109 HR 6397 IH: Ensuring Mental Health Service Access Act of 2006
U.S. House of Representatives
2006-12-06
text/xml
EN
Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.
1.Short title; table of contents
(a)This Act may be cited as the Ensuring Mental Health Service Access Act of 2006
.
(b)The table of contents for this Act is as follows:
Sec. 1. Short title; table of contents.
Title I—Public health initiatives to improve mental health and substance abuse services
Sec. 101. Mental health services for children, adolescents, and their families.
Sec. 102. Initiative for comprehensive, intersystem programs.
Sec. 103. Grants to States and political subdivisions for mental health services in response to public health emergencies.
Sec. 104. Grants to States for statewide mental health disaster plans.
Sec. 105. National mental health crisis response technical assistance center.
Sec. 106. Training grants.
Sec. 107. Children’s mental health.
Sec. 108. Crisis response grants to address children’s needs.
Title II—Medicare coverage of marriage and family therapist services
Sec. 201. Coverage of marriage and family therapist services under Medicare part B.
Sec. 202. Coverage of marriage and family therapist services provided in certain settings.
Sec. 203. Authorization of marriage and family therapists to develop discharge plans for post-hospital services.
Sec. 204. Effective date.
Title III—Judicial system initiatives to improve mental health and substance abuse services
Sec. 301. Training of justice system personnel.
Sec. 302. Block grant funding for treatment and diversion programs.
Sec. 303. Federal coordinating council on the criminalization of juveniles with mental disorders.
Sec. 304. Mental health screening and treatment for prisoners.
<enum>I</enum><header>Public health initiatives to improve mental health and substance abuse services</header>
<section id="HC0CE07B01437437D94AD027334193894" display-inline="no-display-inline"><enum>101.</enum><header>Mental health services for children, adolescents, and their families</header><text display-inline="no-display-inline">Title V of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290aa">42 U.S.C. 290aa et seq.</external-xref>) is amended by inserting after section 520A the following:</text>
<quoted-block style="OLC" id="H25BFEF6F6390451AB640EA48E139001E" display-inline="no-display-inline">
<section id="HF72E1FD917BA42558D8EFAB5336F006E"><enum>520B.</enum><header>Mental health services for children, adolescents, and their families</header>
<subsection id="H801501C0516245EDAA4FA80081A4D62C"><enum>(a)</enum><header>In general</header><text>In cooperation with the Secretary of Education, the Secretary of Health and Human Services shall support either directly or through grants, contracts, or cooperative agreements with public entities programs to promote mental health among all children, from birth through adolescence, and their families and to provide early intervention services to ameliorate identified mental health problems in children and adolescents.</text></subsection>
<subsection id="H1341388196074976AAD7B1271405BE9"><enum>(b)</enum><header>Equitable distribution</header><text>The Secretary shall provide for an equitable distribution of grants, contracts, and cooperative agreements by region, to include urban, suburban, and rural regions, including Native American communities.</text></subsection>
<subsection id="H0E5E874E05D649B7875CB3981256442D"><enum>(c)</enum><header>Priority</header><text>In awarding grants, contracts, and cooperative agreements under this section, the Secretary shall give priority to those applicants who—</text>
<paragraph id="H5F9964D4A59D420EAB4C543B768C204E"><enum>(1)</enum><text>provide a comprehensive, community-based, culturally competent and developmentally appropriate prevention and early intervention program that provides for the identification of early mental health problems and promotes the mental health and enhances the resiliency of children from birth through adolescence and of their families;</text></paragraph>
<paragraph id="H1169D877C8FA4F379475ABF595F85BF"><enum>(2)</enum><text>incorporate families, schools, and communities in an integral role in the program;</text></paragraph>
<paragraph id="H1CF08C9FA4D64D5CACA34B360043A759"><enum>(3)</enum><text>coordinate behavioral health care services, interventions, and supports in traditional and non-traditional settings and provide a continuum of care for children from birth through adolescence and for their families;</text></paragraph>
<paragraph id="H5B4B7F23057F4DBA8370496D25CBBD73"><enum>(4)</enum><text>provide public health education to improve the public’s understanding of healthy emotional development;</text></paragraph>
<paragraph id="H92CE05AE9BA4440FAF19A71837FE5E00"><enum>(5)</enum><text> provide training, technical assistance, consultation, and support for community service providers, school personnel, families, and children to promote healthy emotional development and enhance resiliency in children from birth through adolescence;</text></paragraph>
<paragraph id="H54C82B25452D457C892CB99F99606500"><enum>(6)</enum><text>increase the resources available to such programs and provide for their sustainability by requiring a commitment on the part of local communities in which the programs provide services;</text></paragraph>
<paragraph id="HE380BB875BF74D3F9DF585E695EC48DB"><enum>(7)</enum><text>provide for the evaluation of programs operating under this section to ensure that they are providing intended services in an efficient and effective manner; and</text></paragraph>
<paragraph id="HA063B1546DCB4812B5FAB9FDCF09A1C0"><enum>(8)</enum><text>provide school-based mental health assessment and treatment services conducted by a mental health professional (who may be a school counselor, school nurse, school psychologist, clinical psychologist, or school social worker) in public elementary or secondary schools.</text></paragraph></subsection>
<subsection id="H7A752C7FCBC24B5D99C8A76CE6C6D678"><enum>(d)</enum><header>Matching requirement</header><text>A condition for an award under subsection (a) is that the entity involved agree that the entity will, with respect to the costs to be incurred by the entity in carrying out the purpose described in such subsection, make available (directly or through donations from public or private entities) non-Federal contributions toward such costs in an amount that is not less than $1 for each $3 of Federal funds provided in the award.</text></subsection>
<subsection id="H73464D004AAF4EAD98A800407388C32C"><enum>(e)</enum><header>Durations of grants</header><text>With respect to an award under subsection (a), the period during which payments under such award are made to the recipient may not exceed 5 years.</text></subsection>
<subsection id="H036378311F204C98AB0500B8748EF0C4"><enum>(f)</enum><header>Evaluation</header><text>The Secretary shall ensure that entities receiving awards under subsection (a) carry out an evaluation of the project, including an evaluation of the effectiveness of program strategies, and short, intermediate, and long-term outcomes including the program’s overall impact on strengthening families with young children and creating environments in home, school, and community settings that promote healthy emotional development and reduce incipient mental health and substance abuse problems. Local educational agencies receiving such awards shall ensure that the schools receiving these funds maintain an average ratio of one certified or licensed—</text>
<paragraph id="H8B7CF250238E4039988DA8ED3517F8C"><enum>(1)</enum><text>school counselor for every 150 students;</text></paragraph>
<paragraph id="H45E34C15C4354E55886F078900AA3354"><enum>(2)</enum><text>school nurse for every 350 students;</text></paragraph>
<paragraph id="H632C36D48715467200F0B16956AD72E2"><enum>(3)</enum><text>school psychologist for every 500 students; and</text></paragraph>
<paragraph id="H508CB13DC79A48EB8E9C385639CC305D"><enum>(4)</enum><text>school social worker for every 400 students.</text></paragraph></subsection>
<subsection id="HB477CE9D09474082A48CEF733BD40063"><enum>(g)</enum><header>Definitions</header><text>For purposes of this section:</text>
<paragraph id="H563446CE5EBB409EB2C7DC009EA02F97"><enum>(1)</enum><text>The term <term>mental health</term> means a state of successful performance of mental function, resulting in productive activities, fulfilling relationships with other people, and the ability to adapt to change and cope with adversity.</text></paragraph>
<paragraph id="HCE54D1FC5E9A4B6CA8D74DAE1C1517F"><enum>(2)</enum><text>The term <term>mental illness</term> refers to all diagnosable mental disorders (health conditions characterized by alterations in thinking, mood, or behavior or some combination thereof) associated with distress or impaired functioning or both.</text></paragraph>
<paragraph id="H9C76751A1040470E8D173FB27CBFB51"><enum>(3)</enum><text>The term <term>mental health problem</term> refers to symptoms of insufficient intensity or duration to meet the criteria for any mental disorder.</text></paragraph>
<paragraph id="H04288837329A4947904802E3F1615E78"><enum>(4)</enum>
<subparagraph id="H45146D89010343EFA1AB18DB93A41FF5" display-inline="yes-display-inline"><enum>(A)</enum><text>The term <term>mental health professional</term> refers to a qualified counselor, nurse, psychologist, or social worker.</text></subparagraph>
<subparagraph id="H7392DD82015142E100996B72B6CE8701" indent="up1"><enum>(B)</enum><text>The terms <term>school counselor</term>, <term>school nurse</term>, <term>school psychologist</term>, and <term>school social worker</term> mean an individual who possesses licensure or certification in the State involved, and who meets professional standards for practice in schools and related settings, as a school counselor, school nurse, school psychologist, or school social worker, respectively.</text></subparagraph></paragraph>
<paragraph id="H48BADB84B9C54C06B9BE4C6845DA5898"><enum>(5)</enum><text>The term <term>public entity</term> means any State, any political subdivision of a State, including any local educational agency, and any Indian tribe or tribal organization (as defined in section 4(b) and section 4(c) of the Indian Self-Determination and Education Assistance Act).</text></paragraph></subsection>
<subsection id="H2DD071D78A194A04846844372F7667BE"><enum>(h)</enum><header>Authorization of appropriation</header><text>There are authorized to be appropriated to carry out this section $300,000,000 for fiscal year 2007 and such sums as are necessary for fiscal years 2008 and 2009. These funds are authorized to be used to carry out the provisions of this section and cannot be utilized to supplement or supplant funding provided for other mental health services programs.</text></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block></section>
<section id="HBC32234F660E40A2830099DCDF299A2"><enum>102.</enum><header>Initiative for comprehensive, intersystem programs</header><text display-inline="no-display-inline">Subpart 3 of part B of title V of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb-31">42 U.S.C. 290bb–31 et seq.</external-xref>) is amended by adding at the end the following:</text>
