107 HR 3717 IH: Helping Families in Mental Health Crisis Act of 2013
U.S. House of Representatives
2013-12-12
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EN
Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.
1.Short title; table of contents(a)This Act may be cited as the Helping Families in Mental Health Crisis Act of 2013
.(b)The table of contents for this Act is as follows:Sec. 1. Short title; table of contents.Title I—Assistant Secretary for Mental HealthSec. 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 ClinicsSec. 201. Demonstration program to improve federally qualified community behavioral health clinic services.Title III—HIPAA and FERPA caregiversSec. 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 reformsSec. 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 reformsSec. 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 HealthSec. 601. Increase in funding for certain research.Title VII—Community Mental Health Services Block Grant ReformSec. 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 technologySec. 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 volunteerismSec. 1001. Liability protections for health care professional volunteers at community health centers and federally qualified community behavioral health clinics.Title XI—SAMHSA Reauthorization and ReformsSubtitle A—Organization and general authoritiesSec. 1101. In general.Sec. 1102. Advisory councils.Sec. 1103. Peer review.Sec. 1104. Data collection.Subtitle B—Center for Mental Health ServicesSec. 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 disturbancesSec. 1121. Comprehensive community mental health services for children with serious emotional disturbances.Sec. 1122. General provisions; report; funding.Subtitle D—Projects for children and violenceSec. 1131. Children and violence.Sec. 1132. Reauthorization of National Child Traumatic Stress Network.Subtitle E—Protection and advocacy for individuals with mental illnessSec. 1141. Prohibition against lobbying by systems accepting Federal funds to protect and advocate the rights of individuals with mental illness.Subtitle F—Limitations on authoritySec. 1151. Limitations on SAMHSA programs.Sec. 1152. Elimination of unauthorized SAMHSA programs.<enum>I</enum><header>Assistant Secretary for Mental Health</header><section id="HB1158144F1CC401EB94C64160350F910"><enum>101.</enum><header>Assistant Secretary for Mental Health and Substance Use Disorders</header><text display-inline="no-display-inline">Title V of the Public Health Service Act is amended by inserting after section 501 of such Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290aa">42 U.S.C. 290aa</external-xref>) the following:</text><quoted-block display-inline="no-display-inline" id="HD07D3D7A6BDB44079F5CD5A875B4261B" style="OLC"><section id="H7EE89EAC526C41139B1C0EF45C7499A8"><enum>501A.</enum><header>Assistant Secretary for Mental Health and Substance Use Disorders</header><subsection id="H3B89172A926E45239C553F208F800093"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">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 <quote>Assistant Secretary</quote>), who shall—</text><paragraph id="H24FE900BACFE4DF4946D93A77F29852F"><enum>(1)</enum><text>report directly to the Secretary;</text></paragraph><paragraph id="HC06CD0EEF1FD4D22A2B30D6DF0E0516A"><enum>(2)</enum><text>be appointed by the Secretary, by and with the advice and consent of the Senate; and</text></paragraph><paragraph id="H591B4F140DB641348614E7928BCB7D79"><enum>(3)</enum><text>be selected from among individuals who—</text><subparagraph id="HBE0A4B378A8A4E509DEFE7095C522FB3"><enum>(A)</enum><clause commented="no" display-inline="yes-display-inline" id="HB2E432C85D48447CA3EB1668C6B22A9D"><enum>(i)</enum><text>have a doctoral degree in medicine or osteopathic medicine and clinical and research experience in psychiatry;</text></clause><clause id="H0536BF299B0145F0A3D3917F071CE93C" indent="up1"><enum>(ii)</enum><text display-inline="yes-display-inline">graduated from an Accreditation Council for Graduate Medical Education-certified psychiatric residency program; and</text></clause><clause id="H4756A9B92D9341879FB3E20F00E75597" indent="up1"><enum>(iii)</enum><text display-inline="yes-display-inline">have an understanding of biological, psychosocial, and pharmaceutical treatments of mental illness; or</text></clause></subparagraph><subparagraph id="H06D9C593670D40B1A4128F2CCE8F1B6A"><enum>(B)</enum><text display-inline="yes-display-inline">have a doctoral degree in psychology with—</text><clause id="HB803026C638F4EFEA636BA248E813CD9"><enum>(i)</enum><text>clinical and research experience; and</text></clause><clause id="H01F01678121345E89F577AEC9C9B8EBC"><enum>(ii)</enum><text display-inline="yes-display-inline">an understanding of biological, psychosocial, and pharmaceutical treatments of mental illness.</text></clause></subparagraph></paragraph></subsection><subsection id="HF6DBD374DD3E442BA522ECA755E059F6"><enum>(b)</enum><header>Relation to SAMHSA Administrator</header><text>The Administrator of the Substance Abuse and Mental Health Services Administration shall be under the supervision and direction of the Assistant Secretary.</text></subsection><subsection id="HAA96079B24FC4A028262F645BDBFF25F"><enum>(c)</enum><header>Duties</header><text display-inline="yes-display-inline">The Assistant Secretary shall—</text><paragraph id="H7F372817E4DF41DB85B5EAE0C671C03C"><enum>(1)</enum><text>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;</text></paragraph><paragraph id="HF2913121D5204FCABE185D37C7775178"><enum>(2)</enum><text>carry out any functions within the Department of Health and Human Services—</text><subparagraph id="H8FD447EAB7C84122BDA71E4F4045D55F"><enum>(A)</enum><text>to improve the treatment of, and related services to, individuals with respect to substance abuse and mental illness;</text></subparagraph><subparagraph id="H79C22907DAC04EA7A9A4A3E91234CC56"><enum>(B)</enum><text>to improve prevention services for such individuals; and</text></subparagraph><subparagraph id="HC91A8D22BA1C44FEA5218A7D095DD38A"><enum>(C)</enum><text>to protect the legal rights of individuals with mental illnesses and individuals who are substance abusers;</text></subparagraph></paragraph><paragraph id="H1E3E716ABF28440EBF8C210A3B611416"><enum>(3)</enum><text display-inline="yes-display-inline">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;</text></paragraph><paragraph id="H2318FF09B7484A4EA420FAF57D6656EA"><enum>(4)</enum><text>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;</text></paragraph><paragraph id="HAB6E8B3054BB44338901057FE1774A8D"><enum>(5)</enum><text display-inline="yes-display-inline">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;</text></paragraph><paragraph id="H55DD2D0FED3145B3AC5D6163204A0E66"><enum>(6)</enum><text display-inline="yes-display-inline">across the Federal Government—</text><subparagraph id="H576C0B6C436C42F68225561AFA963377"><enum>(A)</enum><text>review programs and activities described in paragraph (5);</text></subparagraph><subparagraph id="H03161CE316314BE5BDB85473401A3BF1"><enum>(B)</enum><text>identify any such programs and activities that are duplicative; and</text></subparagraph><subparagraph id="HEEA98C28219B415BA6F6750A96944714"><enum>(C)</enum><text>formulate recommendations for the coordination and improvement of such programs and activities; and</text></subparagraph></paragraph><paragraph id="H47E1256A45EE4976BC2AD02F9A7D8202"><enum>(7)</enum><text display-inline="yes-display-inline">supervise data collection for and disseminate best practices by the National Mental Health Policy Laboratory.</text></paragraph></subsection><subsection commented="no" id="HCA913A48427D48EFBCA75E57DECBE4AB"><enum>(d)</enum><header>Prioritization of integration of services and early diagnosis and intervention</header><text display-inline="yes-display-inline">In carrying out the duties described in subsection (c), the Assistant Secretary shall prioritize—</text><paragraph id="HF236BAC9403E4F29A3CEFBF6E33D7FA7"><enum>(1)</enum><text>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</text></paragraph><paragraph id="H4C380842FDB741418F48B8D532385D39"><enum>(2)</enum><text display-inline="yes-display-inline">early diagnosis and intervention services for the prevention of, and treatment or rehabilitation for, serious mental health or substance use disorders.</text></paragraph></subsection><subsection commented="no" id="H5DE11D31107E4F92B6B8DD06B234A54A"><enum>(e)</enum><header>National mental health policy laboratory</header><paragraph commented="no" id="HE24DE77581F445FFAA0603842694F3E3"><enum>(1)</enum><header>In general</header><text>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 <quote>NMHPL</quote>), to be headed by a Director.</text></paragraph><paragraph commented="no" id="HDB474E35E3EE472D96726F2B95D96AD2"><enum>(2)</enum><header>Duties</header><text>The Director of the NMHPL shall—</text><subparagraph commented="no" id="H5FFB0A8E440E466AB5C094B3067DF375"><enum>(A)</enum><text>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 <quote>The Road Ahead: Research Partnerships To Transform Services</quote>;</text></subparagraph><subparagraph commented="no" id="HB452451063B04900B2A1E740F948675B"><enum>(B)</enum><text>collect information from grantees under programs established or amended by the <short-title>Helping Families in Mental Health Crisis Act of 2013</short-title> 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 <short-title>Helping Families in Mental Health Crisis Act of 2013</short-title> and States receiving funds under a block grant under part B of title XIX of this Act; and</text></subparagraph><subparagraph commented="no" id="HE075006B474B49399341C28DDDA29B0D"><enum>(C)</enum><text>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.</text></subparagraph></paragraph><paragraph id="HA73F513822D54354838B5DCB73B5DFA6"><enum>(3)</enum><header>Evidence-based practices and service delivery models</header><text>In selecting evidence-based practices and services delivery models for evaluation and dissemination under paragraph (2)(C), the Director of the NMHPL—</text><subparagraph id="H6913666BA12340AE955BCED08C962C4C"><enum>(A)</enum><text>shall give preference to models that improve the coordination, quality, and efficiency of health care services furnished to individuals with serious mental illness; and</text></subparagraph><subparagraph id="H53495F95AB9E4EC89945BE07176F8638"><enum>(B)</enum><text>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.</text></subparagraph></paragraph><paragraph commented="no" id="H060B02B6745E4A7F80FD54015215F4A8"><enum>(4)</enum><header>Deadline for beginning implementation</header><text>The Director of the NMHPL shall begin implementation of the duties described in this subsection not later than January 1, 2016.</text></paragraph><paragraph commented="no" id="HFB911306153543FF8139C513269B655C"><enum>(5)</enum><header>Consultation</header><text>In carrying out the duties under this section, the Director of the NMHPL shall consult with—</text><subparagraph id="H0C0E3924DE174D11998CCDE24695BD64"><enum>(A)</enum><text>representatives of the National Institute of Mental Health on organization, hiring decisions, and operations, initially and on an ongoing basis;</text></subparagraph><subparagraph id="HA574A6B4AE27429BBB18D4E7C7AF6CCF"><enum>(B)</enum><text>other appropriate Federal agencies; and</text></subparagraph><subparagraph id="HF65610342053408A97D29DF268FA9EE5"><enum>(C)</enum><text>clinical and analytical experts with expertise in medicine, psychiatric and clinical psychological care, and health care management.</text></subparagraph></paragraph><paragraph commented="no" id="HC7BFE77688F6464DB7C006649B2864B2"><enum>(6)</enum><header>Evaluation</header><subparagraph commented="no" id="HB8936E4EFE824FC98EECD2B93F65E121"><enum>(A)</enum><header>In general</header><text>The Director of the NMHPL shall conduct an evaluation of grant programs described in paragraph (2)(B). Such evaluation shall include an analysis of—</text><clause commented="no" id="H9FA6BCDEEBB641749540B9D556967354"><enum>(i)</enum><text>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</text></clause><clause commented="no" id="H0CA79B5635814570A38291F1E695F955"><enum>(ii)</enum><text>the changes in spending under such programs by reason of the model.</text></clause></subparagraph><subparagraph commented="no" id="H29F0BF0C856E430E88A00A49395CAEF0"><enum>(B)</enum><header>Information</header><text>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.</text></subparagraph></paragraph></subsection><subsection commented="no" id="H95DAECB4BCCA4E58B3B24380156503B7"><enum>(f)</enum><header>Expansion of models</header><paragraph commented="no" id="H9BF0DF8D2FD14C6F8F3B104C51548707"><enum>(1)</enum><header>In general</header><text>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—</text><subparagraph commented="no" id="H94FFBF5167B14A278C5282C8520F6A79"><enum>(A)</enum><text>the Assistant Secretary determines that such expansion will—</text><clause commented="no" id="H4917807D72AF495FBD52D6F8F27E8E77"><enum>(i)</enum><text>reduce spending under such block grants without reducing the quality of care; or</text></clause><clause commented="no" id="HC85EFF49912D4A0888E1D97F1E54BA42"><enum>(ii)</enum><text>improve the quality of patient care without significantly increasing spending; and</text></clause></subparagraph><subparagraph commented="no" id="H77FB5649329945EB84292BEA19D7AA97"><enum>(B)</enum><text>the Director of the National Institute of Mental Health determines that such expansion would improve the quality of patient care.</text></subparagraph></paragraph><paragraph commented="no" id="H1DF4156606E644E7860486D7A08AD44E"><enum>(2)</enum><header>Congressional review</header><text>Any rule promulgated pursuant to paragraph (1) is deemed to be a major rule subject to congressional review and disapproval under <external-xref legal-doc="usc-chapter" parsable-cite="usc-chapter/5/8">chapter 8</external-xref> of title 5, United States Code.</text></paragraph></subsection><subsection id="HFEBE2B6EABAB4644A5895FBFE16F01FD"><enum>(g)</enum><header>Reports to Congress</header><text>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—</text><paragraph id="H71F4FA5FC0BB43F7A39B57995DD98D5C"><enum>(1)</enum><text display-inline="yes-display-inline">summarizing the activities of the Assistant Secretary;</text></paragraph><paragraph id="HC1986CF4B2B5489FBEBC2477A84225F5"><enum>(2)</enum><text display-inline="yes-display-inline">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;</text></paragraph><paragraph id="H3E3CDEF7AB9840E79ACD37C3A91BB7AD"><enum>(3)</enum><text display-inline="yes-display-inline">evaluating the impact on public health of projects addressing priority mental health needs of regional and national significance under section 520A to determine—</text><subparagraph id="H834F7E0A273947C68287233B98942467"><enum>(A)</enum><text>whether each such project has reduced the mortality rate, prevalence, and emergency room visits for persons with serious mental illness; and</text></subparagraph><subparagraph id="HB85ED246BB7C42FC8A45EB928AA16049"><enum>(B)</enum><text>the effect of such projects on other public health measures;</text></subparagraph></paragraph><paragraph id="HC77C17C442BA4CB7B22C0791ABFCC5EC"><enum>(4)</enum><text display-inline="yes-display-inline">formulating recommendations for the coordination and improvement of Federal programs and activities described in paragraph (2); and</text></paragraph><paragraph id="H976FFD8CD18E45B5918EB2CA33E99993"><enum>(5)</enum><text>identifying any such programs and activities that are duplicative.</text></paragraph></subsection><subsection commented="no" id="H571EA8047CFE4B4A851E3ED3E02FFF24"><enum>(h)</enum><header>Funding</header><text>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.</text></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block></section><section id="H36BDF632A97546A8923DAA38A71A052C"><enum>102.</enum><header>Interagency Serious Mental Illness Coordinating Committee</header><text display-inline="no-display-inline">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:</text><quoted-block display-inline="no-display-inline" id="H20A952100D9D4809BE9FCB8E4E8B6796" style="OLC"><section id="H6795EDA6C552468C88001680338D85CD"><enum>501B.</enum><header>Interagency serious Mental Illness Coordinating Committee</header><subsection id="H89ADD98D68A2469AB31D0C67D7320505"><enum>(a)</enum><header>Establishment</header><text display-inline="yes-display-inline">The Assistant Secretary for Mental Health and Substance Use Disorders (in this section referred to as the <quote>Assistant Secretary</quote>) shall establish a committee, to be known as the Interagency Serious Mental Illness Coordinating Committee (in this section referred to as the <quote>Committee</quote>), to assist the Assistant Secretary in carrying out the Assistant Secretary’s duties.</text></subsection><subsection id="H35312A941E534ED1BB5E8C6C01EC8666"><enum>(b)</enum><header>Responsibilities</header><text>The Committee shall—</text><paragraph id="H9AEC5FFA95624A0D99A05E12AD297DD5"><enum>(1)</enum><text>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;</text></paragraph><paragraph id="H0FED570B627B47C3827691BFD75080A8"><enum>(2)</enum><text>monitor Federal activities with respect to serious mental illness;</text></paragraph><paragraph id="H2F7641E3BC27479DB088936A0937A250"><enum>(3)</enum><text>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);</text></paragraph><paragraph id="HA43E5A1FCE8C4F9B8FB5F3AD10D15A08"><enum>(4)</enum><text>make recommendations to the Assistant Secretary regarding public participation in decisions relating to serious mental illness;</text></paragraph><paragraph id="HBE394AF1637346BBA3BE515A47392133"><enum>(5)</enum><text>develop and annually update a strategic plan for the conduct of, and support for, serious mental illness research, including proposed budgetary requirements; and</text></paragraph><paragraph id="H1F187142488E4961A9984BDBE47595F7"><enum>(6)</enum><text>submit to the Congress such strategic plan and any updates to such plan.</text></paragraph></subsection><subsection id="H888439F5D8744D2586329EFC30404763"><enum>(c)</enum><header>Membership</header><paragraph id="HC3BEEA661399430087C57CD3CD081255"><enum>(1)</enum><header>In general</header><text>The Committee shall be composed of—</text><subparagraph id="HB6168903070948B2BD31AE8246C9331B"><enum>(A)</enum><text display-inline="yes-display-inline">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;</text></subparagraph><subparagraph id="H0BF4AB33D158404EB95B8F3447304DEF"><enum>(B)</enum><text>the Director of the National Institute of Mental Health (or the Director’s designee);</text></subparagraph><subparagraph id="H36B264F62AEC4ADD8A576163FC8B4B6D"><enum>(C)</enum><text>the Attorney General of the United States (or the Attorney General’s designee);</text></subparagraph><subparagraph id="HD13BB62CE8C14120BD156C6458646D90"><enum>(D)</enum><text>the Director of the Centers for Disease Control and Prevention (or the Director’s designee);</text></subparagraph><subparagraph id="H49AE8F029C664D2090417AFC36276398"><enum>(E)</enum><text>the Director of the National Institutes of Health (or the Director’s designee);</text></subparagraph><subparagraph id="H6A753BA0FB534FB7B041C917C9591903"><enum>(F)</enum><text>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);</text></subparagraph><subparagraph id="H216DEB1120F94E36BCDE2ABFB5DCFB24"><enum>(G)</enum><text display-inline="yes-display-inline">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;</text></subparagraph><subparagraph id="HEE6A73B0B3AE43158F0184B366FF4020"><enum>(H)</enum><text>the Administrator of Substance Abuse and Mental Health Services Administration; and</text></subparagraph><subparagraph id="H47063A0F9AFD44EAB8CEDFA6177FD414"><enum>(I)</enum><text>the additional members appointed under paragraph (2).</text></subparagraph></paragraph><paragraph id="H7A38391019FD4FE49D6F4448691C3D20"><enum>(2)</enum><header>Additional members</header><text>Not fewer than 9 members of the Committee, or <fraction>1/3</fraction> 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—</text><subparagraph id="H4A3E133D311A46EA9139EE127B102D8E"><enum>(A)</enum><text display-inline="yes-display-inline">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;</text></subparagraph><subparagraph id="H78819442476E43028609E4990D01BCDA"><enum>(B)</enum><text>at least one such member shall be a parent or legal guardian of an individual with a serious mental illness;</text></subparagraph><subparagraph id="H12E94E1278EF4D3B85FA220C60DDC096"><enum>(C)</enum><text>at least one such member shall be a representative of leading research, advocacy, and service organizations for individuals with serious mental illness;</text></subparagraph><subparagraph id="H433A283044AD4DFFAEA94ACE7E0AF523"><enum>(D)</enum><text>at least one member shall be a psychiatrist;</text></subparagraph><subparagraph id="HA337003872774DFEB1EF304ECEA768AB"><enum>(E)</enum><text>at least one member shall be a clinical psychologist;</text></subparagraph><subparagraph id="H441B89353BB34088825FEDC223395E57"><enum>(F)</enum><text>at least one member shall be a judge with successful experiences applying assisted outpatient treatment;</text></subparagraph><subparagraph id="H0EDEEA40253545269BC1F73E2DAB0200"><enum>(G)</enum><text>at least one member shall be a law enforcement officer; and</text></subparagraph><subparagraph id="H125A847397804F1F9BBC972ED1C77DBE"><enum>(H)</enum><text>at least one member shall be a corrections officer.</text></subparagraph></paragraph></subsection><subsection id="H207952309B384E02BB007BA87FC1405B"><enum>(d)</enum><header>Administrative support; terms of service; other provisions</header><text>The following provisions shall apply with respect to the Committee:</text><paragraph id="H3D562356C4B349AEB4C2A93FEE297A9B"><enum>(1)</enum><text display-inline="yes-display-inline">The Assistant Secretary shall provide such administrative support to the Committee as may be necessary for the Committee to carry out its responsibilities.