Text: H.R.3717 — 113th Congress (2013-2014)All Bill Information (Except Text)

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Introduced in House (12/12/2013)


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[Congressional Bills 113th Congress]
[From the U.S. Government Printing Office]
[H.R. 3717 Introduced in House (IH)]

113th CONGRESS
  1st Session
                                H. R. 3717

  To make available needed psychiatric, psychological, and supportive 
services for individuals diagnosed with mental illness and families in 
             mental health crisis, and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                           December 12, 2013

 Mr. Murphy of Pennsylvania (for himself, Mr. Cassidy, Mr. Lance, and 
  Ms. Eddie Bernice Johnson of Texas) introduced the following bill; 
  which was referred to the Committee on Energy and Commerce, and in 
    addition to the Committees on the Judiciary, Education and the 
 Workforce, Ways and Means, and Science, Space, and Technology, for a 
 period to be subsequently determined by the Speaker, in each case for 
consideration of such provisions as fall within the jurisdiction of the 
                          committee concerned

_______________________________________________________________________

                                 A BILL


 
  To make available needed psychiatric, psychological, and supportive 
services for individuals diagnosed with mental illness and families in 
             mental health crisis, 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; TABLE OF CONTENTS.

    (a) Short Title.--This Act may be cited as the ``Helping Families 
in Mental Health Crisis Act of 2013''.
    (b) Table of Contents.--The table of contents for this Act is as 
follows:

Sec. 1. Short title; table of contents.
             TITLE I--ASSISTANT SECRETARY FOR MENTAL HEALTH

Sec. 101. Assistant Secretary for Mental Health and Substance Use 
                            Disorders.
Sec. 102. Interagency Serious Mental Illness Coordinating Committee.
Sec. 103. Assisted outpatient treatment grant program.
Sec. 104. Tele-psychiatry and primary care physician training grant 
                            program.
        TITLE II--FEDERALLY QUALIFIED BEHAVIORAL HEALTH CLINICS

Sec. 201. Demonstration program to improve federally qualified 
                            community behavioral health clinic 
                            services.
                 TITLE III--HIPAA AND FERPA CAREGIVERS

Sec. 301. Promoting appropriate treatment for mentally ill individuals 
                            by treating their caregivers as personal 
                            representatives for purposes of HIPAA 
                            privacy regulations.
Sec. 302. Caregivers permitted access to certain education records 
                            under FERPA.
                TITLE IV--DEPARTMENT OF JUSTICE REFORMS

Sec. 401. Additional purposes for certain Federal grants.
Sec. 402. Reauthorization and additional amendments to the Mentally Ill 
                            Offender Treatment and Crime Reduction Act.
Sec. 403. Assisted outpatient treatment.
Sec. 404. Improvements to the Department of Justice data collection and 
                            reporting of mental illness in crime.
Sec. 405. Reports on the number of seriously mentally ill who are 
                            imprisoned.
                 TITLE V--MEDICARE AND MEDICAID REFORMS

Sec. 501. Enhanced Medicaid coverage relating to certain mental health 
                            services.
Sec. 502. Access to mental health prescription drugs under Medicare and 
                            Medicaid.
       TITLE VI--RESEARCH BY NATIONAL INSTITUTE OF MENTAL HEALTH

Sec. 601. Increase in funding for certain research.
     TITLE VII--COMMUNITY MENTAL HEALTH SERVICES BLOCK GRANT REFORM

Sec. 701. Administration of block grants by Assistant Secretary.
Sec. 702. Additional program requirements.
Sec. 703. Period for expenditure of grant funds.
Sec. 704. Treatment standard under State law.
Sec. 705. Assisted outpatient treatment under State law.
Sec. 706. Best available science and models of care.
Sec. 707. Paperwork reduction study.
            TITLE VIII--BEHAVIORAL HEALTH AWARENESS PROGRAM

Sec. 801. Reducing the stigma of serious mental illness.
           TITLE IX--BEHAVIORAL HEALTH INFORMATION TECHNOLOGY

Sec. 901. Extension of health information technology assistance for 
                            behavioral and mental health and substance 
                            abuse.
Sec. 902. Extension of eligibility for Medicare and Medicaid health 
                            information technology implementation 
                            assistance.
  TITLE X--EXPANDING ACCESS TO CARE THROUGH HEALTH CARE PROFESSIONAL 
                              VOLUNTEERISM

Sec. 1001. Liability protections for health care professional 
                            volunteers at community health centers and 
                            federally qualified community behavioral 
                            health clinics.
              TITLE XI--SAMHSA REAUTHORIZATION AND REFORMS

            Subtitle A--Organization and General Authorities

Sec. 1101. In general.
Sec. 1102. Advisory councils.
Sec. 1103. Peer review.
Sec. 1104. Data collection.
             Subtitle B--Center for Mental Health Services

Sec. 1111. Center for Mental Health Services.
Sec. 1112. Reauthorization of priority mental health needs of regional 
                            and national significance.
Sec. 1113. Garrett Lee Smith Reauthorization.
        Subtitle C--Children With Serious Emotional Disturbances

Sec. 1121. Comprehensive community mental health services for children 
                            with serious emotional disturbances.
Sec. 1122. General provisions; report; funding.
             Subtitle D--Projects for Children and Violence

Sec. 1131. Children and violence.
Sec. 1132. Reauthorization of National Child Traumatic Stress Network.
Subtitle E--Protection and Advocacy for Individuals With Mental Illness

Sec. 1141. Prohibition against lobbying by systems accepting Federal 
                            funds to protect and advocate the rights of 
                            individuals with mental illness.
                  Subtitle F--Limitations on Authority

Sec. 1151. Limitations on SAMHSA programs.
Sec. 1152. Elimination of unauthorized SAMHSA programs.

             TITLE I--ASSISTANT SECRETARY FOR MENTAL HEALTH

SEC. 101. ASSISTANT SECRETARY FOR MENTAL HEALTH AND SUBSTANCE USE 
              DISORDERS.

    Title V of the Public Health Service Act is amended by inserting 
after section 501 of such Act (42 U.S.C. 290aa) the following:

``SEC. 501A. ASSISTANT SECRETARY FOR MENTAL HEALTH AND SUBSTANCE USE 
              DISORDERS.

    ``(a) In General.--There shall be in the Department of Health and 
Human Services an official to be known as the Assistant Secretary for 
Mental Health and Substance Use Disorders (in this section referred to 
as the `Assistant Secretary'), who shall--
            ``(1) report directly to the Secretary;
            ``(2) be appointed by the Secretary, by and with the advice 
        and consent of the Senate; and
            ``(3) be selected from among individuals who--
                    ``(A)(i) have a doctoral degree in medicine or 
                osteopathic medicine and clinical and research 
                experience in psychiatry;
                    ``(ii) graduated from an Accreditation Council for 
                Graduate Medical Education-certified psychiatric 
                residency program; and
                    ``(iii) have an understanding of biological, 
                psychosocial, and pharmaceutical treatments of mental 
                illness; or
                    ``(B) have a doctoral degree in psychology with--
                            ``(i) clinical and research experience; and
                            ``(ii) an understanding of biological, 
                        psychosocial, and pharmaceutical treatments of 
                        mental illness.
    ``(b) Relation to SAMHSA Administrator.--The Administrator of the 
Substance Abuse and Mental Health Services Administration shall be 
under the supervision and direction of the Assistant Secretary.
    ``(c) Duties.--The Assistant Secretary shall--
            ``(1) promote the coordination of service programs 
        conducted by other departments, agencies, organizations, and 
        individuals that are or may be related to the problems of 
        individuals suffering from substance abuse and mental illness;
            ``(2) carry out any functions within the Department of 
        Health and Human Services--
                    ``(A) to improve the treatment of, and related 
                services to, individuals with respect to substance 
                abuse and mental illness;
                    ``(B) to improve prevention services for such 
                individuals; and
                    ``(C) to protect the legal rights of individuals 
                with mental illnesses and individuals who are substance 
                abusers;
            ``(3) carry out the administrative and financial 
        management, policy development and planning, evaluation, 
        knowledge dissemination, and public information functions that 
        are required for the implementation of mental health programs, 
        including block grants, treatments, and data collection;
            ``(4) ensure that the Substance Abuse and Mental Health 
        Services Administration conducts and coordinates demonstration 
        projects, evaluations, and service system assessments and other 
        activities necessary to improve the availability and quality of 
        treatment, prevention, and related services related to 
        substance abuse;
            ``(5) within the Department of Health and Human Services, 
        oversee and coordinate all programs and activities relating to 
        the prevention of, or treatment or rehabilitation for, mental 
        health or substance use disorders;
            ``(6) across the Federal Government--
                    ``(A) review programs and activities described in 
                paragraph (5);
                    ``(B) identify any such programs and activities 
                that are duplicative; and
                    ``(C) formulate recommendations for the 
                coordination and improvement of such programs and 
                activities; and
            ``(7) supervise data collection for and disseminate best 
        practices by the National Mental Health Policy Laboratory.
    ``(d) Prioritization of Integration of Services and Early Diagnosis 
and Intervention.--In carrying out the duties described in subsection 
(c), the Assistant Secretary shall prioritize--
            ``(1) the integration of services for the purpose of 
        preventing, treating, or providing rehabilitation for the 
        prevention of, and treatment or rehabilitation for, mental 
        health or substance use disorders with primary care services; 
        and
            ``(2) early diagnosis and intervention services for the 
        prevention of, and treatment or rehabilitation for, serious 
        mental health or substance use disorders.
    ``(e) National Mental Health Policy Laboratory.--
            ``(1) In general.--The Assistant Secretary for Mental 
        Health and Substance Use Disorders shall establish, within the 
        Office of the Assistant Secretary, the National Mental Health 
        Policy Laboratory (in this section referred to as the `NMHPL'), 
        to be headed by a Director.
            ``(2) Duties.--The Director of the NMHPL shall--
                    ``(A) identify and implement policy changes and 
                other trends likely to have the most significant impact 
                on mental health services and monitor their impact in 
                accordance with the principles outlined in National 
                Advisory Mental Health Council's 2006 report entitled 
                `The Road Ahead: Research Partnerships To Transform 
                Services';
                    ``(B) collect information from grantees under 
                programs established or amended by the Helping Families 
                in Mental Health Crisis Act of 2013 and under other 
                mental health programs under this Act, including 
                grantees that are federally qualified community 
                behavioral health clinics certified under section 201 
                of the Helping Families in Mental Health Crisis Act of 
                2013 and States receiving funds under a block grant 
                under part B of title XIX of this Act; and
                    ``(C) evaluate and disseminate to such grantees 
                evidence-based practices and services delivery models 
                using the best available science shown to reduce 
                program expenditures while enhancing the quality of 
                care furnished to individuals by other such grantees.
            ``(3) Evidence-based practices and service delivery 
        models.--In selecting evidence-based practices and services 
        delivery models for evaluation and dissemination under 
        paragraph (2)(C), the Director of the NMHPL--
                    ``(A) shall give preference to models that improve 
                the coordination, quality, and efficiency of health 
                care services furnished to individuals with serious 
                mental illness; and
                    ``(B) may include clinical protocols and practices 
                used in the Recovery After Initial Schizophrenia 
                Episode (RAISE) project and the North American Prodrome 
                Longitudinal Study (NAPLS) of the National Institute of 
                Mental Health.
            ``(4) Deadline for beginning implementation.--The Director 
        of the NMHPL shall begin implementation of the duties described 
        in this subsection not later than January 1, 2016.
            ``(5) Consultation.--In carrying out the duties under this 
        section, the Director of the NMHPL shall consult with--
                    ``(A) representatives of the National Institute of 
                Mental Health on organization, hiring decisions, and 
                operations, initially and on an ongoing basis;
                    ``(B) other appropriate Federal agencies; and
                    ``(C) clinical and analytical experts with 
                expertise in medicine, psychiatric and clinical 
                psychological care, and health care management.
            ``(6) Evaluation.--
                    ``(A) In general.--The Director of the NMHPL shall 
                conduct an evaluation of grant programs described in 
                paragraph (2)(B). Such evaluation shall include an 
                analysis of--
                            ``(i) the quality of care furnished under 
                        the respective services delivery model, 
                        including the measurement of patient-level 
                        outcomes and public health outcomes such as 
                        reduced mortality rates, reduced 
                        hospitalization from psychotic episodes, and 
                        other criteria determined by the Assistant 
                        Secretary; and
                            ``(ii) the changes in spending under such 
                        programs by reason of the model.
                    ``(B) Information.--The Assistant Secretary shall 
                make the results of each evaluation under this 
                paragraph available to the public in a timely fashion 
                and may establish requirements for States and other 
                entities participating in the testing of models under 
                grant programs described in paragraph (2)(B) to collect 
                information that the Assistant Secretary determines is 
                necessary to monitor and evaluate such models.
    ``(f) Expansion of Models.--
            ``(1) In general.--Taking into account the results of 
        evaluations under subsection (e), the Assistant Secretary may, 
        by rule, as part of the program of block grants for community 
        mental health services under subpart I of part B of title XIX, 
        provide for expanded use across the Nation of service delivery 
        models by providers funded under such block grants, so long 
        as--
                    ``(A) the Assistant Secretary determines that such 
                expansion will--
                            ``(i) reduce spending under such block 
                        grants without reducing the quality of care; or
                            ``(ii) improve the quality of patient care 
                        without significantly increasing spending; and
                    ``(B) the Director of the National Institute of 
                Mental Health determines that such expansion would 
                improve the quality of patient care.
            ``(2) Congressional review.--Any rule promulgated pursuant 
        to paragraph (1) is deemed to be a major rule subject to 
        congressional review and disapproval under chapter 8 of title 
        5, United States Code.
    ``(g) Reports to Congress.--Not later than 1 year after the date of 
enactment of this Act, and every 2 years thereafter, the Assistant 
Secretary shall submit a report to the Congress--
            ``(1) summarizing the activities of the Assistant 
        Secretary;
            ``(2) analyzing the efficiency and effectiveness of Federal 
        programs and activities relating to the prevention of, or 
        treatment or rehabilitation for, mental health or substance use 
        disorders, including an accounting of the costs of such 
        programs and activities with administrative costs disaggregated 
        from the costs of services and care provided;
            ``(3) evaluating the impact on public health of projects 
        addressing priority mental health needs of regional and 
        national significance under section 520A to determine--
                    ``(A) whether each such project has reduced the 
                mortality rate, prevalence, and emergency room visits 
                for persons with serious mental illness; and
                    ``(B) the effect of such projects on other public 
                health measures;
            ``(4) formulating recommendations for the coordination and 
        improvement of Federal programs and activities described in 
        paragraph (2); and
            ``(5) identifying any such programs and activities that are 
        duplicative.
    ``(h) Funding.--Of the amounts made available to carry out the 
block grant for community mental health services for each of fiscal 
years 2014 through 2019, not more than 5 percent of such amounts are 
authorized to be appropriated to carry out this section.''.

SEC. 102. INTERAGENCY SERIOUS MENTAL ILLNESS COORDINATING COMMITTEE.

    Title V of the Public Health Service Act, as amended by section 
701, is further amended by inserting after section 501A of such Act the 
following:

``SEC. 501B. INTERAGENCY SERIOUS MENTAL ILLNESS COORDINATING COMMITTEE.

