[Congressional Bills 114th Congress]
[From the U.S. Government Publishing Office]
[S. 2680 Introduced in Senate (IS)]

<DOC>






114th CONGRESS
  2d Session
                                S. 2680

To amend the Public Health Service Act to provide comprehensive mental 
                 health reform, and for other purposes.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                             March 15, 2016

 Mr. Alexander (for himself, Mrs. Murray, Mr. Cassidy, and Mr. Murphy) 
introduced the following bill; which was read twice and referred to the 
          Committee on Health, Education, Labor, and Pensions

_______________________________________________________________________

                                 A BILL


 
To amend the Public Health Service Act to provide comprehensive mental 
                 health reform, and for other purposes.

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

SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

    (a) Short Title.--This Act may be cited as the ``Mental Health 
Reform 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 LEADERSHIP AND ACCOUNTABILITY

Sec. 101. Improving oversight of mental and substance use disorder 
                            programs.
Sec. 102. Strengthening leadership of the Substance Abuse and Mental 
                            Health Services Administration.
Sec. 103. Chief Medical Officer.
Sec. 104. Strategic plan.
Sec. 105. Biennial report concerning activities and progress.
Sec. 106. Authorities of centers for mental health services.
Sec. 107. Advisory councils.
Sec. 108. Peer review.
Sec. 109. Inter-Departmental Serious Mental Illness Coordinating 
                            Committee.
   TITLE II--ENSURING MENTAL AND SUBSTANCE USE DISORDER PREVENTION, 
        TREATMENT, AND RECOVERY PROGRAMS KEEP PACE WITH SCIENCE

Sec. 201. Encouraging innovation and evidence-based programs.
Sec. 202. Promoting access to information on evidence-based programs 
                            and practices.
Sec. 203. Priority mental health needs of regional and national 
                            significance.
 TITLE III--SUPPORTING STATE RESPONSES TO MENTAL HEALTH AND SUBSTANCE 
                           USE DISORDER NEEDS

Sec. 301. Community Mental Health Services Block Grant.
Sec. 302. Additional provisions related to the block grants.
Sec. 303. Study of distribution of funds under the Substance Abuse 
                            Prevention and Treatment Block Grant and 
                            the Community Mental Health Services Block 
                            Grant.
TITLE IV--PROMOTING ACCESS TO MENTAL HEALTH AND SUBSTANCE USE DISORDER 
                                  CARE

Sec. 401. Grants for treatment and recovery for homeless individuals.
Sec. 402. Grants for jail diversion programs.
Sec. 403. Promoting integration of primary and behavioral health care.
Sec. 404. Projects for assistance in transition from homelessness.
Sec. 405. National Suicide Prevention Lifeline program.
Sec. 406. Connecting individuals and families with care.
Sec. 407. Streamlining mental and behavioral health workforce programs.
Sec. 408. Reports.
Sec. 409. Centers and program repeals.
   TITLE V--STRENGTHENING MENTAL AND SUBSTANCE USE DISORDER CARE FOR 
                        CHILDREN AND ADOLESCENTS

Sec. 501. Programs for children with serious emotional disturbances.
Sec. 502. Telehealth child psychiatry access grants.
Sec. 503. Substance use disorder treatment and early intervention 
                            services for children and adolescents.
Sec. 504. Residential treatment programs for pregnant and parenting 
                            women.
TITLE VI--IMPROVING PATIENT CARE AND ACCESS TO MENTAL AND SUBSTANCE USE 
                           DISORDER BENEFITS

Sec. 601. HIPAA clarification.
Sec. 602. Identification of model training programs.
Sec. 603. Confidentiality of records.
Sec. 604. Enhanced compliance with mental health and substance use 
                            disorder coverage requirements.
Sec. 605. Action plan for enhanced enforcement of mental health and 
                            substance use disorder coverage.
Sec. 606. Report on investigations regarding parity in mental health 
                            and substance use disorder benefits.
Sec. 607. GAO study on coverage limitations for individuals with 
                            serious mental illness and substance use 
                            disorders.
Sec. 608. Clarification of existing parity rules.

          TITLE I--STRENGTHENING LEADERSHIP AND ACCOUNTABILITY

SEC. 101. IMPROVING OVERSIGHT OF MENTAL AND SUBSTANCE USE DISORDER 
              PROGRAMS.

    (a) In General.--The Secretary of Health and Human Services, acting 
through the Assistant Secretary for Planning and Evaluation (referred 
to in this section as the ``Assistant Secretary''), shall ensure 
efficient and effective planning and evaluation of mental and substance 
use disorder programs and related activities.
    (b) Activities.--In carrying out subsection (a), the Assistant 
Secretary shall--
            (1) evaluate programs related to mental and substance use 
        disorders, including co-occurring disorders, across agencies 
        and other organizations, as appropriate, including programs 
        related to--
                    (A) prevention, intervention, treatment, and 
                recovery support services, including such services for 
                individuals with a serious mental illness or serious 
                emotional disturbance;
                    (B) the reduction of homelessness and incarceration 
                among individuals with a mental or substance use 
                disorder; and
                    (C) public health and health services; and
            (2) consult, as appropriate, with the Administrator of the 
        Substance Abuse and Mental Health Services Administration, the 
        Chief Medical Officer of the Substance Abuse and Mental Health 
        Services Administration, established under section 501(g) of 
        the Public Health Service Act (42 U.S.C. 290aa(g)) as amended 
        by section 103, other agencies within the Department of Health 
        and Human Services, and other relevant Federal departments.
    (c) Recommendations.--The Assistant Secretary shall evaluate and 
provide recommendations to the Substance Abuse and Mental Health 
Services Administration and other relevant agencies within the 
Department of Health and Human Services on improving programs and 
activities based on the evaluation described in subsection (b)(1).

SEC. 102. STRENGTHENING LEADERSHIP OF THE SUBSTANCE ABUSE AND MENTAL 
              HEALTH SERVICES ADMINISTRATION.

    Section 501 of the Public Health Service Act (42 U.S.C. 290aa) is 
amended--
            (1) in subsection (b)--
                    (A) by striking the heading and inserting 
                ``Centers''; and
                    (B) in the matter preceding paragraph (1), by 
                striking ``entities'' and inserting ``Centers''; and
            (2) in subsection (d)--
                    (A) in paragraph (1)--
                            (i) by striking ``agencies'' each place the 
                        term appears and inserting ``Centers''; and
                            (ii) by striking ``such agency'' and 
                        inserting ``such Center'';
                    (B) in paragraph (2)--
                            (i) by striking ``agencies'' and inserting 
                        ``Centers'';
                            (ii) by striking ``with respect to 
                        substance abuse'' and inserting ``with respect 
                        to substance use disorders''; and
                            (iii) by striking ``and individuals who are 
                        substance abusers'' and inserting ``and 
                        individuals with substance use disorders'';
                    (C) in paragraph (5), by striking ``substance 
                abuse'' and inserting ``substance use disorder'';
                    (D) in paragraph (6)--
                            (i) by striking ``the Centers for Disease 
                        Control'' and inserting ``the Centers for 
                        Disease Control and Prevention,'';
                            (ii) by striking ``HIV or tuberculosis 
                        among substance abusers and individuals with 
                        mental illness'' and inserting ``HIV, hepatitis 
                        C, tuberculosis, and other communicable 
                        diseases among individuals with mental illness 
                        or substance use disorders,''; and
                            (iii) by inserting ``or disorders'' before 
                        the semicolon;
                    (E) in paragraph (7), by striking ``abuse utilizing 
                anti-addiction medications, including methadone'' and 
                inserting ``use disorders, including services that 
                utilize drugs or devices approved by the Food and Drug 
                Administration for substance use disorders'';
                    (F) in paragraph (8)--
                            (i) by striking ``Agency for Health Care 
                        Policy Research'' and inserting ``Agency for 
                        Healthcare Research and Quality''; and
                            (ii) by striking ``treatment and 
                        prevention'' and inserting ``prevention and 
                        treatment'';
                    (G) in paragraph (9)--
                            (i) by inserting ``and maintenance'' after 
                        ``development'';
                            (ii) by striking ``Agency for Health Care 
                        Policy Research'' and inserting ``Agency for 
                        Healthcare Research and Quality''; and
                            (iii) by striking ``treatment and 
                        prevention'' and inserting ``prevention and 
                        treatment and appropriately incorporated into 
                        programs carried out by the Administration'';
                    (H) in paragraph (10), by striking ``abuse'' and 
                inserting ``use disorder'';
                    (I) by striking paragraph (11) and inserting the 
                following:
            ``(11) work with relevant agencies of the Department of 
        Health and Human Services on integrating mental health 
        promotion and substance use disorder prevention with general 
        health promotion and disease prevention and integrating mental 
        and substance use disorder treatment services with physical 
        health treatment services;'';
                    (J) in paragraph (13)--
                            (i) in the matter preceding subparagraph 
                        (A), by striking ``this title, assure that'' 
                        and inserting ``this title, or part B of title 
                        XIX, or grant programs otherwise funded by the 
                        Administration'';
                            (ii) in subparagraph (A)--
                                    (I) by inserting ``require that'' 
                                before ``all grants''; and
                                    (II) by striking ``and'' at the 
                                end;
                            (iii) by redesignating subparagraph (B) as 
                        subparagraph (C);
                            (iv) by inserting after subparagraph (A) 
                        the following:
                    ``(B) ensure that the director of each Center of 
                the Administration consistently documents the 
                application of criteria when awarding grants and the 
                ongoing oversight of grantees after such grants are 
                awarded;'';
                            (v) in subparagraph (C), as so 
                        redesignated--
                                    (I) by inserting ``require that'' 
                                before ``all grants''; and
                                    (II) by inserting ``and'' after the 
                                semicolon at the end; and
                            (vi) by adding at the end the following:
                    ``(D) inform a State when any funds are awarded 
                through such a grant to any entity within such 
                State;'';
                    (K) in paragraph (16)--
                            (i) by striking ``abuse and mental health 
                        information'' and inserting ``use disorder, 
                        including evidence-based and promising best 
                        practices for prevention, treatment, and 
                        recovery support services for individuals with 
                        mental and substance use disorders,'';
                    (L) in paragraph (17)--
                            (i) by striking ``substance abuse'' and 
                        inserting ``mental and substance use 
                        disorder''; and
                            (ii) by striking ``and'' at the end;
                    (M) in paragraph (18), by striking the period and 
                inserting a semicolon; and
                    (N) by adding at the end the following:
            ``(19) consult with State, local, and tribal governments, 
        nongovernmental entities, and individuals with mental illness, 
        particularly individuals with a serious mental illness and 
        children and adolescents with a serious emotional disturbance, 
        and their family members, with respect to improving community-
        based and other mental health services;
            ``(20) collaborate with the Secretary of Defense and the 
        Secretary of Veterans Affairs to improve the provision of 
        mental and substance use disorder services provided by the 
        Department of Defense and the Department of Veterans Affairs to 
        veterans, including through the provision of services using the 
        telehealth capabilities of the Department of Veterans Affairs;
            ``(21) collaborate with the heads of Federal departments 
        and programs that are members of the United States Interagency 
        Council on Homelessness, particularly the Secretary of Housing 
        and Urban Development, the Secretary of Labor, and the 
        Secretary of Veterans Affairs, and with the heads of other 
        agencies within the Department of Health and Human Services, 
        particularly the Administrator of the Health Resources and 
        Services Administration, the Assistant Secretary for the 
        Administration for Children and Families, and the Administrator 
        of the Centers for Medicare & Medicaid Services, to design 
        national strategies for providing services in supportive 
        housing to assist in ending chronic homelessness and to 
        implement programs that address chronic homelessness; and
            ``(22) work with States and other stakeholders to develop 
        and support activities to recruit and retain a workforce 
        addressing mental and substance use disorders.''.

SEC. 103. CHIEF MEDICAL OFFICER.

    Section 501 of the Public Health Service Act (42 U.S.C. 290aa), as 
amended by section 102, is further amended--
            (1) by redesignating subsections (g) through (j) and 
        subsections (k) through (o) as subsections (h) through (k) and 
        subsections (m) through (q), respectively;
            (2) in subsection (e)(3)(C), by striking ``subsection (k)'' 
        and inserting ``subsection (m)'';
            (3) in subsection (f)(2)(C)(iii), by striking ``subsection 
        (k)'' and inserting ``subsection (m)''; and
            (4) by inserting after subsection (f) the following:
    ``(g) Chief Medical Officer.--
            ``(1) In general.--The Administrator, with the approval of 
        the Secretary, shall appoint a Chief Medical Officer within the 
        Administration.
            ``(2) Eligible candidates.--The Administrator shall select 
        the Chief Medical Officer from among individuals who--
                    ``(A) have a doctoral degree in medicine or 
                osteopathic medicine;
                    ``(B) have experience in the provision of mental or 
                substance use disorder services;
                    ``(C) have experience working with mental or 
                substance use disorder programs; and
                    ``(D) have an understanding of biological, 
                psychosocial, and pharmaceutical treatments of mental 
                or substance use disorders.
            ``(3) Duties.--The Chief Medical Officer shall--
                    ``(A) serve as a liaison between the Administration 
                and providers of mental and substance use disorder 
                prevention, treatment, and recovery services;
                    ``(B) assist the Administrator in the evaluation, 
                organization, integration, and coordination of programs 
                operated by the Administration;
                    ``(C) promote evidence-based and promising best 
                practices, including culturally and linguistically 
                appropriate practices, as appropriate, for the 
                prevention, treatment, and recovery of substance use 
                disorders and mental illness, including serious mental 
                illness and serious emotional disturbance; and
                    ``(D) participate in regular strategic planning for 
                the Administration.''.