</text></paragraph><paragraph id="H939FFDBB1B90460AAF29113402E073F5"><enum>(2)</enum><text>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.</text></paragraph><paragraph id="HF77BC9EAC8B247409CF4F56754DB0926"><enum>(3)</enum><text>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.</text></paragraph><paragraph id="H187D6E363C51458A9B64ABC5A4633F83"><enum>(4)</enum><text>All meetings of the Committee shall be public and shall include appropriate time periods for questions and presentations by the public.</text></paragraph></subsection><subsection id="HAA6CDEA8E1434B37B71450FCAF4BCC36"><enum>(e)</enum><header>Subcommittees; establishment and membership</header><text>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.</text></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block></section><section id="H80AB70117C2840A38F27F2F96576BF14"><enum>103.</enum><header>Assisted outpatient treatment grant program</header><subsection id="HF4DEF5D3D4F84CA5A0555E3D08A9997A"><enum>(a)</enum><header>In general</header><text>The Assistant Secretary for Mental Health and Substance Use Disorders (in this section referred to as the <quote>Assistant Secretary</quote>), 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.</text></subsection><subsection id="H73B667D576DD49ECA607FF6487823778"><enum>(b)</enum><header>Use of grant</header><text>An assisted outpatient treatment program carried out with a grant awarded under this section shall include—</text><paragraph id="HCEAFCFCD875C40A9974A4A1D6F949322"><enum>(1)</enum><text>evaluating and seeking out eligible individuals who may benefit from assisted outpatient treatment;</text></paragraph><paragraph id="H0A33CDFA4F414109B00DD4DAF86DBE50"><enum>(2)</enum><text>preparing and executing treatment plans for eligible patients and filing petitions for assisted outpatient treatment in appropriate courts;</text></paragraph><paragraph id="H112A27F71042484A856844A9DC6C5DA0"><enum>(3)</enum><text>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</text></paragraph><paragraph id="H2C138800358247CA882547C2EF0A686A"><enum>(4)</enum><text>carrying out referrals and medical evaluations, and paying the costs of legal counsel for commitment orders to be submitted and evaluated by the courts.</text></paragraph></subsection><subsection id="H75CE759D44094271A28F48DAF5D71470"><enum>(c)</enum><header>Data collection</header><text>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.</text></subsection><subsection id="HD8240802A0FE498DA1721721C9D46C19"><enum>(d)</enum><header>Report</header><text>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:</text><paragraph id="HEC32882EF7DA4EF2B7391D5EACCFBFD7"><enum>(1)</enum><text>Cost savings and public health outcomes such as mortality, suicide, substance abuse, hospitalization, and use of services.</text></paragraph><paragraph id="HCB8D22C9E0D7457B99A8AA8AB31D695E"><enum>(2)</enum><text>Rates of incarceration by patients.</text></paragraph><paragraph id="H9EFCDA3FAB2C497FBDF93CF86906431D"><enum>(3)</enum><text>Rates of employment by patients.</text></paragraph><paragraph id="HA3D5A1182CD846D7A61739BEDEB84153"><enum>(4)</enum><text>Rates of homelessness.</text></paragraph></subsection><subsection id="H7D660540899A40198B4216E0C5C13B79"><enum>(e)</enum><header>Definitions</header><text>In this section:</text><paragraph id="HCBA89C642BA54109B7B9B14396F21E8C"><enum>(1)</enum><header>Assisted outpatient treatment</header><text>The term <term>assisted outpatient treatment</term> means—</text><subparagraph id="H5B0BACEC1ECB4F008A8E71FD56CAEEE5"><enum>(A)</enum><text>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</text></subparagraph><subparagraph id="H4C4112AE356E4CD2BC16280F67D778AB"><enum>(B)</enum><text>in the case of a State that does not have a law described in subparagraph (A) in effect on the date of enactment—</text><clause id="H35B2ED6F37234A2890D31E7CC07FFB38"><enum>(i)</enum><text>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</text></clause><clause id="H5A22892204784EF28A4A72B6D63DFEAA"><enum>(ii)</enum><text>is designed to improve access and adherence by such patient to intensive behavioral health services in order to—</text><subclause id="HF600BEC9E640428FB3C9F47B2F1AF53E"><enum>(I)</enum><text>avert relapse, repeated hospitalizations, arrest, incarceration, suicide, property destruction, and violent behavior; and</text></subclause><subclause id="HCD09A16E4A904D6E8F8EF931AF4BAA84"><enum>(II)</enum><text>provide such patient with the opportunity to live in a less restrictive alternative to incarceration or involuntary hospitalization.</text></subclause></clause></subparagraph></paragraph><paragraph id="H18BC45C0BFCB4FF09D48A3B08E97CDEF"><enum>(2)</enum><header>Eligible patient</header><text>The term <term>eligible patient</term> means an adult, mentally ill person who, as determined by the court—</text><subparagraph id="HB416805D3E134118A22E7E94D90794E8"><enum>(A)</enum><text>has a history of violence, incarceration, or medically unnecessary hospitalizations;</text></subparagraph><subparagraph id="H9A8970C4A8854D8F8F30C1E7586FAADA"><enum>(B)</enum><text>without supervision and treatment, may be a danger to self or others in the community;</text></subparagraph><subparagraph id="H32AABDCF8B5344ECB6691CAEAF34B6A7"><enum>(C)</enum><text>is substantially unlikely to voluntarily participate in treatment;</text></subparagraph><subparagraph id="HF95AB84BD6AA416A96E55535BDCDDE1F"><enum>(D)</enum><text>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;</text></subparagraph><subparagraph id="H190A6E0AFA7F48398F8E0B3DE9952C24"><enum>(E)</enum><text>has a history of mental illness or condition that is likely to substantially deteriorate if the patient is not provided with timely treatment; or</text></subparagraph><subparagraph id="H413A81EEF0C7492893C7E0301D3751A8"><enum>(F)</enum><text>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.</text></subparagraph></paragraph></subsection><subsection id="H8D0ABC61E55746FCA34136BB062BDE9C"><enum>(f)</enum><header>Funding</header><paragraph id="HAF80370B33B947FEAE8E54AAF5F3D8AD"><enum>(1)</enum><header>Amount of grants</header><text>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.</text></paragraph><paragraph id="H5AC2ED4C4C7440B698C412AC0C82CCD3"><enum>(2)</enum><header>Authorization of appropriations</header><text>There is authorized to be appropriated to carry out this section $15,000,000 for each of fiscal years 2014 through 2017.</text></paragraph></subsection></section><section id="H83A35A8250434CFDB1F9410AAADA73A6"><enum>104.</enum><header>Tele-psychiatry and primary care physician training grant program</header><subsection id="HBA73D43961574CBC9B87678CF1673DB8"><enum>(a)</enum><header>In general</header><text>The Assistant Secretary of Mental Health and Substance Use Disorders (in this section referred to as the <quote>Assistant Secretary</quote>) shall establish a grant program (in this section referred to as the <quote>grant program</quote>) 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).</text></subsection><subsection id="H33853096BA6645A8B1BE4C50DED27DD2"><enum>(b)</enum><header>Training program for certain primary care physicians</header><text>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—</text><paragraph id="HADE110C18D024B7C9052DA97F67A1BC9"><enum>(1)</enum><text>approved standardized behavioral-health screening tools, including—</text><subparagraph id="HE5715C55406F40C09B879C1E3CBFC2CB"><enum>(A)</enum><text>Ages and Stages Questionnaires (ASQ: SE);</text></subparagraph><subparagraph id="HF9A8FAB3F3D14399ADD4FDA66142B108"><enum>(B)</enum><text>Brief Infant-Toddler Social and Emotional Assessment (BITSEA);</text></subparagraph><subparagraph id="H89C208B02C9E4C47B5A6CC7CC3E86737"><enum>(C)</enum><text>screening for substance abuse, known as Car, Relax, Alone, Forget, Friends, Trouble, (CRAFFT);</text></subparagraph><subparagraph id="H17EB1EDED46D45BF854B5F462FCE6C0A"><enum>(D)</enum><text>screening for autism, known as Modified Checklist for Autism in Toddlers (M–CAT);</text></subparagraph><subparagraph id="H15C8B358F54F42EEB0E620CD6CA7D58B"><enum>(E)</enum><text>Parents’ Evaluation of Developmental Status (PEDS);</text></subparagraph><subparagraph id="HC4FB06ED68364306BA92CE2B9A883B6E"><enum>(F)</enum><text>screening for depression, known as Patient Health Questionnaire-9 (PHQ–9);</text></subparagraph><subparagraph id="H6FB61883D35E497AA1639893D96A82C2"><enum>(G)</enum><text>Pediatric Symptom Checklist (PSC) and Pediatric Symptom Checklist-Youth Report (Y–PSC);</text></subparagraph><subparagraph id="H64ACF85F9D764CD1BDF4F7BAA3E83B9C"><enum>(H)</enum><text>Strengths and Difficulties Questionnaire (SDQ); and</text></subparagraph><subparagraph id="HE01174E1AAE24F3BB2843002AE118D30"><enum>(I)</enum><text>any additional areas that the Assistant Secretary determines applicable;</text></subparagraph></paragraph><paragraph id="H5236A3D7E4B74139AC469D308E727DC0"><enum>(2)</enum><text>implementing the use of behavioral-health screening tools in their practices; and</text></paragraph><paragraph id="HD75CD7B0B3DB4E8D8A6A73E62441F347"><enum>(3)</enum><text>knowing what to do when a behavioral-health need is identified.</text></paragraph></subsection><subsection id="HCE437D5792E241DB8ECFC5055FA7E95F"><enum>(c)</enum><header>Payments for mental health services provided by certain primary care physicians</header><paragraph id="H78FF43784C3C4C579528607B9A61F9B5"><enum>(1)</enum><text>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.</text></paragraph><paragraph id="H7C11B0342E0642EEBD7505E99EDE0D5F"><enum>(2)</enum><text>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—</text><subparagraph id="H91697E6499D048C8A9546248A711B9AE"><enum>(A)</enum><text>quality of services rendered;</text></subparagraph><subparagraph id="H79F4208D3DED46E3B3F8172B098A5AB6"><enum>(B)</enum><text>patients’ health outcome;</text></subparagraph><subparagraph id="HCC5A41F5D431453899DB4B60B07AC07A"><enum>(C)</enum><text>geographical location of where services were provided;</text></subparagraph><subparagraph id="H00645FE58EF045F3803E96AD0AE0B0EC"><enum>(D)</enum><text>severity of patients’ medical condition;</text></subparagraph><subparagraph id="H766D619ACE8448779516739AD057115B"><enum>(E)</enum><text>duration of services provided; and</text></subparagraph><subparagraph id="H613BA2932EB14731A99F43A9F7ECA1BF"><enum>(F)</enum><text>feasibility of replicating that payment model in other States nationwide.</text></subparagraph></paragraph></subsection><subsection id="HCFA984C034EE4A16A5C0DC38B4A615D2"><enum>(d)</enum><header>Telehealth services for mental health disorders</header><paragraph id="HD4E71637EDC34E71A33C36DC04671385"><enum>(1)</enum><header>In general</header><text>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.</text></paragraph><paragraph id="HE8D35142A0C84D84AE4F7A82F4CF5740"><enum>(2)</enum><header>Qualified telehealth technology</header><text>For purposes of subsection (C)(1), the term <term>qualified telehealth technology</term>, with respect to the provision of items and services to a patient by a health care provider—</text><subparagraph id="HB5D93F794B474FABA1E75EA9F9E650A1"><enum>(A)</enum><text display-inline="yes-display-inline">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</text></subparagraph><subparagraph id="HE681276A8ABE469FAF8A952463A6E064"><enum>(B)</enum><text>does not include the use of electronic mail message or facsimile transmission.</text></subparagraph></paragraph></subsection><subsection id="H49C6C254DC364371A7A1406E3E760E86"><enum>(e)</enum><header>Eligible State</header><paragraph id="H5CF0850ECA574573BFF15AB80376DE1E"><enum>(1)</enum><header>In general</header><text>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).</text></paragraph><paragraph id="HCC55927073464913ADF92DA66FB7BA03"><enum>(2)</enum><header>Application</header><text>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.</text></paragraph><paragraph id="H5DEA8E518FBE47BBB0D6466118D6FC7A"><enum>(3)</enum><header>Matching requirement</header><text>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.</text></paragraph><paragraph id="HABB83AD043B944E09147C3F9EE999B55"><enum>(4)</enum><header>Selection</header><text>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.</text></paragraph></subsection><subsection id="H8E115AA645CA4DB08BD6AC74C80F4CDD"><enum>(f)</enum><header>Length of grant program</header><text>The grant program established under this section shall be conducted for a period of 3 consecutive years.</text></subsection><subsection id="H3C68AC18210F40458C0B069D625D9CEF"><enum>(g)</enum><header>Authorization of appropriations</header><text>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.</text></subsection><subsection id="HAE33EA09B62E4EC59A03B0C1BBC6108C"><enum>(h)</enum><header>Reports</header><paragraph id="HBF397B818D0842E68E8838EF5A5E38E1"><enum>(1)</enum><header>Reports</header><text>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:</text><subparagraph id="H80CB1820720845638393C883760A1034"><enum>(A)</enum><text>An evaluation of the grant program outcomes, including a summary of activities carried out with the grant and the results achieved through those activities.</text></subparagraph><subparagraph id="H56E7A519B1864D09B18D283A59564327"><enum>(B)</enum><text>Recommendations on how to improve access to mental health services at grantee locations.</text></subparagraph><subparagraph id="H1992650EB7B74E44B53D08D660746104"><enum>(C)</enum><text>An assessment of access to mental health services under the program.</text></subparagraph><subparagraph id="H18CB31D825FD46FABACE4E28301A2546"><enum>(D)</enum><text>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).</text></subparagraph><subparagraph id="HA4A04B9EB8394955A5976A7EFBA20567"><enum>(E)</enum><text>Recommendations on congressional action to improve the grant.</text></subparagraph></paragraph><paragraph id="H0958FBDA1B4746319FF9511958F14C55"><enum>(2)</enum><header>Report</header><text>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.</text></paragraph></subsection></section><enum>II</enum><header>Federally Qualified Behavioral Health Clinics</header><section id="H40FBC140C93C41358A67260C8A0CAC77"><enum>201.</enum><header>Demonstration program to improve federally qualified community behavioral health clinic services</header><subsection id="HE31A558FF9094CCA88694BCE7F2706CB"><enum>(a)</enum><header>Establishment</header><text display-inline="yes-display-inline">Not later than January 1, 2016, the Secretary of Health and Human Services (referred to in this section as the <quote>Secretary</quote>), 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.</text></subsection><subsection id="H10B4C6E939B1438B8D09D41B6CC8E68A"><enum>(b)</enum><header>Eligibility</header><paragraph id="H1135854D1E8F4443B868E720AF9451B2"><enum>(1)</enum><header>Application</header><text>To be eligible to receive a grant under subsection (a), a State shall—</text><subparagraph id="HFFB51472E8854157BA6BDEFC4C5314F0"><enum>(A)</enum><text>submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require;</text></subparagraph><subparagraph id="H61407FDA2F734ABA94555D9E4BEECA7C"><enum>(B)</enum><text>certify to the Secretary that behavioral health providers that are provided assistance under the demonstration program are federally qualified community behavioral health clinics;</text></subparagraph><subparagraph id="H0CFFB2111D2441548D5295576C10A316"><enum>(C)</enum><text>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 (<external-xref legal-doc="usc" parsable-cite="usc/42/1396">42 U.S.C. 1396 et seq.</external-xref>);</text></subparagraph><subparagraph id="H4ED240F913584C3784735FCCDB6C056F"><enum>(D)</enum><text>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</text></subparagraph><subparagraph id="H9DE1858A247742EA8797D7AA1B539CEF"><enum>(E)</enum><text>comply with any other requirement determined appropriate by the Secretary.</text></subparagraph></paragraph><paragraph id="H97B0AED719AB46BBBE4BFFB58D583EDA"><enum>(2)</enum><header>Waiver of Medicaid requirements</header><text>In approving States to conduct demonstration programs under this section, the Secretary shall waive such provisions of title XIX of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396">42 U.S.C. 1396 et seq.</external-xref>) 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 (<external-xref legal-doc="usc" parsable-cite="usc/42/1396a">42 U.S.C. 1396a(a)(1)</external-xref>) (relating to statewideness).</text></paragraph></subsection><subsection commented="no" id="HBD5119678E554CBE94E867796DCB6A4B"><enum>(c)</enum><header>Requirements</header><text>In awarding grants under this section, the Secretary shall—</text><paragraph commented="no" id="HA8949FD4E477464A89AA84D3EF309974"><enum>(1)</enum><text>ensure the geographic diversity of grantee States;</text></paragraph><paragraph commented="no" id="HAFBAE43278FA46D4B918D2FF8D43AD84"><enum>(2)</enum><text>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;</text></paragraph><paragraph commented="no" id="HEA3CF5B1BC854C0C937D33C987F59140"><enum>(3)</enum><text>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</text></paragraph><paragraph commented="no" id="H9313A09E36CC48E5ADE274DA97E1AD80"><enum>(4)</enum><text>take into account the ability of such States to provide such required services on a statewide basis.</text></paragraph></subsection><subsection id="H0C3D1D89CAC94D8494E0B6BC966B44F6"><enum>(d)</enum><header>Treatment of certain services provided by community behavioral health clinics as medical assistance</header><paragraph id="H45A57085E601424592562ECA8A9CB61C"><enum>(1)</enum><header>In general</header><text>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).</text></paragraph><paragraph id="H858ED746CFA34F7AA67F2CC15310A8C4"><enum>(2)</enum><header>Grant condition</header><text>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).</text></paragraph><paragraph id="H8E522729BF2C4AB18E23FD79793DDF07"><enum>(3)</enum><header>Prospective payment system</header><subparagraph id="H49745ABCE5024D0EAB911942231F9600"><enum>(A)</enum><header>In general</header><text>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 (<external-xref legal-doc="usc" parsable-cite="usc/42/1396a">42 U.S.C. 1396a(bb)</external-xref>) for services described in section 1905(a)(2)(C) of such Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396d">42 U.S.C. 1396d(a)(2)(C)</external-xref>) furnished by a federally qualified health center and services described in section 1905(a)(2)(B) of such Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396d">42 U.S.C. 1396d(a)(2)(B)</external-xref>) furnished by a rural health clinic.</text></subparagraph><subparagraph id="H1006B27A4C264E66B5F2EF8CA7A897B1"><enum>(B)</enum><header>Requirements</header><text>The prospective payment system established by the Secretary under subparagraph (A) shall provide that—</text><clause id="HF11A1F7968554C45A0DCAD59326BF8EC"><enum>(i)</enum><text>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</text></clause><clause id="H5AD4E8F899FF40C6BD30B00E7C0E99D8"><enum>(ii)</enum><text>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.</text></clause></subparagraph><subparagraph id="H5190E68C645442CEAB133087017B335C"><enum>(C)</enum><header>Payments to states</header><text>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 (<external-xref legal-doc="usc" parsable-cite="usc/42/1397dd">42 U.S.C. 1397dd(b)</external-xref>) 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 (<external-xref legal-doc="usc" parsable-cite="usc/42/1396b">42 U.S.C. 1396b</external-xref>).</text></subparagraph></paragraph></subsection><subsection id="H86B42F3E2B654324B57A8767469CC7E3"><enum>(e)</enum><header>Annual report</header><paragraph id="H4E06B8F972A5474F94F70C21ACD460EF"><enum>(1)</enum><header>In general</header><text>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—</text><subparagraph id="H7C38A6797AD54E2E95B00A524A7729B9"><enum>(A)</enum><text>an assessment of access to community-based mental health services under the Medicaid program in the States awarded such grants;</text></subparagraph><subparagraph id="H7E4E5EE1D9AB43DFB75125CBF3A151CD"><enum>(B)</enum><text>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;</text></subparagraph><subparagraph id="HF595E999A7E24C01AE457D5B0EC9DD58"><enum>(C)</enum><text>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</text></subparagraph><subparagraph id="H5D283FC8576D424F8204D89E07E60A69"><enum>(D)</enum><text>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.</text></subparagraph></paragraph><paragraph id="H1AE4507D82184923A7CC6E96AC835EB1"><enum>(2)</enum><header>Recommendations</header><text>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.</text></paragraph><paragraph id="H9DAF9971C9B346B586B07E789D96F922"><enum>(3)</enum><header>Data collection</header><text>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.</text></paragraph></subsection><subsection id="HF978715308554C85A9A05E74B8CAF62E"><enum>(f)</enum><header>Criteria for federally qualified community behavioral health clinics</header><paragraph id="H4C8A7D6580EA45A09B7DDE4FB3EE9263"><enum>(1)</enum><header>In general</header><text>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.</text></paragraph><paragraph id="HCC7E57D2D03E4D8582AD1508E17D6BAE"><enum>(2)</enum><header>Criteria</header><text>The criteria referred to in this subsection are that the clinic performs each of the following:</text><subparagraph id="H77984318B19C400AB9470477BDF48E63"><enum>(A)</enum><text>Provide required primary health services (as defined by the Assistant Secretary for Mental Health and Substance Use Disorders).</text></subparagraph><subparagraph id="H6CC8C68690F2416C80A26BCFB274346C"><enum>(B)</enum><text>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.</text></subparagraph><subparagraph id="H3C1CA8C67D154640A24F9C3367AC1C3E"><enum>(C)</enum><text>Provide services in a mode of service delivery appropriate for the target population.</text></subparagraph><subparagraph id="HE40FBF7774954FAF904A97F9B317B4C4"><enum>(D)</enum><text>Provide individuals with a choice of service options where there is more than one evidence-based treatment.