    ``(a) Establishment.--The Assistant Secretary for Mental Health and 
Substance Use Disorders (in this section referred to as the `Assistant 
Secretary') shall establish a committee, to be known as the Interagency 
Serious Mental Illness Coordinating Committee (in this section referred 
to as the `Committee'), to assist the Assistant Secretary in carrying 
out the Assistant Secretary's duties.
    ``(b) Responsibilities.--The Committee shall--
            ``(1) develop and annually update a summary of advances in 
        serious mental illness research related to causes, prevention, 
        treatment, early screening, diagnosis or rule out, 
        intervention, and access to services and supports for 
        individuals with serious mental illness;
            ``(2) monitor Federal activities with respect to serious 
        mental illness;
            ``(3) make recommendations to the Assistant Secretary 
        regarding any appropriate changes to such activities, including 
        recommendations to the Director of NIH with respect to the 
        strategic plan developed under paragraph (5);
            ``(4) make recommendations to the Assistant Secretary 
        regarding public participation in decisions relating to serious 
        mental illness;
            ``(5) develop and annually update a strategic plan for the 
        conduct of, and support for, serious mental illness research, 
        including proposed budgetary requirements; and
            ``(6) submit to the Congress such strategic plan and any 
        updates to such plan.
    ``(c) Membership.--
            ``(1) In general.--The Committee shall be composed of--
                    ``(A) the Assistant Secretary for Mental Health and 
                Substance Use Disorders (or the Assistant Secretary's 
                designee), who shall serve as the Chair of the 
                Committee;
                    ``(B) the Director of the National Institute of 
                Mental Health (or the Director's designee);
                    ``(C) the Attorney General of the United States (or 
                the Attorney General's designee);
                    ``(D) the Director of the Centers for Disease 
                Control and Prevention (or the Director's designee);
                    ``(E) the Director of the National Institutes of 
                Health (or the Director's designee);
                    ``(F) the directors of such national research 
                institutes of the National Institutes of Health as the 
                Assistant Secretary for Mental Health and Substance Use 
                Disorders determines appropriate (or their designees);
                    ``(G) representatives, appointed by the Assistant 
                Secretary, of Federal agencies that are outside of the 
                Department of Health and Human Services and serve 
                individuals with serious mental illness, such as the 
                Department of Education;
                    ``(H) the Administrator of Substance Abuse and 
                Mental Health Services Administration; and
                    ``(I) the additional members appointed under 
                paragraph (2).
            ``(2) Additional members.--Not fewer than 9 members of the 
        Committee, or \1/3\ of the total membership of the Committee, 
        whichever is greater, shall be composed of non-Federal public 
        members to be appointed by the Assistant Secretary, of which--
                    ``(A) at least one such member shall be an 
                individual with a diagnosis of serious mental illness 
                who has benefitted from and is receiving medical 
                treatment under the care of a physician;
                    ``(B) at least one such member shall be a parent or 
                legal guardian of an individual with a serious mental 
                illness;
                    ``(C) at least one such member shall be a 
                representative of leading research, advocacy, and 
                service organizations for individuals with serious 
                mental illness;
                    ``(D) at least one member shall be a psychiatrist;
                    ``(E) at least one member shall be a clinical 
                psychologist;
                    ``(F) at least one member shall be a judge with 
                successful experiences applying assisted outpatient 
                treatment;
                    ``(G) at least one member shall be a law 
                enforcement officer; and
                    ``(H) at least one member shall be a corrections 
                officer.
    ``(d) Administrative Support; Terms of Service; Other Provisions.--
The following provisions shall apply with respect to the Committee:
            ``(1) The Assistant Secretary shall provide such 
        administrative support to the Committee as may be necessary for 
        the Committee to carry out its responsibilities.
            ``(2) Members of the Committee appointed under subsection 
        (c)(2) shall serve for a term of 4 years, and may be 
        reappointed for one or more additional 4-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 
        taken office.
            ``(3) The Committee shall meet at the call of the chair or 
        upon the request of the Assistant Secretary. The Committee 
        shall meet not fewer than 2 times each year.
            ``(4) All meetings of the Committee shall be public and 
        shall include appropriate time periods for questions and 
        presentations by the public.
    ``(e) Subcommittees; Establishment and Membership.--In carrying out 
its functions, the Committee may establish subcommittees and convene 
workshops and conferences. Such subcommittees shall be composed of 
Committee members and may hold such meetings as are necessary to enable 
the subcommittees to carry out their duties.''.

SEC. 103. ASSISTED OUTPATIENT TREATMENT GRANT PROGRAM.

    (a) In General.--The Assistant Secretary for Mental Health and 
Substance Use Disorders (in this section referred to as the ``Assistant 
Secretary''), in consultation with the Director of the National 
Institute of Mental Health and the Attorney General of the United 
States, shall establish a 4-year pilot program to award not more than 
50 grants each year to counties, cities, mental health systems, mental 
health courts, and any other entities with authority under the law of a 
State to implement, monitor, and oversee assisted outpatient treatment 
programs. The Assistant Secretary may only award grants under this 
section to applicants that have not previously implemented an assisted 
outpatient treatment program. The Assistant Secretary shall evaluate 
applicants based on their potential to reduce hospitalization, 
homelessness, incarceration, and interaction with the criminal justice 
system while improving health outcomes, such as adherence to medication 
usage.
    (b) Use of Grant.--An assisted outpatient treatment program carried 
out with a grant awarded under this section shall include--
            (1) evaluating and seeking out eligible individuals who may 
        benefit from assisted outpatient treatment;
            (2) preparing and executing treatment plans for eligible 
        patients and filing petitions for assisted outpatient treatment 
        in appropriate courts;
            (3) providing case management services to eligible patients 
        who are participating in the program to provide such patients 
        with resources, monitoring, and oversight, including directly 
        monitoring a participant's level of compliance and the delivery 
        of services by other providers pursuant to the court order; and
            (4) carrying out referrals and medical evaluations, and 
        paying the costs of legal counsel for commitment orders to be 
        submitted and evaluated by the courts.
    (c) Data Collection.--Grantees under this section shall provide in 
a timely fashion any data collected pursuant to the grant to the 
National Mental Health Policy Laboratory, as requested by the Assistant 
Secretary, concerning health outcomes and treatments.
    (d) Report.--The Assistant Secretary shall submit an annual report 
to the Committees on Energy and Commerce and the Judiciary of the House 
of Representatives, the Committees on Health, Education, Labor, and 
Pensions and the Judiciary of the Senate, and the Congressional Budget 
Office on the grant program under this section. Each such report shall 
include an evaluation of the following:
            (1) Cost savings and public health outcomes such as 
        mortality, suicide, substance abuse, hospitalization, and use 
        of services.
            (2) Rates of incarceration by patients.
            (3) Rates of employment by patients.
            (4) Rates of homelessness.
    (e) Definitions.--In this section:
            (1) Assisted outpatient treatment.--The term ``assisted 
        outpatient treatment'' means--
                    (A) except as provided in subparagraph (B), 
                medically prescribed treatment that an eligible patient 
                must undergo while living in a community under the 
                terms of a law authorizing a State or local court to 
                order such treatment; and
                    (B) in the case of a State that does not have a law 
                described in subparagraph (A) in effect on the date of 
                enactment--
                            (i) a court-ordered treatment plan for an 
                        eligible patient that requires such patient to 
                        obtain outpatient mental health treatment while 
                        the patient is living in a community; and
                            (ii) is designed to improve access and 
                        adherence by such patient to intensive 
                        behavioral health services in order to--
                                    (I) avert relapse, repeated 
                                hospitalizations, arrest, 
                                incarceration, suicide, property 
                                destruction, and violent behavior; and
                                    (II) provide such patient with the 
                                opportunity to live in a less 
                                restrictive alternative to 
                                incarceration or involuntary 
                                hospitalization.
            (2) Eligible patient.--The term ``eligible patient'' means 
        an adult, mentally ill person who, as determined by the court--
                    (A) has a history of violence, incarceration, or 
                medically unnecessary hospitalizations;
                    (B) without supervision and treatment, may be a 
                danger to self or others in the community;
                    (C) is substantially unlikely to voluntarily 
                participate in treatment;
                    (D) may be unable, for reasons other than 
                indigence, to provide for any of his or her basic 
                needs, such as food, clothing, shelter, health, or 
                safety;
                    (E) has a history of mental illness or condition 
                that is likely to substantially deteriorate if the 
                patient is not provided with timely treatment; or
                    (F) due to mental illness, lacks capacity to fully 
                understand or lacks judgment to make informed decisions 
                regarding his or her need for treatment, care, or 
                supervision.
    (f) Funding.--
            (1) Amount of grants.--A grant under this section shall be 
        in an amount that is not more than $1,000,000 for each of grant 
        years 2014 through 2017. Subject to the preceding sentence, the 
        Assistant Secretary shall determine the amount of each grant 
        based on the population of patients of the area to be served 
        under the grant.
            (2) Authorization of appropriations.--There is authorized 
        to be appropriated to carry out this section $15,000,000 for 
        each of fiscal years 2014 through 2017.

SEC. 104. TELE-PSYCHIATRY AND PRIMARY CARE PHYSICIAN TRAINING GRANT 
              PROGRAM.

    (a) In General.--The Assistant Secretary of Mental Health and 
Substance Use Disorders (in this section referred to as the ``Assistant 
Secretary'') shall establish a grant program (in this section referred 
to as the ``grant program'') under which the Assistant Secretary shall 
award to 10 eligible States (as described in subsection (e)) grants for 
carrying out all 3 of the purposes described in subsections (b), (c), 
and (d).
    (b) Training Program for Certain Primary Care Physicians.--For 
purposes of subsection (a), the purpose described in this subsection, 
with respect to a grant awarded to a State under the grant program, is 
for the State to establish a training program to train primary care 
physicians in--
            (1) approved standardized behavioral-health screening 
        tools, including--
                    (A) Ages and Stages Questionnaires (ASQ: SE);
                    (B) Brief Infant-Toddler Social and Emotional 
                Assessment (BITSEA);
                    (C) screening for substance abuse, known as Car, 
                Relax, Alone, Forget, Friends, Trouble, (CRAFFT);
                    (D) screening for autism, known as Modified 
                Checklist for Autism in Toddlers (M-CAT);
                    (E) Parents' Evaluation of Developmental Status 
                (PEDS);
                    (F) screening for depression, known as Patient 
                Health Questionnaire-9 (PHQ-9);
                    (G) Pediatric Symptom Checklist (PSC) and Pediatric 
                Symptom Checklist-Youth Report (Y-PSC);
                    (H) Strengths and Difficulties Questionnaire (SDQ); 
                and
                    (I) any additional areas that the Assistant 
                Secretary determines applicable;
            (2) implementing the use of behavioral-health screening 
        tools in their practices; and
            (3) knowing what to do when a behavioral-health need is 
        identified.
    (c) Payments for Mental Health Services Provided by Certain Primary 
Care Physicians.--
            (1) For purposes of subsection (a), the purpose described 
        in this subsection, with respect to a grant awarded to a State 
        under the grant program, is for the State to provide, in 
        accordance with this subsection, in the case of a primary care 
        physician that participates in the training program of the 
        State establish pursuant to subsection (b), payments to the 
        primary care physician for services furnished by the primary 
        care physician.
            (2) The Assistant Secretary, in determining the structure, 
        quality, and form of payment under paragraph (1) shall seek to 
        find innovative payment systems which may take in to account--
                    (A) quality of services rendered;
                    (B) patients' health outcome;
                    (C) geographical location of where services were 
                provided;
                    (D) severity of patients' medical condition;
                    (E) duration of services provided; and
                    (F) feasibility of replicating that payment model 
                in other States nationwide.
    (d) Telehealth Services for Mental Health Disorders.--
            (1) In general.--For purposes of subsection (a), the 
        purpose described in this subsection, with respect to a grant 
        awarded to a State under the grant program, is for the State to 
        provide, in the case of an individual furnished items and 
        services by a primary care physician during an office visit, 
        for payment for a consultation provided by a psychiatrist or 
        psychologist to such physician with respect to such individual 
        through the use of qualified telehealth technology for the 
        identification, diagnosis, mitigation, or treatment of a mental 
        health disorder if such consultation occurs not later than the 
        first business day that follows such visit.
            (2) Qualified telehealth technology.--For purposes of 
        subsection (C)(1), the term ``qualified telehealth 
        technology'', with respect to the provision of items and 
        services to a patient by a health care provider--
                    (A) includes the use of interactive audio, audio-
                only telephone conversation, video, or other 
                telecommunications technology by a health care provider 
                to deliver health care services within the scope of the 
                provider's practice at a site other than the site where 
                the patient is located, including the use of electronic 
                media for consultation relating to the health care 
                diagnosis or treatment of the patient; and
                    (B) does not include the use of electronic mail 
                message or facsimile transmission.
    (e) Eligible State.--
            (1) In general.--For purposes of this section, an eligible 
        State is a State that has submitted to the Assistant Secretary 
        an application under paragraph (a) and has been selected under 
        paragraph (3).
            (2) Application.--A State seeking to participate in the 
        grant program under this section shall submit to the Assistant 
        Secretary, at such time and in such format as the Assistant 
        Secretary requires, an application that includes such 
        information, provisions, and assurances, as the Assistant 
        Secretary may require.
            (3) Matching requirement.--The Assistant Secretary may not 
        make a grant under the grant program unless the State involved 
        agrees, with respect to the costs to be incurred by the State 
        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 equal to not less than 20 percent of 
        Federal funds provided in the grant.
            (4) Selection.--A State shall be determined eligible for 
        the grant program by the Assistant Secretary on a competitive 
        basis among States with applications meeting the requirements 
        of paragraphs (2) and (3). In selecting State applications for 
        the grant program, the Secretary shall seek to achieve an 
        appropriate national balance in the geographic distribution of 
        grants awarded under the grant program.
    (f) Length of Grant Program.--The grant program established under 
this section shall be conducted for a period of 3 consecutive years.
    (g) Authorization of Appropriations.--Out of any funds in the 
Treasury not otherwise appropriated, there is authorized to be 
appropriated to carry out this section, $3,000,000 for each of the 
fiscal years 2015 through 2017.
    (h) Reports.--
            (1) Reports.--For each fiscal year that grants are awarded 
        under this section, the Assistant Secretary and the National 
        Mental Health Policy Laboratory shall conduct a study on the 
        results of the grants and submit to the Congress a report on 
        such results that includes the following:
                    (A) An evaluation of the grant program outcomes, 
                including a summary of activities carried out with the 
                grant and the results achieved through those 
                activities.
                    (B) Recommendations on how to improve access to 
                mental health services at grantee locations.
                    (C) An assessment of access to mental health 
                services under the program.
                    (D) An assessment of the impact of the 
                demonstration project on the costs of the full range of 
                mental health services (including inpatient, emergency 
                and ambulatory care).
                    (E) Recommendations on congressional action to 
                improve the grant.
            (2) Report.--Not later than December 31, 2017, the 
        Assistant Secretary and the National Mental Health Policy 
        Laboratory shall submit to Congress and make available to the 
        public a report on the findings of the evaluation under 
        paragraph (1) and also a policy outline on how Congress can 
        expand the grant program to the national level.

        TITLE II--FEDERALLY QUALIFIED BEHAVIORAL HEALTH CLINICS

SEC. 201. DEMONSTRATION PROGRAM TO IMPROVE FEDERALLY QUALIFIED 
              COMMUNITY BEHAVIORAL HEALTH CLINIC SERVICES.

