113 HR 4574 IH: Strengthening Mental Health in Our Communities Act of 2014
U.S. House of Representatives
2014-05-06
text/xml
EN
Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.
1.Short title; table of contents
(a)This Act may be cited as the Strengthening Mental Health in Our Communities Act of 2014
.
(b)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.
2.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.
<enum>I</enum><header>White House Office of Mental Health Policy</header>
<section id="H35D3844D25A1432F8197DBDA17598743"><enum>101.</enum><header>White House Office of Mental Health Policy</header>
<subsection id="HD27BBE9CD3254E4EA012C13DA2ED2CCD"><enum>(a)</enum><header>Establishment of office</header><text>There is established in the Executive Office of the President the White House Office of Mental
Health Policy (hereafter referred to as the <quote>Office</quote>), which shall—</text>
<paragraph id="H6665AA429EC645159E12C055F107399D"><enum>(1)</enum><text display-inline="yes-display-inline">monitor Federal activities with respect to mental health, serious mental illness, and serious
emotional disturbances;</text>
</paragraph><paragraph id="H5EA4163CD4134D63B657731495C8B73F"><enum>(2)</enum><text>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);</text>
</paragraph><paragraph id="HDD79E5E5D23D49039C42D1BE45A5E6F5"><enum>(3)</enum><text display-inline="yes-display-inline">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;</text>
</paragraph><paragraph id="HD7B2DE79503946FDA7ADE396A0A61091"><enum>(4)</enum><text display-inline="yes-display-inline">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;</text>
</paragraph><paragraph id="HD02E9BB65D3F40A3A3C133A502EBA757"><enum>(5)</enum><text>review and make recommendations with respect to the budgets for Federal mental health services to
ensure the adequacy of those budgets;</text>
</paragraph><paragraph id="H56299BCEFF55448FBE0004B34711C07A"><enum>(6)</enum><text>submit to the Congress the national strategy and any updates to such strategy;</text>
</paragraph><paragraph id="HF584DE3F8F244E279796D8C9471A05D1"><enum>(7)</enum><text>coordinate the mental health services provided by Federal departments and agencies and coordinate
Federal interagency mental health services;</text>
</paragraph><paragraph id="H30C8A030FC2A4EE5AA40EEB501AAD04B"><enum>(8)</enum><text display-inline="yes-display-inline">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</text>
</paragraph><paragraph id="H477731D93B974BF2BBDCE1DC63CDF449"><enum>(9)</enum><text display-inline="yes-display-inline">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.</text>
</paragraph></subsection><subsection id="HF6E94DA611A94528AD7FAF98AAC74DF1"><enum>(b)</enum><header>Director</header><text>There shall be a Director who shall head the Office (hereafter referred to as the <quote>Director</quote>) and who shall hold the same rank and status as the head of an executive department listed in
<external-xref legal-doc="usc" parsable-cite="usc/5/101">section 101</external-xref> of title 5, United States Code.</text>
</subsection><subsection id="HDD5A2DF7303E41BF9EEDDB1E0ED4F0FB"><enum>(c)</enum><header>Access by congress</header><text>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—</text>
<paragraph id="HD2A33AA0484A47ECAFD4FAFFA9FF2C65"><enum>(1)</enum><text>information, document, or study in the possession of, or conducted by or at the direction of, the
Director; or</text>
</paragraph><paragraph id="H021111EB15B14F8BBA59C31F3732BBF6"><enum>(2)</enum><text>personnel of the Office.</text>
</paragraph></subsection></section><section id="HE8E1FB0265E34C66A7D7D460D595CE06"><enum>102.</enum><header>Appointment and duties of the Director</header>
<subsection id="H9F73BD57995B4F879DAAB33954BCA483"><enum>(a)</enum><header>Appointment</header>
<paragraph id="HEEDE3391EA57452F908C21704343A202"><enum>(1)</enum><header>In general</header><text>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.</text>
</paragraph><paragraph id="H5BDB8FA7354B4993927F779E6C301E38"><enum>(2)</enum><header>Prohibition</header><text display-inline="yes-display-inline">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.</text>
</paragraph></subsection><subsection id="H60EBA1E37C9A4DB992A479FEE6D4C61F"><enum>(b)</enum><header>Responsibilities</header><text>The Director shall—</text>
<paragraph id="H03877E7FC1B046A18CDE1871BAC6E96C"><enum>(1)</enum><text display-inline="yes-display-inline">assist the President—</text>
<subparagraph id="H2703CDD6E4034F11BBC13479FBBC8964"><enum>(A)</enum><text display-inline="yes-display-inline">to establish policies, goals, objectives, and priorities with respect to mental health,
particularly serious mental illness and serious emotional disturbances;</text>
</subparagraph><subparagraph id="H7612315E06074CBEAE909183EEF45949"><enum>(B)</enum><text>to maximize the access of individuals with mental illness to community-based services;</text>
</subparagraph><subparagraph id="H58118E1DC8CB431A879792F6E5B5DDBA"><enum>(C)</enum><text>to strengthen the impact of such services; and</text>
</subparagraph><subparagraph id="HD7432F1DFD7D4BA3ACE3DF031ACF6EF0"><enum>(D)</enum><text>to meet the comprehensive needs of individuals with mental illness;</text>
</subparagraph></paragraph><paragraph id="H4F5894EF96C9453C89BA342986DA8BE3"><enum>(2)</enum><text display-inline="yes-display-inline">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;</text>
</paragraph><paragraph id="H5F1E47B7B44143579B0DF97A7A32FFBC"><enum>(3)</enum><text>coordinate and oversee the development, coordination, implementation, and evaluation of the
National Strategy for Mental Health;</text>
</paragraph><paragraph id="H076103D2982E43239C0C9ABFF9133F2B"><enum>(4)</enum><text>promulgate the National Strategy for Mental Health, ensuring its wide availability to government
officials and the public;</text>
</paragraph><paragraph id="H19AFED2798E44AB69DD360D55C4B671A"><enum>(5)</enum><text>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;</text>
</paragraph><paragraph id="HD872068163D24E92BFE17200B4335F7A"><enum>(6)</enum><text display-inline="yes-display-inline">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;</text>
</paragraph><paragraph id="H1BE059C152704316995B3219FF076E97"><enum>(7)</enum><text>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;</text>
</paragraph><paragraph id="H4C6E44297E2643BDAA2E70B0EBABDB5C"><enum>(8)</enum><text display-inline="yes-display-inline">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</text>
</paragraph><paragraph id="H29F0EA986BD54E1F881A6DC19184CACB"><enum>(9)</enum><text>ensure the Office meets each of its responsibilities under this title.</text>
</paragraph></subsection><subsection id="H0E3199123D1B4F86B3998A9FA78D8089"><enum>(c)</enum><header>Budget review and recommendations</header>
<paragraph id="HF56F4C261A1B47679172609D331E06DD"><enum>(1)</enum><header>Review of budget requests</header><text display-inline="yes-display-inline">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
<external-xref legal-doc="usc" parsable-cite="usc/31/1105">section 1105(a)</external-xref> 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.</text>
</paragraph><paragraph id="H73F9CD781FC84F54B3C7C97AE70E9B64"><enum>(2)</enum><header>Recommendations with respect to budget requests</header><text display-inline="yes-display-inline">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 <external-xref legal-doc="usc" parsable-cite="usc/31/1105">section 1105(a)</external-xref> 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.</text>
</paragraph></subsection><subsection id="H5BC3B09977064415950BCD0C390A9C69"><enum>(d)</enum><header>Powers of the Director</header><text>In carrying out this title, the Director may—</text>
<paragraph id="H0FAE476F41EA4816AD807C0D6F3DAEE2"><enum>(1)</enum><text>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;</text>
</paragraph><paragraph id="H031D5F0130F945618C5D15EB841E1EB4"><enum>(2)</enum><text>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;</text>
</paragraph><paragraph id="H436986C1157F42D88D19715297844C8E"><enum>(3)</enum><text>use for administrative purposes, on a reimbursable basis, the available services, equipment,
personnel, and facilities of Federal, State, local, and tribal departments
and agencies;</text>
</paragraph><paragraph id="HF57309BDB290482887C7FCB02DE7F3CC"><enum>(4)</enum><text>procure the services of experts and consultants in accordance with <external-xref legal-doc="usc" parsable-cite="usc/5/3109">section 3109</external-xref> 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;</text>
</paragraph><paragraph id="HF7180E3444DD4044BCCC3410AB3DFC28"><enum>(5)</enum><text>use the mails in the same manner as any other department or agency of the executive branch; and</text>
</paragraph><paragraph id="HE0F25C5276EA418BAB74A72CE7476AE0"><enum>(6)</enum><text>monitor implementation of the National Strategy for Mental Health, including—</text>
<subparagraph id="HA334597CCEBE45A199392952FF2C9351"><enum>(A)</enum><text>conducting program and performance audits and evaluations; and</text>
</subparagraph><subparagraph id="HA1FD771FC76D449EBB1C5BA21BAE1333"><enum>(B)</enum><text>requesting assistance from the Inspector General of the relevant department or agency in such
audits and evaluations.</text>
</subparagraph></paragraph></subsection></section><section id="H80446B9F1E3447AC926983853D14F9D7"><enum>103.</enum><header>National strategy for mental health</header>
<subsection id="H6729230F8AE5434C815E97CD9C7C24BF"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">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 <quote>National Strategy for Mental Health</quote> or the <quote>Strategy</quote>) 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.</text>
</subsection><subsection id="H00F33C6CAE9E46BCA37B1BB472EA1CDA"><enum>(b)</enum><header>Process</header><text>In preparing the Strategy, the Director shall actively consult and work in coordination with the
following:</text>
<paragraph id="H9C9203C90E37483E9D4DF320EE953722"><enum>(1)</enum><text>The heads of all Federal departments and agencies that provide mental health services.</text>
</paragraph><paragraph id="H0EC5F006753C40CD9026CDBEA9A39854"><enum>(2)</enum><text>The National Mental Health Council.</text>
</paragraph><paragraph id="HAF4A24DD2A234ECFBF46A480D78A94D2"><enum>(3)</enum><text>The National Mental Health Advisory Board.</text>
</paragraph><paragraph id="H10598B80BE004D7DB9CD4F10669810CE"><enum>(4)</enum><text>Existing Federal interagency efforts related to mental health services, such as the Military and
Veterans Mental Health Interagency Task Force.</text>
</paragraph><paragraph id="H1C41B25C436C452A837F9BF135FBFBFD"><enum>(5)</enum><text>State, local, and tribal governments.</text>
</paragraph><paragraph id="H9654D6FCEE4E4B0EA6A8805D763704D6"><enum>(6)</enum><text>Nongovernmental entities.</text>
</paragraph><paragraph id="H137A4AF18DC74DD3B7D9C6DB3679CC57"><enum>(7)</enum><text display-inline="yes-display-inline">Individuals with mental illness, particularly individuals with a serious mental illness and
children and adolescents with a serious emotional disturbance.</text>
</paragraph></subsection><subsection id="H954B51EBFDF74E9CA8AF6B9E8A801119"><enum>(c)</enum><header>Contents</header><text>The Director shall ensure the Strategy meets the following requirements:</text>
<paragraph id="H7F38AD94D91C4051AF9305FDF2074A55"><enum>(1)</enum><header>Goals and performance measures</header><text>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—</text>
<subparagraph id="HC7ED5281AB1F49D6B9257119C06ECD14"><enum>(A)</enum><text>improving the outcomes of and accessibility to evidence-based mental programs and services;</text>
</subparagraph><subparagraph id="H16D4CBC87B314F6D8B22713980E1FC25"><enum>(B)</enum><text>promoting community integration of individuals with mental illness;</text>
</subparagraph><subparagraph id="H8335EFBD6DE6495F8CDBC4DF78925B32"><enum>(C)</enum><text>increasing access to prevention and early intervention services related to mental health;</text>
</subparagraph><subparagraph id="H1C2893F29BA144D9992F0A1B8473B5BA"><enum>(D)</enum><text>promoting mental health awareness and reducing stigma; and</text>
</subparagraph><subparagraph id="H78ABF05F1F9D4895BFA36715D15DB94B"><enum>(E)</enum><text>advancing mental health research.</text>
</subparagraph></paragraph><paragraph id="H6677135FE58D438196A026A9A54D1D69"><enum>(2)</enum><header>Accountability for past performance measures</header><text>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—</text>
<subparagraph id="H81A7A1C89E1640328ED73C248A428AA4"><enum>(A)</enum><text>the extent of coordination between Federal departments and agencies providing mental health
services;</text>
</subparagraph><subparagraph id="H91E05C115B364CC994E503C4FE1D40B0"><enum>(B)</enum><text>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</text>
</subparagraph><subparagraph id="H40A639C07AA74B6583CD0CE5C270E742"><enum>(C)</enum><text>the efficiency and adequacy of Federal programs and policies with respect to mental health
services.</text>
</subparagraph></paragraph><paragraph id="HEDCB8E1A67874A67BB39735E645C3812"><enum>(3)</enum><header>Reporting on and identifying gaps in mental health services</header><text>The Strategy shall contain a report on—</text>
<subparagraph id="HFC9681AE29FE43B3ACB6F0FB8E9C5E4F"><enum>(A)</enum><text>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;</text>
</subparagraph><subparagraph id="H1A3339A9B3354651B122F76CB623331C"><enum>(B)</enum><text display-inline="yes-display-inline">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</text>
</subparagraph><subparagraph id="HE27321B6DD424263AD61559F8E3D48F6"><enum>(C)</enum><text display-inline="yes-display-inline">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.</text>
</subparagraph></paragraph><paragraph id="H3E815A85B797431F90116FB1A62662A0"><enum>(4)</enum><header>Coordination efforts</header><text display-inline="yes-display-inline">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.</text>
</paragraph><paragraph id="HC01B6A088FAD44919DB4CA98BC752C9B"><enum>(5)</enum><header>Guidance</header><text display-inline="yes-display-inline">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.</text>
</paragraph><paragraph id="HE9961116E63E435080FB1EA147835224"><enum>(6)</enum><header>Mental health advocates and perspectives</header><text display-inline="yes-display-inline">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.</text>
</paragraph><paragraph id="HF46E9F0A1CF1466F9752224EC1232319"><enum>(7)</enum><header>Strategic plan</header><text>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:</text>
<subparagraph id="H509101A3B30D4EF68CD870845CEBC1D6"><enum>(A)</enum><text>Program and budget priorities necessary to achieve the performance measures.</text>
</subparagraph><subparagraph id="HFC6255D93E314E47874536617945384F"><enum>(B)</enum><text>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.</text>
</subparagraph><subparagraph id="H800CCF633E82482085AD81E323C36DCA"><enum>(C)</enum><text display-inline="yes-display-inline">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.</text>
</subparagraph><subparagraph id="H588DA659F71848EB8ADBA50A91756B6B"><enum>(D)</enum><text display-inline="yes-display-inline">A strategic research, innovation, and demonstration agenda to guide the use of Federal research
spending with respect to mental illness, particularly serious mental
illness.</text>
</subparagraph><subparagraph id="H187BA68F71E44709AD6D2F4ACE549CCE"><enum>(E)</enum><text>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.</text>
</subparagraph><subparagraph id="HCC665C999CEA4CD4ACD2413E0963D2D7"><enum>(F)</enum><text>Recommendations to enhance prevention and early intervention services for children and adolescents
with mental illness.</text>
</subparagraph><subparagraph id="H149DD8FDADD9430F832ECA74D35EBE48"><enum>(G)</enum><text>Recommendations concerning ways to ensure appropriate access to intensive community-based services
for Medicaid beneficiaries.</text>
</subparagraph></paragraph><paragraph id="HF265A964D48F423CA9217686D7F8F100"><enum>(8)</enum><header>Additional reports</header><text>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.</text>
</paragraph></subsection></section><section id="H86B39A1C2E6847B180D3A6E47DC5197C"><enum>104.</enum><header>Coordination with Federal departments and agencies</header>
<subsection id="H560D4E04266C438E9C3D00D979A222CF"><enum>(a)</enum><header>Federal department and agency cooperation</header><text>Each department or agency of the Federal Government providing mental health services shall—</text>
<paragraph id="HE5DFC267023241F18411D33488907124"><enum>(1)</enum><text>cooperate with the efforts of the Director under this title;</text>
</paragraph><paragraph id="H4E2F3DEB334B4D51B5792D869C609FE2"><enum>(2)</enum><text>provide such assistance, statistics, studies, reports, information, and advice as the Director may
request, to the extent permitted by law;</text>
</paragraph><paragraph id="H6D13A88F84CF451C96E6DD3838F59982"><enum>(3)</enum><text>adjust department or agency staff job descriptions and performance measures to support
collaboration and implementation of the Strategy; and</text>
</paragraph><paragraph id="H3308EF8234B74C288AE26775F4BD943B"><enum>(4)</enum><text>assign department or agency liaisons to the Office to oversee and implement interagency
coordination.</text>
</paragraph></subsection><subsection id="H16EA85E2A47742F88CF149B92A6B1C05"><enum>(b)</enum><header>Interagency alignment</header><text display-inline="yes-display-inline">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—</text>
<paragraph id="H76F85B81B7C7475CB699EA60E9A2A468"><enum>(1)</enum><text>facilitating the development of shared grant application processes;</text>
</paragraph><paragraph id="H1E26A44490BA427EBD66141E0D55BE58"><enum>(2)</enum><text>offering joint training and technical assistance efforts;</text>
</paragraph><paragraph id="H694A8D2C0616426D9AFAEDA9B94C4385"><enum>(3)</enum><text>improving opportunities for individuals with mental illness to maintain services as they transition
from systems of care;</text>
</paragraph><paragraph id="H7172D99A767E40678A9911FD01285966"><enum>(4)</enum><text>aligning—</text>
<subparagraph id="H1A833AC8551040DB984F5B0BE31731C4"><enum>(A)</enum><text>grantee reporting requirements;</text>
</subparagraph><subparagraph id="H23D258872B9844EB92ECF80E0F1581D1"><enum>(B)</enum><text>definitions;</text>
</subparagraph><subparagraph id="H001E1E58B8BD49969825ABC3901C623A"><enum>(C)</enum><text>eligibility requirements;</text>
</subparagraph><subparagraph id="HC02C32CC21F147B1B54F79F6FA8F2090"><enum>(D)</enum><text>research;</text>
</subparagraph><subparagraph id="HB6F44CFFCC6E47AEA14BC005B1261987"><enum>(E)</enum><text>evaluation efforts; and</text>
</subparagraph><subparagraph id="H1E4C44574F58455CAA06E1FF868D562B"><enum>(F)</enum><text>data collection;</text>
</subparagraph></paragraph><paragraph id="H77E55E215AF04F84BCDA3E24EA402076"><enum>(5)</enum><text>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</text>
</paragraph><paragraph id="H5706431E09704BEBA39E1393BC2CDE53"><enum>(6)</enum><text>taking other steps necessary to improve collaboration between Federal departments and agencies
providing mental health services.</text>
</paragraph></subsection><subsection id="H39453DDC996B4885B9DF26AF7A20B94E"><enum>(c)</enum><header>Joint funding and coordination</header>
<paragraph id="H5DC7214BF8CF4068B21E30B326CD942B"><enum>(1)</enum><header>In general</header><text>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.</text>
</paragraph><paragraph id="H0FE5836E4E444D7FAC53D0161772C3BB"><enum>(2)</enum><header>Administration of funds</header><text display-inline="yes-display-inline">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.</text>
</paragraph><paragraph id="H534BE15F1205437D9201D7F99451A2EB"><enum>(3)</enum><header>Nongovernmental entities</header><text display-inline="yes-display-inline">Initiatives developed under this subsection may involve nongovernmental entities to the extent
permitted by law.</text>
</paragraph></subsection><subsection id="H97D89AC580A74E9589988901BF7A5C70"><enum>(d)</enum><header>National mental health council</header>
<paragraph id="H79165854CCCE483E9665D4C68B9B2AAB"><enum>(1)</enum><header>Establishment</header><text>There is established within the Office the National Mental Health Council (hereinafter referred to
in this title as the <quote>Council</quote>).</text>
</paragraph><paragraph id="H60DFCF6ACC424EC8B4E8F9D48CB0B3E7"><enum>(2)</enum><header>Members and terms</header><text>The members of the Council shall include—</text>
<subparagraph id="HA786411E9CA4491EAD547DBFA2DA2A31"><enum>(A)</enum><text>the President;</text>
</subparagraph><subparagraph id="HB310B48A645B40AEB48FEA03084447F3"><enum>(B)</enum><text>the Director;</text>
</subparagraph><subparagraph id="H0924B72CCBB5407382FBA02C7C574058"><enum>(C)</enum><text>the Secretary of Health and Human Services;</text>
</subparagraph><subparagraph id="H52BDD940D6214C0EB8E624440C6544D9"><enum>(D)</enum><text>the Director of the National Institute of Mental Health;</text>
</subparagraph><subparagraph id="H2B29B2DE069E4D8CAE70C9E8322349B4"><enum>(E)</enum><text>the Attorney General of the United States;</text>
</subparagraph><subparagraph id="HB063801C3A3F496E8F76A0F5654440ED"><enum>(F)</enum><text>the Secretary of Veterans Affairs;</text>
</subparagraph><subparagraph id="H5107A3B199AA4389A2436F4DAFAE8C42"><enum>(G)</enum><text>the Assistant Secretary–Indian Affairs of the Department of the Interior;</text>
</subparagraph><subparagraph id="HF33B756BE02440858BC3F56C7797F2F4"><enum>(H)</enum><text>the Director of the Centers for Disease Control and Prevention;</text>
</subparagraph><subparagraph id="HAF38A8CF35584A6E9C4F05AEDB272D79"><enum>(I)</enum><text>the Director of the National Institutes of Health;</text>
</subparagraph><subparagraph id="HD18C88A56E764F72B2451136B6187F20"><enum>(J)</enum><text>the directors of such national research institutes of the National Institutes of Health as the
Director determines appropriate;</text>
</subparagraph><subparagraph id="H900323D53A8349228E7A9041453C7268"><enum>(K)</enum><text>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;</text>
</subparagraph><subparagraph id="H91A25633591C4F1F835339F6C5BF294C"><enum>(L)</enum><text>the Administrator of Substance Abuse and Mental Health Services Administration;</text>
</subparagraph><subparagraph id="H28FB4536CDA6450383C593C26B194A44"><enum>(M)</enum><text>the Secretary of Defense; and</text>
</subparagraph><subparagraph id="H91BCA2C458ED43E2BD93ABEB867C2255"><enum>(N)</enum><text>other Federal officials as directed by the President.</text>
</subparagraph></paragraph><paragraph id="HFC7605D249FE4A53829B6854F99051D8"><enum>(3)</enum><header>Chairperson</header><text>The Chairperson of the Council shall be the President.</text>
</paragraph><paragraph id="H5F27B6C7F801459E9559534F0447FA86"><enum>(4)</enum><header>Designees</header><text>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.</text>
</paragraph><paragraph id="H46DBEA8AE01348CE9DB633209CDF3D3A"><enum>(5)</enum><header>Meetings</header>
<subparagraph id="H7CF3F2DF07D449498CB359E1158806DA"><enum>(A)</enum><header>In general</header><text>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.</text>
</subparagraph><subparagraph id="HD303AA0B16C14D73AE4BF84C6214A93F"><enum>(B)</enum><header>First meeting</header><text>The first meeting of the Council shall be not more than four months after the date of the enactment
of this title.</text>
</subparagraph><subparagraph id="H8B68D72B6E8E4742AAC3A3D46640B46A"><enum>(C)</enum><header>Inclusion of the national mental health advisory board</header><text>At least two meetings of the Council each year shall be opened to the participation of members of
the National Mental Health Advisory Board.</text>
</subparagraph></paragraph><paragraph id="HD2DD342FFA71414298D685D11F06833A"><enum>(6)</enum><header>Responsibilities</header><text>The Council shall—</text>
<subparagraph id="H48A6C08D8802463C8845C1E1E297FB66"><enum>(A)</enum><text>assist the Director to coordinate the mental health services provided by Federal departments and
agencies and to coordinate Federal interagency mental health services;</text>
</subparagraph><subparagraph id="H27D007CDB81A42FFB6640CB6550B02EB"><enum>(B)</enum><text>assist the Director in the development, coordination, implementation, evaluation, and promulgation
of the Strategy;</text>
</subparagraph><subparagraph id="H807DA9F14ACC4E6083D2687EA86467F9"><enum>(C)</enum><text display-inline="yes-display-inline">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</text>
</subparagraph><subparagraph id="H8787AF1317E940FFAD797A071D8AABF2"><enum>(D)</enum><text>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.</text>
</subparagraph></paragraph></subsection></section><section id="H0CF5A0A542874114995BB48938B79D21"><enum>105.</enum><header>National mental health advisory board</header>
<subsection id="H72AD230437BA450BA4C704B092B4AC48"><enum>(a)</enum><header>Establishment</header><text>There is established within the Office the National Mental Health Advisory Board (hereinafter
referred to in this title as the <quote>Board</quote>).</text>
</subsection><subsection id="H12052243F4294C64B1662BEC339B0CA5"><enum>(b)</enum><header>Members and terms</header>
<paragraph id="H4091BA4093FF4D55B6522F29411E1C4B"><enum>(1)</enum><header>In general</header><text>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—</text>
<subparagraph id="H7B5DB2DE17844FF2BFFF53871D09377D"><enum>(A)</enum><text>at least eight such members, or <fraction>1/3</fraction> of total membership, whichever is greater, shall be individuals with a diagnosis of serious mental
illness;</text>
</subparagraph><subparagraph id="HA8CD904F1A3644979CF6F260A035912F"><enum>(B)</enum><text>at least six such members, or <fraction>1/4</fraction> 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;</text>
</subparagraph><subparagraph id="H0DF3BB036C204D5B9ADA379D0E6C1D77"><enum>(C)</enum><text>at least one such member shall be a representative of a leading research organization for
individuals with serious mental illness;</text>
</subparagraph><subparagraph id="H173ED3E6BDEB4E668AC6CC6A0F0A0A6A"><enum>(D)</enum><text>at least one such member shall be a representative of a leading advocacy organization for
individuals with serious mental illness;</text>
</subparagraph><subparagraph id="HE2AF202282DC4C538A8F34160BFC7B26"><enum>(E)</enum><text>at least one such member shall be a representative of a leading community service organization for
individuals with serious mental illness;</text>
</subparagraph><subparagraph id="H4BC67913885B42518845C3EDC43E4018"><enum>(F)</enum><text>at least one member shall have served in a senior position in a State mental health system;</text>
</subparagraph><subparagraph id="H8901CD30F21244A194A32DFB242FBD41"><enum>(G)</enum><text>at least one member shall have served in a senior position in a local mental health system;</text>
</subparagraph><subparagraph id="H9233534CD5824A9E8542132FD7B4CB1C"><enum>(H)</enum><text>at least one member shall be a psychiatrist;</text>
</subparagraph><subparagraph id="HD737FB2AEDF14220B4F8980E92F3F12D"><enum>(I)</enum><text>at least one member shall be a clinical psychologist;</text>
</subparagraph><subparagraph id="H1D740A37AA044554B7C4FDD067CC6F7D"><enum>(J)</enum><text>at least one member shall be a law enforcement officer;</text>
</subparagraph><subparagraph id="HBAA68F365E524DE9B3917692B6610E5D"><enum>(K)</enum><text>at least one such member shall be a representative of a leading veterans service organization; and</text>
</subparagraph><subparagraph commented="no" id="H354C46C0C81C4C9DB78A5C3DB1FA8F0B"><enum>(L)</enum><text>at least one such member shall be a child or adolescent psychiatrist.</text>