</text></subparagraph><subparagraph id="HB357E0FA232B41B78E63EF1ACF4BDEDF"><enum>(E)</enum><text display-inline="yes-display-inline">Employ a core staff that is sufficiently trained in child and adolescent psychiatry or psychology.</text></subparagraph><subparagraph id="H9FC643620B8B49E09C7AFB8251E59643"><enum>(F)</enum><text display-inline="yes-display-inline">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.</text></subparagraph><subparagraph id="H424CADD1049142E0AC6779818909D568"><enum>(G)</enum><text>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.</text></subparagraph><subparagraph id="H63D399F02B594C29AB6F32FE8BC0FC10"><enum>(H)</enum><text>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:</text><clause id="HDAFEAB089BBF4C9791F1B666E2655F68"><enum>(i)</enum><text>Screening, assessment, and diagnosis, including risk assessment.</text></clause><clause id="H1929F178BFF445E290654B442C5C2452"><enum>(ii)</enum><text>Person-centered treatment planning or similar processes, including risk assessment and crisis planning.</text></clause><clause id="H6BC90032FDC84628B9DE72DA6E61E6D4"><enum>(iii)</enum><text>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).</text></clause><clause id="H70B5A49EE9C04F5BB562A784183F8BEC"><enum>(iv)</enum><text>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).</text></clause><clause id="HB951435BFB734DB3996A4B01387A38F4"><enum>(v)</enum><text>Crisis mental health services, including 24-hour mobile crisis teams, emergency crisis intervention services, and crisis stabilization.</text></clause><clause id="HA9F6A25495714D04BA7BE32449A604D3"><enum>(vi)</enum><text>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).</text></clause><clause id="HB11271C2C8AD461CB242D967B32740D0"><enum>(vii)</enum><text>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.</text></clause><clause id="HF55C88A2D04744C6A356D172C4724A61"><enum>(viii)</enum><text>Peer support and counselor services and family supports.</text></clause><clause id="HA54F5C5741ED44E4895B4D99F2807357"><enum>(ix)</enum><text display-inline="yes-display-inline">Supported education and supported employment for individuals with serious mental illness after an initial psychotic episode.</text></clause><clause id="HFA6687E704CB4F699BC319F5D8E5C8B5"><enum>(x)</enum><text display-inline="yes-display-inline">Case management services for individuals with serious mental illness after an initial psychotic episode.</text></clause></subparagraph><subparagraph id="H897BA379331549EB8F3E34D5FE0C9677"><enum>(I)</enum><text>Use and share electronic health records consistent with other applicable law.</text></subparagraph><subparagraph id="H7D900E92DAF04847A321CD8CFD43BEE8"><enum>(J)</enum><text>Be available to provide assisted outpatient treatment that is ordered by a State court pursuant to a State law described in section 1915(d).</text></subparagraph><subparagraph id="HE049B28F6CD4476A8AFD92EDFB69BBD6"><enum>(K)</enum><text>Be available to participate in research projects conducted or supported by the National Institute of Mental Health.</text></subparagraph><subparagraph id="H68A7172611BE477C9E81B391D6B3A375"><enum>(L)</enum><text>Maintain linkages, and where possible enter into formal contracts with the following:</text><clause id="H600206B59A5D4CF18042C097C8BEA73D"><enum>(i)</enum><text>Federally qualified health centers.</text></clause><clause id="H03A04FFB0C3D4376857632164296E1E9"><enum>(ii)</enum><text>Inpatient psychiatric facilities and substance use detoxification, post-detoxification step-down services, and residential programs.</text></clause><clause id="HBE0179639F6940F5826D3566435A0BE5"><enum>(iii)</enum><text>Adult and youth peer support and counselor services.</text></clause><clause id="H470170A31A074DE7B1C0F2BFEFEDB955"><enum>(iv)</enum><text>Family support services for families of children with serious mental or substance use disorders.</text></clause><clause id="HBC48E0393A314601BCA5BBE971C6744E"><enum>(v)</enum><text display-inline="yes-display-inline">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.</text></clause><clause id="HABE428B96BE24BD28BBE42E704DFF5C3"><enum>(vi)</enum><text>Integrating care with primary care services, including, to the extent feasible, through a common delivery site.</text></clause><clause id="H1DA3D28299304480AC65E2B25C1C2B3E"><enum>(vii)</enum><text>Enabling services, including outreach, transportation, and translation.</text></clause><clause id="HDA647B33814344A098820EFCA1A01838"><enum>(viii)</enum><text>Health and wellness services, including services for tobacco cessation.</text></clause><clause id="HBC717FE3A4BA43DDAE3784CB145E2FE7"><enum>(ix)</enum><text display-inline="yes-display-inline">Adopt models of first episode psychosis training, supervision, team meetings, and coordination with adjacent care organizations.</text></clause></subparagraph><subparagraph id="H9F095DF3368941AFB494A523A4512A32"><enum>(M)</enum><text>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.</text></subparagraph></paragraph><paragraph id="H8770C2B210924223B3EE379C3B63D2AB"><enum>(3)</enum><header>Rule of construction</header><text>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).</text></paragraph></subsection><subsection id="H68027F2E2D3042F8A7C81E7BE8E7DEB1"><enum>(g)</enum><header>Definitions</header><text>In this section:</text><paragraph id="HF5D7EE3C7D004B608C0F156483F84B08"><enum>(1)</enum><header>Community behavioral health clinic services</header><text>The term <term>community behavioral health clinic services</term> 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.</text></paragraph><paragraph id="HE54C378F6E5844C88BC119E67362A3F8"><enum>(2)</enum><header>State</header><text>The term <term>State</term> has the meaning given such term for purposes of title XIX of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396">42 U.S.C. 1396 et seq.</external-xref>).</text></paragraph><paragraph id="HBFCB41EE560D430D8FE4E67FBDE7E75C"><enum>(3)</enum><header>Federally qualified community behavioral health clinic</header><text>The term <term>federally qualified community behavioral health clinic</term> means a federally qualified behavioral health clinic with a certification in effect under this section.</text></paragraph></subsection><subsection id="H3C643D21DFDA43EB9F5A6404947396AF"><enum>(h)</enum><header>Authorization of appropriations</header><text>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.</text></subsection></section><enum>III</enum><header>HIPAA and FERPA caregivers</header><section id="HCE3AB326FF8847BCA570C234FE79FC7D"><enum>301.</enum><header>Promoting appropriate treatment for mentally ill individuals by treating their caregivers as personal representatives for purposes of HIPAA privacy regulations</header><subsection id="H49EA8638B125491ABEF395143FD899B0"><enum>(a)</enum><header>Caregiver access to information</header><text display-inline="yes-display-inline">In applying <external-xref legal-doc="regulation" parsable-cite="cfr/45/164.502">section 164.502(g)</external-xref> 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.</text></subsection><subsection id="HAD670AB4F0E14982A7D39C2833F4D246"><enum>(b)</enum><header>Definitions</header><text display-inline="yes-display-inline">For purposes of this section:</text><paragraph id="HDB41BB3BFAB34E0CA393538FEDE2B9D4"><enum>(1)</enum><header>Covered entity</header><text display-inline="yes-display-inline">The term <term>covered entity</term> has the meaning given such term in <external-xref legal-doc="regulation" parsable-cite="cfr/45/106.103">section 106.103</external-xref> of title 45, Code of Federal Regulations.</text></paragraph><paragraph id="HABC064977EF44871A7AB316B7D62247D"><enum>(2)</enum><header>Protected health information</header><text>The term <term>protected health information</term> has the meaning given such term in <external-xref legal-doc="regulation" parsable-cite="cfr/45/106.103">section 106.103</external-xref> of title 45, Code of Federal Regulations.</text></paragraph><paragraph id="H35CB224440BC48FBB8AAC4171D4BC499"><enum>(3)</enum><header>Caregiver</header><text display-inline="yes-display-inline">The term <term>caregiver</term> means, with respect to an individual with a serious mental illness—</text><subparagraph id="HE9E3A3E82CB1460292FB9628B592A8E0"><enum>(A)</enum><text>an immediate family member of such individual;</text></subparagraph><subparagraph id="H7FAC1D9C24424E548D072EE77874604A"><enum>(B)</enum><text>an individual who assumes primary responsibility for providing a basic need of such individual; or</text></subparagraph><subparagraph id="HE63C91E1E9804281B4FB9B3459E9E1B2"><enum>(C)</enum><text>a personal representative of the individual as determined by the law of the State in which such individual resides.</text></subparagraph></paragraph><paragraph id="H5A5D88BDA38445C78776E671255C7209"><enum>(4)</enum><header>Individual with a serious mental illness</header><text display-inline="yes-display-inline">The term <term>individual with a serious mental illness</term> means, with respect to the disclosure to a caregiver of protected health information of an individual, an individual who—</text><subparagraph id="H67418E204651499F8AF908002AE06AC0"><enum>(A)</enum><text>is 18 years of age or older; and</text></subparagraph><subparagraph id="H616C07E827654B56A1AC0187F3094D85"><enum>(B)</enum><text display-inline="yes-display-inline">has, within one year before the date of the disclosure, been evaluated, diagnosed, or treated for a mental, behavioral, or emotional disorder that—</text><clause id="H6B7B6640387C482E87FDEE7A8313BBB6"><enum>(i)</enum><text>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</text></clause><clause id="H882E49212EA14759B3F9240326C048DD"><enum>(ii)</enum><text>results in functional impairment of the individual that substantially interferes with or limits one or more major life activities of the individual.</text></clause></subparagraph></paragraph></subsection></section><section display-inline="no-display-inline" id="H62BFB23FCAD349C7829E95523C292932" section-type="subsequent-section"><enum>302.</enum><header>Caregivers permitted access to certain education records under FERPA</header><text display-inline="no-display-inline">Section 444 of the General Education Provisions Act (<external-xref legal-doc="usc" parsable-cite="usc/20/1232g">20 U.S.C. 1232g</external-xref>) is amended by adding at the end the following new subsection:</text><quoted-block display-inline="no-display-inline" id="H6A74320615AB48DBBA4E6364F531814E" style="OLC"><subsection id="H5EEB8FD63D8F42CBAA37DAB9B677B29A"><enum>(k)</enum><header>Disclosures to caregivers of the mentally ill</header><paragraph id="H278B07B00C26412BBA3808CC50429828"><enum>(1)</enum><header>In general</header><text display-inline="yes-display-inline">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.</text></paragraph><paragraph id="HC23701032800404BA591EDD8547002D8"><enum>(2)</enum><header>Definitions</header><text display-inline="yes-display-inline">In this subsection:</text><subparagraph id="HDFE286A8B7D74E208FF95182DB9D4C18"><enum>(A)</enum><header>Caregiver</header><text display-inline="yes-display-inline">The term <term>caregiver</term> 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).</text></subparagraph><subparagraph id="H2E8AFC7416E0435DAF7E3E17DD3333DF"><enum>(B)</enum><header>Education record</header><text>Notwithstanding subsection (a)(4)(B), the term <term>education record</term> shall include a record described in clause (iv) of such subsection.</text></subparagraph><subparagraph id="H98CAE10D8E8F4769959AE87CF65C36D0"><enum>(C)</enum><header>Individual with a serious mental illness</header><text display-inline="yes-display-inline">The term <term>individual with a serious mental illness</term> means, with respect to the disclosure to a caregiver of protected health information of an individual, an individual who—</text><clause id="H3128DCB1849349D39342C3816006500A"><enum>(i)</enum><text display-inline="yes-display-inline">is 18 years of age or older; and</text></clause><clause display-inline="no-display-inline" id="H8830EE53CB02400A8A7D4E96F7037931"><enum>(ii)</enum><text display-inline="yes-display-inline">has, within one year before the date of the disclosure, been evaluated, diagnosed, or treated for a mental, behavioral, or emotional disorder that—</text><subclause id="H7466036BB21A4CAE9D67F7613AC04A8D"><enum>(I)</enum><text>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</text></subclause><subclause id="HC4AB04402822463E91070D41015641DF"><enum>(II)</enum><text>results in functional impairment of the individual that substantially interferes with or limits one or more major life activities of the individual.</text></subclause></clause></subparagraph></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block></section><enum>IV</enum><header>Department of Justice reforms</header><section id="HF280F56995B24B9990C34732DBA4596F"><enum>401.</enum><header>Additional purposes for certain Federal grants</header><subsection id="H35CC90378FA148E7B2CE929D8BBC3165"><enum>(a)</enum><header>Modifications to the Edward Byrne Memorial Justice Assistance Grant Program</header><text display-inline="yes-display-inline">Section 501(a)(1) of title I of the Omnibus Crime Control and Safe Streets Act of 1968 (<external-xref legal-doc="usc" parsable-cite="usc/42/3751">42 U.S.C. 3751(a)(1)</external-xref>) is amended by adding at the end the following:</text><quoted-block display-inline="no-display-inline" id="HCFC4954F765643F08F18514C994A28C3" style="OLC"><subparagraph commented="no" id="H13CA4FE68EF940A697AD3620D461F356"><enum>(H)</enum><text display-inline="yes-display-inline">Mental health programs and operations by law enforcement or corrections officers.</text></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block></subsection><subsection commented="no" id="HE7E12631835544859A32725C8065EF56"><enum>(b)</enum><header>Modifications to the Community Oriented Policing Services program</header><text>Section 1701(b) of title I of the Omnibus Crime Control and Safe Streets Act of 1968 (<external-xref legal-doc="usc" parsable-cite="usc/42/3796dd">42 U.S.C. 3796dd(b)</external-xref>) is amended—</text><paragraph commented="no" id="H9684E192D2EC4DB3AAB0D6B963DD9C1F"><enum>(1)</enum><text>in paragraph (16), by striking <quote>and</quote> at the end;</text></paragraph><paragraph commented="no" id="H7389293E8F1D44C78C25AD97704A1E53"><enum>(2)</enum><text>by redesignating paragraph (17) as paragraph (19);</text></paragraph><paragraph commented="no" id="HA5C43B2516AB4DB99C2D744257013052"><enum>(3)</enum><text>by inserting after paragraph (16) the following:</text><quoted-block display-inline="no-display-inline" id="HD0E6FEF32456440DA37F1FC74B9E899D" style="OLC"><paragraph commented="no" id="H231FB70083BD4F659B61D3567AE86CA7"><enum>(17)</enum><text display-inline="yes-display-inline">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 (<external-xref legal-doc="usc" parsable-cite="usc/42/3796dd">42 U.S.C. 3796dd</external-xref> 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;</text></paragraph><paragraph commented="no" id="H18D3C6A5B34B46D98BCA69881ED77F80"><enum>(18)</enum><text>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</text></paragraph><after-quoted-block>; and</after-quoted-block></quoted-block></paragraph><paragraph commented="no" id="H7C5FD7071A62460BB8728972AA519858"><enum>(4)</enum><text>in paragraph (19), as redesignated, by striking <quote>through (16)</quote> and inserting <quote>through (19)</quote>.</text></paragraph></subsection><subsection id="HEA919D6BA5104730BBD0BF3AA573926C"><enum>(c)</enum><header>Modifications to the Staffing for adequate fire and emergency response grants</header><text>Section 34(a)(1)(B) of <external-xref legal-doc="public-law" parsable-cite="pl/93/498">Public Law 93–498</external-xref> (<external-xref legal-doc="usc" parsable-cite="usc/15/2229a">15 U.S.C. 2229a(a)(1)(B)</external-xref>) is amended by inserting before the period at the end the following: <quote>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</quote>.</text></subsection></section><section display-inline="no-display-inline" id="H3701393DEB52444181BB74B3A537892B" section-type="subsequent-section"><enum>402.</enum><header>Reauthorization and additional amendments to the Mentally Ill Offender Treatment and Crime Reduction Act</header><subsection id="H1AD9105B72CB440DB8BEBBDEC4A909FF"><enum>(a)</enum><header>Safe communities</header><paragraph id="H289D3D2B28784650AE47160A4626DB91"><enum>(1)</enum><header>In general</header><text>Section 2991(a) of title I of the Omnibus Crime Control and Safe Streets Act of 1968 (<external-xref legal-doc="usc" parsable-cite="usc/42/3797aa">42 U.S.C. 3797aa(a)</external-xref>) is amended—</text><subparagraph id="HBC9C9D4F177647B19CDF6A11DB52BBF7"><enum>(A)</enum><text>in paragraph (7)—</text><clause id="H438DD6FA2052482190F14A4CD421D207"><enum>(i)</enum><text>in the heading, by striking <quote><header-in-text level="paragraph" style="OLC">Mental illness</header-in-text></quote> and inserting <quote><header-in-text level="paragraph" style="OLC">Mental illness; mental Health disorder</header-in-text></quote>; and</text></clause><clause id="HADDA07983254437B8508EE36DD30F370"><enum>(ii)</enum><text>by striking <quote>term <quote>mental illness</quote> means</quote> and inserting <quote>terms <quote>mental illness</quote> and <quote>mental health disorder</quote> mean</quote>; and</text></clause></subparagraph><subparagraph id="H383AD0675A564468B4290533E1A0FAF0"><enum>(B)</enum><text>by striking paragraph (9) and inserting the following:</text><quoted-block display-inline="no-display-inline" id="H6A7B0DDAECF7486EA827A562E09D0785" style="OLC"><paragraph id="H6007919B88FE4BA9932218544501A7AF"><enum>(9)</enum><header>Preliminarily qualified offender</header><subparagraph id="H7309C055B91C4BF5A2170F47924E2615"><enum>(A)</enum><header>In general</header><text>The term <term>preliminarily qualified offender</term> means an adult or juvenile accused of an offense who—</text><clause id="H30B5DB1BF6C74E43ABB9AC033A83D134"><enum>(i)</enum><subclause commented="no" display-inline="yes-display-inline" id="HBE394FBDC79F4EECA1E4C8855B7E6E53"><enum>(I)</enum><text>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;</text></subclause><subclause id="H2DED81E2E622445891A1D48DFFD11F9A" indent="up1"><enum>(II)</enum><text>manifests obvious signs of mental illness or co-occurring mental illness and substance abuse disorders during arrest or confinement or before any court; or</text></subclause><subclause id="H0C91A7F205F94CCF8F893355911B0F46" indent="up1"><enum>(III)</enum><text>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</text></subclause></clause><clause id="H5F4D19F27D754531A119078F3B441B04"><enum>(ii)</enum><text>has been unanimously approved for participation in a program funded under this section by, when appropriate, the relevant—</text><subclause id="H9222D8331E9D4D9D994B5AA377B74E42"><enum>(I)</enum><text>prosecuting attorney;</text></subclause><subclause id="HE39853D307E5456F8DC8E67EEAD01AB8"><enum>(II)</enum><text>defense attorney;</text></subclause><subclause id="HAE6581624E124DAD8262738A7467D915"><enum>(III)</enum><text>probation or corrections official;</text></subclause><subclause id="H38CB6FBA227A45B8B9A45822AC862022"><enum>(IV)</enum><text>judge; and</text></subclause><subclause id="H2F064210228646C68F374454D860238B"><enum>(V)</enum><text>a representative from the relevant mental health agency described in subsection (b)(5)(B)(i).</text></subclause></clause></subparagraph><subparagraph id="H85901B2D24CA4E97AACC53615E928634"><enum>(B)</enum><header>Determination</header><text>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—</text><clause id="HA90CC619418042779F2D4E52040340E4"><enum>(i)</enum><text>whether the participation of the defendant in the program would pose a substantial risk of violence to the community;</text></clause><clause id="HD2AE2234DE1B43B8A3088FAD763E5569"><enum>(ii)</enum><text>the criminal history of the defendant and the nature and severity of the offense for which the defendant is charged;</text></clause><clause id="HD4192AE992444F36924D33BF58F6CAA9"><enum>(iii)</enum><text>the views of any relevant victims to the offense;</text></clause><clause id="H9557E6177D3D4DABB57750CF6A25C429"><enum>(iv)</enum><text>the extent to which the defendant would benefit from participation in the program;</text></clause><clause id="HF5E3A3E18CE8462D93C5ED2C614D551A"><enum>(v)</enum><text>the extent to which the community would realize cost savings because of the defendant’s participation in the program; and</text></clause><clause id="H3F63176CBF304817B07C77473C9C08BA"><enum>(vi)</enum><text>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.</text></clause></subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block></subparagraph></paragraph><paragraph commented="no" id="H0BAFCEA86D364433823A80BC00D838AC"><enum>(2)</enum><header>Technical and conforming amendment</header><text>Section 2927(2) of title I of the Omnibus Crime Control and Safe Streets Act of 1968 (<external-xref legal-doc="usc" parsable-cite="usc/42/3797s-6">42 U.S.C. 3797s–6(2)</external-xref>) is amended—</text><subparagraph commented="no" id="HAD65CFEADD8E4C1E9B9595A2347209A5"><enum>(A)</enum><text>by striking <quote>has the meaning given that term in section 2991(a).</quote> and inserting the following: <quote>means an offense that— </quote>; and</text></subparagraph><subparagraph commented="no" id="H3E3F0A5CEE0B4667824B8682DE31F3E8"><enum>(B)</enum><text>by adding at the end the following:</text><quoted-block display-inline="no-display-inline" id="H172F3EF1A35F4E5CBBC682A0FD02C169" style="OLC"><subparagraph commented="no" id="HC69EC02617A84B82AD78AB18DFBE87C1"><enum>(A)</enum><text display-inline="yes-display-inline">does not have as an element the use, attempted use, or threatened use of physical force against the person or property of another; or</text></subparagraph><subparagraph commented="no" id="H5F8B6D26EE68424186C0EED1633E10F6"><enum>(B)</enum><text>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.