[Congressional Bills 113th Congress]
[From the U.S. Government Publishing Office]
[S. 689 Introduced in Senate (IS)]
113th CONGRESS
1st Session
S. 689
To reauthorize and improve programs related to mental health and
substance use disorders.
_______________________________________________________________________
IN THE SENATE OF THE UNITED STATES
April 9, 2013
Mr. Harkin (for himself, Mr. Alexander, Mr. Franken, Mr. Enzi, Mr.
Bennet, Ms. Murkowski, Ms. Baldwin, Mr. Roberts, Mrs. Hagan, and Mr.
Isakson) introduced the following bill; which was read twice and
referred to the Committee on Health, Education, Labor, and Pensions
_______________________________________________________________________
A BILL
To reauthorize and improve programs related to mental health and
substance use disorders.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Mental Health Awareness and
Improvement Act of 2013''.
TITLE I--EDUCATION PROGRAMS
SEC. 101. SHORT TITLE.
This title may be cited as the ``Achievement Through Prevention
Act''.
SEC. 102. PURPOSE.
The purpose of this title is to expand the use of positive
behavioral interventions and supports and early intervening services in
schools in order to improve student academic achievement, reduce
overidentification of individuals with disabilities, and reduce
disciplinary problems in schools.
SEC. 103. AMENDMENTS TO THE ELEMENTARY AND SECONDARY EDUCATION ACT OF
1965.
(a) Title I State Plans.--Section 1111(b) of the Elementary and
Secondary Education Act of 1965 (20 U.S.C. 6311(b)) is amended by
adding at the end the following:
``(11) Positive behavioral interventions and supports.--In
the case of a State that proposes to use funds under this part
to support positive behavioral interventions and supports, the
State plan shall describe how the State educational agency
will--
``(A) assist local educational agencies in
implementing positive behavioral interventions and
supports in schools served by the local educational
agency on a whole-school basis;
``(B) provide technical assistance and training to
local educational agencies to improve and support the
development, implementation, and coordination of
comprehensive positive behavioral interventions and
supports carried out under this Act with activities
carried out under the Individuals with Disabilities
Education Act; and
``(C) evaluate the effects of providing positive
behavioral interventions and supports for all students,
including improvement of the learning environment,
academic achievement, disciplinary problems such as
incidents of suspensions, expulsions, referrals to law
enforcement, and other actions that remove students
from instruction, and any other effects the State
chooses to evaluate.
``(12) Early intervening services.--In the case of a State
that proposes to use funds under this part to support early
intervening services, the State plan shall describe how the
State educational agency will--
``(A) assist local educational agencies in
implementing early intervening services in schools
served by the local educational agency to reduce the
need to label children as children with disabilities in
order to address the learning and behavioral needs of
such children;
``(B) provide technical assistance and training to
local educational agencies to improve coordination of
early intervening services provided under this Act with
early intervening services carried out under the
Individuals with Disabilities Education Act; and
``(C) evaluate the effects of providing early
intervening services.
``(13) Crisis management plans.--In the case of a State
that proposes to use funds under this part to assist local
educational agencies in the State in periodically updating the
crisis management plans, as described in section 4114(d)(7)(D),
of such local educational agencies, the State plan shall
describe how the State educational agency will assist local
educational agencies in updating such crisis management
plans.''.
(b) Title I State Reports.--Section 1111(h)(1)(C) of the Elementary
and Secondary Education Act of 1965 (20 U.S.C. 6311(h)(1)(C)) is
amended--
(1) in clause (vii), by striking ``and'' after the
semicolon;
(2) in clause (viii), by striking the period and inserting
a semicolon; and
(3) by adding at the end the following:
``(ix) the number of local educational
agencies in the State that implement positive
behavioral interventions and supports;
``(x) the number of students--
``(I) who are served through the
use of early intervening services; and
``(II) who, in the preceding 2-year
period, received early intervening
services and who, after receiving such
services, have been identified as
eligible for, and receive, special
education and related services under
part B of the Individuals with
Disabilities Education Act; and
``(xi) the number of local educational
agencies in the State that implement school-
based mental health programs.''.
(c) Title I Local Educational Agency Plans.--Section 1112(b)(1) of
the Elementary and Secondary Education Act of 1965 (20 U.S.C.
