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

    <DOC>

                                                           Calendar No. 437
    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, Mr. Murphy, Mr.
    Vitter, and Mr. Franken) introduced the following bill; which was read
     twice and referred to the Committee on Health, Education, Labor, and
                                    Pensions

                                 April 26, 2016

                  Reported by Mr. Alexander, with an amendment
     [Strike out all after the enacting clause and insert the part printed
                                   in italic]

    _______________________________________________________________________

                                     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,

    <DELETED>SECTION 1. SHORT TITLE; TABLE OF CONTENTS.</DELETED>

    <DELETED>    (a) Short Title.--This Act may be cited as the ``Mental
    Health Reform Act of 2016''.</DELETED>
    <DELETED>    (b) Table of Contents.--The table of contents for this Act
    is as follows:</DELETED>

    <DELETED>Sec. 1. Short title; table of contents.
         <DELETED>TITLE I--STRENGTHENING LEADERSHIP AND ACCOUNTABILITY

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

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

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

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

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

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

    <DELETED>TITLE I--STRENGTHENING LEADERSHIP AND ACCOUNTABILITY</DELETED>

    <DELETED>SEC. 101. IMPROVING OVERSIGHT OF MENTAL AND SUBSTANCE USE
                  DISORDER PROGRAMS.</DELETED>

    <DELETED>    (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.</DELETED>
    <DELETED>    (b) Activities.--In carrying out subsection (a), the
    Assistant Secretary shall--</DELETED>
            <DELETED>    (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--</DELETED>
                    <DELETED>    (A) prevention, intervention, treatment,
                    and recovery support services, including such services
                    for individuals with a serious mental illness or
                    serious emotional disturbance;</DELETED>
                    <DELETED>    (B) the reduction of homelessness and
                    incarceration among individuals with a mental or
                    substance use disorder; and</DELETED>
                    <DELETED>    (C) public health and health services;
                    and</DELETED>
            <DELETED>    (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.</DELETED>
    <DELETED>    (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).</DELETED>

    <DELETED>SEC. 102. STRENGTHENING LEADERSHIP OF THE SUBSTANCE ABUSE AND
                  MENTAL HEALTH SERVICES ADMINISTRATION.</DELETED>

    <DELETED>    Section 501 of the Public Health Service Act (42 U.S.C.
    290aa) is amended--</DELETED>
            <DELETED>    (1) in subsection (b)--</DELETED>
                    <DELETED>    (A) by striking the heading and inserting
                    ``Centers''; and</DELETED>
                    <DELETED>    (B) in the matter preceding paragraph (1),
                    by striking ``entities'' and inserting ``Centers'';
                    and</DELETED>
            <DELETED>    (2) in subsection (d)--</DELETED>
                    <DELETED>    (A) in paragraph (1)--</DELETED>
                            <DELETED>    (i) by striking ``agencies'' each
                            place the term appears and inserting
                            ``Centers''; and</DELETED>
                            <DELETED>    (ii) by striking ``such agency''
                            and inserting ``such Center'';</DELETED>
                    <DELETED>    (B) in paragraph (2)--</DELETED>
                            <DELETED>    (i) by striking ``agencies'' and
                            inserting ``Centers'';</DELETED>
                            <DELETED>    (ii) by striking ``with respect to
                            substance abuse'' and inserting ``with respect
                            to substance use disorders''; and</DELETED>
                            <DELETED>    (iii) by striking ``and
                            individuals who are substance abusers'' and
                            inserting ``and individuals with substance use
                            disorders'';</DELETED>
                    <DELETED>    (C) in paragraph (5), by striking
                    ``substance abuse'' and inserting ``substance use
                    disorder'';</DELETED>
                    <DELETED>    (D) in paragraph (6)--</DELETED>
                            <DELETED>    (i) by striking ``the Centers for
                            Disease Control'' and inserting ``the Centers
                            for Disease Control and
                            Prevention,'';</DELETED>
                            <DELETED>    (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</DELETED>
                            <DELETED>    (iii) by inserting ``or
                            disorders'' before the semicolon;</DELETED>
                    <DELETED>    (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'';</DELETED>
                    <DELETED>    (F) in paragraph (8)--</DELETED>
                            <DELETED>    (i) by striking ``Agency for
                            Health Care Policy Research'' and inserting
                            ``Agency for Healthcare Research and Quality'';
                            and</DELETED>
                            <DELETED>    (ii) by striking ``treatment and
                            prevention'' and inserting ``prevention and
                            treatment'';</DELETED>
                    <DELETED>    (G) in paragraph (9)--</DELETED>
                            <DELETED>    (i) by inserting ``and
                            maintenance'' after ``development'';</DELETED>
                            <DELETED>    (ii) by striking ``Agency for
                            Health Care Policy Research'' and inserting
                            ``Agency for Healthcare Research and Quality'';
                            and</DELETED>
                            <DELETED>    (iii) by striking ``treatment and
                            prevention'' and inserting ``prevention and
                            treatment and appropriately incorporated into
                            programs carried out by the
                            Administration'';</DELETED>
                    <DELETED>    (H) in paragraph (10), by striking
                    ``abuse'' and inserting ``use disorder'';</DELETED>
                    <DELETED>    (I) by striking paragraph (11) and
                    inserting the following:</DELETED>
            <DELETED>    ``(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;'';</DELETED>
                    <DELETED>    (J) in paragraph (13)--</DELETED>
                            <DELETED>    (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'';</DELETED>
                            <DELETED>    (ii) in subparagraph (A)--
                            </DELETED>
                                    <DELETED>    (I) by inserting ``require
                                    that'' before ``all grants'';
                                    and</DELETED>
                                    <DELETED>    (II) by striking ``and''
                                    at the end;</DELETED>
                            <DELETED>    (iii) by redesignating
                            subparagraph (B) as subparagraph (C);</DELETED>
                            <DELETED>    (iv) by inserting after
                            subparagraph (A) the following:</DELETED>
                    <DELETED>    ``(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;'';</DELETED>
                            <DELETED>    (v) in subparagraph (C), as so
                            redesignated--</DELETED>
                                    <DELETED>    (I) by inserting ``require
                                    that'' before ``all grants'';
                                    and</DELETED>
                                    <DELETED>    (II) by inserting ``and''
                                    after the semicolon at the end;
                                    and</DELETED>
                            <DELETED>    (vi) by adding at the end the
                            following:</DELETED>
                    <DELETED>    ``(D) inform a State when any funds are
                    awarded through such a grant to any entity within such
                    State;'';</DELETED>
                    <DELETED>    (K) in paragraph (16)--</DELETED>
                            <DELETED>    (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,'';</DELETED>
                    <DELETED>    (L) in paragraph (17)--</DELETED>
                            <DELETED>    (i) by striking ``substance
                            abuse'' and inserting ``mental and substance
                            use disorder''; and</DELETED>
                            <DELETED>    (ii) by striking ``and'' at the
                            end;</DELETED>
                    <DELETED>    (M) in paragraph (18), by striking the
                    period and inserting a semicolon; and</DELETED>
                    <DELETED>    (N) by adding at the end the
                    following:</DELETED>
            <DELETED>    ``(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;</DELETED>
            <DELETED>    ``(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;</DELETED>
            <DELETED>    ``(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</DELETED>
            <DELETED>    ``(22) work with States and other stakeholders to
            develop and support activities to recruit and retain a
            workforce addressing mental and substance use
            disorders.''.</DELETED>

    <DELETED>SEC. 103. CHIEF MEDICAL OFFICER.</DELETED>

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

    <DELETED>SEC. 104. STRATEGIC PLAN.</DELETED>

    <DELETED>    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:</DELETED>
    <DELETED>    ``(l) Strategic Plan.--</DELETED>
            <DELETED>    ``(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.</DELETED>
            <DELETED>    ``(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.</DELETED>
            <DELETED>    ``(3) Publication of plan.--Not later than
            December 1, 2017, and every 4 years thereafter, the
            Administrator shall--</DELETED>
                    <DELETED>    ``(A) submit the strategic plan developed
                    under paragraph (1) to the appropriate committees of
                    Congress; and</DELETED>
                    <DELETED>    ``(B) post such plan on the Internet
                    website of the Administration.</DELETED>
            <DELETED>    ``(4) Contents.--The strategic plan developed
            under paragraph (1) shall--</DELETED>
                    <DELETED>    ``(A) identify strategic priorities,
                    goals, and measurable objectives for mental and
                    substance use disorder activities and programs operated
                    and supported by the Administration;</DELETED>
                    <DELETED>    ``(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;</DELETED>
                    <DELETED>    ``(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;</DELETED>
                    <DELETED>    ``(D) identify opportunities to
                    collaborate with the Health Resources and Services
                    Administration to develop or improve--</DELETED>
                            <DELETED>    ``(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</DELETED>
                            <DELETED>    ``(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</DELETED>
                    <DELETED>    ``(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.''.</DELETED>

    <DELETED>SEC. 105. BIENNIAL REPORT CONCERNING ACTIVITIES AND
                  PROGRESS.</DELETED>

    <DELETED>    (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:</DELETED>
    <DELETED>    ``(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--</DELETED>
            <DELETED>    ``(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);</DELETED>
            <DELETED>    ``(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;</DELETED>
            <DELETED>    ``(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;</DELETED>
            <DELETED>    ``(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--</DELETED>
                    <DELETED>    ``(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;</DELETED>
                    <DELETED>    ``(B) the recruitment, training, and
                    retention of a mental and substance use disorder
                    workforce;</DELETED>
                    <DELETED>    ``(C) the integration of mental or
                    substance use disorder services and physical health
                    services;</DELETED>
                    <DELETED>    ``(D) homelessness; and</DELETED>
                    <DELETED>    ``(E) veterans;</DELETED>
            <DELETED>    ``(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</DELETED>
            <DELETED>    ``(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--</DELETED>
                    <DELETED>    ``(A) the number and a description of
                    grants awarded;</DELETED>
                    <DELETED>    ``(B) the total amount of funding for
                    grants awarded;</DELETED>
                    <DELETED>    ``(C) a description of the activities
                    supported through such grants, including outcomes of
                    programs supported; and</DELETED>
                    <DELETED>    ``(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</DELETED>
            <DELETED>    ``(7) recommendations made by the Assistant
            Secretary for Planning and Evaluation to improve programs
            within the Administration.''.</DELETED>
    <DELETED>    (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)''.</DELETED>

    <DELETED>SEC. 106. AUTHORITIES OF CENTERS FOR MENTAL HEALTH
                  SERVICES.</DELETED>

    <DELETED>    Section 520(b) of the Public Health Service Act (42 U.S.C.
    290bb-31(b)) is amended--</DELETED>
            <DELETED>    (1) by redesignating paragraphs (3) through (15)
            as paragraphs (4) through (16), respectively;</DELETED>
            <DELETED>    (2) by inserting after paragraph (2) the
            following:</DELETED>
            <DELETED>    ``(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;'';</DELETED>
            <DELETED>    (3) in paragraph (5), as so redesignated, by
            inserting ``through programs that reduce risk and promote
            resiliency'' before the semicolon;</DELETED>
            <DELETED>    (4) in paragraph (6), as so redesignated, by
            inserting ``in collaboration with the Director of the National
            Institute of Mental Health,'' before ``develop'';</DELETED>
            <DELETED>    (5) in paragraph (8), as so redesignated, by
            inserting ``, increase meaningful participation of individuals
            with mental illness,'' before ``and protect the
            legal'';</DELETED>
            <DELETED>    (6) in paragraph (10), as so redesignated, by
            striking ``professional and paraprofessional personnel pursuant
            to section 303'' and inserting ``paraprofessional personnel and
            health professionals'';</DELETED>
            <DELETED>    (7) in paragraph (11), as so redesignated, by
            inserting ``and tele-mental health,'' after ``rural mental
            health,'';</DELETED>
            <DELETED>    (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,'';</DELETED>
            <DELETED>    (9) in paragraph (15), as so redesignated, by
            striking ``and'' at the end;</DELETED>
            <DELETED>    (10) in paragraph (16), as so redesignated, by
            striking the period and inserting ``; and''; and</DELETED>
            <DELETED>    (11) by adding at the end the following:</DELETED>
            <DELETED>    ``(17) ensure the consistent documentation of the
            application of criteria when awarding grants and the ongoing
            oversight of grantees after such grants are
            awarded.''.</DELETED>

    <DELETED>SEC. 107. ADVISORY COUNCILS.</DELETED>

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

    <DELETED>SEC. 108. PEER REVIEW.</DELETED>

    <DELETED>    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.''.</DELETED>

    <DELETED>SEC. 109. INTER-DEPARTMENTAL SERIOUS MENTAL ILLNESS
                  COORDINATING COMMITTEE.</DELETED>

    <DELETED>    (a) Establishment.--</DELETED>
            <DELETED>    (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'').</DELETED>
            <DELETED>    (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.</DELETED>
    <DELETED>    (b) Meetings.--The Committee shall meet not fewer than 2
    times each year.</DELETED>
    <DELETED>    (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--
    </DELETED>
            <DELETED>    (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;</DELETED>
            <DELETED>    (2) an evaluation of the impact on public health
            of Federal programs related to serious mental illness,
            including measurements of public health outcomes including--
            </DELETED>
                    <DELETED>    (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;</DELETED>
                    <DELETED>    (B) increased rates of employment and
                    enrollment in educational and vocational
                    programs;</DELETED>
                    <DELETED>    (C) quality of mental and substance use
                    disorder treatment services; or</DELETED>
                    <DELETED>    (D) any other criteria as may be
                    determined by the Secretary; and</DELETED>
            <DELETED>    (3) specific recommendations for actions that
            agencies can take to better coordinate the administration of
            mental health services for people with serious mental
            illness.</DELETED>
    <DELETED>    (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.</DELETED>
    <DELETED>    (e) Membership.--</DELETED>
            <DELETED>    (1) Federal members.--The Committee shall be
            composed of the following Federal representatives, or their
            designee--</DELETED>
                    <DELETED>    (A) the Secretary of Health and Human
                    Services, who shall serve as the Chair of the
                    Committee;</DELETED>
                    <DELETED>    (B) the Administrator of the Substance
                    Abuse and Mental Health Services
                    Administration;</DELETED>
                    <DELETED>    (C) the Attorney General of the United
                    States;</DELETED>
                    <DELETED>    (D) the Secretary of Veterans
                    Affairs;</DELETED>
                    <DELETED>    (E) the Secretary of Defense;</DELETED>
                    <DELETED>    (F) the Secretary of Housing and Urban
                    Development;</DELETED>
                    <DELETED>    (G) the Secretary of Education;</DELETED>
                    <DELETED>    (H) the Secretary of Labor; and</DELETED>
                    <DELETED>    (I) the Commissioner of Social
                    Security.</DELETED>
            <DELETED>    (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--
            </DELETED>
                    <DELETED>    (A) at least 1 member shall be an
                    individual who has received treatment for a diagnosis
                    of a serious mental illness;</DELETED>
                    <DELETED>    (B) at least 1 member shall be a parent or
                    legal guardian of an individual with a history of
                    serious mental illness;</DELETED>
                    <DELETED>    (C) at least 1 member shall be a
                    representative of a leading research, advocacy, or
                    service organization for individuals with serious
                    mental illnesses;</DELETED>
                    <DELETED>    (D) at least 2 members shall be--
                    </DELETED>
                            <DELETED>    (i) a licensed psychiatrist with
                            experience treating serious mental
                            illness;</DELETED>
                            <DELETED>    (ii) a licensed psychologist with
                            experience treating serious mental
                            illness;</DELETED>
                            <DELETED>    (iii) a licensed clinical social
                            worker; or</DELETED>
                            <DELETED>    (iv) a licensed psychiatric nurse,
                            nurse practitioner, or physician assistant with
                            experience treating serious mental
                            illness;</DELETED>
                    <DELETED>    (E) at least 1 member shall be a licensed
                    mental health professional with a specialty in treating
                    children and adolescents;</DELETED>
                    <DELETED>    (F) at least 1 member shall be a mental
                    health professional who has research or clinical mental
                    health experience working with minorities;</DELETED>
                    <DELETED>    (G) at least 1 member shall be a mental
                    health professional who has research or clinical mental
                    health experience working with medically underserved
                    populations;</DELETED>
                    <DELETED>    (H) at least 1 member shall be a State
                    certified mental health peer specialist;</DELETED>
                    <DELETED>    (I) at least 1 member shall be a judge
                    with experience adjudicating cases related to criminal
                    justice or serious mental illness; and</DELETED>
                    <DELETED>    (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.</DELETED>
            <DELETED>    (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.</DELETED>
    <DELETED>    (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.</DELETED>
    <DELETED>    (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).</DELETED>

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

    <DELETED>SEC. 201. ENCOURAGING INNOVATION AND EVIDENCE-BASED
                  PROGRAMS.</DELETED>

    <DELETED>    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:</DELETED>

    <DELETED>``SEC. 501A. OFFICE OF POLICY, PLANNING, AND
                  INNOVATION.</DELETED>

    <DELETED>    ``(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').</DELETED>
    <DELETED>    ``(b) Responsibilities.--The Office shall--</DELETED>
            <DELETED>    ``(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;</DELETED>
            <DELETED>    ``(2) identify, coordinate, and facilitate the
            implementation of policy changes likely to have a significant
            impact on mental and substance use disorder services;</DELETED>
            <DELETED>    ``(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;</DELETED>
            <DELETED>    ``(4) provide leadership in identifying and
            coordinating policies and programs related to mental health and
            substance use disorders;</DELETED>
            <DELETED>    ``(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--</DELETED>
                    <DELETED>    ``(A) identifying any such programs or
                    activities that are duplicative;</DELETED>
                    <DELETED>    ``(B) identifying any such programs or
                    activities that are not evidence-based, effective, or
                    efficient;</DELETED>
                    <DELETED>    ``(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</DELETED>
                    <DELETED>    ``(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</DELETED>
            <DELETED>    ``(6) carry out other activities as deemed
            necessary to continue to encourage innovation and disseminate
            evidence-based programs and practices.</DELETED>
    <DELETED>    ``(c) Promoting Innovation.--</DELETED>
            <DELETED>    ``(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--</DELETED>
                    <DELETED>    ``(A) evaluating a model that has been
                    scientifically demonstrated to show promise, but would
                    benefit from further applied development, for--
                    </DELETED>
                            <DELETED>    ``(i) enhancing the prevention,
                            diagnosis, intervention, treatment, and
                            recovery of mental illness, serious emotional
                            disturbance, substance use disorders, and co-
                            occurring disorders; or</DELETED>
                            <DELETED>    ``(ii) integrating or coordinating
                            physical health services and mental and
                            substance use disorder services; and</DELETED>
                    <DELETED>    ``(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--</DELETED>
                            <DELETED>    ``(i) applying delivery of care,
                            including training staff in effective evidence-
                            based treatment; or</DELETED>
                            <DELETED>    ``(ii) integrating models of care
                            across specialties and jurisdictions.</DELETED>
            <DELETED>    ``(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.</DELETED>
    <DELETED>    ``(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.''.</DELETED>