</text></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block></subparagraph></paragraph></subsection><subsection id="H0DDC9A2DAC8F49BB98C09CC8A5F57A52"><enum>(b)</enum><header>Evidence-Based practices</header><text>Section 2991(c) of title I of the Omnibus Crime Control and Safe Streets Act of 1968 (<external-xref legal-doc="usc" parsable-cite="usc/42/3797aa">42 U.S.C. 3797aa(c)</external-xref>) is amended—</text><paragraph id="H4E9C1A2751D34C919719B4A6E161A2FE"><enum>(1)</enum><text>in paragraph (3), by striking <quote>or</quote> at the end;</text></paragraph><paragraph id="H22EFEFA5DABF4077BB5603704A0B8BC3"><enum>(2)</enum><text>by redesignating paragraph (4) as paragraph (6); and</text></paragraph><paragraph id="H2C367D473643410A9734491710C92626"><enum>(3)</enum><text>by inserting after paragraph (3) the following:</text><quoted-block display-inline="no-display-inline" id="HE5B24D24DF65461297C6AEB9646E6FC9" style="OLC"><paragraph id="H8797745B053942B7B9E27EB1AFCB9F5A"><enum>(4)</enum><text>propose interventions that have been shown by empirical evidence to reduce recidivism;</text></paragraph><paragraph id="H96057310E36B4EED84EDAD1D070313B5"><enum>(5)</enum><text display-inline="yes-display-inline">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</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></subsection><subsection id="HFC24EBA72297421DBDDCF2D4BF82ABE5"><enum>(c)</enum><header>Academy training</header><text>Section 2991(h) of title I of the Omnibus Crime Control and Safe Streets Act of 1968 (<external-xref legal-doc="usc" parsable-cite="usc/42/3797aa">42 U.S.C. 3797aa(h)</external-xref>) is amended—</text><paragraph id="H6B9E4C28A4BB45C0AD3F0A03737C5125"><enum>(1)</enum><text>in paragraph (1), by adding at the end the following:</text><quoted-block display-inline="no-display-inline" id="H0334045B56D349FFA13F5F19EC81C9AC" style="OLC"><subparagraph id="HF151DED3C9374F0F93AB1AB0672BE5D9"><enum>(F)</enum><header>Academy training</header><text display-inline="yes-display-inline">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.</text></subparagraph><after-quoted-block>; and</after-quoted-block></quoted-block></paragraph><paragraph id="H7E43BF26C82C496EB67252589009F6A4"><enum>(2)</enum><text>by adding at the end the following:</text><quoted-block display-inline="no-display-inline" id="HDAEB605A98744A0ABE2BEB716A23A7FD" style="OLC"><paragraph id="HB36682339E384F0FBC78A1F21C3705E8"><enum>(4)</enum><header>Priority consideration</header><text display-inline="yes-display-inline">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.</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></subsection><subsection id="HB4F32CCFD99E4D018EEA3BD841F93031"><enum>(d)</enum><header>Assisting veterans</header><text>Section 2991 of title I of the Omnibus Crime Control and Safe Streets Act of 1968 (<external-xref legal-doc="usc" parsable-cite="usc/42/3797aa">42 U.S.C. 3797aa</external-xref>) is further amended—</text><paragraph id="HD7DFE569E0E74BCB8A0B571C73B2FB3E"><enum>(1)</enum><text>by redesignating subsection (i) as subsection (n); and</text></paragraph><paragraph id="H9CC546112ECE49989E6E28C1E941CBB0"><enum>(2)</enum><text>by inserting after subsection (h) the following:</text><quoted-block display-inline="no-display-inline" id="H5520214CFACB41FE89842A1BFA6C2C25" style="OLC"><subsection id="H8D0D5189FFC74E9791993FB3F1915D76"><enum>(i)</enum><header>Assisting veterans</header><paragraph id="H9E2AA67141524B5F9B068ED08845BDBC"><enum>(1)</enum><header>Definitions</header><text>In this subsection:</text><subparagraph id="H2ABFD3F0F6A7429197EDDD7932A25FD2"><enum>(A)</enum><header>Peer to peer services or programs</header><text>The term <term>peer to peer services or programs</term> 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.</text></subparagraph><subparagraph id="HB3621B63B2744751A7847D1056CB29A5"><enum>(B)</enum><header>Qualified veteran</header><text>The term <term>qualified veteran</term> means a preliminarily qualified offender who—</text><clause id="HFEE03B958F2E404D8A14CE13EEB670BE"><enum>(i)</enum><text>has served on active duty in any branch of the Armed Forces, including the National Guard and reserve components; and</text></clause><clause id="HC2788D85C72A4929A6EF82A0EA70C756"><enum>(ii)</enum><text>was discharged or released from such service under conditions other than dishonorable.</text></clause></subparagraph><subparagraph id="HFBB0AD8BE1864659ABB4E53F00726683"><enum>(C)</enum><header>Veterans treatment court program</header><text>The term <term>veterans treatment court program</term> means a court program involving collaboration among criminal justice, veterans, and mental health and substance abuse agencies that provides qualified veterans with—</text><clause id="H895B55CF8A2A47B88BA04942557D910E"><enum>(i)</enum><text>intensive judicial supervision and case management, which may include random and frequent drug testing where appropriate;</text></clause><clause id="H456E4B9D331541C58BC8E2FFD40498DC"><enum>(ii)</enum><text>a full continuum of treatment services, including mental health services, substance abuse services, medical services, and services to address trauma;</text></clause><clause id="H185CA1DF34DD4F96B0204491F948C95E"><enum>(iii)</enum><text>alternatives to incarceration; and</text></clause><clause id="H9F668F3909F8498CA020787BB32B566D"><enum>(iv)</enum><text>other appropriate services, including housing, transportation, mentoring, employment, job training, education, and assistance in applying for and obtaining available benefits.</text></clause></subparagraph></paragraph><paragraph id="H374ED995A1024472BF90D14FE2212AD5"><enum>(2)</enum><header>Veterans assistance program</header><subparagraph id="HF6D96DA89DC841A18657ECC33CF3B4ED"><enum>(A)</enum><header>In general</header><text>The Attorney General, in consultation with the Secretary of Veterans Affairs, may award grants under this subsection to applicants to establish or expand—</text><clause id="H871AD5AA039E4568A46832F90FE83609"><enum>(i)</enum><text>veterans treatment court programs;</text></clause><clause id="HCFD302B7E93741B1ACA977B982EDA1CA"><enum>(ii)</enum><text>peer to peer services or programs for qualified veterans;</text></clause><clause id="H9B72994742374A8EB85DF4BC178E640D"><enum>(iii)</enum><text>practices that identify and provide treatment, rehabilitation, legal, transitional, and other appropriate services to qualified veterans who have been incarcerated; and</text></clause><clause id="H80ADDD06F413495389EB660AA2D787EF"><enum>(iv)</enum><text>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.</text></clause></subparagraph><subparagraph id="HC93E8F251481437DBF52ACD233C16B53"><enum>(B)</enum><header>Priority</header><text>In awarding grants under this subsection, the Attorney General shall give priority to applications that—</text><clause id="HF493B0857C6544C9AEAD686EF215F157"><enum>(i)</enum><text>demonstrate collaboration between and joint investments by criminal justice, mental health, substance abuse, and veterans service agencies;</text></clause><clause id="HA23D75EBD51B4794B29C450442C6C84C"><enum>(ii)</enum><text>promote effective strategies to identify and reduce the risk of harm to qualified veterans and public safety; and</text></clause><clause id="H9D211465FA3A48AE9A94CF6C128DE811"><enum>(iii)</enum><text>propose interventions with empirical support to improve outcomes for qualified veterans.</text></clause></subparagraph></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></subsection><subsection id="H6E6D050F65F543D290459479CFE1F743"><enum>(e)</enum><header>Correctional facilities</header><text>Section 2991 of title I of the Omnibus Crime Control and Safe Streets Act of 1968 (<external-xref legal-doc="usc" parsable-cite="usc/42/3797aa">42 U.S.C. 3797aa</external-xref>) is further amended by inserting after subsection (i), as so added by subsection (d), the following:</text><quoted-block display-inline="no-display-inline" id="H98094C9E69044C31A15CB84E3790C2E3" style="OLC"><subsection id="HEDF52211D920415B9C3295C676C110DA"><enum>(j)</enum><header>Correctional facilities</header><paragraph id="H5560EC09F6E44426BF928AF4EBBEE718"><enum>(1)</enum><header>Definitions</header><subparagraph id="H2A8FF655A2944875AF2F6DF3A0791B4C"><enum>(A)</enum><header>Correctional facility</header><text>The term <term>correctional facility</term> 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.</text></subparagraph><subparagraph id="H3551E1F089FD41FAAA7E5E9F8B235116"><enum>(B)</enum><header>Eligible inmate</header><text>The term <term>eligible inmate</term> means an individual who—</text><clause id="H84E8091B81E249A4A1FE4518CA68CAB0"><enum>(i)</enum><text>is being held, detained, or incarcerated in a correctional facility; and</text></clause><clause id="H96C3F923E5F34C96BF51A2987F1A7C47"><enum>(ii)</enum><text>manifests obvious signs of a mental illness or has been diagnosed by a qualified mental health professional as having a mental illness.</text></clause></subparagraph></paragraph><paragraph id="H0E544AF0E7394246889D58348D917668"><enum>(2)</enum><header>Correctional facility grants</header><text>The Attorney General may award grants to applicants to enhance the capabilities of a correctional facility—</text><subparagraph id="H4AFB3613D5C44639AA77FF5E19C4397B"><enum>(A)</enum><text>to identify and screen for eligible inmates;</text></subparagraph><subparagraph id="HAD3782CD70AA4D95AE26B968523AAF56"><enum>(B)</enum><text>to plan and provide—</text><clause id="H0487F19C230942F3B72878A0159428D3"><enum>(i)</enum><text>initial and periodic assessments of the clinical, medical, and social needs of inmates; and</text></clause><clause id="H3ACFD8290832438CA4EB7904AE395D18"><enum>(ii)</enum><text>appropriate treatment and services that address the mental health and substance abuse needs of inmates;</text></clause></subparagraph><subparagraph id="H3498B1A8DB8541888F43606FCCF6A871"><enum>(C)</enum><text>to develop, implement, and enhance—</text><clause id="H4579C6DA111B4470B65FE9B0CFA608D5"><enum>(i)</enum><text>post-release transition plans for eligible inmates that, in a comprehensive manner, coordinate health, housing, medical, employment, and other appropriate services and public benefits;</text></clause><clause id="H7A3DA4334A5F406297513DED19844F0C"><enum>(ii)</enum><text>the availability of mental health care services and substance abuse treatment services; and</text></clause><clause id="H97C29B3563C94ED8A033AD19D92DC6EE"><enum>(iii)</enum><text>alternatives to solitary confinement and segregated housing and mental health screening and treatment for inmates placed in solitary confinement or segregated housing; and</text></clause></subparagraph><subparagraph id="H635176C767FD492B8A8026FA25F7897B"><enum>(D)</enum><text>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.</text></subparagraph></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block></subsection><subsection id="H1E123A5740CB4CBD87A6808BD43EA01C"><enum>(f)</enum><header>Reauthorization of appropriations</header><text>Section 2991(n) of title I of the Omnibus Crime Control and Safe Streets Act of 1968, as redesignated in subsection (d), is amended—</text><paragraph id="H041D622704B742B7BE96D71EC9B9B4E4"><enum>(1)</enum><text>in paragraph (1)—</text><subparagraph id="HC9CED6374C6D472D885516E4B9A51638"><enum>(A)</enum><text>in subparagraph (B), by striking <quote>and</quote> at the end;</text></subparagraph><subparagraph id="HAE31006177A643C9910E1B6D52BACEC6"><enum>(B)</enum><text>in subparagraph (C), by striking the period and inserting <quote>; and</quote>; and</text></subparagraph><subparagraph id="H8AAD0C0A4FD9479E88F688CFD1F3C874"><enum>(C)</enum><text>by adding at the end the following:</text><quoted-block display-inline="no-display-inline" id="H11908D0B5E5C40E7917A3F8E8B94EE2A" style="OLC"><subparagraph id="H26F095BD250E4CFCB769CE6E557CB245"><enum>(D)</enum><text display-inline="yes-display-inline">$40,000,000 for each of fiscal years 2015 through 2019.</text></subparagraph><after-quoted-block>; and</after-quoted-block></quoted-block></subparagraph></paragraph><paragraph id="H69D7EF93B64944A1AFEE2C9E7F1E87B6"><enum>(2)</enum><text>by adding at the end the following:</text><quoted-block display-inline="no-display-inline" id="HCAB543686CAC48B89D60FF9FC68C735F" style="OLC"><paragraph id="H3DE3B574178845DA82C215BD1E42073D"><enum>(3)</enum><header>Limitation</header><text display-inline="yes-display-inline">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).</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></subsection></section><section display-inline="no-display-inline" id="H805BDB6D0A364A319104BC2FF5E7420C"><enum>403.</enum><header>Assisted outpatient treatment</header><text display-inline="no-display-inline">Section 2201(2)(B) of title I of the Omnibus Crime Control and Safe Streets Act of 1968 (<external-xref legal-doc="usc" parsable-cite="usc/42/3796ii">42 U.S.C. 3796ii(2)(B)</external-xref>) is amended by inserting before the semicolon the following: <quote>, or court-ordered assisted outpatient treatment (as defined in <internal-xref idref="H1679EE355E7A48868B8F50FAEB1134DC" legis-path="14.(a)">section 14(a)</internal-xref> of the <short-title>Helping Families in Mental Health Crisis Act of 2013</short-title>) when the court has determined such treatment to be necessary</quote>.</text></section><section display-inline="no-display-inline" id="HE10F8D1F1FF1450FBCC1F729311E9FF6"><enum>404.</enum><header>Improvements to the Department of Justice data collection and reporting of mental illness in crime</header><text display-inline="no-display-inline">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.</text></section><section id="H059851351C904996BC62913B916E4BA7"><enum>405.</enum><header>Reports on the number of seriously mentally ill who are imprisoned</header><subsection id="H7AB1F9B30CFA4A37B0E8BF1150F367DC"><enum>(a)</enum><header>Report on the Cost of Treating the Mentally Ill in the Criminal Justice System</header><text display-inline="yes-display-inline">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.</text></subsection><subsection id="H2DA3250169DC44BDBA40AC5C0E60595A"><enum>(b)</enum><header>Definition</header><text display-inline="yes-display-inline">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 <quote>serious mental illness</quote> based on the <quote>Health Care Reform for Americans with Severe Mental Illnesses: Report</quote> of the National Advisory Mental Health Council, American Journal of Psychiatry 1993; 150:1447–1465.</text></subsection></section><enum>V</enum><header>Medicare and Medicaid reforms</header><section commented="no" id="HB6B4CF31D52A4FA4AB8C70AE142A1ED2" section-type="subsequent-section"><enum>501.</enum><header>Enhanced Medicaid coverage relating to certain mental health services</header><subsection commented="no" id="H74FE920F28FA4911876F1836B6459806"><enum>(a)</enum><header>Medicaid coverage of mental health services and primary care services furnished on the same day</header><paragraph commented="no" id="H8E151CCDA1FC40F9A33158E8E9489936"><enum>(1)</enum><header>In general</header><text display-inline="yes-display-inline">Section 1902(a) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396a">42 U.S.C. 1396a(a)</external-xref>) is amended by inserting after paragraph (77) the following new paragraph:</text><quoted-block display-inline="no-display-inline" id="H8E689ED2AAB44070803E45F2064EB89E" style="traditional"><paragraph commented="no" id="H7EFC9932E036470788F8FA6DC5B38621"><enum>(78)</enum><text display-inline="yes-display-inline">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));</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block></paragraph><paragraph commented="no" id="HF544D6696F3B4B52BBD09335359A19A7"><enum>(2)</enum><header>Same-day qualifying services defined</header><text display-inline="yes-display-inline">Section 1902 of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396a">42 U.S.C. 1396a</external-xref>) is amended by adding at the end the following new subsection:</text><quoted-block display-inline="no-display-inline" id="HA11124C9223945F99B5B839D99DB6A72" style="OLC"><subsection commented="no" id="H5BCF50348F5447A0A1B58FA9A756FA64"><enum>(ll)</enum><header>Same-Day qualifying services defined</header><text display-inline="yes-display-inline">For purposes of subsection (a)(78), the term <term>same-day qualifying service</term> means—</text><paragraph commented="no" id="HF97D99824FCB4705AC533B8655823230"><enum>(1)</enum><text>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</text></paragraph><paragraph commented="no" id="HBCC074C98EF34B5FB3E844A0D2418453"><enum>(2)</enum><text display-inline="yes-display-inline">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.</text></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></subsection><subsection id="H910F6BD4BBCC4FC6A4DE1753B6C3154F"><enum>(b)</enum><header>State option To provide medical assistance for certain inpatient psychiatric services to nonelderly adults</header><text>Section 1905 of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396d">42 U.S.C. 1396d</external-xref>) is amended—</text><paragraph id="H568CCDBEFFEF40D091111CD8524378FA"><enum>(1)</enum><text>in subsection (a)(16)—</text><subparagraph id="H07FE70B6CA26416DBDCE071404CD6471"><enum>(A)</enum><text>by inserting <quote>(A)</quote> before <quote>effective</quote>; and</text></subparagraph><subparagraph id="H7AB1A807722B4154862C51711F176997"><enum>(B)</enum><text>by inserting before the semicolon at the end the following: <quote>(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</quote>;</text></subparagraph></paragraph><paragraph id="H7D3373A9891F4A19A443489543C57100"><enum>(2)</enum><text>in the subdivision (B) that follows paragraph (29), by inserting <quote>(other than services described in subparagraphs (B) and (C) of paragraph (16) for individuals described in such subparagraphs)</quote> after <quote>mental diseases</quote>; and</text></paragraph><paragraph id="H25A72E1CA8D342EF94966DD0501522AA"><enum>(3)</enum><text>in subsection (h), by adding at the end the following new paragraphs:</text><quoted-block id="HF67A1C8A8F5F45038DCE7C43FE30B7C5" style="OLC"><paragraph id="H57947D00C4F14FBCA3EE557ED5963E3D"><enum>(3)</enum><text>For purposes of subsection (a)(16)(B), the term <term>qualified inpatient psychiatric hospital services</term> 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.</text></paragraph><paragraph id="HF1BE6B08781C4DB793D25851824D449C"><enum>(4)</enum><text>For purposes of subsection (a)(16)(C), the term <term>psychiatric residential treatment facility services</term> 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 <external-xref legal-doc="regulation" parsable-cite="cfr/42/484.353">section 484.353</external-xref> of title 42, Code of Federal Regulations, as in effect on December 9, 2013).</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></subsection><subsection commented="no" id="H4ABABAECD0CB4EA6A4FE143B3B683B71"><enum>(c)</enum><header>Effective date</header><paragraph id="HD517DC530F1C44EDA804E292DC3E5C82"><enum>(1)</enum><header>In general</header><text display-inline="yes-display-inline">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.</text></paragraph><paragraph id="HC688F228F55D40E0BD477A4267A8326B"><enum>(2)</enum><header>Exception for State legislation</header><text display-inline="yes-display-inline">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.</text></paragraph></subsection></section><section id="H5B7F39DDD7DB4A1AB604B5AFEA15C625" section-type="subsequent-section"><enum>502.</enum><header>Access to mental health prescription drugs under Medicare and Medicaid</header><subsection id="HE3812675611B47C7A4998E2385A639D0"><enum>(a)</enum><header>Coverage of prescription drugs used To treat mental health disorders under Medicare</header><text>Section 1860D–4(b)(3)(G)(i)(II) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395w-104">42 U.S.C. 1395w–104(b)(3)(G)(i)(II)</external-xref>) is amended by inserting <quote>, for categories and classes of drugs other than the categories and classes of drugs specified in subclauses (II) and (IV) of clause (iv), </quote> before <quote>exceptions</quote>.</text></subsection><subsection id="HB59599EB08A34B159DA8C6560CB422C5"><enum>(b)</enum><header>Coverage of prescription drugs used To treat mental health disorders under Medicaid</header><text display-inline="yes-display-inline">Section 1927(d) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396r-8">42 U.S.C. 1396r–8(d)</external-xref>) is amended by adding at the end the following new paragraph:</text><quoted-block display-inline="no-display-inline" id="H2E89673081044660B6EBDA6553C18C3F" style="OLC"><paragraph id="H6FC2BD7A52C04C0AA12A232CBCA96BCD"><enum>(8)</enum><header>Access to mental health drugs</header><text display-inline="yes-display-inline">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).</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block></subsection></section><enum>VI</enum><header>Research by National Institute of Mental Health</header><section id="H607D506E418B4A0C8858A9F9E6BE9752"><enum>601.</enum><header>Increase in funding for certain research</header><text display-inline="no-display-inline">Section 402A(a) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/282a">42 U.S.C. 282a(a)</external-xref>) is amended—</text><paragraph id="HF4BA750888CC4D8BAE0EF2055302788E"><enum>(1)</enum><text>by striking <quote>For the purpose of</quote> and inserting the following:</text><quoted-block display-inline="no-display-inline" id="H833C7523B7DD4ACF97C763D269293292" style="OLC"><paragraph id="H66B80CDACFBC4D77A820FC2C51BC9CE1"><enum>(1)</enum><header>In general</header><text display-inline="yes-display-inline">For the purpose of</text></paragraph><after-quoted-block>; and</after-quoted-block></quoted-block></paragraph><paragraph id="HBD4F974D3C9E456BAB1A486819EBCA01"><enum>(2)</enum><text>by adding at the end the following:</text><quoted-block display-inline="no-display-inline" id="H49294BF014AF4212AC8D01C225BCE8CA" style="OLC"><paragraph id="H333CC7F5002046CE8C969BDE2574925A"><enum>(2)</enum><header>Funding for the brain initiative at the National Institute of Mental Health</header><subparagraph id="HFCCA2C89DE504FD1BA09D9380A6083A1"><enum>(A)</enum><header>Funding</header><text display-inline="yes-display-inline">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.