6312(b)(1)) is amended--
(1) in subparagraph (P), by striking ``and'' after the
semicolon;
(2) in subparagraph (Q), by striking the period and
inserting a semicolon; and
(3) by adding at the end the following:
``(R) if the local educational agency proposes to
use subgrant funds under this part for positive
behavioral interventions and supports, a description of
the actions the local educational agency will take to
provide positive behavioral interventions and supports
and coordinate those activities with activities carried
out under the Individuals with Disabilities Education
Act;
``(S) if the local educational agency proposes to
use subgrant funds under this part for early
intervening services, a description of the actions the
local educational agency will take to provide early
intervening services and coordinate those services with
early intervening services carried out under the
Individuals with Disabilities Education Act;
``(T) if the local educational agency proposes to
use subgrant funds under this part for school-based
mental health programs, a description of the actions
the local educational agency will take to provide
school-based mental health programs and coordinate
those activities with activities carried out under the
Individuals with Disabilities Education Act; and
``(U) if the local educational agency proposes to
use subgrant funds under this part for periodically
updating the crisis management plan of the local
educational agency, as described in section
4114(d)(7)(D), a description of the actions the local
educational agency will take to develop and implement
an updated crisis management plan.''.
(d) Title I Schoolwide Programs.--
(1) Schoolwide programs.--Section 1114(b)(1)(B)(iii)(I) of
the Elementary and Secondary Education Act of 1965 (20 U.S.C.
6314(b)(1)(B)(iii)(I)) is amended--
(A) in item (aa), by inserting ``and school-based
mental health programs'' after ``services'';
(B) by redesignating items (bb) and (cc) as items
(dd) and (ee), respectively; and
(C) by inserting after item (aa) the following:
``(bb) implementation of schoolwide
positive behavioral interventions and
supports, including through
coordination with activities carried
out under the Individuals with
Disabilities Education Act, in order to
improve academic outcomes for students
and reduce the need for suspensions,
expulsions, and other actions that
remove students from instruction;
``(cc) implementation of early
intervening services, including through
coordination with early intervening
services carried out under the
Individuals with Disabilities Education
Act;''.
(2) Technical assistance.--Section 1116(b)(4)(B) of the
Elementary and Secondary Education Act of 1965 (20 U.S.C.
6316(b)(4)(B)) is amended--
(A) by redesignating clauses (iii) and (iv) as
clauses (iv) and (v), respectively; and
(B) by inserting after clause (ii) the following:
``(iii) shall include assistance in the
implementation of schoolwide positive behavior
supports, school-based mental health programs,
and other approaches with evidence of
effectiveness for improving the learning
environment in the school and reducing the need
for suspensions, expulsions, and other actions
that remove students from instruction,
including effective strategies for improving
coordination of community resources;''.
(e) Title I Assessments and School Improvement.--
(1) School improvement plan.--Section 1116(b)(3)(A) of the
Elementary and Secondary Education Act of 1965 (20 U.S.C.
6316(b)(3)(A)) is amended--
(A) in clause (ix), by striking ``and'' after the
semicolon;
(B) in clause (x), by striking the period and
inserting a semicolon; and
(C) by adding at the end the following:
``(xi) specify whether the local
educational agency or the school will adopt and
implement policies or practices to implement or
improve positive behavioral interventions and
supports and enhance coordination with
activities carried out under the Individuals
with Disabilities Education Act;
``(xii) specify whether the local
educational agency or the school will adopt and
implement policies or practices to implement or
improve early intervening services and
coordinate with early intervening services
carried out under such Act; and
``(xiii) specify whether the local
educational agency or school will adopt and
implement school-based mental health programs
and coordinate with programs carried out under
such Act.''.
(2) Local educational agency improvement plans.--Section
1116(c)(10) of the Elementary and Secondary Education Act of
1965 (20 U.S.C. 6316(c)(10)) is amended--
(A) in subparagraph (B), by striking ``subparagraph
(E)'' and inserting ``subparagraph (F)'';
(B) by redesignating subparagraphs (D) through (F)
as subparagraphs (E) through (G), respectively; and
(C) by inserting after subparagraph (C) the
following:
``(D) Additional activities.--In addition to
carrying out 1 or more of the corrective actions
required under subparagraph (C) for a local educational
agency, the State educational agency may also carry out
1 or more of the following activities:
``(i) Improving or expanding positive
behavioral interventions and supports and
enhancing coordination with activities under
the Individuals with Disabilities Education
Act.
``(ii) Improving or expanding early
intervening services and coordinating such
services with early intervening services
carried out under the Individuals with
Disabilities Education Act.''.
(f) Title I School Support and Recognition.--
(1) Regional centers.--Section 1117(a)(3) of the Elementary
and Secondary Education Act of 1965 (20 U.S.C. 6317(a)(3)) is
amended--
(A) by striking ``of 2002 and comprehensive'' and
inserting ``of 2002, comprehensive'';
(B) by striking ``and the comprehensive'' and
inserting ``, the comprehensive''; and
(C) by inserting ``and any technical assistance
center on schoolwide positive behavioral interventions
and supports funded under section 665(b) of the
Individuals with Disabilities Education Act,'' after
``2002),''.
