[Congressional Bills 114th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4435 Introduced in House (IH)]

<DOC>






114th CONGRESS
  2d Session
                                H. R. 4435

     To improve access to mental health and substance use disorder 
         prevention, treatment, crisis, and recovery services.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            February 2, 2016

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

_______________________________________________________________________

                                 A BILL


 
     To improve access to mental health and substance use disorder 
         prevention, treatment, crisis, and recovery services.

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

SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

    (a) Short Title.--This Act may be cited as the ``Comprehensive 
Behavioral Health Reform and Recovery Act of 2016''.
    (b) Table of Contents.--The table of contents for this Act is as 
follows:

Sec. 1. Short title; table of contents.
        TITLE I--STRENGTHENING AND INVESTING IN SAMHSA PROGRAMS

Sec. 101. Assistant Secretary for Mental Health and Substance Use 
                            Disorders.
Sec. 102. Office of Chief Medical Officer.
Sec. 103. Independent audit of SAMHSA.
Sec. 104. Center for Behavioral Health Statistics and Quality.
Sec. 105. Innovation grants.
Sec. 106. Demonstration grants.
Sec. 107. Early intervention and treatment in childhood.
Sec. 108. Block grants.
Sec. 109. Children's recovery from trauma.
Sec. 110. Garrett Lee Smith Memorial Act reauthorization.
Sec. 111. National Suicide Prevention Lifeline Program.
Sec. 112. Adult suicide prevention.
Sec. 113. Peer review and advisory councils.
Sec. 114. Adult trauma.
Sec. 115. Reducing the stigma of serious mental illness.
Sec. 116. Report on mental health and substance abuse treatment in the 
                            States.
Sec. 117. Mental health first aid training grants.
Sec. 118. Acute care bed registry grant for States.
Sec. 119. Older adult mental health grants.
  TITLE II--INTERAGENCY SERIOUS MENTAL ILLNESS COORDINATING COMMITTEE

Sec. 201. Interagency Serious Mental Illness Coordinating Committee.
 TITLE III--COMMUNICATIONS BETWEEN INDIVIDUALS, FAMILIES, AND PROVIDERS

Sec. 301. Clarification of circumstances under which disclosure of 
                            protected health information of mental 
                            illness patients is permitted.
Sec. 302. Development and dissemination of model training programs.
Sec. 303. Modernizing privacy protections.
Sec. 304. Improving communication with individuals, families, and 
                            providers.
    TITLE IV--IMPROVING MEDICAID AND MEDICARE MENTAL HEALTH SERVICES

                    Subtitle A--Medicaid Provisions

Sec. 401. Enhanced Medicaid coverage relating to certain mental health 
                            services.
Sec. 402. Extension and expansion of demonstration programs to improve 
                            community mental health services.
Sec. 403. Terms for extension and expansion of Medicaid emergency 
                            psychiatric demonstration project.
Sec. 404. Community-based mental health services Medicaid option for 
                            children in or at risk of psychiatric 
                            residential treatment.
Sec. 405. Expansion of CMMI authority to support major mental illness 
                            projects in Medicaid.
Sec. 406. Medicaid data and reporting.
Sec. 407. At-risk youth Medicaid protection.
                    Subtitle B--Medicare Provisions

Sec. 411. Elimination of 190-day lifetime limit on coverage of 
                            inpatient psychiatric hospital services 
                            under Medicare.
Sec. 412. Modifications to Medicare discharge planning requirements.
        Subtitle C--Provisions Related to Medicaid and Medicare

Sec. 421. Reports on Medicaid and Medicare part D formulary and appeals 
                            practices with respect to coverage of 
                            mental health drugs.
 TITLE V--STRENGTHENING THE BEHAVIORAL HEALTH WORKFORCE AND IMPROVING 
                             ACCESS TO CARE

Sec. 501. Nationwide workforce strategy.
Sec. 502. Report on best practices for peer-support specialist 
                            programs, training, and certification.
Sec. 503. Advisory Council on Graduate Medical Education.
Sec. 504. Telepsychiatry and primary care provider training grant 
                            program.
Sec. 505. Liability protections for health care professional volunteers 
                            at community health centers and federally 
                            qualified community behavioral health 
                            clinics.
Sec. 506. Minority Fellowship Program.
Sec. 507. National Health Service Corps.
Sec. 508. SAMHSA grant program for development and implementation of 
                            curricula for continuing education on 
                            serious mental illness.
Sec. 509. Peer professional workforce development grant program.
Sec. 510. Demonstration grant program to recruit, train, and 
                            professionally support psychiatric 
                            physicians in Indian health programs.
Sec. 511. Education and training on eating disorders for health 
                            professionals.
Sec. 512. Primary and behavioral health care integration grant 
                            programs.
Sec. 513. Health professions competencies to address racial, ethnic, 
                            sexual, and gender minority behavioral 
                            health disparities.
Sec. 514. Behavioral health crisis systems.
Sec. 515. Mental health in schools.
Sec. 516. Examining mental health care for children.
Sec. 517. Reporting compliance study.
Sec. 518. Strengthening connections to community care demonstration 
                            grant program.
Sec. 519. Assertive community treatment grant program for individuals 
                            with serious mental illness.
Sec. 520. Improving mental and behavioral health on college campuses.
Sec. 521. Inclusion of occupational therapists in National Health 
                            Service Corps program.
      TITLE VI--IMPROVING MENTAL HEALTH RESEARCH AND COORDINATION

Sec. 601. Increase in funding for certain research.
          TITLE VII--BEHAVIORAL HEALTH INFORMATION TECHNOLOGY

Sec. 701. Extension of health information technology assistance for 
                            behavioral and mental health and substance 
                            abuse.
Sec. 702. Extension of eligibility for Medicare and Medicaid health 
                            information technology implementation 
                            assistance.
                     TITLE VIII--MAKING PARITY WORK

Sec. 801. Strengthening parity in mental health and substance use 
                            disorder benefits.
Sec. 802. Report on investigations regarding parity in mental health 
                            and substance use disorder benefits.
Sec. 803. GAO study on preventing discriminatory coverage limitations 
                            for individuals with serious mental illness 
                            and substance use disorders.
Sec. 804. Report to Congress on Federal assistance to State insurance 
                            regulators regarding mental health parity 
                            enforcement.
                       TITLE IX--SUBSTANCE ABUSE

                         Subtitle A--Prevention

Sec. 901. Practitioner education.
Sec. 902. Co-prescribing opioid overdose reversal drugs grant program.
Sec. 903. Opioid overdose reversal co-prescribing guidelines.
Sec. 904. Surveillance capacity building.
                           Subtitle B--Crisis

Sec. 921. Grants to support syringe exchange programs.
Sec. 922. Grant program to reduce drug overdose deaths.
                         Subtitle C--Treatment

Sec. 931. Expansion of patient limits under waiver.
Sec. 932. Definitions.
Sec. 933. Evaluation by assistant Secretary for planning and 
                            evaluation.
Sec. 934. Reauthorization of residential treatment programs for 
                            pregnant and postpartum women.
Sec. 935. Pilot program grants for State substance abuse agencies.
Sec. 936. Evidence-based opioid and heroin treatment and interventions 
                            demonstration.
Sec. 937. Adolescent treatment and recovery services demonstration 
                            grant program.
Sec. 938. Study on treatment infrastructure.
Sec. 939. Substance use disorder professional loan repayment program.
                          Subtitle D--Recovery

Sec. 951. National youth recovery initiative.
Sec. 952. Grants to enhance and expand recovery support services.

        TITLE I--STRENGTHENING AND INVESTING IN SAMHSA PROGRAMS

SEC. 101. ASSISTANT SECRETARY FOR MENTAL HEALTH AND SUBSTANCE USE 
              DISORDERS.

    (a) In General.--Section 501 of the Public Health Service Act (42 
U.S.C. 290aa) is amended--
            (1) in subsection (c)(1), by adding at the end the 
        following: ``The Administrator shall be selected from 
        individuals who have appropriate education and experience. The 
        Administrator shall also be the Assistant Secretary for Mental 
        Health and Substance Abuse.'';
            (2) in subsection (d)--
                    (A) by striking ``The Secretary'' and all that 
                follows through ``(1) supervise the functions'' and 
                inserting the following:
            ``(1) Secretary's authorities.--The Secretary, acting 
        through the Administrator, shall--
                    ``(A) supervise the functions'';
                    (B) by moving the indentation of each of paragraphs 
                (2) through (18) 2 ems to the right and redesignating 
                such paragraphs as subparagraphs (B) through (R), 
                respectively; and
            (3) by adding at the end the following:
            ``(2) Assistant secretary's authorities.--The Assistant 
        Secretary for Mental Health and Substance Abuse shall--
                    ``(A) serve as the effective and visible advocate 
                for individuals with, or at risk for, mental illness 
                and substance use disorders within the Department of 
                Health and Human Services and with other departments, 
                agencies, and instrumentalities of the Federal 
                Government;
                    ``(B) assist the Secretary in all matters 
                pertaining to issues that impact the prevention, 
                treatment, and recovery of individuals with mental 
                illness or substance use disorders;
                    ``(C) coordinate Federal programs and activities 
                related to promoting mental health and preventing 
                substance abuse;
                    ``(D) coordinate activities with Federal entities 
                to implement and build awareness of programs providing 
                benefits affecting individuals with mental illness or 
                substance use disorders;
                    ``(E) promote and coordinate research, treatment, 
                and services across departments, agencies, 
                organizations, and individuals with respect to 
                prevention, treatment, and recovery support research 
                and programs for individuals with, or at risk for, 
                substance use disorders or mental illness;
                    ``(F) coordinate functions within the Department of 
                Health and Human Services--
                            ``(i) to improve the treatment of, and 
                        related services to, individuals with substance 
                        use disorders or mental illness;
                            ``(ii) to improve substance misuse and 
                        abuse prevention and mental health promotion 
                        services;
                            ``(iii) to ensure access to effective, 
                        evidence-based treatment for individuals with 
                        mental illnesses and individuals with a 
                        substance use disorder;
                            ``(iv) to ensure that grant programs of the 
                        Department adhere to scientific standards for 
                        individuals with mental illness or substance 
                        use disorders; and
                            ``(v) to support the development and 
                        implementation of initiatives to encourage 
                        individuals to pursue careers (especially in 
                        underserved areas and populations) as 
                        psychiatrists, psychologists, psychiatric nurse 
                        practitioners, clinical social workers, 
                        physician assistants, peer support specialists, 
                        and other licensed or certified mental health 
                        and substance abuse professionals;
                    ``(G) within the Department of Health and Human 
                Services, coordinate all programs and activities 
                relating to--
                            ``(i) the prevention of, and treatment and 
                        recovery for, mental health or substance use 
                        disorders; or
                            ``(ii) the reduction of homelessness among 
                        individuals with mental illness or substance 
                        use disorders;
                    ``(H) across the Federal Government, in conjunction 
                with the Interagency Serious Mental Illness 
                Coordinating Committee under section 501A--
                            ``(i) review all programs and activities 
                        relating to the prevention of, or treatment or 
                        rehabilitation for, mental illness or substance 
                        use disorders;
                            ``(ii) identify any such programs and 
                        activities that are duplicative;
                            ``(iii) identify any such programs and 
                        activities that are not evidence-based, 
                        effective, or efficient; and
                            ``(iv) formulate recommendations for 
                        expanding, coordinating, eliminating, and 
                        improving programs and activities identified 
                        pursuant to subparagraph (B) or (C) and merging 
                        such programs and activities into other, 
                        successful programs and activities; and
                    ``(I) identify evidence-based best practices across 
                the Federal Government for treatment and services for 
                those with mental health and substance use disorders by 
                reviewing practices for efficiency, effectiveness, 
                quality, coordination, and cost effectiveness.''.
    (b) Prioritization of Integration of Services, Early Diagnosis, 
Intervention, and Workforce Development.--In carrying out the duties 
described in section 501(d)(2) of the Public Health Service Act, as 
added by subsection (a), the Assistant Secretary shall prioritize--
            (1) the integration of mental health, substance use, and 
        physical health services for the purpose of diagnosing, 
        preventing, treating, or providing rehabilitation for mental 
        illness or substance use disorders, including any such services 
        provided through the justice system (including departments of 
        correction) or other entities other than the Department of 
        Health and Human Services;
            (2) crisis intervention for, early diagnosis and 
        intervention services for the prevention of, and treatment and 
        rehabilitation for, serious mental illness, serious emotional 
        disturbance, or substance use disorders; and
            (3) workforce development for--
                    (A) appropriate treatment of serious mental 
                illness, serious emotional disturbance, or substance 
                use disorders; and
                    (B) research activities that advance scientific and 
                clinical understandings of these disorders, including 
                the development and implementation of a continuing 
                nationwide strategy to increase the psychiatric 
                workforce with psychiatrists, child and adolescent 
                psychiatrists, psychologists, psychiatric nurse 
                practitioners, clinical social workers, peer support 
                specialists, and other licensed or certified mental 
                health or substance abuse professionals.
    (c) Requirements and Restrictions on Authority To Award Grants.--In 
awarding any grant or financial assistance, the Administrator of the 
Substance Abuse and Mental Health Services Administration, and any 
agency or official within such Administration, shall comply with the 
following:
            (1) Any program to be funded shall be demonstrated--
                    (A) in the case of an ongoing program, to be 
                effective; and
                    (B) in the case of a new program, to have the 
                prospect of being effective.
            (2) The programs and activities to be funded shall, as 
        appropriate, use evidence-based best practices or emerging 
        evidence-based practices that are translational and can be 
        expanded or replicated to other States, local communities, 
        agencies, tribes, or through the Medicaid program under title 
        XIX of the Social Security Act.
            (3) An application for the grant or financial assistance 
        shall include, as applicable, a scientific justification based 
        on previously demonstrated models, the number of individuals to 
        be served, the population to be targeted, what objective 
        outcomes measures will be used, and details on how the program 
        or activity to be funded can be replicated and by whom.
            (4) Applicants shall be evaluated and selected through a 
        blind, peer-review process by individuals with expertise 
        appropriate to the grant or other financial assistance, such as 
        health care providers with professional experience in mental 
        health or substance abuse research or treatment.
            (5) The Secretary shall adopt a policy that ensures that 
        any member of a peer review group does not have a conflict of 
        interest with respect to any program or grant to be reviewed.
            (6) Award recipients may be periodically reviewed and 
        audited at the discretion of the Inspector General of the 
        Department of Health and Human Services or the Comptroller 
        General of the United States to ensure that--
                    (A) the best scientific method for both services 
                and data collection is being followed; and
                    (B) Federal funds are being used as required by the 
                conditions of the award.
            (7) Award recipients that fail an audit or fail to provide 
        information pursuant to an audit shall have their awards 
        terminated or shall be placed on a corrective action plan to 
        address the issues raised in the audit findings.
    (d) Definition.--In this Act, except as inconsistent with the 
provisions of this Act, the term ``Assistant Secretary'' means the 
Assistant Secretary for Mental Health and Substance Use Disorders.

SEC. 102. OFFICE OF CHIEF MEDICAL OFFICER.

    (a) In General.--Section 501 of the Public Health Service Act (42 
U.S.C. 290aa) is amended--
            (1) by redesignating subsections (g) through (o) as 
        subsections (h) through (p), respectively; and
            (2) by inserting after subsection (f) the following:
    ``(g) Chief Medical Office.--The Administrator shall establish 
within the Administration a Chief Medical Office, to be headed by a 
Chief Medical Officer, who shall be a psychiatrist. The Chief Medical 
Office shall be staffed by mental health and substance abuse 
providers.''.
    (b) Conforming Changes.--Title V of the Public Health Service Act 
(42 U.S.C. 290aa et seq.) is amended--
            (1) in subsections (e)(3)(C) and (f)(2)(C)(iii) of section 
        501, by striking ``subsection (k)'' and inserting ``subsection 
        (l)''; and
            (2) in section 508(p), by striking ``501(k)'' and inserting 
        ``501(l)''.

SEC. 103. INDEPENDENT AUDIT OF SAMHSA.

    (a) In General.--The Secretary shall enter into an contract or 
cooperative agreement with an external, independent entity to conduct a 
full assessment and review of the Substance Abuse and Mental Health 
Services Administration (in this section referred to as ``SAMHSA'').
    (b) Report.--The contract or cooperative agreement under subsection 
(a) shall require that, not later than 18 months after the date of 
enactment of this Act, the external, independent entity will submit to 
the Committee on Energy and Commerce of the House of Representatives 
and the Committee on Health, Education, Labor, and Pensions of the 
Senate a report on the findings and conclusion of the assessment and 
review.
    (c) Topics.--The assessment and review conducted pursuant to 
subsection (a), and the report submitted pursuant to subsection (b), 
shall address each of the following:
            (1) Whether the mission of SAMHSA is appropriate.
            (2) Whether the program authority of SAMHSA is appropriate.
            (3) Whether SAMHSA has adequate staffing, including 
        technical expertise, to fulfill its mission.
            (4) Whether SAMHSA is funded appropriately.
            (5) The efficacy of the programs funded by SAMHSA.
            (6) Whether funding is being spent in a way that 
        effectively supports and promotes the authorities vested by 
        section 501(d) of the Public Health Service Act, as amended by 
        section 101 of this Act.
            (7) Whether SAMHSA's focus on recovery is appropriate.
            (8) Additional steps SAMHSA can take to fulfill its charge 
        of leading public health efforts to advance the behavioral 
        health of the Nation and reduce the impact of substance abuse 
        and mental illness on the Nation's communities.
            (9) Whether standards for SAMHSA's grant programs are 
        effective.
            (10) Whether standards for SAMHSA's appointment of peer-
        review panels to evaluate grant applications is appropriate.
            (11) How SAMHSA serves individuals with mental illness, 
        serious mental illness, serious emotional disturbance, or 
        substance use disorders, and individuals with co-occurring 
        conditions.

SEC. 104. CENTER FOR BEHAVIORAL HEALTH STATISTICS AND QUALITY.

    Title V of the Public Health Service Act (42 U.S.C. 290aa et seq.) 
is amended--
            (1) in section 501(b) (42 U.S.C. 290aa(b)), by adding at 
        the end the following:
            ``(4) The Center for Behavioral Health Statistics and 
        Quality.'';
            (2) in section 502(a)(1) (42 U.S.C. 290aa-1(a)(1))--
                    (A) in subparagraph (C), by striking ``and'' at the 
                end;
                    (B) in subparagraph (D), by striking the period at 
                the end and inserting ``and''; and
                    (C) by inserting after subparagraph (D) the 
                following:
                    ``(E) the Center for Behavioral Health Statistics 
                and Quality.''; and
            (3) in part B (42 U.S.C. 290bb et seq.) by adding at the 
        end the following new subpart:

    ``Subpart 4--Center for Behavioral Health Statistics and Quality

``SEC. 520L. CENTER FOR BEHAVIORAL HEALTH STATISTICS AND QUALITY.

    ``(a) Establishment.--There is established in the Administration a 
Center for Behavioral Health Statistics and Quality (in this section 
referred to as the `Center'). The Center shall be headed by a Director 
(in this section referred to as the `Director') appointed by the 
Secretary from among individuals with extensive experience and academic 
qualifications in research and analysis in behavioral health care or 
related fields.
    ``(b) Duties.--The Director of the Center shall--
            ``(1) coordinate the Administration's integrated data 
        strategy by coordinating--
                    ``(A) surveillance and data collection (including 
                that authorized by section 505);
                    ``(B) evaluation;
                    ``(C) statistical and analytic support;
                    ``(D) service systems research; and
                    ``(E) performance and quality information systems;
            ``(2) maintain operation of the National Registry of 
        Evidence-Based Programs and Practices to provide for the 
        evaluation and dissemination to the Administration of the 
        evidence-based practices and services delivery models of 
        grantees and other interested parties;
            ``(3) recommend a core set of measurement standards for 
        grant programs administered by the Administration; and
            ``(4) lead evaluation efforts for the grant programs, 
        contracts, and collaborative agreements of the Administration.
    ``(c) Biannual Report to Congress.--Not later than 2 years after 
the date of enactment of this section, and every 2 years thereafter, 
the Director of the Center shall submit to Congress a report on the 
quality of services furnished through grant programs of the 
Administration, including applicable measures of outcomes for 
individuals and public outcomes such as--
            ``(1) the number of patients screened positive for 
        unhealthy alcohol use who receive brief counseling as 
        appropriate; the number of patients screened positive for 
        tobacco use and receiving smoking cessation interventions; the 
        number of patients with a new diagnosis of major depressive 
        episode who are assessed for suicide risk; the number of 
        patients screened positive for clinical depression with a 
        documented follow-up plan; and the number of patients with a 
        documented pain assessment that have a follow-up treatment plan 
        when pain is present; and satisfaction with care;
            ``(2) the incidence and prevalence of substance use and 
        mental disorders; the number of suicide attempts and suicide 
        completions; overdoses seen in emergency rooms resulting from 
        alcohol and drug use; emergency room boarding; overdose deaths; 
        emergency psychiatric hospitalizations; new criminal justice 
        involvement while in treatment; stable housing; and rates of 
        involvement in employment, education, and training; and
            ``(3) such other measures for outcomes of services as the 
        Director may determine.
    ``(d) Staffing Composition.--The staff of the Center may include 
individuals with advanced degrees and field expertise as well as 
clinical and research experience in mental and substance use disorders 
such as--
            ``(1) professionals with clinical and research expertise in 
        the prevention and treatment of, and recovery from, substance 
        use and mental disorders;
            ``(2) professionals with training and expertise in 
        statistics or research and survey design and methodologies; and
            ``(3) other related fields in the social and behavioral 
        sciences, as specified by relevant position descriptions.
    ``(e) Grants and Contracts.--In carrying out the duties established 
in subsection (b), the Director may make grants to and enter into 
contracts and cooperative agreements with public and nonprofit private 
entities.
    ``(f) Definition.--In this section, the term `emergency room 
boarding' means the practice of admitting patients to an emergency 
department and holding such patients in the department until inpatient 
psychiatric beds become available.''.

SEC. 105. INNOVATION GRANTS.

    (a) In General.--The Assistant Secretary, acting through the 
Substance Abuse and Mental Health Services Administration, shall award 
grants to State and local governments, tribes and tribal organizations, 
educational institutions, and nonprofit organizations for expanding a 
model that has been scientifically demonstrated to show promise, but 
would benefit from further applied research, for--
            (1) enhancing the screening, diagnosis, and treatment of 
        mental illness and serious mental illness; or
            (2) integrating or coordinating physical, mental health, 
        and substance use services.
    (b) Duration.--A grant under this section shall be for a period of 
not less than 3 years and not more than 5 years.
    (c) Limitations.--Of the amounts made available for carrying out 
this section for a fiscal year, not less than one-third shall be 
awarded for screening, diagnosis, treatment, or services, as described 
in subsection (a), for individuals (or subpopulations of individuals) 
who are below the age of 18 when activities funded through the grant 
award are initiated.
    (d) Guidelines.--As a condition on receipt of an award under this 
section, an applicant shall agree to adhere to any requirements or 
guidelines issued by the Secretary on research designs and data 
collection.
    (e) Termination.--The Secretary may terminate any award under this 
section upon a determination that--
            (1) the recipient is not providing information requested by 
        the Secretary in connection with the award; or
            (2) there is a clear failure in the effectiveness of the 
        recipient's programs or activities funded through the award.
    (f) Reporting.--As a condition on receipt of an award under this 
section, an applicant shall agree--
            (1) to report to the Secretary the results of programs and 
        activities funded through the award; and
            (2) to include in such reporting any relevant data 
        requested by the Secretary.
    (g) Authorization of Appropriations.--For the purpose of providing 
grants under this section, there is authorized to be appropriated 
$40,000,000 for each of fiscal years 2017 through 2021.

SEC. 106. DEMONSTRATION GRANTS.

    (a) Grants.--The Secretary of Health and Human Services (in this 
section referred to as the ``Secretary''), acting through the Substance 
Abuse and Mental Health Services Administration, shall award grants to 
States, counties, local governments, tribes and tribal organizations, 
educational institutions, and private nonprofit organizations for the 
expansion, replication, or scaling of evidence-based programs across a 
wider area to enhance effective screening, early diagnosis, 
intervention, and treatment with respect to mental illness, serious 
mental illness, and serious emotional disturbance, primarily by--
            (1) applied delivery of care, including training staff in 
        effective evidence-based treatment; and
            (2) integrating models of care across specialties and 
        jurisdictions.
    (b) Duration.--A grant under this section shall be for a period of 
not less than 3 years and not more than 5 years.
    (c) Limitations.--Of the amounts made available for carrying out 
this section for a fiscal year--
            (1) not less than half shall be awarded for screening, 
        diagnosis, intervention, and treatment, as described in 
        subsection (a), for individuals (or subpopulations of 
        individuals) who are below the age of 26 when activities funded 
        through the grant award are initiated;
            (2) no amounts shall be made available for any program or 
        project that is not evidence-based;
            (3) no amounts shall be made available for primary 
        prevention; and
            (4) no amounts shall be made available solely for the 
        purpose of expanding facilities or increasing staff at an 
        existing program, although funds may be so used by an existing 
        program if such an expansion or increase is needed to support 
        the implementation of a new program under this section.
    (d) Termination.--The Secretary may terminate any award under this 
section upon a determination that--
            (1) the recipient is not providing information requested by 
        the Secretary in connection with the award; or
            (2) there is a clear failure in the effectiveness of the 
        recipient's programs or activities funded through the award.
    (e) Reporting.--As a condition on receipt of an award under this 
section, an applicant shall agree--
            (1) to report to the Secretary the results of programs and 
        activities funded through the award; and
            (2) to include in such reporting any relevant data 
        requested by the Secretary.
    (f) Authorization of Appropriations.--For the purpose of providing 
grants under this section, there is authorized to be appropriated 
$80,000,000 for each of fiscal years 2017 through 2021.

SEC. 107. EARLY INTERVENTION AND TREATMENT IN CHILDHOOD.

    (a) Grants.--The Secretary of Health and Human Services (in this 
Act referred to as the ``Secretary''), acting through the Substance 
Abuse and Mental Health Services Administration, shall--
            (1) award grants to eligible entities to initiate and 
        undertake, for eligible children, early childhood intervention 
        and treatment programs, and specialized preschool and 
        elementary school programs, with the goal of preventing chronic 
        and serious mental illness and serious emotional disturbance;
            (2) award grants to not more than 3 eligible entities for 
        studying the longitudinal outcomes of programs funded under 
        paragraph (1) on eligible children who were treated 5 or more 
        years prior to the enactment of this Act; and
            (3) ensure that programs and activities funded through 
        grants under this subsection are based on a sound scientific 
        model that shows evidence and promise and can be replicated in 
        other settings.
    (b) Eligible Entities and Children.--In this section:
            (1) Eligible entity.--The term ``eligible entity'' means a 
        nonprofit institution that--
                    (A) is accredited by State mental health, 
                education, or human services agencies, as applicable, 
                for the treatment or education of children from 0 to 12 
                years of age; and
                    (B) provides services that include early childhood 
                intervention and specialized preschool and elementary 
                school programs focused on children whose primary need 
                is a social or emotional disability (in addition to any 
                learning disability).
            (2) Eligible child.--The term ``eligible child'' means a 
        child who is at least 0 years old and not more than 12 years 
        old--
                    (A) whose primary need is a social and emotional 
                disability (in addition to any learning disability);
                    (B) who is at risk of developing serious mental 
                illness and/or may show early signs of mental illness; 
                and
                    (C) who could benefit from early childhood 
                intervention and specialized preschool or elementary 
                school programs with the goal of preventing or treating 
                chronic and serious mental illness.
    (c) Application.--An eligible entity seeking a grant under 
subsection (a) shall submit to the Secretary an application at such 
time, in such manner, and containing such information as the Secretary 
may require.
    (d) Use of Funds for Early Childhood Intervention and Treatment 
Programs.--An eligible entity shall use amounts awarded under a grant 
under subsection (a)(1) to carry out the following activities:
            (1) Deliver (or facilitate) for eligible children treatment 
        and education, early childhood intervention, and specialized 
        preschool and elementary school programs, including the 
        provision of medically based child care and early education 
        services.
            (2) Treat and educate eligible children, including startup, 
        curricula development, operating and capital needs, staff and 
        equipment, assessment and intervention services, administration 
        and medication requirements, enrollment costs, collaboration 
        with primary care providers and psychiatrists, other related 
        services to meet emergency needs of children, and communication 
        with families and medical professionals concerning the 
        children.
            (3) Develop and implement other strategies to address 
        identified treatment and educational needs of eligible children 
        that have reliable and valid evaluation modalities built into 
        assess outcomes based on sound scientific metrics.
    (e) Use of Funds for Longitudinal Study.--In conducting a study on 
longitudinal outcomes through a grant under subsection (a)(2), an 
eligible entity shall include an analysis of--
            (1) the individuals treated and educated;
            (2) the success of such treatment and education in--
                    (A) avoiding the onset of serious emotional 
                disturbance and serious mental illness; or
                    (B) the preparation of such children for the care 
                and management of serious emotional disturbance and 
                serious mental illness;
            (3) any evidence-based best practices generally applicable 
        as a result of such treatment and educational techniques used 
        with such children; and
            (4) the ability of programs to be replicated as a best 
        practice model of intervention.
    (f) Requirements.--In carrying out this section, the Secretary 
shall ensure that each entity receiving a grant under subsection (a) 
maintains a written agreement with the Secretary, and provides regular 
written reports, as required by the Secretary, regarding the quality, 
efficiency, and effectiveness of intervention and treatment for 
eligible children preventing or treating the development and onset of 
serious mental illness or serious emotional disturbance.
    (g) Amount of Awards.--
            (1) Amounts for early childhood intervention and treatment 
        programs.--The amount of an award to an eligible entity under 
        subsection (a)(1) shall be not more than $600,000 per fiscal 
        year.
            (2) Amounts for longitudinal study.--The total amount of an 
        award to an eligible entity under subsection (a)(2) (for one or 
        more fiscal years) shall be not less than $1,000,000 and not 
        greater than $2,000,000.
    (h) Project Terms.--The period of a grant--
            (1) for awards under subsection (a)(1), shall be not less 
        than 3 fiscal years and not more than 5 fiscal years; and
            (2) for awards under subsection (a)(2), shall be not more 
        than 5 fiscal years.
    (i) Matching Funds.--The Secretary may not award a grant under this 
section to an eligible entity unless the eligible entity agrees, with 
respect to the costs to be incurred by the eligible entity in carrying 
out the activities described in subparagraph (D), to make available 
non-Federal contributions (in cash or in kind) toward such costs in an 
amount equal to not less than 10 percent of Federal funds provided in 
the grant.
    (j) Authorization of Appropriations.--To carry out this section, 
there is authorized to be appropriated $5,000,000 for each of fiscal 
years 2017 through 2021.

SEC. 108. BLOCK GRANTS.

