[Congressional Bills 106th Congress]
[From the U.S. Government Publishing Office]
[S. 2639 Introduced in Senate (IS)]







106th CONGRESS
  2d Session
                                S. 2639

  To amend the Public Health Service Act to provide programs for the 
                      treatment of mental illness.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                              May 25, 2000

 Mr. Domenici (for himself, Mr. Kennedy, and Mr. Wellstone) introduced 
the following bill; which was read twice and referred to the Committee 
               on Health, Education, Labor, and Pensions

_______________________________________________________________________

                                 A BILL


 
  To amend the Public Health Service Act to provide programs for the 
                      treatment of mental illness.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Mental Health Early Intervention, 
Treatment, and Prevention Act of 2000''.

SEC. 2. FINDINGS.

    Congress makes the following findings:
            (1) Almost 3 percent of the adult population or 5 million 
        individuals in the United States suffer from a severe and 
        persistent mental illness.
            (2) Twenty-five to 40 percent of the individuals who suffer 
        from a mental illness in the United States will come into 
        contact with the criminal justice system each year.
            (3) Sixteen percent of all individuals incarcerated in 
        State and local jails suffer from a mental illness.
            (4) Suicide is currently a national public health crisis, 
        with approximately 30,000 Americans committing suicide every 
        year, including 2,000 children and adolescents.
            (5) The stigma associated with mental disorders often 
        discourages individuals from seeking treatment, decreases such 
        individuals' access to housing and employment, and interferes 
        with such individuals' full participation in society.
            (6) In industrialized countries, mental illness constitutes 
        4 of the 10 leading causes of disability for individuals who 
        are 5 years of age or older. Such illnesses are, in the order 
        of prevalence, depression, schizophrenia, bipolar disorder, and 
        obsessive compulsive disorder.
            (7) Presently, nearly 7,500,000 children and adolescents, 
        or 12 percent of such population, suffer from 1 or more types 
        of mental disorders.
            (8) Of the almost 850,000 individuals who are homeless in 
        the United States, approximately \1/3\ or about 300,000 of such 
        individuals suffer from a serious mental illness.
            (9) The majority of individuals with a mental illness can 
        now be successfully treated.
            (10) The primary care setting provides an important 
        opportunity for the recognition of mental disorders, especially 
        in children, adolescents, and seniors.
            (11) The first Surgeon General's Report on Mental Health, 
        released in December 1999, describes a vision for the future 
        that includes 8 areas, being--
                    (A) continuing to build the science base;
                    (B) overcoming stigma;
                    (C) improving public awareness of effective 
                treatment;
                    (D) ensuring the supply of mental health services 
                and providers;
                    (E) ensuring delivery of state-of-the-art 
                treatments;
                    (F) tailoring treatment to age, gender, race, and 
                culture;
                    (G) facilitating entry into treatment; and
                    (H) reducing financial barriers to treatment.

SEC. 3. AMENDMENT TO THE PUBLIC HEALTH SERVICE ACT.

    Title V of the Public Health Service Act (42 U.S.C. 290aa et seq.) 
is amended by adding at the end the following:

           ``PART G--PROGRAMS FOR TREATMENT OF MENTAL ILLNESS

``SEC. 581. ANTI-STIGMA AND SUICIDE PREVENTION CAMPAIGN.

    ``(a) In General.--The Secretary shall carry out a national anti-
stigma and suicide prevention campaign to reduce the stigma often 
associated with mental illness.
    ``(b) Use of Funds.--The Secretary shall use funds authorized for 
the campaign described in subsection (a)--
            ``(1) to make public service announcements to reduce any 
        stigma associated with mental illness;
            ``(2) to provide education regarding mental illness, 
        including education regarding the biology of mental illness, 
        the effectiveness of treatment, and the resources that are 
        available for individuals afflicted with a mental illness and 
        for families of such individuals;
            ``(3) to provide science-based education regarding suicide 
        and suicide prevention, including education regarding 
        recognition of the symptoms that indicate that thoughts of 
        suicide are being considered;
            ``(4) to provide education for parents regarding youth 
        suicide and prevention;
            ``(5) to purchase media time and space;
            ``(6) to pay for out-of-pocket advertising production 
        costs;
            ``(7) to test and evaluate advertising and educational 
        materials for effectiveness; and
            ``(8) to carry out other activities that the Secretary 
        determines will reduce the stigma associated with mental 
        illness.
    ``(c) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section--
            ``(1) $50,000,000 to carry out paragraphs (1), (2), (4), 
        (5), (6), and (7) of subsection (b) for fiscal year 2001, and 
        such sums as may be necessary for fiscal years 2002 through 
        2005; and
            ``(2) $25,000,000 to carry out paragraph (3) of subsection 
        (b) for fiscal year 2001, and such sums as may be necessary for 
        fiscal years 2002 through 2005.

``SEC. 582. MENTAL ILLNESS AWARENESS TRAINING GRANTS FOR TEACHERS AND 
              EMERGENCY SERVICES PERSONNEL.

    ``(a) Program Authorized.--The Secretary shall award grants to 
States, political subdivisions of States, Indian tribes, and tribal 
organizations to train teachers and other relevant school personnel to 
recognize symptoms of childhood and adolescent mental disorders, to 
refer family members to the appropriate mental health services if 
necessary, to train emergency services personnel to identify and 
appropriately respond to persons with a mental illness, and to provide 
education to such teachers and personnel regarding resources that are 
available in the community for individuals with a mental illness.
    ``(b) Emergency Services Personnel.--In this section, the term 
`emergency services personnel' includes paramedics, firefighters, and 
emergency medical technicians.
    ``(c) Distribution of Awards.--The Secretary shall ensure that such 
grants awarded under subsection (a) are equitably distributed among the 
geographical regions of the United States and between urban and rural 
populations.
    ``(d) Application.--A State, political subdivision of a State, 
Indian tribe, or tribal organization that desires a grant under this 
section shall submit an application to the Secretary at such time, in 
such manner, and containing such information as the Secretary may 
require, including a plan for the rigorous evaluation of activities 
that are carried out with funds received under a grant under this 
section.
    ``(e) Use of Funds.--A State, political subdivision of a State, 
Indian tribe, or tribal organization receiving a grant under subsection 
(a) shall use funds from such grant to--
            ``(1) train teachers and other relevant school personnel to 
        recognize symptoms of childhood and adolescent mental disorders 
        and appropriately respond;
            ``(2) train emergency services personnel to identify and 
        appropriately respond to persons with a mental illness; and
            ``(3) provide education to such teachers and personnel 
        regarding resources that are available in the community for 
        individuals with a mental illness.
    ``(f) Evaluation.--A State, political subdivision of a State, 
Indian tribe, or tribal organization that receives a grant under this 
section shall prepare and submit an evaluation to the Secretary at such 
time, in such manner, and containing such information as the Secretary 
may reasonably require, including an evaluation of activities carried 
out with funds received under the grant under this section and a 
process and outcome evaluation.
    ``(g) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $50,000,000 for fiscal year 
2001 and such sums as may be necessary for each of fiscal years 2002 
through 2005.

