[Congressional Bills 113th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4574 Introduced in House (IH)]

113th CONGRESS
  2d Session
                                H. R. 4574

To maximize the access of individuals with mental illness to community-
  based services, to strengthen the impact of such services, and for 
                            other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                              May 6, 2014

 Mr. Barber (for himself, Ms. DeGette, Mr. Tonko, Ms. Matsui, and Mrs. 
 Napolitano) introduced the following bill; which was referred to the 
Committee on Energy and Commerce, and in addition to the Committees on 
   Ways and Means, the Judiciary, Armed Services, Veterans' Affairs, 
Education and the Workforce, and Natural Resources, for a period to be 
subsequently determined by the Speaker, in each case for consideration 
  of such provisions as fall within the jurisdiction of the committee 
                               concerned

_______________________________________________________________________

                                 A BILL


 
To maximize the access of individuals with mental illness to community-
  based services, to strengthen the impact of such services, and for 
                            other purposes.

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

SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

    (a) Short Title.--This Act may be cited as the ``Strengthening 
Mental Health in Our Communities Act of 2014''.
    (b) Table of Contents.--The table of contents for this Act is as 
follows:

Sec. 1. Short title; table of contents.
Sec. 2. Purpose.
          TITLE I--WHITE HOUSE OFFICE OF MENTAL HEALTH POLICY

Sec. 101. White House Office of Mental Health Policy.
Sec. 102. Appointment and duties of the Director.
Sec. 103. National strategy for mental health.
Sec. 104. Coordination with Federal departments and agencies.
Sec. 105. National mental health advisory board.
        TITLE II--STRENGTHENING AND INVESTING IN SAMHSA PROGRAMS

Sec. 201. Community mental health services block grant reauthorization.
Sec. 202. Reporting requirements for block grants regarding mental 
                            health and substance use disorders.
Sec. 203. Garrett Lee Smith Memorial Act reauthorization.
Sec. 204. Priority mental health needs of regional and national 
                            significance reauthorization.
Sec. 205. Grants for jail diversion programs reauthorization.
Sec. 206. Projects for assistance in transition from homelessness.
Sec. 207. Comprehensive community mental health services for children 
                            with serious emotional disturbances.
Sec. 208. Children's recovery from trauma.
Sec. 209. Protection and advocacy for individuals with mental illness 
                            reauthorization.
Sec. 210. Mental health awareness training grants.
Sec. 211. National media campaign to reduce the stigma associated with 
                            mental illness.
Sec. 212. SAMHSA and HRSA integration of behavioral health services 
                            into primary care settings.
Sec. 213. Geriatric mental health disorders.
Sec. 214. Assessing barriers to behavioral health integration.
Sec. 215. Acute care bed registry grant for States.
Sec. 216. Awards for co-locating primary and specialty care in 
                            community-based mental health settings.
Sec. 217. Grants for the benefit of homeless individuals.
   TITLE III--IMPROVING MEDICAID AND MEDICARE MENTAL HEALTH SERVICES

Sec. 301. Access to mental health prescription drugs under Medicare.
Sec. 302. Medicaid coverage of mental health services and primary care 
                            services furnished on the same day.
Sec. 303. Elimination of 190-day lifetime limit on inpatient 
                            psychiatric hospital services.
Sec. 304. Expanding the Medicaid home and community-based services 
                            waiver to include youth in need of services 
                            provided in a psychiatric residential 
                            treatment facility.
Sec. 305. Application of Rosa's Law for individuals with intellectual 
                            disabilities.
Sec. 306. Complete application of mental health and substance use 
                            parity rules under Medicaid and CHIP.
Sec. 307. Coverage of marriage and family therapist services and mental 
                            health counselor services under part B of 
                            the Medicare program.
          TITLE IV--DEVELOPING THE BEHAVIORAL HEALTH WORKFORCE

Sec. 401. National health service corps scholarship and loan repayment 
                            funding for behavioral and mental health 
                            professionals.
Sec. 402. Reauthorization of HRSA's mental and behavioral health 
                            education and training program.
Sec. 403. SAMHSA grant program for development and implementation of 
                            curricula for continuing education on 
                            serious mental illness.
Sec. 404. Demonstration grant program to recruit, train, deploy, and 
                            professionally support psychiatric 
                            physicians in Indian health programs.
Sec. 405. Including occupational therapists as behavioral and mental 
                            health professionals for purposes of the 
                            National Health Service Corps.
Sec. 406. Extension of certain health care workforce loan repayment 
                            programs through fiscal year 2019.
       TITLE V--IMPROVING MENTAL HEALTH RESEARCH AND COORDINATION

Sec. 501. National Institute of Mental Health research program on 
                            serious mental illness and suicide 
                            prevention.
Sec. 502. Youth mental health research network.
Sec. 503. National violent death reporting system.
                     TITLE VI--EDUCATION AND YOUTH

Sec. 601. School-based mental health programs.
Sec. 602. Examining mental health care for children.
           TITLE VII--JUSTICE AND MENTAL HEALTH COLLABORATION

Sec. 701. Assisting veterans.
Sec. 702. Correctional facilities.
Sec. 703. High utilizers.
Sec. 704. Academy training.
Sec. 705. Evidence-based practices.
Sec. 706. Safe communities.
Sec. 707. Reauthorization of appropriations.
          TITLE VIII--BEHAVIORAL HEALTH INFORMATION TECHNOLOGY

Sec. 801. Extension of health information technology assistance for 
                            behavioral and mental health and substance 
                            abuse.
Sec. 802. Extension of eligibility for Medicare and Medicaid health 
                            information technology implementation 
                            assistance.
          TITLE IX--SERVICEMEMBERS AND VETERANS MENTAL HEALTH

Sec. 901. Preliminary mental health assessments.
Sec. 902. Unlimited eligibility for health care for mental illnesses 
                            for veterans of combat service during 
                            certain periods of hostilities and war.
Sec. 903. Timeline for implementing integrated electronic health 
                            records.
Sec. 904. Pilot program for repayment of educational loans for certain 
                            psychiatrists of Veterans Health 
                            Administration.
                      TITLE X--MAKING PARITY WORK

Sec. 1001. GAO study on mental health and substance use disorder parity 
                            enforcement efforts.
Sec. 1002. Report to Congress on Federal assistance to State insurance 
                            regulators regarding mental health parity 
                            enforcement.
Sec. 1003. Annual report to Congress by Secretaries of Labor and Health 
                            and Human Services.

SEC. 2. PURPOSE.

    The purposes of this Act are--
            (1) to improve the responsiveness, coordination, 
        accountability, accessibility, and integration of person-
        centered behavioral health services to provide timely and 
        appropriate help to individuals, families, and communities;
            (2) to reduce mental health crises, homelessness, and 
        incarceration by strengthening community-based services, 
        including early intervention, outreach, engagement, prevention, 
        crisis support, rehabilitation, and peer-run services for 
        persons of all ages;
            (3) to ensure that all Americans with mental illnesses and 
        their families can--
                    (A) gain access to evidence-based and emerging best 
                practices based on the values and principles of trauma-
                informed care and mental health recovery, delivered in 
                a culturally and linguistically competent manner; and
                    (B) fully participate in the most integrated 
                settings within their chosen communities;
            (4) to develop an integrated behavioral health workforce 
        through improved training and education, recruitment, and 
        retention to meet the needs of all communities and populations;
            (5) to increase mental health awareness and reduce stigma 
        and discrimination through mental health training, education, 
        and literacy; and
            (6) to ensure the full implementation and enforcement of 
        mental health parity for all Americans.

          TITLE I--WHITE HOUSE OFFICE OF MENTAL HEALTH POLICY

SEC. 101. WHITE HOUSE OFFICE OF MENTAL HEALTH POLICY.

    (a) Establishment of Office.--There is established in the Executive 
Office of the President the White House Office of Mental Health Policy 
(hereafter referred to as the ``Office''), which shall--
            (1) monitor Federal activities with respect to mental 
        health, serious mental illness, and serious emotional 
        disturbances;
            (2) make recommendations to the Secretary of Health and 
        Human Services regarding any appropriate changes to such 
        activities, including recommendations with respect to the 
        national strategy developed under paragraph (3);
            (3) develop and annually update a National Strategy for 
        Mental Health to maximize the access of individuals with mental 
        illness to community-based services, strengthen the impact of 
        such services, and meet the comprehensive needs of individuals 
        with mental illness;
            (4) make recommendations to the Secretary of Health and 
        Human Services regarding public participation in decisions 
        relating to mental health, serious mental illness, and serious 
        emotional disturbances;
            (5) review and make recommendations with respect to the 
        budgets for Federal mental health services to ensure the 
        adequacy of those budgets;
            (6) submit to the Congress the national strategy and any 
        updates to such strategy;
            (7) coordinate the mental health services provided by 
        Federal departments and agencies and coordinate Federal 
        interagency mental health services;
            (8) consult, coordinate with, facilitate joint efforts 
        among, and support State, local, and tribal governments, 
        nongovernmental entities, and individuals with a mental 
        illness, particularly individuals with a serious mental illness 
        and children and adolescents with a serious emotional 
        disturbance, with respect to improving community-based and 
        other mental health services; and
            (9) develop and annually update a summary of advances in 
        serious mental illness and serious emotional disturbances 
        research related to causes, prevention, treatment, early 
        screening, diagnosis or rule out, intervention, and access to 
        services and supports for individuals with serious mental 
        illness and children and adolescents with a serious emotional 
        disturbance.
    (b) Director.--There shall be a Director who shall head the Office 
(hereafter referred to as the ``Director'') and who shall hold the same 
rank and status as the head of an executive department listed in 
section 101 of title 5, United States Code.
    (c) Access by Congress.--The location of the Office in the 
Executive Office of the President shall not be construed as affecting 
access by Congress, or any committee of the House of Representatives or 
the Senate, to any--
            (1) information, document, or study in the possession of, 
        or conducted by or at the direction of, the Director; or
            (2) personnel of the Office.

SEC. 102. APPOINTMENT AND DUTIES OF THE DIRECTOR.

    (a) Appointment.--
            (1) In general.--The President shall appoint the Director, 
        by and with the advice and consent of the Senate. The Director 
        shall serve at the pleasure of the President.
            (2) Prohibition.--No person shall serve as Director while 
        serving in any other position in the Federal Government or 
        while employed in a full-time position outside of the Federal 
        Government.
    (b) Responsibilities.--The Director shall--
            (1) assist the President--
                    (A) to establish policies, goals, objectives, and 
                priorities with respect to mental health, particularly 
                serious mental illness and serious emotional 
                disturbances;
                    (B) to maximize the access of individuals with 
                mental illness to community-based services;
                    (C) to strengthen the impact of such services; and
                    (D) to meet the comprehensive needs of individuals 
                with mental illness;
            (2) work with Federal departments and agencies providing 
        mental health services to strengthen the coordination of mental 
        health services in order to maximize the access of individuals 
        with a mental illness, particularly individuals with a serious 
        mental illness and children and adolescents with a serious 
        emotional disturbance, to community-based services, strengthen 
        the impact of services, and meet the comprehensive needs of 
        individuals with a mental illness;
            (3) coordinate and oversee the development, coordination, 
        implementation, and evaluation of the National Strategy for 
        Mental Health;
            (4) promulgate the National Strategy for Mental Health, 
        ensuring its wide availability to government officials and the 
        public;
            (5) make such recommendations to the President as the 
        Director determines are appropriate with respect to the 
        organization, management, and budgets of Federal departments 
        and agencies providing mental health services, including 
        changes in the allocation of personnel to and within those 
        departments and agencies to implement the policies, goals, 
        objectives, and priorities established under paragraph (1) and 
        the National Strategy for Mental Health;
            (6) consult, coordinate with, facilitate joint efforts 
        among, and support State, local, and tribal governments, 
        nongovernmental entities, and individuals with a mental 
        illness, particularly individuals with a serious mental illness 
        and children and adolescents with a serious emotional 
        disturbance, with respect to improving mental health services;
            (7) appear before duly constituted committees and 
        subcommittees of the House of Representatives and of the Senate 
        to represent the policies of the President related to mental 
        health and serve as the spokesperson of the President, if the 
        President determines it appropriate, on issues related to 
        mental health, and the National Strategy for Mental Health;
            (8) submit an annual report to Congress detailing how the 
        Director has consulted and coordinated with the National Mental 
        Health Council described in section 104(d), the National Mental 
        Health Advisory Board described in section 105, State, local, 
        and tribal governments, nongovernmental entities, and 
        individuals with a mental illness, particularly individuals 
        with a serious mental illness and children and adolescents with 
        a serious emotional disturbance; and
            (9) ensure the Office meets each of its responsibilities 
        under this title.
    (c) Budget Review and Recommendations.--
            (1) Review of budget requests.--Each department or agency 
        of the Federal Government providing mental health services and 
        benefits shall transmit each year to the Director a copy of the 
        proposed budget request of that department or agency with 
        respect to mental health services and benefits at a time not 
        later than that department or agency's submitting of such 
        budget request to the Office of Management and Budget for 
        preparation of the budget of the President submitted to 
        Congress under section 1105(a) of title 31, United States Code. 
        The proposed budget request shall be transmitted to the 
        Director in such form as the Director, in consultation with the 
        Office of Management and Budget, determines appropriate.
            (2) Recommendations with respect to budget requests.--After 
        the receipt of proposed budget requests pursuant to paragraph 
        (1), the Director shall provide budget recommendations with 
        respect to Federal mental health services and benefits to the 
        Director of the Office of Management and Budget and to the 
        President at a time that allows such recommendations to be 
        incorporated, as appropriate, into the budget of the President 
        submitted to Congress under section 1105(a) of title 31, United 
        States Code. The recommendations shall address funding 
        priorities developed in the National Strategy for Mental Health 
        and shall address future fiscal projections as determined by 
        the Director.
    (d) Powers of the Director.--In carrying out this title, the 
Director may--
            (1) select, appoint, employ, and fix the compensation of 
        such officers and employees of the Office as may be necessary 
        to carry out the functions of the Office under this title;
            (2) request the head of a department or agency of the 
        Federal Government to place department or agency personnel who 
        are engaged in activities with respect to mental health, on 
        temporary detail to another department or agency in order to 
        implement the National Strategy for Mental Health, and the head 
        of such department or agency shall comply with such request;
            (3) use for administrative purposes, on a reimbursable 
        basis, the available services, equipment, personnel, and 
        facilities of Federal, State, local, and tribal departments and 
        agencies;
            (4) procure the services of experts and consultants in 
        accordance with section 3109 of title 5, United States Code, 
        relating to appointments in the Federal Service, at rates of 
        compensation for individuals not to exceed the daily equivalent 
        of the rate of pay payable under level IV of the Executive 
        Schedule under section 5311 of title 5, United States Code;
            (5) use the mails in the same manner as any other 
        department or agency of the executive branch; and
            (6) monitor implementation of the National Strategy for 
        Mental Health, including--
                    (A) conducting program and performance audits and 
                evaluations; and
                    (B) requesting assistance from the Inspector 
                General of the relevant department or agency in such 
                audits and evaluations.

SEC. 103. NATIONAL STRATEGY FOR MENTAL HEALTH.

    (a) In General.--Not later than February 1 of each year, the 
Director shall submit to the President and Congress and make available 
to the public a National Strategy for Mental Health (in this title 
referred to as the ``National Strategy for Mental Health'' or the 
``Strategy'') setting forth a comprehensive plan to maximize the access 
of individuals with mental illness to community-based services, to 
strengthen the impact of such services, and to meet the comprehensive 
needs of individuals with mental illness.
    (b) Process.--In preparing the Strategy, the Director shall 
actively consult and work in coordination with the following:
            (1) The heads of all Federal departments and agencies that 
        provide mental health services.
            (2) The National Mental Health Council.
            (3) The National Mental Health Advisory Board.
            (4) Existing Federal interagency efforts related to mental 
        health services, such as the Military and Veterans Mental 
        Health Interagency Task Force.
            (5) State, local, and tribal governments.
            (6) Nongovernmental entities.
            (7) Individuals with mental illness, particularly 
        individuals with a serious mental illness and children and 
        adolescents with a serious emotional disturbance.
    (c) Contents.--The Director shall ensure the Strategy meets the 
following requirements:
            (1) Goals and performance measures.--The Strategy shall 
        contain comprehensive, research-based goals and quantifiable 
        performance measures that shall serve as targets for the year 
        with respect to which the Strategy applies for--
                    (A) improving the outcomes of and accessibility to 
                evidence-based mental programs and services;
                    (B) promoting community integration of individuals 
                with mental illness;
                    (C) increasing access to prevention and early 
                intervention services related to mental health;
                    (D) promoting mental health awareness and reducing 
                stigma; and
                    (E) advancing mental health research.
            (2) Accountability for past performance measures.--The 
        Strategy shall contain a report on Federal effectiveness with 
        respect to meeting those performance measures set by the 
        Strategy for the preceding year, including an evaluation of 
        whether or not such performance measures were met and the 
        reasons therefore, including--
                    (A) the extent of coordination between Federal 
                departments and agencies providing mental health 
                services;
                    (B) the extent to which the objectives and budgets 
                of Federal departments and agencies providing mental 
                health services were consistent with the 
                recommendations of the Strategy for the preceding year; 
                and
                    (C) the efficiency and adequacy of Federal programs 
                and policies with respect to mental health services.
            (3) Reporting on and identifying gaps in mental health 
        services.--The Strategy shall contain a report on--
                    (A) the mental health diagnoses, disaggregated by 
                age, race, gender, geographic distribution, population 
                density, socioeconomic status, and other target 
                populations determined necessary for inclusion by the 
                Director;
                    (B) the quality and quantity of mental health 
                services, including community-based services, for 
                individuals with mental illness, disaggregated by age, 
                race, gender, geographic distribution, population 
                density, socioeconomic status, and other target 
                populations determined necessary for inclusion by the 
                Director; and
                    (C) the size and allocation of Federal resources 
                devoted to supporting individuals with mental illness, 
                particularly serious mental illness, and children and 
                adolescents with a serious emotional disturbance, 
                disaggregated by age, race, gender, geographic 
                distribution, population density, socioeconomic status, 
                and other target populations determined necessary for 
                inclusion by the Director.
            (4) Coordination efforts.--The Strategy shall contain a 
        report on Federal efforts to consult, coordinate with, 
        facilitate joint efforts among, and support State, local, and 
        tribal governments, nongovernmental entities, and individuals 
        with mental illness, particularly serious mental illness, and 
        children and adolescents with a serious emotional disturbance, 
        including an evaluation of the effectiveness of those efforts.
            (5) Guidance.--The Strategy shall contain research-based 
        guidance for assessing and improving the quality of mental 
        health services that is responsive to gaps identified in 
        community-based and other mental health services, particularly 
        for individuals with a serious mental illness and children and 
        adolescents with a serious emotional disturbance.
            (6) Mental health advocates and perspectives.--The Strategy 
        shall contain the views and perspectives of individuals with 
        mental illness, particularly individuals with serious mental 
        illness and children and adolescents with a serious emotional 
        disturbance, with respect to mental health services as prepared 
        by the National Mental Health Advisory Board.
            (7) Strategic plan.--The Strategy shall contain a plan to 
        achieve the goals and performance measures set for the year 
        with respect to which the Strategy applies, including the 
        following:
                    (A) Program and budget priorities necessary to 
                achieve the performance measures.
                    (B) Recommendations for improved Federal 
                interagency coordination, such as shared grant 
                application processes, grantee reporting requirements, 
                training and technical assistance efforts, definitions, 
                recipient eligibility requirements, research, 
                evaluation efforts, and data collection, and 
                recommendations for legislative changes necessary to 
                achieve such interagency coordination and to facilitate 
                the delivery of a comprehensive array of mental health 
                services.
                    (C) Recommendations for improved coordination 
                between the Federal Government and State, local, and 
                tribal governments, nongovernmental entities, and 
                individuals with mental illness, particularly 
                individuals with serious mental illness and children 
                and adolescents with a serious emotional disturbance.
                    (D) A strategic research, innovation, and 
                demonstration agenda to guide the use of Federal 
                research spending with respect to mental illness, 
                particularly serious mental illness.
                    (E) Recommendations to promote community 
                integration of individuals with mental illness, 
                consistent with the Americans with Disabilities Act of 
                1990, section 504 of the Rehabilitation Act of 1973, 
                and the Supreme Court's decision in Olmstead v. L.C.
                    (F) Recommendations to enhance prevention and early 
                intervention services for children and adolescents with 
                mental illness.
                    (G) Recommendations concerning ways to ensure 
                appropriate access to intensive community-based 
                services for Medicaid beneficiaries.
            (8) Additional reports.--The Strategy shall contain 
        additional reports the Director determines necessary, such as 
        reports on the unmet needs of individuals with mental illness, 
        international comparisons of mental health services and 
        outcomes, or the status of implementation and enforcement of 
        mental health parity.