SEC. 104. STRATEGIC PLAN.

    Section 501 of the Public Health Service Act (42 U.S.C. 290aa), as 
amended by section 103, is further amended by inserting after 
subsection (k), as redesignated in section 103, the following:
    ``(l) Strategic Plan.--
            ``(1) In general.--Not later than December 1, 2017, and 
        every 4 years thereafter, the Administrator shall develop and 
        carry out a strategic plan in accordance with this subsection 
        for the planning and operation of programs and grants carried 
        out by the Administration.
            ``(2) Coordination.--In developing and carrying out the 
        strategic plan under this section, the Administrator shall take 
        into consideration the findings and recommendations of the 
        Assistant Secretary for Planning and Evaluation under section 
        101 of the Mental Health Reform Act of 2016 and the report of 
        the Inter-Departmental Serious Mental Illness Coordinating 
        Committee under section 109 of such Act.
            ``(3) Publication of plan.--Not later than December 1, 
        2017, and every 4 years thereafter, the Administrator shall--
                    ``(A) submit the strategic plan developed under 
                paragraph (1) to the appropriate committees of 
                Congress; and
                    ``(B) post such plan on the Internet website of the 
                Administration.
            ``(4) Contents.--The strategic plan developed under 
        paragraph (1) shall--
                    ``(A) identify strategic priorities, goals, and 
                measurable objectives for mental and substance use 
                disorder activities and programs operated and supported 
                by the Administration;
                    ``(B) identify ways to improve services for 
                individuals with a mental or substance use disorder, 
                including services related to the prevention of, 
                diagnosis of, intervention in, treatment of, and 
                recovery from, mental or substance use disorders, 
                including serious mental illness or serious emotional 
                disturbance, and access to services and supports for 
                individuals with a serious mental illness or serious 
                emotional disturbance;
                    ``(C) ensure that programs provide, as appropriate, 
                access to effective and evidence-based diagnosis, 
                prevention, intervention, treatment, and recovery 
                services, including culturally and linguistically 
                appropriate services, as appropriate, for individuals 
                with a mental or substance use disorder;
                    ``(D) identify opportunities to collaborate with 
                the Health Resources and Services Administration to 
                develop or improve--
                            ``(i) initiatives to encourage individuals 
                        to pursue careers (especially in rural and 
                        underserved areas and populations) as 
                        psychiatrists, psychologists, psychiatric nurse 
                        practitioners, physician assistants, clinical 
                        social workers, certified peer support 
                        specialists, or other licensed or certified 
                        mental health professionals, including such 
                        professionals specializing in the diagnosis, 
                        evaluation, or treatment of individuals with a 
                        serious mental illness or serious emotional 
                        disturbance; and
                            ``(ii) a strategy to improve the 
                        recruitment, training, and retention of a 
                        workforce for the treatment of individuals with 
                        mental or substance use disorders, or co-
                        occurring disorders; and
                    ``(E) disseminate evidenced-based and promising 
                best practices related to prevention, early 
                intervention, treatment, and recovery services related 
                to mental illness, particularly for individuals with a 
                serious mental illness and children and adolescents 
                with a serious emotional disturbance, and substance use 
                disorders.''.

SEC. 105. BIENNIAL REPORT CONCERNING ACTIVITIES AND PROGRESS.

    (a) In General.--Section 501 of the Public Health Service Act (42 
U.S.C. 290aa), as amended by section 104, is further amended by 
amending subsection (m), as redesignated by section 103, to read as 
follows:
    ``(m) Biennial Report Concerning Activities and Progress.--Not 
later than December of 2019, and every 2 years thereafter, the 
Administrator shall prepare and submit to the Committee on Energy and 
Commerce and the Committee on Appropriations of the House of 
Representatives and the Committee on Health, Education, Labor, and 
Pensions and the Committee on Appropriations of the Senate, and post on 
the Internet website of the Administration, a report containing at a 
minimum--
            ``(1) a review of activities conducted or supported by the 
        Administration, including progress toward strategic priorities, 
        goals, and objectives identified in the strategic plan 
        developed under subsection (l);
            ``(2) an assessment of programs and activities carried out 
        by the Administrator, including the extent to which programs 
        and activities under this title and part B of title XIX meet 
        identified goals and performance measures developed for the 
        respective programs and activities;
            ``(3) a description of the progress made in addressing gaps 
        in mental and substance use disorder prevention, treatment, and 
        recovery services and improving outcomes by the Administration, 
        including with respect to co-occurring disorders;
            ``(4) a description of the manner in which the 
        Administration coordinates and partners with other Federal 
        agencies and departments related to mental and substance use 
        disorders, including activities related to--
                    ``(A) the translation of research findings into 
                improved programs, including with respect to how 
                advances in serious mental illness and serious 
                emotional disturbance research have been incorporated 
                into programs;
                    ``(B) the recruitment, training, and retention of a 
                mental and substance use disorder workforce;
                    ``(C) the integration of mental or substance use 
                disorder services and physical health services;
                    ``(D) homelessness; and
                    ``(E) veterans;
            ``(5) a description of the manner in which the 
        Administration promotes coordination by grantees under this 
        title, and part B of title XIX, with State or local agencies; 
        and
            ``(6) a description of the activities carried out by the 
        Office of Policy, Planning, and Innovation under section 501A 
        with respect to mental and substance use disorders, including--
                    ``(A) the number and a description of grants 
                awarded;
                    ``(B) the total amount of funding for grants 
                awarded;
                    ``(C) a description of the activities supported 
                through such grants, including outcomes of programs 
                supported; and
                    ``(D) information on how the Office of Policy, 
                Planning, and Innovation is consulting with the 
                Assistant Secretary for Planning and Evaluation, and 
                collaborating with the Center of Substance Abuse 
                Treatment, the Center of Substance Abuse Prevention, 
                and the Center for Mental Health Services to carry out 
                such activities; and
            ``(7) recommendations made by the Assistant Secretary for 
        Planning and Evaluation to improve programs within the 
        Administration.''.
    (b) Conforming Amendment.--Section 508(p) of the Public Health 
Service Act (42 U.S.C. 290bb-1) is amended by striking ``section 
501(k)'' and inserting ``section 501(m)''.

SEC. 106. AUTHORITIES OF CENTERS FOR MENTAL HEALTH SERVICES.

    Section 520(b) of the Public Health Service Act (42 U.S.C. 290bb-
31(b)) is amended--
            (1) by redesignating paragraphs (3) through (15) as 
        paragraphs (4) through (16), respectively;
            (2) by inserting after paragraph (2) the following:
            ``(3) collaborate with the Director of the National 
        Institute of Mental Health and the Chief Medical Officer, 
        appointed under section 501(g), to ensure that, as appropriate, 
        programs related to the prevention of mental illness and the 
        promotion of mental health are carried out in a manner that 
        reflects the best available science and evidence-based 
        practices, including culturally and linguistically appropriate 
        services, as appropriate;'';
            (3) in paragraph (5), as so redesignated, by inserting 
        ``through programs that reduce risk and promote resiliency'' 
        before the semicolon;
            (4) in paragraph (6), as so redesignated, by inserting ``in 
        collaboration with the Director of the National Institute of 
        Mental Health,'' before ``develop'';
            (5) in paragraph (8), as so redesignated, by inserting ``, 
        increase meaningful participation of individuals with mental 
        illness,'' before ``and protect the legal'';
            (6) in paragraph (10), as so redesignated, by striking 
        ``professional and paraprofessional personnel pursuant to 
        section 303'' and inserting ``paraprofessional personnel and 
        health professionals'';
            (7) in paragraph (11), as so redesignated, by inserting 
        ``and tele-mental health,'' after ``rural mental health,'';
            (8) in paragraph (12), as so redesignated, by striking 
        ``establish a clearinghouse for mental health information to 
        assure the widespread dissemination of such information'' and 
        inserting ``disseminate mental health information, including 
        evidenced-based practices,'';
            (9) in paragraph (15), as so redesignated, by striking 
        ``and'' at the end;
            (10) in paragraph (16), as so redesignated, by striking the 
        period and inserting ``; and''; and
            (11) by adding at the end the following:
            ``(17) ensure the consistent documentation of the 
        application of criteria when awarding grants and the ongoing 
        oversight of grantees after such grants are awarded.''.

SEC. 107. ADVISORY COUNCILS.

    Section 502 of the Public Health Service Act (42 U.S.C. 290aa-1) is 
amended--
            (1) in subsection (a)(1), in the matter following 
        subparagraph (D), by adding at the end the following: ``Each 
        such advisory council may also recommend subjects for 
        evaluation under section 101 of the Mental Health Reform Act of 
        2016 to the Assistant Secretary for Planning and Evaluation''; 
        and
            (2) in subsection (b)--
                    (A) in paragraph (2)--
                            (i) in subparagraph (E), by striking 
                        ``and'' after the semicolon;
                            (ii) by redesignating subparagraph (F) as 
                        subparagraph (J); and
                            (iii) by inserting after subparagraph (E), 
                        the following:
                    ``(F) the Chief Medical Officer, appointed under 
                section 501(g);
                    ``(G) the Director of the National Institute of 
                Mental Health for the advisory councils appointed under 
                subsections (a)(1)(A) and (a)(1)(D);
                    ``(H) the Director of the National Institute on 
                Drug Abuse for the advisory councils appointed under 
                subsections (a)(1)(A), (a)(1)(B), and (a)(1)(C);
                    ``(I) the Director of the National Institute on 
                Alcohol Abuse and Alcoholism for the advisory councils 
                appointed under subsections (a)(1)(A), (a)(1)(B), and 
                (a)(1)(C); and''; and
                    (B) in paragraph (3), by adding at the end the 
                following:
                    ``(C) Not less than half of the members of the 
                advisory council appointed under subsection (a)(1)(D)--
                            ``(i) shall have--
                                    ``(I) a medical degree;
                                    ``(II) a doctoral degree in 
                                psychology; or
                                    ``(III) an advanced degree in 
                                nursing or social work from an 
                                accredited graduate school or be a 
                                certified physician assistant; and
                            ``(ii) shall specialize in the mental 
                        health field.''.

SEC. 108. PEER REVIEW.

    Section 504(b) of the Public Health Service Act (42 U.S.C. 290aa-
3(b)) is amended by adding at the end the following: ``In the case of 
any such peer review group that is reviewing a grant, cooperative 
agreement, or contract related to mental illness, not less than half of 
the members of such peer review group shall be licensed and experienced 
professionals in the prevention, diagnosis, treatment, and recovery of 
mental illness or substance use disorders and have a medical degree, a 
doctoral degree in psychology, or an advanced degree in nursing or 
social work from an accredited program.''.

SEC. 109. INTER-DEPARTMENTAL SERIOUS MENTAL ILLNESS COORDINATING 
              COMMITTEE.

    (a) Establishment.--
            (1) In general.--Not later than 3 months after the date of 
        enactment of this Act, the Secretary of Health and Human 
        Services, or the designee of the Secretary, shall establish a 
        committee to be known as the ``Inter-Departmental Serious 
        Mental Illness Coordinating Committee'' (in this section 
        referred to as the ``Committee'').
            (2) Federal advisory committee act.--Except as provided in 
        this section, the provisions of the Federal Advisory Committee 
        Act (5 U.S.C. App.) shall apply to the Committee.
    (b) Meetings.--The Committee shall meet not fewer than 2 times each 
year.
    (c) Responsibilities.--Not later than 1 year after the date of 
enactment of this Act, and 5 years after such date of enactment, the 
Committee shall submit to Congress a report including--
            (1) a summary of advances in serious mental illness 
        research related to the prevention of, diagnosis of, 
        intervention in, and treatment and recovery of, serious mental 
        illnesses, and advances in access to services and support for 
        individuals with a serious mental illness;
            (2) an evaluation of the impact on public health of Federal 
        programs related to serious mental illness, including 
        measurements of public health outcomes including--
                    (A) rates of suicide, suicide attempts, prevalence 
                of serious mental illness and substance use disorders, 
                overdose, overdose deaths, emergency hospitalizations, 
                emergency room boarding, preventable emergency room 
                visits, incarceration, crime, arrest, homelessness, and 
                unemployment;
                    (B) increased rates of employment and enrollment in 
                educational and vocational programs;
                    (C) quality of mental and substance use disorder 
                treatment services; or
                    (D) any other criteria as may be determined by the 
                Secretary; and
            (3) specific recommendations for actions that agencies can 
        take to better coordinate the administration of mental health 
        services for people with serious mental illness.
    (d) Committee Extension.--Upon the submission of the second report 
under subsection (c), the Secretary shall submit a recommendation to 
Congress on whether to extend the operation of the Committee.
    (e) Membership.--
            (1) Federal members.--The Committee shall be composed of 
        the following Federal representatives, or their designee--
                    (A) the Secretary of Health and Human Services, who 
                shall serve as the Chair of the Committee;
                    (B) the Administrator of the Substance Abuse and 
                Mental Health Services Administration;
                    (C) the Attorney General of the United States;
                    (D) the Secretary of Veterans Affairs;
                    (E) the Secretary of Defense;
                    (F) the Secretary of Housing and Urban Development;
                    (G) the Secretary of Education;
                    (H) the Secretary of Labor; and
                    (I) the Commissioner of Social Security.
            (2) Non-federal members.--The Committee shall also include 
        not less than 14 non-Federal public members appointed by the 
        Secretary of Health and Human Services, of which--
                    (A) at least 1 member shall be an individual who 
                has received treatment for a diagnosis of a serious 
                mental illness;
                    (B) at least 1 member shall be a parent or legal 
                guardian of an individual with a history of serious 
                mental illness;
                    (C) at least 1 member shall be a representative of 
                a leading research, advocacy, or service organization 
                for individuals with serious mental illnesses;
                    (D) at least 2 members shall be--
                            (i) a licensed psychiatrist with experience 
                        treating serious mental illness;
                            (ii) a licensed psychologist with 
                        experience treating serious mental illness;
                            (iii) a licensed clinical social worker; or
                            (iv) a licensed psychiatric nurse, nurse 
                        practitioner, or physician assistant with 
                        experience treating serious mental illness;
                    (E) at least 1 member shall be a licensed mental 
                health professional with a specialty in treating 
                children and adolescents;
                    (F) at least 1 member shall be a mental health 
                professional who has research or clinical mental health 
                experience working with minorities;
                    (G) at least 1 member shall be a mental health 
                professional who has research or clinical mental health 
                experience working with medically underserved 
                populations;
                    (H) at least 1 member shall be a State certified 
                mental health peer specialist;
                    (I) at least 1 member shall be a judge with 
                experience adjudicating cases related to criminal 
                justice or serious mental illness; and
                    (J) at least 1 member shall be a law enforcement 
                officer or corrections officer with extensive 
                experience in interfacing with individuals with serious 
                mental illness or in mental health crisis.
            (3) Terms.--A member of the Committee appointed under 
        subsection (e)(2) shall serve for a term of 3 years, and may be 
        reappointed for one or more additional 3-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 
        been appointed.
    (f) Working Groups.--In carrying out its functions, the Committee 
may establish working groups. Such working groups shall be composed of 
Committee members, or their designees, and may hold such meetings as 
are necessary.
    (g) Sunset.--The Committee shall terminate on the date that is 6 
years after the date on which the Committee is established under 
subsection (a)(1).