(2) Statewide systems for support.--Section 1117(a)(5)(B)
of the Elementary and Secondary Education Act of 1965 (20
U.S.C. 6317(a)(5)(B)) is amended--
(A) in clause (i), by striking the semicolon at the
end and inserting the following: ``, including by
improving or expanding the use of positive behavioral
interventions and supports aligned with activities
carried out under the Individuals with Disabilities
Education Act;'';
(B) in clause (iii), by striking ``and'' after the
semicolon;
(C) in clause (iv), by striking the period and
inserting a semicolon; and
(D) by adding at the end the following:
``(v) review and analyze the school's
efforts to identify and assist students with
poor academic achievement and students who are
children with disabilities, and assist the
school in developing or improving early
intervening services that are coordinated with
activities carried out under the Individuals
with Disabilities Education Act;
``(vi) review and analyze the school's
efforts to address behavioral or disciplinary
problems, and assist the school in developing
or improving schoolwide positive behavioral
interventions and supports that are coordinated
with activities carried out under the
Individuals with Disabilities Education Act;
``(vii) review the number of discipline
incidents in the school and use that
information to assist the school to implement
schoolwide positive behavioral interventions
and supports or other early intervening
services, or both; and
``(viii) review and analyze the school's
efforts to address mental health needs among
students and assist the school in developing or
improving school-based mental health programs
that are coordinated with activities carried
out under the Individuals with Disabilities
Education Act.''.
(g) Title I Parental Involvement.--Section 1118(e) of the
Elementary and Secondary Education Act of 1965 (20 U.S.C. 6318(e)) is
amended--
(1) by redesignating paragraphs (6) through (14) as
paragraphs (7) through (15), respectively; and
(2) by inserting after paragraph (5) the following:
``(6) shall provide information to school personnel,
students, and parents about the school's use of positive
behavioral interventions and supports, school-based mental
health programs, and the expectations of school personnel,
students, and parents in supporting a safe learning environment
for all students;''.
(h) Prevention and Intervention Programs.--Section 1414(c)(8) of
the Elementary and Secondary Education Act of 1965 (20 U.S.C.
6434(c)(8)) is amended by inserting ``, including coordinating the use
of positive behavioral interventions and supports, early intervening
services, and school-based mental health programs to improve academic
achievement and reduce disciplinary actions'' before the semicolon at
the end.
(i) Technical Assistance.--Section 1419 of the Elementary and
Secondary Education Act of 1965 (20 U.S.C. 6439) is amended--
(1) in paragraph (1), by striking ``and'' after the
semicolon;
(2) in paragraph (2), by striking the period and inserting
``; and''; and
(3) by adding at the end the following:
``(3) to provide technical assistance in implementing
positive behavior interventions and supports, early intervening
services, and school-based mental health programs in order to
improve academic achievement and reduce disciplinary
actions.''.
(j) Title II Mental Health Professional Development.--Section 2123
of the Elementary and Secondary Education Act of 1965 (20 U.S.C. 6223)
is amended--
(1) in subsection (a), by inserting after paragraph (8) the
following:
``(9) Carrying out in-service training for school personnel
in--
``(A) the techniques and supports needed to
identify children with trauma histories, and children
with, or at risk of, mental illness, early;
``(B) the use of referral mechanisms that
effectively link such children to appropriate treatment
and intervention services in the school and in the
community where appropriate; and
``(C) forming partnerships between school-based
mental health programs and public or private mental
health organizations.'';
(2) by redesignating subsection (b) as subsection (c); and
(3) by inserting after subsection (a) the following:
``(b) Liability Protection for School Personnel.--Section 2366
shall apply to school personnel who received in-service training under
subsection (a)(9), and who are carrying out activities related to such
training, in the same manner as such section applies to teachers.''.
(k) School-Based Mental Health Services Partnership Programs.--
Section 4121 of the Elementary and Secondary Education Act of 1965 (20
U.S.C. 7131) is amended--
(1) in subsection (a)--
(A) in the matter preceding paragraph (1), by
inserting ``, health (including mental health),'' after
``promote safety'';
(B) by redesignating paragraphs (3) through (8) and
(9) as paragraphs (4) through (9) and (11),
respectively;
(C) by inserting after paragraph (2) the following:
``(3) the development and implementation of school-based
mental health services partnership programs under subsection
(c);'';
(D) by striking paragraph (7), as redesignated by
subparagraph (B), and inserting the following:
``(7)(A) assistance to school systems that have
particularly severe drug and violence problems or assistance to
support appropriate response efforts to crisis situations,
including--
``(i) hiring drug prevention and school safety
coordinators; and
``(ii) making available to students mental health
services, conflict resolution programs, and other
school-based violence prevention strategies;'';
(E) in paragraph (9), as redesignated by
subparagraph (B), by striking ``and'' after the
semicolon; and
(F) by inserting after such paragraph (9) the
following:
``(10) assistance to States to help local educational
agencies develop and implement comprehensive emergency
management plans; and''; and
(2) by adding at the end the following:
``(c) School-Based Mental Health Services Partnership Programs.--
``(1) In general.--Each grant, contract, or cooperative
agreement awarded or entered into under subsection (a)(3) shall
meet the requirements of this subsection.