    <DELETED>SEC. 202. PROMOTING ACCESS TO INFORMATION ON EVIDENCE-BASED
                  PROGRAMS AND PRACTICES.</DELETED>

    <DELETED>    (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.</DELETED>
    <DELETED>    (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).</DELETED>
    <DELETED>    (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.</DELETED>
    <DELETED>    (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.</DELETED>

    <DELETED>SEC. 203. PRIORITY MENTAL HEALTH NEEDS OF REGIONAL AND
                  NATIONAL SIGNIFICANCE.</DELETED>

    <DELETED>    Section 520A of the Public Health Service Act (42 U.S.C.
    290bb-32) is amended--</DELETED>
            <DELETED>    (1) in subsection (a)--</DELETED>
                    <DELETED>    (A) in paragraph (4), by inserting before
                    the period ``, that may include technical assistance
                    centers''; and</DELETED>
                    <DELETED>    (B) in the flush sentence following
                    paragraph (4)--</DELETED>
                            <DELETED>    (i) by inserting ``, contracts,''
                            before ``or cooperative agreements'';
                            and</DELETED>
                            <DELETED>    (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</DELETED>
            <DELETED>    (2) in subsection (f)--</DELETED>
                    <DELETED>    (A) in paragraph (1) by striking the
                    paragraph heading;</DELETED>
                    <DELETED>    (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</DELETED>
                    <DELETED>    (C) by striking paragraph (2).</DELETED>

      <DELETED>TITLE III--SUPPORTING STATE RESPONSES TO MENTAL HEALTH AND
                     SUBSTANCE USE DISORDER NEEDS</DELETED>

    <DELETED>SEC. 301. COMMUNITY MENTAL HEALTH SERVICES BLOCK
                  GRANT.</DELETED>

    <DELETED>    (a) Formula Grants.--Section 1911(b) of the Public Health
    Service Act (42 U.S.C. 300x(b)) is amended--</DELETED>
            <DELETED>    (1) by redesignating paragraphs (1) through (3) as
            paragraphs (2) through (4), respectively; and</DELETED>
            <DELETED>    (2) by inserting before paragraph (2) (as so
            redesignated), the following:</DELETED>
            <DELETED>    ``(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);''.</DELETED>
    <DELETED>    (b) State Plan.--Section 1912(b) of the Public Health
    Service Act (42 U.S.C. 300x-1(b)) is amended--</DELETED>
            <DELETED>    (1) in paragraph (3), by redesignating
            subparagraphs (A) through (C) as clauses (i) through (iii),
            respectively, and realigning the margins accordingly;</DELETED>
            <DELETED>    (2) by redesignating paragraphs (1) through (5) as
            subparagraphs (A) through (E), respectively, and realigning the
            margins accordingly;</DELETED>
            <DELETED>    (3) by striking the matter preceding subparagraph
            (A) (as so redesignated), and inserting the
            following:</DELETED>
    <DELETED>    ``(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:</DELETED>
            <DELETED>    ``(1) System of care.--A description of the
            State's system of care that contains the
            following:'';</DELETED>
            <DELETED>    (4) by striking subparagraph (A) (as so
            redesignated), and inserting the following:</DELETED>
                    <DELETED>    ``(A) Comprehensive community-based health
                    systems.--The plan shall--</DELETED>
                            <DELETED>    ``(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;</DELETED>
                            <DELETED>    ``(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;</DELETED>
                            <DELETED>    ``(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;</DELETED>
                            <DELETED>    ``(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;</DELETED>
                            <DELETED>    ``(v) include a description of
                            case management services;</DELETED>
                            <DELETED>    ``(vi) include a description of
                            activities leading to reduction of
                            hospitalization, arrest, incarceration, or
                            suicide, including through promoting
                            comprehensive, individualized
                            treatment;</DELETED>
                            <DELETED>    ``(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;</DELETED>
                            <DELETED>    ``(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</DELETED>
                            <DELETED>    ``(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.'';</DELETED>
            <DELETED>    (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'';</DELETED>
            <DELETED>    (6) in subparagraph (C) (as so redesignated)--
            </DELETED>
                    <DELETED>    (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'';</DELETED>
                    <DELETED>    (B) by striking ``Education Act;'' and
                    inserting ``Education Act.''; and</DELETED>
                    <DELETED>    (C) by striking clauses (ii) and (iii) (as
                    so redesignated);</DELETED>
            <DELETED>    (7) in subparagraph (D) (as so redesignated), by
            striking ``plan described'' and inserting ``plan shall
            describe'';</DELETED>
            <DELETED>    (8) in subparagraph (E) (as so redesignated)--
            </DELETED>
                    <DELETED>    (A) in the subparagraph heading by
                    striking ``systems'' and inserting
                    ``services'';</DELETED>
                    <DELETED>    (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</DELETED>
                    <DELETED>    (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'';</DELETED>
            <DELETED>    (9) by striking the flush matter at the end;
            and</DELETED>
            <DELETED>    (10) by adding at the end the following:</DELETED>
            <DELETED>    ``(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.''.</DELETED>
    <DELETED>    (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:</DELETED>
    <DELETED>    ``(c) Best Practices in Clinical Care Models.--</DELETED>
            <DELETED>    ``(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.</DELETED>
            <DELETED>    ``(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.''.</DELETED>
    <DELETED>    (d) Additional Provisions.--Section 1915(b) of the Public
    Health Service Act (42 U.S.C. 300x-4(b)) is amended--</DELETED>
            <DELETED>    (1) by redesignating paragraph (1) as subparagraph
            (A), and realigning the margin accordingly;</DELETED>
            <DELETED>    (2) by inserting after the subsection heading the
            following:</DELETED>
            <DELETED>    ``(1) Requirement.--'';</DELETED>
            <DELETED>    (3) by inserting after subparagraph (A) (as so
            redesignated), the following:</DELETED>
                    <DELETED>    ``(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.'';</DELETED>
            <DELETED>    (4) by redesignating paragraphs (2) through (4) as
            paragraphs (3) through (5), respectively;</DELETED>
            <DELETED>    (5) by inserting after paragraph (1), the
            following:</DELETED>
            <DELETED>    ``(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).'';</DELETED>
            <DELETED>    (6) in paragraph (3) (as so redesignated), by
            striking ``subsection (a)'' and inserting ``paragraph
            (1)'';</DELETED>
            <DELETED>    (7) in paragraph (4) (as so redesignated)--
            </DELETED>
                    <DELETED>    (A) by striking ``The Secretary'' and
                    inserting the following:</DELETED>
                    <DELETED>    ``(A) In general.--The
                    Secretary'';</DELETED>
                    <DELETED>    (B) by striking ``paragraph (1) if the
                    Secretary'' and inserting the following: ``paragraph
                    (1) in whole or in part, if--</DELETED>
                            <DELETED>    ``(i) the Secretary'';</DELETED>
                    <DELETED>    (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</DELETED>
                    <DELETED>    (D) by adding at the end the
                    following:</DELETED>
                            <DELETED>    ``(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.</DELETED>
                    <DELETED>    ``(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.</DELETED>
                    <DELETED>    ``(C) Applicability of waiver.--A waiver
                    provided by the Secretary under subparagraph (A) shall
                    be applicable only to the fiscal year involved.'';
                    and</DELETED>
            <DELETED>    (8) in paragraph (5) (as so redesignated)--
            </DELETED>
                    <DELETED>    (A) in subparagraph (A)--</DELETED>
                            <DELETED>    (i) by inserting after the
                            subparagraph designation the following: ``In
                            general''; and</DELETED>
                            <DELETED>    (ii) by striking ``maintained
                            material compliance'' and insert ``complied'';
                            and</DELETED>
                    <DELETED>    (B) in subparagraph (B), by inserting
                    after the subparagraph designation the following:
                    ``Submission of information to the
                    secretary''.</DELETED>
    <DELETED>    (e) Application for Grant.--Section 1917(a) of the Public
    Health Service Act (42 U.S.C. 300x-6(a)) is amended--</DELETED>
            <DELETED>    (1) in paragraph (1), by striking ``1941'' and
            inserting ``1942(a)''; and</DELETED>
            <DELETED>    (2) in paragraph (5), by striking
            ``1915(b)(3)(B)'' and inserting ``1915(b)''.</DELETED>
    <DELETED>    (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.''.</DELETED>

    <DELETED>SEC. 302. ADDITIONAL PROVISIONS RELATED TO THE BLOCK
                  GRANTS.</DELETED>

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

    <DELETED>``SEC. 1957. PUBLIC HEALTH EMERGENCIES.</DELETED>

    <DELETED>    ``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.</DELETED>

    <DELETED>``SEC. 1958. JOINT APPLICATIONS.</DELETED>

    <DELETED>    ``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.''.</DELETED>

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

    <DELETED>    (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--</DELETED>
            <DELETED>    (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;</DELETED>
            <DELETED>    (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;</DELETED>
            <DELETED>    (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;</DELETED>
            <DELETED>    (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;</DELETED>
            <DELETED>    (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;</DELETED>
            <DELETED>    (6) recommendations for modifications to the
            minimum allotment provisions to ensure an appropriate
            distribution of funds; and</DELETED>
            <DELETED>    (7) any other information that the Secretary
            determines appropriate.</DELETED>
    <DELETED>    (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).</DELETED>

    <DELETED>TITLE IV--PROMOTING ACCESS TO MENTAL HEALTH AND SUBSTANCE USE
                            DISORDER CARE</DELETED>

    <DELETED>SEC. 401. GRANTS FOR TREATMENT AND RECOVERY FOR HOMELESS
                  INDIVIDUALS.</DELETED>

    <DELETED>    Section 506 of the Public Health Service Act (42 U.S.C.
    290aa-5) is amended--</DELETED>
            <DELETED>    (1) in subsections (a), by striking ``substance
            abuse'' and inserting ``substance use disorder'';</DELETED>
            <DELETED>    (2) in subsection (b)--</DELETED>
                    <DELETED>    (A) in paragraphs (1) and (3), by striking
                    ``substance abuse'' each place the term appears and
                    inserting ``substance use disorder''; and</DELETED>
                    <DELETED>    (B) in paragraph (4), by striking
                    ``substance abuse'' and inserting ``a substance use
                    disorder'';</DELETED>
            <DELETED>    (3) in subsection (c)--</DELETED>
                    <DELETED>    (A) in paragraph (1), by striking
                    ``substance abuse disorder'' and inserting ``substance
                    use disorder''; and</DELETED>
                    <DELETED>    (B) in paragraph (2)--</DELETED>
                            <DELETED>    (i) in subparagraph (A), by
                            striking ``substance abuse'' and inserting ``a
                            substance use disorder''; and</DELETED>
                            <DELETED>    (ii) in subparagraph (B), by
                            striking ``substance abuse'' and inserting
                            ``substance use disorder''; and</DELETED>
            <DELETED>    (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''.</DELETED>

    <DELETED>SEC. 402. GRANTS FOR JAIL DIVERSION PROGRAMS.</DELETED>

    <DELETED>    Section 520G of the Public Health Service Act (42 U.S.C.
    290bb-38) is amended--</DELETED>
            <DELETED>    (1) by striking ``substance abuse'' each place
            such term appears and inserting ``substance use
            disorder'';</DELETED>
            <DELETED>    (2) in subsection (a)--</DELETED>
                    <DELETED>    (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</DELETED>
                    <DELETED>    (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,'';</DELETED>
            <DELETED>    (3) in subsection (c)(2)(A)(i), by striking ``the
            best known'' and inserting ``evidence-based''; and</DELETED>
            <DELETED>    (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''.</DELETED>

    <DELETED>SEC. 403. PROMOTING INTEGRATION OF PRIMARY AND BEHAVIORAL
                  HEALTH CARE.</DELETED>

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

    <DELETED>``SEC. 520K. INTEGRATION INCENTIVE GRANTS.</DELETED>

    <DELETED>    ``(a) Definitions.--In this section:</DELETED>
            <DELETED>    ``(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).</DELETED>
            <DELETED>    ``(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.</DELETED>
            <DELETED>    ``(3) Special population.--The term `special
            population' means--</DELETED>
                    <DELETED>    ``(A) adults with mental illnesses who
                    have co-occurring primary care conditions or chronic
                    diseases;</DELETED>
                    <DELETED>    ``(B) adults with serious mental illnesses
                    who have co-occurring primary care conditions or
                    chronic diseases;</DELETED>
                    <DELETED>    ``(C) children and adolescents with
                    serious emotional disturbance with co-occurring primary
                    care conditions or chronic diseases; or</DELETED>
                    <DELETED>    ``(D) individuals with substance use
                    disorders.</DELETED>
    <DELETED>    ``(b) Grants.--</DELETED>
            <DELETED>    ``(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).</DELETED>
            <DELETED>    ``(2) Purposes.--Grants and cooperative agreements
            awarded under this section shall be designed to--</DELETED>
                    <DELETED>    ``(A) promote full collaboration in
                    clinical practices between primary and behavioral
                    health care;</DELETED>
                    <DELETED>    ``(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</DELETED>
                    <DELETED>    ``(C) promote integrated care services
                    related to screening, diagnosis, and treatment of
                    mental illness and co-occurring primary care conditions
                    and chronic diseases.</DELETED>
    <DELETED>    ``(c) Applications.--</DELETED>
            <DELETED>    ``(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).</DELETED>
            <DELETED>    ``(2) Contents.--The contents described in this
            paragraph are--</DELETED>
                    <DELETED>    ``(A) a description of a plan to achieve
                    fully collaborative agreements to provide services to
                    special populations;</DELETED>
                    <DELETED>    ``(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;</DELETED>
                    <DELETED>    ``(C) a description of partnerships or
                    other arrangements with local health care providers to
                    provide services to special populations;</DELETED>
                    <DELETED>    ``(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</DELETED>
                    <DELETED>    ``(E) a plan for sustainability beyond the
                    grant or cooperative agreement period under subsection
                    (e).</DELETED>
    <DELETED>    ``(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.</DELETED>
    <DELETED>    ``(e) Duration.--A grant or cooperative agreement under
    this section shall be for a period not to exceed 5 years.</DELETED>
    <DELETED>    ``(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--</DELETED>
            <DELETED>    ``(1) the progress to reduce barriers to
            integrated care as described in the entity's application under
            subsection (c); and</DELETED>
            <DELETED>    ``(2) a description of functional outcomes of
            special populations, including--</DELETED>
                    <DELETED>    ``(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;</DELETED>
                    <DELETED>    ``(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</DELETED>
                    <DELETED>    ``(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.</DELETED>
    <DELETED>    ``(g) Technical Assistance for Primary-Behavioral Health
    Care Integration.--</DELETED>
            <DELETED>    ``(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--
            </DELETED>
                    <DELETED>    ``(A) development and selection of
                    integrated care models;</DELETED>
                    <DELETED>    ``(B) dissemination of evidence-based
                    interventions in integrated care;</DELETED>
                    <DELETED>    ``(C) establishment of organizational
                    practices to support operational and administrative
                    success; and</DELETED>
                    <DELETED>    ``(D) other activities, as the Secretary
                    determines appropriate.</DELETED>
            <DELETED>    ``(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.</DELETED>
    <DELETED>    ``(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.''.</DELETED>

    <DELETED>SEC. 404. PROJECTS FOR ASSISTANCE IN TRANSITION FROM
                  HOMELESSNESS.</DELETED>

    <DELETED>    (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''.</DELETED>
    <DELETED>    (b) Purpose of Grants.--Section 522 of the Public Health
    Service Act (42 U.S.C. 290cc-22) is amended--</DELETED>
            <DELETED>    (1) in subsection (a)(1)(B), by striking
            ``substance abuse'' and inserting ``a substance use
            disorder'';</DELETED>
            <DELETED>    (2) in subsection (b)(6), by striking ``substance
            abuse'' and inserting ``substance use disorder'';</DELETED>
            <DELETED>    (3) in subsection (c), by striking ``substance
            abuse'' and inserting ``a substance use disorder'';</DELETED>
            <DELETED>    (4) in subsection (e)--</DELETED>
                    <DELETED>    (A) in paragraph (1), by striking
                    ``substance abuse'' and inserting ``a substance use
                    disorder''; and</DELETED>
                    <DELETED>    (B) in paragraph (2), by striking
                    ``substance abuse'' and inserting ``substance use
                    disorder''; and</DELETED>
            <DELETED>    (5) in subsection (h), by striking ``substance
            abuse'' each place such term appears and inserting ``substance
            use disorder''.</DELETED>
    <DELETED>    (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''.</DELETED>
    <DELETED>    (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''.</DELETED>
    <DELETED>    (e) Definitions.--Section 534(4) of the Public Health
    Service Act (42 U.S.C. 290cc-34(4)) is amended to read as
    follows:</DELETED>
            <DELETED>    ``(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).''.</DELETED>
    <DELETED>    (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''.</DELETED>
    <DELETED>    (g) Study Concerning Formula.--</DELETED>
            <DELETED>    (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.</DELETED>
            <DELETED>    (2) Report.--The Administrator shall submit to the
            appropriate committees of Congress a report concerning the
            results of the study conducted under paragraph (1).</DELETED>