    (a) Best Practices in Clinical Care Models.--Section 1920 of the 
Public Health Service Act (42 U.S.C. 300x-9) is amended by adding at 
the end the following:
    ``(c) Best Practices in Clinical Care Models.--The Substance Abuse 
and Mental Health Services Administration, acting in collaboration with 
the Director of the National Institute of Mental Health, shall require 
States to obligate at least 5 percent of the amounts appropriated for a 
fiscal year under subsection (a) to support evidence-based programs 
that address the needs of individuals with early serious mental illness 
or serious emotional disturbance, including psychotic disorders, 
regardless of the age of individual onset. Such models shall translate 
evidence-based interventions and best available science into systems of 
care, such as through models such as--
            ``(1) the Recovery After an Initial Schizophrenia Episode 
        research project of the National Institute of Mental Health; 
        and
            ``(2) the North American Prodrome Longitudinal Study.''.
    (b) Additional Program Requirements.--
            (1) Integrated services.--Subsection (b)(1) of section 1912 
        of the Public Health Service Act (42 U.S.C. 300x-1(b)(1)) is 
        amended--
                    (A) by striking ``The plan provides'' and 
                inserting:
                    ``(A) The plan provides'';
                    (B) in subparagraph (A), as inserted by paragraph 
                (1), in the second sentence, by striking ``health and 
                mental health services'' and inserting ``integrated 
                physical and mental health services'';
                    (C) in such subparagraph (A), by striking ``The 
                plan shall include'' through the period at the end and 
                inserting ``The plan shall integrate and coordinate 
                services to maximize the efficiency, effectiveness, 
                quality, coordination, and cost effectiveness of those 
                services and programs to produce the best possible 
                outcomes for those with serious mental illness or 
                serious emotional disturbance.''; and
                    (D) by adding at the end the following new 
                subparagraph:
                    ``(B) The plan shall include a separate description 
                of case management services and provide for activities 
                leading to improved outcomes, such as reduction of 
                rates of suicides, suicide attempts, substance abuse, 
                overdose deaths, emergency hospitalizations, 
                incarceration, crimes, arrest, victimization, 
                homelessness, joblessness, medication nonadherence, and 
                education and vocational programs drop outs. The plan 
                must also include a detailed list of services available 
                for individuals with serious mental illness or serious 
                emotional disturbance in each county or county 
                equivalent.
                    ``(C) The plan shall include a separate description 
                of active programs that seek to engage individuals with 
                serious mental illness in proactively making their own 
                health care decisions and enhancing communication among 
                themselves, their families, and their treatment 
                providers by allowing for early intervention by 
                reducing legal proceedings related to involuntary 
                treatment. Such programs may include services that help 
                develop psychiatric advanced directives.''.
            (2) Data collection system.--Subsection (b)(2) of section 
        1912 of the Public Health Service Act (42 U.S.C. 300x-1(b)(2)) 
        is amended--
                    (A) by striking ``The plan contains an estimate 
                of'' and inserting the following: ``The plan contains--
                    ``(A) an estimate of'';
                    (B) in subparagraph (A), as inserted by paragraph 
                (1), by inserting ``, such as reductions in 
                homelessness, emergency hospitalization, incarceration, 
                and unemployment'' after ``targets'';
                    (C) in such subparagraph, by striking the period at 
                the end and inserting ``; and''; and
                    (D) by adding at the end the following new 
                subparagraph:
                    ``(B) an agreement by the State to report to the 
                Secretary such data as may be required by the Secretary 
                concerning--
                            ``(i) comprehensive community mental health 
                        services in the State; and
                            ``(ii) public health outcomes for persons 
                        with serious mental illness or serious 
                        emotional disturbance in the State, such as 
                        rates of suicides, suicide attempts, substance 
                        abuse, overdose deaths, emergency 
                        hospitalizations, incarceration, crimes, 
                        arrest, victimization, homelessness, 
                        joblessness, medication nonadherence, and 
                        education and vocational programs drop outs.''.
            (3) Implementation of plan.--Subsection (d)(1) of section 
        1912 of the Public Health Service Act (42 U.S.C. 300x-1(d)(1)) 
        is amended--
                    (A) by striking ``Except as provided'' and 
                inserting:
                    ``(A) Except as provided''; and
                    (B) by adding at the end the following new 
                subparagraph:
                    ``(B) For individuals receiving treatment through 
                funds awarded under a grant under section 1911, a State 
                shall include in the State plan for the first year 
                beginning after the date of the enactment of this 
                subparagraph and each subsequent year, a de-
                individualized report, containing information that is 
                de-identified, on the services provided to those 
                individuals, including--
                            ``(i) outcomes and the overall cost of such 
                        treatment provided; and
                            ``(ii) county or county equivalent level 
                        data on such population, such as overall costs 
                        and raw number data on rates of involuntary 
                        commitment orders, suicides, suicide attempts, 
                        substance abuse, overdose deaths, emergency 
                        hospitalizations, incarceration, crimes, 
                        arrest, victimization, homelessness, 
                        joblessness, medication nonadherence, and 
                        education and vocational programs drop outs.''.
    (c) Incentives for State-Based Outcome Measures.--Section 1920 of 
the Public Health Service Act (42 U.S.C. 300x-9) is amended by adding 
at the end the following:
    ``(c) Incentives for State-Based Outcome Measures.--
            ``(1) In general.--In addition to the amounts made 
        available under subsection (a) for each fiscal year, the 
        Secretary shall provide to each State that meets the conditions 
        under paragraph (2) by the end of the first quarter of the 
        subsequent fiscal year, an equally divided share of the funding 
        under paragraph (3).
            ``(2) Conditions.--The Secretary shall define the 
        conditions under which a State is eligible to receive the 
        additional amount under paragraph (1).
            ``(3) Authorization of appropriations.--For purposes of 
        this subsection, there is authorized to be appropriated 
        $25,000,000 for each of fiscal years 2017 through 2021. Any 
        amounts made available under paragraph (1) shall be in addition 
        to the State's block grant allocation.''.
    (d) Evidence-Based Services Delivery Models.--Section 1912 of the 
Public Health Service Act (42 U.S.C. 300x-1) is amended by adding at 
the end the following new subsection:
    ``(e) Expansion of Models.--
            ``(1) In general.--Taking into account the results of 
        evaluations of block grant programs, the Secretary may, as part 
        of the program of block grants under this subpart, provide for 
        expanded use across the Nation of evidence-based service 
        delivery models by providers funded under such block grants, so 
        long as--
                    ``(A) the Secretary determines that such expansion 
                will--
                            ``(i) result in more effective use of funds 
                        under such block grants without reducing the 
                        quality of care; or
                            ``(ii) improve the quality of patient care 
                        without significantly increasing spending;
                    ``(B) the Secretary determines that such expansion 
                would improve the quality of patient care; and
                    ``(C) the Secretary determines that the change 
                will--
                            ``(i) significantly reduce severity and 
                        duration of symptoms of mental illness;
                            ``(ii) reduce rates of suicide, suicide 
                        attempts, substance abuse, overdose, emergency 
                        hospitalizations, emergency room boarding, 
                        incarceration, crime, arrest, victimization, 
                        homelessness, or joblessness; or
                            ``(iii) significantly improve the quality 
                        of patient care and mental health crisis 
                        outcomes without significantly increasing 
                        spending.
            ``(2) Definition.--In this subsection, the term `emergency 
        room boarding' means the practice of admitting patients to an 
        emergency department and holding them in the department until 
        inpatient psychiatric beds become available.''.
    (e) Period for Expenditure of Grant Funds.--Section 1913 of the 
Public Health Service Act (42 U.S.C. 300x-2), as amended, is further 
amended by adding at the end the following:
    ``(d) Period for Expenditure of Grant Funds.--In implementing a 
plan submitted under section 1912(a), a State receiving grant funds 
under section 1911 may make such funds available to providers of 
services described in subsection (b) for the provision of services 
without fiscal year limitation, so long as any carryover is spent 
within 3 years of the year in which the funding was provided.''.
    (f) Active Outreach and Engagement.--Section 1915 of the Public 
Health Service Act (42 U.S.C. 300x-4) is amended by adding at the end 
of the following:
    ``(c) Active Outreach and Engagement to Persons With Serious Mental 
Illness.--
            ``(1) In general.--A funding agreement for a grant under 
        section 1911 is that the State involved has in effect active 
        programs that seek to engage individuals with serious mental 
        illness in comprehensive services in order to avert relapse, 
        repeated hospitalizations, arrest, incarceration, suicide, and 
        to provide the individuals with the opportunity to live in the 
        least restrictive setting, through a comprehensive program of 
        evidence-based and culturally relevant assertive outreach and 
        engagement services focusing on individuals who are homeless, 
        have co-occurring disorders, are at risk for incarceration or 
        re-incarceration, or have a history of treatment failure, 
        including repeated hospitalizations or emergency room usage.
            ``(2) Evidence-based assertive outreach and engagement 
        services.--
                    ``(A) SAMHSA.--The Administrator of the Substance 
                Abuse and Mental Health Services Administration, in 
                cooperation with the Director of the National Institute 
                of Mental Health, shall develop--
                            ``(i) a list of evidence-based culturally 
                        and linguistically relevant assertive outreach 
                        and engagement services; and
                            ``(ii) criteria to be used to assess the 
                        scope and effectiveness of the approaches taken 
                        by such services, such as the ability to 
                        provide same-day appointments for emergent 
                        situations.
                    ``(B) Types of assertive outreach and engagement 
                services.--For purposes of paragraph (1), appropriate 
                programs of evidence-based assertive outreach and 
                engagement services may include peer support programs; 
                the Wellness Recovery Action Plan, Assertive Community 
                Treatment, and Forensic Assertive Community Treatment 
                of the Substance Abuse and Mental Health Services 
                Administration; appropriate supportive housing programs 
                incorporating a Housing First model; and intensive, 
                evidence-based approaches to early intervention in 
                psychosis, such as the Recovery After an Initial 
                Schizophrenia Episode model of the National Institute 
                of Mental Health and the Specialized Treatment Early in 
                Psychosis program.''.

SEC. 109. 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 through the period at the end 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, prevention of the long-term consequences of 
        child trauma, and early intervention services and treatment to 
        address the long-term consequences of child trauma; 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 and Collaboration.--The NCTSI coordinating 
center shall, as appropriate, collaborate with--
            ``(1) the Secretary, in the dissemination of evidence-based 
        and trauma-informed interventions, treatments, products, and 
        other resources to appropriate stakeholders; and
            ``(2) appropriate agencies that conduct or fund research 
        within the Department of Health and Human Services, for 
        purposes of sharing NCTSI expertise, evaluation data, and other 
        activities, as appropriate.
    ``(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 ``$47,000,000 for each of fiscal years 2017 through 
        2021''.

SEC. 110. GARRETT LEE SMITH MEMORIAL ACT REAUTHORIZATION.

    (a) Interagency Research, Training, and Technical Assistance 
Centers.--Section 520C of the Public Health Service Act (42 U.S.C. 
290bb-34) is amended--
            (1) in subsection (d)--
                    (A) in paragraph (1), by striking ``youth suicide 
                early intervention and prevention strategies'' and 
                inserting ``suicide early intervention and prevention 
                strategies for all ages, particularly for youth'';
                    (B) in paragraph (2), by striking ``youth suicide 
                early intervention and prevention strategies'' and 
                inserting ``suicide early intervention and prevention 
                strategies for all ages, particularly for youth'';
                    (C) in paragraph (3)--
                            (i) by striking ``youth''; and
                            (ii) by inserting before the semicolon the 
                        following: ``for all ages, particularly for 
                        youth'';
                    (D) in paragraph (4), by striking ``youth suicide'' 
                and inserting ``suicide for all ages, particularly 
                among youth'';
                    (E) in paragraph (5), by striking ``youth suicide 
                early intervention techniques and technology'' and 
                inserting ``suicide early intervention techniques and 
                technology for all ages, particularly for youth'';
                    (F) in paragraph (7)--
                            (i) by striking ``youth''; and
                            (ii) by inserting ``for all ages, 
                        particularly for youth,'' after ``strategies''; 
                        and
                    (G) in paragraph (8)--
                            (i) by striking ``youth suicide'' each 
                        place that such appears and inserting 
                        ``suicide''; and
                            (ii) by striking ``in youth'' and inserting 
                        ``among all ages, particularly among youth''; 
                        and
            (2) by amending subsection (e) to read as follows:
    ``(e) Authorization of Appropriations.--For the purpose of carrying 
out this section, there is authorized to be appropriated $5,988,000 for 
each of fiscal years 2017 through 2021.''.
    (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 subsection (b), by striking paragraph (2) and 
        inserting the following:
            ``(2) Limitation.--In carrying out this section, the 
        Secretary shall ensure that a State does not receive more than 
        one grant or cooperative agreement under this section at any 
        one time. For purposes of the preceding sentences, a State 
        shall be considered to have received a grant or cooperative 
        agreement if the eligible entity involved is the State or an 
        entity designated by the State under paragraph (1)(B). Nothing 
        in this paragraph shall be construed to apply to entities 
        described in paragraph (1)(C).''; and
            (2) by striking subsection (m) and inserting the following:
    ``(m) Authorization of Appropriations.--For the purpose of carrying 
out this section, there is authorized to be appropriated $35,427,000 
for each of fiscal years 2017 through 2021.''.
    (c) Mental and Behavioral Health Services on Campus.--Section 520E-
2(h) of the Public Health Service Act (42 U.S.C. 290bb-36b(h)) is 
amended by striking ``$5,000,000 for fiscal year 2005'' and all that 
follows through the period and inserting ``$6,488,000 for each of 
fiscal years 2017 through 2021.''.

SEC. 111. NATIONAL SUICIDE PREVENTION LIFELINE PROGRAM.

    Subpart 3 of part B of title V of the Public Health Service Act is 
amended by inserting after section 520E-2 of such Act (42 U.S.C. 290bb-
36b), as amended, the following:

``SEC. 520E-3. NATIONAL SUICIDE PREVENTION LIFELINE PROGRAM.

    ``(a) In General.--The Secretary shall maintain the National 
Suicide Prevention Lifeline program, including by--
            ``(1) coordinating a network of crisis centers across the 
        United States for providing suicide prevention and crisis 
        intervention services to individuals seeking help at any time, 
        day or night;
            ``(2) maintaining a suicide prevention hotline to link 
        callers to local emergency, mental health, and social services 
        resources; and
            ``(3) consulting with the Secretary of Veterans Affairs to 
        ensure that veterans calling the suicide prevention hotline 
        have access to a specialized veterans' suicide prevention 
        hotline.
    ``(b) Authorization of Appropriations.--To carry out this section, 
there are authorized to be appropriated $8,000,000 for each of fiscal 
years 2017 through 2021.''.

SEC. 112. ADULT SUICIDE PREVENTION.

    (a) Grants.--
            (1) Authority.--The Administrator of the Substance Abuse 
        and Mental Health Services Administration (referred to in this 
        section as the ``Administrator'') may award grants to eligible 
        entities in order to implement suicide prevention efforts 
        amongst adults 25 and older.
            (2) Purpose.--The grant program under this section shall be 
        designed to raise suicide awareness, establish referral 
        processes, and improve clinical care practice standards for 
        treating suicide ideation, plans, and attempts among adults.
            (3) Recipients.--To be eligible to receive a grant under 
        this section, an entity shall be a community-based primary care 
        or behavioral health care setting, an emergency department, a 
        State mental health agency, an Indian tribe, a tribal 
        organization, or any other entity the Administrator deems 
        appropriate.
            (4) Nature of activities.--The grants awarded under 
        paragraph (1) shall be used to implement programs that--
                    (A) screen for suicide risk in adults and provide 
                intervention and referral to treatment;
                    (B) implement evidence-based practices to treat 
                individuals who are at suicide risk, including 
                appropriate follow-up services; and
                    (C) raise awareness, reduce stigma, and foster open 
                dialog about suicide prevention.
    (b) Additional Activities.--The Administrator shall--
            (1) evaluate the activities supported by grants awarded 
        under subsection (a) in order to further the Nation's 
        understanding of effective interventions to prevent suicide in 
        adults;
            (2) disseminate the findings from the evaluation as the 
        Administrator considers appropriate; and
            (3) provide appropriate information, training, and 
        technical assistance to eligible entities that receive a grant 
        under this section, in order to help such entities to meet the 
        requirements of this section, including assistance with--
                    (A) selection and implementation of evidence-based 
                interventions and frameworks to prevent suicide, such 
                as the Zero Suicide framework; and
                    (B) other activities as the Administrator 
                determines appropriate.
    (c) Duration.--A grant under this section shall be for a period of 
not more than 5 years.
    (d) Authorization of Appropriations.--
            (1) In general.--There is authorized to be appropriated to 
        carry out this section $15,000,000 for each of fiscal years 
        2017 through 2021.
            (2) Use of certain funds.--Of the funds appropriated to 
        carry out this section in any fiscal year, the lesser of 5 
        percent of such funds or $500,000 shall be available to the 
        Administrator for purposes of carrying out subsection (b).

SEC. 113. PEER REVIEW AND ADVISORY COUNCILS.

    (a) In General.--Section 501 of the Public Health Service Act (42 
U.S.C. 290aa) is amended--
            (1) in subsection (i), as redesignated by section 102, by 
        inserting at the end the following: ``For any such peer-review 
        group reviewing a proposal or grant related to the treatment of 
        mental illness, no fewer than half of the members of the group 
        shall be experienced mental health providers.''; and
            (2) in subsection (m), as redesignated by section 102--
                    (A) in paragraph (2), by striking ``and'' at the 
                end; and
                    (B) in paragraph (3), by striking the period at the 
                end and inserting ``; and''.
    (b) Advisory Councils.--Paragraph (3) of section 502(b) of the 
Public Health Service Act (42 U.S.C. 290aa-1(b)) is amended by adding 
at the end the following:
                    ``(C) No fewer than one-third of the members of an 
                advisory council for the Center for Mental Health 
                Services shall be mental health care providers with--
                            ``(i) experience in mental health research 
                        or treatment; and
                            ``(ii) expertise in the fields on which 
                        they are advising.
                    ``(D) The Secretary shall adopt a policy that 
                ensures members of advisory councils do not have 
                conflicts of interest with any program or grant about 
                which the members are to advise.''.
    (c) Peer Review.--Section 504 of the Public Health Service Act (42 
U.S.C. 290aa-3) is amended--
            (1) by adding at the end of subsection (b) the following: 
        ``At least half of the members of any peer-review group 
        established under subsection (a) that pertains to the treatment 
        of mental illness shall be licensed and experienced mental 
        health professionals.''; and
            (2) by adding at the end the following:
    ``(e) Scientific Controls and Standards.--Peer review under this 
section shall ensure that any research concerning an intervention is 
based on scientific evidence indicating whether the intervention 
reduces symptoms, improves medical or behavioral outcomes, or improves 
social functioning.''.

SEC. 114. ADULT TRAUMA.

    (a) Grants.--
            (1) Authority.--The Administrator of the Substance Abuse 
        and Mental Health Services Administration (referred to in this 
        section as the ``Administrator'') may award grants to eligible 
        entities in order to implement trauma-informed care in primary 
        care and public health settings.
            (2) Purpose.--The grant program under this section shall be 
        designed to facilitate and evaluate the impact of appropriate 
        trauma screening and responses in primary care settings in 
        order to further advance the Nation's understanding of the need 
        for addressing trauma in nonbehavioral health settings.
            (3) Recipients.--To be eligible to receive a grant under 
        this section, an entity shall be a community-based, primary 
        care setting, an academic research setting in conjunction with 
        primary care settings, or any other entity the Administrator 
        deems appropriate.
            (4) Nature of activities.--The grants awarded under 
        paragraph (1) shall be used to implement programs that--
                    (A) screen for trauma in adults, provide 
                intervention and referral to treatment, and provide 
                follow-up services, as appropriate; and
                    (B) engage and involve trauma survivors, people 
                receiving services, and family members receiving 
                services in program design.
            (5) Practitioners.--As a condition on receipt of a grant 
        under paragraph (1), an entity shall agree that practitioners 
        used to carry out any program through the grant will be trained 
        in interventions that, as described in ``SAMHSA's Concept of 
        Trauma and Guidance for a Trauma-Informed Approach'', are--
                    (A) based on the best available empirical evidence 
                and science;
                    (B) culturally appropriate; and
                    (C) reflecting principles of a trauma-informed 
                approach.
    (b) Additional Activities.--The Director shall--
            (1) evaluate the activities supported by grants awarded 
        under subsection (a) in order to further the Nation's 
        understanding of the need for, and complexity of, addressing 
        trauma in nonbehavioral health settings;
            (2) disseminate the findings from the evaluation as the 
        Administrator considers appropriate;
            (3) provide appropriate information, training, and 
        technical assistance to eligible entities that receive a grant 
        under this section, in order to help such entities to meet the 
        requirements of this section, including assistance with--
                    (A) selection and implementation of culturally 
                appropriate, evidence-based interventions that reflect 
                the principles of trauma-informed approach;
                    (B) incorporating principles of peer support and 
                trauma-informed care in hiring, supervision, and staff 
                evaluation;
                    (C) establishment of organizational practices and 
                policies to support trauma-informed approaches to care; 
                and
                    (D) other activities as the Administrator 
                determines appropriate.
    (c) Duration.--A grant under this section shall be for a period of 
not more than 5 years.
    (d) Authorization of Appropriations.--
            (1) In general.--There is authorized to be appropriated to 
        carry out this section $3,000,000 for each of fiscal years 2017 
        through 2021.
            (2) Use of certain funds.--Of the funds appropriated to 
        carry out this section in any fiscal year, the lesser of 5 
        percent of such funds or $500,000 shall be available to the 
        Director for purposes of carrying out subsection (b).

SEC. 115. REDUCING THE STIGMA OF SERIOUS MENTAL ILLNESS.

    (a) In General.--The Secretary of Health and Human Services and the 
Secretary of Education shall organize a national awareness campaign 
involving public health organizations, advocacy groups for persons with 
serious mental illness or serious emotional disturbance, and social 
media companies to assist secondary school students and postsecondary 
students in--
            (1) reducing the stigma associated with serious mental 
        illness and serious emotional disturbance;
            (2) understanding how to assist an individual who is 
        demonstrating signs of a serious mental illness or serious 
        emotional disturbance; and
            (3) understanding the importance of seeking treatment from 
        a physician, clinical psychologist, psychiatric nurse 
        practitioner, or licensed mental health professional when a 
        student believes the student may be suffering from a serious 
        mental illness, serious emotional disturbance, or behavioral 
        health disorder.
    (b) Data Collection.--The Secretary of Health and Human Services 
shall evaluate the program under subsection (a) on public health to 
determine whether the program has made an impact on public health, such 
as reducing mortality rates of persons with serious mental illness or 
serious emotional disturbance, the prevalence of serious mental illness 
and serious emotional disturbance, physician and clinical psychological 
visits, and emergency room visits for psychiatric services.
    (c) Secondary School Defined.--For purposes of this section, the 
term ``secondary school'' has the meaning given the term in section 
9101 of the Elementary and Secondary Education Act of 1965 (20 U.S.C. 
7801).
    (d) Authorization of Appropriations.--To carry out this section, 
there is authorized to be appropriated $1,000,000 for each of fiscal 
years 2017 through 2021.

SEC. 116. REPORT ON MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT IN THE 
              STATES.

    (a) In General.--Not later than 18 months after the date of 
enactment of this Act, and not less than every 2 years thereafter, the 
Secretary of Health and Human Services shall submit to the Congress and 
make available to the public a report on mental health and substance 
use treatment in the States, including the following:
            (1) A detailed report on how Federal mental health and 
        substance use treatment funds are used in each State including:
                    (A) The numbers of individuals with mental illness, 
                serious mental illness, serious emotional disturbance, 
                substance use disorders, or co-occurring disorders who 
                are served with Federal funds.
                    (B) The types of programs made available to 
                individuals with mental illness, serious mental 
                illness, substance use disorders, or co-occurring 
                disorders.
            (2) A summary of best practice models in the States 
        highlighting programs that are cost effective, provide 
        evidence-based care, increase access to care, integrate 
        physical, psychiatric, psychological, and behavioral medicine, 
        and improve outcomes for individuals with mental illness or 
        substance use disorders.
            (3) A statistical report of outcome measures in each State, 
        for individuals with mental illness, serious mental illness, 
        substance use disorders, and co-occurring disorders, such as--
                    (A) rates of suicide, suicide attempts, substance 
                abuse, overdose, overdose deaths, health outcomes, 
                emergency psychiatric hospitalizations, and emergency 
                room boarding; and
                    (B) arrests, incarcerations, victimization, 
                homelessness, joblessness, employment, and enrollment 
                in educational or vocational programs.
    (b) Definition.--In this subsection, the term ``emergency room 
boarding'' means the practice of admitting patients to an emergency 
department and holding them in the department until inpatient 
psychiatric beds become available.

SEC. 117. MENTAL HEALTH FIRST AID TRAINING GRANTS.

    Section 520J of the Public Health Service Act (42 U.S.C. 290bb-41) 
is amended to read as follows:

``SEC. 520J. MENTAL HEALTH FIRST AID TRAINING GRANTS.

    ``(a) Grants.--The Secretary, acting through the Administrator, 
shall award grants to States, political subdivisions of States, Indian 
tribes, tribal organizations, and nonprofit private entities to 
initiate and sustain mental health first aid training programs.
    ``(b) Program Requirements.--
            ``(1) In general.--To be eligible for funding under 
        subsection (a), a mental health first aid training program 
        shall--
                    ``(A) be designed to train individuals in the 
                categories listed in paragraph (2) to accomplish the 
                objectives described in paragraph (3);
                    ``(B) ensure that training is conducted by trainers 
                that are properly licensed and credentialed by 
                nonprofit entities as designated by the Secretary; and
                    ``(C) include--
                            ``(i) at a minimum--
                                    ``(I) a core live training course 
                                for individuals in the categories 
                                listed in paragraph (2) on the skills, 
                                resources, and knowledge to assist 
                                individuals in crisis to connect with 
                                appropriate local mental health care 
                                services;
                                    ``(II) training on mental health 
                                resources, including the location of 
                                community mental health centers 
                                described in section 1913(c), in the 
                                State and local community; and
                                    ``(III) training on action plans 
                                and protocols for referral to such 
                                resources; and
                            ``(ii) where feasible, continuing education 
                        and updated training for individuals in the 
                        categories listed in paragraph (2).
            ``(2) Categories of individuals to be trained.--The 
        categories of individuals listed in this paragraph are the 
        following:
                    ``(A) Emergency services personnel and other first 
                responders.
                    ``(B) Police officers and other law enforcement 
                personnel.
                    ``(C) Teachers and school administrators.
                    ``(D) Human resources professionals.
                    ``(E) Faith community leaders.
                    ``(F) Nurses and other primary care personnel.
                    ``(G) Students enrolled in an elementary school, a 
                secondary school, or an institution of higher 
                education.
                    ``(H) The parents of students described in 
                subparagraph (G).
                    ``(I) Veterans.
                    ``(J) Other individuals, audiences or training 
                populations as determined appropriate by the Secretary.
            ``(3) Objectives of training.--To be eligible for funding 
        under subsection (a), a mental health first aid training 
        program shall be designed to train individuals in the 
        categories listed in paragraph (2) to accomplish each of the 
        following objectives (as appropriate for the individuals to be 
        trained, taking into consideration their age):
                    ``(A) Safe de-escalation of crisis situations.
                    ``(B) Recognition of the signs and symptoms of 
                mental illness, including such common psychiatric 
                conditions as schizophrenia, bipolar disorder, major 
                clinical depression, and anxiety disorders.
                    ``(C) Timely referral to mental health services in 
                the early stages of developing mental disorders in 
                order to--
                            ``(i) avoid more costly subsequent 
                        behavioral health care; and
                            ``(ii) enhance the effectiveness of mental 
                        health services.
    ``(c) Distribution of Awards.--In awarding grants under this 
section, the Secretary shall--
            ``(1) ensure that grants are equitably distributed among 
        the geographical regions of the United States; and
            ``(2) pay particular attention to the mental health 
        training needs of populations and target audiences residing in 
        rural areas.
    ``(d) Application.--A State, political subdivision of a State, 
Indian tribe, tribal organization, or nonprofit private entity that 
desires a grant under this section shall submit an application to the 
Secretary at such time, in such manner, and containing such information 
as the Secretary may require, including a plan for the rigorous 
evaluation of activities that are carried out with funds received under 
such grant.
    ``(e) Evaluation.--A State, political subdivision of a State, 
Indian tribe, tribal organization, or nonprofit private entity that 
receives a grant under this section shall prepare and submit an 
evaluation to the Secretary at such time, in such manner, and 
containing such information as the Secretary may reasonably require, 
including an evaluation of activities carried out with funds received 
under such grant and a process and outcome evaluation.
    ``(f) Authorization of Appropriations.--To carry out this section, 
there are authorized to be appropriated $20,000,000 for each of fiscal 
years 2017 through 2021.''.

SEC. 118. ACUTE CARE BED REGISTRY GRANT FOR STATES.

    (a) In General.--The Secretary of Health and Human Services, acting 
through the Administrator of the Substance Abuse and Mental Health 
Services Administration, shall award grants to State mental health 
agencies to develop and administer, or maintain an existing, real-time 
Internet-based bed registry described in subsection (b), to collect, 
aggregate, and display information about available beds in public and 
private inpatient psychiatric facilities and public and private 
residential crisis stabilization units, and residential community 
mental health and residential substance abuse treatment facilities to 
facilitate the identification and designation of facilities for the 
temporary treatment of individuals in psychiatric or substance abuse 
crisis.
    (b) Registry Requirements.--A bed registry described in this 
subsection is a registry that--
            (1) includes descriptive information for every public and 
        private inpatient psychiatric facility, every public and 
        private residential crisis stabilization unit, and residential 
        community mental health and residential substance abuse 
        facility in the State involved, including contact information 
        for the facility or unit;
            (2) provides 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 or substance abuse 
        crisis; and
            (3) allows employees and designees of community mental 
        health and substance abuse service providers, employees of 
        inpatient psychiatric facilities, public and private 
        residential crisis stabilization units, or residential 
        substance abuse treatment facilities, 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 or 
        substance abuse crisis.
    (c) Authorization of Appropriations.--To carry out this section, 
there are authorized to be appropriated $15,000,000 for each of fiscal 
years 2017 through 2021.

SEC. 119. OLDER ADULT MENTAL HEALTH GRANTS.

    (a) In General.--The Secretary of Health and Human Services, acting 
through the Director of the Center for Mental Health Services, shall 
award grants, contracts, or cooperative agreements to public and 
private nonprofit entities for projects that address the mental health 
needs of older adults, including programs to--
            (1) support the establishment and maintenance of 
        interdisciplinary geriatric mental health specialist outreach 
        teams in community settings where older adults reside or 
        receive social services, in order to provide screening, 
        referrals, and evidence-based intervention and treatment 
        services, including services provided by licensed mental health 
        professionals;
            (2) develop and implement older adult suicide early 
        intervention and prevention strategies in 1 or more settings 
        that serve seniors, and collect and analyze data on older adult 
        suicide early intervention and prevention services for purposes 
        of monitoring, research, and policy development; and
            (3) otherwise improve the mental health of older adults, as 
        determined by the Secretary.
    (b) Considerations in Awarding Grants.--In awarding grants under 
this section, the Secretary, to the extent feasible, shall ensure 
that--
            (1) projects are funded in a variety of geographic areas, 
        including urban and rural areas;
            (2) a variety of populations, including racial and ethnic 
        minorities and low-income populations, are served by projects 
        funded under this section; and
            (3) older adult suicide intervention and prevention 
        programs are targeted towards areas with high older adult 
        suicide rates.
    (c) Application.--To be eligible to receive a grant under this 
section, a public or private nonprofit entity shall--
            (1) submit an application to the Secretary (in such form, 
        containing such information, and at such time as the Secretary 
        may specify);
            (2) agree to report to the Secretary standardized clinical 
        and behavioral data or other performance data necessary to 
        evaluate patient or program outcomes and to facilitate 
        evaluations across participating projects; and
            (3) demonstrate how such applicant will collaborate with 
        other State and local public and private nonprofit 
        organizations.
    (d) Duration.--A project may receive funding under a grant under 
this section for a period of up to 3 years, and such funding may be 
extended for a period of 2 additional years, at the discretion of the 
Secretary.
    (e) Supplement, Not Supplant.--Funds made available under this 
section shall be used to supplement, and not supplant, other Federal, 
State, or local funds available to an entity to carry out activities 
described in this section.
    (f) Report.--Grantees under this section shall, beginning with the 
end of the second year of the grant, submit yearly reports to the 
Secretary on the activities of the grantee in support of the grant and 
the latest performance data. Such reports shall contain recommendations 
as how to replicate the project funded through the grant.
    (g) Definitions.--In this section, the term ``older adult'' has the 
meaning given the term ``older individual'' in section 102 of the Older 
Americans Act of 1965 (42 U.S.C. 3002).
    (h) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $5,000,000 for each of fiscal 
years 2017 through 2021.