``SEC. 583. GRANTS FOR EMERGENCY MENTAL HEALTH CENTERS.

    ``(a) Program Authorized.--The Secretary shall award grants to 
States, political subdivisions of States, Indian tribes, and tribal 
organizations to support the designation of hospitals and health 
centers as Emergency Mental Health Centers.
    ``(b) Health Center.--In this section, the term `health center' has 
the meaning given such term in section 330, and includes community 
health centers and community mental health centers.
    ``(c) Distribution of Awards.--The Secretary shall ensure that such 
grants awarded under subsection (a) are equitably distributed among the 
geographical regions of the United States, between urban and rural 
populations, and between different settings of care including health 
centers, mental health centers, hospitals, and other psychiatric units 
or facilities.
    ``(d) Application.--A State, political subdivision of a State, 
Indian tribe, or tribal organization that desires a grant under 
subsection (a) shall submit an application to the Secretary at such 
time, in such manner, and containing such information as the Secretary 
may require, including a plan for the rigorous evaluation of activities 
carried out with funds received under this section.
    ``(e) Use of Funds.--
            ``(1) In general.--A State, political subdivision of a 
        State, Indian tribe, or tribal organization receiving a grant 
        under subsection (a) shall use funds from such grant to 
        establish or designate hospitals and health centers as 
        Emergency Mental Health Centers.
            ``(2) Emergency mental health centers.--Such Emergency 
        Mental Health Centers described in paragraph (1)--
                    ``(A) shall--
                            ``(i) serve as a central receiving point in 
                        the community for individuals who may be in 
                        need of emergency mental health services;
                            ``(ii) purchase, if needed, any equipment 
                        necessary to evaluate, diagnose and stabilize 
                        an individual with a mental illness;
                            ``(iii) provide training, if needed, to the 
                        medical personnel staffing the Emergency Mental 
                        Health Center to evaluate, diagnose, stabilize, 
                        and treat an individual with a mental illness; 
                        and
                            ``(iv) provide any treatment that is 
                        necessary for an individual with a mental 
                        illness or a referral for such individual to 
                        another facility where such treatment may be 
                        received; and
                    ``(B) may establish and train a mobile crisis 
                intervention team to respond to mental health 
                emergencies within the community.
    ``(f) Evaluation.--A State, political subdivision of a State, 
Indian tribe, or tribal organization that receives a grant under 
subsection (a) shall prepare and submit an evaluation to the Secretary 
at such time, in such manner, and containing such information as the 
Secretary may reasonably require, including an evaluation of activities 
carried out with funds received under this section and a process and 
outcomes evaluation.
    ``(g) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $50,000,000 for fiscal year 
2001 and such sums as may be necessary for each of the fiscal years 
2002 through 2005.

``SEC. 584. GRANTS FOR JAIL DIVERSION PROGRAMS.

    ``(a) Program Authorized.--The Secretary shall make up to 125 
grants to States, political subdivisions of States, Indian tribes, and 
tribal organizations, acting directly or through agreements with other 
public or nonprofit entities, to develop and implement programs to 
divert individuals with a mental illness from the criminal justice 
system to community-based services.
    ``(b) Administration.--
            ``(1) Consultation.--The Secretary shall consult with the 
        Attorney General and any other appropriate officials in 
        carrying out this section.
            ``(2) Regulatory authority.--The Secretary shall issue 
        regulations and guidelines necessary to carry out this section, 
        including methodologies and outcome measures for evaluating 
        programs carried out by States, political subdivisions of 
        States, Indian tribes, and tribal organizations receiving 
        grants under subsection (a).
    ``(c) Applications.--
            ``(1) In general.--To receive a grant under subsection (a), 
        the chief executive of a State, chief executive of a 
        subdivision of a State, Indian tribe or tribal organization 
        shall prepare and submit an application to the Secretary at 
        such time, in such manner, and containing such information as 
        the Secretary shall reasonably require.
            ``(2) Content.--Such application shall--
                    ``(A) contain an assurance that--
                            ``(i) community-based mental health 
                        services will be available for the individuals 
                        who are diverted from the criminal justice 
                        system, and that such services are based on the 
                        best known practices, reflect current research 
                        findings, include case management, assertive 
                        community treatment, medication management and 
                        access, integrated mental health and co-
                        occurring substance abuse treatment, and 
                        psychiatric rehabilitation, and will be 
                        coordinated with social services, including 
                        life skills training, housing placement, 
                        vocational training, education job placement, 
                        and health care;
                            ``(ii) there has been relevant interagency 
                        collaboration between the appropriate criminal 
                        justice, mental health, and substance abuse 
                        systems; and
                            ``(iii) the Federal support provided will 
                        be used to supplement, and not supplant, State, 
                        local, Indian tribe, or tribal organization 
                        sources of funding that would otherwise be 
                        available;
                    ``(B) demonstrate that the diversion program will 
                be integrated with an existing system of care for those 
                with mental illness;
                    ``(C) explain the applicant's inability to fund the 
                program adequately without Federal assistance;
                    ``(D) specify plans for obtaining necessary support 
                and continuing the proposed program following the 
                conclusion of Federal support; and
                    ``(E) describe methodology and outcome measures 
                that will be used in evaluating the program.
    ``(d) Use of Funds.--A State, political subdivision of a State, 
Indian tribe, or tribal organization that receives a grant under 
subsection (a) may use funds received under such grant to--
            ``(1) integrate the diversion program into the existing 
        system of care;
            ``(2) create or expand community-based mental health and 
        co-occurring mental illness and substance abuse services to 
        accommodate the diversion program;
            ``(3) train professionals involved in the system of care, 
        and law enforcement officers, attorneys, and judges; and
            ``(4) provide community outreach and crisis intervention.
    ``(e) Federal Share.--
            ``(1) In general.--The Secretary shall pay to a State, 
        political subdivision of a State, Indian tribe, or tribal 
        organization receiving a grant under subsection (a) the Federal 
        share of the cost of activities described in the application.
            ``(2) Federal share.--The Federal share of a grant made 
        under this section shall not exceed 75 percent of the total 
        cost of the program carried out by the State, political 
        subdivision of a State, Indian tribe, or tribal organization. 
        Such share shall be used for new expenses of the program 
        carried out by such State, political subdivision of a State, 
        Indian tribe, or tribal organization.
            ``(3) Non-federal share.--The non-Federal share of payments 
        made under this section may be made in cash or in kind fairly 
        evaluated, including planned equipment or services. The 
Secretary may waive the requirement of matching contributions.
    ``(f) Geographic Distribution.--The Secretary shall ensure that 
such grants awarded under subsection (a) are equitably distributed 
among the geographical regions of the United States and between urban 
and rural populations.
    ``(g) Training and Technical Assistance.--Training and technical 
assistance may be provided by the Secretary to assist a State, 
political subdivision of a State, Indian tribe, or tribal organization 
receiving a grant under subsection (a) in establishing and operating a 
diversion program.
    ``(h) Evaluations.--The programs described in subsection (a) shall 
be evaluated not less than 1 time in every 12-month period using the 
methodology and outcome measures identified in the grant application.
    ``(i) Authorization of Appropriations.--There are authorized to be 
appropriated to carry out this section $10,000,000 for fiscal year 
2001, and such sums as may be necessary for fiscal years 2002 through 
2005.