``(2) Eligibility.--
``(A) In general.--To be eligible to receive a
grant, contract, or cooperative agreement under this
subsection, a local educational agency shall enter into
a school-based mental health partnership that--
``(i) shall include a public or private
mental health entity or health care entity; and
``(ii) may include a child welfare agency,
family-based mental health entity, family
organization, trauma network, or other
community-based entity.
``(B) Flexibility for certain local educational
agencies.--Notwithstanding subparagraph (A), a local
educational agency that is eligible for services under
subpart 1 or 2 of part B of title VI, as determined by
the Secretary, and that is unable to partner with a
public or private mental health entity or health care
entity shall be eligible for a grant under this
subsection if the local educational agency can
demonstrate to the Secretary, in its application for a
grant under this subsection, that the local educational
agency can otherwise build the capacity to carry out
the requirements of this subsection.
``(3) Application.--A local educational agency that desires
a grant, contract, or cooperative agreement under this
subsection shall include, in the application required by the
Secretary, a description of how the local educational agency
will--
``(A) assist schools served by the local
educational agency to provide, through the school-based
mental health services partnership program,
comprehensive school-based mental health services and
supports and comprehensive staff development for school
and community service personnel working in the school;
``(B) provide technical assistance and training to
improve and support the development, implementation,
and coordination of school-based mental health programs
and ensure such programs are coordinated with
activities carried out under the Individuals with
Disabilities Education Act; and
``(C) evaluate the effects of providing school-
based mental health programs.
``(4) Use of funds.--A local educational agency receiving a
grant, contract, or cooperative agreement under this subsection
shall use funds provided under such grant, contract, or
cooperative agreement to provide school-based mental health
services and supports that--
``(A) may include--
``(i) the early identification of social,
emotional, or behavioral problems, or substance
use disorders, and the provision of early
intervening services;
``(ii) not withstanding section 4154, the
treatment or referral for treatment of students
with social, emotional, or behavioral health
problems, or substance use disorders;
``(iii) the development and implementation
of programs to assist children in dealing with
trauma and violence; and
``(iv) the development of mechanisms, based
on best practices, for children to report
incidents of violence or plans by other
children or adults to commit violence;
``(B) are based on trauma-informed and evidence-
based practices;
``(C) are coordinated, where appropriate, with
early intervening services carried out under the
Individuals with Disabilities Education Act; and
``(D) are provided by qualified mental and
behavioral health professionals who are certified or
licensed by the State involved and practicing within
their area of expertise.
``(5) General requirements.--
``(A) Parental consent.--
``(i) In general.--Each local educational
agency receiving a grant, contract, or
cooperative agreement under this subsection
shall obtain prior written, informed consent
from the parent of each child who is under 18
years of age to participate in any assessment
service, program, activity, or treatment that
is--
``(I) funded under this subsection;
and
``(II) conducted in connection with
an elementary school or secondary
school under the grant, contract, or
cooperative agreement.
``(ii) Exception.--Notwithstanding clause
(i), the written, informed consent described in
such clause shall not be required in--
``(I) an emergency, where it is
necessary to protect the immediate
health and safety of the student, other
students, or school personnel; or
``(II) other instances where
parental consent cannot reasonably be
obtained, as defined by the Secretary.
``(B) Prohibition on mandatory medication.--No
child shall be required to obtain a prescription for a
substance covered by the Controlled Substances Act (21
U.S.C. 801 et seq.) as a condition of receiving an
evaluation under this subsection, receiving services
under this subsection, or attending a school receiving
assistance under this subsection.
``(C) Privacy.--Each eligible entity receiving a
grant under this subsection shall ensure that student
mental health records are accorded the privacy
protections provided under the regulations promulgated
under section 264(c) of the Health Insurance
Portability and Accountability Act of 1996 (Public Law
104-191; 110 Stat. 2033) and section 444 of the General
Education Provisions Act (20 U.S.C. 1232g) (commonly
referred to as the `Federal Educational Rights and
Privacy Act of 1974').