    (a) Establishment.--Not later than January 1, 2016, the Secretary 
of Health and Human Services (referred to in this section as the 
``Secretary''), in coordination with the Assistant Secretary for Mental 
Health and Substance Use Disorders, shall award planning grants to not 
to exceed 10 States to enable such States to carry out 5-year 
demonstration programs to improve the provision of behavioral health 
services provided by federally qualified community behavioral health 
clinics in the State.
    (b) Eligibility.--
            (1) Application.--To be eligible to receive a grant under 
        subsection (a), a State shall--
                    (A) submit to the Secretary an application at such 
                time, in such manner, and containing such information 
                as the Secretary may require;
                    (B) certify to the Secretary that behavioral health 
                providers that are provided assistance under the 
                demonstration program are federally qualified community 
                behavioral health clinics;
                    (C) certify to the Secretary that, with respect to 
                the behavioral health providers provided assistance 
                under the demonstration program, not more than 75 
                percent of the total number of such providers are 
                participating providers under the State Medicaid plan 
                under title XIX of the Social Security Act (42 U.S.C. 
                1396 et seq.);
                    (D) demonstrate the actuarial soundness of the 
                demonstration program to be carried out under the grant 
                by providing a detailed estimate of eligible clinics 
                and Medicaid expenditures over the entire projected 
                period of the demonstration program; and
                    (E) comply with any other requirement determined 
                appropriate by the Secretary.
            (2) Waiver of medicaid requirements.--In approving States 
        to conduct demonstration programs under this section, the 
        Secretary shall waive such provisions of title XIX of the 
        Social Security Act (42 U.S.C. 1396 et seq.) as are necessary 
        to conduct the demonstration program in accordance with the 
        requirements of this section, including section 1902(a)(1) of 
        the Social Security Act (42 U.S.C. 1396a(a)(1)) (relating to 
        statewideness).
    (c) Requirements.--In awarding grants under this section, the 
Secretary shall--
            (1) ensure the geographic diversity of grantee States;
            (2) ensure that federally qualified community behavioral 
        health clinics in such States that are located in rural areas, 
        as defined by the Secretary, and other mental health 
        professional shortage areas are fairly and appropriately 
        considered with the objective of facilitating access to mental 
        health services in such areas;
            (3) take into account the ability of clinics in such States 
        to provide required services, and the ability of such clinics 
        to report required data as required under this section; and
            (4) take into account the ability of such States to provide 
        such required services on a statewide basis.
    (d) Treatment of Certain Services Provided by Community Behavioral 
Health Clinics as Medical Assistance.--
            (1) In general.--For purposes of the demonstration program 
        under this section, community behavioral health clinic services 
        (as defined in subsection (f)(1)) that are provided by 
        federally qualified community behavioral health clinics 
        receiving assistance under this section shall be considered 
        medical assistance for purposes of payments to States under 
        paragraph (3)(C).
            (2) Grant condition.--As a condition of receiving a grant 
        under this section, a State shall agree to provide for payment 
        for community behavioral health clinic services in accordance 
        with the prospective payment system established by the 
        Secretary under paragraph (3).
            (3) Prospective payment system.--
                    (A) In general.--Not later than 18 months after the 
                date of enactment of this Act, the Secretary shall 
                establish a prospective payment system for community 
                behavioral health clinic services furnished by a 
                community behavioral health clinic receiving assistance 
                under this section in the same manner as payments are 
                required to be made under section 1902(bb) of the 
                Social Security Act (42 U.S.C. 1396a(bb)) for services 
                described in section 1905(a)(2)(C) of such Act (42 
                U.S.C. 1396d(a)(2)(C)) furnished by a federally 
                qualified health center and services described in 
                section 1905(a)(2)(B) of such Act (42 U.S.C. 
                1396d(a)(2)(B)) furnished by a rural health clinic.
                    (B) Requirements.--The prospective payment system 
                established by the Secretary under subparagraph (A) 
                shall provide that--
                            (i) no payment shall be made for inpatient 
                        care, residential treatment, room and board 
                        expenses, or any other nonambulatory services, 
                        as determined by the Secretary; and
                            (ii) no payment shall be made to satellite 
                        facilities of community behavioral health 
                        clinics if such facilities are established 
                        after the date of enactment of this Act.
                    (C) Payments to states.--The Secretary shall pay 
                each State awarded a grant under this section an amount 
                each quarter equal to the enhanced FMAP (as defined in 
                section 2105(b) of the Social Security Act (42 U.S.C. 
                1397dd(b)) but without regard to the second and third 
                sentences of that section) of the State's expenditures 
                in the quarter for medical assistance for community 
                behavioral health clinic services provided by federally 
                qualified community behavioral health clinics in the 
                State that receive assistance under this section. 
                Payments to States made under this subparagraph shall 
                be considered to have been under, and are subject to 
                the requirements of, section 1903 of the Social 
                Security Act (42 U.S.C. 1396b).
    (e) Annual Report.--
            (1) In general.--Not later than 1 year after the date on 
        which the first grants are awarded under this section, and 
        annually thereafter, the Secretary shall submit to Congress an 
        annual report on the use of funds provided under the 
        demonstration program. Each such report shall include--
                    (A) an assessment of access to community-based 
                mental health services under the Medicaid program in 
                the States awarded such grants;
                    (B) an assessment of the quality and scope of 
                services provided by federally qualified community 
                behavioral health clinics under the grants as compared 
                against community-based mental health services provided 
                in States that are not receiving such grants;
                    (C) an assessment of the impact of the 
                demonstration programs on the costs of a full range of 
                mental health services (including inpatient, emergency 
                and ambulatory services); and
                    (D) a peer-reviewed assessment of the public health 
                impact, including but not limited to rates of community 
                mortality, hospitalization, and other measures as 
                determined by the Director of the National Institute of 
                Mental Health.
            (2) Recommendations.--Not later than December 31, 2019, the 
        Secretary shall submit to Congress recommendations concerning 
        whether the demonstration programs under this section should be 
        continued and expanded on a national basis.
            (3) Data collection.--Grantees shall provide in a timely 
        fashion any such data to the National Mental Health Policy 
        Laboratory, as requested by the Assistant Secretary concerning 
        health outcomes and treatments.
    (f) Criteria for Federally Qualified Community Behavioral Health 
Clinics.--
            (1) In general.--The Assistant Secretary for Mental Health 
        and Substance Use Disorders shall certify federally qualified 
        community behavioral health clinics as meeting the criteria 
        specified in this subsection.
            (2) Criteria.--The criteria referred to in this subsection 
        are that the clinic performs each of the following:
                    (A) Provide required primary health services (as 
                defined by the Assistant Secretary for Mental Health 
                and Substance Use Disorders).
                    (B) Provide services in locations that ensure 
                services will be available and accessible promptly and 
                in a manner which preserves human dignity and assures 
                continuity of care.
                    (C) Provide services in a mode of service delivery 
                appropriate for the target population.
                    (D) Provide individuals with a choice of service 
                options where there is more than one evidence-based 
                treatment.
                    (E) Employ a core staff that is sufficiently 
                trained in child and adolescent psychiatry or 
                psychology.
                    (F) Employ a core staff that is sufficiently 
                trained in child and adolescent psychiatry, dual 
                diagnosis issues, crisis management and stabilization 
                and interventions with patients at high risk for 
                violence.
                    (G) Provide services, within the limits of the 
                capacities of the center, to any individual residing or 
                employed in the service area of the center, regardless 
                of the ability of the individual to pay.
                    (H) Provide, directly or through contract, to the 
                extent covered for adults in the State Medicaid plan 
                under title XIX of the Social Security Act and for 
                children in accordance with section 1905(r) of such Act 
                regarding early and periodic screening, diagnosis, and 
                treatment, each of the following services:
                            (i) Screening, assessment, and diagnosis, 
                        including risk assessment.
                            (ii) Person-centered treatment planning or 
                        similar processes, including risk assessment 
                        and crisis planning.
                            (iii) Outpatient mental health and 
                        substance use services, including screening, 
                        assessment, diagnosis, psychotherapy, 
                        medication management, and integrated treatment 
                        for mental illness and substance abuse which 
                        shall be evidence-based (including cognitive 
                        behavioral therapy and other such therapies 
                        which are evidence-based).
                            (iv) Outpatient clinic primary care 
                        screening and monitoring of key health 
                        indicators and health risk (including screening 
                        for diabetes, hypertension, and cardiovascular 
                        disease and monitoring of weight, height, body 
                        mass index (BMI), blood pressure, blood glucose 
                        or HbA1C, and lipid profile).
                            (v) Crisis mental health services, 
                        including 24-hour mobile crisis teams, 
                        emergency crisis intervention services, and 
                        crisis stabilization.
                            (vi) Targeted case management (services 
                        provided by a social worker to assist 
                        individuals gaining access to needed medical, 
                        social, educational, and other services and 
                        applying for income security and other benefits 
                        to which they may be entitled).
                            (vii) Psychiatric rehabilitation services 
                        including skills training, assertive community 
                        treatment, family psychoeducation, disability 
                        self-management, supported employment, 
                        supported housing services, therapeutic foster 
                        care services, and such other evidence-based 
                        practices as the Secretary may require.
                            (viii) Peer support and counselor services 
                        and family supports.
                            (ix) Supported education and supported 
                        employment for individuals with serious mental 
                        illness after an initial psychotic episode.
                            (x) Case management services for 
                        individuals with serious mental illness after 
                        an initial psychotic episode.
                    (I) Use and share electronic health records 
                consistent with other applicable law.
                    (J) Be available to provide assisted outpatient 
                treatment that is ordered by a State court pursuant to 
                a State law described in section 1915(d).
                    (K) Be available to participate in research 
                projects conducted or supported by the National 
                Institute of Mental Health.
                    (L) Maintain linkages, and where possible enter 
                into formal contracts with the following:
                            (i) Federally qualified health centers.
                            (ii) Inpatient psychiatric facilities and 
                        substance use detoxification, post-
                        detoxification step-down services, and 
                        residential programs.
                            (iii) Adult and youth peer support and 
                        counselor services.
                            (iv) Family support services for families 
                        of children with serious mental or substance 
                        use disorders.
                            (v) Other community or regional services, 
                        supports, and providers, including schools, 
                        child welfare agencies, juvenile and criminal 
                        justice agencies and facilities (including 
                        mental health courts, local police forces, and 
                        local jails and other detention facilities), 
                        housing agencies and programs, employers, and 
                        other social services such as schools and 
                        religious organizations.
                            (vi) Integrating care with primary care 
                        services, including, to the extent feasible, 
                        through a common delivery site.
                            (vii) Enabling services, including 
                        outreach, transportation, and translation.
                            (viii) Health and wellness services, 
                        including services for tobacco cessation.
                            (ix) Adopt models of first episode 
                        psychosis training, supervision, team meetings, 
                        and coordination with adjacent care 
                        organizations.
                    (M) Where feasible, provide outreach and engagement 
                to encourage individuals who could benefit from mental 
                health care to freely participate in receiving the 
                services described in this subsection.
            (3) Rule of construction.--Nothing in this section shall be 
        construed as prohibiting States receiving funds appropriated 
        through the Community Mental Health Services Block Grant under 
        this subpart from financing qualified community programs 
        (whether such programs meet the definition of eligible programs 
        prior to or after the date of enactment of this subsection).
    (g) Definitions.--In this section:
            (1) Community behavioral health clinic services.--The term 
        ``community behavioral health clinic services'' means 
        ambulatory behavioral health services of the type described in 
        subparagraphs (I), (L), (M), and (N) of subsection (f)(2) that 
        are provided by federally qualified community behavioral health 
        clinics receiving assistance under this section.
            (2) State.--The term ``State'' has the meaning given such 
        term for purposes of title XIX of the Social Security Act (42 
        U.S.C. 1396 et seq.).
            (3) Federally qualified community behavioral health 
        clinic.--The term ``federally qualified community behavioral 
        health clinic'' means a federally qualified behavioral health 
        clinic with a certification in effect under this section.
    (h) Authorization of Appropriations.--In order to fund State 
planning grants and the administrative costs associated with certifying 
community behavioral health clinics, there is authorized to be 
appropriated to carry out this section, $50,000,000 for fiscal year 
2016, to remain available until expended.

                 TITLE III--HIPAA AND FERPA CAREGIVERS

SEC. 301. PROMOTING APPROPRIATE TREATMENT FOR MENTALLY ILL INDIVIDUALS 
              BY TREATING THEIR CAREGIVERS AS PERSONAL REPRESENTATIVES 
              FOR PURPOSES OF HIPAA PRIVACY REGULATIONS.

    (a) Caregiver Access to Information.--In applying section 
164.502(g) of title 45, Code of Federal Regulations, to an individual 
with a serious mental illness who does not provide consent for the 
disclosure of protected health information to a caregiver of such 
individual, the caregiver shall be treated by a covered entity as a 
personal representative (as described under such section 164.502(g)) of 
such individual with respect to protected health information of such 
individual when the provider furnishing services to the individual 
reasonably believes it is necessary for protected health information of 
the individual to be made available to the caregiver in order to 
protect the health, safety, or welfare of such individual or the safety 
of one or more other individuals.
    (b) Definitions.--For purposes of this section:
            (1) Covered entity.--The term ``covered entity'' has the 
        meaning given such term in section 106.103 of title 45, Code of 
        Federal Regulations.
            (2) Protected health information.--The term ``protected 
        health information'' has the meaning given such term in section 
        106.103 of title 45, Code of Federal Regulations.
            (3) Caregiver.--The term ``caregiver'' means, with respect 
        to an individual with a serious mental illness--
                    (A) an immediate family member of such individual;
                    (B) an individual who assumes primary 
                responsibility for providing a basic need of such 
                individual; or
                    (C) a personal representative of the individual as 
                determined by the law of the State in which such 
                individual resides.
            (4) Individual with a serious mental illness.--The term 
        ``individual with a serious mental illness'' means, with 
        respect to the disclosure to a caregiver of protected health 
        information of an individual, an individual who--
                    (A) is 18 years of age or older; and
                    (B) has, within one year before the date of the 
                disclosure, been evaluated, diagnosed, or treated for a 
                mental, behavioral, or emotional disorder that--
                            (i) is determined by a physician to be of 
                        sufficient duration to meet diagnostic criteria 
                        specified within the Diagnostic and Statistical 
                        Manual of Mental Disorders; and
                            (ii) results in functional impairment of 
                        the individual that substantially interferes 
                        with or limits one or more major life 
                        activities of the individual.

SEC. 302. CAREGIVERS PERMITTED ACCESS TO CERTAIN EDUCATION RECORDS 
              UNDER FERPA.

    Section 444 of the General Education Provisions Act (20 U.S.C. 
1232g) is amended by adding at the end the following new subsection:
    ``(k) Disclosures to Caregivers of the Mentally Ill.--
            ``(1) In general.--Nothing in this Act, the Elementary and 
        Secondary Education Act of 1965, or the Higher Education Act of 
        1965 shall be construed to prohibit an educational agency or 
        institution from disclosing, to a caregiver of an individual 
        with a serious mental illness who has not explicitly provided 
        consent to the agency or institution for the disclosure of 
        protected health information, an education record of such 
        individual if a physician, psychologist, or other recognized 
        mental health professional or paraprofessional acting in his or 
        her professional or paraprofessional capacity, or assisting in 
        that capacity reasonably believes such disclosure to the 
        caregiver is necessary to protect the health, safety, or 
        welfare of such individual or the safety of one or more other 
        individuals.
            ``(2) Definitions.--In this subsection:
                    ``(A) Caregiver.--The term `caregiver' means, with 
                respect to an individual with a serious mental illness, 
                a family member or immediate past legal guardian who 
                assumes a primary responsibility for providing a basic 
                need of such individual (such as a family member or 
                past legal guardian of the individual who has assumed 
                the responsibility of co-signing a loan with the 
                individual).
                    ``(B) Education record.--Notwithstanding subsection 
                (a)(4)(B), the term `education record' shall include a 
                record described in clause (iv) of such subsection.
                    ``(C) Individual with a serious mental illness.--
                The term `individual with a serious mental illness' 
                means, with respect to the disclosure to a caregiver of 
                protected health information of an individual, an 
                individual who--
                            ``(i) is 18 years of age or older; and
                            ``(ii) has, within one year before the date 
                        of the disclosure, been evaluated, diagnosed, 
                        or treated for a mental, behavioral, or 
                        emotional disorder that--
                                    ``(I) is determined by a physician 
                                to be of sufficient duration to meet 
                                diagnostic criteria specified within 
                                the Diagnostic and Statistical Manual 
                                of Mental Disorders; and
                                    ``(II) results in functional 
                                impairment of the individual that 
                                substantially interferes with or limits 
                                one or more major life activities of 
                                the individual.''.

                TITLE IV--DEPARTMENT OF JUSTICE REFORMS

SEC. 401. ADDITIONAL PURPOSES FOR CERTAIN FEDERAL GRANTS.

    (a) Modifications to the Edward Byrne Memorial Justice Assistance 
Grant Program.--Section 501(a)(1) of title I of the Omnibus Crime 
Control and Safe Streets Act of 1968 (42 U.S.C. 3751(a)(1)) is amended 
by adding at the end the following:
                    ``(H) Mental health programs and operations by law 
                enforcement or corrections officers.''.
    (b) Modifications to the Community Oriented Policing Services 
Program.--Section 1701(b) of title I of the Omnibus Crime Control and 
Safe Streets Act of 1968 (42 U.S.C. 3796dd(b)) is amended--
            (1) in paragraph (16), by striking ``and'' at the end;
            (2) by redesignating paragraph (17) as paragraph (19);
            (3) by inserting after paragraph (16) the following:
            ``(17) to provide specialized training to law enforcement 
        officers (including village public safety officers (as defined 
        in section 247 of the Indian Arts and Crafts Amendments Act of 
        2010 (42 U.S.C. 3796dd note))) to recognize individuals who 
        have mental illness and how to properly intervene with 
        individuals with mental illness, and to establish programs that 
        enhance the ability of law enforcement agencies to address the 
        mental health, behavioral, and substance abuse problems of 
        individuals encountered in the line of duty;
            ``(18) to provide specialized training to enhance the 
        ability of corrections officers to address the mental health of 
        individuals under the care and custody of jails and prisons; 
        and''; and
            (4) in paragraph (19), as redesignated, by striking 
        ``through (16)'' and inserting ``through (19)''.
    (c) Modifications to the Staffing for Adequate Fire and Emergency 
Response Grants.--Section 34(a)(1)(B) of Public Law 93-498 (15 U.S.C. 
2229a(a)(1)(B)) is amended by inserting before the period at the end 
the following: ``and to provide specialized training to paramedics, 
emergency medical services workers, and other first responders to 
recognize individuals who have mental illness and how to properly 
intervene with individuals with mental illness''.