<quoted-block style="OLC" id="H9330989A5DD14E1E85021D56C0839FE3" display-inline="no-display-inline">
<section id="H1DE026092F3845319153250568AA9916"><enum>520K</enum><header>Initiative for comprehensive, intersystem programs</header>
<subsection id="HC3A1A0A2571347B7B28182FCC89EC6FC"><enum>(a)</enum><header>In general</header><text>The Attorney General of the United States and the Secretary, acting through the Director of the Center for Mental Health Services, shall award competitive grants to eligible entities for programs that address the service needs of juveniles and juveniles with serious mental ill-nesses by requiring the State or local juvenile justice system, the mental health system, and the substance abuse treatment system to work collaboratively to ensure—</text>
<paragraph id="HA7AB8DC08E2E4E378F47D046027E92BD"><enum>(1)</enum><text>the appropriate diversion of such juveniles from incarceration;</text></paragraph>
<paragraph id="H85E1C13E3F484139959FA40954C77DB8"><enum>(2)</enum><text>the provision of appropriate mental health and substance abuse services as an alternative to incarceration, including for those juveniles on probation or parole; and</text></paragraph>
<paragraph id="H62F160AF1E6843F2BEC4CC431FB8C75C"><enum>(3)</enum><text>the provision of follow-up services for juveniles who are discharged from the juvenile justice system.</text></paragraph></subsection>
<subsection id="H0B2751661A8249B6A652AEAA2DB1959D"><enum>(b)</enum><header>Eligibility</header><text>To be eligible to receive a grant under this section, an entity shall—</text>
<paragraph id="H135A982842344BEFBD70A8F5704CE15B"><enum>(1)</enum><text>be a State or local juvenile justice agency, mental health agency, or substance abuse agency (including community diversion programs);</text></paragraph>
<paragraph id="H90D29A1E520545A29076B1FD3CE54F78"><enum>(2)</enum><text>prepare and submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require, including—</text>
<subparagraph id="H80C8766DD75F41B59EA8DC0A640F94F"><enum>(A)</enum><text>an assurance that the applicant has the consent of all entities described in paragraph (1) in carrying out and coordinating activities under the grant; and</text></subparagraph>
<subparagraph id="HC4FE8CC9FBB3444EA1FAFC184BD0087"><enum>(B)</enum><text>with respect to services for juveniles, an assurance that the applicant has collaborated with the State or local educational agency and the State or local welfare agency in carrying out and coordinating activities under the grant;</text></subparagraph></paragraph>
<paragraph id="HF6E60E300016433E9FAE117D8B570085"><enum>(3)</enum><text>be given priority if the entity submits its application jointly with juvenile justice and substance abuse or mental health agencies; and</text></paragraph>
<paragraph id="HA90F3D946AE64212A32E459501568DC9"><enum>(4)</enum><text>ensure that funds from non-Federal sources are available to match amounts provided under the grant in an amount that is not less than—</text>
<subparagraph id="H998D21FF156B4894BB3D75ECE67CA7E6"><enum>(A)</enum><text>with respect to the first 3 years under the grant, 10 percent of the amount provided under the grant; and</text></subparagraph>
<subparagraph id="H7530C22296834B88A62BBEA3D3698ECD"><enum>(B)</enum><text>with respect to the fourth and fifth years under the grant, 30 percent of the amount provided under the grant.</text></subparagraph></paragraph></subsection>
<subsection id="HB047E0EBD6CD4CFCAB90AC637CF573DC"><enum>(c)</enum><header>Use of funds</header>
<paragraph id="HAA5A0DD280734886B9A40752AB5BFFB6"><enum>(1)</enum><header>Initial year</header><text>An entity that receives a grant under this section shall, in the first fiscal year in which amounts are provided under the grant, use such amounts to develop a collaborative plan—</text>
<subparagraph id="HA780D28060F943A6A23038EE20989EC3"><enum>(A)</enum><text>describing how the entity will institute a system to provide intensive community services—</text>
<clause id="H0DF63C06292140C88DE037ECCE6FD4D8"><enum>(i)</enum><text>to prevent high-risk juveniles from coming in contact with the justice system; and</text></clause>
<clause id="H9B05C0C1AABE4991BD8334E041232C05"><enum>(ii)</enum><text>to meet the mental health and substance abuse treatment needs of juveniles on probation or recently discharged from the justice system; and</text></clause></subparagraph>
<subparagraph id="H4B654D0970D9481AA52330F0B35B72E1"><enum>(B)</enum><text>providing for the exchange by agencies of information to enhance the provision of mental health or substance abuse services to juveniles.</text></subparagraph></paragraph>
<paragraph id="H16DBB44B287E4ECA886432CEBDD8221"><enum>(2)</enum><header>Second through fifth years</header><text>With respect to the second through fifth fiscal years in which amounts are provided under the grant, the grantee shall use amounts provided under the grant—</text>
<subparagraph id="HA9065A05AABE42D786EF747531F23CE"><enum>(A)</enum><text>to furnish services, such as assertive community treatment, wrap-around services for juveniles, multisystemic therapy, outreach, integrated mental health and substance abuse treatment, case management, health care, education and job training, assistance in securing stable housing, finding a job or obtaining income support, other benefits, access to appropriate school-based services, transitional and independent living services, mentoring programs, home-based services, and provision of appropriate after-school and summer programming;</text></subparagraph>
<subparagraph id="HC05B734D07144483B9F7F38DB155B3BF"><enum>(B)</enum><text>to establish a network of boundary spanners to conduct regular meetings with judges, provide liaison with mental health and substance abuse workers, share and distribute information, and coordinate with mental health and substance abuse treatment providers and probation or parole officers concerning provision of appropriate mental health and drug and alcohol addiction services for individuals on probation or parole;</text></subparagraph>
<subparagraph id="H3D6BC7FB012B43239948E48BAA095F61"><enum>(C)</enum><text>to provide cross-system training among police, corrections, and mental health and substance abuse providers with the purpose of enhancing collaboration and the effectiveness of all systems;</text></subparagraph>
<subparagraph id="H8FCB6087618F4EFDA19F6C65BB9B9389"><enum>(D)</enum><text>to provide coordinated and effective after-care programs for juveniles with emotional or mental disorders who are discharged from jail, prison, or juvenile facilities;</text></subparagraph>
<subparagraph id="H098A52C45FC9488EB169596F00FBF257"><enum>(E)</enum><text>to purchase technical assistance to achieve the grant project’s goals; and</text></subparagraph>
<subparagraph id="H2451E39709874BE8A0268E161E94B952"><enum>(F)</enum><text>to furnish services, to train personnel in collaborative approaches, and to enhance intersystem collaboration.</text></subparagraph></paragraph>
<paragraph id="HD058C8D6071E4EA9B8E068B0075744D1"><enum>(3)</enum><header>Definition</header><text>In paragraph (2)(B), the term <term>boundary spanners</term> means professionals who act as case managers for juveniles with mental disorders and substance abuse addictions, within both justice agency facilities and community mental health programs and who have full authority from both systems to act as problem solvers and advocates on behalf of individuals targeted for service under this program.</text></paragraph></subsection>
<subsection id="HAD391879F1A9455283CDD020E046CB25"><enum>(d)</enum><header>Area served by the project</header><text>An entity receiving a grant under this section shall conduct activities under the grant to serve at least a single political jurisdiction.</text></subsection>
<subsection id="H414A181FDE7742A2A1A8CA22EBBBCA64"><enum>(e)</enum><header>Authorization of appropriations</header><text>For each of fiscal years 2007 through 2012, there is authorized to be appropriated an amount equal to 10 percent of the amount appropriated under section 1935(a) for the respective fiscal year.</text></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block></section>
<section id="H3BD2A372A0C84259AA20B8C3C2A0319"><enum>103.</enum><header>Grants to States and political subdivisions for mental health services in response to public health emergencies</header><text display-inline="no-display-inline">Subpart 3 of part B of title V of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb-31">42 U.S.C. 290bb–31 et seq.</external-xref>), as amended by section 102, is amended by adding at the end the following:</text>
<quoted-block style="OLC" id="H289E4A37FEB94879007240A2072D86C9" display-inline="no-display-inline">
<section id="HF5237A049E43435994B6DB6ED9C6A6BB"><enum>520L.</enum><header>Grants to States and political subdivisions for mental health services in response to public health emergencies</header>
<subsection id="H33BAF4C8632541529BA59679B185231B"><enum>(a)</enum><header>In general</header><text>The Secretary, acting through the Director of the Center for Mental Health Services, may make grants to States and political subdivisions of States for the purpose of providing the mental health services described in subsection (b) in response to public health emergencies, including diseases or disorders that present such emergencies, natural disasters, major transportation accidents, technological disasters, and disasters resulting from terrorism.</text></subsection>
<subsection id="H89B081FEE495454DB5C0DF00E8872DBC"><enum>(b)</enum><header>Services</header><text>The mental health services referred to in subsection (a) with respect to a public health emergency are the following:</text>
<paragraph id="H3A3A3E3CD5E8489F94230000A7E8A963"><enum>(1)</enum><text>Crisis counseling in the aftermath of such emergency.</text></paragraph>
<paragraph id="HD08C2EC731F2499BB5EE6E30A900FF77"><enum>(2)</enum><text>In the case of children, adolescents, and adults at risk of developing mental health disorders as a result of such emergency—</text>
<subparagraph id="H9AA9F600FAF74AE3B0572E863F55AEE1"><enum>(A)</enum><text>outreach and screening programs to identify such individuals; and</text></subparagraph>
<subparagraph id="HC300D0A3B69342CA99FBF362DB0617AF"><enum>(B)</enum><text>early intervention services, including counseling.</text></subparagraph></paragraph>
<paragraph id="HB849B7DC51A04E1897848FC44FB0DB23"><enum>(3)</enum><text>Mental health services beyond such crisis counseling (referred to in this section as <quote>extended therapeutic services</quote>) that—</text>
<subparagraph id="H3FD26460533A4C0F8466F61D1C003145"><enum>(A)</enum><text>are provided to individuals with diagnosed mental health disorders resulting from or exacerbated by the emergency, including disaster survivors, family members of victims, first responders, and others with such disorders; and</text></subparagraph>
