph id="id33217da1-bc4a-400d-ae1c-799b123cbbe5"><enum>(B)</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>
</subparagraph><subparagraph id="id6894202d-cef8-4ee0-8688-385d2edac7b4"><enum>(C)</enum><text>information on trends within the mental health and substance use disorder provider workforce; and</text> </subparagraph><subparagraph id="idb06a6774-5b26-4029-b59c-68d29606c562"><enum>(D)</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>
</subparagraph></paragraph></subsection><subsection id="idfb2cdb9d-438c-4d3d-9c6a-4da843037ba4"><enum>(b)</enum><header>Peer-support specialist programs</header>
<paragraph id="id283e166c-af1c-4b26-b9da-a4d48c315346"><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="id52a0850e-6d33-4a88-8e0a-59f877c19972"><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="id4a18025e-44e5-4739-a698-1915b10d77da"><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="id7ddcb964-85d0-47d5-8bf0-696bcdf0e691"><enum>(B)</enum><text>types of peer support specialist exams required for such programs in the States;</text> </subparagraph><subparagraph id="id2f8925fd-4191-45ee-8e54-d0ba8c699f3a"><enum>(C)</enum><text>codes of ethics used by such programs in the States;</text>
</subparagraph><subparagraph id="id7de41b48-8dea-4416-b9c3-a64b1645fd33"><enum>(D)</enum><text>required or recommended skill sets of such programs in the State; and</text> </subparagraph><subparagraph id="id65380300-8291-431b-ab13-a04e3a0d8ca9"><enum>(E)</enum><text>requirements for continuing education.</text>
</subparagraph></paragraph></subsection></section><section id="idfc84a1e3-51a8-47ff-a4ab-332be81f97e9"><enum>413.</enum><header>Center 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 each of 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><section id="id44EF296E9CF04EA69E087C5A2322A4AB"><enum>414.</enum><header>Minority fellowship program</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>) is amended by adding at the end the following:</text>
<quoted-block changed="added" display-inline="no-display-inline" id="id9E28C0C9B5004828B8B6C27E322AD3BE" reported-display-style="italic" style="OLC">
<part id="id90F2B0A2BF13484E91FD73D518970221" style="OLC"><enum>K<?LEXA-Enum K?></enum><header>Minority fellowship program</header>
<section id="id100D7164E0F54093AEC1B71E4351AC51"><enum>597.</enum><header>Fellowships</header>
<subsection id="id70C4ACCDFAE640E5BC469762F378468B"><enum>(a)</enum><header>In general</header><text>The Secretary shall maintain a program, to be known as the Minority Fellowship Program, under which the Secretary awards fellowships, which may include stipends, for the purposes of—</text>
<paragraph id="id8a5b1bf8aa55463d93d47a379fdf7ae0"><enum>(1)</enum><text>increasing mental and substance use disorder practitioners' knowledge of issues related to prevention, treatment, and recovery support for mental and substance use disorders among racial and ethnic minority populations;</text>
</paragraph><paragraph id="id089b817aca4d46f3949c539ea60068b9"><enum>(2)</enum><text>improving the quality of mental and substance use disorder prevention and treatment delivered to ethnic minorities; and</text>
</paragraph><paragraph id="id79e92ab8183743719f29674c4c41009c"><enum>(3)</enum><text>increasing the number of culturally competent mental and substance use disorder professionals who teach, administer, conduct services research, and provide direct mental or substance use disorder services to underserved minority populations.</text>
</paragraph></subsection><subsection id="idC8685165D5FE467A9C48B96443296808"><enum>(b)</enum><header>Training covered</header><text>The fellowships under subsection (a) shall be for postbaccalaureate training (including for master's and doctoral degrees) for mental health professionals, including in the fields of psychiatry, nursing, social work, psychology, marriage and family therapy, and substance use and addiction counseling.</text>
</subsection><subsection commented="no" display-inline="no-display-inline" id="id1BE5A5BF25EF4E39911D51C22F907370"><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></part><after-quoted-block>.</after-quoted-block></quoted-block>
</section><enum>V</enum><header>Strengthening mental and substance use disorder care for women, children, and adolescents</header>
<section id="id988c0183-85f2-4a6d-9ee9-d06b886a678b"><enum>501.</enum><header>Programs for children with serious emotional disturbances</header>
<subsection id="id925148f5-e19a-4f10-adbc-7ef18f20ffc1"><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="id0c0bfa6c-4c52-49f9-9df3-3cfceb49cc1f"><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="id792101f1-d35e-48ee-90e2-ab87496e4c48"><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="id78ef91f1-e330-42af-b0a2-63aa39ed712c"><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="id97948788-555f-4b3b-9a51-4b13b21ace8c"><enum>(1)</enum><text>in subsection (b)(1)—</text> <subparagraph id="id842637cd-25ea-464b-8f12-e83bbb22cd36"><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="id7f17680a-2c0c-4b42-8860-57552a192978"><enum>(B)</enum><text>in subparagraph (B), by striking <quote>pursuant to</quote> and inserting <quote>described in</quote>;</text> </subparagraph></paragraph><paragraph id="idff8d6dbb-bd22-4c28-8023-2cb12732e0e3"><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="id201d4ff1-5547-48c2-b4a9-08da0a0eaf0f"><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="idFCC3C186DB864E229E2633E228985498"><enum>502.</enum><header>Telehealth child psychiatry access grants</header>
<subsection id="idDE411741B71446EEA9AC3E04BDE585BE"><enum>(a)</enum><header>In general</header><text>The Secretary of Health and Human Services (referred to in this section as the <quote>Secretary</quote>), acting through the Administrator of the Health Resources and Services Administration and in coordination with other relevant Federal agencies, may award grants through existing health programs that promote mental or child health, including programs under 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), to States, political subdivisions of States, and Indian tribes and tribal organizations (for purposes of this section, as 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>)) to promote behavioral health integration in pediatric primary care by—</text>
<paragraph id="idf2c1ec1117ed42c7b73609ad75df25fd"><enum>(1)</enum><text>supporting the development of statewide or regional child psychiatry access programs; and</text> </paragraph><paragraph id="idaf247bff69c9484880d650aaa1d2f30d"><enum>(2)</enum><text>supporting the improvement of existing statewide or regional child psychiatry access programs.</text>
</paragraph></subsection><subsection id="id7F03308CEBA44B7483B481D3332CF3EC"><enum>(b)</enum><header>Program requirements</header>
<paragraph id="id79011a7461724302a93a297c3214dbd4"><enum>(1)</enum><header>In general</header><text>To be eligible for funding under subsection (a), a child psychiatry access program shall—</text> <subparagraph id="idae7742b0fafd45aa80458f133d56c14f"><enum>(A)</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>
</subparagraph><subparagraph id="ide7a8d1084536432bb6189c35da9a2896"><enum>(B)</enum><text>support and further develop organized State or regional networks of child and adolescent psychiatrists to provide consultative support to pediatric primary care sites;</text>
</subparagraph><subparagraph id="idd3c5f0b8d04141119161f52a65917795"><enum>(C)</enum><text>conduct an assessment of critical behavioral consultation needs among pediatric providers and such providers’ preferred mechanisms for receiving consultation and training and technical assistance;</text>
</subparagraph><subparagraph id="id281453d0c69243999a14e395941b5910"><enum>(D)</enum><text>develop an online database and communication mechanisms, including telehealth, to facilitate consultation support to pediatric practices;</text>
</subparagraph><subparagraph id="idab9a17f8459647a9adccd242a848d29a"><enum>(E)</enum><text>provide rapid statewide or regional clinical telephone consultations when requested between the pediatric mental health teams and pediatric primary care providers;</text>
</subparagraph><subparagraph id="idc71e351476544d0493b6edc75caf3a26"><enum>(F)</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 and co-occurring intellectual and other developmental disabilities;</text>
</subparagraph><subparagraph id="id35c0cc70c6724b74bde85222efc53af4"><enum>(G)</enum><text>inform and assist pediatric providers in accessing child psychiatry consultations and in scheduling and conducting technical assistance;</text>
</subparagraph><subparagraph id="idc9d73725bfdf423cbac390764d324798"><enum>(H)</enum><text>assist with referrals to specialty care and community and behavioral health resources; and</text> </subparagraph><subparagraph id="id49758f18401244d0bfeada27778f883a"><enum>(I)</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>
</subparagraph></paragraph><paragraph id="id507CA1826CBD45D49D4D313F9B8026B7"><enum>(2)</enum><header>Pediatric mental health teams</header><text>In this subsection, 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.</text>
</paragraph></subsection><subsection id="id6EB80C4774584CBA86BCE560855280E8"><enum>(c)</enum><header>Applications</header><text>A State, political subdivision of a State, Indian tribe, or tribal organization 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 (d).</text>
</subsection><subsection id="id2c84a95c76764301a97001b53b1a48a7"><enum>(d)</enum><header>Evaluation</header><text>A State, political subdivision of a State, Indian tribe, or tribal organization 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 id="id1685BAEC6704461C93063FDDC2ED3011"><enum>(e)</enum><header>Access to broadband</header><text>In administering grants under this section, the Secretary may coordinate with other agencies to ensure that funding opportunities are available to support access to reliable, high-speed Internet for providers.</text>
</subsection><subsection id="id4457186F0B33436F968B3B04573913CD"><enum>(f)</enum><header>Matching requirement</header><text>The Secretary may not award a grant under this section unless the State, political subdivision of a State, Indian tribe, or tribal organization involved agrees, with respect to the costs to be incurred by the State, political subdivision of a State, Indian tribe, or tribal organization in carrying out the purpose described in this section, 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 in the grant.</text>
</subsection></section><section id="ida5b71dd2-8561-4e19-a420-4e28587535e3"><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="id588714c4-e3d4-4b34-b7d5-64946f1b105c"><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="id5d35bf31-ef1f-4cd0-9966-84cc48d2adae"><enum>(2)</enum><text>by striking subsection (a) and inserting the following:</text>
<quoted-block changed="added" display-inline="no-display-inline" id="id5eb67b2f-c7c6-49e0-8b05-308311dbd9d7" reported-display-style="italic" style="OLC">
<subsection id="id56f333fd-5411-4019-910d-38d5481fc128"><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="ide0812e54-a32b-4440-8104-9fba54dc88a1"><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;</text>
</paragraph><paragraph id="ida6142b89-2448-4e88-87fe-363a29bcf8dc"><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; and</text>
</paragraph><paragraph id="id315a7244d45d4f45aab863d1d414b6a5"><enum>(3)</enum><text>providing assistance to pregnant and parenting mothers with substance use disorders in obtaining treatment services, linking mothers to community resources to support independent family lives, and staying in recovery so that children are in safe, stable home environments and receive appropriate health care services.</text></paragraph></subsection><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph id="idda0c44dc-1de3-451d-b43e-29bac38979be"><enum>(3)</enum><text>in subsection (b)—</text> <subparagraph id="id7714450f-2882-4bd1-af53-9d4fdcd3be24"><enum>(A)</enum><text>by striking paragraph (1) and inserting the following:</text>
<quoted-block changed="added" display-inline="no-display-inline" id="id54c6e935-ab66-4a8e-91da-637d3d26f2ea" reported-display-style="italic" style="OLC">
<paragraph id="idf56bda7a-c20a-461f-ae1c-6839f8ed17ed"><enum>(1)</enum><text>apply evidence-based and cost effective methods;</text></paragraph><after-quoted-block>;</after-quoted-block></quoted-block> </subparagraph><subparagraph id="id1a873339-8988-4d87-8afd-a323e69ba1a4"><enum>(B)</enum><text>in paragraph (2)—</text>
<clause id="id4d622bac-6081-4da6-ae6b-01584ee176b6"><enum>(i)</enum><text>by striking <quote>treatment</quote>; and</text> </clause><clause id="id1c7c69f0-db3b-4e4e-af68-18ce5be35bf3"><enum>(ii)</enum><text>by inserting <quote>substance abuse,</quote> after <quote>child welfare,</quote>;</text>
</clause></subparagraph><subparagraph id="idd7a3ea2a-3e67-4a7c-b11c-09ad1a2120bc"><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="id854cc0e0-d725-4156-b839-41fef7e0a6e1"><enum>(D)</enum><text>in paragraph (5), by striking <quote>treatment;</quote> and inserting <quote>services; and</quote>;</text> </subparagraph><subparagraph id="id5f7c4e46-fcde-49ba-af6c-da15beefbc16"><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="id6c5c6a75-0c06-41db-9679-a79f2a5bebaa"><enum>(F)</enum><text>by striking paragraph (7); and</text> </subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="idea3c059d-58ac-4d40-9bd4-7de55bddd521"><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="id3b9b52f6-e4db-4301-a2ba-72c0f8bdf1e8"><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="id9c6e1e3a-56a4-4d24-8d94-2b06efe182be"><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="id1d8e4b07-c07b-4d79-902c-d9f2fa3c7f88"><enum>(2)</enum><text>in subsection (a)—</text> <subparagraph id="id7263e673-3596-4e68-9415-e8df7d1608d3"><enum>(A)</enum><text>in the matter preceding paragraph (1)—</text>
<clause id="ida9af5ab8-856a-4867-93c8-caf46b9f4858"><enum>(i)</enum><text>by inserting <quote>(referred to in this section as the <quote>Director</quote>)</quote> after <quote>Substance Abuse Treatment</quote>;</text> </clause><clause id="idedd32d76-38be-46d4-ae17-12eb2646a8ce"><enum>(ii)</enum><text>by striking <quote>grants, cooperative agreement,</quote> and inserting <quote>grants, including the grants under subsection (r), cooperative agreements</quote>;</text>
</clause><clause id="id72c8b09b-fff0-41b4-a683-69e463623b57"><enum>(iii)</enum><text>by striking <quote>postpartum</quote> and inserting <quote>parenting</quote>; and</text> </clause><clause id="id44b2ee86-5fd4-4efc-8b86-9bf6bcdfb40f"><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="id31e34834-6e09-4bdf-b997-3538dbbdbcac"><enum>(B)</enum><text>in paragraph (1), by inserting <quote>or receive outpatient treatment services from</quote> after <quote>reside in</quote>; and</text> </subparagraph></paragraph><paragraph id="idf9a19f6d-2411-487f-8f75-640a71f8be0a"><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="id287fd2c6-c30e-4a05-976a-d84b7f1e95a0"><enum>(4)</enum><text>in subsection (c)—</text> <subparagraph id="id6a5308db-6161-4199-95dd-fe73cf1ab48f"><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="id1859850c-a564-4eb9-9eef-269356691d0b"><enum>(B)</enum><text>in paragraph (2)—</text> <clause id="idc5ba8b89-5009-455a-af33-581808d71f36"><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="id5cbf8f29-1ca5-48a7-8ae3-294fe4e05341"><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="id40fde13b-d75b-4e2e-a39b-72132354fa04"><enum>(5)</enum><text>in subsection (d)—</text>
<subparagraph id="id287d8cfc-140e-4fec-8f22-615ff40bd047"><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="ide8ea28b3-f630-41e8-9e42-1a50361b85dc"><enum>(B)</enum><text>by amending paragraph (4) to read as follows:</text>
<quoted-block changed="added" display-inline="no-display-inline" id="id6d31d07c-3d06-469b-b816-8ba59d07a961" reported-display-style="italic" style="OLC">
<paragraph id="id1b31e1e2-0119-4d47-ba88-9390472ffc2f"><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="id963200dc-df39-40f8-9f7c-7e0b1ca76d1a"><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="ida5f4c1d6-c35c-4560-a3ea-2ffd1b920f93"><enum>(D)</enum><text>in paragraph (9), by striking <quote>units</quote> and inserting <quote>unit</quote>; and</text>
</subparagraph><subparagraph id="id3e35f7ac-3424-406b-acaf-456124b855c2"><enum>(E)</enum><text>in paragraph (11)—</text> <clause id="ida82f6e37-1672-40ad-8d77-578298abaa26"><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="idf4b4e99a-9c65-4667-9197-bc46bb63734c"><enum>(ii)</enum><text>in subparagraph (B), by striking <quote>; and</quote> and inserting a semicolon;</text> </clause><clause id="idfeb0b510-3839-4527-80fa-dfcaf0d57b70"><enum>(iii)</enum><text>in subparagraph (C), by striking the period and inserting <quote>; and</quote>; and</text>
</clause><clause id="idd488be11-2e74-4738-afcb-00d6153f4009"><enum>(iv)</enum><text>by adding at the end the following:</text> <quoted-block changed="added" display-inline="no-display-inline" id="id9fa70a94-d220-416b-ad8e-036f02f6f643" reported-display-style="italic" style="OLC"> <subparagraph id="ide3d92d66-76c7-4400-93ed-5d6e530f0c16"><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="idf62b9020-328b-4818-9e96-c370c5232359"><enum>(6)</enum><text>in subsection (e)—</text> <subparagraph id="id8775a040-33e9-4526-b5fa-9d979d44d9dd"><enum>(A)</enum><text>in paragraph (1)—</text>
<clause id="id939a610d-3f92-4665-a3e3-da66bc3721c1"><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="id39f3aeab-3a7d-4bcc-ac6d-4fc3625f5c01"><enum>(ii)</enum><text>in subparagraph (B), by striking <quote>substance abuse</quote> and inserting <quote>substance use disorders</quote>; and</text>
</clause></subparagraph><subparagraph id="ida45b3629-0ac1-411e-ac34-3584023bfa01"><enum>(B)</enum><text>in paragraph (2)—</text> <clause id="id0b6bfb68-1b80-4c82-b39b-41a80382aa4b"><enum>(i)</enum><text>by striking <quote>(A) Subject</quote> and inserting the following:</text>
<quoted-block changed="added" display-inline="no-display-inline" id="ida95dfeec-a68b-47de-9536-83cd2f0ef135" reported-display-style="italic" style="OLC">