``(6) Liability protection for school personnel.--Section
2366 shall apply to school personnel providing services under a
grant, contract, or cooperative agreement under this subsection
in the same manner as such section applies to teachers.
``(7) Prohibition against federal mandates, direction, or
control or federal regulation.--In addition to the prohibition
of Federal Government control of a State, local educational
agency, or school's curriculum or program of instruction that
is provided under section 9527(a), nothing in this subsection
shall be construed to authorize an officer or employee of the
Federal Government to mandate, direct, or control a State,
local educational agency, or school's specific instructional
content or academic achievement standards and assessments.''.
(l) Definition.--Section 9101 of the Elementary and Secondary
Education Act of 1965 (20 U.S.C. 7801) is amended--
(1) by redesignating paragraphs (17) through (43) as
paragraphs (18) through (44), respectively; and
(2) by inserting after paragraph (16) the following:
``(17) Early intervening services.--The term `early
intervening services' means early intervening services
described in section 613(f)(1) of the Individuals with
Disabilities Education Act.''.
SEC. 104. CONFORMING AMENDMENTS.
(a) America COMPETES Reauthorization Act of 2010.--Section
553(d)(6) of the America COMPETES Reauthorization Act of 2010 (20
U.S.C. 9903) is amended by striking ``section 9101(23)'' and inserting
``section 9101(24)''.
(b) Higher Education Act of 1965.--Section 255(k) of the Higher
Education Act of 1965 is amended--
(1) in paragraph (1), by striking ``section
9101(23)(B)(ii)'' and inserting ``section 9101(24)(B)(ii)'';
and
(2) in paragraph (3), by striking ``section 9101(23)'' and
inserting ``section 9101(24)''.
(c) Individuals With Disabilities Education Act.--Section 602(10)
of the Individuals with Disabilities Education Act (20 U.S.C. 1401(10))
is amended--
(1) in subparagraph (C)(ii), by striking ``section
9101(23)'' and inserting ``section 9101(24)''; and
(2) in each of clauses (ii) and (iii) of subparagraph (D),
by striking ``section 9101(23)(C)(ii)'' and inserting ``section
9101(24)(C)(ii)''.
TITLE II--HEALTH PROGRAMS
SEC. 201. GARRETT LEE SMITH MEMORIAL ACT REAUTHORIZATION.
(a) Suicide Prevention Technical Assistance Center.--Section 520C
of the Public Health Service Act (42 U.S.C. 290bb-34) is amended--
(1) in the section heading, by striking the section heading
and inserting ``suicide prevention technical assistance
center.'';
(2) in subsection (a), by striking ``and in consultation
with'' and all that follows through the period at the end of
paragraph (2) and inserting ``shall establish a research,
training, and technical assistance resource center to provide
appropriate information, training, and technical assistance to
States, political subdivisions of States, federally recognized
Indian tribes, tribal organizations, institutions of higher
education, public organizations, or private nonprofit
organizations regarding the prevention of suicide among all
ages, particularly among groups that are at high risk for
suicide.'';
(3) by striking subsections (b) and (c);
(4) by redesignating subsection (d) as subsection (b);
(5) in subsection (b), as so redesignated--
(A) by striking the subsection heading and
inserting ``Responsibilities of the Center.'';
(B) in the matter preceding paragraph (1), by
striking ``The additional research'' and all that
follows through ``nonprofit organizations for'' and
inserting ``The center established under subsection (a)
shall conduct activities for the purpose of'';
(C) by striking ``youth suicide'' each place such
term appears and inserting ``suicide'';
(D) in paragraph (1)--
(i) by striking ``the development or
continuation of'' and inserting ``developing
and continuing''; and
(ii) by inserting ``for all ages,
particularly among groups that are at high risk
for suicide'' before the semicolon at the end;
(E) in paragraph (2), by inserting ``for all ages,
particularly among groups that are at high risk for
suicide'' before the semicolon at the end;
(F) in paragraph (3), by inserting ``and tribal''
after ``statewide'';
(G) in paragraph (5), by inserting ``and
prevention'' after ``intervention'';
(H) in paragraph (8), by striking ``in youth'';
(I) in paragraph (9), by striking ``and behavioral
health'' and inserting ``health and substance use
disorder''; and
(J) in paragraph (10), by inserting ``conducting''
before ``other''; and
(6) by striking subsection (e) and inserting the following:
``(c) Authorization of Appropriations.--For the purpose of carrying
out this section, there are authorized to be appropriated $4,948,000
for each of fiscal years 2014 through 2018.''.