<subparagraph id="HE182E70C2B7D4EE2B966D3BD6C7EEC00"><enum>(B)</enum><text>are provided by mental health professionals who are licensed or otherwise regulated by a State agency.</text></subparagraph></paragraph>
<paragraph id="H317D55C536FB4385B4FA00C358A15BAF"><enum>(4)</enum><text>Assessments of the need for extended therapeutic services.</text></paragraph>
<paragraph id="HD027E46EBA984572B77C25E1C7F2804F"><enum>(5)</enum><text>Case finding and other outreach services to inform the public of the availability of crisis counseling and extended therapeutic services.</text></paragraph></subsection>
<subsection id="H89406FAD195241D788CCB201FA470023"><enum>(c)</enum><header>Relation to other sources of funding</header><text>A condition for the receipt of a grant under subsection (a) is that the applicant involved agree as follows:</text>
<paragraph id="HAD642208058A4C3F8700461C59EC56D4"><enum>(1)</enum><text>With respect to activities for which the grant is authorized to be expended, the applicant will maintain expenditures of non-Federal amounts for such activities at a level that is not less than the level of such expenditures maintained by the applicant for the fiscal year preceding the first fiscal year for which the applicant receives such a grant.</text></paragraph>
<paragraph id="H7548F30343704FE0B6EE4F16A1226798"><enum>(2)</enum><text>The grant will not be expended to make payment for the provision of extended therapeutic services for an individual to the extent that payment has been made, or can reasonably be expected to be made, for the services—</text>
<subparagraph id="H722666D328AE4631B8265F2430A900D8"><enum>(A)</enum><text>under a State compensation program, under an insurance policy, or under a Federal or State health benefits program; or</text></subparagraph>
<subparagraph id="H006F147FE8944C3DB668BBC4A5FF56A6"><enum>(B)</enum><text>by an entity that provides health services on a prepaid basis.</text></subparagraph></paragraph>
<paragraph id="H408B3F42F0F64FFDAE7D5E59032939C4"><enum>(3)</enum><text>The grant will not be expended to make payment for the provision of mental health services to the extent that such services are available pursuant to responses to the public health emergency involved by the Federal Emergency Management Agency, or by other Federal or State agencies or programs that provide for emergency medical services.</text></paragraph></subsection>
<subsection id="HC6911561934049AEA7DA17CED4D1882"><enum>(d)</enum><header>Statewide mental health disaster plan</header>
<paragraph id="H988411E8C107479CB5001BE911825287"><enum>(1)</enum><header>In general</header><text>For fiscal year 2007 or any subsequent fiscal year, a condition for the receipt of a grant under subsection (a) by a State or a political subdivision is that, in accordance with criteria established by the Secretary, the State has developed a statewide plan for the provision of mental health services in response to public health emergencies. The preceding sentence applies without regard to whether the State receives a grant under section 520M.</text></paragraph>
<paragraph id="H832F4F3FC0B841759CDE92E7C3F137BB"><enum>(2)</enum><header>Certain criteria of secretary</header><text>The criteria of the Secretary under paragraph (1) shall include criteria for coordinating the program under this section with programs of the Federal Emergency Management Agency and with other Federal or State programs regarding the provision of emergency medical services, including mental health services.</text></paragraph></subsection>
<subsection id="HADCD08B773D641509C066D3E62131E00"><enum>(e)</enum><header>Administration of grant through State and local mental health agencies</header><text>A condition for the receipt of a grant under subsection (a) is that the applicant involved agree that the grant and activities under the grant will be administered through the agency of the State or political subdivision (as the case may be) that has the principal responsibility for carrying out mental health programs.</text></subsection>
<subsection id="H2D78DC61A77B4350BFD2A65FA2E6E73D"><enum>(f)</enum><header>Certain requirements</header><text>With respect to an application that, pursuant to section 501(l), is submitted to the Secretary for a grant under subsection (a), the Secretary may make the grant only if the application contains—</text>
<paragraph id="H918009A1C8DF41738CAC7EA4F17B6CCC"><enum>(1)</enum><text>a description of the purposes for which the applicant intends to expend the grant;</text></paragraph>
<paragraph id="HE6C6731EAD664DE3BE08B43C7110C892"><enum>(2)</enum><text>an assurance that the activities to be carried out under the grant are consistent with the State plan referred to in subsection (d)(1), as applicable, together with a description of the manner in which the grant activities will be coordinated with the State plan;</text></paragraph>
<paragraph id="H932E13DD706345D794E8A3E3AFCD376C"><enum>(3)</enum><text>an assurance that the applicant will coordinate activities under the grant with other public or private providers of mental health services, together with a description of the manner in which the grant activities will be so coordinated; and</text></paragraph>
<paragraph id="H89D67F849DC24375A1215FF63C3BDD4"><enum>(4)</enum><text>in the case of an application from a political subdivision, an assurance that the application was developed in consultation with the State agency referred to in subsection (e).</text></paragraph></subsection>
<subsection id="H3DCF81A9F9A7482592771D0081570572"><enum>(g)</enum><header>Duration of grant</header><text>The period during which payments are made to an applicant from a grant under subsection (a) may not exceed three years. The provision of such payments are subject to annual approval by the Secretary of the payments and to the availability of appropriations for the fiscal year involved to make the payments. This subsection may not be construed as establishing a limitation on the number of grants under such subsection that may be made to an applicant.</text></subsection>
<subsection id="HC0BC836A4BF642C7BD6821960635B61D"><enum>(h)</enum><header>Technical assistance</header><text>The Secretary may, directly or through grants or contracts, provide technical assistance to grantees under subsection (a) in carrying out the purpose described in such subsection.</text></subsection>
<subsection id="HB5A53BD8A7B34C23B19900381862FFF"><enum>(i)</enum><header>Funding</header>
<paragraph id="H9DEF13C3D99648C8B35055002EC038D4"><enum>(1)</enum><header>Authorization of appropriations</header><text>For the purpose of carrying out this section, there are authorized to be appropriated such sums as may be necessary for each of the fiscal years 2007 through 2012.</text></paragraph>
<paragraph id="HDD3D9C44BF6247CDABDEE9E47519DF00"><enum>(2)</enum><header>Allocation</header><text>Of the amounts appropriated under paragraph (1) for a fiscal year, the Secretary may obligate not more than 5 percent for the administrative expenses of the Secretary in carrying out this section.</text></paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block></section>
<section id="H25B5C8735F2B4F019E5FE2877DE78F97"><enum>104.</enum><header>Grants to States for statewide mental health disaster plans</header><text display-inline="no-display-inline">Subpart 3 of part B of title V of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb-31">42 U.S.C. 290bb–31 et seq.</external-xref>), as amended by section 103, is amended by adding at the end the following:</text>
<quoted-block style="OLC" id="H010144C1B7CD4A77BFE0C25F6D55851F" display-inline="no-display-inline">
<section id="H341D360BFE4E45D69C5B9DA8AA3CC88F"><enum>520M.</enum><header>Grants to States for statewide mental health disaster plans</header>
<subsection id="HC5CDED0CD92B4BE3A014415D779CE5A9"><enum>(a)</enum><header>In general</header><text>The Secretary, acting through the Director of the Center for Mental Health Services, may make grants to States for the purpose of—</text>
<paragraph id="H858C8BF863914AF2A6A404E15E8025AD"><enum>(1)</enum><text>developing, and periodically reviewing and as appropriate revising, statewide plans for providing mental health services in response to public health emergencies (including emergencies referred to section 520K(a));</text></paragraph>
<paragraph id="H394353C66D8545839754A75E5D56DB37"><enum>(2)</enum><text>training personnel to implement such plan effectively; and</text></paragraph>
<paragraph id="H56C5C9597F2C4466A738AA6F28CF09EA"><enum>(3)</enum><text>carrying out other activities determined appropriate by the Secretary to prepare for the provision of mental health services in response to such emergencies.</text></paragraph></subsection>
<subsection id="H43BACC3009AA45AEB4E772C2789800FD"><enum>(b)</enum><header>Certain requirements</header><text>A condition for the receipt of a grant under subsection (a) is that the State involved agree that the statewide plan under such subsection will with respect to public health emergencies include provisions for each of the following:</text>
<paragraph id="H60F0FB7417FD4B1B828D12270068CBB6"><enum>(1)</enum><text>Providing the mental health services described in section 520K (relating to crisis counseling, outreach and screening programs, early intervention services, extended therapeutic services, needs assessments, and case finding and other outreach services), taking into account the need for increased capacity to provide services pursuant to such emergencies.</text></paragraph>
<paragraph id="H20BB758A89E341EE99FB796D278EAE83"><enum>(2)</enum><text>As necessary, carrying out paragraph (1) with respect to special populations such as children, the elderly, individuals with disabilities, and individuals with pre-existing mental health disorders.</text></paragraph>
<paragraph id="HC3B86B8104614B6CAB53C255FC941C30"><enum>(3)</enum><text>Coordinating the provision of mental health services with appropriate public and private providers of emergency medical services and with Federal, State, and local programs that provide funding for such services.</text></paragraph>
<paragraph id="H98C38B0818124685A574E3860266653D"><enum>(4)</enum><text>Coordinating with local educational agencies.</text></paragraph>
<paragraph id="HD442AF6AC5534BD588004FD304E59E6B"><enum>(5)</enum><text>Providing information and education to the public during public health emergencies.</text></paragraph>
<paragraph id="HF759866E252A46A4B785882D00B31DF7"><enum>(6)</enum><text>Providing, at times other than public health emergencies, information and education to the public regarding the statewide plan.</text></paragraph>
<paragraph id="HA607ADAEA0C44CD886B57E808140A1D0"><enum>(7)</enum><text>Designation of the State official who will have the principal responsibility for administering such plan, including the initial implementation of the plan.</text></paragraph></subsection>
<subsection id="H4E29D2297AB8489788C7135B40B3E34E"><enum>(c)</enum><header>Authorization of appropriations</header><text>For the purpose of carrying out this section, there is authorized to be appropriated $65,000,000 for each of the fiscal years 2007 through 2012.</text></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block></section>