   TITLE II--ENSURING MENTAL AND SUBSTANCE USE DISORDER PREVENTION, 
        TREATMENT, AND RECOVERY PROGRAMS KEEP PACE WITH SCIENCE

SEC. 201. ENCOURAGING INNOVATION AND EVIDENCE-BASED PROGRAMS.

    Title V of the Public Health Service Act (42 U.S.C. 290aa et seq.), 
as amended by title I, is further amended by inserting after section 
501 (42 U.S.C. 290aa) the following:

``SEC. 501A. OFFICE OF POLICY, PLANNING, AND INNOVATION.

    ``(a) In General.--There shall be established within the 
Administration an Office of Policy, Planning, and Innovation (referred 
to in this section as the `Office').
    ``(b) Responsibilities.--The Office shall--
            ``(1) continue to carry out the authorities that were in 
        effect for the Office of Policy, Planning, and Innovation as 
        such Office existed prior to the date of enactment of the 
        Mental Health Reform Act of 2016;
            ``(2) identify, coordinate, and facilitate the 
        implementation of policy changes likely to have a significant 
        impact on mental and substance use disorder services;
            ``(3) collect, as appropriate, information from grantees 
        under programs operated by the Administration in order to 
        evaluate and disseminate information on evidence-based 
        practices and service delivery models;
            ``(4) provide leadership in identifying and coordinating 
        policies and programs related to mental health and substance 
        use disorders;
            ``(5) in consultation with the Assistant Secretary for 
        Planning and Evaluation, as appropriate, periodically review 
        programs and activities relating to the diagnosis or prevention 
        of, or treatment or rehabilitation for, mental illness and 
        substance use disorders, including by--
                    ``(A) identifying any such programs or activities 
                that are duplicative;
                    ``(B) identifying any such programs or activities 
                that are not evidence-based, effective, or efficient;
                    ``(C) identifying any such programs or activities 
                that have proven to be effective or efficient in 
                improving outcomes or increasing access to evidence-
                based programs; and
                    ``(D) formulating recommendations for coordinating, 
                eliminating, or improving programs or activities 
                identified under subparagraph (A), (B), or (C), and 
                merging such programs or activities into other 
                successful programs or activities; and
            ``(6) carry out other activities as deemed necessary to 
        continue to encourage innovation and disseminate evidence-based 
        programs and practices.
    ``(c) Promoting Innovation.--
            ``(1) In general.--The Administrator, in coordination with 
        the Office, may award grants to States, local governments, 
        Indian tribes or tribal organizations (as such terms are 
        defined in section 4 of the Indian Self-Determination and 
        Education Assistance Act (25 U.S.C. 450b)), educational 
        institutions, and nonprofit organizations to develop evidence-
        based interventions, including culturally and linguistically 
        appropriate services, as appropriate, for--
                    ``(A) evaluating a model that has been 
                scientifically demonstrated to show promise, but would 
                benefit from further applied development, for--
                            ``(i) enhancing the prevention, diagnosis, 
                        intervention, treatment, and recovery of mental 
                        illness, serious emotional disturbance, 
                        substance use disorders, and co-occurring 
                        disorders; or
                            ``(ii) integrating or coordinating physical 
                        health services and mental and substance use 
                        disorder services; and
                    ``(B) expanding, replicating, or scaling 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--
                            ``(i) applying delivery of care, including 
                        training staff in effective evidence-based 
                        treatment; or
                            ``(ii) integrating models of care across 
                        specialties and jurisdictions.
            ``(2) Consultation.--In awarding grants under this 
        paragraph, the Administrator shall, as appropriate, consult 
        with the Chief Medical Officer, the advisory councils described 
        in section 502, the National Institute of Mental Health, the 
        National Institute on Drug Abuse, and the National Institute on 
        Alcohol Abuse and Alcoholism.
    ``(d) Authorization of Appropriations.--To carry out the activities 
under subsection (c), there are authorized to be appropriated such sums 
as may be necessary for each of fiscal years 2017 through 2021.''.

SEC. 202. PROMOTING ACCESS TO INFORMATION ON EVIDENCE-BASED PROGRAMS 
              AND PRACTICES.

    (a) In General.--The Administrator of the Substance Abuse and 
Mental Health Services Administration (referred to in this section as 
the ``Administrator'') may improve access to reliable and valid 
information on evidence-based programs and practices, including 
information on the strength of evidence associated with such programs 
and practices, related to mental and substance use disorders for 
States, local communities, nonprofit entities, and other stakeholders 
by posting on the website of the Administration information on 
evidence-based programs and practices that have been reviewed by the 
Administrator pursuant to the requirements of this section.
    (b) Notice.--In carrying out subsection (a), the Administrator may 
establish a period for the submission of applications for evidence-
based programs and practices to be posted publicly in accordance with 
subsection (a). In establishing such application period, the 
Administrator shall provide for the public notice of such application 
period in the Federal Register. Such notice may solicit applications 
for evidence-based practices and programs to address gaps identified by 
the Assistant Secretary for Planning and Evaluation of the Department 
of Health and Human Services in the evaluation and recommendations 
under section 101 or priorities identified in the strategic plan 
established under section 501(l) of the Public Health Service Act (42 
U.S.C. 290aa).
    (c) Requirements.--The Administrator may establish minimum 
requirements for applications referred to under this section, including 
applications related to the submission of research and evaluation.
    (d) Review and Rating.--The Administrator shall review applications 
prior to public posting, and may prioritize the review of applications 
for evidenced-based practices and programs that are related to topics 
included in the notice established under subsection (b). The 
Administrator may utilize a rating and review system, which may include 
information on the strength of evidence associated with such programs 
and practices and a rating of the methodological rigor of the research 
supporting the application.

SEC. 203. PRIORITY MENTAL HEALTH NEEDS OF REGIONAL AND NATIONAL 
              SIGNIFICANCE.

    Section 520A of the Public Health Service Act (42 U.S.C. 290bb-32) 
is amended--
            (1) in subsection (a)--
                    (A) in paragraph (4), by inserting before the 
                period ``, that may include technical assistance 
                centers''; and
                    (B) in the flush sentence following paragraph (4)--
                            (i) by inserting ``, contracts,'' before 
                        ``or cooperative agreements''; and
                            (ii) by striking ``Indian tribes and tribal 
                        organizations'' and inserting ``territories, 
                        Indian tribes or tribal organizations (as such 
                        terms are defined in section 4 of the Indian 
                        Self-Determination and Education Assistance 
                        Act), health facilities, or programs operated 
                        by or pursuant to a contract or grant with the 
                        Indian Health Service, or''; and
            (2) in subsection (f)--
                    (A) in paragraph (1) by striking the paragraph 
                heading;
                    (B) by striking ``$300,000,000'' and all that 
                follows through ``2003'' and inserting ``such sums as 
                may be necessary for each of fiscal years 2017 through 
                2021''; and
                    (C) by striking paragraph (2).

 TITLE III--SUPPORTING STATE RESPONSES TO MENTAL HEALTH AND SUBSTANCE 
                           USE DISORDER NEEDS

SEC. 301. COMMUNITY MENTAL HEALTH SERVICES BLOCK GRANT.