<subparagraph id="id8340a9bf-3f09-42ac-bc91-7139b8346f08"><enum>(A)</enum><header>In general</header><text>Subject</text></subparagraph><after-quoted-block>;</after-quoted-block></quoted-block> </clause><clause id="id5ba5e767-fe6b-42e4-9f1a-7713fe0c5759"><enum>(ii)</enum><text>in subparagraph (B)—</text>
<subclause id="id66b8bf9f-cbee-4940-bb64-0002c9ffc7de"><enum>(I)</enum><text>by striking <quote>(B)(i) In the case</quote> and inserting the following:</text> <quoted-block changed="added" display-inline="no-display-inline" id="id45ffdffa-bc67-41c5-9db7-7871bd9fcb3e" reported-display-style="italic" style="OLC"> <subparagraph id="idf7dec185-a258-43a9-9671-459c73e8ff58"><enum>(B)</enum><header>Waiver of participation agreements</header> <clause id="id30ed2fc5-a9e6-47c8-ba30-7796a05cdefc"><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="id047641b1-8da7-4595-a60d-4e3f4288ef90"><enum>(II)</enum><text>by striking <quote>(ii) A determination</quote> and inserting the following:</text> <quoted-block changed="added" display-inline="no-display-inline" id="id64f48128-ef8c-4b2a-95ed-1d6dc6feb761" reported-display-style="italic" style="OLC"> <clause id="idaa635ac8-7f3b-45db-b8f2-669f0b3a812c"><enum>(ii)</enum><header>Donations</header><text>A determination</text></clause><after-quoted-block>; and</after-quoted-block></quoted-block>
</subclause></clause><clause id="id7554db37-df07-4a13-8d3f-b54404b15b61"><enum>(iii)</enum><text>by striking <quote>(C) With respect</quote> and inserting the following:</text> <quoted-block changed="added" display-inline="no-display-inline" id="idf86b0d25-1408-4075-a49f-eab6e04fd1c1" reported-display-style="italic" style="OLC"> <subparagraph id="idab223290-fedc-4361-8e63-da97e34e7714"><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="id84d554cd-5c18-4016-92c1-156ad954b14f"><enum>(7)</enum><text>in subsection (g)—</text> <subparagraph id="id7b314ed5-4190-4ba6-9a7d-a6a3751542e1"><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="id3e8ec124-890d-4328-84bc-7421eaaf1803"><enum>(B)</enum><text>by striking <quote>such abuse</quote> and inserting <quote>such disorder</quote>;</text> </subparagraph></paragraph><paragraph id="id485ebadc-3951-4c57-85cf-73bd35a47305"><enum>(8)</enum><text>in subsection (h)(1), by striking <quote>postpartum</quote> and inserting <quote>parenting</quote>;</text>
</paragraph><paragraph id="id31a9cdf9-c1e6-47ca-8951-bb758184ebb1"><enum>(9)</enum><text>in subsection (j)—</text> <subparagraph id="id8f90c544-466c-4352-bb9e-e578b7858669"><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="id631fb448-d978-4b7b-abd6-869ec9cfde9c"><enum>(B)</enum><text>in paragraph (3), by striking <quote>Office for</quote> and inserting <quote>Office of</quote>;</text> </subparagraph></paragraph><paragraph id="ida2b5e6d6-26e3-4088-9ee7-56ca2cd3c246"><enum>(10)</enum><text>by amending subsection (m) to read as follows:</text>
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<subsection id="idadc41829-90b5-4ac1-90ba-b3e4b12aae64"><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="ida3fa29cc-172c-4963-920d-54d81c89ad28"><enum>(11)</enum><text>in subsection (q)—</text> <subparagraph id="id9d6d91b2-9653-4d54-af68-55b014ea052a"><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="idcb960f2e-aa93-458d-a634-4590499fb08f"><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="id77b3c998-58ef-48d4-8abb-1e19757479b7"><enum>(12)</enum><text>by redesignating subsection (r) as subsection (s);</text>
</paragraph><paragraph id="ida26697b0-bd35-49cf-906d-69706b0b2f2e"><enum>(13)</enum><text>by inserting after subsection (q) the following:</text> <quoted-block changed="added" display-inline="no-display-inline" id="idbbf48633-84b2-4044-8a92-c6dc98d6e7eb" reported-display-style="italic" style="OLC"> <subsection id="id553afc24-55c0-4660-a6df-b66eaa1be691"><enum>(r)</enum><header>Pilot program for State substance abuse agencies</header> <paragraph id="idf4dc515a-4ddd-46ae-bcdd-3bf132a58f58"><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="ida2931741-cdb8-4b2f-9226-eaaa4b5c2655"><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="idbf18b277-6264-4055-b5a2-4cbd1d2e0ba7"><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 non-residential based settings; and</text>
</subparagraph><subparagraph id="id29489d3e-81cb-4b7f-bd94-3bb69f59df5d"><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="id8d6954f7-e9d2-4e8d-971c-bd5e324cab20"><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="id64fde582-e4b5-49b7-aa49-9b484373d27c"><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="id8ea34c0e-20b1-43b4-92a6-ac07c6093246"><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="idd783d96f-fa71-4ac4-9e04-03b06f4af750"><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="idbe6af361-2330-472a-bbf0-beeaae648c07"><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="id71b8b77e-a5e8-4ad0-9617-a6f107b92ace"><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="idff1ac001-28cc-43fa-a2b4-41ed607c9ad9"><enum>(F)</enum><text>may waive the requirements of subsection (f), depending on the circumstances of the grantee.</text> </subparagraph></paragraph><paragraph id="id626a5cad-8c19-41fb-9b7c-f3329ea6e3a0"><enum>(3)</enum><header>Required services</header> <subparagraph id="id018d8709-897c-414d-8be5-36e7a09aeb8d"><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="id1a613dc6-cfcc-4951-bd63-e587234ba8b1"><enum>(i)</enum><text>shall include the requirements described in subsection (c);</text> </clause><clause id="id8992fdeb-e8c6-48fa-ad73-371de7196b7e"><enum>(ii)</enum><text>may include any of the services described in subsection (d);</text>
</clause><clause id="idf4892b19-8356-4db1-bbd2-9284fbd1c652"><enum>(iii)</enum><text>may include other services, as appropriate; and</text> </clause><clause id="id8820d721-e173-47f9-aad3-8fb680654e6e"><enum>(iv)</enum><text>shall be based on the recommendations submitted under subparagraph (B).</text>
</clause></subparagraph><subparagraph id="idaac40af4-ed11-4df1-bc96-d18b9709e8d8"><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 a substance use disorder, and other appropriate individuals, for the minimum services described in subparagraph (A).</text>
</subparagraph></paragraph><paragraph id="id3f77a1bc-a985-43a6-ba5c-09a967445c29"><enum>(4)</enum><header>Duration</header><text>The pilot program under this subsection shall not exceed 5 years.</text> </paragraph><paragraph id="id67535B8CDECA489DBE6A64E3C98EC939"><enum>(5)</enum><header>Evaluation and report to Congress</header> <subparagraph id="ide5e2766f-b6c6-4156-9361-26ffe7923300"><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="id034190d1-3c14-4299-b250-eee8f614f1cf"><enum>(B)</enum><header>Reports</header>
<clause id="id2ac8cee7-84d4-4d03-bd4f-836ac3bae8b7"><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="ided730fe1-1502-49c5-ba90-5c58f5778a7d"><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="idd53a7a0e-5707-4e8a-bdfb-32c1834c421a"><enum>(6)</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="id5aa4fd6f-c38a-4669-a9ca-7c21c552b813"><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><section id="id773980401B29433DA6945AF2CE0DCEC9"><enum>505.</enum><header>Screening and treatment for maternal depression</header><text display-inline="no-display-inline">Part B of title III of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/243">42 U.S.C. 243 et seq.</external-xref>) is amended by inserting after section 317L (<external-xref legal-doc="usc" parsable-cite="usc/42/247b-13">42 U.S.C. 247b–13</external-xref>) the following:</text>
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<section id="id0D77D0F3B11F4EF8BFF2FC2831B46186"><enum>317L-1.</enum><header>Screening and treatment for maternal depression</header>
<subsection id="idc4b36889dbfa4f3aabc1ff5bcc69fecd"><enum>(a)</enum><header>Grants</header><text>The Secretary shall make grants to States to establish, improve, or maintain programs for screening, assessment, and treatment services, including culturally and linguistically appropriate services, as appropriate, for women who are pregnant, or who have given birth within the preceding 12 months, for maternal depression.</text>
</subsection><subsection id="idc2a584e31c744c0da487fef1cdc74ecd"><enum>(b)</enum><header>Application</header><text>To seek a grant under this section, a State shall submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may require. At a minimum, any such application shall include explanations of—</text>
<paragraph id="idda86be4124194caaabff5533c1ec4787"><enum>(1)</enum><text>how a program, or programs, will increase the percentage of women screened and treated for maternal depression in one or more communities; and</text>
</paragraph><paragraph id="id891fa1b953ed434298a256a9ae6910ba"><enum>(2)</enum><text>how a program, or programs, if expanded, would increase access to screening and treatment services for maternal depression.</text>
</paragraph></subsection><subsection id="id6053d6b57b214fefb1a43679fa4f0367"><enum>(c)</enum><header>Priority</header><text>In awarding grants under this section, the Secretary may give priority to States proposing to improve or enhance access to screening services for maternal depression in primary care settings.</text>
</subsection><subsection id="id8d3962f05aec438092bd8271985fb31a"><enum>(d)</enum><header>Use of Funds</header><text>The activities eligible for funding through a grant under subsection (a)—</text> <paragraph id="idcafd126d448f4db7a500cb6fb1bf53ac"><enum>(1)</enum><text>shall include—</text>
<subparagraph id="idaf24d3cf06ce427cae7924feb923868b"><enum>(A)</enum><text>providing appropriate training to health care providers; and</text> </subparagraph><subparagraph id="id20bb3fb2b8c24f9ca36cc4c12bd88c4c"><enum>(B)</enum><text>providing information to health care providers, including information on maternal depression screening, treatment, and follow-up support services, and linkages to community-based resources; and</text>
</subparagraph></paragraph><paragraph id="id52a7169fa6f54503a87b1f6af7bfadad"><enum>(2)</enum><text>may include—</text> <subparagraph id="id2d942e7c61c84e3c974710d51e7134ed"><enum>(A)</enum><text>enabling health care providers (including obstetrician-gynecologists, pediatricians, psychiatrists, mental health care providers, and adult primary care clinicians) to provide or receive real-time psychiatric consultation (in-person or remotely) to aid in the treatment of pregnant and parenting women; and</text>
</subparagraph><subparagraph id="idaf86e8630d7e407f90d5539e56320cfa"><enum>(B)</enum><text>establishing linkages with and among community-based resources, including mental health resources, primary care resources, and support groups.</text>
</subparagraph></paragraph></subsection><subsection id="id805867dd34844323a66f4f20b12b1c95"><enum>(e)</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="id40E844E9AE1148DF8136B493E099BF6D"><enum>506.</enum><header>Infant and early childhood prevention, intervention and treatment</header><text display-inline="no-display-inline">Part Q of title III of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/280h">42 U.S.C. 280h et seq.</external-xref>) is amended by adding at the end the following:</text>
<quoted-block changed="added" display-inline="no-display-inline" id="idF751253292F3473BA7A873F3A47C62CC" reported-display-style="italic" style="OLC">
<section id="id51990E86F35C4AFAAE8AEB37D720BFB0"><enum>399Z-2.</enum><header>Infant and early childhood prevention, intervention, and treatment</header>
<subsection id="id2385BF91A9EF4596BA061878D51FE805"><enum>(a)</enum><header>Grants</header><text>The Secretary shall—</text> <paragraph id="id31F4A259377A4E36A707D25CD053C543"><enum>(1)</enum><text>award grants to eligible entities to develop, maintain, or enhance infant and early childhood mental health prevention, intervention, and treatment programs, including programs for infants and children at significant risk of developing or showing early signs of mental disorders, including serious emotional disturbance, or social or emotional disability; and</text>
</paragraph><paragraph id="idC4DF5C49E6D34932BD0B445B03BFFDB6"><enum>(2)</enum><text>ensure that programs funded through grants under this section are evidence-informed or evidence-based models, practices, and methods that are, as appropriate, culturally and linguistically appropriate, and can be replicated in other appropriate settings.</text>
</paragraph></subsection><subsection id="id9946C47A77B8443A9E4C0757F248F588"><enum>(b)</enum><header>Eligible children and entities</header><text>In this section:</text> <paragraph id="id71129D7DD4254447ACC44C2060CBD08B"><enum>(1)</enum><header>Eligible children</header><text>The term <term>eligible children</term> means a child from birth to not more than 12 years of age who—</text>
<subparagraph id="idB304BB4FF7894C6D9EB55A2B8FB69202"><enum>(A)</enum><text>is at risk, or shows early signs, of developing a mental disorder, including a serious emotional disturbance; and</text>
</subparagraph><subparagraph id="id701BCDE5992C4706BAE885FA064D113F"><enum>(B)</enum><text>may benefit from promising or evidence-based infant and early childhood intervention or treatment programs specialized preschool or elementary school programs.</text>
</subparagraph></paragraph><paragraph id="idB97B84146D784C6380875E353D893294"><enum>(2)</enum><header>Eligible entity</header><text>The term <term>eligible entity</term> means a nonprofit institution that—</text> <subparagraph id="idDC0B4E216DEF4EF08220EE55374AF2E4"><enum>(A)</enum><text>is accredited by a State mental health or education agency, as applicable, to provide promising and evidence-based prevention, intervention, or treatment services, for children in the age range from birth to 12 years of age; and</text>
</subparagraph><subparagraph id="id70DC1857CE6F49ADA6779C9AE74FA9ED"><enum>(B)</enum><text>provides services that include promising and evidence-based early intervention and treatment or specialized programs for infants and children at risk of developing or showing early signs of a mental disorder, serious emotional disturbance, or social or emotional disability.</text>
</subparagraph></paragraph></subsection><subsection id="idA38B3299286342CAADAB3A57039022FC"><enum>(c)</enum><header>Application</header><text>An eligible entity seeking a grant under subsection (a) shall submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require.</text>
</subsection><subsection id="id7403AA07974B407886B7B475BCC7AA5A"><enum>(d)</enum><header>Use of funds for early intervention and treatment programs</header><text>An eligible entity may use amounts awarded under a grant under subsection (a)(1) to carry out the following:</text>
<paragraph id="id76B345E1E30C4806A1EFA53AB6BA78B4"><enum>(1)</enum><text>Provide age-appropriate preventive and early intervention services or mental disorder treatment services, which may include specialized programs, for eligible children at significant risk of developing or showing early signs of a mental disorder, including a serious emotional disturbance, or a social or emotional disorder. Such treatment services may include social-emotional and behavioral services.</text>
</paragraph><paragraph id="id552D7CB9BC624182B4693AABEE5038B0"><enum>(2)</enum><text>Provide training for health care professionals with expertise in infant and early childhood mental health care with respect to appropriate and relevant integration with other disciplines such as primary care clinicians, early intervention specialists, child welfare staff, home visitors, early care and education providers, and others who work with young children and families.</text>
</paragraph><paragraph id="id0D848431218344AD843AD0617BCEDA43"><enum>(3)</enum><text>Provide mental health consultation to personnel of early care and education programs (including licensed or regulated center-based and home-based child care, home visiting, preschool special education and early intervention programs funded through part C of the Individuals with Disabilities Education Act) who work with children and families.</text>
</paragraph><paragraph id="idCB2B8C32831840AA98B27EDAC1428404"><enum>(4)</enum><text>Provide training for mental health clinicians in infant and early childhood promising and evidence-based practices and models for mental health treatment and early-intervention, including with regard to practices for identifying and treating mental and behavioral disorders of infants and children resulting from exposure or repeated exposure to adverse childhood experiences or childhood trauma.</text>
</paragraph><paragraph id="id526501618D0C4D079C7EB120D44F0DDC"><enum>(5)</enum><text>Provide assessment and intervention services for eligible children, including early prevention, intervention, and treatment services.</text>
</paragraph></subsection><subsection id="id8489522fe2984bc9b777a35dcac7eb9c"><enum>(e)</enum><header>Matching funds</header><text>The Secretary may not award a grant under this section to an eligible entity unless the eligible entity agrees, with respect to the costs to be incurred by the eligible entity in carrying out the activities described in subsection (d), to make available non-Federal contributions (in cash or in kind) toward such costs in an amount that is not less than 10 percent of the total amount of Federal funds provided in the grant.</text>
</subsection><subsection commented="no" display-inline="no-display-inline" id="idf7c1b732bde94f5db0fdb72cfea10c9a"><enum>(f)</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><enum>VI</enum><header>Improving patient care and access to mental and substance use disorder benefits</header>
<section id="id3d15a160-f831-4168-978a-775fe1e92572"><enum>601.</enum><header>HIPAA clarification</header>
<subsection id="id184d4b14-ec62-4006-aea5-6db71470b741"><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="id08768655-ecd3-40a1-993a-79d932fe3416"><enum>(1)</enum><text>require the patient’s consent;</text> </paragraph><paragraph id="id6d591b56-472b-4880-916e-6dc11dd06e13"><enum>(2)</enum><text>require providing the patient with an opportunity to object;</text>