<section id="H4A201DAA02CB466A97D1BBFBF5B100DB"><enum>105.</enum><header>National mental health crisis response technical assistance center</header><text display-inline="no-display-inline">Subpart 3 of part B of title V of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb-31">42 U.S.C. 290bb–31 et seq.</external-xref>), as amended by section 104, is amended by adding at the end the following:</text>
<quoted-block style="OLC" id="H8DE2A5F1B911479A9200FEF656287F88" display-inline="no-display-inline">
<section id="H5B2CEE30042A4AEBA0C5575582CAE77B"><enum>520N.</enum><header>National mental health crisis response technical assistance center</header>
<subsection id="H2834CC68BA214533BDCBBCCC09562245"><enum>(a)</enum><header>In general</header><text>The Secretary, acting through the Director of the Center for Mental Health Services, shall establish within such center an administrative unit to be known as the National Mental Health Crisis Response Technical Assistance Center (referred to in this section as the <quote>Technical Assistance Center</quote>).</text></subsection>
<subsection id="HCC67703E0B9E419E8C1C8B49DCDB2226"><enum>(b)</enum><header>Duties</header><text>The purpose of the Technical Assistance Center is to carry out, in accordance with policies of the Director of the Center for Mental Health Services, the following functions:</text>
<paragraph id="H29E6105EE11E403788210134BBB9E572"><enum>(1)</enum><text>Provide consultation and technical assistance to the Director, and to State and local governmental providers of mental health services, on developing and implementing plans for providing appropriate mental health services in response to public health emergencies, including statewide plans under section 520L.</text></paragraph>
<paragraph id="HD4C3BE246AEE4F609143266018F48CE6"><enum>(2)</enum><text>Provide technical expertise on planning, preparedness, and response evaluation activities.</text></paragraph>
<paragraph id="H5D9A47F635A148D9B513B8E7193FBEFB"><enum>(3)</enum><text>Develop policy guidelines on mental health concerns related to crisis incidents and develop recommendations for proposed regulations and or legislative proposals.</text></paragraph>
<paragraph id="HABD5937B14ED4C6094E21C6C52F7D"><enum>(4)</enum><text>Develop and conduct training events and conferences on mental health needs of disaster victims and witnesses.</text></paragraph>
<paragraph id="HB08258E8566040DFAE5021DF1C662296"><enum>(5)</enum><text>Serve as the principal clearinghouse operated by the Secretary for the collection and dissemination of information concerning the mental health aspects of public health emergencies, including information in published documents, information on technical assistance resources, and information on relevant Internet sites.</text></paragraph>
<paragraph id="H8E8F5557D7FE41A6B32EAC7920B08147"><enum>(6)</enum><text>Assist States in preparing for the behavioral health consequences of terrorism.</text></paragraph>
<paragraph id="H1174471FCDEC4B3B898C43929979D105"><enum>(7)</enum><text>Provide onsite technical expertise during public health emergencies, when requested by a State.</text></paragraph></subsection>
<subsection id="H8AB9C2049C284F6B97AA20C5E480AB63"><enum>(c)</enum><header>Certain authority</header><text>The Technical Assistance Center may carry out the functions under subsection (b) directly or through grant or contract, subject to the approval of the Director of the Center for Mental Health Services.</text></subsection>
<subsection id="HAD1B7B4160D741A2BC014C788CA12495"><enum>(d)</enum><header>Authorization of appropriations</header><text>For the purpose of carrying out this section, there is authorized to be appropriated $6,000,000 for each of the fiscal years 2007 through 2012.</text></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block></section>
<section id="H85F3FEBC34644D81AA7B7555CF05C886"><enum>106.</enum><header>Training grants</header><text display-inline="no-display-inline">Subpart 3 of part B of title V of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb-31">42 U.S.C. 290bb–31 et seq.</external-xref>), as amended by section 105, is amended by adding at the end the following:</text>
<quoted-block style="OLC" id="HFD924C6F51FD4FE2ACDC597CB7C19317" display-inline="no-display-inline">
<section id="H68387F852D574042A06C60B1ABC99341"><enum>520O.</enum><header>Training grants</header>
<subsection id="H736BCB84AF244501BBE2F8573D59DAE5"><enum>(a)</enum><header>In general</header><text>The Secretary, acting through the Director of the Center for Mental Health Services, shall award grants to eligible entities to enable such entities to provide for the training of mental health professionals with respect to the treatment of individuals who are victims of disasters.</text></subsection>
<subsection id="H4D1156CFDE6143389D19B4BA15B54501"><enum>(b)</enum><header>Eligibility</header><text>To be eligible to receive a grant under subsection (a) an entity shall—</text>
<paragraph id="H1911542F65264B6F8BAE17FAAC12C166"><enum>(1)</enum><text>be a—</text>
<subparagraph id="H14490F45DD3F4383BC404D6550FC4952"><enum>(A)</enum><text>regional center of excellence; or</text></subparagraph>
<subparagraph id="HD4B2F54B729C4E13A01E1C4005F234A5"><enum>(B)</enum><text>a mental health professional society; and</text></subparagraph></paragraph>
<paragraph id="H99FF3155825340E392F034D600CF64CF"><enum>(2)</enum><text>prepare and submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require.</text></paragraph></subsection>
<subsection id="H0182A3E51AB2419A925E09F1801D5C4B"><enum>(c)</enum><header>Use of funds</header><text>An entity that receives a grant under this section shall use amounts received under the grant to provide for the training of mental health professionals to enable such professionals to appropriately diagnose individuals who are the victims of disasters with respect to their mental health and to provide for the proper treatment of the mental health needs of such individuals.</text></subsection>
<subsection id="H7AB0C93DFD18438CB502329B6E4E9E62"><enum>(d)</enum><header>Training materials and procedures</header><text>The Director of the Center for Mental Health Services, in consultation with the Director of the National Institute of Mental Health, the National Center for Post-Traumatic Stress Disorder, the International Society for Traumatic Stress Studies, and the heads of other similar entities, shall develop training materials and procedures to assist grantees under this section.</text></subsection>
<subsection id="H164DC56841E6406DB092D04400324BEF"><enum>(e)</enum><header>Definition</header><text>In this section, the term <term>mental health professional</term> includes psychiatrists, psychologists, psychiatric nurses, mental health counselors, marriage and family therapists, social workers, pastoral counselors, school psychologists, licensed professional counselors, school guidance counselors, and any other individual practicing in a mental health profession that is licensed or regulated by a State agency.</text></subsection>
<subsection id="H75FED9FE50834352AE45B5429488C796"><enum>(f)</enum><header>Authorization of appropriations</header><text>There are authorized to be appropriated to carry out this section such sums as may be necessary for each of fiscal years 2007 through 2012.</text></subsection>
<subsection id="H3480533751724B7EBC1E00BDBBA9710"><enum>(g)</enum><header>Program management</header><text>In carrying out this section, the Secretary may use amounts appropriated under subsection (f) for the administration of the program under this section.</text></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block></section>
<section id="HD5C55E62F1DB443293DCE1597545DAAB"><enum>107.</enum><header>Children’s mental health</header><text display-inline="no-display-inline">Section 501(m) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290aa">42 U.S.C. 290aa(m)</external-xref>) is amended—</text>
<paragraph id="H55668770F75443EFA2C690AC4BF61222"><enum>(1)</enum><text>in paragraph (1)—</text>
<subparagraph id="H2EBFA07FD8864A8CBC9042B8EDB0424D"><enum>(A)</enum><text>by striking <quote>2.5 percent</quote> and inserting <quote>5 percent</quote>; and</text></subparagraph>
<subparagraph id="H582CDCD6E20F4002AE00E27964AD9DD3"><enum>(B)</enum><text>by striking <quote>paragraph (2)</quote> and inserting <quote>paragraphs (2) and (3)</quote>;</text></subparagraph></paragraph>
<paragraph id="H7051D2928455469EB332D665427201A0"><enum>(2)</enum><text>by redesignating paragraphs (2) and (3) as paragraphs (3) and (4), respectively; and</text></paragraph>
<paragraph id="HB6B4BCDA0CEF4A6188CBEE6D6E8CD71"><enum>(3)</enum><text>by inserting after paragraph (1), the following:</text>
<quoted-block id="HA825E14D674A448CB2A0ABD8C67C3CEC" style="OLC">
<paragraph id="H2F7F951C5DA042EE9870BD00CA00AACD"><enum>(2)</enum><header>Condition</header><text>A condition of paragraph (1) is that 2.5 percent of the funds subject to paragraph (1) may only be available for the provision of emergency mental health and substance abuse treatment and prevention services to children who are directly affected by terrorist acts.</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></section>
<section id="H65482521DB154691B92BDCD489535141"><enum>108.</enum><header>Crisis response grants to address children’s needs</header><text display-inline="no-display-inline">Title III of the Public Health Service Act is amended by inserting after section 319K (<external-xref legal-doc="usc" parsable-cite="usc/42/247d-7d">42 U.S.C. 247d–7d</external-xref>) the following:</text>
<quoted-block style="OLC" id="H57D2CFA98F154EB3A2BB22EF27749773" display-inline="no-display-inline">
<section id="H96EADBC07F1A4E44834701F69B91E546"><enum>319L.</enum><header>Crisis response grants to address children’s needs</header>
<subsection id="HD9C8D6D43DEE4C12B1CCAB944836E727"><enum>(a)</enum><header>In general</header><text>The Secretary may award grants to eligible entities described in subsection (b) to enable such entities to increase the coordination and development of disaster preparedness efforts relating to the needs of children.</text></subsection>
<subsection id="HF5360A140C5E4BC0B3395139EF990067"><enum>(b)</enum><header>Eligibility</header><text>To be an eligible entity under this subsection, an entity shall—</text>
<paragraph id="HF70E9B4B32054C5784B9BA15244467D7"><enum>(1)</enum><text>be a State, political subdivision of a State, a consortium of 2 or more States or political subdivisions of States, a public or private non-profit agency or organization, or other organization that serves children as determined appropriate by the Secretary; and</text></paragraph>
<paragraph id="H3060DB3D34D0468C9980144058BE8B3E"><enum>(2)</enum><text>prepare and submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require.</text></paragraph></subsection>