(b) Youth Suicide Early Intervention and Prevention Strategies.--
Section 520E of the Public Health Service Act (42 U.S.C. 290bb-36) is
amended--
(1) in paragraph (1) of subsection (a) and in subsection
(c), by striking ``substance abuse'' each place such term
appears and inserting ``substance use disorder'';
(2) in subsection (b)(2)--
(A) by striking ``each State is awarded only 1
grant or cooperative agreement under this section'' and
inserting ``a State does not receive more than 1 grant
or cooperative agreement under this section at any 1
time''; and
(B) by striking ``been awarded'' and inserting
``received''; and
(3) by striking subsection (m) and inserting the following:
``(m) Authorization of Appropriations.--For the purpose of carrying
out this section, there are authorized to be appropriated $29,682,000
for each of fiscal years 2014 through 2018.''.
(c) Mental Health and Substance Use Disorder Services.--Section
520E-2 of the Public Health Service Act (42 U.S.C. 290bb-36b) is
amended--
(1) in the section heading, by striking ``and behavioral
health'' and inserting ``health and substance use disorder
services'';
(2) in subsection (a)--
(A) by striking ``Services,'' and inserting
``Services and'';
(B) by striking ``and behavioral health problems''
and inserting ``health or substance use disorders'';
and
(C) by striking ``substance abuse'' and inserting
``substance use disorders'';
(3) in subsection (b)--
(A) in the matter preceding paragraph (1), by
striking ``for--'' and inserting ``for one or more of
the following:''; and
(B) by striking paragraphs (1) through (6) and
inserting the following:
``(1) Educating students, families, faculty, and staff to
increase awareness of mental health and substance use
disorders.
``(2) The operation of hotlines.
``(3) Preparing informational material.
``(4) Providing outreach services to notify students about
available mental health and substance use disorder services.
``(5) Administering voluntary mental health and substance
use disorder screenings and assessments.
``(6) Supporting the training of students, faculty, and
staff to respond effectively to students with mental health and
substance use disorders.
``(7) Creating a network infrastructure to link colleges
and universities with health care providers who treat mental
health and substance use disorders.'';
(4) in subsection (c)(5), by striking ``substance abuse''
and inserting ``substance use disorder'';
(5) in subsection (d)--
(A) in the matter preceding paragraph (1), by
striking ``An institution of higher education desiring
a grant under this section'' and inserting ``To be
eligible to receive a grant under this section, an
institution of higher education'';
(B) in paragraph (1)--
(i) by striking ``and behavioral health''
and inserting ``health and substance use
disorder''; and
(ii) by inserting ``, including veterans
whenever possible and appropriate,'' after
``students''; and
(C) in paragraph (2), by inserting ``, which may
include, as appropriate and in accordance with
subsection (b)(7), a plan to seek input from relevant
stakeholders in the community, including appropriate
public and private entities, in order to carry out the
program under the grant'' before the period at the end;
(6) in subsection (e)(1), by striking ``and behavioral
health problems'' and inserting ``health and substance use
disorders'';
(7) in subsection (f)(2)--
(A) by striking ``and behavioral health'' and
inserting ``health and substance use disorder''; and
(B) by striking ``suicide and substance abuse'' and
inserting ``suicide and substance use disorders''; and
(8) in subsection (h), by striking ``$5,000,000 for fiscal
year 2005'' and all that follows through the period at the end
and inserting ``$4,858,000 for each of fiscal years 2014
through 2018.''.
SEC. 202. MENTAL HEALTH AWARENESS TRAINING GRANTS.
Section 520J of the Public Health Service Act (42 U.S.C. 290bb-41)
is amended--
(1) in the section heading, by inserting ``mental health
awareness'' before ``training''; and
(2) in subsection (b)--
(A) in the subsection heading, by striking
``Illness'' and inserting ``Health'';
(B) in paragraph (1), by inserting ``and other
categories of individuals, as determined by the
Secretary,'' after ``emergency services personnel'';
(C) in paragraph (5)--
(i) in the matter preceding subparagraph
(5), by striking ``to'' and inserting ``for
evidence-based programs for the purpose of'';
and
(ii) by striking subparagraphs (A) through
(C) and inserting the following:
``(A) recognizing the signs and symptoms of mental
illness; and
``(B)(i) providing education to personnel regarding
resources available in the community for individuals
with a mental illness and other relevant resources; or
``(ii) the safe de-escalation of crisis situations
involving individuals with a mental illness.''; and
(D) in paragraph (7), by striking ``, $25,000,000''
and all that follows through the period at the end and
inserting ``$20,000,000 for each of fiscal years 2014
through 2018''.
SEC. 203. CHILDREN'S RECOVERY FROM TRAUMA.