``SEC. 585. SUICIDE PREVENTION ACROSS THE LIFE SPECTRUM.

    ``(a) In General.--The Secretary shall award grants, cooperative 
agreements, or contracts to States, political subdivisions of States, 
Indian tribes, tribal organizations, and private nonprofit 
organizations to establish programs to reduce suicide deaths in the 
United States.
    ``(b) Duration.--With respect to a grant, contract, or cooperative 
agreement awarded under subsection (a), the period during which 
payments under such award may be made to the recipient may not exceed 5 
years.
    ``(c) Special Populations.--In awarding grants, contracts, and 
cooperative agreements under subsection (a), the Secretary shall ensure 
that a portion of such awards are made in a manner that will focus on 
the needs of populations who experience high or rapidly rising rates of 
suicide.
    ``(d) Collaboration.--In carrying out subsection (a), the Secretary 
shall ensure that activities under this section are coordinated with 
activities carried out by the relevant institutes at the National 
Institutes of Health, the Health Resources and Services Administration, 
the Centers for Disease Control and Prevention, the Administration on 
Children and Families, and the Administration on Aging.
    ``(e) Requirements.--A State, political subdivision of a State, 
Indian tribe, tribal organization, or private nonprofit organization 
desiring a grant, contract, or cooperative agreement under subsection 
(a) shall demonstrate that the program such entity proposes will--
            ``(1) provide for the timely assessment and treatment of 
        individuals at risk for suicide;
            ``(2) use evidence-based strategies;
            ``(3) be based on best practices that are adapted to the 
        local community;
            ``(4) integrate its program into the existing health care 
        system in the community, including primary health care, mental 
        health services, and substance abuse services;
            ``(5) be integrated into other systems in the community 
        that address the needs of individuals, including the 
        educational system, juvenile justice system, prisons, welfare 
        and child protection systems, and community youth support 
        organizations;
            ``(6) use primary prevention methods to educate and raise 
        awareness in the local community by disseminating information 
        about suicide prevention;
            ``(7) include services for the families and friends of 
        individuals who completed suicide;
            ``(8) provide linguistically appropriate and culturally 
        competent services;
            ``(9) provide a plan for the evaluation of outcomes and 
        activities at the local level and agree to participate in a 
        National evaluation;
            ``(10) provide or ensure adequate provision of mental 
        health and substance abuse services, either through provision 
        of direct services or referral; and
            ``(11) ensure that staff used in the program are trained in 
        suicide prevention and that professionals involved in the 
        system of care are given training in identifying persons at 
        risk of suicide.
    ``(f) Application.--A State, political subdivision of a State, 
Indian tribe, tribal organization, or private nonprofit organization 
receiving a grant, cooperative agreement, or contract under subsection 
(a) shall prepare and submit an application to the Secretary at such 
time, in such manner, and containing such information as the Secretary 
may reasonably require. Such application shall include a plan for the 
rigorous evaluation of activities funded under the grant, cooperative 
agreement, or contract, including a process and outcomes evaluation.
    ``(g) Distribution of Awards.--In awarding grants, contracts, and 
cooperative agreements under subsection (a), the Secretary shall ensure 
that such awards are equitably distributed among the geographical 
regions of the United States and between urban and rural populations.
    ``(h) Evaluation.--A State, political subdivision of a State, 
Indian tribe, tribal organization, or private nonprofit organization 
receiving a grant, cooperative agreement, or contract under subsection 
(a) shall prepare and submit to the Secretary at the end of the program 
period, an evaluation of all activities funded under this section.
    ``(i) Dissemination and Education.--The Secretary shall ensure that 
findings derived from activities carried out under this section are 
disseminated to State, county, and local governmental agencies and 
nonprofit organizations active in promoting suicide prevention and 
family support activities.
    ``(j) Authorization of Appropriation.--There are authorized to be 
appropriated to carry out this section $75,000,000 for fiscal year 
2001, and such sums as may be necessary for fiscal years 2002 through 
2005.

``SEC. 586. MENTAL ILLNESS OUTREACH SCREENING PROGRAMS.

    ``(a) In General.--The Secretary shall award grants, cooperative 
agreements, or contracts to States, political subdivisions of States, 
Indian tribes, tribal organizations, and private nonprofit 
organizations to conduct outreach screening programs to identify 
children, adolescents, and adults with a mental illness or a mental 
illness and co-occurring substance abuse disorder and to provide 
referrals for such children, adolescents, and adults.
    ``(b) Duration.--The Secretary shall award grants, cooperative 
agreements, or contracts under subsection (a) for a period of not more 
than 5 years.
    ``(c) Application.--A State, political subdivision of a State, 
Indian tribe, tribal organization, or private nonprofit organization 
desiring a grant, cooperative agreement, or contract under subsection 
(a) shall prepare and submit an application to the Secretary at such 
time, in such manner, and containing such information as the Secretary 
may require, including--
            ``(1) a plan for the rigorous evaluation of activities 
        funded under the grant, including a process and outcomes 
        evaluation; and
            ``(2) provide or ensure adequate provision of mental health 
        and substance abuse services, either through provision of 
        direct services or referral.
    ``(d) Use of Funds.--A State, political subdivision of a State, 
Indian tribe, tribal organization, or private nonprofit organization 
receiving a grant, cooperative agreement, or contract under subsection 
(a) shall use funds received under such grant--
            ``(1) to provide screening and referrals for children, 
        adolescents, and adults with a mental illness, especially for 
        underserved populations and groups historically less likely to 
        seek mental health and substance abuse services;
            ``(2) to ensure that appropriate referrals are provided for 
        children, adolescents, and adults in need of mental health 
        services or in need of integrated services relating to a co-
        occurring mental illness and substance abuse disorder; 
            ``(3) to utilize evidence-based and cost-effective 
        screening tools; and
            ``(4) to utilize existing, or to develop if necessary, 
        linguistically appropriate and culturally competent screening 
        tools.
    ``(e) Distribution of Awards.--The Secretary shall ensure that such 
grants, cooperative agreements, and contracts awarded under subsection 
(a) are equitably distributed among the geographical regions of the 
United States and between urban and rural populations.
    ``(f) Evaluation.--A State, political subdivision of a State, 
Indian tribe, tribal organization, or private nonprofit organization 
that receives a grant, cooperative agreement, or contract under 
subsection (a) shall prepare and submit to the Secretary an evaluation 
at the end of the program period regarding activities funded under the 
grant.
    ``(g) Public Information.--The Secretary shall ensure that the 
evaluations submitted under subsection (f) are available and 
disseminated to State, county and local governmental agencies, and to 
private providers of mental health and substance abuse services.
    ``(h) Authorization of Appropriation.--There is authorized to be 
appropriated to carry out this section, $15,000,000 for fiscal year 
2001, and such sums as may be necessary for fiscal years 2002 through 
2005.