<subsection id="HE52D8941D87448AB8E163B031D83FA11"><enum>(c)</enum><header>Use of funds</header><text>An entity shall use amounts received under a grant under this section to carry out activities for the coordination and development of disaster preparedness efforts relating to the physical- and health-related needs of children.</text></subsection>
<subsection id="H24BEA3B866E14976937700A0D400B317"><enum>(d)</enum><header>Authorization of appropriations</header><text>There are authorized to be appropriated such sums as may be necessary to carry out this section for fiscal year 2007.</text></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block></section>
<enum>II</enum><header>Medicare coverage of marriage and family therapist services</header>
<section id="H03D87C4FD05D42E78F5E4E70DD23751B"><enum>201.</enum><header>Coverage of marriage and family therapist services under Medicare part B</header>
<subsection id="H87499396B44E481EA4DEA826B0688A4"><enum>(a)</enum><header>Coverage of services</header><text>Section 1861(s)(2) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395x">42 U.S.C. 1395x(s)(2)</external-xref>) is amended—</text>
<paragraph id="H59E124BD84154E738C234E5B2D655962"><enum>(1)</enum><text>in subparagraph (Z), by striking <quote>and</quote> at the end;</text></paragraph>
<paragraph id="H3E416C9E4D3B4BA18B8E5F9111B82688"><enum>(2)</enum><text>in subparagraph (AA), by adding at the end <quote>and</quote>; and</text></paragraph>
<paragraph id="H44F133EB4D314AADB3E2004580050039"><enum>(3)</enum><text>by adding at the end the following new subparagraph:</text>
<quoted-block id="H182C13500AA14F7598722F3D652DCC78" style="OLC">
<subparagraph id="H564BF7FB3296417791FE10006C53EDCA"><enum>(BB)</enum><text>marriage and family therapist services (as defined in subsection (ccc)(1));</text></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></subsection>
<subsection id="H7CDD751EC68D410095416E32B100AE1B"><enum>(b)</enum><header>Definition</header><text>Section 1861 of such Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395x">42 U.S.C. 1395x</external-xref>) is amended by adding at the end the following new subsection:</text>
<quoted-block id="HFBC53AB49A164556B953842DDF437154" style="traditional">
<subsection id="H9FF24644FFDD439B91E3C00011690150"><enum>(ccc)</enum><header>Marriage and family therapist services</header>
<paragraph id="HBFDF6848734047C79130BEBA3E3B21D0" display-inline="yes-display-inline"><enum>(1)</enum><text>The term <term>marriage and family therapist services</term> means services performed by a marriage and family therapist (as defined in paragraph (2)) for the diagnosis and treatment of mental illnesses, which the marriage and family therapist is legally authorized to perform under State law (or the State regulatory mechanism provided by State law) of the State in which such services are performed, as would otherwise be covered if furnished by a physician or as an incident to a physician’s professional service, but only if no facility or other provider charges or is paid any amounts with respect to the furnishing of such services.</text></paragraph>
<paragraph id="HE9D1744E69CB4CD49EFE1686B357EF59" indent="up1"><enum>(2)</enum><text>The term <term>marriage and family therapist</term> means an individual who—</text>
<subparagraph id="H1A1D99C636B2485B9B40A763B70200D4"><enum>(A)</enum><text>possesses a master’s or doctoral degree which qualifies for licensure or certification as a marriage and family therapist pursuant to State law;</text></subparagraph>
<subparagraph id="H743D21145CF9410497624F49B6F8E59"><enum>(B)</enum><text>after obtaining such degree has performed at least two years of clinical supervised experience in marriage and family therapy; and</text></subparagraph>
<subparagraph id="HD7F20F437E364D0CB812FF008EE27DBF"><enum>(C)</enum><text>in the case of an individual performing services in a State that provides for licensure or certification of marriage or family therapists, is licensed or certified as a marriage and family therapist in such State.</text></subparagraph></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block></subsection>
<subsection id="HE8A79FCD24BE48C5945F25EE571CC5D6"><enum>(c)</enum><header>Provision for payment under part B</header><text>Section 1832(a)(2)(B) of such Act (42 U.S.C.1395k(a)(2)(B)) is amended by adding at the end the following new clause:</text>
<quoted-block id="H40353A9E7A944825815943EB229F031" style="OLC">
<clause id="H3A4178456C12429E8FAAA9C6E1F243E6" indent="up1"><enum>(i)</enum><text>marriage and family therapist services;</text></clause><after-quoted-block>.</after-quoted-block></quoted-block></subsection>
<subsection id="H670EB8999FDE4BBCA249003EC36570E"><enum>(d)</enum><header>Amount of payment</header><text>Section 1833(a)(1) of such Act (<external-xref legal-doc="usc" parsable-cite="usc/42/13951">42 U.S.C. 13951(a)(1)</external-xref>) is amended—</text>
<paragraph id="HE4E7556F96F944C1AFFCE66044866D43"><enum>(1)</enum><text>by striking <quote>and (V)</quote> and inserting <quote>(V)</quote>; and</text></paragraph>
<paragraph id="H566F4853B6E54FAEBD43444472170025"><enum>(2)</enum><text>by inserting before the semicolon at the end the following: <quote>, and (W) with respect to marriage and family therapist services under section 1861(s)(2)(BB), the amounts paid shall be 90 percent of the lesser of the actual charge for the services or 85 percent of the amount determined for payment of a psychologist under clause (L)</quote>.</text></paragraph></subsection>
<subsection id="HFA97E777AB3B4A83BAD7714497C6B94"><enum>(e)</enum><header>Exclusion of marriage and family therapist services from skilled nursing facility prospective payment system</header><text>Section 1888(e)(2)(A)(ii) of such Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395yy">42 U.S.C. 1395yy(e)(2)(A)(ii)</external-xref>) is amended by inserting <quote>marriage and family therapist services,</quote> after <quote>qualified psychologist services,</quote>.</text></subsection>
<subsection id="HF5BE1C41ECF442B89F000413809FD8EE"><enum>(f)</enum><header>Inclusion of marriage and family therapists as practitioners for assignment of claims</header><text>Section 1842(b)(18)(C) of such Act (42 U.S.C. 1395u(b)(18(C)) is amended by adding at the end the following new clause:</text>
<quoted-block id="HBB75CE847A034FA797D5009707975EC7" style="OLC">
<clause id="HF7C7985464CB4B34BB231690B747AB21"><enum>(vii)</enum><text>A marriage and family therapist (as defined in section 1861(ccc)(2)).</text></clause><after-quoted-block>.</after-quoted-block></quoted-block></subsection></section>
<section id="HDE5F3ECE4A864DF4973742CE9C96FBA"><enum>202.</enum><header>Coverage of marriage and family therapist services provided in certain settings</header>
<subsection id="H974EE57E63B941F8B2EA94E8DB015C05"><enum>(a)</enum><header>Rural health clinics</header><text>Section 1861(aa)(1)(B) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395x">42 U.S.C. 1395x(aa)(1)(B)</external-xref>) is amended by inserting <quote>, by a marriage and family therapist (as defined in subsection (ccc)(2)),</quote> after <quote>by a clinical psychologist (as defined by the Secretary)</quote>.</text></subsection>
<subsection id="HD1DC9CB858024286BC5D21FAB586F79B"><enum>(b)</enum><header>Hospice programs</header><text>Section 1861(dd)(2)(B)(i)(III) of such Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395x">42 U.S.C. 1395x(dd)(2)(B)(i)(III)</external-xref>) is amended by inserting <quote>or marriage and family therapist (as defined in subsection (ccc)(2))</quote> after <quote>social worker</quote>.</text></subsection></section>
<section id="H4EBB67DCEB3E43AD004938C84C8BC7EE"><enum>203.</enum><header>Authorization of marriage and family therapists to develop discharge plans for post-hospital services</header><text display-inline="no-display-inline">Section 1861(ee)(2)(G) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395x">42 U.S.C. 1395x(ee)(2)(G)</external-xref>) is amended by inserting <quote>marriage and family therapist (as defined in subsection (ccc)(2)),</quote> after <quote>social worker,</quote>. </text> </section>
<section id="H7F0339DCD96C43A69075711870DEA506" commented="no"><enum>204.</enum><header>Effective date</header><text display-inline="no-display-inline">The amendments made by this title apply with respect to services furnished on or after November 1, 2007.</text></section>
<enum>III</enum><header>Judicial system initiatives to improve mental health and substance abuse services</header>
<section id="H335726A14D744D1BA51B49903569A48D"><enum>301.</enum><header>Training of justice system personnel</header>
<subsection id="H6F62A11FA8394939A7A46CC5834C0225"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">Title II of the Juvenile Justice and Delinquency Prevention Act of 1974 (<external-xref legal-doc="usc" parsable-cite="usc/42/5611">42 U.S.C. 5611 et seq.</external-xref>) is amended by adding at the end the following:</text>
<quoted-block style="OLC" id="H2B281203B3E44541B6C34F2E3FDAA466" display-inline="no-display-inline">
<part id="HAC6B816FE3BB4CE4989C21805307026F"><enum>G</enum><header>Access to mental health and substance abuse treatment </header>
<section id="H5784E15950CC42918D472884D6471295"><enum>300A.</enum><header>Grants for training of justice system personnel</header>
<subsection id="HE80226EA6814413FA7480035B6556B77"><enum>(a)</enum><header>In general</header><text>The Administrator shall make grants to State and local juvenile justice agencies in collaboration with State and local mental health agencies, for purposes of training the officers and employees of the State juvenile justice system (including employees of facilities that are contracted for operation by State and local juvenile authorities) regarding appropriate access to mental health and substance abuse treatment programs and services in the State for juveniles who come into contact with the State juvenile justice system who have mental health or substance abuse problems.</text></subsection>
<subsection id="H0D2F9622300043F98CB737077D2E0140"><enum>(b)</enum><header>Use of funds</header><text>A State or local juvenile justice agency that receives a grant under this section may use the grant for purposes of—</text>
<paragraph id="H093A205F9E4247839163052ECE90B3C"><enum>(1)</enum><text>providing cross-training, jointly with the public mental health system, for State juvenile court judges, public defenders, and mental health and substance abuse agency representatives with respect to the appropriate use of effective, community-based alternatives to juvenile justice or mental health system institutional placements; or</text></paragraph>
<paragraph id="H764A3C93FEBB4F5DBA7686FA9E81DEA"><enum>(2)</enum><text>providing training for State juvenile probation officers and community mental health and substance abuse program representatives on appropriate linkages between probation programs and mental health community programs, specifically focusing on the identification of mental disorders and substance abuse addiction in juveniles on probation, effective treatment interventions for those disorders, and making appropriate contact with mental health and substance abuse case managers and programs in the community, in order to ensure that juveniles on probation receive appropriate access to mental health and substance abuse treatment programs and services.</text></paragraph></subsection>