SEC. 402. REAUTHORIZATION AND ADDITIONAL AMENDMENTS TO THE MENTALLY ILL 
              OFFENDER TREATMENT AND CRIME REDUCTION ACT.

    (a) Safe Communities.--
            (1) In general.--Section 2991(a) of title I of the Omnibus 
        Crime Control and Safe Streets Act of 1968 (42 U.S.C. 
        3797aa(a)) is amended--
                    (A) in paragraph (7)--
                            (i) in the heading, by striking ``Mental 
                        illness'' and inserting ``Mental illness; 
                        mental health disorder''; and
                            (ii) by striking ``term `mental illness' 
                        means'' and inserting ``terms `mental illness' 
                        and `mental health disorder' mean''; and
                    (B) by striking paragraph (9) and inserting the 
                following:
            ``(9) Preliminarily qualified offender.--
                    ``(A) In general.--The term `preliminarily 
                qualified offender' means an adult or juvenile accused 
                of an offense who--
                            ``(i)(I) previously or currently has been 
                        diagnosed by a qualified mental health 
                        professional as having a mental illness or co-
                        occurring mental illness and substance abuse 
                        disorders;
                            ``(II) manifests obvious signs of mental 
                        illness or co-occurring mental illness and 
                        substance abuse disorders during arrest or 
                        confinement or before any court; or
                            ``(III) in the case of a veterans treatment 
                        court provided under subsection (i), has been 
                        diagnosed with, or manifests obvious signs of, 
                        mental illness or a substance abuse disorder or 
                        co-occurring mental illness and substance abuse 
                        disorder; and
                            ``(ii) has been unanimously approved for 
                        participation in a program funded under this 
                        section by, when appropriate, the relevant--
                                    ``(I) prosecuting attorney;
                                    ``(II) defense attorney;
                                    ``(III) probation or corrections 
                                official;
                                    ``(IV) judge; and
                                    ``(V) a representative from the 
                                relevant mental health agency described 
                                in subsection (b)(5)(B)(i).
                    ``(B) Determination.--In determining whether to 
                designate a defendant as a preliminarily qualified 
                offender, the relevant prosecuting attorney, defense 
                attorney, probation or corrections official, judge, and 
                mental health or substance abuse agency representative 
                shall take into account--
                            ``(i) whether the participation of the 
                        defendant in the program would pose a 
                        substantial risk of violence to the community;
                            ``(ii) the criminal history of the 
                        defendant and the nature and severity of the 
                        offense for which the defendant is charged;
                            ``(iii) the views of any relevant victims 
                        to the offense;
                            ``(iv) the extent to which the defendant 
                        would benefit from participation in the 
                        program;
                            ``(v) the extent to which the community 
                        would realize cost savings because of the 
                        defendant's participation in the program; and
                            ``(vi) whether the defendant satisfies the 
                        eligibility criteria for program participation 
                        unanimously established by the relevant 
                        prosecuting attorney, defense attorney, 
                        probation or corrections official, judge and 
                        mental health or substance abuse agency 
                        representative.''.
            (2) Technical and conforming amendment.--Section 2927(2) of 
        title I of the Omnibus Crime Control and Safe Streets Act of 
        1968 (42 U.S.C. 3797s-6(2)) is amended--
                    (A) by striking ``has the meaning given that term 
                in section 2991(a).'' and inserting the following: 
                ``means an offense that--''; and
                    (B) by adding at the end the following:
                    ``(A) does not have as an element the use, 
                attempted use, or threatened use of physical force 
                against the person or property of another; or
                    ``(B) is not a felony that by its nature involves a 
                substantial risk that physical force against the person 
                or property of another may be used in the course of 
                committing the offense.''.
    (b) Evidence-Based Practices.--Section 2991(c) of title I of the 
Omnibus Crime Control and Safe Streets Act of 1968 (42 U.S.C. 
3797aa(c)) is amended--
            (1) in paragraph (3), by striking ``or'' at the end;
            (2) by redesignating paragraph (4) as paragraph (6); and
            (3) by inserting after paragraph (3) the following:
            ``(4) propose interventions that have been shown by 
        empirical evidence to reduce recidivism;
            ``(5) when appropriate, use validated assessment tools to 
        target preliminarily qualified offenders with a moderate or 
        high risk of recidivism and a need for treatment and services; 
        or''.
    (c) Academy Training.--Section 2991(h) of title I of the Omnibus 
Crime Control and Safe Streets Act of 1968 (42 U.S.C. 3797aa(h)) is 
amended--
            (1) in paragraph (1), by adding at the end the following:
                    ``(F) Academy training.--To provide support for 
                academy curricula, law enforcement officer orientation 
                programs, continuing education training, and other 
                programs that teach law enforcement personnel how to 
                identify and respond to incidents involving persons 
                with mental health disorders or co-occurring mental 
                health and substance abuse disorders.''; and
            (2) by adding at the end the following:
            ``(4) Priority consideration.--The Attorney General, in 
        awarding grants under this subsection, shall give priority to 
        programs that law enforcement personnel and members of the 
        mental health and substance abuse professions develop and 
        administer cooperatively.''.
    (d) Assisting Veterans.--Section 2991 of title I of the Omnibus 
Crime Control and Safe Streets Act of 1968 (42 U.S.C. 3797aa) is 
further amended--
            (1) by redesignating subsection (i) as subsection (n); and
            (2) by inserting after subsection (h) the following:
    ``(i) Assisting Veterans.--
            ``(1) Definitions.--In this subsection:
                    ``(A) Peer to peer services or programs.--The term 
                `peer to peer services or programs' means services or 
                programs that connect qualified veterans with other 
                veterans for the purpose of providing support and 
                mentorship to assist qualified veterans in obtaining 
                treatment, recovery, stabilization, or rehabilitation.
                    ``(B) Qualified veteran.--The term `qualified 
                veteran' means a preliminarily qualified offender who--
                            ``(i) has served on active duty in any 
                        branch of the Armed Forces, including the 
                        National Guard and reserve components; and
                            ``(ii) was discharged or released from such 
                        service under conditions other than 
                        dishonorable.
                    ``(C) Veterans treatment court program.--The term 
                `veterans treatment court program' means a court 
                program involving collaboration among criminal justice, 
                veterans, and mental health and substance abuse 
                agencies that provides qualified veterans with--
                            ``(i) intensive judicial supervision and 
                        case management, which may include random and 
                        frequent drug testing where appropriate;
                            ``(ii) a full continuum of treatment 
                        services, including mental health services, 
                        substance abuse services, medical services, and 
                        services to address trauma;
                            ``(iii) alternatives to incarceration; and
                            ``(iv) other appropriate services, 
                        including housing, transportation, mentoring, 
                        employment, job training, education, and 
                        assistance in applying for and obtaining 
                        available benefits.
            ``(2) Veterans assistance program.--
                    ``(A) In general.--The Attorney General, in 
                consultation with the Secretary of Veterans Affairs, 
                may award grants under this subsection to applicants to 
                establish or expand--
                            ``(i) veterans treatment court programs;
                            ``(ii) peer to peer services or programs 
                        for qualified veterans;
                            ``(iii) practices that identify and provide 
                        treatment, rehabilitation, legal, transitional, 
                        and other appropriate services to qualified 
                        veterans who have been incarcerated; and
                            ``(iv) training programs to teach criminal 
                        justice, law enforcement, corrections, mental 
                        health, and substance abuse personnel how to 
                        identify and appropriately respond to incidents 
                        involving qualified veterans.
                    ``(B) Priority.--In awarding grants under this 
                subsection, the Attorney General shall give priority to 
                applications that--
                            ``(i) demonstrate collaboration between and 
                        joint investments by criminal justice, mental 
                        health, substance abuse, and veterans service 
                        agencies;
                            ``(ii) promote effective strategies to 
                        identify and reduce the risk of harm to 
                        qualified veterans and public safety; and
                            ``(iii) propose interventions with 
                        empirical support to improve outcomes for 
                        qualified veterans.''.
    (e) Correctional Facilities.--Section 2991 of title I of the 
Omnibus Crime Control and Safe Streets Act of 1968 (42 U.S.C. 3797aa) 
is further amended by inserting after subsection (i), as so added by 
subsection (d), the following:
    ``(j) Correctional Facilities.--
            ``(1) Definitions.--
                    ``(A) Correctional facility.--The term 
                `correctional facility' means a jail, prison, or other 
                detention facility used to house people who have been 
                arrested, detained, held, or convicted by a criminal 
                justice agency or a court.
                    ``(B) Eligible inmate.--The term `eligible inmate' 
                means an individual who--
                            ``(i) is being held, detained, or 
                        incarcerated in a correctional facility; and
                            ``(ii) manifests obvious signs of a mental 
                        illness or has been diagnosed by a qualified 
                        mental health professional as having a mental 
                        illness.
            ``(2) Correctional facility grants.--The Attorney General 
        may award grants to applicants to enhance the capabilities of a 
        correctional facility--
                    ``(A) to identify and screen for eligible inmates;
                    ``(B) to plan and provide--
                            ``(i) initial and periodic assessments of 
                        the clinical, medical, and social needs of 
                        inmates; and
                            ``(ii) appropriate treatment and services 
                        that address the mental health and substance 
                        abuse needs of inmates;
                    ``(C) to develop, implement, and enhance--
                            ``(i) post-release transition plans for 
                        eligible inmates that, in a comprehensive 
                        manner, coordinate health, housing, medical, 
                        employment, and other appropriate services and 
                        public benefits;
                            ``(ii) the availability of mental health 
                        care services and substance abuse treatment 
                        services; and
                            ``(iii) alternatives to solitary 
                        confinement and segregated housing and mental 
                        health screening and treatment for inmates 
                        placed in solitary confinement or segregated 
                        housing; and
                    ``(D) to train each employee of the correctional 
                facility to identify and appropriately respond to 
                incidents involving inmates with mental health or co-
                occurring mental health and substance abuse 
                disorders.''.
    (f) Reauthorization of Appropriations.--Section 2991(n) of title I 
of the Omnibus Crime Control and Safe Streets Act of 1968, as 
redesignated in subsection (d), is amended--
            (1) in paragraph (1)--
                    (A) in subparagraph (B), by striking ``and'' at the 
                end;
                    (B) in subparagraph (C), by striking the period and 
                inserting ``; and''; and
                    (C) by adding at the end the following:
                    ``(D) $40,000,000 for each of fiscal years 2015 
                through 2019.''; and
            (2) by adding at the end the following:
            ``(3) Limitation.--Not more than 20 percent of the funds 
        authorized to be appropriated under this section may be used 
        for purposes described in subsection (i) (relating to 
        veterans).''.

SEC. 403. ASSISTED OUTPATIENT TREATMENT.

    Section 2201(2)(B) of title I of the Omnibus Crime Control and Safe 
Streets Act of 1968 (42 U.S.C. 3796ii(2)(B)) is amended by inserting 
before the semicolon the following: ``, or court-ordered assisted 
outpatient treatment (as defined in section 14(a) of the Helping 
Families in Mental Health Crisis Act of 2013) when the court has 
determined such treatment to be necessary''.

SEC. 404. IMPROVEMENTS TO THE DEPARTMENT OF JUSTICE DATA COLLECTION AND 
              REPORTING OF MENTAL ILLNESS IN CRIME.

    Notwithstanding any other provision of law, any data prepared by or 
submitted to the Attorney General or the Director of the Federal Bureau 
of Investigation on or after the date of enactment of this Act that is 
90 days after the date of enactment of this Act with respect to the 
incidences of homicides, law enforcement officers killed and assaulted, 
or individuals killed by law enforcement officers shall include data 
with respect to the involvement of mental illness in such incidences, 
if any. Not later than 90 days after the date of the enactment of this 
Act, the Attorney General shall promulgate or revise regulations as 
necessary to carry out this section.

SEC. 405. REPORTS ON THE NUMBER OF SERIOUSLY MENTALLY ILL WHO ARE 
              IMPRISONED.

    (a) Report on the Cost of Treating the Mentally Ill in the Criminal 
Justice System.--Not later than 12 months after the date of enactment 
of this Act, the Comptroller General of the United States shall submit 
to Congress a report detailing the cost of imprisonment for persons who 
have serious mental illness by the Federal Government or a State or 
local government. The report shall calculate the number and type of 
crimes committed by persons with serious mental illness each year, and 
detail strategies or ideas for preventing crimes by those individuals 
with serious mental illness from occurring.
    (b) Definition.--For purposes of this section, the Attorney 
General, in consultation with the Assistant Secretary of Mental Health 
and Substance Use Disorders shall determine an appropriate definition 
of ``serious mental illness'' based on the ``Health Care Reform for 
Americans with Severe Mental Illnesses: Report'' of the National 
Advisory Mental Health Council, American Journal of Psychiatry 1993; 
150:1447-1465.

                 TITLE V--MEDICARE AND MEDICAID REFORMS

SEC. 501. ENHANCED MEDICAID COVERAGE RELATING TO CERTAIN MENTAL HEALTH 
              SERVICES.

    (a) Medicaid Coverage of Mental Health Services and Primary Care 
Services Furnished on the Same Day.--
            (1) In general.--Section 1902(a) of the Social Security Act 
        (42 U.S.C. 1396a(a)) is amended by inserting after paragraph 
        (77) the following new paragraph:
            ``(78) not prohibit payment under the plan for a mental 
        health service or primary care service furnished to an 
        individual at a federally qualified community behavioral health 
        center (as defined in section 1905(l)(4)) or a federally 
        qualified health center (as defined in section 1861(aa)(3)) for 
        which payment would otherwise be payable under the plan, with 
        respect to such individual, if such service were not a same-day 
        qualifying service (as defined in subsection (ll));''.
            (2) Same-day qualifying services defined.--Section 1902 of 
        the Social Security Act (42 U.S.C. 1396a) is amended by adding 
        at the end the following new subsection:
    ``(ll) Same-Day Qualifying Services Defined.--For purposes of 
subsection (a)(78), the term `same-day qualifying service' means--
            ``(1) a primary care service furnished to an individual by 
        a provider at a facility on the same day a mental health 
        service is furnished to such individual by such provider (or 
        another provider) at the facility; and
            ``(2) a mental health service furnished to an individual by 
        a provider at a facility on the same day a primary care service 
        is furnished to such individual by such provider (or another 
        provider) at the facility.''.
    (b) State Option To Provide Medical Assistance for Certain 
Inpatient Psychiatric Services to Nonelderly Adults.--Section 1905 of 
the Social Security Act (42 U.S.C. 1396d) is amended--
            (1) in subsection (a)(16)--
                    (A) by inserting ``(A)'' before ``effective''; and
                    (B) by inserting before the semicolon at the end 
                the following: ``(B) qualified inpatient psychiatric 
                hospital services (as defined in subsection (h)(3)) for 
                individuals over 21 years of age and under 65 years of 
                age, and (C) psychiatric residential treatment facility 
                services (as defined in subsection (h)(4)) for 
                individuals over 21 years of age and under 65 years of 
                age'';
            (2) in the subdivision (B) that follows paragraph (29), by 
        inserting ``(other than services described in subparagraphs (B) 
        and (C) of paragraph (16) for individuals described in such 
        subparagraphs)'' after ``mental diseases''; and
            (3) in subsection (h), by adding at the end the following 
        new paragraphs:
            ``(3) For purposes of subsection (a)(16)(B), the term 
        `qualified inpatient psychiatric hospital services' means, with 
        respect to individuals described in such subsection, services 
        described in subparagraphs (A) and (B) of paragraph (1) that 
        are furnished in an acute care psychiatric unit in a State-
        operated psychiatric hospital or a psychiatric hospital (as 
        defined section 1861(f)) if such unit or hospital, as 
        applicable, has a facilitywide average (determined on an annual 
        basis) length of stay of less than 30 days.
            ``(4) For purposes of subsection (a)(16)(C), the term 
        `psychiatric residential treatment facility services' means, 
        with respect to individuals described in such subsection, 
        services described in subparagraphs (A) and (B) of paragraph 
        (1) that are furnished in a psychiatric residential treatment 
        facility (as defined in section 484.353 of title 42, Code of 
        Federal Regulations, as in effect on December 9, 2013).''.
    (c) Effective Date.--
            (1) In general.--Subject to paragraph (2), the amendments 
        made this section shall apply to items and services furnished 
        after the first day of the first calendar year that begins 
        after the date of the enactment of this section.
            (2) Exception for state legislation.--In the case of a 
        State plan under title XIX of the Social Security Act, which 
        the Secretary of Health and Human Services determines requires 
        State legislation in order for the respective plan to meet any 
        requirement imposed by amendments made by this section, the 
        respective plan shall not be regarded as failing to comply with 
        the requirements of such title solely on the basis of its 
        failure to meet such an additional requirement before the first 
        day of the first calendar quarter beginning after the close of 
        the first regular session of the State legislature that begins 
        after the date of enactment of this section. For purposes of 
        the previous sentence, in the case of a State that has a 2-year 
        legislative session, each year of the session shall be 
        considered to be a separate regular session of the State 
        legislature.