</subparagraph></paragraph><paragraph id="H375BE43AAB5844B0A7949CA6153D6E31"><enum>(2)</enum><header>Selection process for the initial membership of the board</header><text>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.</text>
</paragraph><paragraph id="H5CECBE943FFA47C58F88DE1042F64178"><enum>(3)</enum><header>Selection process for membership of the board following the initial membership</header><text>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.</text>
</paragraph><paragraph id="HAE44A7718AD24A4799DCB9106227BF30"><enum>(4)</enum><header>Chairperson</header><text>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.</text>
</paragraph></subsection><subsection id="H0155E96D8C9E42B1BEFC3A43A4FFCB2B"><enum>(c)</enum><header>Meetings</header><text>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.</text>
</subsection><subsection id="H0F95A683318D4B9E8C3D963559369BEA"><enum>(d)</enum><header>Duties</header><text>The Board shall—</text>
<paragraph id="H803E51ACC0414B8D9C8D7A29C098E068"><enum>(1)</enum><text display-inline="yes-display-inline">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;</text>
</paragraph><paragraph id="H6C2D22F45C4742CB8889008E952FBD9A"><enum>(2)</enum><text>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;</text>
</paragraph><paragraph id="HA53734815C3949628D12AE7D946FB337"><enum>(3)</enum><text display-inline="yes-display-inline">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</text>
</paragraph><paragraph id="H9A4CC26C462E4035982E85D7F43C1313"><enum>(4)</enum><text>provide the Director evaluations of the staff support and training and technical assistance the
Board has received.</text>
</paragraph></subsection><subsection id="HC189FE7AB5F44A918D77785ECCB55C8F"><enum>(e)</enum><header>Procedures</header><text>The membership of the Board shall, in consultation with the Director, determine the procedures of
the Board.</text>
</subsection></section><enum>II</enum><header>Strengthening and Investing in SAMHSA Programs</header>
<section commented="no" id="H474C0FF890494F6CAF4795361CA45148"><enum>201.</enum><header>Community mental health services block grant reauthorization</header><text display-inline="no-display-inline">Section 1920(a) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300x-9">42 U.S.C. 300x–9(a)</external-xref>) is amended by striking <quote>$450,000,000 for fiscal year 2001, and such sums as may be necessary for each of the fiscal years
2002 and 2003</quote> and inserting <quote>$483,744,000 for fiscal year 2015 and such sums as may be necessary for each of fiscal years 2016
through 2019</quote>.</text>
</section><section id="H9BC7EF53BA1E4E779CFF9BF821E2CB9B"><enum>202.</enum><header>Reporting requirements for block grants regarding mental health and substance use disorders</header><text display-inline="no-display-inline">Section 1942 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300x-52">42 U.S.C. 300x–52</external-xref>) is amended to read as follows:</text>
<quoted-block id="H7BD8D01687F245A19A8D5F04EE02D1D6" style="OLC">
<section id="HD6FA68C17F5C4ADC8A36492FE65F49E5"><enum>1942.</enum><header>Requirement of reports and audits by States</header>
<subsection display-inline="no-display-inline" id="H1B004B318F0143C6A4AE7C8F467FF4FD"><enum>(a)</enum><header>Annual report</header><text>A funding agreement for a grant under section 1911 is that—</text>
<paragraph id="H2BC50C2E09CF461883E66223E669D103"><enum>(1)</enum><text>the State involved will prepare and submit to the Secretary an annual report on the activities
funded through the grant; and</text>
</paragraph><paragraph id="H41A8AADCB8EF4889B35C2D51B0B8C532"><enum>(2)</enum><text>each such report shall be prepared by, or in consultation with, the State agency responsible for
community mental health programs and activities.</text>
</paragraph></subsection><subsection id="HD5385E7E12A548319B784C3DEC6B0C40"><enum>(b)</enum><header>Standardized form; contents</header><text>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—</text>
<paragraph id="HCAC4E9C480B640C5816738D2D922324B"><enum>(1)</enum><text>to secure an accurate description of the activities funded through the grant under section 1911;</text>
</paragraph><paragraph id="H3AAA3F82269C4F10A9C33E76B04D4BCD"><enum>(2)</enum><text>to determine the extent to which funds were expended consistent with the State’s application
transmitted under section 1917(a); and</text>
</paragraph><paragraph id="H8D39473337B546BF855B366848A0A598"><enum>(3)</enum><text>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).</text>
</paragraph></subsection><subsection id="H1E2981D620424F9997176BD8CA375180"><enum>(c)</enum><header>Minimum contents</header><text>Each report under this section shall, at a minimum, include the following information:</text>
<paragraph id="HF9310CC224CC4B329BADE296A9E125F2"><enum>(1)</enum>
<subparagraph commented="no" display-inline="yes-display-inline" id="HAFE3B8F01DFA429B9B2C01FD4D4FBC74"><enum>(A)</enum><text>The number of individuals served by the State under subpart I (by class of individuals).</text>
</subparagraph><subparagraph id="H6E05842E379D47EFB72155E581371A19" indent="up1"><enum>(B)</enum><text display-inline="yes-display-inline">The proportion of each class of such individuals which has health coverage.</text>
</subparagraph><subparagraph id="HF0FE2630EFCB42C583ABF30CF296DEE3" indent="up1"><enum>(C)</enum><text display-inline="yes-display-inline">The types of services (as defined by the Secretary) provided under subpart I to individuals within
each such class.</text>
</subparagraph><subparagraph id="H7D210C7DE31343409C0BEA474314B8A0" indent="up1"><enum>(D)</enum><text display-inline="yes-display-inline">The amounts spent under subpart I on each type of service (by class of individuals served).</text>
</subparagraph></paragraph><paragraph id="HC29946D2F1E94D9FA379312DCC13A181"><enum>(2)</enum><text>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:</text>
<subparagraph id="HF4CFA0B1E4024C80A98D117CB3727EA9"><enum>(A)</enum><text display-inline="yes-display-inline">The proportion of adolescents with serious emotional disturbances.</text>
</subparagraph><subparagraph id="H165959386BDB4F36A85CE95B250F5595"><enum>(B)</enum><text>The proportion of adults with serious mental illness (including major depression).</text>
</subparagraph><subparagraph id="H3443D341E87242F4805C21F18F302E2E"><enum>(C)</enum><text>The proportion of individuals with co-occurring mental health and substance use disorders.</text>
</subparagraph><subparagraph id="H7AC80DE6D409484090E6A6124208E97B"><enum>(D)</enum><text>The proportion of children and adolescents with mental health disorders who seek and receive
treatment.</text>
</subparagraph><subparagraph id="H96F60C491A3E49E9A61773E2AF35F546"><enum>(E)</enum><text>The proportion of adults with mental health disorders who seek and receive treatment.</text>
</subparagraph><subparagraph id="HF7F1428942AE4A2994D295123739C8CF"><enum>(F)</enum><text>The proportion of individuals with co-occurring mental health and substance use disorders who seek
and receive treatment.</text>
</subparagraph><subparagraph id="H42B78CBCAF334299B789FBF5DC5D173F"><enum>(G)</enum><text>The proportion of homeless adults with mental health disorders who receive treatment.</text>
</subparagraph><subparagraph id="H63879062BE5E426FB6CF958B27430B17"><enum>(H)</enum><text>The number of primary care facilities that provide mental health screening and treatment services
onsite or by paid referral.</text>
</subparagraph><subparagraph id="HE0049A4E03D24CDA9365D9EE048CE1D4"><enum>(I)</enum><text>The number of primary care physician office visits that include mental health screening services.</text>
</subparagraph><subparagraph id="HD10BB255B92A4FD7A12D3542586DF73C"><enum>(J)</enum><text>The number of juvenile residential facilities that screen admissions for mental health disorders.</text>
</subparagraph><subparagraph id="HF811537AB0EE49BA96D8F23987182C7C"><enum>(K)</enum><text>The number of deaths attributable to suicide.</text>
</subparagraph></paragraph><paragraph id="HCF0990AC697C4B39AB6E14541F0E51AD"><enum>(3)</enum><text>Information on the number and type of health care practitioners licensed in the State and providing
mental health-related services.</text>
</paragraph></subsection><subsection id="HED7692C089F140938316C46792B5B4BD"><enum>(d)</enum><header>Availability of reports</header><text display-inline="yes-display-inline">The Secretary shall, upon request, provide a copy of any report under this section to any
interested public agency.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="HC529789A310B480D802892E5E885C283"><enum>203.</enum><header>Garrett Lee Smith Memorial Act reauthorization</header>
<subsection id="H96A9EB031B724050BE7ED019BE708F49"><enum>(a)</enum><header>Suicide prevention technical assistance center</header><text>Section 520C of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb-34">42 U.S.C. 290bb–34</external-xref>) is amended—</text>
<paragraph id="H885E52A05304487887C48E65C7A1A14D"><enum>(1)</enum><text>in the section heading, by striking the section heading and inserting <quote><header-in-text level="section" style="OLC">Suicide prevention technical assistance center.</header-in-text></quote>;</text>
</paragraph><paragraph id="H436DFD07EBAA49BD8E801837B4815C90"><enum>(2)</enum><text>in subsection (a), by striking <quote>and in consultation with</quote> and all that follows through the period at the end of paragraph (2) and inserting <quote>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.</quote>;</text>
</paragraph><paragraph id="HD49EE98657194176850D3FB771D76825"><enum>(3)</enum><text>by striking subsections (b) and (c);</text>
</paragraph><paragraph id="H53008B39272640B1A440F03DD0D50538"><enum>(4)</enum><text>by redesignating subsection (d) as subsection (b);</text>
</paragraph><paragraph id="HBEB88C51F2214E1F8813D4ACF7790522"><enum>(5)</enum><text>in subsection (b), as so redesignated—</text>
<subparagraph id="H326028EE17C747B5BB3BC5108DE79459"><enum>(A)</enum><text>by striking the subsection heading and inserting <quote><header-in-text level="subsection" style="OLC">Responsibilities of the center.</header-in-text></quote>;</text>
</subparagraph><subparagraph id="H2DD3726955E94496A6B7922EE9AF7A59"><enum>(B)</enum><text>in the matter preceding paragraph (1), by striking <quote>The additional research</quote> and all that follows through <quote>nonprofit organizations for</quote> and inserting <quote>The center established under subsection (a) shall conduct activities for the purpose of</quote>;</text>
</subparagraph><subparagraph id="H5CE5242416A64D928B2FC6F8CF695888"><enum>(C)</enum><text>by striking <quote>youth suicide</quote> each place such term appears and inserting <quote>suicide</quote>;</text>
</subparagraph><subparagraph id="H877B97646F474D8FB60D0B7D099D3D1C"><enum>(D)</enum><text>in paragraph (1)—</text>
<clause id="HB110AEA8BB5A4FF0BD96E46AE140BB76"><enum>(i)</enum><text>by striking <quote>the development or continuation of</quote> and inserting <quote>developing and continuing</quote>; and</text>
</clause><clause id="HE9CB23C4F7C24F428F95491ED537E038"><enum>(ii)</enum><text>by inserting <quote>for all ages, particularly among groups that are at high risk for suicide</quote> before the semicolon at the end;</text>
</clause></subparagraph><subparagraph id="H9FFD23E3CC314C2A9FDDABB5A48CC90A"><enum>(E)</enum><text>in paragraph (2), by inserting <quote>for all ages, particularly among groups that are at high risk for suicide</quote> before the semicolon at the end;</text>
</subparagraph><subparagraph id="H545E4A5B70A34FA594CEB4C501A0E5B0"><enum>(F)</enum><text>in paragraph (3), by inserting <quote>and tribal</quote> after <quote>statewide</quote>;</text>
</subparagraph><subparagraph id="HA5C0ED48C0644437A8EFFC9429DE2170"><enum>(G)</enum><text>in paragraph (5), by inserting <quote>and prevention</quote> after <quote>intervention</quote>;</text>
</subparagraph><subparagraph id="H1DBDB6BE8AFD4814A30DB530A2BD3143"><enum>(H)</enum><text>in paragraph (8), by striking <quote>in youth</quote>;</text>
</subparagraph><subparagraph id="HCFD7272A53A24FA2A0D45B8D8811C69D"><enum>(I)</enum><text>in paragraph (9), by striking <quote>and behavioral health</quote> and inserting <quote>health and substance use disorder</quote>; and</text>
</subparagraph><subparagraph id="H9B02AE9387BA470397B10F8971C3C6D4"><enum>(J)</enum><text>in paragraph (10), by inserting <quote>conducting</quote> before <quote>other</quote>; and</text>
</subparagraph></paragraph><paragraph id="H11C8F14BBAFB49938E404711579EC19F"><enum>(6)</enum><text>by striking subsection (e) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="H5D304AE4B8B44021BF887BE50282A276" style="OLC">
<subsection id="H2B16DE386C1D4DBDA9FC52E1D5B54580"><enum>(c)</enum><header>Authorization of appropriations</header><text>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.</text>
</subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection id="HA86798E29F824365B4F9D069431439C0"><enum>(b)</enum><header>Youth suicide early intervention and prevention strategies</header><text>Section 520E of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb-36">42 U.S.C. 290bb–36</external-xref>) is amended—</text>
<paragraph id="H4B18AFB0BF4F40338B14BBB9D07D8EF8"><enum>(1)</enum><text>in paragraph (1) of subsection (a) and in subsection (c), by striking <quote>substance abuse</quote> each place such term appears and inserting <quote>substance use disorder</quote>;</text>
</paragraph><paragraph id="HEE38FF42F9B943128A0B801F6ABCD6B1"><enum>(2)</enum><text>in subsection (b)(2)—</text>
<subparagraph id="HE216FCBF33BC4C5486947C103C053090"><enum>(A)</enum><text>by striking <quote>each State is awarded only 1 grant or cooperative agreement under this section</quote> and inserting <quote>a State does not receive more than 1 grant or cooperative agreement under this section at any 1
time</quote>; and</text>
</subparagraph><subparagraph id="H099170082E0742E19A2DB5540C92D141"><enum>(B)</enum><text>by striking <quote>been awarded</quote> and inserting <quote>received</quote>; and</text>
</subparagraph></paragraph><paragraph id="HA71D75F8F2954828B52122DD9BB6E139"><enum>(3)</enum><text>by striking subsection (m) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="H0DCA4A271F9046F99A73DEB78ACEAA48" style="OLC">
<subsection id="HE49CE3B98F7540D0998C2F6AE2E79CCC"><enum>(m)</enum><header>Authorization of appropriations</header><text>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.</text>
</subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection id="HE6E43EB42DAD4A3094B9BBB00899CAD8"><enum>(c)</enum><header>Mental health and substance use disorder services</header><text>Section 520E–2 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb-36b">42 U.S.C. 290bb–36b</external-xref>) is amended—</text>
<paragraph id="HCCF645FD4D594689807A675C540631B6"><enum>(1)</enum><text>in the section heading, by striking <quote><header-in-text level="section" style="OLC">and behavioral health</header-in-text></quote> and inserting <quote><header-in-text level="section" style="OLC">health and substance use disorder services</header-in-text></quote>;</text>
</paragraph><paragraph id="H82F77B26591B4114827E0EE667CF2E50"><enum>(2)</enum><text>in subsection (a)—</text>
<subparagraph id="HB4F2C525AAF24A27B0415801DBA75B85"><enum>(A)</enum><text>by striking <quote>Services,</quote> and inserting <quote>Services and</quote>;</text>
</subparagraph><subparagraph id="HF3C8204FB79145CDB81604290356610D"><enum>(B)</enum><text>by striking <quote>and behavioral health problems</quote> and inserting <quote>health or substance use disorders</quote>; and</text>
</subparagraph><subparagraph id="H07D88BB9430645B58EA6363969C76590"><enum>(C)</enum><text>by striking <quote>substance abuse</quote> and inserting <quote>substance use disorders</quote>;</text>
</subparagraph></paragraph><paragraph id="HA6772B8951F94FE5B774A936848C2F4F"><enum>(3)</enum><text>in subsection (b)—</text>
<subparagraph id="H781629BCF5844F25B89E630ACC47D68E"><enum>(A)</enum><text>in the matter preceding paragraph (1), by striking <quote>for—</quote> and inserting <quote>for one or more of the following:</quote>; and</text>
</subparagraph><subparagraph id="H239F7BDDF80E4D31BA95660273189144"><enum>(B)</enum><text>by striking paragraphs (1) through (6) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="HB05F19F77EA24315826B6FB7AE3FADAC" style="OLC">
<paragraph id="H836A3D5896DE4979858BFF7742267645"><enum>(1)</enum><text>Educating students, families, faculty, and staff to increase awareness of mental health and
substance use disorders.</text>
</paragraph><paragraph id="HBDB3A7338FDC4FE3B39B166555AE18A7"><enum>(2)</enum><text>The operation of hotlines.</text>
</paragraph><paragraph id="H7C1864BF91584B1AB55723D4E785E217"><enum>(3)</enum><text>Preparing informational material.</text>
</paragraph><paragraph id="HAC0A079BF39E4D549ED6331842DD7F17"><enum>(4)</enum><text>Providing outreach services to notify students about available mental health and substance use
disorder services.</text>
</paragraph><paragraph id="H0DC86237461E43D69AF48B4374F1A59D"><enum>(5)</enum><text>Administering voluntary mental health and substance use disorder screenings and assessments.</text>
</paragraph><paragraph id="HB429640D6F50489A8861DD9193F687ED"><enum>(6)</enum><text>Supporting the training of students, faculty, and staff to respond effectively to students with
mental health and substance use disorders.</text>
</paragraph><paragraph id="H092C81B01D254DF181110FD994AD25E7"><enum>(7)</enum><text>Creating a network infrastructure to link colleges and universities with health care providers who
treat mental health and substance use disorders.</text>
</paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="HA3B64FB2BF894481BF3D7B559BBE4DAE"><enum>(4)</enum><text>in subsection (c)(5), by striking <quote>substance abuse</quote> and inserting <quote>substance use disorder</quote>;</text>
</paragraph><paragraph id="HE688A8A65F5C4AC5ADB71DCAA1EB5756"><enum>(5)</enum><text>in subsection (d)—</text>
<subparagraph id="H8D5D5B13CC6246D3BC563A591750B1A0"><enum>(A)</enum><text>in the matter preceding paragraph (1), by striking <quote>An institution of higher education desiring a grant under this section</quote> and inserting <quote>To be eligible to receive a grant under this section, an institution of higher education</quote>;</text>
</subparagraph><subparagraph id="HADAC58D5B6124F7F92624DA0839A52E5"><enum>(B)</enum><text>in paragraph (1)—</text>
<clause id="HA3CA01C9C2F344CD92E4E7674C31AF4A"><enum>(i)</enum><text>by striking <quote>and behavioral health</quote> and inserting <quote>health and substance use disorder</quote>; and</text>
</clause><clause id="H9AA1A0366589463E9E962E5EC36CD1E5"><enum>(ii)</enum><text>by inserting <quote>, including veterans whenever possible and appropriate,</quote> after <quote>students</quote>; and</text>
</clause></subparagraph><subparagraph id="HDA9BA84B00A34410B1176D08665BF781"><enum>(C)</enum><text>in paragraph (2), by inserting <quote>, 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</quote> before the period at the end;</text>
</subparagraph></paragraph><paragraph id="H10469CB636F64F1D9B659403B3DEA087"><enum>(6)</enum><text>in subsection (e)(1), by striking <quote>and behavioral health problems</quote> and inserting <quote>health and substance use disorders</quote>;</text>
</paragraph><paragraph id="HE3FA2964C04A43A08FE5CB4FD711AC2C"><enum>(7)</enum><text>in subsection (f)(2)—</text>
<subparagraph id="HEB25D6EC8F064FB191D1B4C658B40019"><enum>(A)</enum><text>by striking <quote>and behavioral health</quote> and inserting <quote>health and substance use disorder</quote>; and</text>
</subparagraph><subparagraph id="H541BE49A0C764356938BA4ADABCA3774"><enum>(B)</enum><text>by striking <quote>suicide and substance abuse</quote> and inserting <quote>suicide and substance use disorders</quote>; and</text>
</subparagraph></paragraph><paragraph id="H1E83CEA10FEA4F98931E2E749F756AE0"><enum>(8)</enum><text>in subsection (h), by striking <quote>$5,000,000 for fiscal year 2005</quote> and all that follows through the period at the end and inserting <quote>$4,858,000 for each of fiscal years 2015 through 2019.</quote>.</text>
</paragraph></subsection></section><section commented="no" id="H1C99C9B6FFC4424AB8E92CAB913D491F"><enum>204.</enum><header>Priority mental health needs of regional and national significance reauthorization</header>
<text display-inline="no-display-inline">Section 520A(f)(1) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb-32">42 U.S.C. 290bb–32(f)(1)</external-xref>) is amended by
striking <quote>$300,000,000 for fiscal year 2001, and such sums as may be necessary for each of the fiscal years
2002 and 2003</quote> and inserting <quote>$216,632,000 for fiscal year 2015 and such sums as may be necessary for each of fiscal years 2016
through 2019</quote>.</text>
</section><section commented="no" id="H33D25967660F450FB4A4AFC793FE937F"><enum>205.</enum><header>Grants for jail diversion programs reauthorization</header><text display-inline="no-display-inline">Section 520G(i) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb-38">42 U.S.C. 290bb–38(i)</external-xref>) is amended by striking <quote>$10,000,000 for fiscal year 2001, and such sums as may be necessary for fiscal years 2002 through
2003</quote> and inserting <quote>$4,280,000 for fiscal year 2015 and such sums as may be necessary for each of fiscal years 2016
through 2019</quote>.</text>
</section><section id="H7215FCD4CBBF46D6A495D3FF12E70832"><enum>206.</enum><header>Projects for assistance in transition from homelessness</header><text display-inline="no-display-inline">Section 535(a) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/29cc">42 U.S.C. 29cc–35(a)</external-xref>) is amended by striking <quote>$75,000,000 for each of the fiscal years 2001 through 2003</quote> and inserting <quote>$64,800,000 for fiscal year 2015 and such sums as may be necessary for each of fiscal years 2016
through 2019</quote>.</text>
</section><section commented="no" id="HB93BD145898D4CD0AF18C1B5CC3F8F6D"><enum>207.</enum><header>Comprehensive community mental health services for children with serious emotional disturbances</header><text display-inline="no-display-inline">Section 565 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290ff-4">42 U.S.C. 290ff–4</external-xref>) is amended—</text>
<paragraph id="H8F97C51F8E094E62ABF1D3056645F0AD"><enum>(1)</enum><text>in subsection (b)(1), by striking <quote>receiving a grant under section 561(a)</quote> and inserting <quote>(irrespective of whether the public entity is in receipt of a grant under section 561(a))</quote>;</text>
</paragraph><paragraph id="HAE00B66EECFB4D6F9B0ADC01AFE51C34"><enum>(2)</enum><text>in subsection (b)(1)(B), by striking <quote>planning, development, and operation of systems of care pursuant to section 562</quote> and inserting <quote>planning, development, and operation of systems of care described in section 562</quote>; and</text>
</paragraph><paragraph id="H60343B0DECB94D579E80E8BFB496CBC5"><enum>(3)</enum><text>in subsection (f)(1), by striking <quote>$100,000,000 for fiscal year 2001, and such sums as may be necessary for each of the fiscal years
2002 and 2003</quote> and inserting <quote>$117,315,000 for fiscal year 2015 and such sums as may be necessary for each of fiscal years 2016
through 2019</quote>.</text>
</paragraph></section><section commented="no" id="H31F39BC8F6C347B18F9B95DB351E0B34"><enum>208.</enum><header>Children's recovery from trauma</header><text display-inline="no-display-inline">Section 582 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290hh-1">42 U.S.C. 290hh–1</external-xref>) is amended—</text>
<paragraph commented="no" id="HD3D7277416F549148F4AC31BD165F3C7"><enum>(1)</enum><text>in subsection (a), by striking <quote>developing programs</quote> and all that follows and inserting “developing and maintaining programs that provide for—</text>
<quoted-block display-inline="no-display-inline" id="HE6F5520E7943489CA223EC0C4A305C69" style="OLC">
<paragraph id="HA68AE13357054F94A877A96C4F90CD20"><enum>(1)</enum><text>the continued operation of the National Child Traumatic Stress Initiative (referred to in this
section as the <quote>NCTSI</quote>), which includes a coordinating center, that focuses on the mental, behavioral, and biological
aspects of psychological trauma response; and</text>
</paragraph><paragraph id="HA155345FF8934B7AAEA411C1538C9CB7"><enum>(2)</enum><text>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.</text>
</paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph commented="no" id="HE669C91765204C44B756667BB308E528"><enum>(2)</enum><text>in subsection (b)—</text>
<subparagraph commented="no" id="H5457087F03AD4B7CAD377442C974FD1D"><enum>(A)</enum><text>by striking <quote>subsection (a) related</quote> and inserting <quote>subsection (a)(2) (related</quote>;</text>
</subparagraph><subparagraph commented="no" id="HA22B12E7D0E64BD7B0334BCC56BBDF16"><enum>(B)</enum><text>by striking <quote>treating disorders associated with psychological trauma</quote> and inserting <quote>treating mental, behavioral, and biological disorders associated with psychological trauma)</quote>; and</text>
</subparagraph><subparagraph commented="no" id="HFCA32BD85FFB4364965D08BB8A840E4E"><enum>(C)</enum><text>by striking <quote>mental health agencies and programs that have established clinical and basic research</quote> and inserting <quote>universities, hospitals, mental health agencies, and other programs that have established clinical
expertise and research</quote>;</text>
</subparagraph></paragraph><paragraph commented="no" id="H1029596E1F944FD6ACAEF7C1E9BF63B5"><enum>(3)</enum><text>by redesignating subsections (c) through (g) as subsections (g) through (k), respectively;</text>
</paragraph><paragraph commented="no" id="HFB967E0D4E9C4E26AB64F6210BFF94B5"><enum>(4)</enum><text>by inserting after subsection (b), the following:</text>
<quoted-block display-inline="no-display-inline" id="H0938EAF7985842F8BC5AA4934D6F6D37" style="OLC">
<subsection id="H4E5E0FF4A45945A785253BA1C7B7CCEC"><enum>(c)</enum><header>Child outcome data</header><text>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.</text>
</subsection><subsection id="HEA75A3F73428412B9311FB3C15DBE602"><enum>(d)</enum><header>Training</header><text>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.</text>
</subsection><subsection id="HDF39CDCBE1FA4918AF50782689A9F584"><enum>(e)</enum><header>Dissemination</header><text>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.</text>
</subsection><subsection id="HBA3344D9EDC446138B3DBFC77E774625"><enum>(f)</enum><header>Review</header><text>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.</text>
</subsection><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph commented="no" id="H1822EC3A455F479C86E25AA248118458"><enum>(5)</enum><text>in subsection (g) (as so redesignated), by striking <quote>with respect to centers of excellence are distributed equitably among the regions of the country</quote> and inserting <quote>are distributed equitably among the regions of the United States</quote>;</text>
</paragraph><paragraph commented="no" id="H95246AB378BB433A96DBE6DDDF906901"><enum>(6)</enum><text>in subsection (i) (as so redesignated), by striking <quote>recipient may not exceed 5 years</quote> and inserting <quote>recipient shall not be less than 4 years, but shall not exceed 5 years</quote>; and</text>
</paragraph><paragraph commented="no" id="HBF59853F93B14FCB89BD515B2108A805"><enum>(7)</enum><text>in subsection (j) (as so redesignated), by striking <quote>$50,000,000</quote> and all that follows through <quote>2006</quote> and inserting <quote>$45,714,000 for each of fiscal years 2015 through 2019</quote>.</text>
</paragraph></section><section commented="no" id="H5B4D25AEDC0D4611B66E6F1C1F9EB10B"><enum>209.</enum><header>Protection and advocacy for individuals with mental illness reauthorization</header><text display-inline="no-display-inline">Section 117 of the Protection and Advocacy for Individuals with Mental Illness Act (42 U.S.C.