<subsection id="HCAA46529872B4B18A25350AE7C1F3D9C"><enum>(c)</enum><header>Priority</header>
<paragraph id="H40DA0758B4A8410CB3D698B282DAE6BD"><enum>(1)</enum><header>In general</header><text>In awarding grants under subsection (a), with respect to a year, the Administrator shall give priority to the following agencies described in such subsection:</text>
<subparagraph id="H5F13AE36B9A34FA4A08B980023B0CA17"><enum>(A)</enum><text>Such an agency that is located in a rural or urban area identified by the Attorney General as having a high incidence of substance abuse among juveniles during the previous year.</text></subparagraph>
<subparagraph id="H08881CF0AD7F4D4F89E26C483138C937"><enum>(B)</enum><text>A State juvenile justice agency, at least 50 percent of the population of which consisted during the previous year of underrepresented minority individuals.</text></subparagraph>
<subparagraph id="H7674639F2C4949D1B5DAFC2BD13E9033"><enum>(C)</enum><text>A State juvenile justice agency identified by the Attorney General as having a high level of recidivism during the previous year.</text></subparagraph></paragraph>
<paragraph id="HEAD422BECE5E4FF897729DE547D55568"><enum>(2)</enum><header>Underrepresented minority individual defined</header><text>For purposes of paragraph (1)(B), the term <term>underrepresented minority individual</term> means an individual who is a member of a racial or ethnic minority group, as defined by the United States census.</text></paragraph> </subsection> </section></part><after-quoted-block>.</after-quoted-block></quoted-block></subsection>
<subsection id="H418A8A43E4E2466BB1370023ECFD5FC5"><enum>(b)</enum><header>Authorization of appropriations</header><text>Section 299 of such title (<external-xref legal-doc="usc" parsable-cite="usc/42/5671">42 U.S.C. 5671</external-xref>) is amended—</text>
<paragraph id="H9444A2EA11B242AB9ED7EA8000F5685B"><enum>(1)</enum><text>in subsection (a)—</text>
<subparagraph id="H6E863CC36D3A468FA03DFE91C9E77EA2"><enum>(A)</enum><text>in the heading by striking <quote><header-in-text level="subsection" style="OLC">parts C and E</header-in-text></quote> and inserting <quote><header-in-text level="subsection" style="OLC">parts C, E, and G</header-in-text></quote>; and</text></subparagraph>
<subparagraph id="HC2F9861E8A964E71849715DCE4CB6EE"><enum>(B)</enum><text>in paragraph (2), by striking <quote>parts C and E</quote> and inserting <quote>parts C, E, and G</quote>; and</text></subparagraph></paragraph>
<paragraph id="H3B6F65EDF239427EAA8F54DD8192856E"><enum>(2)</enum><text>by adding at the end the following new subsection:</text>
<quoted-block style="OLC" id="H60F8251996084255BA0932A10D4F13D" display-inline="no-display-inline">
<subsection id="H8A743C293CDF4DE3A8BA05DCF07B8AE" commented="no"><enum>(e)</enum><header>Authorization of appropriations for part G</header>
<paragraph id="HF4CC08F3ABFA479081709100650016BE" commented="no"><enum>(1)</enum><text display-inline="yes-display-inline">There are authorized to be appropriated $90,000,000 from the Violent Crime Reduction Trust Fund for fiscal years 2007, 2008, 2009, 2010, and 2011 to carry out section 300A.</text></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></subsection></section>
<section id="H106419FD74F841349937DEDEAACAE303"><enum>302.</enum><header>Block grant funding for treatment and diversion programs</header>
<subsection id="H0D14763DB01D48AA83C5004363CA149E"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">Part G of title II of the Juvenile Justice and Delinquency Prevention Act of 1974 (<external-xref legal-doc="usc" parsable-cite="usc/42/5611">42 U.S.C. 5611 et seq.</external-xref>), as added by section 301(a), is amended by adding at the end the following:</text>
<quoted-block style="OLC" id="H262C714208294773BAA9676510B4BA36" display-inline="no-display-inline">
<section id="HD5024CD0BEAC4757A0F8FE6602E87EFB"><enum>300B.</enum><header>Grants for State partnerships</header>
<subsection id="HAF782CB42DEE4A0B85D5CC7200FB31F7"><enum>(a)</enum><header>In general</header><text>The Attorney General, in consultation with the Secretary of Health and Human Services, shall make grants to partnerships between State and local juvenile justice agencies and State and local mental health authorities (or appropriate children service agencies identified by the Attorney General) in accordance with this section.</text></subsection>
<subsection id="H6B0423AAC611411ABA88C139D974092"><enum>(b)</enum><header>Use of funds</header><text>A partnership described in subsection (a) that receives a grant under this section shall use such grant for the establishment and implementation of an eligible program under subsection (c) for juveniles who are confined (or have been confined) to juvenile correctional facilities, including facilities contracted for operation by State or local juvenile authorities, and who have mental health or substance abuse problems.</text></subsection>
<subsection id="HD4005C6A72354859A20512A51ACB9C6"><enum>(c)</enum><header>Eligible programs</header><text>For purposes of subsection (b), an eligible program under this subsection is either of the following:</text>
<paragraph id="H352D2DBB845F42D49513D489A9EF24D8"><enum>(1)</enum><header>Diversion</header><text>A program that provides appropriate diversion of juveniles described in subsection (b) from incarceration—</text>
<subparagraph id="HB98575838B1D49738BD2ED48053C8B3E"><enum>(A)</enum><text>at the time such juveniles are in imminent risk of being taken into custody;</text></subparagraph>
<subparagraph id="H3BE1564688CB4AB6BB7E1EEB8500465F"><enum>(B)</enum><text>at the time such juveniles are initially taken into custody;</text></subparagraph>
<subparagraph id="HAA7960DA33AE4D9EB2FC6551960785BE"><enum>(C)</enum><text>after such juveniles are charged with an offense or act of juvenile delinquency;</text></subparagraph>
<subparagraph id="HF35FB7F58681415FAC71F16457CFC5B2"><enum>(D)</enum><text>after such juveniles are adjudicated delinquent but prior to case disposition; and</text></subparagraph>
<subparagraph id="H25BC5B74F8924DE7A92645616D7F4B96"><enum>(E)</enum><text>after such juveniles are released from a juvenile facility, for the purposes of attending aftercare programs.</text></subparagraph></paragraph>
<paragraph id="H43978C31E8924E88A1AAE7DCE488842"><enum>(2)</enum><header>Mental health and substance abuse treatment</header><text>A program that complies with at least one of the following requirements:</text>
<subparagraph id="H6515DD88350D4CD1AC98EBE189271937"><enum>(A)</enum><header>Screening, assessment, and planning</header><text>The program has a screening, assessment, and planning component that complies with the following:</text>
<clause id="H3144BA97477043D7B95FCD50426E38EE"><enum>(i)</enum><header>Initial assessment</header><text>Initial mental health screening shall be completed for each juvenile offender immediately upon entering a juvenile correctional facility participating in the program. Such screening shall be conducted by qualified health and mental health professionals or by staff of the facility who have been trained by appropriately qualified health professionals, mental health professionals, and substance abuse professionals. In the case of a screening by staff of the facility, the screening results shall be reviewed by appropriately qualified health professionals, mental health professionals, and substance abuse professionals not later than 24 hours after the screening.</text></clause>
<clause id="H70A4D8D9FA634F71A7163D373C5B00B8"><enum>(ii)</enum><header>Comprehensive assessment and treatment plan</header><text>Each juvenile offender entering a juvenile correctional facility participating in the program shall have a comprehensive assessment conducted and an individualized treatment plan written and implemented not later than two weeks after the date of such entrance. In the case of juvenile offenders incarcerated in secure facilities, such assessment shall be conducted not later than one week after the date of entrance into such facility. Such assessments shall be completed by appropriately qualified health professionals, mental health professionals, and substance abuse professionals. </text></clause>
<clause id="HCBCE9C2FB6654764B104E6E572EE5B71"><enum>(iii)</enum><header>Acute mental illness</header><text>A juvenile offender who at any time during the confinement of the juvenile offender in a juvenile correctional facility participating in the program suffers from an acute mental disorder, who is suicidal, or who is in need of detoxification shall be placed in or immediately transferred to an appropriate medical or mental health facility. In the case that a juvenile offender is placed in or immediately transferred to a medical or mental health facility pursuant to this clause, such juvenile offender shall be released from such medical or mental health facility and admitted to a secure correctional facility only with written medical clearance from the medical or mental health facility.</text></clause>
<clause id="H12C333A1275B4ED1A61E5C7F0015DA56"><enum>(iv)</enum><header>Discharge plan</header><text>Each juvenile offender confined to a juvenile correctional facility participating in the program shall have a discharge plan prepared on the date on which the juvenile enters the facility in order to integrate the juvenile back into the family or the community of such juvenile offender. Such plan shall be updated in consultation with the family or guardian of such juvenile offender before the juvenile offender is released from the facility. A discharge plan shall provide for aftercare services for the juvenile offender.</text></clause></subparagraph>
<subparagraph id="H8BB588BF01984635A81DFAC38E30C276"><enum>(B)</enum><header>Treatment</header><text>The program has a treatment component that complies with the following:</text>
<clause id="HB1B7472DD0C24CCCAABC519C9E8C7320"><enum>(i)</enum><header>In general</header><text>If the need for treatment for a mental disorder, emotional disorder, or substance abuse is indicated by the assessment of a juvenile offender, the juvenile offender shall be referred to or treated by an appropriately qualified health professional. A juvenile offender who, immediately prior to the date of entering a juvenile correctional facility participating in the program, was receiving treatment for a mental disorder, emotional disorder, or substance abuse shall have treatment continued at such facility.</text></clause>
<clause id="HEA4CFA8850094BBD007347CEDB78A474"><enum>(ii)</enum><header>Period</header><text>A juvenile offender described in clause (i) who receives treatment at the juvenile correctional facility involved shall continue to receive treatment at the facility until the date on which it is determined through mental health assessments that the juvenile offender is no longer in need of such treatment. Treatment plans shall be reevaluated at least once every 30 days.</text></clause>