  TITLE II--INTERAGENCY SERIOUS MENTAL ILLNESS COORDINATING COMMITTEE

SEC. 201. INTERAGENCY SERIOUS MENTAL ILLNESS COORDINATING COMMITTEE.

    Title V of the Public Health Service Act, as amended by section 
101, is further amended by inserting after section 501 of such Act the 
following:

``SEC. 501A. INTERAGENCY SERIOUS MENTAL ILLNESS COORDINATING COMMITTEE.

    ``(a) Establishment.--The Assistant Secretary for Mental Health and 
Substance Use Disorders (in this section referred to as the `Assistant 
Secretary') shall establish a committee, to be known as the Interagency 
Serious Mental Illness Coordinating Committee (in this section referred 
to as the `Committee'), to assist the Assistant Secretary in carrying 
out the Assistant Secretary's duties.
    ``(b) Responsibilities.--The Committee, in coordination with the 
Assistant Secretary, shall--
            ``(1) develop and annually update a summary of advances in 
        serious mental illness 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;
            ``(2) monitor Federal activities with respect to serious 
        mental illness;
            ``(3) make recommendations to the Assistant Secretary 
        regarding any appropriate changes to such activities, including 
        recommendations with respect to the strategic plan developed 
        under paragraph (5);
            ``(4) make recommendations to the Assistant Secretary 
        regarding public participation in decisions relating to serious 
        mental illness;
            ``(5) develop and update every 5 years a strategic plan for 
        the conduct and support of programs and services to assist 
        individuals with serious mental illness, including--
                    ``(A) a summary of the advances in serious mental 
                illness research developed under paragraph (1);
                    ``(B) a list of the Federal programs and activities 
                identified under paragraph (2);
                    ``(C) an analysis of the efficiency, effectiveness, 
                quality, coordination, and cost-effectiveness of 
                Federal programs and activities relating to the 
                prevention, diagnosis, treatment, or rehabilitation of 
                serious mental illness, including an accounting of the 
                costs of such programs and activities with 
                administrative costs disaggregated from the costs of 
                services and care; and
                    ``(D) a plan with recommendations--
                            ``(i) for the coordination and improvement 
                        of Federal programs and activities related to 
                        serious mental illness, including budgetary 
                        requirements;
                            ``(ii) for improving outcomes for 
                        individuals with a serious mental illness 
                        including appropriate benchmarks to measure 
                        progress on achieving improvements;
                            ``(iii) for the mental health workforce;
                            ``(iv) to disseminate relevant information 
                        developed by the coordinating committee to the 
                        public, health care providers, social service 
                        providers, public health officials, courts, law 
                        enforcement, and other relevant groups;
                            ``(v) to identify research needs, including 
                        longitudinal studies of pediatric populations; 
                        and
                            ``(vi) for vulnerable and underserved 
                        populations, including pediatric populations, 
                        geriatric populations, and racial, ethnic, 
                        sexual, and gender minorities; and
            ``(6) submit to the Congress such strategic plan and any 
        updates to such plan.
    ``(c) Membership.--
            ``(1) In general.--The Committee shall be composed of--
                    ``(A) the Assistant Secretary for Mental Health and 
                Substance Use Disorders (or the Assistant Secretary's 
                designee), who shall serve as the Chair of the 
                Committee;
                    ``(B) the Director of the National Institute of 
                Mental Health (or the Director's designee);
                    ``(C) the Attorney General of the United States (or 
                the Attorney General's designee);
                    ``(D) the Director of the Centers for Disease 
                Control and Prevention (or the Director's designee);
                    ``(E) the Director of the National Institutes of 
                Health (or the Director's designee);
                    ``(F) the Director of the Indian Health Service;
                    ``(G) a member of the United States Interagency 
                Council on Homelessness;
                    ``(H) the Administrator of the Centers for Medicare 
                & Medicaid Service (or the Administrator's designee);
                    ``(I) the Secretary of Defense (or the Secretary's 
                designee);
                    ``(J) the Secretary of Education (or the 
                Secretary's designee);
                    ``(K) the Secretary of Labor (or the Secretary's 
                designee);
                    ``(L) the Secretary of Veterans Affairs (or the 
                Secretary's designee);
                    ``(M) the Commissioner of the Social Security 
                Administration (or the Commissioner's designee); and
                    ``(N) the additional members appointed under 
                paragraph (2).
            ``(2) Additional members.--Not fewer than 20 members of the 
        Committee, or \1/3\ of the total membership of the Committee, 
        whichever is greater, shall be composed of non-Federal public 
        members to be appointed by the Assistant Secretary, of which--
                    ``(A) at least five such members shall be an 
                individual in recovery from a diagnosis of serious 
                mental illness who has benefited from medical treatment 
                under the care of a licensed mental health 
                professional;
                    ``(B) at least three such members shall be a parent 
                or legal guardian of an individual with a history of 
                serious mental illness, including at least one of whom 
                is the parent or legal guardian of a child who has 
                either attempted suicide or is incarcerated for a crime 
                committed while experiencing a serious mental illness 
                or serious emotional disturbance;
                    ``(C) at least one such member shall be a 
                representative of a leading research, advocacy, and 
                service organization for individuals with serious 
                mental illness;
                    ``(D) at least one such member shall be--
                            ``(i) a licensed psychiatrist with 
                        experience treating serious mental illness; or
                            ``(ii) a licensed clinical psychologist 
                        with experience treating serious mental 
                        illness;
                    ``(E) at least one member shall be a licensed 
                mental health counselor or psychotherapist;
                    ``(F) at least one member shall be a licensed 
                clinical social worker;
                    ``(G) at least one member shall be a licensed 
                psychiatric nurse or nurse practitioner;
                    ``(H) at least one member shall be a mental health 
                professional with a significant focus in his or her 
                practice working with children and adolescents;
                    ``(I) at least one member shall be a mental health 
                professional who spends a significant concentration of 
                his or her professional time or leadership practicing 
                community mental health;
                    ``(J) at least one member shall be a mental health 
                professional with substantial experience working with 
                mentally ill individuals who have a history of violence 
                or suicide;
                    ``(K) at least one such member shall be a State 
                certified mental health peer specialist;
                    ``(L) at least one member shall be a judge with 
                experience adjudicating cases related to criminal 
                justice and serious mental illness;
                    ``(M) at least one member shall be a law 
                enforcement officer with extensive experience in 
                interfacing with psychiatric and psychological 
                disorders or individuals in mental health crisis; and
                    ``(N) at least one member shall be a corrections 
                officer with extensive experience in interfacing with 
                psychiatric and psychological disorders or individuals 
                in mental health crisis.
    ``(d) Reports to Congress.--Not later than 2 years after the date 
of enactment of this Act, and every 3 years thereafter, the Committee 
shall submit a report to the Congress--
            ``(1) evaluating the impact of projects addressing priority 
        mental health needs of regional and national significance under 
        sections 501, 509, 516, and 520A including measurement of 
        public health outcomes such as--
                    ``(A) reduced rates of suicide, suicide attempts, 
                substance abuse, overdose, overdose deaths, emergency 
                hospitalizations, emergency room boarding, 
                incarceration, crime, arrest, victimization, 
                homelessness, and joblessness;
                    ``(B) increased rates of employment and enrollment 
                in educational and vocational programs; and
                    ``(C) such other criteria as may be determined by 
                the Assistant Secretary;
            ``(2) formulating recommendations for the coordination and 
        improvement of Federal programs and activities that affect 
        individuals with serious mental illness;
            ``(3) identifying any such programs and activities that are 
        duplicative; and
            ``(4) summarizing all recommendations made, activities 
        carried out, and results achieved pursuant to the workforce 
        development strategy under section 501.
    ``(e) Administrative Support; Terms of Service; Other Provisions.--
The following provisions shall apply with respect to the Committee:
            ``(1) The Assistant Secretary shall provide such 
        administrative support to the Committee as may be necessary for 
        the Committee to carry out its responsibilities.
            ``(2) Members of the Committee appointed under subsection 
        (c)(2) shall serve for a term of 4 years, and may be 
        reappointed for one or more additional 4-year terms. Any member 
        appointed to fill a vacancy for an unexpired term shall be 
        appointed for the remainder of such term. A member may serve 
        after the expiration of the member's term until a successor has 
        taken office.
            ``(3) The Committee shall meet at the call of the chair or 
        upon the request of the Assistant Secretary. The Committee 
        shall meet not fewer than 2 times each year.
            ``(4) All meetings of the Committee shall be public and 
        shall include appropriate time periods for questions and 
        presentations by the public.
    ``(f) Subcommittees; Establishment and Membership.--In carrying out 
its functions, the Committee may establish subcommittees and convene 
workshops and conferences. Such subcommittees shall be composed of 
Committee members and may hold such meetings as are necessary to enable 
the subcommittees to carry out their duties.
    ``(g) Authorization of Appropriations.--There is authorized to be 
appropriated $1,000,000 to carry out the staffing functions under 
subsection (e)(1) for each of fiscal years 2017 through 2021.''.

 TITLE III--COMMUNICATIONS BETWEEN INDIVIDUALS, FAMILIES, AND PROVIDERS

SEC. 301. CLARIFICATION OF CIRCUMSTANCES UNDER WHICH DISCLOSURE OF 
              PROTECTED HEALTH INFORMATION OF MENTAL ILLNESS PATIENTS 
              IS PERMITTED.

    The HITECH Act (title XIII of division A of Public Law 111-5) is 
amended by adding at the end of subtitle D of such Act (42 U.S.C. 17921 
et seq.) the following:

 ``PART 3--IMPROVED PRIVACY AND SECURITY PROVISIONS FOR MENTAL ILLNESS 
                                PATIENTS

``SEC. 13431. CLARIFICATION OF CIRCUMSTANCES UNDER WHICH DISCLOSURE OF 
              PROTECTED HEALTH INFORMATION IS PERMITTED.

    ``(a) In General.--Not later than one year after the date of 
enactment of this section, the Secretary shall promulgate final 
regulations clarifying the circumstances under which, consistent with 
the standards governing the privacy and security of individually 
identifiable health information promulgated by the Secretary under 
sections 262(a) and 264 of the Health Insurance Portability and 
Accountability Act of 1996, health care providers and covered entities 
may disclose the protected health information of patients with a mental 
illness, including for purposes of--
            ``(1) communicating with a patient's family, caregivers, 
        friends, or others involved in the patient's care, including 
        communication about treatments, side effects, risk factors, and 
        the availability of community resources;
            ``(2) communicating with family or caregivers when the 
        patient is an adult;
            ``(3) communicating with the parent or caregiver of a 
        patient who is a minor;
            ``(4) considering the patient's capacity to agree or object 
        to the sharing of their information;
            ``(5) communicating and sharing information with a 
        patient's family or caregivers when--
                    ``(A) the patient consents; or
                    ``(B) the patient does not consent, but the patient 
                lacks the capacity to agree or object and the 
                communication or sharing of information is in the 
                patient's best interest;
            ``(6) involving a patient's family members, friends, or 
        caregivers, or others involved in the patient's care in the 
        patient's care plan, including treatment and medication 
        adherence, in dealing with patient failures to adhere to 
        medication or other therapy;
            ``(7) listening to or receiving information from family 
        members or caregivers about their loved ones receiving mental 
        illness treatment;
            ``(8) communicating with family members, caregivers, law 
        enforcement, or others when the patient presents a serious and 
        imminent threat of harm to self or others; and
            ``(9) communicating to law enforcement and family members 
        or caregivers about the admission of a patient to receive care 
        at a facility or the release of a patient who was admitted to a 
        facility for an emergency psychiatric hold or involuntary 
        treatment.
    ``(b) Coordination.--The Secretary shall carry out this section in 
coordination with the Director of the Office for Civil Rights within 
the Department of Health and Human Services.
    ``(c) Consistency With Guidance.--The Secretary shall ensure that 
the regulations under this section are consistent with the guidance 
entitled `HIPAA Privacy Rule and Sharing Information Related to Mental 
Health', issued by the Department of Health and Human Services on 
February 20, 2014.''.

SEC. 302. DEVELOPMENT AND DISSEMINATION OF MODEL TRAINING PROGRAMS.

    (a) Initial Programs and Materials.--Not later than one year after 
promulgating final regulations under section 13431 of the HITECH Act, 
as added by section 301, the Secretary of Health and Human Services (in 
this section referred to as the ``Secretary'') shall develop and 
disseminate--
            (1) a model program and materials for training health care 
        providers (including physicians, emergency medical personnel, 
        psychologists, counselors, therapists, behavioral health 
        facilities and clinics, care managers, and hospitals) regarding 
        the circumstances under which, consistent with the standards 
        governing the privacy and security of individually identifiable 
        health information promulgated by the Secretary under sections 
        262(a) and 264 of the Health Insurance Portability and 
        Accountability Act of 1996, the protected health information of 
        patients with a mental illness may be disclosed with and 
        without patient consent;
            (2) a model program and materials for training lawyers and 
        others in the legal profession on such circumstances; and
            (3) a model program and materials for training patients and 
        their families regarding their rights to protect and obtain 
        information under the standards specified in paragraph (1).
    (b) Periodic Updates.--The Secretary shall--
            (1) periodically review and update the model programs and 
        materials developed under subsection (a); and
            (2) disseminate the updated model programs and materials.
    (c) Contents.--The programs and materials developed under 
subsection (a) shall address the guidance entitled ``HIPAA Privacy Rule 
and Sharing Information Related to Mental Health'', issued by the 
Department of Health and Human Services on February 20, 2014.
    (d) Coordination.--The Secretary shall carry out this section in 
coordination with the Director of the Office for Civil Rights within 
the Department of Health and Human Services, the Administrator of the 
Substance Abuse and Mental Health Services Administration, the 
Administrator of the Health Resources and Services Administration, and 
the heads of other relevant agencies within the Department of Health 
and Human Services.
    (e) Input of Certain Entities.--In developing the model programs 
and materials required by subsections (a) and (b), the Secretary shall 
solicit the input of relevant national, State, and local associations, 
medical societies, and licensing boards.
    (f) Funding.--There is authorized to be appropriated to carry out 
this section $5,000,000 for fiscal year 2017 and $25,000,000 for the 
period of fiscal years 2018 through 2023.

SEC. 303. MODERNIZING PRIVACY PROTECTIONS.

    Not later than two years after the date of the enactment of this 
Act, the Secretary of Health and Human Services shall issue a final 
rule modernizing the privacy protections under section 543 of the 
Public Health Service Act (42 U.S.C. 290dd-2).

SEC. 304. IMPROVING COMMUNICATION WITH INDIVIDUALS, FAMILIES, AND 
              PROVIDERS.

    (a) Grants.--
            (1) Authority.--The Secretary of Health and Human Services, 
        acting through the Administrator of the Substance Abuse and 
        Mental Health Services Administration, shall award grants to 
        eligible entities for the implementation of pilot programs 
        designed to enhance care and promote recovery by supporting 
        communication between individuals in treatment, their families, 
        providers, and other individuals involved in their care.
            (2) Recipients.--To be eligible to receive a grant under 
        this section, an entity shall be a State, county, city, tribe, 
        tribal organization, institutions of higher education, public 
        organization, or private nonprofit organizations.
            (3) Nature of activities.--The grants awarded under 
        paragraph (1) shall be used to implement evidence-based or 
        innovative programs, such as Adapted or Open Dialogue, that 
        enhance care and promote recovery by supporting communities 
        between individuals and those involved in their treatment, 
        care, and support.
    (b) Additional Activities.--The Secretary shall--
            (1) evaluate the activities supported by grants awarded 
        under subsection (a) in order to further the Nation's 
        understanding of effective communication strategies between 
        individuals with mental illness and their families and health 
        care providers;
            (2) disseminate the findings from the evaluation as the 
        Secretary considers appropriate;
            (3) make recommendations for scaling up successful models 
        across the country, including in publicly funded programs; and
            (4) other activities as the Secretary determines 
        appropriate.
    (c) Duration.--A grant under this section shall be for a period of 
not more than 5 years.
    (d) Authorization of Appropriations.--
            (1) In general.--There is authorized to be appropriated to 
        carry out this section $2,000,000 for each of fiscal years 2017 
        through 2021.
            (2) Use of certain funds.--Of the funds appropriated to 
        carry out this section in any fiscal year, no more than 5 
        percent shall be available to the Secretary for the purposes of 
        carrying out subsection (b).

    TITLE IV--IMPROVING MEDICAID AND MEDICARE MENTAL HEALTH SERVICES

                    Subtitle A--Medicaid Provisions

SEC. 401. ENHANCED MEDICAID COVERAGE RELATING TO CERTAIN MENTAL HEALTH 
              SERVICES.

    (a) Medicaid Coverage of Mental Health Services and Primary Care 
Services Furnished on the Same Day.--Section 1902 of the Social 
Security Act (42 U.S.C. 1396a) is amended--
            (1) in subsection (a), by inserting after paragraph (77) 
        the following new paragraph:
            ``(78) in the case of a State that does not have in effect 
        (as of the date of the enactment of this paragraph) under its 
        State plan a payment methodology that allows for full 
        reimbursement of all same-day qualifying services through a 
        single payment, not prohibit payment under the plan for a 
        mental health service or primary care service furnished to an 
        individual at a community mental health center meeting the 
        criteria specified in section 1913(c) of the Public Health 
        Service Act or a federally qualified health center (as defined 
        in section 1861(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 (as defined 
        in subsection (ll));''; and
            (2) by adding at the end the following new subsection:
    ``(ll) Same-Day Qualifying Services Defined.--For purposes of 
subsection (a)(78), the term `same-day qualifying service' means--
            ``(1) a primary care service furnished to an individual by 
        a provider at a facility on the same day a mental health 
        service is furnished to such individual by such provider (or 
        another provider) at the facility; and
            ``(2) a mental health service furnished to an individual by 
        a provider at a facility on the same day a primary care service 
        is furnished to such individual by such provider (or another 
        provider) at the facility.''.
    (b) Providing Full-Range of EPSDT Services to Children in IMDs.--
Section 1905(h) of the Social Security Act (42 U.S.C. 1396d(h)) is 
amended by adding at the end the following new paragraph:
    ``(3) Such term includes the full-range of early and periodic 
screening, diagnostic, and treatment services (as defined in subsection 
(r)).''.
    (c) Optional Limited Coverage of Inpatient Services Furnished in 
Institutions for Mental Diseases.--Section 1903(m)(2) of the Social 
Security Act (42 U.S.C. 1396b(m)(2)) is amended by adding at the end 
the following new subparagraph:
    ``(I)(i) Notwithstanding the limitation specified in the 
subdivision (B) following paragraph (29) of section 1905(a), beginning 
on the date of the enactment of this subparagraph, a State may provide, 
as part of the monthly capitated payment made by the State under this 
title to a medicaid managed care organization or a prepaid inpatient 
health plan (as defined in section 438.2 of title 42, Code of Federal 
Regulations (or any successor regulation)), for payment for limited 
inpatient psychiatric hospital services provided by such organization 
or health plan, at the option of the individual receiving such 
services, in lieu of services covered under the State plan during the 
month for which the payment is made.
    ``(ii) In this subparagraph, the term `limited inpatient 
psychiatric hospital services' means the services described in 
subparagraphs (A) and (B) of section 1905(h)(1)--
            ``(I) that are furnished to individuals over 21 years of 
        age and under 65 years of age in an institution for mental 
        diseases (as defined in section 1905(i)) that is an inpatient 
        hospital facility or a sub-acute care facility providing crisis 
        residential services (as defined by the Secretary); and
            ``(II) for which the length of stay in such an institution 
        is for a short-term stay of not more than 15 days during the 
        month for which the capitated payment referred to in clause (i) 
        is made.''.
    (d) Effective Date.--
            (1) In general.--Subject to paragraph (2), the amendments 
        made by subsections (a) and (b) shall apply to items and 
        services furnished after the date of the enactment of this 
        section.
            (2) Exception for state legislation.--In the case of a 
        State plan under title XIX of the Social Security Act, which 
        the Secretary of Health and Human Services determines requires 
        State legislation in order for the respective plan to meet any 
        requirement imposed by amendments made by subsections (a) and 
        (b), the respective plan shall not be regarded as failing to 
        comply with the requirements of such title solely on the basis 
        of its failure to meet such an additional requirement before 
        the first day of the first calendar quarter beginning after the 
        close of the first regular session of the State legislature 
        that begins after the date of enactment of this Act. For 
        purposes of the previous sentence, in the case of a State that 
        has a 2-year legislative session, each year of the session 
        shall be considered to be a separate regular session of the 
        State legislature.

SEC. 402. EXTENSION AND EXPANSION OF DEMONSTRATION PROGRAMS TO IMPROVE 
              COMMUNITY MENTAL HEALTH SERVICES.

    Paragraph (3) of section 223(d) of the Protecting Access to 
Medicare Act of 2014 (Public Law 113-93; 128 Stat. 1077) is amended to 
read as follows:
            ``(3) Number and length of demonstration programs.--
                    ``(A) In general.--Except as provided in 
                subparagraphs (B) and (C), not more than 8 States shall 
                be selected for 2-year demonstration programs under 
                this subsection.
                    ``(B) Three-year extension.--A State selected to 
                participate in the demonstration project under this 
                subsection shall, upon the request of the State, be 
                permitted to continue to participate in the 
                demonstration project for an additional 3-year period, 
                if the Secretary makes the determination specified in 
                subparagraph (D) with respect to the State. The 
                Secretary shall provide each such State with notice of 
                that determination.
                    ``(C) Expansion to additional states.--
                            ``(i) In general.--The Secretary may expand 
                        the number of eligible States participating in 
                        the demonstration project, if, with respect to 
                        any such State, the Secretary makes the 
                        determination specified in subparagraph (D). 
                        The period of the participation of any such 
                        eligible State in the demonstration project 
                        shall end on December 31, 2022, regardless of 
                        the date on which the State begins 
                        participating in the demonstration project.
                            ``(ii) Notification.--The Secretary shall 
                        provide each State that applies to be added to 
                        the demonstration project under this subsection 
                        with notice of the determination under 
                        subparagraph (D) and the standards used to make 
                        such determination.
                    ``(D) Determination.--The determination specified 
                in this subparagraph is that the Secretary determines 
                that, in the case of a request under subparagraph (B) 
                or an expansion of the demonstration project under 
                subparagraph (C)--
                            ``(i) the continued participation of a 
                        State in the demonstration project under this 
                        subsection or an expansion of the project to 
                        any additional State (as applicable) will 
                        measurably improve access to, and participation 
                        in, services described in subsection (a)(2)(D) 
                        by individuals eligible for medical assistance 
                        under the State Medicaid program; and
                            ``(ii) any such State is in full compliance 
                        with the reporting requirements under paragraph 
                        (7) and any quality reporting requirements 
                        established by the Secretary.''.

SEC. 403. TERMS FOR EXTENSION AND EXPANSION OF MEDICAID EMERGENCY 
              PSYCHIATRIC DEMONSTRATION PROJECT.

    Section 2707(f)(4) of the Patient Protection and Affordable Care 
Act (42 U.S.C. 1396a note; Public Law 111-148), as amended by section 
2(c) of the Improving Access to Emergency Psychiatric Care Act (Public 
Law 114-97), is amended by striking subparagraph (C).

SEC. 404. COMMUNITY-BASED MENTAL HEALTH SERVICES MEDICAID OPTION FOR 
              CHILDREN IN OR AT RISK OF PSYCHIATRIC RESIDENTIAL 
              TREATMENT.

    Section 1915(c) of the Social Security Act (42 U.S.C. 1396n(c)) is 
amended--
            (1) in paragraph (1)--
                    (A) in the first sentence, by striking ``or a 
                nursing facility or intermediate care facility for the 
                mentally retarded'' and inserting ``, nursing facility, 
                intermediate care facility for the mentally retarded, 
                or psychiatric residential treatment facility''; and
                    (B) in the second sentence, by striking ``or 
                intermediate care facility for the mentally retarded'' 
                and inserting ``intermediate care facility for the 
                mentally retarded, or psychiatric residential treatment 
                facility'';
            (2) in paragraph (2)--
                    (A) in subparagraph (B)--
                            (i) in clause (i), by striking ``or 
                        services in an intermediate care facility for 
                        the mentally retarded'' and inserting 
                        ``services in an intermediate care facility for 
                        the mentally retarded, or services in a 
                        psychiatric residential treatment facility''; 
                        and
                            (ii) in the matter following clause (iii), 
                        by striking ``or services in an intermediate 
                        care facility for the mentally retarded'' and 
                        inserting ``services in an intermediate care 
                        facility for the mentally retarded, or services 
                        in a psychiatric residential treatment 
                        facility''; and
                    (B) in subparagraph (C)--
                            (i) by striking ``or intermediate care 
                        facility for the mentally retarded'' and 
                        inserting ``intermediate care facility for the 
                        mentally retarded, or psychiatric residential 
                        treatment facility''; and
                            (ii) by striking ``or services in an 
                        intermediate care facility for the mentally 
                        retarded'' and inserting ``services in an 
                        intermediate care facility for the mentally 
                        retarded, or services in a psychiatric 
                        residential treatment facility'';
            (3) in paragraph (7)(A), by striking ``or intermediate care 
        facilities for the mentally retarded'' and inserting 
        ``intermediate care facilities for the mentally retarded, or 
        psychiatric residential treatment facilities''; and
            (4) by adding at the end the following new paragraph:
    ``(11) For purposes of this subsection, the term `psychiatric 
residential treatment facility' has the meaning given such term in 
section 483.352 of title 42, Code of Federal Regulations (or any 
successor regulation).''.

SEC. 405. EXPANSION OF CMMI AUTHORITY TO SUPPORT MAJOR MENTAL ILLNESS 
              PROJECTS IN MEDICAID.

    Section 1115A(b)(2)(B) of the Social Security Act (42 U.S.C. 
1315a(b)(2)(B)) is amended by adding at the end the following new 
clause:
                            ``(xxv) Focusing primarily on title XIX, 
                        preventing major mental illness and substance 
                        use disorders and reducing the impact of long-
                        term mental illness and substance use disorders 
                        among children, adolescents, pregnant women, 
                        and adults through multi-level treatment 
                        including but not limited to outreach, clinical 
                        assessment and mental health services, and 
                        supported education and employment.''.

SEC. 406. MEDICAID DATA AND REPORTING.

    (a) Guidance on Reporting Medicaid Mental Health Screening and 
Treatment for Youth.--The Secretary of Health and Human Services shall 
develop guidance for the annual reporting by States of mental health 
screening provided to children eligible for medical assistance for 
early and periodic screening, diagnostic, and treatment services under 
title XIX of the Social Security Act. Such guidance shall be provided 
in the form of a modification of the CMS 416 Annual EPSDT Participation 
Report in a manner so that the report includes information on the 
number of children under 12 years of age, and the number of individuals 
who are at least 12 years of age but not older than 21 years of age, 
who receive mental health screening services, the number of such 
children and individuals who are referred for mental health treatment, 
and the number of such children and individuals who are receive 
treatment for mental health conditions under such title.
    (b) MACPAC.--Section 1900(b)(6) of the Social Security Act (42 
U.S.C. 1396(b)(6)) is amended--
            (1) by striking ``MACPAC shall consult'' and inserting the 
        following:
                    ``(A) In general.--MACPAC shall consult''; and
            (2) by adding at the end the following new subparagraph:
                    ``(B) Review and reports regarding behavioral 
                health provider reimbursement.--
                            ``(i) In general.--MACPAC shall survey 
                        selected State Medicaid programs' behavioral 
                        health provider reimbursement rates and 
                        beneficiary utilization of behavioral health 
                        services and shall submit an annual report to 
                        Congress regarding such review.
                            ``(ii) Required report information.--Each 
                        such report regarding behavioral health 
                        services shall include selected data relating 
                        to--
                                    ``(I) beneficiary behavioral health 
                                service encounters; and
                                    ``(II) the amount of Medicaid 
                                behavioral health provider 
                                reimbursement rates and the sources for 
                                such rates.
                            ``(iii) Data.--Notwithstanding any other 
                        provision of law, the Secretary regularly shall 
                        provide MACPAC with--
                                    ``(I) the most recent State reports 
                                and most recent independent certified 
                                audits submitted under section 1923(j);
                                    ``(II) cost reports submitted under 
                                title XVIII; and
                                    ``(III) such other data as MACPAC 
                                may request,
                        for purposes of conducting the reviews and 
                        preparing and submitting the annual reports 
                        required under this subparagraph.''.

SEC. 407. AT-RISK YOUTH MEDICAID PROTECTION.

    (a) In General.--Section 1902 of the Social Security Act (42 U.S.C. 
1396a), as amended by section 401, is further amended--
            (1) in subsection (a)--
                    (A) by striking ``and'' at the end of paragraph 
                (80);
                    (B) by striking the period at the end of paragraph 
                (81) and inserting ``; and''; and
                    (C) by inserting after paragraph (81) the following 
                new paragraph:
            ``(82) provide that--
                    ``(A) the State shall not terminate (but may 
                suspend) eligibility for medical assistance under a 
                State plan for an individual who is an eligible 
                juvenile (as defined in subsection (mm)(2)) because the 
                juvenile is an inmate of a public institution (as 
                defined in subsection (mm)(3));
                    ``(B) the State shall automatically restore 
                eligibility for such medical assistance to such an 
                individual upon the individual's release from any such 
                public institution, unless (and until such date as) 
                there is a determination that the individual no longer 
                meets the eligibility requirements for such medical 
                assistance; and
                    ``(C) the State shall process any application for 
                medical assistance submitted by, or on behalf of, a 
                juvenile who is an inmate of a public institution 
                notwithstanding that the juvenile is such an inmate.''; 
                and
            (2) by adding at the end the following new subsection:
    ``(mm) Juvenile; Eligible Juvenile; Public Institution.--For 
purposes of subsection (a)(82) and this subsection:
            ``(1) Juvenile.--The term `juvenile' means an individual 
        who is--
                    ``(A) under 19 years of age (or such higher age as 
                the State has elected under section 475(8)(B)(iii)); or
                    ``(B) is described in subsection (a)(10)(A)(i)(IX).
            ``(2) Eligible juvenile.--The term `eligible juvenile' 
        means a juvenile who is an inmate of a public institution and 
        was eligible for medical assistance under the State plan 
        immediately before becoming an inmate of such a public 
        institution or who becomes eligible for such medical assistance 
        while an inmate of a public institution.
            ``(3) Inmate of a public institution.--The term `inmate of 
        a public institution' has the meaning given such term for 
        purposes of applying the subdivision (A) following paragraph 
        (29) of section 1905(a), taking into account the exception in 
        such subdivision for a patient of a medical institution.''.
    (b) No Change in Exclusion From Medical Assistance for Inmates of 
Public Institutions.--Nothing in this section shall be construed as 
changing the exclusion from medical assistance under the subdivision 
(A) following paragraph (29) of section 1905(a) of the Social Security 
Act (42 U.S.C. 1396d(a)), including any applicable restrictions on a 
State submitting claims for Federal financial participation under title 
XIX of such Act for such assistance.
    (c) Effective Date.--
            (1) In general.--Except as provided in paragraph (2), the 
        amendments made by subsection (a) shall apply to eligibility of 
        juveniles who become inmates of public institutions on or after 
        the date that is 1 year after the date of the enactment of this 
        Act.
            (2) Rule for changes requiring state legislation.--In the 
        case of a State plan for medical assistance under title XIX of 
        the Social Security Act which the Secretary of Health and Human 
        Services determines requires State legislation (other than 
        legislation appropriating funds) in order for the plan to meet 
        the additional requirements imposed by the amendments made by 
        subsection (a), the State plan shall not be regarded as failing 
        to comply with the requirements of such title solely on the 
        basis of its failure to meet these additional requirements 
        before the first day of the first calendar quarter beginning 
        after the close of the first regular session of the State 
        legislature that begins after the date of the enactment of this 
        Act. For purposes of the previous sentence, in the case of a 
        State that has a 2-year legislative session, each year of such 
        session shall be deemed to be a separate regular session of the 
        State legislature.