10827) is amended by striking <quote>$19,500,000 for fiscal year 1992, and such sums as may be necessary for each of the fiscal years
1993 through 2003</quote> and inserting <quote>$36,238,000 for fiscal year 2015 and such sums as may be necessary for each of fiscal years 2016
through 2019</quote>.</text>
</section><section commented="no" id="HFADAD50292824FE2A8D7F67574BAFEEB"><enum>210.</enum><header>Mental health awareness training grants</header><text display-inline="no-display-inline">Section 520J of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb-41">42 U.S.C. 290bb–41</external-xref>) is amended—</text>
<paragraph commented="no" id="HDC52A1CFFB23453998F01AE8220A8CD7"><enum>(1)</enum><text>in the section heading, by inserting <quote><header-in-text level="section" style="OLC">Mental health awareness</header-in-text></quote> before <quote><header-in-text level="section" style="OLC">Training</header-in-text></quote>; and</text>
</paragraph><paragraph commented="no" id="H82433CD8F89947E2815619CE06CDC87D"><enum>(2)</enum><text>in subsection (b)—</text>
<subparagraph commented="no" id="HED58FFAE538648D29FFABE3B321F94AE"><enum>(A)</enum><text>in the subsection heading, by striking <quote><header-in-text level="subsection" style="OLC">illness</header-in-text></quote> and inserting <quote><header-in-text level="subsection" style="OLC">health</header-in-text></quote>;</text>
</subparagraph><subparagraph commented="no" id="H2DC2C48D996B4BE8AEF89E10AEC9A4B4"><enum>(B)</enum><text>in paragraph (1), by inserting <quote>, and other categories of individuals listed in paragraph (2),</quote> after <quote>emergency services personnel</quote>; and</text>
</subparagraph><subparagraph id="H805C9D6BEA3745D0ADF71802CDF97AE6"><enum>(C)</enum><text>by striking paragraph (2) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="HCE8790598DB74553A4823CB9073CCDA3" style="OLC">
<paragraph commented="no" id="H9D78178537CA49619833134DE80B9FFB"><enum>(2)</enum><header>Categories of individuals to be trained</header><text>The categories of individuals listed in this paragraph are the following:</text>
<subparagraph commented="no" id="H259E93B3DC0C46BE893BACB431B2E3D1"><enum>(A)</enum><text>Emergency services personnel and other first responders.</text>
</subparagraph><subparagraph commented="no" id="HC3D7514AE0CD45319825EA8C20A7A2B4"><enum>(B)</enum><text>Police officers and other law enforcement personnel.</text>
</subparagraph><subparagraph commented="no" id="HD72A76AEC38C4F92BD482E11928D4234"><enum>(C)</enum><text>Teachers and school administrators.</text>
</subparagraph><subparagraph commented="no" id="HEA5A7E3C359B428FA5B9442AE708C1D4"><enum>(D)</enum><text>Human resources professionals.</text>
</subparagraph><subparagraph commented="no" id="H296F2EC811E74E6F9B1B36BE37FB41BC"><enum>(E)</enum><text>Faith community leaders.</text>
</subparagraph><subparagraph commented="no" id="H504276D2B7634E5EA49243CCE3053B2D"><enum>(F)</enum><text>Nurses and other primary care personnel.</text>
</subparagraph><subparagraph commented="no" id="H048C598D548442139D65B446516580AC"><enum>(G)</enum><text>Students enrolled in an elementary school, a secondary school, or an institution of higher
education.</text>
</subparagraph><subparagraph commented="no" id="H2CDCE836737A4EC7A627E8D2AA212B6A"><enum>(H)</enum><text>The parents of students described in subparagraph (G).</text>
</subparagraph><subparagraph commented="no" id="HF57EBFA51FE44CA0997F2A4447BD8651"><enum>(I)</enum><text>Veterans.</text>
</subparagraph><subparagraph commented="no" id="H97D9C20C8EA74133BBF7AD57060F13C4"><enum>(J)</enum><text>Other individuals, audiences, or training populations as determined appropriate by the Secretary.</text></subparagraph></paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph><subparagraph commented="no" id="HD649BE43CFCE4551A1B3DE0828FD743D"><enum>(D)</enum><text>in paragraph (5)—</text>
<clause commented="no" id="HFCA250D01DC947FFAA457AB2654D9A86"><enum>(i)</enum><text>in the matter preceding subparagraph (A), by striking <quote>to</quote> and inserting <quote>for evidence-based programs for the purpose of</quote>; and</text>
</clause><clause commented="no" id="H138A5E02BC71441D93CF87E8B90DC4E1"><enum>(ii)</enum><text>by striking subparagraphs (A) through (C) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="H11A0A3F6764A4E77A29F10F4E3E739F4" style="OLC">
<subparagraph commented="no" id="HEA0094F5406543699FEFEF36700D510F"><enum>(A)</enum><text>recognizing the signs and symptoms of mental illness; and</text>
</subparagraph><subparagraph commented="no" id="H4D3262D50C234CFD8E4DC58F29477DFC"><enum>(B)</enum>
<clause commented="no" display-inline="yes-display-inline" id="HF8341105B94C40719CE4D2353B55E6E7"><enum>(i)</enum><text>providing education to personnel regarding resources available in the community for individuals
with a mental illness and other relevant resources; or</text>
</clause><clause commented="no" display-inline="no-display-inline" id="HF490A5760483427EA38AC4BF7F16A323" indent="up1"><enum>(ii)</enum><text>the safe de-escalation of crisis situations involving individuals with a mental illness.</text>
</clause></subparagraph><after-quoted-block>; and</after-quoted-block></quoted-block>
</clause></subparagraph><subparagraph commented="no" id="H620D9382440F43D49A0BD759EBE3C8E3"><enum>(E)</enum><text>in paragraph (7), by striking <quote>, $25,000,000</quote> and all that follows through the period at the end and inserting <quote>$20,000,000 for each of fiscal years 2014 through 2018</quote>.</text>
</subparagraph></paragraph></section><section commented="no" id="HABF0F73AA18A4DA3A65E5228FA182F1E"><enum>211.</enum><header>National media campaign to reduce the stigma associated with mental illness</header><text display-inline="no-display-inline">Subpart 3 of part B of title V of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb-31">42 U.S.C. 290bb–31 et seq.</external-xref>) is
amended by adding at the end the following new section:</text>
<quoted-block id="H6F3833110E624CCAA5ECE96D57F76019" style="OLC">
<section commented="no" id="HC359CFEF5CFD42D78D50D85F6E1BE847"><enum>520L.</enum><header>National media campaign to reduce the stigma associated with mental illness</header>
<subsection commented="no" id="HA9A23566A283423EA2455605BB0105F3"><enum>(a)</enum><header>Scope of the campaign</header><text>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.</text>
</subsection><subsection commented="no" id="HFA7F458B6799440DB0798C56E9BFE059"><enum>(b)</enum><header>Report</header><text>The Secretary shall provide a report to the Congress annually detailing—</text>
<paragraph commented="no" id="HEF1B8360287A42C2AA5B10D2A3372072"><enum>(1)</enum><text>the production, broadcasting, and evaluation of the campaign under subsection (a); and</text>
</paragraph><paragraph commented="no" id="HCF1DFFE5FAAB4B18B6AB5EDEB022DF04"><enum>(2)</enum><text>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.</text>
</paragraph></subsection><subsection commented="no" id="H879018CB9D5E408AA05F6EF19B114641"><enum>(c)</enum><header>Consultation requirement</header><text>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).</text>
</subsection><subsection commented="no" id="H6459712695154BDE958706D758CCF631"><enum>(d)</enum><header>Authorization of appropriations</header><text>There are authorized to be appropriated to carry out this section, $10,000,000 for each of the
fiscal years 2015 through 2019.</text></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="HD671E5E8278149BC998E5E9AC63794FE"><enum>212.</enum><header>SAMHSA and HRSA integration of behavioral health services into primary care settings</header><text display-inline="no-display-inline">Title V of the Public Health Service Act is amended by inserting after section 520K (42 U.S.C.
290bb–42) the following:</text>
<quoted-block display-inline="no-display-inline" id="H8A7CB74E085B4B4D8B54906BECA04D8A" style="OLC">
<section id="H4D56AA7B17A1420F8466A61012B3A943"><enum>520K–1.</enum><header>Awards for co-locating behavioral health services in primary care settings</header>
<subsection id="H2531F1221D884B9194FA640CD16DA416"><enum>(a)</enum><header>Program authorized</header><text display-inline="yes-display-inline">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.</text>
</subsection><subsection id="HAF0C4D73B80642D6A1DF88E6741A8BFA"><enum>(b)</enum><header>Eligible entities</header><text>To be eligible to seek a grant, contract, or cooperative agreement this section, an entity shall be
a public or nonprofit entity.</text>
</subsection><subsection id="H62C8702D7D344192A9144BB641838183"><enum>(c)</enum><header>Use of funds</header><text>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—</text>
<paragraph id="H9B4DB653CCB44D99B5599594019E7999"><enum>(1)</enum><text>the co-location of behavioral health services in primary care settings;</text>
</paragraph><paragraph id="H0C9B5099315B4C3FA3F3587597C83D9B"><enum>(2)</enum><text>the use of care management services to facilitate coordination between behavioral health and
primary care providers;</text>
</paragraph><paragraph id="H651162BDAAE84C9EAC395D89FF310B02"><enum>(3)</enum><text>the use of information technology (such as telemedicine)—</text>
<subparagraph id="H2F05F9BBCFC345899DD7BE86A7193646"><enum>(A)</enum><text>to facilitate coordination between behavioral health and primary care providers; or</text>
</subparagraph><subparagraph id="H9528066FB890476BAC22319489FE0390"><enum>(B)</enum><text>to expand the availability of behavioral health services; or</text>
</subparagraph></paragraph><paragraph id="HEFBD415060C448ECAB68BFCFF7DCEA5D"><enum>(4)</enum><text>the provision of training and technical assistance to improve the delivery, effectiveness, and
integration of behavioral health services into primary care settings.</text>
</paragraph></subsection><subsection id="H0FDB4C44D9154919839C6F594FC82AC0"><enum>(d)</enum><header>Authorization of appropriations</header><text display-inline="yes-display-inline">To carry out this section—</text>
<paragraph id="H898353DA2D72445B88A8A1C35E8A84BF"><enum>(1)</enum><text>there are authorized to be appropriated such sums as may be necessary for fiscal years 2015 through
2019; and</text>
</paragraph><paragraph id="HB6D833FB92D745A6BB675A565506A7FB"><enum>(2)</enum><text>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.</text>
</paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section commented="no" id="H27C68B435C3E438D909063378332DAF6"><enum>213.</enum><header>Geriatric mental health disorders</header>
<text display-inline="no-display-inline">Section 520A(e) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb-32">42 U.S.C. 290bb–32(e)</external-xref>) is amended by adding at
the end the following:</text>
<quoted-block id="H1EEFAC586CAE4A12B28A50C2149E303D" style="OLC">
<paragraph commented="no" id="H6A405EF3BE0A4D34B8B1E2CCD0E53702"><enum>(3)</enum><header>Geriatric mental health disorders</header><text>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.</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="H71E4371AE5B14FD5BD411DC8628A7730"><enum>214.</enum><header>Assessing barriers to behavioral health integration</header>
<subsection id="H2F1C6A115EBC4F4A8C9C0D2C09A8D5C2"><enum>(a)</enum><header>In general</header><text>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.</text>
</subsection><subsection id="H1ED0CB28AFAC41179E80C367574462F5"><enum>(b)</enum><header>Contents</header><text>The report submitted under subsection (a) shall include the following:</text>
<paragraph id="HA7BC0D9138BC424FBA3412BC9CAB084C"><enum>(1)</enum><text>An evaluation of the administrative or regulatory burden on behavioral health care providers.</text>
</paragraph><paragraph id="H6348483478E7429D8E480BF10A48D1AF"><enum>(2)</enum><text>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.</text>
</paragraph><paragraph id="H08CDC4EA55B64285BE618015BF1A9911"><enum>(3)</enum><text>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.</text>
</paragraph><paragraph id="HEDCFCB4067654BFFB6FBE6B69EF5A8E5"><enum>(4)</enum><text>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.</text>
</paragraph></subsection></section><section commented="no" id="H525B2CC4D54740DF86DA06A55487A24C"><enum>215.</enum><header>Acute care bed registry grant for States</header>
<subsection commented="no" id="H5213413D345C4CAEB3693F2C64EDC71B"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">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.</text>
</subsection><subsection commented="no" id="H4787D07D3FEC45A4BACC020E03919B3C"><enum>(b)</enum><header>Registry requirements</header><text>An acute psychiatric bed registry funded under this section shall—</text>
<paragraph commented="no" id="HF2106FB988354CD690122333A69E1108"><enum>(1)</enum><text>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;</text>
</paragraph><paragraph commented="no" id="H0D42D2AA9569480984F3C22181F602CE"><enum>(2)</enum><text>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</text>
</paragraph><paragraph commented="no" id="H20F2A4A228114687A10112C44D87ABA8"><enum>(3)</enum><text>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.</text>
</paragraph></subsection><subsection id="H321E013400A640A28509833672E32DBC"><enum>(c)</enum><header>Authorization of appropriations</header><text>To carry out this section, there are authorized to be appropriated such sums as may be necessary
for fiscal years 2015 through 2019.</text>
</subsection></section><section commented="no" id="HB9A10E50AC1B491696EC70E56A2D2F97"><enum>216.</enum><header>Awards for co-locating primary and specialty care in community-based mental health settings</header><text display-inline="no-display-inline">Section 520K(f) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb-42">42 U.S.C. 290bb–42(f)</external-xref>) is amended by striking <quote>$50,000,000 for fiscal year 2010 and such sums as may be necessary for each of fiscal years 2011
through 2014</quote> and inserting <quote>$50,000,000 for fiscal year 2015 and such sums as may be necessary for each of fiscal years 2016
through 2019</quote>.</text>
</section><section commented="no" id="H45FA08F7E5E4448E9AB94EB386E76104"><enum>217.</enum><header>Grants for the benefit of homeless individuals</header><text display-inline="no-display-inline">Section 506(e) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290aa-5">42 U.S.C. 290aa–5(e)</external-xref>) is amended by striking <quote>$50,000,000 for fiscal year 2001, and such sums as may be necessary for each of the fiscal years
2002 and 2003</quote> and inserting <quote>$____for fiscal year 2015 and such sums as may be necessary for each of fiscal years 2016 through
2019</quote>.</text>
</section><enum>III</enum><header>Improving Medicaid and Medicare Mental Health Services</header>
<section id="H9D555052974C4A20AD60E5A0ABD7B8F9"><enum>301.</enum><header>Access to mental health prescription drugs under Medicare</header>
<text display-inline="no-display-inline">Section 1860D–4(b)(3)(G)(ii)(I) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395w-104">42 U.S.C. 1395w–104(b)(3)(G)(ii)(I)</external-xref>) is
amended by adding at the end the following: <quote>Notwithstanding the previous sentence, categories and classes of drugs specified in subclauses (II)
and (IV) of clause (iv) shall be identified under this subclause.</quote>.</text>
</section><section id="HDD7FA17144724761B90AF84DD225F1FC"><enum>302.</enum><header>Medicaid coverage of mental health services and primary care services furnished on the same day</header>
<subsection id="H78E04177649147D38EA766556710450C"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">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
(<external-xref legal-doc="usc" parsable-cite="usc/42/300x-2">42 U.S.C. 300x–2(c)</external-xref>) 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.</text>
</subsection><subsection id="H15B6C9DCC9C646F3B18315CF86B44952"><enum>(b)</enum><header>Same-Day qualifying service defined</header><text>In this section, the term <term>same-day qualifying service</term> means—</text>
<paragraph id="HC9FD24FE9A3A4CB386728EB245F47208"><enum>(1)</enum><text display-inline="yes-display-inline">a primary care service furnished to an individual by a provider at a facility on the same day a
mental health service is furnished to such individual by such provider (or
another provider) at the facility; and</text>
</paragraph><paragraph id="HCC0F029C7E1648F1B6DD47F790F81533"><enum>(2)</enum><text>a mental health service furnished to an individual by a provider at a facility on the same day a
primary care service is furnished to such individual by such provider (or
another provider) at the facility.</text>
</paragraph></subsection></section><section id="H17C02B1C591B4B7BB51B20D295BDE942"><enum>303.</enum><header>Elimination of 190-day lifetime limit on inpatient psychiatric hospital services</header>
<subsection id="HC6868C18DB7948B39C3EF575106AAA7D"><enum>(a)</enum><header>In general</header><text>Section 1812 of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395d">42 U.S.C. 1395d</external-xref>) is amended—</text>
<paragraph id="HF5DDE395344A41238FA54D89D44642C2"><enum>(1)</enum><text>in subsection (b)—</text>
<subparagraph id="HBEAF3B1364A24523B29907F854AF12ED"><enum>(A)</enum><text>in paragraph (1), by adding <quote>or</quote> at the end;</text>
</subparagraph><subparagraph id="HCF89ABABB8CF4CF69CE99E3ECB99786D"><enum>(B)</enum><text>in paragraph (2), by striking <quote>; or</quote> at the end and inserting a period; and</text>
</subparagraph><subparagraph id="H81AA271B4E9A4F769FA6BFB59491E97A"><enum>(C)</enum><text>by striking paragraph (3); and</text>
</subparagraph></paragraph><paragraph id="H1849B6359EB745DCAB2C3CAB67AC0DE7"><enum>(2)</enum><text>in subsection (c), by striking <quote>or in determining the 190-day limit under subsection (b)(3)</quote>.</text>
</paragraph></subsection><subsection id="H91FAB0C40C1A41C79F2EECB3AF789231"><enum>(b)</enum><header>Effective date</header><text>The amendments made by subsection (a) shall apply to items and services furnished on or after
January 1, 2016.</text>
</subsection></section><section id="H3A7C1656ADCB426F94D7C2E6DBF75DA9"><enum>304.</enum><header>Expanding the Medicaid home and community-based services waiver to include youth in need of
services provided in a psychiatric residential treatment facility</header>
<subsection id="H24485D30445C4786A1184C50F898FE6E"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">Section 1915(c) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396n">42 U.S.C. 1396n(c)</external-xref>) is amended—</text>
<paragraph id="HCD303449A68F4D4595378963E90C46BA"><enum>(1)</enum><text>in paragraph (1)—</text>
<subparagraph id="HBEFA125C039F485FAF3FA71FFB2A8920"><enum>(A)</enum><text>by striking <quote>a hospital or a nursing facility or intermediate care facility for the mentally retarded</quote> and inserting <quote>a hospital, a nursing facility, an intermediate care facility for the intellectually disabled, or a
psychiatric residential treatment facility,</quote>; and</text>
</subparagraph><subparagraph id="H66ECB74E080944E28B916ECD668036C5"><enum>(B)</enum><text>by striking <quote>a hospital, nursing facility, or intermediate care facility for the mentally retarded</quote> and inserting <quote>a hospital, nursing facility, intermediate care facility for the intellectually disabled, or
psychiatric residential treatment facility</quote>;</text>
</subparagraph></paragraph><paragraph id="H6300059347DC49568D86AE5F5351857B"><enum>(2)</enum><text>in paragraph (2)(B), by striking <quote>or services in an intermediate care facility for the mentally retarded</quote> each place it appears and inserting <quote>services in an intermediate care facility for the intellectually disabled, or services in a
psychiatric residential treatment facility</quote>;</text>
</paragraph><paragraph id="H8737843EA6CF486E9FA96518E574FBAA"><enum>(3)</enum><text>in paragraph (2)(C)—</text>
<subparagraph id="H838E3017A4034467B62EE53B69535A0D"><enum>(A)</enum><text>by striking <quote>or intermediate care facility for the mentally retarded</quote> and inserting <quote>intermediate care facility for the intellectually disabled, or psychiatric residential treatment
facility</quote>; and</text>
</subparagraph><subparagraph id="HF72289DB7BF34DEC9AA409F07A86FCDC"><enum>(B)</enum><text>by striking <quote>or services in an intermediate care facility for the mentally retarded</quote> and inserting <quote>services in an intermediate care facility for the intellectually disabled, or services in a
psychiatric residential treatment facility</quote>;</text>
</subparagraph></paragraph><paragraph id="HA3E19C8EF9C14D188DD2634B28579940"><enum>(4)</enum><text>in paragraph (7)(A), by striking <quote>or intermediate care facilities for the mentally retarded,</quote> and inserting <quote>intermediate care facilities for the intellectually disabled, or psychiatric residential treatment
facilities,</quote>; and</text>
</paragraph><paragraph id="HEC039626C2E6401F9ED8EA6ABDE73266"><enum>(5)</enum><text>by adding at the end the following new paragraph:</text>