</paragraph><paragraph id="id4503a23a-ff44-4346-898f-62d0ee9b3298"><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="id6eb02879-3266-43cd-9f51-31cd6395e898"><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="idcdd4ba47-2c9e-4f71-b39d-1441dd7e2732"><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="id8629dc47-90a7-4865-b7d7-c0aff4d69a4d"><enum>602.</enum><header>Identification of model training programs</header>
<subsection id="ida0a62c58-a8d8-4273-9809-6c6e52f4d41e"><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="idf1d05613-0229-480d-b84f-38e8749d2fe6"><enum>(1)</enum><text>model programs and materials for training health care providers (including physicians, emergency medical personnel, psychiatrists, psychologists, counselors, therapists, nurse practitioners, physicians assistants, behavioral health facilities and clinics, care managers, and hospitals, including individuals such as general counsels 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="id2c0edeb6-f296-4f80-b7e8-165c132e618e"><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="id786b360f-d9dd-4d38-b5fc-574d3a89e0a1"><enum>(b)</enum><header>Periodic updates</header><text>The Secretary shall—</text> <paragraph id="id324d0343-d83a-444e-b702-9adc1eeddf85"><enum>(1)</enum><text>periodically review, evaluate, and update the model programs and materials identified under subsection (a); and</text>
</paragraph><paragraph id="id089ff471-4d00-489e-8991-8a63dd5048fc"><enum>(2)</enum><text>disseminate the updated model programs and materials.</text> </paragraph></subsection><subsection id="id098aa06a-f16c-4216-9ebe-a1d71f9fdebe"><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="id6dcf6317-7cb9-46ba-8621-1e7b87c42fda"><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, and the families of patients and consumers.</text>
</subsection></section><section id="idc69a7b33-c4c9-433e-a454-3b3768529720"><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 effect of such regulations on patient care, health outcomes, and patient privacy.</text>
</section><section id="idfadea421-905a-488a-8448-26f5065e7762"><enum>604.</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><section id="id4EE7EE191B374D7EBFF7A1DA790BE327"><enum>605.</enum><header>Enhanced compliance with mental health and substance use disorder coverage requirements</header>
<subsection id="id6D800C05C66849919085DBD96D7A5BBE"><enum>(a)</enum><header>Compliance program guidance document</header><text>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 changed="added" display-inline="no-display-inline" id="idD53C59E6E4DF4DF181ECF9BD84B3602F" reported-display-style="italic" style="OLC">
<paragraph id="id18D314788DC84A08A498F858ECE9BE7A"><enum>(6)</enum><header>Compliance program guidance document</header>
<subparagraph id="idC2E3AC58A67441F4ADBC66CB63509AB6"><enum>(A)</enum><header>In general</header><text>Not later than 6 months after the date of enactment of the <short-title>Mental Health Reform Act of 2016</short-title>, the Inspector General of the Department of Health and Human Services, in coordination with the Secretary, the Secretary of Labor, or the Secretary of the Treasury, shall issue a compliance program guidance document to help improve compliance with this section.</text>
</subparagraph><subparagraph id="idCA6BEA64CB3E4BCBA71E162F196359E7"><enum>(B)</enum><header>Examples illustrating compliance and noncompliance</header>
<clause id="id1AC21F3D46C449EAB36AF211890D4331"><enum>(i)</enum><header>In general</header><text>The compliance program guidance document required under this paragraph shall provide illustrative, de-identified examples (that do not disclose any protected health information or individually identifiable information) of previous findings of compliance and noncompliance with this section, section 712 of the Employee Retirement Income Security Act of 1974, or <external-xref legal-doc="usc" parsable-cite="usc/26/9812">section 9812</external-xref> of the Internal Revenue Code of 1986 based on investigations of violations of such sections, including—</text>
<subclause id="iddf81195144da46e5a9d0298b145b1b1f"><enum>(I)</enum><text>examples illustrating requirements for information disclosures and non-quantitative treatment limitations; and</text>
</subclause><subclause id="id4bc9ece61aa84c749586cceaf644b691"><enum>(II)</enum><text>descriptions of the violations uncovered during the course of such investigations.</text> </subclause></clause><clause id="id121318217AEB40359510C1C212F8886E"><enum>(ii)</enum><header>Non-quantitative treatment limitations</header><text>To the extent that any example described in clause (i) involves a finding of compliance or noncompliance with regard to any requirement for non-quantitative treatment limitations, the example shall provide sufficient detail to fully explain such finding, including a full description of the criteria involved for medical and surgical benefits and the criteria involved for mental health and substance use disorder benefits.</text>
</clause><clause id="id65AC79A342D94F81A72C20A32DE09A26"><enum>(iii)</enum><header>Access to additional information regarding compliance</header><text>In developing and issuing the compliance program guidance document required under this paragraph, the Inspector General of the Department of Health and Human Services may—</text>
<subclause id="id89B5F9FCB8474730B6E8E16BB7684325"><enum>(I)</enum><text>enter into inter-agency agreements with the Inspector General of the Department of Labor and the Inspector General of the Department of the Treasury to share findings of compliance and noncompliance with this section, section 712 of the Employee Retirement Income Security Act of 1974, or <external-xref legal-doc="usc" parsable-cite="usc/26/9812">section 9812</external-xref> of the Internal Revenue Code of 1986; and</text>
</subclause><subclause id="id13A632E254364F7EBCB515ECBD4DF0F8"><enum>(II)</enum><text>enter into an agreement with a State to share information on findings of compliance and noncompliance with this section, section 712 of the Employee Retirement Income Security Act of 1974, or <external-xref legal-doc="usc" parsable-cite="usc/26/9812">section 9812</external-xref> of the Internal Revenue Code of 1986.</text>
</subclause></clause></subparagraph><subparagraph id="id8021F76D5AEB49358E257F2A3AA9459F"><enum>(C)</enum><header>Recommendations</header><text>The compliance program guidance document shall include recommendations to avoid violations of this section and encourage the development and use of internal controls to monitor adherence to applicable statutes, regulations, and program requirements. Such internal controls may include a compliance checklist with illustrative examples of non-quantitative treatment limitations on mental health and substance use disorder benefits, which may fail to comply with this section in relation to non-quantitative treatment limitations on medical and surgical benefits.</text>
</subparagraph><subparagraph id="id72472DF2A66E4C1BA7F29D8AF54CA15E"><enum>(D)</enum><header>Updating the compliance program guidance document</header><text>The compliance program guidance document shall be updated every 2 years to include illustrative, de-identified examples (that do not disclose any protected health information or individually identifiable information) of previous findings of compliance and noncompliance with this section, section 712 of the Employee Retirement Income Security Act of 1974, or <external-xref legal-doc="usc" parsable-cite="usc/26/9812">section 9812</external-xref> of the Internal Revenue Code of 1986.</text></subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="idC4FAA2B209E241F6B81865818ED5AED6"><enum>(b)</enum><header>Additional 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>), as amended by subsection (b), is further amended by adding at the end the following:</text>
<quoted-block changed="added" display-inline="no-display-inline" id="id94FA5EA103914D12A39997FCF0355674" reported-display-style="italic" style="OLC">
<paragraph id="id9F23E678BF0C45A599FC29B752361117"><enum>(7)</enum><header>Additional guidance</header>
<subparagraph id="idA8B48E8927E64933A2B2CCF15C3D83DF"><enum>(A)</enum><header>In general</header><text>Not later than 6 months 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="idB5E1709209C14ABA97C1FBA72907ECC8"><enum>(B)</enum><header>Disclosure</header>
<clause id="id52F2A6353ED6482CBA06FFA8519381E8"><enum>(i)</enum><header>Guidance for plans and issuers</header><text>The guidance issued under this paragraph shall include clarifying information and illustrative examples of methods that group health plans and health insurance issuers offering group or individual health insurance coverage may use for disclosing information to ensure compliance with the requirements under this section (and any regulations promulgated pursuant to this section).</text>
</clause><clause id="id5A2903D8BC064B379DE8B06D9251DB4E"><enum>(ii)</enum><header>Documents for participants, beneficiaries, contracting providers, or authorized representatives</header><text>The guidance issued under this paragraph may include clarifying information and illustrative examples of methods that group health plans and health insurance issuers offering group or individual health insurance coverage may use to provide any participant, beneficiary, contracting provider, or authorized representative, as applicable, with documents containing information that the health plans or issuers are required to disclose to participants, beneficiaries, contracting providers, or authorized representatives to ensure compliance with this section, any regulation issued pursuant to this section, or any other applicable law or regulation, including information that is comparative in nature with respect to—</text>
<subclause id="idbb445159eaaa47f396acac2a0c952c4d"><enum>(I)</enum><text>non-quantitative treatment limitations for both medical and surgical benefits and mental health and substance use disorder benefits;</text>
</subclause><subclause id="id7FACC9A024F74A31AF0092A23521EA31"><enum>(II)</enum><text>the processes, strategies, evidentiary standards, and other factors used to apply the limitations described in subclause (I); and</text>
</subclause><subclause id="ide23965f5a83047b8837e9b94b309f9fa"><enum>(III)</enum><text>the application of the limitations described in subclause (I) to ensure that such limitations are applied in parity with respect to both medical and surgical benefits and mental health and substance use disorder benefits.</text>
</subclause></clause></subparagraph><subparagraph id="id0BDECF556C83488082D6D77FB44DC80D"><enum>(C)</enum><header>Non-quantitative treatment limitations</header><text>The guidance issued under this paragraph shall include clarifying information and illustrative examples of methods, processes, strategies, evidentiary standards, and other factors that group health plans and health insurance issuers offering group or individual health insurance coverage may use regarding the development and application of non-quantitative treatment limitations to ensure compliance with this section (and any regulations promulgated pursuant to this section), including—</text>
<clause id="idDB44CE6C13B64AACB88FD3A6C918A1D4"><enum>(i)</enum><text>examples of methods of determining appropriate types of non-quantitative treatment limitations with respect to both medical and surgical benefits and mental health and substance use disorder benefits, including non-quantitative treatment limitations pertaining to—</text>
<subclause id="idD6B42B42B3344B8495FBCAE31F0BAB2B"><enum>(I)</enum><text>medical management standards based on medical necessity or appropriateness, or whether a treatment is experimental or investigative;</text>
</subclause><subclause id="id0D541AC94D2641028069A70ADB227228"><enum>(II)</enum><text>limitations with respect to prescription drug formulary design; and</text> </subclause><subclause id="id9A2E24F41C3040088FDD7C5318E009D6"><enum>(III)</enum><text>use of fail-first or step therapy protocols;</text>
</subclause></clause><clause id="idC18D490FA9A3454F88BC539CE78EE422"><enum>(ii)</enum><text>examples of methods of determining—</text> <subclause id="idB6A1E403DBD54536BBD80DBF51B2A8BB"><enum>(I)</enum><text>network admission standards (such as credentialing); and</text>
</subclause><subclause id="id1E642920545A4E2DA95A4CB46299DBF7"><enum>(II)</enum><text>factors used in provider reimbursement methodologies (such as service type, geographic market, demand for services, and provider supply, practice size, training, experience, and licensure) as such factors apply to network adequacy;</text>
</subclause></clause><clause id="id7A33D86BB02A451B984AE7DAC8BE14C4"><enum>(iii)</enum><text>examples of sources of information that may serve as evidentiary standards for the purposes of making determinations regarding the development and application of non-quantitative treatment limitations;</text>
</clause><clause id="id3f206761ed694c91af529f1653eedcef"><enum>(iv)</enum><text>examples of specific factors, and the evidentiary standards used to evaluate such factors, used by such plans or issuers in performing a non-quantitative treatment limitation analysis;</text>
</clause><clause id="idB4527A540F8C4024B37D852EB0160003"><enum>(v)</enum><text>examples of how specific evidentiary standards may be used to determine whether treatments are considered experimental or investigative;</text>
</clause><clause id="idC382FA8816DD42F4A9437636E6CC0745"><enum>(vi)</enum><text>examples of how specific evidentiary standards may be applied to each service category or classification of benefits;</text>
</clause><clause id="idE4592BD18C4C4F0DAAF70EB26DE1ED94"><enum>(vii)</enum><text>examples of methods of reaching appropriate coverage determinations for new mental health or substance use disorder treatments, such as evidence-based early intervention programs for individuals with a serious mental illness and types of medical management techniques;</text>
</clause><clause id="idE8647A4253F14F48912D2C35D3D074D6"><enum>(viii)</enum><text>examples of methods of reaching appropriate coverage determinations 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 voluntary or involuntary commitment; and</text>
</clause><clause id="idBE526A1D85384E7790D3D25B7764C096"><enum>(ix)</enum><text>additional illustrative examples of methods, processes, strategies, evidentiary standards, and other factors for which the Secretary determines that additional guidance is necessary to improve compliance with this section.</text>
</clause></subparagraph><subparagraph id="idAF686DBFED9F4B2FB0A121ED89FAF96C"><enum>(D)</enum><header>Public comment</header><text>Prior to issuing any final guidance under this paragraph, 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="id4C9D81D255154777BFE2E7E7E8B43420"><enum>(c)</enum><header>Improving compliance</header>
<paragraph id="idDB70630DB1C24DCDAC9F57D0D62E1540"><enum>(1)</enum><header>In general</header><text>In the case that the Secretary of Health and Human Services, the Secretary of Labor, or the Secretary of the Treasury determines that a group health plan or health insurance issuer offering group or individual health insurance coverage has violated, at least 5 times, 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 plan year following the Secretary’s determination in order to help improve compliance with such section.</text>
</paragraph><paragraph id="id6D0434B662244DAF853062C7397BEEFB"><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="id17D0673B21F14B04B843249937358A36"><enum>606.</enum><header>Action plan for enhanced enforcement of mental health and substance use disorder coverage</header>
<subsection id="idFE86FDC01ED94A86A8D81F43D68B81F6"><enum>(a)</enum><header>Public meeting</header>
<paragraph id="id4800272FF1304EAB9BDD5E2E5227CFD9"><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="id6ED056E5E4AF419398384A9764267617"><enum>(2)</enum><header>Stakeholders</header><text>The stakeholders described in this paragraph shall include each of the following:</text> <subparagraph id="id2559342AFBFA473C9F77F836B8F3864E"><enum>(A)</enum><text>The Federal Government, including representatives from—</text>
<clause id="id22DD5E4F856A438F82BF379416ED6442"><enum>(i)</enum><text>the Department of Health and Human Services;</text> </clause><clause id="idA474BB52C2A446289976C8E9D1923D86"><enum>(ii)</enum><text>the Department of the Treasury;</text>
</clause><clause id="id7C16C57992FF43E387A2C82751130F24"><enum>(iii)</enum><text>the Department of Labor; and</text> </clause><clause id="id791FF28B6FB340F59C208B4483632224"><enum>(iv)</enum><text>the Department of Justice.</text>
</clause></subparagraph><subparagraph id="idC84E2F98220949E383F76EA5964667A2"><enum>(B)</enum><text>State governments, including—</text> <clause id="idC4C603AD0075487C9AAFBE90F523D596"><enum>(i)</enum><text>State health insurance commissioners;</text>
</clause><clause id="id07B930176827479C99E4591CBA2D81E1"><enum>(ii)</enum><text>appropriate State agencies, including agencies on public health or mental health; and</text> </clause><clause id="idAB9E66B5BDB041D9BC8EB55AAB7E9F31"><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="id25AECBD7562345388A67E6E9A6F83A1B"><enum>(C)</enum><text>Representatives from key stakeholder groups, including—</text> <clause id="idAC8B679DB21948C997D680C1F123FC59"><enum>(i)</enum><text>the National Association of Insurance Commissioners;</text>
</clause><clause id="idFABDB5C8710E4262807AEA621D060F4A"><enum>(ii)</enum><text>health insurance providers;</text> </clause><clause id="idDCE6F019E6904D0AB64FE7332D9E2334"><enum>(iii)</enum><text>providers of mental health and substance use disorder treatment;</text>
</clause><clause id="idA56C5E9D1057489DABDD5F670E383F9B"><enum>(iv)</enum><text>employers; and</text> </clause><clause id="idA83268F0D0A44E759702977526400BC6"><enum>(v)</enum><text>patients or their advocates.</text>
</clause></subparagraph></paragraph></subsection><subsection id="id489105539DAC48F89E64FE31AA2E6F74"><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="id42F6689750DA446DAD2E7C068F0BA757"><enum>(c)</enum><header>Content</header><text>The action plan under this section shall—</text> <paragraph id="id1BBC97BE5AA549AD82DD614D7F6595F3"><enum>(1)</enum><text>reflect the input of the stakeholders invited to the public meeting under subsection (a);</text>