                    Subtitle B--Medicare Provisions

SEC. 411. ELIMINATION OF 190-DAY LIFETIME LIMIT ON COVERAGE OF 
              INPATIENT PSYCHIATRIC HOSPITAL SERVICES UNDER MEDICARE.

    Section 1812 of the Social Security Act (42 U.S.C. 1395d) is 
amended--
            (1) in subsection (b)--
                    (A) in paragraph (1), by adding ``or'' at the end;
                    (B) in paragraph (2), by striking ``; or'' at the 
                end and inserting a period; and
                    (C) by striking paragraph (3); and
            (2) in subsection (c), by striking ``or in determining the 
        190-day limit under subsection (b)(3)''.

SEC. 412. MODIFICATIONS TO MEDICARE DISCHARGE PLANNING REQUIREMENTS.

    Section 1861(ee) of the Social Security Act (42 U.S.C. 1395x(ee)) 
is amended--
            (1) in paragraph (1), by inserting ``and, in the case of a 
        psychiatric hospital or a psychiatric unit (as described in the 
        matter following clause (v) of section 1886(d)(1)(B)), if it 
        also meets the guidelines and standards established by the 
        Secretary under paragraph (4)'' before the period at the end; 
        and
            (2) by adding at the end the following new paragraph:
    ``(4) The Secretary shall develop guidelines and standards, in 
addition to those developed under paragraph (2), for the discharge 
planning process of a psychiatric hospital or a psychiatric unit (as 
described in the matter following clause (v) of section 1886(d)(1)(B)) 
in order to ensure a timely and smooth transition to the most 
appropriate type of and setting for posthospital or rehabilitative 
care, taking into account variations in posthospital care access, 
including mental health professional shortage areas designated by the 
Health Resources and Services Administration. The Secretary shall issue 
final regulations implementing such guidelines and standards not later 
than 24 months after the date of the enactment of this paragraph. The 
guidelines and standards shall include the following:
            ``(A) The hospital or unit must identify the types of 
        services needed upon discharge for the patients being treated 
        by the hospital or unit.
            ``(B) The hospital or unit must--
                    ``(i) identify organizations that offer community 
                services to the community that is served by the 
                hospital or unit and the types of services provided by 
                the organizations; and
                    ``(ii) make demonstrated efforts to establish 
                connections, relationships, and partnerships with such 
                organizations.
            ``(C) The hospital or unit must arrange (with the 
        participation of the patient and of any other individuals 
        selected by the patient for such purpose) for the development 
        and implementation of a discharge plan for the patient as part 
        of the patient's overall treatment plan from admission to 
        discharge. Such discharge plan shall meet the requirements 
        described in subparagraphs (G) and (H) of paragraph (2).
            ``(D) The hospital or unit shall coordinate with the 
        patient (or assist the patient with) the referral for 
        posthospital or rehabilitative care and as part of that 
        referral the hospital or unit shall include transmitting to the 
        receiving organization, in a timely manner, appropriate 
        information about the care furnished to the patient by the 
        hospital or unit and recommendations for posthospital or 
        rehabilitative care to be furnished to the patient by the 
        organization.''.

        Subtitle C--Provisions Related to Medicaid and Medicare

SEC. 421. REPORTS ON MEDICAID AND MEDICARE PART D FORMULARY AND APPEALS 
              PRACTICES WITH RESPECT TO COVERAGE OF MENTAL HEALTH 
              DRUGS.

    (a) Medicaid.--
            (1) In general.--Not later than one year after the date of 
        the enactment of this Act, the Comptroller General of the 
        United States shall submit to Congress a report that, with 
        respect to mental health drugs, describes the practices of the 
        State with respect to the following (for both such drugs 
        furnished on a fee-for-service basis and through Medicaid 
        managed care organizations):
                    (A) The establishment of formularies and preferred 
                drugs lists.
                    (B) The appeal of any coverage determination.
            (2) Mental health drug defined.--In this section, the term 
        ``mental health drug'' means a covered outpatient drug (as 
        defined in section 1927(k) of the Social Security Act (42 
        U.S.C. 1396r-8(k))) that--
                    (A) is approved or licensed under section 505 of 
                the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 
                355) or section 351 of the Public Health Service Act 
                (42 U.S.C. 262) to be used for the treatment of a 
                mental health disorder, including major depression, 
                bipolar (manic-depressive) disorder, panic disorder, 
                obsessive-compulsive disorder, schizophrenia, and 
                schizoaffective disorder; and
                    (B) is covered under the State plan under title XIX 
                of the Social Security Act (42 U.S.C. 1396 et seq.) (or 
                under a waiver of such plan).
    (b) Medicare.--
            (1) Study.--
                    (A) In general.--The Inspector General of the 
                Department of Health and Human Services shall conduct a 
                study that examines, with respect to the Medicare 
                program established under title XVIII of the Social 
                Security Act (42 U.S.C. 1395 et seq.), the extent to 
                which Medicare part D appeals-related processes are 
                transparent, fair, effective, and in compliance with 
                existing statutory and regulatory requirements.
                    (B) Included elements of study.--The study required 
                under paragraph (1) shall include--
                            (i) an identification, with respect to a 
                        two-year period beginning not earlier than 
                        January 1, 2010, of--
                                    (I) the number of grievances, 
                                reconsiderations, and independent 
                                reviews and appeals pursuant to 
                                Medicare part D appeals-related 
                                processes that were lodged, requested, 
                                or otherwise filed during such period 
                                by part D eligible individuals who were 
                                enrolled in prescription drug plans 
                                offered by PDP sponsors under part D of 
                                title XVIII of the Social Security Act 
                                (42 U.S.C. 1395 et seq.); and
                                    (II) with respect to such 
                                grievances, reconsiderations, and 
                                independent reviews and appeals that 
                                were so lodged, requested, or otherwise 
                                filed during such period by such 
                                individuals, the number of such 
                                grievances, reconsiderations, and 
                                independent reviews and appeals that 
                                were decided in favor of such 
                                individuals; and
                            (ii) an examination of the extent to which 
                        Medicare part D appeals-related processes, with 
                        respect to grievances, reconsiderations, and 
                        independent reviews and appeals that relate to 
                        benefits for psychiatric medications under such 
                        part, are transparent, fair, effective, and in 
                        compliance with existing statutory and 
                        regulatory requirements.
            (2) Report.--Not later than one year after the date of the 
        enactment of this Act, such Inspector General shall submit to 
        Congress a report on the results of the study described in 
        subsection (a), including the recommendations of such Inspector 
        General, if any, for improvements that can be made to Medicare 
        part D appeals-related processes.
            (3) Definitions.--For purposes of this section:
                    (A) Medicare part d appeals-related processes.--The 
                term ``Medicare part D appeals-related processes'' 
                means--
                            (i) grievance procedures provided by PDP 
                        sponsors pursuant to subsection (f) of section 
                        1860D-4 of the Social Security Act (42 U.S.C. 
                        1395w-104);
                            (ii) reconsiderations provided by PDP 
                        sponsors pursuant to subsection (g) of such 
                        section; and
                            (iii) independent reviews and appeals to 
                        which part D eligible individuals are entitled 
                        under subsection (h) of such section.
                    (B) Part d terms.--The terms ``part D eligible 
                individual'', ``prescription drug plan'', and ``PDP 
                sponsor'' have the meanings given such terms by section 
                1840D-41 of the Social Security Act (42 U.S.C. 1395w-
                151).
    (c) Access to Treatments for Resistant Depression in the Medicare 
and Medicaid Programs.--Not later than one year after the date of the 
enactment of this Act, the Comptroller General of the United States 
shall submit to Congress a report that reviews--
            (1) access of available treatments for resistant depression 
        under the Medicare program under title XVIII of the Social 
        Security Act and the Medicaid program under title XIX of such 
        Act; and
            (2) the length of time to adopt, and processes for the 
        adoption of, newly available treatment for resistant depression 
        for individuals entitled to benefits under part A of such title 
        XVIII or enrolled under part B of such title and for 
        individuals enrolled under a State plan under such title XIX.

 TITLE V--STRENGTHENING THE BEHAVIORAL HEALTH WORKFORCE AND IMPROVING 
                             ACCESS TO CARE

SEC. 501. NATIONWIDE WORKFORCE STRATEGY.

    (a) In General.--Not later than one year after the date of 
enactment of this Act, the Substance Abuse Mental Health and Services 
Administration shall, submit to the Congress a report containing a 
nationwide strategy to increase the culturally aware behavioral health 
workforce and recruit professionals for the treatment of individuals 
with mental illness and substance use disorders.
    (b) Design.--The nationwide strategy shall be designed--
            (1) to encourage and incentivize students enrolled in 
        accredited medical or osteopathic medical school to enter the 
        specialty of psychiatry;
            (2) to promote greater research-oriented psychiatrist 
        residency training on evidence-based service delivery models 
        for individuals with serious mental illness or substance use 
        disorders;
            (3) to promote appropriate Federal administrative and 
        fiscal mechanisms that support--
                    (A) evidence-based collaborative care models; and
                    (B) the necessary trained and culturally aware 
                preventionists, health care practitioners, 
                paraprofessionals, and peers;
            (4) to increase access to child and adolescent psychiatric 
        services in order to promote early intervention for prevention 
        and mitigation of mental illness; and
            (5) to identify populations and locations that are most 
        underserved by mental health and substance use professionals 
        and the most in need of psychiatrists (including child and 
        adolescent psychiatrists), psychologists, psychiatric nurse 
        practitioners, physician assistants, clinical social workers, 
        mental health counselors, substance abuse counselors, peer-
        support specialists, recovery coaches, and other mental health 
        and substance use disorder professionals.

SEC. 502. REPORT ON BEST PRACTICES FOR PEER-SUPPORT SPECIALIST 
              PROGRAMS, TRAINING, AND CERTIFICATION.

    (a) In General.--Not later than 2 years after the date of enactment 
of this Act, the Secretary shall submit to the Congress and make 
publicly available a report on best practices and professional 
standards in States for--
            (1) establishing and operating health care programs using 
        peer-support specialists; and
            (2) training and certifying peer-support specialists.
    (b) Peer-Support Specialist Defined.--In this subsection, the term 
``peer-support specialist'' means an individual who--
            (1) uses his or her lived experience of recovery from 
        mental illness or substance abuse, plus skills learned in 
        formal training, to facilitate support groups, and to work on a 
        one-on-one basis, with individuals with a serious mental 
        illness or a substance use disorder;
            (2) has benefited or is benefiting from mental health or 
        substance use treatment services or supports;
            (3) provides non-medical services; and
            (4) performs services only within his or her area of 
        training, expertise, competence, or scope of practice.
    (c) Contents.--The report under this section shall include 
information on best practices and standards with regard to the 
following:
            (1) Hours of formal work or volunteer experience related to 
        mental health and substance use issues.
            (2) Types of peer support specialists used by different 
        health care programs.
            (3) Types of peer specialist exams required.
            (4) Code of ethics.
            (5) Additional training required prior to certification, 
        including in areas such as--
                    (A) ethics;
                    (B) scope of practice;
                    (C) crisis intervention;
                    (D) State confidentiality laws;
                    (E) Federal privacy protections, including under 
                the Health Insurance Portability and Accountability Act 
                of 1996; and
                    (F) other areas as determined by the Secretary.
            (6) Requirements to explain what, where, when, and how to 
        accurately complete all required documentation activities.
            (7) Required or recommended skill sets, such as knowledge 
        of--
                    (A) risk indicators, including individual 
                stressors, triggers, and indicators of escalating 
                symptoms;
                    (B) basic de-escalation techniques;
                    (C) basic suicide prevention concepts and 
                techniques;
                    (D) indicators that the consumer may be 
                experiencing abuse or neglect;
                    (E) stages of change or recovery;
                    (F) the typical process that should be followed to 
                access or participate in community mental health and 
                related services; and
                    (G) circumstances when it is appropriate to request 
                assistance from other professionals to help meet the 
                consumer's recovery goals.
            (8) Requirements for continuing education.

SEC. 503. ADVISORY COUNCIL ON GRADUATE MEDICAL EDUCATION.

    Section 762(b) of the Public Health Service Act (42 U.S.C. 294o(b)) 
is amended--
            (1) by redesignating paragraphs (4) through (6) as 
        paragraphs (5) through (7), respectively; and
            (2) by inserting after paragraph (3) the following:
            ``(4) the Assistant Secretary for Mental Health and 
        Substance Use Disorders;''.

SEC. 504. TELEPSYCHIATRY AND PRIMARY CARE PROVIDER TRAINING GRANT 
              PROGRAM.

    (a) In General.--The Secretary of Health and Human Services shall 
establish a grant program (in this subsection referred to as the 
``grant program'') under which the Secretary shall award to 10 eligible 
States (as described in subsection (e)) grants for carrying out all of 
the purposes described in subsections (b), (c), and (d).
    (b) Training Program for Certain Primary Care Providers.--For 
purposes of subsection (a), the purpose described in this paragraph, 
with respect to a grant awarded to a State under the grant program, is 
for the State to establish a training program to train primary care 
providers in--
            (1) valid and reliable behavioral-health screening tools 
        for violence and suicide risk, early signs of serious mental 
        illness, and untreated substance abuse, including any 
        standardized behavioral-health screening tools that are 
        determined appropriate by the Secretary;
            (2) implementing the use of behavioral-health screening 
        tools in their practices;
            (3) establishment of recommended intervention and treatment 
        protocols for individuals in mental health crisis, especially 
        for individuals whose illness makes them less receptive to 
        mental health services; and
            (4) implementing the evidence-based collaborative care 
        model of integrated medical-behavioral health care in their 
        practices.
    (c) Payments for Mental Health Services Provided by Certain Primary 
Care Providers.--
            (1) In general.--For purposes of subsection (a), the 
        purpose described in this paragraph, with respect to a grant 
        awarded to a State under the grant program, is for the State to 
        provide, in accordance with this paragraph, in the case of a 
        primary care physician who participates in the training program 
        of the State establish pursuant to subsection (b), payments to 
        the primary care providers for services furnished by the 
        primary care providers.
            (2) Considerations.--The Secretary, in determining the 
        structure, quality, and form of payment under paragraph (1) 
        shall seek to find innovative payment systems which may take 
        into account--
                    (A) the nature and quality of services rendered;
                    (B) the patients' health outcome;
                    (C) the geographical location where services were 
                provided;
                    (D) the acuteness of the patient's medical 
                condition;
                    (E) the duration of services provided;
                    (F) the feasibility of replicating the payment 
                model in other locations nationwide; and
                    (G) proper triage and enduring linkage to 
                appropriate treatment provider for subspecialty care in 
                child or forensic issues; family crisis intervention; 
                drug or alcohol rehabilitation; management of suicidal 
                or violent behavior risk, and treatment for serious 
                mental illness.
    (d) Telehealth Services for Mental Health Disorders.--
            (1) In general.--For purposes of subsection (a), the 
        purpose described in this paragraph, with respect to a grant 
        awarded to a State under the grant program, is for the State to 
        provide, in the case of an individual furnished items and 
        services by a primary care physician during an office visit, 
        for payment for a consultation provided by a psychiatrist or 
        psychologist to such primary care provider with respect to such 
        individual through the use of qualified telehealth technology 
        for the identification, diagnosis, mitigation, or treatment of 
        a mental health disorder if such consultation occurs not later 
        than the first business day that follows such visit.
            (2) Qualified telehealth technology.--For purposes of 
        paragraph (1), the term ``qualified telehealth technology'', 
        with respect to the provision of items and services to a 
        patient by a health care provider, includes the use of 
        interactive audio, audio-only telephone conversation, video, or 
        other telecommunications technology by a health care provider 
        to deliver health care services within the scope of the 
        provider's practice including the use of electronic media for 
        consultation relating to the health care diagnosis or treatment 
        of the patient.
    (e) Eligible State.--
            (1) In general.--For purposes of this subsection, an 
        eligible State is a State that has submitted to the Secretary 
        an application under paragraph (2) and has been selected under 
        paragraph (4).
            (2) Application.--A State seeking to participate in the 
        grant program under this subsection shall submit to the 
        Secretary, at such time and in such format as the Secretary 
        requires, an application that includes such information, 
        provisions, and assurances as the Secretary may require.
            (3) Matching requirement.--The Secretary may not make a 
        grant under the grant program unless the State involved agrees, 
        with respect to the costs to be incurred by the State in 
        carrying out the purposes described in this subsection, to make 
        available non-Federal contributions (in cash or in kind) toward 
        such costs in an amount equal to not less than 20 percent of 
        Federal funds provided in the grant.
            (4) Selection.--A State shall be determined eligible for 
        the grant program by the Secretary on a competitive basis among 
        States with applications meeting the requirements of paragraphs 
        (2) and (3). In selecting State applications for the grant 
        program, the Secretary shall seek to achieve an appropriate 
        national balance in the geographic distribution of grants 
        awarded under the grant program.
    (f) Target Population.--In seeking a grant under this subsection, a 
State shall demonstrate how the grant will improve care for individuals 
with co-occurring behavioral health and physical health conditions, 
vulnerable populations, socially isolated populations, rural 
populations, and other populations who have limited access to qualified 
mental health providers.
    (g) Length of Grant Program.--The grant program under this 
subsection shall be conducted for a period of 3 consecutive years.
    (h) Public Availability of Findings and Conclusions.--Subject to 
Federal privacy protections with respect to individually identifiable 
information, the Secretary shall make the findings and conclusions 
resulting from the grant program under this subsection available to the 
public.
    (i) Authorization of Appropriations.--Out of any funds in the 
Treasury not otherwise appropriated, there is authorized to be 
appropriated to carry out this subsection, $3,000,000 for each of the 
fiscal years 2017 through 2021.
    (j) Reports.--
            (1) Reports.--For each fiscal year that grants are awarded 
        under this subsection, the Secretary shall conduct a study on 
        the results of the grants and submit to the Congress a report 
        on such results that includes the following:
                    (A) An evaluation of the grant program outcomes, 
                including a summary of activities carried out with the 
                grant and the results achieved through those 
                activities.
                    (B) Recommendations on how to improve access to 
                mental health services at grantee locations.
                    (C) An assessment of access to mental health 
                services under the program.
                    (D) An assessment of the impact of the 
                demonstration project on the costs of the full range of 
                mental health services (including inpatient, emergency 
                and ambulatory care).
                    (E) Recommendations on congressional action to 
                improve the grant.
                    (F) Recommendations to improve training of primary 
                care providers.
            (2) Report.--Not later than December 31, 2018, the 
        Secretary shall submit to Congress and make available to the 
        public a report on the findings of the evaluation under 
        subparagraph (A) and also a policy outline on how Congress can 
        expand the grant program to the national level.

SEC. 505. LIABILITY PROTECTIONS FOR HEALTH CARE PROFESSIONAL VOLUNTEERS 
              AT COMMUNITY HEALTH CENTERS AND FEDERALLY QUALIFIED 
              COMMUNITY BEHAVIORAL HEALTH CLINICS.

    Section 224 of the Public Health Service Act (42 U.S.C. 233) is 
amended by adding at the end the following:
    ``(q)(1) In this subsection, the term `federally qualified 
community behavioral health clinic' means--
            ``(A) a federally qualified community behavioral health 
        clinic with a certification in effect under section 223 of the 
        Protecting Access to Medicare Act of 2014; or
            ``(B) a community mental health center meeting the criteria 
        specified in section 1913(c) of this Act.
    ``(2) For purposes of this section, a health care professional 
volunteer at an entity described in subsection (g)(4) or a federally 
qualified community behavioral health clinic shall, in providing health 
care services eligible for funding under section 330 or subpart I of 
part B of title XIX to an individual, be deemed to be an employee of 
the Public Health Service for a calendar year that begins during a 
fiscal year for which a transfer was made under paragraph (5)(C). The 
preceding sentence is subject to the provisions of this subsection.
    ``(3) In providing a health care service to an individual, a health 
care professional shall for purposes of this subsection be considered 
to be a health professional volunteer at an entity described in 
subsection (g)(4) or at a federally qualified community behavioral 
health clinic if the following conditions are met:
            ``(A) The service is provided to the individual at the 
        facilities of an entity described in subsection (g)(4), at a 
        federally qualified community behavioral health clinic, or 
        through offsite programs or events carried out by the center.
            ``(B) The center or entity is sponsoring the health care 
        professional volunteer pursuant to paragraph (4)(B).
            ``(C) The health care professional does not receive any 
        compensation for the service from the individual or from any 
        third-party payer (including reimbursement under any insurance 
        policy or health plan, or under any Federal or State health 
        benefits program), except that the health care professional may 
        receive repayment from the entity described in subsection 
        (g)(4) or the center for reasonable expenses incurred by the 
        health care professional in the provision of the service to the 
        individual.
            ``(D) Before the service is provided, the health care 
        professional or the center or entity described in subsection 
        (g)(4) posts a clear and conspicuous notice at the site where 
        the service is provided of the extent to which the legal 
        liability of the health care professional is limited pursuant 
        to this subsection.
            ``(E) At the time the service is provided, the health care 
        professional is licensed or certified in accordance with 
        applicable law regarding the provision of the service.
    ``(4) Subsection (g) (other than paragraphs (3) and (5)) and 
subsections (h), (i), and (l) apply to a health care professional for 
purposes of this subsection to the same extent and in the same manner 
as such subsections apply to an officer, governing board member, 
employee, or contractor of an entity described in subsection (g)(4), 
subject to paragraph (5) and subject to the following:
            ``(A) The first sentence of paragraph (2) applies in lieu 
        of the first sentence of subsection (g)(1)(A).
            ``(B) With respect to an entity described in subsection 
        (g)(4) or a federally qualified community behavioral health 
        clinic, a health care professional is not a health professional 
        volunteer at such center unless the center sponsors the health 
        care professional. For purposes of this subsection, the center 
        shall be considered to be sponsoring the health care 
        professional if--
                    ``(i) with respect to the health care professional, 
                the center submits to the Secretary an application 
                meeting the requirements of subsection (g)(1)(D); and
                    ``(ii) the Secretary, pursuant to subsection 
                (g)(1)(E), determines that the health care professional 
                is deemed to be an employee of the Public Health 
                Service.
            ``(C) In the case of a health care professional who is 
        determined by the Secretary pursuant to subsection (g)(1)(E) to 
        be a health professional volunteer at such center, this 
        subsection applies to the health care professional (with 
        respect to services described in paragraph (2)) for any cause 
        of action arising from an act or omission of the health care 
        professional occurring on or after the date on which the 
        Secretary makes such determination.
            ``(D) Subsection (g)(1)(F) applies to a health professional 
        volunteer for purposes of this subsection only to the extent 
        that, in providing health services to an individual, each of 
        the conditions specified in paragraph (3) is met.
    ``(5)(A) Amounts in the fund established under subsection (k)(2) 
shall be available for transfer under subparagraph (C) for purposes of 
carrying out this subsection for health professional volunteers at 
entities described in subsection (g)(4).
    ``(B) Not later than May 1 of each fiscal year, the Attorney 
General, in consultation with the Secretary, shall submit to the 
Congress a report providing an estimate of the amount of claims 
(together with related fees and expenses of witnesses) that, by reason 
of the acts or omissions of health care professional volunteers, will 
be paid pursuant to this subsection during the calendar year that 
begins in the following fiscal year. Subsection (k)(1)(B) applies to 
the estimate under the preceding sentence regarding health care 
professional volunteers to the same extent and in the same manner as 
such subsection applies to the estimate under such subsection regarding 
officers, governing board members, employees, and contractors of 
entities described in subsection (g)(4).
    ``(C) Not later than December 31 of each fiscal year, the Secretary 
shall transfer from the fund under subsection (k)(2) to the appropriate 
accounts in the Treasury an amount equal to the estimate made under 
subparagraph (B) for the calendar year beginning in such fiscal year, 
subject to the extent of amounts in the fund.
    ``(6)(A) This subsection takes effect on October 1, 2017, except as 
provided in subparagraph (B).
    ``(B) Effective on the date of the enactment of this subsection--
            ``(i) the Secretary may issue regulations for carrying out 
        this subsection, and the Secretary may accept and consider 
        applications submitted pursuant to paragraph (4)(B); and
            ``(ii) reports under paragraph (5)(B) may be submitted to 
        the Congress.''.

SEC. 506. MINORITY FELLOWSHIP PROGRAM.

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

                 ``PART K--MINORITY FELLOWSHIP PROGRAM

``SEC. 597. FELLOWSHIPS.

    ``(a) In General.--The Secretary shall maintain a program, to be 
known as the Minority Fellowship Program, under which the Secretary 
awards fellowships, which may include stipends, for the purposes of--
            ``(1) increasing behavioral health practitioners' knowledge 
        of issues related to prevention, treatment, and recovery 
        support for mental and substance use disorders among racial and 
        ethnic minority populations;
            ``(2) improving the quality of mental and substance use 
        disorder prevention and treatment delivered to ethnic 
        minorities; and
            ``(3) increasing the number of culturally competent 
        behavioral health professionals who teach, administer, conduct 
        services research, and provide direct mental health or 
        substance use services to underserved minority populations.
    ``(b) Training Covered.--The fellowships under subsection (a) shall 
be for postbaccalaureate training (including for master's and doctoral 
degrees) for mental health professionals, including in the fields of 
psychiatry, nursing, social work, psychology, marriage and family 
therapy, professional counseling, and substance use and addiction 
counseling.
    ``(c) Authorization of Appropriations.--To carry out this section, 
there are authorized to be appropriated $11,000,000 for fiscal year 
2017, $14,000,000 for fiscal year 2018, $16,000,000 for fiscal year 
2019, $18,000,000 for fiscal year 2020, and $20,000,000 for fiscal year 
2021.''.

SEC. 507. NATIONAL HEALTH SERVICE CORPS.

    (a) Definitions.--
            (1) Primary health services.--Section 331(a)(3)(D) of the 
        Public Health Service Act (42 U.S.C. 254d(a)(3)) is amended by 
        inserting ``(including pediatric mental health subspecialty 
        services)'' after ``pediatrics''.
            (2) Behavioral and mental health professionals.--Clause (i) 
        of section 331(a)(3)(E) of the Public Health Service Act (42 
        U.S.C. 254d(a)(3)(E)) is amended by inserting ``(and pediatric 
        subspecialists thereof)'' before the period at the end.
    (b) Eligibility To Participate in Loan Repayment Program.--Section 
338B(b)(1)(B) of the Public Health Service Act (42 U.S.C. 254l-
1(b)(1)(B)) is amended by inserting ``, including any physician child 
and adolescent psychiatry residency or fellowship training program'' 
after ``be enrolled in an approved graduate training program in 
medicine, osteopathic medicine, dentistry, behavioral and mental 
health, or other health profession''.

SEC. 508. SAMHSA GRANT PROGRAM FOR DEVELOPMENT AND IMPLEMENTATION OF 
              CURRICULA FOR CONTINUING EDUCATION ON SERIOUS MENTAL 
              ILLNESS.

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

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

    ``(a) Grants.--The Secretary may award grants to eligible entities 
for the development and implementation of curricula for providing 
continuing education and training to health care professionals on 
identifying, referring, and treating individuals with serious mental 
illness or serious emotional disturbance.
    ``(b) Eligible Entities.--To be eligible to seek a grant under this 
section, an entity shall be a public or nonprofit entity that--
            ``(1) provides continuing education or training to health 
        care professionals; or
            ``(2) applies for the grant in partnership with another 
        entity that provides such education and training.
    ``(c) Preference.--In awarding grants under this section, the 
Secretary shall give preference to eligible entities proposing to 
develop and implement curricula for providing continuing education and 
training to--
            ``(1) health care professionals in primary care 
        specialties; or
            ``(2) health care professionals who are required, as a 
        condition of State licensure, to participate in continuing 
        education or training specific to mental health.
    ``(d) Authorization of Appropriations.--To carry out this section, 
there are authorized to be appropriated $1,000,000 for each of fiscal 
years 2017 through 2021.''.

SEC. 509. PEER PROFESSIONAL WORKFORCE DEVELOPMENT GRANT PROGRAM.

    (a) In General.--For the purposes described in subsection (b), the 
Secretary of Health and Human Services shall award grants to develop 
and sustain behavioral health paraprofessional training and education 
programs, including through tuition support.
    (b) Purposes.--The purposes of grants under this section are--
            (1) to increase the number of behavioral health 
        paraprofessionals, including trained peers, recovery coaches, 
        mental health and addiction specialists, prevention 
        specialists, and pre-masters-level addiction counselors; and
            (2) to help communities develop the infrastructure to train 
        and certify peers as behavioral health paraprofessionals.
    (c) Eligible Entities.--To be eligible to receive a grant under 
this section, an entity shall be a community college or other entity 
the Secretary deems appropriate.
    (d) Geographic Distribution.--In awarding grants under this 
section, the Secretary shall seek to achieve an appropriate national 
balance in the geographic distribution of such awards.
    (e) Special Consideration.--In awarding grants under this section, 
the Secretary may give special consideration to proposed and existing 
programs targeting peer professionals serving youth ages 16 to 25.
    (f) Authorization of Appropriations.--To carry out this section, 
there is authorized to be appropriated to carry out this section 
$5,000,000 for each of fiscal years 2017 through 2021.

SEC. 510. DEMONSTRATION GRANT PROGRAM TO RECRUIT, TRAIN, AND 
              PROFESSIONALLY SUPPORT PSYCHIATRIC PHYSICIANS IN INDIAN 
              HEALTH PROGRAMS.