    <DELETED>SEC. 405. NATIONAL SUICIDE PREVENTION LIFELINE
                  PROGRAM.</DELETED>

    <DELETED>    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:</DELETED>

    <DELETED>``SEC. 520E-3. NATIONAL SUICIDE PREVENTION LIFELINE
                  PROGRAM.</DELETED>

    <DELETED>    ``(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.</DELETED>
    <DELETED>    ``(b) Activities.--In maintaining the program, the
    activities of the Secretary shall include--</DELETED>
            <DELETED>    ``(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;</DELETED>
            <DELETED>    ``(2) maintaining a suicide prevention hotline to
            link callers to local emergency, mental health, and social
            services resources; and</DELETED>
            <DELETED>    ``(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.</DELETED>
    <DELETED>    ``(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.''.</DELETED>

    <DELETED>SEC. 406. CONNECTING INDIVIDUALS AND FAMILIES WITH
                  CARE.</DELETED>

    <DELETED>    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:</DELETED>

    <DELETED>``SEC. 520E-4. TREATMENT REFERRAL ROUTING SERVICE.</DELETED>

    <DELETED>    ``(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.</DELETED>
    <DELETED>    ``(b) Activities of the Secretary.--To maintain the
    Routing Service, the activities of the Secretary shall include
    administering--</DELETED>
            <DELETED>    ``(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</DELETED>
            <DELETED>    ``(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.</DELETED>
    <DELETED>    ``(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.''.</DELETED>

    <DELETED>SEC. 407. STREAMLINING MENTAL AND BEHAVIORAL HEALTH WORKFORCE
                  PROGRAMS.</DELETED>

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

    <DELETED>``SEC. 755. MENTAL AND BEHAVIORAL HEALTH EDUCATION AND
                  TRAINING GRANTS.</DELETED>

    <DELETED>    ``(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--</DELETED>
            <DELETED>    ``(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;</DELETED>
            <DELETED>    ``(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;</DELETED>
            <DELETED>    ``(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</DELETED>
            <DELETED>    ``(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.</DELETED>
    <DELETED>    ``(b) Eligibility Requirements.--To be eligible for a
    grant under this section, an institution of higher education shall
    demonstrate--</DELETED>
            <DELETED>    ``(1) an ability to recruit and place the students
            described in subsection (a) in areas with a high need and high
            demand population;</DELETED>
            <DELETED>    ``(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;</DELETED>
            <DELETED>    ``(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;</DELETED>
            <DELETED>    ``(4) that any internship or other field placement
            program assisted through the grant will prioritize cultural and
            linguistic competency; and</DELETED>
            <DELETED>    ``(5) that the institution of higher education
            will provide to the Secretary such data, assurances, and
            information as the Secretary may require.</DELETED>
    <DELETED>    ``(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.</DELETED>
    <DELETED>    ``(d) Priority.--In selecting grant recipients, the
    Secretary shall give priority to--</DELETED>
            <DELETED>    ``(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</DELETED>
            <DELETED>    ``(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.</DELETED>
    <DELETED>    ``(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--</DELETED>
            <DELETED>    ``(1) providing graduate students support for
            experiential training (internship or field
            placement);</DELETED>
            <DELETED>    ``(2) recruiting of students interested in
            behavioral health practice;</DELETED>
            <DELETED>    ``(3) developing and implementing
            interprofessional training and integration within primary
            care;</DELETED>
            <DELETED>    ``(4) developing and implementing accredited field
            placements and internships; and</DELETED>
            <DELETED>    ``(5) collecting data on the number of students
            trained in mental health and the number of available accredited
            internships and field placements.</DELETED>
    <DELETED>    ``(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.''.</DELETED>
    <DELETED>    (b) Conforming Amendments.--The Public Health Service Act
    (42 U.S.C. 201 et seq.), as amended by subsection (a), is further
    amended--</DELETED>
            <DELETED>    (1) in section 338A(d)(2)(A) (42 U.S.C.
            254l(d)(2)(A)), by striking ``or under section 758'';</DELETED>
            <DELETED>    (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</DELETED>
            <DELETED>    (3) in section 761 (42 U.S.C. 294n)--</DELETED>
                    <DELETED>    (A) in subsection (b)(2)(E), by striking
                    ``757(d)(3)'' and inserting ``756(d)(3)'';</DELETED>
                    <DELETED>    (B) in subsection (d)(2)(B), by striking
                    ``757(d)(3)'' and inserting ``756(d)(3)'';
                    and</DELETED>
                    <DELETED>    (C) in subsection (d)(3), by striking
                    ``757(d)(4)'' and inserting ``756(d)(4)''.</DELETED>

    <DELETED>SEC. 408. REPORTS.</DELETED>

    <DELETED>    (a) Report on Mental Health and Substance Use Treatment in
    States.--</DELETED>
            <DELETED>    (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:</DELETED>
                    <DELETED>    (A) A detailed description on how Federal
                    mental and substance use disorder treatment funds are
                    used in each State, including--</DELETED>
                            <DELETED>    (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</DELETED>
                            <DELETED>    (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.</DELETED>
                    <DELETED>    (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.</DELETED>
                    <DELETED>    (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.</DELETED>
                    <DELETED>    (D) An analysis of outcomes for different
                    models of outpatient treatment programs for individuals
                    with a serious mental illness or serious emotional
                    disturbance, including--</DELETED>
                            <DELETED>    (i) rates of keeping treatment
                            appointments and adherence to treatment
                            plans;</DELETED>
                            <DELETED>    (ii) participants' perceived
                            effectiveness of the program;</DELETED>
                            <DELETED>    (iii) alcohol and drug abuse
                            rates;</DELETED>
                            <DELETED>    (iv) incarceration and arrest
                            rates;</DELETED>
                            <DELETED>    (v) violence against persons or
                            property;</DELETED>
                            <DELETED>    (vi) homelessness;</DELETED>
                            <DELETED>    (vii) total treatment costs for
                            compliance with the program; and</DELETED>
                            <DELETED>    (viii) health outcomes.</DELETED>
            <DELETED>    (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.</DELETED>
    <DELETED>    (b) Reporting Compliance Study for Community Mental Health
    Centers.--</DELETED>
            <DELETED>    (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--</DELETED>
                    <DELETED>    (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</DELETED>
                    <DELETED>    (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)).</DELETED>
            <DELETED>    (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--</DELETED>
                    <DELETED>    (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</DELETED>
                    <DELETED>    (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).</DELETED>
    <DELETED>    (c) Workforce Development Report.--</DELETED>
            <DELETED>    (1) Public report.--</DELETED>
                    <DELETED>    (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.</DELETED>
                    <DELETED>    (B) Contents.--The report under this
                    paragraph shall contain--</DELETED>
                            <DELETED>    (i) national and State-level
                            projections of the supply and demand of mental
                            health and substance use disorder health
                            workers;</DELETED>
                            <DELETED>    (ii) an assessment of the mental
                            health and substance use disorder workforce
                            capacity, strengths, and weaknesses as of the
                            date of the report;</DELETED>
                            <DELETED>    (iii) information on trends within
                            the mental health and substance use disorder
                            provider workforce; and</DELETED>
                            <DELETED>    (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.</DELETED>
            <DELETED>    (2) Report to congress.--</DELETED>
                    <DELETED>    (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.</DELETED>
                    <DELETED>    (B) Contents.--The report under this
                    paragraph shall include--</DELETED>
                            <DELETED>    (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;</DELETED>
                            <DELETED>    (ii) an evaluation of how each
                            program, and the programs together, target any
                            workforce weaknesses identified by the report
                            under paragraph (1); and</DELETED>
                            <DELETED>    (iii) recommendations for
                            improving coordination among programs, and
                            addressing gaps and overlap within programs,
                            including recommendations for Congress, as
                            appropriate.</DELETED>
    <DELETED>    (d) Peer-Support Specialist Programs.--</DELETED>
            <DELETED>    (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.</DELETED>
            <DELETED>    (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--</DELETED>
                    <DELETED>    (A) hours of formal work or volunteer
                    experience related to mental and substance use
                    disorders conducted through such programs;</DELETED>
                    <DELETED>    (B) types of peer support specialist exams
                    required for such programs in the States;</DELETED>
                    <DELETED>    (C) codes of ethics used by such programs
                    in the States;</DELETED>
                    <DELETED>    (D) required or recommended skill sets of
                    such programs in the State; and</DELETED>
                    <DELETED>    (E) requirements for continuing
                    education.</DELETED>

    <DELETED>SEC. 409. CENTERS AND PROGRAM REPEALS.</DELETED>

    <DELETED>    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).</DELETED>

    <DELETED>TITLE V--STRENGTHENING MENTAL AND SUBSTANCE USE DISORDER CARE
                     FOR CHILDREN AND ADOLESCENTS</DELETED>

    <DELETED>SEC. 501. PROGRAMS FOR CHILDREN WITH SERIOUS EMOTIONAL
                  DISTURBANCES.</DELETED>

    <DELETED>    (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.</DELETED>
    <DELETED>    (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''.</DELETED>
    <DELETED>    (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''.</DELETED>
    <DELETED>    (d) General Provisions.--Section 565 of the Public Health
    Service Act (42 U.S.C. 290ff-4) is amended--</DELETED>
            <DELETED>    (1) in subsection (b)(1)--</DELETED>
                    <DELETED>    (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</DELETED>
                    <DELETED>    (B) in subparagraph (B), by striking
                    ``pursuant to'' and inserting ``described
                    in'';</DELETED>
            <DELETED>    (2) in subsection (d)(1), by striking ``not more
            than 21 years of age'' and inserting ``through the age of 21
            years''; and</DELETED>
            <DELETED>    (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''.</DELETED>

    <DELETED>SEC. 502. TELEHEALTH CHILD PSYCHIATRY ACCESS GRANTS.</DELETED>

    <DELETED>    (a) Definitions.--In this subsection:</DELETED>
            <DELETED>    (1) Eligible entity.--The term ``eligible entity''
            means a State, political subdivision of a State, Indian tribe,
            or tribal organization.</DELETED>
            <DELETED>    (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).</DELETED>
            <DELETED>    (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.</DELETED>
            <DELETED>    (4) Secretary.--The term ``Secretary'' means the
            Secretary of Health and Human Services.</DELETED>
    <DELETED>    (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--</DELETED>
            <DELETED>    (1) supporting the development of statewide or
            regional child psychiatry access programs; and</DELETED>
            <DELETED>    (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.</DELETED>
    <DELETED>    (c) Child Psychiatry Access Program Requirements.--To be
    eligible for support under subsection (b), a child psychiatry access
    program shall--</DELETED>
            <DELETED>    (1) be a statewide or regional network of
            pediatric mental health teams that provide support to pediatric
            primary care sites as an integrated team;</DELETED>
            <DELETED>    (2) support and further develop organized State
            networks of child and adolescent psychiatrists to provide
            consultative support to pediatric primary care sites;</DELETED>
            <DELETED>    (3) conduct an assessment of critical behavioral
            consultation needs among pediatric providers and such
            providers' preferred mechanisms for receiving consultation,
            training, and technical assistance;</DELETED>
            <DELETED>    (4) develop an online database and communication
            mechanisms, including through telehealth services, to
            facilitate consultation support to pediatric
            practices;</DELETED>
            <DELETED>    (5) provide rapid statewide or regional clinical
            telephone consultations when requested between the pediatric
            mental health teams and pediatric primary care
            providers;</DELETED>
            <DELETED>    (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;</DELETED>
            <DELETED>    (7) inform and assist pediatric providers in
            accessing child psychiatry consultations and in scheduling and
            conducting technical assistance;</DELETED>
            <DELETED>    (8) assist with referrals to specialty care and
            community and behavioral health resources; and</DELETED>
            <DELETED>    (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.</DELETED>
    <DELETED>    (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).</DELETED>
    <DELETED>    (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.</DELETED>
    <DELETED>    (f) Funding.--</DELETED>
            <DELETED>    (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).</DELETED>
            <DELETED>    (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.</DELETED>

    <DELETED>SEC. 503. SUBSTANCE USE DISORDER TREATMENT AND EARLY
                  INTERVENTION SERVICES FOR CHILDREN AND
                  ADOLESCENTS.</DELETED>

    <DELETED>    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--</DELETED>
            <DELETED>    (1) in the heading, by striking ``abuse
            treatment'' and inserting ``use disorder treatment and early
            intervention'';</DELETED>
            <DELETED>    (2) by striking subsection (a) and inserting the
            following:</DELETED>
    <DELETED>    ``(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--</DELETED>
            <DELETED>    ``(1) providing early identification and services
            to meet the needs of children and adolescents who are at risk
            of substance use disorders; and</DELETED>
            <DELETED>    ``(2) providing substance use disorder treatment
            services for children, including children and adolescents with
            co-occurring mental illness and substance use
            disorders.'';</DELETED>
            <DELETED>    (3) in subsection (b)--</DELETED>
                    <DELETED>    (A) by striking paragraph (1) and
                    inserting the following:</DELETED>
            <DELETED>    ``(1) apply evidence-based and cost-effective
            methods'';</DELETED>
                    <DELETED>    (B) in paragraph (2)--</DELETED>
                            <DELETED>    (i) by striking ``treatment'';
                            and</DELETED>
                            <DELETED>    (ii) by inserting ``substance
                            abuse,'' after ``child welfare,'';</DELETED>
                    <DELETED>    (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,'';</DELETED>
                    <DELETED>    (D) in paragraph (5), by striking
                    ``treatment;'' and inserting ``services;
                    and'';</DELETED>
                    <DELETED>    (E) in paragraph (6), by striking
                    ``substance abuse treatment; and'' and inserting
                    ``treatment.''; and</DELETED>
                    <DELETED>    (F) by striking paragraph (7);
                    and</DELETED>
            <DELETED>    (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.''.</DELETED>