SEC. 502. ACCESS TO MENTAL HEALTH PRESCRIPTION DRUGS UNDER MEDICARE AND 
              MEDICAID.

    (a) Coverage of Prescription Drugs Used To Treat Mental Health 
Disorders Under Medicare.--Section 1860D-4(b)(3)(G)(i)(II) of the 
Social Security Act (42 U.S.C. 1395w-104(b)(3)(G)(i)(II)) is amended by 
inserting ``, for categories and classes of drugs other than the 
categories and classes of drugs specified in subclauses (II) and (IV) 
of clause (iv),'' before ``exceptions''.
    (b) Coverage of Prescription Drugs Used To Treat Mental Health 
Disorders Under Medicaid.--Section 1927(d) of the Social Security Act 
(42 U.S.C. 1396r-8(d)) is amended by adding at the end the following 
new paragraph:
            ``(8) Access to mental health drugs.--With respect to 
        covered outpatient drugs used for the treatment of a mental 
        health disorder, including major depression, bipolar (manic-
        depressive) disorder, panic disorder, obsessive-compulsive 
        disorder, schizophrenia, and schizoaffective disorder, a State 
        shall not exclude from coverage or otherwise restrict access to 
        such drugs other than pursuant to a prior authorization program 
        that is consistent with paragraph (5).''.

       TITLE VI--RESEARCH BY NATIONAL INSTITUTE OF MENTAL HEALTH

SEC. 601. INCREASE IN FUNDING FOR CERTAIN RESEARCH.

    Section 402A(a) of the Public Health Service Act (42 U.S.C. 
282a(a)) is amended--
            (1) by striking ``For the purpose of'' and inserting the 
        following:
            ``(1) In general.--For the purpose of''; and
            (2) by adding at the end the following:
            ``(2) Funding for the brain initiative at the national 
        institute of mental health.--
                    ``(A) Funding.--In addition to amounts made 
                available pursuant to paragraph (1), there are 
                authorized to be appropriated to the National Institute 
                of Mental Health for the purpose described in 
                subparagraph (B)(ii) $40,000,000 for each of fiscal 
                years 2015 through 2019.
                    ``(B) Purposes.--Amounts appropriated pursuant to 
                subparagraph (A) shall be used exclusively for the 
                purpose of conducting or supporting--
                            ``(i) research on the determinants of self- 
                        and other directed-violence in mental illness, 
                        including studies directed at reducing the risk 
                        of self harm, suicide, and interpersonal 
                        violence; or
                            ``(ii) brain research through the Brain 
                        Research through Advancing Innovative 
                        Neurotechnologies Initiative.''.

     TITLE VII--COMMUNITY MENTAL HEALTH SERVICES BLOCK GRANT REFORM

SEC. 701. ADMINISTRATION OF BLOCK GRANTS BY ASSISTANT SECRETARY.

    Section 1911(a) of the Public Health Service Act (42 U.S.C. 300x) 
is amended by striking ``acting through the Director of the Center for 
Mental Health Services'' and inserting ``acting through the Assistant 
Secretary for Mental Health and Substance Use Disorders''.

SEC. 702. ADDITIONAL PROGRAM REQUIREMENTS.

    (a) Integrated Services.--Subsection (b)(1) of section 1912 of the 
Public Health Service Act (42 U.S.C. 300x-1) is amended by inserting 
``integration of'' after ``The description of the system of care shall 
include''.
    (b) Data Collection System.--Subsection (b)(2) of section 1912 of 
the Public Health Service Act (42 U.S.C. 300x-1) is amended--
            (1) by striking ``The plan contains an estimate of'' and 
        inserting the following: ``The plan contains--
                    ``(A) an estimate of'';
            (2) by striking the period at the end and inserting ``; 
        and''; and
            (3) by adding at the end the following:
                    ``(B) an agreement by the State to report to the 
                National Mental Health Policy Laboratory--
                            ``(i) such data as may be required by the 
                        Secretary concerning--
                                    ``(I) comprehensive community 
                                mental health services in the State; 
                                and
                                    ``(II) public health outcomes for 
                                persons with serious mental illness in 
                                the State, including mortality, 
                                emergency room visits, and medication 
                                adherence.''.

SEC. 703. PERIOD FOR EXPENDITURE OF GRANT FUNDS.

    Section 1913 of the Public Health Service Act (42 U.S.C. 300x-2), 
as amended, is further amended by adding at the end the following:
    ``(d) Period for Expenditure of Grant Funds.--In implementing a 
plan submitted under section 1912(a), a State receiving grant funds 
under section 1911 may make such funds available to providers of 
services described in subsection (b) for the provision of services 
without fiscal year limitation.''.

SEC. 704. TREATMENT STANDARD UNDER STATE LAW.

    Section 1915 of the Public Health Service Act (42 U.S.C. 300x-4) is 
amended by adding at the end the following:
    ``(c) Treatment Standard Under State Law.--
            ``(1) In general.--A funding agreement for a grant under 
        section 1911 is that--
                    ``(A) the State involved has in effect a law under 
                which, if a State court finds by clear and convincing 
                evidence that an individual, as a result of mental 
                illness, is a danger to self, is a danger to others, is 
                persistently or acutely disabled, or is gravely 
                disabled and in need of treatment, and is either 
                unwilling or unable to accept voluntary treatment, the 
                court must order the individual to undergo inpatient or 
                outpatient treatment; or
                    ``(B) the State involved has in effect a law under 
                which a State court must order an individual with a 
                mental illness to undergo inpatient or outpatient 
                treatment, the law was in effect on the date of 
                enactment of the Helping Families in Mental Health 
                Crisis Act of 2013, and the Secretary finds that the 
                law requires a State court to order such treatment 
                across all or a sufficient range of the type of 
                circumstances described in subparagraph (A).
            ``(2) Definition.--For purposes of paragraph (1), the term 
        `persistently or acutely disabled' refers to a serious mental 
        illness that meets all the following criteria:
                    ``(A) If not treated, the illness has a substantial 
                probability of causing the individual to suffer or 
                continue to suffer severe and abnormal mental, 
                emotional, or physical harm that significantly impairs 
                judgment, reason, behavior, or capacity to recognize 
                reality.
                    ``(B) The illness substantially impairs the 
                individual's capacity to make an informed decision 
                regarding treatment, and this impairment causes the 
                individual to be incapable of understanding and 
                expressing an understanding of the advantages and 
                disadvantages of accepting treatment and understanding 
                and expressing an understanding of the alternatives to 
                the particular treatment offered after the advantages, 
                disadvantages, and alternatives are explained to that 
                individual.
                    ``(C) The illness has a reasonable prospect of 
                being treatable by outpatient, inpatient, or combined 
                inpatient and outpatient treatment.''.

SEC. 705. ASSISTED OUTPATIENT TREATMENT UNDER STATE LAW.

    Section 1915 of the Public Health Service Act (42 U.S.C. 300x-4), 
as amended, is further amended by adding at the end the following:
    ``(d) Assisted Outpatient Treatment Under State Law.--
            ``(1) In general.--A funding agreement for a grant under 
        section 1911 is that the State involved has in effect a law 
        under which a State court may order a treatment plan for an 
        eligible patient that--
                    ``(A) requires such patient to obtain outpatient 
                mental health treatment while the patient is living in 
                a community; and
                    ``(B) is designed to improve access and adherence 
                by such patient to intensive behavioral health services 
                in order to--
                            ``(i) avert relapse, repeated 
                        hospitalizations, arrest, incarceration, 
                        suicide, property destruction, and violent 
                        behavior; and
                            ``(ii) provide such patient with the 
                        opportunity to live in a less restrictive 
                        alternative to incarceration or involuntary 
                        hospitalization.
            ``(2) Certification of state compliance.--A funding 
        agreement described in paragraph (1) is effective only if the 
        Assistant Secretary for Mental Health and Substance Use 
        Disorders reviews the State law and certifies that it satisfies 
        the criteria specified in such paragraph.
            ``(3) Definition.--In this subsection, the term `eligible 
        patient' means an adult, mentally ill person who, as determined 
        by the court--
                    ``(A) has a history of violence, incarceration, or 
                medically unnecessary hospitalizations;
                    ``(B) without supervision and treatment, may be a 
                danger to self or others in the community;
                    ``(C) is substantially unlikely to voluntarily 
                participate in treatment;
                    ``(D) may be unable, for reasons other than 
                indigence, to provide for any of his or her basic 
                needs, such as food, clothing, shelter, health or 
                safety;
                    ``(E) with a history of mental illness or condition 
                that is likely to substantially deteriorate if the 
                patient is not provided with timely treatment; and
                    ``(F) due to mental illness, lacks capacity to 
                fully understand or lacks judgment to make informed 
                decisions regarding his or her need for treatment, 
                care, or supervision.''.

SEC. 706. BEST AVAILABLE SCIENCE AND MODELS OF CARE.

    Section 1920 of the Public Health Service Act (42 U.S.C. 300x-9) is 
amended by adding at the end the following:
    ``(c) Best Practices in Clinical Care Models.--For the purpose of 
translating evidence-based medicine and best available science into 
systems of care, the Assistant Secretary for Mental Health and 
Substance Use Disorders shall obligate 5 percent of the amounts 
appropriated under subsection (a) for a fiscal year through the 
National Mental Health Laboratory created under this Act. These models 
may include the Recovery After an Initial Schizophrenia Episode 
research project of the National Institute of Mental Health and the 
North American Prodrome Longitudinal Study.''.

SEC. 707. PAPERWORK REDUCTION STUDY.

    (a) In General.--The Assistant Secretary for Mental Health and 
Substance Use Disorders shall enter into an arrangement with the 
Institute of Medicine of the National Academies (or, if the Institute 
declines, another appropriate entity) under which, not later than 12 
months after the date of enactment of this Act, the Institute will 
submit to the appropriate committees of Congress a report that 
evaluates the combined paperwork burden of--
            (1) community mental health centers meeting the criteria 
        specified in section 1913(c) of the Public Health Service Act 
        (42 U.S.C. 300x-2), including such centers meeting such 
        criteria as in effect on the day before the date of enactment 
        of this Act; and
            (2) federally qualified community mental health clinics 
        certified pursuant to section 201 of this Act.
    (b) Scope.--In preparing the report under section (a), the 
Institute of Medicine (or, if applicable, other appropriate entity) 
shall examine licensing, certification, service definitions, claims 
payment, billing codes, and financial auditing requirements 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, State Medicaid agencies, State departments of health, State 
departments of education, and State and local juvenile justice and 
social service agencies to--
            (1) establish an estimate of the combined nationwide cost 
        of complying with such requirements, in terms of both 
        administrative funding and staff time;
            (2) establish an estimate of the per capita cost to each 
        center described in paragraph (1) or (2) of subsection (a) to 
        comply with such requirements, in terms of both administrative 
        funding and staff time; and
            (3) make administrative and statutory recommendations to 
        Congress (which recommendations may include a uniform 
        methodology) to reduce the paperwork burden experienced by 
        centers described in paragraph (1) or (2) of subsection (a).

            TITLE VIII--BEHAVIORAL HEALTH AWARENESS PROGRAM

SEC. 801. REDUCING THE STIGMA OF SERIOUS MENTAL ILLNESS.

    (a) In General.--The Secretary of Education, along with the 
Assistant Secretary for Mental Health and Substance Use Disorders, 
shall organize a national awareness campaign involving public health 
organizations, advocacy groups for persons with serious mental illness, 
and social media companies to assist secondary school students and 
postsecondary students in--
            (1) reducing the stigma associated with serious mental 
        illness;
            (2) understanding how to assist an individual who is 
        demonstrating signs of a serious mental illness; and
            (3) understanding the importance of seeking treatment from 
        a physician, clinical psychologist, or licensed mental health 
        professional when a student believes the student may be 
        suffering from a serious mental illness or behavioral health 
        disorder.
    (b) Data Collection.--The Secretary of Education shall--
            (1) evaluate the program under subsection (a) on public 
        health to determine whether the program has made an impact on 
        public health, including mortality rates of persons with 
        serious mental illness, prevalence of serious mental illness, 
        physician and clinical psychological visits, emergency room 
        visits; and
            (2) submit a report on the evaluation to the National 
        Mental Health Policy Laboratory created by title I of this Act.
    (c) Secondary School Defined.--For purposes of this section, the 
term ``secondary school'' has the meaning given the term in section 
9101 of the Elementary and Secondary Education Act of 1965 (20 U.S.C. 
7801).

           TITLE IX--BEHAVIORAL HEALTH INFORMATION TECHNOLOGY

SEC. 901. EXTENSION OF HEALTH INFORMATION TECHNOLOGY ASSISTANCE FOR 
              BEHAVIORAL AND MENTAL HEALTH AND SUBSTANCE ABUSE.

    Section 3000(3) of the Public Health Service Act (42 U.S.C. 
300jj(3)) is amended by inserting before ``and any other category'' the 
following: ``behavioral and mental health professionals (as defined in 
section 331(a)(3)(E)(i)), a substance abuse professional, a psychiatric 
hospital (as defined in section 1861(f) of the Social Security Act), a 
community mental health center meeting the criteria specified in 
section 1913(c), a federally qualified community behavioral health 
clinic certified under section 201 of the Helping Families in Mental 
Health Crisis Act of 2013, a residential or outpatient mental health or 
substance abuse treatment facility,''.

SEC. 902. EXTENSION OF ELIGIBILITY FOR MEDICARE AND MEDICAID HEALTH 
              INFORMATION TECHNOLOGY IMPLEMENTATION ASSISTANCE.