    (a) Establishment.--The Secretary of Health and Human Services (in 
this section referred to as the ``Secretary''), in consultation with 
the Director of the Indian Health Service and demonstration programs 
established under section 123 of the Indian Health Care Improvement Act 
(25 U.S.C. 1616p), shall award one 5-year grant to one eligible entity 
to carry out a demonstration program (in this Act referred to as the 
``Program'') under which the eligible entity shall carry out the 
activities described in subsection (b).
    (b) Activities To Be Carried Out by Recipient of Grant Under 
Program.--Under the Program, the grant recipient shall--
            (1) 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;
            (2) recruit to participate in the Program Native American 
        and non-Native American psychiatric physicians who demonstrate 
        interest in providing specialty health care services (as 
        defined in section 313(a)(3) of the Indian Health Care 
        Improvement Act (25 U.S.C. 1638g(a)(3))) and primary care 
        services to American Indians and Alaska Natives;
            (3) 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;
            (4) with respect to such psychiatric physicians who are 
        participating in the Program and trained under paragraph (3), 
        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
            (5) not later than 1 year after the last day of the 5-year 
        period for which the grant is awarded under subsection (a), 
        submit to the Secretary and to the appropriate committees of 
        Congress a report that shall include--
                    (A) the workforce model created under paragraph 
                (1);
                    (B) strategies for disseminating the workforce 
                model to other entities with the capability of adopting 
                it; and
                    (C) 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.
    (c) Eligible Entities.--
            (1) Requirements.--To be eligible to receive the grant 
        under this section, an entity shall--
                    (A) submit to the Secretary an application at such 
                time, in such manner, and containing such information 
                as the Secretary may require;
                    (B) 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
                    (C) 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.
            (2) Priority in selecting grant recipient.--In awarding the 
        grant under this section, the Secretary shall give priority to 
        an eligible entity that satisfies each of the following:
                    (A) 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.
                    (B) Demonstrates a record in successfully 
                recruiting, training, and deploying physicians who are 
                American Indians and Alaska Natives.
                    (C) 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.
    (d) Eligibility of Psychiatric Physicians To Participate in the 
Program.--
            (1) In general.--To be eligible to participate in the 
        Program, as described in subsection (b), a psychiatric 
        physician shall--
                    (A) be licensed or eligible for licensure to 
                practice in the State to which the physician is to be 
                deployed under subsection (b)(4); and
                    (B) demonstrate a commitment beyond the one year of 
                training described in subsection (b)(3) and two years 
                of deployment described in subsection (b)(4) to a 
                career as a specialty care physician or primary care 
                physician providing mental health services in Indian 
                health programs.
            (2) Preference.--In selecting physicians to participate 
        under the Program, as described in subsection (b)(2), the grant 
        recipient shall give preference to physicians who are American 
        Indians and Alaska Natives.
    (e) Loan Forgiveness.--Under the Program, any psychiatric physician 
accepted to participate in the Program shall, notwithstanding the 
provisions of subsection (b) of section 108 of the Indian Health Care 
Improvement Act (25 U.S.C. 1616a) and upon acceptance into the Program, 
be deemed eligible and enrolled to participate in the Indian Health 
Service Loan Repayment Program under such section 108. Under such Loan 
Repayment Program, the Secretary shall pay on behalf of the physician 
for each year of deployment under the Program under this section up to 
$35,000 for loans described in subsection (g)(1) of such section 108.
    (f) Deferral of Certain Service.--The starting date of required 
service of individuals in the National Health Service Corps Service 
Program under title II of the Public Health Service Act (42 U.S.C. 202 
et seq.) who are psychiatric physicians participating under the Program 
under this section shall be deferred until the date that is 30 days 
after the date of completion of the participation of such a physician 
in the Program under this section.
    (g) Definitions.--For purposes of this section:
            (1) American indians and alaska natives.--The term 
        ``American Indians and Alaska Natives'' has the meaning given 
        the term ``Indian'' in section 447.50(b)(1) of title 42, Code 
        of Federal Regulations, as in existence as of the date of the 
        enactment of this Act.
            (2) Indian health program.--The term ``Indian health 
        program'' has the meaning given such term in section 104(12) of 
        the Indian Health Care Improvement Act (25 U.S.C. 1603(12)).
            (3) Professionally support.--The term ``professionally 
        support'' means, with respect to psychiatric physicians 
        participating in the Program and deployed to practice specialty 
        care or primary care in Indian health programs, the provision 
        of compensation to such physicians for the provision of such 
        care during such deployment and may include the provision, 
        dissemination, or sharing of best practices, field training, 
        and other activities deemed appropriate by the recipient of the 
        grant under this section.
            (4) Psychiatric physician.--The term ``psychiatric 
        physician'' means a medical doctor or doctor of osteopathy in 
        good standing who has successfully completed four-year 
        psychiatric residency training or who is enrolled in four-year 
        psychiatric residency training in a residency program 
        accredited by the Accreditation Council for Graduate Medical 
        Education.
    (h) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section $1,000,000 for each of the 
fiscal years 2017 through 2021.

SEC. 511. EDUCATION AND TRAINING ON EATING DISORDERS FOR HEALTH 
              PROFESSIONALS.

    (a) In General.--The Secretary of Health and Human Services, acting 
through the Administrator of the Substance Abuse and Mental Health 
Services Administration, shall award grants to eligible entities to 
integrate training into existing curricula for primary care physicians, 
other licensed or certified health and mental health professionals, and 
public health professionals that may include--
            (1) early intervention and identification of eating 
        disorders;
            (2) types of treatment (including family-based treatment, 
        inpatient, residential, partial hospitalization programming, 
        intensive outpatient and outpatient);
            (3) how to properly refer patients to treatment;
            (4) steps to aid in the prevention of the development of 
        eating disordered behaviors; and
            (5) how to treat individuals with eating disorders.
    (b) Application.--An entity that desires a grant under this section 
shall submit to the Secretary an application at such time, in such 
manner, and containing such information as the Secretary may require, 
including a plan for the use of funds that may be awarded and an 
evaluation of the training that will be provided.
    (c) Use of Funds.--An entity that receives a grant under this 
section shall use the funds made available through such grant to--
            (1) use a training program containing evidence-based 
        findings, promising emerging best practices, or recommendations 
        that pertain to the identification, early intervention, 
        prevention of the development of eating disordered behaviors, 
        and treatment of eating disorders to conduct educational 
        training and conferences, including Internet-based courses and 
        teleconferences, on--
                    (A) how to help prevent the development of eating 
                disordered behaviors, identify, intervene early, and 
                appropriately and adequately treat eating disordered 
                patients;
                    (B) how to identify individuals with eating 
                disorders, and those who are at risk for suffering from 
                eating disorders and, therefore, at risk for related 
                severe medical and mental health conditions;
                    (C) how to conduct a comprehensive assessment of 
                individual and familial health risk factors; and
                    (D) how to conduct a comprehensive assessment of a 
                treatment plan; and
            (2) evaluate and report to the Secretary on the 
        effectiveness of the training provided by such entity in 
        increasing knowledge and changing attitudes and behaviors of 
        trainees.
    (d) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section $1,000,000 for each of the 
fiscal years 2017 through 2021.

SEC. 512. PRIMARY AND BEHAVIORAL HEALTH CARE INTEGRATION GRANT 
              PROGRAMS.

    Section 520K of the Public Health Service Act (42 U.S.C. 290bb-42) 
is amended to read as follows:

``SEC. 520K. INTEGRATION INCENTIVE GRANTS.

    ``(a) In General.--The Secretary shall establish a primary and 
behavioral health care integration grant program. The Secretary may 
award grants and cooperative agreements to eligible entities to expend 
funds for improvements in integrated settings with integrated 
practices.
    ``(b) Definitions.--In this section:
            ``(1) Integrated care.--The term `integrated care' means 
        full collaboration in merged or transformed practices offering 
        behavioral and physical health services within the same shared 
        practice space in the same facility, where the entity--
                    ``(A) provides services in a shared space that 
                ensures services will be available and accessible 
                promptly and in a manner which preserves human dignity 
                and assures continuity of care;
                    ``(B) ensures communication among the integrated 
                care team that is consistent and team-based;
                    ``(C) ensures shared decisionmaking between 
                behavioral health and primary care providers;
                    ``(D) provides evidence-based services in a mode of 
                service delivery appropriate for the target population;
                    ``(E) employs staff who are multidisciplinary and 
                culturally and linguistically competent;
                    ``(F) provides integrated services related to 
                screening, diagnosis, and treatment of mental illness 
                and substance use disorder and co-occurring primary 
                care conditions and chronic diseases; and
                    ``(G) provides targeted case management, including 
                services to assist individuals gaining access to needed 
                medical, social, educational, and other services and 
                applying for income security, housing, employment, and 
                other benefits to which they may be entitled.
            ``(2) Integrated care team.--The term `integrated care 
        team' means a team that includes--
                    ``(A) allopathic or osteopathic medical doctors, 
                such as a primary care physician and a psychiatrist;
                    ``(B) licensed clinical behavioral health 
                professionals, such as psychologists or social workers;
                    ``(C) a case manager; and
                    ``(D) other members, such as psychiatric advanced 
                practice nurses, physician assistants, peer-support 
                specialists or other allied health professionals, such 
                as mental health counselors.
            ``(3) Special population.--The term `special population' 
        means--
                    ``(A) adults with mental illnesses who have co-
                occurring primary care conditions with chronic 
                diseases;
                    ``(B) adults with serious mental illnesses who have 
                co-occurring primary care conditions with chronic 
                diseases;
                    ``(C) children and adolescents with serious 
                emotional disturbances with co-occurring primary care 
                conditions and chronic diseases;
                    ``(D) older adults with mental illness who have co-
                occurring primary care conditions with chronic 
                conditions;
                    ``(E) individuals with substance use disorder; or
                    ``(F) individuals from populations for which there 
                is a significant disparity in the quality, outcomes, 
                cost, or use of mental health or substance use disorder 
                services or a significant disparity in access to such 
                services, as compared to the general population, such 
                as racial and ethnic minorities and rural populations.
    ``(c) Purpose.--The grant program under this section shall be 
designed to lead to full collaboration between primary and behavioral 
health in an integrated practice model to ensure that--
            ``(1) the overall wellness and physical health status of 
        individuals with serious mental illness or serious emotional 
        disturbance and co-occurring substance use disorders is 
        supported through integration of primary care into community 
        mental health centers meeting the criteria specified in section 
        1913(c) of the Social Security Act or certified community 
        behavioral health clinics described in section 223 of the 
        Protecting Access to Medicare Act of 2014; or
            ``(2) the mental health status of individuals with 
        significant co-occurring psychiatric and physical conditions 
        will be supported through integration of behavioral health into 
        primary care settings.
    ``(d) Eligible Entities.--To be eligible to receive a grant or 
cooperative agreement under this section, an entity shall be a State 
department of health, State mental health or addiction agency, State 
Medicaid agency, or licensed health care provider or institution. The 
Administrator may give preference to States that have existing 
integrated care models, such as those authorized by section 1945 of the 
Social Security Act.
    ``(e) Application.--An eligible entity desiring a grant or 
cooperative agreement under this section shall submit an application to 
the Administrator at such time, in such manner, and accompanied by such 
information as the Administrator may require, including a description 
of a plan to achieve fully collaborative agreements to provide services 
to special populations and--
            ``(1) a document that summarizes the State-specific 
        policies that inhibit the provision of integrated care, and the 
        specific steps that will be taken to address such barriers, 
        such as through licensing and billing procedures; and
            ``(2) a plan to develop and share a de-identified patient 
        registry to track treatment implementation and clinical 
        outcomes to inform clinical interventions, patient education, 
        and engagement with merged or transformed integrated practices 
        in compliance with applicable national and State health 
        information privacy laws.
    ``(f) Grant Amounts.--The maximum annual grant amount under this 
section shall be $2,000,000, of which not more than 10 percent may be 
allocated to State administrative functions, and the remaining amounts 
shall be allocated to health facilities that provide integrated care.
    ``(g) Duration.--A grant under this section shall be for a period 
of 5 years.
    ``(h) Report on Program Outcomes.--An entity receiving a grant or 
cooperative agreement under this section shall submit an annual report 
to the Administrator that includes--
            ``(1) the progress to reduce barriers to integrated care, 
        including regulatory and billing barriers, as described in the 
        entity's application under subsection (d); and
            ``(2) a description of functional outcomes of special 
        populations, such as--
                    ``(A) with respect to individuals with serious 
                mental illness, participation in supportive housing or 
                independent living programs, engagement in social or 
                education activities, participation in job training or 
                employment opportunities, attendance at scheduled 
                medical and mental health appointments, and compliance 
                with treatment plans;
                    ``(B) with respect to individuals with co-occurring 
                mental illness and primary care conditions and chronic 
                diseases, attendance at scheduled medical and mental 
                health appointments, compliance with treatment plans, 
                and participation in learning opportunities related to 
                improved health and lifestyle practice; and
                    ``(C) with respect to children and adolescents with 
                serious emotional disorders who have co-occurring 
                primary care conditions and chronic diseases, 
                attendance at scheduled medical and mental health 
                appointments, compliance with treatment plans, and 
                participation in learning opportunities at school and 
                extracurricular activities.
    ``(i) Technical Assistance Center for Primary-Behavioral Health 
Care Integration.--
            ``(1) In general.--The Secretary shall establish a program 
        through which such Secretary shall provide appropriate 
        information, training, and technical assistance to eligible 
        entities that receive a grant or cooperative agreement under 
        this section, in order to help such entities to meet the 
        requirements of this section, including assistance with--
                    ``(A) development and selection of integrated care 
                models;
                    ``(B) dissemination of evidence-based interventions 
                in integrated care;
                    ``(C) establishment of organizational practices to 
                support operational and administrative success; and
                    ``(D) other activities, as the Secretary determines 
                appropriate.
            ``(2) Additional dissemination of technical information.--
        The information and resources provided by the technical 
        assistance program established under paragraph (1) shall be 
        made available to States, political subdivisions of a State, 
        Indian tribes or tribal organizations (as defined in section 4 
        of the Indian Self-Determination and Education Assistance Act), 
        outpatient mental health and addiction treatment centers, 
        community mental health centers that meet the criteria under 
        section 1913(c), certified community behavioral health clinics 
        described in section 223 of the Protecting Access to Medicare 
        Act of 2014, primary care organizations such as Federally 
        qualified health centers or rural health centers, other 
        community-based organizations, or other entities engaging in 
        integrated care activities, as the Secretary determines 
        appropriate.
    ``(j) Authorization of Appropriations.--To carry out this section, 
there are authorized to be appropriated $50,000,000 for each of fiscal 
years 2017 through 2021, of which $2,000,000 shall be available to the 
technical assistance program under subsection (i).''.

SEC. 513. HEALTH PROFESSIONS COMPETENCIES TO ADDRESS RACIAL, ETHNIC, 
              SEXUAL, AND GENDER MINORITY BEHAVIORAL HEALTH 
              DISPARITIES.

    (a) In General.--The Secretary of Health and Human Services shall 
award grants to national organizations for the purpose of developing, 
and disseminating to health professional educational programs, 
curricula or core competencies addressing behavioral health disparities 
among racial, ethnic, sexual, and gender minority groups.
    (b) Use of Funds.--Organizations receiving funds under subsection 
(a) shall use the funds to develop and disseminate curricula or core 
competencies, as described in such subsection, for use in the training 
of students in the professions of social work, psychology, psychiatry, 
nursing, physician assistants, marriage and family therapy, mental 
health counseling, substance abuse counseling, or other mental health 
and substance use disorder providers that the Secretary deems 
appropriate.
    (c) Allowable Activities.--Organizations receiving funds under 
subsection (a) may use the funds to engage in the following activities 
related to the development and dissemination of curricula or core 
competencies:
            (1) Formation of committees or working groups comprised of 
        experts from accredited health professions schools to identify 
        core competencies relating to mental health disparities among 
        racial and ethnic minority groups.
            (2) Planning of workshops in national fora to allow for 
        public input into the educational needs associated with mental 
        health disparities among racial and ethnic minority groups.
            (3) Dissemination and promotion of the use of curricula or 
        core competencies in undergraduate and graduate health 
        professions training programs nationwide.
    (d) Definitions.--In this section, the term ``racial and ethnic 
minority group'' has the meaning given to such term in section 1707(g) 
of the Public Health Service Act (42 U.S.C. 300u-6(g)).
    (e) Authorization of Appropriations.--There are authorized to be 
appropriated to carry out this section $1,000,000 for each of fiscal 
years 2017 through 2021.

SEC. 514. BEHAVIORAL HEALTH CRISIS SYSTEMS.

    (a) Definitions.--For purposes of this section, the following 
definitions shall apply:
            (1) Eligible entity.--The term ``eligible entity'' means a 
        State, political subdivision of a State, or nonprofit private 
        entity.
            (2) Secretary.--The term ``Secretary'' means the Secretary 
        of Health and Human Services.
            (3) State.--The term ``State'' means each State of the 
        United States, the District of Columbia, each commonwealth, 
        territory or possession of the United States, and each 
        federally recognized Indian tribe.
    (b) Establishment of Grant Program.--
            (1) Establishment.--The Secretary shall establish a program 
        to award grants to eligible entities to establish and implement 
        a system for preventing and de-escalating behavioral health 
        crises.
            (2) Use of funds.--
                    (A) In general.--Grants under this section may be 
                used to carry out programs that--
                            (i) expand early intervention and treatment 
                        services to improve access to behavioral health 
                        crisis assistance and address unmet behavioral 
                        health care needs;
                            (ii) expand the continuum of services to 
                        address crisis prevention, crisis intervention, 
                        and crisis stabilization; and
                            (iii) reduce unnecessary hospitalizations 
                        by appropriately utilizing community-based 
                        services and improving access to timely 
                        behavioral health crisis assistance.
                    (B) Authorized activities.--The programs described 
                in subparagraph (A) may include activities such as:
                            (i) Mobile support or crisis support 
                        centers that provide field-based behavioral 
                        health assistance to individuals with mental 
                        health or substance use disorders and links 
                        such individuals in crisis to appropriate 
                        services.
                            (ii) School and community-based early 
                        intervention and prevention programs that 
                        provide mobile response, screening and 
                        assessment, training and education, and peer-
                        based and family services.
                            (iii) Mental health crisis intervention and 
                        response training for law enforcement officers 
                        to increase officers' understanding and 
                        recognition of mental illnesses as well as 
                        increase their awareness of health care 
                        services available to individuals in crisis.
            (3) Application.--To be considered for a grant under this 
        section, an eligible entity shall submit an application to the 
        Secretary at such time, in such manner, and containing such 
        information as the Secretary may require. At minimum, such 
        application shall include a description of--
                    (A) the activities to be funded with the grant;
                    (B) community needs;
                    (C) the population to be served; and
                    (D) the interaction between the activities 
                described in subparagraph (A) and public systems of 
                health and mental health care, law enforcement, social 
                services, and related assistance programs.
            (4) Selecting among applicants.--
                    (A) In general.--Grants shall be awarded to 
                eligible entities on a competitive basis.
                    (B) Selection criteria.--The Secretary shall 
                evaluate applicants based on such criteria as the 
                Secretary determines to be appropriate, including the 
                ability of an applicant to carry out the activities 
                described in paragraph (2).
            (5) Reports.--
                    (A) Annual reports.--
                            (i) Eligible entities.--As a condition of 
                        receiving a grant under this section, an 
                        eligible entity shall agree to submit a report 
                        to the Secretary, on an annual basis, 
                        describing the activities carried out with the 
                        grant and assessing the effectiveness of such 
                        activities.
                            (ii) Secretary.--The Secretary shall, on an 
                        annual basis, and using the reports received 
                        under clause (i), report to Congress on the 
                        overall impact and effectiveness of the grant 
                        program under this section.
                    (B) Final report.--Not later than January 15, 2021, 
                the Secretary shall submit to Congress a final report 
                that includes recommendations with respect to the 
                feasibility and advisability of extending or expanding 
                the grant program. The report shall also provide an 
                assessment of which systems and system elements proved 
                most effective.
            (6) Collection of data.--The Secretary shall collect data 
        on the grant program to determine its effectiveness in reducing 
        the social impact of mental health crises and the feasibility 
        and advisability of extending the grant program.
    (c) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section $10,000,000 for each of fiscal 
years 2017 through 2021.

SEC. 515. MENTAL HEALTH IN SCHOOLS.

    (a) Technical Amendments.--The second part G (relating to services 
provided through religious organizations) of title V of the Public 
Health Service Act (42 U.S.C. 290kk et seq.) is amended--
            (1) by redesignating such part as part J; and
            (2) by redesignating sections 581 through 584 as sections 
        596 through 596C, respectively.
    (b) School-Based Mental Health and Children and Violence.--Section 
581 of the Public Health Service Act (42 U.S.C. 290hh) is amended to 
read as follows:

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

    ``(a) In General.--The Secretary, in collaboration with the 
Secretary of Education and in consultation with the Attorney General, 
shall, directly or through grants, contracts, or cooperative agreements 
awarded to public entities and local education agencies, assist local 
communities and schools in applying a public health approach to mental 
health services both in schools and in the community. Such 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. A comprehensive school mental health 
program funded under this section shall assist children in dealing with 
trauma and violence.
    ``(b) Activities.--Under the program under subsection (a), the 
Secretary may--
            ``(1) provide financial support to enable local communities 
        to implement a comprehensive culturally and linguistically 
        appropriate, trauma-informed, and age-appropriate, school 
        mental health program that incorporates positive behavioral 
        interventions, client treatment, and supports to foster the 
        health and development of children;
            ``(2) provide technical assistance to local communities 
        with respect to the development of programs described in 
        paragraph (1);
            ``(3) provide assistance to local communities in the 
        development of policies to address child and adolescent trauma 
        and mental health issues and violence when and if it occurs;
            ``(4) facilitate community partnerships among families, 
        students, law enforcement agencies, education systems, mental 
        health and substance use disorder service systems, family-based 
        mental health service systems, welfare agencies, health care 
        service systems (including physicians), faith-based programs, 
        trauma networks, and other community-based systems; and
            ``(5) establish mechanisms for children and adolescents to 
        report incidents of violence or plans by other children, 
        adolescents, or adults to commit violence.
    ``(c) Requirements.--
            ``(1) In general.--To be eligible for a grant, contract, or 
        cooperative agreement under subsection (a), an entity shall--
                    ``(A) be a partnership between a local education 
                agency and at least one community program or agency 
                that is involved in mental health; and
                    ``(B) submit an application, that is endorsed by 
                all members of the partnership, that contains the 
                assurances described in paragraph (2).
            ``(2) Required assurances.--An application under paragraph 
        (1) shall contain assurances as follows:
                    ``(A) That the applicant will ensure that, in 
                carrying out activities under this section, the local 
                educational agency involved will enter into a 
                memorandum of understanding--
                            ``(i) with, at least one, public or private 
                        mental health entity, health care entity, law 
                        enforcement or juvenile justice entity, child 
                        welfare agency, family-based mental health 
                        entity, family or family organization, trauma 
                        network, or other community-based entity; and
                            ``(ii) that clearly states--
                                    ``(I) the responsibilities of each 
                                partner with respect to the activities 
                                to be carried out;
                                    ``(II) how each such partner will 
                                be accountable for carrying out such 
                                responsibilities; and
                                    ``(III) the amount of non-Federal 
                                funding or in-kind contributions that 
                                each such partner will contribute in 
                                order to sustain the program.
                    ``(B) That the comprehensive school-based mental 
                health program carried out under this section supports 
                the flexible use of funds to address--
                            ``(i) the promotion of the social, 
                        emotional, and behavioral health of all 
                        students in an environment that is conducive to 
                        learning;
                            ``(ii) the reduction in the likelihood of 
                        at risk students developing social, emotional, 
                        behavioral health problems, or substance use 
                        disorders;
                            ``(iii) the early identification of social, 
                        emotional, behavioral problems, or substance 
                        use disorders and the provision of early 
                        intervention services;
                            ``(iv) the treatment or referral for 
                        treatment of students with existing social, 
                        emotional, behavioral health problems, or 
                        substance use disorders; and
                            ``(v) the development and implementation of 
                        programs to assist children in dealing with 
                        trauma and violence.
                    ``(C) That the comprehensive school-based mental 
                health program carried out under this section will 
                provide for in-service training of all school 
                personnel, including ancillary staff and volunteers, 
                in--
                            ``(i) the techniques and supports needed to 
                        identify early children with trauma histories 
                        and children with, or at risk of, mental 
                        illness;
                            ``(ii) the use of referral mechanisms that 
                        effectively link such children to appropriate 
                        treatment and intervention services in the 
                        school and in the community and to follow-up 
                        when services are not available;
                            ``(iii) strategies that promote a school-
                        wide positive environment;
                            ``(iv) strategies for promoting the social, 
                        emotional, mental, and behavioral health of all 
                        students; and
                            ``(v) strategies to increase the knowledge 
                        and skills of school and community leaders 
                        about the impact of trauma and violence and on 
                        the application of a public health approach to 
                        comprehensive school-based mental health 
                        programs.
                    ``(D) That the comprehensive school-based mental 
                health program carried out under this section will 
                include comprehensive training for parents, siblings, 
                and other family members of children with mental health 
                disorders, and for concerned members of the community 
                in--
                            ``(i) the techniques and supports needed to 
                        identify early children with trauma histories, 
                        and children with, or at risk of, mental 
                        illness;
                            ``(ii) the use of referral mechanisms that 
                        effectively link such children to appropriate 
                        treatment and intervention services in the 
                        school and in the community and follow-up when 
                        such services are not available; and
                            ``(iii) strategies that promote a school-
                        wide positive environment.
                    ``(E) That the comprehensive school-based mental 
                health program carried out under this section will 
                demonstrate the measures to be taken to sustain the 
                program after funding under this section terminates.
                    ``(F) That the local education agency partnership 
                involved is supported by the State educational and 
                mental health system to ensure that the sustainability 
                of the programs is established after funding under this 
                section terminates.
                    ``(G) That the comprehensive school-based mental 
                health program carried out under this section will be 
                based on trauma-informed and evidence-based practices.
                    ``(H) That the comprehensive school-based mental 
                health program carried out under this section will be 
                coordinated with early intervening activities carried 
                out under the Individuals with Disabilities Education 
                Act.
                    ``(I) That the comprehensive school-based mental 
                health program carried out under this section will be 
                trauma-informed and culturally and linguistically 
                appropriate.
                    ``(J) That the comprehensive school-based mental 
                health program carried out under this section will 
                include a broad needs assessment of youth who drop out 
                of school due to policies of `zero tolerance' with 
                respect to drugs, alcohol, or weapons and an inability 
                to obtain appropriate services.
                    ``(K) That the mental health services provided 
                through the comprehensive school-based mental health 
                program carried out under this section will be provided 
                by qualified mental and behavioral health professionals 
                who are certified or licensed by the State involved and 
                practicing within their area of expertise.
            ``(3) Coordinator.--Any entity that is a member of a 
        partnership described in paragraph (1)(A) may serve as the 
        coordinator of funding and activities under the grant if all 
        members of the partnership agree.
            ``(4) Compliance with hipaa.--A grantee under this section 
        shall be deemed to be a covered entity for purposes of 
        compliance with the regulations promulgated under section 
        264(c) of the Health Insurance Portability and Accountability 
        Act of 1996 with respect to any patient records developed 
        through activities under the grant.
    ``(d) Geographical Distribution.--The Secretary shall ensure that 
grants, contracts, or cooperative agreements under subsection (a) will 
be distributed equitably among the regions of the country and among 
urban and rural areas.
    ``(e) Duration of Awards.--With respect to a grant, contract, or 
cooperative agreement under subsection (a), the period during which 
payments under such an award will be made to the recipient shall be 5 
years. An entity may receive only one award under this section, except 
that an entity that is providing services and supports on a regional 
basis may receive additional funding after the expiration of the 
preceding grant period.
    ``(f) Evaluation and Measures of Outcomes.--
            ``(1) Development of process.--The Administrator shall 
        develop a fiscally appropriate process for evaluating 
        activities carried out under this section. Such process shall 
        include--
                    ``(A) the development of guidelines for the 
                submission of program data by grant, contract, or 
                cooperative agreement recipients;
                    ``(B) the development of measures of outcomes (in 
                accordance with paragraph (2)) to be applied by such 
                recipients in evaluating programs carried out under 
                this section; and
                    ``(C) the submission of annual reports by such 
                recipients concerning the effectiveness of programs 
                carried out under this section.
            ``(2) Measures of outcomes.--
                    ``(A) In general.--The Administrator shall develop 
                measures of outcomes to be applied by recipients of 
                assistance under this section, and the Administrator, 
                in evaluating the effectiveness of programs carried out 
                under this section. Such measures shall include student 
                and family measures as provided for in subparagraph (B) 
                and local educational measures as provided for under 
                subparagraph (C).
                    ``(B) Student and family measures of outcomes.--The 
                measures of outcomes developed under paragraph (1)(B) 
                relating to students and families shall, with respect 
                to activities carried out under a program under this 
                section, at a minimum include provisions to evaluate 
                whether the program is effective in--
                            ``(i) increasing social and emotional 
                        competency;
                            ``(ii) increasing academic competency (as 
                        defined by the Secretary);
                            ``(iii) reducing disruptive and aggressive 
                        behaviors;
                            ``(iv) improving child functioning;
                            ``(v) reducing substance use disorders;
                            ``(vi) reducing suspensions, truancy, 
                        expulsions and violence;
                            ``(vii) increasing graduation rates (as 
                        defined in section 1111(b)(2)(C)(vi) of the 
                        Elementary and Secondary Education Act of 
                        1965); and
                            ``(viii) improving access to care for 
                        mental health disorders.
                    ``(C) Local educational outcomes.--The outcome 
                measures developed under paragraph (1)(B) relating to 
                local educational systems shall, with respect to 
                activities carried out under a program under this 
                section, at a minimum include provisions to evaluate--
                            ``(i) the effectiveness of comprehensive 
                        school mental health programs established under 
                        this section;
                            ``(ii) the effectiveness of formal 
                        partnership linkages among child and family 
                        serving institutions, community support 
                        systems, and the educational system;
                            ``(iii) the progress made in sustaining the 
                        program once funding under the grant has 
                        expired;
                            ``(iv) the effectiveness of training and 
                        professional development programs for all 
                        school personnel that incorporate indicators 
                        that measure cultural and linguistic 
                        competencies under the program in a manner that 
                        incorporates appropriate cultural and 
                        linguistic training;
                            ``(v) the improvement in perception of a 
                        safe and supportive learning environment among 
                        school staff, students, and parents;
                            ``(vi) the improvement in case-finding of 
                        students in need of more intensive services and 
                        referral of identified students to early 
                        intervention and clinical services;
                            ``(vii) the improvement in the immediate 
                        availability of clinical assessment and 
                        treatment services within the context of the 
                        local community to students posing a danger to 
                        themselves or others;
                            ``(viii) the increased successful 
                        matriculation to postsecondary school; and
                            ``(ix) reduced referrals to juvenile 
                        justice.
            ``(3) Submission of annual data.--An entity that receives a 
        grant, contract, or cooperative agreement under this section 
        shall annually submit to the Administrator a report that 
        includes data to evaluate the success of the program carried 
        out by the entity based on whether such program is achieving 
        the purposes of the program. Such reports shall utilize the 
        measures of outcomes under paragraph (2) in a reasonable manner 
        to demonstrate the progress of the program in achieving such 
        purposes.
            ``(4) Evaluation by administrator.--Based on the data 
        submitted under paragraph (3), the Administrator shall annually 
        submit to Congress a report concerning the results and 
        effectiveness of the programs carried out with assistance 
        received under this section.
            ``(5) Limitation.--A grantee shall use not to exceed 10 
        percent of amounts received under a grant under this section to 
        carry out evaluation activities under this subsection.
    ``(g) Information and Education.--The Secretary shall establish 
comprehensive information and education programs to disseminate the 
findings of the knowledge development and application under this 
section to the general public and to health care professionals.
    ``(h) Amount of Grants and Authorization of Appropriations.--
            ``(1) Amount of grants.--A grant under this section shall 
        be in an amount that is not more than $1,000,000 for each of 
        fiscal years 2017 through 2021. The Secretary shall determine 
        the amount of each such grant based on the population of 
        children up to age 21 of the area to be served under the grant.
            ``(2) Authorization of appropriations.--There is authorized 
        to be appropriated to carry out this section, $20,000,000 for 
        each of fiscal years 2017 through 2021.''.
    (c) Conforming Amendment.--Part G of title V of the Public Health 
Service Act (42 U.S.C. 290hh et seq.), as amended by this section, is 
further amended by striking the part heading and inserting the 
following:

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

SEC. 516. EXAMINING MENTAL HEALTH CARE FOR CHILDREN.

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

SEC. 517. REPORTING COMPLIANCE STUDY.