    <DELETED>SEC. 504. RESIDENTIAL TREATMENT PROGRAMS FOR PREGNANT AND
                  PARENTING WOMEN.</DELETED>

    <DELETED>    Section 508 of the Public Health Service Act (42 U.S.C.
    290bb-1) is amended--</DELETED>
            <DELETED>    (1) in the section heading, by striking
            ``postpartum'' and inserting ``parenting'';</DELETED>
            <DELETED>    (2) in subsection (a)--</DELETED>
                    <DELETED>    (A) in the matter preceding paragraph
                    (1)--</DELETED>
                            <DELETED>    (i) by inserting ``(referred to in
                            this section as the `Director')'' after
                            ``Treatment'';</DELETED>
                            <DELETED>    (ii) by striking ``grants,'' and
                            inserting ``grants, including the grants under
                            subsection (r),'';</DELETED>
                            <DELETED>    (iii) by striking ``postpartum''
                            and inserting ``parenting''; and</DELETED>
                            <DELETED>    (iv) by striking ``for substance
                            abuse'' and inserting ``for substance use
                            disorders''; and</DELETED>
                    <DELETED>    (B) in paragraph (1), by inserting ``or
                    receive outpatient treatment services from'' after
                    ``reside in'';</DELETED>
            <DELETED>    (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'';</DELETED>
            <DELETED>    (4) in subsection (c)--</DELETED>
                    <DELETED>    (A) in paragraph (1), by striking ``to the
                    woman of the services'' and inserting ``of services for
                    the woman and her child''; and</DELETED>
                    <DELETED>    (B) in paragraph (2)--</DELETED>
                            <DELETED>    (i) in subparagraph (A), by
                            striking ``substance abuse'' and inserting
                            ``substance use disorders''; and</DELETED>
                            <DELETED>    (ii) in subparagraph (B), by
                            striking ``such abuse'' and inserting ``such a
                            disorder'';</DELETED>
            <DELETED>    (5) in subsection (d)--</DELETED>
                    <DELETED>    (A) in paragraph (3)(A), by striking
                    ``maternal substance abuse'' and inserting ``a maternal
                    substance use disorder'';</DELETED>
                    <DELETED>    (B) by amending paragraph (4) to read as
                    follows:</DELETED>
            <DELETED>    ``(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.'';</DELETED>
                    <DELETED>    (C) in paragraphs (9), (10), and (11), by
                    striking ``women'' each place such term appears and
                    inserting ``woman'';</DELETED>
                    <DELETED>    (D) in paragraph (9), by striking
                    ``units'' and inserting ``unit''; and</DELETED>
                    <DELETED>    (E) in paragraph (11)--</DELETED>
                            <DELETED>    (i) in subparagraph (A), by
                            striking ``their children'' and inserting ``any
                            child of such woman'';</DELETED>
                            <DELETED>    (ii) in subparagraph (B), by
                            striking ``; and'' and inserting a
                            semicolon;</DELETED>
                            <DELETED>    (iii) in subparagraph (C), by
                            striking the period and inserting ``; and'';
                            and</DELETED>
                            <DELETED>    (iv) by adding at the end the
                            following:</DELETED>
                    <DELETED>    ``(D) family reunification with children
                    in kinship or foster care arrangements, where safe and
                    appropriate.'';</DELETED>
            <DELETED>    (6) in subsection (e)--</DELETED>
                    <DELETED>    (A) in paragraph (1)--</DELETED>
                            <DELETED>    (i) in the matter preceding
                            subparagraph (A), by striking ``substance
                            abuse'' and inserting ``substance use
                            disorders''; and</DELETED>
                            <DELETED>    (ii) in subparagraph (B), by
                            striking ``substance abuse'' and inserting
                            ``substance abuse disorders''; and</DELETED>
                    <DELETED>    (B) in paragraph (2)--</DELETED>
                            <DELETED>    (i) by striking ``(A) Subject''
                            and inserting the following:</DELETED>
                    <DELETED>    ``(A) In general.--Subject'';</DELETED>
                            <DELETED>    (ii) in subparagraph (B)--
                            </DELETED>
                                    <DELETED>    (I) by striking ``(B)(i)
                                    In the case'' and inserting the
                                    following:</DELETED>
                    <DELETED>    ``(B) Waiver of participation
                    agreements.--</DELETED>
                            <DELETED>    ``(i) In general.--In the case'';
                            and</DELETED>
                                    <DELETED>    (II) by striking ``(ii) A
                                    determination'' and inserting the
                                    following:</DELETED>
                            <DELETED>    ``(ii) Donations.--A
                            determination''; and</DELETED>
                            <DELETED>    (iii) by striking ``(C) With
                            respect'' and inserting the
                            following:</DELETED>
                    <DELETED>    ``(C) Nonapplication of certain
                    requirements.--With respect'';</DELETED>
            <DELETED>    (7) in subsection (g)--</DELETED>
                    <DELETED>    (A) by striking ``who are engaging in
                    substance abuse'' and inserting ``who have a substance
                    use disorder''; and</DELETED>
                    <DELETED>    (B) by striking ``such abuse'' and
                    inserting ``such disorder'';</DELETED>
            <DELETED>    (8) in subsection (h)(1), by striking
            ``postpartum'' and inserting ``parenting'';</DELETED>
            <DELETED>    (9) in subsection (j)--</DELETED>
                    <DELETED>    (A) in the matter preceding paragraph (1),
                    by striking ``to on'' and inserting ``to or on'';
                    and</DELETED>
                    <DELETED>    (B) in paragraph (3), by striking ``Office
                    for'' and inserting ``Office of'';</DELETED>
            <DELETED>    (10) by amending subsection (m) to read as
            follows:</DELETED>
    <DELETED>    ``(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.'';</DELETED>
            <DELETED>    (11) in subsection (q)--</DELETED>
                    <DELETED>    (A) in paragraph (3), by striking
                    ``funding agreement under subsection (a)'' and
                    inserting ``funding agreement''; and</DELETED>
                    <DELETED>    (B) in paragraph (4), by striking
                    ``substance abuse'' and inserting ``a substance use
                    disorder'';</DELETED>
            <DELETED>    (12) by redesignating subsection (r) as subsection
            (s);</DELETED>
            <DELETED>    (13) by inserting after subsection (q) the
            following:</DELETED>
    <DELETED>    ``(r) Pilot Program for State Substance Abuse Agencies.--
    </DELETED>
            <DELETED>    ``(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--</DELETED>
                    <DELETED>    ``(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;</DELETED>
                    <DELETED>    ``(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</DELETED>
                    <DELETED>    ``(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.</DELETED>
            <DELETED>    ``(2) Requirements.--Notwithstanding any other
            provisions of this section, in carrying out the pilot program
            under this subsection, the Director--</DELETED>
                    <DELETED>    ``(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;</DELETED>
                    <DELETED>    ``(B) shall identify, based on
                    applications submitted under subparagraph (A), State
                    substance abuse agencies that are eligible for such
                    grants;</DELETED>
                    <DELETED>    ``(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;</DELETED>
                    <DELETED>    ``(D) shall not require that services
                    furnished through such a grant be provided solely to
                    women that reside in facilities;</DELETED>
                    <DELETED>    ``(E) shall not require that grant
                    recipients under the program make available all
                    services described in subsection (d); and</DELETED>
                    <DELETED>    ``(F) may waive the requirements of
                    subsection (f), depending on the circumstances of the
                    grantee.</DELETED>
            <DELETED>    ``(3) Required services.--</DELETED>
                    <DELETED>    ``(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--</DELETED>
                            <DELETED>    ``(i) shall include the
                            requirements described in subsection
                            (c);</DELETED>
                            <DELETED>    ``(ii) may include any of the
                            services described in subsection (d);</DELETED>
                            <DELETED>    ``(iii) may include other
                            services, as appropriate; and</DELETED>
                            <DELETED>    ``(iv) shall be based on the
                            recommendations submitted under subparagraph
                            (B).</DELETED>
                    <DELETED>    ``(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).</DELETED>
            <DELETED>    ``(4) Evaluation and report to congress.--
            </DELETED>
                    <DELETED>    ``(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.</DELETED>
                    <DELETED>    ``(B) Reports.--</DELETED>
                            <DELETED>    ``(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.</DELETED>
                            <DELETED>    ``(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.</DELETED>
            <DELETED>    ``(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</DELETED>
            <DELETED>    (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).''.</DELETED>

      <DELETED>TITLE VI--IMPROVING PATIENT CARE AND ACCESS TO MENTAL AND
                   SUBSTANCE USE DISORDER BENEFITS</DELETED>

    <DELETED>SEC. 601. HIPAA CLARIFICATION.</DELETED>

    <DELETED>    (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--</DELETED>
            <DELETED>    (1) require the patient's consent;</DELETED>
            <DELETED>    (2) require providing the patient with an
            opportunity to object;</DELETED>
            <DELETED>    (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</DELETED>
            <DELETED>    (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.</DELETED>
    <DELETED>    (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.</DELETED>

    <DELETED>SEC. 602. IDENTIFICATION OF MODEL TRAINING PROGRAMS.</DELETED>

    <DELETED>    (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--
    </DELETED>
            <DELETED>    (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</DELETED>
            <DELETED>    (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).</DELETED>
    <DELETED>    (b) Periodic Updates.--The Secretary shall--</DELETED>
            <DELETED>    (1) periodically review, evaluate, and update the
            model programs and materials identified under subsection (a);
            and</DELETED>
            <DELETED>    (2) disseminate the updated model programs and
            materials.</DELETED>
    <DELETED>    (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.</DELETED>
    <DELETED>    (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.</DELETED>

    <DELETED>SEC. 603. CONFIDENTIALITY OF RECORDS.</DELETED>

    <DELETED>    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.</DELETED>

    <DELETED>SEC. 604. ENHANCED COMPLIANCE WITH MENTAL HEALTH AND SUBSTANCE
                  USE DISORDER COVERAGE REQUIREMENTS.</DELETED>

    <DELETED>    (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:</DELETED>
            <DELETED>    ``(6) Additional guidance.--</DELETED>
                    <DELETED>    ``(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.</DELETED>
                    <DELETED>    ``(B) Disclosure.--</DELETED>
                            <DELETED>    ``(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.</DELETED>
                            <DELETED>    ``(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--</DELETED>
                                    <DELETED>    ``(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;</DELETED>
                                    <DELETED>    ``(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</DELETED>
                                    <DELETED>    ``(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.</DELETED>
                    <DELETED>    ``(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--</DELETED>
                            <DELETED>    ``(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--</DELETED>
                                    <DELETED>    ``(I) medical management
                                    standards that limit or exclude
                                    benefits based on medical necessity,
                                    medical appropriateness, or whether a
                                    treatment is experimental or
                                    investigative;</DELETED>
                                    <DELETED>    ``(II) limitations with
                                    respect to prescription drug formulary
                                    design; and</DELETED>
                                    <DELETED>    ``(III) use of fail-first
                                    or step therapy protocols;</DELETED>
                            <DELETED>    ``(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;</DELETED>
                            <DELETED>    ``(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;</DELETED>
                            <DELETED>    ``(iv) examples of specific
                            factors that may be used by such plans or
                            issuers in performing a nonquantitative
                            treatment limitation analysis;</DELETED>
                            <DELETED>    ``(v) examples of specific
                            evidentiary standards that may be used by such
                            plans or issuers to evaluate the specific
                            factors described in clause (iv);</DELETED>
                            <DELETED>    ``(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;</DELETED>
                            <DELETED>    ``(vii) examples of how specific
                            evidentiary standards may be applied to each
                            service category or classification of
                            benefits;</DELETED>
                            <DELETED>    ``(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;</DELETED>
                            <DELETED>    ``(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;</DELETED>
                            <DELETED>    ``(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</DELETED>
                            <DELETED>    ``(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.</DELETED>
                    <DELETED>    ``(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.''.</DELETED>
    <DELETED>    (b) Improving Compliance.--</DELETED>
            <DELETED>    (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.</DELETED>
            <DELETED>    (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.</DELETED>

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

    <DELETED>    (a) Public Meeting.--</DELETED>
            <DELETED>    (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.</DELETED>
            <DELETED>    (2) Stakeholders.--The stakeholders described in
            this paragraph shall include each of the following:</DELETED>
                    <DELETED>    (A) The Federal Government, including
                    representatives from--</DELETED>
                            <DELETED>    (i) the Department of Health and
                            Human Services;</DELETED>
                            <DELETED>    (ii) the Department of the
                            Treasury;</DELETED>
                            <DELETED>    (iii) the Department of Labor;
                            and</DELETED>
                            <DELETED>    (iv) the Department of
                            Justice.</DELETED>
                    <DELETED>    (B) State governments, including--
                    </DELETED>
                            <DELETED>    (i) State health insurance
                            commissioners;</DELETED>
                            <DELETED>    (ii) appropriate State agencies,
                            including agencies on public health or mental
                            health; and</DELETED>
                            <DELETED>    (iii) State attorneys general or
                            other representatives of State entities
                            involved in the enforcement of mental health
                            parity laws.</DELETED>
                    <DELETED>    (C) Representatives from key stakeholder
                    groups, including--</DELETED>
                            <DELETED>    (i) the National Association of
                            Insurance Commissioners;</DELETED>
                            <DELETED>    (ii) health insurance
                            providers;</DELETED>
                            <DELETED>    (iii) providers of mental health
                            and substance use disorder treatment;</DELETED>
                            <DELETED>    (iv) employers; and</DELETED>
                            <DELETED>    (v) patients or their
                            advocates.</DELETED>
    <DELETED>    (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.</DELETED>
    <DELETED>    (c) Content.--The action plan under this section shall--
    </DELETED>
            <DELETED>    (1) reflect the input of the stakeholders invited
            to the public meeting under subsection (a);</DELETED>
            <DELETED>    (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;</DELETED>
            <DELETED>    (3) provide a timeline for when such objectives
            shall be met; and</DELETED>
            <DELETED>    (4) provide specific examples of how such
            objectives may be met, which may include--</DELETED>
                    <DELETED>    (A) providing common educational
                    information and documents to patients about their
                    rights under Federal or State mental health parity and
                    addiction equity requirements;</DELETED>
                    <DELETED>    (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;</DELETED>
                    <DELETED>    (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</DELETED>
                    <DELETED>    (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.</DELETED>

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

    <DELETED>    (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.</DELETED>
    <DELETED>    (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:</DELETED>
            <DELETED>    (1) The number of open or closed Federal
            investigations conducted during the covered reporting
            period.</DELETED>
            <DELETED>    (2) Each benefit classification examined by any
            such investigation conducted during the covered reporting
            period.</DELETED>
            <DELETED>    (3) Each subject matter, including compliance with
            requirements for quantitative and nonquantitative treatment
            limitations, of any such investigation conducted during the
            covered reporting period.</DELETED>
            <DELETED>    (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.</DELETED>
    <DELETED>    (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).</DELETED>

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

    <DELETED>    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--</DELETED>
            <DELETED>    (1) how nonquantitative treatment limitations,
            including medical necessity criteria, of such plans or issuers
            comply with such sections;</DELETED>
            <DELETED>    (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;</DELETED>
            <DELETED>    (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</DELETED>
            <DELETED>    (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.</DELETED>

    <DELETED>SEC. 608. CLARIFICATION OF EXISTING PARITY RULES.</DELETED>

    <DELETED>    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.</DELETED>

    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, substance
                                abuse prevention, and substance abuse
                                treatment.
    Sec. 107. Advisory councils.
    Sec. 108. Peer review.
    Sec. 109. Inter-departmental Serious Mental Illness Coordinating
                                Committee.
    Sec. 110. GAO study.

       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.
    Sec. 204. Substance use disorder treatment needs of regional and
                                national significance.
    Sec. 205. Priority substance use disorder prevention 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. Block Grant for Prevention and Treatment of Substance Use
                                Disorders.
    Sec. 303. Additional provisions related to the block grants.
    Sec. 304. Study of distribution of funds under the substance use
                                disorder prevention and treatment block
                                grant and the community mental health
                                services block grant.
    Sec. 305. Helping States and local communities address emerging drug
                                issues.

    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. Mental and behavioral health education and training grants.
    Sec. 408. Information and awareness on eating disorders.
    Sec. 409. Education and training on eating disorders.
    Sec. 410. Strengthening community crisis response systems.
    Sec. 411. Strengthening the mental and substance use disorder
                                workforce.
    Sec. 412. Reports.
    Sec. 413. Center and program repeals.
    Sec. 414. Minority fellowship program.

       TITLE V--STRENGTHENING MENTAL AND SUBSTANCE USE DISORDER CARE FOR
                        WOMEN, 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.
    Sec. 505. Screening and treatment for maternal depression.
    Sec. 506. Infant and early childhood prevention, intervention and
                                treatment.

    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. Clarification of existing parity rules.
    Sec. 605. Enhanced compliance with mental health and substance use
                                disorder coverage requirements.
    Sec. 606. Action plan for enhanced enforcement of mental health and
                                substance use disorder coverage.
    Sec. 607. Report on investigations regarding parity in mental health
                                and substance use disorder benefits.
    Sec. 608. GAO study on parity in mental health and substance use
                                disorder benefits.

               TITLE VII--MENTAL HEALTH AWARENESS AND IMPROVEMENT

    Sec. 701. Short title.
    Sec. 702. Garrett Lee Smith Memorial Act reauthorization.
    Sec. 703. Mental health awareness training grants.
    Sec. 704. Children's recovery from trauma.
    Sec. 705. Assessing barriers to behavioral health integration.
    Sec. 706. Increasing education and awareness of treatments for opioid
                                use disorders.
    Sec. 707. Examining mental health care for children.
    Sec. 708. Evidence based practices for older adults.
    Sec. 709. National violent death reporting system.
    Sec. 710. GAO study on Virginia Tech recommendations.
    Sec. 711. Performance metrics.

          TITLE VIII--PREVENTION AND TREATMENT OF OPIOID USE DISORDER

    Sec. 801. FDA opioid action plan.
    Sec. 802. Disclosure of information to State controlled substance
                                monitoring programs.
    Sec. 803. GAO report on State prescription drug monitoring programs.
    Sec. 804. NIH opioid research.
    Sec. 805. Ensuring provider access to best practices for combating
                                prescription drug overdose.
    Sec. 806. Partial fill of schedule II prescriptions.

                 TITLE IX--MENTAL HEALTH ON CAMPUS IMPROVEMENT

    Sec. 901. Short title.
    Sec. 902. Findings.
    Sec. 903. Improving mental and behavioral health on college campuses.
    Sec. 904. Interagency Working Group on College Mental Health.

              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;
                (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, the Behavioral Health Coordinating Council of the
            Department of Health and Human Services, other agencies within
            the Department of Health and Human Services, and other relevant
            Federal departments.
        (c) Recommendations.--The Assistant Secretary shall develop an
    evaluation strategy that identifies priority programs to be evaluated
    by the Assistant Secretary and priority programs to be evaluated by
    other relevant agencies within the Department of Health and Human
    Services. The Assistant Secretary shall provide recommendations 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'';
                                (iii) by striking ``treatment and
                            prevention services'' and inserting
                            ``prevention and treatment services and are
                            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
                            information, 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; and
                        (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
            members of the Armed Forces, veterans, and their families,
            including through the provision of services using the
            telehealth capabilities of the Department of Defense and 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 mental and
                    substance use disorders, 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 by such section, 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 evidence-based 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, including priorities to prevent
                    or eliminate the burden of mental illness and substance
                    use disorders;
                        ``(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 prevention,
                    diagnosis, 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, licensed professional counselors,
                            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;
                        ``(E) identify opportunities to improve
                    collaboration with States, local governments,
                    communities, 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
                        ``(F) disseminate evidence-based and promising best
                    practices related to prevention, diagnosis, 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 1, 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 serious mental illness, serious
            emotional disturbances, and 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, SUBSTANCE
                  ABUSE PREVENTION, AND SUBSTANCE ABUSE TREATMENT.

