[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[S. 4472 Introduced in Senate (IS)]
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117th CONGRESS
2d Session
S. 4472
To expand the availability of mental, emotional, behavioral, and
substance use disorder health services, and for other purposes.
_______________________________________________________________________
IN THE SENATE OF THE UNITED STATES
June 23, 2022
Mr. Casey (for himself and Mr. Cassidy) introduced the following bill;
which was read twice and referred to the Committee on Health,
Education, Labor, and Pensions
_______________________________________________________________________
A BILL
To expand the availability of mental, emotional, behavioral, and
substance use disorder health services, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Health Care Capacity for Pediatric
Mental Health Act of 2022''.
SEC. 2. PROGRAMS TO SUPPORT PEDIATRIC MENTAL, EMOTIONAL, BEHAVIORAL,
AND SUBSTANCE USE DISORDER HEALTH CARE.
Subpart V of part D of title III of the Public Health Service Act
(42 U.S.C. 256 et seq.) is amended by adding at the end the following:
``SEC. 340A-1. PROGRAM TO SUPPORT PEDIATRIC MENTAL, EMOTIONAL,
BEHAVIORAL, AND SUBSTANCE USE DISORDER HEALTH CARE
INTEGRATION AND COORDINATION.
``(a) In General.--The Secretary, acting through the Administrator
of the Health Resources and Services Administration, in consultation
with the Assistant Secretary for Mental Health and Substance Use, shall
award grants, contracts, or cooperative agreements to eligible entities
for the purpose of supporting pediatric mental, emotional, behavioral,
and substance use disorder health care integration and coordination to
meet local community needs in underserved and high-need communities.
``(b) Eligible Entities.--Entities eligible for grants under
subsection (a) include--
``(1) children's hospitals;
``(2) facilities that provide trauma-informed, culturally-
sensitive, developmentally-appropriate intensive pediatric
mental, emotional, behavioral, or substance use disorder health
services in partial hospital, day treatment, intensive
outpatient program, or walk-in crisis assessment program
settings; and
``(3) other entities providing trauma-informed, culturally-
sensitive, developmentally-appropriate intensive pediatric
mental, emotional, behavioral, or substance use disorder health
services, as the Secretary determines appropriate.
``(c) Prioritization.--In making awards under subsection (a), the
Secretary shall prioritize--
``(1) applicants that demonstrate plans to utilize funds to
expand access to integrated care and care coordination for the
prevention, screening, assessment, and treatment of pediatric
mental health disorders, eating disorders, developmental
disorders, and substance use disorders in high-need, rural, or
underserved communities;
``(2) applicants that demonstrate plans to coordinate with
and complement initiatives to improve pediatric mental health
and substance use disorder care implemented through other
Federal programs; and
``(3) applicants that demonstrate a significant role in
care for children in the region.
``(d) Use of Funds.--Activities that may be funded through an award
under subsection (a) include--
``(1) increasing the capacity of eligible entities to
integrate trauma-informed, culturally-sensitive,
developmentally-appropriate pediatric mental, emotional,
behavioral, and substance use disorder health services,
including through telehealth access to, and co-location of,
mental, emotional, behavioral, and substance use disorder
health providers;
``(2) facilitating access to trauma-informed, culturally-
sensitive, developmentally-appropriate intensive pediatric
mental, emotional, behavioral, or substance use disorder health
services in partial hospital, day treatment, intensive
outpatient program, or walk-in crisis assessment program
settings, in order to prevent hospitalizations and support
children as they transition back to their homes and
communities;
``(3) supporting the collection of data on pediatric
mental, emotional, behavioral, and substance use disorder
health care needs, service utilization and availability, and
demographic data, to identify unmet needs and barriers in
access to care, in a manner that protects personal privacy,
consistent with applicable Federal and State privacy laws;
``(4) establishing or maintaining community-based pediatric
mental health and substance use disorder partnerships, such as
partnerships with schools, early childhood education programs,
community-based organizations, and community-based mental
health and substance use disorder care providers, to address
identified gaps in access to care; and
``(5) training for non-clinical pediatric health care
workers, including care coordinators, community health workers,
and navigators, on providing trauma-informed, culturally-
sensitive, developmentally-appropriate care for pediatric
mental health disorders, eating disorders, developmental
disorders, and substance use disorders, and on local resources
to support children and their caregivers.