``SEC. 587. GRANTS FOR MENTAL ILLNESS TREATMENT SERVICES.

    ``(a) Grants for the Expansion of Mental Health Services.--
            ``(1) In general.--The Secretary shall award grants, 
        contracts, or cooperative agreements to States, political 
        subdivisions of States, Indian tribes, tribal organizations, 
        and private nonprofit organizations for the purpose of 
        expanding community-based mental health services to meet 
        emerging or urgent mental health service needs in local 
        communities.
            ``(2) Priority.--The Secretary shall give priority in 
        making awards under paragraph (1) to States, political 
        subdivisions of States, Indian tribes, tribal organizations, 
        and private nonprofit organizations that--
                    ``(A) have an integrated system of care or are 
                committed to developing such system of care;
                    ``(B) have a significant need for mental health 
                services as shown by a needs assessment and a lack of 
                funds for providing the needed services; and
                    ``(C) will work with--
                            ``(i) adults who have a history of repeated 
                        psychiatric hospitalizations, have a history of 
                        interactions with law enforcement or the 
                        criminal justice system, or are homeless; or
                            ``(ii) children or adolescents who are at 
                        risk for suicide, parental relinquishment of 
                        custody, encounters with the juvenile justice 
                        system, behavior dangerous to themselves or 
                        others, or being homeless.
            ``(3) Use of funds.--A State, political subdivision of a 
        State, Indian tribe, tribal organization, or private nonprofit 
        organization receiving a grant, contract, or cooperative 
        agreement under paragraph (1) may use the funds received under 
        such grant, contract, or cooperative agreement to--
                    ``(A) develop an integrated system of care for the 
                provision of services for children with a serious 
                emotional disturbance or adults with a serious mental 
                illness;
                    ``(B) expand community-based mental health 
                services, which may include assertive community 
                treatment, intensive case management, psychiatric 
                rehabilitation, peer support services, comprehensive 
                wraparound services, and day treatment programs;
                    ``(C) ensure continuity of care for children, 
                adolescents, and adults discharged from the hospital 
                and returning to the community; and
                    ``(D) provide outreach to children, adolescents, 
                and adults in the community in need of mental health 
                services, including individuals who are homeless.
    ``(b) Grants for the Integrated Treatment of Serious Mental Illness 
and Co-occurring Substance Abuse.--
            ``(1) In general.--The Secretary shall award grants, 
        contracts, or cooperative agreements to States, political 
        subdivisions of States, Indian tribes, tribal organizations, 
and private nonprofit organizations for the development or expansion of 
programs to provide integrated treatment services for individuals with 
a serious mental illness and a co-occurring substance abuse disorder.
            ``(2) Priority.--In awarding grants, contracts, and 
        cooperative agreements under paragraph (1), the Secretary shall 
        give priority to applicants that emphasize the provision of 
        services for individuals with a serious mental illness and a 
        co-occurring substance abuse disorder who--
                    ``(A) have a history of interactions with law 
                enforcement or the criminal justice system;
                    ``(B) have recently been released from 
                incarceration;
                    ``(C) have a history of unsuccessful treatment in 
                either an inpatient or outpatient setting;
                    ``(D) have never followed through with outpatient 
                services despite repeated referrals; or
                    ``(E) are homeless.
            ``(3) Use of funds.--A State, political subdivision of a 
        State, Indian tribe, tribal organization, or private nonprofit 
        organization that receives a grant, contract, or cooperative 
        agreement under paragraph (1) shall use funds received under 
        such grant--
                    ``(A) to provide fully integrated services rather 
                than serial or parallel services;
                    ``(B) to employ staff that are cross-trained in the 
                diagnosis and treatment of both serious mental illness 
                and substance abuse;
                    ``(C) to provide integrated mental health and 
                substance abuse services at the same location;
                    ``(D) to provide services that are linguistically 
                appropriate and culturally competent;
                    ``(E) to provide at least 10 programs for 
                integrated treatment of both mental illness and 
                substance abuse at sites that previously provided only 
                mental health services or only substance abuse 
                services; and
                    ``(F) to provide services in coordination with 
                other existing public and private community programs.
            ``(4) Condition.--The Secretary shall ensure that a State, 
        political subdivision of a State, Indian tribe, tribal 
        organization, or private nonprofit organization that receives a 
        grant, contract, or cooperative agreement under paragraph (1) 
        maintains the level of effort necessary to sustain existing 
        mental health and substance abuse programs for other 
        populations served by mental health systems in the community.
            ``(5) Distribution of awards.--The Secretary shall ensure 
        that grants, contracts, or cooperative agreements awarded under 
        paragraph (1) are equitably distributed among the geographical 
        regions of the United States and between urban and rural 
        populations.
    ``(c) Duration.--The Secretary shall award grants, contract, or 
cooperative agreements under subsections (a) and (b) for a period of 
not more than 5 years.
    ``(d) Application.--A State, political subdivision of a State, 
Indian tribe, tribal organization, or private nonprofit organization 
that desires a grant, contract, or cooperative agreement under 
subsection (a) or (b) shall prepare and submit an application to the 
Secretary at such time, in such manner, and containing such information 
as the Secretary may require. Such application shall include a plan for 
the rigorous evaluation of activities funded with an award under such 
subsections, including a process and outcomes evaluation.
    ``(e) Evaluation.--A State, political subdivision of a State, 
Indian tribe, tribal organization, or private nonprofit organization 
that receives a grant, contract, or cooperative agreement under 
subsections (a)(1) and (b)(1) shall prepare and submit a plan for the 
rigorous evaluation of the program funded under such grant, contract, 
or agreement, including both process and outcomes evaluation, and the 
submission of an evaluation at the end of the project period.
    ``(f) Authorization of Appropriation.--There is authorized to be 
appropriated to carry out this section--
            ``(1) $50,000,000 for subsection (a) for fiscal year 2001, 
        and such sums as may be necessary for fiscal years 2002 through 
        2005; and
            ``(2) $50,000,000 for subsection (b) for fiscal year 2001, 
        and such sums as may be necessary for fiscal years 2002 through 
        2005.