<quoted-block display-inline="no-display-inline" id="HD78217B01D5C4281962B0E4E79E4B553" style="OLC">
<paragraph id="H46DDD8F38E8E4CDDB31F13C24263C1E5" indent="up1"><enum>(11)</enum><text>For purposes of this subsection, the term <term>psychiatric residential treatment facility</term> 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.</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection id="H8BF0C07CBB124BD9810F350794B13D77"><enum>(b)</enum><header>Waiver limitation</header><text>Section 1915(c) of such Act, as amended by subsection (a), is further amended—</text>
<paragraph id="HDB2A172F60234B71BA65D25AD27551B2"><enum>(1)</enum><text>in paragraph (2)—</text>
<subparagraph id="H14CC660B4D79464491F35029D5AEADBE"><enum>(A)</enum><text>in subparagraph (D), by striking <quote>; and</quote> and inserting a semicolon;</text>
</subparagraph><subparagraph id="HF093D437FA5E4768A0A8403196ED317B"><enum>(B)</enum><text>in subparagraph (E), by striking the period at the end and inserting a semicolon; and</text>
</subparagraph><subparagraph id="H337F0B5C17CA42509EE42FEEFC293154"><enum>(C)</enum><text>by adding at the end the following new subparagraphs:</text>
<quoted-block display-inline="no-display-inline" id="HD11F348523D445EBBB38BDD0B5D086A7" style="OLC">
<subparagraph id="HA50656EBD91542EDB12A68B6CC79FDD8" indent="up1"><enum>(F)</enum><text>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</text>
</subparagraph><subparagraph id="H0A59C8CDB8CE4EC1AEDE2196CED34F16" indent="up1"><enum>(G)</enum><text>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).</text></subparagraph><after-quoted-block>; and</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="HD0657B8AD4AC439DAFCC59FFD73330A5"><enum>(2)</enum><text>by adding at the end the following new paragraph:</text>
<quoted-block display-inline="no-display-inline" id="H052C99E2F5CD44A895EAFA11E81EC6E9" style="OLC">
<paragraph id="H62B664F516B14988ADC2E4D295FF47D1" indent="up1"><enum>(12)</enum><text>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.</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection></section><section id="HCD12E494D8224638BD9CBB40BFEFD614"><enum>305.</enum><header>Application of Rosa's Law for individuals with intellectual disabilities</header>
<subsection id="H92B0B5966FD94887849EE8773CC97DE7"><enum>(a)</enum><header>References in the Social Security Act</header>
<paragraph id="H433FBE52467244C9993962C559382D70"><enum>(1)</enum><header>In general</header><text>With the exception of section 1930(b) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396u">42 U.S.C. 1396u(b)</external-xref>), as amended
by section 305, such Act is further amended—</text>
<subparagraph id="H1A62C03BBDBA4375827CE4644B0D0E87"><enum>(A)</enum><text>by striking, wherever it appears, <quote>State mental retardation or developmental disability authority</quote> and inserting <quote>State intellectual disability or developmental disability authority</quote>;</text>
</subparagraph><subparagraph id="H47769EA4A6A34E729E39DA6C874E7CC4"><enum>(B)</enum><text>by striking, wherever it appears, <quote>mental retardation</quote> and inserting <quote>intellectual disabilities</quote>; and</text>
</subparagraph><subparagraph id="H1BEA3F3D69A3496E840F6C9FA8E02512"><enum>(C)</enum><text>by striking, wherever it appears, <quote>mentally retarded</quote> and inserting <quote>intellectually disabled</quote>.</text>
</subparagraph></paragraph><paragraph id="H21C7D50805DB427ABB209E08152B3126"><enum>(2)</enum><header>Conforming amendment</header>
<subparagraph id="H41EE04BBABA44AF1905F0B4F5BC9F98B"><enum>(A)</enum><header>In general</header><text>Section 1902(e)(14)(F) of such Act is amended by striking <quote>mentally retarded</quote> and inserting <quote>intellectually disabled</quote>.</text>
</subparagraph><subparagraph id="H3CBD77F5718845E59822B25D6B8AEDAB"><enum>(B)</enum><header>Effective date</header><text>The amendment made under subparagraph (A) shall take effect on January 2, 2015.</text>
</subparagraph></paragraph></subsection><subsection id="H107C07A23FB948948C3287100160E1AD"><enum>(b)</enum><header>References</header>
<paragraph id="HAFF7856304384ABBB3A03EF4D6AEE202"><enum>(1)</enum><header>In general</header><text>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—</text>
<subparagraph id="H8281EBE8919048A99BC018D3A626B40A"><enum>(A)</enum><text>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;</text>
</subparagraph><subparagraph id="H94A21C72A18E468DA720C05CE11DF982"><enum>(B)</enum><text>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;</text>
</subparagraph><subparagraph id="HD795B5C1E372418A868A76DA64786751"><enum>(C)</enum><text>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</text>
</subparagraph><subparagraph id="HE921D1398CF549CE8598DDA0B5039A98"><enum>(D)</enum><text>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.</text>
</subparagraph></paragraph><paragraph id="H0B9C748804E74B98ADA951244717B41A"><enum>(2)</enum><header>Regulations</header><text>For purposes of amending regulations to carry out this section, a Federal agency shall ensure that
the regulations clearly state—</text>
<subparagraph id="HDF0FC355E5754FCEAF8FBC06E160D9AC"><enum>(A)</enum><text>that an intellectual disability was formerly termed mental retardation;</text>
</subparagraph><subparagraph id="HB01F7F15BD064D2D903E61D5842EF8F8"><enum>(B)</enum><text>that individuals with intellectual disabilities were formerly termed individuals who are mentally
retarded;</text>
</subparagraph><subparagraph id="HD1F37EBFBDCD433EB52934E968403C51"><enum>(C)</enum><text>that an intermediate care facility for the intellectually disabled was formerly termed an
intermediate care facility for the mentally retarded; and</text>
</subparagraph><subparagraph id="H92532C813B1E4E9891CC6EFC0AF63776"><enum>(D)</enum><text>that a State intellectual disability or developmental disability authority was formerly termed a
State mental retardation or developmental disability authority.</text>
</subparagraph></paragraph></subsection><subsection id="H9F101B24B2854A678C2D7087D57A367C"><enum>(c)</enum><header>Rule of construction</header><text>This section shall be construed to make amendments to provisions of Federal law to substitute the
term <term>intellectual disability</term> for <term>mental retardation</term> or any variation of such term without any intent to—</text>
<paragraph id="HDDD292CB4221439BB05C0F5C4E57C4DC"><enum>(1)</enum><text>change the coverage, eligibility, rights, responsibilities, or definitions referred to in the
amended provisions; or</text>
</paragraph><paragraph id="H35D17BE24C624EE88B12315EB39F455B"><enum>(2)</enum><text>compel States to change terminology in State laws for individuals covered by a provision amended by
this section.</text>
</paragraph></subsection></section><section id="HB016DCB2A28D4F27AC598DBB3FBDB27C"><enum>306.</enum><header>Complete application of mental health and substance use parity rules under Medicaid and CHIP</header><text display-inline="no-display-inline">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:</text>
<paragraph id="H23A2E7411E3646B49B59C2E27616B89B"><enum>(1)</enum><text display-inline="yes-display-inline">Section 1932(b)(8) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396u-2">42 U.S.C. 1396u–2(b)(8)</external-xref>) (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 (<external-xref legal-doc="usc" parsable-cite="usc/42/300gg">42 U.S.C. 300gg et seq.</external-xref>)).</text>
</paragraph><paragraph id="HB97AD6F1D53A440697FCC63DDDFE5060"><enum>(2)</enum><text display-inline="yes-display-inline">Section 1937(b)(6) of such Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396u-7">42 U.S.C. 1396u–7(b)(6)</external-xref>) (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 (<external-xref legal-doc="usc" parsable-cite="usc/42/300gg-4">42 U.S.C. 300gg–4</external-xref>)).</text>
</paragraph><paragraph id="H54F1B324DB5A47749D0A3CA16A56CF3D"><enum>(3)</enum><text display-inline="yes-display-inline">Section 2103(c)(6) of such Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1937cc">42 U.S.C. 1937cc(c)(6)</external-xref>) (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 (<external-xref legal-doc="usc" parsable-cite="usc/42/300gg-4">42 U.S.C. 300gg–4</external-xref>)).</text>
</paragraph></section><section id="H85482350CBCE40EDA6F97CDDA5642F75"><enum>307.</enum><header>Coverage of marriage and family therapist services and mental health counselor services under part <enum-in-header>B</enum-in-header> of the Medicare program</header>
<subsection id="H82EF0C74F420404F864F54A3DC3EEE68"><enum>(a)</enum><header>Coverage of Services</header>
<paragraph id="H18B6CB371C9D4E8A98B01247A64BE920"><enum>(1)</enum><header>In general</header><text>Section 1861(s)(2) of the <act-name parsable-cite="SSA">Social Security Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/1395x">42 U.S.C. 1395x(s)(2)</external-xref>) is amended—</text>
<subparagraph id="HDA2B34D2C8624AB8B991F937B8DC72B0"><enum>(A)</enum><text>in subparagraph (EE), by striking <quote>and</quote> after the semicolon at the end;</text>
</subparagraph><subparagraph id="H25185AA80E704C98BC8896FD788D44FC"><enum>(B)</enum><text>in subparagraph (FF), by inserting <quote>and</quote> after the semicolon at the end; and</text>
</subparagraph><subparagraph id="H1C1919945EBA4A68A5B49BB46F121245"><enum>(C)</enum><text>by adding at the end the following new subparagraph:</text>
<quoted-block id="HC2207E9974144E6685A7EA677D0FF921" style="OLC">
<subitem id="H0754963105414FDC9CEF86A5A996A45B" indent="up5"><enum>(GG)</enum><text>marriage and family therapist services (as defined in subsection (iii)(1)) and mental health
counselor services (as defined in subsection (iii)(3));</text></subitem><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="H1464CF2110124DB98FD5B3AAC492FAE6"><enum>(2)</enum><header>Definitions</header><text>Section 1861 of the <act-name parsable-cite="SSA">Social Security Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/1395x">42 U.S.C. 1395x</external-xref>) is amended by adding at the end the following new subsection:</text>
<quoted-block act-name="Social Security Act" id="H2A471374EB0E4FC688389EE3CCA00C28" other-style="archaic" style="other">
<subsection id="H493A884244D04CD7B938994F47AA1F63"><enum>(iii)</enum><header>Marriage and Family Therapist Services; Marriage and Family Therapist; Mental Health Counselor
Services; Mental Health Counselor</header><paragraph commented="no" display-inline="yes-display-inline" id="HB9C06638A65344F881A0E7FD95984BE8"><enum>(1)</enum><text>The term <term>marriage and family therapist services</term> means services performed by a marriage and family therapist (as defined in paragraph (2)) for the
diagnosis and treatment of mental illnesses, which the marriage and family
therapist is legally authorized to perform under State law (or the State
regulatory mechanism provided by State law) of the State in which such
services are performed, as would otherwise be covered if furnished by a
physician or as an incident to a physician’s professional service, but
only if no facility or other provider charges or is paid any amounts with
respect to the furnishing of such services.</text>
</paragraph><paragraph id="H38133AD1721847B1BB0E0E8F51129A05" indent="up1"><enum>(2)</enum><text>The term <term>marriage and family therapist</term> means an individual who—</text>
<subparagraph id="H071BC026F0A441ADA4E5C760149062A8"><enum>(A)</enum><text>possesses a master’s or doctoral degree which qualifies for licensure or certification as a
marriage and family therapist pursuant to State law;</text>
</subparagraph><subparagraph id="H116C00A952544FC9885655FD26242F2A"><enum>(B)</enum><text>after obtaining such degree has performed at least 2 years of clinical supervised experience in
marriage and family therapy; and</text>
</subparagraph><subparagraph id="H964447CEC3974858A1E9AC5309D058F5"><enum>(C)</enum><text>is licensed or certified as a marriage and family therapist in the State in which marriage and
family therapist services are performed.</text>
</subparagraph></paragraph><paragraph id="H873D66ED7277404C8FFF3A4A25E06F8B" indent="up1"><enum>(3)</enum><text>The term <term>mental health counselor services</term> 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.</text>
</paragraph><paragraph id="HB826939397D241A7AE47913457AC9AEF" indent="up1"><enum>(4)</enum><text>The term <term>mental health counselor</term> means an individual who—</text>
<subparagraph id="H609253A0371F4C8EA98752CAFA81EEFC"><enum>(A)</enum><text>possesses a master’s or doctoral degree in mental health counseling or a related field;</text>
</subparagraph><subparagraph id="H96A4F19CE15E40D3B554BDE3AE2913D1"><enum>(B)</enum><text>after obtaining such a degree has performed at least 2 years of supervised mental health counselor
practice; and</text>
</subparagraph><subparagraph id="H47253037EAA246CB9A1346730A7A6BC8"><enum>(C)</enum><text>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.</text></subparagraph></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph><paragraph id="H51284221251446BEAAFA4CA1F3825DBD"><enum>(3)</enum><header>Provision for payment under part B</header><text>Section 1832(a)(2)(B) of the <act-name parsable-cite="SSA">Social Security Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/1395k">42 U.S.C. 1395k(a)(2)(B)</external-xref>) is amended by adding at the end the following new clause:</text>
<quoted-block act-name="Social Security Act" id="H88CB6875E55D4B7C8B648F4E80C05044" style="OLC">
<clause id="H35668B7656484CE1890462D849C96589"><enum>(v)</enum><text>marriage and family therapist services (as defined in section 1861(iii)(1)) and mental health
counselor services (as defined in section 1861(iii)(3));</text></clause><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph><paragraph id="HC579722A6F034E76824B406BDCD02B12"><enum>(4)</enum><header>Amount of payment</header>
<subparagraph id="HC86EF311DECA47DFA5BCB238B20F6B81"><enum>(A)</enum><header>In general</header><text display-inline="yes-display-inline">Section 1833(a)(1) of the <act-name parsable-cite="SSA">Social Security Act</act-name> (42 U.S.C. 1395<added-phrase>l</added-phrase>(a)(1)) is amended—</text>
<clause id="H1F4A16B784774AF083A68567B95A873A"><enum>(i)</enum><text>by striking <quote>and (Z)</quote> and inserting <quote>(Z)</quote>; and</text>
</clause><clause id="H75CA8C24952C4BCD9ED597A590323F60"><enum>(ii)</enum><text>by inserting before the semicolon at the end the following: <quote>, 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)</quote>.</text>
</clause></subparagraph><subparagraph id="H58CF07DC70624C26B506941706F40E5A"><enum>(B)</enum><header>Development of criteria with respect to consultation with a health care professional</header><text display-inline="yes-display-inline">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 (<external-xref legal-doc="usc" parsable-cite="usc/42/1395j">42 U.S.C. 1395j et seq.</external-xref>) 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.</text>
</subparagraph></paragraph><paragraph id="H110C322597C84757A44EF0CCEDD5FE97"><enum>(5)</enum><header>Exclusion of marriage and family therapist services and mental health counselor services from
skilled nursing facility prospective payment system</header><text>Section 1888(e)(2)(A)(ii) of the <act-name parsable-cite="SSA">Social Security Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/1395yy">42 U.S.C. 1395yy(e)(2)(A)(ii)</external-xref>) is amended by inserting <quote>marriage and family therapist services (as defined in section 1861(iii)(1)), mental health
counselor services (as defined in section 1861(iii)(3)),</quote> after <quote>qualified psychologist services,</quote>.</text>
</paragraph><paragraph id="H4172B1E2703B4A32AB66291B0542BD6E"><enum>(6)</enum><header>Inclusion of marriage and family therapists and mental health counselors as practitioners for
assignment of claims</header><text>Section 1842(b)(18)(C) of the <act-name parsable-cite="SSA">Social Security Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/1395u">42 U.S.C. 1395u(b)(18)(C)</external-xref>) is amended by adding at the end the following new clauses:</text>
<quoted-block act-name="Social Security Act" id="H10A0A55AD105481E94C542FF8B0B6CB9" style="OLC">
<clause id="H328A08B079C945569078F00105B00E07" indent="up2"><enum>(vii)</enum><text>A marriage and family therapist (as defined in section 1861(iii)(2)).</text>
</clause><clause id="H1F611F0CD9CA4EA5A78777BE5E8855E3" indent="up2"><enum>(viii)</enum><text>A mental health counselor (as defined in section 1861(iii)(4)).</text></clause><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection id="H9E5D3327A806487DA5C845B657BBA42D"><enum>(b)</enum><header>Coverage of Certain Mental Health Services Provided in Certain Settings</header>
<paragraph id="HB4E19DA4023847B797425570F9CC4443"><enum>(1)</enum><header>Rural health clinics and federally qualified health centers</header><text>Section 1861(aa)(1)(B) of the <act-name parsable-cite="SSA">Social Security Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/1395x">42 U.S.C. 1395x(aa)(1)(B)</external-xref>) is amended by striking <quote>or by a clinical social worker (as defined in subsection (hh)(1))</quote> and inserting <quote>, 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))</quote>.</text>
</paragraph><paragraph id="H5F39310A2322441AA81EDF9AB6774495"><enum>(2)</enum><header>Hospice programs</header><text>Section 1861(dd)(2)(B)(i)(III) of the <act-name parsable-cite="SSA">Social Security Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/1395x">42 U.S.C. 1395x(dd)(2)(B)(i)(III)</external-xref>) is amended by inserting <quote>(and may, in addition, include a marriage and family therapist and mental health counselor)</quote> after <quote>social worker</quote>.</text>
</paragraph></subsection><subsection id="H165988284B654B02BC40B87013842803"><enum>(c)</enum><header>Authorization of marriage and family therapists and mental health counselors To develop discharge
plans for post-Hospital services</header><text>Section 1861(ee)(2)(G) of the <act-name parsable-cite="SSA">Social Security Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/1395x">42 U.S.C. 1395x(ee)(2)(G)</external-xref>) is amended by inserting <quote>, including a marriage and family therapist and a mental health counselor who meets qualification
standards established by the Secretary</quote> before the period at the end.</text>
</subsection><subsection id="H014A7A502D3F418D9A4587C6CB5AF91E"><enum>(d)</enum><header>Effective Date</header><text display-inline="yes-display-inline">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.</text>
</subsection></section><enum>IV</enum><header>Developing the Behavioral Health Workforce</header>
<section id="HC12C3A2561A142E4BD393498454B52EA"><enum>401.</enum><header>National health service corps scholarship and loan repayment funding for behavioral and mental
health professionals</header><text display-inline="no-display-inline">Section 338H of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/254q">42 U.S.C. 254q</external-xref>) is amended—</text>
<paragraph id="HD374AA504D5F4BFE9367C68FEB859D2C"><enum>(1)</enum><text>by redesignating subsections (b) and (c) as subsections (c) and (d), respectively; and</text>
</paragraph><paragraph id="H54EF8048870C4F32A767B467C29DC1F1"><enum>(2)</enum><text>by inserting after subsection (a) the following:</text>
<quoted-block id="HB6506FF40B5A436D90687AB3012C571D" style="OLC">
<subsection id="HFC15C0E8E7B948BF8CD9551D48444B84"><enum>(b)</enum><header>Additional funding for behavioral and mental health professionals</header><text>In addition to the amounts authorized to be appropriated under subsection (a), and in addition to
the amounts appropriated under section 10503 of <external-xref legal-doc="public-law" parsable-cite="pl/111/148">Public Law 111–148</external-xref>, 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.</text></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section id="H18245768CADA4EE3B67C2460C8A95554"><enum>402.</enum><header>Reauthorization of HRSA’s mental and behavioral health education and training program</header><text display-inline="no-display-inline">Subsection (e) of section 756 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/294e-1">42 U.S.C. 294e–1</external-xref>) is amended to
read as follows:</text>
<quoted-block id="H20E15EA8905A4EEE95EA7A622872F625" style="OLC">
<subsection id="H60B28E576DCD4D18B967B76483A81086"><enum>(e)</enum><header>Authorization of appropriations</header><text>To carry out this section, there are authorized to be appropriated such sums as may be necessary
for fiscal years 2015 through 2019.</text></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="H45FC1BCED45D4B51A4A7A0931C665491"><enum>403.</enum><header>SAMHSA grant program for development and implementation of curricula for continuing education on
serious mental illness</header><text display-inline="no-display-inline">Title V of the Public Health Service Act is amended by inserting after section 520I (42 U.S.C.