    (a) In General.--The Secretary of Health and Human Services shall 
enter into an arrangement with the Institute of Medicine of the 
National Academies (or, if the Institute declines, another appropriate 
entity) under which, not later than 2 years after the date of enactment 
of this Act, the Institute will submit to the appropriate committees of 
Congress a report that evaluates the combined paperwork burden of--
            (1) community mental health centers meeting the criteria 
        specified in section 1913(c) of the Public Health Service Act 
        (42 U.S.C. 300x-2), including such centers meeting such 
        criteria as in effect on the day before the date of enactment 
        of this Act; and
            (2) federally qualified community mental health clinics 
        certified pursuant to section 223 of the Protecting Access to 
        Medicare Act of 2014 (Public Law 113-93), as amended by section 
        505.
    (b) Scope.--In preparing the report under subsection (a), the 
Institute of Medicine (or, if applicable, other appropriate entity) 
shall examine licensing, certification, service definitions, claims 
payment, billing codes, and financial auditing requirements used by the 
Office of Management and Budget, the Centers for Medicare & Medicaid 
Services, the Health Resources and Services Administration, the 
Substance Abuse and Mental Health Services Administration, the Office 
of the Inspector General of the Department of Health and Human 
Services, State Medicaid agencies, State departments of health, State 
departments of education, and State and local juvenile justice, social 
service agencies, and private insurers to--
            (1) establish an estimate of the combined nationwide cost 
        of complying with such requirements, in terms of both 
        administrative funding and staff time;
            (2) establish an estimate of the per capita cost to each 
        center or clinic described in subparagraph (A) or (B) of 
        paragraph (1) to comply with such requirements, in terms of 
        both administrative funding and staff time; and
            (3) make administrative and statutory recommendations to 
        Congress (which recommendations may include a uniform 
        methodology) to reduce the paperwork burden experienced by 
        centers and clinics described in subparagraph (A) or (B) of 
        paragraph (1).

SEC. 518. STRENGTHENING CONNECTIONS TO COMMUNITY CARE DEMONSTRATION 
              GRANT PROGRAM.

    (a) In General.--The Secretary of Health and Human Services, acting 
through the Substance Abuse and Mental Health Services Administration, 
shall establish a demonstration grant program to award grants to 
eligible entities to help to connect incarcerated and recently released 
individuals with mental illness or substance use disorders with 
community-based treatment providers and coverage opportunities upon 
release from a corrections facility.
    (b) Design.--The demonstration grant program under this section 
shall be designed to ensure that incarcerated and recently released 
individuals with mental illness or substance use disorders have the 
information and help they need to connect to community-based care and 
coverage upon release from a corrections facility.
    (c) Recipients.--To be eligible to receive a grant under this 
section, an entity shall be a State Medicaid agency, State mental 
health agency, State substance abuse agency, county, city, nonprofit 
community-based organization, or any other entity the Secretary deems 
appropriate.
    (d) Application Requirement.--To seek an award under this section, 
an applicant shall provide a plan detailing the applicant's strategy 
for carrying out the program to be funded through the award.
    (e) Special Considerations.--In awarding grants under this section, 
the Secretary may consider--
            (1) the number of individuals or correctional facilities 
        proposed to be served; and
            (2) the potential for replicability of the model proposed.
    (f) Reports.--
            (1) Annual reports.--As a condition of receiving a grant 
        under this section, an eligible entity shall agree to submit a 
        report to the Secretary, on an annual basis, describing the 
        activities carried out with the grant and assessing the 
        effectiveness of such activities. Such information shall 
        include--
                    (A) the number of individuals served with mental 
                illness, serious mental illness, substance use 
                disorders, or co-occurring mental health and substance 
                use disorders;
                    (B) the number of connections completed between 
                individuals and community-based providers;
                    (C) the number of connections completed between 
                individuals and community-based coverage; and
                    (D) any other information required by the 
                Secretary.
            (2) Secretary.--The Secretary shall, on an annual basis, 
        and using the reports received under paragraph (1), report to 
        Congress on the overall impact and effectiveness of the grant 
        program under this section.
            (3) Final report.--Not later than January 15, 2020, the 
        Secretary shall submit to Congress a final report that includes 
        recommendations with respect to the feasibility and 
        advisability of extending or expanding the grant program under 
        this section. The report shall also provide an assessment of 
        which programs and program elements proved most effective.
    (g) Authorization of Appropriations.--To carry out this section, 
there is authorized to be appropriated to carry out this section 
$5,000,000 for each of fiscal years 2017 through 2021.

SEC. 519. ASSERTIVE COMMUNITY TREATMENT GRANT PROGRAM FOR INDIVIDUALS 
              WITH SERIOUS MENTAL ILLNESS.

    (a) In General.--The Secretary of Health and Human Services, acting 
through the Substance Abuse and Mental Health Services Administration, 
shall award grants to eligible entities--
            (1) to establish assertive community treatment programs for 
        individuals with serious mental illness; or
            (2) to maintain or expand such programs.
    (b) Eligible Entities.--To be eligible to receive a grant under 
this section, an entity shall be a State, county, city, tribes, tribal 
organizations, mental health system, health care facility, or any other 
entity the Secretary deems appropriate.
    (c) Special Consideration.--In selecting among applicants for a 
grant under this section, the Secretary may give special consideration 
to the potential of the applicant's program to reduce hospitalization, 
homelessness, incarceration, and interaction with the criminal justice 
system while improving the health and social outcomes of the patient.
    (d) Additional Activities.--The Secretary shall--
            (1) at the conclusion of each fiscal year, submit a report 
        to the appropriate congressional committees on the grant 
        program under this section, including an evaluation of--
                    (A) cost savings and public health outcomes such as 
                mortality, suicide, substance abuse, hospitalization, 
                and use of services;
                    (B) rates of incarceration of patients;
                    (C) rates of homelessness among patients; and
                    (D) patient and family satisfaction with program 
                participation; and
            (2) provide appropriate information, training, and 
        technical assistance to grant recipients under this section to 
        help such recipients to establish, maintain, or expand their 
        assertive community treatment programs.
    (e) Authorization of Appropriations.--
            (1) In general.--To carry out this section, there is 
        authorized to be appropriated $20,000,000 for each of fiscal 
        years 2017 through 2021.
            (2) Use of certain funds.--Of the funds appropriated to 
        carry out this section in any fiscal year, no more than 5 
        percent shall be available to the Secretary for carrying out 
        subsection (d).

SEC. 520. IMPROVING MENTAL AND BEHAVIORAL HEALTH ON COLLEGE CAMPUSES.

    Title V of the Public Health Service Act (42 U.S.C. 290aa et seq.) 
is amended by inserting after section 520E-3, as added by section 111 
of this Act, the following:

``SEC. 520E-4. GRANTS TO IMPROVE MENTAL AND BEHAVIORAL HEALTH ON 
              COLLEGE CAMPUSES.

    ``(a) Purpose.--It is the purpose of this section, with respect to 
college and university settings, to--
            ``(1) increase access to mental and behavioral health 
        services;
            ``(2) foster and improve the prevention of mental and 
        behavioral health disorders, and the promotion of mental health 
        wellness;
            ``(3) improve the identification and treatment for students 
        at risk;
            ``(4) improve collaboration and the development of 
        appropriate levels of mental and behavioral health care;
            ``(5) reduce the stigma for students with mental health 
        disorders and enhance their access to mental health services; 
        and
            ``(6) improve the efficacy of outreach efforts.
    ``(b) Grants.--The Secretary, acting through the Administrator and 
in consultation with the Secretary of Education, shall award 
competitive grants to eligible entities to improve mental and 
behavioral health services and outreach on college and university 
campuses.
    ``(c) Eligibility.--To be eligible to receive a grant under 
subsection (b), an entity shall--
            ``(1) be an institution of higher education (as defined in 
        section 101 of the Higher Education Act of 1965 (20 U.S.C. 
        1001)); and
            ``(2) submit to the Secretary an application at such time, 
        in such manner, and containing such information as the 
        Secretary may require, including the information required under 
        subsection (d).
    ``(d) Application.--An application for a grant under this section 
shall include--
            ``(1) a description of the population to be targeted by the 
        program carried out under the grant, the particular mental and 
        behavioral health needs of the students involved;
            ``(2) a description of the Federal, State, local, private, 
        and institutional resources available for meeting the needs of 
        such students at the time the application is submitted;
            ``(3) an outline of the objectives of the program carried 
        out under the grant;
            ``(4) a description of activities, services, and training 
        to be provided under the program, including planned outreach 
        strategies to reach students not currently seeking services;
            ``(5) a plan to seek input from community mental health 
        providers, when available, community groups, and other public 
        and private entities in carrying out the program;
            ``(6) a plan, when applicable, to meet the specific mental 
        and behavioral health needs of veterans attending institutions 
        of higher education;
            ``(7) a description of the methods to be used to evaluate 
        the outcomes and effectiveness of the program; and
            ``(8) an assurance that grant funds will be used to 
        supplement, and not supplant, any other Federal, State, or 
        local funds available to carry out activities of the type 
        carried out under the grant.
    ``(e) Special Considerations.--In awarding grants under this 
section, the Secretary shall give special consideration to applications 
that describe programs to be carried out under the grant that--
            ``(1) demonstrate the greatest need for new or additional 
        mental and behavioral health services, in part by providing 
        information on current ratios of students to mental and 
        behavioral health professionals;
            ``(2) propose effective approaches for initiating or 
        expanding campus services and supports using evidence-based 
        practices;
            ``(3) target traditionally underserved populations and 
        populations most at risk;
            ``(4) where possible, demonstrate an awareness of, and a 
        willingness to, coordinate with a community mental health 
        center or other mental health resource in the community, to 
        support screening and referral of students requiring intensive 
        services;
            ``(5) identify how the college or university will address 
        psychiatric emergencies, including how information will be 
        communicated with families or other appropriate parties;
            ``(6) propose innovative practices that will improve 
        efficiencies in clinical care, broaden collaborations with 
        primary care, or improve prevention programs; and
            ``(7) demonstrate the greatest potential for replication 
        and dissemination.
    ``(f) Use of Funds.--Amounts received under a grant under this 
section may be used to--
            ``(1) provide mental and behavioral health services to 
        students, including prevention, promotion of mental health, 
        voluntary screening, early intervention, voluntary assessment, 
        voluntary treatment, management, and education services 
        relating to the mental and behavioral health of students;
            ``(2) conduct research through a counseling or health 
        center at the institution of higher education involved 
        regarding improving the mental and behavioral health of college 
        and university students through clinical services, outreach, 
        prevention, or academic success;
            ``(3) provide outreach services to notify students about 
        the existence of mental and behavioral health services;
            ``(4) educate students, families, faculty, staff, and 
        communities to increase awareness of mental health issues;
            ``(5) support student groups on campus that engage in 
        activities to educate students, including activities to reduce 
        stigma surrounding mental and behavioral disorders, and promote 
        mental health wellness;
            ``(6) employ appropriately trained staff;
            ``(7) provide training to students, faculty, and staff to 
        respond effectively to students with mental and behavioral 
        health issues;
            ``(8) expand mental health training through internship, 
        post-doctorate, and residency programs;
            ``(9) develop and support evidence-based and emerging best 
        practices, including a focus on culturally and linguistically 
        appropriate best practices; and
            ``(10) evaluate and disseminate best practices to other 
        colleges and universities.
    ``(g) Duration of Grants.--A grant under this section shall be 
awarded for a period not to exceed 3 years.
    ``(h) Evaluation and Reporting.--
            ``(1) Evaluation.--Not later than 18 months after the date 
        on which a grant is received under this section, the eligible 
        entity involved shall submit to the Secretary the results of an 
        evaluation to be conducted by the entity (or by another party 
        under contract with the entity) concerning the effectiveness of 
        the activities carried out under the grant and plans for the 
        sustainability of such efforts.
            ``(2) Report.--Not later than 2 years after the date of 
        enactment of this section, the Secretary shall submit to the 
        appropriate committees of Congress a report concerning the 
        results of--
                    ``(A) the evaluations conducted under paragraph 
                (1); and
                    ``(B) an evaluation conducted by the Secretary to 
                analyze the effectiveness and efficacy of the 
                activities conducted with grants under this section.
    ``(i) Technical Assistance.--The Secretary may provide technical 
assistance to grantees in carrying out this section.
    ``(j) Authorization of Appropriations.--There are authorized to be 
appropriated $15,000,000 for each of fiscal years 2017 through 2021.''.

SEC. 521. INCLUSION OF OCCUPATIONAL THERAPISTS IN NATIONAL HEALTH 
              SERVICE CORPS PROGRAM.

    (a) Inclusion of Occupational Therapists.--Section 331(a)(3)(E)(i) 
of the Public Health Service Act (42 U.S.C. 254d(a)(3)(E)(i)) is 
amended by inserting ``subject to section 521(b)(2) of the 
Comprehensive Behavioral Health Reform and Recovery Act of 2016, 
occupational therapists,'' after ``psychiatric nurse specialists,''.
    (b) Effective Date; Contingent Implementation.--
            (1) Effective date.--Subject to paragraph (2), the 
        amendment made by subsection (a) shall apply beginning on 
        October 1, 2016.
            (2) Contingent implementation.--The amendment made by 
        subsection (a) shall apply with respect to obligations entered 
        into for a fiscal year after fiscal year 2016 only if the total 
        amount made available for the purpose of carrying out subparts 
        II and III of part D of title III of the Public Health Service 
        Act (42 U.S.C. 254d et seq.) for such fiscal year is greater 
        than the total amount made available for such purpose for 
        fiscal year 2016.

      TITLE VI--IMPROVING MENTAL HEALTH RESEARCH AND COORDINATION

SEC. 601. INCREASE IN FUNDING FOR CERTAIN RESEARCH.

    Section 402A(a) of the Public Health Service Act (42 U.S.C. 
282a(a)) is amended by adding at the end the following:
            ``(3) Funding for the brain initiative at the national 
        institute of mental health.--
                    ``(A) Funding.--In addition to amounts made 
                available pursuant to paragraphs (1) and (2), there are 
                authorized to be appropriated to the National Institute 
                of Mental Health for the purpose described in 
                subparagraph (B)(ii) $40,000,000 for each of fiscal 
                years 2017 through 2021.
                    ``(B) Purposes.--Amounts appropriated pursuant to 
                subparagraph (A) shall be used exclusively for the 
                purpose of conducting or supporting--
                            ``(i) research on the determinants of self- 
                        and other directed-violence in mental illness, 
                        including studies directed at the causes of 
                        such violence and at intervention to reduce the 
                        risk of self harm, suicide, and interpersonal 
                        violence; or
                            ``(ii) brain research through the Brain 
                        Research through Advancing Innovative 
                        Neurotechnologies Initiative.''.

          TITLE VII--BEHAVIORAL HEALTH INFORMATION TECHNOLOGY

SEC. 701. EXTENSION OF HEALTH INFORMATION TECHNOLOGY ASSISTANCE FOR 
              BEHAVIORAL AND MENTAL HEALTH AND SUBSTANCE ABUSE.

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

SEC. 702. EXTENSION OF ELIGIBILITY FOR MEDICARE AND MEDICAID HEALTH 
              INFORMATION TECHNOLOGY IMPLEMENTATION ASSISTANCE.

    (a) Payment Incentives for Eligible Professionals Under Medicare.--
Section 1848 of the Social Security Act (42 U.S.C. 1395w-4) is 
amended--
            (1) in subsection (a)(7)--
                    (A) in subparagraph (E), by adding at the end the 
                following new clause:
                            ``(iv) Additional eligible professional.--
                        The term `additional eligible professional' 
                        means a clinical psychologist providing 
                        qualified psychologist services (as defined in 
                        section 1861(ii)).''; and
                    (B) by adding at the end the following new 
                subparagraph:
                    ``(F) Application to additional eligible 
                professionals.--The Secretary shall apply the 
                provisions of this paragraph with respect to an 
                additional eligible professional in the same manner as 
                such provisions apply to an eligible professional, 
                except in applying subparagraph (A)--
                            ``(i) in clause (i), the reference to 2015 
                        shall be deemed a reference to 2020;
                            ``(ii) in clause (ii), the references to 
                        2015, 2016, and 2017 shall be deemed references 
                        to 2020, 2021, and 2022, respectively; and
                            ``(iii) in clause (iii), the reference to 
                        2018 shall be deemed a reference to 2023.''; 
                        and
            (2) in subsection (o)--
                    (A) in paragraph (5), by adding at the end the 
                following new subparagraph:
                    ``(D) Additional eligible professional.--The term 
                `additional eligible professional' means a clinical 
                psychologist providing qualified psychologist services 
                (as defined in section 1861(ii)).''; and
                    (B) by adding at the end the following new 
                paragraph:
            ``(6) Application to additional eligible professionals.--
        The Secretary shall apply the provisions of this subsection 
        with respect to an additional eligible professional in the same 
        manner as such provisions apply to an eligible professional, 
        except in applying--
                    ``(A) paragraph (1)(A)(ii), the reference to 2016 
                shall be deemed a reference to 2021;
                    ``(B) paragraph (1)(B)(ii), the references to 2011 
                and 2012 shall be deemed references to 2016 and 2017, 
                respectively;
                    ``(C) paragraph (1)(B)(iii), the references to 2013 
                shall be deemed references to 2018;
                    ``(D) paragraph (1)(B)(v), the references to 2014 
                shall be deemed references to 2019; and
                    ``(E) paragraph (1)(E), the reference to 2011 shall 
                be deemed a reference to 2016.''.
    (b) Eligible Hospitals.--Section 1886 of the Social Security Act 
(42 U.S.C. 1395ww) is amended--
            (1) in subsection (b)(3)(B)(ix), by adding at the end the 
        following new subclause:
                                    ``(V) The Secretary shall apply the 
                                provisions of this subsection with 
                                respect to an additional eligible 
                                hospital (as defined in subsection 
                                (n)(6)(C)) in the same manner as such 
                                provisions apply to an eligible 
                                hospital, except in applying--
                                            ``(aa) subclause (I), the 
                                        references to 2015, 2016, and 
                                        2017 shall be deemed references 
                                        to 2020, 2021, and 2022, 
                                        respectively; and
                                            ``(bb) subclause (III), the 
                                        reference to 2015 shall be 
                                        deemed a reference to 2020.''; 
                                        and
            (2) in subsection (n)--
                    (A) in paragraph (6), by adding at the end the 
                following new subparagraph:
                    ``(C) Additional eligible hospital.--The term 
                `additional eligible hospital' means an inpatient 
                hospital that is a psychiatric hospital (as defined in 
                section 1861(f)).''; and
                    (B) by adding at the end the following new 
                paragraph:
            ``(7) Application to additional eligible hospitals.--The 
        Secretary shall apply the provisions of this subsection with 
        respect to an additional eligible hospital in the same manner 
        as such provisions apply to an eligible hospital, except in 
        applying--
                    ``(A) paragraph (2)(E)(ii), the references to 2013 
                and 2015 shall be deemed references to 2018 and 2020, 
                respectively; and
                    ``(B) paragraph (2)(G)(i), the reference to 2011 
                shall be deemed a reference to 2016.''.
    (c) Medicaid Providers.--Section 1903(t) of the Social Security Act 
(42 U.S.C. 1396b(t)) is amended--
            (1) in paragraph (2)(B)--
                    (A) in clause (i), by striking ``, or'' at the end 
                and inserting a semicolon;
                    (B) in clause (ii), by striking the period at the 
                end and inserting a semicolon; and
                    (C) by inserting after clause (ii) the following 
                new clauses:
                    ``(iii) a public hospital that is principally a 
                psychiatric hospital (as defined in section 1861(f));
                    ``(iv) a private hospital that is principally a 
                psychiatric hospital (as defined in section 1861(f)) 
                and that has at least 10 percent of its patient volume 
                (as estimated in accordance with a methodology 
                established by the Secretary) attributable to 
                individuals receiving medical assistance under this 
                title;
                    ``(v) a community mental health center meeting the 
                criteria specified in section 1913(c) of the Public 
                Health Service Act; or
                    ``(vi) a residential or outpatient mental health or 
                substance use treatment facility that--
                            ``(I) is accredited by the Joint Commission 
                        on Accreditation of Healthcare Organizations, 
                        the Commission on Accreditation of 
                        Rehabilitation Facilities, the Council on 
                        Accreditation, or any other national 
                        accrediting agency recognized by the Secretary; 
                        and
                            ``(II) has at least 10 percent of its 
                        patient volume (as estimated in accordance with 
                        a methodology established by the Secretary) 
                        attributable to individuals receiving medical 
                        assistance under this title.''; and
            (2) in paragraph (3)(B)--
                    (A) in clause (iv), by striking ``; and'' at the 
                end and inserting a semicolon;
                    (B) in clause (v), by striking the period at the 
                end and inserting ``; and''; and
                    (C) by adding at the end the following new clause:
                    ``(vi) clinical psychologist providing qualified 
                psychologist services (as defined in section 1861(ii)), 
                if such clinical psychologist is practicing in an 
                outpatient clinic that--
                            ``(I) is led by a clinical psychologist; 
                        and
                            ``(II) is not otherwise receiving payment 
                        under paragraph (1) as a Medicaid provider 
                        described in paragraph (2)(B).''.
    (d) Medicare Advantage Organizations.--Section 1853 of the Social 
Security Act (42 U.S.C. 1395w-23) is amended--
            (1) in subsection (l)--
                    (A) in paragraph (1)--
                            (i) by inserting ``or additional eligible 
                        professionals (as described in paragraph (9))'' 
                        after ``paragraph (2)''; and
                            (ii) by inserting ``and additional eligible 
                        professionals'' before ``under such sections'';
                    (B) in paragraph (3)(B)--
                            (i) in clause (i) in the matter preceding 
                        subclause (I), by inserting ``or an additional 
                        eligible professional described in paragraph 
                        (9)'' after ``paragraph (2)''; and
                            (ii) in clause (ii)--
                                    (I) in the matter preceding 
                                subclause (I), by inserting ``or an 
                                additional eligible professional 
                                described in paragraph (9)'' after 
                                ``paragraph (2)''; and
                                    (II) in subclause (I), by inserting 
                                ``or an additional eligible 
                                professional, respectively,'' after 
                                ``eligible professional'';
                    (C) in paragraph (3)(C), by inserting ``and 
                additional eligible professionals'' after ``all 
                eligible professionals'';
                    (D) in paragraph (4)(D), by adding at the end the 
                following new sentence: ``In the case that a qualifying 
                MA organization attests that not all additional 
                eligible professionals of the organization are 
                meaningful EHR users with respect to an applicable 
                year, the Secretary shall apply the payment adjustment 
                under this paragraph based on the proportion of all 
                such additional eligible professionals of the 
                organization that are not meaningful EHR users for such 
                year.'';
                    (E) in paragraph (6)(A), by inserting ``and, as 
                applicable, each additional eligible professional 
                described in paragraph (9)'' after ``paragraph (2)'';
                    (F) in paragraph (6)(B), by inserting ``and, as 
                applicable, each additional eligible hospital described 
                in paragraph (9)'' after ``subsection (m)(1)'';
                    (G) in paragraph (7)(A), by inserting ``and, as 
                applicable, additional eligible professionals'' after 
                ``eligible professionals'';
                    (H) in paragraph (7)(B), by inserting ``and, as 
                applicable, additional eligible professionals'' after 
                ``eligible professionals'';
                    (I) in paragraph (8)(B), by inserting ``and 
                additional eligible professionals described in 
                paragraph (9)'' after ``paragraph (2)''; and
                    (J) by adding at the end the following new 
                paragraph:
            ``(9) Additional eligible professional described.--With 
        respect to a qualifying MA organization, an additional eligible 
        professional described in this paragraph is an additional 
        eligible professional (as defined for purposes of section 
        1848(o)) who--
                    ``(A)(i) is employed by the organization; or
                    ``(ii)(I) is employed by, or is a partner of, an 
                entity that through contract with the organization 
                furnishes at least 80 percent of the entity's Medicare 
                patient care services to enrollees of such 
                organization; and
                    ``(II) furnishes at least 80 percent of the 
                professional services of the additional eligible 
                professional covered under this title to enrollees of 
                the organization; and
                    ``(B) furnishes, on average, at least 20 hours per 
                week of patient care services.''; and
            (2) in subsection (m)--
                    (A) in paragraph (1)--
                            (i) by inserting ``or additional eligible 
                        hospitals (as described in paragraph (7))'' 
                        after ``paragraph (2)''; and
                            (ii) by inserting ``and additional eligible 
                        hospitals'' before ``under such sections'';
                    (B) in paragraph (3)(A)(i), by inserting ``or 
                additional eligible hospital'' after ``eligible 
                hospital'';
                    (C) in paragraph (3)(A)(ii), by inserting ``or an 
                additional eligible hospital'' after ``eligible 
                hospital'' in each place it occurs;
                    (D) in paragraph (3)(B)--
                            (i) in clause (i), by inserting ``or an 
                        additional eligible hospital described in 
                        paragraph (7)'' after ``paragraph (2)''; and
                            (ii) in clause (ii)--
                                    (I) in the matter preceding 
                                subclause (I), by inserting ``or an 
                                additional eligible hospital described 
                                in paragraph (7)'' after ``paragraph 
                                (2)''; and
                                    (II) in subclause (I), by inserting 
                                ``or an additional eligible hospital, 
                                respectively,'' after ``eligible 
                                hospital'';
                    (E) in paragraph (4)(A), by inserting ``or one or 
                more additional eligible hospitals (as defined in 
                section 1886(n)), as appropriate,'' after ``section 
                1886(n)(6)(A))'';
                    (F) in paragraph (4)(D), by adding at the end the 
                following new sentence: ``In the case that a qualifying 
                MA organization attests that not all additional 
                eligible hospitals of the organization are meaningful 
                EHR users with respect to an applicable period, the 
                Secretary shall apply the payment adjustment under this 
                paragraph based on the methodology specified by the 
                Secretary, taking into account the proportion of such 
                additional eligible hospitals, or discharges from such 
                hospitals, that are not meaningful EHR users for such 
                period.'';
                    (G) in paragraph (5)(A), by inserting ``and, as 
                applicable, each additional eligible hospital described 
                in paragraph (7)'' after ``paragraph (2)'';
                    (H) in paragraph (5)(B), by inserting ``and 
                additional eligible hospitals, as applicable,'' after 
                ``eligible hospitals'';
                    (I) in paragraph (6)(B), by inserting ``and 
                additional eligible hospitals described in paragraph 
                (7)'' after ``paragraph (2)''; and
                    (J) by adding at the end the following new 
                paragraph:
            ``(7) Additional eligible hospital described.--With respect 
        to a qualifying MA organization, an additional eligible 
        hospital described in this paragraph is an additional eligible 
        hospital (as defined in section 1886(n)(6)(C)) that is under 
        common corporate governance with such organization and serves 
        individuals enrolled under an MA plan offered by such 
        organization.''.

                     TITLE VIII--MAKING PARITY WORK

SEC. 801. STRENGTHENING PARITY IN MENTAL HEALTH AND SUBSTANCE USE 
              DISORDER BENEFITS.