</text></subparagraph><subparagraph id="H5F14168FF62C4944A1ADEDDD3BFAD0AC"><enum>(B)</enum><header>Purposes</header><text>Amounts appropriated pursuant to subparagraph (A) shall be used exclusively for the purpose of conducting or supporting—</text><clause id="HCD1AC86DE5CC4015A6CDAABD1FC678B5"><enum>(i)</enum><text display-inline="yes-display-inline">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</text></clause><clause id="HB74999EA75DF45CDBB3BAE3B5564C647"><enum>(ii)</enum><text display-inline="yes-display-inline">brain research through the Brain Research through Advancing Innovative Neurotechnologies Initiative.</text></clause></subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></section><enum>VII</enum><header>Community Mental Health Services Block Grant Reform</header><section id="H591909ED390348B8B4804A9754E2BB12"><enum>701.</enum><header>Administration of block grants by Assistant Secretary</header><text display-inline="no-display-inline">Section 1911(a) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300x">42 U.S.C. 300x</external-xref>) is amended by striking <quote>acting through the Director of the Center for Mental Health Services</quote> and inserting <quote>acting through the Assistant Secretary for Mental Health and Substance Use Disorders</quote>.</text></section><section id="H24B858F47CE24E4FBF97DBE0BF88957B"><enum>702.</enum><header>Additional program requirements</header><subsection id="HEF1AE8EA2C444C6EAA5E3C9586EA953E"><enum>(a)</enum><header>Integrated services</header><text display-inline="yes-display-inline">Subsection (b)(1) of section 1912 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300x-1">42 U.S.C. 300x–1</external-xref>) is amended by inserting <quote>integration of</quote> after <quote>The description of the system of care shall include</quote>.</text></subsection><subsection id="H03BBCD67EDD54F04B10801505D138C87"><enum>(b)</enum><header>Data collection system</header><text>Subsection (b)(2) of section 1912 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300x-1">42 U.S.C. 300x–1</external-xref>) is amended—</text><paragraph display-inline="no-display-inline" id="HD77E98DE45824E34BA07CB6AFA891F96"><enum>(1)</enum><text>by striking <quote>The plan contains an estimate of</quote> and inserting the following:</text><quoted-block display-inline="yes-display-inline" id="HA4535D21499A4D07BC538E10B5BF6BDC" style="OLC"><text>The plan contains—</text><subparagraph id="H1B606D65893842BFA2FF65B89CCC93B7"><enum>(A)</enum><text display-inline="yes-display-inline">an estimate of</text></subparagraph><after-quoted-block>;</after-quoted-block></quoted-block></paragraph><paragraph id="H07C94ED6562B4CBF8C0AFC0070B1F35E"><enum>(2)</enum><text>by striking the period at the end and inserting <quote>; and</quote>; and</text></paragraph><paragraph id="H87ED91A300CD4009B42FE03758549327"><enum>(3)</enum><text>by adding at the end the following:</text><quoted-block display-inline="no-display-inline" id="H7B2D63E5D3B048CE93BFEC73D2B2CCFB" style="OLC"><subparagraph id="H089671BD3B5C499C9785F3E298252238"><enum>(B)</enum><text display-inline="yes-display-inline">an agreement by the State to report to the National Mental Health Policy Laboratory—</text><clause id="H4BEDEFB3B2D54F8ABFA5DE9122885C12"><enum>(i)</enum><text>such data as may be required by the Secretary concerning—</text><subclause id="H7FB2072E3030433EBAED32F88114E4DE"><enum>(I)</enum><text>comprehensive community mental health services in the State; and</text></subclause><subclause id="HF179325F77AE430699C3782EE29B7D37"><enum>(II)</enum><text>public health outcomes for persons with serious mental illness in the State, including mortality, emergency room visits, and medication adherence.</text></subclause></clause></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></subsection></section><section id="H87BA5C5630BC4A63936F20BC4B3731DB"><enum>703.</enum><header>Period for expenditure of grant funds</header><text display-inline="no-display-inline">Section 1913 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300x-2">42 U.S.C. 300x–2</external-xref>), as amended, is further amended by adding at the end the following:</text><quoted-block display-inline="no-display-inline" id="H3F8861C5B1DA4D369D027CFA1376FBB5" style="OLC"><subsection id="H81B8CD008DF44BC286D7C13F2ED3A9D8"><enum>(d)</enum><header>Period for expenditure of grant funds</header><text display-inline="yes-display-inline">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.</text></subsection><after-quoted-block>.</after-quoted-block></quoted-block></section><section commented="no" id="HE0A8B571D6D143D1BFAD9E123D6482EF"><enum>704.</enum><header>Treatment standard under State law</header><text display-inline="no-display-inline">Section 1915 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300x-4">42 U.S.C. 300x–4</external-xref>) is amended by adding at the end the following:</text><quoted-block display-inline="no-display-inline" id="HDC0712A775B043C0A600ACD5AC57188B" style="OLC"><subsection commented="no" id="H0B9D9FF4D2EC47E4A1F33B91AC3A98C7"><enum>(c)</enum><header>Treatment standard under State law</header><paragraph id="H64C34C1411B44456812C10F800B6627A"><enum>(1)</enum><header>In general</header><text>A funding agreement for a grant under section 1911 is that—</text><subparagraph id="H5E7436198DAD458892178B38E6836844"><enum>(A)</enum><text display-inline="yes-display-inline">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</text></subparagraph><subparagraph id="HBDB141C4CB9C41CBAEFD3645ECDFEC58"><enum>(B)</enum><text>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 <short-title>Helping Families in Mental Health Crisis Act of 2013</short-title>, 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).</text></subparagraph></paragraph><paragraph id="H4F4EFEECDAF94872BEA18908242D3BDB"><enum>(2)</enum><header>Definition</header><text>For purposes of paragraph (1), the term <term>persistently or acutely disabled</term> refers to a serious mental illness that meets all the following criteria:</text><subparagraph id="H0DDCD8FA13934465A3FF53DD02C23D03"><enum>(A)</enum><text>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.</text></subparagraph><subparagraph id="H96955D9B62504C69957B239C1FBABDF5"><enum>(B)</enum><text>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.</text></subparagraph><subparagraph id="H7D93B19994D943F8AA68D2575FC93570"><enum>(C)</enum><text>The illness has a reasonable prospect of being treatable by outpatient, inpatient, or combined inpatient and outpatient treatment.</text></subparagraph></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block></section><section id="H59E95A86BE4B4667837C9413E765719C"><enum>705.</enum><header>Assisted outpatient treatment under State law</header><text display-inline="no-display-inline">Section 1915 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300x-4">42 U.S.C. 300x–4</external-xref>), as amended, is further amended by adding at the end the following:</text><quoted-block display-inline="no-display-inline" id="H2915090C0E774350BBE9BA07E6499FD8" style="OLC"><subsection id="H79B4C1D227194B7FB42FD7CC279FF1A1"><enum>(d)</enum><header>Assisted outpatient treatment under State law</header><paragraph id="HF3012046484F41F78ED669B37F0E8442"><enum>(1)</enum><header>In general</header><text display-inline="yes-display-inline">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—</text><subparagraph id="H344D2A1A7AE44FA6BD8841FAFE77C562"><enum>(A)</enum><text>requires such patient to obtain outpatient mental health treatment while the patient is living in a community; and</text></subparagraph><subparagraph id="H824510559CAA46039473508C14AD122A"><enum>(B)</enum><text>is designed to improve access and adherence by such patient to intensive behavioral health services in order to—</text><clause id="HE557645CB7574E1BA50543E196E169A7"><enum>(i)</enum><text>avert relapse, repeated hospitalizations, arrest, incarceration, suicide, property destruction, and violent behavior; and</text></clause><clause id="H96492EDAA66E4430B0FF24015FFEB348"><enum>(ii)</enum><text>provide such patient with the opportunity to live in a less restrictive alternative to incarceration or involuntary hospitalization.</text></clause></subparagraph></paragraph><paragraph id="H4E47331C912B4128BB974D933CDD7463"><enum>(2)</enum><header>Certification of state compliance</header><text display-inline="yes-display-inline">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.</text></paragraph><paragraph id="H7BFDF895DC6D4971A8976E3F4FB81F42"><enum>(3)</enum><header>Definition</header><text>In this subsection, the term <term>eligible patient</term> means an adult, mentally ill person who, as determined by the court—</text><subparagraph id="H08C1A8DAE340418AB9435CA3FF5BC8EB"><enum>(A)</enum><text display-inline="yes-display-inline">has a history of violence, incarceration, or medically unnecessary hospitalizations;</text></subparagraph><subparagraph id="H61B570752F6B4949819774A6A2999BA3"><enum>(B)</enum><text>without supervision and treatment, may be a danger to self or others in the community;</text></subparagraph><subparagraph id="HB42931FA714D437096766A5988D1E3D3"><enum>(C)</enum><text display-inline="yes-display-inline">is substantially unlikely to voluntarily participate in treatment;</text></subparagraph><subparagraph id="H7CF3675D94CC49AB83161672E6B00294"><enum>(D)</enum><text>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;</text></subparagraph><subparagraph id="H40D93F29370C45DAB12524E18A05871A"><enum>(E)</enum><text>with a history of mental illness or condition that is likely to substantially deteriorate if the patient is not provided with timely treatment; and</text></subparagraph><subparagraph id="H7CBD0E0474AF4F26B8AF082C1E3D4435"><enum>(F)</enum><text>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.</text></subparagraph></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block></section><section id="HEC0A70AEF86B4A7798AFB0E605175C1A"><enum>706.</enum><header>Best available science and models of care</header><text display-inline="no-display-inline">Section 1920 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300x-9">42 U.S.C. 300x–9</external-xref>) is amended by adding at the end the following:</text><quoted-block display-inline="no-display-inline" id="H6861E0B407374DBE9CE0615183301168" style="OLC"><subsection id="HBC735046623B4B05A7D3CF87D3FDC6B2"><enum>(c)</enum><header>Best practices in clinical care models</header><text display-inline="yes-display-inline">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.</text></subsection><after-quoted-block>.</after-quoted-block></quoted-block></section><section id="H3E15D560B60C48F083B1E9E029B8E50E"><enum>707.</enum><header>Paperwork reduction study</header><subsection id="H0C22AA6291EA48D4838A65A201EA6AA8"><enum>(a)</enum><header>In general</header><text>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—</text><paragraph id="HA33BB13E04FC456F93001ACA1B13B514"><enum>(1)</enum><text>community mental health centers meeting the criteria specified in section 1913(c) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300x-2">42 U.S.C. 300x–2</external-xref>), including such centers meeting such criteria as in effect on the day before the date of enactment of this Act; and</text></paragraph><paragraph id="HC094198B57C64C1180FA9A6D8B690224"><enum>(2)</enum><text>federally qualified community mental health clinics certified pursuant to section 201 of this Act.</text></paragraph></subsection><subsection id="HC5E267184D8B4289AD26EAF3E12033F6"><enum>(b)</enum><header>Scope</header><text>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—</text><paragraph id="HF795F81B2E4840E78CD9E0F3F12B3F1D"><enum>(1)</enum><text>establish an estimate of the combined nationwide cost of complying with such requirements, in terms of both administrative funding and staff time;</text></paragraph><paragraph id="H6C65E2A5FCEC4552803A30F63F3C7361"><enum>(2)</enum><text>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</text></paragraph><paragraph id="H65F79E6E1F2B4393B59DEE6ADC195F12"><enum>(3)</enum><text>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).</text></paragraph></subsection></section><enum>VIII</enum><header>Behavioral health awareness program </header><section id="H26710037E41B490EB55EC82AE7741226"><enum>801.</enum><header>Reducing the stigma of serious mental illness</header><subsection id="H89A17D1DAC3C4C8596F4E0C5265A662B"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">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—</text><paragraph id="H743BDEF483EE4D43917BEF1E73737379"><enum>(1)</enum><text>reducing the stigma associated with serious mental illness;</text></paragraph><paragraph id="H7FCC8EE0A6B54FDC9D37779DBBA5DB73"><enum>(2)</enum><text display-inline="yes-display-inline">understanding how to assist an individual who is demonstrating signs of a serious mental illness; and</text></paragraph><paragraph id="HD1B22CB8202040AAAE4A785F28A53686"><enum>(3)</enum><text>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.</text></paragraph></subsection><subsection id="HE087D0F117A94113A12596DD8ADC2A0E"><enum>(b)</enum><header>Data collection</header><text>The Secretary of Education shall—</text><paragraph id="HE2FCDA90760A4F65B46E365306490A8E"><enum>(1)</enum><text>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</text></paragraph><paragraph id="HA17A13E78E3342BAB4EB9855E6FB0724"><enum>(2)</enum><text display-inline="yes-display-inline">submit a report on the evaluation to the National Mental Health Policy Laboratory created by title I of this Act.</text></paragraph></subsection><subsection id="H11E153F7932E42F0B7AF16D128F99B50"><enum>(c)</enum><header>Secondary school defined</header><text>For purposes of this section, the term <term>secondary school</term> has the meaning given the term in section 9101 of the Elementary and Secondary Education Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/20/7801">20 U.S.C. 7801</external-xref>).</text></subsection></section><enum>IX</enum><header>Behavioral health information technology</header><section id="HA86C1CBA689349B28C575B63FF54510C"><enum>901.</enum><header>Extension of health information technology assistance for behavioral and mental health and substance abuse</header><text display-inline="no-display-inline">Section 3000(3) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300jj">42 U.S.C. 300jj(3)</external-xref>) is amended by inserting before <quote>and any other category</quote> the following: <quote>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 <short-title>Helping Families in Mental Health Crisis Act of 2013</short-title>, a residential or outpatient mental health or substance abuse treatment facility,</quote>.</text></section><section id="H19816A201CE44C55B7ACF70D00D5C7CA"><enum>902.</enum><header>Extension of eligibility for Medicare and Medicaid health information technology implementation assistance</header><subsection id="H468FDD49D6744611A5E28BED4FAD6133"><enum>(a)</enum><header>Payment incentives for eligible professionals under medicare</header><text>Section 1848 of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395w-4">42 U.S.C. 1395w–4</external-xref>) is amended—</text><paragraph id="HC9DFAD32AD1D4E89BB30D4AFFDCFDFBC"><enum>(1)</enum><text>in subsection (a)(7)—</text><subparagraph id="HDECA51DFC7714170B56761DF63A276D1"><enum>(A)</enum><text>in subparagraph (E), by adding at the end the following new clause:</text><quoted-block id="HA40A00BFE54B4EB9B9F2439C1C78F9CC" style="OLC"><clause id="HE46AB92C04184CAD9E893B9EF3D3F13E"><enum>(iv)</enum><header>Additional eligible professional</header><text display-inline="yes-display-inline">The term <term>additional eligible professional</term> means a clinical psychologist providing qualified psychologist services (as defined in section 1861(ii)).</text></clause><after-quoted-block>; and</after-quoted-block></quoted-block></subparagraph><subparagraph id="H99DA189062B14DA6AD1915A2F4F107A9"><enum>(B)</enum><text>by adding at the end the following new subparagraph:</text><quoted-block display-inline="no-display-inline" id="H20802D74FCAB45E59FE869BA920EF39C" style="OLC"><subparagraph id="HD7F8E905D0564F09B2D867A969F210CD"><enum>(F)</enum><header>Application to additional eligible professionals</header><text display-inline="yes-display-inline">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)—</text><clause id="H146F9C0D28C1408FB9AC4797B1251BCE"><enum>(i)</enum><text>in clause (i), the reference to 2015 shall be deemed a reference to 2019;</text></clause><clause id="H1CECF467B7864E91B252A20865045C4D"><enum>(ii)</enum><text>in clause (ii), the references to 2015, 2016, and 2017 shall be deemed references to 2019, 2020, and 2021, respectively; and</text></clause><clause id="H58C627A669064A4F92A07B34B796411A"><enum>(iii)</enum><text>in clause (iii), the reference to 2018 shall be deemed a reference to 2022.</text></clause></subparagraph><after-quoted-block>; and</after-quoted-block></quoted-block></subparagraph></paragraph><paragraph id="H036B275E9DFE48E6B1D3BA9D9C99445E"><enum>(2)</enum><text>in subsection (o)—</text><subparagraph id="H478C9D3E7E7C479486E3697FAD1EC517"><enum>(A)</enum><text>in paragraph (5), by adding at the end the following new subparagraph:</text><quoted-block id="H8E044D57CB624C1EA737D1C3F92C9CEC" style="OLC"><subparagraph id="H14E66179431747D3AE8A76A71139BB8E"><enum>(D)</enum><header>Additional eligible professional</header><text display-inline="yes-display-inline">The term <term>additional eligible professional</term> means a clinical psychologist providing qualified psychologist services (as defined in section 1861(ii)).</text></subparagraph><after-quoted-block>; and</after-quoted-block></quoted-block></subparagraph><subparagraph id="H964799DF53994163B65E06A48DFC1D35"><enum>(B)</enum><text>by adding at the end the following new paragraph:</text><quoted-block display-inline="no-display-inline" id="HFB7ED2310695477399164694AC6F414A" style="OLC"><paragraph id="H02DC6F7A5AAE4079BCEB0EB5226D83EE"><enum>(6)</enum><header>Application to additional eligible professionals</header><text display-inline="yes-display-inline">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—</text><subparagraph id="HBBD848364AAC47ECBDE90BE6E98F984E"><enum>(A)</enum><text display-inline="yes-display-inline">paragraph (1)(A)(ii), the reference to 2016 shall be deemed a reference to 2020;</text></subparagraph><subparagraph id="H169BF371EAC747D69CA9013244D583A5"><enum>(B)</enum><text>paragraph (1)(B)(ii), the references to 2011 and 2012 shall be deemed references to 2015 and 2016, respectively;</text></subparagraph><subparagraph id="H5E8EEF4293004AAAB6430B33105CB5F2"><enum>(C)</enum><text>paragraph (1)(B)(iii), the references to 2013 shall be deemed references to 2017;</text></subparagraph><subparagraph id="H81BBB2FFD04B48D6B40F8B7BD1883848"><enum>(D)</enum><text>paragraph (1)(B)(v), the references to 2014 shall be deemed references to 2018; and</text></subparagraph><subparagraph id="HD3E568BC10A044B88A94D5A06C16FC06"><enum>(E)</enum><text>paragraph (1)(E), the reference to 2011 shall be deemed a reference to 2015.</text></subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block></subparagraph></paragraph></subsection><subsection id="H80F5D46EE4754F85AA46448269506109"><enum>(b)</enum><header>Eligible hospitals</header><text>Section 1886 of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395ww">42 U.S.C. 1395ww</external-xref>) is amended—</text><paragraph id="H1D6CBE079AE8472892C44B3F4DD82145"><enum>(1)</enum><text display-inline="yes-display-inline">in subsection (b)(3)(B)(ix), by adding at the end the following new subclause:</text><quoted-block display-inline="no-display-inline" id="H0F5FD678035243C6AAEB146EF6D5BCD7" style="OLC"><subclause id="HB9B1D5CC28A0400586C0823E9D8BB4EE"><enum>(V)</enum><text display-inline="yes-display-inline">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—</text><item id="H09CE2E73BD2B4327B095A231196B0320"><enum>(aa)</enum><text>subclause (I), the references to 2015, 2016, and 2017 shall be deemed references to 2019, 2020, and 2021, respectively; and</text></item><item id="HA1A0348117734FA69872781B4BFC4EBF"><enum>(bb)</enum><text>subclause (III), the reference to 2015 shall be deemed a reference to 2019.</text></item></subclause><after-quoted-block>; and</after-quoted-block></quoted-block></paragraph><paragraph id="H209E6DF6800D4649A6B09978F8508072"><enum>(2)</enum><text>in subsection (n)—</text><subparagraph id="H8939607B2FA8472492BDDAA42CEAD478"><enum>(A)</enum><text>in paragraph (6), by adding at the end the following new subparagraph:</text><quoted-block display-inline="no-display-inline" id="HB5149D2061304D559CD4F38DEF8016C4" style="OLC"><subparagraph id="HEE38005F83C04206B5467EFAA55A7334"><enum>(C)</enum><header>Additional eligible hospital</header><text display-inline="yes-display-inline">The term <term>additional eligible hospital</term> means an inpatient hospital that is a psychiatric hospital (as defined in section 1861(f)).</text></subparagraph><after-quoted-block>; and</after-quoted-block></quoted-block></subparagraph><subparagraph id="HEA162352BC7346A394FDFD36CA70ACAD"><enum>(B)</enum><text>by adding at the end the following new paragraph:</text><quoted-block display-inline="no-display-inline" id="HA3BAFDCA302745CE8BC657D1A034D094" style="OLC"><paragraph id="H1D4F156699FB400BB4DBDEA08A187156"><enum>(7)</enum><header>Application to additional eligible hospitals</header><text display-inline="yes-display-inline">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—</text><subparagraph id="H0B7C7098B6B1417198D57D26A3B67363"><enum>(A)</enum><text>paragraph (2)(E)(ii), the references to 2013 and 2015 shall be deemed references to 2017 and 2019, respectively; and</text></subparagraph><subparagraph id="H940ABA17E3D745D3812927555D88A94C"><enum>(B)</enum><text>paragraph (2)(G)(i), the reference to 2011 shall be deemed a reference to 2015.