SEC. 104. COORDINATION WITH FEDERAL DEPARTMENTS AND AGENCIES.

    (a) Federal Department and Agency Cooperation.--Each department or 
agency of the Federal Government providing mental health services 
shall--
            (1) cooperate with the efforts of the Director under this 
        title;
            (2) provide such assistance, statistics, studies, reports, 
        information, and advice as the Director may request, to the 
        extent permitted by law;
            (3) adjust department or agency staff job descriptions and 
        performance measures to support collaboration and 
        implementation of the Strategy; and
            (4) assign department or agency liaisons to the Office to 
        oversee and implement interagency coordination.
    (b) Interagency Alignment.--The Director, in collaboration with the 
heads of Federal departments and agencies providing mental health 
services, shall strengthen the coordination of Federal mental health 
services in order to maximize the access of individuals with mental 
illness, particularly individuals with serious mental illness, to 
community-based mental health services, strengthen the impact of mental 
health services, and meet the comprehensive needs of individuals with 
mental illness, particularly individuals with serious mental illness 
and children and adolescents with a serious emotional disturbance, by, 
where appropriate--
            (1) facilitating the development of shared grant 
        application processes;
            (2) offering joint training and technical assistance 
        efforts;
            (3) improving opportunities for individuals with mental 
        illness to maintain services as they transition from systems of 
        care;
            (4) aligning--
                    (A) grantee reporting requirements;
                    (B) definitions;
                    (C) eligibility requirements;
                    (D) research;
                    (E) evaluation efforts; and
                    (F) data collection;
            (5) making recommendations with respect to the legislative 
        changes necessary to achieve the interagency alignment and 
        coordination necessary to facilitate the delivery of a 
        comprehensive array of mental health services; and
            (6) taking other steps necessary to improve collaboration 
        between Federal departments and agencies providing mental 
        health services.
    (c) Joint Funding and Coordination.--
            (1) In general.--The Director, in consultation with the 
        heads of Federal departments and agencies, may oversee the 
        development and administration of initiatives involving 
        multiple Federal departments and agencies, including 
        initiatives that involve the integration of funding from 
        different Federal departments and agencies to the extent 
        permitted by law.
            (2) Administration of funds.--With respect to an initiative 
        that involves the integration of funding from different Federal 
        departments and agencies, the Federal department or agency 
        principally involved in such an initiative, as determined by 
        the Director, may be designated by the Director to act for all 
        involved departments or agencies in administering funds for the 
        initiative to the extent permitted by law.
            (3) Nongovernmental entities.--Initiatives developed under 
        this subsection may involve nongovernmental entities to the 
        extent permitted by law.
    (d) National Mental Health Council.--
            (1) Establishment.--There is established within the Office 
        the National Mental Health Council (hereinafter referred to in 
        this title as the ``Council'').
            (2) Members and terms.--The members of the Council shall 
        include--
                    (A) the President;
                    (B) the Director;
                    (C) the Secretary of Health and Human Services;
                    (D) the Director of the National Institute of 
                Mental Health;
                    (E) the Attorney General of the United States;
                    (F) the Secretary of Veterans Affairs;
                    (G) the Assistant Secretary-Indian Affairs of the 
                Department of the Interior;
                    (H) the Director of the Centers for Disease Control 
                and Prevention;
                    (I) the Director of the National Institutes of 
                Health;
                    (J) the directors of such national research 
                institutes of the National Institutes of Health as the 
                Director determines appropriate;
                    (K) representatives, appointed by the Director, of 
                Federal agencies that are outside of the Department of 
                Health and Human Services and serve individuals with 
                mental illness, such as the Department of Education;
                    (L) the Administrator of Substance Abuse and Mental 
                Health Services Administration;
                    (M) the Secretary of Defense; and
                    (N) other Federal officials as directed by the 
                President.
            (3) Chairperson.--The Chairperson of the Council shall be 
        the President.
            (4) Designees.--Members of the Council may select a 
        designee to perform duties under this subsection, but it is the 
        sense of Congress that such members should refrain from doing 
        so whenever possible.
            (5) Meetings.--
                    (A) In general.--The full membership of the Council 
                shall meet at the call of the Chairperson, but at least 
                once each year. The Chairperson may call additional 
                meetings composed of less than the full membership of 
                the Council as needed.
                    (B) First meeting.--The first meeting of the 
                Council shall be not more than four months after the 
                date of the enactment of this title.
                    (C) Inclusion of the national mental health 
                advisory board.--At least two meetings of the Council 
                each year shall be opened to the participation of 
                members of the National Mental Health Advisory Board.
            (6) Responsibilities.--The Council shall--
                    (A) assist the Director to coordinate the mental 
                health services provided by Federal departments and 
                agencies and to coordinate Federal interagency mental 
                health services;
                    (B) assist the Director in the development, 
                coordination, implementation, evaluation, and 
                promulgation of the Strategy;
                    (C) assist the Director in soliciting and 
                documenting ongoing input and recommendations with 
                respect to mental health services and mental health 
                outcomes from State, local, and tribal governments, 
                nongovernmental entities, and individuals with mental 
                illness, particularly individuals with serious mental 
                illness and children and adolescents with a serious 
                emotional disturbance; and
                    (D) ensure that members of the Council oversee the 
                implementation of those sections of the Strategy for 
                which each such member's department or agency is 
                responsible, as determined by the Director, and to 
                report to the Director on such implementation and the 
                results thereof.

SEC. 105. NATIONAL MENTAL HEALTH ADVISORY BOARD.

    (a) Establishment.--There is established within the Office the 
National Mental Health Advisory Board (hereinafter referred to in this 
title as the ``Board'').
    (b) Members and Terms.--
            (1) In general.--Except as provided in paragraph (3), each 
        member shall serve a two-year term. No member shall serve more 
        than three terms. The Board shall be composed of non-Federal 
        public members to be appointed by the Director, of which--
                    (A) at least eight such members, or \1/3\ of total 
                membership, whichever is greater, shall be individuals 
                with a diagnosis of serious mental illness;
                    (B) at least six such members, or \1/4\ of total 
                membership, whichever is greater, shall be a parent or 
                legal guardian of an individual with a serious mental 
                illness or a child or adolescent with a serious 
                emotional disturbance;
                    (C) at least one such member shall be a 
                representative of a leading research organization for 
                individuals with serious mental illness;
                    (D) at least one such member shall be a 
                representative of a leading advocacy organization for 
                individuals with serious mental illness;
                    (E) at least one such member shall be a 
                representative of a leading community service 
                organization for individuals with serious mental 
                illness;
                    (F) at least one member shall have served in a 
                senior position in a State mental health system;
                    (G) at least one member shall have served in a 
                senior position in a local mental health system;
                    (H) at least one member shall be a psychiatrist;
                    (I) at least one member shall be a clinical 
                psychologist;
                    (J) at least one member shall be a law enforcement 
                officer;
                    (K) at least one such member shall be a 
                representative of a leading veterans service 
                organization; and
                    (L) at least one such member shall be a child or 
                adolescent psychiatrist.
            (2) Selection process for the initial membership of the 
        board.--The Director shall design an application and selection 
        process to fill the initial membership of the Board. Political 
        affiliation or views may not be taken into account in such 
        application and selection process and relatives of elected 
        officials shall not be eligible for membership.
            (3) Selection process for membership of the board following 
        the initial membership.--The initial membership of the Board 
        shall design an application and selection process to fill the 
        membership of the Board for those terms following the term of 
        the initial membership. Such application and selection process 
        shall ensure that Board members select the membership that will 
        follow that Board membership's term and, notwithstanding the 
        two-year term requirement in paragraph (1), such application 
        process shall ensure that not more than half of the terms of 
        Board members expire in a given year.
            (4) Chairperson.--The initial membership of the Board shall 
        elect two members as co-chairs of the Board. Co-chairs shall 
        serve a term of one year and the Board shall elect new co-
        chairs as vacancies arise.
    (c) Meetings.--The Board shall meet in person not fewer than four 
times each year. The Director shall request senior Federal Government 
officials to attend each of the four meetings, including requesting 
that the Council attend one of the four meetings. The co-chairs of the 
Board may call additional meetings online and by telephone as 
determined necessary by the co-chairs.
    (d) Duties.--The Board shall--
            (1) advise the President, the heads of Federal departments 
        and agencies providing mental health services, and other senior 
        Federal Government officials on proposed and pending 
        legislation, budget expenditures, and other policy matters with 
        respect to mental illness, particularly serious mental illness 
        and children and adolescents with a serious emotional 
        disturbance;
            (2) work in partnership with local organizations to solicit 
        the views and perspectives of individuals with mental illness, 
        particularly individuals with serious mental illness, and 
        parents or legal guardians of individuals with mental illness, 
        with respect to mental health services;
            (3) prepare a section of the Strategy outlining the views 
        and perspectives of individuals with mental illness, 
        particularly individuals with serious mental illness and 
        children and adolescents with a serious emotional disturbance, 
        with respect to mental health services; and
            (4) provide the Director evaluations of the staff support 
        and training and technical assistance the Board has received.
    (e) Procedures.--The membership of the Board shall, in consultation 
with the Director, determine the procedures of the Board.

        TITLE II--STRENGTHENING AND INVESTING IN SAMHSA PROGRAMS

SEC. 201. COMMUNITY MENTAL HEALTH SERVICES BLOCK GRANT REAUTHORIZATION.

    Section 1920(a) of the Public Health Service Act (42 U.S.C. 300x-
9(a)) is amended by striking ``$450,000,000 for fiscal year 2001, and 
such sums as may be necessary for each of the fiscal years 2002 and 
2003'' and inserting ``$483,744,000 for fiscal year 2015 and such sums 
as may be necessary for each of fiscal years 2016 through 2019''.

SEC. 202. REPORTING REQUIREMENTS FOR BLOCK GRANTS REGARDING MENTAL 
              HEALTH AND SUBSTANCE USE DISORDERS.

    Section 1942 of the Public Health Service Act (42 U.S.C. 300x-52) 
is amended to read as follows:

``SEC. 1942. REQUIREMENT OF REPORTS AND AUDITS BY STATES.

    ``(a) Annual Report.--A funding agreement for a grant under section 
1911 is that--
            ``(1) the State involved will prepare and submit to the 
        Secretary an annual report on the activities funded through the 
        grant; and
            ``(2) each such report shall be prepared by, or in 
        consultation with, the State agency responsible for community 
        mental health programs and activities.
    ``(b) Standardized Form; Contents.--In order to properly evaluate 
and to compare the performance of different States assisted under 
section 1911, reports under this section shall be in such standardized 
form and contain such information as the Secretary determines (after 
consultation with the States) to be necessary--
            ``(1) to secure an accurate description of the activities 
        funded through the grant under section 1911;
            ``(2) to determine the extent to which funds were expended 
        consistent with the State's application transmitted under 
        section 1917(a); and
            ``(3) to describe the extent to which the State has met the 
        goals and objectives it set forth in its State plan under 
        section 1912(b).
    ``(c) Minimum Contents.--Each report under this section shall, at a 
minimum, include the following information:
            ``(1)(A) The number of individuals served by the State 
        under subpart I (by class of individuals).
            ``(B) The proportion of each class of such individuals 
        which has health coverage.
            ``(C) The types of services (as defined by the Secretary) 
        provided under subpart I to individuals within each such class.
            ``(D) The amounts spent under subpart I on each type of 
        service (by class of individuals served).
            ``(2) Information on the status of mental health in the 
        State, including information (by county and by racial and 
        ethnic group) on each of the following:
                    ``(A) The proportion of adolescents with serious 
                emotional disturbances.
                    ``(B) The proportion of adults with serious mental 
                illness (including major depression).
                    ``(C) The proportion of individuals with co-
                occurring mental health and substance use disorders.
                    ``(D) The proportion of children and adolescents 
                with mental health disorders who seek and receive 
                treatment.
                    ``(E) The proportion of adults with mental health 
                disorders who seek and receive treatment.
                    ``(F) The proportion of individuals with co-
                occurring mental health and substance use disorders who 
                seek and receive treatment.
                    ``(G) The proportion of homeless adults with mental 
                health disorders who receive treatment.
                    ``(H) The number of primary care facilities that 
                provide mental health screening and treatment services 
                onsite or by paid referral.
                    ``(I) The number of primary care physician office 
                visits that include mental health screening services.
                    ``(J) The number of juvenile residential facilities 
                that screen admissions for mental health disorders.
                    ``(K) The number of deaths attributable to suicide.
            ``(3) Information on the number and type of health care 
        practitioners licensed in the State and providing mental 
        health-related services.
    ``(d) Availability of Reports.--The Secretary shall, upon request, 
provide a copy of any report under this section to any interested 
public agency.''.

SEC. 203. GARRETT LEE SMITH MEMORIAL ACT REAUTHORIZATION.

    (a) Suicide Prevention Technical Assistance Center.--Section 520C 
of the Public Health Service Act (42 U.S.C. 290bb-34) is amended--
            (1) in the section heading, by striking the section heading 
        and inserting ``suicide prevention technical assistance 
        center.'';
            (2) in subsection (a), by striking ``and in consultation 
        with'' and all that follows through the period at the end of 
        paragraph (2) and inserting ``shall establish a research, 
        training, and technical assistance resource center to provide 
        appropriate information, training, and technical assistance to 
        States, political subdivisions of States, federally recognized 
        Indian tribes, tribal organizations, institutions of higher 
        education, public organizations, or private nonprofit 
        organizations regarding the prevention of suicide among all 
        ages, particularly among groups that are at high risk for 
        suicide.'';
            (3) by striking subsections (b) and (c);
            (4) by redesignating subsection (d) as subsection (b);
            (5) in subsection (b), as so redesignated--
                    (A) by striking the subsection heading and 
                inserting ``Responsibilities of the Center.'';
                    (B) in the matter preceding paragraph (1), by 
                striking ``The additional research'' and all that 
                follows through ``nonprofit organizations for'' and 
                inserting ``The center established under subsection (a) 
                shall conduct activities for the purpose of'';
                    (C) by striking ``youth suicide'' each place such 
                term appears and inserting ``suicide'';
                    (D) in paragraph (1)--
                            (i) by striking ``the development or 
                        continuation of'' and inserting ``developing 
                        and continuing''; and
                            (ii) by inserting ``for all ages, 
                        particularly among groups that are at high risk 
                        for suicide'' before the semicolon at the end;
                    (E) in paragraph (2), by inserting ``for all ages, 
                particularly among groups that are at high risk for 
                suicide'' before the semicolon at the end;
                    (F) in paragraph (3), by inserting ``and tribal'' 
                after ``statewide'';
                    (G) in paragraph (5), by inserting ``and 
                prevention'' after ``intervention'';
                    (H) in paragraph (8), by striking ``in youth'';
                    (I) in paragraph (9), by striking ``and behavioral 
                health'' and inserting ``health and substance use 
                disorder''; and
                    (J) in paragraph (10), by inserting ``conducting'' 
                before ``other''; and
            (6) by striking subsection (e) and inserting the following:
    ``(c) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated $4,948,000 
for each of fiscal years 2015 through 2019.''.
    (b) Youth Suicide Early Intervention and Prevention Strategies.--
Section 520E of the Public Health Service Act (42 U.S.C. 290bb-36) is 
amended--
            (1) in paragraph (1) of subsection (a) and in subsection 
        (c), by striking ``substance abuse'' each place such term 
        appears and inserting ``substance use disorder'';
            (2) in subsection (b)(2)--
                    (A) by striking ``each State is awarded only 1 
                grant or cooperative agreement under this section'' and 
                inserting ``a State does not receive more than 1 grant 
                or cooperative agreement under this section at any 1 
                time''; and
                    (B) by striking ``been awarded'' and inserting 
                ``received''; and
            (3) by striking subsection (m) and inserting the following:
    ``(m) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated $29,682,000 
for each of fiscal years 2015 through 2019.''.
    (c) Mental Health and Substance Use Disorder Services.--Section 
520E-2 of the Public Health Service Act (42 U.S.C. 290bb-36b) is 
amended--
            (1) in the section heading, by striking ``and behavioral 
        health'' and inserting ``health and substance use disorder 
        services'';
            (2) in subsection (a)--
                    (A) by striking ``Services,'' and inserting 
                ``Services and'';
                    (B) by striking ``and behavioral health problems'' 
                and inserting ``health or substance use disorders''; 
                and
                    (C) by striking ``substance abuse'' and inserting 
                ``substance use disorders'';
            (3) in subsection (b)--
                    (A) in the matter preceding paragraph (1), by 
                striking ``for--'' and inserting ``for one or more of 
                the following:''; and
                    (B) by striking paragraphs (1) through (6) and 
                inserting the following:
            ``(1) Educating students, families, faculty, and staff to 
        increase awareness of mental health and substance use 
        disorders.
            ``(2) The operation of hotlines.
            ``(3) Preparing informational material.
            ``(4) Providing outreach services to notify students about 
        available mental health and substance use disorder services.
            ``(5) Administering voluntary mental health and substance 
        use disorder screenings and assessments.
            ``(6) Supporting the training of students, faculty, and 
        staff to respond effectively to students with mental health and 
        substance use disorders.
            ``(7) Creating a network infrastructure to link colleges 
        and universities with health care providers who treat mental 
        health and substance use disorders.'';
            (4) in subsection (c)(5), by striking ``substance abuse'' 
        and inserting ``substance use disorder'';
            (5) in subsection (d)--
                    (A) in the matter preceding paragraph (1), by 
                striking ``An institution of higher education desiring 
                a grant under this section'' and inserting ``To be 
                eligible to receive a grant under this section, an 
                institution of higher education'';
                    (B) in paragraph (1)--
                            (i) by striking ``and behavioral health'' 
                        and inserting ``health and substance use 
                        disorder''; and
                            (ii) by inserting ``, including veterans 
                        whenever possible and appropriate,'' after 
                        ``students''; and
                    (C) in paragraph (2), by inserting ``, which may 
                include, as appropriate and in accordance with 
                subsection (b)(7), a plan to seek input from relevant 
                stakeholders in the community, including appropriate 
                public and private entities, in order to carry out the 
                program under the grant'' before the period at the end;
            (6) in subsection (e)(1), by striking ``and behavioral 
        health problems'' and inserting ``health and substance use 
        disorders'';
            (7) in subsection (f)(2)--
                    (A) by striking ``and behavioral health'' and 
                inserting ``health and substance use disorder''; and
                    (B) by striking ``suicide and substance abuse'' and 
                inserting ``suicide and substance use disorders''; and
            (8) in subsection (h), by striking ``$5,000,000 for fiscal 
        year 2005'' and all that follows through the period at the end 
        and inserting ``$4,858,000 for each of fiscal years 2015 
        through 2019.''.