Section 582 of the Public Health Service Act (42 U.S.C. 290hh-1) is
amended--
(1) in subsection (a), by striking ``developing programs''
and all that follows and inserting ``developing and maintaining
programs that provide for--
``(1) the continued operation of the National Child
Traumatic Stress Initiative (referred to in this section as the
`NCTSI'), which includes a coordinating center, that focuses on
the mental, behavioral, and biological aspects of psychological
trauma response; and
``(2) the development of knowledge with regard to evidence-
based practices for identifying and treating mental,
behavioral, and biological disorders of children and youth
resulting from witnessing or experiencing a traumatic event.'';
(2) in subsection (b)--
(A) by striking ``subsection (a) related'' and
inserting ``subsection (a)(2) (related'';
(B) by striking ``treating disorders associated
with psychological trauma'' and inserting ``treating
mental, behavioral, and biological disorders associated
with psychological trauma)''; and
(C) by striking ``mental health agencies and
programs that have established clinical and basic
research'' and inserting ``universities, hospitals,
mental health agencies, and other programs that have
established clinical expertise and research'';
(3) by redesignating subsections (c) through (g) as
subsections (g) through (k), respectively;
(4) by inserting after subsection (b), the following:
``(c) Child Outcome Data.--The NCTSI coordinating center shall
collect, analyze, and report NCTSI-wide child treatment process and
outcome data regarding the early identification and delivery of
evidence-based treatment and services for children and families served
by the NCTSI grantees.
``(d) Training.--The NCTSI coordinating center shall facilitate the
coordination of training initiatives in evidence-based and trauma-
informed treatments, interventions, and practices offered to NCTSI
grantees, providers, and partners.
``(e) Dissemination.--The NCTSI coordinating center shall, as
appropriate, collaborate with the Secretary in the dissemination of
evidence-based and trauma-informed interventions, treatments, products
and other resources to appropriate stakeholders.
``(f) Review.--The Secretary shall, consistent with the peer review
process, ensure that NCTSI applications are reviewed by appropriate
experts in the field as part of a consensus review process. The
Secretary shall include review criteria related to expertise and
experience in child trauma and evidence-based practices.'';
(5) in subsection (g) (as so redesignated), by striking
``with respect to centers of excellence are distributed
equitably among the regions of the country'' and inserting
``are distributed equitably among the regions of the United
States'';
(6) in subsection (i) (as so redesignated), by striking
``recipient may not exceed 5 years'' and inserting ``recipient
shall not be less than 4 years, but shall not exceed 5 years'';
and
(7) in subsection (j) (as so redesignated), by striking
``$50,000,000'' and all that follows through ``2006'' and
inserting ``$45,713,000 for each of fiscal years 2014 through
2018''.
SEC. 204. ASSESSING BARRIERS TO BEHAVIORAL HEALTH INTEGRATION.
(a) In General.--Not later than 2 years after the date of enactment
of this Act, the Comptroller General of the United States shall submit
a report to the Committee on Health, Education, Labor, and Pensions of
the Senate and the Committee on Energy and Commerce of the House of
Representatives concerning Federal requirements that impact access to
treatment of mental health and substance use disorders related to
integration with primary care, administrative and regulatory issues,
quality measurement and accountability, and data sharing.
(b) Contents.--The report submitted under subsection (a) shall
include the following:
(1) An evaluation of the administrative or regulatory
burden on behavioral healthcare providers.
(2) The identification of outcome and quality measures
relevant to integrated health care, evaluation of the data
collection burden on behavioral healthcare providers, and any
alternative methods for evaluation.
(3) An analysis of the degree to which electronic data
standards, including interoperability and meaningful use
includes behavioral health measures, and an analysis of
strategies to address barriers to health information exchange
posed by part 2 of title 42, Code of Federal Regulations.
(4) An analysis of the degree to which Federal rules and
regulations for behavioral and physical health care are
aligned, including recommendations to address any identified
barriers.
SEC. 205. INCREASING EDUCATION AND AWARENESS OF TREATMENTS FOR OPIOID
USE DISORDERS.
(a) In General.--In order to improve the quality of care delivery
and treatment outcomes among patients with opioid use disorders, the
Secretary of Health and Human Services (referred to in this section as
the ``Secretary''), acting through the Administrator for the Substance
Abuse and Mental Health Services Administration, may advance, through
existing programs as appropriate, the education and awareness of
providers, patients, and other appropriate stakeholders regarding all
products approved by the Food and Drug Administration to treat opioid
use disorders.