</text></subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block></subparagraph></paragraph></subsection><subsection id="H1202306BED9044A4B79D817A51D15C4F"><enum>(c)</enum><header>Medicaid providers</header><text>Section 1903(t) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396b">42 U.S.C. 1396b(t)</external-xref>) is amended—</text><paragraph id="H8E567F81BD5546EA914B55C54453C860"><enum>(1)</enum><text>in paragraph (2)(B)—</text><subparagraph id="HE2FD1BB8F05042BEAA4038D0C26DC737"><enum>(A)</enum><text>in clause (i), by striking <quote>, or</quote> and inserting a semicolon;</text></subparagraph><subparagraph id="HC359E741F9CE47DEBCA193EE65AC709B"><enum>(B)</enum><text>in clause (ii), by striking the period and inserting a semicolon; and</text></subparagraph><subparagraph id="HB4CEA465FDB344FF82BF035B8793A17A"><enum>(C)</enum><text>by adding after clause (ii) the following new clauses:</text><quoted-block id="H2C8465B796E74B0C990520734EA3291C" style="OLC"><clause id="H7ED88BD3EF804E0CAE44D757A22A3090"><enum>(iii)</enum><text>a public hospital that is principally a psychiatric hospital (as defined in section 1861(f));</text></clause><clause id="H6C713EB20FA64FBE89340431CEC9CF29"><enum>(iv)</enum><text>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;</text></clause><clause id="HBFA1A7E3A0E74900932696992D39C340"><enum>(v)</enum><text display-inline="yes-display-inline">a community mental health center meeting the criteria specified in section 1913(c) of the Public Health Service Act; or</text></clause><clause id="H311E38B27D974D2796CBE57A397AED8F"><enum>(vi)</enum><text>a residential or outpatient mental health or substance abuse treatment facility that—</text><subclause id="H230B957857F64DC5AC49BBD70DA1D70B"><enum>(I)</enum><text display-inline="yes-display-inline">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</text></subclause><subclause id="HBB1FBBF22D164003A3AB20E210820A33"><enum>(II)</enum><text>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.</text></subclause></clause><after-quoted-block>; and</after-quoted-block></quoted-block></subparagraph></paragraph><paragraph id="HA19594344ABE4566AC871CE57CD521B6"><enum>(2)</enum><text>in paragraph (3)(B)—</text><subparagraph id="HCB29B1159AB44EB6A55D378AA4BD5D96"><enum>(A)</enum><text>in clause (iv), by striking <quote>and</quote> after the semicolon;</text></subparagraph><subparagraph id="H93291CEE644546C18B0551F9AAB1AE86"><enum>(B)</enum><text>in clause (v), by striking the period and inserting <quote>; and</quote>; and</text></subparagraph><subparagraph id="H09A40440077C4911B9848A037E3BE086"><enum>(C)</enum><text>by adding at the end the following new clause:</text><quoted-block id="HA4EFA62D6005479E87056AF90D5B4B5B" style="OLC"><clause id="HF455F7F7CF45449AB2F8BFC83EC7E780"><enum>(vi)</enum><text>clinical psychologist providing qualified psychologist services (as defined in section 1861(ii)), if such clinical psychologist is practicing in an outpatient clinic that—</text><subclause id="H73A41E29E73E47E7949BB28AF9A5B1EB"><enum>(I)</enum><text>is led by a clinical psychologist; and</text></subclause><subclause id="H0FC9B385E73D4F20A7958B37095CBCEE"><enum>(II)</enum><text>is not otherwise receiving payment under paragraph (1) as a Medicaid provider described in paragraph (2)(B).</text></subclause></clause><after-quoted-block>.</after-quoted-block></quoted-block></subparagraph></paragraph></subsection><subsection id="HC20B3235D232440C8CB63155C1251809"><enum>(d)</enum><header>Medicare Advantage organizations</header><text>Section 1853 of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395w-23">42 U.S.C. 1395w–23</external-xref>) is amended—</text><paragraph id="H92B9F7B3EDF044D68C1B45A8DF0A6C04"><enum>(1)</enum><text>in subsection (l)—</text><subparagraph id="H4B42C80B2F33414E86439DA07245D47D"><enum>(A)</enum><text>in paragraph (1)—</text><clause id="HB67B76921384488994D00D5916F9EBD8"><enum>(i)</enum><text>by inserting <quote>or additional eligible professionals (as described in paragraph (9))</quote> after <quote>paragraph (2)</quote>; and</text></clause><clause id="H0644EC607828443EA98423401595F47B"><enum>(ii)</enum><text>by inserting <quote>and additional eligible professionals</quote> before <quote>under such sections</quote>;</text></clause></subparagraph><subparagraph id="HE3756045DE76462E8302A19B3545AB47"><enum>(B)</enum><text>in paragraph (3)(B)—</text><clause id="HFA1BDAC3605F454CB3F0DB0E3E9E9586"><enum>(i)</enum><text>in clause (i) in the matter preceding subclause (I), by inserting <quote>or an additional eligible professional described in paragraph (9)</quote> after <quote>paragraph (2)</quote>; and</text></clause><clause id="H25F1057C58F24E7BB5BCA9C897196D1E"><enum>(ii)</enum><text display-inline="yes-display-inline">in clause (ii)—</text><subclause id="H226EB9C5DEA44162A3CAD7FC5BF2890C"><enum>(I)</enum><text>in the matter preceding subclause (I), by inserting <quote>or an additional eligible professional described in paragraph (9)</quote> after <quote>paragraph (2)</quote>; and</text></subclause><subclause id="H0794FAFD58734EFCB6F79747BACBDD6E"><enum>(II)</enum><text display-inline="yes-display-inline">in subclause (I), by inserting <quote>or an additional eligible professional, respectively,</quote> after <quote>eligible professional</quote>;</text></subclause></clause></subparagraph><subparagraph id="H61BA78A74F9A4494ACF41CC837442237"><enum>(C)</enum><text display-inline="yes-display-inline">in paragraph (3)(C), by inserting <quote>and additional eligible professionals</quote> after <quote>all eligible professionals</quote>;</text></subparagraph><subparagraph id="H6D2CC656580B4706B78AA058F4013274"><enum>(D)</enum><text>in paragraph (4)(D), by adding at the end the following new sentence: <quote>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.</quote>;</text></subparagraph><subparagraph id="HC8EC37CCF0F04B3890DCA5C2D7D72E66"><enum>(E)</enum><text display-inline="yes-display-inline">in paragraph (6)(A), by inserting <quote>and, as applicable, each additional eligible professional described in paragraph (9)</quote> after <quote>paragraph (2)</quote>;</text></subparagraph><subparagraph id="H4531394CAAB0419086DA9156C196396F"><enum>(F)</enum><text display-inline="yes-display-inline">in paragraph (6)(B), by inserting <quote>and, as applicable, each additional eligible hospital described in paragraph (9)</quote> after <quote>subsection (m)(1)</quote>;</text></subparagraph><subparagraph id="H4D9823E6C8804075A316485212B41F9B"><enum>(G)</enum><text display-inline="yes-display-inline">in paragraph (7)(A), by inserting <quote>and, as applicable, additional eligible professionals</quote> after <quote>eligible professionals</quote>;</text></subparagraph><subparagraph id="H7FDBD45FA01C41E4AE9559645DF88E8A"><enum>(H)</enum><text display-inline="yes-display-inline">in paragraph (7)(B), by inserting <quote>and, as applicable, additional eligible professionals</quote> after <quote>eligible professionals</quote>;</text></subparagraph><subparagraph id="H9E8A5A299084437999735D838D71F984"><enum>(I)</enum><text display-inline="yes-display-inline">in paragraph (8)(B), by inserting <quote>and additional eligible professionals described in paragraph (9)</quote> after <quote>paragraph (2)</quote>; and</text></subparagraph><subparagraph id="HB5FC556A83244DFBBF91EC0ADD7D64DB"><enum>(J)</enum><text>by adding at the end the following new paragraph:</text><quoted-block display-inline="no-display-inline" id="H39966A9EF4894136912D8785AA1107FF" style="OLC"><paragraph id="HE12209C6359348B6B910E7F2E4DBEAFF"><enum>(9)</enum><header>Additional eligible professional described</header><text display-inline="yes-display-inline">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—</text><subparagraph id="H1877099ABFAA48368A445F0349AB4C8A"><enum>(A)</enum><clause commented="no" display-inline="yes-display-inline" id="HC3116EFCDB0A422897454A6AEBB2001F"><enum>(i)</enum><text>is employed by the organization; or</text></clause><clause id="H3E3F78A9A5E2439AAF33CE33CC166084" indent="up1"><enum>(ii)</enum><subclause commented="no" display-inline="yes-display-inline" id="H4C416B51D49F42A798DF595D10C4CA3B"><enum>(I)</enum><text>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</text></subclause><subclause id="H74DF70ED07E54A3892EBA7D5DF497045" indent="up1"><enum>(II)</enum><text>furnishes at least 80 percent of the professional services of the additional eligible professional covered under this title to enrollees of the organization; and</text></subclause></clause></subparagraph><subparagraph id="H6E6CD942CDB345B987659A1C7B83362D"><enum>(B)</enum><text>furnishes, on average, at least 20 hours per week of patient care services.</text></subparagraph></paragraph><after-quoted-block>; and</after-quoted-block></quoted-block></subparagraph></paragraph><paragraph id="HF38A802A78BF40B9A5BD66C8E0CDDAD9"><enum>(2)</enum><text>in subsection (m)—</text><subparagraph id="H795E1104E9F849998D86184ECCC1285B"><enum>(A)</enum><text>in paragraph (1)—</text><clause id="H2BE7843F27494567BA158C938ACF9C8C"><enum>(i)</enum><text>by inserting <quote>or additional eligible hospitals (as described in paragraph (7))</quote> after <quote>paragraph (2)</quote>; and</text></clause><clause id="H27D6DD94DE854CC6B051B43070EAA16F"><enum>(ii)</enum><text>by inserting <quote>and additional eligible hospitals</quote> before <quote>under such sections</quote>;</text></clause></subparagraph><subparagraph id="HED30DC7370E34F7DB00DEA0C29EFA469"><enum>(B)</enum><text>in paragraph (3)(A)(i), by inserting <quote>or additional eligible hospital</quote> after <quote>eligible hospital</quote>;</text></subparagraph><subparagraph id="H505B6D23FFB545EE96B586BF071087FD"><enum>(C)</enum><text>in paragraph (3)(A)(ii), by inserting <quote>or an additional eligible hospital</quote> after <quote>eligible hospital</quote> in each place it occurs;</text></subparagraph><subparagraph id="H55CDCC93B05D4C77932735B723FC6507"><enum>(D)</enum><text>in paragraph (3)(B)—</text><clause id="H3B804ED4E9B340828655C4AB5322448E"><enum>(i)</enum><text>in clause (i), by inserting <quote>or an additional eligible hospital described in paragraph (7)</quote> after <quote>paragraph (2)</quote>; and</text></clause><clause id="H37B3553B8025439CA3F4BD996A4FF3D1"><enum>(ii)</enum><text display-inline="yes-display-inline">in clause (ii)—</text><subclause id="H0AFDE8CA26E240A9B9F7C675B4147709"><enum>(I)</enum><text>in the matter preceding subclause (I), by inserting <quote>or an additional eligible hospital described in paragraph (7)</quote> after <quote>paragraph (2)</quote>; and</text></subclause><subclause id="HB04429E051CD4A35A8C68EDAD51C2EC3"><enum>(II)</enum><text display-inline="yes-display-inline">in subclause (I), by inserting <quote>or an additional eligible hospital, respectively,</quote> after <quote>eligible hospital</quote>;</text></subclause></clause></subparagraph><subparagraph id="HED631D13792643B1A84DE577D1DF72E6"><enum>(E)</enum><text>in paragraph (4)(A), by inserting <quote>or one or more additional eligible hospitals (as defined in section 1886(n)), as appropriate,</quote> after <quote>section 1886(n)(6)(A))</quote>;</text></subparagraph><subparagraph id="H1F08951BD63F4EAD93991553408E9D6D"><enum>(F)</enum><text>in paragraph (4)(D), by adding at the end the following new sentence: <quote>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.</quote>;</text></subparagraph><subparagraph id="H39006A1791ED494597F37F5EBEF2B245"><enum>(G)</enum><text display-inline="yes-display-inline">in paragraph (5)(A), by inserting <quote>and, as applicable, each additional eligible hospital described in paragraph (7)</quote> after <quote>paragraph (2)</quote>;</text></subparagraph><subparagraph id="H3BD843E230534F288AFAAE5A33079139"><enum>(H)</enum><text display-inline="yes-display-inline">in paragraph (5)(B), by inserting <quote>and additional eligible hospitals, as applicable,</quote> after <quote>eligible hospitals</quote>;</text></subparagraph><subparagraph id="H2CF5E43D25464FCCABBE5A7A6E894AD8"><enum>(I)</enum><text display-inline="yes-display-inline">in paragraph (6)(B), by inserting <quote>and additional eligible hospitals described in paragraph (7)</quote> after <quote>paragraph (2)</quote>; and</text></subparagraph><subparagraph id="HE7B3F0482D5245FB987A84EACF5650E4"><enum>(J)</enum><text>by adding at the end the following new paragraph:</text><quoted-block display-inline="no-display-inline" id="HDFC4ACD5BA834686B551DCFDD93FB297" style="OLC"><paragraph id="HC894B038FA894923985FC0D08C8F0B47"><enum>(7)</enum><header>Additional eligible hospital described</header><text display-inline="yes-display-inline">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.</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block></subparagraph></paragraph></subsection></section><enum>X</enum><header>Expanding access to care through health care professional volunteerism</header><section id="H42C69A73DC224EFD87A91AD68E0F5DC4" section-type="subsequent-section"><enum>1001.</enum><header>Liability protections for health care professional volunteers at community health centers and federally qualified community behavioral health clinics</header><text display-inline="no-display-inline">Section 224 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/233">42 U.S.C. 233</external-xref>) is amended by adding at the end the following:</text><quoted-block display-inline="no-display-inline" id="H0D7B890E058849A8BF91546A82567A04" style="OLC"><subsection id="H865471FB0F8E4927B6C5F5521E30781E"><enum>(q)</enum><paragraph commented="no" display-inline="yes-display-inline" id="H835C2CDA943A42FFB02D8DB3A74B03BC"><enum>(1)</enum><text display-inline="yes-display-inline">In this subsection, the term <term>federally qualified community behavioral health clinic</term> means—</text><subparagraph id="HC719C466746842D29E9FFD74DF71A4C0" indent="up1"><enum>(A)</enum><text>a federally qualified community behavioral health clinic with a certification in effect under section 201 of the <short-title>Helping Families in Mental Health Crisis Act of 2013</short-title>; or</text></subparagraph><subparagraph id="H3E4412F606584A0B9FAFEFC84F4469B6" indent="up1"><enum>(B)</enum><text>a community mental health center meeting the criteria specified in section 1913(c) of this Act.</text></subparagraph></paragraph><paragraph id="HB3807E337D3F42F885003A1C3E011DD8" indent="up1"><enum>(2)</enum><text display-inline="yes-display-inline">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.</text></paragraph><paragraph id="HF15BD76A67D5401FA6BBA0840F3A95C4" indent="up1"><enum>(3)</enum><text display-inline="yes-display-inline">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:</text><subparagraph id="HB457AF5ACFB14B3D80A84C47EB0AC1CF"><enum>(A)</enum><text display-inline="yes-display-inline">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.</text></subparagraph><subparagraph id="H14695CAC6ADE4A90A35417E137489701"><enum>(B)</enum><text display-inline="yes-display-inline">The center or entity is sponsoring the health care professional volunteer pursuant to paragraph (4)(B).</text></subparagraph><subparagraph id="H1EC4F3B890244C88BC4A585E540B89EE"><enum>(C)</enum><text display-inline="yes-display-inline">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.</text></subparagraph><subparagraph commented="no" id="HD06AAAF7A0224E7B89EE4299DF0F5253"><enum>(D)</enum><text display-inline="yes-display-inline">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.</text></subparagraph><subparagraph id="H0EE1AB6FA6704FC59AF46840FA65F163"><enum>(E)</enum><text display-inline="yes-display-inline">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.</text></subparagraph></paragraph><paragraph id="HD9FBA6E4250F49E7821E81CACDA254FA" indent="up1"><enum>(4)</enum><text display-inline="yes-display-inline">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:</text><subparagraph id="HB2E7937056FD46C5B108750E4A50532C"><enum>(A)</enum><text>The first sentence of paragraph (2) applies in lieu of the first sentence of subsection (g)(1)(A).</text></subparagraph><subparagraph id="H7D6C3A4A56444E7C8F2A287060CF61A0"><enum>(B)</enum><text display-inline="yes-display-inline">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—</text><clause id="H5A97FCFE35F9455E887621EF10F3C001"><enum>(i)</enum><text display-inline="yes-display-inline">with respect to the health care professional, the center submits to the Secretary an application meeting the requirements of subsection (g)(1)(D); and</text></clause><clause id="H084A43120A0541C1A3C322732E4EC1DE"><enum>(ii)</enum><text display-inline="yes-display-inline">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.</text></clause></subparagraph><subparagraph id="H49B0F5A47E3B4F7E8F4DDC820F8BBC57"><enum>(C)</enum><text display-inline="yes-display-inline">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.</text></subparagraph><subparagraph id="HEB2BC93EDCCF41BC9C87F290DF2629C5"><enum>(D)</enum><text display-inline="yes-display-inline">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.</text></subparagraph></paragraph><paragraph id="H251899D19F934F76BA91796E9D419A71" indent="up1"><enum>(5)</enum><subparagraph commented="no" display-inline="yes-display-inline" id="HD7A10B3E98AC4CB8A3E7C0444BD34CC9"><enum>(A)</enum><text display-inline="yes-display-inline">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).</text></subparagraph><subparagraph commented="no" id="H1F31B17EEBC242858C4CFA570E867288" indent="up1"><enum>(B)</enum><text>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).</text></subparagraph><subparagraph commented="no" id="H6CBA81F6D9174F10945FFCB0DB38C848" indent="up1"><enum>(C)</enum><text>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.</text></subparagraph></paragraph><paragraph id="H53A57DCD559540A09FE63AC9BAB9A382" indent="up1"><enum>(6)</enum><subparagraph commented="no" display-inline="yes-display-inline" id="H2A4544AD79374EE28CE557447349318E"><enum>(A)</enum><text>This subsection takes effect on October 1, 2015, except as provided in subparagraph (B).</text></subparagraph><subparagraph id="H2AAECC6ACB3A42DF8FBA5FBFB3698886" indent="up1"><enum>(B)</enum><text display-inline="yes-display-inline">Effective on the date of the enactment of this subsection—</text><clause id="H9A9C6E3D224E4367825A557BEDE433E3"><enum>(i)</enum><text display-inline="yes-display-inline">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</text></clause><clause id="HE90F9AC1497648768F78639D96311B36"><enum>(ii)</enum><text display-inline="yes-display-inline">reports under paragraph (5)(B) may be submitted to the Congress.</text></clause></subparagraph></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block></section><enum>XI</enum><header>SAMHSA Reauthorization and Reforms</header><subtitle id="H713CB11FB3D94BE4B3E0D31DE933199A"><enum>A</enum><header>Organization and general authorities</header><section id="HE10BCB230A364E85A2A91B8E15D64D8A"><enum>1101.</enum><header>In general</header><text display-inline="no-display-inline">Section 501 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290aa">42 U.S.C. 290aa</external-xref>) is amended—</text><paragraph id="H36CE817FC1204261ADDE0E6B603A2620"><enum>(1)</enum><text>in subsection (c)(2), by striking <quote>Secretary</quote> and inserting <quote>Assistant Secretary for Mental Health and Substance Use Disorders</quote>;</text></paragraph><paragraph id="HFAFF627B426047D894CEC4721703426B"><enum>(2)</enum><text>in subsection (d)—</text><subparagraph id="H92F2C91BC793498EA2494417AADE6F4D"><enum>(A)</enum><text>in paragraph (2)—</text><clause id="H050FC21B1B154F33A8C622378FBF7237"><enum>(i)</enum><text>by striking <quote>and mental illness</quote>; and</text></clause><clause id="HFA38BB34F71D4525A30E3FD66E8F5939"><enum>(ii)</enum><text>by striking <quote>promote mental health</quote>;</text></clause></subparagraph><subparagraph id="H23C2C623C50149729523FD6749B2C144"><enum>(B)</enum><text>in paragraph (4), by inserting <quote>related to substance abuse</quote> after <quote>related services</quote>;</text></subparagraph><subparagraph id="H2C79F63431714F7DB8A06813A7691CF7"><enum>(C)</enum><text>in paragraph (6), by striking <quote>and individuals with mental illness and to develop appropriate mental health services for individuals with such illnesses</quote>; and</text></subparagraph><subparagraph id="HCD80F56430164C40B83B27E73A8809BF"><enum>(D)</enum><text>in paragraph (18), by striking <quote>mental illness or</quote>;</text></subparagraph></paragraph><paragraph id="HB5C00F1BF2E645CE8F61C4FFAF715F54"><enum>(3)</enum><text>in subsection (h), by inserting at the end the following: <quote>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.</quote>;</text></paragraph><paragraph id="H9A72F275A0CB40C3AA7B7582F715C948"><enum>(4)</enum><text>in subsection (l)—</text><subparagraph id="H8D9372CDC8F546288EC03F1A8DF7EA14"><enum>(A)</enum><text>in paragraph (2), by striking <quote>and</quote> at the end;</text></subparagraph><subparagraph id="H1C156B4827B8466889D53E1B5805C332"><enum>(B)</enum><text>in paragraph (3), by striking the period at the end and inserting <quote>; and</quote>; and</text></subparagraph><subparagraph id="HA09480650B9F4D7FAC0423021BDC63C1"><enum>(C)</enum><text>by adding at the end the following:</text><quoted-block display-inline="no-display-inline" id="HC363315AE8644EDE94B4895E3628BEF3" style="OLC"><paragraph id="H98365A4FBFD040A3A0E1F1109B7B8F3E"><enum>(4)</enum><text display-inline="yes-display-inline">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.</text></paragraph><after-quoted-block>; and</after-quoted-block></quoted-block></subparagraph></paragraph><paragraph id="H4DFF5084D70542BA914C9D3298809654"><enum>(5)</enum><text>in subsection (m)—</text><subparagraph id="HFEE17392621A4391A43EE4EF6B41A1F0"><enum>(A)</enum><text>in paragraph (1), by striking <quote>2.5 percent</quote> and inserting <quote>1.5 percent</quote>; and</text></subparagraph><subparagraph id="H1440654B557B439C9E7C743E93200EEB"><enum>(B)</enum><text>in paragraph (3), by striking <quote>Secretary</quote> and inserting <quote>Assistant Secretary for Mental Health and Substance Use Disorders</quote>.