SEC. 204. PRIORITY MENTAL HEALTH NEEDS OF REGIONAL AND NATIONAL 
              SIGNIFICANCE REAUTHORIZATION.

    Section 520A(f)(1) of the Public Health Service Act (42 U.S.C. 
290bb-32(f)(1)) is amended by striking ``$300,000,000 for fiscal year 
2001, and such sums as may be necessary for each of the fiscal years 
2002 and 2003'' and inserting ``$216,632,000 for fiscal year 2015 and 
such sums as may be necessary for each of fiscal years 2016 through 
2019''.

SEC. 205. GRANTS FOR JAIL DIVERSION PROGRAMS REAUTHORIZATION.

    Section 520G(i) of the Public Health Service Act (42 U.S.C. 290bb-
38(i)) is amended by striking ``$10,000,000 for fiscal year 2001, and 
such sums as may be necessary for fiscal years 2002 through 2003'' and 
inserting ``$4,280,000 for fiscal year 2015 and such sums as may be 
necessary for each of fiscal years 2016 through 2019''.

SEC. 206. PROJECTS FOR ASSISTANCE IN TRANSITION FROM HOMELESSNESS.

    Section 535(a) of the Public Health Service Act (42 U.S.C. 29cc-
35(a)) is amended by striking ``$75,000,000 for each of the fiscal 
years 2001 through 2003'' and inserting ``$64,800,000 for fiscal year 
2015 and such sums as may be necessary for each of fiscal years 2016 
through 2019''.

SEC. 207. COMPREHENSIVE COMMUNITY MENTAL HEALTH SERVICES FOR CHILDREN 
              WITH SERIOUS EMOTIONAL DISTURBANCES.

    Section 565 of the Public Health Service Act (42 U.S.C. 290ff-4) is 
amended--
            (1) in subsection (b)(1), by striking ``receiving a grant 
        under section 561(a)'' and inserting ``(irrespective of whether 
        the public entity is in receipt of a grant under section 
        561(a))'';
            (2) in subsection (b)(1)(B), by striking ``planning, 
        development, and operation of systems of care pursuant to 
        section 562'' and inserting ``planning, development, and 
        operation of systems of care described in section 562''; and
            (3) in subsection (f)(1), by striking ``$100,000,000 for 
        fiscal year 2001, and such sums as may be necessary for each of 
        the fiscal years 2002 and 2003'' and inserting ``$117,315,000 
        for fiscal year 2015 and such sums as may be necessary for each 
        of fiscal years 2016 through 2019''.

SEC. 208. CHILDREN'S RECOVERY FROM TRAUMA.

    Section 582 of the Public Health Service Act (42 U.S.C. 290hh-1) is 
amended--
            (1) in subsection (a), by striking ``developing programs'' 
        and all that follows and inserting ``developing and maintaining 
        programs that provide for--
            ``(1) the continued operation of the National Child 
        Traumatic Stress Initiative (referred to in this section as the 
        `NCTSI'), which includes a coordinating center, that focuses on 
        the mental, behavioral, and biological aspects of psychological 
        trauma response; and
            ``(2) the development of knowledge with regard to evidence-
        based practices for identifying and treating mental, 
        behavioral, and biological disorders of children and youth 
        resulting from witnessing or experiencing a traumatic event.'';
            (2) in subsection (b)--
                    (A) by striking ``subsection (a) related'' and 
                inserting ``subsection (a)(2) (related'';
                    (B) by striking ``treating disorders associated 
                with psychological trauma'' and inserting ``treating 
                mental, behavioral, and biological disorders associated 
                with psychological trauma)''; and
                    (C) by striking ``mental health agencies and 
                programs that have established clinical and basic 
                research'' and inserting ``universities, hospitals, 
                mental health agencies, and other programs that have 
                established clinical expertise and research'';
            (3) by redesignating subsections (c) through (g) as 
        subsections (g) through (k), respectively;
            (4) by inserting after subsection (b), the following:
    ``(c) Child Outcome Data.--The NCTSI coordinating center shall 
collect, analyze, and report NCTSI-wide child treatment process and 
outcome data regarding the early identification and delivery of 
evidence-based treatment and services for children and families served 
by the NCTSI grantees.
    ``(d) Training.--The NCTSI coordinating center shall facilitate the 
coordination of training initiatives in evidence-based and trauma-
informed treatments, interventions, and practices offered to NCTSI 
grantees, providers, and partners.
    ``(e) Dissemination.--The NCTSI coordinating center shall, as 
appropriate, collaborate with the Secretary in the dissemination of 
evidence-based and trauma-informed interventions, treatments, products 
and other resources to appropriate stakeholders.
    ``(f) Review.--The Secretary shall, consistent with the peer review 
process, ensure that NCTSI applications are reviewed by appropriate 
experts in the field as part of a consensus review process. The 
Secretary shall include review criteria related to expertise and 
experience in child trauma and evidence-based practices.'';
            (5) in subsection (g) (as so redesignated), by striking 
        ``with respect to centers of excellence are distributed 
        equitably among the regions of the country'' and inserting 
        ``are distributed equitably among the regions of the United 
        States'';
            (6) in subsection (i) (as so redesignated), by striking 
        ``recipient may not exceed 5 years'' and inserting ``recipient 
        shall not be less than 4 years, but shall not exceed 5 years''; 
        and
            (7) in subsection (j) (as so redesignated), by striking 
        ``$50,000,000'' and all that follows through ``2006'' and 
        inserting ``$45,714,000 for each of fiscal years 2015 through 
        2019''.

SEC. 209. PROTECTION AND ADVOCACY FOR INDIVIDUALS WITH MENTAL ILLNESS 
              REAUTHORIZATION.

    Section 117 of the Protection and Advocacy for Individuals with 
Mental Illness Act (42 U.S.C. 10827) is amended by striking 
``$19,500,000 for fiscal year 1992, and such sums as may be necessary 
for each of the fiscal years 1993 through 2003'' and inserting 
``$36,238,000 for fiscal year 2015 and such sums as may be necessary 
for each of fiscal years 2016 through 2019''.

SEC. 210. MENTAL HEALTH AWARENESS TRAINING GRANTS.

    Section 520J of the Public Health Service Act (42 U.S.C. 290bb-41) 
is amended--
            (1) in the section heading, by inserting ``mental health 
        awareness'' before ``training''; and
            (2) in subsection (b)--
                    (A) in the subsection heading, by striking 
                ``Illness'' and inserting ``Health'';
                    (B) in paragraph (1), by inserting ``, and other 
                categories of individuals listed in paragraph (2),'' 
                after ``emergency services personnel''; and
                    (C) by striking paragraph (2) and inserting the 
                following:
            ``(2) Categories of individuals to be trained.--The 
        categories of individuals listed in this paragraph are the 
        following:
                    ``(A) Emergency services personnel and other first 
                responders.
                    ``(B) Police officers and other law enforcement 
                personnel.
                    ``(C) Teachers and school administrators.
                    ``(D) Human resources professionals.
                    ``(E) Faith community leaders.
                    ``(F) Nurses and other primary care personnel.
                    ``(G) Students enrolled in an elementary school, a 
                secondary school, or an institution of higher 
                education.
                    ``(H) The parents of students described in 
                subparagraph (G).
                    ``(I) Veterans.
                    ``(J) Other individuals, audiences, or training 
                populations as determined appropriate by the 
                Secretary.'';
                    (D) in paragraph (5)--
                            (i) in the matter preceding subparagraph 
                        (A), by striking ``to'' and inserting ``for 
                        evidence-based programs for the purpose of''; 
                        and
                            (ii) by striking subparagraphs (A) through 
                        (C) and inserting the following:
                    ``(A) recognizing the signs and symptoms of mental 
                illness; and
                    ``(B)(i) providing education to personnel regarding 
                resources available in the community for individuals 
                with a mental illness and other relevant resources; or
                    ``(ii) the safe de-escalation of crisis situations 
                involving individuals with a mental illness.''; and
                    (E) in paragraph (7), by striking ``, $25,000,000'' 
                and all that follows through the period at the end and 
                inserting ``$20,000,000 for each of fiscal years 2014 
                through 2018''.

SEC. 211. NATIONAL MEDIA CAMPAIGN TO REDUCE THE STIGMA ASSOCIATED WITH 
              MENTAL ILLNESS.

    Subpart 3 of part B of title V of the Public Health Service Act (42 
U.S.C. 290bb-31 et seq.) is amended by adding at the end the following 
new section:

``SEC. 520L. NATIONAL MEDIA CAMPAIGN TO REDUCE THE STIGMA ASSOCIATED 
              WITH MENTAL ILLNESS.

    ``(a) Scope of the Campaign.--The Secretary, acting through the 
Administrator of the Substance Abuse and Mental Health Services 
Administration, shall provide for the production, broadcasting, and 
evaluation of a national media public service campaign to reduce the 
stigma associated with mental illness. Such campaign shall seek to 
reach as wide and diverse an audience as possible and shall 
particularly target the population between the ages of 16 and 24 years 
of age.
    ``(b) Report.--The Secretary shall provide a report to the Congress 
annually detailing--
            ``(1) the production, broadcasting, and evaluation of the 
        campaign under subsection (a); and
            ``(2) the effectiveness of the campaign in reducing the 
        stigma associated with mental illness, as measured using such 
        methods as public attitude surveys and mental health services 
        utilization statistics.
    ``(c) Consultation Requirement.--In carrying out this section, the 
Secretary shall ensure that mental health professionals and patient 
advocates are consulted in carrying out the media campaign under this 
section. The progress of this consultative process is to be covered in 
the report under subsection (b).
    ``(d) Authorization of Appropriations.--There are authorized to be 
appropriated to carry out this section, $10,000,000 for each of the 
fiscal years 2015 through 2019.''.

SEC. 212. SAMHSA AND HRSA INTEGRATION OF BEHAVIORAL HEALTH SERVICES 
              INTO PRIMARY CARE SETTINGS.

    Title V of the Public Health Service Act is amended by inserting 
after section 520K (42 U.S.C. 290bb-42) the following:

``SEC. 520K-1. AWARDS FOR CO-LOCATING BEHAVIORAL HEALTH SERVICES IN 
              PRIMARY CARE SETTINGS.

    ``(a) Program Authorized.--The Secretary, acting through the 
Administrators of the Substance Abuse and Mental Health Services 
Administration and the Health Resources and Services Administration, 
shall award grants, contracts, and cooperative agreements to eligible 
entities for the provision of coordinated and integrated behavioral 
health services and primary health care.
    ``(b) Eligible Entities.--To be eligible to seek a grant, contract, 
or cooperative agreement this section, an entity shall be a public or 
nonprofit entity.
    ``(c) Use of Funds.--An eligible entity receiving an award under 
this section shall use the award for the provision of coordinated and 
integrated behavioral health services and primary health care through--
            ``(1) the co-location of behavioral health services in 
        primary care settings;
            ``(2) the use of care management services to facilitate 
        coordination between behavioral health and primary care 
        providers;
            ``(3) the use of information technology (such as 
        telemedicine)--
                    ``(A) to facilitate coordination between behavioral 
                health and primary care providers; or
                    ``(B) to expand the availability of behavioral 
                health services; or
            ``(4) the provision of training and technical assistance to 
        improve the delivery, effectiveness, and integration of 
        behavioral health services into primary care settings.
    ``(d) Authorization of Appropriations.--To carry out this section--
            ``(1) there are authorized to be appropriated such sums as 
        may be necessary for fiscal years 2015 through 2019; and
            ``(2) such sums as necessary are authorized to be 
        transferred from the Substance Abuse and Mental Health Services 
        Administration to the Health Resources and Services 
        Administration.''.

SEC. 213. GERIATRIC MENTAL HEALTH DISORDERS.

    Section 520A(e) of the Public Health Service Act (42 U.S.C. 290bb-
32(e)) is amended by adding at the end the following:
            ``(3) Geriatric mental health disorders.--The Secretary 
        shall, as appropriate, provide technical assistance to grantees 
        regarding evidence-based practices for the prevention and 
        treatment of geriatric mental health disorders, as well as 
        disseminate information about such evidence-based practices to 
        States and nongrantees throughout the United States.''.

SEC. 214. ASSESSING BARRIERS TO BEHAVIORAL HEALTH INTEGRATION.

    (a) In General.--Not later than 2 years after the date of enactment 
of this Act, the Comptroller General of the United States shall submit 
a report to the Committee on Health, Education, Labor, and Pensions of 
the Senate and the Committee on Energy and Commerce of the House of 
Representatives concerning Federal requirements that impact access to 
treatment of mental health and substance use disorders related to 
integration with primary care, administrative and regulatory issues, 
quality measurement and accountability, and data sharing.
    (b) Contents.--The report submitted under subsection (a) shall 
include the following:
            (1) An evaluation of the administrative or regulatory 
        burden on behavioral health care providers.
            (2) The identification of outcome and quality measures 
        relevant to integrated health care, evaluation of the data 
        collection burden on behavioral health care providers, and any 
        alternative methods for evaluation.
            (3) An analysis of the degree to which electronic data 
        standards, including interoperability and meaningful use 
        includes behavioral health measures, and an analysis of 
        strategies to address barriers to health information exchange 
        posed by part 2 of title 42, Code of Federal Regulations.
            (4) An analysis of the degree to which Federal rules and 
        regulations for behavioral and physical health care are 
        aligned, including recommendations to address any identified 
        barriers.

SEC. 215. ACUTE CARE BED REGISTRY GRANT FOR STATES.

    (a) In General.--The Secretary of Health and Human Services, acting 
through Administrator of the Substance Abuse and Mental Health Services 
Administration, shall award grants to State mental health agencies to 
develop and administer a Web-based acute psychiatric bed registry to 
collect, aggregate, and display information about available acute beds 
in public and private inpatient psychiatric facilities and public and 
private residential crisis stabilization units to facilitate the 
identification and designation of facilities for the temporary 
treatment of individuals in psychiatric crisis.
    (b) Registry Requirements.--An acute psychiatric bed registry 
funded under this section shall--
            (1) include descriptive information for every public and 
        private inpatient psychiatric facility and every public and 
        private residential crisis stabilization unit in the State 
        involved, including contact information for the facility or 
        unit;
            (2) provide real-time information about the number of beds 
        available at each facility or unit and, for each available bed, 
        the type of patient that may be admitted, the level of security 
        provided, and any other information that may be necessary to 
        allow for the proper identification of appropriate facilities 
        for treatment of individuals in psychiatric crisis; and
            (3) allow employees and designees of community mental 
        health service providers, employees of inpatient psychiatric 
        facilities or public and private residential crisis 
        stabilization units, and health care providers working in an 
        emergency room of a hospital or clinic or other facility 
        rendering emergency medical care to perform searches of the 
        registry to identify available beds that are appropriate for 
        the treatment of individuals in psychiatric crisis.
    (c) Authorization of Appropriations.--To carry out this section, 
there are authorized to be appropriated such sums as may be necessary 
for fiscal years 2015 through 2019.

SEC. 216. AWARDS FOR CO-LOCATING PRIMARY AND SPECIALTY CARE IN 
              COMMUNITY-BASED MENTAL HEALTH SETTINGS.

    Section 520K(f) of the Public Health Service Act (42 U.S.C. 290bb-
42(f)) is amended by striking ``$50,000,000 for fiscal year 2010 and 
such sums as may be necessary for each of fiscal years 2011 through 
2014'' and inserting ``$50,000,000 for fiscal year 2015 and such sums 
as may be necessary for each of fiscal years 2016 through 2019''.

SEC. 217. GRANTS FOR THE BENEFIT OF HOMELESS INDIVIDUALS.