    (a) Formula Grants.--Section 1911(b) of the Public Health Service 
Act (42 U.S.C. 300x(b)) is amended--
            (1) by redesignating paragraphs (1) through (3) as 
        paragraphs (2) through (4), respectively; and
            (2) by inserting before paragraph (2) (as so redesignated), 
        the following:
            ``(1) providing community mental health services for adults 
        with serious mental illness and children with serious emotional 
        disturbances as defined in accordance with section 1912(c);''.
    (b) State Plan.--Section 1912(b) of the Public Health Service Act 
(42 U.S.C. 300x-1(b)) is amended--
            (1) in paragraph (3), by redesignating subparagraphs (A) 
        through (C) as clauses (i) through (iii), respectively, and 
        realigning the margins accordingly;
            (2) by redesignating paragraphs (1) through (5) as 
        subparagraphs (A) through (E), respectively, and realigning the 
        margins accordingly;
            (3) by striking the matter preceding subparagraph (A) (as 
        so redesignated), and inserting the following:
    ``(b) Criteria for Plan.--In accordance with subsection (a), a 
State shall submit to the Secretary a plan that, at a minimum, includes 
the following:
            ``(1) System of care.--A description of the State's system 
        of care that contains the following:'';
            (4) by striking subparagraph (A) (as so redesignated), and 
        inserting the following:
                    ``(A) Comprehensive community-based health 
                systems.--The plan shall--
                            ``(i) identify the single State agency to 
                        be responsible for the administration of the 
                        program under the grant, including any third 
                        party who administers mental health services 
                        and is responsible for complying with the 
                        requirements of this part with respect to the 
                        grant;
                            ``(ii) provide for an organized community-
                        based system of care for individuals with 
                        mental illness and describe available services 
                        and resources in a comprehensive system of 
                        care, including services for individuals with 
                        co-occurring disorders;
                            ``(iii) include a description of the manner 
                        in which the State and local entities will 
                        coordinate services to maximize the efficiency, 
                        effectiveness, quality, and cost effectiveness 
                        of services and programs to produce the best 
                        possible outcomes (including health services, 
                        rehabilitation services, employment services, 
                        housing services, educational services, 
                        substance use disorder services, legal 
                        services, law enforcement services, social 
                        services, child welfare services, medical and 
                        dental care services, and other support 
                        services to be provided with Federal, State, 
                        and local public and private resources) with 
                        other agencies to enable individuals receiving 
                        services to function outside of inpatient or 
                        residential institutions, to the maximum extent 
                        of their capabilities, including services to be 
                        provided by local school systems under the 
                        Individuals with Disabilities Education Act;
                            ``(iv) include a description of how the 
                        State promotes evidence-based practices, 
                        including those evidence-based programs that 
                        address the needs of individuals with early 
                        serious mental illness regardless of the age of 
                        the individual at onset;
                            ``(v) include a description of case 
                        management services;
                            ``(vi) include a description of activities 
                        leading to reduction of hospitalization, 
                        arrest, incarceration, or suicide, including 
                        through promoting comprehensive, individualized 
                        treatment;
                            ``(vii) include a description of activities 
                        that seek to engage individuals with serious 
                        mental illness in making health care decisions, 
                        including activities that enhance communication 
                        between individuals, families, and treatment 
                        providers;
                            ``(viii) include a description of how the 
                        State integrates mental health and primary 
                        health care, which may include providing, in 
                        the case of individuals with co-occurring 
                        mental and substance use disorders, both mental 
                        and substance use disorder services in primary 
                        care settings or arrangements to provide 
                        primary and specialty care services in 
                        community-based mental and substance use 
                        disorder service settings; and
                            ``(ix) include a description of how the 
                        State ensures a smooth transition for children 
                        with serious emotion disturbances from the 
                        children's service system to the adult service 
                        system.'';
            (5) in subparagraph (B) (as so redesignated), by striking 
        ``to be achieved in the implementation of the system described 
        in paragraph (1)'' and inserting ``and outcome measures for 
        programs and services provided under this subpart'';
            (6) in subparagraph (C) (as so redesignated)--
                    (A) by striking ``disturbance'' in the matter 
                preceding clause (i) (as so redesignated) and all that 
                follows through ``substance abuse services'' in clause 
                (i) (as so redesignated) and inserting the following: 
                ``disturbance (as defined pursuant to subsection (c)), 
                the plan shall provide for a system of integrated 
                social services, educational services, child welfare 
                services, juvenile justice services, law enforcement 
                services, and substance use disorder services'';
                    (B) by striking ``Education Act;'' and inserting 
                ``Education Act.''; and
                    (C) by striking clauses (ii) and (iii) (as so 
                redesignated);
            (7) in subparagraph (D) (as so redesignated), by striking 
        ``plan described'' and inserting ``plan shall describe'';
            (8) in subparagraph (E) (as so redesignated)--
                    (A) in the subparagraph heading by striking 
                ``systems'' and inserting ``services'';
                    (B) by striking ``plan describes'' and all that 
                follows through ``and provides for'' and inserting 
                ``plan shall describe the financial resources 
                available, the existing mental health workforce, and 
                workforce trained in treating individuals with co-
                occurring mental and substance use disorders, and 
                provides for''; and
                    (C) by inserting before the period the following: 
                ``, and the manner in which the State intends to comply 
                with each of the funding agreements in this subpart and 
                subpart III'';
            (9) by striking the flush matter at the end; and
            (10) by adding at the end the following:
            ``(2) Goals and objectives.--The establishment of goals and 
        objectives for the period of the plan, including targets and 
        milestones that are intended to be met, and the activities that 
        will be undertaken to achieve those targets.''.
    (c) 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.--
            ``(1) In general.--Except as provided in paragraph (2), a 
        State shall expend not less than 5 percent of the amount the 
        State receives for carrying out this section in each fiscal 
        year to support evidence-based programs that address the needs 
        of individuals with early serious mental illness, including 
        psychotic disorders, regardless of the age of the individual at 
        onset.
            ``(2) State flexibility.--In lieu of expending 5 percent of 
        the amount the State receives under this section in a fiscal 
        year as required under paragraph (1), a State may elect to 
        expend not less than 10 percent of such amount in the 
        succeeding fiscal year.''.
    (d) Additional Provisions.--Section 1915(b) of the Public Health 
Service Act (42 U.S.C. 300x-4(b)) is amended--
            (1) by redesignating paragraph (1) as subparagraph (A), and 
        realigning the margin accordingly;
            (2) by inserting after the subsection heading the 
        following:
            ``(1) Requirement.--'';
            (3) by inserting after subparagraph (A) (as so 
        redesignated), the following:
                    ``(B) Condition.--A State shall be deemed to be in 
                compliance with subparagraph (A) for a fiscal year if 
                State expenditures of the type described in such 
                subparagraph for such fiscal year are at least 97 
                percent of the average of such State expenditures for 
                the preceding 2-fiscal-year period.'';
            (4) by redesignating paragraphs (2) through (4) as 
        paragraphs (3) through (5), respectively;
            (5) by inserting after paragraph (1), the following:
            ``(2) Future fiscal years.--Determinations of whether a 
        State has complied with paragraph (1) for each fiscal year 
        shall be based on the State funding level for the preceding 2-
        fiscal-year period, as required under paragraph (1)(A), without 
        regard to reductions in the actual amount of State expenditures 
        as permitted under paragraph (1)(B) or under a waiver under 
        paragraph (4).'';
            (6) in paragraph (3) (as so redesignated), by striking 
        ``subsection (a)'' and inserting ``paragraph (1)'';
            (7) in paragraph (4) (as so redesignated)--
                    (A) by striking ``The Secretary'' and inserting the 
                following:
                    ``(A) In general.--The Secretary'';
                    (B) by striking ``paragraph (1) if the Secretary'' 
                and inserting the following: ``paragraph (1) in whole 
                or in part, if--
                            ``(i) the Secretary'';
                    (C) by striking ``State justify the waiver.'' and 
                inserting ``State in the fiscal year involved or in the 
                previous fiscal year justify the waiver; or''; and
                    (D) by adding at the end the following:
                            ``(ii) the State, or any part of the State, 
                        has experienced a natural disaster that has 
                        received a Presidential Disaster Declaration 
                        under section 102 of the Robert T. Stafford 
                        Disaster Relief Emergency Assistance Act.
                    ``(B) Date certain for action upon request.--The 
                Secretary shall approve or deny a request for a waiver 
                under subparagraph (A) not later than 120 days after 
                the date on which the request is made.
                    ``(C) Applicability of waiver.--A waiver provided 
                by the Secretary under subparagraph (A) shall be 
                applicable only to the fiscal year involved.''; and
            (8) in paragraph (5) (as so redesignated)--
                    (A) in subparagraph (A)--
                            (i) by inserting after the subparagraph 
                        designation the following: ``In general''; and
                            (ii) by striking ``maintained material 
                        compliance'' and insert ``complied''; and
                    (B) in subparagraph (B), by inserting after the 
                subparagraph designation the following: ``Submission of 
                information to the secretary''.
    (e) Application for Grant.--Section 1917(a) of the Public Health 
Service Act (42 U.S.C. 300x-6(a)) is amended--
            (1) in paragraph (1), by striking ``1941'' and inserting 
        ``1942(a)''; and
            (2) in paragraph (5), by striking ``1915(b)(3)(B)'' and 
        inserting ``1915(b)''.
    (f) Funding.--Section 1920(a) of the Public Health Service Act (42 
U.S.C. 300x-9(a)) is amended by striking ``$450,000,000'' and all that 
follows and inserting ``such sums as may be necessary for each of 
fiscal years 2017 through 2021.''.

SEC. 302. ADDITIONAL PROVISIONS RELATED TO THE BLOCK GRANTS.

    Subpart III of part B of title XIX of the Public Health Service Act 
(42 U.S.C. 300x-51 et seq.) is amended--
            (1) in section 1953(b) (42 U.S.C. 300x-63(b)), by striking 
        ``substance abuse'' and inserting ``substance use disorder''; 
        and
            (2) by adding at the end the following:

``SEC. 1957. PUBLIC HEALTH EMERGENCIES.

    ``In the case of a public health emergency (as defined in section 
319), the Administrator, on a State-by-State basis, may grant an 
extension or waive application deadlines and compliance with any other 
requirements of sections 521, 1911, and 1921, and Public Law 99-319 (42 
U.S.C. 10801 et seq.) as the circumstances of such emergency reasonably 
require and for the period of such public health emergency.

``SEC. 1958. JOINT APPLICATIONS.

    ``The Secretary, acting through the Administrator, shall permit a 
joint application to be submitted for grants under subpart I and 
subpart II upon the request of a State. Such application may be jointly 
reviewed and approved by the Secretary with respect to such subparts, 
consistent with the purposes and authorized activities of each such 
grant program. A State submitting such a joint application shall 
otherwise meet the requirements with respect to each such subpart.''.

SEC. 303. STUDY OF DISTRIBUTION OF FUNDS UNDER THE SUBSTANCE ABUSE 
              PREVENTION AND TREATMENT BLOCK GRANT AND THE COMMUNITY 
              MENTAL HEALTH SERVICES BLOCK GRANT.

    (a) In General.--The Secretary of Health and Human Services, acting 
through the Administrator of the Substance Abuse and Mental Health 
Services Administration, shall, directly or through a grant or 
contract, conduct a study to examine whether the funds under the 
substance abuse prevention and treatment block grant and the community 
mental health services block grant under title XIX of the Public Health 
Service Act (42 U.S.C. 300w et seq.) are being distributed to States 
and territories according to need, and to recommend changes in such 
distribution if necessary. Such study shall include--
            (1) an analysis of whether the distributions under such 
        block grants accurately reflect the need for the services under 
        the grants in such States and territories;
            (2) an examination of whether the indices used under the 
        formulas for distribution of funds under such block grants are 
        appropriate, and if not, alternatives recommended by the 
        Secretary;
            (3) where recommendations are included under paragraph (2) 
        for the use of different indices, a description of the 
        variables and data sources that should be used to determine the 
        indices;
            (4) an evaluation of the variables and data sources that 
        are being used for each of the indices involved, and whether 
        such variables and data sources accurately represent the need 
        for services, the cost of providing services, and the ability 
        of the States to pay for such services;
            (5) the impact that the minimum allotment provisions under 
        each such block grant have on each State's final allotment and 
        its effect, if any, on each State's formula-based allotment;
            (6) recommendations for modifications to the minimum 
        allotment provisions to ensure an appropriate distribution of 
        funds; and
            (7) any other information that the Secretary determines 
        appropriate.
    (b) Report.--Not later than 24 months after the date of enactment 
of this Act, the Secretary of Health and Human Services shall submit to 
the Committee on Health, Education, Labor, and Pensions of the Senate 
and the Committee on Energy and Commerce of the House of 
Representatives, a report containing the findings and recommendations 
of the study conducted under subsection (a).

TITLE IV--PROMOTING ACCESS TO MENTAL HEALTH AND SUBSTANCE USE DISORDER 
                                  CARE

SEC. 401. GRANTS FOR TREATMENT AND RECOVERY FOR HOMELESS INDIVIDUALS.

    Section 506 of the Public Health Service Act (42 U.S.C. 290aa-5) is 
amended--
            (1) in subsections (a), by striking ``substance abuse'' and 
        inserting ``substance use disorder'';
            (2) in subsection (b)--
                    (A) in paragraphs (1) and (3), by striking 
                ``substance abuse'' each place the term appears and 
                inserting ``substance use disorder''; and
                    (B) in paragraph (4), by striking ``substance 
                abuse'' and inserting ``a substance use disorder'';
            (3) in subsection (c)--
                    (A) in paragraph (1), by striking ``substance abuse 
                disorder'' and inserting ``substance use disorder''; 
                and
                    (B) in paragraph (2)--
                            (i) in subparagraph (A), by striking 
                        ``substance abuse'' and inserting ``a substance 
                        use disorder''; and
                            (ii) in subparagraph (B), by striking 
                        ``substance abuse'' and inserting ``substance 
                        use disorder''; and
            (4) in subsection (e), by striking ``, $50,000,000 for 
        fiscal year 2001, and such sums as may be necessary for each of 
        the fiscal years 2002 and 2003'' and inserting ``such sums as 
        may be necessary for each of fiscal years 2017 through 2021''.

SEC. 402. GRANTS FOR JAIL DIVERSION PROGRAMS.

    Section 520G of the Public Health Service Act (42 U.S.C. 290bb-38) 
is amended--
            (1) by striking ``substance abuse'' each place such term 
        appears and inserting ``substance use disorder'';
            (2) in subsection (a)--
                    (A) by striking ``Indian tribes, and tribal 
                organizations'' and inserting ``and Indian tribes and 
                tribal organizations (as such terms are defined in 
                section 4 of the Indian Self-Determination and 
                Education Assistance Act (25 U.S.C. 450b))''; and
                    (B) by inserting ``or a health facility or program 
                operated by or pursuant to a contract or grant with the 
                Indian Health Service,'' after ``entities,'';
            (3) in subsection (c)(2)(A)(i), by striking ``the best 
        known'' and inserting ``evidence-based''; and
            (4) in subsection (i), by striking ``$10,000,000 for fiscal 
        year 2001, and such sums as may be necessary for fiscal years 
        2002 through 2003'' and inserting ``such sums as may be 
        necessary for each of fiscal years 2017 through 2021''.

SEC. 403. PROMOTING INTEGRATION OF PRIMARY AND BEHAVIORAL HEALTH CARE.

    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) Definitions.--In this section:
            ``(1) Eligible entity.--The term `eligible entity' means a 
        State, or other appropriate State agency, in collaboration with 
        one or more qualified community programs as described in 
        section 1913(b)(1).
            ``(2) Integrated care.--The term `integrated care' means 
        collaboration in merged or transformed practices offering 
        mental and physical health services within the same shared 
        practice space in the same facility.
            ``(3) Special population.--The term `special population' 
        means--
                    ``(A) adults with mental illnesses who have co-
                occurring primary care conditions or chronic diseases;
                    ``(B) adults with serious mental illnesses who have 
                co-occurring primary care conditions or chronic 
                diseases;
                    ``(C) children and adolescents with serious 
                emotional disturbance with co-occurring primary care 
                conditions or chronic diseases; or
                    ``(D) individuals with substance use disorders.
    ``(b) Grants.--
            ``(1) In general.--The Secretary may award grants and 
        cooperative agreements to eligible entities to support the 
        improvement of integrated care for primary care and behavioral 
        health care in accordance with paragraph (2).
            ``(2) Purposes.--Grants and cooperative agreements awarded 
        under this section shall be designed to--
                    ``(A) promote full collaboration in clinical 
                practices between primary and behavioral health care;
                    ``(B) support the improvement of integrated care 
                models for primary care and behavioral health care to 
                improve the overall wellness and physical health status 
                of individuals with serious mental illness or serious 
                emotional disturbance; and
                    ``(C) promote integrated care services related to 
                screening, diagnosis, and treatment of mental illness 
                and co-occurring primary care conditions and chronic 
                diseases.
    ``(c) Applications.--
            ``(1) In general.--An eligible entity desiring a grant or 
        cooperative agreement under this section shall submit an 
        application to the Secretary at such time, in such manner, and 
        accompanied by such information as the Secretary may require, 
        including the contents described in paragraph (2).
            ``(2) Contents.--The contents described in this paragraph 
        are--
                    ``(A) a description of a plan to achieve fully 
                collaborative agreements to provide services to special 
                populations;
                    ``(B) a document that summarizes the policies, if 
                any, that serve as barriers to the provision of 
                integrated care, and the specific steps, if applicable, 
                that will be taken to address such barriers;
                    ``(C) a description of partnerships or other 
                arrangements with local health care providers to 
                provide services to special populations;
                    ``(D) an agreement and plan to report performance 
                measures necessary to evaluate patient outcomes and to 
                facilitate evaluations across participating projects to 
                the Secretary; and
                    ``(E) a plan for sustainability beyond the grant or 
                cooperative agreement period under subsection (e).
    ``(d) Grant Amounts.--The maximum amount that an eligible entity 
may receive for a year through a grant or cooperative agreement under 
this section shall be $2,000,000. In the case of a recipient of funding 
under this section that is a State, not more than 10 percent of funds 
awarded under this section may be allocated to State administrative 
functions, and the remaining amounts shall be allocated to health 
facilities that provide integrated care.
    ``(e) Duration.--A grant or cooperative agreement under this 
section shall be for a period not to exceed 5 years.
    ``(f) Report on Program Outcomes.--An eligible entity receiving a 
grant or cooperative agreement under this section shall submit an 
annual report to the Secretary that includes--
            ``(1) the progress to reduce barriers to integrated care as 
        described in the entity's application under subsection (c); and
            ``(2) a description of functional outcomes of special 
        populations, including--
                    ``(A) with respect to individuals with serious 
                mental illness, participation in supportive housing or 
                independent living programs, attendance in social and 
                rehabilitative programs, participation in job training 
                opportunities, satisfactory performance in work 
                settings, attendance at scheduled medical and mental 
                health appointments, and compliance with prescribed 
                medication regimes;
                    ``(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 prescribed 
                medication regimes, and participation in learning 
                opportunities related to improved health and lifestyle 
                practices; 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 prescribed medication 
                regimes, and participation in learning opportunities at 
                school and extracurricular activities.
    ``(g) Technical Assistance for Primary-Behavioral Health Care 
Integration.--
            ``(1) In general.--The Secretary may 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 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 Secretary under 
        paragraph (1) shall, as appropriate, be made available to 
        States, political subdivisions of States, 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 
        (42 U.S.C. 1396a note), primary care organizations such as 
        Federally qualified health centers or rural health clinics as 
        defined in section 1861(aa) of the Social Security Act (42 
        U.S.C. 1395x(aa)), other community-based organizations, or 
        other entities engaging in integrated care activities, as the 
        Secretary determines appropriate.
    ``(h) Authorization of Appropriations.--To carry out this section, 
there are authorized to be appropriated such sums as may be necessary 
for each of fiscal years 2017 through 2021.''.