</paragraph><paragraph id="idF446C7B2DC924B569BCD7D247018E662"><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="idD41A2BBBF9A84639AA2E0A4C88896AED"><enum>(3)</enum><text>provide a timeline for implementing the action plan; and</text> </paragraph><paragraph id="idEE4C94364E7A46F3BD3444E2254285D9"><enum>(4)</enum><text>provide specific examples of how such objectives may be met, which may include—</text>
<subparagraph id="id050C7D36EC7B4692A8FD80893CA9AF1B"><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="idD874DBB0600442E3B313BE561EDF648B"><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="id68F868C7CA2A41A89E226DACFF8821AF"><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="id33F77A6F823E44DFBE7498A0D54419C3"><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 the need for additional legal authority to ensure that non-quantitative treatment limitations are applied, and the extent and frequency of the applications of such limitations, both to medical and surgical benefits and to mental health and substance use disorder benefits in a comparable manner.</text>
</subparagraph></paragraph></subsection></section><section id="id9C62F5176203454BA3CDC232201B3997"><enum>607.</enum><header>Report on investigations regarding parity in mental health and substance use disorder benefits</header>
<subsection id="id5041366AB32A4153BB704AAFB8DC6A69"><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 mental health and substance use disorder coverage requirements 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="id3DEE9DDFCBEB413C9DEAC4732DE86511"><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="id222DDDEEB136493FB37B45831A048DFD"><enum>(1)</enum><text>The number of open or closed Federal investigations conducted during the covered reporting period.</text> </paragraph><paragraph id="id9EE4DF2AA1E3484CA9AE96BB5BAE77D1"><enum>(2)</enum><text>Each benefit classification examined by any such investigation conducted during the covered reporting period.</text>
</paragraph><paragraph id="id11C5809291484297A7625BF87A43FFCB"><enum>(3)</enum><text>Each subject matter, including compliance with requirements for quantitative and non-quantitative treatment limitations, of any such investigation conducted during the covered reporting period.</text>
</paragraph><paragraph id="id0FC1313FCEE849E1BF29D1E8BECE2609"><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="id60443A85EEC04F75B6639D0F3007CC6A"><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="id06F3EE2852ED4A3BA1BDA9A8822F543F"><enum>608.</enum><header>GAO study on parity in mental health and substance use disorder benefits</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, 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>), and health plans provided under the State Children's Health Insurance Program under title XXI of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1397aa">42 U.S.C. 1397aa et seq.</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="id5977F3A3C5324182BA89F248A5D0C825"><enum>(1)</enum><text>how non-quantitative treatment limitations, including medical necessity criteria, of such plans or issuers comply with such sections;</text>
</paragraph><paragraph id="id8752951071FC4AC694CDA9BDD8967BBE"><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="idFF9C8FC925FB41D5AD1AD0FBE2C90DA2"><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 606; and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="idC34542823D394FF496EFC81B697EB842"><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><enum>VII</enum><header>Mental health awareness and improvement</header>
<section commented="no" display-inline="no-display-inline" id="id25ba9d7f-4893-417b-a224-013a02659fd1" section-type="subsequent-section"><enum>701.</enum><header display-inline="yes-display-inline">Short title</header><text display-inline="no-display-inline">This title may be cited as the <quote><short-title>Mental Health Awareness and Improvement Act of 2016</short-title></quote>.</text> </section><section commented="no" display-inline="no-display-inline" id="id26085CA507004D30AEB978BCD4E09B02" section-type="subsequent-section"><enum>702.</enum><header display-inline="yes-display-inline">Garrett Lee Smith Memorial Act reauthorization</header> <subsection commented="no" display-inline="no-display-inline" id="id8353b473-f391-44af-bca0-20594587eda6"><enum>(a)</enum><header display-inline="yes-display-inline">Suicide prevention technical assistance center</header><text display-inline="yes-display-inline">Section 520C of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb-34">42 U.S.C. 290bb–34</external-xref>) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="id70410a58-3889-43a8-948f-468446855a80"><enum>(1)</enum><text display-inline="yes-display-inline">by striking the section heading and inserting <quote><header-in-text level="section" style="OLC">Suicide prevention technical assistance center.</header-in-text></quote>;</text> </paragraph><paragraph commented="no" display-inline="no-display-inline" id="idc06868e0-d019-425b-a360-be7b3ce9924e"><enum>(2)</enum><text display-inline="yes-display-inline">in subsection (a), by striking <quote>and in consultation with</quote> and all that follows through the period at the end of paragraph (2) and inserting <quote>shall establish a research, training, and technical assistance resource center to provide appropriate information, training, and technical assistance to States, political subdivisions of States, federally recognized Indian tribes, tribal organizations, institutions of higher education, public organizations, or private nonprofit organizations regarding the prevention of suicide among all ages, particularly among groups that are at high risk for suicide.</quote>;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id3deae82d-0302-44c6-ac5e-581ffaba36dc"><enum>(3)</enum><text display-inline="yes-display-inline">by striking subsections (b) and (c);</text> </paragraph><paragraph commented="no" display-inline="no-display-inline" id="id8c35ba14-5c83-4c78-b7c0-f42a386da3f6"><enum>(4)</enum><text display-inline="yes-display-inline">by redesignating subsection (d) as subsection (b);</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="iddd5106e1-90ed-4617-a6c3-a0bae438a53e"><enum>(5)</enum><text display-inline="yes-display-inline">in subsection (b), as so redesignated—</text> <subparagraph commented="no" display-inline="no-display-inline" id="iddfbb1868-f423-4974-a10e-1c1542e195b4"><enum>(A)</enum><text display-inline="yes-display-inline">by striking the subsection heading and inserting <quote><header-in-text level="subsection" style="OLC">Responsibilities of the center.</header-in-text></quote>;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id957185b7-6d0e-4dea-965b-964342773909"><enum>(B)</enum><text display-inline="yes-display-inline">in the matter preceding paragraph (1), by striking <quote>The additional research</quote> and all that follows through <quote>nonprofit organizations for</quote> and inserting <quote>The center established under subsection (a) shall conduct activities for the purpose of</quote>;</text> </subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id08f9b818-e74b-4095-b1be-1b8c094d4d60"><enum>(C)</enum><text display-inline="yes-display-inline">by striking <quote>youth suicide</quote> each place such term appears and inserting <quote>suicide</quote>;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="ida3078fac-765c-465f-a5fb-8f291ff70577"><enum>(D)</enum><text display-inline="yes-display-inline">in paragraph (1)—</text> <clause commented="no" display-inline="no-display-inline" id="idf0acd942-4ad0-4114-95e4-fe76b7ecf3d5"><enum>(i)</enum><text display-inline="yes-display-inline">by striking <quote>the development or continuation of</quote> and inserting <quote>developing and continuing</quote>; and</text>
</clause><clause commented="no" display-inline="no-display-inline" id="id4a2ddfd1-564d-4dd5-8720-4919cc30cbc3"><enum>(ii)</enum><text display-inline="yes-display-inline">by inserting <quote>for all ages, particularly among groups that are at high risk for suicide</quote> before the semicolon at the end;</text> </clause></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id79322660-a065-4119-b566-9a71939f1804"><enum>(E)</enum><text display-inline="yes-display-inline">in paragraph (2), by inserting <quote>for all ages, particularly among groups that are at high risk for suicide</quote> before the semicolon at the end;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="ide7f1b2aa-5738-48ab-88ec-323520ed3891"><enum>(F)</enum><text display-inline="yes-display-inline">in paragraph (3), by inserting <quote>and tribal</quote> after <quote>statewide</quote>;</text> </subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="ida7b19d32-0c9e-424a-aff6-4e55fba48e4e"><enum>(G)</enum><text display-inline="yes-display-inline">in paragraph (5), by inserting <quote>and prevention</quote> after <quote>intervention</quote>;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id4aff9f43-016b-4311-b3a1-f68c3f7476cc"><enum>(H)</enum><text display-inline="yes-display-inline">in paragraph (8), by striking <quote>in youth</quote>;</text> </subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id9d396187-bf83-4c0c-ac86-7bef2e43361d"><enum>(I)</enum><text display-inline="yes-display-inline">in paragraph (9), by striking <quote>and behavioral health</quote> and inserting <quote>health and substance use disorder</quote>; and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="iddc94afd6-89ca-4d50-9966-89e5c014c6b0"><enum>(J)</enum><text display-inline="yes-display-inline">in paragraph (10), by inserting <quote>conducting</quote> before <quote>other</quote>; and</text> </subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id66bb043e-a662-423d-b762-e0d6635c2a78"><enum>(6)</enum><text display-inline="yes-display-inline">by striking subsection (e) and inserting the following:</text>
<quoted-block changed="added" committee-id="SSHR00" display-inline="no-display-inline" id="iddd5523a4-5b5b-4513-852b-b8e4c8455d8d" reported-display-style="italic" style="OLC">
<subsection commented="no" display-inline="no-display-inline" id="id0f78852e-7588-4b8e-8eae-25b4b1f4038a"><enum>(c)</enum><header display-inline="yes-display-inline">Authorization of appropriations</header><text display-inline="yes-display-inline">For the purpose of carrying out this section, there are authorized to be appropriated $6,000,000 for each of fiscal years 2016 through 2020.</text>
</subsection><subsection commented="no" display-inline="no-display-inline" id="id62349EAE5E28485B957A4E33E2285B07"><enum>(d)</enum><header>Annual report</header><text>Not later than 2 years after the date of enactment of this subsection, the Secretary shall submit to Congress a report on the activities carried out by the center established under subsection (a) during the year involved, including the potential effects of such activities, and the States, organizations, and institutions that have worked with the center.</text></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="id7a9ce07a-616a-4f9d-8331-d28f8e1f3def"><enum>(b)</enum><header display-inline="yes-display-inline">Youth suicide early intervention and prevention strategies</header><text display-inline="yes-display-inline">Section 520E of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb-36">42 U.S.C. 290bb–36</external-xref>) is amended—</text> <paragraph commented="no" display-inline="no-display-inline" id="idaf00f3b2-f24a-497b-a0c4-94e925e9d2a2"><enum>(1)</enum><text display-inline="yes-display-inline">in paragraph (1) of subsection (a) and in subsection (c), by striking <quote>substance abuse</quote> each place such term appears and inserting <quote>substance use disorder</quote>;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id5ca11836-61e0-494c-836f-490f41bacd29"><enum>(2)</enum><text display-inline="yes-display-inline">in subsection (b)(2)—</text> <subparagraph commented="no" display-inline="no-display-inline" id="idb1e819f3-3115-4081-ad0f-7741fe3634c9"><enum>(A)</enum><text display-inline="yes-display-inline">by striking <quote>each State is awarded only 1 grant or cooperative agreement under this section</quote> and inserting <quote>a State does not receive more than 1 grant or cooperative agreement under this section at any 1 time</quote>; and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id3dae9520-3934-451e-a861-10eab949535e"><enum>(B)</enum><text display-inline="yes-display-inline">by striking <quote>been awarded</quote> and inserting <quote>received</quote>; and</text> </subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="idD0DBB66497BE45AC835FEA03D4F80E84"><enum>(3)</enum><text>in subsection (g)(2), by striking <quote>2 years after the date of enactment of this section,</quote> and insert <quote>2 years after the date of enactment of <short-title>Mental Health Reform Act of 2016</short-title>,</quote>;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id7d0258e1-5572-4b59-8dc8-d9c3a5cc0b68"><enum>(4)</enum><text display-inline="yes-display-inline">by striking subsection (m) and inserting the following:</text> <quoted-block changed="added" committee-id="SSHR00" display-inline="no-display-inline" id="iddeadfe5a-bb4a-4609-a038-47583f70ab48" reported-display-style="italic" style="OLC"> <subsection commented="no" display-inline="no-display-inline" id="id70cebf5c-8cf3-4a7e-88a1-d188b0ed2d57"><enum>(m)</enum><header display-inline="yes-display-inline">Authorization of appropriations</header><text display-inline="yes-display-inline">For the purpose of carrying out this section, there are authorized to be appropriated $30,000,000 for each of fiscal years 2017 through 2021.</text></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="id163d703c-5dcd-43c8-b7f0-b9455bf93555"><enum>(c)</enum><header display-inline="yes-display-inline">Mental health and substance use disorder services</header><text display-inline="yes-display-inline">Section 520E–2 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb-36b">42 U.S.C. 290bb–36b</external-xref>) is amended—</text> <paragraph commented="no" display-inline="no-display-inline" id="id98de158a-4840-49fd-b769-62407192b2e9"><enum>(1)</enum><text display-inline="yes-display-inline">in the section heading, by striking <quote><header-in-text level="section" style="OLC">and behavioral health</header-in-text></quote> and inserting <quote><header-in-text level="section" style="OLC">health and substance use disorder</header-in-text></quote>;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id5baaf2b1-b047-4f9f-b806-cb7a5fea6a53"><enum>(2)</enum><text display-inline="yes-display-inline">in subsection (a)—</text> <subparagraph commented="no" display-inline="no-display-inline" id="id8af6aa12-3d1d-4f57-8611-cd70faf703b0"><enum>(A)</enum><text display-inline="yes-display-inline">by striking <quote>Services,</quote> and inserting <quote>Services and</quote>;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id2759a936-d0c2-4bfc-904f-99b50c4e86af"><enum>(B)</enum><text display-inline="yes-display-inline">by striking <quote>and behavioral health problems</quote> and inserting <quote>health or substance use disorders</quote>; and</text> </subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id66e2d103-6847-4a9a-a18b-a776dcaa3feb"><enum>(C)</enum><text display-inline="yes-display-inline">by striking <quote>substance abuse</quote> and inserting <quote>substance use disorders</quote>;</text>
</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id648d474a-be43-4448-ad5c-3499149c54da"><enum>(3)</enum><text display-inline="yes-display-inline">in subsection (b)—</text> <subparagraph commented="no" display-inline="no-display-inline" id="ide5faf9e4-1bfd-4e4a-ae66-e03e5465cbbb"><enum>(A)</enum><text display-inline="yes-display-inline">in the matter preceding paragraph (1), by striking <quote>for—</quote> and inserting <quote>for one or more of the following:</quote>; and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id328243b2-a406-400f-874e-ba787e1cc301"><enum>(B)</enum><text display-inline="yes-display-inline">by striking paragraphs (1) through (6) and inserting the following:</text> <quoted-block changed="added" committee-id="SSHR00" display-inline="no-display-inline" id="id00dc7e5f-c30a-46aa-bbfa-5fb1aee65521" reported-display-style="italic" style="OLC"> <paragraph commented="no" display-inline="no-display-inline" id="idd9640957-6695-4d2b-a9ee-3c89bf1b7bdd"><enum>(1)</enum><text display-inline="yes-display-inline">Educating students, families, faculty, and staff to increase awareness of mental health and substance use disorders.</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="ide77260eb-5056-4aa2-98f4-1a2067fa4357"><enum>(2)</enum><text display-inline="yes-display-inline">The operation of hotlines.</text> </paragraph><paragraph commented="no" display-inline="no-display-inline" id="idd97ffc92-6809-4df9-a441-cca77eb003e3"><enum>(3)</enum><text display-inline="yes-display-inline">Preparing informational material.</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="idc60d6cf1-e8eb-4bb7-8d21-39d2441b9e5b"><enum>(4)</enum><text display-inline="yes-display-inline">Providing outreach services to notify students about available mental health and substance use disorder services.</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="idff237f11-650f-4bc5-aeb0-41ec1421809a"><enum>(5)</enum><text display-inline="yes-display-inline">Administering voluntary mental health and substance use disorder screenings and assessments.</text> </paragraph><paragraph commented="no" display-inline="no-display-inline" id="id7a30e1c9-43bb-408d-a861-248c33c9e43b"><enum>(6)</enum><text display-inline="yes-display-inline">Supporting the training of students, faculty, and staff to respond effectively to students with mental health and substance use disorders.</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id3e4bebd4-0712-42e8-9f16-3e2ba035e89d"><enum>(7)</enum><text display-inline="yes-display-inline">Creating a network infrastructure to link colleges and universities with health care providers who treat mental health and substance use disorders.</text></paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id3cb13bea-72aa-4917-938d-d32a838070eb"><enum>(4)</enum><text display-inline="yes-display-inline">in subsection (c)(5), by striking <quote>substance abuse</quote> and inserting <quote>substance use disorder</quote>;</text> </paragraph><paragraph commented="no" display-inline="no-display-inline" id="id139e88cf-bfcf-49f6-a41f-1ef585aa16e4"><enum>(5)</enum><text display-inline="yes-display-inline">in subsection (d)—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="ideaa269b6-ac9f-4604-b9e8-47983046a625"><enum>(A)</enum><text display-inline="yes-display-inline">in the matter preceding paragraph (1), by striking <quote>An institution of higher education desiring a grant under this section</quote> and inserting <quote>To be eligible to receive a grant under this section, an institution of higher education</quote>;</text> </subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="ide27a487c-776b-4286-b289-41e7b139a33b"><enum>(B)</enum><text display-inline="yes-display-inline">in paragraph (1)—</text>