    Section 506(e) of the Public Health Service Act (42 U.S.C. 290aa-
5(e)) is amended by striking ``$50,000,000 for fiscal year 2001, and 
such sums as may be necessary for each of the fiscal years 2002 and 
2003'' and inserting ``$____for fiscal year 2015 and such sums as may 
be necessary for each of fiscal years 2016 through 2019''.

   TITLE III--IMPROVING MEDICAID AND MEDICARE MENTAL HEALTH SERVICES

SEC. 301. ACCESS TO MENTAL HEALTH PRESCRIPTION DRUGS UNDER MEDICARE.

    Section 1860D-4(b)(3)(G)(ii)(I) of the Social Security Act (42 
U.S.C. 1395w-104(b)(3)(G)(ii)(I)) is amended by adding at the end the 
following: ``Notwithstanding the previous sentence, categories and 
classes of drugs specified in subclauses (II) and (IV) of clause (iv) 
shall be identified under this subclause.''.

SEC. 302. MEDICAID COVERAGE OF MENTAL HEALTH SERVICES AND PRIMARY CARE 
              SERVICES FURNISHED ON THE SAME DAY.

    (a) In General.--Not later than one year after the date of the 
enactment of this Act, the Secretary of Health and Human Services shall 
issue guidance to clarify that payment under a State plan is not 
prohibited for a mental health service or primary care service 
furnished to an individual at a community mental health center that 
meets the criteria specified in section 1913(c) of the Public Health 
Service Act (42 U.S.C. 300x-2(c)) or a federally qualified health 
center (as defined in section 1861(aa)(3) of the Social Security Act 
(42 U.S.C. 1395x(aa)(3))) for which payment would otherwise be payable 
under the plan, with respect to such individual, if such service were 
not a same-day qualifying service.
    (b) Same-Day Qualifying Service Defined.--In this section, the term 
``same-day qualifying service'' means--
            (1) a primary care service furnished to an individual by a 
        provider at a facility on the same day a mental health service 
        is furnished to such individual by such provider (or another 
        provider) at the facility; and
            (2) a mental health service furnished to an individual by a 
        provider at a facility on the same day a primary care service 
        is furnished to such individual by such provider (or another 
        provider) at the facility.

SEC. 303. ELIMINATION OF 190-DAY LIFETIME LIMIT ON INPATIENT 
              PSYCHIATRIC HOSPITAL SERVICES.

    (a) In General.--Section 1812 of the Social Security Act (42 U.S.C. 
1395d) is amended--
            (1) in subsection (b)--
                    (A) in paragraph (1), by adding ``or'' at the end;
                    (B) in paragraph (2), by striking ``; or'' at the 
                end and inserting a period; and
                    (C) by striking paragraph (3); and
            (2) in subsection (c), by striking ``or in determining the 
        190-day limit under subsection (b)(3)''.
    (b) Effective Date.--The amendments made by subsection (a) shall 
apply to items and services furnished on or after January 1, 2016.

SEC. 304. EXPANDING THE MEDICAID HOME AND COMMUNITY-BASED SERVICES 
              WAIVER TO INCLUDE YOUTH IN NEED OF SERVICES PROVIDED IN A 
              PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY.

    (a) In General.--Section 1915(c) of the Social Security Act (42 
U.S.C. 1396n(c)) is amended--
            (1) in paragraph (1)--
                    (A) by striking ``a hospital or a nursing facility 
                or intermediate care facility for the mentally 
                retarded'' and inserting ``a hospital, a nursing 
                facility, an intermediate care facility for the 
                intellectually disabled, or a psychiatric residential 
                treatment facility,''; and
                    (B) by striking ``a hospital, nursing facility, or 
                intermediate care facility for the mentally retarded'' 
                and inserting ``a hospital, nursing facility, 
                intermediate care facility for the intellectually 
                disabled, or psychiatric residential treatment 
                facility'';
            (2) in paragraph (2)(B), by striking ``or services in an 
        intermediate care facility for the mentally retarded'' each 
        place it appears and inserting ``services in an intermediate 
        care facility for the intellectually disabled, or services in a 
        psychiatric residential treatment facility'';
            (3) in paragraph (2)(C)--
                    (A) by striking ``or intermediate care facility for 
                the mentally retarded'' and inserting ``intermediate 
                care facility for the intellectually disabled, or 
                psychiatric residential treatment facility''; and
                    (B) by striking ``or services in an intermediate 
                care facility for the mentally retarded'' and inserting 
                ``services in an intermediate care facility for the 
                intellectually disabled, or services in a psychiatric 
                residential treatment facility'';
            (4) in paragraph (7)(A), by striking ``or intermediate care 
        facilities for the mentally retarded,'' and inserting 
        ``intermediate care facilities for the intellectually disabled, 
        or psychiatric residential treatment facilities,''; and
            (5) by adding at the end the following new paragraph:
    ``(11) For purposes of this subsection, the term `psychiatric 
residential treatment facility' means a facility other than a hospital 
that is certified as meeting the requirements specified in regulations 
promulgated for such facilities under section 1905(h)(1) and that 
provides psychiatric services in an inpatient setting to individuals 
under age 21 for which medical assistance is available under a State 
plan under this title.''.
    (b) Waiver Limitation.--Section 1915(c) of such Act, as amended by 
subsection (a), is further amended--
            (1) in paragraph (2)--
                    (A) in subparagraph (D), by striking ``; and'' and 
                inserting a semicolon;
                    (B) in subparagraph (E), by striking the period at 
                the end and inserting a semicolon; and
                    (C) by adding at the end the following new 
                subparagraphs:
            ``(F) under the waiver, the total number of Medicaid 
        inpatient bed days at psychiatric residential treatment 
        facilities during each fiscal year within the waiver period 
        will not exceed the total number of Medicaid inpatient bed days 
        at such facilities for the previous fiscal year as increased by 
        the estimated percentage increase (if any) in the population of 
        individuals under age 21 residing in the State over the 
        preceding 12-month period; and
            ``(G) the State will provide to the Secretary annually, 
        subject to such requirements as the Secretary determines 
        appropriate, relevant information and evidence as to the manner 
        in which the State will satisfy the requirements described in 
        subparagraph (F).''; and
            (2) by adding at the end the following new paragraph:
    ``(12) For purposes of paragraph (2)(F), an individual who is under 
age 21 and is an inpatient in a bed in a psychiatric residential 
treatment facility for a single day shall be counted as one inpatient 
bed day.''.

SEC. 305. APPLICATION OF ROSA'S LAW FOR INDIVIDUALS WITH INTELLECTUAL 
              DISABILITIES.

    (a) References in the Social Security Act.--
            (1) In general.--With the exception of section 1930(b) of 
        the Social Security Act (42 U.S.C. 1396u(b)), as amended by 
        section 305, such Act is further amended--
                    (A) by striking, wherever it appears, ``State 
                mental retardation or developmental disability 
                authority'' and inserting ``State intellectual 
                disability or developmental disability authority'';
                    (B) by striking, wherever it appears, ``mental 
                retardation'' and inserting ``intellectual 
                disabilities''; and
                    (C) by striking, wherever it appears, ``mentally 
                retarded'' and inserting ``intellectually disabled''.
            (2) Conforming amendment.--
                    (A) In general.--Section 1902(e)(14)(F) of such Act 
                is amended by striking ``mentally retarded'' and 
                inserting ``intellectually disabled''.
                    (B) Effective date.--The amendment made under 
                subparagraph (A) shall take effect on January 2, 2015.
    (b) References.--
            (1) In general.--For purposes of each provision amended by 
        this section, issuing or amending regulations to carry out a 
        provision amended by this section, or issuing any publication 
        or other official communication in regards to any provision of 
        the Social Security Act--
                    (A) a reference to an intellectual disability shall 
                mean a condition previously referred to as mental 
                retardation, or a variation of such term, and shall 
                have the same meaning with respect to programs, or 
                qualifications for such programs, for individuals with 
                such a condition;
                    (B) a reference to an individual who is 
                intellectually disabled shall mean an individual who 
                was previously referred to as an individual who is 
                mentally retarded, an individual with mental 
                retardation, or variations of such terms;
                    (C) a reference to an intermediate care facility 
                for the intellectually disabled shall mean a facility 
                that was previously referred to as an intermediate care 
                facility for the mentally retarded; and
                    (D) a reference to a State intellectual disability 
                or developmental disability authority shall mean an 
                entity that was previously referred to as a State 
                mental retardation or developmental disability 
                authority.
            (2) Regulations.--For purposes of amending regulations to 
        carry out this section, a Federal agency shall ensure that the 
        regulations clearly state--
                    (A) that an intellectual disability was formerly 
                termed mental retardation;
                    (B) that individuals with intellectual disabilities 
                were formerly termed individuals who are mentally 
                retarded;
                    (C) that an intermediate care facility for the 
                intellectually disabled was formerly termed an 
                intermediate care facility for the mentally retarded; 
                and
                    (D) that a State intellectual disability or 
                developmental disability authority was formerly termed 
                a State mental retardation or developmental disability 
                authority.
    (c) Rule of Construction.--This section shall be construed to make 
amendments to provisions of Federal law to substitute the term 
``intellectual disability'' for ``mental retardation'' or any variation 
of such term without any intent to--
            (1) change the coverage, eligibility, rights, 
        responsibilities, or definitions referred to in the amended 
        provisions; or
            (2) compel States to change terminology in State laws for 
        individuals covered by a provision amended by this section.

SEC. 306. COMPLETE APPLICATION OF MENTAL HEALTH AND SUBSTANCE USE 
              PARITY RULES UNDER MEDICAID AND CHIP.

    Not later than January 1, 2015, the Secretary of Health and Human 
Services shall issue a final rule to carry out the following provisions 
of law:
            (1) Section 1932(b)(8) of the Social Security Act (42 
        U.S.C. 1396u-2(b)(8)) (requiring Medicaid managed care 
        organizations to comply with the mental health and substance 
        use requirements under certain provisions of part A of title 
        XXVII of the Public Health Service Act (42 U.S.C. 300gg et 
        seq.)).
            (2) Section 1937(b)(6) of such Act (42 U.S.C. 1396u-
        7(b)(6)) (requiring benchmark benefit packages or benchmark 
        equivalent coverage to comply with the mental health and 
        substance use parity requirements under section 2705(a) of the 
        Public Health Service Act (42 U.S.C. 300gg-4)).
            (3) Section 2103(c)(6) of such Act (42 U.S.C. 1937cc(c)(6)) 
        (requiring State child health plans to comply with mental 
        health and substance use parity requirements under section 
        2705(a) of the Public Health Service Act (42 U.S.C. 300gg-4)).

SEC. 307. COVERAGE OF MARRIAGE AND FAMILY THERAPIST SERVICES AND MENTAL 
              HEALTH COUNSELOR SERVICES UNDER PART B OF THE MEDICARE 
              PROGRAM.

    (a) Coverage of Services.--
            (1) In general.--Section 1861(s)(2) of the Social Security 
        Act (42 U.S.C. 1395x(s)(2)) is amended--
                    (A) in subparagraph (EE), by striking ``and'' after 
                the semicolon at the end;
                    (B) in subparagraph (FF), by inserting ``and'' 
                after the semicolon at the end; and
                    (C) by adding at the end the following new 
                subparagraph:
            ``(GG) marriage and family therapist services (as defined 
        in subsection (iii)(1)) and mental health counselor services 
        (as defined in subsection (iii)(3));''.
            (2) Definitions.--Section 1861 of the Social Security Act 
        (42 U.S.C. 1395x) is amended by adding at the end the following 
        new subsection:

     ``Marriage and Family Therapist Services; Marriage and Family 
  Therapist; Mental Health Counselor Services; Mental Health Counselor

    ``(iii)(1) The term `marriage and family therapist services' 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.
    ``(2) The term `marriage and family therapist' means an individual 
who--
            ``(A) possesses a master's or doctoral degree which 
        qualifies for licensure or certification as a marriage and 
        family therapist pursuant to State law;
            ``(B) after obtaining such degree has performed at least 2 
        years of clinical supervised experience in marriage and family 
        therapy; and
            ``(C) is licensed or certified as a marriage and family 
        therapist in the State in which marriage and family therapist 
        services are performed.
    ``(3) The term `mental health counselor services' means services 
performed by a mental health counselor (as defined in paragraph (4)) 
for the diagnosis and treatment of mental illnesses which the mental 
health counselor is legally authorized to perform under State law (or 
the State regulatory mechanism provided by the State law) of the State 
in which such services are performed, as would otherwise be covered if 
furnished by a physician or as 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.
    ``(4) The term `mental health counselor' means an individual who--
            ``(A) possesses a master's or doctoral degree in mental 
        health counseling or a related field;
            ``(B) after obtaining such a degree has performed at least 
        2 years of supervised mental health counselor practice; and
            ``(C) in the case of an individual performing services in a 
        State that provides for licensure or certification of mental 
        health counselors or professional counselors, is licensed or 
        certified as a mental health counselor or professional 
        counselor in such State.''.
            (3) Provision for payment under part b.--Section 
        1832(a)(2)(B) of the Social Security Act (42 U.S.C. 
        1395k(a)(2)(B)) is amended by adding at the end the following 
        new clause:
                            ``(v) marriage and family therapist 
                        services (as defined in section 1861(iii)(1)) 
                        and mental health counselor services (as 
                        defined in section 1861(iii)(3));''.
            (4) Amount of payment.--
                    (A) In general.--Section 1833(a)(1) of the Social 
                Security Act (42 U.S.C. 1395l(a)(1)) is amended--
                            (i) by striking ``and (Z)'' and inserting 
                        ``(Z)''; and
                            (ii) by inserting before the semicolon at 
                        the end the following: ``, and (AA) with 
                        respect to marriage and family therapist 
                        services and mental health counselor services 
                        under section 1861(s)(2)(GG), the amounts paid 
                        shall be 80 percent of the lesser of the actual 
                        charge for the services or 75 percent of the 
                        amount determined for payment of a psychologist 
                        under subparagraph (L)''.
                    (B) Development of criteria with respect to 
                consultation with a health care professional.--The 
                Secretary of Health and Human Services shall, taking 
                into consideration concerns for patient 
                confidentiality, develop criteria with respect to 
                payment for marriage and family therapist services for 
                which payment may be made directly to the marriage and 
                family therapist under part B of title XVIII of the 
                Social Security Act (42 U.S.C. 1395j et seq.) under 
                which such a therapist must agree to consult with a 
                patient's attending or primary care physician or nurse 
                practitioner in accordance with such criteria.
            (5) Exclusion of marriage and family therapist services and 
        mental health counselor services from skilled nursing facility 
        prospective payment system.--Section 1888(e)(2)(A)(ii) of the 
        Social Security Act (42 U.S.C. 1395yy(e)(2)(A)(ii)) is amended 
        by inserting ``marriage and family therapist services (as 
        defined in section 1861(iii)(1)), mental health counselor 
        services (as defined in section 1861(iii)(3)),'' after 
        ``qualified psychologist services,''.
            (6) Inclusion of marriage and family therapists and mental 
        health counselors as practitioners for assignment of claims.--
        Section 1842(b)(18)(C) of the Social Security Act (42 U.S.C. 
        1395u(b)(18)(C)) is amended by adding at the end the following 
        new clauses:
            ``(vii) A marriage and family therapist (as defined in 
        section 1861(iii)(2)).
            ``(viii) A mental health counselor (as defined in section 
        1861(iii)(4)).''.
    (b) Coverage of Certain Mental Health Services Provided in Certain 
Settings.--
            (1) Rural health clinics and federally qualified health 
        centers.--Section 1861(aa)(1)(B) of the Social Security Act (42 
        U.S.C. 1395x(aa)(1)(B)) is amended by striking ``or by a 
        clinical social worker (as defined in subsection (hh)(1))'' and 
        inserting ``, by a clinical social worker (as defined in 
        subsection (hh)(1)), by a marriage and family therapist (as 
        defined in subsection (iii)(2)), or by a mental health 
        counselor (as defined in subsection (iii)(4))''.
            (2) Hospice programs.--Section 1861(dd)(2)(B)(i)(III) of 
        the Social Security Act (42 U.S.C. 1395x(dd)(2)(B)(i)(III)) is 
        amended by inserting ``(and may, in addition, include a 
        marriage and family therapist and mental health counselor)'' 
        after ``social worker''.
    (c) Authorization of Marriage and Family Therapists and Mental 
Health Counselors To Develop Discharge Plans for Post-Hospital 
Services.--Section 1861(ee)(2)(G) of the Social Security Act (42 U.S.C. 
1395x(ee)(2)(G)) is amended by inserting ``, including a marriage and 
family therapist and a mental health counselor who meets qualification 
standards established by the Secretary'' before the period at the end.
    (d) Effective Date.--The amendments made by this section shall 
apply with respect to services furnished on or after the date that is 
one year after the date of the enactment of this Act.

          TITLE IV--DEVELOPING THE BEHAVIORAL HEALTH WORKFORCE

SEC. 401. NATIONAL HEALTH SERVICE CORPS SCHOLARSHIP AND LOAN REPAYMENT 
              FUNDING FOR BEHAVIORAL AND MENTAL HEALTH PROFESSIONALS.

    Section 338H of the Public Health Service Act (42 U.S.C. 254q) is 
amended--
            (1) by redesignating subsections (b) and (c) as subsections 
        (c) and (d), respectively; and
            (2) by inserting after subsection (a) the following:
    ``(b) Additional Funding for Behavioral and Mental Health 
Professionals.--In addition to the amounts authorized to be 
appropriated under subsection (a), and in addition to the amounts 
appropriated under section 10503 of Public Law 111-148, there are 
authorized to be appropriated such sums as may be necessary for fiscal 
years 2015 through 2019 for scholarships and loan repayments under this 
subpart for ensuring, as described in sections 338A(a) and 338B(a), an 
adequate supply of behavioral and mental health professionals.''.

SEC. 402. REAUTHORIZATION OF HRSA'S MENTAL AND BEHAVIORAL HEALTH 
              EDUCATION AND TRAINING PROGRAM.

    Subsection (e) of section 756 of the Public Health Service Act (42 
U.S.C. 294e-1) is amended to read as follows:
    ``(e) Authorization of Appropriations.--To carry out this section, 
there are authorized to be appropriated such sums as may be necessary 
for fiscal years 2015 through 2019.''.