    (a) Public Health Service Act.--Section 2726(a) of the Public 
Health Service Act (42 U.S.C. 300gg-26(a)) is amended by adding at the 
end the following new paragraphs:
            ``(6) Disclosure and enforcement requirements.--
                    ``(A) Disclosure requirements.--
                            ``(i) Regulations.--Not later than December 
                        31, 2016, the Secretary, in cooperation with 
                        the Secretaries of Labor and the Treasury, as 
                        appropriate, shall issue additional regulations 
                        for carrying out this section, including an 
                        explanation of documents that must be disclosed 
                        by plans and issuers, the process governing 
                        such disclosures by plans and issuers, and 
                        analyses that must be conducted by plans and 
                        issuers by a group health plan or health 
                        insurance issuer offering health insurance 
                        coverage in the group or individual market in 
                        order for such plan or issuer to demonstrate 
                        compliance with the provisions of this section.
                            ``(ii) Disclosure requirements.--Documents 
                        required to be disclosed by a group health plan 
                        or health insurance issuer offering health 
                        insurance coverage in the group or individual 
                        market under clause (i) shall include an annual 
                        report that details the specific analyses 
                        performed to ensure compliance of such plan or 
                        coverage with the law and regulations. At a 
                        minimum, with respect to the application of 
                        non-quantitative treatment limitations (in this 
                        paragraph referred to as NQTLs) to benefits 
                        under the plan or coverage, such report shall--
                                    ``(I) identify the specific factors 
                                the plan or coverage used in performing 
                                its NQTL analysis;
                                    ``(II) identify and define the 
                                specific evidentiary standards relied 
                                on to evaluate the factors;
                                    ``(III) describe how the 
                                evidentiary standards are applied to 
                                each service category for mental 
                                health, substance use disorders, 
                                medical benefits, and surgical 
                                benefits;
                                    ``(IV) disclose the results of the 
                                analyses of the specific evidentiary 
                                standards in each service category; and
                                    ``(V) disclose the specific 
                                findings of the plan or coverage in 
                                each service category and the 
                                conclusions reached with respect to 
                                whether the processes, strategies, 
                                evidentiary standards, or other factors 
                                used in applying the NQTL to mental 
                                health or substance use disorder 
                                benefits are comparable to, and applied 
                                no more stringently than, the 
                                processes, strategies, evidentiary 
                                standards, or other factors used in 
                                applying the limitation with respect to 
                                medical and surgical benefits in the 
                                same classification.
                            ``(iii) Guidance.--The Secretary, in 
                        cooperation with the Secretaries of Labor and 
                        the Treasury, as appropriate, shall issue 
                        guidance to group health plans and health 
                        insurance issuers offering health insurance 
                        coverage in the group or individual markets on 
                        how to satisfy the requirements of this section 
                        with respect to making information available to 
                        current and potential participants and 
                        beneficiaries. Such information shall include 
                        certificate of coverage documents and 
                        instruments under which the plan or coverage 
                        involved is administered and operated that 
                        specify, include, or refer to procedures, 
                        formulas, and methodologies applied to 
                        determine a participant or beneficiary's 
                        benefit under the plan or coverage, regardless 
                        of whether such information is contained in a 
                        document designated as the `plan document'. 
                        Such guidance shall include a disclosure of how 
                        the plan or coverage involved has provided that 
                        processes, strategies, evidentiary standards, 
                        and other factors used in applying the NQTL to 
                        mental health or substance use disorder 
                        benefits are comparable to, and applied no more 
                        stringently than, the processes, strategies, 
                        evidentiary standards, or other factors used in 
                        applying the limitation with respect to medical 
                        and surgical benefits in the same 
                        classification.
                            ``(iv) Definitions.--In this paragraph and 
                        paragraph (7), the terms `non-quantitative 
                        treatment limitations', `comparable to', and 
                        `applied no more stringently than' have the 
                        meanings given such terms in sections 146 and 
                        147 of title 45, Code of Federal Regulations 
                        (or any successor regulation).
                    ``(B) Enforcement.--
                            ``(i) Process for complaints.--The 
                        Secretary, in cooperation with the Secretaries 
                        of Labor and the Treasury, as appropriate, 
                        shall, with respect to group health plans and 
                        health insurance issuers offering health 
                        insurance coverage in the group or individual 
                        market, issue guidance to clarify the process 
                        and timeline for current and potential 
                        participants and beneficiaries (and authorized 
                        representatives and health care providers of 
                        such participants and beneficiaries) with 
                        respect to such plans and coverage to file 
                        formal complaints of such plans or issuers 
                        being in violation of this section, including 
                        guidance, by plan type, on the relevant State, 
                        regional, and national offices with which such 
                        complaints should be filed.
                            ``(ii) Authority for public enforcement.--
                        The Secretary, in consultation with the 
                        Secretaries of Labor and the Treasury, shall 
                        make available to the public on the Consumer 
                        Parity Portal website established under 
                        paragraph (7) de-identified information on 
                        audits and investigations of group health plans 
                        and health insurance issuers conducted under 
                        this section.
                            ``(iii) Audits.--
                                    ``(I) Randomized audits.--The 
                                Secretary in cooperation with the 
                                Secretaries of Labor and the Treasury, 
                                is authorized to conduct randomized 
                                audits of group health plans and health 
                                insurance issuers offering health 
                                insurance coverage in the group or 
                                individual market to determine 
                                compliance with this section. Such 
                                audits shall be conducted on no fewer 
                                than twelve plans and issuers per plan 
                                year. Information from such audits 
                                shall be made plainly available on the 
                                Consumer Parity Portal website 
                                established under paragraph (7).
                                    ``(II) Additional audits.--In the 
                                case of a group health plan or health 
                                insurance issuer offering health 
                                insurance coverage in the group or 
                                individual market with respect to which 
                                any claim has been filed during a plan 
                                year, the Secretary may audit the books 
                                and records of such plan or issuer to 
                                determine compliance with this section. 
                                Information detailing the results of 
                                the audit shall be made available on 
                                the Consumer Parity Portal website 
                                established under paragraph (7).
                            ``(iv) Denial rates.--The Secretary shall 
                        collect information on the rates of and reasons 
                        for denial by group health plans and health 
                        insurance issuers offering health insurance 
                        coverage in the group or individual market of 
                        claims for outpatient and inpatient mental 
                        health and substance use disorder services 
                        compared to the rates of and reasons for denial 
                        of claims for medical and surgical services. 
                        For the first plan year beginning at least two 
                        years after the date of the enactment of this 
                        paragraph and each subsequent plan year, the 
                        Secretary shall submit to the Committee on 
                        Energy and Commerce of the House of 
                        Representatives and the Committee on Health, 
                        Education, Labor, and Pensions of the Senate, 
                        and make plainly available on the Consumer 
                        Parity Portal website under paragraph (7), the 
                        information collected under the previous 
                        sentence with respect to the previous plan 
                        year.
            ``(7) Consumer parity portal website.--The Secretary, in 
        consultation with the Secretaries of Labor and the Treasury, 
        shall establish a one-stop Internet website portal for--
                    ``(A) submitting complaints and violations relating 
                to this section, section 712 of the Employee Retirement 
                Income Security Act of 1974, and section 9812 of the 
                Internal Revenue Code of 1986; and
                    ``(B) for each of such Secretaries to submit 
                information in order to provide such information to 
                health care consumers pursuant to paragraph (6), 
                section 712(a)(6) of the Employee Retirement Income 
                Security Act of 1974, and section 9812(a)(6) of the 
                Internal Revenue Code of 1986.
        Such portal shall have the ability to take basic information 
        related to the complaint, including name, contact information, 
        and brief narrative, and transmit such information in a timely 
        fashion to the appropriate State or Federal enforcement agency. 
        Once the consumer information is submitted, such portal shall 
        provide the consumer with contact information for the 
        appropriate enforcement agency to follow-up on the 
        complaint.''.
    (b) Employee Retirement Income Security Act of 1974.--Section 
712(a) of the Employee Retirement Income Security Act of 1974 (29 
U.S.C. 1185a(a)) is amended by adding at the end the following new 
paragraph:
            ``(6) Disclosure and enforcement requirements.--
                    ``(A) Disclosure requirements.--
                            ``(i) Regulations.--Not later than December 
                        31, 2016, the Secretary, in cooperation with 
                        the Secretaries of Health and Human Services 
                        and the Treasury, as appropriate, shall issue 
                        additional regulations for carrying out this 
                        section, including an explanation of documents 
                        that must be disclosed by plans and issuers, 
                        the process governing such disclosures by plans 
                        and issuers, and analyses that must be 
                        conducted by plans and issuers by a group 
                        health plan (or health insurance coverage 
                        offered in connection with such a plan) in 
                        order for such plan or issuer to demonstrate 
                        compliance with the provisions of this section.
                            ``(ii) Disclosure requirements.--Documents 
                        required to be disclosed by a group health plan 
                        (or health insurance coverage offered in 
                        connection with such a plan) under clause (i) 
                        shall include an annual report that details the 
                        specific analyses performed to ensure 
                        compliance of such plan or coverage with the 
                        law or regulations. At a minimum, with respect 
                        to the application of non-quantitative 
                        treatment limitations (in this paragraph 
                        referred to as NQTLs) to benefits under the 
                        plan or coverage, such report shall--
                                    ``(I) identify the specific factors 
                                the plan or coverage used in performing 
                                its NQTL analysis;
                                    ``(II) identify and define the 
                                specific evidentiary standards relied 
                                on to evaluate the factors;
                                    ``(III) describe how the 
                                evidentiary standards are applied to 
                                each service category for mental 
                                health, substance use disorders, 
                                medical benefits, and surgical 
                                benefits;
                                    ``(IV) disclose the results of the 
                                analyses of the specific evidentiary 
                                standards in each service category; and
                                    ``(V) disclose the specific 
                                findings of the plan or coverage in 
                                each service category and the 
                                conclusions reached with respect to 
                                whether the processes, strategies, 
                                evidentiary standards, or other factors 
                                used in applying the NQTL to mental 
                                health or substance use disorder 
                                benefits are comparable to, and applied 
                                no more stringently than, the 
                                processes, strategies, evidentiary 
                                standards, or other factors used in 
                                applying the limitation with respect to 
                                medical and surgical benefits in the 
                                same classification.
                            ``(iii) Guidance.--The Secretary, in 
                        cooperation with the Secretaries of Health and 
                        Human Services and the Treasury, as 
                        appropriate, shall issue guidance to group 
                        health plans (and health insurance coverage 
                        offered in connection with such a plan) on how 
                        to satisfy the requirements of this section 
                        with respect to making information available to 
                        current and potential participants and 
                        beneficiaries. Such information shall include 
                        certificate of coverage documents and 
                        instruments under which the plan or coverage 
                        involved is administered and operated that 
                        specify, include, or refer to procedures, 
                        formulas, and methodologies applied to 
                        determine a participant or beneficiary's 
                        benefit under the plan or coverage, regardless 
                        of whether such information is contained in a 
                        document designated as the `plan document'. 
                        Such guidance shall include a disclosure of how 
                        the plan or coverage involved has provided that 
                        processes, strategies, evidentiary standards, 
                        and other factors used in applying the NQTL to 
                        mental health or substance use disorder 
                        benefits are comparable to, and applied no more 
                        stringently than, the processes, strategies, 
                        evidentiary standards, or other factors used in 
                        applying the limitation with respect to medical 
                        and surgical benefits in the same 
                        classification.
                            ``(iv) Definitions.--In this paragraph, the 
                        terms `non-quantitative treatment limitations', 
                        `comparable to', and `applied no more 
                        stringently than' have the meanings given such 
                        terms in sections 146 and 147 of title 45, Code 
                        of Federal Regulations (or any successor 
                        regulation).
                    ``(B) Enforcement.--
                            ``(i) Process for complaints.--The 
                        Secretary, in cooperation with the Secretaries 
                        of Health and Human Services and the Treasury, 
                        as appropriate, shall, with respect to group 
                        health plans (and health insurance coverage 
                        offered in connection with such a plan), issue 
                        guidance to clarify the process and timeline 
                        for current and potential participants and 
                        beneficiaries (and authorized representatives 
                        and health care providers of such participants 
                        and beneficiaries) with respect to such plans 
                        (and coverage) to file formal complaints of 
                        such plans (or coverage) being in violation of 
                        this section, including guidance, by plan type, 
                        on the relevant State, regional, and national 
                        offices with which such complaints should be 
                        filed.
                            ``(ii) Authority for public enforcement.--
                        The Secretary, in consultation with the 
                        Secretaries of Labor and the Treasury, shall 
                        make available to the public on the Consumer 
                        Parity Portal website established under section 
                        2726(a)(7) of the Public Health Service Act de-
                        identified information on audits and 
                        investigations of group health plans (and 
                        health insurance coverage offered in connection 
                        with such a plan) conducted under this section.
                            ``(iii) Audits.--
                                    ``(I) Randomized audits.--The 
                                Secretary in cooperation with the 
                                Secretaries of Health and Human 
                                Services and the Treasury, is 
                                authorized to conduct randomized audits 
                                of group health plans (and health 
                                insurance coverage offered in 
                                connection with such a plan) to 
                                determine compliance with this section. 
                                Such audits shall be conducted on no 
                                fewer than twelve plans and coverage 
                                per plan year. Information from such 
                                audits shall be made plainly available 
                                on the Consumer Parity Portal website 
                                established under section 2726(a)(7) of 
                                the Public Health Service Act.
                                    ``(II) Additional audits.--In the 
                                case of a group health plan (or health 
                                insurance coverage offered in 
                                connection with such a plan) with 
                                respect to which any claim has been 
                                filed during a plan year, the Secretary 
                                may audit the books and records of such 
                                plan (or coverage) to determine 
                                compliance with this section. 
                                Information detailing the results of 
                                the audit shall be made available on 
                                the Consumer Parity Portal website 
                                established under section 2726(a)(7) of 
                                the Public Health Service Act.
                            ``(iv) Denial rates.--The Secretary shall 
                        collect information on the rates of and reasons 
                        for denial by group health plans (and health 
                        insurance coverage offered in connection with 
                        such a plan) of claims for outpatient and 
                        inpatient mental health and substance use 
                        disorder services compared to the rates of and 
                        reasons for denial of claims for medical and 
                        surgical services. For the first plan year 
                        beginning at least two years after the date of 
                        the enactment of this paragraph and each 
                        subsequent plan year, the Secretary shall 
                        submit to the Committee on Energy and Commerce 
                        of the House of Representatives and the 
                        Committee on Health, Education, Labor, and 
                        Pensions of the Senate, and make plainly 
                        available on the Consumer Parity Portal website 
                        under section 2726(a)(7) of the Public Health 
                        Service Act, the information collected under 
                        the previous sentence with respect to the 
                        previous plan year.''.
    (c) Internal Revenue Code of 1986.--Section 9812(a) of the Internal 
Revenue Code of 1986 is amended by adding at the end the following new 
paragraph:
            ``(6) Disclosure and enforcement requirements.--
                    ``(A) Disclosure requirements.--
                            ``(i) Regulations.--Not later than December 
                        31, 2016, the Secretary, in cooperation with 
                        the Secretaries of Health and Human Services 
                        and Labor, as appropriate, shall issue 
                        additional regulations for carrying out this 
                        section, including an explanation of documents 
                        that must be disclosed by plans and issuers, 
                        the process governing such disclosures by plans 
                        and issuers, and analyses that must be 
                        conducted by plans and issuers by a group 
                        health plan in order for such plan to 
                        demonstrate compliance with the provisions of 
                        this section.
                            ``(ii) Disclosure requirements.--Documents 
                        required to be disclosed by a group health plan 
                        under clause (i) shall include an annual report 
                        that details the specific analyses performed to 
                        ensure compliance of such plan with the law and 
                        regulations. At a minimum, with respect to the 
                        application of non-quantitative treatment 
                        limitations (in this paragraph referred to as 
                        NQTLs) to benefits under the plan or coverage, 
                        such report shall--
                                    ``(I) identify the specific factors 
                                the plan or coverage used in performing 
                                its NQTL analysis;
                                    ``(II) identify and define the 
                                specific evidentiary standards relied 
                                on to evaluate the factors;
                                    ``(III) describe how the 
                                evidentiary standards are applied to 
                                each service category for mental 
                                health, substance use disorders, 
                                medical benefits, and surgical 
                                benefits;
                                    ``(IV) disclose the results of the 
                                analyses of the specific evidentiary 
                                standards in each service category; and
                                    ``(V) disclose the specific 
                                findings of the plan in each service 
                                category and the conclusions reached 
                                with respect to whether the processes, 
                                strategies, evidentiary standards, or 
                                other factors used in applying the NQTL 
                                to mental health or substance use 
                                disorder benefits are comparable to, 
                                and applied no more stringently than, 
                                the processes, strategies, evidentiary 
                                standards, or other factors used in 
                                applying the limitation with respect to 
                                medical and surgical benefits in the 
                                same classification.
                            ``(iii) Guidance.--The Secretary, in 
                        cooperation with the Secretaries of Health and 
                        Human Services and Labor, as appropriate, shall 
                        issue guidance to group health plans on how to 
                        satisfy the requirements of this section with 
                        respect to making information available to 
                        current and potential participants and 
                        beneficiaries. Such information shall include 
                        certificate of coverage documents and 
                        instruments under which the plan involved is 
                        administered and operated that specify, 
                        include, or refer to procedures, formulas, and 
                        methodologies applied to determine a 
                        participant or beneficiary's benefit under the 
                        plan, regardless of whether such information is 
                        contained in a document designated as the `plan 
                        document'. Such guidance shall include a 
                        disclosure of how the plan involved has 
                        provided that processes, strategies, 
                        evidentiary standards, and other factors used 
                        in applying the NQTL to mental health or 
                        substance use disorder benefits are comparable 
                        to, and applied no more stringently than, the 
                        processes, strategies, evidentiary standards, 
                        or other factors used in applying the 
                        limitation with respect to medical and surgical 
                        benefits in the same classification.
                            ``(iv) Definitions.--In this paragraph, the 
                        terms `non-quantitative treatment limitations', 
                        `comparable to', and `applied no more 
                        stringently than' have the meanings given such 
                        terms in sections 146 and 147 of title 45, Code 
                        of Federal Regulations (or any successor 
                        regulation).
                    ``(B) Enforcement.--
                            ``(i) Process for complaints.--The 
                        Secretary, in cooperation with the Secretaries 
                        of Health and Human Services and Labor, as 
                        appropriate, shall, with respect to group 
                        health plans, issue guidance to clarify the 
                        process and timeline for current and potential 
                        participants and beneficiaries (and authorized 
                        representatives and health care providers of 
                        such participants and beneficiaries) with 
                        respect to such plans (and coverage) to file 
                        formal complaints of such plans being in 
                        violation of this section, including guidance, 
                        by plan type, on the relevant State, regional, 
                        and national offices with which such complaints 
                        should be filed.
                            ``(ii) Authority for public enforcement.--
                        The Secretary, in consultation with the 
                        Secretaries of Labor and the Treasury, shall 
                        make available to the public on the Consumer 
                        Parity Portal website established under section 
                        2726(a)(7) of the Public Health Service Act de-
                        identified information on audits and 
                        investigations of group health plans conducted 
                        under this section.
                            ``(iii) Audits.--
                                    ``(I) Randomized audits.--The 
                                Secretary in cooperation with the 
                                Secretaries of Health and Human 
                                Services and Labor, is authorized to 
                                conduct randomized audits of group 
                                health plans to determine compliance 
                                with this section. Such audits shall be 
                                conducted on no fewer than twelve plans 
                                per plan year. Information from such 
                                audits shall be made plainly available 
                                on the Consumer Parity Portal website 
                                established under section 2726(a)(7) of 
                                the Public Health Service Act.
                                    ``(II) Additional audits.--In the 
                                case of a group health plan with 
                                respect to which any claim has been 
                                filed during a plan year, the Secretary 
                                may audit the books and records of such 
                                plan to determine compliance with this 
                                section. Information detailing the 
                                results of the audit shall be made 
                                available on the Consumer Parity Portal 
                                website established under section 
                                2726(a)(7) of the Public Health Service 
                                Act.
                            ``(iv) Denial rates.--The Secretary shall 
                        collect information on the rates of and reasons 
                        for denial by group health plans of claims for 
                        outpatient and inpatient mental health and 
                        substance use disorder services compared to the 
                        rates of and reasons for denial of claims for 
                        medical and surgical services. For the first 
                        plan year beginning at least two years after 
                        the date of the enactment of this paragraph and 
                        each subsequent plan year, the Secretary shall 
                        submit to the Committee on Energy and Commerce 
                        of the House of Representatives and the 
                        Committee on Health, Education, Labor, and 
                        Pensions of the Senate, and make plainly 
                        available on the Consumer Parity Portal website 
                        under section 2726(a)(7) of the Public Health 
                        Service Act, the information collected under 
                        the previous sentence with respect to the 
                        previous plan year.''.
    (d) Authorization of Appropriations.--There is authorized to be 
appropriated $2,000,000 for each of fiscal years 2017 through 2021 to 
carry out this section, including the amendments made by this section.

SEC. 802. REPORT ON INVESTIGATIONS REGARDING PARITY IN MENTAL HEALTH 
              AND SUBSTANCE USE DISORDER BENEFITS.

    (a) In General.--Not later than one year after the date of the 
enactment of this Act, and annually thereafter, the Administrator of 
the Centers for Medicare & Medicaid Services, in collaboration with the 
Assistant Secretary of Labor of the Employee Benefits Security 
Administration and the Secretary of the Treasury shall submit to the 
Congress a report--
            (1) identifying Federal investigations conducted or 
        completed during the preceding 12-month period regarding 
        compliance with parity in mental health, substance use disorder 
        benefits, including benefits provided to persons with mental 
        illness, including serious mental illness, and substance use 
        disorders under the Paul Wellstone and Pete Domenici Mental 
        Health Parity and Addiction Equity Act of 2008 (subtitle B of 
        title V of division C of Public Law 110-343); and
            (2) summarizing the results of such investigations.
    (b) Contents.--Subject to paragraph (3), each report under 
paragraph (1) shall include the following information:
            (1) The number of investigations opened and closed during 
        the covered reporting period.
            (2) The benefit classification or classifications examined 
        by each investigation.
            (3) The subject matter or subject matters of each 
        investigation, including quantitative and nonquantitative 
        treatment limitations.
            (4) A summary of the basis of the final decision rendered 
        for each investigation.
    (c) Limitation.--Individually identifiable information shall be 
excluded from reports under paragraph (1) consistent with Federal 
privacy protections.

SEC. 803. GAO STUDY ON PREVENTING DISCRIMINATORY COVERAGE LIMITATIONS 
              FOR INDIVIDUALS WITH SERIOUS MENTAL ILLNESS AND SUBSTANCE 
              USE DISORDERS.

    Not later than one year after the date of the enactment of this 
Act, the Comptroller General of the United States shall submit to 
Congress a report describing the evidence regarding the extent to which 
private health insurance plans have nonquantitative treatment limits 
for mental health, substance use disorder, and other health services. 
The report shall also assess the Departments of Health and Human 
Services, Labor, and the Treasury's oversight of private health 
insurance plans and Medicaid managed care plans under section 1903 of 
the Social Security Act (42 U.S.C. 1396b), compliance with the Paul 
Wellstone and Pete Domenici Mental Health Parity and Addiction Equity 
Act of 2008 (subtitle B of title V of division C of Public Law 110-343) 
(as amended by Public Law 111-148) (in this section referred to as the 
``law''), including--
            (1) how the responsible Federal departments and agencies 
        ensure that plans comply with the law, including how the plans 
        apply nonquantitative treatment limitations and medical 
        necessity criteria to behavioral health services compared to 
        medical or surgical services; and
            (2) how proper enforcement, education, and coordination 
        activities within responsible Federal departments and agencies 
        can be used to ensure full compliance with the law, including 
        educational activities directed to State insurance 
        commissioners.

SEC. 804. REPORT TO CONGRESS ON FEDERAL ASSISTANCE TO STATE INSURANCE 
              REGULATORS REGARDING MENTAL HEALTH PARITY ENFORCEMENT.

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

                       TITLE IX--SUBSTANCE ABUSE

                         Subtitle A--Prevention

SEC. 901. PRACTITIONER EDUCATION.

    (a) Education Requirements.--
            (1) Registration consideration.--Section 303(f) of the 
        Controlled Substances Act (21 U.S.C. 823(f)) is amended by 
        inserting after paragraph (5) the following:
            ``(6) The applicant's compliance with the training 
        requirements described in subsection (g)(3) during any previous 
        period in which the applicant has been subject to such training 
        requirements.''.
            (2) Training requirements.--Section 303(g) of the 
        Controlled Substances Act (21 U.S.C. 823(g)) is amended by 
        adding at the end the following:
    ``(3)(A) To be registered to prescribe or otherwise dispense 
opioids for the treatment of pain, or pain management, a practitioner 
described in paragraph (1) shall comply with the 12-hour training 
requirement of subparagraph (B) at least once during each 3-year 
period.
    ``(B) The training requirement of this subparagraph is that the 
practitioner has completed not less than 12 hours of training (through 
classroom situations, seminars at professional society meetings, 
electronic communications, or otherwise) with respect to--
            ``(i) the treatment and management of opioid-dependent 
        patients;
            ``(ii) pain management treatment guidelines; and
            ``(iii) early detection of opioid addiction, including 
        through such methods as Screening, Brief Intervention, and 
        Referral to Treatment (SBIRT),
that is provided by the American Society of Addiction Medicine, the 
American Academy of Addiction Psychiatry, the American Medical 
Association, the American Osteopathic Association, the American 
Psychiatric Association, the American Academy of Pain Management, the 
American Pain Society, the American Academy of Pain Medicine, the 
American Board of Pain Medicine, the American Society of Interventional 
Pain Physicians, or any other organization that the Secretary 
determines is appropriate for purposes of this subparagraph.''.
    (b) Funding.--The Drug Enforcement Administration shall fund the 
enforcement of the requirements specified in section 303(g)(3) of the 
Controlled Substances Act (as added by subsection (a)) through the use 
of a portion of the licensing fees paid by controlled substance 
prescribers under the Controlled Substances Act (21 U.S.C. 801 et 
seq.).
    (c) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section $1,000,000 for each of fiscal 
years 2017 through 2021.

SEC. 902. CO-PRESCRIBING OPIOID OVERDOSE REVERSAL DRUGS GRANT PROGRAM.

    (a) Establishment.--
            (1) In general.--Not later than six months after the date 
        of the enactment of this Act, the Secretary of Health and Human 
        Services shall establish, in accordance with this section, a 
        four-year co-prescribing opioid overdose reversal drugs grant 
        program (in this title referred to as the ``grant program'') 
        under which the Secretary shall provide not more than a total 
        of 12 grants to eligible entities to carry out the activities 
        described in subsection (c).
            (2) Eligible entity.--For purposes of this section, the 
        term ``eligible entity'' means a federally qualified health 
        center (as defined in section 1861(aa) of the Social Security 
        Act (42 U.S.C. 1395x(aa))), an opioid treatment program under 
        part 8 of title 42, Code of Federal Regulations, or section 
        303(g) of the Controlled Substances Act (21 U.S.C. 823(g)), a 
        program approved by a State substance abuse agency, or any 
        other entity that the Secretary deems appropriate.
            (3) Co-prescribing.--For purposes of this title, the term 
        ``co-prescribing'' means, with respect to an opioid overdose 
        reversal drug, the practice of prescribing such drug in 
        conjunction with an opioid prescription for patients at an 
        elevated risk of overdose, or in conjunction with an opioid 
        agonist approved under section 505 of the Federal Food, Drug, 
        and Cosmetic Act (21 U.S.C. 355) for the treatment of opioid 
        abuse disorders, or in other circumstances in which a provider 
        identifies a patient at an elevated risk for an intentional or 
        unintentional drug overdose from heroin or prescription opioid 
        therapies. For purposes of the previous sentence, a patient may 
        be at an elevated risk of overdose if the patient meets the 
        criteria under the existing co-prescribing guidelines that the 
        Secretary deems appropriate, such as the criteria provided in 
        the Opioid Overdose Toolkit published by the Substance Abuse 
        and Mental Health Services Administration.
    (b) Application.--To be eligible to receive a grant under this 
section, an eligible entity shall submit to the Secretary of Health and 
Human Services, in such form and manner as specified by the Secretary, 
an application that describes--
            (1) the extent to which the area to which the entity will 
        furnish services through use of the grant is experiencing 
        significant morbidity and mortality caused by opioid abuse;
            (2) the criteria that will be used to identify eligible 
        patients to participate in such program; and
            (3) how such program will work to try to identify State, 
        local, or private funding to continue the program after 
        expiration of the grant.
    (c) Use of Funds.--An eligible entity receiving a grant under this 
section may use the grant for any of the following activities:
            (1) To establish a program for co-prescribing opioid 
        overdose reversal drugs, such as naloxone.
            (2) To train and provide resources for health care 
        providers and pharmacists on the co-prescribing of opioid 
        overdose reversal drugs.
            (3) To establish mechanisms and processes, consistent with 
        applicable Federal and State privacy rules, for tracking 
        patients participating in the program described in paragraph 
        (1) and the health outcomes of such patients.
            (4) To purchase opioid overdose reversal drugs for 
        distribution under the program described in paragraph (1).
            (5) To offset the co-pays and other cost sharing associated 
        with opioid overdose reversal drugs to ensure that cost is not 
        a limiting factor for eligible patients.
            (6) To conduct community outreach, in conjunction with 
        community-based organizations, designed to raise awareness of 
        co-prescribing practices, and the availability of opioid 
        overdose reversal drugs.
            (7) To establish protocols to connect patients who have 
        experienced a drug overdose with appropriate treatment, 
        including medication assisted treatment and appropriate 
        counseling and behavioral therapies.
    (d) Evaluations by Recipients.--As a condition of receipt of a 
grant under this section, an eligible entity shall, for each year for 
which the grant is received, submit to the Secretary of Health and 
Human Services information on appropriate outcome measures specified by 
the Secretary to assess the outcomes of the program funded by the 
grant, including--
            (1) the number of prescribers trained;
            (2) the number of prescribers who have co-prescribed an 
        opioid overdose reversal drugs to at least one patient;
            (3) the total number of prescriptions written for opioid 
        overdose reversal drugs;
            (4) the percentage of patients at elevated risk who 
        received a prescription for an opioid overdose reversal drug;
            (5) the number of patients reporting use of an opioid 
        overdose reversal drug; and
            (6) any other outcome measures that the Secretary deems 
        appropriate.
    (e) Reports by Secretary.--For each year of the grant program under 
this section, the Secretary of Health and Human Services shall submit 
to the appropriate committees of the House of Representatives and of 
the Senate a report aggregating the information received from the grant 
recipients for such year under subsection (d) and evaluating the 
outcomes achieved by the programs funded by grants made under this 
section.
    (f) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section and section 903 $4,000,000 for 
each of fiscal years 2017 through 2021.

SEC. 903. OPIOID OVERDOSE REVERSAL CO-PRESCRIBING GUIDELINES.

    (a) In General.--The Secretary of Health and Human Services shall 
establish a grant program under which the Secretary shall award grants 
to eligible State entities to develop opioid overdose reversal co-
prescribing guidelines.
    (b) Eligible State Entities.--For purposes of subsection (a), 
eligible State entities are State departments of health in conjunction 
with State medical boards; city, county, and local health departments; 
and community stakeholder groups involved in reducing opioid overdose 
deaths.
    (c) Administrative Provisions.--
            (1) Grant amounts.--A grant made under this section may not 
        be for more than $200,000 per grant.
            (2) Prioritization.--In awarding grants under this section, 
        the Secretary shall give priority to eligible State entities 
        which propose to base their guidelines on existing guidelines 
        on co-prescribing to speed enactment, including guidelines of--
                    (A) the Department of Veterans Affairs;
                    (B) nationwide medical societies, such as the 
                American Society of Addiction Medicine or American 
                Medical Association; and
                    (C) the Centers for Disease Control and Prevention.

SEC. 904. SURVEILLANCE CAPACITY BUILDING.

    (a) Program Authorized.--The Secretary of Health and Human 
Services, acting through the Director of the Centers for Disease 
Control and Prevention, shall award cooperative agreements or grants to 
eligible entities to improve fatal and nonfatal drug overdose 
surveillance and reporting capabilities, including--
            (1) providing training to improve identification of drug 
        overdose as the cause of death by coroners and medical 
        examiners;
            (2) establishing, in cooperation with the National Poison 
        Data System, coroners, and medical examiners, a comprehensive 
        national program for surveillance of, and reporting to an 
        electronic database on, drug overdose deaths in the United 
        States; and
            (3) establishing, in cooperation with the National Poison 
        Data System, a comprehensive national program for surveillance 
        of, and reporting to an electronic database on, fatal and 
        nonfatal drug overdose occurrences, including epidemiological 
        and toxicologic analysis and trends.
    (b) Eligible Entity.--To be eligible to receive a grant or 
cooperative agreement under this section, an entity shall be--
            (1) a State, local, or tribal government; or
            (2) the National Poison Data System working in conjunction 
        with a State, local, or tribal government.
    (c) Application.--
            (1) In general.--An eligible entity desiring a grant or 
        cooperative agreement under this section shall submit to the 
        Secretary an application at such time, in such manner, and 
        containing such information as the Secretary may require.
            (2) Contents.--An application described in paragraph (1) 
        shall include--
                    (A) a description of the activities to be funded 
                through the grant or cooperative agreement; and
                    (B) evidence that the eligible entity has the 
                capacity to carry out such activities.
    (d) Report.--As a condition of receipt of a grant or cooperative 
agreement under this section, an eligible entity shall agree to prepare 
and submit, not later than 90 days after the end of the grant or 
cooperative agreement period, a report to the Secretary describing the 
results of the activities supported through the grant or cooperative 
agreement.
    (e) National Poison Data System.--In this section, the term 
``National Poison Data System'' means the system operated by the 
American Association of Poison Control Centers, in partnership with the 
Centers for Disease Control and Prevention, for real-time local, State, 
and national electronic reporting, and the corresponding database 
network.
    (f) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section $5,000,000 for each of the 
fiscal years 2017 through 2021.

                           Subtitle B--Crisis

SEC. 921. GRANTS TO SUPPORT SYRINGE EXCHANGE PROGRAMS.

    (a) In General.--The Secretary of Health and Human Services may 
award grants to State, local, and tribal governments and community 
organizations to support syringe exchange programs.
    (b) Use of Funds.--Grants under subsection (a) may be used to 
support carrying out syringe exchange programs, including through--
            (1) providing outreach, counseling, health education, case 
        management, syringe disposal, and other services as determined 
        appropriate by the Secretary of Health and Human Services; and
            (2) providing technical assistance, including training and 
        capacity building, to assist the development and implementation 
        of syringe exchange programs.
    (c) Authorization of Appropriations.--There is authorized to be 
appropriated $15,000,000 for each of fiscal years 2017 through 2021 to 
carry out this section, of which--
            (1) at least 15 percent shall be for syringe exchange 
        programs that have been in operation for less than 3 years; and
            (2) 5 percent shall be for technical assistance under 
        subsection (b)(2).

SEC. 922. GRANT PROGRAM TO REDUCE DRUG OVERDOSE DEATHS.