SEC. 404. PROJECTS FOR ASSISTANCE IN TRANSITION FROM HOMELESSNESS.

    (a) Formula Grants to States.--Section 521 of the Public Health 
Service Act (42 U.S.C. 290cc-21) is amended by striking ``each of the 
fiscal years 1991 through 1994'' and inserting ``fiscal year 2017 and 
each subsequent fiscal year''.
    (b) Purpose of Grants.--Section 522 of the Public Health Service 
Act (42 U.S.C. 290cc-22) is amended--
            (1) in subsection (a)(1)(B), by striking ``substance 
        abuse'' and inserting ``a substance use disorder'';
            (2) in subsection (b)(6), by striking ``substance abuse'' 
        and inserting ``substance use disorder'';
            (3) in subsection (c), by striking ``substance abuse'' and 
        inserting ``a substance use disorder'';
            (4) in subsection (e)--
                    (A) in paragraph (1), by striking ``substance 
                abuse'' and inserting ``a substance use disorder''; and
                    (B) in paragraph (2), by striking ``substance 
                abuse'' and inserting ``substance use disorder''; and
            (5) in subsection (h), by striking ``substance abuse'' each 
        place such term appears and inserting ``substance use 
        disorder''.
    (c) Description of Intended Expenditures of Grant.--Section 527 of 
the Public Health Service Act (42 U.S.C. 290cc-27) is amended by 
striking ``substance abuse'' each place such term appears and inserting 
``substance use disorder''.
    (d) Technical Assistance.--Section 530 of the Public Health Service 
Act (42 U.S.C. 290cc-30) is amended by striking ``through the National 
Institute of Mental Health, the National Institute of Alcohol Abuse and 
Alcoholism, and the National Institute on Drug Abuse'' and inserting 
``acting through the Administrator''.
    (e) Definitions.--Section 534(4) of the Public Health Service Act 
(42 U.S.C. 290cc-34(4)) is amended to read as follows:
            ``(4) Substance use disorder services.--The term `substance 
        use disorder services' has the meaning given the term 
        `substance abuse services' in section 330(h)(5)(C).''.
    (f) Funding.--Section 535(a) of the Public Health Service Act (42 
U.S.C. 290cc-35(a)) is amended by striking ``$75,000,000 for each of 
the fiscal years 2001 through 2003'' and inserting ``such sums as may 
be necessary for each of fiscal years 2017 through 2021''.
    (g) Study Concerning Formula.--
            (1) In general.--Not later than 1 year after the date of 
        enactment of this Act, the Administrator of the Substance Abuse 
        and Mental Health Services Administration (referred to in this 
        section as the ``Administrator'') shall conduct a study 
        concerning the formula used under section 524(a) of the Public 
        Health Service Act (42 U.S.C. 290cc-24(a)) for making 
        allotments to States under section 521 of such Act (42 U.S.C. 
        290cc-21). Such study shall include an evaluation of quality 
        indicators of need for purposes of revising the formula for 
        determining the amount of each allotment for the fiscal years 
        following the submission of the study.
            (2) Report.--The Administrator shall submit to the 
        appropriate committees of Congress a report concerning the 
        results of the study conducted under paragraph (1).

SEC. 405. NATIONAL SUICIDE PREVENTION LIFELINE PROGRAM.

    Subpart 3 of part B of title V of the Public Health Service Act (42 
U.S.C. 290bb-31 et seq.) is amended by inserting after section 520E-2 
(42 U.S.C. 290bb-36) the following:

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

    ``(a) In General.--The Secretary, acting through the Administrator, 
shall maintain the National Suicide Prevention Lifeline program 
(referred to in this section as the `program'), authorized under 
section 520A and in effect prior to the date of enactment of the Mental 
Health Reform Act of 2016.
    ``(b) Activities.--In maintaining the program, the activities of 
the Secretary shall include--
            ``(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.
    ``(c) Authorization of Appropriations.--To carry out this section, 
there are authorized to be appropriated such sums as may be necessary 
for each of fiscal years 2017 through 2021.''.

SEC. 406. CONNECTING INDIVIDUALS AND FAMILIES WITH CARE.

    Subpart 3 of part B of title V of the Public Health Service Act (42 
U.S.C. 290bb-31 et seq.), as amended by section 405, is further amended 
by inserting after section 520E-3, the following:

``SEC. 520E-4. TREATMENT REFERRAL ROUTING SERVICE.

    ``(a) In General.--The Secretary, acting through the Administrator, 
shall maintain the National Treatment Referral Routing Service 
(referred to in this section as the `Routing Service') to assist 
individuals and families in locating mental and substance use disorder 
treatment providers.
    ``(b) Activities of the Secretary.--To maintain the Routing 
Service, the activities of the Secretary shall include administering--
            ``(1) a nationwide, telephone number providing year-round 
        access to information that is updated on a regular basis 
        regarding local behavioral health providers and community-based 
        organizations in a manner that is confidential, without 
        requiring individuals to identify themselves, is in languages 
        that include at least English and Spanish, and is at no cost to 
        the individual using the Routing Service; and
            ``(2) an Internet website to provide a searchable, online 
        treatment services locator that includes information on the 
        name, location, contact information, and basic services 
        provided for behavioral health treatment providers and 
        community-based organizations.
    ``(c) Rule of Construction.--Nothing in this section shall be 
construed to prevent the Administrator from using any unobligated 
amounts otherwise made available to the Substance Abuse and Mental 
Health Services Administration to maintain the Routing Service.''.

SEC. 407. STREAMLINING MENTAL AND BEHAVIORAL HEALTH WORKFORCE PROGRAMS.

    (a) In General.--Part D of title VII of the Public Health Service 
Act (42 U.S.C. 294 et seq.) is amended--
            (1) by striking sections 755 (42 U.S.C. 294e) and 756 (42 
        U.S.C. 294e-1);
            (2) by redesignating sections 757 and 759 as sections 756 
        and 757, respectively; and
            (3) by inserting after section 754 the following:

``SEC. 755. MENTAL AND BEHAVIORAL HEALTH EDUCATION AND TRAINING GRANTS.

    ``(a) Grants Authorized.--The Secretary may award grants to 
eligible institutions of higher education to support the recruitment of 
students for, and education and clinical experience of the students 
in--
            ``(1) accredited institutions of higher education or 
        accredited professional training programs that are establishing 
        or expanding internships or other field placement programs in 
        mental health in psychiatry, psychology, school psychology, 
        behavioral pediatrics, psychiatric nursing, social work, school 
        social work, substance use disorder prevention and treatment, 
        marriage and family therapy, occupational therapy, school 
        counseling, or professional counseling, including such 
        internships or programs with a focus on child and adolescent 
        mental health and transitional-age youth;
            ``(2) accredited doctoral, internship, and post-doctoral 
        residency programs of health service psychology, including 
        clinical psychology, counseling, and school psychology, for the 
        development and implementation of interdisciplinary training of 
        psychology graduate students for providing behavioral and 
        mental health services, including substance use disorder 
        prevention and treatment services, and the development of 
        faculty in health service psychology;
            ``(3) accredited master's and doctoral degree programs of 
        social work for the development and implementation of 
        interdisciplinary training of social work graduate students for 
        providing behavioral and mental health services, including 
        substance use disorder prevention and treatment services, and 
        the development of faculty in social work; or
            ``(4) State-licensed mental health nonprofit and for-profit 
        organizations to enable such organizations to pay for programs 
        for preservice or in-service training in a behavioral health-
        related paraprofessional field with preference for preservice 
        or in-service training of paraprofessional child and adolescent 
        mental health workers.
    ``(b) Eligibility Requirements.--To be eligible for a grant under 
this section, an institution of higher education shall demonstrate--
            ``(1) an ability to recruit and place the students 
        described in subsection (a) in areas with a high need and high 
        demand population;
            ``(2) that individuals and groups from different racial, 
        ethnic, cultural, geographic, religious, linguistic, and class 
        backgrounds, and different genders and sexual orientations, 
        participate in the programs of the institution;
            ``(3) knowledge and understanding of the concerns of the 
        individuals and groups described in paragraph (2), especially 
        individuals with mental health symptoms or diagnoses, 
        particularly children and adolescents, and transitional-age 
        youth;
            ``(4) that any internship or other field placement program 
        assisted through the grant will prioritize cultural and 
        linguistic competency; and
            ``(5) that the institution of higher education will provide 
        to the Secretary such data, assurances, and information as the 
        Secretary may require.
    ``(c) Institutional Requirement.--For grants awarded under 
paragraphs (2) and (3) of subsection (a), at least 4 of the grant 
recipients shall be historically black colleges or universities or 
other minority-serving institutions.
    ``(d) Priority.--In selecting grant recipients, the Secretary shall 
give priority to--
            ``(1) for grants awarded under paragraphs (1), (2), and (3) 
        of subsection (a), programs that have demonstrated the ability 
        to train psychology and social work professionals to work in 
        integrated care settings; and
            ``(2) for a grant under subsection (a)(4), programs for 
        paraprofessionals that emphasize the role of the family and the 
        lived experience of the consumer and family-paraprofessional 
        partnerships.
    ``(e) Report to Congress.--Not later than 2 years after the date of 
enactment of the Mental Health Reform Act of 2016, and annually 
thereafter, the Secretary shall submit to Congress a report on the 
effectiveness of the grants under this section in--
            ``(1) providing graduate students support for experiential 
        training (internship or field placement);
            ``(2) recruiting of students interested in behavioral 
        health practice;
            ``(3) developing and implementing interprofessional 
        training and integration within primary care;
            ``(4) developing and implementing accredited field 
        placements and internships; and
            ``(5) collecting data on the number of students trained in 
        mental health and the number of available accredited 
        internships and field placements.
    ``(f) Authorization of Appropriation.--There are authorized to be 
appropriated to carry out this section such sums as may be necessary 
for each of fiscal years 2017 through 2021.''.
    (b) Conforming Amendments.--The Public Health Service Act (42 
U.S.C. 201 et seq.), as amended by subsection (a), is further amended--
            (1) in section 338A(d)(2)(A) (42 U.S.C. 254l(d)(2)(A)), by 
        striking ``or under section 758'';
            (2) in section 756(b)(2) (42 U.S.C. 794f(b)(2)), as 
        redesignated by subsection (a), by striking ``753(b), and 
        755(b)'' and inserting ``and 753(b)''; and
            (3) in section 761 (42 U.S.C. 294n)--
                    (A) in subsection (b)(2)(E), by striking 
                ``757(d)(3)'' and inserting ``756(d)(3)'';
                    (B) in subsection (d)(2)(B), by striking 
                ``757(d)(3)'' and inserting ``756(d)(3)''; and
                    (C) in subsection (d)(3), by striking ``757(d)(4)'' 
                and inserting ``756(d)(4)''.

SEC. 408. REPORTS.