    (a) Payment Incentives for Eligible Professionals Under Medicare.--
Section 1848 of the Social Security Act (42 U.S.C. 1395w-4) is 
amended--
            (1) in subsection (a)(7)--
                    (A) in subparagraph (E), by adding at the end the 
                following new clause:
                            ``(iv) Additional eligible professional.--
                        The term `additional eligible professional' 
                        means a clinical psychologist providing 
                        qualified psychologist services (as defined in 
                        section 1861(ii)).''; and
                    (B) by adding at the end the following new 
                subparagraph:
                    ``(F) Application to additional eligible 
                professionals.--The Secretary shall apply the 
                provisions of this paragraph with respect to an 
                additional eligible professional in the same manner as 
                such provisions apply to an eligible professional, 
                except in applying subparagraph (A)--
                            ``(i) in clause (i), the reference to 2015 
                        shall be deemed a reference to 2019;
                            ``(ii) in clause (ii), the references to 
                        2015, 2016, and 2017 shall be deemed references 
                        to 2019, 2020, and 2021, respectively; and
                            ``(iii) in clause (iii), the reference to 
                        2018 shall be deemed a reference to 2022.''; 
                        and
            (2) in subsection (o)--
                    (A) in paragraph (5), by adding at the end the 
                following new subparagraph:
                    ``(D) Additional eligible professional.--The term 
                `additional eligible professional' means a clinical 
                psychologist providing qualified psychologist services 
                (as defined in section 1861(ii)).''; and
                    (B) by adding at the end the following new 
                paragraph:
            ``(6) Application to additional eligible professionals.--
        The Secretary shall apply the provisions of this subsection 
        with respect to an additional eligible professional in the same 
        manner as such provisions apply to an eligible professional, 
        except in applying--
                    ``(A) paragraph (1)(A)(ii), the reference to 2016 
                shall be deemed a reference to 2020;
                    ``(B) paragraph (1)(B)(ii), the references to 2011 
                and 2012 shall be deemed references to 2015 and 2016, 
                respectively;
                    ``(C) paragraph (1)(B)(iii), the references to 2013 
                shall be deemed references to 2017;
                    ``(D) paragraph (1)(B)(v), the references to 2014 
                shall be deemed references to 2018; and
                    ``(E) paragraph (1)(E), the reference to 2011 shall 
                be deemed a reference to 2015.''.
    (b) Eligible Hospitals.--Section 1886 of the Social Security Act 
(42 U.S.C. 1395ww) is amended--
            (1) in subsection (b)(3)(B)(ix), by adding at the end the 
        following new subclause:
                                    ``(V) The Secretary shall apply the 
                                provisions of this subsection with 
                                respect to an additional eligible 
                                hospital (as defined in subsection 
                                (n)(6)(C)) in the same manner as such 
                                provisions apply to an eligible 
                                hospital, except in applying--
                                            ``(aa) subclause (I), the 
                                        references to 2015, 2016, and 
                                        2017 shall be deemed references 
                                        to 2019, 2020, and 2021, 
                                        respectively; and
                                            ``(bb) subclause (III), the 
                                        reference to 2015 shall be 
                                        deemed a reference to 2019.''; 
                                        and
            (2) in subsection (n)--
                    (A) in paragraph (6), by adding at the end the 
                following new subparagraph:
                    ``(C) Additional eligible hospital.--The term 
                `additional eligible hospital' means an inpatient 
                hospital that is a psychiatric hospital (as defined in 
                section 1861(f)).''; and
                    (B) by adding at the end the following new 
                paragraph:
            ``(7) Application to additional eligible hospitals.--The 
        Secretary shall apply the provisions of this subsection with 
        respect to an additional eligible hospital in the same manner 
        as such provisions apply to an eligible hospital, except in 
        applying--
                    ``(A) paragraph (2)(E)(ii), the references to 2013 
                and 2015 shall be deemed references to 2017 and 2019, 
                respectively; and
                    ``(B) paragraph (2)(G)(i), the reference to 2011 
                shall be deemed a reference to 2015.''.
    (c) Medicaid Providers.--Section 1903(t) of the Social Security Act 
(42 U.S.C. 1396b(t)) is amended--
            (1) in paragraph (2)(B)--
                    (A) in clause (i), by striking ``, or'' and 
                inserting a semicolon;
                    (B) in clause (ii), by striking the period and 
                inserting a semicolon; and
                    (C) by adding after clause (ii) the following new 
                clauses:
                            ``(iii) a public hospital that is 
                        principally a psychiatric hospital (as defined 
                        in section 1861(f));
                            ``(iv) a private hospital that is 
                        principally a psychiatric hospital (as defined 
                        in section 1861(f)) and that has at least 10 
                        percent of its patient volume (as estimated in 
                        accordance with a methodology established by 
                        the Secretary) attributable to individuals 
                        receiving medical assistance under this title;
                            ``(v) a community mental health center 
                        meeting the criteria specified in section 
                        1913(c) of the Public Health Service Act; or
                            ``(vi) a residential or outpatient mental 
                        health or substance abuse treatment facility 
                        that--
                                    ``(I) is accredited by the Joint 
                                Commission on Accreditation of 
                                Healthcare Organizations, the 
                                Commission on Accreditation of 
                                Rehabilitation Facilities, the Council 
                                on Accreditation, or any other national 
                                accrediting agency recognized by the 
                                Secretary; and
                                    ``(II) has at least 10 percent of 
                                its patient volume (as estimated in 
                                accordance with a methodology 
                                established by the Secretary) 
                                attributable to individuals receiving 
                                medical assistance under this title.''; 
                                and
            (2) in paragraph (3)(B)--
                    (A) in clause (iv), by striking ``and'' after the 
                semicolon;
                    (B) in clause (v), by striking the period and 
                inserting ``; and''; and
                    (C) by adding at the end the following new clause:
                            ``(vi) clinical psychologist providing 
                        qualified psychologist services (as defined in 
                        section 1861(ii)), if such clinical 
                        psychologist is practicing in an outpatient 
                        clinic that--
                                    ``(I) is led by a clinical 
                                psychologist; and
                                    ``(II) is not otherwise receiving 
                                payment under paragraph (1) as a 
                                Medicaid provider described in 
                                paragraph (2)(B).''.
    (d) Medicare Advantage Organizations.--Section 1853 of the Social 
Security Act (42 U.S.C. 1395w-23) is amended--
            (1) in subsection (l)--
                    (A) in paragraph (1)--
                            (i) by inserting ``or additional eligible 
                        professionals (as described in paragraph (9))'' 
                        after ``paragraph (2)''; and
                            (ii) by inserting ``and additional eligible 
                        professionals'' before ``under such sections'';
                    (B) in paragraph (3)(B)--
                            (i) in clause (i) in the matter preceding 
                        subclause (I), by inserting ``or an additional 
                        eligible professional described in paragraph 
                        (9)'' after ``paragraph (2)''; and
                            (ii) in clause (ii)--
                                    (I) in the matter preceding 
                                subclause (I), by inserting ``or an 
                                additional eligible professional 
                                described in paragraph (9)'' after 
                                ``paragraph (2)''; and
                                    (II) in subclause (I), by inserting 
                                ``or an additional eligible 
                                professional, respectively,'' after 
                                ``eligible professional'';
                    (C) in paragraph (3)(C), by inserting ``and 
                additional eligible professionals'' after ``all 
                eligible professionals'';
                    (D) in paragraph (4)(D), by adding at the end the 
                following new sentence: ``In the case that a qualifying 
                MA organization attests that not all additional 
                eligible professionals of the organization are 
                meaningful EHR users with respect to an applicable 
                year, the Secretary shall apply the payment adjustment 
                under this paragraph based on the proportion of all 
                such additional eligible professionals of the 
                organization that are not meaningful EHR users for such 
                year.'';
                    (E) in paragraph (6)(A), by inserting ``and, as 
                applicable, each additional eligible professional 
                described in paragraph (9)'' after ``paragraph (2)'';
                    (F) in paragraph (6)(B), by inserting ``and, as 
                applicable, each additional eligible hospital described 
                in paragraph (9)'' after ``subsection (m)(1)'';
                    (G) in paragraph (7)(A), by inserting ``and, as 
                applicable, additional eligible professionals'' after 
                ``eligible professionals'';
                    (H) in paragraph (7)(B), by inserting ``and, as 
                applicable, additional eligible professionals'' after 
                ``eligible professionals'';
                    (I) in paragraph (8)(B), by inserting ``and 
                additional eligible professionals described in 
                paragraph (9)'' after ``paragraph (2)''; and
                    (J) by adding at the end the following new 
                paragraph:
            ``(9) Additional eligible professional described.--With 
        respect to a qualifying MA organization, an additional eligible 
        professional described in this paragraph is an additional 
        eligible professional (as defined for purposes of section 
        1848(o)) who--
                    ``(A)(i) is employed by the organization; or
                    ``(ii)(I) is employed by, or is a partner of, an 
                entity that through contract with the organization 
                furnishes at least 80 percent of the entity's Medicare 
                patient care services to enrollees of such 
                organization; and
                    ``(II) furnishes at least 80 percent of the 
                professional services of the additional eligible 
                professional covered under this title to enrollees of 
                the organization; and
                    ``(B) furnishes, on average, at least 20 hours per 
                week of patient care services.''; and
            (2) in subsection (m)--
                    (A) in paragraph (1)--
                            (i) by inserting ``or additional eligible 
                        hospitals (as described in paragraph (7))'' 
                        after ``paragraph (2)''; and
                            (ii) by inserting ``and additional eligible 
                        hospitals'' before ``under such sections'';
                    (B) in paragraph (3)(A)(i), by inserting ``or 
                additional eligible hospital'' after ``eligible 
                hospital'';
                    (C) in paragraph (3)(A)(ii), by inserting ``or an 
                additional eligible hospital'' after ``eligible 
                hospital'' in each place it occurs;
                    (D) in paragraph (3)(B)--
                            (i) in clause (i), by inserting ``or an 
                        additional eligible hospital described in 
                        paragraph (7)'' after ``paragraph (2)''; and
                            (ii) in clause (ii)--
                                    (I) in the matter preceding 
                                subclause (I), by inserting ``or an 
                                additional eligible hospital described 
                                in paragraph (7)'' after ``paragraph 
                                (2)''; and
                                    (II) in subclause (I), by inserting 
                                ``or an additional eligible hospital, 
                                respectively,'' after ``eligible 
                                hospital'';
                    (E) in paragraph (4)(A), by inserting ``or one or 
                more additional eligible hospitals (as defined in 
                section 1886(n)), as appropriate,'' after ``section 
                1886(n)(6)(A))'';
                    (F) in paragraph (4)(D), by adding at the end the 
                following new sentence: ``In the case that a qualifying 
                MA organization attests that not all additional 
                eligible hospitals of the organization are meaningful 
                EHR users with respect to an applicable period, the 
                Secretary shall apply the payment adjustment under this 
                paragraph based on the methodology specified by the 
                Secretary, taking into account the proportion of such 
                additional eligible hospitals, or discharges from such 
                hospitals, that are not meaningful EHR users for such 
                period.'';
                    (G) in paragraph (5)(A), by inserting ``and, as 
                applicable, each additional eligible hospital described 
                in paragraph (7)'' after ``paragraph (2)'';
                    (H) in paragraph (5)(B), by inserting ``and 
                additional eligible hospitals, as applicable,'' after 
                ``eligible hospitals'';
                    (I) in paragraph (6)(B), by inserting ``and 
                additional eligible hospitals described in paragraph 
                (7)'' after ``paragraph (2)''; and
                    (J) by adding at the end the following new 
                paragraph:
            ``(7) Additional eligible hospital described.--With respect 
        to a qualifying MA organization, an additional eligible 
        hospital described in this paragraph is an additional eligible 
        hospital (as defined in section 1886(n)(6)(C)) that is under 
        common corporate governance with such organization and serves 
        individuals enrolled under an MA plan offered by such 
        organization.''.

  TITLE X--EXPANDING ACCESS TO CARE THROUGH HEALTH CARE PROFESSIONAL 
                              VOLUNTEERISM

SEC. 1001. LIABILITY PROTECTIONS FOR HEALTH CARE PROFESSIONAL 
              VOLUNTEERS AT COMMUNITY HEALTH CENTERS AND FEDERALLY 
              QUALIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS.

    Section 224 of the Public Health Service Act (42 U.S.C. 233) is 
amended by adding at the end the following:
    ``(q)(1) In this subsection, the term `federally qualified 
community behavioral health clinic' means--
            ``(A) a federally qualified community behavioral health 
        clinic with a certification in effect under section 201 of the 
        Helping Families in Mental Health Crisis Act of 2013; or
            ``(B) a community mental health center meeting the criteria 
        specified in section 1913(c) of this Act.
    ``(2) For purposes of this section, a health care professional 
volunteer at an entity described in subsection (g)(4) or a federally 
qualified community behavioral health clinic shall, in providing health 
care services eligible for funding under section 330 or subpart I of 
part B of title XIX to an individual, be deemed to be an employee of 
the Public Health Service for a calendar year that begins during a 
fiscal year for which a transfer was made under paragraph (5)(C). The 
preceding sentence is subject to the provisions of this subsection.
    ``(3) In providing a health care service to an individual, a health 
care professional shall for purposes of this subsection be considered 
to be a health professional volunteer at an entity described in 
subsection (g)(4) or at a federally qualified community behavioral 
health clinic if the following conditions are met:
            ``(A) The service is provided to the individual at the 
        facilities of an entity described in subsection (g)(4), at a 
        federally qualified community behavioral health clinic, or 
        through offsite programs or events carried out by the center.
            ``(B) The center or entity is sponsoring the health care 
        professional volunteer pursuant to paragraph (4)(B).
            ``(C) The health care professional does not receive any 
        compensation for the service from the individual or from any 
        third-party payer (including reimbursement under any insurance 
        policy or health plan, or under any Federal or State health 
        benefits program), except that the health care professional may 
        receive repayment from the entity described in subsection 
        (g)(4) or the center for reasonable expenses incurred by the 
        health care professional in the provision of the service to the 
        individual.
            ``(D) Before the service is provided, the health care 
        professional or the center or entity described in subsection 
        (g)(4) posts a clear and conspicuous notice at the site where 
        the service is provided of the extent to which the legal 
        liability of the health care professional is limited pursuant 
        to this subsection.
            ``(E) At the time the service is provided, the health care 
        professional is licensed or certified in accordance with 
        applicable law regarding the provision of the service.
    ``(4) Subsection (g) (other than paragraphs (3) and (5)) and 
subsections (h), (i), and (l) apply to a health care professional for 
purposes of this subsection to the same extent and in the same manner 
as such subsections apply to an officer, governing board member, 
employee, or contractor of an entity described in subsection (g)(4), 
subject to paragraph (5) and subject to the following:
            ``(A) The first sentence of paragraph (2) applies in lieu 
        of the first sentence of subsection (g)(1)(A).
            ``(B) With respect to an entity described in subsection 
        (g)(4) or a federally qualified community behavioral health 
        clinic, a health care professional is not a health professional 
        volunteer at such center unless the center sponsors the health 
        care professional. For purposes of this subsection, the center 
        shall be considered to be sponsoring the health care 
        professional if--
                    ``(i) with respect to the health care professional, 
                the center submits to the Secretary an application 
                meeting the requirements of subsection (g)(1)(D); and
                    ``(ii) the Secretary, pursuant to subsection 
                (g)(1)(E), determines that the health care professional 
                is deemed to be an employee of the Public Health 
                Service.
            ``(C) In the case of a health care professional who is 
        determined by the Secretary pursuant to subsection (g)(1)(E) to 
        be a health professional volunteer at such center, this 
        subsection applies to the health care professional (with 
        respect to services described in paragraph (2)) for any cause 
        of action arising from an act or omission of the health care 
        professional occurring on or after the date on which the 
        Secretary makes such determination.
            ``(D) Subsection (g)(1)(F) applies to a health professional 
        volunteer for purposes of this subsection only to the extent 
        that, in providing health services to an individual, each of 
        the conditions specified in paragraph (3) is met.
    ``(5)(A) Amounts in the fund established under subsection (k)(2) 
shall be available for transfer under subparagraph (C) for purposes of 
carrying out this subsection for health professional volunteers at 
entities described in subsection (g)(4).
    ``(B) Not later than May 1 of each fiscal year, the Attorney 
General, in consultation with the Secretary, shall submit to the 
Congress a report providing an estimate of the amount of claims 
(together with related fees and expenses of witnesses) that, by reason 
of the acts or omissions of health care professional volunteers, will 
be paid pursuant to this subsection during the calendar year that 
begins in the following fiscal year. Subsection (k)(1)(B) applies to 
the estimate under the preceding sentence regarding health care 
professional volunteers to the same extent and in the same manner as 
such subsection applies to the estimate under such subsection regarding 
officers, governing board members, employees, and contractors of 
entities described in subsection (g)(4).
    ``(C) Not later than December 31 of each fiscal year, the Secretary 
shall transfer from the fund under subsection (k)(2) to the appropriate 
accounts in the Treasury an amount equal to the estimate made under 
subparagraph (B) for the calendar year beginning in such fiscal year, 
subject to the extent of amounts in the fund.
    ``(6)(A) This subsection takes effect on October 1, 2015, except as 
provided in subparagraph (B).
    ``(B) Effective on the date of the enactment of this subsection--
            ``(i) the Secretary may issue regulations for carrying out 
        this subsection, and the Secretary may accept and consider 
        applications submitted pursuant to paragraph (4)(B); and
            ``(ii) reports under paragraph (5)(B) may be submitted to 
        the Congress.''.

              TITLE XI--SAMHSA REAUTHORIZATION AND REFORMS

            Subtitle A--Organization and General Authorities

SEC. 1101. IN GENERAL.

    Section 501 of the Public Health Service Act (42 U.S.C. 290aa) is 
amended--
            (1) in subsection (c)(2), by striking ``Secretary'' and 
        inserting ``Assistant Secretary for Mental Health and Substance 
        Use Disorders'';
            (2) in subsection (d)--
                    (A) in paragraph (2)--
                            (i) by striking ``and mental illness''; and
                            (ii) by striking ``promote mental health'';
                    (B) in paragraph (4), by inserting ``related to 
                substance abuse'' after ``related services'';
                    (C) in paragraph (6), by striking ``and individuals 
                with mental illness and to develop appropriate mental 
                health services for individuals with such illnesses''; 
                and
                    (D) in paragraph (18), by striking ``mental illness 
                or'';
            (3) in subsection (h), by inserting at the end the 
        following: ``For any such peer review group reviewing a 
        proposal or grant related to mental illness, no fewer than half 
        of the members of the group shall have a medical degree, or an 
        equivalent doctoral degree in psychology and clinical 
        experience.'';
            (4) in subsection (l)--
                    (A) in paragraph (2), by striking ``and'' at the 
                end;
                    (B) in paragraph (3), by striking the period at the 
                end and inserting ``; and''; and
                    (C) by adding at the end the following:
            ``(4) At least 30 days before awarding a grant, cooperative 
        agreement, or contract, the Administrator shall give written 
        notice of the award to the Committee on Energy and Commerce of 
        the House of Representatives and the Committee on Health, 
        Education, Labor, and Pensions of the Senate.''; and
            (5) in subsection (m)--
                    (A) in paragraph (1), by striking ``2.5 percent'' 
                and inserting ``1.5 percent''; and
                    (B) in paragraph (3), by striking ``Secretary'' and 
                inserting ``Assistant Secretary for Mental Health and 
                Substance Use Disorders''.