``SEC. 588. CENTERS OF EXCELLENCE FOR POST TRAUMATIC STRESS AND RELATED 
              DISORDERS.

    ``(a) In General.--The Secretary shall award grants, contracts, or 
cooperative agreements to public and nonprofit private entities for the 
purpose of establishing national and regional centers of excellence on 
psychological trauma response and for developing knowledge with regard 
to evidence-based practices for treating psychiatric disorders 
resulting from witnessing or experiencing a traumatic event.
    ``(b) Priorities.--In awarding grants, contracts, or cooperative 
agreements under subsection (a) related to the development of knowledge 
on evidence-based practices for treating disorders associated with 
psychological trauma, the Secretary shall give priority to entities 
proposing programs that work with children, adolescents, adults, and 
families who are survivors and witnesses of domestic, school, and 
community violence and terrorism.
    ``(c) Geographical Distribution.--The Secretary shall ensure that 
grants, contracts, or cooperative agreements under subsection (a) with 
respect to centers of excellence are distributed equitably among the 
regions of the country and among urban and rural areas.
    ``(d) Application.--A public or nonprofit private entity desiring a 
grant, contract, or cooperative agreement under subsection (a) shall 
prepare and submit an application to the Secretary at such time, in 
such manner, and containing such information as the Secretary may 
reasonably require.
    ``(e) Evaluation.--The Secretary, as part of the application 
process, shall require that each applicant for a grant, contract, or 
cooperative agreement under subsection (a) submit a plan for the 
rigorous evaluation of the activities funded under the grant, contract, 
or agreement, including both process and outcomes evaluation, and the 
submission of an evaluation at the end of the project period.
    ``(f) Duration of Awards.--With respect to a grant, contract or 
cooperative agreement awarded under subsection (a), the period during 
which payments under such an award will be made to the recipient may 
not exceed 5 years. Such grants, contracts, or agreements may be 
renewed.
    ``(g) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $50,000,000 for fiscal year 
2001, and such sums as may be necessary for each of the fiscal years 
2002 through 2005.

``SEC. 589. MENTAL ILLNESS TREATMENT COMPLIANCE INITIATIVE.

    ``(a) In General.--The Secretary, acting through the Director of 
the National Institute of Mental Health, shall establish a research 
program to determine factors contributing to noncompliance with 
outpatient treatment plans, and to design innovative, community-based 
programs that use noncoercive methods to enhance compliance.
    ``(b) Authorization of Appropriations.--There are authorized to be 
appropriated to carry out this section such sums as may be necessary.

``SEC. 590. CENTERS OF EXCELLENCE FOR TRANSLATIONAL RESEARCH.

    ``(a) In General.--The Director of the National Institute of Mental 
Health shall establish Centers for Excellence in Translational Research 
to speed knowledge from basic scientific findings to clinical 
application.
    ``(b) Purpose.--Such centers shall--
            ``(1) engage in basic and clinical research and training of 
        clinicians in the neuroscience of mental health; and
            ``(2) develop model curricula for the teaching of basic 
        neuroscience to medical students, residents, and post doctoral 
        fellows in clinical psychiatry and psychology.
    ``(c) Authorization of Appropriations.--There are authorized to be 
appropriated to carry out this section such sums as may be necessary.

``SEC. 591. INCENTIVES TO INCREASE THE SUPPLY OF BASIC AND CLINICAL 
              MENTAL HEALTH RESEARCHERS.

    ``(a) In General.--The Secretary, acting through the Director of 
National Institute of Mental Health, shall develop and implement a 
program to increase the supply of basic researchers and clinical 
researchers in the mental health field. Such program may include loan 
forgiveness, scholarships, and fellowships with both stipends and funds 
for laboratory investigation. Such program, in part, shall be designed 
to attract both female and under-represented minority psychiatrists and 
psychologists into laboratory research in the neuroscience of mental 
health and mental illness.
    ``(b) Authorization of Appropriations.--There are authorized to be 
appropriated to carry out this section such sums as may be necessary.

``SEC. 592. IMPROVING OUTCOMES FOR CHILDREN AND ADOLESCENTS THROUGH 
              SERVICES INTEGRATION BETWEEN CHILD WELFARE AND MENTAL 
              HEALTH SERVICES.

    ``(a) In General.--The Secretary shall award grants, contracts or 
cooperative agreements to States, political subdivisions of States, 
Indian tribes, and tribal organizations to provide integrated child 
welfare and mental health services for children and adolescents under 
19 years of age in the child welfare system or at risk for becoming 
part of the system, and parents or caregivers with a mental illness or 
a mental illness and a co-occurring substance abuse disorder.
    ``(b) Duration.--With respect to a grant, contract or cooperative 
agreement awarded under this section, the period during which payments 
under such award are made to the recipient may not exceed 5 years.
    ``(c) Application.--
            ``(1) In general.--To be eligible to receive an award under 
        subsection (a), a State, political subdivision of a State, 
        Indian tribe, or tribal organization shall submit an 
        application to the Secretary at such time, in such manner, and 
        accompanied by such information as the Secretary may reasonably 
        require.
            ``(2) Content.--An application submitted under paragraph 
        (1) shall--
                    ``(A) describe the program to be funded under the 
                grant, contract or cooperative agreement;
                    ``(B) explain how such program reflects best 
                practices in the provision of child welfare and mental 
                health services; and
                    ``(C) provide assurances that--
                            ``(i) persons providing services under the 
                        grant, contract or cooperative agreement are 
                        adequately trained to provide such services; 
                        and
                            ``(ii) the services will be provided in 
                        accordance with subsection (d).
    ``(d) Use of Funds.--A State, political subdivision of a State, 
Indian tribe, or tribal organization that receives a grant, contract, 
or cooperative agreement under subsection (a) shall use amounts made 
available through such grant, contract or cooperative agreement to--
            ``(1) provide family-centered, comprehensive, and 
        coordinated child welfare and mental health services, including 
        prevention, early intervention and treatment services for 
        children and adolescents, and for their parents or caregivers;
            ``(2) ensure a single point of access for such coordinated 
        services;
            ``(3) provide integrated mental health and substance abuse 
        treatment for children, adolescents, and parents or caregivers 
        with a mental illness and a co-occurring substance abuse 
        disorder;
            ``(4) provide training for the child welfare, mental health 
        and substance abuse professionals who will participate in the 
        program carried out under this section;
            ``(5) provide technical assistance to child welfare and 
        mental health agencies;
            ``(6) develop cooperative efforts with other service 
        entities in the community, including education, social 
        services, juvenile justice, and primary health care agencies;
            ``(7) coordinate services with services provided under the 
        medicaid program and the State Children's Health Insurance 
        Program under titles XIX and XXI of the Social Security Act;
            ``(8) provide linguistically appropriate and culturally 
        competent services; and
            ``(9) evaluate the effectiveness and cost-efficiency of the 
        integrated services that measure the level of coordination, 
        outcome measures for parents or caregivers with a mental 
        illness or a mental illness and a co-occurring substance abuse 
        disorder, and outcome measures for children.
    ``(e) Distribution of Awards.--The Secretary shall ensure that 
grants, contracts, and cooperative agreements awarded under subsection 
(a) are equitably distributed among the geographical regions of the 
United States and between urban and rural populations.
    ``(f) Evaluation.--The Secretary shall evaluate each program 
carried out by a State, political subdivision of a State, Indian tribe, 
or tribal organization under subsection (a) and shall disseminate the 
findings with respect to each such evaluation to appropriate public and 
private entities.
    ``(g) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $20,000,000 for fiscal year 
2001, and such sums as may be necessary for each of fiscal years 2002 
and 2005.''.