290bb–40) the following:</text>
<quoted-block id="H5543BFD61EA54112BB8C598D45DCCFDC" style="OLC">
<section id="H55B8215A5F1744D2BD2C6375CA28A01B"><enum>520I–1.</enum><header>Curricula for continuing education on serious mental illness</header>
<subsection id="H509804085EEC4881A7695CA013ED4E0E"><enum>(a)</enum><header>Grants</header><text>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.</text>
</subsection><subsection id="H2D0643DE59BD4FABAEF11A063F5D7CA2"><enum>(b)</enum><header>Eligible entities</header><text>To be eligible to seek a grant under this section, an entity shall be a public or nonprofit entity
that—</text>
<paragraph id="H2A6BDA694312440E819BAC368E32C40C"><enum>(1)</enum><text>provides continuing education or training to health care professionals; or</text>
</paragraph><paragraph id="H3C1CDBE52DAC435481AB7D4EAAA8A10F"><enum>(2)</enum><text>applies for the grant in partnership with another entity that provides such education and training.</text>
</paragraph></subsection><subsection id="HE237F8E67A4F480F99ECD05163B9285A"><enum>(c)</enum><header>Preference</header><text>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—</text>
<paragraph id="H6E18E123979340D081D4F61BC7BA6FA4"><enum>(1)</enum><text>health care professionals in primary care specialities; or</text>
</paragraph><paragraph id="H5303FE9C9E9043C0961231F00A5C885A"><enum>(2)</enum><text>health care professionals who are required, as a condition of State licensure, to participate in
continuing education or training specific to mental health.</text>
</paragraph></subsection><subsection id="H1662E95E40F4414482B777D059F22BAC"><enum>(d)</enum><header>Authorization of appropriations</header><text>To carry out this section, there are authorized to be appropriated such sums as may be necessary
for fiscal years 2015 through 2019.</text></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="HC4F2CD6B77974B08AE7236D301B24FD4"><enum>404.</enum><header>Demonstration grant program to recruit, train, deploy, and professionally support psychiatric
physicians in Indian health programs</header>
<subsection id="HC816BBC85250461EAAB7559B699FA511"><enum>(a)</enum><header>Short title</header><text>This section may be cited as the <quote><short-title>Native American Psychiatric and Mental Health Care Improvement Act</short-title></quote>.</text>
</subsection><subsection id="H9BF8F74B58594ACABBA2781BC468C7E4"><enum>(b)</enum><header>Demonstration grant program To recruit, train, deploy, and professionally support psychiatric
physicians in Indian health programs</header>
<paragraph id="H981517739AE9431695FA69EDA4D034F8"><enum>(1)</enum><header>Establishment</header><text display-inline="yes-display-inline">The Secretary of Health and Human Services (in this subsection referred to as the <quote>Secretary</quote>), in consultation with the Director of the Indian Health Service and demonstration programs
established under section 123 of the Indian Health Care Improvement Act
(<external-xref legal-doc="usc" parsable-cite="usc/25/1616p">25 U.S.C. 1616p</external-xref>), shall award one 5-year grant to one eligible entity to
carry out a demonstration program (in this Act referred to as the <quote>Program</quote>) under which the eligible entity shall carry out the activities described in paragraph (2).</text>
</paragraph><paragraph id="H247ADF3226784AA3BFD429AF38610B5D"><enum>(2)</enum><header>Activities To be carried out by recipient of grant under Program</header><text display-inline="yes-display-inline">Under the Program, the grant recipient shall—</text>
<subparagraph id="H812D00BBBC7B44D29153871BB10F8115"><enum>(A)</enum><text>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;</text>
</subparagraph><subparagraph id="H1F28E703ECDD40F0BCF8C63D494CC043"><enum>(B)</enum><text>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 (<external-xref legal-doc="usc" parsable-cite="usc/25/1638g">25 U.S.C. 1638g(a)(3)</external-xref>)) and primary care services to
American Indians and Alaska Natives;</text>
</subparagraph><subparagraph id="H2884BD5040D44A10A2F150A9D079CCF4"><enum>(C)</enum><text>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;</text>
</subparagraph><subparagraph id="H8D15BC57AD7A4E94B3FFC3F643EE95D2"><enum>(D)</enum><text>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</text>
</subparagraph><subparagraph id="H24A9BBC79E5647B9BACD8F0D6CFFE51C"><enum>(E)</enum><text display-inline="yes-display-inline">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—</text>
<clause id="HC8A33436DD5D41FCBA77DD32DBBFCBB8"><enum>(i)</enum><text>the workforce model created under subparagraph (A);</text>
</clause><clause id="H0F434DECF4CF4638872E452A0B41E730"><enum>(ii)</enum><text>strategies for disseminating the workforce model to other entities with the capability of adopting
it; and</text>
</clause><clause id="HEB51A930689A4CA78F61F688C45AABCE"><enum>(iii)</enum><text>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.</text>
</clause></subparagraph></paragraph><paragraph id="HF7CE1F482F0C46C59898E21D7DC66D46"><enum>(3)</enum><header>Eligible entities</header>
<subparagraph id="H1E26422F82854F84BA9A8C64DEF6A082"><enum>(A)</enum><header>Requirements</header><text display-inline="yes-display-inline">To be eligible to receive the grant under this section, an entity shall—</text>
<clause id="H938CB46486804AC8B908B853C0344C23"><enum>(i)</enum><text>submit to the Secretary an application at such time, in such manner, and containing such
information as the Secretary may require;</text>
</clause><clause id="H5EF23D83C4624C3080DE617992F1A3FF"><enum>(ii)</enum><text display-inline="yes-display-inline">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</text>
</clause><clause id="HC9AA0ADC61D347B78A717686E2CFDD2C"><enum>(iii)</enum><text>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.</text>
</clause></subparagraph><subparagraph id="H7B45384DCDAE40F3A243BB52B924DAE2"><enum>(B)</enum><header>Priority in selecting grant recipient</header><text display-inline="yes-display-inline">In awarding the grant under this section, the Secretary shall give priority to an eligible entity
that satisfies each of the following:</text>
<clause id="H70814D0C44214C109A04BE872F3DBFFA"><enum>(i)</enum><text>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.</text>
</clause><clause id="H89443E1D5BD64C7597B13387A0F514C6"><enum>(ii)</enum><text>Demonstrates a record in successfully recruiting, training, and deploying physicians who are
American Indians and Alaska Natives.</text>
</clause><clause id="H831B7EA0AFAB468886385B6F73140046"><enum>(iii)</enum><text>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.</text>
</clause></subparagraph></paragraph><paragraph commented="no" id="HAE54855182274608AA1249CB3292764E"><enum>(4)</enum><header>Eligibility of psychiatric physicians To participate in the Program</header>
<subparagraph commented="no" id="H368433252EED467290CFA3421DE5BD84"><enum>(A)</enum><header>In general</header><text display-inline="yes-display-inline">To be eligible to participate in the Program, as described in paragraph (2), a psychiatric
physician shall—</text>
<clause commented="no" id="HD22E821EC4C34E4F9C2E29946D8BFCEE"><enum>(i)</enum><text display-inline="yes-display-inline">be licensed or eligible for licensure to practice in the State to which the physician is to be
deployed under paragraph (2)(D); and</text>
</clause><clause commented="no" id="H34F8B356E52244F7B7DBFB2047D98376"><enum>(ii)</enum><text display-inline="yes-display-inline">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.</text>
</clause></subparagraph><subparagraph commented="no" id="HB420779BE1094C0CA4F9FD6A870F78BD"><enum>(B)</enum><header>Preference</header><text display-inline="yes-display-inline">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.</text>
</subparagraph></paragraph><paragraph commented="no" id="H1457A7264EB5482BA2287CEE6D3B84C2"><enum>(5)</enum><header>Loan forgiveness</header><text display-inline="yes-display-inline">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 (<external-xref legal-doc="usc" parsable-cite="usc/25/1616a">25 U.S.C. 1616a</external-xref>) 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.</text>
</paragraph><paragraph commented="no" id="H2BA2838E4275435592F2226313FA6730"><enum>(6)</enum><header>Deferral of certain service</header><text>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.</text>
</paragraph><paragraph id="HA2E7E9FBE0774997A1634A925AFCF8D6"><enum>(7)</enum><header>Definitions</header><text display-inline="yes-display-inline">For purposes of this Act:</text>
<subparagraph id="H4819D845AFE64CC1B64F8723CBFD7CE8"><enum>(A)</enum><header>American Indians and Alaska Natives</header><text display-inline="yes-display-inline">The term <term>American Indians and Alaska Natives</term> has the meaning given the term <term>Indian</term> in <external-xref legal-doc="regulation" parsable-cite="cfr/42/447.50">section 447.50(b)(1)</external-xref> of title 42, Code of Federal Regulations, as in existence as of the date
of the enactment of this Act.</text>
</subparagraph><subparagraph id="HAA9D7AA76F9E4603B1660093B96B942E"><enum>(B)</enum><header>Indian health program</header><text display-inline="yes-display-inline">The term <term>Indian health program</term> has the meaning given such term in section 104(12) of the Indian Health Care Improvement Act (25
U.S.C. 1603(12)).</text>
</subparagraph><subparagraph id="H30FBDE0C9ABE4B49A6D9FFDE2220B331"><enum>(C)</enum><header>Professionally support</header><text display-inline="yes-display-inline">The term <term>professionally support</term> 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.</text>
</subparagraph><subparagraph id="H0BC2CE452303434EAAD63234A272A281"><enum>(D)</enum><header>Psychiatric physician</header><text display-inline="yes-display-inline">The term <term>psychiatric physician</term> 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.</text>
</subparagraph></paragraph><paragraph id="HDCFD38D7381D4B52A32F4106A9D73734"><enum>(8)</enum><header>Authorization of appropriations</header><text display-inline="yes-display-inline">There is authorized to be appropriated to carry out this section $1,000,000 for each of the fiscal
years 2015 through 2019.</text>
</paragraph></subsection></section><section commented="no" id="H034D8C6E42DD438CB481F543E7E40799"><enum>405.</enum><header>Including occupational therapists as behavioral and mental health professionals for purposes of the
National Health Service Corps</header>
<subsection commented="no" id="H9E3FBEEF080F4BCFBD993FD4F14A900C"><enum>(a)</enum><header>Inclusion of Occupational Therapist</header><text display-inline="yes-display-inline">Section 331(a)(3)(E)(i) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/254d">42 U.S.C. 254d(a)(3)(E)(i)</external-xref>) is amended by
inserting <quote>subject to section 405(b)(2) of the <short-title>Strengthening Mental Health in Our Communities Act of 2014</short-title>, occupational therapists,</quote> after <quote>psychiatric nurse specialists;</quote>.</text>
</subsection><subsection commented="no" id="HA6FE2669846146058E05756DA7F52D7E"><enum>(b)</enum><header>Effective date; contingent implementation</header>
<paragraph commented="no" id="HB89985FBE95C4767A6D6018940A2374C"><enum>(1)</enum><header>Effective date</header><text>Subject to paragraph (2), the amendment made by subsection (a) shall apply beginning on October 1,
2014.</text>
</paragraph><paragraph commented="no" id="H8398D1585E1C451E8030F7F27331B8A5"><enum>(2)</enum><header>Contingent implementation</header><text>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 (<external-xref legal-doc="usc" parsable-cite="usc/42/254d">42 U.S.C. 254d et seq.</external-xref>) for such fiscal
year is greater than the total amount made available for such purpose for
fiscal year 2014.</text>
</paragraph></subsection></section><section id="HF6F08FA51FF2457BBC6992B7DC01396E"><enum>406.</enum><header>Extension of certain health care workforce loan repayment programs through fiscal year 2019</header><text display-inline="no-display-inline">Section 775(e) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/295f">42 U.S.C. 295f(e)</external-xref>) is amended—</text>
<paragraph id="H48464988AD044730A1926517982A16F3"><enum>(1)</enum><text>by striking <quote>2014</quote> and inserting <quote>2019</quote>; and</text>
</paragraph><paragraph id="HE30800DB7D1C4577A097D03A42FFE9B8"><enum>(2)</enum><text>by striking <quote>2013</quote> and inserting <quote>2019</quote>.</text>
</paragraph></section><enum>V</enum><header>Improving Mental Health Research and Coordination</header>
<section commented="no" id="H51AEE35E2182466AAD3DFF3551C16133"><enum>501.</enum><header>National Institute of Mental Health research program on serious mental illness and suicide
prevention</header>
<subsection commented="no" id="HBFAFA4EBECB94FF0907F3FDD56AC6E6D"><enum>(a)</enum><header>Purpose of institute</header><text>Section 464R(a) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/285p">42 U.S.C. 285p(a)</external-xref>) is amended by inserting <quote>serious mental illness research,</quote> after <quote>biomedical and behavioral research,</quote>.</text>
</subsection><subsection commented="no" id="HD4E064603AE74EA68FC8A1C0DFBFCAD2"><enum>(b)</enum><header>Research program</header><text>Section 464R(b) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/285p">42 U.S.C. 285p(b)</external-xref>) is amended—</text>
<paragraph commented="no" id="HA959EFFDC12743F1A3A4E0579F1C9CD5"><enum>(1)</enum><text>by striking <quote>The research program</quote> and inserting the following:</text>
<quoted-block id="H6217D209F53F4D629A57EF380E466EF3" style="OLC">
<paragraph commented="no" id="HEFC96F74881E4657A8E16B24B18507B5"><enum>(1)</enum><header>In general</header><text>The research program</text></paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph commented="no" id="H199C6BDA60F24B449956AF1D6171AB94"><enum>(2)</enum><text>by striking <quote>to further the treatment and prevention of mental illness</quote> and inserting <quote>to further the treatment and prevention of mental illness (including serious mental illness)</quote>; and</text>
</paragraph><paragraph commented="no" id="H1EB4E4C172DF483492984CE11C20C8FA"><enum>(3)</enum><text>by adding at the end the following:</text>
<quoted-block id="HA56D095E59AA48FEAE6D4EFDAF3FA0F4" style="OLC">
<paragraph commented="no" id="H780079A0F2134B88A63ABB8C5595C029"><enum>(2)</enum><header>Research with respect to serious mental illness</header><text>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—</text>
<subparagraph commented="no" id="HDB701358C75C49BBBBF150E900355C7B"><enum>(A)</enum><text>the causes, prevention, and treatment of serious mental illness; and</text>
</subparagraph><subparagraph commented="no" id="H005D32FE3168476FB72B35068C884F94"><enum>(B)</enum><text>interventions to improve early identification of individuals with serious mental illness.</text>
</subparagraph></paragraph><paragraph id="H04A58C85980F424F85C05F0CD14A5169"><enum>(3)</enum><header>Research with respect to violence associated with mental illness</header><text display-inline="yes-display-inline">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—</text>
<subparagraph id="H7F36EF2494784C0F981E9EC5C95AFE20"><enum>(A)</enum><text>the causes of such violence; and</text>
</subparagraph><subparagraph id="H97F029E1B87F44A6BEED5F3A62048DAC"><enum>(B)</enum><text>interventions to reduce the risk of self-harm, suicide, and interpersonal violence, including in
rural and other underserved communities.</text></subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection commented="no" id="HAAD57A80B1F548DAB6309BD6B02B9C18"><enum>(c)</enum><header>Biennial report</header><text>Section 403(a)(5) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/283">42 U.S.C. 283(a)(5)</external-xref>) is amended—</text>
<paragraph commented="no" id="H31DBDF16E97C4CEBB637A38AE1738F3B"><enum>(1)</enum><text>by redesignating subparagraph (L) as subparagraph (M); and</text>
</paragraph><paragraph commented="no" id="HF0FAE25CF7BA488796E6A9B4A364734B"><enum>(2)</enum><text>by inserting after subparagraph (K) the following:</text>
<quoted-block id="HA28B7989C5A042838F9FE5FFBCA7FB12" style="OLC">
<subparagraph commented="no" id="HB7694F2C250841E882A2678FC964B8C0"><enum>(L)</enum><text>Serious mental illness.</text>
</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection id="H6C27724CF32443CF93344BA1B570D999"><enum>(d)</enum><header>Authorization of appropriations</header><text display-inline="yes-display-inline">Section 464R of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/285p">42 U.S.C. 285p</external-xref>) is amended by adding at the end the
following:</text>
<quoted-block display-inline="no-display-inline" id="HB239ECD635E2453D8E1F43A32DB0CBC1" style="OLC">
<subsection id="HF1BD01E8DC2C40B59E06D067678AD46C"><enum>(f)</enum><header>Authorization of appropriations</header><text display-inline="yes-display-inline">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).</text></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection></section><section commented="no" id="HF3231C6EB81443FCBFEA54481D450426"><enum>502.</enum><header>Youth mental health research network</header>
<subsection commented="no" id="H54F0A0D46FAF4D028B8B8B8E0D9AC6FC"><enum>(a)</enum><header>Youth mental health research network</header>
<paragraph commented="no" id="HFD887C44A10F46D387035E35DF9A35D3"><enum>(1)</enum><header>Network</header><text>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—</text>
<subparagraph commented="no" id="HBEE149EF587C4F8591BC27EA1EE913A2"><enum>(A)</enum><text>youth mental health research; and</text>
</subparagraph><subparagraph commented="no" id="H87724ED6AE3044C09C25328E28C5889B"><enum>(B)</enum><text>youth mental health intervention services.</text>
</subparagraph></paragraph><paragraph commented="no" id="H3CB4A080291F41FEBCAAE9D827C3E880"><enum>(2)</enum><header>Collaboration by institutes and centers</header><text>The Director of NIH shall carry out this Act acting—</text>
<subparagraph commented="no" id="HB044D5B0954E416D8D069918BE8CC10D"><enum>(A)</enum><text>through the Director of the National Institute of Mental Health; and</text>
</subparagraph><subparagraph commented="no" id="HCD666CF4DB39464AA0561430ED675EB7"><enum>(B)</enum><text>in collaboration with other appropriate national research institutes and national centers that
carry out activities involving youth mental health research.</text>
</subparagraph></paragraph><paragraph commented="no" id="H03DD3577DEA643188D09090A9B932A43"><enum>(3)</enum><header>Mental health research</header>
<subparagraph commented="no" id="HA14E5F3497C847E3B56C5B5A614F50B0"><enum>(A)</enum><header>In general</header><text>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—</text>
<clause commented="no" id="HA3017997E66E47A3B789B90984DDC690"><enum>(i)</enum><text>conducting, or entering into consortia with other entities to conduct—</text>
<subclause commented="no" id="H761655C85F1444809413066F5500D5A3"><enum>(I)</enum><text>basic, clinical, behavioral, or translational research to meet unmet needs for youth mental health
research; or</text>
</subclause><subclause commented="no" id="HAA685A02DE9F4F32B9392EEBB53B798D"><enum>(II)</enum><text>training for researchers in youth mental health research techniques;</text>
</subclause></clause><clause commented="no" id="H4E9BE7674DAE4D08914B3F3E3FF3D6F9"><enum>(ii)</enum><text>providing, or partnering with non-research institutions or community-based groups with existing
connections to youth to provide, youth mental health intervention
services; and</text>
</clause><clause commented="no" id="H2079803E315D4BE3BA57E490DDA6D136"><enum>(iii)</enum><text>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.</text>
</clause></subparagraph><subparagraph commented="no" id="HC89CC06233B847FBBF5CC824E5A78A20"><enum>(B)</enum><header>Research</header><text>The Director of NIH shall ensure that—</text>
<clause commented="no" id="HCE27D17DA84E466DA36AC9C79175BE1F"><enum>(i)</enum><text>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</text>
</clause><clause commented="no" id="HBA907EC39B0A41A4BE9414317C12FF95"><enum>(ii)</enum><text>one or more such recipients provide training described in subparagraph (A)(i)(II).</text>
</clause></subparagraph><subparagraph commented="no" id="H039F4603F9C9457E8F1B9C7E9021B231"><enum>(C)</enum><header>Number of award recipients</header><text>The Director of NIH may make awards under this paragraph for not more than 70 entities.</text>
</subparagraph><subparagraph commented="no" id="H660547F1B94B46BEBE8BA9B15EBE237F"><enum>(D)</enum><header>Supplement, not supplant</header><text>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.</text>
</subparagraph><subparagraph commented="no" id="HB43C2851A8D9444CA2D624E1BBAF75E6"><enum>(E)</enum><header>Duration of support</header><text>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.</text>
</subparagraph></paragraph><paragraph commented="no" id="H1C1FF8C9628F443F9DBBC1C21EEBA253"><enum>(4)</enum><header>Coordination</header><text>The Director of NIH shall—</text>
<subparagraph commented="no" id="H5E7DD1336E074AA3B6710B3AF67BFDCE"><enum>(A)</enum><text>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</text>
</subparagraph><subparagraph commented="no" id="HA48534180A024F03A08381A48B65BEA3"><enum>(B)</enum><text>require the periodic preparation and submission to the Director of reports on the activities of
each such recipient.</text>
</subparagraph></paragraph></subsection><subsection commented="no" id="HC77D4FFB0A88483A802429EBDC3723AC"><enum>(b)</enum><header>Intervention services for, and research on, serious emotional disturbance</header>
<paragraph commented="no" id="H3A018F1C8D3E403C91DA384F438614AC"><enum>(1)</enum><header>In general</header><text>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—</text>
<subparagraph commented="no" id="H8ACB2FACADE7491C90A0C8E375D6BE6F"><enum>(A)</enum><text display-inline="yes-display-inline">focus primarily on the early detection of and interventions for serious emotional disturbances in
children and adolescents;</text>
</subparagraph><subparagraph commented="no" id="H33DEEF68BC0E44F083BBC499384A4D69"><enum>(B)</enum><text display-inline="yes-display-inline">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;</text>
</subparagraph><subparagraph commented="no" id="H7B2FC6589E494D6EBCEE0236DEEAC8F4"><enum>(C)</enum><text>rapidly and efficiently disseminate scientific findings resulting from such trials; and</text>
</subparagraph><subparagraph commented="no" id="H888BF806102E44689F1CE6669524D984"><enum>(D)</enum><text>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.</text>
</subparagraph></paragraph><paragraph commented="no" id="H7F6347BFEA9040FD97152AD2B2B8B1A5"><enum>(2)</enum><header>Data coordinating center</header>
<subparagraph commented="no" id="H8264D7311A4A43FFAD5EB95E37909476"><enum>(A)</enum><header>Establishment</header><text>In connection with awards to entities described in paragraph (1), the Director of NIH shall
establish a data coordinating center for the following purposes:</text>
<clause commented="no" id="HDC3454DAD4A546CFAB27D8A6FF22502A"><enum>(i)</enum><text>To distribute the scientific findings referred to in paragraph (1)(C).</text>
</clause><clause commented="no" id="H979E848A13394D078E941E457B8D4D8A"><enum>(ii)</enum><text>To provide assistance in the design and conduct of collaborative research projects and the
management, analysis, and storage of data associated with such projects.</text>
</clause><clause commented="no" id="H2F884B57082848B9AB1CF8FCD580C1B2"><enum>(iii)</enum><text>To organize and conduct multisite monitoring activities.</text>
</clause><clause commented="no" id="HD7B2AF528E0D4AFA946C11D357A680B9"><enum>(iv)</enum><text>To provide assistance to the Centers for Disease Control and Prevention in the establishment of
patient registries.</text>
</clause></subparagraph><subparagraph commented="no" id="H7EF2831DB75343CDBF1183B7DAFB50FC"><enum>(B)</enum><header>Reporting</header><text>The Director of NIH shall—</text>
<clause commented="no" id="H68F423B024204AEF9079BB805BB1A6D7"><enum>(i)</enum><text>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</text>
</clause><clause commented="no" id="H26CD81979BD54999956ADB863225A1DB"><enum>(ii)</enum><text>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).</text>
</clause></subparagraph></paragraph></subsection><subsection commented="no" id="H44A75D2B078F462B92EF37BA4331EDC5"><enum>(c)</enum><header>Definitions</header><text>In this Act, the terms <term>Director of NIH</term>, <term>national center</term>, and <term>national research institute</term> have the meanings given to such terms in section 401 of the Public Health Service Act (42 U.S.C.