</text></subparagraph></paragraph></section><section id="H49F5B02BF06B4864A702C0D415C2B059"><enum>1102.</enum><header>Advisory councils</header><text display-inline="no-display-inline">Paragraph (3) of section 502(b) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290aa-1">42 U.S.C. 290aa–1(b)</external-xref>) is amended by adding at the end the following:</text><quoted-block display-inline="no-display-inline" id="H248BC2616AE340599DB63ACEF7DA1DF8" style="OLC"><subparagraph id="HFD5C8A20C0C2400BA99ABC969161D591"><enum>(C)</enum><text display-inline="yes-display-inline">No fewer than half of the members of an advisory council shall—</text><clause id="HCC952082593045088E37021538157767"><enum>(i)</enum><text>have a medical degree;</text></clause><clause id="H5626E9A92E20460BAC55B5E9EC2EA40E"><enum>(ii)</enum><text>have an equivalent doctoral degree in psychology; or</text></clause><clause id="HBDF7A0F6D1574A77A75510A5C5E16C1F"><enum>(iii)</enum><text>serve as a licensed mental health professional.</text></clause></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block></section><section id="H9E48F73C19F44A1BB419F6CF0EE3CA0F"><enum>1103.</enum><header>Peer review</header><text display-inline="no-display-inline">Section 504 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290aa-3">42 U.S.C. 290aa–3</external-xref>) is amended—</text><paragraph id="H8F5F99F39C984FF8A443D251FA291A6A"><enum>(1)</enum><text>by adding at the end of subsection (b) the following: <quote>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.</quote>; and</text></paragraph><paragraph id="H12A05D586F37462E8204DD51E860D132"><enum>(2)</enum><text>by adding at the end the following:</text><quoted-block display-inline="no-display-inline" id="H2908117DCCCF45C4B8995C674B687C62" style="OLC"><subsection id="H6463255AD5564D6DBA3FFD5A4ACE5A26"><enum>(e)</enum><header>Scientific controls and standards</header><text display-inline="yes-display-inline">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.</text></subsection><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></section><section id="HD47A7F1DC8674548A7C495C8B3EBD972"><enum>1104.</enum><header>Data collection</header><subsection id="H8B1129325AA841B4996DADE6032118FA"><enum>(a)</enum><header>Transfer of behavioral health statistics and quality</header><text display-inline="yes-display-inline">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.</text></subsection><subsection id="H037A33F1717E4DA29BBBB7086662D9A6"><enum>(b)</enum><header>Transferring data collection and surveys to the national mental health policy laboratory</header><text display-inline="yes-display-inline">Section 505 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290aa-4">42 U.S.C. 290aa–4</external-xref>) is amended—</text><paragraph id="H921B560D14844F1687BC89BE94ED6998"><enum>(1)</enum><text>in subsection (a), by striking <quote>acting through the Administrator</quote> and inserting <quote>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 <quote>Assistant Secretary</quote>) with respect to mental illness and substance abuse</quote>;</text></paragraph><paragraph id="HCF7A4502E64B47459736F7CFF5EAC6D3"><enum>(2)</enum><text>in subsections (a)(2) and (d), by striking <quote>Administrator</quote> each place it appears and inserting <quote>Assistant Secretary</quote>; and</text></paragraph><paragraph id="HFEC91DBFCEE84972B92B96608C751836"><enum>(3)</enum><text>in subsection (b)—</text><subparagraph id="H8D18E1AD8F40425492243D4BF5C0B992"><enum>(A)</enum><text>by striking <quote>Administrator</quote> each place it appears and inserting <quote>Assistant Secretary</quote>;</text></subparagraph><subparagraph id="H23F2B68A71C04067BDF8044BC752C75A"><enum>(B)</enum><text>by striking <quote>and</quote> at the end of paragraph (3);</text></subparagraph><subparagraph id="H6F3733F5947445DE98EB5A64F6E2C463"><enum>(C)</enum><text>by striking paragraph (4); and</text></subparagraph><subparagraph id="H7466EF9EEEC242DAB97E62D83C68E597"><enum>(D)</enum><text>by adding at the end the following:</text><quoted-block display-inline="no-display-inline" id="HCE1D947F67624C2285CC0160DAC3B4D6" style="OLC"><paragraph id="HFB8B9D41C829485F9D011E8433FFB9EA"><enum>(4)</enum><text display-inline="yes-display-inline">the number of individuals with serious mental illnesses, including those with schizophrenia, bipolar disorder, or major depressive disorder;</text></paragraph><paragraph id="HF06A51A89FB9425684B9BDCCDD847619"><enum>(5)</enum><text>the number of individuals admitted to hospital emergency rooms as a result of serious mental illness;</text></paragraph><paragraph id="HAEF4338E036646499DDC129482F02511"><enum>(6)</enum><text>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</text></paragraph><paragraph id="HE2B09F45EC504CD6B465C36524FA85E4"><enum>(7)</enum><text>other public health outcomes including mortality rates for individuals with serious mental illness.</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block></subparagraph></paragraph></subsection></section></subtitle><subtitle id="HEC93369298ED4351BD3FD11BA1516E1F"><enum>B</enum><header>Center for Mental Health Services</header><section id="HA7B2BAFB554E4C149AA88B5B21EC306F"><enum>1111.</enum><header>Center for Mental Health Services</header><text display-inline="no-display-inline">Section 520 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb-31">42 U.S.C. 290bb–31</external-xref>) is amended to read as follows:</text><quoted-block display-inline="no-display-inline" id="H19A5EDA72E5C4485B89AC11934608A4D" style="OLC"><section id="HD830D181D392437B9BCF26D92A2C5AEF"><enum>520.</enum><header>Center for Mental Health Services</header><subsection id="H1C27D9ADF27A4C8A8E7D0F1A5A57F000"><enum>(a)</enum><header>Establishment</header><text display-inline="yes-display-inline">There is established in the Administration a Center for Mental Health Services (hereafter in this section referred to as the <quote>Center</quote>). The Center shall be headed by a Director (hereafter in this section referred to as the <quote>Director</quote>) 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.</text></subsection><subsection id="H90045D9E44E14ECBB3B78F0D48E623AF"><enum>(b)</enum><header>Duties</header><text display-inline="yes-display-inline">The Director of the Center shall—</text><paragraph id="HACE304473B4F401E95552CE2E6074FC1"><enum>(1)</enum><text>assist the Assistant Secretary for Mental Health and Substance Use Disorders in designing national goals and establishing national priorities for—</text><subparagraph id="H4E926E0CE4FA44EE8F96531C6968030A"><enum>(A)</enum><text>the prevention of mental illness;</text></subparagraph><subparagraph id="H78D567B15C884919A11E6D4415A39397"><enum>(B)</enum><text>the treatment of mental illness; and</text></subparagraph><subparagraph id="HAD82DB1301284917A19ABC59AAC2BADC"><enum>(C)</enum><text>the promotion of mental health;</text></subparagraph></paragraph><paragraph id="H3572FF623516428EBB1D4DE30B660FA9"><enum>(2)</enum><text>encourage local entities and State agencies to achieve the goals and priorities described in paragraph (1);</text></paragraph><paragraph id="H4EC049B3A63F4256AB2E437DC369F91B"><enum>(3)</enum><text display-inline="yes-display-inline">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;</text></paragraph><paragraph id="H813AFF0286684BFC99BA334D3A5641B4"><enum>(4)</enum><text>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;</text></paragraph><paragraph id="HA428C45DB6A74D7FB8A34523B3FE7391"><enum>(5)</enum><text>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;</text></paragraph><paragraph id="H60B27A4CC77341B4AFD9E3861721E2D7"><enum>(6)</enum><text>carry out the programs under part C;</text></paragraph><paragraph id="H893639E169AE40899431E5E5CD08FD01"><enum>(7)</enum><text>carry out responsibilities for the Human Resource Development programs;</text></paragraph><paragraph id="HADB255717B0C49B8A1F34A491413A3A1"><enum>(8)</enum><text>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;</text></paragraph><paragraph id="H0B9FC440D178453C92F02DB968045FC7"><enum>(9)</enum><text display-inline="yes-display-inline">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;</text></paragraph><paragraph id="H09EE3CB78B3E4D3C8C4830D6A3B79BD8"><enum>(10)</enum><text>provide technical assistance to public and private entities that are providers of mental health services;</text></paragraph><paragraph id="H06E95EE249064B4C889ED52743B4370E"><enum>(11)</enum><text>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 <external-xref legal-doc="public-law" parsable-cite="pl/97/35">Public Law 97–35</external-xref> (95 Stat. 560)); and</text></paragraph><paragraph id="H3D682188A9074088AB40940E0B19D0F7"><enum>(12)</enum><text display-inline="yes-display-inline">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.</text></paragraph><continuation-text continuation-text-level="subsection">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.</continuation-text></subsection><subsection id="HE4AACE4CC53A4FD9A49B5DF2FDF24C61"><enum>(c)</enum><header>No general authority for grants</header><text display-inline="yes-display-inline">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.</text></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block></section><section id="H5B4208C2253A48759B42C5C0CB077504"><enum>1112.</enum><header>Reauthorization of priority mental health needs of regional and national significance</header><text display-inline="no-display-inline">Section 520A of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb-32">42 U.S.C. 290bb–32</external-xref>) is amended—</text><paragraph id="HC4BD0CB974E6459DB667D81192746EA9"><enum>(1)</enum><text>in subsection (a)—</text><subparagraph id="HFB4B5A2D2D1140F5A19571A976A6A5B4"><enum>(A)</enum><text>in paragraph (2), by inserting <quote>using evidence-based medicine</quote> after <quote>technical assistance programs</quote>;</text></subparagraph><subparagraph id="H1F4AAFB9186D4C39BEA316E1E82ECC9B"><enum>(B)</enum><text>by amending paragraph (4) to read as follows:</text><quoted-block display-inline="no-display-inline" id="HA3568B2E25FA43A4A322B6AE17A9FC46" style="OLC"><paragraph id="HABC5968E888642219E1432AE6CC9182C"><enum>(4)</enum><text display-inline="yes-display-inline">evidence-based programs designed in conjunction with the Assistant Secretary for Mental Health and Substance Use Disorders to treat individuals with serious mental illness.</text></paragraph><after-quoted-block>; and </after-quoted-block></quoted-block></subparagraph><subparagraph id="H32F0C7199638456EA7512D6B753CC68A"><enum>(C)</enum><text>by adding at the end the following: <quote>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.</quote>;</text></subparagraph></paragraph><paragraph id="HCA8E26D1DE594D24A9908EE3E948D8E1"><enum>(2)</enum><text>in subsection (b)(2), by inserting <quote>, including the primary and behavioral health care integration program under section 520K</quote> after <quote>primary health care systems</quote>; and</text></paragraph><paragraph id="H08397B9BC0C6429DBDFE814FB42998D0"><enum>(3)</enum><text>by amending subsection (f)(1) to read as follows:</text><quoted-block display-inline="no-display-inline" id="H0F0AF21E96FC47829D8CF722AF6BAC66" style="OLC"><paragraph id="H1ADF2A1407C240C7AD3C2066499F281B"><enum>(1)</enum><header>In general</header><text display-inline="yes-display-inline">For carrying out this section, there is authorized to be appropriated $150,000,000 for each of fiscal years 2014 through 2018.</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></section><section id="H52DC38705ED74C74819C8D54BFD6607D"><enum>1113.</enum><header>Garrett Lee Smith Reauthorization</header><subsection id="H1858FF9AEEF04510940D5CCC9004F416"><enum>(a)</enum><header>Suicide prevention technical assistance center</header><text>Section 520C of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb-34">42 U.S.C. 290bb–34</external-xref>) is amended to read as follows:</text><quoted-block display-inline="no-display-inline" id="HF6A49E388B3A4700BDD7BEFD86F3D53E" style="OLC"><section id="HA069A6787EEC4648AE0A2243DE0CED5A"><enum>520C.</enum><header>Suicide prevention technical assistance center</header><subsection id="H47A53A3FA33149DDB0DC5FE4D22F0052"><enum>(a)</enum><header>Program authorized</header><text display-inline="yes-display-inline">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.</text></subsection><subsection id="H2E507201C3DB47EFA9B3D44E4AE592AB"><enum>(b)</enum><header>Responsibilities of the center</header><text display-inline="yes-display-inline">The center operated and maintained under subsection (a) shall—</text><paragraph id="HC2455550C2B74826A0675CE3BDF4556E"><enum>(1)</enum><text>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;</text></paragraph><paragraph id="HFD98E0DF3F3E4166AF146017FB6E2D30"><enum>(2)</enum><text>ensure the surveillance of suicide early intervention and prevention strategies for all ages, particularly among groups that are at high risk for suicide;</text></paragraph><paragraph id="H043365405DF7429B9B6D8C9457362B07"><enum>(3)</enum><text>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;</text></paragraph><paragraph id="HA9659130666C418BB84ACD92320FAC3F"><enum>(4)</enum><text>further identify and understand causes and associated risk factors for suicide for all ages, particularly among groups that are at high risk for suicide;</text></paragraph><paragraph id="H23E293029E2B4C07BCE3610DD6D40E0D"><enum>(5)</enum><text>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;</text></paragraph><paragraph id="H1B5F30533D3E488B99A29B3092039AE8"><enum>(6)</enum><text>ensure the surveillance of suicidal behaviors and nonfatal suicidal attempts;</text></paragraph><paragraph id="H6955F557CC2B48B0B839F79B0B032C69"><enum>(7)</enum><text>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;</text></paragraph><paragraph id="H35C9E4FBB29E42B7A6AE5D4E0FE7C460"><enum>(8)</enum><text>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;</text></paragraph><paragraph id="H015354306E284EE381ADFDEB7F7922E7"><enum>(9)</enum><text>evaluate and disseminate outcomes and best practices of mental health and substance use disorder services at institutions of higher education; and</text></paragraph><paragraph id="H91E08686CCAA43C99AEDFD5DCB158990"><enum>(10)</enum><text>conduct other activities determined appropriate by the Secretary.</text></paragraph></subsection><subsection id="H9B4C6016651045EE871EEA98686ACC5E"><enum>(c)</enum><header>Authorization of appropriations</header><text>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.</text></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block></subsection><subsection id="H1F8FDE249D3F4B25895A9CA7A727FA66"><enum>(b)</enum><header>Youth suicide intervention and prevention strategies</header><text>Section 520E of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb-36">42 U.S.C. 290bb–36</external-xref>) is amended to read as follows:</text><quoted-block display-inline="no-display-inline" id="HD5A4AEDD42DC43C2AC794F372441E5D9" style="OLC"><section id="H79514B87FC7E440BA29682D11060D879"><enum>520E.</enum><header>Youth suicide early intervention and prevention strategies</header><subsection id="H06167FD36C4F4FC591BD70791E4C4D32"><enum>(a)</enum><header>In general</header><text>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—</text><paragraph id="H24F7D5DB4EC74C37A551EC99B8D1F704"><enum>(1)</enum><text>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;</text></paragraph><paragraph id="H1A94A0D055BA4E1BB0F3384F25D0DF4E"><enum>(2)</enum><text>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;</text></paragraph><paragraph id="H1960CC9BAE4F4ED29380B9EDBF71221A"><enum>(3)</enum><text>provide grants to institutions of higher education to coordinate the implementation of State-sponsored statewide or tribal youth suicide early intervention and prevention strategies;</text></paragraph><paragraph id="H3C197EC8D0694C8EB22D0E1319D2AAE9"><enum>(4)</enum><text>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</text></paragraph><paragraph id="H55CDE224AD2542CAB35D626547705058"><enum>(5)</enum><text>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 <act-name parsable-cite="SSA">Social Security Act</act-name>.</text></paragraph></subsection><subsection id="H92FFAD3A3E084AA5B268EA7B7256D44F"><enum>(b)</enum><header>Eligible entity</header><paragraph id="H1D126AC491654E8F934906B2EA0FE434"><enum>(1)</enum><header>Definition</header><text>In this section, the term <term>eligible entity</term> means—</text><subparagraph id="HF844D8CA674B4F0FA18E313EB660BBD7"><enum>(A)</enum><text>a State;</text></subparagraph><subparagraph id="H40EB6E5529704409B6E05F616AACE97B"><enum>(B)</enum><text>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</text></subparagraph><subparagraph id="HEC2E9BD437604A2F940BCCC7E0E156D5"><enum>(C)</enum><text>a federally recognized Indian tribe or tribal organization (as defined in the <act-name parsable-cite="ISDA">Indian Self-Determination and Education Assistance Act</act-name>) or an urban Indian organization (as defined in the <act-name parsable-cite="IHCIA">Indian Health Care Improvement Act</act-name>) that is actively involved in the development and continuation of a tribal youth suicide early intervention and prevention strategy.</text></subparagraph></paragraph><paragraph id="HC308FC3690C843B1BEF260292A573B49"><enum>(2)</enum><header>Limitation</header><text>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).</text></paragraph></subsection><subsection id="H65AAB030FBDB4F5FB4DA1E56E7A86674"><enum>(c)</enum><header>Preference</header><text>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—</text><paragraph id="HCC0DBA180A9A434A86CAAD7D5B77BC46"><enum>(1)</enum><text>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;</text></paragraph><paragraph id="HE35F35C257C54EBA95D172EE1FF73FCC"><enum>(2)</enum><text>demonstrate collaboration among early intervention and prevention services or certify that entities will engage in future collaboration;</text></paragraph><paragraph id="HF4EB01CE122448A1B989966D0F668E6F"><enum>(3)</enum><text>employ or include in their applications a commitment to evaluate youth suicide early intervention and prevention practices and strategies adapted to the local community;</text></paragraph><paragraph id="H91B712A07C2B46EB85B239AEA66AF0CF"><enum>(4)</enum><text>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;</text></paragraph><paragraph id="H92E3C9DF01464B49BD077397C5F67118"><enum>(5)</enum><text>provide immediate support and information resources to families of youth who are at risk for suicide;</text></paragraph><paragraph id="H6A2D02CF3229475C9D53FEB6ABC40624"><enum>(6)</enum><text>offer access to services and care to youth with diverse linguistic and cultural backgrounds;</text></paragraph><paragraph id="H4EB6BBE33FD047D8B3891C7C2FE68448"><enum>(7)</enum><text>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;</text></paragraph><paragraph id="HF6DA63A379D84638A7CFFA5627FB11CA"><enum>(8)</enum><text>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;</text></paragraph><paragraph id="HCE37B8C927EF4DC2AB22E91597FB007A"><enum>(9)</enum><text>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;</text></paragraph><paragraph id="H84C988121D594EFBBFC8682C4A647542"><enum>(10)</enum><text>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;</text></paragraph><paragraph id="H0871B142CBB44C60A85995074F6ABD36"><enum>(11)</enum><text>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;</text></paragraph><paragraph id="HBC2CAA38CB7F4F4982AC1339FF8075A5"><enum>(12)</enum><text>conduct annual self-evaluations of outcomes and activities, including consulting with interested families and advocacy organizations;</text></paragraph><paragraph id="H0A5BD82FE7A94CC3B9CA90144871B03D"><enum>(13)</enum><text>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</text></paragraph><paragraph id="H46FE59EC26464E99AB1FD7272391C9C3"><enum>(14)</enum><text>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.</text></paragraph></subsection><subsection id="H50C7CE8491F74A7AA0AB525C0184FCE2"><enum>(d)</enum><header>Requirement for direct services</header><text>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).</text></subsection><subsection id="H783A817D3600482D95CFD729930B6286"><enum>(e)</enum><header>Consultation and policy development</header><paragraph id="H4C40C008F15841EAA00514E4E40B8813"><enum>(1)</enum><header>In general</header><text>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.</text></paragraph><paragraph id="HEBFD52E2F0554F2EBC053684B8A4BAF8"><enum>(2)</enum><header>Consultation</header><text>In carrying out this section, the Secretary shall consult with—</text><subparagraph id="HAA87C55B1DA94B45AEDEB6B3F0B88FE2"><enum>(A)</enum><text>State and local agencies, including agencies responsible for early intervention and prevention services under title XIX of the <act-name parsable-cite="SSA">Social Security Act</act-name>, the State Children's Health Insurance Program under title XXI of the <act-name parsable-cite="SSA">Social Security Act</act-name>, and programs funded by grants under title V of the <act-name parsable-cite="SSA">Social Security Act</act-name>;</text></subparagraph><subparagraph id="H642E3A082DAE41DD92CB4EAF74B212DF"><enum>(B)</enum><text>local and national organizations that serve youth at risk for suicide and their families;</text></subparagraph><subparagraph id="H39A918DE8E5A4FBC86866148A3DBD504"><enum>(C)</enum><text>relevant national medical and other health and education specialty organizations;</text></subparagraph><subparagraph id="HA5A968BD8753472EB9CE67FD6909C29F"><enum>(D)</enum><text>youth who are at risk for suicide, who have survived suicide attempts, or who are currently receiving care from early intervention services;</text></subparagraph><subparagraph id="H54EDF4187953479CA70C417101C3A4CE"><enum>(E)</enum><text>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;</text></subparagraph><subparagraph id="HC828FFBEB85147299019759AB49DC565"><enum>(F)</enum><text>qualified professionals who possess the specialized knowledge, skills, experience, and relevant attributes needed to serve youth at risk for suicide and their families; and</text></subparagraph><subparagraph id="H3752C02A7166452F97E425FCFE1CF9A3"><enum>(G)</enum><text>third-party payers, managed care organizations, and related commercial industries.