    (a) Report on Mental Health and Substance Use Treatment in 
States.--
            (1) In general.--Not later than 18 months after the date of 
        enactment of this Act, and not less than every 2 years 
        thereafter, the Assistant Secretary for Planning and Evaluation 
        of the Department of Health and Human Services, in 
        collaboration with the Administrator of the Substance Abuse and 
        Mental Health Services Administration, the Director of the 
        Agency for Healthcare Research and Quality, and the Director of 
        the National Institutes of Health, shall submit to Congress and 
        make available on the Internet website of the Department a 
        report on mental and substance use disorder treatment in the 
        States, including each of the following:
                    (A) A detailed description on how Federal mental 
                and substance use disorder treatment funds are used in 
                each State, including--
                            (i) the numbers of individuals with mental 
                        illness, serious mental illness, serious 
                        emotional disturbance, substance use disorders, 
                        or co-occurring disorders who are served using 
                        Federal funds; and
                            (ii) the types of Federal programs made 
                        available to individuals with mental illness, 
                        serious mental illness, serious emotional 
                        disturbance, substance use disorders, or co-
                        occurring disorders.
                    (B) A summary of best practices or evidence-based 
                models in the States, including 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 serious mental illness, 
                serious emotional disturbance, or substance use 
                disorders.
                    (C) An analysis of outcome measures in each State 
                for individuals with mental illness, serious mental 
                illness, serious emotional disturbance, substance use 
                disorders, or co-occurring disorders, including rates 
                of suicide, suicide attempts, substance abuse, 
                overdose, overdose deaths, positive health outcomes, 
                emergency psychiatric hospitalizations and emergency 
                room boarding, arrests, incarcerations, homelessness, 
                joblessness, employment, and enrollment in educational 
                or vocational programs.
                    (D) An analysis of outcomes for different models of 
                outpatient treatment programs for individuals with a 
                serious mental illness or serious emotional 
                disturbance, including--
                            (i) rates of keeping treatment appointments 
                        and adherence to treatment plans;
                            (ii) participants' perceived effectiveness 
                        of the program;
                            (iii) alcohol and drug abuse rates;
                            (iv) incarceration and arrest rates;
                            (v) violence against persons or property;
                            (vi) homelessness;
                            (vii) total treatment costs for compliance 
                        with the program; and
                            (viii) health outcomes.
            (2) Definition.--In this subsection, the term ``emergency 
        room boarding'' means the practice of admitting patients to an 
        emergency department and holding such patients in the emergency 
        department until inpatient psychiatric beds become available.
    (b) Reporting Compliance Study for Community Mental Health 
Centers.--
            (1) In general.--The Comptroller General of the United 
        States shall conduct a review and submit to the appropriate 
        committees of Congress a report evaluating the combined 
        paperwork burden of--
                    (A) community mental health centers meeting the 
                criteria specified in section 1913(c) of the Public 
                Health Service Act (42 U.S.C. 300x-2(c)), including 
                such centers meeting such criteria as in effect on the 
                day before the date of enactment of this Act; and
                    (B) community mental health centers, as defined in 
                section 1861(ff)(3)(B) of the Social Security Act (42 
                U.S.C. 1395x(ff)(3)(B)).
            (2) Scope.--In preparing the report under paragraph (1), 
        the Comptroller General of the United States shall examine 
        requirements for licensing, certification, service definitions, 
        claims payments, billing codes, and financial auditing that 
        are--
                    (A) 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, and State 
                Medicaid agencies; and
                    (B) required by the Federal Government for State 
                agencies to utilize in order to make administrative and 
                statutory recommendations to Congress (which 
                recommendations may include a uniform methodology) to 
                reduce the paperwork burden experienced by the centers 
                described in paragraph (1).
    (c) Workforce Development Report.--
            (1) Public report.--
                    (A) In general.--Not later than 2 years after the 
                date of enactment of this Act, the Administrator of the 
                Substance Abuse and Mental Health Services 
                Administration, in consultation with the Administrator 
                of the Health Resources and Services Administration, 
                shall conduct a study and publicly post on the 
                appropriate Internet website of the Department of 
                Health and Human Services a report on the mental health 
                and substance use disorder workforce in order to inform 
                Federal, State, and local efforts related to workforce 
                enhancement.
                    (B) Contents.--The report under this paragraph 
                shall contain--
                            (i) national and State-level projections of 
                        the supply and demand of mental health and 
                        substance use disorder health workers;
                            (ii) an assessment of the mental health and 
                        substance use disorder workforce capacity, 
                        strengths, and weaknesses as of the date of the 
                        report;
                            (iii) information on trends within the 
                        mental health and substance use disorder 
                        provider workforce; and
                            (iv) any additional information determined 
                        by the Administrator of the Substance Abuse and 
                        Mental Health Services Administration, in 
                        consultation with the Administrator of the 
                        Health Resources and Services Administration, 
                        to be relevant to the mental health and 
                        substance use disorder provider workforce.
            (2) Report to congress.--
                    (A) In general.--Not later than 3 years after the 
                date of enactment of this Act, the Administrator of the 
                Substance Abuse and Mental Health Services 
                Administration, in consultation with the Administrator 
                of the Health Resources and Services Administration, 
                shall evaluate and report to the Committee on Health, 
                Education, Labor, and Pensions of the Senate and the 
                Committee on Energy and Commerce of the House of 
                Representatives on the programs within such 
                Administrations to support the development of the 
                mental health and substance use disorder workforce.
                    (B) Contents.--The report under this paragraph 
                shall include--
                            (i) an evaluation of the outcomes of each 
                        program described in subparagraph (A), 
                        including whether the program met identified 
                        goals and performance measures developed for 
                        the respective program and activities carried 
                        out by the program;
                            (ii) an evaluation of how each program, and 
                        the programs together, target any workforce 
                        weaknesses identified by the report under 
                        paragraph (1); and
                            (iii) recommendations for improving 
                        coordination among programs, and addressing 
                        gaps and overlap within programs, including 
                        recommendations for Congress, as appropriate.
    (d) Peer-Support Specialist Programs.--
            (1) In general.--Not later than 2 years after the date of 
        enactment of this Act, the Comptroller General of the United 
        States shall conduct a study on peer-support specialist 
        programs in selected States that receive funding from the 
        Substance Abuse and Mental Health Services Administration and 
        report to the Committee on Health, Education, Labor, and 
        Pensions of the Senate and the Committee on Energy and Commerce 
        of the House of Representatives.
            (2) Contents of study.--In conducting the study under 
        paragraph (1), the Comptroller General of the United States 
        shall examine and identify best practices in the selected 
        States related to training and credential requirements for 
        peer-specialist programs, such as--
                    (A) hours of formal work or volunteer experience 
                related to mental and substance use disorders conducted 
                through such programs;
                    (B) types of peer support specialist exams required 
                for such programs in the States;
                    (C) codes of ethics used by such programs in the 
                States;
                    (D) required or recommended skill sets of such 
                programs in the State; and
                    (E) requirements for continuing education.

SEC. 409. CENTERS AND PROGRAM REPEALS.

    Part B of title V of the Public Health Service Act (42 U.S.C. 290bb 
et seq.) is amended by striking the second section 514 (42 U.S.C. 
290bb-9), relating to methamphetamine and amphetamine treatment 
initiatives, and sections 514A, 517, 519A, 519C, 519E, 520D, and 520H 
(42 U.S.C. 290bb-8, 290bb-23, 290bb-25a, 290bb-25c, 290bb-25e, 290bb-
35, and 290bb-39).

   TITLE V--STRENGTHENING MENTAL AND SUBSTANCE USE DISORDER CARE FOR 
                        CHILDREN AND ADOLESCENTS

SEC. 501. PROGRAMS FOR CHILDREN WITH SERIOUS EMOTIONAL DISTURBANCES.

    (a) Comprehensive Community Mental Health Services for Children 
With Serious Emotional Disturbances.--Section 561(a)(1) of the Public 
Health Service Act (42 U.S.C. 290ff(a)(1)) is amended by inserting ``, 
which may include efforts to identify and serve children at risk'' 
before the period.
    (b) Requirements With Respect to Carrying Out Purpose of Grants.--
Section 562(b) of the Public Health Service Act (42 U.S.C. 290ff-1(b)) 
is amended by striking ``will not provide an individual with access to 
the system if the individual is more than 21 years of age'' and 
inserting ``will provide an individual with access to the system 
through the age of 21 years''.
    (c) Additional Provisions.--Section 564(f) of the Public Health 
Service Act (42 U.S.C. 290ff-3(f)) is amended by inserting ``(and 
provide a copy to the State involved)'' after ``to the Secretary''.
    (d) General Provisions.--Section 565 of the Public Health Service 
Act (42 U.S.C. 290ff-4) is amended--
            (1) in subsection (b)(1)--
                    (A) in the matter preceding subparagraph (A), by 
                striking ``receiving a grant under section 561(a)'' and 
                inserting ``, regardless of whether such public entity 
                is receiving a grant under section 561(a)''; and
                    (B) in subparagraph (B), by striking ``pursuant 
                to'' and inserting ``described in'';
            (2) in subsection (d)(1), by striking ``not more than 21 
        years of age'' and inserting ``through the age of 21 years''; 
        and
            (3) in subsection (f)(1), by striking ``$100,000,000 for 
        fiscal year 2001, and such sums as may be necessary for each of 
        the fiscal years 2002 and 2003'' and inserting ``such sums as 
        may be necessary for each of fiscal years 2017 through 2021''.

SEC. 502. TELEHEALTH CHILD PSYCHIATRY ACCESS GRANTS.

    (a) Definitions.--In this subsection:
            (1) Eligible entity.--The term ``eligible entity'' means a 
        State, political subdivision of a State, Indian tribe, or 
        tribal organization.
            (2) Indian tribe; tribal organization.--The terms ``Indian 
        tribe'' and ``tribal organization'' have the meanings given 
        such terms in section 4 of the Indian Self-Determination and 
        Education Assistance Act (25 U.S.C. 450b).
            (3) Pediatric mental health teams.--The term ``pediatric 
        mental health team'' means a team of case coordinators, child 
        and adolescent psychiatrists, and a licensed clinical mental 
        health professional, such as a psychologist, social worker, or 
        mental health counselor. Such a team may be regionally based, 
        provided there is access to a pediatric mental health team 
        across the State.
            (4) Secretary.--The term ``Secretary'' means the Secretary 
        of Health and Human Services.
    (b) Grants.--The Secretary, acting through the Administrator of the 
Health Resources and Services Administration, may award grants to 
eligible entities that satisfy all requirements under this section to 
promote behavioral health integration in pediatric primary care by--
            (1) supporting the development of statewide or regional 
        child psychiatry access programs; and
            (2) supporting the improvement of statewide or regional 
        child psychiatry access programs in existence on the day before 
        the date of enactment of this Act.
    (c) Child Psychiatry Access Program Requirements.--To be eligible 
for support under subsection (b), a child psychiatry access program 
shall--
            (1) be a statewide or regional network of pediatric mental 
        health teams that provide support to pediatric primary care 
        sites as an integrated team;
            (2) support and further develop organized State networks of 
        child and adolescent psychiatrists to provide consultative 
        support to pediatric primary care sites;
            (3) conduct an assessment of critical behavioral 
        consultation needs among pediatric providers and such 
        providers' preferred mechanisms for receiving consultation, 
        training, and technical assistance;
            (4) develop an online database and communication 
        mechanisms, including through telehealth services, to 
        facilitate consultation support to pediatric practices;
            (5) provide rapid statewide or regional clinical telephone 
        consultations when requested between the pediatric mental 
        health teams and pediatric primary care providers;
            (6) conduct training and provide technical assistance to 
        pediatric primary care providers to support the early 
        identification, diagnosis, treatment, and referral of children 
        with behavioral health conditions;
            (7) inform and assist pediatric providers in accessing 
        child psychiatry consultations and in scheduling and conducting 
        technical assistance;
            (8) assist with referrals to specialty care and community 
        and behavioral health resources; and
            (9) establish mechanisms for measuring and monitoring 
        increased access to child and adolescent psychiatric services 
        by pediatric primary care providers and expanded capacity of 
        pediatric primary care providers to identify, treat, and refer 
        children with mental health problems.
    (d) Application.--An eligible 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 comprehensive evaluation and the 
performance and outcome evaluation described in subsection (e).
    (e) Evaluation.--An eligible 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 a comprehensive evaluation 
of activities carried out with funds received through such grant and a 
performance and outcome evaluation of such activities.
    (f) Funding.--
            (1) Federal funds.--In addition to the funding provided 
        through contributions under paragraph (2), the Secretary shall 
        fund the grant program under this section using such sums as 
        may be necessary out of any unobligated amounts made available 
        to carry out section 330I, 330K, or 330L of the Public Health 
        Service Act (42 U.S.C. 254c-14, 254c-16, 254c-18).
            (2) Matching requirement.--The Secretary may not award a 
        grant under this section unless the eligible entity desiring 
        the grant agrees, with respect to the costs to be incurred by 
        the eligible entity in carrying out the purpose of the grant 
        described in subsection (b), to make available non-Federal 
        contributions (in cash or in kind) toward such costs in an 
        amount that is not less than 20 percent of Federal funds 
        provided through the grant.

SEC. 503. SUBSTANCE USE DISORDER TREATMENT AND EARLY INTERVENTION 
              SERVICES FOR CHILDREN AND ADOLESCENTS.