<clause id="HD060BCE0B85F480500EE4C883DB4CC3F"><enum>(iii)</enum><header>Medication</header><text>Any juvenile offender receiving psychotropic medications while in a juvenile correctional facility shall be under the care of a licensed psychiatrist. Psychotropic medications shall be monitored regularly by trained staff for their efficacy and side effects.</text></clause>
<clause id="H8536536CF78E440FB57D7988477F3339"><enum>(iv)</enum><header>Specialized treatment</header><text>During the period in which a juvenile offender is confined to a juvenile correctional facility, specialized treatment and services for a mental disorder, emotional disorder, or substance abuse shall be continually available to the juvenile offender if the juvenile offender—</text>
<subclause id="HF09659BDEABB41F994DD6F6E1FF26F7D"><enum>(I)</enum><text>has a history of mental health problems or treatment;</text></subclause>
<subclause id="H00305C9BB5494BEB824EC9F149F0507"><enum>(II)</enum><text>has a documented history of sexual abuse or offenses, as victim or as perpetrator;</text></subclause>
<subclause id="HB5D2286D919B4068A2B155E500F5CA8E"><enum>(III)</enum><text>has substance abuse problems, health problems, learning disabilities, or histories of family abuse or violence; or</text></subclause>
<subclause id="HBAF5E442B1C84C489C27A228195F283B"><enum>(IV)</enum><text>has developmental disabilities.</text></subclause></clause></subparagraph>
<subparagraph id="H595F4386BA92494586CD892390D5785"><enum>(C)</enum><header>Medical and mental health emergencies</header><text>With respect to each juvenile correctional facility participating in the program—</text>
<clause id="H7E14A45A83CF451893A74879186F0112"><enum>(i)</enum><text>the correctional facility has written policies and procedures on suicide prevention;</text></clause>
<clause id="H2C45C1ADC406427D8C007ED5BFD2832F"><enum>(ii)</enum><text>all staff of the correctional facility who are involved in the treatment of juvenile offenders are trained and certified annually in suicide prevention;</text></clause>
<clause id="H3F41150B288140278333963F786D49E0"><enum>(iii)</enum><text>the correctional facility has a written arrangement with a hospital or other facility for providing emergency medical and mental health care to juveniles confined to the correctional facility; and</text></clause>
<clause id="H161962EB15984D32A9AB897EAC6FB2C"><enum>(iv)</enum><text>physical and mental health services are available at the correctional facility 24 hours per day, 7 days per week to juvenile offenders who are confined to such facility.</text></clause></subparagraph>
<subparagraph id="H790F422A967742BBAD759CCAF19D008E"><enum>(D)</enum><header>Classification of juveniles</header><text>Each juvenile correctional facility participating in the program shall have a policy under which—</text>
<clause id="H2B65F41C7FF944C5A44308AECC00EE23"><enum>(i)</enum><text>the correctional facility classifies and houses juvenile offenders in living units according to a plan that takes into consideration the age, gender, any special medical or mental health condition, size, and vulnerability to victimization of, and type of offense committed by each juvenile offender;</text></clause>
<clause id="H6BE45BE4BB814DB2B45B5C768DC0DB61"><enum>(ii)</enum><text>younger, smaller, weaker, and more vulnerable juvenile offenders (as determined by mental health professionals) are not placed in housing units with older, more aggressive juvenile offenders; and</text></clause>
<clause id="H52E0102404F143D197A384BFD4BA77AB"><enum>(iii)</enum><text>juvenile offenders who are under 13 years of age or who have serious medical conditions or mental illnesses are not placed in paramilitary boot camps.</text></clause></subparagraph>
<subparagraph id="HFFEC752439614A14A1C070B11E21DB7D" commented="no"><enum>(E)</enum><header>Confidentiality of records</header><text>Each juvenile correctional facility participating in the program shall treat mental health and substance abuse treatment records of juvenile offenders as confidential and take measures, in consultation with the State involved, to ensure that such records, to the greatest extent possible, are not required to be included with any records that such State would otherwise require to be routinely released to other correctional authorities and school officials.</text></subparagraph>
<subparagraph id="H4A07DC5705DE4FD6A2B5F0BDEB6D00BD"><enum>(F)</enum><header>Mandatory reporting</header><text>Each State juvenile correctional facility participating in the program shall—</text>
<clause id="H3036D34FB2694BB3A3C72DF5B4FD586"><enum>(i)</enum><text>keep information on the incidence and types of mental health and substance abuse disorders demonstrated by juvenile offenders in the correctional facilities, the range and scope of mental health and substance abuse services provided by the correctional facilities to such juvenile offenders, and barriers to the provision of such services; and</text></clause>
<clause id="HB505B0B592EB415DB64B76AD37EF9785"><enum>(ii)</enum><text>submit an analysis of this information annually to the Attorney General in such form, manner, and time as specified by the Attorney General.</text></clause></subparagraph>
<subparagraph id="H3698018EDF554A159445EBEE244C45F3"><enum>(G)</enum><header>Staff ratios for correctional facilities</header><text>Each secure correctional facility participating in the program shall—</text>
<clause id="H8E7BBDDEE46E417A80E666E6A9A9C655"><enum>(i)</enum><text>have a ratio of at least one mental health counselor (who is professionally trained and certified or licensed by the State involved) for every 50 juvenile offenders;</text></clause>
<clause id="H9848F457A6764D9A928849E414D0B647"><enum>(ii)</enum><text>have a ratio of at least one clinical psychologist for every 100 juvenile offenders; and</text></clause>
<clause id="H61CA1005EF55452091B54898B160A86E"><enum>(iii)</enum><text>have a ratio of at least one psychiatrist (who is licensed by the State involved) for every 100 juveniles offenders receiving or in need of psychiatric care.</text></clause></subparagraph>
<subparagraph id="H6AA363E090E4481AADE5963DC972B7A7"><enum>(H)</enum><header>Use of force</header>
<clause id="H186F9C8707464B5DBB6E64012EF10287"><enum>(i)</enum><header>Written guidelines</header><text>In accordance with this subparagraph, each juvenile correctional facility participating in the program shall have a written behavioral management system based on incentives and rewards to reduce misconduct by the juvenile offenders and the use of restraints and seclusion by staff.</text></clause>
<clause id="H8C34794EB992498DB67B09D777006C4B"><enum>(ii)</enum><header>Limitations on restraint</header><text>Under the behavioral management system under clause (i), control techniques such as restraint, seclusion, chemical sprays, and room confinement shall be used only in response to extreme threats to life or safety. Use of such techniques shall be approved by the facility superintendent or chief medical officer and documented in the file of the juvenile offender involved along with a justification for such use and for the failure to use less restrictive alternatives.</text></clause>
<clause id="H87CC67F9944E43F9BD4D117EE223F966"><enum>(iii)</enum><header>Limitation on isolation</header><text display-inline="yes-display-inline">Under the behavioral management system under clause (i), isolation and seclusion of the juvenile offender involved shall be used only for immediate and short-term security or safety reasons and in accordance with this clause. No juvenile offender shall be placed in isolation without approval of the facility superintendent or chief medical officer or their official staff designee. In the case of a juvenile offender placed in isolation or seclusion, such case shall be documented in the file of the juvenile offender along with a justification for such placement. A juvenile offender may be in isolation only for the amount of time necessary to achieve security and safety of the juvenile offender and staff of the juvenile correctional facility involved. Such staff shall monitor each juvenile in isolation at least once every 15 minutes and conduct a professional review of the need for isolation at least once every 4 hours. Any juvenile held in seclusion for at least 24 hours shall be examined by a physician or licensed psychologist.</text></clause></subparagraph>
<subparagraph id="HC489CC46FDEE48629B53F7E2A65C06B4"><enum>(I)</enum><header>Treatment of IDEA and Rehabilitation Act</header><text>Each juvenile correctional facility participating in the program shall abide by all mandatory requirements and time lines set forth under the Individuals with Disabilities Education Act and section 504 of the Rehabilitation Act of 1973.</text></subparagraph> </paragraph></subsection>
<subsection id="HEC0D7BDE48844F9494E639CEBF836FFA"><enum>(d)</enum><header>Advocacy assistance</header><text>The Secretary of Health and Human Services shall make grants to the systems established under part C of the Developmental Disabilities Assistance and Bill of Rights Act (<external-xref legal-doc="usc" parsable-cite="usc/42/6041">42 U.S.C. 6041 et seq.</external-xref>) to monitor the mental health and special education services described in subparagraphs (A), (B), (C), (H), and (I) of subsection (b)(2) that are provided by partnerships that receive a grant under subsection (a) to juvenile offenders, and to advocate on behalf of such juvenile offenders to assure that such services are properly provided.</text> </subsection>
<subsection id="H9A47305CD7474FC392FA3431002827AA"><enum>(e)</enum><header>Preference</header><text>In awarding grants under this section, the Attorney General, in consultation with the Secretary of Health and Human Services, shall give preference to partnerships described in subsection (a) that propose to use the grant funds for programs that meet more than one of the requirements under subsection (c)(2).</text></subsection> </section>
<section id="H4C6EFB69FB914B9A82744E3E3C00ED22"><enum>300C.</enum><header>Administrative provisions</header>
<subsection id="HF8120674A4044970A0590067A00081F"><enum>(a)</enum><header>Application</header><text>To be eligible to receive a grant under section 300A or 300B, an entity described in section 300A(a) or 300B(a), respectively, shall submit an application at such time, in such manner, and containing such information as the Attorney General, in consultation with the Secretary of Health and Human Services, may prescribe.</text></subsection>
<subsection id="H63EFE1D8A3BB4B36B8A826822ACB957"><enum>(b)</enum><header>Contents of application</header><text>In accordance with guidelines established by the Attorney General, in consultation with the Secretary of Health and Human Services, each application submitted under subsection (a) shall, with respect to a program or activity for which funding through the grant involved is sought—</text>