281).</text>
</subsection><subsection commented="no" id="HE612E30EAD5A423B8EA0BA57BE341FD2"><enum>(d)</enum><header>Authorization of appropriations</header><text>To carry out this Act, there is authorized to be appropriated $25,000,000 for each of fiscal years
2015 through 2019.</text>
</subsection></section><section commented="no" id="H9C8C7CDC8FA04E6591DA373FCA2BD092"><enum>503.</enum><header>National violent death reporting system</header><text display-inline="no-display-inline">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.</text>
</section><enum>VI</enum><header>Education and Youth</header>
<section commented="no" id="HB5E7BD1793BF4520B59EC0E502FB2D4C"><enum>601.</enum><header>School-based mental health programs</header>
<subsection commented="no" id="H242F0820314C4ACF97DF968B41B09CCE"><enum>(a)</enum><header>Purposes</header><text>It is the purpose of this section to—</text>
<paragraph commented="no" id="H59381EBC9E6448FE8A64D1684F5F3C2A"><enum>(1)</enum><text>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;</text>
</paragraph><paragraph id="HF610C5E178684CB48AF01E637883047B"><enum>(2)</enum><text display-inline="yes-display-inline">increase access to school employed mental health professionals;</text>
</paragraph><paragraph commented="no" id="HD2CDA60DD8754A5EAEEC3FED30480266"><enum>(3)</enum><text>provide for comprehensive staff development for school and community service personnel working in
the school; and</text>
</paragraph><paragraph commented="no" id="H666ADF475AF14C00885B4944EDB3F4E8"><enum>(4)</enum><text>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.</text>
</paragraph></subsection><subsection commented="no" id="H24790F3F09C44F30AF58258043AF41D8"><enum>(b)</enum><header>Amendments to the Public Health Service Act</header>
<paragraph commented="no" id="H5776DE6A75BA49C295A87B60C27A0EE7"><enum>(1)</enum><header>Technical amendments</header><text>The second part G (relating to services provided through religious organizations) of title V of the
Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290kk">42 U.S.C. 290kk et seq.</external-xref>) is amended—</text>
<subparagraph commented="no" id="H758475939A7648E2BF803EDD59D98AD9"><enum>(A)</enum><text>by redesignating such part as part J; and</text>
</subparagraph><subparagraph commented="no" id="H083343B681354E489ADD6E0C37BF85D3"><enum>(B)</enum><text>by redesignating sections 581 through 584 as sections 596 through 596C, respectively.</text>
</subparagraph></paragraph><paragraph commented="no" id="H845371B50E6E48AD9195714133D9D512"><enum>(2)</enum><header>School-Based mental health and children and violence</header><text>Section 581 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290hh">42 U.S.C. 290hh</external-xref>) is amended to read as follows:</text>
<quoted-block display-inline="no-display-inline" id="H1DA581F38CE844B5B93A1F2BB32E9C18" style="OLC">
<section commented="no" id="HC740DE79214A45B08D6625BB81F28D27"><enum>581.</enum><header>School-based mental health and children and violence</header>
<subsection commented="no" id="H9DBCD87FA6454BC583B587ED3B6ADBD6"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">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.</text>
</subsection><subsection commented="no" display-inline="no-display-inline" id="H365965C0A17D4744870C3A09D4A589D9"><enum>(b)</enum><header>Activities</header><text>Under the program under subsection (a), the Secretary may—</text>
<paragraph commented="no" id="HDD84C6D80A4A40778068CE44DD2DC885"><enum>(1)</enum><text display-inline="yes-display-inline">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;</text>
</paragraph><paragraph commented="no" id="HC1C38ACEB3EA4A74B9FA23DBCF1F426A"><enum>(2)</enum><text>provide technical assistance to local communities with respect to the development of programs
described in paragraph (1);</text>
</paragraph><paragraph commented="no" id="H248E85999B184D1D98D40DD43054D419"><enum>(3)</enum><text>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;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H593A41662A9A4875922FFFC8136FEA6E"><enum>(4)</enum><text display-inline="yes-display-inline">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</text>
</paragraph><paragraph commented="no" id="HBC096EAADCCD4CD8B627C020E9EF86D1"><enum>(5)</enum><text>establish mechanisms for children and adolescents to report incidents of violence or plans by other
children, adolescents, or adults to commit violence.</text>
</paragraph></subsection><subsection commented="no" id="HECF65B7A5F61406380DE8120466278EE"><enum>(c)</enum><header>Requirements</header>
<paragraph commented="no" id="H0C46B5465D3448D398917C4E7A9CF7B6"><enum>(1)</enum><header>In general</header><text display-inline="yes-display-inline">To be eligible for a grant, contract, or cooperative agreement under subsection (a), an entity
shall—</text>
<subparagraph commented="no" id="H1AD995C90B624CAF929C39DCC100042C"><enum>(A)</enum><text display-inline="yes-display-inline">be a State, in partnership with at least three local education agencies; and</text>
</subparagraph><subparagraph commented="no" id="HBF182AFDF3854124A47184C1E0E3883B"><enum>(B)</enum><text>submit an application, that is endorsed by all members of the partnership, that contains the
assurances described in paragraph (2).</text>
</subparagraph></paragraph><paragraph commented="no" id="H42440CC1506245DAA8B4E28BDC89C47F"><enum>(2)</enum><header>Required assurances</header><text>An application under paragraph (1) shall contain assurances as follows:</text>
<subparagraph commented="no" id="H9830FDD815B94C84A98642DE6EA680FC"><enum>(A)</enum><text>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—</text>
<clause commented="no" id="HDA8B8F6972234BABAD609DECEE337EEC"><enum>(i)</enum><text>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</text>
</clause><clause commented="no" id="HD4A35AE8506A451B9BEDFC42AFAEEE40"><enum>(ii)</enum><text>that clearly states—</text>
<subclause id="H037D9EFC6EAF4F4DB5D3DB5AE78A1DBB"><enum>(I)</enum><text display-inline="yes-display-inline">how school employed mental health professionals will be utilized for carrying out such
responsibilities;</text>
</subclause><subclause commented="no" id="H95779C5EDBAF4C499A7D647A0C7DDB01"><enum>(II)</enum><text>the responsibilities of each partner with respect to the activities to be carried out;</text>
</subclause><subclause commented="no" id="H4AE93966F62640749E69CE4DC067631B"><enum>(III)</enum><text>how each such partner will be accountable for carrying out such responsibilities; and</text>
</subclause><subclause commented="no" id="H825D23763AAB45BFBB322506459B010D"><enum>(IV)</enum><text>the amount of non-Federal funding or in-kind contributions that each such partner will contribute
in order to sustain the program.</text>
</subclause></clause></subparagraph><subparagraph commented="no" id="HD65C23F22DA543A48031FD59C5A97185"><enum>(B)</enum><text>That the comprehensive school-based mental health program carried out under this section supports
the flexible use of funds to address—</text>
<clause commented="no" id="HD17A4812F89F4B40B0A854015C4B3D4A"><enum>(i)</enum><text>the promotion of the social, emotional, and behavioral health of all students in an environment
that is conducive to learning;</text>
</clause><clause commented="no" id="H07D740EFF1E6493D83AC543EFC9C5ECE"><enum>(ii)</enum><text display-inline="yes-display-inline">the reduction in the likelihood of at-risk students developing social, emotional, behavioral health
problems, or substance use disorders;</text>
</clause><clause commented="no" id="H475CB1480FE04BA8980674A1C5C62929"><enum>(iii)</enum><text display-inline="yes-display-inline">the early identification of social, emotional, behavioral problems, or substance use disorders and
the provision of early intervention services;</text>
</clause><clause commented="no" id="H6D57D1CAEBD2497D94ACD361B978BCEA"><enum>(iv)</enum><text display-inline="yes-display-inline">the treatment or referral for treatment of students with existing social, emotional, behavioral
health problems, or substance use disorders; and</text>
</clause><clause commented="no" id="HA0450CBD670D4C3BB3D80BCD8D0EC628"><enum>(v)</enum><text>the development and implementation of programs to assist children in dealing with trauma and
violence.</text>
</clause></subparagraph><subparagraph commented="no" id="HD7D480FBCA714B8FBB76D7B646E3C984"><enum>(C)</enum><text display-inline="yes-display-inline">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—</text>
<clause commented="no" id="HBB5A50E5229D42A2B24696DF6FCE7484"><enum>(i)</enum><text>the techniques and supports needed to identify early children with trauma histories and children
with, or at risk of, mental illness;</text>
</clause><clause commented="no" id="H0A9522D1123E470588DE9FA877E16105"><enum>(ii)</enum><text>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;</text>
</clause><clause commented="no" id="H543BFC81614A45F89201783DBAF7A0FD"><enum>(iii)</enum><text>strategies that promote a school-wide positive environment;</text>
</clause><clause commented="no" id="HA2DC3DBAFE8445659E5F0642D0EA54B4"><enum>(iv)</enum><text display-inline="yes-display-inline">strategies for promoting the social, emotional, mental, and behavioral health of all students; and</text>
</clause><clause commented="no" id="H9F2F60A594884D2E9B1B2B45636129CC"><enum>(v)</enum><text display-inline="yes-display-inline">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.</text>
</clause></subparagraph><subparagraph commented="no" id="H9A025242DC194CD5B0C09B0E4BAFCC8E"><enum>(D)</enum><text display-inline="yes-display-inline">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—</text>
<clause commented="no" id="H854540EB5E2B4E0F8C89C1DED82B9D9A"><enum>(i)</enum><text>the techniques and supports needed to identify early children with trauma histories, and children
with, or at risk of, mental illness;</text>
</clause><clause commented="no" id="H0CA52CE1832046059D481CC3F7257504"><enum>(ii)</enum><text>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</text>
</clause><clause commented="no" id="H376C3F8553174061A44E228514CD1BA7"><enum>(iii)</enum><text>strategies that promote a school-wide positive environment.</text>
</clause></subparagraph><subparagraph commented="no" id="H348DD8972A1E4F14A7DB20D940752014"><enum>(E)</enum><text>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.</text>
</subparagraph><subparagraph commented="no" id="H3A2D8F871D7C4657A9806590F0BA44F8"><enum>(F)</enum><text display-inline="yes-display-inline">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.</text>
</subparagraph><subparagraph commented="no" id="H613629E20D544B949CD224C3AEBE6B92"><enum>(G)</enum><text>That the comprehensive school-based mental health program carried out under this section will be
based on trauma-informed and evidence-based practices.</text>
</subparagraph><subparagraph commented="no" id="HF665A60A8ECE4C66A72F7CCB22421F90"><enum>(H)</enum><text>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.</text>
</subparagraph><subparagraph commented="no" id="H5B20D6CCC45A460F8F6D58B9B296B2F5"><enum>(I)</enum><text>That the comprehensive school-based mental health program carried out under this section will be
trauma-informed and culturally and linguistically appropriate.</text>
</subparagraph><subparagraph commented="no" id="HE32236BC46784479BC0B63DE5E6124EF"><enum>(J)</enum><text display-inline="yes-display-inline">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 <quote>zero tolerance</quote> with respect to drugs, alcohol, or weapons and an inability to obtain appropriate services.</text>
</subparagraph><subparagraph commented="no" id="H02D6060F72244DB9B565B716B7AB7D2D"><enum>(K)</enum><text display-inline="yes-display-inline">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.</text>
</subparagraph></paragraph><paragraph commented="no" id="HFC1EE4C976B8410B96BFFB2247BECA7B"><enum>(3)</enum><header>Coordinator</header><text display-inline="yes-display-inline">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.</text>
</paragraph><paragraph commented="no" id="HEFD59FE29DDC451890B6455A9BA22EFE"><enum>(4)</enum><header>Compliance with HIPAA</header><text>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.</text>
</paragraph></subsection><subsection commented="no" id="HCDD45B9DCE1840F69CC420C4DBDD92E8"><enum>(d)</enum><header>Geographical distribution</header><text>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.</text>
</subsection><subsection commented="no" id="H633AE75AD52E4314B1A4D51DA11855E3"><enum>(e)</enum><header>Duration of awards</header><text>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.</text>
</subsection><subsection commented="no" id="H4A8814D353B24B87AAE81366FB9D48CC"><enum>(f)</enum><header>Evaluation and measures of outcomes</header>
<paragraph commented="no" id="H5192074EA92F470AA1DE860B1D032FD1"><enum>(1)</enum><header>Development of process</header><text>The Administrator shall develop a fiscally appropriate process for evaluating activities carried
out under this section. Such process shall include—</text>
<subparagraph commented="no" id="H522FF34C10F043BBBA11AAAD94DB5351"><enum>(A)</enum><text>the development of guidelines for the submission of program data by grant, contract, or cooperative
agreement recipients;</text>
</subparagraph><subparagraph commented="no" id="H5310827B50654487A00452DF9D0118E7"><enum>(B)</enum><text>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</text>
</subparagraph><subparagraph commented="no" id="H17F310B1B42742CBB88420FD41EA0452"><enum>(C)</enum><text>the submission of annual reports by such recipients concerning the effectiveness of programs
carried out under this section.</text>
</subparagraph></paragraph><paragraph commented="no" id="HE9CA26ED587043B99F16AF33D5460EB2"><enum>(2)</enum><header>Measures of outcomes</header>
<subparagraph commented="no" id="H3046B2BAED744BCBA0EF2DB3AD82ECCC"><enum>(A)</enum><header>In general</header><text>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).</text>
</subparagraph><subparagraph commented="no" id="HA6E6E1AA207844548E4266DD4C6EBEEC"><enum>(B)</enum><header>Student and family measures of outcomes</header><text>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—</text>
<clause commented="no" id="H84CD101C1C0A46338D4C822EA184B042"><enum>(i)</enum><text>increasing social and emotional competency;</text>
</clause><clause commented="no" id="H976B99E8CC724B09AB2E66098EA17F4C"><enum>(ii)</enum><text>increasing academic competency (as defined by Secretary);</text>
</clause><clause commented="no" id="H6D91DA318D904BF18ADFBB50A3287AAE"><enum>(iii)</enum><text>reducing disruptive and aggressive behaviors;</text>
</clause><clause commented="no" id="H143C8B72CFE04E8B9AF5D6D31E92CF32"><enum>(iv)</enum><text>improving child functioning;</text>
</clause><clause commented="no" id="HA56C9F23DD424C379D3333E681E28DA1"><enum>(v)</enum><text>reducing substance use disorders;</text>
</clause><clause commented="no" id="H2D1B2892CFF341E5B075A5BCDD06C17B"><enum>(vi)</enum><text>reducing suspensions, truancy, expulsions and violence;</text>
</clause><clause commented="no" id="H9F161F274B3E4C9AB7633E19ED77722E"><enum>(vii)</enum><text>increasing graduation rates (as defined in section 1111(b)(2)(C)(vi) of the Elementary and
Secondary Education Act of 1965); and</text>
</clause><clause commented="no" display-inline="no-display-inline" id="H996CC75D96244E849F2AD75EC9602415"><enum>(viii)</enum><text>improving access to care for mental health disorders.</text>
</clause></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H5E1521A585FA404283F45C5CE707241C"><enum>(C)</enum><header>Local educational outcomes</header><text>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—</text>
<clause commented="no" id="H84878949CAB94D5897553149196F85EE"><enum>(i)</enum><text>the effectiveness of comprehensive school mental health programs established under this section;</text>
</clause><clause commented="no" id="H00E5DDE1A5EF45E8870393D99598A6AB"><enum>(ii)</enum><text>the effectiveness of formal partnership linkages among child and family serving institutions,
community support systems, and the educational system;</text>
</clause><clause commented="no" id="HD968536C78BA494AAF3410E08005E4DB"><enum>(iii)</enum><text>the progress made in sustaining the program once funding under the grant has expired;</text>
</clause><clause commented="no" id="H184F54AF47064EA097AED7EC73C3D5B1"><enum>(iv)</enum><text>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;</text>
</clause><clause commented="no" id="H6B327AE65E5C489189E75F82BD2AE0A9"><enum>(v)</enum><text display-inline="yes-display-inline">the improvement in perception of a safe and supportive learning environment among school staff,
students, and parents;</text>
</clause><clause commented="no" id="HFB71B22CA2B1429DBD81F677401AF744"><enum>(vi)</enum><text>the improvement in case-finding of students in need of more intensive services and referral of
identified students to early intervention and clinical services;</text>
</clause><clause commented="no" id="H82C7A6E4BA634A13A6EA0D102EF47372"><enum>(vii)</enum><text>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;</text>
</clause><clause commented="no" id="H2D69E1B367CC4DC7A106F7B3DF51C94C"><enum>(viii)</enum><text>the increased successful matriculation to postsecondary school; and</text>
</clause><clause commented="no" id="HD0844C5954D94D1E82FD2BFCA8ADD98D"><enum>(ix)</enum><text>reduced referrals to juvenile justice.</text>
</clause></subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="H530CC48B035944CAB63629D27FEA0FD4"><enum>(3)</enum><header>Submission of annual data</header><text>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.</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="HDD2AA1F8BD734670B2FE9F77A02E97DC"><enum>(4)</enum><header>Evaluation by Administrator</header><text>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.</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="HEDB4C1946FD24103A2A7F4770145AA07"><enum>(5)</enum><header>Limitation</header><text>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.</text>
</paragraph></subsection><subsection commented="no" id="HBAE28CA9CB7545D48BEA946CA2FCAEF2"><enum>(g)</enum><header>Information and education</header><text>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.</text>
</subsection><subsection commented="no" id="H195D9EC31D5B4AD28130FF0BDFDD781E"><enum>(h)</enum><header>Amount of grants and authorization of appropriations</header>
<paragraph commented="no" id="H484B1CB75DFA41F1B647E04AA3CD3B0B"><enum>(1)</enum><header>Amount of grants</header><text display-inline="yes-display-inline">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.</text>
</paragraph><paragraph commented="no" id="H547C0E526C0F445F9B32C6D472C930A9"><enum>(2)</enum><header>Authorization of appropriations</header><text>There is authorized to be appropriated to carry out this section, $200,000,000 for each of fiscal
years 2015 through 2019.</text></paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph><paragraph commented="no" id="H1A914D6D4A624B45960D4AE614BE571C"><enum>(3)</enum><header>Conforming amendment</header><text display-inline="yes-display-inline">Part G of title V of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290hh">42 U.S.C. 290hh et seq.</external-xref>), as amended by this
section, is further amended by striking the part heading and inserting the
following:</text>
<quoted-block display-inline="no-display-inline" id="H0BF28292E4B64FABAA9F3A4585FD2D67" style="OLC">
<part commented="no" id="HB18CB3C02FFE4F8283C93F915181671F"><enum>G</enum><header>School-based mental health</header></part><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection></section><section commented="no" id="H92A5C3DE100345D6B66902F9C73E4F74"><enum>602.</enum><header>Examining mental health care for children</header>
<subsection commented="no" id="H84C182C2304E49438BCC7B2FF8A0D522"><enum>(a)</enum><header>In General</header><text display-inline="yes-display-inline">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.</text>
</subsection><subsection commented="no" id="H249AC3316AAD4C34AB3095B96A86D25D"><enum>(b)</enum><header>Content</header><text>The report submitted under subsection (a) shall review and assess—</text>
<paragraph commented="no" id="H4CF2DC57ECCC49D48E79795E406F6166"><enum>(1)</enum><text>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;</text>
</paragraph><paragraph id="HE8E45B52E17F4A9EAF260C09BE62F0BD"><enum>(2)</enum><text display-inline="yes-display-inline">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;</text>
</paragraph><paragraph commented="no" id="HABE337F2712F4C78B3648EBD4584C235"><enum>(3)</enum><text>the extent to which children are prescribed psychotropic medications in the United States including
the frequency of concurrent medication usage; and</text>
</paragraph><paragraph commented="no" id="H78125D4989CE47499E0AC6F20ECAD3F7"><enum>(4)</enum><text>the tools, assessments, and medications that are available and used to diagnose and treat children
with mental health disorders.</text>
</paragraph></subsection></section><enum>VII</enum><header>Justice and Mental Health Collaboration</header>
<section id="HF6D553D010B64518AD65004EEF7AA197"><enum>701.</enum><header>Assisting veterans</header>
<subsection id="H158B317E064B4F40BD07DFA5B232681A"><enum>(a)</enum><header>Redesignation</header><text>Section 2991 of the Omnibus Crime Control and Safe Streets Act of 1968 (<external-xref legal-doc="usc" parsable-cite="usc/42/3797aa">42 U.S.C. 3797aa</external-xref>) is
amended by redesignating subsection (i) as subsection (l).</text>
</subsection><subsection id="HE6703A4D44A84C24AF7726807BBC86C3"><enum>(b)</enum><header>Assisting veterans</header><text display-inline="yes-display-inline">Section 2991 of the Omnibus Crime Control and Safe Streets Act of 1968 (<external-xref legal-doc="usc" parsable-cite="usc/42/3797aa">42 U.S.C. 3797aa</external-xref>) is
amended by inserting after subsection (h) the following:</text>
<quoted-block display-inline="no-display-inline" id="H4E869F5A2636445EA0A3A8C179A87C06" style="OLC">
<subsection id="HA1A6B7342C7A479297C5DFD4E3A0E435"><enum>(i)</enum><header>Assisting veterans</header>
<paragraph id="HB3903EAE134C42618743389B0729D89E"><enum>(1)</enum><header>Definitions</header><text>In this subsection:</text>
<subparagraph id="HF32624BAE171440D9F64453C5332C38B"><enum>(A)</enum><header>Peer-to-peer services or programs</header><text>The term <term>peer-to-peer services or programs</term> means services or programs that connect qualified veterans with other veterans for the purpose of
providing support and mentorship to assist qualified veterans in obtaining
treatment, recovery, stabilization, or rehabilitation.</text>
</subparagraph><subparagraph id="H2558C9DB9423439193F95256E63FBCE9"><enum>(B)</enum><header>Qualified veteran</header><text>The term <term>qualified veteran</term> means a preliminarily qualified offender who—</text>
<clause id="HF8D8BC6A40594AA4A4ADB43112DF96C7"><enum>(i)</enum><text>has served on active duty in any branch of the Armed Forces, including the National Guard and
reserve components; and</text>
</clause><clause id="H6E8470833DDD4041A61D1A85FFF554A0"><enum>(ii)</enum><text>was discharged or released from such service under conditions other than dishonorable.</text>
</clause></subparagraph><subparagraph id="H0584E894EBAE4F148EDFA6E3DB2600A8"><enum>(C)</enum><header>Veterans treatment court program</header><text>The term <term>veterans treatment court program</term> means a court program involving collaboration among criminal justice, veterans, and mental health
and substance abuse agencies that provides qualified veterans with—</text>
<clause id="HCDC8912ED8B341BBA0663C334E57D5CC"><enum>(i)</enum><text>intensive judicial supervision and case management, which may include random and frequent drug
testing where appropriate;</text>
</clause><clause id="H88CFCA0ABE3A4622A26317A7F0B6C942"><enum>(ii)</enum><text>a full continuum of treatment services, including mental health services, substance abuse services,
medical services, and services to address trauma;</text>
</clause><clause id="H8C149DE60A5045C2B721EE0A87A89655"><enum>(iii)</enum><text>alternatives to incarceration; and</text>
</clause><clause id="H747F25B914A645D39F9CFEAA1B61F4E4"><enum>(iv)</enum><text>other appropriate services, including housing, transportation, mentoring, employment, job training,
education, and assistance in applying for and obtaining available
benefits.</text>
</clause></subparagraph></paragraph><paragraph id="H1B6994972CAA4D1F9F2D718F89548FE9"><enum>(2)</enum><header>Veterans assistance program</header>
<subparagraph id="H21D894DA38A940C498A8DA9E2C8F9276"><enum>(A)</enum><header>In general</header><text>The Attorney General, in consultation with the Secretary of Veterans Affairs, may award grants
under this subsection to applicants to establish or expand—</text>
<clause id="H5EAF5B155BBA407A859DB01D22160D9A"><enum>(i)</enum><text>veterans treatment court programs;</text>
</clause><clause id="H727EACB9996E433DB5C7A086A8ABD45C"><enum>(ii)</enum><text>peer-to-peer services or programs for qualified veterans;</text>
</clause><clause id="H4A9513C788924C03920FFB8408E38E72"><enum>(iii)</enum><text>practices that identify and provide treatment, rehabilitation, legal, transitional, and other
appropriate services to qualified veterans who have been incarcerated; and</text>
</clause><clause id="H92B6A7B9B5BC41C89CF2E2F7C4E65A7E"><enum>(iv)</enum><text>training programs to teach criminal justice, law enforcement, corrections, mental health, and
substance abuse personnel how to identify and appropriately respond to
incidents involving qualified veterans.</text>
</clause></subparagraph><subparagraph id="HA422BDD3A5C24BA7BCF46DE0E1FE43E7"><enum>(B)</enum><header>Priority</header><text>In awarding grants under this subsection, the Attorney General shall give priority to applications
that—</text>
<clause id="H87B90EEAAC32452AA76FAC6CA85039AD"><enum>(i)</enum><text>demonstrate collaboration between and joint investments by criminal justice, mental health,
substance abuse, and veterans service agencies;</text>
</clause><clause id="H14822994F55441CAAF4C5E914887E298"><enum>(ii)</enum><text>promote effective strategies to identify and reduce the risk of harm to qualified veterans and
public safety; and</text>
</clause><clause id="H0A8A80756D9A450B93395DC73AC105FA"><enum>(iii)</enum><text>propose interventions with empirical support to improve outcomes for qualified veterans.</text></clause></subparagraph></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection></section><section id="HADF2D1D815C04AFC9977B97DBAE0AE38"><enum>702.</enum><header>Correctional facilities</header><text display-inline="no-display-inline">Section 2991 of the Omnibus Crime Control and Safe Streets Act of 1968 (<external-xref legal-doc="usc" parsable-cite="usc/42/3797aa">42 U.S.C. 3797aa</external-xref>) is
amended by inserting after subsection (i), as so added by section 701, the
following:</text>
<quoted-block display-inline="no-display-inline" id="H1835BECFDEFE4618A5BA4500041A1301" style="OLC">
<subsection id="H1559200836894403BF743011C794E898"><enum>(j)</enum><header>Correctional facilities</header>
<paragraph id="HD73D12F236B048EAAEF055EAD4F0F475"><enum>(1)</enum><header>Definitions</header>
<subparagraph id="H94967DC0609348F9B70AC6C468F76141"><enum>(A)</enum><header>Correctional facility</header><text>The term <term>correctional facility</term> means a jail, prison, or other detention facility used to house people who have been arrested,
detained, held, or convicted by a criminal justice agency or a court.</text>
</subparagraph><subparagraph id="H17D49FD9E88E4D418CE5EE374CC1D6BC"><enum>(B)</enum><header>Eligible inmate</header><text>The term <term>eligible inmate</term> means an individual who—</text>
<clause id="H6DB74112541F48289AB03C25383DFB7F"><enum>(i)</enum><text>is being held, detained, or incarcerated in a correctional facility; and</text>
</clause><clause id="HBC01518505AD4EB0B7CFA3A5D901A6F0"><enum>(ii)</enum><text>manifests obvious signs of a mental illness or has been diagnosed by a qualified mental health