        (a) Center 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 and treatment 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
            evidence-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.''.
        (b) Director of the Center for Substance Abuse Prevention.--
                (1) In general.--Section 515 of the Public Health Service
            Act (290bb-21) is amended--
                        (A) in the heading, by striking ``office'' and
                    inserting ``center'';
                        (B) in subsection (a)--
                                (i) by striking ``an Office'' and inserting
                            ``a Center''; and
                                (ii) by striking ``The Office'' and
                            inserting ``The Prevention Center''; and
                        (C) in subsection (b)--
                                (i) in paragraph (1), by inserting
                            ``through the reduction of risk and the
                            promotion of resiliency'' before the semicolon;
                                (ii) by redesignating paragraphs (3)
                            through (14) as paragraphs (4) through (15),
                            respectively;
                                (iii) by inserting after paragraph (2) the
                            following:
                ``(3) collaborate with the Director of the National
            Institute on Drug Abuse, the Director of the National Institute
            on Alcohol Abuse and Alcoholism, and States to promote the
            study, dissemination, and implementation of research findings
            that will improve the delivery and effectiveness of substance
            abuse prevention activities;'';
                                (iv) in paragraph (4), as so redesignated,
                            by striking ``literature on the adverse effects
                            of cocaine free base (known as crack)'' and
                            inserting ``educational information on the
                            effects of drugs abused by individuals,
                            including drugs that are emerging as abused
                            drugs'';
                                (v) in paragraph (6), as so redesignated--
                                        (I) by striking ``substance abuse
                                    counselors'' and inserting ``health
                                    professionals who provide substance use
                                    and abuse prevention and treatment'';
                                    and
                                        (II) by striking ``drug abuse
                                    education, prevention,'' and inserting
                                    ``illicit drug use education and
                                    prevention'';
                                (vi) by amending paragraph (7), as so
                            redesignated, to read as follows:
                ``(7) in cooperation with the Director of the Centers for
            Disease Control and Prevention, develop and disseminate
            educational materials to increase awareness for individuals at
            greatest risk for substance use disorders in order to prevent
            the transmission of communicable diseases, such as HIV,
            hepatitis C, tuberculosis, and other communicable diseases;'';
                                (vii) in paragraph (9), as so redesignated,
                            by striking ``to discourage alcohol and drug
                            abuse'' and inserting ``that reduce the risk of
                            substance use and promote resiliency'';
                                (viii) in paragraph (11), as so
                            redesignated, by striking ``and'' after the
                            semicolon;
                                (ix) in paragraph (12), as so redesignated,
                            by striking the period and inserting a
                            semicolon; and
                                (x) by adding at the end the following:
                ``(13) ensure the consistent documentation of the
            application of criteria when awarding grants and the ongoing
            oversight of grantees after such grants are awarded; and
                ``(14) assist and support States in preventing illicit drug
            use, including emerging illicit drug use issues.''.
                (2) Conforming amendment.--Section 517 of the Public Health
            Service Act (42 U.S.C. 290bb-23) is amended--
                        (A) in subsection (e), by striking ``Office'' and
                    inserting ``Director of the Prevention Center''; and
                        (B) in subsection (f), by striking ``Director of
                    the Office'' and inserting ``Director of the Prevention
                    Center''.
        (c) Director of the Center for Substance Abuse Treatment.--Section
    507 of the Public Health Service Act (42 U.S.C. 290bb) is amended--
                (1) in subsection (a)--
                        (A) by striking ``treatment of substance abuse''
                    and inserting ``treatment of substance use disorders'';
                    and
                        (B) by striking ``abuse treatment systems'' and
                    inserting ``use disorder treatment systems''; and
                (2) in subsection (b)--
                        (A) in paragraph (1), by striking ``abuse'' and
                    inserting ``use disorder'';
                        (B) in paragraph (3), by striking ``abuse'' and
                    inserting ``use disorder'';
                        (C) in paragraph (4)--
                                (i) by striking ``postpartum'' and
                            inserting ``parenting''; and
                                (ii) by striking ``individuals who abuse
                            drugs'' and inserting ``individuals who use
                            drugs'';
                        (D) in paragraph (9), by striking ``carried out by
                    the Director'';
                        (E) by striking paragraph (10);
                        (F) by redesignating paragraphs (11) through (14)
                    as paragraphs (10) through (13), respectively;
                        (G) in paragraph (12), as so redesignated, by
                    striking ``; and'' and inserting a semicolon; and
                        (H) by striking paragraph (13), as so redesignated,
                    and inserting the following:
                ``(13) ensure the consistent documentation of the
            application of criteria when awarding grants and the ongoing
            oversight of grantees after such grants are awarded; and
                ``(14) work with States, providers, and individuals in
            recovery, and their families, to promote the expansion of
            recovery support services and systems of care oriented towards
            recovery.''.

    SEC. 107. ADVISORY COUNCILS.

        Section 502(b) of the Public Health Service Act (42 U.S.C. 290aa-
    1(b)) is amended--
                (1) in paragraph (2)--
                        (A) in subparagraph (E), by striking ``and'' after
                    the semicolon;
                        (B) by redesignating subparagraph (F) as
                    subparagraph (J); and
                        (C) 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
                (2) 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--
                                        ``(I) have a medical degree;
                                        ``(II) have a doctoral degree in
                                    psychology; or
                                        ``(III) have 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 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 and
            serious emotional disturbance research related to the
            prevention of, diagnosis of, intervention in, and treatment and
            recovery of, serious mental illnesses, serious emotional
            disturbances, and advances in access to services and support
            for individuals with a serious mental illness;
                (2) an evaluation of the effect 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, serious emotional
                    disturbances, 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 or serious
            emotional disturbances.
        (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;
                        (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 a serious
                    mental illness or serious emotional disturbance;
                        (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 illnesses;
                                (ii) a licensed psychologist with
                            experience treating serious mental illnesses or
                            serious emotional disturbances;
                                (iii) a licensed clinical social worker; or
                                (iv) a licensed psychiatric nurse, nurse
                            practitioner, or physician assistant with
                            experience treating serious mental illnesses
                            and serious emotional disturbances;
                        (E) at least 1 member shall be a licensed mental
                    health professional with a specialty in treating
                    children and adolescents with serious emotional
                    disturbances;
                        (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 a
                    serious mental illness or serious emotional
                    disturbance, or in a 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).

    SEC. 110. GAO STUDY.

        (a) In General.--Not later than 18 months after the date of
    enactment of this Act, the Comptroller General of the United States, in
    consultation with the Administrator of the Substance Abuse and Mental
    Health Services Administration and the Secretary of Health and Human
    Services, shall conduct an independent evaluation, and submit a report,
    to the Committee on Health, Education, Labor, and Pensions of the
    Senate and the Committee on Energy and Commerce of the House of
    Representatives, on programs funded by allotments made under title I of
    the Protection and Advocacy for Individuals with Mental Illness Act (42
    U.S.C. 10801 et seq.).
        (b) Contents.--The report and evaluation required under subsection
    (a) shall include--
                (1) a review of the programs described in such subsection
            that are carried out by State agencies and such programs that
            are carried out by private, nonprofit organizations; and
                (2) a review of the compliance of the programs described in
            subsection (a) with statutory and regulatory responsibilities,
            such as responsibilities relating to family engagement,
            investigation of alleged abuse and neglect of persons with
            mental illness, availability of adequate medical and behavioral
            health treatment, denial of rights for persons with mental
            illness, and compliance with the Federal prohibition on
            lobbying.

       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
            effect 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, including culturally and linguistically appropriate
            services, as appropriate, and service delivery models;
                ``(4) provide leadership in identifying and coordinating
            policies and programs, including evidence-based programs,
            related to mental 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, including programs and practices with
            scientific merit.
        ``(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 disturbances,
                            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(l)).
        (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 evidence-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. The Administrator shall make the metrics
    used to evaluate applications and the resulting ratings publicly
    available.

    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 ``, which 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).

    SEC. 204. SUBSTANCE USE DISORDER TREATMENT NEEDS OF REGIONAL AND
                  NATIONAL SIGNIFICANCE.

        Section 509 of the Public Health Service Act (42 U.S.C. 290bb-2) is
    amended--
                (1) in subsection (a)--
                        (A) in the matter preceding paragraph (1), by
                    striking ``abuse'' and inserting ``use disorder'';
                        (B) in paragraph (3), by inserting before the
                    period ``that permit States, local governments,
                    communities, and Indian tribes and tribal organizations
                    (as such terms are defined in section 4 of the Indian
                    Self-Determination and Education Assistance Act) to
                    focus on emerging trends in substance use and co-
                    occurrence of substance use disorders with mental
                    illness or other disorders''; and
                        (C) in the flush sentence following paragraph (3)--
                                (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'';
                (2) in subsection (b)--
                        (A) in paragraph (1), by striking ``abuse'' and
                    inserting ``use disorder''; and
                        (B) in paragraph (2), by striking ``abuse'' and
                    inserting ``use disorder''; and
                (3) in subsection (e), by striking ``abuse'' and inserting
            ``use disorder''.

    SEC. 205. PRIORITY SUBSTANCE USE DISORDER PREVENTION NEEDS OF REGIONAL
                  AND NATIONAL SIGNIFICANCE.

        Section 516 of the Public Health Service Act (42 U.S.C. 290bb-22)
    is amended--
                (1) in the section heading, by striking ``abuse'' and
            inserting ``use disorder'';
                (2) in subsection (a)--
                        (A) in the matter preceding paragraph (1), by
                    striking ``abuse'' and inserting ``use disorder'';
                        (B) in paragraph (3), by inserting before the
                    period ``, including a focus on emerging drug abuse
                    issues''; and
                        (C) in the matter following paragraph (3)--
                                (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,'';
                (3) in subsection (b)--
                        (A) in paragraph (1), by striking ``abuse'' and
                    inserting ``use disorder''; and
                        (B) in paragraph (2)--
                                (i) in subparagraph (A), by striking
                            ``and'' at the end;
                                (ii) in subparagraph (B)--
                                        (I) by striking ``abuse'' and
                                    inserting ``use disorder''; and
                                        (II) by striking the period and
                                    inserting ``; and''; and
                                (iii) by adding at the end the following:
                        ``(C) substance use disorder prevention among high-
                    risk groups.''; and
                (4) in subsection (e), by striking ``abuse'' and inserting
            ``use disorder''.

     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 or providing
                            comprehensive individualized treatment, or
                            integrating mental and physical health
                            services;
                                ``(v) include a description of case
                            management services;
                                ``(vi) include a description of activities
                            that seek to engage individuals with serious
                            mental illness and their caregivers where
                            appropriate in making health care decisions.
                            including activities that enhance communication
                            between individuals, families, caregivers, and
                            treatment providers; and
                                ``(vii) as appropriate to and reflective of
                            the uses the State proposes for the block grant
                            monies--
                                        ``(I) a description of the
                                    activities intended to reduce
                                    hospitalizations and hospital stays
                                    using the block grant monies;
                                        ``(II) a description of the
                                    activities intended to reduce incidents
                                    of suicide using the block grant
                                    monies; and
                                        ``(III) a description of how the
                                    State integrates mental health and
                                    primary care using the block grant
                                    monies, which may include providing, in
                                    the case of individuals with co-
                                    occurring mental and substance use
                                    disorders, both mental and substance
                                    use services in primary care settings
                                    or arrangements to provide primary and
                                    specialty care services in community-
                                    based mental and substance use disorder
                                    settings.'';
                (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 describes'' and inserting ``plan shall describe''; and
                (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) in paragraph (3)--
                        (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 an emergency 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 this paragraph 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 this paragraph shall be
                    applicable only to the fiscal year involved.''; and
                (2) in paragraph (4)--
                        (A) in subparagraph (A), by inserting after the
                    subparagraph designation the following: ``In general.--
                    ''; 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. BLOCK GRANT FOR PREVENTION AND TREATMENT OF SUBSTANCE USE
                  DISORDERS.

        (a) Subpart Heading.--Subpart II of part B of title XIX of the
    Public Health Service Act (42 U.S.C. 300x-21 et seq.) is amended in the
    subpart heading by striking ``Abuse'' and inserting ``Use Disorders''.
        (b) Formula Grants.--Section 1921 of the Public Health Service Act
    (42 U.S.C. 300x-21) is amended--
                (1) in subsection (a)--
                        (A) in the first sentence, by striking ``1933'' and
                    inserting ``1932''; and
                        (B) in the second sentence, by striking ``1932''
                    and inserting ``1931''; and
                (2) in subsection (b)--
                        (A) by striking ``1931'' and inserting ``1930'';
                        (B) by inserting ``carrying out the plan developed
                    in accordance with section 1931(b) and for'' after
                    ``for the purpose of''; and
                        (C) by striking ``abuse'' and inserting ``use
                    disorders''.
        (c) Outreach to Persons Who Inject Drugs.--Section 1923(b) of the
    Public Health Service Act (42 U.S.C. 300x-23(b)) is amended--
                (1) in the subsection heading, by striking ``Regarding
            Intravenous Substance Abuse'' and inserting ``to Persons Who
            Inject Drugs'';
                (2) by striking ``for intravenous drug abuse'' and
            inserting ``for persons who inject drugs''; and
                (3) by inserting ``who inject drugs'' after ``such
            treatment''.
        (d) Requirements Regarding Tuberculosis and Human Immunodeficiency
    Virus.--Section 1924 of the Public Health Service Act (42 U.S.C. 300x-
    24) is amended--
                (1) in subsection (a)(1), in the matter preceding
            subparagraph (A), by striking ``substance abuse'' and inserting
            ``substance use disorder''; and
                (2) in subsection (b)--
                        (A) in paragraph (1)(A), by striking ``substance
                    abuse'' and inserting ``substance use disorders'';
                        (B) in paragraph (2), by inserting ``and
                    Prevention'' after ``Disease Control'';
                        (C) in paragraph (3)--
                                (i) in the paragraph heading, by striking
                            ``Abuse'' and inserting ``Use Disorders''; and
                                (ii) by striking ``substance abuse'' and
                            inserting ``substance use disorders''; and
                        (D) in paragraph (6)(B), by striking ``substance
                    abuse'' and inserting ``substance use disorders'';
                (3) by striking subsection (d); and
                (4) by redesignating subsection (e) as subsection (d).
        (e) Group Homes.--Section 1925 of the Public Health Service Act (42
    U.S.C. 300x-25) is amended--
                (1) in the section heading, by striking ``recovering
            substance abusers'' and inserting ``persons in recovery from
            substance use disorders''; and
                (2) in subsection (a), by striking ``recovering substance
            abusers'' and inserting ``persons in recovery from substance
            use disorders''.
        (f) Additional Agreements.--Section 1928 of the Public Health
    Service Act (42 U.S.C. 300x-28) is amended--
                (1) in subsection (a), by striking ``(relative to fiscal
            year 1992)'';
                (2) by striking subsection (b) and inserting the following:
        ``(b) Professional Development.--A funding agreement for a grant
    under section 1921 is that the State involved will ensure that
    prevention, treatment, and recovery personnel operating in the State's
    substance use disorder prevention, treatment, and recovery systems have
    an opportunity to receive training, on an ongoing basis, concerning--
                ``(1) recent trends in drug abuse in the State;
                ``(2) improved methods and evidence-based practices for
            providing substance use disorder prevention and treatment
            services;
                ``(3) performance-based accountability;
                ``(4) data collection and reporting requirements;
                ``(5) any other matters that would serve to further improve
            the delivery of substance use disorder prevention and treatment
            services within the State; and
                ``(6) innovative practices developed under section 581.'';
            and
                (3) in subsection (d)(1), by striking ``substance abuse''
            and inserting ``substance use disorders''.
        (g) Repeal.--Section 1929 of the Public Health Service Act (42
    U.S.C. 300x-29) is repealed.
        (h) Redesignations and Waiver.--
                (1) Redesignations.--Subpart II of part B of title XIX of
            the Public Health Service (42 U.S.C. 300x-21 et seq.) is
            amended by redesignating sections 1930 through 1935 as sections
            1929 through 1934, respectively.
                (2) Waiver.--Section 1929(c)(1) of the Public Health
            Service Act (as so redesignated; (42 U.S.C. 300x-30(c)(1))) is
            amended by striking ``in the State justify the waiver'' and
            inserting ``exist in the State, or any part of the State, to
            justify the waiver, or if the State, or any part of the State,
            has experienced an emergency or a natural disaster that has
            received a Presidential Disaster Declaration under section 102
            of the Robert T. Stafford Disaster Relief and Emergency
            Assistance Act''.
        (i) Restrictions on Expenditures.--Section 1930(b)(1) of the Public
    Health Service Act (as so redesignated; (42 U.S.C. 300x-31(b)(1))), is
    amended by striking ``substance abuse'' and inserting ``substance use
    disorders''.
        (j) Application.--Section 1931 of the Public Health Service Act (as
    so redesignated; (42 U.S.C. 300x-32)) is amended--
                (1) in subsection (a)--
                        (A) in the matter preceding paragraph (1), strike
                    ``subsections (c) and (d)(2)'' and insert ``subsection
                    (c)''; and
                        (B) in paragraph (5), by striking ``the information
                    required in section 1930(c)(2), and the report required
                    in section 1942(a)'' and insert ``and the report
                    required in section 1942'';
                (2) in subsection (b)--
                        (A) by striking paragraph (1) and inserting the
                    following:
                ``(1) In general.--In order for a State to be in compliance
            with subsection (a)(6), the State shall submit to the Secretary
            a plan that, at a minimum, shall include the following:
                        ``(A) A description of the State's system of care
                    that--
                                ``(i) identifies the single State agency
                            responsible for the administration of the
                            program, including any third party who
                            administers substance use disorder services and
                            is responsible for complying with the
                            requirements of the grant;
                                ``(ii) provides information on the need for
                            substance use disorder prevention and treatment
                            services in the State, including estimates on
                            the number of individuals who need treatment,
                            who are pregnant women, women with dependent
                            children, individuals with a co-occurring
                            mental health and substance use disorders,
                            persons who inject drugs, and persons who are
                            experiencing homelessness;
                                ``(iii) provides aggregate information on
                            the number of individuals in treatment within
                            the State, including the number of such
                            individuals who are pregnant women, women with
                            dependent children, individuals with a co-
                            occurring mental health and substance use
                            disorder, persons who inject drugs, and persons
                            who are experiencing homelessness;
                                ``(iv) provides a description of the system
                            that is available to provide services by
                            modality, including the provision of recovery
                            support services;
                                ``(v) provides a description of the State's
                            comprehensive statewide prevention efforts,
                            including the number of individuals being
                            served in the system, target populations, and
                            priority needs, and provides a description of
                            the amount of funds from the prevention set-
                            aside expended on primary prevention;
                                ``(vi) provides a description of the
                            financial resources available;
                                ``(vii) provides a description of the
                            manner in which the State and local entities
                            coordinate prevention, treatment, and recovery
                            services with other agencies, including health,
                            mental health, juvenile justice, law
                            enforcement, education, social services, and
                            child welfare agencies;
                                ``(viii) describes the existing substance
                            use disorders workforce and workforce trained
                            in treating co-occurring substance use and
                            mental health disorders;
                                ``(ix) includes a description of how the
                            State promotes evidenced-based practices; and
                                ``(x) describes how the State integrates
                            substance use disorder services and primary
                            health care, which in the case of those
                            individuals with co-occurring mental health and
                            substance use disorders may include providing
                            both mental health and substance use disorder
                            services in primary care settings or providing
                            primary and specialty care services in
                            community-based mental health and substance use
                            disorder service settings.
                        ``(B) 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) A description of how the State will comply
                    with each funding agreement for a grant under section
                    1921 that is applicable to the State, including a
                    description of the manner in which the State intends to
                    expend grant funds.''; and
                        (B) by striking paragraph (2) and inserting the
                    following:
                ``(2) State request for modification.--If the State
            determines that modifications to the plan are necessary, the
            State may request the Secretary to approve such modifications
            through its annual report required under section 1942.'';
                (3) in subsection (c), by striking ``1931'' and inserting
            ``1930''; and
                (4) in subsection (d)--
                        (A) in the subsection heading, by striking
                    ``Regulations; Precondition to Making Grants'' and all
                    that follows through ``Prevention,'' in paragraph (1),
                    and inserting the following ``Regulations.--The
                    Secretary''; and
                        (B) by striking paragraph (2).
        (k) Definitions.--Section 1933 of the Public Health Service Act (as
    so redesignated; (42 U.S.C. 300x-34)) is amended--
                (1) in paragraph (3), by striking ``substance abuse'' and
            inserting ``substance use disorders''; and
                (2) in paragraph (7), by striking ``substance abuse'' and
            inserting ``substance use disorder''.