(b) Activities.--The activities described in subsection (a) may
include--
(1) disseminating evidence-based practices for the
treatment of opioid use disorders;
(2) facilitating continuing education programs for health
professionals involved in treating opioid use disorders;
(3) increasing awareness among relevant stakeholders of the
treatment of opioid use disorders;
(4) assessing current barriers to the treatment of opioid
use disorders for patients and providers and development and
implementation of strategies to mitigate such barriers; and
(5) continuing innovative approaches to the treatment of
opioid use disorders in various treatment settings, such as
prisons, community mental health centers, primary care, and
hospitals.
(c) Report.--Not later than 1 year after the date of enactment of
this Act, if the Secretary carries out the activities under this
section, the Secretary shall 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 that
examines--
(1) the activities the Substance Abuse and Mental Health
Services Administration conducts under this section, including
any potential impacts on health care costs associated with such
activities;
(2) the role of adherence in the treatment of opioid use
disorders and methods to reduce opioid use disorders; and
(3) recommendations on priorities and strategies to address
co-occurring substance use disorders and mental illnesses.
SEC. 206. EXAMINING MENTAL HEALTH CARE FOR CHILDREN.
(a) In General.--Not later than 1 year after the date of enactment
of this Act, the Comptroller General of the United States shall conduct
an independent evaluation, and submit to the Committee on Health,
Education, Labor, and Pensions of the Senate and the Committee on
Energy and Commerce of the House of Representatives, a report
concerning the utilization of mental health services for children,
including the usage of psychotropic medications.
(b) Content.--The report submitted under subsection (a) shall
review and assess--
(1) the ways in which children access mental health care,
including information on whether children are treated by
primary care or specialty providers, what types of referrals
for additional care are recommended, and any barriers to
accessing this care;
(2) the extent to which children are prescribed
psychotropic medications in the United States including the
frequency of concurrent medication usage; and
(3) the tools, assessments, and medications that are
available and used to diagnose and treat children with mental
health disorders.
SEC. 207. EVIDENCE BASED PRACTICES FOR OLDER ADULTS.
(a) Geriatric Substance Use Disorders Treatment.--Section 509(e) of
the Public Health Service Act (42 U.S.C. 290bb-2(e)) is amended--
(1) by striking ``The Secretary shall establish'' and
inserting:
``(1) In general.--The Secretary shall establish''; and
(2) by adding at the end the following:
``(2) Geriatric substance use disorders treatment.--The
Secretary shall, as appropriate, provide technical assistance
to grantees regarding evidence-based practices for the
treatment of geriatric substance use disorders, as well as
disseminate information about such evidence-based practices to
States and nongrantees throughout the United States.''.
(b) Geriatric Substance Use Disorders Prevention.--Section 516(e)
of the Public Health Service Act (42 U.S.C. 290bb-22(e)) is amended--
(1) by striking ``The Secretary shall establish'' and
inserting:
``(1) In general.--The Secretary shall establish''; and
(2) by adding at the end the following:
``(2) Geriatric substance use disorders prevention.--The
Secretary shall, as appropriate, provide technical assistance
to grantees regarding evidence-based practices for the
prevention of geriatric substance use disorders, as well as
disseminate information about such evidence-based practices to
States and nongrantees throughout the United States.''.
(c) Geriatric Mental Health Disorders.--Section 520A(e) of the
Public Health Service Act (42 U.S.C. 290bb-32(e)) is amended by adding
at the end the following:
``(3) Geriatric mental health disorders.--The Secretary
shall, as appropriate, provide technical assistance to grantees
regarding evidence-based practices for the prevention and
treatment of geriatric mental health disorders, as well as
disseminate information about such evidence-based practices to
States and nongrantees throughout the United States.''.
SEC. 208. NATIONAL VIOLENT DEATH REPORTING SYSTEM.
The Secretary of Health and Human Services, acting through the
Director of the Centers for Disease Control and Prevention, is
encouraged to 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. Participation in the system
by the States shall be voluntary.
SEC. 209. GAO STUDY ON VIRGINIA TECH RECOMMENDATIONS.
(a) In General.--Not later than 1 year after the date of enactment
of this Act, the Comptroller General of the United States shall conduct
an independent evaluation, and submit to the appropriate committees of
Congress a report concerning the status of implementation of
recommendations made in the report to the President, On Issues Raised
by the Virginia Tech Tragedy, by the Secretaries of Health and Human
Services and Education and the Attorney General of the United States,
submitted to the President on June 13, 2007.
(b) Content.--The report submitted to the committees of Congress
under subsection (a) shall review and assess--
(1) the extent to which the recommendations in the report
that include participation by the Department of Health and
Human Services were implemented;
(2) whether there are any barriers to implementation of
such recommendations; and
(3) identification of any additional actions the Federal
government can take to support States and local communities and
ensure that the Federal government and Federal law are not
obstacles to addressing at the community level--
(A) school violence; and
(B) mental illness.
<all>