professional as having a mental illness.</text>
</clause></subparagraph></paragraph><paragraph id="H74047BEB197D4BDC8CC5973D96E29174"><enum>(2)</enum><header>Correctional facility grants</header><text>The Attorney General may award grants to applicants to enhance the capabilities of a correctional
facility—</text>
<subparagraph id="H75B87521C89A45578B869837D2A32E21"><enum>(A)</enum><text>to identify and screen for eligible inmates;</text>
</subparagraph><subparagraph id="H9A709B47221D4EDE995725F03C56F0C3"><enum>(B)</enum><text>to plan and provide—</text>
<clause id="H865F1A29FF354AEA96307F1AC05A8724"><enum>(i)</enum><text>initial and periodic assessments of the clinical, medical, and social needs of inmates; and</text>
</clause><clause id="HDADEE4E6F5FD40AF8BAA1FF03BAA550D"><enum>(ii)</enum><text>appropriate treatment and services that address the mental health and substance abuse needs of
inmates;</text>
</clause></subparagraph><subparagraph id="H3B792828017E4964A527BD3ACC33AF9F"><enum>(C)</enum><text>to develop, implement, and enhance—</text>
<clause id="HEC3ECAF0BADD42C39EC79A57A732D071"><enum>(i)</enum><text>post-release transition plans for eligible inmates that, in a comprehensive manner, coordinate
health, housing, medical, employment, and other appropriate services and
public benefits;</text>
</clause><clause id="HC9AE853CC8754F14BD57BA99CAC3C7C1"><enum>(ii)</enum><text>the availability of mental health care services and substance abuse treatment services; and</text>
</clause><clause id="HA14DCB66CFF3456A9B31FE69F5A419EF"><enum>(iii)</enum><text>alternatives to solitary confinement and segregated housing and mental health screening and
treatment for inmates placed in solitary confinement or segregated
housing; and</text>
</clause></subparagraph><subparagraph id="H73FA26B2CE9C4D02BFC70809837B938F"><enum>(D)</enum><text>to train each employee of the correctional facility to identify and appropriately respond to
incidents involving inmates with mental health or co-occurring mental
health and substance abuse disorders.</text></subparagraph></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="HB33A5343AE064B48AE6301595406CD48"><enum>703.</enum><header>High utilizers</header><text display-inline="no-display-inline">Section 2991 of the Omnibus Crime Control and Safe Streets Act of 1968 (<external-xref legal-doc="usc" parsable-cite="usc/42/3797aa">42 U.S.C. 3797aa</external-xref>) is
amended by inserting after subsection (j), as added by section 702, the
following:</text>
<quoted-block display-inline="no-display-inline" id="H70BE370BB49A4A3A9A65919BEE7AEAA1" style="OLC">
<subsection id="HC6D7890FDBDB49E1AD33AB1B370224FE"><enum>(k)</enum><header>Demonstration grants responding to high utilizers</header>
<paragraph id="HF8361463F09E431C903EC1C0479504FD"><enum>(1)</enum><header>Definition</header><text>In this subsection, the term <term>high utilizer</term> means an individual who—</text>
<subparagraph id="H617B9AABCE0A4B09A8D6F639BC9B7F9B"><enum>(A)</enum><text>manifests obvious signs of mental illness or has been diagnosed by a qualified mental health
professional as having a mental illness; and</text>
</subparagraph><subparagraph id="H49DACB44B62A4A64A4E5E560EFB5C134"><enum>(B)</enum><text>consumes a significantly disproportionate quantity of public resources, such as emergency, housing,
judicial, corrections, and law enforcement services.</text>
</subparagraph></paragraph><paragraph id="H6286AC78CB9A4F1FAFB8C0C28A7A501B"><enum>(2)</enum><header>Demonstration grants responding to high utilizers</header>
<subparagraph id="H9961FA0FB83942FC9FEF7262CF6E8357"><enum>(A)</enum><header>In general</header><text>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.</text>
</subparagraph><subparagraph id="H0D7363260F5C4A6FA6C6AB796D9A14D3"><enum>(B)</enum><header>Use of grants</header><text>A recipient of a grant awarded under this subsection may use the grant—</text>
<clause id="HABE6B02F34284499BBE297D064324EBF"><enum>(i)</enum><text>to develop or support multidisciplinary teams that coordinate, implement, and administer
community-based crisis responses and long-term plans for high utilizers;</text>
</clause><clause id="HEEC236897A58426A8A37945D20B07350"><enum>(ii)</enum><text>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;</text>
</clause><clause id="H96B991D2C26E401EBEDC7AD249106E62"><enum>(iii)</enum><text>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</text>
</clause><clause id="H680B0DB692DB4835893A0FABA4BCB705"><enum>(iv)</enum><text>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.</text>
</clause></subparagraph><subparagraph id="H01EEA3A58D3A4821A15E4B366ACDD60E"><enum>(C)</enum><header>Report</header><text>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—</text>
<clause id="H884DF4F52DA248278CE034EED979385B"><enum>(i)</enum><text>measures the performance of the grant recipient in reducing the use of public services by high
utilizers; and</text>
</clause><clause id="H85C9A1412DF742D88BE8D7BD10270152"><enum>(ii)</enum><text>provides a model set of practices, systems, or procedures that other jurisdictions can adopt to
reduce the use of public services by high utilizers.</text></clause></subparagraph></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="H86AF781E7FE049AF91AA7CC4A048E39E"><enum>704.</enum><header>Academy training</header><text display-inline="no-display-inline">Section 2991(h) of the Omnibus Crime Control and Safe Streets Act of 1968 (<external-xref legal-doc="usc" parsable-cite="usc/42/3797aa">42 U.S.C. 3797aa(h)</external-xref>) is
amended—</text>
<paragraph id="H459B7556E6B44080B6366E5F1A3B5427"><enum>(1)</enum><text>in paragraph (1), by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="H371F9E2492304059A9F5F31089711A8E" style="OLC">
<subparagraph id="H285B5246D9FC4BE9B6728CC2144995C9"><enum>(F)</enum><header>Academy training</header><text>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.</text></subparagraph><after-quoted-block>; and</after-quoted-block></quoted-block>
</paragraph><paragraph id="HEF497EEC311843DA967C05CB1AE87D09"><enum>(2)</enum><text>by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="H6644A7E5175C450E9F877BA52A50D5C8" style="OLC">
<paragraph id="HA08A2F5CF3A74EDC979ADEF67D9D5535"><enum>(4)</enum><header>Priority consideration</header><text>The Attorney General, in awarding grants under this subsection, shall give priority to programs
that law enforcement personnel and members of the mental health and
substance abuse professions develop and administer cooperatively.</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section id="HD80F6813F44F461D8C8CF2CB785D2D12"><enum>705.</enum><header>Evidence-based practices</header><text display-inline="no-display-inline">Section 2991(c) of the Omnibus Crime Control and Safe Streets Act of 1968 (<external-xref legal-doc="usc" parsable-cite="usc/42/3797aa">42 U.S.C. 3797aa(c)</external-xref>) is
amended—</text>
<paragraph id="HDFEB03EE13F14E20AE426B20DC534B85"><enum>(1)</enum><text>in paragraph (3), by striking <quote>or</quote> at the end;</text>
</paragraph><paragraph id="HC334BA12A16A45D09ADA44BDC2ACD049"><enum>(2)</enum><text>by redesignating paragraph (4) as paragraph (6); and</text>
</paragraph><paragraph id="H57D01961D40448E885D4810F8EF3546C"><enum>(3)</enum><text>by inserting after paragraph (3), the following:</text>
<quoted-block display-inline="no-display-inline" id="H77256E27A07F4F98BC7A9E46D2D9A754" style="OLC">
<paragraph id="H411FE5BBB72441FEA2B0A56510DFA253"><enum>(4)</enum><text>propose interventions that have been shown by empirical evidence to reduce recidivism;</text>
</paragraph><paragraph id="HA8DCFC0B711246BDA7C887FF87B545B1"><enum>(5)</enum><text>when appropriate, use validated assessment tools to target preliminarily qualified offenders with a
moderate or high risk of recidivism and a need for treatment and services;
or</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section id="H652E9E7256184B3A936CEC8729674459"><enum>706.</enum><header>Safe communities</header>
<subsection id="HA08593B2AB18422E9CFE7882B678F464"><enum>(a)</enum><header>In general</header><text>Section 2991(a) of the Omnibus Crime Control and Safe Streets Act of 1968 (<external-xref legal-doc="usc" parsable-cite="usc/42/3797aa">42 U.S.C. 3797aa(a)</external-xref>) is
amended by striking paragraph (9) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="H164BC012A9C2486D96F284FF118BEFD3" style="OLC">
<paragraph commented="no" display-inline="no-display-inline" id="H32018F96F8AA401A8655B133D241C75A"><enum>(9)</enum><header display-inline="yes-display-inline">Preliminarily qualified offender</header>
<subparagraph commented="no" display-inline="no-display-inline" id="H9877DCA0ACAC46DA9AD8440F7DDF2B43"><enum>(A)</enum><header>In general</header><text display-inline="yes-display-inline">The term <term>preliminarily qualified offender</term> means an adult or juvenile accused of an offense who—</text>
<clause commented="no" display-inline="no-display-inline" id="HDDDED553DFD440149E4678785B5034A4"><enum>(i)</enum>
<subclause commented="no" display-inline="yes-display-inline" id="H949A56F4B3AB4F449B0ABEF225F8850A"><enum>(I)</enum><text>previously or currently has been diagnosed by a qualified mental health professional as having a
mental illness or co-occurring mental illness and substance abuse
disorders;</text>
</subclause><subclause id="HBD7417700DBE42789F5323AC6D52857C" indent="up1"><enum>(II)</enum><text>manifests obvious signs of mental illness or co-occurring mental illness and substance abuse
disorders during arrest or confinement or before any court; or</text>
</subclause><subclause id="H1FB4A135489149E797160011E741433E" indent="up1"><enum>(III)</enum><text>in the case of a veterans treatment court provided under subsection (i), has been diagnosed with,
or manifests obvious signs of, mental illness or a substance abuse
disorder or co-occurring mental illness and substance abuse disorder; and</text>
</subclause></clause><clause id="H3D354F31C2694563A4792F824F7340A4"><enum>(ii)</enum><text>has been unanimously approved for participation in a program funded under this section by, when
appropriate, the relevant—</text>
<subclause id="H33825ABEE44F404EABF83A538727CA01"><enum>(I)</enum><text>prosecuting attorney;</text>
</subclause><subclause id="H852DF7A86ADD4498809B827ED19E8200"><enum>(II)</enum><text>defense attorney;</text>
</subclause><subclause id="H768FD7501872452988076018686ACB2E"><enum>(III)</enum><text>probation or corrections official;</text>
</subclause><subclause id="H0BA897CD59AD48DD8C70124CC7D9D99D"><enum>(IV)</enum><text>judge; and</text>
</subclause><subclause id="H7645A79CFBF342F88791CFF165A70F2F"><enum>(V)</enum><text>a representative from the relevant mental health agency described in subsection (b)(5)(B)(i).</text>
</subclause></clause></subparagraph><subparagraph id="H5848D4DC00CA4CD394C26448C3D4F177"><enum>(B)</enum><header>Determination</header><text>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—</text>
<clause id="H77095D53561A4C5993417683833E0705"><enum>(i)</enum><text>whether the participation of the individual in the program would pose a substantial risk of
violence to the community;</text>
</clause><clause id="HAAD4CB54D72742019A8A62366F284EDF"><enum>(ii)</enum><text>the criminal history of the individual and the nature and severity of the offense for which the
individual is charged;</text>
</clause><clause id="H712C706A85ED42BB9E4AB42FE45C68CD"><enum>(iii)</enum><text>the views of any relevant victims to the offense;</text>
</clause><clause id="H924E4034F69F4A40AE5D755C847DCB2F"><enum>(iv)</enum><text>the extent to which the individual would benefit from participation in the program;</text>
</clause><clause id="HE763C33396104895AA448F177C572CAC"><enum>(v)</enum><text>the extent to which the community would realize cost savings because of the individual's
participation in the program; and</text>
</clause><clause id="H2A317B46451A4D2A8025BBD747AD952E"><enum>(vi)</enum><text>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.</text></clause></subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="H16B563A22A574BFA8FE510A8763ACDAA"><enum>(b)</enum><header>Technical and conforming amendment</header><text>Section 2927(2) of the Omnibus Crime Control and Safe Streets Act of 1968 (<external-xref legal-doc="usc" parsable-cite="usc/42/3797s-6">42 U.S.C. 3797s–6(2)</external-xref>) is
amended by striking <quote>has the meaning given that term in section 2991(a).</quote> and inserting “means an offense that—</text>
<quoted-block display-inline="no-display-inline" id="H8C65B297338A42E0887C551B738C4018" style="OLC">
<subparagraph id="H1E2C356C59CC42D389656A7F5505E645"><enum>(A)</enum><text>does not have as an element the use, attempted use, or threatened use of physical force against the
person or property of another; or</text>
</subparagraph><subparagraph id="H6C104781D90B4AF1854F17C70325EEAF"><enum>(B)</enum><text>is not a felony that by its nature involves a substantial risk that physical force against the
person or property of another may be used in the course of committing the
offense.</text></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection></section><section id="H61409ADF502845168D9EE22802685240"><enum>707.</enum><header>Reauthorization of appropriations</header><text display-inline="no-display-inline">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—</text>
<paragraph id="H8C3200C19FA0468BA8E79E269359CF2A"><enum>(1)</enum><text display-inline="yes-display-inline">in paragraph (1)—</text>
<subparagraph id="H41FCAFC4A8E7448CA931865394C43033"><enum>(A)</enum><text display-inline="yes-display-inline">in subparagraph (B), by striking <quote>and</quote> at the end;</text>
</subparagraph><subparagraph id="H4D8F71C1723240178847E4AF9F63CC4E"><enum>(B)</enum><text display-inline="yes-display-inline">in subparagraph (C), by striking the period and inserting <quote>; and</quote>; and</text>
</subparagraph><subparagraph id="H06B6D81D9EEF4940B40ACBD608DB1B5E"><enum>(C)</enum><text>by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="H8C3AA88C690A47709E8BC0A328D7BF55" style="OLC">
<subparagraph id="H2247EFF8F55E4A8DBB4ECE9E13633F49"><enum>(D)</enum><text>$40,000,000 for each of fiscal years 2015 through 2019.</text></subparagraph><after-quoted-block>; and</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="HA37BE67BD1444C358867E7947F9CBE51"><enum>(2)</enum><text>by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="H4384EA6829564F078C7FA7A40ABB4F68" style="OLC">
<paragraph id="HAB4B4DDC822C425EA5FC85AB4DEAF531"><enum>(3)</enum><header>Limitation</header><text>Not more than 20 percent of the funds authorized to be appropriated under this section may be used
for purposes described in subsection (i) (relating to veterans).</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><enum>VIII</enum><header>Behavioral Health Information Technology </header>
<section id="idD6B1C0C6339F4347966A37634EC2AB38"><enum>801.</enum><header>Extension of health information technology assistance for behavioral and mental health and
substance abuse</header><text display-inline="no-display-inline">Section 3000(3) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300jj">42 U.S.C. 300jj(3)</external-xref>) is amended by inserting
before <quote>and any other category</quote> the following: <quote>behavioral and mental health professionals (as defined in section 331(a)(3)(E)(i)), a substance
abuse professional, a psychiatric hospital (as defined in section 1861(f)
of the Social Security Act), a community mental health center meeting the
criteria specified in section 1913(c), a residential or outpatient mental
health or substance abuse treatment facility,</quote>.</text></section><section commented="no" id="HCE092F1A8DD2469FBC31EAE9BEC5E3F4"><enum>802.</enum><header>Extension of eligibility for Medicare and Medicaid health information technology implementation
assistance</header>
<subsection commented="no" id="HD19B306CD02E4EA2B036C5F87226555B"><enum>(a)</enum><header>Payment incentives for eligible professionals under medicare</header><text>Section 1848 of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395w-4">42 U.S.C. 1395w–4</external-xref>) is amended—</text>
<paragraph commented="no" id="HCE98ABF67FF34E688CD91242DB4D61BB"><enum>(1)</enum><text>in subsection (a)(7)—</text>
<subparagraph commented="no" id="HA94D78A79CC641FC929E92C7042CE354"><enum>(A)</enum><text>in subparagraph (E), by adding at the end the following new clause:</text>
<quoted-block id="H5CF7454407724339A6DBC35416C4FFE7" style="OLC">
<clause commented="no" id="H7DA3BA8838504EA0A088956DC1AF0845"><enum>(iv)</enum><header>Additional eligible professional</header><text display-inline="yes-display-inline">The term <term>additional eligible professional</term> means a clinical psychologist providing qualified psychologist services (as defined in section
1861(ii)).</text></clause><after-quoted-block>; and</after-quoted-block></quoted-block>
</subparagraph><subparagraph commented="no" id="H53DD5FCCC5C14547B79F50E7928793AD"><enum>(B)</enum><text>by adding at the end the following new subparagraph:</text>
<quoted-block display-inline="no-display-inline" id="HA08502067CF64DBF94CCF84E05CC7007" style="OLC">
<subparagraph commented="no" id="H5E0E693AE8FF4367A82A9A8850D8C108"><enum>(F)</enum><header>Application to additional eligible professionals</header><text display-inline="yes-display-inline">The Secretary shall apply the provisions of this paragraph with respect to an additional eligible
professional in the same manner as such provisions apply to an eligible
professional, except in applying subparagraph (A)—</text>
<clause commented="no" id="H4550C7D2F3BA4C5CAD40543D8CB94E29"><enum>(i)</enum><text>in clause (i), the reference to 2015 shall be deemed a reference to 2019;</text>
</clause><clause commented="no" id="HFC7CBEAA3EE84AE1BA35C00B80C9705F"><enum>(ii)</enum><text>in clause (ii), the references to 2015, 2016, and 2017 shall be deemed references to 2019, 2020,
and 2021, respectively; and</text>
</clause><clause commented="no" id="H539B2138C7424D75AB986FCB1DA4BD33"><enum>(iii)</enum><text>in clause (iii), the reference to 2018 shall be deemed a reference to 2022.</text></clause></subparagraph><after-quoted-block>; and</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph commented="no" id="H2026DEF2809847748F501B71A6179291"><enum>(2)</enum><text>in subsection (o)—</text>
<subparagraph commented="no" id="HB84EBC84A2254847B94DF7F169B94EAD"><enum>(A)</enum><text>in paragraph (5), by adding at the end the following new subparagraph:</text>
<quoted-block id="H94E3A1A0A8334B45BDB6E25436686F5E" style="OLC">
<subparagraph commented="no" id="H5404B3A06DF94B7AA6D9BDDC522F357C"><enum>(D)</enum><header>Additional eligible professional</header><text display-inline="yes-display-inline">The term <term>additional eligible professional</term> means a clinical psychologist providing qualified psychologist services (as defined in section
1861(ii)).</text></subparagraph><after-quoted-block>; and</after-quoted-block></quoted-block>
</subparagraph><subparagraph commented="no" id="H016315FFF8374741832922194FD43B3B"><enum>(B)</enum><text>by adding at the end the following new paragraph:</text>
<quoted-block display-inline="no-display-inline" id="HBBDEDB6A0B4342EE8720971F5C023E97" style="OLC">
<paragraph commented="no" id="H4EC539A89F594341A0098D1231AFD596"><enum>(6)</enum><header>Application to additional eligible professionals</header><text display-inline="yes-display-inline">The Secretary shall apply the provisions of this subsection with respect to an additional eligible
professional in the same manner as such provisions apply to an eligible
professional, except in applying—</text>
<subparagraph commented="no" id="HFC70D044791545148F782435F8FFD358"><enum>(A)</enum><text display-inline="yes-display-inline">paragraph (1)(A)(ii), the reference to 2016 shall be deemed a reference to 2020;</text>
</subparagraph><subparagraph commented="no" id="HA4A570280B3642F09C860B244D0775E1"><enum>(B)</enum><text>paragraph (1)(B)(ii), the references to 2011 and 2012 shall be deemed references to 2015 and 2016,
respectively;</text>
</subparagraph><subparagraph commented="no" id="HA75190C904404E8FAE6BF23CDEFB7DFA"><enum>(C)</enum><text>paragraph (1)(B)(iii), the references to 2013 shall be deemed references to 2017;</text>
</subparagraph><subparagraph commented="no" id="HDE4CD6EAB1914B95807B69EF8F32885D"><enum>(D)</enum><text>paragraph (1)(B)(v), the references to 2014 shall be deemed references to 2018; and</text>
</subparagraph><subparagraph commented="no" id="H6FC4D2DA69CD4E729A47A6C6249FC357"><enum>(E)</enum><text>paragraph (1)(E), the reference to 2011 shall be deemed a reference to 2015.</text></subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph></subsection><subsection commented="no" id="H96B839C72D6D4D839AF14E2B4CA32F0B"><enum>(b)</enum><header>Eligible hospitals</header><text>Section 1886 of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395ww">42 U.S.C. 1395ww</external-xref>) is amended—</text>
<paragraph commented="no" id="H871E2E44AEE6490A9A54A3564F43942D"><enum>(1)</enum><text display-inline="yes-display-inline">in subsection (b)(3)(B)(ix), by adding at the end the following new subclause:</text>
<quoted-block display-inline="no-display-inline" id="HE6683DF825F44E0D80E232475CBBE0E9" style="OLC">
<subclause commented="no" id="HE59C66064D9647CCAF932ADB4CE4B3A0"><enum>(V)</enum><text display-inline="yes-display-inline">The Secretary shall apply the provisions of this subsection with respect to an additional eligible
hospital (as defined in subsection (n)(6)(C)) in the same manner as such
provisions apply to an eligible hospital, except in applying—</text>
<item commented="no" id="HDB749F21853C4E9EBA82FE57625037CC"><enum>(aa)</enum><text>subclause (I), the references to 2015, 2016, and 2017 shall be deemed references to 2019, 2020, and
2021, respectively; and</text>
</item><item commented="no" id="H17D443CFBE2E430C9ECA5A26084F76F9"><enum>(bb)</enum><text>subclause (III), the reference to 2015 shall be deemed a reference to 2019.</text></item></subclause><after-quoted-block>; and</after-quoted-block></quoted-block>
</paragraph><paragraph commented="no" id="H8CBF53F87A1E4DD1A07727CDBDEA4674"><enum>(2)</enum><text>in subsection (n)—</text>
<subparagraph commented="no" id="HD4BF766056644D159738D529A0A08F32"><enum>(A)</enum><text>in paragraph (6), by adding at the end the following new subparagraph:</text>
<quoted-block display-inline="no-display-inline" id="H288BC99E56EC4376A352C47F084B86C9" style="OLC">
<subparagraph commented="no" id="H0094F211A8EE4C45BD521C1A2D5C2AF2"><enum>(C)</enum><header>Additional eligible hospital</header><text display-inline="yes-display-inline">The term <term>additional eligible hospital</term> means an inpatient hospital that is a psychiatric hospital (as defined in section 1861(f)).</text></subparagraph><after-quoted-block>; and</after-quoted-block></quoted-block>
</subparagraph><subparagraph commented="no" id="H996FBBD27DF94A89952A581BC82F7D7F"><enum>(B)</enum><text>by adding at the end the following new paragraph:</text>
<quoted-block display-inline="no-display-inline" id="H24EA5C9B3A6549ECB56EE141F8CFF3B8" style="OLC">
<paragraph commented="no" id="H421CEE909D2C4AEFB32458E1350013BC"><enum>(7)</enum><header>Application to additional eligible hospitals</header><text display-inline="yes-display-inline">The Secretary shall apply the provisions of this subsection with respect to an additional eligible
hospital in the same manner as such provisions apply to an eligible
hospital, except in applying paragraph (2)—</text>
<subparagraph commented="no" id="H2A570010D44449C4A3BE3DEB16E9D514"><enum>(A)</enum><text display-inline="yes-display-inline">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;</text>
</subparagraph><subparagraph commented="no" id="H227E80904825457F98287CCCB0570E6D"><enum>(B)</enum><text>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;</text>
</subparagraph><subparagraph commented="no" id="H0F931376044A4CCEA961CDF247DE3E9F"><enum>(C)</enum><text>the references in subparagraph (E)(ii) of such paragraph to 2013 and 2015 shall be deemed
references to 2017 and 2019, respectively; and</text>
</subparagraph><subparagraph commented="no" id="HBF0D715A077B45E2A594F8E791D421F3"><enum>(D)</enum><text>the reference in subparagraph (G)(i) of such paragraph to 2011 shall be deemed a reference to 2015.</text></subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph></subsection><subsection commented="no" id="HE563F611EFD544DAAC4F49D27E21F073"><enum>(c)</enum><header>Medicaid providers</header><text>Section 1903(t) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396b">42 U.S.C. 1396b(t)</external-xref>) is amended—</text>
<paragraph commented="no" id="HCDBB544639DB41EC970A78DB307EF119"><enum>(1)</enum><text>in paragraph (2)(B)—</text>
<subparagraph commented="no" id="H6B3E7037A3684218A2A92FF6FE31853D"><enum>(A)</enum><text>in clause (i), by striking <quote>, or</quote> and inserting a semicolon;</text>
</subparagraph><subparagraph commented="no" id="H74156759C9894932BBFABA4A2591D679"><enum>(B)</enum><text>in clause (ii), by striking the period and inserting a semicolon; and</text>
</subparagraph><subparagraph commented="no" id="HC04F129A23B3467F9A84BC4AF1F9C05E"><enum>(C)</enum><text>by adding after clause (ii) the following new clauses:</text>
<quoted-block id="H31468B3A4D574BB1A6152BB8491000B8" style="OLC">
<clause commented="no" id="HA4D32F47627D4D6CB595501A60EA96EC"><enum>(iii)</enum><text>a public hospital that is principally a psychiatric hospital (as defined in section 1861(f));</text>
</clause><clause commented="no" id="HD2DE40410D974A5CB937B3C8D11FFA46"><enum>(iv)</enum><text>a private hospital that is principally a psychiatric hospital (as defined in section 1861(f)) and
that has at least 10 percent of its patient volume (as estimated in
accordance with a methodology established by the Secretary) attributable
to individuals receiving medical assistance under this title;</text>
</clause><clause commented="no" id="HDB9ECC6FDF1B465BB34E4E8430D6A02B"><enum>(v)</enum><text display-inline="yes-display-inline">a community mental health center meeting the criteria specified in section 1913(c) of the Public
Health Service Act; or</text>
</clause><clause commented="no" id="H1FFAF2C4083944DA9988FC28942AF382"><enum>(vi)</enum><text>a residential or outpatient mental health or substance abuse treatment facility that—</text>
<subclause commented="no" id="HFD578C382BB94977B5CDA00BF6595273"><enum>(I)</enum><text display-inline="yes-display-inline">is accredited by the Joint Commission on Accreditation of Healthcare Organizations, the Commission
on Accreditation of Rehabilitation Facilities, the Council on
Accreditation, or any other national accrediting agency recognized by the
Secretary; and</text>
</subclause><subclause commented="no" id="HEE100DCD5B404D9FBF7F8C6A6FD0D117"><enum>(II)</enum><text>has at least 10 percent of its patient volume (as estimated in accordance with a methodology
established by the Secretary) attributable to individuals receiving
medical assistance under this title.</text></subclause></clause><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph commented="no" id="H84051485C8A64D8CA25B244ED48AA01F"><enum>(2)</enum><text>in paragraph (3)(B)—</text>
<subparagraph commented="no" id="HEFB7A0528E254A32A5EC99EA7627D885"><enum>(A)</enum><text>in clause (iv), by striking <quote>and</quote> after the semicolon;</text>
</subparagraph><subparagraph commented="no" id="HAF497CA4F2C4410F96F6D1E0C2E22567"><enum>(B)</enum><text>in clause (v), by striking the period and inserting <quote>; and</quote>; and</text>
</subparagraph><subparagraph commented="no" id="HAADD9849B69D49448CCFBCA3219838B6"><enum>(C)</enum><text>by adding at the end the following new clause:</text>
<quoted-block id="H19EF4B64F84D43EB8303C3F652858FAA" style="OLC">
<clause commented="no" id="HC575FBC785DF4B57AC92F5AFB61E0241"><enum>(vi)</enum><text>clinical psychologist providing qualified psychologist services (as defined in section 1861(ii)),