<clause commented="no" display-inline="no-display-inline" id="ide378dbfe-bf27-4674-956b-235dd16cd149"><enum>(i)</enum><text display-inline="yes-display-inline">by striking <quote>and behavioral health</quote> and inserting <quote>health and substance use disorder</quote>; and</text> </clause><clause commented="no" display-inline="no-display-inline" id="id6827753c-19ad-4f92-8af2-df7ba999d5d9"><enum>(ii)</enum><text display-inline="yes-display-inline">by inserting <quote>, including veterans whenever possible and appropriate,</quote> after <quote>students</quote>; and</text>
</clause></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id199d3705-3c84-42b1-a8e2-03d026a04c82"><enum>(C)</enum><text display-inline="yes-display-inline">in paragraph (2), by inserting <quote>, which may include, as appropriate and in accordance with subsection (b)(7), a plan to seek input from relevant stakeholders in the community, including appropriate public and private entities, in order to carry out the program under the grant</quote> before the period at the end;</text>
</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="idf41e54ce-73c7-4e30-978f-8ce153d35e35"><enum>(6)</enum><text display-inline="yes-display-inline">in subsection (e)(1), by striking <quote>and behavioral health problems</quote> and inserting <quote>health and substance use disorders</quote>;</text> </paragraph><paragraph commented="no" display-inline="no-display-inline" id="id936451b0-369c-402d-ad59-ad92d395030d"><enum>(7)</enum><text display-inline="yes-display-inline">in subsection (f)(2)—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="id325ed89d-c2f8-4ccd-9add-4251623f6bc6"><enum>(A)</enum><text display-inline="yes-display-inline">by striking <quote>and behavioral health</quote> and inserting <quote>health and substance use disorder</quote>; and</text> </subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id2f823ca8-4225-4ed8-9c6e-e455248f15e6"><enum>(B)</enum><text display-inline="yes-display-inline">by striking <quote>suicide and substance abuse</quote> and inserting <quote>suicide and substance use disorders</quote>; and</text>
</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id0098d96a-26d1-419e-80a5-c9c5a3629b13"><enum>(8)</enum><text display-inline="yes-display-inline">in subsection (h), by striking <quote>$5,000,000 for fiscal year 2005</quote> and all that follows through the period at the end and inserting <quote>$6,500,000 for each of fiscal years 2017 through 2021.</quote>.</text> </paragraph></subsection></section><section commented="no" display-inline="no-display-inline" id="id4b87009b-5e2e-413d-81e0-36f786e72ccf" section-type="subsequent-section"><enum>703.</enum><header display-inline="yes-display-inline">Mental health awareness training grants</header><text display-inline="no-display-inline">Section 520J of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb-41">42 U.S.C. 290bb–41</external-xref>) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="id4c99a654-7f3c-48d2-b3c2-edd8dfcc4124"><enum>(1)</enum><text display-inline="yes-display-inline">in the section heading, by inserting <quote><header-in-text level="section" style="OLC">Mental health awareness</header-in-text></quote> before <quote><header-in-text level="section" style="OLC">Training</header-in-text></quote>; and</text> </paragraph><paragraph commented="no" display-inline="no-display-inline" id="id38380dc1-8696-404a-827d-8e63e5484ba2"><enum>(2)</enum><text display-inline="yes-display-inline">in subsection (b)—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="id1ea18aac-d78c-4b48-ba23-f2f457482e07"><enum>(A)</enum><text display-inline="yes-display-inline">in the subsection heading, by striking <quote><header-in-text level="subsection" style="OLC">illness</header-in-text></quote> and inserting <quote><header-in-text level="subsection" style="OLC">health</header-in-text></quote>;</text> </subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="ide32a84b5-8936-4a0a-b23c-afc5e4720f0f"><enum>(B)</enum><text display-inline="yes-display-inline">in paragraph (1), by inserting <quote>and other categories of individuals, as determined by the Secretary,</quote> after <quote>emergency services personnel</quote>;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id3602686f-9688-456b-913b-b71993b3c27f"><enum>(C)</enum><text display-inline="yes-display-inline">in paragraph (5)—</text> <clause commented="no" display-inline="no-display-inline" id="idba6d7371-f75f-4b8d-bf53-9a0488b1618d"><enum>(i)</enum><text display-inline="yes-display-inline">in the matter preceding subparagraph (A), by striking <quote>to</quote> and inserting <quote>for evidence-based programs for the purpose of</quote>; and</text>
</clause><clause commented="no" display-inline="no-display-inline" id="idc3cf3110-59f9-4480-a67d-6dd0482fbda5"><enum>(ii)</enum><text display-inline="yes-display-inline">by striking subparagraphs (A) through (C) and inserting the following:</text> <quoted-block changed="added" committee-id="SSHR00" display-inline="no-display-inline" id="id1ed2c3af-c3ec-460a-aa55-753b846f47ac" reported-display-style="italic" style="OLC"> <subparagraph commented="no" display-inline="no-display-inline" id="idc4ed515b-e297-4a3c-b99b-de71fd321f5e"><enum>(A)</enum><text display-inline="yes-display-inline">recognizing the signs and symptoms of mental illness; and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idc59ee8d3-f0d0-4b74-b0eb-107a56657853"><enum>(B)</enum><clause commented="no" display-inline="yes-display-inline" id="id668972f0-c928-48d0-b583-843b8c886c02"><enum>(i)</enum><text display-inline="yes-display-inline">providing education to personnel regarding resources available in the community for individuals with a mental illness and other relevant resources; or</text>
</clause><clause changed="added" commented="no" committee-id="SSHR00" display-inline="no-display-inline" id="ida538dd8b-da8c-47a5-99ab-47d43c59752a" indent="up1" reported-display-style="italic"><enum>(ii)</enum><text display-inline="yes-display-inline">the safe de-escalation of crisis situations involving individuals with a mental illness.</text></clause></subparagraph><after-quoted-block>; and</after-quoted-block></quoted-block> </clause></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id7899c0a0-3286-41b9-a875-e772f0c1b76b"><enum>(D)</enum><text display-inline="yes-display-inline">in paragraph (7), by striking <quote>, $25,000,000</quote> and all that follows through the period at the end and inserting <quote>$15,000,000 for each of fiscal years 2017 through 2021.</quote>.</text>
</subparagraph></paragraph></section><section commented="no" display-inline="no-display-inline" id="ida48e4610-1543-4d6c-a09e-1860cd8ac350" section-type="subsequent-section"><enum>704.</enum><header display-inline="yes-display-inline">Children's recovery from trauma</header><text display-inline="no-display-inline">Section 582 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290hh-1">42 U.S.C. 290hh–1</external-xref>) is amended—</text> <paragraph commented="no" display-inline="no-display-inline" id="id0c7bd307-2a57-41ad-abb4-ddf6aee2d266"><enum>(1)</enum><text display-inline="yes-display-inline">in subsection (a), by striking <quote>developing programs</quote> and all that follows through the period at the end and inserting “developing and maintaining programs that provide for—</text>
<quoted-block changed="added" committee-id="SSHR00" display-inline="no-display-inline" id="id9e027abe-5ece-4823-b47a-94b152a007f0" reported-display-style="italic" style="OLC">
<paragraph commented="no" display-inline="no-display-inline" id="iddcc0c40e-d53c-4c77-9636-3e6a901af9c4"><enum>(1)</enum><text display-inline="yes-display-inline">the continued operation of the National Child Traumatic Stress Initiative (referred to in this section as the <quote>NCTSI</quote>), which includes a cooperative agreement with a coordinating center, that focuses on the mental, behavioral, and biological aspects of psychological trauma response, prevention of the long-term consequences of child trauma, and early intervention services and treatment to address the long-term consequences of child trauma; and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="idfd050539-a0a7-4a32-84ea-8247c7f1969a"><enum>(2)</enum><text display-inline="yes-display-inline">the development of knowledge with regard to evidence-based practices for identifying and treating mental, behavioral, and biological disorders of children and youth resulting from witnessing or experiencing a traumatic event.</text></paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="idd0d8c93c-8404-4734-8a64-e8b224b71553"><enum>(2)</enum><text display-inline="yes-display-inline">in subsection (b)—</text> <subparagraph commented="no" display-inline="no-display-inline" id="idc090fc13-5437-4af5-9ab1-d5700513050c"><enum>(A)</enum><text display-inline="yes-display-inline">by striking <quote>subsection (a) related</quote> and inserting <quote>subsection (a)(2) (related</quote>;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="ide177f73b-188a-4564-952a-b09ec806799f"><enum>(B)</enum><text display-inline="yes-display-inline">by striking <quote>treating disorders associated with psychological trauma</quote> and inserting <quote>treating mental, behavioral, and biological disorders associated with psychological trauma)</quote>; and</text> </subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idb2dda3f9-d896-421c-b662-9dc8434b6fd9"><enum>(C)</enum><text display-inline="yes-display-inline">by striking <quote>mental health agencies and programs that have established clinical and basic research</quote> and inserting <quote>universities, hospitals, mental health agencies, and other programs that have established clinical expertise and research</quote>;</text>
</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id7bd9d190-66fb-404c-895e-c13ee01f8fb1"><enum>(3)</enum><text display-inline="yes-display-inline">by redesignating subsections (c) through (g) as subsections (g) through (k), respectively;</text> </paragraph><paragraph commented="no" display-inline="no-display-inline" id="idf249e6e1-d6ec-4b3f-8077-31986a0d36e6"><enum>(4)</enum><text display-inline="yes-display-inline">by inserting after subsection (b), the following:</text>
<quoted-block changed="added" committee-id="SSHR00" display-inline="no-display-inline" id="id9e70fba6-fc16-466a-a6e9-a19477466360" reported-display-style="italic" style="OLC">
<subsection commented="no" display-inline="no-display-inline" id="idad36a746-2e62-472b-bed5-ce33821377a5"><enum>(c)</enum><header display-inline="yes-display-inline">Child outcome data</header><text display-inline="yes-display-inline">The NCTSI coordinating center shall collect, analyze, and report NCTSI-wide child treatment process and outcome data regarding the early identification and delivery of evidence-based treatment and services for children and families served by the NCTSI grantees.</text>
</subsection><subsection commented="no" display-inline="no-display-inline" id="idc3013912-3bfb-4457-913d-a8225e47c69d"><enum>(d)</enum><header display-inline="yes-display-inline">Training</header><text display-inline="yes-display-inline">The NCTSI coordinating center shall facilitate the coordination of training initiatives in evidence-based and trauma-informed treatments, interventions, and practices offered to NCTSI grantees, providers, and partners.</text>
</subsection><subsection commented="no" display-inline="no-display-inline" id="ide954b487-68a7-42da-b0ad-28a18b234522"><enum>(e)</enum><header display-inline="yes-display-inline">Dissemination and collaboration</header><text display-inline="yes-display-inline">The NCTSI coordinating center shall, as appropriate, collaborate with—</text> <paragraph commented="no" display-inline="no-display-inline" id="idd43cf117-61c2-4dc3-a907-0cc15ffacc26"><enum>(1)</enum><text display-inline="yes-display-inline">the Secretary, in the dissemination of evidence-based and trauma-informed interventions, treatments, products, and other resources to appropriate stakeholders; and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id7328b53b-770f-45e1-897b-47cbed130839"><enum>(2)</enum><text display-inline="yes-display-inline">appropriate agencies that conduct or fund research within the Department of Health and Human Services, for purposes of sharing NCTSI expertise, evaluation data, and other activities, as appropriate.</text>
</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="idff672a9c-0aa1-4d9c-8590-7133def4daf4"><enum>(f)</enum><header display-inline="yes-display-inline">Review</header><text display-inline="yes-display-inline">The Secretary shall, consistent with the peer review process, ensure that NCTSI applications are reviewed by appropriate experts in the field as part of a consensus review process. The Secretary shall include review criteria related to expertise and experience in child trauma and evidence-based practices.</text></subsection><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id3773c483-2f78-4ccf-b369-bf79b2fc94ad"><enum>(5)</enum><text display-inline="yes-display-inline">in subsection (g) (as so redesignated), by striking <quote>with respect to centers of excellence are distributed equitably among the regions of the country</quote> and inserting <quote>are distributed equitably among the regions of the United States</quote>;</text> </paragraph><paragraph commented="no" display-inline="no-display-inline" id="id60a9f35c-fa2c-46ed-b225-de390932a832"><enum>(6)</enum><text display-inline="yes-display-inline">in subsection (i) (as so redesignated), by striking <quote>recipient may not exceed 5 years</quote> and inserting <quote>recipient shall not be less than 4 years, but shall not exceed 5 years</quote>; and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id26ff0797-a866-49d7-ae2a-d05dbdaeb339"><enum>(7)</enum><text display-inline="yes-display-inline">in subsection (j) (as so redesignated), by striking <quote>$50,000,000</quote> and all that follows through <quote>2006</quote> and inserting <quote>$46,000,000 for each of fiscal years 2017 through 2021</quote>.</text> </paragraph></section><section commented="no" display-inline="no-display-inline" id="idc74d25db-6b72-4c3b-b8c3-a132e75dc7c3" section-type="subsequent-section"><enum>705.</enum><header display-inline="yes-display-inline">Assessing barriers to behavioral health integration</header> <subsection commented="no" display-inline="no-display-inline" id="id8da57c99-2f9d-4021-9bbe-d4678fd8e150"><enum>(a)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">Not later than 2 years after the date of enactment of this Act, the Comptroller General of the United States shall submit a 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 concerning Federal requirements that affect access to treatment of mental health and substance use disorders related to integration with primary care, administrative and regulatory issues, quality measurement and accountability, and data sharing.</text>
</subsection><subsection commented="no" display-inline="no-display-inline" id="ide0a5eac2-4609-4df9-95ba-f123f01c3f8f"><enum>(b)</enum><header display-inline="yes-display-inline">Contents</header><text display-inline="yes-display-inline">The report submitted under subsection (a) shall include the following:</text> <paragraph commented="no" display-inline="no-display-inline" id="id90b7b890-a799-4c14-80b2-e563761c6204"><enum>(1)</enum><text display-inline="yes-display-inline">An evaluation of the administrative or regulatory burden on behavioral health care providers.</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id89a4967d-c59f-4ac7-a63b-32269aa9c2b2"><enum>(2)</enum><text display-inline="yes-display-inline">The identification of outcome and quality measures relevant to integrated health care, evaluation of the data collection burden on behavioral health care providers, and any alternative methods for evaluation.</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id56b52199-00be-457f-b6d9-c7eddc61ec4c"><enum>(3)</enum><text display-inline="yes-display-inline">An analysis of the degree to which electronic data standards, including interoperability and meaningful use includes behavioral health measures, and an analysis of strategies to address barriers to health information exchange posed by part 2 of title 42, Code of Federal Regulations.</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id1c62834f-e1cc-4d7d-bb01-c41df9e78b9e"><enum>(4)</enum><text display-inline="yes-display-inline">An analysis of the degree to which Federal rules and regulations for behavioral and physical health care are aligned, including recommendations to address any identified barriers.</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="idBFFB8EDF3C5144B58C784A29BFE1B444"><enum>(5)</enum><text display-inline="yes-display-inline">An analysis of the challenges to behavioral health and primary care integration faced by providers in rural areas.</text>
</paragraph></subsection></section><section commented="no" display-inline="no-display-inline" id="id9f6ed61c-0889-4339-83b8-3a39743212c5" section-type="subsequent-section"><enum>706.</enum><header display-inline="yes-display-inline">Increasing education and awareness of treatments for opioid use disorders</header>