SEC. 1102. ADVISORY COUNCILS.

    Paragraph (3) of section 502(b) of the Public Health Service Act 
(42 U.S.C. 290aa-1(b)) is amended by adding at the end the following:
                    ``(C) No fewer than half of the members of an 
                advisory council shall--
                            ``(i) have a medical degree;
                            ``(ii) have an equivalent doctoral degree 
                        in psychology; or
                            ``(iii) serve as a licensed mental health 
                        professional.''.

SEC. 1103. PEER REVIEW.

    Section 504 of the Public Health Service Act (42 U.S.C. 290aa-3) is 
amended--
            (1) by adding at the end of subsection (b) the following: 
        ``At least half of the members of any peer review group 
        established under subsection (a) shall have a degree in 
        medicine, or an equivalent doctoral degree in psychology, or be 
        a licensed mental health professional. Before awarding a grant, 
        cooperative agreement, or contract, the Secretary shall provide 
        a list of the members of the peer review group responsible for 
        reviewing the award to the Committee on Energy and Commerce of 
        the House of Representatives and the Committee on Health, 
        Education, Labor, and Pensions of the Senate.''; and
            (2) by adding at the end the following:
    ``(e) Scientific Controls and Standards.--Peer review under this 
section shall ensure that any research concerning an intervention is 
based on scientific controls and standards indicating whether the 
intervention reduces symptoms, improves medical or behavioral outcomes, 
and improves social functioning.''.

SEC. 1104. DATA COLLECTION.

    (a) Transfer of Behavioral Health Statistics and Quality.--The 
Assistant Secretary for Mental Health and Substance Use Disorders shall 
transfer all functions and responsibilities of the Center for 
Behavioral Health Statistics and Quality to the National Mental Health 
Policy Laboratory, established under section 501A.
    (b) Transferring Data Collection and Surveys to the National Mental 
Health Policy Laboratory.--Section 505 of the Public Health Service Act 
(42 U.S.C. 290aa-4) is amended--
            (1) in subsection (a), by striking ``acting through the 
        Administrator'' and inserting ``acting through the National 
        Mental Health Policy Laboratory under the Assistant Secretary 
        for Mental Health and Substance Use Disorders (in this section 
        referred to as the `Assistant Secretary') with respect to 
        mental illness and substance abuse'';
            (2) in subsections (a)(2) and (d), by striking 
        ``Administrator'' each place it appears and inserting 
        ``Assistant Secretary''; and
            (3) in subsection (b)--
                    (A) by striking ``Administrator'' each place it 
                appears and inserting ``Assistant Secretary'';
                    (B) by striking ``and'' at the end of paragraph 
                (3);
                    (C) by striking paragraph (4); and
                    (D) by adding at the end the following:
            ``(4) the number of individuals with serious mental 
        illnesses, including those with schizophrenia, bipolar 
        disorder, or major depressive disorder;
            ``(5) the number of individuals admitted to hospital 
        emergency rooms as a result of serious mental illness;
            ``(6) the number of individuals who receive inpatient care 
        and are subsequently readmitted to the hospital as a result of 
        their condition within two years; and
            ``(7) other public health outcomes including mortality 
        rates for individuals with serious mental illness.''.

             Subtitle B--Center for Mental Health Services

SEC. 1111. CENTER FOR MENTAL HEALTH SERVICES.

    Section 520 of the Public Health Service Act (42 U.S.C. 290bb-31) 
is amended to read as follows:

``SEC. 520. CENTER FOR MENTAL HEALTH SERVICES.

    ``(a) Establishment.--There is established in the Administration a 
Center for Mental Health Services (hereafter in this section referred 
to as the `Center'). The Center shall be headed by a Director 
(hereafter in this section referred to as the `Director') appointed by 
the Secretary from among individuals with extensive experience or 
academic qualifications in the provision of mental health services or 
in the evaluation of mental health service systems.
    ``(b) Duties.--The Director of the Center shall--
            ``(1) assist the Assistant Secretary for Mental Health and 
        Substance Use Disorders in designing national goals and 
        establishing national priorities for--
                    ``(A) the prevention of mental illness;
                    ``(B) the treatment of mental illness; and
                    ``(C) the promotion of mental health;
            ``(2) encourage local entities and State agencies to 
        achieve the goals and priorities described in paragraph (1);
            ``(3) collaborate with the Department of Education and the 
        Department of Justice to assist local communities in addressing 
        violence among children and adolescents related to mental 
        illness;
            ``(4) assist the National Institute of Mental Health in 
        deploying improved methods of treating individuals with mental 
        health problems and improved methods of assisting the families 
        of such individuals;
            ``(5) carry out the provisions of the Protection and 
        Advocacy of Mentally Ill Individuals Act in order to foster 
        independence and protect the legal rights of persons with 
        mental illness;
            ``(6) carry out the programs under part C;
            ``(7) carry out responsibilities for the Human Resource 
        Development programs;
            ``(8) conduct services-related assessments, including 
        evaluations of the organization and financing of care, self-
        help, mental health economics, mental health service systems, 
        and rural mental health, and improve the capacity of States to 
        conduct evaluations of publicly funded mental health programs;
            ``(9) establish a clearinghouse of evidence-based 
        practices, which has first been reviewed and approved by a 
        panel of psychiatrists and clinical psychologists, for mental 
        health information to assure the widespread dissemination of 
        such information to States, political subdivisions, educational 
        agencies and institutions, treatment and prevention service 
        providers, and the general public, including information 
        concerning the practical application of research supported by 
        the National Institute of Mental Health that is applicable to 
        improving the delivery of services;
            ``(10) provide technical assistance to public and private 
        entities that are providers of mental health services;
            ``(11) monitor and enforce obligations incurred by 
        community mental health centers pursuant to the Community 
        Mental Health Centers Act (as in effect prior to the repeal of 
        such Act on August 13, 1981, by section 902(e)(2)(B) of Public 
        Law 97-35 (95 Stat. 560)); and
            ``(12) assist the Assistant Secretary for Mental Health and 
        Substance Use Disorders, and the Director of the Centers for 
        Disease Control and Prevention, with surveys with respect to 
        mental health, such as the National Reporting Program.
Nothing in this subsection shall be construed as authorizing any new 
grant program or project that is not explicitly authorized or required 
by other statutory provisions.
    ``(c) No General Authority for Grants.--Nothing in this section 
shall be construed as authorizing or requiring any new grant program or 
project that is not explicitly authorized or required by other 
statutory provisions.''.

SEC. 1112. REAUTHORIZATION OF PRIORITY MENTAL HEALTH NEEDS OF REGIONAL 
              AND NATIONAL SIGNIFICANCE.

    Section 520A of the Public Health Service Act (42 U.S.C. 290bb-32) 
is amended--
            (1) in subsection (a)--
                    (A) in paragraph (2), by inserting ``using 
                evidence-based medicine'' after ``technical assistance 
                programs'';
                    (B) by amending paragraph (4) to read as follows:
            ``(4) evidence-based programs designed in conjunction with 
        the Assistant Secretary for Mental Health and Substance Use 
        Disorders to treat individuals with serious mental illness.''; 
        and
                    (C) by adding at the end the following: ``Before 
                awarding a grant, cooperative agreement, or contract 
                under this section, the Secretary shall give written 
                notice of the award to the Committee on Energy and 
                Commerce of the House of Representatives and the 
                Committee on Health, Education, Labor, and Pensions of 
                the Senate.'';
            (2) in subsection (b)(2), by inserting ``, including the 
        primary and behavioral health care integration program under 
        section 520K'' after ``primary health care systems''; and
            (3) by amending subsection (f)(1) to read as follows:
            ``(1) In general.--For carrying out this section, there is 
        authorized to be appropriated $150,000,000 for each of fiscal 
        years 2014 through 2018.''.

SEC. 1113. GARRETT LEE SMITH REAUTHORIZATION.

    (a) Suicide Prevention Technical Assistance Center.--Section 520C 
of the Public Health Service Act (42 U.S.C. 290bb-34) is amended to 
read as follows:

``SEC. 520C. SUICIDE PREVENTION TECHNICAL ASSISTANCE CENTER.

    ``(a) Program Authorized.--The Assistant Secretary for Mental 
Health and Substance Use Disorders, acting through the Administrator of 
the Substance Abuse and Mental Health Services Administration, shall 
award a grant for the operation and maintenance of 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 concerning the 
prevention of suicide among all ages, particularly among groups that 
are at high risk for suicide.
    ``(b) Responsibilities of the Center.--The center operated and 
maintained under subsection (a) shall--
            ``(1) assist in the development or continuation of 
        statewide and tribal suicide early intervention and prevention 
        strategies for all ages, particularly among groups that are at 
        high risk for suicide;
            ``(2) ensure the surveillance of suicide early intervention 
        and prevention strategies for all ages, particularly among 
        groups that are at high risk for suicide;
            ``(3) study the costs and effectiveness of statewide and 
        tribal suicide early intervention and prevention strategies in 
        order to provide information concerning relevant issues of 
        importance to State, tribal, and national policymakers;
            ``(4) further identify and understand causes and associated 
        risk factors for suicide for all ages, particularly among 
        groups that are at high risk for suicide;
            ``(5) analyze the efficacy of new and existing suicide 
        early intervention and prevention techniques and technology for 
        all ages, particularly among groups that are at high risk for 
        suicide;
            ``(6) ensure the surveillance of suicidal behaviors and 
        nonfatal suicidal attempts;
            ``(7) study the effectiveness of State-sponsored statewide 
        and tribal suicide early intervention and prevention strategies 
        for all ages particularly among groups that are at high risk 
        for suicide on the overall wellness and health promotion 
        strategies related to suicide attempts;
            ``(8) promote the sharing of data regarding suicide with 
        Federal agencies involved with suicide early intervention and 
        prevention, and State-sponsored statewide and tribal suicide 
        early intervention and prevention strategies for the purpose of 
        identifying previously unknown mental health causes and 
        associated risk factors for suicide among all ages particularly 
        among groups that are at high risk for suicide;
            ``(9) evaluate and disseminate outcomes and best practices 
        of mental health and substance use disorder services at 
        institutions of higher education; and
            ``(10) conduct other activities determined appropriate by 
        the Secretary.
    ``(c) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated $4,957,000 
for each of the fiscal years 2014 through 2018.''.
    (b) Youth Suicide Intervention and Prevention Strategies.--Section 
520E of the Public Health Service Act (42 U.S.C. 290bb-36) is amended 
to read as follows:

``SEC. 520E. YOUTH SUICIDE EARLY INTERVENTION AND PREVENTION 
              STRATEGIES.