    SEC. 303. 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 1941 (42 U.S.C. 300x-51), by striking
            ``1932'' and inserting ``1931'';
                (2) in section 1944(b)(4) (42 U.S.C. 300x-54(b)(4)), by
            striking ``1930'' and inserting ``1929'';
                (3) in section 1953(b) (42 U.S.C. 300x-63(b)), by striking
            ``substance abuse'' and inserting ``substance use disorder'';
            and
                (4) by adding at the end the following:

    ``SEC. 1957. PUBLIC HEALTH EMERGENCIES.

        ``In the case of a public health emergency (as determined under
    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 grants authorized under sections 521, 1911, and
    1921, and allotments authorized under 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. 304. STUDY OF DISTRIBUTION OF FUNDS UNDER THE SUBSTANCE USE
                  DISORDER 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 through a grant or contract, or through
    an agreement with a third party, conduct a study on the formulas for
    distribution of funds under the substance use disorder 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. 300x
    et seq.) and recommend changes 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 effect 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).

    SEC. 305. HELPING STATES AND LOCAL COMMUNITIES ADDRESS EMERGING DRUG
                  ISSUES.

        Section 506B of the Public Health Service Act (42 U.S.C. 290aa-5b)
    is amended to read as follows:

    ``SEC. 506B. SERVICES TO ASSIST STATES AND LOCAL COMMUNITIES ADDRESS
                  EMERGING DRUG ABUSE ISSUES.

        ``(a) Grants.--The Secretary, acting through the Administrator of
    the Substance Abuse and Mental Health Services Administration, shall
    award grants to eligible entities to assist local communities in
    addressing emerging drug abuse issues, which may include opioid abuse.
        ``(b) Eligible Entities.--
                ``(1) In general.--To be eligible to receive a grant under
            this section, an entity shall--
                        ``(A) be the State substance abuse agency that
                    manages the Substance Abuse Prevention and Treatment
                    Block Grant with respect to the State;
                        ``(B) be a public or nonprofit private entity,
                    including an Indian tribe or tribal organization (as
                    such terms are defined in section 4 of the Indian Self-
                    Determination and Education Assistance Act) or a health
                    facility or program operated by or pursuant to a
                    contract or grant with the Indian Health Service; and
                        ``(C) submit to the Secretary, an application at
                    such time, in such manner, and containing such
                    information as the Secretary may require, including--
                                ``(i) supporting data that demonstrates
                            that an emerging drug abuse issue exists in the
                            area to be served under the grant and the lack
                            of available resources to address such issue;
                                ``(ii) a description of the target
                            population to be served;
                                ``(iii) a list of goals and objectives with
                            respect to activities under the grant; and
                                ``(iv) an assurance that evidenced-based
                            treatment practices will be utilized, when
                            available, and that treatment activities will
                            be coordinated with prevention and recovery
                            efforts.
                ``(2) Required demonstration for certain entities.--
            Eligible entities applying for a grant that are not the State
            substance abuse agency shall demonstrate how the proposed
            activities under the grant align with the State's plan for
            substance use disorder service delivery.
        ``(c) Use of Funds.--An entity shall use amounts received under a
    grant under this section to--
                ``(1) improve access to, and participation in, drug
            treatment services, including screening, assessment, and care
            management services;
                ``(2) support the involvement of friends and families in
            drug treatment; and
                ``(3) provide recovery support services that help promote
            sustained recovery, such as assistance with gaining employment,
            housing, and establishing community connections.
        ``(d) Coordination With Other Programs.--An entity that receives a
    grant under this section shall ensure that services provided under the
    grant are coordinated with programs conducted by mental health
    departments, social services departments, health departments, juvenile
    and adult justice systems, child welfare agencies, and others, as
    appropriate.
        ``(e) Priority.--In awarding grants under this section, the
    Secretary shall give priority to entities that will use a portion of
    grant funds to serve rural areas.
        ``(f) Evaluation.--A grant recipient under this section shall
    conduct an evaluation of the activities carried out under the grant and
    provide the results of such evaluation to the Secretary, including
    aggregate outcomes information and other information necessary to
    demonstrate the success of the recipient in achieving the goals and
    objectives described in the application submitted under subsection
    (b)(1)(C).
        ``(g) Definition.--In this section, the term `emerging drug abuse
    issue' means a substance use disorder issue within an area involving--
                ``(1) a sudden increase in demand for particular drug
            treatment services relative to previous demand; and
                ``(2) a lack of resources in the area to address the
            emerging problem.
        ``(h) Authorization of Appropriations.--There is authorized to be
    appropriated to carry out this section, $10,000,000 for each of fiscal
    years 2017 through 2021.''.

    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 subsection (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'';
                (4) in subsection (d)--
                        (A) in paragraph (3), by striking ``; and'' and
                    inserting a semicolon;
                        (B) in paragraph (4), by striking the period and
                    inserting ``; and''; and
                        (C) by adding at the end the following:
                ``(5) develop programs to divert individuals prior to
            booking or arrest.''; and
                (5) 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
            collaborative models or practices offering mental and physical
            health services, which may include practices that share the
            same space in the same facility.
                ``(3) Special population.--The term `special population'
            means--
                        ``(A) adults with mental illnesses who have co-
                    occurring physical health conditions or chronic
                    diseases;
                        ``(B) adults with serious mental illnesses who have
                    co-occurring physical health conditions or chronic
                    diseases;
                        ``(C) children and adolescents with serious
                    emotional disturbances with co-occurring physical
                    health 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 integration and 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 disturbances; and
                        ``(C) promote integrated care services related to
                    screening, diagnosis, prevention, and treatment of
                    mental and substance use disorders, and co-occurring
                    physical health 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 to the
                    Secretary performance measures necessary to evaluate
                    patient outcomes and facilitate evaluations across
                    participating projects; 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. An eligible entity receiving funding
    under this section may not allocate more than 10 percent of funds
    awarded under this section to 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
                    physical health 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) Removing Practitioner Contact Information.--In the event that
    the Internet website described in subsection (b)(2) contains
    information on any qualified practitioner that is certified to
    prescribe medication for opioid dependency under section 303(g)(2)(B)
    of the Controlled Substances Act (21 U.S.C. 823(g)(2)(B)), the
    Administrator--
                ``(1) shall provide an opportunity to such practitioner to
            have the contact information of the practitioner removed from
            the website at the request of the practitioner; and
                ``(2) may evaluate other methods to periodically update the
            information displayed on such website.
        ``(d) 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. MENTAL AND BEHAVIORAL HEALTH EDUCATION AND TRAINING GRANTS.

        Section 756 of the Public Health Service Act (42 U.S.C. 294e-1) is
    amended--
                (1) in subsection (a)--
                        (A) in the matter preceding paragraph (1), by
                    striking ``of higher education''; and
                        (B) by striking paragraphs (1) through (4) and
                    inserting the following:
                ``(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 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, as well as 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; and
                ``(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.'';
                (2) in subsection (b)--
                        (A) by striking paragraph (5);
                        (B) by redesignating paragraphs (1) through (4) as
                    paragraphs (2) through (5), respectively;
                        (C) by inserting before paragraph (2), as so
                    redesignated, the following:
                ``(1) an ability to recruit and place the students
            described in subsection (a) in areas with a high need and high
            demand population;'';
                        (D) in paragraph (3), as so redesignated, by
                    striking ``subsection (a)'' and inserting ``paragraph
                    (2), especially individuals with mental health symptoms
                    or diagnoses, particularly children and adolescents,
                    and transitional-age youth'';
                        (E) in paragraph (4), as so redesignated, by
                    striking ``;'' and inserting ``; and''; and
                        (F) in paragraph (5), as so redesignated, by
                    striking ``; and'' and inserting a period;
                (3) in subsection (c), by striking ``authorized under
            subsection (a)(1)'' and inserting ``awarded under paragraphs
            (2) and (3) of subsection (a)'';
                (4) by amending subsection (d) to read as follows:
        ``(d) Priority.--In selecting grant recipients under this section,
    the Secretary shall give priority to--
                ``(1) programs that have demonstrated the ability to train
            psychology, psychiatry, and social work professionals to work
            in integrated care settings for purposes of recipients under
            paragraphs (1), (2), and (3) of subsection (a); and
                ``(2) programs for paraprofessionals that emphasize the
            role of the family and the lived experience of the consumer and
            family-paraprofessional partnerships for purposes of recipients
            under subsection (a)(4).''; and
                (5) by striking subsection (e) and inserting the following:
        ``(e) Report to Congress.--Not later than 2 years after the date of
    enactment of the Mental Health Reform Act of 2016, the Secretary shall
    include in the biennial report submitted to Congress under section
    501(m) an assessment on the effectiveness of the grants under this
    section in--
                ``(1) providing graduate students support for experiential
            training (internship or field placement);
                ``(2) recruiting students interested in behavioral health
            practice;
                ``(3) recruiting students in accordance with subsection
            (b)(1);
                ``(4) developing and implementing interprofessional
            training and integration within primary care;
                ``(5) developing and implementing accredited field
            placements and internships; and
                ``(6) collecting data on the number of students trained in
            mental health and the number of available accredited
            internships and field placements.
        ``(f) Authorization of Appropriations.--For each of fiscal years
    2017 through 2021, there are authorized to be appropriated to carry out
    this section such sums as may be necessary.''.

    SEC. 408. INFORMATION AND AWARENESS ON EATING DISORDERS.

        (a) Information.--The Secretary of Health and Human Services (in
    this section referred to as the ``Secretary''), acting through the
    Director of the Office on Women's Health, may--
                (1) update information, related fact sheets, and resource
            lists related to eating disorders that are available on the
            public Internet website of the National Women's Health
            Information Center sponsored by the Office on Women's Health,
            to include--
                        (A) updated findings and current research related
                    to eating disorders, as appropriate; and
                        (B) information about eating disorders, including
                    information related to males and females;
                (2) incorporate, as appropriate, and in coordination with
            the Secretary of Education, information from publicly available
            resources into appropriate obesity prevention programs
            developed by the Office on Women's Health; and
                (3) make publicly available (through a public Internet
            website or other method) information, related fact sheets, and
            resource lists, as updated under paragraph (1), and the
            information incorporated into appropriate obesity prevention
            programs under paragraph (2).
        (b) Awareness.--The Secretary may advance public awareness on--
                (1) the types of eating disorders;
                (2) the seriousness of eating disorders, including
            prevalence, comorbidities, and physical and mental health
            consequences;
                (3) methods to identify, intervene, refer for treatment,
            and prevent behaviors that may lead to the development of
            eating disorders;
                (4) discrimination and bullying based on body size;
                (5) the effects of media on self-esteem and body image; and
                (6) the signs and symptoms of eating disorders.

    SEC. 409. EDUCATION AND TRAINING ON EATING DISORDERS.

        The Secretary of Health and Human Services may facilitate the
    identification of programs to educate and train health professionals in
    effective strategies to--
                (1) identify individuals with eating disorders;
                (2) provide early intervention services for individuals
            with eating disorders;
                (3) refer patients with eating disorders for appropriate
            treatment;
                (4) prevent the development of eating disorders; and
                (5) provide appropriate treatment services for individuals
            with eating disorders.

    SEC. 410. STRENGTHENING COMMUNITY CRISIS RESPONSE SYSTEMS.

        Section 520F of the Public Health Service Act (42 U.S.C. 290bb-37)
    is amended to read as follows:

    ``SEC. 520F. STRENGTHENING COMMUNITY CRISIS RESPONSE SYSTEMS.

        ``(a) In General.--The Secretary shall award competitive grants--
                ``(1) to State and local governments and Indian tribes and
            tribal organizations, to enhance community-based crisis
            response systems for individuals with serious mental illness,
            serious emotional disturbances, or substance use disorders; or
                ``(2) to States to develop, maintain, or enhance a database
            of beds at inpatient psychiatric facilities, crisis
            stabilization units, and residential community mental health
            and residential substance use disorder treatment facilities,
            for individuals with serious mental illness, serious emotional
            disturbances, or substance use disorders.
        ``(b) Application.--
                ``(1) In general.--To receive a grant or cooperative
            agreement under subsection (a), an entity shall submit to the
            Secretary an application, at such time, in such manner, and
            containing such information as the Secretary may require.
                ``(2) Community-based crisis response plan.--An application
            for a grant under subsection (a)(1) shall include a plan for--
                        ``(A) promoting integration and coordination
                    between local public and private entities engaged in
                    crisis response, including first responders, emergency
                    health care providers, primary care providers, law
                    enforcement, court systems, health care payers, social
                    service providers, and behavioral health providers;
                        ``(B) developing memoranda of understanding with
                    public and private entities to implement crisis
                    response services;
                        ``(C) addressing gaps in community resources for
                    crisis response; and
                        ``(D) developing models for minimizing hospital
                    readmissions, including through appropriate discharge
                    planning.
                ``(3) Beds database plan.--An application for a grant under
            subsection (a)(2) shall include a plan for developing,
            maintaining, or enhancing a real-time Internet-based bed
            database to collect, aggregate, and display information about
            beds in inpatient psychiatric facilities and crisis
            stabilization units, and residential community mental health
            and residential substance use disorder treatment facilities to
            facilitate the identification and designation of facilities for
            the temporary treatment of individuals in mental or substance
            use disorder crisis.
        ``(c) Database Requirements.--A bed database described in this
    section is a database that--
                ``(1) includes information on inpatient psychiatric
            facilities, crisis stabilization units, and residential
            community mental health and residential substance use disorder
            facilities in the State involved, including contact information
            for the facility or unit;
                ``(2) provides real-time information about the number of
            beds available at each facility or unit and, for each available
            bed, the type of patient that may be admitted, the level of
            security provided, and any other information that may be
            necessary to allow for the proper identification of appropriate
            facilities for treatment of individuals in mental or substance
            use disorder crisis; and
                ``(3) enables searches of the database to identify
            available beds that are appropriate for the treatment of
            individuals in mental or substance use disorder crisis.
        ``(d) Evaluation.--An entity receiving a grant under this
    subsection (a)(1) shall submit to the Secretary, at such time, in such
    manner, and containing such information as the Secretary may reasonably
    require, a report, including an evaluation of the effect of such grant
    on local crisis response service and measures of individuals receiving
    crisis planning and early intervention supports, individuals reporting
    improved functional outcomes, and individuals receiving regular follow-
    up care following a crisis.
        ``(e) Authorization of Appropriations.--There is authorized to be
    appropriated to carry out this section, such sums as may be necessary
    for each of fiscal years 2017 through 2021.''.

    SEC. 411. STRENGTHENING THE MENTAL AND SUBSTANCE USE DISORDER
                  WORKFORCE.

        Part D of title VII of the Public Health Service Act (42 U.S.C. 294
    et seq.) is amended by adding at the end the following:

    ``SEC. 760. TRAINING DEMONSTRATION PROGRAM.