if such clinical psychologist is practicing in an outpatient clinic that—</text>
<subclause commented="no" id="HE907A90401024B559EBE404956517BCC"><enum>(I)</enum><text>is led by a clinical psychologist; and</text>
</subclause><subclause commented="no" id="H16C5F56A5E9A4E9AB73390D11A2FA69C"><enum>(II)</enum><text>is not otherwise receiving payment under paragraph (1) as a Medicaid provider described in
paragraph (2)(B).</text></subclause></clause><after-quoted-block>; and</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph commented="no" id="H453E46D558E94E86B66F19252F35BA1F"><enum>(3)</enum><text>in paragraph (5)(B), by adding at the end the following new sentence: <quote>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.</quote>.</text>
</paragraph></subsection><subsection commented="no" id="HCA842CAF509F4BF18CB0DF91E46578D8"><enum>(d)</enum><header>Medicare Advantage organizations</header><text>Section 1853 of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395w-23">42 U.S.C. 1395w–23</external-xref>) is amended—</text>
<paragraph commented="no" id="HA6B5A3FEFD3A484CAC73730F5452D80D"><enum>(1)</enum><text>in subsection (l)—</text>
<subparagraph commented="no" id="HED096DC6B91F43C48067F77751789263"><enum>(A)</enum><text>in paragraph (1)—</text>
<clause commented="no" id="HCD5B22775D634B9D856CC81C3AA8DFCA"><enum>(i)</enum><text>by inserting <quote>or additional eligible professionals (as described in paragraph (9))</quote> after <quote>paragraph (2)</quote>; and</text>
</clause><clause commented="no" id="H56E3769CDB9841729BF2D979C35E8BDC"><enum>(ii)</enum><text>by inserting <quote>and additional eligible professionals</quote> before <quote>under such sections</quote>;</text>
</clause></subparagraph><subparagraph commented="no" id="H4194F6A091894F9BBF51DFE6FFC3886C"><enum>(B)</enum><text>in paragraph (3)(B)—</text>
<clause commented="no" id="H5EFFFA10323C49ABA6C404C7411C4BFD"><enum>(i)</enum><text>in clause (i) in the matter preceding subclause (I), by inserting <quote>or an additional eligible professional described in paragraph (9)</quote> after <quote>paragraph (2)</quote>; and</text>
</clause><clause commented="no" id="H3FDB10181F9042CDB37D7C1FE76EA225"><enum>(ii)</enum><text display-inline="yes-display-inline">in clause (ii)—</text>
<subclause commented="no" id="HEC0E813437A64F5299AC8BEF4934B8B7"><enum>(I)</enum><text>in the matter preceding subclause (I), by inserting <quote>or an additional eligible professional described in paragraph (9)</quote> after <quote>paragraph (2)</quote>; and</text>
</subclause><subclause commented="no" id="HD2DCCB6266E54C35AE290E7D409F9859"><enum>(II)</enum><text display-inline="yes-display-inline">in subclause (I), by inserting <quote>or an additional eligible professional, respectively,</quote> after <quote>eligible professional</quote>;</text>
</subclause></clause></subparagraph><subparagraph commented="no" id="HF3E98D6188B340CE96D8E4E565490AD5"><enum>(C)</enum><text display-inline="yes-display-inline">in paragraph (3)(C), by inserting <quote>and additional eligible professionals</quote> after <quote>all eligible professionals</quote>;</text>
</subparagraph><subparagraph commented="no" id="H994DC724C2824117967CFA97303D92EB"><enum>(D)</enum><text>in paragraph (4)(D), by adding at the end the following new sentence: <quote>In the case that a qualifying MA organization attests that not all additional eligible
professionals of the organization are meaningful EHR users with respect to
an applicable year, the Secretary shall apply the payment adjustment under
this paragraph based on the proportion of all such additional eligible
professionals of the organization that are not meaningful EHR users for
such year.</quote>;</text>
</subparagraph><subparagraph commented="no" id="H94C7C2C48B1346D6BC9AC024D8A286E7"><enum>(E)</enum><text display-inline="yes-display-inline">in paragraph (6)(A), by inserting <quote>and, as applicable, each additional eligible professional described in paragraph (9)</quote> after <quote>paragraph (2)</quote>;</text>
</subparagraph><subparagraph commented="no" id="HB668C13C3988405A88EB1C2092EDEF31"><enum>(F)</enum><text display-inline="yes-display-inline">in paragraph (6)(B), by inserting <quote>and, as applicable, each additional eligible hospital described in paragraph (9)</quote> after <quote>subsection (m)(1)</quote>;</text>
</subparagraph><subparagraph commented="no" id="H2AB43B12BECC4DD48E6B1110B2BE4A1F"><enum>(G)</enum><text display-inline="yes-display-inline">in paragraph (7)(A), by inserting <quote>and, as applicable, additional eligible professionals</quote> after <quote>eligible professionals</quote>;</text>
</subparagraph><subparagraph commented="no" id="H83AF66F45BDD479E99FCF29A0077D173"><enum>(H)</enum><text display-inline="yes-display-inline">in paragraph (7)(B), by inserting <quote>and, as applicable, additional eligible professionals</quote> after <quote>eligible professionals</quote>;</text>
</subparagraph><subparagraph commented="no" id="HE5ADA2736A984D6BA98DA11A26BB5FCA"><enum>(I)</enum><text display-inline="yes-display-inline">in paragraph (8)(B), by inserting <quote>and additional eligible professionals described in paragraph (9)</quote> after <quote>paragraph (2)</quote>; and</text>
</subparagraph><subparagraph commented="no" id="H6FE4F12E9F0842DB8CCB3A28C43442C3"><enum>(J)</enum><text>by adding at the end the following new paragraph:</text>
<quoted-block display-inline="no-display-inline" id="H34111E3DB4B7459290BCCA32E36FF552" style="OLC">
<paragraph commented="no" id="HAAAE77450ECC4C5494CEB28BF248CAF0"><enum>(9)</enum><header>Additional eligible professional described</header><text display-inline="yes-display-inline">With respect to a qualifying MA organization, an additional eligible professional described in this
paragraph is an additional eligible professional (as defined for purposes
of section 1848(o)) who—</text>
<subparagraph commented="no" id="HCCB36EC1AB534B48BEC0F6E728702D33"><enum>(A)</enum>
<clause commented="no" display-inline="yes-display-inline" id="HDAA60608B605427BB408E888A94AC771"><enum>(i)</enum><text>is employed by the organization; or</text>
</clause><clause commented="no" id="H5ED8DD4637C44C90A6E5A024D355C1DE" indent="up1"><enum>(ii)</enum>
<subclause commented="no" display-inline="yes-display-inline" id="HF25926BDBE8F46AD92ADAED8C6024658"><enum>(I)</enum><text>is employed by, or is a partner of, an entity that through contract with the organization furnishes
at least 80 percent of the entity’s Medicare patient care services to
enrollees of such organization; and</text>
</subclause><subclause commented="no" id="H6D07E37C136341F2B20E8C4224078A15" indent="up1"><enum>(II)</enum><text>furnishes at least 80 percent of the professional services of the additional eligible professional
covered under this title to enrollees of the organization; and</text>
</subclause></clause></subparagraph><subparagraph commented="no" id="HE02B9D1C977141E386AE3963FBB39FFA"><enum>(B)</enum><text>furnishes, on average, at least 20 hours per week of patient care services.</text></subparagraph></paragraph><after-quoted-block>; and</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph commented="no" id="H6167C1798D60413C850F3D6CA5126AE5"><enum>(2)</enum><text>in subsection (m)—</text>
<subparagraph commented="no" id="H724EFBAD7FD340D7A7CB343B7AA47B81"><enum>(A)</enum><text>in paragraph (1)—</text>
<clause commented="no" id="H2FD6079E3BA845E885BD45D742ED80D3"><enum>(i)</enum><text>by inserting <quote>or additional eligible hospitals (as described in paragraph (7))</quote> after <quote>paragraph (2)</quote>; and</text>
</clause><clause commented="no" id="HB7CCAD3D38B1457D804024D8460A3EAE"><enum>(ii)</enum><text>by inserting <quote>and additional eligible hospitals</quote> before <quote>under such sections</quote>;</text>
</clause></subparagraph><subparagraph commented="no" id="HF8427FB586ED47BCA61A587B46188267"><enum>(B)</enum><text>in paragraph (3)(A)(i), by inserting <quote>or additional eligible hospital</quote> after <quote>eligible hospital</quote>;</text>
</subparagraph><subparagraph commented="no" id="H71A45D72C7C44F6A99E5390A9F81CD53"><enum>(C)</enum><text>in paragraph (3)(A)(ii), by inserting <quote>or an additional eligible hospital</quote> after <quote>eligible hospital</quote> in each place it occurs;</text>
</subparagraph><subparagraph commented="no" id="H9D1E438D14314DE8B1A507039420411D"><enum>(D)</enum><text>in paragraph (3)(B)—</text>
<clause commented="no" id="H76BC183D9CBB4760A392B5AC6C4267F7"><enum>(i)</enum><text>in clause (i), by inserting <quote>or an additional eligible hospital described in paragraph (7)</quote> after <quote>paragraph (2)</quote>; and</text>
</clause><clause commented="no" id="HEA868A24FBB2463082E1AA457C9E153E"><enum>(ii)</enum><text display-inline="yes-display-inline">in clause (ii)—</text>
<subclause commented="no" id="H22DCF05C47004A74AD31FC02D18CFC83"><enum>(I)</enum><text>in the matter preceding subclause (I), by inserting <quote>or an additional eligible hospital described in paragraph (7)</quote> after <quote>paragraph (2)</quote>; and</text>
</subclause><subclause commented="no" id="H93CB22431F874286A6204E85DF7BD8DF"><enum>(II)</enum><text display-inline="yes-display-inline">in subclause (I), by inserting <quote>or an additional eligible hospital, respectively,</quote> after <quote>eligible hospital</quote>;</text>
</subclause></clause></subparagraph><subparagraph commented="no" id="H3C784BFBF75D4E72B2B9630511909551"><enum>(E)</enum><text>in paragraph (4)(A), by inserting <quote>or one or more additional eligible hospitals (as defined in section 1886(n)), as appropriate,</quote> after <quote>section 1886(n)(6)(A))</quote>;</text>
</subparagraph><subparagraph commented="no" id="H510FC85E090646029D79D7C77E80EF4B"><enum>(F)</enum><text>in paragraph (4)(D), by adding at the end the following new sentence: <quote>In the case that a qualifying MA organization attests that not all additional eligible hospitals of
the organization are meaningful EHR users with respect to an applicable
period, the Secretary shall apply the payment adjustment under this
paragraph based on the methodology specified by the Secretary, taking into
account the proportion of such additional eligible hospitals, or
discharges from such hospitals, that are not meaningful EHR users for such
period.</quote>;</text>
</subparagraph><subparagraph commented="no" id="H4933A9EBDCC94C5A9BB328DBEDBCF290"><enum>(G)</enum><text display-inline="yes-display-inline">in paragraph (5)(A), by inserting <quote>and, as applicable, each additional eligible hospital described in paragraph (7)</quote> after <quote>paragraph (2)</quote>;</text>
</subparagraph><subparagraph commented="no" id="HC930A4F343BF48E88CEAEA3CE6811A35"><enum>(H)</enum><text display-inline="yes-display-inline">in paragraph (5)(B), by inserting <quote>and additional eligible hospitals, as applicable,</quote> after <quote>eligible hospitals</quote>;</text>
</subparagraph><subparagraph commented="no" id="H6D7DEF902A154D55B4FD0B48B1BBB112"><enum>(I)</enum><text display-inline="yes-display-inline">in paragraph (6)(B), by inserting <quote>and additional eligible hospitals described in paragraph (7)</quote> after <quote>paragraph (2)</quote>; and</text>
</subparagraph><subparagraph commented="no" id="H1EE08E6EAFD64B90A19886C730664B4F"><enum>(J)</enum><text>by adding at the end the following new paragraph:</text>
<quoted-block display-inline="no-display-inline" id="HBAD2BB02FFCF40D18AB51A6AE153F1C1" style="OLC">
<paragraph commented="no" id="HF710AC736DD14E0792E101762F9A74DC"><enum>(7)</enum><header>Additional eligible hospital described</header><text display-inline="yes-display-inline">With respect to a qualifying MA organization, an additional eligible hospital described in this
paragraph is an additional eligible hospital (as defined in section
1886(n)(6)(C)) that is under common corporate governance with such
organization and serves individuals enrolled under an MA plan offered by
such organization.</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph></subsection></section><enum>IX</enum><header>Servicemembers and Veterans Mental Health</header>
<section commented="no" id="H164661ECA2E34C83886F939C4C42CC3F"><enum>901.</enum><header>Preliminary mental health assessments</header>
<subsection commented="no" id="H4FF02537A79E4AA692F145A180BA279C"><enum>(a)</enum><header>In general</header><text><external-xref legal-doc="usc-chapter" parsable-cite="usc-chapter/10/31">Chapter 31</external-xref> of title 10, United States Code, is amended by adding at the end the following new
section:</text>
<quoted-block id="HBE3DB6E871D7490BB76BDE2670B47017" style="OLC">
<section commented="no" id="H26EDE9D78D58490DA4BEDA5855BCDE1E"><enum>520d.</enum><header>Preliminary mental health assessments</header>
<subsection commented="no" id="H08C25D0E65B4420689007514634E9BDB"><enum>(a)</enum><header>Provision of mental health assessment</header><text>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.</text>
</subsection><subsection commented="no" id="H6C1C7D360B2245099DD841DB32B71071"><enum>(b)</enum><header>Use of assessment</header><text>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.</text>
</subsection><subsection commented="no" id="H4911BA8009AF49A5B330B0607511D25E"><enum>(c)</enum><header>Application of privacy laws</header><text>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.</text></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection commented="no" id="H02DBD6628DC64A82AFAEB685BBC08018"><enum>(b)</enum><header>Clerical amendment</header><text>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:</text>
<quoted-block id="HA051486C670A4B57A1D577818B0DF106" style="OLC">
<toc regeneration="no-regeneration">
<toc-entry level="section">520d. Preliminary mental health assessments.</toc-entry></toc><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection commented="no" id="H1911349371094F08AE907DB8DF8AFB3B"><enum>(c)</enum><header>Report</header>
<paragraph commented="no" id="H70EEE9E61534491AAA3D93186439EFAB"><enum>(1)</enum><header>In general</header><text>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.</text>
</paragraph><paragraph commented="no" id="HD0173F70F3CB4E95B5A735131A4E1005"><enum>(2)</enum><header>Matters included</header><text>The report under paragraph (1) shall include the following:</text>
<subparagraph commented="no" id="HAF7F0D1E67B64A128BAE3027A7742D86"><enum>(A)</enum><text>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.</text>
</subparagraph><subparagraph commented="no" id="HCA9F72AD8EE44356B63906BB360D3746"><enum>(B)</enum><text>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.</text>
</subparagraph></paragraph><paragraph commented="no" id="H8ED22EEE90CF4DF4B0FBABC333DA661A"><enum>(3)</enum><header>Coordination</header><text>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.</text>
</paragraph></subsection></section><section commented="no" id="HA8BB6DF3056D489FA94B7E9AA784DF84" section-type="subsequent-section"><enum>902.</enum><header>Unlimited eligibility for health care for mental illnesses for veterans of combat service during
certain periods of hostilities and war</header>
<subsection commented="no" id="HB844F24A2A774BDEA9283B858A06A8A9"><enum>(a)</enum><header>Eligibility</header><text><external-xref legal-doc="usc" parsable-cite="usc/38/1710">Section 1710(e)(1)</external-xref> of title 38, United States Code, is amended by adding at the end the following
new subparagraph:</text>
<quoted-block id="H18EEE25188F3446B9579DA7DE12624D2" style="OLC">
<subparagraph commented="no" id="HD37812E264B14B63AB61ACF9761880D1"><enum>(G)</enum><text>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.</text></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection commented="no" id="HF07BB309F97A4A62AFAA401ECC4F50B9"><enum>(b)</enum><header>Effective date</header><text>Subparagraph (G) of <external-xref legal-doc="usc" parsable-cite="usc/38/1710">section 1710(e)(1)</external-xref> 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.</text>
</subsection></section><section commented="no" id="HCE183E764D39403099B2075A4462FF01"><enum>903.</enum><header>Timeline for implementing integrated electronic health records</header>
<subsection commented="no" id="H2F0D024CFE614562A77687DD82C353EE"><enum>(a)</enum><header>Establishment of timeline</header><text>Section 1635 of the Wounded Warrior Act (<external-xref legal-doc="usc" parsable-cite="usc/10/1071">10 U.S.C. 1071</external-xref> note) is amended by adding at the end the
following new subsection:</text>
<quoted-block id="H8981553D618D4DA5B3E04312564F0027" style="OLC">
<subsection commented="no" id="H5F8B7DD61B9E4D33A80DCCF73886B0F1"><enum>(k)</enum><header>Timeline</header><text>In carrying out this section, the Secretary of Defense and the Secretary of Veterans Affairs shall
ensure that—</text>
<paragraph commented="no" id="HD9576B0C80CB479DA64CBA0C664E6257"><enum>(1)</enum><text>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;</text>
</paragraph><paragraph commented="no" id="H943E2FDA09494747996795AA2382114A"><enum>(2)</enum><text>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 <quote>Blue Button Initiative</quote>) is achieved by not later than 365 days after the date of the enactment of this subsection;</text>
</paragraph><paragraph commented="no" id="HBA365FE4643746D0BA219376DDDEE6BA"><enum>(3)</enum><text>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;</text>
</paragraph><paragraph commented="no" id="H2A40E329042A40D3AEEF4F8D0B6852A2"><enum>(4)</enum><text>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;</text>
</paragraph><paragraph commented="no" id="H0039A9409B8E49FFBED70ABAE55792CF"><enum>(5)</enum><text>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;</text>
</paragraph><paragraph commented="no" id="H3165C497E9D444B7B70C67B8B87852B0"><enum>(6)</enum><text>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;</text>
</paragraph><paragraph commented="no" id="H9C881E6C7D5246028DB4BEB193C231A6"><enum>(7)</enum><text>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</text>
</paragraph><paragraph commented="no" id="H70DC8F8A19124273B2BFAFF43BDABFBE"><enum>(8)</enum><text>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.</text></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection commented="no" id="HEBF78BB8D280438980DA52142740D509"><enum>(b)</enum><header>Cloud storage</header><text>Section 1635 of such Act is further amended by adding at the end the following new subsection:</text>
<quoted-block id="HB44A8266541549E08100AA99A17147CA" style="OLC">
<subsection commented="no" id="H64C241A1EB6549AD8A17B7184DF91408"><enum>(l)</enum><header>Cloud storage</header><text>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 <quote>cloud storage</quote>) to—</text>
<paragraph commented="no" id="HAD82DAB3FF584B949C24490C82383688"><enum>(1)</enum><text>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</text>
</paragraph><paragraph commented="no" id="H414422AF21BC4360AFCA8D879F2EA5CC"><enum>(2)</enum><text>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.</text></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection commented="no" id="HE863437B05654761879FFE91AE44B4DB"><enum>(c)</enum><header>Conforming amendments</header><text>Section 1635 of such Act is further amended—</text>
<paragraph commented="no" id="HB06BBE49973D4F61A1BC79B9703D4CA0"><enum>(1)</enum><text>in subsection (a), by striking <quote>The Secretary</quote> and inserting <quote>In accordance with the timeline described in subsection (k), the Secretary</quote>; and</text>
</paragraph><paragraph commented="no" id="H6E4F823E89D04C70AE6AA7EA18E07387"><enum>(2)</enum><text>in the matter preceding paragraph (1) of subsection (e), by inserting <quote>in accordance with subsection (k)</quote> after <quote>under this section</quote>.</text>
</paragraph></subsection></section><section commented="no" id="H3B2DE52BFF814E128797D74D30697A85"><enum>904.</enum><header>Pilot program for repayment of educational loans for certain psychiatrists of Veterans Health
Administration</header>
<subsection commented="no" id="H49505C782968434D98EE6859D9EBCAEC"><enum>(a)</enum><header>Pilot program</header>
<paragraph commented="no" id="H8DB4DF9E9978432BA111E1DEA9685541"><enum>(1)</enum><header>Establishment</header><text>The Secretary of Veterans Affairs shall carry out a pilot program to repay a loan of an individual
described in paragraph (2) that—</text>
<subparagraph commented="no" id="H033470C554E743F09E2EE3F8C52DADDE"><enum>(A)</enum><text>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</text>
</subparagraph><subparagraph commented="no" id="H6747D242C476428282392C4BF0FD80F9"><enum>(B)</enum><text>was obtained from a governmental entity, private financial institution, school, or other authorized
entity, as determined by the Secretary.</text>
</subparagraph></paragraph><paragraph commented="no" id="H57949B3FE21849B39FBF7E1516C6B7B7"><enum>(2)</enum><header>Eligible individuals</header><text>To be eligible to obtain a loan repayment under this subsection, an individual shall—</text>
<subparagraph commented="no" id="H9A79F40B68C3431CB40108AC5E606AA2"><enum>(A)</enum><text>either—</text>
<clause commented="no" id="H74B431F76E5545EB9F572570F76EFE30"><enum>(i)</enum><text>be licensed or eligible for licensure to practice psychiatric medicine in the Veterans Health
Administration of the Department of Veterans Affairs; or</text>
</clause><clause commented="no" id="H369EC99603284047B03350C3933DED28"><enum>(ii)</enum><text>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</text>
</clause></subparagraph><subparagraph commented="no" id="H2E689059BC8345CCB179DF8958880E14"><enum>(B)</enum><text>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.</text>
</subparagraph></paragraph><paragraph commented="no" id="HDD1B0D393CA34630B6ECA3C9561860B5"><enum>(3)</enum><header>Selection</header><text>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.</text>
</paragraph><paragraph commented="no" id="HF0AFF6E375E44883B05945B3DA899576"><enum>(4)</enum><header>Loan repayments</header>
<subparagraph commented="no" id="HF782892C286947CA908028D577A18AA0"><enum>(A)</enum><header>Amounts</header><text>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).</text>
</subparagraph><subparagraph commented="no" id="H4DD45B3E1EE241F9A3AA87A11A976C81"><enum>(B)</enum><header>Limit</header><text>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.</text>
</subparagraph></paragraph><paragraph commented="no" id="HFCCF8B4912064F529C49761B13266FD7"><enum>(5)</enum><header>Breach</header>
<subparagraph commented="no" id="H25303CEDE6554161AB393FE0B4FD690D"><enum>(A)</enum><header>Liability</header><text>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.</text>
</subparagraph><subparagraph commented="no" id="HC4F74540F9E442998181BBBB962C3DEE"><enum>(B)</enum><header>Repayment period</header><text>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.</text>
</subparagraph></paragraph><paragraph commented="no" id="H9C1ACBCC781441E09ABE889A53D419EE"><enum>(6)</enum><header>Prohibition on simultaneous eligibility</header><text>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).</text>
</paragraph><paragraph commented="no" id="H1C8B586E92184C0C8A157327089EB273"><enum>(7)</enum><header>Report</header><text>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.</text>
</paragraph><paragraph commented="no" id="HFA3D38A509304A10BE04E7792FCE3E70"><enum>(8)</enum><header>Regulations</header><text>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.</text>
</paragraph><paragraph commented="no" id="H73DF2242226F4ED6ACDA194F4E5B19A0"><enum>(9)</enum><header>Termination</header><text>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.</text>
</paragraph></subsection><subsection commented="no" id="HD7CED2173EE24341BCDE4140546B5D50"><enum>(b)</enum><header>Comptroller general study on pay disparities of psychiatrists of veterans health administration</header>
<paragraph commented="no" id="H254D9AF589DC41B5B41B30BE7C82077C"><enum>(1)</enum><header>Study</header><text>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—</text>
<subparagraph commented="no" id="HFD84CCA0E40C4AF6B18F8E97982CBE17"><enum>(A)</enum><text>an examination of laws, regulations, practices, and policies, including salary flexibilities, that
contribute to such disparities; and</text>
</subparagraph><subparagraph commented="no" id="HEDE39C97E1ED405FA09AC9C761B92D9F"><enum>(B)</enum><text>recommendations with respect to legislative or regulatory actions to improve equity in pay among
such psychiatrists.</text>
</subparagraph></paragraph><paragraph commented="no" id="H0D462226173B43C6BE97037B4F5A22AC"><enum>(2)</enum><header>Report</header><text>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.</text>
</paragraph></subsection></section><enum>X</enum><header>Making Parity Work</header>
<section commented="no" id="H9EFA7A2AE745443A9BA316FB68D8FE4F"><enum>1001.</enum><header>GAO study on mental health and substance use disorder parity enforcement efforts</header><text display-inline="no-display-inline">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 <external-xref legal-doc="public-law" parsable-cite="pl/110/343">Public Law 110–343</external-xref>), including—</text>
<paragraph id="H93AC1F61685C4EE3A96B56B151007585"><enum>(1)</enum><text>the number of investigations that have been conducted into potential parity violations; and</text>
</paragraph><paragraph id="HFDD68328D4AA493D87FE9A656D18761D"><enum>(2)</enum><text>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.</text>
</paragraph></section><section commented="no" id="H848AC40BF71C4377B0ED1F64F8DB7A2D"><enum>1002.</enum><header>Report to Congress on Federal assistance to State insurance regulators regarding mental health
parity enforcement</header><text display-inline="no-display-inline">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—</text>
<paragraph id="HE289B463F38748C3AFA063119A7D9F33"><enum>(1)</enum><text>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
<external-xref legal-doc="public-law" parsable-cite="pl/110/343">Public Law 110–343</external-xref>);</text>
</paragraph><paragraph id="HAB9395AF77D2444CB399CD4D255E7057"><enum>(2)</enum><text>their capability to carry out these enforcement powers or requirements; and</text>
</paragraph><paragraph id="H1EFC785F332149F49A72F17BF1E855E6"><enum>(3)</enum><text>any technical assistance to State government and State insurance regulators that has been
communicated by the Department of Health and Human Services.</text>
</paragraph></section><section commented="no" id="HAE3050983E794782B5D63798E509AAC6"><enum>1003.</enum><header>Annual report to Congress by Secretaries of Labor and Health and Human Services</header><text display-inline="no-display-inline">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—</text>
<paragraph commented="no" id="HF5729ADB6EE54C5B8D91D9ABBA76EBE1"><enum>(1)</enum><text display-inline="yes-display-inline">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 <external-xref legal-doc="public-law" parsable-cite="pl/110/343">Public Law 110–343</external-xref>);</text>
</paragraph><paragraph commented="no" id="H9B4A11E53E6E43CA93BE12962A02E1C0"><enum>(2)</enum><text>including a collection and classification of inquiries and complaints regarding the implementation
or enforcement of such Act;</text>
</paragraph><paragraph commented="no" id="H4E85D41E549147D78B7078168D9DE839"><enum>(3)</enum><text>including a transparent de-identified report of all Federal and State actions to enforce such Act;
and</text>
</paragraph><paragraph commented="no" id="HE0B18D4548C546F99E3FFC7B599A46B9"><enum>(4)</enum><text>include a compliance guide that includes—</text>
<subparagraph commented="no" id="H88F17D63B3264452A3E9EC6D02687D22"><enum>(A)</enum><text>detailed answers to relevant questions raised during the previous year concerning implementation or
enforcement of such Act; and</text>
</subparagraph><subparagraph commented="no" id="H5AB0F43AAEBE4EF080D8F6A26C15EA53"><enum>(B)</enum><text>specific guidelines providing clear interpretations of such Act and the regulations thereunder.</text>
</subparagraph></paragraph></section>