    The first section 514 of the Public Health Service Act (42 U.S.C. 
290bb-7), relating to substance abuse treatment services for children 
and adolescents, is amended--
            (1) in the heading, by striking ``abuse treatment'' and 
        inserting ``use disorder treatment and early intervention'';
            (2) by striking subsection (a) and inserting the following:
    ``(a) In General.--The Secretary shall award grants, contracts, or 
cooperative agreements to public and private nonprofit entities, 
including Indian tribes or tribal organizations (as such terms are 
defined in section 4 of the Indian Self-Determination and Education 
Assistance Act (25 U.S.C. 450b)), or health facilities or programs 
operated by or pursuant to a contract or grant with the Indian Health 
Service, for the purpose of--
            ``(1) providing early identification and services to meet 
        the needs of children and adolescents who are at risk of 
        substance use disorders; and
            ``(2) providing substance use disorder treatment services 
        for children, including children and adolescents with co-
        occurring mental illness and substance use disorders.'';
            (3) in subsection (b)--
                    (A) by striking paragraph (1) and inserting the 
                following:
            ``(1) apply evidence-based and cost-effective methods'';
                    (B) in paragraph (2)--
                            (i) by striking ``treatment''; and
                            (ii) by inserting ``substance abuse,'' 
                        after ``child welfare,'';
                    (C) in paragraph (3), by striking ``substance abuse 
                disorders'' and inserting ``substance use disorders, 
                including children and adolescents with co-occurring 
                mental illness and substance use disorders,'';
                    (D) in paragraph (5), by striking ``treatment;'' 
                and inserting ``services; and'';
                    (E) in paragraph (6), by striking ``substance abuse 
                treatment; and'' and inserting ``treatment.''; and
                    (F) by striking paragraph (7); and
            (4) in subsection (f), by striking ``$40,000,000'' and all 
        that follows through the period and inserting ``such sums as 
        may be necessary for each of fiscal years 2017 through 2021.''.

SEC. 504. RESIDENTIAL TREATMENT PROGRAMS FOR PREGNANT AND PARENTING 
              WOMEN.

    Section 508 of the Public Health Service Act (42 U.S.C. 290bb-1) is 
amended--
            (1) in the section heading, by striking ``postpartum'' and 
        inserting ``parenting'';
            (2) in subsection (a)--
                    (A) in the matter preceding paragraph (1)--
                            (i) by inserting ``(referred to in this 
                        section as the `Director')'' after 
                        ``Treatment'';
                            (ii) by striking ``grants,'' and inserting 
                        ``grants, including the grants under subsection 
                        (r),'';
                            (iii) by striking ``postpartum'' and 
                        inserting ``parenting''; and
                            (iv) by striking ``for substance abuse'' 
                        and inserting ``for substance use disorders''; 
                        and
                    (B) in paragraph (1), by inserting ``or receive 
                outpatient treatment services from'' after ``reside 
                in'';
            (3) in subsection (b)(2), by striking ``the services will 
        be made available to each woman'' and inserting ``services will 
        be made available to each woman and child'';
            (4) in subsection (c)--
                    (A) in paragraph (1), by striking ``to the woman of 
                the services'' and inserting ``of services for the 
                woman and her child''; and
                    (B) in paragraph (2)--
                            (i) in subparagraph (A), by striking 
                        ``substance abuse'' and inserting ``substance 
                        use disorders''; and
                            (ii) in subparagraph (B), by striking 
                        ``such abuse'' and inserting ``such a 
                        disorder'';
            (5) in subsection (d)--
                    (A) in paragraph (3)(A), by striking ``maternal 
                substance abuse'' and inserting ``a maternal substance 
                use disorder'';
                    (B) by amending paragraph (4) to read as follows:
            ``(4) Providing therapeutic, comprehensive child care for 
        children during the periods in which the woman is engaged in 
        therapy or in other necessary health and rehabilitative 
        activities.'';
                    (C) in paragraphs (9), (10), and (11), by striking 
                ``women'' each place such term appears and inserting 
                ``woman'';
                    (D) in paragraph (9), by striking ``units'' and 
                inserting ``unit''; and
                    (E) in paragraph (11)--
                            (i) in subparagraph (A), by striking 
                        ``their children'' and inserting ``any child of 
                        such woman'';
                            (ii) in subparagraph (B), by striking ``; 
                        and'' and inserting a semicolon;
                            (iii) in subparagraph (C), by striking the 
                        period and inserting ``; and''; and
                            (iv) by adding at the end the following:
                    ``(D) family reunification with children in kinship 
                or foster care arrangements, where safe and 
                appropriate.'';
            (6) in subsection (e)--
                    (A) in paragraph (1)--
                            (i) in the matter preceding subparagraph 
                        (A), by striking ``substance abuse'' and 
                        inserting ``substance use disorders''; and
                            (ii) in subparagraph (B), by striking 
                        ``substance abuse'' and inserting ``substance 
                        abuse disorders''; and
                    (B) in paragraph (2)--
                            (i) by striking ``(A) Subject'' and 
                        inserting the following:
                    ``(A) In general.--Subject'';
                            (ii) in subparagraph (B)--
                                    (I) by striking ``(B)(i) In the 
                                case'' and inserting the following:
                    ``(B) Waiver of participation agreements.--
                            ``(i) In general.--In the case''; and
                                    (II) by striking ``(ii) A 
                                determination'' and inserting the 
                                following:
                            ``(ii) Donations.--A determination''; and
                            (iii) by striking ``(C) With respect'' and 
                        inserting the following:
                    ``(C) Nonapplication of certain requirements.--With 
                respect'';
            (7) in subsection (g)--
                    (A) by striking ``who are engaging in substance 
                abuse'' and inserting ``who have a substance use 
                disorder''; and
                    (B) by striking ``such abuse'' and inserting ``such 
                disorder'';
            (8) in subsection (h)(1), by striking ``postpartum'' and 
        inserting ``parenting'';
            (9) in subsection (j)--
                    (A) in the matter preceding paragraph (1), by 
                striking ``to on'' and inserting ``to or on''; and
                    (B) in paragraph (3), by striking ``Office for'' 
                and inserting ``Office of'';
            (10) by amending subsection (m) to read as follows:
    ``(m) Allocation of Awards.--In making awards under subsection (a), 
the Director shall give priority to an applicant that agrees to use the 
award for a program serving an area that is a rural area, an area 
designated under section 332 by the Secretary as a health professional 
shortage area, or an area determined by the Director to have a shortage 
of family-based substance use disorder treatment options.'';
            (11) in subsection (q)--
                    (A) in paragraph (3), by striking ``funding 
                agreement under subsection (a)'' and inserting 
                ``funding agreement''; and
                    (B) in paragraph (4), by striking ``substance 
                abuse'' and inserting ``a substance use disorder'';
            (12) by redesignating subsection (r) as subsection (s);
            (13) by inserting after subsection (q) the following:
    ``(r) Pilot Program for State Substance Abuse Agencies.--
            ``(1) In general.--From amounts made available under 
        subsection (s), the Director may carry out a pilot program 
        under which the Director makes competitive grants to State 
        substance abuse agencies to--
                    ``(A) enhance flexibility in the use of funds 
                designed to support family-based services for pregnant 
                and parenting women with a primary diagnosis of a 
                substance use disorder, including an opioid use 
                disorder;
                    ``(B) help State substance abuse agencies address 
                identified gaps in services provided to such women 
                along the continuum of care, including services 
                provided to women in nonresidential 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 that are evidence-based.
            ``(2) Requirements.--Notwithstanding any other provisions 
        of this section, in carrying out the pilot program under this 
        subsection, the Director--
                    ``(A) shall require a State substance abuse agency 
                to submit to the Director an application, 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) shall identify, based on applications 
                submitted under subparagraph (A), State substance abuse 
                agencies that are eligible for such grants;
                    ``(C) shall require services proposed to be 
                furnished through such a grant to support family-based 
                treatment and other services for pregnant and parenting 
                women with a primary diagnosis of a substance use 
                disorder, including an opioid use disorder;
                    ``(D) shall not require that services furnished 
                through such a grant be provided solely to women that 
                reside in facilities;
                    ``(E) shall not require that grant recipients under 
                the program make available all services described in 
                subsection (d); and
                    ``(F) may waive the requirements of subsection (f), 
                depending on the circumstances of the grantee.
            ``(3) Required services.--
                    ``(A) In general.--The Director shall specify 
                minimum services required to be made available to 
                eligible women through a grant awarded under the pilot 
                program under this subsection. Notwithstanding any 
                other provision of this section, such minimum 
                services--
                            ``(i) shall include the requirements 
                        described in subsection (c);
                            ``(ii) may include any of the services 
                        described in subsection (d);
                            ``(iii) may include other services, as 
                        appropriate; and
                            ``(iv) shall be based on the 
                        recommendations submitted under subparagraph 
                        (B).
                    ``(B) Stakeholder input.--The Director shall 
                consider recommendations from stakeholders, including 
                State substance abuse agencies, health care providers, 
                persons in recovery from substance a substance use 
                disorder, and other appropriate individuals, for the 
                minimum services described in subparagraph (A).
            ``(4) Evaluation and report to congress.--
                    ``(A) Evaluations.--Out of amounts made available 
                to the Center for Behavioral Health Statistics and 
                Quality, the Director of the Center for Behavioral 
                Health Statistics and Quality, in cooperation with the 
                Director of the Center for Substance Abuse Treatment 
                and the recipients of grants under this subsection, 
                shall conduct an evaluation of the pilot program, 
                beginning one year after the date on which a grant is 
                first awarded under this subsection.
                    ``(B) Reports.--
                            ``(i) In general.--Not later than 120 days 
                        after the completion of the evaluation under 
                        subparagraph (A), 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 the Senate and the 
                        House of Representatives a report on such 
                        evaluation.
                            ``(ii) Contents.--The report to Congress 
                        under clause (i) shall include, at a minimum, 
                        outcomes information from the pilot program 
                        under this section, 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 
                        drugs approved by the Food and Drug 
                        Administration for the treatment of substance 
                        use disorders in combination with counseling, 
                        and other appropriate measures.
            ``(5) 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 block grant for prevention and treatment of 
        substance use disorders under subpart II of part B of title XIX 
        with respect to the State.''; and
            (14) in subsection (s), as so redesignated, by striking 
        ``such sums as may be necessary to fiscal years 2001 through 
        2003.'' and inserting ``such sums as may be necessary for each 
        of fiscal years 2017 through 2021. Of the amounts made 
        available for a fiscal year pursuant to the previous sentence, 
        not more than 25 percent of such amounts shall be made 
        available for such fiscal year to carry out subsection (r).''.

TITLE VI--IMPROVING PATIENT CARE AND ACCESS TO MENTAL AND SUBSTANCE USE 
                           DISORDER BENEFITS

SEC. 601. HIPAA CLARIFICATION.

    (a) In General.--The Secretary of Health and Human Services, acting 
through the Director of the Office for Civil Rights, shall ensure that 
providers, professionals, patients and their families, and others 
involved in mental or substance use disorder treatment or care have 
adequate, accessible, and easily comprehensible resources relating to 
appropriate uses and disclosures of protected health information under 
the regulations promulgated under section 264(c) of the Health 
Insurance Portability and Accountability Act of 1996 (42 U.S.C. 1320d-2 
note), including resources to clarify permitted uses and disclosures of 
such information that--
            (1) require the patient's consent;
            (2) require providing the patient with an opportunity to 
        object;
            (3) are based on the exercise of professional judgment 
        regarding whether the patient would object when the opportunity 
        to object cannot practicably be provided because of the 
        patient's incapacity or an emergency treatment circumstance; 
        and
            (4) are determined, based on the exercise of professional 
        judgment, to be in the best interest of the patient when the 
        patient is not present or otherwise incapacitated.
    (b) Considerations.--In carrying out subsection (a), the Secretary 
of Health and Human Services shall consider actual and perceived 
barriers to the ability of family members to assist in the treatment of 
patients with a serious mental illness.

SEC. 602. IDENTIFICATION OF MODEL TRAINING PROGRAMS.

    (a) Programs and Materials.--Not later than 1 year after the date 
of enactment of this Act, the Secretary of Health and Human Services 
(in this section referred to as the ``Secretary''), in consultation 
with appropriate experts, shall identify or, in the case that none 
exist, recognize private or public entities to develop--
            (1) model programs and materials for training health care 
        providers (including physicians, emergency medical personnel, 
        psychiatrists, psychologists, counselors, therapists, 
        behavioral health facilities and clinics, care managers, and 
        hospitals, including individuals such as a general counsel or 
        regulatory compliance staff who are responsible for 
        establishing provider privacy policies) regarding the permitted 
        uses and disclosures, consistent with the standards governing 
        the privacy and security of individually identifiable health 
        information pursuant to regulations promulgated by the 
        Secretary under section 264(c) of the Health Insurance 
        Portability and Accountability Act of 1996 (42 U.S.C. 1320d-2 
        note) and part C of title XI of the Social Security Act (42 
        U.S.C. 1320d et seq.), of the protected health information of 
        patients seeking or undergoing mental health or substance use 
        disorder treatment or care; and
            (2) model programs and materials for training patients and 
        their families regarding their rights to protect and obtain 
        information under the standards described in paragraph (1).
    (b) Periodic Updates.--The Secretary shall--
            (1) periodically review, evaluate, and update the model 
        programs and materials identified under subsection (a); and
            (2) disseminate the updated model programs and materials.
    (c) Coordination.--The Secretary shall carry out this section in 
coordination with the Director of the Office for Civil Rights, the 
Assistant Secretary for Planning and Evaluation, 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.
    (d) Input of Certain Entities.--In identifying the model programs 
and materials under subsections (a) and (b), the Secretary shall 
solicit input from key stakeholders, including relevant national, 
State, and local associations, medical societies licensing boards, 
providers of mental and substance use disorder treatment and care, and 
organizations representing patients and consumers.

SEC. 603. CONFIDENTIALITY OF RECORDS.

    Not later than 1 year after the date on which the Secretary of 
Health and Human Services first finalizes the regulations updating part 
2 of title 42, Code of Federal Regulations (relating to confidentiality 
of alcohol and drug abuse patient records), after the date of enactment 
of this Act, the Secretary shall convene relevant stakeholders to 
determine the impact of such regulations on patient care, health 
outcomes, and patient privacy.