        ``(a) In General.--The Secretary shall establish a training
    demonstration program to award grants to eligible entities to support--
                ``(1) training for medical residents and fellows to
            practice psychiatry and addiction medicine in underserved,
            community-based settings that integrate primary care with
            mental and substance use disorder services;
                ``(2) training for nurse practitioners, physician
            assistants, and social workers to provide mental and substance
            use disorder services in underserved community-based settings
            that integrate primary care and mental and substance use
            disorder services; and
                ``(3) establishing, maintaining, or improving academic
            units or programs that--
                        ``(A) provide training for students or faculty,
                    including through clinical experiences and research, to
                    improve the ability to be able to recognize, diagnose,
                    and treat mental and substance use disorders, with a
                    special focus on addiction; or
                        ``(B) develop evidence-based practices or
                    recommendations for the design of the units or programs
                    described in subparagraph (A), including curriculum
                    content standards.
        ``(b) Activities.--
                ``(1) Training for residents and fellows.--A recipient of a
            grant under subsection (a)(1)--
                        ``(A) shall use the grant funds to--
                                ``(i)(I) plan, develop, and operate a
                            training program for medical psychiatry
                            residents and fellows in addiction medicine
                            practicing in eligible entities described in
                            subsection (c)(1); or
                                ``(II) train new psychiatric residents and
                            fellows in addiction medicine to provide and
                            expand access to integrated mental and
                            substance use disorder services; and
                                ``(ii) provide at least 1 training track
                            that is--
                                        ``(I) a virtual training track that
                                    includes an in-person rotation at a
                                    teaching health center or community-
                                    based setting, followed by a virtual
                                    rotation in which the resident or
                                    fellow continues to support the care of
                                    patients at the teaching health center
                                    or community-based setting through the
                                    use of health information technology;
                                        ``(II) an in-person training track
                                    that includes a rotation, during which
                                    the resident or fellow practices at a
                                    teaching health center or community-
                                    based setting; or
                                        ``(III) an in-person training track
                                    that includes a rotation during which
                                    the resident practices in a community-
                                    based setting that specializes in the
                                    treatment of infants, children,
                                    adolescents, or pregnant or post-partum
                                    women; and
                        ``(B) may use the grant funds to provide additional
                    support for the administration of the program or to
                    meet the costs of projects to establish, maintain, or
                    improve faculty development, or departments, divisions,
                    or other units.
                ``(2) Training for other providers.--A recipient of a grant
            under subsection (a)(2)--
                        ``(A) shall use the grant funds to plan, develop,
                    or operate a training program to provide mental and
                    substance use disorder services in underserved,
                    community-based settings that integrate primary care
                    and mental and substance use disorder services; and
                        ``(B) may use the grant funds to provide additional
                    support for the administration of the program or to
                    meet the costs of projects to establish, maintain, or
                    improve faculty development, or departments, divisions,
                    or other units of such program.
                ``(3) Academic units or programs.--A recipient of a grant
            under subsection (a)(3) shall enter into a partnership with an
            education accrediting organization (such as the Liaison
            Committee on Medical Education, the Accreditation Council for
            Graduate Medical Education, the Commission on Osteopathic
            College Accreditation, the Accreditation Commission For
            Education in Nursing, the Commission on Collegiate Nursing
            Education, the Accreditation Council for Pharmacy Education,
            the Council on Social Work Education, or the Accreditation
            Review Commission on Education for the Physician Assistant).
        ``(c) Eligible Entities.--
                ``(1) Training for residents and fellows.--To be eligible
            to receive a grant under subsection (a)(1), an entity shall--
                        ``(A) be a consortium consisting of--
                                ``(i) at least one teaching health center;
                            and
                                ``(ii) the sponsoring institution (or
                            parent institution of the sponsoring
                            institution) of--
                                        ``(I) a psychiatry residency
                                    program that is accredited by the
                                    Accreditation Council of Graduate
                                    Medical Education (or the parent
                                    institution of such a program); or
                                        ``(II) a fellowship in addiction
                                    medicine, as determined appropriate by
                                    the Secretary; or
                        ``(B) be an entity described in subparagraph
                    (A)(ii) that provides opportunities for residents or
                    fellows to train in community-based settings that
                    integrate primary care with mental and substance use
                    disorder services.
                ``(2) Training for other providers.--To be eligible to
            receive a grant under subsection (a)(2), an entity shall be--
                        ``(A) a teaching health center (as defined in
                    section 749A(f));
                        ``(B) a Federally qualified health center (as
                    defined in section 1905(l)(2)(B) of the Social Security
                    Act);
                        ``(C) a community mental health center (as defined
                    in section 1861(ff)(3)(B) of the Social Security Act);
                        ``(D) a rural health clinic (as defined in section
                    1861(aa) of the Social Security Act); or
                        ``(E) a health center operated by the Indian Health
                    Service, an Indian tribe, a tribal organization, or an
                    urban Indian organization (as defined in section 4 of
                    the Indian Health Care Improvement Act); or
                        ``(F) an entity with a demonstrated record of
                    success in providing training for nurse practitioners,
                    physician assistants, and social workers.
                ``(3) Academic units or programs.--To be eligible to
            receive a grant under subsection (a)(3), an entity shall be a
            school of medicine or osteopathic medicine, a nursing school, a
            physician assistant training program, a school of pharmacy, a
            school of social work, an accredited public or nonprofit
            private hospital, an accredited medical residency program, or a
            public or private nonprofit entity.
        ``(d) Priority.--
                ``(1) In general.--In awarding grants under subsection
            (a)(1) or (a)(2), the Secretary shall give priority to eligible
            entities that--
                        ``(A) demonstrate sufficient size, scope, and
                    capacity to undertake the requisite training of an
                    appropriate number of psychiatric residents, fellows,
                    nurse practitioners, physician assistants, or social
                    workers in addiction medicine per year to meet the
                    needs of the area served;
                        ``(B) demonstrate experience in training providers
                    to practice team-based care that integrates mental and
                    substance use disorder services with primary care in
                    community-based settings;
                        ``(C) demonstrate experience in using health
                    information technology to support--
                                ``(i) the delivery of mental and substance
                            use disorder services at the eligible entities
                            described in subsections (c)(1) and (c)(2); and
                                ``(ii) community health centers in
                            integrating primary care and mental and
                            substance use disorder treatment; or
                        ``(D) have the capacity to expand access to mental
                    and substance use disorder services in areas with
                    demonstrated need, as determined by the Secretary, such
                    as tribal, rural, or other underserved communities.
                ``(2) Academic units or programs.--In awarding grants under
            subsection (a)(3), the Secretary shall give priority to
            eligible entities that--
                        ``(A) have a record of training the greatest
                    percentage of mental and substance use disorder
                    providers who enter and remain in these fields or who
                    enter and remain in settings with integrated primary
                    and mental and substance use disorder health care
                    services;
                        ``(B) have a record of training individuals who are
                    from underrepresented minority groups, including native
                    populations, or from a rural or disadvantaged
                    background;
                        ``(C) provide training in the care of vulnerable
                    populations such as infants, children, adolescents,
                    pregnant and post-partum women, older adults, homeless
                    individuals, victims of abuse or trauma, individuals
                    with disabilities, and other groups as defined by the
                    Secretary;
                        ``(D) teach trainees the skills to provide
                    interprofessional, integrated care through
                    collaboration among health professionals; or
                        ``(E) provide training in cultural competency and
                    health literacy.
        ``(e) Duration.--Grants awarded under this section shall be for a
    minimum of 5 years.
        ``(f) Study and Report.--
                ``(1) Study.--
                        ``(A) In general.--The Secretary, acting through
                    the Administrator of the Health Resources and Services
                    Administration, shall conduct a study on the results of
                    the demonstration project under this section.
                        ``(B) Data submission.--Not later than 90 days
                    after the completion of the first year of the training
                    program and each subsequent year that the program is in
                    effect, each recipient of a grant under subsection (a)
                    shall submit to the Secretary such data as the
                    Secretary may require for analysis for the report
                    described in paragraph (2).
                ``(2) Report to congress.--Not later than 1 year after
            receipt of the data described in paragraph (1)(B), the
            Secretary shall submit to Congress a report that includes--
                        ``(A) analysis of the effect of the demonstration
                    project on the quality, quantity, and distribution of
                    mental and substance use disorder services;
                        ``(B) analysis of the effect of the demonstration
                    project on the prevalence of untreated mental and
                    substance use disorders in the surrounding communities
                    of health centers participating in the demonstration;
                    and
                        ``(C) recommendations on whether the demonstration
                    project should be expanded.''.

    SEC. 412. REPORTS.

        (a) Workforce Development Report.--
                (1) 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.
                (2) Contents.--The report under this subsection shall
            contain--
                        (A) national and State-level projections of the
                    supply and demand of mental health and substance use
                    disorder health workers;
                        (B) an assessment of the mental health and
                    substance use disorder workforce capacity, strengths,
                    and weaknesses as of the date of the report;
                        (C) information on trends within the mental health
                    and substance use disorder provider workforce; and
                        (D) 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.
        (b) 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. 413. CENTER 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 each of 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).

    SEC. 414. MINORITY FELLOWSHIP PROGRAM.

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

                     ``PART K--MINORITY FELLOWSHIP PROGRAM

    ``SEC. 597. FELLOWSHIPS.

        ``(a) In General.--The Secretary shall maintain a program, to be
    known as the Minority Fellowship Program, under which the Secretary
    awards fellowships, which may include stipends, for the purposes of--
                ``(1) increasing mental and substance use disorder
            practitioners' knowledge of issues related to prevention,
            treatment, and recovery support for mental and substance use
            disorders among racial and ethnic minority populations;
                ``(2) improving the quality of mental and substance use
            disorder prevention and treatment delivered to ethnic
            minorities; and
                ``(3) increasing the number of culturally competent mental
            and substance use disorder professionals who teach, administer,
            conduct services research, and provide direct mental or
            substance use disorder services to underserved minority
            populations.
        ``(b) Training Covered.--The fellowships under subsection (a) shall
    be for postbaccalaureate training (including for master's and doctoral
    degrees) for mental health professionals, including in the fields of
    psychiatry, nursing, social work, psychology, marriage and family
    therapy, and substance use and addiction counseling.
        ``(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.''.

       TITLE V--STRENGTHENING MENTAL AND SUBSTANCE USE DISORDER CARE FOR
                        WOMEN, 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) In General.--The Secretary of Health and Human Services
    (referred to in this section as the ``Secretary''), acting through the
    Administrator of the Health Resources and Services Administration and
    in coordination with other relevant Federal agencies, may award grants
    through existing health programs that promote mental or child health,
    including programs under section 330I, 330K, or 330L of the Public
    Health Service Act (42 U.S.C. 254c-14, 254c-16, 254c-18), to States,
    political subdivisions of States, and Indian tribes and tribal
    organizations (for purposes of this section, as defined in section 4 of
    the Indian Self-Determination and Education Assistance Act (25 U.S.C.
    450b)) 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 existing statewide or
            regional child psychiatry access programs.
        (b) Program Requirements.--
                (1) In general.--To be eligible for funding under
            subsection (a), a child psychiatry access program shall--
                        (A) be a statewide or regional network of pediatric
                    mental health teams that provide support to pediatric
                    primary care sites as an integrated team;
                        (B) support and further develop organized State or
                    regional networks of child and adolescent psychiatrists
                    to provide consultative support to pediatric primary
                    care sites;
                        (C) conduct an assessment of critical behavioral
                    consultation needs among pediatric providers and such
                    providers' preferred mechanisms for receiving
                    consultation and training and technical assistance;
                        (D) develop an online database and communication
                    mechanisms, including telehealth, to facilitate
                    consultation support to pediatric practices;
                        (E) provide rapid statewide or regional clinical
                    telephone consultations when requested between the
                    pediatric mental health teams and pediatric primary
                    care providers;
                        (F) 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 and co-occurring intellectual and other
                    developmental disabilities;
                        (G) inform and assist pediatric providers in
                    accessing child psychiatry consultations and in
                    scheduling and conducting technical assistance;
                        (H) assist with referrals to specialty care and
                    community and behavioral health resources; and
                        (I) 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.
                (2) Pediatric mental health teams.--In this subsection, 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.
        (c) Applications.--A State, political subdivision of a State,
    Indian tribe, or tribal organization 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 (d).
        (d) Evaluation.--A State, political subdivision of a State, Indian
    tribe, or tribal organization 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.
        (e) Access to Broadband.--In administering grants under this
    section, the Secretary may coordinate with other agencies to ensure
    that funding opportunities are available to support access to reliable,
    high-speed Internet for providers.
        (f) Matching Requirement.--The Secretary may not award a grant
    under this section unless the State, political subdivision of a State,
    Indian tribe, or tribal organization involved agrees, with respect to
    the costs to be incurred by the State, political subdivision of a
    State, Indian tribe, or tribal organization in carrying out the purpose
    described in this section, 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 in 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;
                ``(2) providing substance use disorder treatment services
            for children, including children and adolescents with co-
            occurring mental illness and substance use disorders; and
                ``(3) providing assistance to pregnant and parenting
            mothers with substance use disorders in obtaining treatment
            services, linking mothers to community resources to support
            independent family lives, and staying in recovery so that
            children are in safe, stable home environments and receive
            appropriate health care services.'';
                (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 ``Substance
                            Abuse Treatment'';
                                (ii) by striking ``grants, cooperative
                            agreement,'' and inserting ``grants, including
                            the grants under subsection (r), cooperative
                            agreements'';
                                (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''; and
                (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
                            use 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 non-residential based settings;
                    and
                        ``(C) promote a coordinated, effective, and
                    efficient State system managed by State substance abuse
                    agencies by encouraging new approaches and models of
                    service delivery 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 a substance use disorder, and
                    other appropriate individuals, for the minimum services
                    described in subparagraph (A).
                ``(4) Duration.--The pilot program under this subsection
            shall not exceed 5 years.
                ``(5) 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.
                ``(6) State substance abuse agencies defined.--For purposes
            of this subsection, the term `State substance abuse agency'
            means, with respect to a State, the agency in such State that
            manages the 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).''.

    SEC. 505. SCREENING AND TREATMENT FOR MATERNAL DEPRESSION.

        Part B of title III of the Public Health Service Act (42 U.S.C. 243
    et seq.) is amended by inserting after section 317L (42 U.S.C. 247b-13)
    the following:

    ``SEC. 317L-1. SCREENING AND TREATMENT FOR MATERNAL DEPRESSION.

        ``(a) Grants.--The Secretary shall make grants to States to
    establish, improve, or maintain programs for screening, assessment, and
    treatment services, including culturally and linguistically appropriate
    services, as appropriate, for women who are pregnant, or who have given
    birth within the preceding 12 months, for maternal depression.
        ``(b) Application.--To seek a grant under this section, a State
    shall submit an application to the Secretary at such time, in such
    manner, and containing such information as the Secretary may require.
    At a minimum, any such application shall include explanations of--
                ``(1) how a program, or programs, will increase the
            percentage of women screened and treated for maternal
            depression in one or more communities; and
                ``(2) how a program, or programs, if expanded, would
            increase access to screening and treatment services for
            maternal depression.
        ``(c) Priority.--In awarding grants under this section, the
    Secretary may give priority to States proposing to improve or enhance
    access to screening services for maternal depression in primary care
    settings.
        ``(d) Use of Funds.--The activities eligible for funding through a
    grant under subsection (a)--
                ``(1) shall include--
                        ``(A) providing appropriate training to health care
                    providers; and
                        ``(B) providing information to health care
                    providers, including information on maternal depression
                    screening, treatment, and follow-up support services,
                    and linkages to community-based resources; and
                ``(2) may include--
                        ``(A) enabling health care providers (including
                    obstetrician-gynecologists, pediatricians,
                    psychiatrists, mental health care providers, and adult
                    primary care clinicians) to provide or receive real-
                    time psychiatric consultation (in-person or remotely)
                    to aid in the treatment of pregnant and parenting
                    women; and
                        ``(B) establishing linkages with and among
                    community-based resources, including mental health
                    resources, primary care resources, and support groups.
        ``(e) 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. 506. INFANT AND EARLY CHILDHOOD PREVENTION, INTERVENTION AND
                  TREATMENT.

        Part Q of title III of the Public Health Service Act (42 U.S.C.
    280h et seq.) is amended by adding at the end the following:

    ``SEC. 399Z-2. INFANT AND EARLY CHILDHOOD PREVENTION, INTERVENTION, AND
                  TREATMENT.

        ``(a) Grants.--The Secretary shall--
                ``(1) award grants to eligible entities to develop,
            maintain, or enhance infant and early childhood mental health
            prevention, intervention, and treatment programs, including
            programs for infants and children at significant risk of
            developing or showing early signs of mental disorders,
            including serious emotional disturbance, or social or emotional
            disability; and
                ``(2) ensure that programs funded through grants under this
            section are evidence-informed or evidence-based models,
            practices, and methods that are, as appropriate, culturally and
            linguistically appropriate, and can be replicated in other
            appropriate settings.
        ``(b) Eligible Children and Entities.--In this section:
                ``(1) Eligible children.--The term `eligible children'
            means a child from birth to not more than 12 years of age who--
                        ``(A) is at risk, or shows early signs, of
                    developing a mental disorder, including a serious
                    emotional disturbance; and
                        ``(B) may benefit from promising or evidence-based
                    infant and early childhood intervention or treatment
                    programs specialized preschool or elementary school
                    programs.
                ``(2) Eligible entity.--The term `eligible entity' means a
            nonprofit institution that--
                        ``(A) is accredited by a State mental health or
                    education agency, as applicable, to provide promising
                    and evidence-based prevention, intervention, or
                    treatment services, for children in the age range from
                    birth to 12 years of age; and
                        ``(B) provides services that include promising and
                    evidence-based early intervention and treatment or
                    specialized programs for infants and children at risk
                    of developing or showing early signs of a mental
                    disorder, serious emotional disturbance, or social or
                    emotional disability.
        ``(c) Application.--An eligible entity seeking a grant under
    subsection (a) shall submit to the Secretary an application at such
    time, in such manner, and containing such information as the Secretary
    may require.
        ``(d) Use of Funds for Early Intervention and Treatment Programs.--
    An eligible entity may use amounts awarded under a grant under
    subsection (a)(1) to carry out the following:
                ``(1) Provide age-appropriate preventive and early
            intervention services or mental disorder treatment services,
            which may include specialized programs, for eligible children
            at significant risk of developing or showing early signs of a
            mental disorder, including a serious emotional disturbance, or
            a social or emotional disorder. Such treatment services may
            include social-emotional and behavioral services.
                ``(2) Provide training for health care professionals with
            expertise in infant and early childhood mental health care with
            respect to appropriate and relevant integration with other
            disciplines such as primary care clinicians, early intervention
            specialists, child welfare staff, home visitors, early care and
            education providers, and others who work with young children
            and families.
                ``(3) Provide mental health consultation to personnel of
            early care and education programs (including licensed or
            regulated center-based and home-based child care, home
            visiting, preschool special education and early intervention
            programs funded through part C of the Individuals with
            Disabilities Education Act) who work with children and
            families.
                ``(4) Provide training for mental health clinicians in
            infant and early childhood promising and evidence-based
            practices and models for mental health treatment and early-
            intervention, including with regard to practices for
            identifying and treating mental and behavioral disorders of
            infants and children resulting from exposure or repeated
            exposure to adverse childhood experiences or childhood trauma.
                ``(5) Provide assessment and intervention services for
            eligible children, including early prevention, intervention,
            and treatment services.
        ``(e) Matching Funds.--The Secretary may not award a grant under
    this section to an eligible entity unless the eligible entity agrees,
    with respect to the costs to be incurred by the eligible entity in
    carrying out the activities described in subsection (d), to make
    available non-Federal contributions (in cash or in kind) toward such
    costs in an amount that is not less than 10 percent of the total amount
    of Federal funds provided in the grant.
        ``(f) 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.''.

    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, nurse
            practitioners, physicians assistants, behavioral health
            facilities and clinics, care managers, and hospitals, including
            individuals such as general counsels 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, and the families of
    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 effect of such regulations on patient care, health
    outcomes, and patient privacy.