<subsection commented="no" display-inline="no-display-inline" id="id57183be6-d4aa-4f03-8c1a-2046a6f94bb1"><enum>(a)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">In order to improve the quality of care delivery and treatment outcomes among patients with opioid use disorders, the Secretary of Health and Human Services (referred to in this section as the <quote>Secretary</quote>), acting through the Administrator for the Substance Abuse and Mental Health Services Administration, may advance, through existing programs as appropriate, the education and awareness of providers, patients, and other appropriate stakeholders regarding all products approved by the Food and Drug Administration to treat opioid use disorders.</text>
</subsection><subsection commented="no" display-inline="no-display-inline" id="idaca67be3-dab1-4e77-a92b-3c417dcb1eaf"><enum>(b)</enum><header display-inline="yes-display-inline">Activities</header><text display-inline="yes-display-inline">The activities described in subsection (a) may include—</text> <paragraph commented="no" display-inline="no-display-inline" id="id30929db9-f702-4d23-b75a-879b2f0f472f"><enum>(1)</enum><text display-inline="yes-display-inline">disseminating evidence-based practices for the treatment of opioid use disorders;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id8a41817b-a079-475d-aa10-e66ee50560da"><enum>(2)</enum><text display-inline="yes-display-inline">facilitating continuing education programs for health professionals involved in treating opioid use disorders;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="idc3b639c6-b919-42fa-85dc-ee4438b75b3c"><enum>(3)</enum><text display-inline="yes-display-inline">increasing awareness among relevant stakeholders of the treatment of opioid use disorders;</text> </paragraph><paragraph commented="no" display-inline="no-display-inline" id="id60f68256-f080-4db4-8c86-c4552bd973a3"><enum>(4)</enum><text display-inline="yes-display-inline">assessing current barriers to the treatment of opioid use disorders for patients and providers and development and implementation of strategies to mitigate such barriers; and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="idd1fbf3f5-f7e9-43c6-bed0-b1f13a64127d"><enum>(5)</enum><text display-inline="yes-display-inline">continuing innovative approaches to the treatment of opioid use disorders in various treatment settings, such as prisons, community mental health centers, primary care, and hospitals.</text>
</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="id1b3c016b-75b2-4a70-aafc-bc1294be2b73"><enum>(c)</enum><header display-inline="yes-display-inline">Report</header><text display-inline="yes-display-inline">Not later than 1 year after the date of enactment of this Act, if the Secretary carries out the activities under this section, the Secretary 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 that examines—</text>
<paragraph commented="no" display-inline="no-display-inline" id="idc9ea61c0-824a-42ba-83d2-495598ec156a"><enum>(1)</enum><text display-inline="yes-display-inline">the activities the Substance Abuse and Mental Health Services Administration conducts under this section, including any potential effect on health care costs associated with such activities;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="idd06e68f2-4d8f-42c1-98da-9599b526444c"><enum>(2)</enum><text display-inline="yes-display-inline">the role of adherence in the treatment of opioid use disorders and methods to reduce opioid use disorders; and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id3b236e2f-a72d-46b8-83a1-489ab70dd77e"><enum>(3)</enum><text display-inline="yes-display-inline">recommendations on priorities and strategies to address co-occurring substance use disorders and mental illnesses.</text>
</paragraph></subsection></section><section commented="no" display-inline="no-display-inline" id="id143f38b4-bd40-4a6a-9cd5-b3cba157c7cf" section-type="subsequent-section"><enum>707.</enum><header display-inline="yes-display-inline">Examining mental health care for children</header>
<subsection commented="no" display-inline="no-display-inline" id="id06964218-deae-4b76-b765-804526cf2583"><enum>(a)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">Not later than 1 year after the date of enactment of this Act, the Comptroller General of the United States shall conduct an independent evaluation, and 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 concerning the utilization of mental health services for children, including the usage of psychotropic medications.</text>
</subsection><subsection commented="no" display-inline="no-display-inline" id="idefab30e9-1bbc-4fff-89e6-5d4c7bcd4af7"><enum>(b)</enum><header display-inline="yes-display-inline">Content</header><text display-inline="yes-display-inline">The report submitted under subsection (a) shall review and assess—</text> <paragraph commented="no" display-inline="no-display-inline" id="idb55d1e99-f288-4ae2-9f8e-12b67b5d3bae"><enum>(1)</enum><text display-inline="yes-display-inline">the ways in which children access mental health care, including information on whether children are treated by primary care or specialty providers, what types of referrals for additional care are recommended, and any barriers to accessing this care;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="idce3a4452-e707-442e-b5de-5684335d0ef7"><enum>(2)</enum><text display-inline="yes-display-inline">the extent to which children are prescribed psychotropic medications in the United States including the frequency of concurrent medication usage; and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="idcc027890-ec5c-44a8-9579-2bcc0240d119"><enum>(3)</enum><text display-inline="yes-display-inline">the tools, assessments, and medications that are available and used to diagnose and treat children with mental health disorders.</text>
</paragraph></subsection></section><section commented="no" display-inline="no-display-inline" id="ide24e3aed-9e29-403d-ad67-640e1e8985ec" section-type="subsequent-section"><enum>708.</enum><header display-inline="yes-display-inline">Evidence based practices for older adults</header><text display-inline="no-display-inline">Section 520A(e) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb-32">42 U.S.C. 290bb–32(e)</external-xref>) is amended by adding at the end the following:</text>
<quoted-block changed="added" committee-id="SSHR00" display-inline="no-display-inline" id="idd92d81df-b156-4d6b-acb8-36ff9bf270cd" reported-display-style="italic" style="OLC">
<paragraph commented="no" display-inline="no-display-inline" id="id3e0022b5-e762-4ec3-87bf-5c2c6e0ab972"><enum>(3)</enum><header display-inline="yes-display-inline">Geriatric mental health disorders</header><text display-inline="yes-display-inline">The Secretary shall, as appropriate, provide technical assistance to grantees regarding evidence-based practices for the prevention and treatment of geriatric mental health disorders and co-occurring mental health and substance use disorders among geriatric populations, as well as disseminate information about such evidence-based practices to States and nongrantees throughout the United States.</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section commented="no" display-inline="no-display-inline" id="id19384e9e-237d-4261-90e3-bf2fb6372740" section-type="subsequent-section"><enum>709.</enum><header display-inline="yes-display-inline">National violent death reporting system</header><text display-inline="no-display-inline">The Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control and Prevention, is encouraged to improve, particularly through the inclusion of additional States, the National Violent Death Reporting System as authorized by title III of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/241">42 U.S.C. 241 et seq.</external-xref>). Participation in the system by the States shall be voluntary.</text>
</section><section commented="no" display-inline="no-display-inline" id="id0fffa34c-5ba0-4446-b2dd-7943eb7d432a" section-type="subsequent-section"><enum>710.</enum><header display-inline="yes-display-inline">GAO study on Virginia Tech recommendations</header>
<subsection commented="no" display-inline="no-display-inline" id="idb5c909b9-e403-47df-8868-9aa86daa56af"><enum>(a)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">Not later than 1 year after the date of enactment of this Act, the Comptroller General of the United States shall conduct an independent evaluation, and submit to the appropriate committees of Congress a report concerning the status of implementation of recommendations made in the report to the President, On Issues Raised by the Virginia Tech Tragedy, by the Secretaries of Health and Human Services and Education and the Attorney General of the United States, submitted to the President on June 13, 2007.</text>
</subsection><subsection commented="no" display-inline="no-display-inline" id="ida1a4f4c7-90c6-4495-9698-857567c6fca8"><enum>(b)</enum><header display-inline="yes-display-inline">Content</header><text display-inline="yes-display-inline">The report submitted to the committees of Congress under subsection (a) shall review and assess—</text> <paragraph commented="no" display-inline="no-display-inline" id="id9feba1bb-7a37-44fe-939e-e5e8bc1d67d9"><enum>(1)</enum><text display-inline="yes-display-inline">the extent to which the recommendations in the report that include participation by the Department of Health and Human Services were implemented;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="idcdd1ff7d-8330-438d-ac38-206ac7035fca"><enum>(2)</enum><text display-inline="yes-display-inline">whether there are any barriers to implementation of such recommendations; and</text> </paragraph><paragraph commented="no" display-inline="no-display-inline" id="ide34d8da9-ef05-4a15-b4ac-c506dc78e044"><enum>(3)</enum><text display-inline="yes-display-inline">identification of any additional actions the Federal government can take to support States and local communities and ensure that the Federal government and Federal law are not obstacles to addressing at the community level—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="idc60baef3-c8a0-4fd0-8043-52788b1874bd"><enum>(A)</enum><text display-inline="yes-display-inline">school violence; and</text> </subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id44b5e7b5-13b4-4135-84d8-9a402f9fcb19"><enum>(B)</enum><text display-inline="yes-display-inline">mental illness.</text>
</subparagraph></paragraph></subsection></section><section id="idA9B94AA469D24382897A9C79D0C9A740"><enum>711.</enum><header>Performance metrics</header>
<subsection id="id9066dbc6c7ea4edb859cf49bbaa4082a"><enum>(a)</enum><header>Evaluation of current programs</header>
<paragraph id="ide3309be3a19f4db392b5b782b7ed762a"><enum>(1)</enum><header>In general</header><text>Not later than 180 days after the date of enactment of this Act, the Assistant Secretary for Planning and Evaluation of the Department of Health and Human Services shall conduct an evaluation of the effect of activities related to the prevention and treatment of mental illness and substance use disorders conducted by the Substance Abuse and Mental Health Services Administration.</text>
</paragraph><paragraph id="idab54c2ef76b3409eaa5ea94b4084483a"><enum>(2)</enum><header>Assessment of performance metrics</header><text>The evaluation conducted under paragraph (1) shall include an assessment of the use of performance metrics to evaluate activities carried out by entities receiving grants, contracts, or cooperative agreements related to mental illness or substance use disorders under title V or title XIX 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>; <external-xref legal-doc="usc" parsable-cite="usc/42/300w">42 U.S.C. 300w et seq.</external-xref>).</text>
</paragraph><paragraph id="id558896edaf4847b2801010ca06043ce5"><enum>(3)</enum><header>Recommendations</header><text>The evaluation conducted under paragraph (1) shall include recommendations for the use of performance metrics to improve the quality of programs related to the prevention and treatment of mental illness and substance use disorders.</text>
</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="id17d03e29e8954434a7d0829d5cdd617d"><enum>(b)</enum><header>Use of performance metrics</header><text>Not later than 1 year after the date of enactment of this Act, the Secretary of Health and Human Services, acting through the Administrator of the Substance Abuse and Mental Health Services Administration, shall advance, through existing programs, the use of performance metrics, taking into consideration the recommendations under subsection (a)(3), to improve programs related to the prevention and treatment of mental illness and substance use disorders.</text>
</subsection></section><enum>VIII</enum><header>Prevention and treatment of opioid use disorder</header>
<section changed="added" committee-id="SSHR00" id="id5F43633C6D0E4800AD70974515646CC1" reported-display-style="italic"><enum>801.</enum><header>FDA opioid action plan</header>
<subsection id="id3D9D12B1C8B04BE1890D2DC16F6E6735"><enum>(a)</enum><header>Advisory Committee</header>
<paragraph id="id365FDEB99A0B4E6BBF058FC36013BEB6"><enum>(1)</enum><header>New drug application</header><text>Except as provided in paragraph (4), prior to the approval of a new drug that is an opioid under section 505 of the Federal Food, Drug, and Cosmetic Act (<external-xref legal-doc="usc" parsable-cite="usc/21/355">21 U.S.C. 355</external-xref>), the Commissioner of Food and Drugs shall refer such drug to an advisory committee of the Food and Drug Administration to seek recommendations from such Committee.</text>
</paragraph><paragraph id="idBFB9C1E1DE654DF78F514AB22777B9CC"><enum>(2)</enum><header>Pediatric opioid labeling</header><text>The Commissioner of Food and Drugs shall convene the Pediatric Advisory Committee of the Food and Drug Administration to seek recommendations from such Committee regarding a framework for the inclusion of information in the labeling of drugs that are opioids relating to the use of such drugs in pediatric populations before such Commissioner approves any labeling changes for drugs that are opioids intended for use in pediatric populations.</text>
</paragraph><paragraph id="id3F0D4E70E4E84A54B68521BC46A3EB16"><enum>(3)</enum><header>Public health exemption</header><text>If the Commissioner of Food and Drugs finds that referring a new opioid drug or drugs to an advisory committee of the Food and Drug Administration as required under paragraph (1) is not in the interest of protecting and promoting public health, and has submitted a notice containing the rationale for such a finding to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives, or if the matter that would be considered by such advisory committee with respect to any such drug or drugs concerns bioequivalence, sameness of active ingredient, or other criteria applicable to applications submitted under section 505(j), the Commissioner shall not be required to refer such drug or drugs to an advisory committee as required under paragraph (1).</text>
</paragraph><paragraph id="id3CF2309B38FC440EBE6F563445BA8796"><enum>(4)</enum><header>Sunset</header><text>Unless Congress reauthorizes paragraphs (1) and (2), the requirements of such paragraphs shall cease to be effective on October 1, 2022.</text>
</paragraph></subsection><subsection id="idCE579951F0A74A3DACB07CA94429016D"><enum>(b)</enum><header>Education for prescribers of opioids</header><text>Not later than 1 year after the date of enactment of this Act, the Secretary of Health and Human Services, acting through the Commissioner of Food and Drugs, as part of the Food and Drug Administration’s evaluation of the Extended-Release/Long-Acting Opioid Analgesics Risk Evaluation and Mitigation Strategy, and in consultation with the Director of the Centers for Disease Control and Prevention, the Director of the National Institutes of Health, the Administrator of the Agency for Healthcare Research and Quality, the Administrator of the Drug Enforcement Administration, and relevant stakeholders, shall develop recommendations regarding education programs for prescribers of opioids required to be disseminated under section 505-1 of the Federal Food, Drug, and Cosmetic Act (<external-xref legal-doc="usc" parsable-cite="usc/21/355-1">21 U.S.C. 355-1</external-xref>), including recommendations for which prescribers should participate in such programs and how often participation in such programs is necessary.</text>
</subsection><subsection id="idB70FB1DA07FD4E3BBAC19C9E68802763"><enum>(c)</enum><header>Guidance</header><text>Not later than 1 year after the date of enactment of this Act, the Commissioner of Food and Drugs shall issue guidance on if and how the approved labeling of a drug that is an opioid and is the subject of an application under section 505(j) of the Federal Food, Drug, and Cosmetic Act (<external-xref legal-doc="usc" parsable-cite="usc/21/355">21 U.S.C. 355(j)</external-xref>) may include statements that such drug deters abuse.</text>
</subsection></section><section changed="added" committee-id="SSHR00" id="id816E588B163B483CBCAC2CC93150A3EE" reported-display-style="italic"><enum>802.</enum><header>Disclosure of information to State controlled substance monitoring programs</header><text display-inline="no-display-inline">Section 5701(l) of title 38, United States Code, is amended by striking <quote>may</quote> and inserting <quote>shall</quote>.</text> </section><section changed="added" committee-id="SSHR00" id="id83AF0695EE8A40B3951460A6968951B4" reported-display-style="italic"><enum>803.</enum><header>GAO report on State prescription drug monitoring programs</header><text display-inline="no-display-inline">Not later than 18 months after the date of enactment of this Act, the Comptroller General of the United States shall prepare and submit to Congress a report examining the variations that exist across State prescription drug monitoring programs that have been supported by Federal funds. The Comptroller General shall review, and include in the report recommendations on, best practices to maximize the effectiveness of such programs and State strategies to increase queries to such programs by health care providers.</text>