SEC. 403. SAMHSA GRANT PROGRAM FOR DEVELOPMENT AND IMPLEMENTATION OF 
              CURRICULA FOR CONTINUING EDUCATION ON SERIOUS MENTAL 
              ILLNESS.

    Title V of the Public Health Service Act is amended by inserting 
after section 520I (42 U.S.C. 290bb-40) the following:

``SEC. 520I-1. CURRICULA FOR CONTINUING EDUCATION ON SERIOUS MENTAL 
              ILLNESS.

    ``(a) Grants.--The Secretary may award grants to eligible entities 
for the development and implementation of curricula for providing 
continuing education and training to health care professionals on 
identifying, referring, and treating individuals with serious mental 
illness.
    ``(b) Eligible Entities.--To be eligible to seek a grant under this 
section, an entity shall be a public or nonprofit entity that--
            ``(1) provides continuing education or training to health 
        care professionals; or
            ``(2) applies for the grant in partnership with another 
        entity that provides such education and training.
    ``(c) Preference.--In awarding grants under this section, the 
Secretary shall give preference to eligible entities proposing to 
develop and implement curricula for providing continuing education and 
training to--
            ``(1) health care professionals in primary care 
        specialities; or
            ``(2) health care professionals who are required, as a 
        condition of State licensure, to participate in continuing 
        education or training specific to mental health.
    ``(d) Authorization of Appropriations.--To carry out this section, 
there are authorized to be appropriated such sums as may be necessary 
for fiscal years 2015 through 2019.''.

SEC. 404. DEMONSTRATION GRANT PROGRAM TO RECRUIT, TRAIN, DEPLOY, AND 
              PROFESSIONALLY SUPPORT PSYCHIATRIC PHYSICIANS IN INDIAN 
              HEALTH PROGRAMS.

    (a) Short Title.--This section may be cited as the ``Native 
American Psychiatric and Mental Health Care Improvement Act''.
    (b) Demonstration Grant Program To Recruit, Train, Deploy, and 
Professionally Support Psychiatric Physicians in Indian Health 
Programs.--
            (1) Establishment.--The Secretary of Health and Human 
        Services (in this subsection referred to as the ``Secretary''), 
        in consultation with the Director of the Indian Health Service 
        and demonstration programs established under section 123 of the 
        Indian Health Care Improvement Act (25 U.S.C. 1616p), shall 
        award one 5-year grant to one eligible entity to carry out a 
        demonstration program (in this Act referred to as the 
        ``Program'') under which the eligible entity shall carry out 
        the activities described in paragraph (2).
            (2) Activities to be carried out by recipient of grant 
        under program.--Under the Program, the grant recipient shall--
                    (A) create a nationally replicable workforce model 
                that identifies and incorporates best practices for 
                recruiting, training, deploying, and professionally 
                supporting Native American and non-Native American 
                psychiatric physicians to be fully integrated into 
                medical, mental, and behavioral health systems in 
                Indian health programs;
                    (B) recruit to participate in the Program Native 
                American and non-Native American psychiatric physicians 
                who demonstrate interest in providing specialty health 
                care services (as defined in section 313(a)(3) of the 
                Indian Health Care Improvement Act (25 U.S.C. 
                1638g(a)(3))) and primary care services to American 
                Indians and Alaska Natives;
                    (C) provide such psychiatric physicians 
                participating in the Program with not more than 1 year 
                of supplemental clinical and cultural competency 
                training to enable such physicians to provide such 
                specialty health care services and primary care 
                services in Indian health programs;
                    (D) with respect to such psychiatric physicians who 
                are participating in the Program and trained under 
                subparagraph (C), deploy such physicians to practice 
                specialty care or primary care in Indian health 
                programs for a period of not less than 2 years and 
                professionally support such physicians for such period 
                with respect to practicing such care in such programs; 
                and
                    (E) not later than 1 year after the last day of the 
                5-year period for which the grant is awarded under 
                paragraph (1), submit to the Secretary and to the 
                appropriate committees of Congress a report that shall 
                include--
                            (i) the workforce model created under 
                        subparagraph (A);
                            (ii) strategies for disseminating the 
                        workforce model to other entities with the 
                        capability of adopting it; and
                            (iii) recommendations for the Secretary and 
                        Congress with respect to supporting an 
                        effective and stable psychiatric and mental 
                        health workforce that serves American Indians 
                        and Alaska Natives.
            (3) Eligible entities.--
                    (A) Requirements.--To be eligible to receive the 
                grant under this section, an entity shall--
                            (i) submit to the Secretary an application 
                        at such time, in such manner, and containing 
                        such information as the Secretary may require;
                            (ii) be a department of psychiatry within a 
                        medical school in the United States that is 
                        accredited by the Liaison Committee on Medical 
                        Education or a public or private nonprofit 
                        entity affiliated with a medical school in the 
                        United States that is accredited by the Liaison 
                        Committee on Medical Education; and
                            (iii) have in existence, as of the time of 
                        submission of the application under 
                        subparagraph (A), a relationship with Indian 
                        health programs in at least two States with a 
                        demonstrated need for psychiatric physicians 
                        and provide assurances that the grant will be 
                        used to serve rural and non-rural American 
                        Indian and Alaska Native populations in at 
                        least two States.
                    (B) Priority in selecting grant recipient.--In 
                awarding the grant under this section, the Secretary 
                shall give priority to an eligible entity that 
                satisfies each of the following:
                            (i) Demonstrates sufficient infrastructure 
                        in size, scope, and capacity to undertake the 
                        supplemental clinical and cultural competency 
                        training of a minimum of 5 psychiatric 
                        physicians, and to provide ongoing professional 
                        support to psychiatric physicians during the 
                        deployment period to an Indian health program.
                            (ii) Demonstrates a record in successfully 
                        recruiting, training, and deploying physicians 
                        who are American Indians and Alaska Natives.
                            (iii) Demonstrates the ability to establish 
                        a program advisory board, which may be 
                        primarily composed of representatives of 
                        federally recognized tribes, Alaska Natives, 
                        and Indian health programs to be served by the 
                        Program.
            (4) Eligibility of psychiatric physicians to participate in 
        the program.--
                    (A) In general.--To be eligible to participate in 
                the Program, as described in paragraph (2), a 
                psychiatric physician shall--
                            (i) be licensed or eligible for licensure 
                        to practice in the State to which the physician 
                        is to be deployed under paragraph (2)(D); and
                            (ii) demonstrate a commitment beyond the 
                        one year of training described in paragraph 
                        (2)(C) and two years of deployment described in 
                        paragraph (2)(D) to a career as a specialty 
                        care physician or primary care physician 
                        providing mental health services in Indian 
                        health programs.
                    (B) Preference.--In selecting physicians to 
                participate under the Program, as described in 
                paragraph (2)(B), the grant recipient shall give 
                preference to physicians who are American Indians and 
                Alaska Natives.
            (5) Loan forgiveness.--Under the Program, any psychiatric 
        physician accepted to participate in the Program shall, 
        notwithstanding the provisions of subsection (b) of section 108 
        of the Indian Health Care Improvement Act (25 U.S.C. 1616a) and 
        upon acceptance into the Program, be deemed eligible and 
        enrolled to participate in the Indian Health Service Loan 
        Repayment Program under such section 108. Under such Loan 
        Repayment Program, the Secretary shall pay on behalf of the 
        physician for each year of deployment under the Program under 
        this section up to $35,000 for loans described in subsection 
        (g)(1) of such section 108.
            (6) Deferral of certain service.--The starting date of 
        required service of individuals in the National Health Service 
        Corps Service Program under title II of the Public Health 
        Service Act (42 U.S.C. 202 et seq.) who are psychiatric 
        physicians participating under the Program under this section 
        shall be deferred until the date that is 30 days after the date 
        of completion of the participation of such a physician in the 
        Program under this section.
            (7) Definitions.--For purposes of this Act:
                    (A) American indians and alaska natives.--The term 
                ``American Indians and Alaska Natives'' has the meaning 
                given the term ``Indian'' in section 447.50(b)(1) of 
                title 42, Code of Federal Regulations, as in existence 
                as of the date of the enactment of this Act.
                    (B) Indian health program.--The term ``Indian 
                health program'' has the meaning given such term in 
                section 104(12) of the Indian Health Care Improvement 
                Act (25 U.S.C. 1603(12)).
                    (C) Professionally support.--The term 
                ``professionally support'' means, with respect to 
                psychiatric physicians participating in the Program and 
                deployed to practice specialty care or primary care in 
                Indian health programs, the provision of compensation 
                to such physicians for the provision of such care 
                during such deployment and may include the provision, 
                dissemination, or sharing of best practices, field 
                training, and other activities deemed appropriate by 
                the recipient of the grant under this section.
                    (D) Psychiatric physician.--The term ``psychiatric 
                physician'' means a medical doctor or doctor of 
                osteopathy in good standing who has successfully 
                completed four-year psychiatric residency training or 
                who is enrolled in four-year psychiatric residency 
                training in a residency program accredited by the 
                Accreditation Council for Graduate Medical Education.
            (8) Authorization of appropriations.--There is authorized 
        to be appropriated to carry out this section $1,000,000 for 
        each of the fiscal years 2015 through 2019.

SEC. 405. INCLUDING OCCUPATIONAL THERAPISTS AS BEHAVIORAL AND MENTAL 
              HEALTH PROFESSIONALS FOR PURPOSES OF THE NATIONAL HEALTH 
              SERVICE CORPS.

    (a) Inclusion of Occupational Therapist.--Section 331(a)(3)(E)(i) 
of the Public Health Service Act (42 U.S.C. 254d(a)(3)(E)(i)) is 
amended by inserting ``subject to section 405(b)(2) of the 
Strengthening Mental Health in Our Communities Act of 2014, 
occupational therapists,'' after ``psychiatric nurse specialists;''.
    (b) Effective Date; Contingent Implementation.--
            (1) Effective date.--Subject to paragraph (2), the 
        amendment made by subsection (a) shall apply beginning on 
        October 1, 2014.
            (2) Contingent implementation.--The amendment made by 
        subsection (a) shall apply with respect to obligations entered 
        into for a fiscal year after fiscal year 2014 only if the total 
        amount made available for the purpose of carrying out subparts 
        II and III of part D of title III of the Public Health Service 
        Act (42 U.S.C. 254d et seq.) for such fiscal year is greater 
        than the total amount made available for such purpose for 
        fiscal year 2014.

SEC. 406. EXTENSION OF CERTAIN HEALTH CARE WORKFORCE LOAN REPAYMENT 
              PROGRAMS THROUGH FISCAL YEAR 2019.

    Section 775(e) of the Public Health Service Act (42 U.S.C. 295f(e)) 
is amended--
            (1) by striking ``2014'' and inserting ``2019''; and
            (2) by striking ``2013'' and inserting ``2019''.

       TITLE V--IMPROVING MENTAL HEALTH RESEARCH AND COORDINATION

SEC. 501. NATIONAL INSTITUTE OF MENTAL HEALTH RESEARCH PROGRAM ON 
              SERIOUS MENTAL ILLNESS AND SUICIDE PREVENTION.

    (a) Purpose of Institute.--Section 464R(a) of the Public Health 
Service Act (42 U.S.C. 285p(a)) is amended by inserting ``serious 
mental illness research,'' after ``biomedical and behavioral 
research,''.
    (b) Research Program.--Section 464R(b) of the Public Health Service 
Act (42 U.S.C. 285p(b)) is amended--
            (1) by striking ``The research program'' and inserting the 
        following:
            ``(1) In general.--The research program'';
            (2) by striking ``to further the treatment and prevention 
        of mental illness'' and inserting ``to further the treatment 
        and prevention of mental illness (including serious mental 
        illness)''; and
            (3) by adding at the end the following:
            ``(2) Research with respect to serious mental illness.--As 
        part of the research program established under this subpart, 
        the Director of the Institute shall conduct or support research 
        on serious mental illness, including with respect to--
                    ``(A) the causes, prevention, and treatment of 
                serious mental illness; and
                    ``(B) interventions to improve early identification 
                of individuals with serious mental illness.
            ``(3) Research with respect to violence associated with 
        mental illness.--As part of the research program established 
        under this subpart, the Director of the Institute shall conduct 
        or support research on self-directed and other-directed 
        violence associated with mental illness, including with respect 
        to--
                    ``(A) the causes of such violence; and
                    ``(B) interventions to reduce the risk of self-
                harm, suicide, and interpersonal violence, including in 
                rural and other underserved communities.''.
    (c) Biennial Report.--Section 403(a)(5) of the Public Health 
Service Act (42 U.S.C. 283(a)(5)) is amended--
            (1) by redesignating subparagraph (L) as subparagraph (M); 
        and
            (2) by inserting after subparagraph (K) the following:
                    ``(L) Serious mental illness.''.
    (d) Authorization of Appropriations.--Section 464R of the Public 
Health Service Act (42 U.S.C. 285p) is amended by adding at the end the 
following:
    ``(f) Authorization of Appropriations.--In addition to amounts 
otherwise made available to the National Institute of Mental Health, 
including amounts appropriated pursuant to section 402A(a), there are 
authorized to be appropriated to such Institute $40,000,000 for each of 
fiscal years 2015 through 2019 to carry out subsection (b)(3) (relating 
to research with respect to violence associated with mental 
illness).''.

SEC. 502. YOUTH MENTAL HEALTH RESEARCH NETWORK.

    (a) Youth Mental Health Research Network.--
            (1) Network.--The Director of the National Institutes of 
        Health may provide for the establishment of a Youth Mental 
        Health Research Network for the conduct or support of--
                    (A) youth mental health research; and
                    (B) youth mental health intervention services.
            (2) Collaboration by institutes and centers.--The Director 
        of NIH shall carry out this Act acting--
                    (A) through the Director of the National Institute 
                of Mental Health; and
                    (B) in collaboration with other appropriate 
                national research institutes and national centers that 
                carry out activities involving youth mental health 
                research.
            (3) Mental health research.--
                    (A) In general.--In carrying out paragraph (1), the 
                Director of NIH may award cooperative agreements, 
                grants, and contracts to State, local, and tribal 
                governments and private nonprofit entities for--
                            (i) conducting, or entering into consortia 
                        with other entities to conduct--
                                    (I) basic, clinical, behavioral, or 
                                translational research to meet unmet 
                                needs for youth mental health research; 
                                or
                                    (II) training for researchers in 
                                youth mental health research 
                                techniques;
                            (ii) providing, or partnering with non-
                        research institutions or community-based groups 
                        with existing connections to youth to provide, 
                        youth mental health intervention services; and
                            (iii) collaborating with the National 
                        Institute of Mental Health to make use of, and 
                        build on, the scientific findings and clinical 
                        techniques of the Institute's earlier programs, 
                        studies, and demonstration projects.
                    (B) Research.--The Director of NIH shall ensure 
                that--
                            (i) each recipient of an award under 
                        subparagraph (A)(i) conducts or supports at 
                        least one category of research described in 
                        subparagraph (A)(i)(I) and collectively such 
                        recipients conduct or support all such 
                        categories of research; and
                            (ii) one or more such recipients provide 
                        training described in subparagraph (A)(i)(II).
                    (C) Number of award recipients.--The Director of 
                NIH may make awards under this paragraph for not more 
                than 70 entities.
                    (D) Supplement, not supplant.--Any support received 
                by an entity under subparagraph (A) shall be used to 
                supplement, and not supplant, other public or private 
                support for activities authorized to be supported under 
                this paragraph.
                    (E) Duration of support.--Support of an entity 
                under subparagraph (A) may be for a period of not to 
                exceed 5 years. Such period may be extended by the 
                Director of NIH for additional periods of not more than 
                5 years.
            (4) Coordination.--The Director of NIH shall--
                    (A) as appropriate, provide for the coordination of 
                activities (including the exchange of information and 
                regular communication) among the recipients of awards 
                under this subsection; and
                    (B) require the periodic preparation and submission 
                to the Director of reports on the activities of each 
                such recipient.
    (b) Intervention Services for, and Research on, Serious Emotional 
Disturbance.--
            (1) In general.--In making awards under subsection (a)(3), 
        the Director of NIH shall ensure that an appropriate number of 
        such awards are awarded to entities that agree to--
                    (A) focus primarily on the early detection of and 
                interventions for serious emotional disturbances in 
                children and adolescents;
                    (B) conduct or coordinate one or more multisite 
                clinical trials of therapies for, or approaches to, the 
                prevention, diagnosis, or treatment of early serious 
                emotional disturbance in a community setting;
                    (C) rapidly and efficiently disseminate scientific 
                findings resulting from such trials; and
                    (D) adhere to the guidelines, protocols, and 
                practices used in the North American Prodrome 
                Longitudinal Study (NAPLS) and the Recovery After an 
                Initial Schizophrenia Episode (RAISE) initiative.
            (2) Data coordinating center.--
                    (A) Establishment.--In connection with awards to 
                entities described in paragraph (1), the Director of 
                NIH shall establish a data coordinating center for the 
                following purposes:
                            (i) To distribute the scientific findings 
                        referred to in paragraph (1)(C).
                            (ii) To provide assistance in the design 
                        and conduct of collaborative research projects 
                        and the management, analysis, and storage of 
                        data associated with such projects.
                            (iii) To organize and conduct multisite 
                        monitoring activities.
                            (iv) To provide assistance to the Centers 
                        for Disease Control and Prevention in the 
                        establishment of patient registries.
                    (B) Reporting.--The Director of NIH shall--
                            (i) require the data coordinating center 
                        established under subparagraph (A) to provide 
                        regular reports to the Director of NIH on 
                        research conducted by entities described in 
                        paragraph (1), including information on 
                        enrollment in clinical trials and the 
                        allocation of resources with respect to such 
                        research; and
                            (ii) as appropriate, incorporate 
                        information reported under clause (i) into the 
                        Director's biennial reports under section 403 
                        of the Public Health Service Act (42 U.S.C. 
                        283).
    (c) Definitions.--In this Act, the terms ``Director of NIH'', 
``national center'', and ``national research institute'' have the 
meanings given to such terms in section 401 of the Public Health 
Service Act (42 U.S.C. 281).
    (d) Authorization of Appropriations.--To carry out this Act, there 
is authorized to be appropriated $25,000,000 for each of fiscal years 
2015 through 2019.

SEC. 503. NATIONAL VIOLENT DEATH REPORTING SYSTEM.