    (a) Program Authorized.--The Secretary of Health and Human 
Services, acting through the Administrator of the Substance Abuse and 
Mental Health Services Administration, shall award grants or enter into 
cooperative agreements with eligible entities to enable the eligible 
entities to reduce deaths occurring from overdoses of drugs.
    (b) Eligible Entities.--To be eligible to receive a grant or 
cooperative agreement under this section, an entity shall be a 
partnership between any of the following: a State, local, or tribal 
government, a correctional institution, a law enforcement agency, a 
community agency, a professional organization in the field of poison 
control and surveillance, or a private nonprofit organization.
    (c) Application.--
            (1) In general.--An eligible entity desiring a grant or 
        cooperative agreement under this section shall submit to the 
        Secretary of Health and Human Services an application at such 
        time, in such manner, and containing such information as the 
        Secretary may require.
            (2) Contents.--An application under paragraph (1) shall 
        include--
                    (A) a description of the activities to be funded 
                through the grant or cooperative agreement; and
                    (B) evidence that the eligible entity has the 
                capacity to carry out such activities.
    (d) Priority.--In entering into grants and cooperative agreements 
under subsection (a), the Secretary of Health and Human Services shall 
give priority to eligible entities that--
            (1) include a public health agency or community-based 
        organization; and
            (2) have expertise in preventing deaths occurring from 
        overdoses of drugs in populations at high risk of such deaths.
    (e) Eligible Activities.--As a condition of receipt of a grant or 
cooperative agreement under this section, an eligible entity shall 
agree to use the grant or cooperative agreement to do each of the 
following:
            (1) Purchase and distribute the drug naloxone or a 
        similarly effective medication.
            (2) Carry out one or more of the following activities:
                    (A) Educating prescribers and pharmacists about 
                overdose prevention and naloxone prescription, or 
                prescriptions of a similarly effective medication.
                    (B) Training first responders, other individuals in 
                a position to respond to an overdose, and law 
                enforcement and corrections officials on the effective 
                response to individuals who have overdosed on drugs. 
                Training pursuant to this subparagraph may include any 
                activity that is educational, instructional, or 
                consultative in nature, and may include volunteer 
                training, awareness building exercises, outreach to 
                individuals who are at risk of a drug overdose, and 
                distribution of educational materials.
                    (C) Implementing and enhancing programs to provide 
                overdose prevention, recognition, treatment, and 
                response to individuals in need of such services.
                    (D) Educating the public and providing outreach to 
                the public about overdose prevention and naloxone 
                prescriptions, or prescriptions of other similarly 
                effective medications.
    (f) Coordinating Center.--
            (1) Establishment.--The Secretary of Health and Human 
        Services shall establish and provide for the operation of a 
        coordinating center responsible for--
                    (A) collecting, compiling, and disseminating data 
                on the programs and activities under this section, 
                including tracking and evaluating the distribution and 
                use of naloxone and other similarly effective 
                medication;
                    (B) evaluating such data and, based on such 
                evaluation, developing best practices for preventing 
                deaths occurring from drug overdoses;
                    (C) making such best practices specific to the type 
                of community involved;
                    (D) coordinating and harmonizing data collection 
                measures;
                    (E) evaluating the effects of the program on 
                overdose rates; and
                    (F) education and outreach to the public about 
                overdose prevention and prescription of naloxone and 
                other similarly effective medication.
            (2) Reports to center.--As a condition on receipt of a 
        grant or cooperative agreement under this section, an eligible 
        entity shall agree to prepare and submit, not later than 90 
        days after the end of the award period, a report to such 
        coordinating center and the Secretary of Health and Human 
        Services describing the results of the activities supported 
        through the grant or cooperative agreement.
    (g) Duration.--The period of a grant or cooperative agreement under 
this section shall be 4 years.
    (h) Definition.--In this part, the term ``drug''--
            (1) means a drug, as defined in section 201 of the Federal 
        Food, Drug, and Cosmetic Act (21 U.S.C. 321); and
            (2) includes controlled substances, as defined in section 
        102 of the Controlled Substances Act (21 U.S.C. 802).
    (i) Authorization of Appropriations.--There is authorized to be 
appropriated $20,000,000 to carry out this section for each of the 
fiscal years 2017 through 2021.

                         Subtitle C--Treatment

SEC. 931. EXPANSION OF PATIENT LIMITS UNDER WAIVER.

    Section 303(g)(2)(B) of the Controlled Substances Act (21 U.S.C. 
823(g)(2)(B)) is amended--
            (1) in clause (i), by striking ``physician'' and inserting 
        ``practitioner'';
            (2) in clause (iii)--
                    (A) by striking ``30'' and inserting ``100''; and
                    (B) by striking ``, unless, not sooner'' and all 
                that follows through the end and inserting a period; 
                and
            (3) by inserting at the end the following new clause:
                    ``(iv) Not earlier than 1 year after the date on 
                which a qualifying practitioner obtained an initial 
                waiver pursuant to clause (iii), the qualifying 
                practitioner may submit a second notification to the 
                Secretary of the need and intent of the qualifying 
                practitioner to treat an unlimited number of patients, 
                if the qualifying practitioner--
                            ``(I)(aa) satisfies the requirements of 
                        item (aa), (bb), (cc), or (dd) of subparagraph 
                        (G)(ii)(I); and
                            ``(bb) agrees to fully participate in the 
                        Prescription Drug Monitoring Program of the 
                        State in which the qualifying practitioner is 
                        licensed, pursuant to applicable State 
                        guidelines; or
                            ``(II)(aa) satisfies the requirements of 
                        item (ee), (ff), or (gg) of subparagraph 
                        (G)(ii)(I);
                            ``(bb) agrees to fully participate in the 
                        Prescription Drug Monitoring Program of the 
                        State in which the qualifying practitioner is 
                        licensed, pursuant to applicable State 
                        guidelines;
                            ``(cc) practices in a qualified practice 
                        setting; and
                            ``(dd) has completed not less than 24 hours 
                        of training (through classroom situations, 
                        seminars at professional society meetings, 
                        electronic communications, or otherwise) with 
                        respect to the treatment and management of 
                        opiate-dependent patients for substance use 
                        disorders provided by the American Society of 
                        Addiction Medicine, the American Academy of 
                        Addiction Psychiatry, the American Medical 
                        Association, the American Osteopathic 
                        Association, the American Psychiatric 
                        Association, or any other organization that the 
                        Secretary determines is appropriate for 
                        purposes of this subclause.''.

SEC. 932. DEFINITIONS.

    Section 303(g)(2)(G) of the Controlled Substances Act (21 U.S.C. 
823(g)(2)(G)) is amended--
            (1) by striking clause (ii) and inserting the following:
                    ``(ii) The term `qualifying practitioner' means the 
                following:
                            ``(I) A physician who is licensed under 
                        State law and who meets 1 or more of the 
                        following conditions:
                                    ``(aa) The physician holds a board 
                                certification in addiction psychiatry 
                                from the American Board of Medical 
                                Specialties.
                                    ``(bb) The physician holds an 
                                addiction certification from the 
                                American Society of Addiction Medicine.
                                    ``(cc) The physician holds a board 
                                certification in addiction medicine 
                                from the American Osteopathic 
                                Association.
                                    ``(dd) The physician holds a board 
                                certification from the American Board 
                                of Addiction Medicine.
                                    ``(ee) The physician has completed 
                                not less than 8 hours of training 
                                (through classroom situations, seminar 
                                at professional society meetings, 
                                electronic communications, or 
                                otherwise) with respect to the 
                                treatment and management of opiate-
                                dependent patients for substance use 
                                disorders provided by the American 
                                Society of Addiction Medicine, the 
                                American Academy of Addiction 
                                Psychiatry, the American Medical 
                                Association, the American Osteopathic 
                                Association, the American Psychiatric 
                                Association, or any other organization 
                                that the Secretary determines is 
                                appropriate for purposes of this 
                                subclause.
                                    ``(ff) The physician has 
                                participated as an investigator in 1 or 
                                more clinical trials leading to the 
                                approval of a narcotic drug in schedule 
                                III, IV, or V for maintenance or 
                                detoxification treatment, as 
                                demonstrated by a statement submitted 
                                to the Secretary by this sponsor of 
                                such approved drug.
                                    ``(gg) The physician has such other 
                                training or experience as the Secretary 
                                determines will demonstrate the ability 
                                of the physician to treat and manage 
                                opiate-dependent patients.
                            ``(II) A nurse practitioner or physician 
                        assistant who is licensed under State law and 
                        meets all of the following conditions:
                                    ``(aa) The nurse practitioner or 
                                physician assistant is licensed under 
                                State law to prescribe schedule III, 
                                IV, or V medications for pain.
                                    ``(bb) The nurse practitioner or 
                                physician assistant satisfies 1 or more 
                                of the following:
                                            ``(AA) Has completed not 
                                        fewer than 24 hours of training 
                                        (through classroom situations, 
                                        seminar at professional society 
                                        meetings, electronic 
                                        communications, or otherwise) 
                                        with respect to the treatment 
                                        and management of opiate-
                                        dependent patients for 
                                        substance use disorders 
                                        provided by the American 
                                        Society of Addiction Medicine, 
                                        the American Academy of 
                                        Addiction Psychiatry, the 
                                        American Medical Association, 
                                        the American Osteopathic 
                                        Association, the American 
                                        Psychiatric Association, or any 
                                        other organization that the 
                                        Secretary determines is 
                                        appropriate for purposes of 
                                        this subclause.
                                            ``(BB) Has such other 
                                        training or experience as the 
                                        Secretary determines will 
                                        demonstrate the ability of the 
                                        nurse practitioner or physician 
                                        assistant to treat and manage 
                                        opiate-dependent patients.
                                    ``(cc) The nurse practitioner or 
                                physician assistant practices within 
                                the scope of their State license, 
                                including compliance with any 
                                supervision or collaboration 
                                requirements under State law.
                                    ``(dd) The nurse practitioner or 
                                physician assistant practice in a 
                                qualified practice setting.''; and
            (2) by adding at the end the following:
                    ``(iii) The term `qualified practice setting' means 
                1 or more of the following treatment settings:
                            ``(I) A National Committee for Quality 
                        Assurance-recognized Patient-Centered Medical 
                        Home or Patient-Centered Specialty Practice.
                            ``(II) A Centers for Medicaid & Medicare 
                        Services-recognized Accountable Care 
                        Organization.
                            ``(III) A clinical facility administered by 
                        the Department of Veterans Affairs, Department 
                        of Defense, or Indian Health Service.
                            ``(IV) A Behavioral Health Home accredited 
                        by the Joint Commission.
                            ``(V) A Federally-qualified health center 
                        (as defined in section 1905(l)(2)(B) of the 
                        Social Security Act (42 U.S.C. 1396d(l)(2)(B))) 
                        or a Federally-qualified health center look-
                        alike.
                            ``(VI) A Substance Abuse and Mental Health 
                        Services-certified Opioid Treatment Program.
                            ``(VII) A clinical program of a State or 
                        Federal jail, prison, or other facility where 
                        individuals are incarcerated.
                            ``(VIII) A clinic that demonstrates 
                        compliance with the Model Policy on DATA 2000 
                        and Treatment of Opioid Addiction in the 
                        Medical Office issued by the Federation of 
                        State Medical Boards.
                            ``(IX) A treatment setting that is part of 
                        an Accreditation Council for Graduate Medical 
                        Education, American Association of Colleges of 
                        Osteopathic Medicine, or American Osteopathic 
                        Association-accredited residency or fellowship 
                        training program.
                            ``(X) Any other practice setting approved 
                        by a State regulatory board, State substance 
                        abuse agency, or State Medicaid Plan to provide 
                        addiction treatment services.
                            ``(XI) Any other practice setting approved 
                        by the Secretary.''.

SEC. 933. EVALUATION BY ASSISTANT SECRETARY FOR PLANNING AND 
              EVALUATION.

    Two years after the date on which the first notification under 
clause (iv) of section 303(g)(2)(B) of the Controlled Substances Act 
(21 U.S.C. 823(g)(2)(B)), as added by section 931, is received by the 
Secretary of Health and Human Services, the Assistant Secretary for 
Planning and Evaluation shall initiate an evaluation of the 
effectiveness of the amendments made by sections 301 and 302, which 
shall include an evaluation of--
            (1) any changes in the availability and use of medication-
        assisted treatment for opioid addiction;
            (2) the quality of medication-assisted treatment programs;
            (3) the integration of medication-assisted treatment with 
        routine healthcare services;
            (4) diversion of opioid addiction treatment medication;
            (5) changes in State or local policies and legislation 
        relating to opioid addiction treatment;
            (6) the use of nurse practitioners and physician assistants 
        who prescribe opioid addiction medication;
            (7) the use of Prescription Drug Monitoring Programs by 
        waived practitioners to maximize safety of patient care and 
        prevent diversion of opioid addiction medication;
            (8) the findings of the Drug Enforcement Administration 
        inspections of waived practitioners, including the frequency 
        with which the Drug Enforcement Administration finds no 
        documentation of access to behavioral health services; and
            (9) the effectiveness of cross-agency collaboration between 
        the Department of Health and Human Services and the Drug 
        Enforcement Administration for expanding effective opioid 
        addiction treatment.

SEC. 934. REAUTHORIZATION OF RESIDENTIAL TREATMENT PROGRAMS FOR 
              PREGNANT AND POSTPARTUM WOMEN.

    Section 508 of the Public Health Service Act (42 U.S.C. 290bb-1) is 
amended--
            (1) in subsection (p), by inserting ``(other than 
        subsection (r))'' after ``section''; and
            (2) in subsection (r), by striking ``such sums'' and all 
        that follows through ``2003'' and inserting ``$40,000,000 for 
        each of fiscal years 2017 through 2021''.

SEC. 935. PILOT PROGRAM GRANTS FOR STATE SUBSTANCE ABUSE AGENCIES.

    (a) In General.--Section 508 of the Public Health Service Act (42 
U.S.C. 290bb-1) is amended--
            (1) by redesignating subsection (r), as amended by section 
        934, as subsection (s); and
            (2) by inserting after subsection (q) the following new 
        subsection:
    ``(r) Pilot Program for State Substance Abuse Agencies.--
            ``(1) In general.--From amounts made available under 
        subsection (s), the Director of the Center for Substance Abuse 
        Treatment shall carry out a pilot program under which 
        competitive grants are made by the Director to State substance 
        abuse agencies to--
                    ``(A) enhance flexibility in the use of funds 
                designed to support family-based services for pregnant 
                and postpartum women with a primary diagnosis of a 
                substance use disorder, including opioid use disorders;
                    ``(B) help State substance abuse agencies address 
                identified gaps in services furnished to such women 
                along the continuum of care, including services 
                provided to women in non-residential based settings; 
                and
                    ``(C) promote a coordinated, effective, and 
                efficient State system managed by State substance abuse 
                agencies by encouraging new approaches and models of 
                service delivery.
            ``(2) Requirements.--In carrying out the pilot program 
        under this subsection, the Director shall--
                    ``(A) require State substance abuse agencies to 
                submit to the Director applications, in such form and 
                manner and containing such information as specified by 
                the Director, to be eligible to receive a grant under 
                the program;
                    ``(B) identify, based on such submitted 
                applications, State substance abuse agencies that are 
                eligible for such grants;
                    ``(C) require services proposed to be furnished 
                through such a grant to support family based treatment 
                and other services for pregnant and postpartum women 
                with a primary diagnosis of a substance use disorder, 
                including opioid use disorders;
                    ``(D) not require that services furnished through 
                such a grant be provided solely to women that reside in 
                facilities;
                    ``(E) not require that grant recipients under the 
                program make available through use of the grant all 
                services described in subsection (d); and
                    ``(F) consider not applying requirements described 
                in paragraphs (1) and (2) of subsection (f) to 
                applicants, depending on the circumstances of the 
                applicant.
            ``(3) Required services.--
                    ``(A) In general.--The Director shall specify a 
                minimum set of services required to be made available 
                to eligible women through a grant awarded under the 
                pilot program under this subsection. Such minimum set--
                            ``(i) shall include requirements described 
                        in subsection (c) and be based on the 
                        recommendations submitted under subparagraph 
                        (B); and
                            ``(ii) may be selected from among the 
                        services described in subsection (d) and 
                        include other services as appropriate.
                    ``(B) Stakeholder input.--The Director shall 
                convene and solicit recommendations from stakeholders, 
                including State substance abuse agencies, health care 
                providers, persons in recovery from substance abuse, 
                and other appropriate individuals, for the minimum set 
                of services described in subparagraph (A).
            ``(4) Duration.--The pilot program under this subsection 
        shall not exceed 5 years.
            ``(5) Evaluation and report to congress.--The Director of 
        the Center for Behavioral Health Statistics and Quality shall 
        fund an evaluation of the pilot program at the conclusion of 
        the first grant cycle funded by the pilot program. The Director 
        of the Center for Behavioral Health Statistics and Quality, in 
        coordination with the Director of the Center for Substance 
        Abuse Treatment shall submit to the relevant Committees of 
        jurisdiction of the House of Representatives and the Senate a 
        report on such evaluation. The report shall include at a 
        minimum outcomes information from the pilot program, including 
        any resulting reductions in the use of alcohol and other drugs; 
        engagement in treatment services; retention in the appropriate 
        level and duration of services; increased access to the use of 
        medications approved by the Food and Drug Administration for 
        the treatment of substance use disorders in combination with 
        counseling; and other appropriate measures.
            ``(6) State substance abuse agencies defined.--For purposes 
        of this subsection, the term `State substance abuse agency' 
        means, with respect to a State, the agency in such State that 
        manages the Substance Abuse Prevention and Treatment Block 
        Grant under part B of title XIX.''.
    (b) Funding.--Subsection (s) of section 508 of the Public Health 
Service Act (42 U.S.C. 290bb-1), as amended by section 934 and 
redesignated by subsection (a), is further amended by adding at the end 
the following new sentence: ``Of the amounts made available for a year 
pursuant to the previous sentence to carry out this section, not more 
than 25 percent of such amounts shall be made available for such year 
to carry out subsection (r), other than paragraph (5) of such 
subsection.''.

SEC. 936. EVIDENCE-BASED OPIOID AND HEROIN TREATMENT AND INTERVENTIONS 
              DEMONSTRATION.

    Subpart 1 of part B of title V of the Public Health Service Act (42 
U.S.C. 290bb et seq.) is amended--
            (1) by redesignating section 514 (42 U.S.C. 290bb-9), as 
        added by section 3632 of the Methamphetamine Anti-Proliferation 
        Act of 2000 (Public Law 106-310; 114 Stat. 1236), as section 
        514B; and
            (2) by adding at the end the following:

``SEC. 514C. EVIDENCE-BASED OPIOID AND HEROIN TREATMENT AND 
              INTERVENTIONS DEMONSTRATION.

    ``(a) Grants.--
            ``(1) Authority to make grants.--The Director of the Center 
        for Substance Abuse Treatment (referred to in this section as 
        the `Director') shall award grants to State substance abuse 
        agencies, units of local government, nonprofit organizations, 
        and Indian tribes or tribal organizations (as defined in 
        section 4 of the Indian Health Care Improvement Act (25 U.S.C. 
        1603)) that have a high rate, or have had a rapid increase, in 
        the use of heroin or other opioids, in order to permit such 
        entities to expand activities, including an expansion in the 
        availability of medication assisted treatment, evidence-based 
        counseling, or behavioral therapies with respect to the 
        treatment of addiction in the specific geographical areas of 
        such entities where there is a rate or rapid increase in the 
        use of heroin or other opioids.
            ``(2) Recipients.--The entities receiving grants under 
        paragraph (1) shall be selected by the Director.
            ``(3) Nature of activities.--The grant funds awarded under 
        paragraph (1) shall be used for activities that are based on 
        reliable scientific evidence of efficacy in the treatment of 
        problems related to heroin or other opioids.
    ``(b) Geographic Distribution.--The Director shall ensure that 
grants awarded under subsection (a) are distributed equitably among the 
various regions of the Nation and among rural, urban, and suburban 
areas that are affected by the use of heroin or other opioids.
    ``(c) Additional Activities.--The Director shall--
            ``(1) evaluate the activities supported by grants awarded 
        under subsection (a);
            ``(2) disseminate widely such significant information 
        derived from the evaluation as the Director considers 
        appropriate;
            ``(3) provide States, Indian tribes and tribal 
        organizations, and providers with technical assistance in 
        connection with the provision of treatment of problems related 
        to heroin and other opioids; and
            ``(4) fund only those applications that specifically 
        support recovery services as a critical component of the grant 
        program.
    ``(d) Definition.--The term `medication assisted treatment' means 
the use, for problems relating to heroin and other opioids, of 
medications approved by the Food and Drug Administration in combination 
with counseling and behavioral therapies.
    ``(e) Authorization of Appropriations.--
            ``(1) In general.--There is authorized to be appropriated 
        to carry out this section $300,000,000 for each of fiscal years 
        2017 through 2021.
            ``(2) Use of certain funds.--Of the funds appropriated to 
        carry out this section in any fiscal year, not more than 5 
        percent of such funds shall be available to the Director for 
        purposes of carrying out subsection (c).''.

SEC. 937. ADOLESCENT TREATMENT AND RECOVERY SERVICES DEMONSTRATION 
              GRANT PROGRAM.

    Subpart 1 of part B of title V of the Public Health Service Act (42 
U.S.C. 290bb et seq.), as amended by section 936, is further amended by 
adding at the end the following:

``SEC. 514D. GRANTS TO IMPROVE ACCESS TO TREATMENT AND RECOVERY FOR 
              ADOLESCENTS.

    ``(a) In General.--The Secretary, acting through the Director of 
the Center for Substance Abuse Treatment, shall award grants, 
contracts, or cooperative agreements to eligible State substance abuse 
agencies and other entities determined appropriate by the Director for 
the purpose of increasing the capacity of substance use disorder 
treatment and recovery services for adolescents.
    ``(b) Eligibility.--To be eligible to receive a grant, contract, or 
cooperative agreement under subsection (a) an entity shall--
            ``(1) prepare and submit to the Director an application at 
        such time, in such manner, and contain such information as the 
        Director may require, including a plan for the evaluation of 
        any activities carried out with the funds provided under this 
        section;
            ``(2) ensure that all entities receiving support under the 
        grant, contract, or cooperative agreement comply with all 
        applicable State licensure or certification requirements 
        regarding the provision of the services involved; and
            ``(3) provide the Director with periodic evaluations of the 
        progress of the activities funded under this section and an 
        evaluation at the completion of such activities, as the 
        Director determines to be appropriate.
    ``(c) Priority.--In awarding grants, contracts, and cooperative 
agreements under subsection (a), the Director shall give priority to 
applicants who propose to fill a demonstrated geographic need for 
adolescent specific residential treatment services.
    ``(d) Use of Funds.--Amounts awarded under grants, contracts, or 
cooperative agreements under this section may be used to enable health 
care providers or facilities that provide treatment and recovery 
assistance for adolescents with a substance use disorder to provide the 
following services:
            ``(1) Individualized patient centered care that is specific 
        to circumstances of the individual patient.
            ``(2) Clinically appropriate, trauma-informed, gender-
        specific and age appropriate treatment services that are based 
        on reliable scientific evidence of efficacy in the treatment of 
        problems related to substance use disorders.
            ``(3) Clinically appropriate care to address treatment for 
        substance use and any co-occurring physical and mental health 
        disorders at the same location, and through access to primary 
        care services.
            ``(4) Coordination of treatment services with recovery and 
        other social support, including educational, vocational 
        training, assistance with the juvenile justice system, child 
        welfare, and mental health agencies.
            ``(5) Aftercare and long-term recovery support, including 
        peer support services.
    ``(e) Duration of Assistance.--Grants, contracts, and cooperative 
agreements awarded under subsection (a) shall be for a period not to 
exceed 5 years.
    ``(f) Additional Activities.--The Director shall--
            ``(1) collect and evaluate the activities carried out with 
        amount received under subsection (a);
            ``(2) disseminate widely such significant information 
        derived from the evaluation as the Secretary considers 
        appropriate; and
            ``(3) provide States, Indian tribes and tribal 
        organizations, and providers with technical assistance in 
        connection with the provision of treatment and recovery 
        services funded through this section to adolescents related to 
        the abuse of heroin and other opioids.
    ``(g) Authorization of Appropriations.--
            ``(1) In general.--There is authorized to be appropriated 
        to carry out this section, $25,000,000 for each of fiscal years 
        2017 through 2021.
            ``(2) Use of certain funds.--Of the funds appropriated to 
        carry out this section in any fiscal year, not more than 5 
        percent of such funds shall be available to the Director for 
        purposes of carrying out subsection (f).''.

SEC. 938. STUDY ON TREATMENT INFRASTRUCTURE.

    Not later than 24 months after the date of enactment of this Act, 
the Comptroller General of the United States shall initiate an 
evaluation, and submit to Congress a report, of the inpatient and 
outpatient treatment capacity, availability, and needs of the United 
States, which shall include, to the extent data is available--
            (1) the capacity of acute residential or inpatient 
        detoxification programs;
            (2) the capacity of inpatient clinical stabilization 
        programs, transitional residential support services, and 
        residential rehabilitation programs;
            (3) the capacity of demographic specific residential or 
        inpatient treatment programs, such as those designed for 
        pregnant women or adolescents;
            (4) geographical differences of the availability of 
        residential and outpatient treatment and recovery options for 
        substance use disorders across the continuum of care;
            (5) the availability of residential and outpatient 
        treatment programs that offer treatment options based on 
        reliable scientific evidence of efficacy for the treatment of 
        substance use disorders, including the use of Food and Drug 
        Administration-approved medicines and evidence-based 
        nonpharmacological therapies;
            (6) the number of patients in residential and specialty 
        outpatient treatment services for substance use disorders; and
            (7) an assessment of the need for residential and 
        outpatient treatment for substance use disorders across the 
        continuum of care.

SEC. 939. SUBSTANCE USE DISORDER PROFESSIONAL LOAN REPAYMENT PROGRAM.

    Subpart 3 of part E of title VII of the Public Health Service Act 
(42 U.S.C. 295f et seq.) is amended by adding at the end the following:

``SEC. 779. SUBSTANCE USE DISORDER PROFESSIONAL LOAN REPAYMENT PROGRAM.

    ``(a) Establishment.--The Secretary shall establish and carry out a 
substance use disorder health professional loan repayment program under 
which qualified health professionals agree to be employed full time for 
a specified period (which shall be not less than 2 years) in providing 
substance use disorder prevention and treatment services.
    ``(b) Program Administration.--Through the program established 
under this section, the Secretary shall enter into contracts with 
qualified health professionals under which--
            ``(1) a qualified health professional agrees to provide 
        substance use disorder prevention and treatment services with 
        respect to an area or population that (as determined by the 
        Secretary)--
                    ``(A) has a shortage of such services (as defined 
                by the Secretary); and
                    ``(B) has a sufficient population of individuals 
                with a substance use disorder to support the provision 
                of such services; and
            ``(2) the Secretary agrees to make payments on the 
        principal and interest of undergraduate, or graduate education 
        loans of the qualified health professional--
                    ``(A) of not more than $35,000 for each year of 
                service described in paragraph (1); and
                    ``(B) for not more than 3 years.
    ``(c) Qualified Health Professional Defined.--In this section, the 
term `qualified health professional' means an individual who is (or 
will be upon the completion of the individual's graduate education) a 
psychiatrist, psychologist, nurse practitioner, physician assistant, 
clinical social worker, substance abuse counselor, or other substance 
use disorder health professional.
    ``(d) Priority.--In entering into agreements under this section, 
the Secretary shall give priority to applicants who--
            ``(1) have familiarity with evidence-based methods and 
        culturally and linguistically competent health care services; 
        and
            ``(2) demonstrate financial need.
    ``(e) Authorization of Appropriations.--There is authorized to be 
appropriated $20,000,000 for each of fiscal years 2017 through 2021 to 
carry out this section.''.

                          Subtitle D--Recovery

SEC. 951. NATIONAL YOUTH RECOVERY INITIATIVE.

    (a) Definitions.--In this section:
            (1) Eligible entity.--The term ``eligible entity'' means--
                    (A) a high school that has been accredited as a 
                recovery high school by the Association of Recovery 
                Schools;
                    (B) an accredited high school that is seeking to 
                establish or expand recovery support services;
                    (C) an institution of higher education;
                    (D) a recovery program at a nonprofit collegiate 
                institution; or
                    (E) a nonprofit organization.
            (2) Institution of higher education.--The term 
        ``institution of higher education'' has the meaning given the 
        term in section 101 of the Higher Education Act of 1965 (20 
        U.S.C. 1001).
            (3) Recovery program.--The term ``recovery program''--
                    (A) means a program to help individuals who are 
                recovering from substance use disorders to initiate, 
                stabilize, and maintain healthy and productive lives in 
                the community; and
                    (B) includes peer-to-peer support and communal 
                activities to build recovery skills and supportive 
                social networks.
    (b) Grants Authorized.--The Secretary of Health and Human Services, 
acting through the Substance Abuse and Mental Health Services 
Administration, in consultation with the Secretary of Education, may 
award grants to eligible entities to enable the entities to--
            (1) provide substance use recovery support services to 
        young people in high school and enrolled in institutions of 
        higher education;
            (2) help build communities of support for young people in 
        recovery through a spectrum of activities such as counseling 
        and healthy and wellness-oriented social activities; and
            (3) encourage initiatives designed to help young people 
        achieve and sustain recovery from substance use disorders.
    (c) Use of Funds.--Grants awarded under subsection (b) may be used 
for activities to develop, support, and maintain youth recovery support 
services, including--
            (1) the development and maintenance of a dedicated physical 
        space for recovery programs;
            (2) dedicated staff for the provision of recovery programs;
            (3) healthy and wellness-oriented social activities and 
        community engagement;
            (4) establishment of recovery high schools;
            (5) coordination of recovery programs with--
                    (A) substance use disorder treatment programs and 
                systems;
                    (B) providers of mental health services;
                    (C) primary care providers;
                    (D) the criminal justice system, including the 
                juvenile justice system;
                    (E) employers;
                    (F) housing services;
                    (G) child welfare services;
                    (H) institutions of secondary higher education and 
                institutions of higher education; and
                    (I) other programs or services related to the 
                welfare of an individual in recovery from a substance 
                use disorder;
            (6) the development of peer-to-peer support programs or 
        services; and
            (7) additional activities that help youths and young adults 
        to achieve recovery from substance use disorders.
    (d) Technical Support.--The Secretary of Health and Human Services 
shall provide technical support to recipients of grants under this 
section.
    (e) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section $30,000,000 for each of fiscal 
years 2017 through 2021.

SEC. 952. GRANTS TO ENHANCE AND EXPAND RECOVERY SUPPORT SERVICES.

    Subpart 1 of part B of title V of the Public Health Service Act (42 
U.S.C. 290bb et seq.), as amended by sections 306 and 307, is further 
amended by adding at the end the following:

``SEC. 514E. GRANTS TO ENHANCE AND EXPAND RECOVERY SUPPORT SERVICES.

    ``(a) In General.--The Secretary, acting through the Administrator 
of the Substance Abuse and Mental Health Services Administration, shall 
award grants to State substance abuse agencies and nonprofit 
organizations to develop, expand, and enhance recovery support services 
for individuals with substance use disorders.
    ``(b) Eligible Entities.--In the case of an applicant that is not a 
State substance abuse agency, to be eligible to receive a grant under 
this section, the entity shall--
            ``(1) prepare and submit to the Secretary an application at 
        such time, in such manner, and contain such information as the 
        Secretary may require, including a plan for the evaluation of 
        any activities carried out with the funds provided under this 
        section;
            ``(2) demonstrate the inclusion of individuals in recovery 
        from a substance use disorder in leadership levels or governing 
        bodies of the entity;
            ``(3) have as a primary mission the provision of long-term 
        recovery support for substance use disorders; and
            ``(4) be accredited by the Council on the Accreditation of 
        Peer Recovery Support Services or meet any applicable State 
        certification requirements regarding the provision of the 
        recovery services involved.
    ``(c) Use of Funds.--Amounts awarded under a grant under this 
section shall be used to provide for the following activities:
            ``(1) Educating and mentoring that assists individuals and 
        families with substance use disorders in navigating systems of 
        care.
            ``(2) Peer recovery support services which include peer 
        coaching and mentoring.
            ``(3) Recovery-focused community education and outreach 
        programs, including training on the use of all forms of opioid 
        overdose antagonists used to counter the effects of an 
        overdose.
            ``(4) Training, mentoring, and education to develop and 
        enhance peer mentoring and coaching.
            ``(5) Programs aimed at identifying and reducing stigma and 
        discriminatory practices that serve as barriers to substance 
        use disorder recovery and treatment of these disorders.
            ``(6) Developing partnerships between networks that support 
        recovery and other community organizations and services, 
        including--
                    ``(A) public and private substance use disorder 
                treatment programs and systems;
                    ``(B) health care providers;
                    ``(C) recovery-focused addiction and recovery 
                professionals;
                    ``(D) faith-based organizations;
                    ``(E) organizations focused on criminal justice 
                reform;
                    ``(F) schools; and
                    ``(G) social service agencies in the community, 
                including educational, juvenile justice, child welfare, 
                housing, and mental health agencies.
    ``(d) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $100,000,000 for each of fiscal 
years 2017 through 2021.''.
                                 <all>