``SEC. 593. PRIMARY CARE RESIDENCY TRAINING GRANTS.

    ``(a) In General.--The Secretary shall award grants to institutions 
with accredited residency training programs that provide residency 
training in primary care to provide training to identify individuals 
with a mental illness and to refer such individuals for treatment to 
mental health professionals when appropriate.
    ``(b) Primary Care.--In this section, the term `primary care' 
includes family practice, internal medicine, pediatrics, obstetrics and 
gynecology, geriatrics, and emergency medicine.
    ``(c) Distribution of Awards.--The Secretary shall ensure that such 
grants awarded under subsection (a) are equitably distributed among the 
geographical regions of the United States and between urban and rural 
populations.
    ``(d) Eligibility.--In order to be eligible to receive a grant 
under this section, an institution with a residency training program 
shall require residents to demonstrate core competencies in the 
diagnosis, treatment, options and referral for treatment for 
individuals with a mental illness.
    ``(e) Application.--An institution with a residency training 
program desiring a grant under subsection (a) shall prepare and submit 
an application to the Secretary at such time, in such manner, and 
containing such information as the Secretary may require.
    ``(f) Use of Funds.--An institution with a residency training 
program that receives a grant under subsection (a) shall use funds 
received under such grant to--
            ``(1) provide training for the diagnosis and treatment of 
        mental illness, and for appropriate referrals to mental health 
        professionals; and
            ``(2) develop model curricula or expand existing model 
        curricula to teach primary care residents the relationship 
        between physical illness and the mind and to effectively 
        diagnose and treat mental illnesses and make appropriate 
        referrals to mental health professionals which shall include--
                    ``(A) the development of core competencies in the 
                diagnosis, treatment, options and referral of 
                individuals with a mental illness;
                    ``(B) a testing component to ensure that residents 
                demonstrate a proficiency in such core competencies; 
                and
                    ``(C) model curricula regarding neuroscience and 
                behavior to enhance the understanding of mental 
                illness.
    ``(g) Evaluation.--An institution with a residency training program 
that receives a grant under subsection (a) shall prepare and submit to 
the Secretary an evaluation of the activities carried out with funds 
received under this section, including a process and outcomes 
evaluation.
    ``(h) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $10,000,000 for fiscal year 
2001 and such sums as may be necessary for each of fiscal years 2002 
through 2005.

``SEC. 594. TRAINING AND CONTINUING EDUCATION GRANTS FOR PRIMARY HEALTH 
              CARE PROVIDERS.

    ``(a) In General.--The Secretary shall award grants to academic 
health centers, community hospitals, and out-patient clinics, including 
community health centers and community mental health centers, for the 
continuing education of appropriate primary care providers in the 
diagnosis, treatment, options and referrals of children, adolescents, 
and adults with a mental illness to mental health professionals, and 
for the education of primary care providers in the delivery of 
effective medical care to such children, adolescents, and adults.
    ``(b) Distribution of Awards.--The Secretary shall ensure that such 
grants awarded under subsection (a) are equitably distributed among the 
geographical regions of the United States and between urban and rural 
populations.
    ``(c) Application.--An academic health center, community hospital, 
or out-patient clinic, including a community health center and a 
community mental health center, desiring a grant under subsection (a) 
shall prepare and submit an application to the Secretary at such time, 
in such manner, and containing such information as the Secretary may 
require, including a plan for the rigorous evaluation of activities 
carried out with funds received under this section, including a process 
and outcomes evaluation.
    ``(d) Use of Funds.--An academic health center, community hospital, 
or out-patient clinic, including a community health center and a 
community mental health center, that receives a grant under this 
section shall use funds received under such grant for the continuing 
education of primary care providers in the diagnosis, treatment, 
options and appropriate referrals of children, adolescents, and adults 
with a mental illness to mental health professionals, and for the 
education of primary care providers in the delivery of effective 
medical care to such children, adolescents, and adults.
    ``(e) Evaluation.--An academic health center, community hospital, 
or out-patient clinic, including a community health center and a 
community mental health center, that receives a grant under this 
section shall prepare and submit an evaluation to the Secretary that 
describes activities carried out with funds received under this 
section.
    ``(f) Definitions.--In this section:
            ``(1) Health center.--The term `health center' has the 
        meaning given such term in section 330, and includes community 
        mental health centers.
            ``(2) Primary care.--The term `primary care' includes 
        family practice, internal medicine, pediatrics, obstetrics and 
        gynecology, geriatrics, and emergency medicine.
    ``(g) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $20,000,000 for fiscal year 
2001 and such sums as may be necessary for each of fiscal years 2002 
through 2005.

``SEC. 595. COMMISSION.