    The Secretary of Health and Human Services, acting through the 
Director of the Centers for Disease Control and Prevention, shall 
improve, particularly through the inclusion of additional States, the 
National Violent Death Reporting System, as authorized by title III of 
the Public Health Service Act (42 U.S.C. 241 et seq.). Participation in 
the system by the States shall be voluntary.

                     TITLE VI--EDUCATION AND YOUTH

SEC. 601. SCHOOL-BASED MENTAL HEALTH PROGRAMS.

    (a) Purposes.--It is the purpose of this section to--
            (1) revise, increase funding for, and expand the scope of 
        the Safe Schools-Healthy Students program in order to provide 
        access to more comprehensive school-based mental health 
        services and supports;
            (2) increase access to school employed mental health 
        professionals;
            (3) provide for comprehensive staff development for school 
        and community service personnel working in the school; and
            (4) provide for comprehensive training for children with 
        mental health disorders, for parents, siblings, and other 
        family members of such children, and for concerned members of 
        the community.
    (b) Amendments to the Public Health Service Act.--
            (1) Technical amendments.--The second part G (relating to 
        services provided through religious organizations) of title V 
        of the Public Health Service Act (42 U.S.C. 290kk et seq.) is 
        amended--
                    (A) by redesignating such part as part J; and
                    (B) by redesignating sections 581 through 584 as 
                sections 596 through 596C, respectively.
            (2) School-based mental health and children and violence.--
        Section 581 of the Public Health Service Act (42 U.S.C. 290hh) 
        is amended to read as follows:

``SEC. 581. SCHOOL-BASED MENTAL HEALTH AND CHILDREN AND VIOLENCE.

    ``(a) In General.--The Secretary, in collaboration with the 
Secretary of Education and in consultation with the Attorney General, 
shall, directly or through grants, contracts, or cooperative agreements 
awarded to States, assist local communities and schools in applying a 
public health approach to mental health services both in schools and in 
the community. Such an approach should provide comprehensive, age-
appropriate services and supports, be linguistically and culturally 
appropriate, be trauma-informed, and incorporate age appropriate 
strategies of positive behavioral interventions and supports.
    ``(b) Activities.--Under the program under subsection (a), the 
Secretary may--
            ``(1) provide financial support to enable local communities 
        to implement a comprehensive culturally and linguistically 
        appropriate, trauma-informed, and age-appropriate, school 
        mental health program that incorporates positive behavioral 
        interventions, client treatment, and supports to foster the 
        health and development of children;
            ``(2) provide technical assistance to local communities 
        with respect to the development of programs described in 
        paragraph (1);
            ``(3) provide assistance to local communities in the 
        development of policies to address child and adolescent trauma 
        and mental health issues and violence when and if it occurs;
            ``(4) facilitate community partnerships among families, 
        students, law enforcement agencies, education systems, school-
        based health centers, mental health and substance use disorder 
        service systems, family-based mental health service systems, 
        welfare agencies, health care service systems (including 
        physicians), faith-based programs, trauma networks, and other 
        community-based systems; and
            ``(5) establish mechanisms for children and adolescents to 
        report incidents of violence or plans by other children, 
        adolescents, or adults to commit violence.
    ``(c) Requirements.--
            ``(1) In general.--To be eligible for a grant, contract, or 
        cooperative agreement under subsection (a), an entity shall--
                    ``(A) be a State, in partnership with at least 
                three local education agencies; and
                    ``(B) submit an application, that is endorsed by 
                all members of the partnership, that contains the 
                assurances described in paragraph (2).
            ``(2) Required assurances.--An application under paragraph 
        (1) shall contain assurances as follows:
                    ``(A) That the applicant will ensure that, in 
                carrying out activities under this section, the local 
                educational agency involved will enter into a 
                memorandum of understanding--
                            ``(i) with, at least one, public or private 
                        mental health entity, health care entity, law 
                        enforcement or juvenile justice entity, child 
                        welfare agency, family-based mental health 
                        entity, family or family organization, trauma 
                        network, or other community-based entity; and
                            ``(ii) that clearly states--
                                    ``(I) how school employed mental 
                                health professionals will be utilized 
                                for carrying out such responsibilities;
                                    ``(II) the responsibilities of each 
                                partner with respect to the activities 
                                to be carried out;
                                    ``(III) how each such partner will 
                                be accountable for carrying out such 
                                responsibilities; and
                                    ``(IV) the amount of non-Federal 
                                funding or in-kind contributions that 
                                each such partner will contribute in 
                                order to sustain the program.
                    ``(B) That the comprehensive school-based mental 
                health program carried out under this section supports 
                the flexible use of funds to address--
                            ``(i) the promotion of the social, 
                        emotional, and behavioral health of all 
                        students in an environment that is conducive to 
                        learning;
                            ``(ii) the reduction in the likelihood of 
                        at-risk students developing social, emotional, 
                        behavioral health problems, or substance use 
                        disorders;
                            ``(iii) the early identification of social, 
                        emotional, behavioral problems, or substance 
                        use disorders and the provision of early 
                        intervention services;
                            ``(iv) the treatment or referral for 
                        treatment of students with existing social, 
                        emotional, behavioral health problems, or 
                        substance use disorders; and
                            ``(v) the development and implementation of 
                        programs to assist children in dealing with 
                        trauma and violence.
                    ``(C) That the comprehensive school-based mental 
                health program carried out under this section will 
                provide for in-service training of all school 
                personnel, including ancillary staff and volunteers, 
                in--
                            ``(i) the techniques and supports needed to 
                        identify early children with trauma histories 
                        and children with, or at risk of, mental 
                        illness;
                            ``(ii) the use of referral mechanisms that 
                        effectively link such children to appropriate 
                        treatment and intervention services in the 
                        school and in the community and to follow up 
                        when services are not available;
                            ``(iii) strategies that promote a school-
                        wide positive environment;
                            ``(iv) strategies for promoting the social, 
                        emotional, mental, and behavioral health of all 
                        students; and
                            ``(v) strategies to increase the knowledge 
                        and skills of school and community leaders 
                        about the impact of trauma and violence and on 
                        the application of a public health approach to 
                        comprehensive school-based mental health 
                        programs.
                    ``(D) That the comprehensive school-based mental 
                health program carried out under this section will 
                include comprehensive training for parents, siblings, 
                and other family members of children with mental health 
                disorders, and for concerned members of the community 
                in--
                            ``(i) the techniques and supports needed to 
                        identify early children with trauma histories, 
                        and children with, or at risk of, mental 
                        illness;
                            ``(ii) the use of referral mechanisms that 
                        effectively link such children to appropriate 
                        treatment and intervention services in the 
                        school and in the community and follow up when 
                        such services are not available; and
                            ``(iii) strategies that promote a school-
                        wide positive environment.
                    ``(E) That the comprehensive school-based mental 
                health program carried out under this section will 
                demonstrate the measures to be taken to sustain the 
                program after funding under this section terminates.
                    ``(F) That the local educational agency partnership 
                involved is supported by the State educational and 
                mental health system to ensure that the sustainability 
                of the program is established after funding under this 
                section terminates.
                    ``(G) That the comprehensive school-based mental 
                health program carried out under this section will be 
                based on trauma-informed and evidence-based practices.
                    ``(H) That the comprehensive school-based mental 
                health program carried out under this section will be 
                coordinated with early intervening activities carried 
                out under the Individuals with Disabilities Education 
                Act.
                    ``(I) That the comprehensive school-based mental 
                health program carried out under this section will be 
                trauma-informed and culturally and linguistically 
                appropriate.
                    ``(J) That the comprehensive school-based mental 
                health program carried out under this section will 
                include a broad needs assessment of youth who drop out 
                of school due to policies of `zero tolerance' with 
                respect to drugs, alcohol, or weapons and an inability 
                to obtain appropriate services.
                    ``(K) That the mental health services provided 
                through the comprehensive school-based mental health 
                program carried out under this section will be provided 
                by qualified mental and behavioral health professionals 
                who are certified or licensed by the State involved and 
                practicing within their area of expertise.
            ``(3) Coordinator.--Any entity that is a member of a 
        partnership described in paragraph (1)(A) may serve as the 
        coordinator of funding and activities under the grant if all 
        members of the partnership agree.
            ``(4) Compliance with hipaa.--A grantee under this section 
        shall be deemed to be a covered entity for purposes of 
        compliance with the regulations promulgated under section 
        264(c) of the Health Insurance Portability and Accountability 
        Act of 1996 with respect to any patient records developed 
        through activities under the grant.
    ``(d) Geographical Distribution.--The Secretary shall ensure that 
grants, contracts, or cooperative agreements under subsection (a) will 
be distributed equitably among the regions of the country and among 
urban and rural areas.
    ``(e) Duration of Awards.--With respect to a grant, contract, or 
cooperative agreement under subsection (a), the period during which 
payments under such an award will be made to the recipient shall be 6 
years. An entity may receive only one award under this section, except 
that an entity that is providing services and supports on a regional 
basis may receive additional funding after the expiration of the 
preceding grant period.
    ``(f) Evaluation and Measures of Outcomes.--
            ``(1) Development of process.--The Administrator shall 
        develop a fiscally appropriate process for evaluating 
        activities carried out under this section. Such process shall 
        include--
                    ``(A) the development of guidelines for the 
                submission of program data by grant, contract, or 
                cooperative agreement recipients;
                    ``(B) the development of measures of outcomes (in 
                accordance with paragraph (2)) to be applied by such 
                recipients in evaluating programs carried out under 
                this section; and
                    ``(C) the submission of annual reports by such 
                recipients concerning the effectiveness of programs 
                carried out under this section.
            ``(2) Measures of outcomes.--
                    ``(A) In general.--The Administrator shall develop 
                measures of outcomes to be applied by recipients of 
                assistance under this section, and the Administrator, 
                in evaluating the effectiveness of programs carried out 
                under this section. Such measures shall include student 
                and family measures as provided for in subparagraph (B) 
                and local educational measures as provided for under 
                subparagraph (C).
                    ``(B) Student and family measures of outcomes.--The 
                measures of outcomes developed under paragraph (1)(B) 
                relating to students and families shall, with respect 
                to activities carried out under a program under this 
                section, at a minimum include provisions to evaluate 
                whether the program is effective in--
                            ``(i) increasing social and emotional 
                        competency;
                            ``(ii) increasing academic competency (as 
                        defined by Secretary);
                            ``(iii) reducing disruptive and aggressive 
                        behaviors;
                            ``(iv) improving child functioning;
                            ``(v) reducing substance use disorders;
                            ``(vi) reducing suspensions, truancy, 
                        expulsions and violence;
                            ``(vii) increasing graduation rates (as 
                        defined in section 1111(b)(2)(C)(vi) of the 
                        Elementary and Secondary Education Act of 
                        1965); and
                            ``(viii) improving access to care for 
                        mental health disorders.
                    ``(C) Local educational outcomes.--The outcome 
                measures developed under paragraph (1)(B) relating to 
                local educational systems shall, with respect to 
                activities carried out under a program under this 
                section, at a minimum include provisions to evaluate--
                            ``(i) the effectiveness of comprehensive 
                        school mental health programs established under 
                        this section;
                            ``(ii) the effectiveness of formal 
                        partnership linkages among child and family 
                        serving institutions, community support 
                        systems, and the educational system;
                            ``(iii) the progress made in sustaining the 
                        program once funding under the grant has 
                        expired;
                            ``(iv) the effectiveness of training and 
                        professional development programs for all 
                        school personnel that incorporate indicators 
                        that measure cultural and linguistic 
                        competencies under the program in a manner that 
                        incorporates appropriate cultural and 
                        linguistic training;
                            ``(v) the improvement in perception of a 
                        safe and supportive learning environment among 
                        school staff, students, and parents;
                            ``(vi) the improvement in case-finding of 
                        students in need of more intensive services and 
                        referral of identified students to early 
                        intervention and clinical services;
                            ``(vii) the improvement in the immediate 
                        availability of clinical assessment and 
                        treatment services within the context of the 
                        local community to students posing a danger to 
                        themselves or others;
                            ``(viii) the increased successful 
                        matriculation to postsecondary school; and
                            ``(ix) reduced referrals to juvenile 
                        justice.
            ``(3) Submission of annual data.--An entity that receives a 
        grant, contract, or cooperative agreement under this section 
        shall annually submit to the Administrator a report that 
        includes data to evaluate the success of the program carried 
        out by the entity based on whether such program is achieving 
        the purposes of the program. Such reports shall utilize the 
        measures of outcomes under paragraph (2) in a reasonable manner 
        to demonstrate the progress of the program in achieving such 
        purposes.
            ``(4) Evaluation by administrator.--Based on the data 
        submitted under paragraph (3), the Administrator shall annually 
        submit to Congress a report concerning the results and 
        effectiveness of the programs carried out with assistance 
        received under this section.
            ``(5) Limitation.--A grantee shall use not to exceed 10 
        percent of amounts received under a grant under this section to 
        carry out evaluation activities under this subsection.
    ``(g) Information and Education.--The Secretary shall establish 
comprehensive information and education programs to disseminate the 
findings of the knowledge development and application under this 
section to the general public and to health care professionals.
    ``(h) Amount of Grants and Authorization of Appropriations.--
            ``(1) Amount of grants.--A grant under this section shall 
        be in an amount that is not more than $1,000,000 for each of 
        grant years 2015 through 2019. The Secretary shall determine 
        the amount of each such grant based on the population of 
        children up to age 21 of the area to be served under the grant.
            ``(2) Authorization of appropriations.--There is authorized 
        to be appropriated to carry out this section, $200,000,000 for 
        each of fiscal years 2015 through 2019.''.
            (3) Conforming amendment.--Part G of title V of the Public 
        Health Service Act (42 U.S.C. 290hh et seq.), as amended by 
        this section, is further amended by striking the part heading 
        and inserting the following:

                ``PART G--SCHOOL-BASED MENTAL HEALTH''.

SEC. 602. EXAMINING MENTAL HEALTH CARE FOR CHILDREN.

    (a) In General.--Not later than 1 year after the date of enactment 
of this Act, the Comptroller General of the United States shall conduct 
an independent evaluation, and submit to the Committee on Health, 
Education, Labor, and Pensions of the Senate and the Committee on 
Energy and Commerce of the House of Representatives, a report 
concerning the utilization of mental health services for children, 
including the usage of psychotropic medications.
    (b) Content.--The report submitted under subsection (a) shall 
review and assess--
            (1) the ways in which children access mental health care, 
        including information on whether children are screened and 
        treated by primary care or specialty physicians or other health 
        care providers, what types of referrals for additional care are 
        recommended, and any barriers to accessing this care;
            (2) the extent to which children prescribed psychotropic 
        medications in the United States face barriers to more 
        comprehensive or other mental health services, interventions, 
        and treatments;
            (3) the extent to which children are prescribed 
        psychotropic medications in the United States including the 
        frequency of concurrent medication usage; and
            (4) the tools, assessments, and medications that are 
        available and used to diagnose and treat children with mental 
        health disorders.

           TITLE VII--JUSTICE AND MENTAL HEALTH COLLABORATION

SEC. 701. ASSISTING VETERANS.

    (a) Redesignation.--Section 2991 of the Omnibus Crime Control and 
Safe Streets Act of 1968 (42 U.S.C. 3797aa) is amended by redesignating 
subsection (i) as subsection (l).
    (b) Assisting Veterans.--Section 2991 of the Omnibus Crime Control 
and Safe Streets Act of 1968 (42 U.S.C. 3797aa) is amended by inserting 
after subsection (h) the following:
    ``(i) Assisting Veterans.--
            ``(1) Definitions.--In this subsection:
                    ``(A) Peer-to-peer services or programs.--The term 
                `peer-to-peer services or programs' means services or 
                programs that connect qualified veterans with other 
                veterans for the purpose of providing support and 
                mentorship to assist qualified veterans in obtaining 
                treatment, recovery, stabilization, or rehabilitation.
                    ``(B) Qualified veteran.--The term `qualified 
                veteran' means a preliminarily qualified offender who--
                            ``(i) has served on active duty in any 
                        branch of the Armed Forces, including the 
                        National Guard and reserve components; and
                            ``(ii) was discharged or released from such 
                        service under conditions other than 
                        dishonorable.
                    ``(C) Veterans treatment court program.--The term 
                `veterans treatment court program' means a court 
                program involving collaboration among criminal justice, 
                veterans, and mental health and substance abuse 
                agencies that provides qualified veterans with--
                            ``(i) intensive judicial supervision and 
                        case management, which may include random and 
                        frequent drug testing where appropriate;
                            ``(ii) a full continuum of treatment 
                        services, including mental health services, 
                        substance abuse services, medical services, and 
                        services to address trauma;
                            ``(iii) alternatives to incarceration; and
                            ``(iv) other appropriate services, 
                        including housing, transportation, mentoring, 
                        employment, job training, education, and 
                        assistance in applying for and obtaining 
                        available benefits.
            ``(2) Veterans assistance program.--
                    ``(A) In general.--The Attorney General, in 
                consultation with the Secretary of Veterans Affairs, 
                may award grants under this subsection to applicants to 
                establish or expand--
                            ``(i) veterans treatment court programs;
                            ``(ii) peer-to-peer services or programs 
                        for qualified veterans;
                            ``(iii) practices that identify and provide 
                        treatment, rehabilitation, legal, transitional, 
                        and other appropriate services to qualified 
                        veterans who have been incarcerated; and
                            ``(iv) training programs to teach criminal 
                        justice, law enforcement, corrections, mental 
                        health, and substance abuse personnel how to 
                        identify and appropriately respond to incidents 
                        involving qualified veterans.
                    ``(B) Priority.--In awarding grants under this 
                subsection, the Attorney General shall give priority to 
                applications that--
                            ``(i) demonstrate collaboration between and 
                        joint investments by criminal justice, mental 
                        health, substance abuse, and veterans service 
                        agencies;
                            ``(ii) promote effective strategies to 
                        identify and reduce the risk of harm to 
                        qualified veterans and public safety; and
                            ``(iii) propose interventions with 
                        empirical support to improve outcomes for 
                        qualified veterans.''.

SEC. 702. CORRECTIONAL FACILITIES.