</section><section changed="added" committee-id="SSHR00" id="idCDBE74EE5CE84DAFB5BD00CE27D4034A" reported-display-style="italic"><enum>804.</enum><header>NIH opioid research</header>
<subsection id="id8237126d59be42b3896d071d56d9d23b"><enum>(a)</enum><header>In general</header><text>The Director of the National Institutes of Health (referred to in this section as the <quote>NIH</quote>) may intensify and coordinate fundamental, translational, and clinical research of the NIH with respect to—</text>
<paragraph id="id3AD9804C70BE4686996CB796DE955A65"><enum>(1)</enum><text>the understanding of pain;</text> </paragraph><paragraph id="id2BF5D758E8114E5B96DF6565B202B9D2"><enum>(2)</enum><text>the discovery and development of therapies for chronic pain; and</text>
</paragraph><paragraph id="id10A9A68333724C2D9A8B07FE76EB24AB"><enum>(3)</enum><text>the development of alternatives to opioids for effective pain treatments.</text> </paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="id68e16cd507ca4e72a5061b46a8956832"><enum>(b)</enum><header>Priority and direction</header><text>The prioritization and direction of the Federally funded portfolio of pain research studies shall consider recommendations made by the Interagency Pain Research Coordinating Committee in concert with the Pain Management Best Practices Inter-Agency Task Force, and in accordance with the National Pain Strategy, the Federal Pain Research Strategy, and the NIH-Wide Strategic Plan for Fiscal Years 2016-2020, the latter which calls for the relative burdens of individual diseases and medical disorders to be regarded as crucial considerations in balancing the priorities of the Federal research portfolio.</text>
</subsection></section><section changed="added" committee-id="SSHR00" id="id1D0DE7BB2E9D48C0989663EFE289B84A" reported-display-style="italic"><enum>805.</enum><header>Ensuring provider access to best practices for combating prescription drug overdose</header>
<subsection id="ide42c3a500ea746c98e2733886305f8b2"><enum>(a)</enum><header>Best practices for prescribing opioids</header><text>Not later than 2 years after the date of enactment of this Act, the Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control and Prevention, shall issue best practices for prescribing opioids for the treatment of acute pain.</text>
</subsection><subsection commented="no" display-inline="no-display-inline" id="idff87a9648b4441f584baa8354fbf877d"><enum>(b)</enum><header>Dissemination of best practices and guidelines</header><text>The Director of the Centers for Disease Control and Prevention shall, as appropriate, make information on best practices and guidelines related to safe opioid prescribing practices for chronic pain (outside of active cancer treatment, palliative care, and end-of-life care), including guidelines, available to prescribers to reduce opioid use disorders and overdose. Such guidelines are not intended to replace good clinical judgment for clinicians in addressing special circumstances or individual patient care needs. In carrying out this subsection, the Director shall, where appropriate, disseminate such best practices in succinct, usable formats accessible to health care providers.</text>
</subsection></section><section changed="added" id="id6EBA6EF7F3974B478772F722F5733551" reported-display-style="italic"><enum>806.</enum><header>Partial fill of schedule II prescriptions</header>
<subsection id="id7D7D7D2A91924E95A9806F399A3A6E54"><enum>(a)</enum><header>Definitions</header><text>In this section—</text> <paragraph id="id072BB5527F614370B2576F8832439942"><enum>(1)</enum><text>the terms <term>controlled substance</term>, <term>dispense</term>, and <term>practitioner</term> have the meanings given those terms in section 102 of the Controlled Substances Act (<external-xref legal-doc="usc" parsable-cite="usc/21/802">21 U.S.C. 802</external-xref>);</text>
</paragraph><paragraph id="idD62DDBFF59BB40D2B3D6A4885B9DC081"><enum>(2)</enum><text>the term <term>emergency situation</term> means an emergency situation prescribed by the Secretary of Health and Human Services in accordance with section 309(a) of the Controlled Substances Act (<external-xref legal-doc="usc" parsable-cite="usc/21/829">21 U.S.C. 829(a)</external-xref>); and</text>
</paragraph><paragraph id="idF41DE28829C449EFB48AF5E412FC5B8F"><enum>(3)</enum><text>the term <term>schedule II</term> means schedule II of section 202(c) of the Controlled Substances Act (<external-xref legal-doc="usc" parsable-cite="usc/21/812">21 U.S.C. 812(c)</external-xref>).</text> </paragraph></subsection><subsection id="id6603FCE22699405FB7ECBB77391C49BA"><enum>(b)</enum><header>Partial fills</header><text display-inline="yes-display-inline">A prescription for a controlled substance in schedule II may be partially filled if—</text>
<paragraph id="idA0341B82480F4DC0BFC0506312AC7C32"><enum>(1)</enum><text display-inline="yes-display-inline">it is not prohibited by State law;</text> </paragraph><paragraph id="id9F43572C152D44759627D93C98CB218D"><enum>(2)</enum><text display-inline="yes-display-inline">the prescription is written and filled in accordance with the Controlled Substances Act (<external-xref legal-doc="usc" parsable-cite="usc/21/801">21 U.S.C. 801 et seq.</external-xref>), regulations prescribed by the Attorney General, and State law;</text>
</paragraph><paragraph id="idF3E91E4012274E47965601F6197D6132"><enum>(3)</enum><text display-inline="yes-display-inline">the partial fill is requested by the patient or the practitioner that wrote the prescription; and</text> </paragraph><paragraph id="id23AB9B94048346AE80E6AEDD90804A88"><enum>(4)</enum><text display-inline="yes-display-inline">the total quantity dispensed in all partial fillings does not exceed the total quantity prescribed.</text>
</paragraph></subsection><subsection id="idA4ED76FBD4DE4E5C960BD4012790D807"><enum>(c)</enum><header>Remaining portions</header>
<paragraph id="id196005A4B83142038593534F6900DFBA"><enum>(1)</enum><header>In general</header><text display-inline="yes-display-inline">Except as provided in paragraph (2), remaining portions of a partially filled prescription for a controlled substance in schedule II—</text>
<subparagraph id="idC502EE5A72294CC1AEFF9E23B4E62DCE"><enum>(A)</enum><text display-inline="yes-display-inline">may be filled; and</text> </subparagraph><subparagraph id="id4DB51F55A1CC49F7AF8B0C7CD9757900"><enum>(B)</enum><text display-inline="yes-display-inline">shall be filled not later than 30 days after the date on which the prescription is written.</text>
</subparagraph></paragraph><paragraph id="id994D668FDF234C2CB073FD6EA60576E5"><enum>(2)</enum><header>Emergency situations</header><text display-inline="yes-display-inline">In emergency situations, the remaining portions of a partially filled prescription for a controlled substance in schedule II—</text>
<subparagraph id="id33A1DD3B80E040A394F1B0029165C85D"><enum>(A)</enum><text display-inline="yes-display-inline">may be filled; and</text> </subparagraph><subparagraph id="idB8C93E47630444EF8A4872D98220380A"><enum>(B)</enum><text display-inline="yes-display-inline">shall be filled not later than 72 hours after the prescription is issued.</text>
</subparagraph></paragraph></subsection></section><enum>IX</enum><header>Mental health on campus improvement</header>
<section id="HBC9B16550F904BA682F1975F8E38279F"><enum>901.</enum><header>Short title</header><text display-inline="no-display-inline">This title may be cited as the <quote><short-title>Mental Health on Campus Improvement Act</short-title></quote>.</text> </section><section id="idC30B6506F3DF4F238EA393E5ACDDBD6F"><enum>902.</enum><header>Findings</header><text display-inline="no-display-inline">Congress makes the following findings:</text>
<paragraph id="H18DE7114D61B4A13A15CAF0754A59D9F"><enum>(1)</enum><text>The 2014 Association for University and College Counseling Center Directors Survey found that the average ratio of counselors to students on campus is nearly 1 to 1,833 and is often far higher on large campuses. The International Association of Counseling Services accreditation standards recommends 1 counselor per 1,000 to 1,500 students.</text>
</paragraph><paragraph id="H777437A615A64133B7075436CCF149CE"><enum>(2)</enum><text>College counselors report that 10 percent of enrolled students sought counseling in 2014.</text> </paragraph><paragraph id="H48633495A2934320A51544B18C38BD12"><enum>(3)</enum><text>More than 90 percent of counseling directors believe there is an increase in the number of students coming to campus with severe psychological problems; today, 44 percent of the students who visit campus counseling centers are dealing with severe mental illness, up from 16 percent in 2000, and 24 percent are on psychiatric medication, up from 17 percent in 2000.</text>
</paragraph><paragraph id="HFC2FE60FC4D64F6EA7D6B08D53998DAD"><enum>(4)</enum><text>The majority of campus counseling directors report that the demand for services and the severity of student needs are growing without an increase in resources.</text>
</paragraph><paragraph id="HE1C68F3344A24C53AEBFEDA0545A504B"><enum>(5)</enum><text>Many students who need help never receive it. Only 15 percent of college and university students who commit suicide received campus counseling. Of students who seriously consider suicide each year, only 52 percent of them seek any professional help at all.</text>
</paragraph><paragraph id="id5086d75eaa184ad88e7dd32025182563"><enum>(6)</enum><text>A 2015 American College Health Association survey of more than 93,000 college and university students revealed that, within the last 12 months, 57 percent of students report having felt overwhelming anxiety, 35 percent felt so depressed it was difficult to function, and 48 percent felt hopeless. However, only 12 percent of students reported receiving professional treatment for anxiety within the past 12 months, and 11 percent reported receiving treatment for depression within the past 12 months.</text>
</paragraph><paragraph id="idD822A75EF47A4022AAC881BBA2601DF9"><enum>(7)</enum><text>The 2015 American College Health Association survey also found that 9 percent of students have seriously considered suicide in the past 12 months, a 20 percent increase compared to 2012.</text>
</paragraph><paragraph id="HF13561194C5942F29455E16C6FFAEF9F"><enum>(8)</enum><text>Research conducted between 1997 and 2009, and presented at the 118th annual convention of the American Psychological Association found that more students are grappling with depression and anxiety disorders than were a decade ago. The study found that, of students who sought college or university counseling, 41 percent had moderate to severe depression in 2009, and that percentage was 34 percent in 1997.</text>
</paragraph><paragraph id="HE921AE9D861543538369DED7417A60CC"><enum>(9)</enum><text>A survey conducted by the student counseling center at the University of Idaho in 2000 found that 77 percent of students who responded reported that they were more likely to stay in school because of counseling and that their school performance would have declined without counseling.</text>
</paragraph><paragraph id="HA0EB7E17DA384A6D9E7C8F40D4CA9D47"><enum>(10)</enum><text>Students with psychological issues often struggle academically and are at risk for dropping out of school. Counseling has been shown to address these issues while having a positive impact on students remaining in school. A 6-year longitudinal study found college and university students receiving counseling to have a 11.4 percent higher retention rate than the general college and university population.</text>
</paragraph><paragraph id="HD76FA99D499B477A9620AEAFD0541AB5"><enum>(11)</enum><text display-inline="yes-display-inline">A national survey of college and university students living with mental health conditions, conducted by the National Alliance on Mental Illness, found that 64 percent of students who experience mental health problems in college or university and withdraw from school do so because of their mental health issues. The survey also found that 50 percent of that group never accessed mental health services and supports.</text>
</paragraph></section><section id="HC77511E992D64E76AB71C59387C0498F"><enum>903.</enum><header>Improving mental and behavioral health on college campuses</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>) is amended by inserting after section 520E–4, as added by section 406, the following:</text>
<quoted-block changed="added" display-inline="no-display-inline" id="H134C3218CF614E5689BE44F144EA9438" reported-display-style="italic" style="OLC">
<section id="H1190885B85F94A1282AF73B28CFF1739"><enum>520E–5.</enum><header>Grants to improve mental and behavioral health on college campuses</header>
<subsection id="H6659F32CAFB84B679CCFBB5DAF0C5928"><enum>(a)</enum><header>Purpose</header><text>It is the purpose of this section, with respect to settings at institutions of higher education, to—</text>
<paragraph id="H6D218B3AED954800AFF69BD1619FB020"><enum>(1)</enum><text>increase access to mental and behavioral health services;</text> </paragraph><paragraph id="H19A684F7581F45BCA4A8033BF105D13B"><enum>(2)</enum><text>foster and improve the prevention of mental and behavioral health disorders, and the promotion of mental health;</text>
</paragraph><paragraph id="H5873731C079141C78E2C8077C0F40A02"><enum>(3)</enum><text>improve the identification and treatment for students at risk;</text> </paragraph><paragraph id="H6BFD0AF95E684C5B921886546B121D41"><enum>(4)</enum><text>improve collaboration and the development of appropriate levels of mental and behavioral health care;</text>
</paragraph><paragraph id="HE8E6F69CBDA0459B9E260B143F347574"><enum>(5)</enum><text>reduce the stigma for students with mental health disorders and enhance their access to mental health services; and</text>
</paragraph><paragraph id="H77E276FE44B04B6597DCCC29A597FB86"><enum>(6)</enum><text>improve the efficacy of outreach efforts.</text> </paragraph></subsection><subsection id="H6977ED55DD404C7E8A6C9C9B9C447C83"><enum>(b)</enum><header>Grants</header><text>The Secretary, acting through the Administrator and in consultation with the Secretary of Education, shall award competitive grants to eligible entities to improve mental and behavioral health services and outreach on campuses of institutions of higher education.</text>
</subsection><subsection id="HFEE5A4960A5E4BC6B1CFE208D70BF4AF"><enum>(c)</enum><header>Eligibility</header><text>To be eligible to receive a grant under subsection (b), an entity shall—</text> <paragraph id="H7C4D58EDC02940E4AA575E340CE70E2C"><enum>(1)</enum><text>be an institution of higher education; and</text>
</paragraph><paragraph id="H3EB6E83BA5D6434C8346FAEB127F649D"><enum>(2)</enum><text>submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require, including the information required under subsection (d).</text>
</paragraph></subsection><subsection id="H0DC6900D91FD4F9AA670072D47C09A12"><enum>(d)</enum><header>Application</header><text>An application for a grant under this section shall include—</text> <paragraph id="HFA0260F38BC1437996F899364C49EDE9"><enum>(1)</enum><text>a description of the population to be targeted by the program carried out under the grant, including the particular mental and behavioral health needs of the students involved;</text>
</paragraph><paragraph id="HB568BB2193D64223BFF7FE97801B4C4D"><enum>(2)</enum><text>a description of the Federal, State, local, private, and institutional resources available for meeting the needs of such students at the time the application is submitted;</text>
</paragraph><paragraph id="H18214D7974C348D8AE8CA753F92CEB1B"><enum>(3)</enum><text>an outline of the objectives of the program carried out under the grant;</text> </paragraph><paragraph id="H2CD5E27E6FC54034A822F5965DF4B6BF"><enum>(4)</enum><text>a description of activities, services, and training to be provided under the program, including planned outreach strategies to reach students not currently seeking services;</text>
</paragraph><paragraph id="H7A902BB0FA8141F3B85C06DB6CF9C03A"><enum>(5)</enum><text>a plan to seek input from community mental health providers, when available, community groups, and other public and private entities in carrying out the program;</text>
</paragraph><paragraph id="H29E418376F5A4E0B84EB5F3438D33B1D"><enum>(6)</enum><text>a plan, when applicable, to meet the specific mental and behavioral health needs of veterans attending institutions of higher education;</text>
</paragraph><paragraph id="HF65A9F1BF5EC4507A7A4EADC35716DD5"><enum>(7)</enum><text>a description of the methods to be used to evaluate the outcomes and effectiveness of the program; and</text>
</paragraph><paragraph id="H4F9941DECFDB4F9A9A13877CE47C8870"><enum>(8)</enum><text>an assurance that grant funds will be used to supplement, and not supplant, any other Federal, State, or local funds available to carry out activities of the type carried out under the grant.</text>
</paragraph></subsection><subsection id="HFE893772BB2C479E861B26C9C75EA25A"><enum>(e)</enum><header>Special considerations</header><text>In awarding grants under this section, the Secretary shall give special consideration to applications that describe programs to be carried out under the grant that—</text>
<paragraph id="H56825C5BC52E4ED0BB4A0821F6C0E741"><enum>(1)</enum><text>demonstrate the greatest need for new or additional mental and behavioral health services, in part by providing information on current ratios of students to mental and behavioral health professionals;</text>
</paragraph><paragraph id="HC8AB595297BB4F45B84E8660DBA4BCF1"><enum>(2)</enum><text>propose effective approaches for initiating or expanding campus services and supports using evidence-based practices, including peer support strategies;</text>