    ``(a) Commission.--There is established a Commission that shall 
study issues regarding the diagnosis, treatment, rehabilitation, and 
hospitalization of individuals with a mental illness, make 
recommendations regarding the findings of such research, and develop 
model State legislation based on the results of such research if 
appropriate.
    ``(b) Duties.--The Commission established under subsection (a) 
shall--
            ``(1) study issues regarding the screening, diagnosis, and 
        treatment of individuals with a mental illness in both an 
        outpatient and inpatient setting;
            ``(2) study the effectiveness and results of outpatient and 
        inpatient involuntary treatment of individuals with a mental 
        illness, review existing laws governing outpatient involuntary 
        treatment of individuals with a mental illness, and if 
        appropriate, propose model State legislation to regulate such 
        involuntary treatment;
            ``(3) study the effectiveness and results of promoting the 
        inclusion of individuals with a mental illness in their 
        treatment decisions and the use of psychiatric advance 
        directives, and if appropriate, propose model State 
        legislation;
            ``(4) review the report `Mental Health: A Report of the 
        Surgeon General' and develop policy recommendations for 
        Federal, State, and local governments to guide the development 
        of public policy, implement the findings of the Surgeon 
        General;
            ``(5) develop mental health proposals, based on the 
        supplemental report of the Surgeon General on mental health and 
        race, culture, and ethnicity, to improve the diagnosis, 
        treatment, rehabilitation, and hospitalization of individuals 
        with a mental illness, and the utilization of services for such 
        individuals among diverse populations;
            ``(6) study the coordination of services between the health 
        care system, social services system, and the criminal justice 
        system for individuals with a mental illness;
            ``(7) study the adequacy of current treatment services for 
        mental illness; and
            ``(8) study issues regarding the mental illness of 
        incarcerated individuals in the criminal justice system and 
        develop recommendations for programs to identify, diagnose, and 
        treat such individuals.
    ``(c) Members of the Commission.--
            ``(1) In general.--The Commission established under 
        subsection (a) shall be composed of--
                    ``(A) the Director of the National Institute of 
                Mental Health;
                    ``(B) the Director of the Center for Mental Health 
                Services; and
                    ``(C) a representative from a State or local mental 
                health agency;
                    ``(D) a judge;
                    ``(E) a prosecutor;
                    ``(F) a criminal defense attorney;
                    ``(G) a constitutional law scholar;
                    ``(H) a law enforcement official;
                    ``(I) a county corrections official;
                    ``(J) a board certified psychiatrist;
                    ``(K) a psychologist;
                    ``(L) a medical ethicist;
                    ``(M) 2 mental health advocates, 1 of which shall 
                be a consumer of mental health services; and
                    ``(N) a family member of an individual with a 
                mental illness.
            ``(2) Selection.--Members of the Commission established 
        under subsection (a) shall be selected in the following manner:
                    ``(A) The Majority Leader of the Senate, in 
                consultation with the Minority Leader of the Senate, 
                shall select 5 members of the Commission, with not more 
                than 3 of such members being of the same political 
                party.
                    ``(B) The Speaker of the House of Representatives, 
                in consultation with the Minority Leader of the House 
                of Representatives, shall select 5 members of the 
                Commission, with not more than 3 of such members being 
                of the same political party.
                    ``(C) The President shall select 5 members of the 
                Commission, 2 of which shall be the Director of the 
                National Institute of Mental Health and the Director of 
                the Center for Mental Health Services.
    ``(d) Report.--
            ``(1) Interim report.--Not later than 10 months after the 
        date of enactment of this section, the Commission shall prepare 
        and submit to Congress a report that describes the progress of 
        the Commission regarding issues described in paragraphs (2) and 
        (3) of subsection (b) and recommends the value of developing 
        model State legislation.
            ``(2) Final report.--Not later than 18 months after the 
        date of enactment of this section, the Commission shall prepare 
        and submit to the President and Congress a report that 
        describes the findings of the Commission, and the 
        recommendations and model legislation created by such 
        Commission.
    ``(e) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $1,500,000.''.

SEC. 4. LAW ENFORCEMENT MENTAL HEALTH GRANT PROGRAMS.

    (a) In General.--Title I of the Omnibus Crime Control and Safe 
Streets Act of 1968 is amended by inserting after part U (42 U.S.C. 
3796hh et seq.) the following:

                 ``PART V--MENTAL HEALTH GRANT PROGRAMS

             ``Subpart 1--Mental Health Court Grant Program

``SEC. 2201. GRANT AUTHORITY.

    ``(a) Program Authorized.--The Attorney General shall make grants 
to States, State courts, local courts, units of local government, and 
Indian tribal governments, acting directly or through agreements with 
other public or nonprofit entities, for up to 125 Mental Health Court 
grant programs.
    ``(b) Purpose.--Such Mental Health Court grant programs described 
in subsection (a) shall involve--
            ``(1) the specialized training of law enforcement and 
        judicial personnel, including prosecutors and public defenders, 
        to identify and address the unique needs of individuals with a 
        mental illness who come in contact with the criminal justice 
        system; and
            ``(2) the coordination of criminal adjudication, continuing 
        judicial supervision, and the delivery of mental health 
        treatment and related services for preliminarily qualified 
        individuals, including--
                    ``(A) voluntary outpatient or inpatient mental 
                health treatment, in the least restrictive manner 
                appropriate as determined by the court, that carries 
                with it the possibility of dismissal of charges or 
                reduced sentencing upon successful completion of 
                treatment; and
                    ``(B) centralized case management involving the 
                consolidation of cases, including violations of 
                probation, and the coordination of all mental health 
                treatment plans and social services, including 
                substance abuse treatment where co-occurring disorders 
                are present, life skills training, housing placement, 
                vocational training, education, job placement, health 
                care, and relapse prevention for each participant who 
                requires such services.
    ``(c) Construction.--Nothing in this subpart shall preclude States 
from implementing a system to divert preliminarily qualified 
individuals in law enforcement custody for nonviolent or misdemeanor 
offenses out of the criminal justice system and into appropriate 
treatment programs.

``SEC. 2202. DEFINITION.

    ``In this subpart, subject to the requirements of section 
2204(b)(8), the term, `preliminarily qualified individual' means a 
person in law enforcement custody who--
            ``(1)(A) previously or currently has been diagnosed by a 
        qualified mental health professional as having a mental 
        illness, mental retardation, or a co-occurring mental illness 
        and substance abuse disorder; or
            ``(B) manifests obvious signs of having a mental illness, 
        mental retardation, or a co-occurring mental illness and 
        substance abuse disorder during arrest or confinement or before 
        any court; and
            ``(2) is deemed eligible by a designated judge.

``SEC. 2203. ADMINISTRATION.

    ``(a) Consultation.--The Attorney General shall consult with the 
Secretary and any other appropriate officials in carrying out this 
subpart.
    ``(b) Use of Components.--The Attorney General may utilize any 
component or components of the Department of Justice in carrying out 
this subpart.
    ``(c) Regulatory Authority.--The Attorney General shall issue 
regulations and guidelines necessary to carry out this subpart which 
shall include the methodologies and outcome measures proposed for 
evaluating each applicant program.

``SEC. 2204. APPLICATIONS.