</text></subparagraph></paragraph><paragraph id="H1CE492B292334DD5888B0AAF4EB06265"><enum>(3)</enum><header>Policy development</header><text>In carrying out this section, the Secretary shall—</text><subparagraph id="HB9A471EAA16F43F198D793D7B4DFB263"><enum>(A)</enum><text>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</text></subparagraph><subparagraph id="H79FB9DAD99AE4EC2880F149DD0E94D39"><enum>(B)</enum><text>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.</text></subparagraph></paragraph></subsection><subsection id="HB5A4FAC2CC63465280323BCD15ED0EDA"><enum>(f)</enum><header>Rule of construction; religious and moral accommodation</header><text>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.</text></subsection><subsection id="HB032C5DDF44D4E70B63373AE0B227CF3"><enum>(g)</enum><header>Evaluations and report</header><paragraph id="H0FCE8C5005C64206AB331A10AABEA7FA"><enum>(1)</enum><header>Evaluations by eligible entities</header><text>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.</text></paragraph><paragraph id="HA1380A35C1104BEE801AF9D5FA3CF0E3"><enum>(2)</enum><header>Report</header><text>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—</text><subparagraph id="HBF9775B8ECEB4BE6A2DB58EB63D65FC8"><enum>(A)</enum><text>the evaluations conducted under paragraph (1); and</text></subparagraph><subparagraph id="H6CFD18AF24D246C1983DC5BBADD938CD"><enum>(B)</enum><text>an evaluation conducted by the Secretary to analyze the effectiveness and efficacy of the activities conducted with grants, collaborations, and consultations under this section.</text></subparagraph></paragraph></subsection><subsection id="HAB2B6C5F3F9F46C494C346E78D4DFEC1"><enum>(h)</enum><header>Rule of construction; student medication</header><text>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.</text></subsection><subsection id="H73BE138789154A1580532ACF3A49E3FB"><enum>(i)</enum><header>Prohibition</header><text>Funds appropriated to carry out this section, section 527, or section 529 shall not be used to pay for or refer for abortion.</text></subsection><subsection id="H0A1263039B3247189A4FB8C98293C2AC"><enum>(j)</enum><header>Parental consent</header><text>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:</text><paragraph id="H2163ED0FC80F4B80B625874519917775"><enum>(1)</enum><text>In an emergency, where it is necessary to protect the immediate health and safety of the student or other students.</text></paragraph><paragraph id="H2AB9CDA644BC4FB584531222627FA4DD"><enum>(2)</enum><text>Other instances, as defined by the State, where parental consent cannot reasonably be obtained.</text></paragraph></subsection><subsection id="H86F9B37A85184F5597C684B2E93B4094"><enum>(k)</enum><header>Relation to education provisions</header><text>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 <act-name parsable-cite="ESEA">Elementary and Secondary Education Act of 1965</act-name> (as amended by the No Child Left Behind Act of 2001; <external-xref legal-doc="public-law" parsable-cite="pl/107/110">Public Law 107–110</external-xref>).</text></subsection><subsection id="H8AC7B81DF16F4E988412C0F270801EC0"><enum>(l)</enum><header>Definitions</header><text>In this section:</text><paragraph id="H9FD76459F5A247D39A5D91D1A7FBFAFC"><enum>(1)</enum><header>Early intervention</header><text>The term <term>early intervention</term> means a strategy or approach that is intended to prevent an outcome or to alter the course of an existing condition.</text></paragraph><paragraph id="HEFEF63F2C1B7404482CBA57368ECF349"><enum>(2)</enum><header>Educational institution; institution of higher education; school</header><text>The term—</text><subparagraph id="HB1864FEC24DC453D97AAF7BB37287AF7"><enum>(A)</enum><text><quote>educational institution</quote> means a school or institution of higher education;</text></subparagraph><subparagraph id="HFDB2AAEAB6774B5CA6F13E1ADE5488F8"><enum>(B)</enum><text><quote>institution of higher education</quote> has the meaning given such term in section 101 of the <act-name parsable-cite="HEA65">Higher Education Act of 1965</act-name>; and</text></subparagraph><subparagraph id="HA8B89FDDAE114B89A7612FD17B771B94"><enum>(C)</enum><text><quote>school</quote> means an elementary or secondary school (as such terms are defined in section 9101 of the <act-name parsable-cite="ESEA">Elementary and Secondary Education Act of 1965</act-name>).</text></subparagraph></paragraph><paragraph id="HE96C7EB2529946518814FAC1CCDB67F4"><enum>(3)</enum><header>Prevention</header><text>The term <term>prevention</term> 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.</text></paragraph><paragraph id="H2680E4CC871A41EA9165F44B33F61A9F"><enum>(4)</enum><header>Youth</header><text>The term <term>youth</term> means individuals who are between 10 and 24 years of age.</text></paragraph></subsection><subsection id="HC46C46C8FB824B91B45EDE94CBC84356"><enum>(m)</enum><header>Authorization of appropriations</header><text>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.</text></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block></subsection><subsection id="HA9C92DA02F5E4BFCBF4F2BE47A463922"><enum>(c)</enum><header>Suicide prevention for youth</header><text>Section 520E–1 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb-36a">42 U.S.C. 290bb–36a</external-xref>) is amended—</text><paragraph id="HF7FF56DE2D1D4DAD81CFA7B543C026B4"><enum>(1)</enum><text>by amending the section heading to read as follows: <quote><header-in-text level="section" style="OLC">Suicide prevention for youth</header-in-text></quote>; and</text></paragraph><paragraph id="HBD383B8E125D4EDC8F8FF36555C29D43"><enum>(2)</enum><text>by striking subsection (n) and inserting the following:</text><quoted-block display-inline="no-display-inline" id="HEE141279A1714D00B69B7962471ABC73" style="OLC"><subsection id="HBA5D819A90044E83915076CBA768D402"><enum>(n)</enum><header>Authorization of appropriations</header><text display-inline="yes-display-inline">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.</text></subsection><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></subsection><subsection id="H3BBFBAF4B7A94D988FE7DEB63AFD4DA1"><enum>(d)</enum><header>Mental health and substance use disorders services and outreach on campus</header><text>Section 520E–2 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb-36b">42 U.S.C. 290bb–36b</external-xref>) is amended to read as follows:</text><quoted-block display-inline="no-display-inline" id="H28BABC71CE38472096C65EE0B851DAFB" style="OLC"><section id="H6EA6D0BE10004791B74581C31ACA0C1D"><enum>520E–2.</enum><header>Mental health and substance use disorders services on campus</header><subsection id="H8960E2EEF76F4C349140DBC87041BED1"><enum>(a)</enum><header>In general</header><text>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.</text></subsection><subsection id="HE454DFDFC15548DE80FB313F787D4907"><enum>(b)</enum><header>Uses of funds</header><text>Amounts received under a grant under this section shall be used for 1 or more of the following activities:</text><paragraph id="H575DD40563FA4D5CA4FB3AB959E626F7"><enum>(1)</enum><text>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.</text></paragraph><paragraph id="HFF4C77183BE7405C8B51D24CDD035FC2"><enum>(2)</enum><text>The provision of outreach services to notify students about the existence of mental health and substance use disorder services.</text></paragraph><paragraph id="H00B5910A79F249C98CBD745C75CF3504"><enum>(3)</enum><text>Educating students, families, faculty, staff, and communities to increase awareness of mental health and substance use disorders.</text></paragraph><paragraph id="HAACF13D9B727465B8FDC62E071839A19"><enum>(4)</enum><text>The employment of appropriately trained staff, including administrative staff.</text></paragraph><paragraph id="H343C63D4D3704F3CA6E45BC06346932A"><enum>(5)</enum><text>The provision of training to students, faculty, and staff to respond effectively to students with mental health and substance use disorders.</text></paragraph><paragraph id="H14D3779F09DE421DA579E8736D0D6306"><enum>(6)</enum><text>The creation of a networking infrastructure to link colleges and universities with providers who can treat mental health and substance use disorders.</text></paragraph><paragraph id="H19C1A4EE26D04B139499D427F57BFF89"><enum>(7)</enum><text>Developing, supporting, evaluating, and disseminating evidence-based and emerging best practices.</text></paragraph></subsection><subsection id="H2485F74DC68845B09D801D3FEACCD3F8"><enum>(c)</enum><header>Implementation of activities using grant funds</header><text>An institution of higher education that receives a grant under this section may carry out activities under the grant through—</text><paragraph id="HFF8BD2BD8FDE46EF9D3A3E52871F546E"><enum>(1)</enum><text>college counseling centers;</text></paragraph><paragraph id="H01FD5397EE124A87A7ABE9605704A811"><enum>(2)</enum><text>college and university psychological service centers;</text></paragraph><paragraph id="H93276ABD085945548105537DAF393BEF"><enum>(3)</enum><text>mental health centers;</text></paragraph><paragraph id="HC202C43ED05D440A9CAC6F026E095D89"><enum>(4)</enum><text>psychology training clinics;</text></paragraph><paragraph id="H3C808C62B46C4C69B6EC9C7F036047C9"><enum>(5)</enum><text>institution of higher education supported, evidence-based, mental health and substance use disorder programs; or</text></paragraph><paragraph id="HF25D047B4F7946C1A8751890AD405F8F"><enum>(6)</enum><text>any other entity that provides mental health and substance use disorder services at an institution of higher education.</text></paragraph></subsection><subsection id="H6F990FFD1A2D415887C4DC09763DEB78"><enum>(d)</enum><header>Application</header><text>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:</text><paragraph id="HA9B954F6D95D45A0A3091048986125D6"><enum>(1)</enum><text>A description of identified mental health and substance use disorder needs of students at the institution of higher education.</text></paragraph><paragraph id="H6CCC85643DCC42FB946519ED31719BA7"><enum>(2)</enum><text>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.</text></paragraph><paragraph id="HA684F2B325D140A0A94F828858CEBA38"><enum>(3)</enum><text>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.</text></paragraph><paragraph id="HF081838D6564401683CDE526899E4361"><enum>(4)</enum><text>A plan, when applicable, to meet the specific mental health and substance use disorder needs of veterans attending institutions of higher education.</text></paragraph><paragraph id="H0A262518325749CAA1BCDD5909C5C364"><enum>(5)</enum><text>A plan to seek input from community mental health providers, when available, community groups and other public and private entities in carrying out the program under the grant.</text></paragraph><paragraph id="H235D9E01F66448C28AA9394ACE040895"><enum>(6)</enum><text>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.</text></paragraph><paragraph id="H0100E490226244ADBB34B2C80F48DAFA"><enum>(7)</enum><text>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.</text></paragraph></subsection><subsection id="H955A9D18695F466D9CC36BA6CD9AE42A"><enum>(e)</enum><header>Special considerations</header><text>In awarding grants under this section, the Secretary shall give special consideration to applications that describe programs to be carried out under the grant that—</text><paragraph id="H855AC5B3911F4385B999A522930AFB57"><enum>(1)</enum><text>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</text></paragraph><paragraph id="H5FAC5D3980824C09A912FEF975601F00"><enum>(2)</enum><text>demonstrate the greatest potential for replication.</text></paragraph></subsection><subsection id="H9E3A84741485444D876C9F20D23DA887"><enum>(f)</enum><header>Requirement of matching funds</header><paragraph id="H0AC128BCE5D440D0B94038AC92D52DD7"><enum>(1)</enum><header>In general</header><text>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.</text></paragraph><paragraph id="H9CE0FB34D3D146169A2D59237E74E53B"><enum>(2)</enum><header>Determination of amount contributed</header><text>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.</text></paragraph><paragraph id="HB7B02C5701A845A48F6946C97779405F"><enum>(3)</enum><header>Waiver</header><text>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.</text></paragraph></subsection><subsection id="HBBC9AE36D5A9417BA271BA82946A20CA"><enum>(g)</enum><header>Reports</header><text>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:</text><paragraph id="H1B4C886EE4DE406BBAE62A4FA56E75A2"><enum>(1)</enum><text>An evaluation of the grant program outcomes, including a summary of activities carried out with the grant and the results achieved through those activities.</text></paragraph><paragraph id="H13D3D2B6004340DD8DF44D109AA9E785"><enum>(2)</enum><text>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.</text></paragraph></subsection><subsection id="H179D5E4A5904425AACE889853703637C"><enum>(h)</enum><header>Definitions</header><text>In this section, the term <term>institution of higher education</term> has the meaning given such term in section 101 of the Higher Education Act of 1965.</text></subsection><subsection id="H6FC8265199064F5EA0474056F541F792"><enum>(i)</enum><header>Authorization of appropriations</header><text>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.</text></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block></subsection></section></subtitle><subtitle id="H359CE25EE8A34975803714177D7B79D3"><enum>C</enum><header>Children with serious emotional disturbances</header><section id="H1E9BD346D8364B9EB314AB85665E0E9D"><enum>1121.</enum><header>Comprehensive community mental health services for children with serious emotional disturbances</header><text display-inline="no-display-inline">Paragraph (1) of section 564(a) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290ff">42 U.S.C. 290ff(a)</external-xref>) is amended—</text><paragraph id="H68945F21211045F683ABF3C40B6FC8C5"><enum>(1)</enum><text>by striking <quote>, acting through the Director of the Center for Mental Health Services,</quote>; and</text></paragraph><paragraph id="H3BB09DE7047442F1B295174491B72397"><enum>(2)</enum><text>by adding at the end the following: <quote>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.</quote>.</text></paragraph></section><section id="HB08AE2123C094987A0AC8B6956404FFF"><enum>1122.</enum><header>General provisions; report; funding</header><text display-inline="no-display-inline">Section 565 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290ff-4">42 U.S.C. 290ff–4</external-xref>) is amended—</text><paragraph id="H1356897E07B94CE4A973F58BBB7EBAF1"><enum>(1)</enum><text>in subsection (c)(2), by striking <quote>not later than 1 year after the date on which amounts are first appropriated under subsection (c)</quote> and inserting <quote>not later than 1 year after the date of enactment of the <short-title>Helping Families in Mental Health Crisis Act of 2013</short-title></quote>; and</text></paragraph><paragraph id="HCD1FDAE5C7524321B544771ADF1FE992"><enum>(2)</enum><text>in subsection (f)—</text><subparagraph id="HC4EB51ABDF4A40FC921EB098296B5916"><enum>(A)</enum><text>by amending paragraph (1) to read as follows:</text><quoted-block display-inline="no-display-inline" id="HE8482F7D02DD410499B7EEC5CD041F8E" style="OLC"><paragraph id="H3E815BCEDA0842B992386072441F0BC8"><enum>(1)</enum><header>Authorization of appropriations</header><text display-inline="yes-display-inline">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.</text></paragraph><after-quoted-block>; and</after-quoted-block></quoted-block></subparagraph><subparagraph id="H49668D946A7849D6AFFDE02FA3ABBC8C"><enum>(B)</enum><text>by moving the margin of paragraph (2) two ems to the right.</text></subparagraph></paragraph></section></subtitle><subtitle id="H8062FDC2EA2C4058AA22C76832E5CF92"><enum>D</enum><header>Projects for children and violence</header><section id="H0AC7742BF7CB432EB29D51940280E4D2"><enum>1131.</enum><header>Children and violence</header><text display-inline="no-display-inline">Section 581 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290hh">42 U.S.C. 290hh</external-xref>) are repealed.</text></section><section id="H74C58224B9DA4A57BCC6A0F5BC37293D"><enum>1132.</enum><header>Reauthorization of National Child Traumatic Stress Network</header><subsection id="HDF2BFE8AE04948BF97A874687024F18A"><enum>(a)</enum><header>Reauthorization of National Child Traumatic Stress Network</header><text display-inline="yes-display-inline">Section 582(f) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290hh">42 U.S.C. 290hh(f)</external-xref>) is amended to read as follows:</text><quoted-block display-inline="no-display-inline" id="HE76E38B4961A4FE5B8F4221CFB6347BC" style="OLC"><subsection id="HF5D098DF48334344BE0386016D68EA85"><enum>(f)</enum><header>Authorization of appropriations</header><text display-inline="yes-display-inline">To carry out this section, there are authorized to be appropriated $50,000,000 for each of the fiscal years 2014 through 2017.</text></subsection><after-quoted-block>.</after-quoted-block></quoted-block></subsection><subsection id="HDD77316282B04AB2A2B278B9528C2C25"><enum>(b)</enum><header>Corresponding reduction in funding for protection and advocacy systems</header><text>Section 117 of the Protection and Advocacy for Individuals with Mental Illness Act (<external-xref legal-doc="usc" parsable-cite="usc/42/10827">42 U.S.C. 10827</external-xref>) is amended to read as follows:</text><quoted-block display-inline="no-display-inline" id="H9F6F05165924450EAD2C7F449A8C35ED" style="OLC"><section id="HBF2CB374C3A5420B83456653C93016C1"><enum>117.</enum><header>Authorization of appropriations</header><text display-inline="no-display-inline">There are authorized to be appropriated for allotments under this title $5,000,000 for each of the fiscal years 2014 through 2017.</text></section><after-quoted-block>.</after-quoted-block></quoted-block></subsection></section></subtitle><subtitle id="HE42CF6BB77F447A790F29CF0C2C324D2"><enum>E</enum><header>Protection and advocacy for individuals with mental illness</header><section id="H32142D228488467AAECFB3A1118D8411"><enum>1141.</enum><header>Prohibition against lobbying by systems accepting Federal funds to protect and advocate the rights of individuals with mental illness</header><text display-inline="no-display-inline">Section 105(a) of the Protection and Advocacy for Individuals with Mental Illness Act (<external-xref legal-doc="usc" parsable-cite="usc/42/10805">42 U.S.C. 10805(a)</external-xref>) is amended—</text><paragraph id="H6EE35FAF8C54464AA52D9FCE0EC42387"><enum>(1)</enum><text>in paragraph (9), by striking <quote>and</quote> at the end;</text></paragraph><paragraph id="HD2EFFFB0E63048C58E98F4247F759544"><enum>(2)</enum><text>in paragraph (10), by striking the period at the end and inserting <quote>; and</quote>; and</text></paragraph><paragraph id="HD083871297274BF0A95BA0A1D12B00D0"><enum>(3)</enum><text>by adding at the end the following:</text><quoted-block display-inline="no-display-inline" id="H743464F89CEB47FBB16B61C4ED404A57" style="OLC"><paragraph id="HACE047AB198A462EAB9B8BCAA10DFFFE"><enum>(11)</enum><text display-inline="yes-display-inline">agree to refrain, during any period for which funding is provided to the system under this part, from—</text><subparagraph id="HC52A9713FD55489FB3A7CC99F1137B37"><enum>(A)</enum><text>lobbying or retaining a lobbyist for the purpose of influencing a Federal, State, or local governmental entity or officer;</text></subparagraph><subparagraph id="H63C50B8F112A4F789BEAE52057302B60"><enum>(B)</enum><text>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</text></subparagraph><subparagraph id="H7A5AE7176D39485D8D53280CF5CF3F3C"><enum>(C)</enum><text>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.</text></subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></section></subtitle><subtitle id="H667360FD1DE8430CAC5F32053056BCB2"><enum>F</enum><header>Limitations on authority</header><section id="H11C0531977CA42FC98A8137DF121ECB1"><enum>1151.</enum><header>Limitations on SAMHSA programs</header><subsection id="H6F5C6DDFA6074592B34BD8CDC754478B"><enum>(a)</enum><header>No sponsoring conferences</header><text display-inline="yes-display-inline">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.</text></subsection><subsection id="HF9568FFCEECE4D2197EBD0306A553C0F"><enum>(b)</enum><header>Evidence-Based practices</header><text display-inline="yes-display-inline">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.</text></subsection></section><section commented="no" id="H0399F4E5CEBD453D8AA67792C36879E2"><enum>1152.</enum><header>Elimination of unauthorized SAMHSA programs</header><subsection id="H7B6367F9C57E494698C78446078884DF"><enum>(a)</enum><header>Elimination of programs without explicit statutory authorization</header><paragraph id="H297636AE111045D5AB3FDE8CD11476A5"><enum>(1)</enum><header>No new programs</header><text>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.</text></paragraph><paragraph id="HBDB44E6D002541B2B471BCBA6D3C6A93"><enum>(2)</enum><header>Termination of existing programs</header><text>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.</text></paragraph></subsection><subsection commented="no" id="HC6FA9434F7014EFB9D8D8DF1531F2B43"><enum>(b)</enum><header>Report</header><paragraph id="HC5FBC53E105B4843AA9EE176B22DEBBD"><enum>(1)</enum><header>In general</header><text display-inline="yes-display-inline">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).</text></paragraph><paragraph id="HDD2A45EA95394CE68767BF6147B70EB0"><enum>(2)</enum><header>Recommendations</header><text>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.</text></paragraph></subsection></section></subtitle>