``(e) Authorization of Appropriations.--To carry out this section,
there is authorized to be appropriated such sums as may be necessary
for each of fiscal years 2023 through 2027.
``SEC. 340A-2. PEDIATRIC MENTAL, EMOTIONAL, BEHAVIORAL, AND SUBSTANCE
USE DISORDER HEALTH WORKFORCE TRAINING PROGRAM.
``(a) In General.--The Secretary, acting through the Administrator
of the Health Resources and Services Administration, in consultation
with the Assistant Secretary for Mental Health and Substance Use and
the Administrator of the Centers for Medicare & Medicaid Services,
shall award grants, contracts, or cooperative agreements to eligible
entities for the purpose of supporting evidence-based pediatric mental,
emotional, behavioral, and substance use disorder health workforce
training.
``(b) Eligible Entities.--Entities eligible for grants under
subsection (a) include--
``(1) children's hospitals;
``(2) facilities that provide trauma-informed, culturally-
sensitive, developmentally-appropriate intensive pediatric
mental, emotional, behavioral, or substance use disorder health
services in partial hospital, day treatment, intensive
outpatient program, or walk-in crisis assessment program
settings, that can prevent hospitalizations and support
children as they transition back to their homes and
communities; and
``(3) other entities providing trauma-informed, culturally-
sensitive, developmentally-appropriate intensive pediatric
mental, emotional, behavioral, or substance use disorder health
services, as the Secretary determines appropriate.
``(c) Prioritization.--In making awards under subsection (a), the
Secretary shall prioritize applicants that serve high-need, rural, or
underserved communities, and that demonstrate plans to utilize funds to
expand access to prevention, screening, assessment, and treatment of
pediatric mental health disorders, eating disorders, developmental
disorders, and substance use disorders.
``(d) Use of Funds.--Activities that may be supported through an
award under subsection (a) include expanded training to enhance the
capabilities of the existing workforce, including primary care
providers, pediatricians, psychiatrists, psychologists, nurses, social
workers, counselors, and other health care providers, as the Secretary
determines appropriate, to provide trauma-informed, culturally-
sensitive, developmentally-appropriate care for pediatric mental health
disorders, eating disorders, developmental disorders, and substance use
disorders.
``(e) Reporting.--
``(1) Reports from award recipients.--Not later than 180
days after the completion of activities funded by an award
under this section, the entity that received such award shall
submit a report to the Secretary on the activities conducted
using funds from such award, and other information as the
Secretary may require.
``(2) Reports to congress.--Not later than 180 days after
receiving reports from all award recipients, 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 on the projects and
activities conducted with funds awarded under this section, and
the outcome of such projects and activities. Such report shall
include--
``(A) the number of projects supported by awards
made under this section;
``(B) an overview of the impact, if any, of such
projects on access to pediatric mental, emotional,
behavioral, and substance use disorder health services;
``(C) recommendations for improving the investment
program under this section; and
``(D) any other considerations as the Secretary
determines appropriate.
``(f) Authorization of Appropriations.--To carry out this section,
there is authorized to be appropriated such sums as may be necessary
for each of fiscal years 2023 through 2027.''.
SEC. 3. INCREASING FEDERAL INVESTMENT IN PEDIATRIC MENTAL, EMOTIONAL,
BEHAVIORAL, AND SUBSTANCE USE DISORDER HEALTH SERVICES.