    ``(a) In General.--To request funds under this subpart, the chief 
executive of a State, a unit of local government, or an Indian tribal 
government shall submit an application to the Attorney General in such 
form and containing such information as the Attorney General may 
reasonably require.
    ``(b) Contents.--In addition to any other requirement the Attorney 
General may specify under subsection (a), an application for a grant 
under this subpart shall--
            ``(1) identify related governmental or community 
        initiatives which complement or will be coordinated with the 
        proposal;
            ``(2) include a plan for the coordination of mental health 
        treatment and social service programs for individuals needing 
        such services, including life skills training, such as housing 
        placement, vocational training, education, job placement, 
        health care, relapse prevention, and substance abuse treatment 
        where co-occurring disorders are present;
            ``(3) contain an assurance that--
                    ``(A) there has been appropriate consultation with 
                all affected mental health and social service agencies 
                and programs in the development of the plan and that 
                there will be sufficient ongoing coordination with the 
                affected agencies and programs during implementation to 
                ensure that they will have adequate capacity to provide 
                the services;
                    ``(B) the Mental Health Court program will provide 
                continuing supervision of treatment plan compliance for 
                a term not to exceed the maximum allowable sentence or 
                probation for the charged or relevant offense and 
                continuity of psychiatric care at the end of the 
                supervised period;
                    ``(C) individuals referred to a Mental Health Court 
                will receive a full mental health evaluation by a 
                qualified professional;
                    ``(D) the Federal support provided will be used to 
                supplement, and not supplant, State, Indian tribal, and 
                local sources of funding that would otherwise be 
                available; and
                    ``(E) the program will be evaluated no less than 
                once every 12 months using the methodology and outcome 
                measures identified in the grant application;
            ``(4) include a long-term strategy and detailed 
        implementation plan;
            ``(5) explain the applicant's inability to fund the program 
        adequately without Federal assistance;
            ``(6) specify plans for obtaining necessary support and 
        continuing the proposed program following the conclusion of 
        Federal support;
            ``(7) describe the methodology and outcome measures that 
        will be used in evaluating the program; and
            ``(8) identify plans to ensure that individuals charged 
        with serious violent felonies, including murder, rape, crimes 
        involving the use of a firearm or explosive device, and any 
        other crimes identified by the applicant, will not be referred 
        to the Mental Health Court.

``SEC. 2205. FEDERAL SHARE.

    ``The Federal share of a grant made under this subpart may not 
exceed 75 percent of the total costs of the program described in the 
application submitted under section 2204 for the fiscal year for which 
the program receives assistance under this subpart, unless the Attorney 
General waives, wholly or in part, the requirement of a matching 
contribution under this section. The use of the Federal share of a 
grant made under this subpart shall be limited to new expenses 
necessitated by the proposed program, including the development of 
treatment services and the hiring and training of personnel. In-kind 
contributions may constitute a portion of the non-Federal share of a 
grant.

``SEC. 2206. GEOGRAPHIC DISTRIBUTION.

    ``The Attorney General shall ensure that, to the extent 
practicable, an equitable geographic distribution of grant awards is 
made that considers the special needs of rural communities, Indian 
tribes, and Alaska Natives.

``SEC. 2207. REPORT.

    ``A State, State court, local court, unit of local government, or 
Indian tribal government that receives funds under this subpart during 
a fiscal year shall submit to the Attorney General a report in March of 
the following year regarding the effectiveness of this subpart.

  ``Subpart 2--Mental Health Screening and Treatment Grant Program in 
                           Jails and Prisons

``SEC. 2221. GRANT AUTHORITY.

    ``The Attorney General shall carry out a pilot program under which 
the Attorney General shall make a grant to 10 States selected by the 
Attorney General for use in accordance with this subpart.

``SEC. 2222. USE OF GRANT AMOUNTS.

    ``Amounts made available under a grant awarded under this subpart--
            ``(1) shall be used for mental health screening, 
        evaluation, and treatment of individuals detained or 
        incarcerated in State and local correctional institutions; and
            ``(2) may be used to incorporate mental health screening 
        and treatment into the State and local probation and parole 
        systems.

``SEC. 2223. MINIMUM GRANT AMOUNT.

    ``The amount of a grant awarded to a State under this subpart for 
any fiscal year shall not be less than 2.5 percent of the total amount 
made available to carry out this subpart for that fiscal year.

``SEC. 2224. STATE AND LOCAL ALLOCATION.

    ``Of the amount made available under a grant awarded to a State 
under this subpart--
            ``(1) 25 percent shall be used by the State in accordance 
        with section 2222; and
            ``(2) 75 percent shall be distributed to units of local 
        government within the State for use in accordance with section 
        2222.

``SEC. 2225. REPORT.

    ``A State that receives funds under this subpart during a fiscal 
year shall submit to the Attorney General a report in March of the 
following year regarding the effectiveness of this subpart.

    Subpart 3--Law Enforcement Mental Health Training Grant Program

``SEC. 2231. GRANT AUTHORITY.

    ``The Attorney General shall make grants to States, which shall be 
used to train State and local law enforcement officers--
            ``(1) to identify and respond effectively to individuals 
        with a mental illness who come into contact with the criminal 
        justice system; and
            ``(2) regarding the mental health treatment resources 
        available in the community for individuals with a mental 
        illness who come into contact with the criminal justice 
        system.''.
    (b) Technical Amendment.--The table of contents of title I of the 
Omnibus Crime Control and Safe Streets Act of 1968 (42 U.S.C. 3711 et 
seq.), is amended by inserting after the item relating to part U the 
following:

                     ``Part V--Mental Health Courts

             ``Subpart 1--Mental Health Court Grant Program

``Sec. 2201. Grant authority.
``Sec. 2202. Definition.
``Sec. 2203. Administration.
``Sec. 2204. Applications.
  ``Subpart 2--Mental Health Screening and Treatment Grant Program in 
                           Jails and Prisons

``Sec. 2221. Grant authority.
``Sec. 2222. Use of grant amounts.
``Sec. 2223. Minimum grant amount.
``Sec. 2224. State and local allocation.
   ``Subpart 3--Law Enforcement Mental Health Training Grant Program

``Sec. 2231. Grant authority.''.
    (c) Authorization of Appropriations.--Section 1001(a) of the 
Omnibus Crime Control and Safe Streets Act of 1968 (42 U.S.C. 3793(a)) 
is amended by inserting after paragraph (19) the following:
    ``(20) There are authorized to be appropriated--
                    ``(A) to carry out subpart 1 of part V, $10,000,000 
                for fiscal year 2001 and such sums as may be necessary 
                for each of fiscal years 2002 through 2005;
                    ``(B) to carry out subpart 2 of part V, $50,000,000 
                for fiscal year 2001 and such sums as may be necessary 
                for each of fiscal years 2002 through 2005; and
                    ``(C) to carry out subpart 3 of part V, $50,000,000 
                for fiscal year 2001 and such sums as may be necessary 
                for each fiscal years 2002 through 2005.''.
                                 <all>