</paragraph><paragraph id="H1D56A9C08CEB4B6FA69F014245ADFB88"><enum>(3)</enum><text>target traditionally underserved populations and populations most at risk;</text> </paragraph><paragraph id="H21AC81D381A1443E8A582CE45C3B0300"><enum>(4)</enum><text>where possible, demonstrate an awareness of, and a willingness to, coordinate with a community mental health center or other mental health resource in the community, to support screening and referral of students requiring intensive services;</text>
</paragraph><paragraph id="HDE48BF1BE1854F65875D33ABCAE7C0A1"><enum>(5)</enum><text>identify how the institution of higher education will address psychiatric emergencies, including how information will be communicated with families or other appropriate parties;</text>
</paragraph><paragraph id="H587CB02B20204EFABF34AA5DB85EE41F"><enum>(6)</enum><text display-inline="yes-display-inline">propose innovative practices that will improve efficiencies in clinical care, broaden collaborations with primary care, or improve prevention programs; and</text>
</paragraph><paragraph id="HB01B576FF9A34DF4BD05D8F5314A6940"><enum>(7)</enum><text>demonstrate the greatest potential for replication and dissemination.</text> </paragraph></subsection><subsection id="H9F93126895F84B949BDD1E4396989449"><enum>(f)</enum><header>Use of funds</header><text>Amounts received under a grant under this section may be used to—</text>
<paragraph id="H5FA598638B6D432386E42C19843CA24E"><enum>(1)</enum><text>provide mental and behavioral health services to students, including prevention, promotion of mental health, voluntary screening, early intervention, voluntary assessment, treatment, management, and education services relating to the mental and behavioral health of students;</text>
</paragraph><paragraph id="H521C82816E804497BC9C2FAAB14A13AC"><enum>(2)</enum><text display-inline="yes-display-inline">conduct research through a counseling or health center at the institution of higher education involved regarding improving the mental and behavioral health of students through clinical services, outreach, prevention, or academic success, in a manner that is in compliance with 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>
</paragraph><paragraph id="HD2549FF2DE294841ADB2D17CE4EA04EB"><enum>(3)</enum><text>provide outreach services to notify students about the existence of mental and behavioral health services;</text>
</paragraph><paragraph id="H543888C0BC3040509B4F8879F9076A38"><enum>(4)</enum><text>educate students, families, faculty, staff, and communities to increase awareness of mental health issues;</text>
</paragraph><paragraph id="H283EE83FE44D40C9BF9A1E13CEA7048C"><enum>(5)</enum><text>support student groups on campus, including athletic teams, that engage in activities to educate students, including activities to reduce stigma surrounding mental and behavioral disorders, and promote mental health wellness;</text>
</paragraph><paragraph id="H93AB173C7E994F8EACC3DB2608ACAC74"><enum>(6)</enum><text>employ appropriately trained staff;</text> </paragraph><paragraph id="HD9BC9BFE3865496A835BCF38D9C1CFC6"><enum>(7)</enum><text>provide training to students, faculty, and staff to respond effectively to students with mental and behavioral health issues;</text>
</paragraph><paragraph id="H4FF695FDCE0E4C08B1B87B843B9BB556"><enum>(8)</enum><text>expand mental health training through internship, post-doctorate, and residency programs;</text> </paragraph><paragraph id="H3B6A63F3F4CB4F72B8B6FEA1631C699B"><enum>(9)</enum><text>develop and support evidence-based and emerging best practices, including a focus on culturally and linguistically appropriate best practices; and</text>
</paragraph><paragraph id="H60BB4BEC2B3D4AE5AAA7CCE93FF85722"><enum>(10)</enum><text>evaluate and disseminate best practices to other institutions of higher education.</text> </paragraph></subsection><subsection id="H5F0CFC0E296C4531B06DD4794BBAB4D8"><enum>(g)</enum><header>Duration of grants</header><text>A grant under this section shall be awarded for a period not to exceed 3 years.</text>
</subsection><subsection id="HC2C6880A59444F7A8FFD5987E649530D"><enum>(h)</enum><header>Evaluation and reporting</header>
<paragraph id="HCFECB0D1650B465F98D7F48BD70DD91B"><enum>(1)</enum><header>Evaluation</header><text>Not later than 18 months after the date on which a grant is received under this section, the eligible entity involved shall submit to the Secretary the results of an evaluation to be conducted by the entity (or by another party under contract with the entity) concerning the effectiveness of the activities carried out under the grant and plans for the sustainability of such efforts.</text>
</paragraph><paragraph id="HEA1992FD2E704676BE1191568D2C9433"><enum>(2)</enum><header>Report</header><text>Not later than 2 years after the date of enactment of the <short-title>Mental Health on Campus Improvement Act</short-title>, the Secretary shall submit to the appropriate committees of Congress a report concerning the results of—</text>
<subparagraph id="H13BB96E465824E2E94422F7326B196AC"><enum>(A)</enum><text>the evaluations conducted under paragraph (1); and</text> </subparagraph><subparagraph id="H9CA1A23273D445F69F0A32C34C6C17E3"><enum>(B)</enum><text>an evaluation conducted by the Secretary to analyze the effectiveness and efficacy of the activities conducted with grants under this section.</text>
</subparagraph></paragraph></subsection><subsection id="H365EC7326BCE4F49967C864A67D8691B"><enum>(i)</enum><header>Technical assistance</header><text>The Secretary may provide technical assistance to grantees in carrying out this section.</text> </subsection><subsection id="id5DA91EDA3F8745F4988D029830DEE10D"><enum>(j)</enum><header>Definition</header><text>In this section, the term <term>institution of higher education</term> has the meaning given such term in section 101 of the Higher Education Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/20/1001">20 U.S.C. 1001</external-xref>).</text>
</subsection><subsection id="HDF720E1563514505BD11119D8A942BE5"><enum>(k)</enum><header>Authorization of appropriations</header><text>There are authorized to be appropriated such sums as may be necessary to carry out this section.</text> </subsection></section><section id="H5849DB081CC04CAF91BBDD3B59081873"><enum>520E–6.<?LEXA-Enum 520E–6.?></enum><header>Mental and behavioral health outreach and education on college campuses</header> <subsection id="H6474FE1664994AF78768345480B14365"><enum>(a)</enum><header>Purpose</header><text>It is the purpose of this section to increase access to, and reduce the stigma associated with, mental health services to ensure that students at institutions of higher education have the support necessary to successfully complete their studies.</text>
</subsection><subsection id="HDCE17F44612A4CC58B0BD2388349FA6D"><enum>(b)</enum><header>National Public Education Campaign</header><text>The Secretary, acting through the Administrator and in collaboration with the Director of the Centers for Disease Control and Prevention, shall convene an interagency, public-private sector working group to plan, establish, and begin coordinating and evaluating a targeted public education campaign that is designed to focus on mental and behavioral health on the campuses of institutions of higher education. Such campaign shall be designed to—</text>
<paragraph id="HDB2EF8884CFA4D16B2870368714970AE"><enum>(1)</enum><text>improve the general understanding of mental health and mental health disorders;</text> </paragraph><paragraph id="H63B0222DD9974090934ACEB396FA0DF4"><enum>(2)</enum><text>encourage help-seeking behaviors relating to the promotion of mental health, prevention of mental health disorders, and treatment of such disorders;</text>
</paragraph><paragraph id="HA73C3259DCE94CB4850CA3ACEABFA224"><enum>(3)</enum><text>make the connection between mental and behavioral health and academic success; and</text> </paragraph><paragraph id="HEB0C4EC2E67D4673802D29BBB0898A7A"><enum>(4)</enum><text>assist the general public in identifying the early warning signs and reducing the stigma of mental illness.</text>
</paragraph></subsection><subsection id="HFBEE73B7D98D4619A5AAD9C51FA0613F"><enum>(c)</enum><header>Composition</header><text>The working group convened under subsection (b) shall include—</text> <paragraph id="H37DB1EE8037F44DDAFE34A5A2233F93F"><enum>(1)</enum><text>mental health consumers, including students and family members;</text>
</paragraph><paragraph id="HA82F80F3950B4847B18527D33EC2437E"><enum>(2)</enum><text>representatives of institutions of higher education;</text> </paragraph><paragraph id="HA0737BDA92D7446882E11F28141CA252"><enum>(3)</enum><text>representatives of national mental and behavioral health associations and associations of institutions of higher education;</text>
</paragraph><paragraph id="HFCE5183931674102B9932DCC5399932F"><enum>(4)</enum><text>representatives of health promotion and prevention organizations at institutions of higher education;</text>
</paragraph><paragraph id="HE2EF9E44890B43E782E82A9243C7FA7E"><enum>(5)</enum><text>representatives of mental health providers, including community mental health centers; and</text> </paragraph><paragraph id="H88FC7820499742AA987B8154425B122F"><enum>(6)</enum><text>representatives of private- and public-sector groups with experience in the development of effective public health education campaigns.</text>
</paragraph></subsection><subsection id="HDF47403AC6BD4D90B2FC3A1787322498"><enum>(d)</enum><header>Plan</header><text>The working group under subsection (b) shall develop a plan that—</text> <paragraph id="HBC1CF0EBAB1440FB90579A5E3A54921C"><enum>(1)</enum><text>targets promotional and educational efforts to the age population of students at institutions of higher education and individuals who are employed in settings of institutions of higher education, including through the use of roundtables;</text>
</paragraph><paragraph id="H9A639D7BEE8F4D69A880EA6B09CBD097"><enum>(2)</enum><text>develops and proposes the implementation of research-based public health messages and activities;</text> </paragraph><paragraph id="H089CC89C07204BA2A3B4C8D7C7C9F3AC"><enum>(3)</enum><text>provides support for local efforts to reduce stigma by using the National Health Information Center as a primary point of contact for information, publications, and service program referrals; and</text>
</paragraph><paragraph id="H104393E4960646AF990A260A61A44B6E"><enum>(4)</enum><text>develops and proposes the implementation of a social marketing campaign that is targeted at the population of students attending institutions of higher education and individuals who are employed in settings of institutions of higher education.</text>
</paragraph></subsection><subsection id="idF65822FF30D849ECACB41C015567DBF9"><enum>(e)</enum><header>Definition</header><text>In this section, the term <term>institution of higher education</term> has the meaning given such term in section 101 of the Higher Education Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/20/1001">20 U.S.C. 1001</external-xref>).</text>
</subsection><subsection id="H5F40632350884A74B1DA560333E345EF"><enum>(f)</enum><header>Authorization of appropriations</header><text>There are authorized to be appropriated such sums as may be necessary to carry out this section.</text></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block> </section><section id="HD0403F1077D94EEBA9412F75A26C70E7"><enum>904.</enum><header>Interagency Working Group on College Mental Health</header> <subsection id="HB69B9BA9AA5B48AD98ABC5D7594AB92A"><enum>(a)</enum><header>Purpose</header><text>It is the purpose of this section to provide for the establishment of a College Campus Task Force to discuss mental and behavioral health concerns on campuses of institutions of higher education.</text>
</subsection><subsection id="H140FD50A32064369B3F8584D1959EA74"><enum>(b)</enum><header>Establishment</header><text>The Secretary of Health and Human Services (referred to in this section as the <quote>Secretary</quote>) shall establish a College Campus Task Force (referred to in this section as the <quote>Task Force</quote>) to discuss mental and behavioral health concerns on campuses of institutions of higher education.</text>
</subsection><subsection id="H0A941B921F8442958B7FD2842340D14D"><enum>(c)</enum><header>Membership</header><text>The Task Force shall be composed of a representative from each Federal agency (as appointed by the head of the agency) that has jurisdiction over, or is affected by, mental health and education policies and projects, including—</text>
<paragraph id="HF4019ABB96674D8489B016E4BF88B346"><enum>(1)</enum><text>the Department of Education;</text> </paragraph><paragraph id="H35EB943C58224C2AB7686FCEC53AFFC3"><enum>(2)</enum><text>the Department of Health and Human Services;</text>
</paragraph><paragraph id="H69514F5E32744D178DDB9A4CF0ED4EA9"><enum>(3)</enum><text>the Department of Veterans Affairs; and</text> </paragraph><paragraph id="H74C156F14CDE465598B81F5CAE4528EF"><enum>(4)</enum><text>such other Federal agencies as the Administrator of the Substance Abuse and Mental Health Services Administration, in consultation with the Secretary, determines to be appropriate.</text>
</paragraph></subsection><subsection id="H10D324BF4D45485898A34C0A17C684EE"><enum>(d)</enum><header>Duties</header><text>The Task Force shall—</text> <paragraph id="HFCC2CF8071694B45B4277D93E869A36E"><enum>(1)</enum><text>serve as a centralized mechanism to coordinate a national effort—</text>
<subparagraph id="H3D29002F54304C0B8CCF21207761EC29"><enum>(A)</enum><text>to discuss and evaluate evidence and knowledge on mental and behavioral health services available to, and the prevalence of mental health illness among, the age population of students attending institutions of higher education in the United States;</text>
</subparagraph><subparagraph id="HFDC35BEF58FA454DB7023DE5333F9014"><enum>(B)</enum><text>to determine the range of effective, feasible, and comprehensive actions to improve mental and behavioral health on campuses of institutions of higher education;</text>
</subparagraph><subparagraph id="H85D78B17CDE14C7CB12247926D018E4F"><enum>(C)</enum><text>to examine and better address the needs of the age population of students attending institutions of higher education dealing with mental illness;</text>
</subparagraph><subparagraph id="H3E979FA156C140328F1BDCD79070B62A"><enum>(D)</enum><text>to survey Federal agencies to determine which policies are effective in encouraging, and how best to facilitate outreach without duplicating, efforts relating to mental and behavioral health promotion;</text>
</subparagraph><subparagraph id="H271D2EEAE7A84824B8853FFCEE60BA3D"><enum>(E)</enum><text>to establish specific goals within and across Federal agencies for mental health promotion, including determinations of accountability for reaching those goals;</text>
</subparagraph><subparagraph id="H7B2A39F4E1AB4C73ADD797C524B51871"><enum>(F)</enum><text>to develop a strategy for allocating responsibilities and ensuring participation in mental and behavioral health promotions, particularly in the case of competing agency priorities;</text>
</subparagraph><subparagraph id="H0D41936B5CA74431BEDEA5907A4C785B"><enum>(G)</enum><text>to coordinate plans to communicate research results relating to mental and behavioral health amongst the age population of students attending institutions of higher education to enable reporting and outreach activities to produce more useful and timely information;</text>
</subparagraph><subparagraph id="H53BF4B2B8DB5480BB35CDFD641DC3A24"><enum>(H)</enum><text>to provide a description of evidence-based best practices, model programs, effective guidelines, and other strategies for promoting mental and behavioral health on campuses of institutions of higher education;</text>
</subparagraph><subparagraph id="HF07369D67B3A4284BA8789949FFF24CA"><enum>(I)</enum><text>to make recommendations to improve Federal efforts relating to mental and behavioral health promotion on campuses of institutions of higher education and to ensure Federal efforts are consistent with available standards and evidence and other programs in existence as of the date of enactment of this Act; and</text>
</subparagraph><subparagraph id="H51F8C6C5DA3A448598E6DD0AB99209E7"><enum>(J)</enum><text>to monitor Federal progress in meeting specific mental and behavioral health promotion goals as they relate to settings of institutions of higher education;</text>
</subparagraph></paragraph><paragraph id="HBFEC957640764376BBB221F23B25F5A8"><enum>(2)</enum><text>consult with national organizations with expertise in mental and behavioral health, especially those organizations working with the age population of students attending institutions of higher education; and</text>
</paragraph><paragraph id="HA109EA4CD4A844D19BAC0A9A46531587"><enum>(3)</enum><text>consult with and seek input from mental health professionals working on campuses of institutions of higher education as appropriate.</text>
</paragraph></subsection><subsection id="H94360E61465A429DA3875848B196EE8F"><enum>(e)</enum><header>Meetings</header>
<paragraph id="H85443174EB25418CB05C849F73890415"><enum>(1)</enum><header>In general</header><text>The Task Force shall meet not less than 3 times each year.</text> </paragraph><paragraph id="H81975298901942538538EAEAAA03646B"><enum>(2)</enum><header>Annual conference</header><text>The Secretary shall sponsor an annual conference on mental and behavioral health in settings of institutions of higher education to enhance coordination, build partnerships, and share best practices in mental and behavioral health promotion, data collection, analysis, and services.</text>
</paragraph></subsection><subsection id="idE0A623C8481843E5B8853BB6D751C878"><enum>(f)</enum><header>Definition</header><text>In this section, the term <term>institution of higher education</term> has the meaning given such term in section 101 of the Higher Education Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/20/1001">20 U.S.C. 1001</external-xref>).</text>
</subsection><subsection commented="no" display-inline="no-display-inline" id="H3DC4C7BCEEA940B2B3712AC27C51DF6A"><enum>(g)</enum><header>Authorization of appropriations</header><text>There are authorized to be appropriated such sums as may be necessary to carry out this section.</text></subsection></section>April 26, 2016Reported with an amendment