The Public Health Service Act (42 U.S.C. 201 et seq.) is amended by
adding at the end the following:
``TITLE XXXIV--ASSISTANCE FOR MODERNIZATION OF PEDIATRIC MENTAL,
EMOTIONAL, BEHAVIORAL, AND SUBSTANCE USE DISORDER HEALTH CARE
INFRASTRUCTURE
``SEC. 3401. INCREASING FEDERAL INVESTMENT IN PEDIATRIC MENTAL,
EMOTIONAL, BEHAVIORAL, AND SUBSTANCE USE DISORDER HEALTH
SERVICES.
``(a) In General.--The Secretary, acting through the Administrator
of the Health Resources and Services Administration, in consultation
with the Assistant Secretary for Mental Health and Substance Use, shall
award grants, contracts, or cooperative agreements to eligible entities
for the purpose of improving their ability to provide trauma-informed,
culturally-sensitive, developmentally-appropriate pediatric mental,
emotional, behavioral, and substance use disorder health services,
including by--
``(1) constructing or modernizing sites of care for trauma-
informed, culturally-sensitive, developmentally-appropriate
pediatric mental, emotional, behavioral, and substance use
disorder health services;
``(2) expanding capacity to provide trauma-informed,
culturally-sensitive, developmentally-appropriate pediatric
mental, emotional, behavioral, or substance use disorder health
services, including enhancements to digital infrastructure,
telehealth capabilities, or other improvements to patient care
infrastructure; and
``(3) supporting the reallocation of existing resources to
accommodate pediatric mental, emotional, and behavioral health
and substance use disorder patients, including by converting or
adding sufficient capacity to establish or increase the
entity's inventory of licensed and operational, trauma-
informed, culturally-sensitive, developmentally-appropriate
intensive pediatric mental, emotional, behavioral, and
substance use disorder health care programs, such as partial
hospital, day treatment, intensive outpatient programs, or
walk-in crisis assessment programs, in order to prevent
hospitalizations and support children as they transition back
to their homes and communities.
``(b) Eligible Entities.--Entities eligible for grants under
subsection (a) include--
``(1) children's hospitals;
``(2) facilities that provide trauma-informed, culturally-
sensitive, developmentally-appropriate intensive pediatric
mental, emotional, behavioral, or substance use disorder health
services in partial hospital, day treatment, intensive
outpatient program, or walk-in crisis assessment program
settings, that can prevent hospitalizations and support
children as they transition back to their homes and
communities; and
``(3) other entities providing trauma-informed, culturally-
sensitive, developmentally-appropriate intensive pediatric
mental, emotional, behavioral, or substance use disorder health
services, as the Secretary determines appropriate.
``(c) Prioritization.--In making awards under subsection (a), the
Secretary shall prioritize applicants that serve high-need, rural, or
underserved communities, and that demonstrate plans to utilize funds to
expand access to prevention, screening, assessment, and treatment of
pediatric mental health disorders, eating disorders, developmental
disorders, and substance use disorders.
``(d) Supplement, Not Supplant.--Funds provided under this section
shall be used to supplement, and not supplant, Federal and non-Federal
funds available for carrying out the activities described in this
section.
``(e) Reporting.--
``(1) Reports from award recipients.--Not later than 180
days after the completion of activities funded by an award
under this section, the entity that received such award shall
submit a report to the Secretary on the activities conducted
using funds from such award, and other information as the
Secretary may require.
``(2) Reports to congress.--Not later than 180 days after
receiving reports from all award recipients under paragraph
(1), 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
on the projects and activities conducted with funds awarded
under this section, and the outcome of such projects and
activities. Such report shall include--
``(A) the number of projects supported by awards
made under this section;
``(B) an overview of the impact, if any, of such
projects on pediatric health care infrastructure,
including any impact on access to pediatric mental,
emotional, behavioral, and substance use disorder
health services;
``(C) recommendations for improving the investment
program under this section; and
``(D) any other considerations as the Secretary
determines appropriate.
``(f) Authorization of Appropriations.--To carry out this section,
there is authorized to be appropriated such sums as may be necessary
for each of fiscal years 2023 through 2027.''.
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