SEC. 604. ENHANCED COMPLIANCE WITH MENTAL HEALTH AND SUBSTANCE USE 
              DISORDER COVERAGE REQUIREMENTS.

    (a) Guidance.--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:
            ``(6) Additional guidance.--
                    ``(A) In general.--Not later than 1 year after the 
                date of enactment of the Mental Health Reform Act of 
                2016, the Secretary, in coordination with the Secretary 
                of Labor and the Secretary of the Treasury, shall issue 
                guidance to group health plans and health insurance 
                issuers offering group or individual health insurance 
                coverage to assist such plans and issuers in satisfying 
                the requirements of this section.
                    ``(B) Disclosure.--
                            ``(i) Guidance for plans and issuers.--The 
                        guidance issued under this paragraph shall 
                        include specific examples of methods that group 
                        health plans and health insurance issuers 
                        offering group or individual health insurance 
                        coverage may use for disclosing information to 
                        demonstrate compliance with the requirements 
                        under this section (and any regulations 
                        promulgated pursuant to this section), 
                        including methods for complying with 
                        requirements for nonquantitative treatment 
                        limitations.
                            ``(ii) Documents for participants, 
                        beneficiaries, or contracting providers.--The 
                        guidance issued under this paragraph may 
                        include examples of standardized methods that 
                        group health plans and health insurance issuers 
                        offering group or individual health insurance 
                        coverage may use to provide any participant, 
                        beneficiary, or contracting provider, upon 
                        request, with documents containing coverage 
                        information that the health plans or issuers 
                        are required, by this section or any other 
                        provision of law, to disclose to such 
                        participants, beneficiaries, or contracting 
                        providers, including--
                                    ``(I) information, including 
                                information that is comparative in 
                                nature, on nonquantitative treatment 
                                limitations for both medical and 
                                surgical benefits and mental health and 
                                substance use disorder benefits;
                                    ``(II) information, including 
                                information that is comparative in 
                                nature, about the processes, 
                                strategies, evidentiary standards, and 
                                other factors used to apply 
                                nonquantitative treatment limitations 
                                for both medical and surgical benefits 
                                and mental health and substance use 
                                disorder benefits, including how such 
                                limitations are applied to mental 
                                health or substance use disorder 
                                benefits; and
                                    ``(III) information, including 
                                information that is comparative in 
                                nature, about how nonquantitative 
                                treatment limitations are applied to 
                                medical and surgical benefits relative 
                                to how such limitations are applied to 
                                mental health or substance use disorder 
                                benefits.
                    ``(C) Nonquantitative treatment limitations.--The 
                guidance issued under this paragraph shall include 
                information that group health plans and health 
                insurance issuers offering group or individual health 
                insurance coverage may use to comply with requirements 
                for nonquantitative treatment limitations under this 
                section, including--
                            ``(i) examples of appropriate types of 
                        nonquantitative treatment limitations on mental 
                        health and substance use disorder benefits that 
                        comply or do not comply with this section, 
                        including--
                                    ``(I) medical management standards 
                                that limit or exclude benefits based on 
                                medical necessity, medical 
                                appropriateness, or whether a treatment 
                                is experimental or investigative;
                                    ``(II) limitations with respect to 
                                prescription drug formulary design; and
                                    ``(III) use of fail-first or step 
                                therapy protocols;
                            ``(ii) examples of network admission 
                        standards and individual provider reimbursement 
                        rates, as such standards and rates apply to 
                        network adequacy, that comply or do not comply 
                        with this section;
                            ``(iii) examples of sources of information 
                        that may serve as evidentiary standards for the 
                        purpose of determining compliance or 
                        noncompliance with applicable nonquantitative 
                        treatment limitation requirements;
                            ``(iv) examples of specific factors that 
                        may be used by such plans or issuers in 
                        performing a nonquantitative treatment 
                        limitation analysis;
                            ``(v) examples of specific evidentiary 
                        standards that may be used by such plans or 
                        issuers to evaluate the specific factors 
                        described in clause (iv);
                            ``(vi) examples of how a lack of clinical 
                        evidence may be taken into consideration by 
                        such plans or issuers in the case of 
                        experimental treatment exclusions;
                            ``(vii) examples of how specific 
                        evidentiary standards may be applied to each 
                        service category or classification of benefits;
                            ``(viii) examples of new mental health or 
                        substance use disorder treatments that comply 
                        or do not comply with this section, such as 
                        evidence-based early intervention programs for 
                        individuals with a serious mental illness and 
                        types of medical management techniques that 
                        have been determined to meet or fail to meet 
                        requirements for nonquantitative treatment 
                        limitations;
                            ``(ix) examples of coverage determinations 
                        that comply or do not comply with this section 
                        and for which there is an indirect relationship 
                        between the covered mental health or substance 
                        use disorder benefit and a traditional covered 
                        medical and surgical benefit, such as 
                        residential treatment or hospitalizations 
                        involving involuntary commitment;
                            ``(x) examples of how nonquantitative 
                        treatment limitations and their application, 
                        determinations that treatments are no longer 
                        medically necessary, and efforts to terminate 
                        or reduce care may be resolved in a manner that 
                        is least burdensome to the patient and provides 
                        for continuity of patient care; and
                            ``(xi) additional examples of coverage of 
                        mental health and substance use disorder 
                        benefits that comply or do not comply with this 
                        section, including cases in which restrictions 
                        based on geographic locations, facility type, 
                        provider specialty, or other criteria limit the 
                        scope or duration of benefits.
                    ``(D) Public comment.--Prior to issuing any final 
                guidance under this section, the Secretary shall 
                provide a public comment period of not less than 60 
                days during which any member of the public may provide 
                comments on a draft of the guidance.''.
    (b) Improving Compliance.--
            (1) In general.--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 there are 
        at least 5 findings of noncompliance with section 2726 of the 
        Public Health Service Act (42 U.S.C. 300gg-26), section 712 of 
        the Employee Retirement Income Security Act of 1974 (29 U.S.C. 
        1185a), or section 9812 of the Internal Revenue Code, the 
        appropriate Secretary shall audit plan documents for such 
        health plan or issuer in the following plan year in order to 
        help improve compliance with such section.
            (2) Rule of construction.--Nothing in this subsection shall 
        be construed to limit the authority, as in effect on the day 
        before the date of enactment of this Act, of the Secretary of 
        Health and Human Services, the Secretary of Labor, or the 
        Secretary of the Treasury to audit documents of health plans or 
        health insurance issuers.

SEC. 605. ACTION PLAN FOR ENHANCED ENFORCEMENT OF MENTAL HEALTH AND 
              SUBSTANCE USE DISORDER COVERAGE.

    (a) Public Meeting.--
            (1) In general.--Not later than 6 months after the date of 
        enactment of this Act, the Secretary of Health and Human 
        Services shall convene a public meeting of stakeholders 
        described in paragraph (2) to produce an action plan for 
        improved Federal and State coordination related to the 
        enforcement of mental health parity and addiction equity 
        requirements.
            (2) Stakeholders.--The stakeholders described in this 
        paragraph shall include each of the following:
                    (A) The Federal Government, including 
                representatives from--
                            (i) the Department of Health and Human 
                        Services;
                            (ii) the Department of the Treasury;
                            (iii) the Department of Labor; and
                            (iv) the Department of Justice.
                    (B) State governments, including--
                            (i) State health insurance commissioners;
                            (ii) appropriate State agencies, including 
                        agencies on public health or mental health; and
                            (iii) State attorneys general or other 
                        representatives of State entities involved in 
                        the enforcement of mental health parity laws.
                    (C) Representatives from key stakeholder groups, 
                including--
                            (i) the National Association of Insurance 
                        Commissioners;
                            (ii) health insurance providers;
                            (iii) providers of mental health and 
                        substance use disorder treatment;
                            (iv) employers; and
                            (v) patients or their advocates.
    (b) Action Plan.--Not later than 6 months after the public meeting 
under subsection (a), the Secretary of Health and Human Services shall 
finalize the action plan described in such subsection and make it 
plainly available on the Internet website of the Department of Health 
and Human Services.
    (c) Content.--The action plan under this section shall--
            (1) reflect the input of the stakeholders invited to the 
        public meeting under subsection (a);
            (2) identify specific strategic objectives regarding how 
        the various Federal and State agencies charged with enforcement 
        of mental health parity and addiction equity requirements will 
        collaborate to improve enforcement of such requirements;
            (3) provide a timeline for when such objectives shall be 
        met; and
            (4) provide specific examples of how such objectives may be 
        met, which may include--
                    (A) providing common educational information and 
                documents to patients about their rights under Federal 
                or State mental health parity and addiction equity 
                requirements;
                    (B) facilitating the centralized collection of, 
                monitoring of, and response to patient complaints or 
                inquiries relating to Federal or State mental health 
                parity and addiction equity requirements, which may be 
                through the development and administration of a single, 
                toll-free telephone number and an Internet website 
                portal;
                    (C) Federal and State law enforcement agencies 
                entering into memoranda of understanding to better 
                coordinate enforcement responsibilities and information 
                sharing, including whether such agencies should make 
                the results of enforcement actions related to mental 
                health parity and addiction equity requirements 
                publicly available; and
                    (D) recommendations to the Secretary and Congress 
                regarding the need for additional legal authority to 
                improve enforcement of mental health parity and 
                addiction equity requirements, including requirements 
                for nonquantitative treatment limitations and the 
                extent and frequency of how such limitations are 
                applied both to medical and surgical benefits and to 
                mental health and substance use disorder benefits.

SEC. 606. REPORT ON INVESTIGATIONS REGARDING PARITY IN MENTAL HEALTH 
              AND SUBSTANCE USE DISORDER BENEFITS.

    (a) In General.--Not later than 1 year after the date of enactment 
of this Act, and annually thereafter for the subsequent 5 years, 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 Committee on Health, Education, Labor, and Pensions 
of the Senate a report summarizing the results of all closed Federal 
investigations completed during the preceding 12-month period with 
findings of any serious violation regarding compliance with parity in 
mental health and substance use disorder benefits, including benefits 
provided to persons with a serious mental illness or a substance use 
disorder, under section 2726 of the Public Health Service Act (42 
U.S.C. 300gg-26), section 712 of the Employee Retirement Income 
Security Act of 1974 (29 U.S.C. 1185a), and section 9812 of the 
Internal Revenue Code of 1986.
    (b) Contents.--Subject to subsection (c), a report under subsection 
(a) shall, with respect to investigations described in such subsection, 
include each of the following:
            (1) The number of open or closed Federal investigations 
        conducted during the covered reporting period.
            (2) Each benefit classification examined by any such 
        investigation conducted during the covered reporting period.
            (3) Each subject matter, including compliance with 
        requirements for quantitative and nonquantitative treatment 
        limitations, of any such investigation conducted during the 
        covered reporting period.
            (4) A summary of the basis of the final decision rendered 
        for each closed investigation conducted during the covered 
        reporting period that resulted in a finding of a serious 
        violation.
    (c) Limitation.--Any individually identifiable information shall be 
excluded from reports under subsection (a) consistent with protections 
under the health privacy and security rules promulgated under section 
264(c) of the Health Insurance Portability and Accountability Act of 
1996 (42 U.S.C. 1320d-2 note).

SEC. 607. GAO STUDY ON COVERAGE LIMITATIONS FOR INDIVIDUALS WITH 
              SERIOUS MENTAL ILLNESS AND SUBSTANCE USE DISORDERS.

    Not later than 3 years after the date of enactment of this Act, the 
Comptroller General of the United States, in consultation with the 
Secretary of Health and Human Services, the Secretary of Labor, and the 
Secretary of the Treasury, shall submit to the Committee on Health, 
Education, Labor, and Pensions of the Senate a report detailing the 
extent to which group health plans or health insurance issuers offering 
group or individual health insurance coverage that provides both 
medical and surgical benefits and mental health or substance use 
disorder benefits, and medicaid managed care organizations with a 
contract under section 1903(m) of the Social Security Act (42 U.S.C. 
1396b(m)), comply with section 2726 of the Public Health Service Act 
(42 U.S.C. 300gg-26), section 712 of the Employee Retirement Income 
Security Act of 1974 (29 U.S.C. 1185a), and section 9812 of the 
Internal Revenue Code of 1986, including--
            (1) how nonquantitative treatment limitations, including 
        medical necessity criteria, of such plans or issuers comply 
        with such sections;
            (2) how the responsible Federal departments and agencies 
        ensure that such plans or issuers comply with such sections, 
        including an assessment of how the Secretary of Health and 
        Human Services has used its authority to conduct audits of such 
        plans to ensure compliance;
            (3) a review of how the various Federal and State agencies 
        responsible for enforcing mental health parity requirements 
        have improved enforcement of such requirements in accordance 
        with the objectives and timeline described in the action plan 
        under section 605; and
            (4) recommendations for how additional enforcement, 
        education, and coordination activities by responsible Federal 
        and State departments and agencies could better ensure 
        compliance with such sections, including recommendations 
        regarding the need for additional legal authority.

SEC. 608. CLARIFICATION OF EXISTING PARITY RULES.

    If a group health plan or a health insurance issuer offering group 
or individual health insurance coverage provides coverage for eating 
disorder benefits including, but not limited to, residential treatment, 
such group health plan or health insurance issuer shall provide such 
benefits consistent with the requirements of section 2726 of the Public 
Health Service Act (42 U.S.C. 300gg-26), section 712 of the Employee 
Retirement Income Security Act of 1974 (29 U.S.C. 1185a), and section 
9812 of the Internal Revenue Code of 1986.
                                 <all>