    ``(a) In General.--The Secretary, acting through the Administrator 
of the Substance Abuse and Mental Health Services Administration, shall 
award grants or cooperative agreements to eligible entities to--
            ``(1) develop and implement State-sponsored statewide or 
        tribal youth suicide early intervention and prevention 
        strategies in schools, educational institutions, juvenile 
        justice systems, substance use disorder programs, mental health 
        programs, foster care systems, and other child and youth 
        support organizations;
            ``(2) support public organizations and private nonprofit 
        organizations actively involved in State-sponsored statewide or 
        tribal youth suicide early intervention and prevention 
        strategies and in the development and continuation of State-
        sponsored statewide youth suicide early intervention and 
        prevention strategies;
            ``(3) provide grants to institutions of higher education to 
        coordinate the implementation of State-sponsored statewide or 
        tribal youth suicide early intervention and prevention 
        strategies;
            ``(4) collect and analyze data on State-sponsored statewide 
        or tribal youth suicide early intervention and prevention 
        services that can be used to monitor the effectiveness of such 
        services and for research, technical assistance, and policy 
        development; and
            ``(5) assist eligible entities, through State-sponsored 
        statewide or tribal youth suicide early intervention and 
        prevention strategies, in achieving targets for youth suicide 
        reductions under title V of the Social Security Act.
    ``(b) Eligible Entity.--
            ``(1) Definition.--In this section, the term `eligible 
        entity' means--
                    ``(A) a State;
                    ``(B) a public organization or private nonprofit 
                organization designated by a State to develop or direct 
                the State-sponsored statewide youth suicide early 
                intervention and prevention strategy; or
                    ``(C) a federally recognized Indian tribe or tribal 
                organization (as defined in the Indian Self-
                Determination and Education Assistance Act) or an urban 
                Indian organization (as defined in the Indian Health 
                Care Improvement Act) that is actively involved in the 
                development and continuation of a tribal youth suicide 
                early intervention and prevention strategy.
            ``(2) Limitation.--In carrying out this section, the 
        Secretary shall ensure that a State does not receive more than 
        one grant or cooperative agreement under this section at any 
        one time. For purposes of the preceding sentence, a State shall 
        be considered to have received a grant or cooperative agreement 
        if the eligible entity involved is the State or an entity 
        designated by the State under paragraph (1)(B). Nothing in this 
        paragraph shall be constructed to apply to entities described 
        in paragraph (1)(C).
    ``(c) Preference.--In providing assistance under a grant or 
cooperative agreement under this section, an eligible entity shall give 
preference to public organizations, private nonprofit organizations, 
political subdivisions, institutions of higher education, and tribal 
organizations actively involved with the State-sponsored statewide or 
tribal youth suicide early intervention and prevention strategy that--
            ``(1) provide early intervention and assessment services, 
        including screening programs, to youth who are at risk for 
        mental or emotional disorders that may lead to a suicide 
        attempt, and that are integrated with school systems, 
        educational institutions, juvenile justice systems, substance 
        use disorder programs, mental health programs, foster care 
        systems, and other child and youth support organizations;
            ``(2) demonstrate collaboration among early intervention 
        and prevention services or certify that entities will engage in 
        future collaboration;
            ``(3) employ or include in their applications a commitment 
        to evaluate youth suicide early intervention and prevention 
        practices and strategies adapted to the local community;
            ``(4) provide timely referrals for appropriate community-
        based mental health care and treatment of youth who are at risk 
        for suicide in child-serving settings and agencies;
            ``(5) provide immediate support and information resources 
        to families of youth who are at risk for suicide;
            ``(6) offer access to services and care to youth with 
        diverse linguistic and cultural backgrounds;
            ``(7) offer appropriate postsuicide intervention services, 
        care, and information to families, friends, schools, 
        educational institutions, juvenile justice systems, substance 
        use disorder programs, mental health programs, foster care 
        systems, and other child and youth support organizations of 
        youth who recently completed suicide;
            ``(8) offer continuous and up-to-date information and 
        awareness campaigns that target parents, family members, child 
        care professionals, community care providers, and the general 
        public and highlight the risk factors associated with youth 
        suicide and the life-saving help and care available from early 
        intervention and prevention services;
            ``(9) ensure that information and awareness campaigns on 
        youth suicide risk factors, and early intervention and 
        prevention services, use effective communication mechanisms 
        that are targeted to and reach youth, families, schools, 
        educational institutions, and youth organizations;
            ``(10) provide a timely response system to ensure that 
        child-serving professionals and providers are properly trained 
        in youth suicide early intervention and prevention strategies 
        and that child-serving professionals and providers involved in 
        early intervention and prevention services are properly trained 
        in effectively identifying youth who are at risk for suicide;
            ``(11) provide continuous training activities for child 
        care professionals and community care providers on the latest 
        youth suicide early intervention and prevention services 
        practices and strategies;
            ``(12) conduct annual self-evaluations of outcomes and 
        activities, including consulting with interested families and 
        advocacy organizations;
            ``(13) provide services in areas or regions with rates of 
        youth suicide that exceed the national average as determined by 
        the Centers for Disease Control and Prevention; and
            ``(14) obtain informed written consent from a parent or 
        legal guardian of an at-risk child before involving the child 
        in a youth suicide early intervention and prevention program.
    ``(d) Requirement for Direct Services.--Not less than 85 percent of 
grant funds received under this section shall be used to provide direct 
services, of which not less than 5 percent shall be used for activities 
authorized under subsection (a)(3).
    ``(e) Consultation and Policy Development.--
            ``(1) In general.--In carrying out this section, the 
        Secretary shall collaborate with the Secretary of Education and 
        relevant Federal agencies and suicide working groups 
        responsible for early intervention and prevention services 
        relating to youth suicide.
            ``(2) Consultation.--In carrying out this section, the 
        Secretary shall consult with--
                    ``(A) State and local agencies, including agencies 
                responsible for early intervention and prevention 
                services under title XIX of the Social Security Act, 
                the State Children's Health Insurance Program under 
                title XXI of the Social Security Act, and programs 
                funded by grants under title V of the Social Security 
                Act;
                    ``(B) local and national organizations that serve 
                youth at risk for suicide and their families;
                    ``(C) relevant national medical and other health 
                and education specialty organizations;
                    ``(D) youth who are at risk for suicide, who have 
                survived suicide attempts, or who are currently 
                receiving care from early intervention services;
                    ``(E) families and friends of youth who are at risk 
                for suicide, who have survived suicide attempts, who 
                are currently receiving care from early intervention 
                and prevention services, or who have completed suicide;
                    ``(F) qualified professionals who possess the 
                specialized knowledge, skills, experience, and relevant 
                attributes needed to serve youth at risk for suicide 
                and their families; and
                    ``(G) third-party payers, managed care 
                organizations, and related commercial industries.
            ``(3) Policy development.--In carrying out this section, 
        the Secretary shall--
                    ``(A) coordinate and collaborate on policy 
                development at the Federal level with the relevant 
                Department of Health and Human Services agencies and 
                suicide working groups; and
                    ``(B) consult on policy development at the Federal 
                level with the private sector, including consumer, 
                medical, suicide prevention advocacy groups, and other 
                health and education professional-based organizations, 
                with respect to State-sponsored statewide or tribal 
                youth suicide early intervention and prevention 
                strategies.
    ``(f) Rule of Construction; Religious and Moral Accommodation.--
Nothing in this section shall be construed to require suicide 
assessment, early intervention, or treatment services for youth whose 
parents or legal guardians object based on the parents' or legal 
guardians' religious beliefs or moral objections.
    ``(g) Evaluations and Report.--
            ``(1) Evaluations by eligible entities.--Not later than 18 
        months after receiving a grant or cooperative agreement under 
        this section, an eligible entity shall submit to the Secretary 
        the results of an evaluation to be conducted by the entity 
        concerning the effectiveness of the activities carried out 
        under the grant or agreement.
            ``(2) Report.--Not later than 2 years after the date of 
        enactment of this section, the Secretary shall submit to the 
        appropriate committees of Congress a report concerning the 
        results of--
                    ``(A) the evaluations conducted under paragraph 
                (1); and
                    ``(B) an evaluation conducted by the Secretary to 
                analyze the effectiveness and efficacy of the 
                activities conducted with grants, collaborations, and 
                consultations under this section.
    ``(h) Rule of Construction; Student Medication.--Nothing in this 
section shall be construed to allow school personnel to require that a 
student obtain any medication as a condition of attending school or 
receiving services.
    ``(i) Prohibition.--Funds appropriated to carry out this section, 
section 527, or section 529 shall not be used to pay for or refer for 
abortion.
    ``(j) Parental Consent.--States and entities receiving funding 
under this section shall obtain prior written, informed consent from 
the child's parent or legal guardian for assessment services, school-
sponsored programs, and treatment involving medication related to youth 
suicide conducted in elementary and secondary schools. The requirement 
of the preceding sentence does not apply in the following cases:
            ``(1) In an emergency, where it is necessary to protect the 
        immediate health and safety of the student or other students.
            ``(2) Other instances, as defined by the State, where 
        parental consent cannot reasonably be obtained.
    ``(k) Relation to Education Provisions.--Nothing in this section 
shall be construed to supersede section 444 of the General Education 
Provisions Act, including the requirement of prior parental consent for 
the disclosure of any education records. Nothing in this section shall 
be construed to modify or affect parental notification requirements for 
programs authorized under the Elementary and Secondary Education Act of 
1965 (as amended by the No Child Left Behind Act of 2001; Public Law 
107-110).
    ``(l) Definitions.--In this section:
            ``(1) Early intervention.--The term `early intervention' 
        means a strategy or approach that is intended to prevent an 
        outcome or to alter the course of an existing condition.
            ``(2) Educational institution; institution of higher 
        education; school.--The term--
                    ``(A) `educational institution' means a school or 
                institution of higher education;
                    ``(B) `institution of higher education' has the 
                meaning given such term in section 101 of the Higher 
                Education Act of 1965; and
                    ``(C) `school' means an elementary or secondary 
                school (as such terms are defined in section 9101 of 
                the Elementary and Secondary Education Act of 1965).
            ``(3) Prevention.--The term `prevention' means a strategy 
        or approach that reduces the likelihood or risk of onset, or 
        delays the onset, of adverse health problems that have been 
        known to lead to suicide.
            ``(4) Youth.--The term `youth' means individuals who are 
        between 10 and 24 years of age.
    ``(m) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated $29,738,000 
for each of the fiscal years 2014 through 2018.''.
    (c) Suicide Prevention for Youth.--Section 520E-1 of the Public 
Health Service Act (42 U.S.C. 290bb-36a) is amended--
            (1) by amending the section heading to read as follows: 
        ``suicide prevention for youth''; and
            (2) by striking subsection (n) and inserting the following:
    ``(n) Authorization of Appropriations.--For the purpose of carrying 
out this section, there is authorized to be appropriated such sums as 
may be necessary for each of fiscal years 2014 through 2018.''.
    (d) Mental Health and Substance Use Disorders Services and Outreach 
on Campus.--Section 520E-2 of the Public Health Service Act (42 U.S.C. 
290bb-36b) is amended to read as follows:

``SEC. 520E-2. MENTAL HEALTH AND SUBSTANCE USE DISORDERS SERVICES ON 
              CAMPUS.

    ``(a) In General.--The Secretary, acting through the Director of 
the Center for Mental Health Services and in consultation with the 
Secretary of Education, shall award grants on a competitive basis to 
institutions of higher education to enhance services for students with 
mental health or substance use disorders and to develop best practices 
for the delivery of such services.
    ``(b) Uses of Funds.--Amounts received under a grant under this 
section shall be used for 1 or more of the following activities:
            ``(1) The provision of mental health and substance use 
        disorder services to students, including prevention, promotion 
        of mental health, voluntary screening, early intervention, 
        voluntary assessment, treatment, and management of mental 
        health and substance abuse disorder issues.
            ``(2) The provision of outreach services to notify students 
        about the existence of mental health and substance use disorder 
        services.
            ``(3) Educating students, families, faculty, staff, and 
        communities to increase awareness of mental health and 
        substance use disorders.
            ``(4) The employment of appropriately trained staff, 
        including administrative staff.
            ``(5) The provision of training to students, faculty, and 
        staff to respond effectively to students with mental health and 
        substance use disorders.
            ``(6) The creation of a networking infrastructure to link 
        colleges and universities with providers who can treat mental 
        health and substance use disorders.
            ``(7) Developing, supporting, evaluating, and disseminating 
        evidence-based and emerging best practices.
    ``(c) Implementation of Activities Using Grant Funds.--An 
institution of higher education that receives a grant under this 
section may carry out activities under the grant through--
            ``(1) college counseling centers;
            ``(2) college and university psychological service centers;
            ``(3) mental health centers;
            ``(4) psychology training clinics;
            ``(5) institution of higher education supported, evidence-
        based, mental health and substance use disorder programs; or
            ``(6) any other entity that provides mental health and 
        substance use disorder services at an institution of higher 
        education.
    ``(d) Application.--To be eligible to receive a grant under this 
section, an institution of higher education shall prepare and submit to 
the Secretary an application at such time and in such manner as the 
Secretary may require. At a minimum, such application shall include the 
following:
            ``(1) A description of identified mental health and 
        substance use disorder needs of students at the institution of 
        higher education.
            ``(2) A description of Federal, State, local, private, and 
        institutional resources currently available to address the 
        needs described in paragraph (1) at the institution of higher 
        education.
            ``(3) A description of the outreach strategies of the 
        institution of higher education for promoting access to 
        services, including a proposed plan for reaching those students 
        most in need of mental health services.
            ``(4) A plan, when applicable, to meet the specific mental 
        health and substance use disorder needs of veterans attending 
        institutions of higher education.
            ``(5) 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 under the 
        grant.
            ``(6) A plan to evaluate program outcomes, including a 
        description of the proposed use of funds, the program 
        objectives, and how the objectives will be met.
            ``(7) An assurance that the institution will submit a 
        report to the Secretary each fiscal year concerning the 
        activities carried out with the grant and the results achieved 
        through those activities.
    ``(e) Special Considerations.--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--
            ``(1) demonstrate the greatest need for new or additional 
        mental and substance use disorder services, in part by 
        providing information on current ratios of students to mental 
        health and substance use disorder health professionals; and
            ``(2) demonstrate the greatest potential for replication.
    ``(f) Requirement of Matching Funds.--
            ``(1) In general.--The Secretary may make a grant under 
        this section to an institution of higher education only if the 
        institution agrees to make available (directly or through 
        donations from public or private entities) non-Federal 
        contributions in an amount that is not less than $1 for each $1 
        of Federal funds provided under the grant, toward the costs of 
        activities carried out with the grant (as described in 
        subsection (b)) and other activities by the institution to 
        reduce student mental health and substance use disorders.
            ``(2) Determination of amount contributed.--Non-Federal 
        contributions required under paragraph (1) may be in cash or in 
        kind. Amounts provided by the Federal Government, or services 
        assisted or subsidized to any significant extent by the Federal 
        Government, may not be included in determining the amount of 
        such non-Federal contributions.
            ``(3) Waiver.--The Secretary may waive the application of 
        paragraph (1) with respect to an institution of higher 
        education if the Secretary determines that extraordinary need 
        at the institution justifies the waiver.
    ``(g) Reports.--For each fiscal year that grants are awarded under 
this section, the Secretary shall conduct a study on the results of the 
grants and submit to the Congress a report on such results that 
includes the following:
            ``(1) An evaluation of the grant program outcomes, 
        including a summary of activities carried out with the grant 
        and the results achieved through those activities.
            ``(2) Recommendations on how to improve access to mental 
        health and substance use disorder services at institutions of 
        higher education, including efforts to reduce the incidence of 
        suicide and substance use disorders.
    ``(h) Definitions.--In this section, the term `institution of 
higher education' has the meaning given such term in section 101 of the 
Higher Education Act of 1965.
    ``(i) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated $4,975,000 
for each of the fiscal years 2014 through 2018.''.

        Subtitle C--Children With Serious Emotional Disturbances

SEC. 1121. COMPREHENSIVE COMMUNITY MENTAL HEALTH SERVICES FOR CHILDREN 
              WITH SERIOUS EMOTIONAL DISTURBANCES.

    Paragraph (1) of section 564(a) of the Public Health Service Act 
(42 U.S.C. 290ff(a)) is amended--
            (1) by striking ``, acting through the Director of the 
        Center for Mental Health Services,''; and
            (2) by adding at the end the following: ``Before making any 
        such grant, the Assistant Secretary shall consult with the 
        Director of the National Institutes of Health to ensure that 
        the grant recipient will use evidence-based practices.''.

SEC. 1122. GENERAL PROVISIONS; REPORT; FUNDING.

    Section 565 of the Public Health Service Act (42 U.S.C. 290ff-4) is 
amended--
            (1) in subsection (c)(2), by striking ``not later than 1 
        year after the date on which amounts are first appropriated 
        under subsection (c)'' and inserting ``not later than 1 year 
        after the date of enactment of the Helping Families in Mental 
        Health Crisis Act of 2013''; and
            (2) in subsection (f)--
                    (A) by amending paragraph (1) to read as follows:
            ``(1) Authorization of appropriations.--For the purpose of 
        carrying out this part, there are authorized to be appropriated 
        $117,000,000 for fiscal year 2015, $120,000,000 for fiscal year 
        2016, $123,000,000 for fiscal year 2017, $126,000,000 for 
        fiscal year 2018, and $130,000,000 for fiscal year 2019.''; and
                    (B) by moving the margin of paragraph (2) two ems 
                to the right.

             Subtitle D--Projects for Children and Violence

SEC. 1131. CHILDREN AND VIOLENCE.

    Section 581 of the Public Health Service Act (42 U.S.C. 290hh) are 
repealed.

SEC. 1132. REAUTHORIZATION OF NATIONAL CHILD TRAUMATIC STRESS NETWORK.

    (a) Reauthorization of National Child Traumatic Stress Network.--
Section 582(f) of the Public Health Service Act (42 U.S.C. 290hh(f)) is 
amended to read as follows:
    ``(f) Authorization of Appropriations.--To carry out this section, 
there are authorized to be appropriated $50,000,000 for each of the 
fiscal years 2014 through 2017.''.
    (b) Corresponding Reduction in Funding for Protection and Advocacy 
Systems.--Section 117 of the Protection and Advocacy for Individuals 
with Mental Illness Act (42 U.S.C. 10827) is amended to read as 
follows:

``SEC. 117. AUTHORIZATION OF APPROPRIATIONS.

    ``There are authorized to be appropriated for allotments under this 
title $5,000,000 for each of the fiscal years 2014 through 2017.''.

Subtitle E--Protection and Advocacy for Individuals With Mental Illness

SEC. 1141. PROHIBITION AGAINST LOBBYING BY SYSTEMS ACCEPTING FEDERAL 
              FUNDS TO PROTECT AND ADVOCATE THE RIGHTS OF INDIVIDUALS 
              WITH MENTAL ILLNESS.

    Section 105(a) of the Protection and Advocacy for Individuals with 
Mental Illness Act (42 U.S.C. 10805(a)) is amended--
            (1) in paragraph (9), by striking ``and'' at the end;
            (2) in paragraph (10), by striking the period at the end 
        and inserting ``; and''; and
            (3) by adding at the end the following:
            ``(11) agree to refrain, during any period for which 
        funding is provided to the system under this part, from--
                    ``(A) lobbying or retaining a lobbyist for the 
                purpose of influencing a Federal, State, or local 
                governmental entity or officer;
                    ``(B) using such funding to engage in systemic 
                lawsuits, or to investigate and seek legal remedies 
                cases other than individual cases of abuse or neglect; 
                or
                    ``(C) counseling an individual with a serious 
                mental illness who lacks insight into their condition 
                on refusing medical treatment or acting against the 
                wishes of such individual's caregiver.''.

                  Subtitle F--Limitations on Authority

SEC. 1151. LIMITATIONS ON SAMHSA PROGRAMS.

    (a) No Sponsoring Conferences.--The Administrator of the Substance 
Abuse and Mental Health Services Administration shall not host or 
sponsor any conference that will not be primarily administered by the 
Substance Abuse and Mental Health Services Administration without 
giving at least 90 days of prior notification 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.
    (b) Evidence-Based Practices.--The Administrator of the Substance 
Abuse and Mental Health Services Administration shall not provide any 
financial assistance for any program relating to mental health or 
substance use diagnosis or treatment, unless such diagnosis and 
treatment relies on evidence-based practices.

SEC. 1152. ELIMINATION OF UNAUTHORIZED SAMHSA PROGRAMS.

    (a) Elimination of Programs Without Explicit Statutory 
Authorization.--
            (1) No new programs.--The Administrator of the Substance 
        Abuse and Mental Health Services Administration may not 
        establish, and the Secretary of Health and Human Services may 
        not delegate to the Administrator responsibility for, any 
        program or project that is not explicitly authorized or 
        required by statute.
            (2) Termination of existing programs.--By the end of fiscal 
        year 2014, any program or project of the Substance Abuse and 
        Mental Health Services Administration that is not explicitly 
        authorized or required by statute shall be terminated.
    (b) Report.--
            (1) In general.--The Assistant Secretary for Mental Health 
        and Substance Use Disorders shall seek to enter into an 
        arrangement with the Institute of Medicine under which the 
        Institute (or, if the Institute declines to enter into such 
        arrangement, another appropriate entity) agrees to submit a 
        report to the Congress not later than July 31, 2014, 
        identifying each program, project, or activity to be terminated 
        under subsection (a).
            (2) Recommendations.--The report under paragraph (1) shall 
        recommend whether any of the programs should be retained based 
        on public health data, such as reduced mortality rates and 
        hospitalization within the community for individuals with 
        serious mental illness, thus proving the program has had a 
        demonstrable benefit using public health and epidemiological 
        factors.
                                 <all>