<paragraph id="H88A6F1DFFB8E45178FCA81F547003507"><enum>(1)</enum><text>provide that such program or activity shall be administered by or under the supervision of the applicant;</text></paragraph>
<paragraph id="H4ABAB5CDB63B489994492EAC9000FF50"><enum>(2)</enum><text>provide for the proper and efficient administration of such program or activity;</text></paragraph>
<paragraph id="H54B5CF13DDA146B985F0F422459DE445"><enum>(3)</enum><text>provide for regular evaluation of such program or activity;</text></paragraph>
<paragraph id="HCCD8B32EDB1443F5BBA07E77623F9522"><enum>(4)</enum><text>provide an assurance that the proposed program or activity will supplement, not supplant, similar programs and activities already available in the community involved; and</text></paragraph>
<paragraph id="H6BAF2D7E55234303A3CE8B0245A17DFA"><enum>(5)</enum><text>provide for such fiscal control and fund accounting procedures as may be necessary to ensure prudent use, proper disbursement, and accurate accounting of funds received under this part for such program or activity.</text></paragraph></subsection>
<subsection id="HEAD577D39FBE4B66B459661E40F3BFC"><enum>(c)</enum><header>Duration of grants</header><text display-inline="yes-display-inline">Subject to subsection (d), the period during which payments are made to an applicant from a grant under section 300A or 300B may not exceed two years. The provision of such payments are subject to the availability of appropriations for the fiscal year involved to make the payments.</text></subsection>
<subsection id="H309CB50FCD5C4D6AB1F3001964428C57"><enum>(d)</enum><header>Renewal</header><text>An entity that receives a grant under section 300A or 300B may extend the duration of the grant in accordance with a method, form, and time and qualifications specified by the Attorney General.</text></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block></subsection>
<subsection id="H41DBEA8225394B8A8E6B2014F9247499"><enum>(b)</enum><header>Authorization of appropriations</header><text display-inline="yes-display-inline">Section 299(e) of such title (<external-xref legal-doc="usc" parsable-cite="usc/42/5671">42 U.S.C. 5671</external-xref>), as added by section 301(b), is further amended by adding at the end the following new paragraph: </text>
<quoted-block style="OLC" id="H5F9BC0D1B59F42DA86B5294AA461038" display-inline="no-display-inline">
<paragraph id="HD30BE9276B0C450E00171E8E999646B6"><enum>(2)</enum>
<subparagraph id="H993CDEAEB3CA48D2B3DFEC12344ED20" display-inline="yes-display-inline"><enum>(A)</enum><text>There are authorized to be appropriated $700,000,000 from the Violent Crime Reduction Trust Fund for fiscal years 2007, 2008, 2009, 2010, and 2011 to carry out section 300B.</text></subparagraph>
<subparagraph id="HA377A24E5A4C4820847620C973644DB8" indent="up1"><enum>(B)</enum><text>Of such sums that are appropriated for a fiscal year to carry out section 300B—</text>
<clause id="H8B0B65091B1F4D4FB8D7A9966C4FB7CF"><enum>(i)</enum><text>45 percent shall be used for diversion programs under subsection (b)(1) of such section; and</text></clause>
<clause id="H5E5D823ACFA54AED96C1E07CD4E998E7"><enum>(ii)</enum><text>55 percent shall be used for treatment programs under subsection (b)(2) of such section, of which not less than 3 percent shall be used for the purposes set forth in subsection (c) of such section.</text></clause></subparagraph> </paragraph><after-quoted-block>.</after-quoted-block></quoted-block></subsection></section>
<section id="HE7D0213B43394AAA8C6357631390B2E7"><enum>303.</enum><header>Federal coordinating council on the criminalization of juveniles with mental disorders</header>
<subsection id="H918469B751F94D6FB54700EF48D491AA"><enum>(a)</enum><header>Establishment</header><text display-inline="yes-display-inline">There is established an interdepartmental council to be known as the Federal Coordinating Council on Criminalization of Juveniles (in this section referred to as the <quote>Council</quote>) to study and coordinate the criminal and juvenile justice and mental health and substance abuse activities of the Federal Government and report to Congress on proposed new legislation to improve the treatment of mentally ill juveniles who are confined in (or have been confined in) a juvenile correctional facility.</text></subsection>
<subsection id="H1DAA61329D1546C7BC34155D00865E6F"><enum>(b)</enum><header>Membership</header><text>The Council shall be composed of 13 members, including representatives from—</text>
<paragraph id="H290845B88BCE4FE3AC4BFC101BAF744F"><enum>(1)</enum><text>the appropriate Federal agencies, as determined by the President, including, at a minimum—</text>
<subparagraph id="HC5546077D166402183A334E3A2F77CCB"><enum>(A)</enum><text>the Department of Health and Human Services;</text></subparagraph>
<subparagraph id="H3B85B5E02F864885BB63CFBC8BC833D9"><enum>(B)</enum><text>the Office for Juvenile Justice and Delinquency Prevention;</text></subparagraph>
<subparagraph id="H4C6F8E67438E4FF696D47BD3736B3523"><enum>(C)</enum><text>the National Institute of Mental Health;</text></subparagraph>
<subparagraph id="HC2C85B0CC11941D0BAB7C6E171D6BE6"><enum>(D)</enum><text>the Social Security Administration;</text></subparagraph>
<subparagraph id="H8CBAA65D26C140C581E2ACAD9B494DDD"><enum>(E)</enum><text>the Department of Education; and</text></subparagraph>
<subparagraph id="HD8B463D910EE464580F5DAD77EB3A694"><enum>(F)</enum><text>the Substance Abuse and Mental Health Services Administration; and</text></subparagraph></paragraph>
<paragraph id="HE3098E7233D04A5589260366A310CAD7"><enum>(2)</enum><text>children’s mental health advocacy groups , as identified by the Secretary of Health and Human Services.</text></paragraph></subsection>
<subsection id="HDAF648490C2E4AE48BC640C6864008C"><enum>(c)</enum><header>Chairperson</header><text display-inline="yes-display-inline">The council shall elect a chairperson of the council.</text></subsection>
<subsection id="H9B6659971A19451382C8EC1E65BD00F5"><enum>(d)</enum><header>Duties</header><text>The Council shall—</text>
<paragraph id="HCFFAE701FB634CB89057A791F537430"><enum>(1)</enum><text>review Federal policies that hinder or facilitate coordination at the State and local level between the mental health and substance abuse systems and the juvenile justice and corrections system;</text></paragraph>
<paragraph id="H2EFD26EED9924E1883BED607118E1C3"><enum>(2)</enum><text>study the possibilities for improving collaboration at the Federal, State, and local level among such systems; and</text></paragraph>
<paragraph id="H8C491093D0AA4571A135FE029FC22E88"><enum>(3)</enum><text>make recommendations to Congress on any appropriate initiatives to improve such coordination and collaboration, which would require legislative action.</text></paragraph></subsection>
<subsection id="H2876385EEF89443B9DEDE4B5B8DF4B4"><enum>(e)</enum><header>Reports</header><text>The Council shall submit to Congress the following:</text>
<paragraph id="HCF94F055EBAF4C8C831C00BE9D5F44DD"><enum>(1)</enum><header>Interim report</header><text>Not later than the date that is 18 months after the Council is established, an interim report on the extent of coordination and collaboration in existence as of such date at the Federal, State, and local levels among the systems described in subsection (c)(1).</text></paragraph>
<paragraph id="H4064C76F7D1B49278425EBF33C3EAE11"><enum>(2)</enum><header>Final report</header><text>Not later than the date that is two years after the Council is established, a final report that includes recommendations for initiatives to improve such coordination and collaboration. </text></paragraph></subsection>
<subsection id="HD060690645B0401EA635C7F0C41DFA1D"><enum>(f)</enum><header>Termination</header><text>The Council shall terminate two years after the date on which the Council is established.</text></subsection></section>
<section id="H4394E71181B24B26962B68028093D706"><enum>304.</enum><header>Mental health screening and treatment for prisoners</header>
<subsection id="HAD1CA8FF37D54D1F84B953354000A4B"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">Section 20105(b) of the Violent Crime Control and Law Enforcement Act of 1994 is amended—</text>
<paragraph id="H19E1681D53B34463B5241BA8EE030007"><enum>(1)</enum><text>by redesignating paragraphs (1), (2), and (3) as subparagraphs (A), (B), and (C), respectively;</text></paragraph>
<paragraph id="H402C713A32AB4BCCAE05542F8C63E217"><enum>(2)</enum><text>by inserting <quote><header-in-text level="paragraph" style="OLC"><enum-in-header>(1) </enum-in-header>In general</header-in-text></quote> before <quote>Funds provided under section 20103</quote>; and</text></paragraph>
<paragraph id="H23CAC0FDE53B4C4A9C0300CFC88FFB30"><enum>(3)</enum><text>by adding at the end the following new paragraph:</text>
<quoted-block id="H06DAFB363BFF4DF28DAB97B8C0C3A6B6" style="OLC">
<paragraph id="H80B1A21955554A4DBC52512CD8A02E3D" indent="up1"><enum>(2)</enum><header>Additional eligibility requirement and uses</header>
<subparagraph id="H4102470FECEC45F49D75A00C3B94246"><enum>(A)</enum><header>Eligibility for grant</header><text>To be eligible to receive a grant under section 20103 or 20104, a State shall, not later than January 1, 2008, demonstrate to the satisfaction of the Attorney General that the State has (or intends and has taken steps to implement) a program of mental health screening and treatment for appropriate categories of juvenile offenders and other offenders during periods of incarceration and juvenile and criminal justice supervision, that is consistent with guidelines issued by the Attorney General.</text></subparagraph>
<subparagraph id="H9272BE9988FD4057000428931711BC37"><enum>(B)</enum><header>Additional uses of funds</header><text>Notwithstanding any other provision of this subtitle, amounts made available to a State under section 20103 or 20104, may be—</text>
<clause id="H576D03815FAB45B4A29300393BE6D48F"><enum>(i)</enum><text>applied to the costs of programs described in subparagraph (A), consistent with guidelines issued by the Attorney General; or</text></clause>
<clause id="HC0F0536C959D43F9ACEAC5A46CDBFC59"><enum>(ii)</enum><text>used by the State to pay the costs of providing to the Attorney General a baseline study (consistent with guidelines issued by the Attorney General) on the mental health problems of juvenile offenders and prisoners in the State.</text></clause></subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></subsection>
<subsection id="H841B5E5D7D764A5088CE26CCAB30F4B2"><enum>(b)</enum><header>Conforming amendments</header>
<paragraph id="HBDE99240310A4D2395AD93BC5839CEE6"><enum>(1)</enum><text>Section 20103(a) of such Act is amended by striking <quote>To be eligible</quote> and inserting <quote>Subject to section 20105(b)(2)(A), to be eligible</quote>.</text></paragraph>
<paragraph id="H53CAE4E40EA54B78BC393F21E5A12CE4"><enum>(2)</enum><text>Section 20104(a) of such Act is amended by striking <quote>To be eligible</quote> and inserting <quote>Subject to section 20105(b)(2)(A), to be eligible</quote>. </text></paragraph></subsection></section>