    Section 2991 of the Omnibus Crime Control and Safe Streets Act of 
1968 (42 U.S.C. 3797aa) is amended by inserting after subsection (i), 
as so added by section 701, the following:
    ``(j) Correctional Facilities.--
            ``(1) Definitions.--
                    ``(A) Correctional facility.--The term 
                `correctional facility' means a jail, prison, or other 
                detention facility used to house people who have been 
                arrested, detained, held, or convicted by a criminal 
                justice agency or a court.
                    ``(B) Eligible inmate.--The term `eligible inmate' 
                means an individual who--
                            ``(i) is being held, detained, or 
                        incarcerated in a correctional facility; and
                            ``(ii) manifests obvious signs of a mental 
                        illness or has been diagnosed by a qualified 
                        mental health professional as having a mental 
                        illness.
            ``(2) Correctional facility grants.--The Attorney General 
        may award grants to applicants to enhance the capabilities of a 
        correctional facility--
                    ``(A) to identify and screen for eligible inmates;
                    ``(B) to plan and provide--
                            ``(i) initial and periodic assessments of 
                        the clinical, medical, and social needs of 
                        inmates; and
                            ``(ii) appropriate treatment and services 
                        that address the mental health and substance 
                        abuse needs of inmates;
                    ``(C) to develop, implement, and enhance--
                            ``(i) post-release transition plans for 
                        eligible inmates that, in a comprehensive 
                        manner, coordinate health, housing, medical, 
                        employment, and other appropriate services and 
                        public benefits;
                            ``(ii) the availability of mental health 
                        care services and substance abuse treatment 
                        services; and
                            ``(iii) alternatives to solitary 
                        confinement and segregated housing and mental 
                        health screening and treatment for inmates 
                        placed in solitary confinement or segregated 
                        housing; and
                    ``(D) to train each employee of the correctional 
                facility to identify and appropriately respond to 
                incidents involving inmates with mental health or co-
                occurring mental health and substance abuse 
                disorders.''.

SEC. 703. HIGH UTILIZERS.

    Section 2991 of the Omnibus Crime Control and Safe Streets Act of 
1968 (42 U.S.C. 3797aa) is amended by inserting after subsection (j), 
as added by section 702, the following:
    ``(k) Demonstration Grants Responding to High Utilizers.--
            ``(1) Definition.--In this subsection, the term `high 
        utilizer' means an individual who--
                    ``(A) manifests obvious signs of mental illness or 
                has been diagnosed by a qualified mental health 
                professional as having a mental illness; and
                    ``(B) consumes a significantly disproportionate 
                quantity of public resources, such as emergency, 
                housing, judicial, corrections, and law enforcement 
                services.
            ``(2) Demonstration grants responding to high utilizers.--
                    ``(A) In general.--The Attorney General may award 
                not more than 6 grants per year under this subsection 
                to applicants for the purpose of reducing the use of 
                public services by high utilizers.
                    ``(B) Use of grants.--A recipient of a grant 
                awarded under this subsection may use the grant--
                            ``(i) to develop or support 
                        multidisciplinary teams that coordinate, 
                        implement, and administer community-based 
                        crisis responses and long-term plans for high 
                        utilizers;
                            ``(ii) to provide training on how to 
                        respond appropriately to the unique issues 
                        involving high utilizers for public service 
                        personnel, including criminal justice, mental 
                        health, substance abuse, emergency room, health 
                        care, law enforcement, corrections, and housing 
                        personnel;
                            ``(iii) to develop or support alternatives 
                        to hospital and jail admissions for high 
                        utilizers that provide treatment, 
                        stabilization, and other appropriate supports 
                        in the least restrictive, yet appropriate, 
                        environment; or
                            ``(iv) to develop protocols and systems 
                        among law enforcement, mental health, substance 
                        abuse, housing, corrections, and emergency 
                        medical service operations to provide 
                        coordinated assistance to high utilizers.
                    ``(C) Report.--Not later than the last day of the 
                first year following the fiscal year in which a grant 
                is awarded under this subsection, the recipient of the 
                grant shall submit to the Attorney General a report 
                that--
                            ``(i) measures the performance of the grant 
                        recipient in reducing the use of public 
                        services by high utilizers; and
                            ``(ii) provides a model set of practices, 
                        systems, or procedures that other jurisdictions 
                        can adopt to reduce the use of public services 
                        by high utilizers.''.

SEC. 704. ACADEMY TRAINING.

    Section 2991(h) of the Omnibus Crime Control and Safe Streets Act 
of 1968 (42 U.S.C. 3797aa(h)) is amended--
            (1) in paragraph (1), by adding at the end the following:
                    ``(F) Academy training.--To provide support for 
                academy curricula, law enforcement officer orientation 
                programs, continuing education training, and other 
                programs that teach law enforcement personnel how to 
                identify and respond to incidents involving individuals 
                with mental illness or co-occurring mental illness and 
                substance abuse disorders.''; and
            (2) by adding at the end the following:
            ``(4) Priority consideration.--The Attorney General, in 
        awarding grants under this subsection, shall give priority to 
        programs that law enforcement personnel and members of the 
        mental health and substance abuse professions develop and 
        administer cooperatively.''.

SEC. 705. EVIDENCE-BASED PRACTICES.

    Section 2991(c) of the Omnibus Crime Control and Safe Streets Act 
of 1968 (42 U.S.C. 3797aa(c)) is amended--
            (1) in paragraph (3), by striking ``or'' at the end;
            (2) by redesignating paragraph (4) as paragraph (6); and
            (3) by inserting after paragraph (3), the following:
            ``(4) propose interventions that have been shown by 
        empirical evidence to reduce recidivism;
            ``(5) when appropriate, use validated assessment tools to 
        target preliminarily qualified offenders with a moderate or 
        high risk of recidivism and a need for treatment and services; 
        or''.

SEC. 706. SAFE COMMUNITIES.

    (a) In General.--Section 2991(a) of the Omnibus Crime Control and 
Safe Streets Act of 1968 (42 U.S.C. 3797aa(a)) is amended by striking 
paragraph (9) and inserting the following:
            ``(9) Preliminarily qualified offender.--
                    ``(A) In general.--The term `preliminarily 
                qualified offender' means an adult or juvenile accused 
                of an offense who--
                            ``(i)(I) previously or currently has been 
                        diagnosed by a qualified mental health 
                        professional as having a mental illness or co-
                        occurring mental illness and substance abuse 
                        disorders;
                            ``(II) manifests obvious signs of mental 
                        illness or co-occurring mental illness and 
                        substance abuse disorders during arrest or 
                        confinement or before any court; or
                            ``(III) in the case of a veterans treatment 
                        court provided under subsection (i), has been 
                        diagnosed with, or manifests obvious signs of, 
                        mental illness or a substance abuse disorder or 
                        co-occurring mental illness and substance abuse 
                        disorder; and
                            ``(ii) has been unanimously approved for 
                        participation in a program funded under this 
                        section by, when appropriate, the relevant--
                                    ``(I) prosecuting attorney;
                                    ``(II) defense attorney;
                                    ``(III) probation or corrections 
                                official;
                                    ``(IV) judge; and
                                    ``(V) a representative from the 
                                relevant mental health agency described 
                                in subsection (b)(5)(B)(i).
                    ``(B) Determination.--In determining whether to 
                designate an individual as a preliminarily qualified 
                offender, the relevant prosecuting attorney, defense 
                attorney, probation or corrections official, judge, and 
                mental health or substance abuse agency representative 
                shall take into account--
                            ``(i) whether the participation of the 
                        individual in the program would pose a 
                        substantial risk of violence to the community;
                            ``(ii) the criminal history of the 
                        individual and the nature and severity of the 
                        offense for which the individual is charged;
                            ``(iii) the views of any relevant victims 
                        to the offense;
                            ``(iv) the extent to which the individual 
                        would benefit from participation in the 
                        program;
                            ``(v) the extent to which the community 
                        would realize cost savings because of the 
                        individual's participation in the program; and
                            ``(vi) whether the individual satisfies the 
                        eligibility criteria for program participation 
                        unanimously established by the relevant 
                        prosecuting attorney, defense attorney, 
                        probation or corrections official, judge and 
                        mental health or substance abuse agency 
                        representative.''.
    (b) Technical and Conforming Amendment.--Section 2927(2) of the 
Omnibus Crime Control and Safe Streets Act of 1968 (42 U.S.C. 3797s-
6(2)) is amended by striking ``has the meaning given that term in 
section 2991(a).'' and inserting ``means an offense that--
                    ``(A) does not have as an element the use, 
                attempted use, or threatened use of physical force 
                against the person or property of another; or
                    ``(B) is not a felony that by its nature involves a 
                substantial risk that physical force against the person 
                or property of another may be used in the course of 
                committing the offense.''.

SEC. 707. REAUTHORIZATION OF APPROPRIATIONS.

    Subsection (l) of section 2991 of the Omnibus Crime Control and 
Safe Streets Act of 1968 (42 U.S.C. 3797aa), as redesignated in section 
701(a), is amended--
            (1) in paragraph (1)--
                    (A) in subparagraph (B), by striking ``and'' at the 
                end;
                    (B) in subparagraph (C), by striking the period and 
                inserting ``; and''; and
                    (C) by adding at the end the following:
                    ``(D) $40,000,000 for each of fiscal years 2015 
                through 2019.''; and
            (2) by adding at the end the following:
            ``(3) Limitation.--Not more than 20 percent of the funds 
        authorized to be appropriated under this section may be used 
        for purposes described in subsection (i) (relating to 
        veterans).''.

          TITLE VIII--BEHAVIORAL HEALTH INFORMATION TECHNOLOGY

SEC. 801. EXTENSION OF HEALTH INFORMATION TECHNOLOGY ASSISTANCE FOR 
              BEHAVIORAL AND MENTAL HEALTH AND SUBSTANCE ABUSE.

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

SEC. 802. EXTENSION OF ELIGIBILITY FOR MEDICARE AND MEDICAID HEALTH 
              INFORMATION TECHNOLOGY IMPLEMENTATION ASSISTANCE.

    (a) Payment Incentives for Eligible Professionals Under Medicare.--
Section 1848 of the Social Security Act (42 U.S.C. 1395w-4) is 
amended--
            (1) in subsection (a)(7)--
                    (A) in subparagraph (E), by adding at the end the 
                following new clause:
                            ``(iv) Additional eligible professional.--
                        The term `additional eligible professional' 
                        means a clinical psychologist providing 
                        qualified psychologist services (as defined in 
                        section 1861(ii)).''; and
                    (B) by adding at the end the following new 
                subparagraph:
                    ``(F) Application to additional eligible 
                professionals.--The Secretary shall apply the 
                provisions of this paragraph with respect to an 
                additional eligible professional in the same manner as 
                such provisions apply to an eligible professional, 
                except in applying subparagraph (A)--
                            ``(i) in clause (i), the reference to 2015 
                        shall be deemed a reference to 2019;
                            ``(ii) in clause (ii), the references to 
                        2015, 2016, and 2017 shall be deemed references 
                        to 2019, 2020, and 2021, respectively; and
                            ``(iii) in clause (iii), the reference to 
                        2018 shall be deemed a reference to 2022.''; 
                        and
            (2) in subsection (o)--
                    (A) in paragraph (5), by adding at the end the 
                following new subparagraph:
                    ``(D) Additional eligible professional.--The term 
                `additional eligible professional' means a clinical 
                psychologist providing qualified psychologist services 
                (as defined in section 1861(ii)).''; and
                    (B) by adding at the end the following new 
                paragraph:
            ``(6) Application to additional eligible professionals.--
        The Secretary shall apply the provisions of this subsection 
        with respect to an additional eligible professional in the same 
        manner as such provisions apply to an eligible professional, 
        except in applying--
                    ``(A) paragraph (1)(A)(ii), the reference to 2016 
                shall be deemed a reference to 2020;
                    ``(B) paragraph (1)(B)(ii), the references to 2011 
                and 2012 shall be deemed references to 2015 and 2016, 
                respectively;
                    ``(C) paragraph (1)(B)(iii), the references to 2013 
                shall be deemed references to 2017;
                    ``(D) paragraph (1)(B)(v), the references to 2014 
                shall be deemed references to 2018; and
                    ``(E) paragraph (1)(E), the reference to 2011 shall 
                be deemed a reference to 2015.''.
    (b) Eligible Hospitals.--Section 1886 of the Social Security Act 
(42 U.S.C. 1395ww) is amended--
            (1) in subsection (b)(3)(B)(ix), by adding at the end the 
        following new subclause:
                                    ``(V) The Secretary shall apply the 
                                provisions of this subsection with 
                                respect to an additional eligible 
                                hospital (as defined in subsection 
                                (n)(6)(C)) in the same manner as such 
                                provisions apply to an eligible 
                                hospital, except in applying--
                                            ``(aa) subclause (I), the 
                                        references to 2015, 2016, and 
                                        2017 shall be deemed references 
                                        to 2019, 2020, and 2021, 
                                        respectively; and
                                            ``(bb) subclause (III), the 
                                        reference to 2015 shall be 
                                        deemed a reference to 2019.''; 
                                        and
            (2) in subsection (n)--
                    (A) in paragraph (6), by adding at the end the 
                following new subparagraph:
                    ``(C) Additional eligible hospital.--The term 
                `additional eligible hospital' means an inpatient 
                hospital that is a psychiatric hospital (as defined in 
                section 1861(f)).''; and
                    (B) by adding at the end the following new 
                paragraph:
            ``(7) Application to additional eligible hospitals.--The 
        Secretary shall apply the provisions of this subsection with 
        respect to an additional eligible hospital in the same manner 
        as such provisions apply to an eligible hospital, except in 
        applying paragraph (2)--
                    ``(A) the Secretary shall adjust the base amount 
                specified in subparagraph (B) of such paragraph, in a 
                manner specified by the Secretary, to reflect the 
                smaller size of such additional eligible hospitals 
                relative to eligible hospitals;
                    ``(B) the Secretary shall adjust the discharge 
                related amount specified in subparagraph (C) of such 
                paragraph for each 12-month period selected by the 
                Secretary under such subparagraph, in a manner 
                specified by the Secretary, to reflect the smaller size 
                such additional hospitals relative to eligible 
                hospitals, including by adjusting the ranges of 
                discharges specified in such subparagraph and the 
                amount specified in such subparagraph for each 
                discharge within such a specified range;
                    ``(C) the references in subparagraph (E)(ii) of 
                such paragraph to 2013 and 2015 shall be deemed 
                references to 2017 and 2019, respectively; and
                    ``(D) the reference in subparagraph (G)(i) of such 
                paragraph to 2011 shall be deemed a reference to 
                2015.''.
    (c) Medicaid Providers.--Section 1903(t) of the Social Security Act 
(42 U.S.C. 1396b(t)) is amended--
            (1) in paragraph (2)(B)--
                    (A) in clause (i), by striking ``, or'' and 
                inserting a semicolon;
                    (B) in clause (ii), by striking the period and 
                inserting a semicolon; and
                    (C) by adding after clause (ii) the following new 
                clauses:
                            ``(iii) a public hospital that is 
                        principally a psychiatric hospital (as defined 
                        in section 1861(f));
                            ``(iv) a private hospital that is 
                        principally a psychiatric hospital (as defined 
                        in section 1861(f)) and that has at least 10 
                        percent of its patient volume (as estimated in 
                        accordance with a methodology established by 
                        the Secretary) attributable to individuals 
                        receiving medical assistance under this title;
                            ``(v) a community mental health center 
                        meeting the criteria specified in section 
                        1913(c) of the Public Health Service Act; or
                            ``(vi) a residential or outpatient mental 
                        health or substance abuse treatment facility 
                        that--
                                    ``(I) is accredited by the Joint 
                                Commission on Accreditation of 
                                Healthcare Organizations, the 
                                Commission on Accreditation of 
                                Rehabilitation Facilities, the Council 
                                on Accreditation, or any other national 
                                accrediting agency recognized by the 
                                Secretary; and
                                    ``(II) has at least 10 percent of 
                                its patient volume (as estimated in 
                                accordance with a methodology 
                                established by the Secretary) 
                                attributable to individuals receiving 
                                medical assistance under this title.'';
            (2) in paragraph (3)(B)--
                    (A) in clause (iv), by striking ``and'' after the 
                semicolon;
                    (B) in clause (v), by striking the period and 
                inserting ``; and''; and
                    (C) by adding at the end the following new clause:
                            ``(vi) clinical psychologist providing 
                        qualified psychologist services (as defined in 
                        section 1861(ii)), if such clinical 
                        psychologist is practicing in an outpatient 
                        clinic that--
                                    ``(I) is led by a clinical 
                                psychologist; and
                                    ``(II) is not otherwise receiving 
                                payment under paragraph (1) as a 
                                Medicaid provider described in 
                                paragraph (2)(B).''; and
            (3) in paragraph (5)(B), by adding at the end the following 
        new sentence: ``For purposes of this subparagraph in computing 
        the amounts under section 1886(n)(2)(C) for payment years after 
        2015, with respect to a Medicaid provider described in clause 
        (iii), (iv), (v), or (vi) of paragraph (2)(B), in order to 
        reflect the smaller size of Medicaid providers described in 
        such clauses relative to Medicaid providers described in 
        clauses (i) and (ii) of such paragraph (2)(B), the Secretary 
        shall, in a manner specified by the Secretary, adjust the base 
        amount specified in subparagraph (B) of section 1886(n)(2) and 
        the discharge related amount calculated under subparagraph (C) 
        of such section, including by adjusting the ranges of 
        discharges specified in such subparagraph (C) and the amount 
        specified in such subparagraph (C) for each discharge within 
        such a specified range.''.
    (d) Medicare Advantage Organizations.--Section 1853 of the Social 
Security Act (42 U.S.C. 1395w-23) is amended--
            (1) in subsection (l)--
                    (A) in paragraph (1)--
                            (i) by inserting ``or additional eligible 
                        professionals (as described in paragraph (9))'' 
                        after ``paragraph (2)''; and
                            (ii) by inserting ``and additional eligible 
                        professionals'' before ``under such sections'';
                    (B) in paragraph (3)(B)--
                            (i) in clause (i) in the matter preceding 
                        subclause (I), by inserting ``or an additional 
                        eligible professional described in paragraph 
                        (9)'' after ``paragraph (2)''; and
                            (ii) in clause (ii)--
                                    (I) in the matter preceding 
                                subclause (I), by inserting ``or an 
                                additional eligible professional 
                                described in paragraph (9)'' after 
                                ``paragraph (2)''; and
                                    (II) in subclause (I), by inserting 
                                ``or an additional eligible 
                                professional, respectively,'' after 
                                ``eligible professional'';
                    (C) in paragraph (3)(C), by inserting ``and 
                additional eligible professionals'' after ``all 
                eligible professionals'';
                    (D) in paragraph (4)(D), by adding at the end the 
                following new sentence: ``In the case that a qualifying 
                MA organization attests that not all additional 
                eligible professionals of the organization are 
                meaningful EHR users with respect to an applicable 
                year, the Secretary shall apply the payment adjustment 
                under this paragraph based on the proportion of all 
                such additional eligible professionals of the 
                organization that are not meaningful EHR users for such 
                year.'';
                    (E) in paragraph (6)(A), by inserting ``and, as 
                applicable, each additional eligible professional 
                described in paragraph (9)'' after ``paragraph (2)'';
                    (F) in paragraph (6)(B), by inserting ``and, as 
                applicable, each additional eligible hospital described 
                in paragraph (9)'' after ``subsection (m)(1)'';
                    (G) in paragraph (7)(A), by inserting ``and, as 
                applicable, additional eligible professionals'' after 
                ``eligible professionals'';
                    (H) in paragraph (7)(B), by inserting ``and, as 
                applicable, additional eligible professionals'' after 
                ``eligible professionals'';
                    (I) in paragraph (8)(B), by inserting ``and 
                additional eligible professionals described in 
                paragraph (9)'' after ``paragraph (2)''; and
                    (J) by adding at the end the following new 
                paragraph:
            ``(9) Additional eligible professional described.--With 
        respect to a qualifying MA organization, an additional eligible 
        professional described in this paragraph is an additional 
        eligible professional (as defined for purposes of section 
        1848(o)) who--
                    ``(A)(i) is employed by the organization; or
                    ``(ii)(I) is employed by, or is a partner of, an 
                entity that through contract with the organization 
                furnishes at least 80 percent of the entity's Medicare 
                patient care services to enrollees of such 
                organization; and
                    ``(II) furnishes at least 80 percent of the 
                professional services of the additional eligible 
                professional covered under this title to enrollees of 
                the organization; and
                    ``(B) furnishes, on average, at least 20 hours per 
                week of patient care services.''; and
            (2) in subsection (m)--
                    (A) in paragraph (1)--
                            (i) by inserting ``or additional eligible 
                        hospitals (as described in paragraph (7))'' 
                        after ``paragraph (2)''; and
                            (ii) by inserting ``and additional eligible 
                        hospitals'' before ``under such sections'';
                    (B) in paragraph (3)(A)(i), by inserting ``or 
                additional eligible hospital'' after ``eligible 
                hospital'';
                    (C) in paragraph (3)(A)(ii), by inserting ``or an 
                additional eligible hospital'' after ``eligible 
                hospital'' in each place it occurs;
                    (D) in paragraph (3)(B)--
                            (i) in clause (i), by inserting ``or an 
                        additional eligible hospital described in 
                        paragraph (7)'' after ``paragraph (2)''; and
                            (ii) in clause (ii)--
                                    (I) in the matter preceding 
                                subclause (I), by inserting ``or an 
                                additional eligible hospital described 
                                in paragraph (7)'' after ``paragraph 
                                (2)''; and
                                    (II) in subclause (I), by inserting 
                                ``or an additional eligible hospital, 
                                respectively,'' after ``eligible 
                                hospital'';
                    (E) in paragraph (4)(A), by inserting ``or one or 
                more additional eligible hospitals (as defined in 
                section 1886(n)), as appropriate,'' after ``section 
                1886(n)(6)(A))'';
                    (F) in paragraph (4)(D), by adding at the end the 
                following new sentence: ``In the case that a qualifying 
                MA organization attests that not all additional 
                eligible hospitals of the organization are meaningful 
                EHR users with respect to an applicable period, the 
                Secretary shall apply the payment adjustment under this 
                paragraph based on the methodology specified by the 
                Secretary, taking into account the proportion of such 
                additional eligible hospitals, or discharges from such 
                hospitals, that are not meaningful EHR users for such 
                period.'';
                    (G) in paragraph (5)(A), by inserting ``and, as 
                applicable, each additional eligible hospital described 
                in paragraph (7)'' after ``paragraph (2)'';
                    (H) in paragraph (5)(B), by inserting ``and 
                additional eligible hospitals, as applicable,'' after 
                ``eligible hospitals'';
                    (I) in paragraph (6)(B), by inserting ``and 
                additional eligible hospitals described in paragraph 
                (7)'' after ``paragraph (2)''; and
                    (J) by adding at the end the following new 
                paragraph:
            ``(7) Additional eligible hospital described.--With respect 
        to a qualifying MA organization, an additional eligible 
        hospital described in this paragraph is an additional eligible 
        hospital (as defined in section 1886(n)(6)(C)) that is under 
        common corporate governance with such organization and serves 
        individuals enrolled under an MA plan offered by such 
        organization.''.

          TITLE IX--SERVICEMEMBERS AND VETERANS MENTAL HEALTH

SEC. 901. PRELIMINARY MENTAL HEALTH ASSESSMENTS.

    (a) In General.--Chapter 31 of title 10, United States Code, is 
amended by adding at the end the following new section:

``SEC. 520D. PRELIMINARY MENTAL HEALTH ASSESSMENTS.

    ``(a) Provision of Mental Health Assessment.--Before any individual 
enlists in an Armed Force or is commissioned as an officer in an Armed 
Force, the Secretary concerned shall provide the individual with a 
mental health assessment. The Secretary shall use such results as a 
baseline for any subsequent mental health examinations, including such 
examinations provided under sections 1074f and 1074m of this title.
    ``(b) Use of Assessment.--The Secretary may not consider the 
results of a mental health assessment conducted under subsection (a) in 
determining the assignment or promotion of a member of the Armed 
Forces.
    ``(c) Application of Privacy Laws.--With respect to applicable laws 
and regulations relating to the privacy of information, the Secretary 
shall treat a mental health assessment conducted under subsection (a) 
in the same manner as the medical records of a member of the Armed 
Forces.''.
    (b) Clerical Amendment.--The table of sections at the beginning of 
such chapter is amended by adding after the item relating to section 
520c the following new item:

``520d. Preliminary mental health assessments.''.
    (c) Report.--
            (1) In general.--Not later than 180 days after the date of 
        the enactment of this Act, the Secretary of Defense shall 
        submit to Congress a report on preliminary mental health 
        assessments of members of the Armed Forces.
            (2) Matters included.--The report under paragraph (1) shall 
        include the following:
                    (A) Recommendations with respect to establishing a 
                preliminary mental health assessment of members of the 
                Armed Forces to bring mental health screenings to 
                parity with physical screenings of members.
                    (B) Recommendations with respect to the composition 
                of the mental health assessment, best practices, and 
                how to track assessment changes relating to traumatic 
                brain injuries, post-traumatic stress disorder, and 
                other conditions.
            (3) Coordination.--The Secretary shall carry out paragraph 
        (1) in coordination with the Secretary of Veterans Affairs, the 
        Uniformed Services University of the Health Sciences, the 
        surgeons general of the military departments, and other 
        relevant experts.

SEC. 902. UNLIMITED ELIGIBILITY FOR HEALTH CARE FOR MENTAL ILLNESSES 
              FOR VETERANS OF COMBAT SERVICE DURING CERTAIN PERIODS OF 
              HOSTILITIES AND WAR.

    (a) Eligibility.--Section 1710(e)(1) of title 38, United States 
Code, is amended by adding at the end the following new subparagraph:
                    ``(G) Notwithstanding paragraphs (2) and (3), a 
                veteran who served on active duty in a theater of 
                combat operations (as determined by the Secretary in 
                consultation with the Secretary of Defense) during 
                World War II, the Korean conflict, the Vietnam Era, the 
                Persian Gulf war, Operation Iraqi Freedom, Operation 
                Enduring Freedom, or any other period of war after the 
                Persian Gulf war, or in combat against a hostile force 
                during a period of hostilities (as defined in section 
                1712A(a)(2)(B) of this title), is eligible for hospital 
                care, medical services, and nursing home care under 
                subsection (a)(2)(F) for any mental illness, 
                notwithstanding that there is insufficient medical 
                evidence to conclude that such illness is attributable 
                to such service.''.
    (b) Effective Date.--Subparagraph (G) of section 1710(e)(1) of 
title 38, United States Code, as added by subsection (a), shall apply 
with respect to hospital care, medical services, and nursing home care 
provided on or after the date of the enactment of this Act.

SEC. 903. TIMELINE FOR IMPLEMENTING INTEGRATED ELECTRONIC HEALTH 
              RECORDS.

    (a) Establishment of Timeline.--Section 1635 of the Wounded Warrior 
Act (10 U.S.C. 1071 note) is amended by adding at the end the following 
new subsection:
    ``(k) Timeline.--In carrying out this section, the Secretary of 
Defense and the Secretary of Veterans Affairs shall ensure that--
            ``(1) the creation of a health data authoritative source is 
        achieved by not later than 180 days after the date of the 
        enactment of this subsection;
            ``(2) the ability of patients of both the Department of 
        Defense and the Department of Veterans Affairs to download the 
        medical records of the patient (commonly referred to as the 
        `Blue Button Initiative') is achieved by not later than 365 
        days after the date of the enactment of this subsection;
            ``(3) the seamless integration of personal health care 
        information between the Departments is achieved by not later 
        than 365 days after the date of the enactment of this 
        subsection;
            ``(4) the standardization of health care data of the 
        Departments is achieved by not later than 365 days after the 
        date of the enactment of this subsection;
            ``(5) the acceleration of the exchange of real-time data 
        between the Departments is achieved by not later than 365 days 
        after the date of the enactment of this subsection;
            ``(6) the upgrade of the graphical user interface to 
        display the new standardized health care data of the 
        Departments is achieved by not later than 365 days after the 
        date of the enactment of this subsection;
            ``(7) each incoming member of the Armed Forces and the 
        dependent of such a member may elect to receive an electronic 
        copy of the health care record of the individual beginning not 
        later than October 1, 2014; and
            ``(8) each current member of the Armed Forces and the 
        dependent of such a member may elect to receive an electronic 
        copy of the health care record of the individual beginning not 
        later than October 1, 2015.''.
    (b) Cloud Storage.--Section 1635 of such Act is further amended by 
adding at the end the following new subsection:
    ``(l) Cloud Storage.--The Secretary of Defense and the Secretary of 
Veterans Affairs shall study the feasibility of establishing a secure, 
remote, network-accessible computer storage system (commonly referred 
to as `cloud storage') to--
            ``(1) provide members of the Armed Forces and veterans the 
        ability to upload the health care records of the member or 
        veteran if the member or veteran elects to do so; and
            ``(2) allow medical providers of the Department of Defense 
        and the Department of Veterans Affairs to access such records 
        in the course of providing care to the member or veteran.''.
    (c) Conforming Amendments.--Section 1635 of such Act is further 
amended--
            (1) in subsection (a), by striking ``The Secretary'' and 
        inserting ``In accordance with the timeline described in 
        subsection (k), the Secretary''; and
            (2) in the matter preceding paragraph (1) of subsection 
        (e), by inserting ``in accordance with subsection (k)'' after 
        ``under this section''.

SEC. 904. PILOT PROGRAM FOR REPAYMENT OF EDUCATIONAL LOANS FOR CERTAIN 
              PSYCHIATRISTS OF VETERANS HEALTH ADMINISTRATION.

    (a) Pilot Program.--
            (1) Establishment.--The Secretary of Veterans Affairs shall 
        carry out a pilot program to repay a loan of an individual 
        described in paragraph (2) that--
                    (A) was used by the individual to finance education 
                regarding psychiatric medicine, including education 
                leading to an undergraduate degree and education 
                leading to the degree of doctor of medicine or of 
                doctor of osteopathy; and
                    (B) was obtained from a governmental entity, 
                private financial institution, school, or other 
                authorized entity, as determined by the Secretary.
            (2) Eligible individuals.--To be eligible to obtain a loan 
        repayment under this subsection, an individual shall--
                    (A) either--
                            (i) be licensed or eligible for licensure 
                        to practice psychiatric medicine in the 
                        Veterans Health Administration of the 
                        Department of Veterans Affairs; or
                            (ii) be enrolled in the final year of a 
                        residency program leading to a specialty 
                        qualification in psychiatric medicine that is 
                        approved by the Accreditation Council for 
                        Graduate Medical Education; and
                    (B) as determined appropriate by the Secretary, 
                demonstrate a commitment to a long-term career as a 
                psychiatrist in the Veterans Health Administration, 
                including by requiring a set number of years of 
                obligated service.
            (3) Selection.--The Secretary shall select not less than 10 
        individuals described in paragraph (2) to participate in the 
        pilot program for each year in which the Secretary carries out 
        the pilot program.
            (4) Loan repayments.--
                    (A) Amounts.--Subject to the limits established by 
                subparagraph (B), a loan repayment under this 
                subsection may consist of payment of the principal, 
                interest, and related expenses of a loan obtained by an 
                individual described in paragraph (2) for all 
                educational expenses (including tuition, fees, books, 
                and laboratory expenses) relating to a degree described 
                in paragraph (1)(A).
                    (B) Limit.--For each year of obligated service that 
                an individual agrees to serve in an agreement described 
                in paragraph (2)(B), the Secretary may pay not more 
                than $60,000 on behalf of the individual.
            (5) Breach.--
                    (A) Liability.--An individual who participates in 
                the pilot program under paragraph (1) who fails to 
                satisfy the commitment described in paragraph (2)(B) 
                shall be liable to the United States, in lieu of any 
                service obligation arising from such participation, for 
                the amount which has been paid or is payable to or on 
                behalf of the individual under the program, reduced by 
                the proportion that the number of days served for 
                completion of the service obligation bears to the total 
                number of days in the period of obligated service of 
                the individual.
                    (B) Repayment period.--Any amount of damages which 
                the United States is entitled to recover under this 
                paragraph shall be paid to the United States within the 
                one-year period beginning on the date of the breach of 
                the agreement.
            (6) Prohibition on simultaneous eligibility.--An individual 
        who is participating in any other program of the Federal 
        Government that repays the educational loans of the individual 
        may not participate in the pilot program under paragraph (1).
            (7) Report.--Not later than 90 days after the date on which 
        the pilot program terminates under paragraph (7), the Secretary 
        shall submit to the Committees on Veterans' Affairs of the 
        House of Representatives and the Senate a report on the pilot 
        program. The report shall include the overall effect of the 
        pilot program on the psychiatric workforce shortage of the 
        Veterans Health Administration, the long-term stability of such 
        workforce, and overall workforce strategies of the Veterans 
        Health Administration that seek to promote the physical and 
        mental resiliency of all veterans.
            (8) Regulations.--The Secretary shall prescribe regulations 
        to carry out this subsection, including standards for qualified 
        loans and authorized payees and other terms and conditions for 
        the making of loan repayments.
            (9) Termination.--The authority to carry out the pilot 
        program shall expire on the date that is three years after the 
        date on which the Secretary commences the pilot program.
    (b) Comptroller General Study on Pay Disparities of Psychiatrists 
of Veterans Health Administration.--
            (1) Study.--Not later than one year after the date of the 
        enactment of this Act, the Comptroller General of the United 
        States shall conduct a study of pay disparities among 
        psychiatrists of the Veterans Health Administration of the 
        Department of Veterans Affairs. The study shall include--
                    (A) an examination of laws, regulations, practices, 
                and policies, including salary flexibilities, that 
                contribute to such disparities; and
                    (B) recommendations with respect to legislative or 
                regulatory actions to improve equity in pay among such 
                psychiatrists.
            (2) Report.--Not later than one year after the date on 
        which the Comptroller General completes the study under 
        paragraph (1), the Comptroller General shall submit to the 
        Committees on Veterans' Affairs of the House of Representatives 
        and the Senate a report containing the results of the study.

                      TITLE X--MAKING PARITY WORK

SEC. 1001. GAO STUDY ON MENTAL HEALTH AND SUBSTANCE USE DISORDER PARITY 
              ENFORCEMENT EFFORTS.

    Not later than one year after the date of enactment of this Act, 
the Comptroller General of the United States, in consultation with the 
Secretary of Health and Human Services and the Secretary of Labor, 
shall submit to Congress a report detailing the enforcement efforts of 
the responsible departments and agencies in implementing the Paul 
Wellstone and Pete Domenici Mental Health Parity and Addiction Equity 
Act (subtitle B of title V of division C of Public Law 110-343), 
including--
            (1) the number of investigations that have been conducted 
        into potential parity violations; and
            (2) details on the investigation or enforcement action that 
        was carried out as a result of such investigations that would 
        not identify the subject of such investigation or enforcement.

SEC. 1002. REPORT TO CONGRESS ON FEDERAL ASSISTANCE TO STATE INSURANCE 
              REGULATORS REGARDING MENTAL HEALTH PARITY ENFORCEMENT.

    Not later than one year after the date of enactment of this Act, 
the Secretary of Health and Human Services shall submit to Congress a 
report detailing--
            (1) the ways in which State governments and State insurance 
        regulators are either empowered or required to enforce the Paul 
        Wellstone and Pete Domenici Mental Health Parity and Addiction 
        Equity Act of 2008 (subtitle B of title V of division C of 
        Public Law 110-343);
            (2) their capability to carry out these enforcement powers 
        or requirements; and
            (3) any technical assistance to State government and State 
        insurance regulators that has been communicated by the 
        Department of Health and Human Services.

SEC. 1003. ANNUAL REPORT TO CONGRESS BY SECRETARIES OF LABOR AND HEALTH 
              AND HUMAN SERVICES.

    Not later than one year after the date of enactment of this Act, 
and annually thereafter, the Secretary of Labor, in coordination with 
the Secretary of Health and Human Services, shall submit to Congress a 
report--
            (1) describing the actions taken by the Federal Government 
        and the States to ensure compliance with the Paul Wellstone and 
        Pete Domenici Mental Health Parity and Addiction Equity Act of 
        2008 (subtitle B of title V of division C of Public Law 110-
        343);
            (2) including a collection and classification of inquiries 
        and complaints regarding the implementation or enforcement of 
        such Act;
            (3) including a transparent de-identified report of all 
        Federal and State actions to enforce such Act; and
            (4) include a compliance guide that includes--
                    (A) detailed answers to relevant questions raised 
                during the previous year concerning implementation or 
                enforcement of such Act; and
                    (B) specific guidelines providing clear 
                interpretations of such Act and the regulations 
                thereunder.
                                 <all>