    SEC. 604. 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.

    SEC. 605. ENHANCED COMPLIANCE WITH MENTAL HEALTH AND SUBSTANCE USE
                  DISORDER COVERAGE REQUIREMENTS.

        (a) Compliance Program Guidance Document.--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) Compliance program guidance document.--
                        ``(A) In general.--Not later than 6 months after
                    the date of enactment of the Mental Health Reform Act
                    of 2016, the Inspector General of the Department of
                    Health and Human Services, in coordination with the
                    Secretary, the Secretary of Labor, or the Secretary of
                    the Treasury, shall issue a compliance program guidance
                    document to help improve compliance with this section.
                        ``(B) Examples illustrating compliance and
                    noncompliance.--
                                ``(i) In general.--The compliance program
                            guidance document required under this paragraph
                            shall provide illustrative, de-identified
                            examples (that do not disclose any protected
                            health information or individually identifiable
                            information) of previous findings of compliance
                            and noncompliance with this section, section
                            712 of the Employee Retirement Income Security
                            Act of 1974, or section 9812 of the Internal
                            Revenue Code of 1986 based on investigations of
                            violations of such sections, including--
                                        ``(I) examples illustrating
                                    requirements for information
                                    disclosures and non-quantitative
                                    treatment limitations; and
                                        ``(II) descriptions of the
                                    violations uncovered during the course
                                    of such investigations.
                                ``(ii) Non-quantitative treatment
                            limitations.--To the extent that any example
                            described in clause (i) involves a finding of
                            compliance or noncompliance with regard to any
                            requirement for non-quantitative treatment
                            limitations, the example shall provide
                            sufficient detail to fully explain such
                            finding, including a full description of the
                            criteria involved for medical and surgical
                            benefits and the criteria involved for mental
                            health and substance use disorder benefits.
                                ``(iii) Access to additional information
                            regarding compliance.--In developing and
                            issuing the compliance program guidance
                            document required under this paragraph, the
                            Inspector General of the Department of Health
                            and Human Services may--
                                        ``(I) enter into inter-agency
                                    agreements with the Inspector General
                                    of the Department of Labor and the
                                    Inspector General of the Department of
                                    the Treasury to share findings of
                                    compliance and noncompliance with this
                                    section, section 712 of the Employee
                                    Retirement Income Security Act of 1974,
                                    or section 9812 of the Internal Revenue
                                    Code of 1986; and
                                        ``(II) enter into an agreement with
                                    a State to share information on
                                    findings of compliance and
                                    noncompliance with this section,
                                    section 712 of the Employee Retirement
                                    Income Security Act of 1974, or section
                                    9812 of the Internal Revenue Code of
                                    1986.
                        ``(C) Recommendations.--The compliance program
                    guidance document shall include recommendations to
                    avoid violations of this section and encourage the
                    development and use of internal controls to monitor
                    adherence to applicable statutes, regulations, and
                    program requirements. Such internal controls may
                    include a compliance checklist with illustrative
                    examples of non-quantitative treatment limitations on
                    mental health and substance use disorder benefits,
                    which may fail to comply with this section in relation
                    to non-quantitative treatment limitations on medical
                    and surgical benefits.
                        ``(D) Updating the compliance program guidance
                    document.--The compliance program guidance document
                    shall be updated every 2 years to include illustrative,
                    de-identified examples (that do not disclose any
                    protected health information or individually
                    identifiable information) of previous findings of
                    compliance and noncompliance with this section, section
                    712 of the Employee Retirement Income Security Act of
                    1974, or section 9812 of the Internal Revenue Code of
                    1986.''.
        (b) Additional Guidance.--Section 2726(a) of the Public Health
    Service Act (42 U.S.C. 300gg-26(a)), as amended by subsection (b), is
    further amended by adding at the end the following:
                ``(7) Additional guidance.--
                        ``(A) In general.--Not later than 6 months 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 clarifying information and illustrative
                            examples of methods that group health plans and
                            health insurance issuers offering group or
                            individual health insurance coverage may use
                            for disclosing information to ensure compliance
                            with the requirements under this section (and
                            any regulations promulgated pursuant to this
                            section).
                                ``(ii) Documents for participants,
                            beneficiaries, contracting providers, or
                            authorized representatives.--The guidance
                            issued under this paragraph may include
                            clarifying information and illustrative
                            examples of methods that group health plans and
                            health insurance issuers offering group or
                            individual health insurance coverage may use to
                            provide any participant, beneficiary,
                            contracting provider, or authorized
                            representative, as applicable, with documents
                            containing information that the health plans or
                            issuers are required to disclose to
                            participants, beneficiaries, contracting
                            providers, or authorized representatives to
                            ensure compliance with this section, any
                            regulation issued pursuant to this section, or
                            any other applicable law or regulation,
                            including information that is comparative in
                            nature with respect to--
                                        ``(I) non-quantitative treatment
                                    limitations for both medical and
                                    surgical benefits and mental health and
                                    substance use disorder benefits;
                                        ``(II) the processes, strategies,
                                    evidentiary standards, and other
                                    factors used to apply the limitations
                                    described in subclause (I); and
                                        ``(III) the application of the
                                    limitations described in subclause (I)
                                    to ensure that such limitations are
                                    applied in parity with respect to both
                                    medical and surgical benefits and
                                    mental health and substance use
                                    disorder benefits.
                        ``(C) Non-quantitative treatment limitations.--The
                    guidance issued under this paragraph shall include
                    clarifying information and illustrative examples of
                    methods, processes, strategies, evidentiary standards,
                    and other factors that group health plans and health
                    insurance issuers offering group or individual health
                    insurance coverage may use regarding the development
                    and application of non-quantitative treatment
                    limitations to ensure compliance with this section (and
                    any regulations promulgated pursuant to this section),
                    including--
                                ``(i) examples of methods of determining
                            appropriate types of non-quantitative treatment
                            limitations with respect to both medical and
                            surgical benefits and mental health and
                            substance use disorder benefits, including non-
                            quantitative treatment limitations pertaining
                            to--
                                        ``(I) medical management standards
                                    based on medical necessity or
                                    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 methods of determining--
                                        ``(I) network admission standards
                                    (such as credentialing); and
                                        ``(II) factors used in provider
                                    reimbursement methodologies (such as
                                    service type, geographic market, demand
                                    for services, and provider supply,
                                    practice size, training, experience,
                                    and licensure) as such factors apply to
                                    network adequacy;
                                ``(iii) examples of sources of information
                            that may serve as evidentiary standards for the
                            purposes of making determinations regarding the
                            development and application of non-quantitative
                            treatment limitations;
                                ``(iv) examples of specific factors, and
                            the evidentiary standards used to evaluate such
                            factors, used by such plans or issuers in
                            performing a non-quantitative treatment
                            limitation analysis;
                                ``(v) examples of how specific evidentiary
                            standards may be used to determine whether
                            treatments are considered experimental or
                            investigative;
                                ``(vi) examples of how specific evidentiary
                            standards may be applied to each service
                            category or classification of benefits;
                                ``(vii) examples of methods of reaching
                            appropriate coverage determinations for new
                            mental health or substance use disorder
                            treatments, such as evidence-based early
                            intervention programs for individuals with a
                            serious mental illness and types of medical
                            management techniques;
                                ``(viii) examples of methods of reaching
                            appropriate coverage determinations 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 voluntary or
                            involuntary commitment; and
                                ``(ix) additional illustrative examples of
                            methods, processes, strategies, evidentiary
                            standards, and other factors for which the
                            Secretary determines that additional guidance
                            is necessary to improve compliance with this
                            section.
                        ``(D) Public comment.--Prior to issuing any final
                    guidance under this paragraph, 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.''.
        (c) Improving Compliance.--
                (1) In general.--In the case that the Secretary of Health
            and Human Services, the Secretary of Labor, or the Secretary of
            the Treasury determines that a group health plan or health
            insurance issuer offering group or individual health insurance
            coverage has violated, at least 5 times, 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 plan year following the
            Secretary's determination 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. 606. 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 implementing the action plan;
            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 the need for
                    additional legal authority to ensure that non-
                    quantitative treatment limitations are applied, and the
                    extent and frequency of the applications of such
                    limitations, both to medical and surgical benefits and
                    to mental health and substance use disorder benefits in
                    a comparable manner.

    SEC. 607. 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 mental
    health and substance use disorder coverage requirements 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 non-quantitative 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. 608. GAO STUDY ON PARITY IN MENTAL HEALTH AND SUBSTANCE USE
                  DISORDER BENEFITS.

        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, medicaid managed care organizations with a contract
    under section 1903(m) of the Social Security Act (42 U.S.C. 1396b(m)),
    and health plans provided under the State Children's Health Insurance
    Program under title XXI of the Social Security Act (42 U.S.C. 1397aa et
    seq.) 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 non-quantitative 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 606; 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.

               TITLE VII--MENTAL HEALTH AWARENESS AND IMPROVEMENT

    SEC. 701. SHORT TITLE.

        This title may be cited as the ``Mental Health Awareness and
    Improvement Act of 2016''.

    SEC. 702. GARRETT LEE SMITH MEMORIAL ACT REAUTHORIZATION.

        (a) Suicide Prevention Technical Assistance Center.--Section 520C
    of the Public Health Service Act (42 U.S.C. 290bb-34) is amended--
                (1) by striking the section heading and inserting ``suicide
            prevention technical assistance center.'';
                (2) in subsection (a), by striking ``and in consultation
            with'' and all that follows through the period at the end of
            paragraph (2) and inserting ``shall establish a research,
            training, and technical assistance resource center to provide
            appropriate information, training, and technical assistance to
            States, political subdivisions of States, federally recognized
            Indian tribes, tribal organizations, institutions of higher
            education, public organizations, or private nonprofit
            organizations regarding the prevention of suicide among all
            ages, particularly among groups that are at high risk for
            suicide.'';
                (3) by striking subsections (b) and (c);
                (4) by redesignating subsection (d) as subsection (b);
                (5) in subsection (b), as so redesignated--
                        (A) by striking the subsection heading and
                    inserting ``Responsibilities of the Center.'';
                        (B) in the matter preceding paragraph (1), by
                    striking ``The additional research'' and all that
                    follows through ``nonprofit organizations for'' and
                    inserting ``The center established under subsection (a)
                    shall conduct activities for the purpose of'';
                        (C) by striking ``youth suicide'' each place such
                    term appears and inserting ``suicide'';
                        (D) in paragraph (1)--
                                (i) by striking ``the development or
                            continuation of'' and inserting ``developing
                            and continuing''; and
                                (ii) by inserting ``for all ages,
                            particularly among groups that are at high risk
                            for suicide'' before the semicolon at the end;
                        (E) in paragraph (2), by inserting ``for all ages,
                    particularly among groups that are at high risk for
                    suicide'' before the semicolon at the end;
                        (F) in paragraph (3), by inserting ``and tribal''
                    after ``statewide'';
                        (G) in paragraph (5), by inserting ``and
                    prevention'' after ``intervention'';
                        (H) in paragraph (8), by striking ``in youth'';
                        (I) in paragraph (9), by striking ``and behavioral
                    health'' and inserting ``health and substance use
                    disorder''; and
                        (J) in paragraph (10), by inserting ``conducting''
                    before ``other''; and
                (6) by striking subsection (e) and inserting the following:
        ``(c) Authorization of Appropriations.--For the purpose of carrying
    out this section, there are authorized to be appropriated $6,000,000
    for each of fiscal years 2016 through 2020.
        ``(d) Annual Report.--Not later than 2 years after the date of
    enactment of this subsection, the Secretary shall submit to Congress a
    report on the activities carried out by the center established under
    subsection (a) during the year involved, including the potential
    effects of such activities, and the States, organizations, and
    institutions that have worked with the center.''.
        (b) Youth Suicide Early Intervention and Prevention Strategies.--
    Section 520E of the Public Health Service Act (42 U.S.C. 290bb-36) is
    amended--
                (1) in paragraph (1) of subsection (a) and in subsection
            (c), by striking ``substance abuse'' each place such term
            appears and inserting ``substance use disorder'';
                (2) in subsection (b)(2)--
                        (A) by striking ``each State is awarded only 1
                    grant or cooperative agreement under this section'' and
                    inserting ``a State does not receive more than 1 grant
                    or cooperative agreement under this section at any 1
                    time''; and
                        (B) by striking ``been awarded'' and inserting
                    ``received''; and
                (3) in subsection (g)(2), by striking ``2 years after the
            date of enactment of this section,'' and insert ``2 years after
            the date of enactment of Mental Health Reform Act of 2016,'';
                (4) by striking subsection (m) and inserting the following:
        ``(m) Authorization of Appropriations.--For the purpose of carrying
    out this section, there are authorized to be appropriated $30,000,000
    for each of fiscal years 2017 through 2021.''.
        (c) Mental Health and Substance Use Disorder Services.--Section
    520E-2 of the Public Health Service Act (42 U.S.C. 290bb-36b) is
    amended--
                (1) in the section heading, by striking ``and behavioral
            health'' and inserting ``health and substance use disorder'';
                (2) in subsection (a)--
                        (A) by striking ``Services,'' and inserting
                    ``Services and'';
                        (B) by striking ``and behavioral health problems''
                    and inserting ``health or substance use disorders'';
                    and
                        (C) by striking ``substance abuse'' and inserting
                    ``substance use disorders'';
                (3) in subsection (b)--
                        (A) in the matter preceding paragraph (1), by
                    striking ``for--'' and inserting ``for one or more of
                    the following:''; and
                        (B) by striking paragraphs (1) through (6) and
                    inserting the following:
                ``(1) Educating students, families, faculty, and staff to
            increase awareness of mental health and substance use
            disorders.
                ``(2) The operation of hotlines.
                ``(3) Preparing informational material.
                ``(4) Providing outreach services to notify students about
            available mental health and substance use disorder services.
                ``(5) Administering voluntary mental health and substance
            use disorder screenings and assessments.
                ``(6) Supporting the training of students, faculty, and
            staff to respond effectively to students with mental health and
            substance use disorders.
                ``(7) Creating a network infrastructure to link colleges
            and universities with health care providers who treat mental
            health and substance use disorders.'';
                (4) in subsection (c)(5), by striking ``substance abuse''
            and inserting ``substance use disorder'';
                (5) in subsection (d)--
                        (A) in the matter preceding paragraph (1), by
                    striking ``An institution of higher education desiring
                    a grant under this section'' and inserting ``To be
                    eligible to receive a grant under this section, an
                    institution of higher education'';
                        (B) in paragraph (1)--
                                (i) by striking ``and behavioral health''
                            and inserting ``health and substance use
                            disorder''; and
                                (ii) by inserting ``, including veterans
                            whenever possible and appropriate,'' after
                            ``students''; and
                        (C) in paragraph (2), by inserting ``, which may
                    include, as appropriate and in accordance with
                    subsection (b)(7), a plan to seek input from relevant
                    stakeholders in the community, including appropriate
                    public and private entities, in order to carry out the
                    program under the grant'' before the period at the end;
                (6) in subsection (e)(1), by striking ``and behavioral
            health problems'' and inserting ``health and substance use
            disorders'';
                (7) in subsection (f)(2)--
                        (A) by striking ``and behavioral health'' and
                    inserting ``health and substance use disorder''; and
                        (B) by striking ``suicide and substance abuse'' and
                    inserting ``suicide and substance use disorders''; and
                (8) in subsection (h), by striking ``$5,000,000 for fiscal
            year 2005'' and all that follows through the period at the end
            and inserting ``$6,500,000 for each of fiscal years 2017
            through 2021.''.

    SEC. 703. MENTAL HEALTH AWARENESS TRAINING GRANTS.

        Section 520J of the Public Health Service Act (42 U.S.C. 290bb-41)
    is amended--
                (1) in the section heading, by inserting ``mental health
            awareness'' before ``training''; and
                (2) in subsection (b)--
                        (A) in the subsection heading, by striking
                    ``Illness'' and inserting ``Health'';
                        (B) in paragraph (1), by inserting ``and other
                    categories of individuals, as determined by the
                    Secretary,'' after ``emergency services personnel'';
                        (C) in paragraph (5)--
                                (i) in the matter preceding subparagraph
                            (A), by striking ``to'' and inserting ``for
                            evidence-based programs for the purpose of'';
                            and
                                (ii) by striking subparagraphs (A) through
                            (C) and inserting the following:
                        ``(A) recognizing the signs and symptoms of mental
                    illness; and
                        ``(B)(i) providing education to personnel regarding
                    resources available in the community for individuals
                    with a mental illness and other relevant resources; or
                        ``(ii) the safe de-escalation of crisis situations
                    involving individuals with a mental illness.''; and
                        (D) in paragraph (7), by striking ``, $25,000,000''
                    and all that follows through the period at the end and
                    inserting ``$15,000,000 for each of fiscal years 2017
                    through 2021.''.

    SEC. 704. CHILDREN'S RECOVERY FROM TRAUMA.

        Section 582 of the Public Health Service Act (42 U.S.C. 290hh-1) is
    amended--
                (1) in subsection (a), by striking ``developing programs''
            and all that follows through the period at the end and
            inserting ``developing and maintaining programs that provide
            for--
                ``(1) the continued operation of the National Child
            Traumatic Stress Initiative (referred to in this section as the
            `NCTSI'), which includes a cooperative agreement with a
            coordinating center, that focuses on the mental, behavioral,
            and biological aspects of psychological trauma response,
            prevention of the long-term consequences of child trauma, and
            early intervention services and treatment to address the long-
            term consequences of child trauma; and
                ``(2) the development of knowledge with regard to evidence-
            based practices for identifying and treating mental,
            behavioral, and biological disorders of children and youth
            resulting from witnessing or experiencing a traumatic event.'';
                (2) in subsection (b)--
                        (A) by striking ``subsection (a) related'' and
                    inserting ``subsection (a)(2) (related'';
                        (B) by striking ``treating disorders associated
                    with psychological trauma'' and inserting ``treating
                    mental, behavioral, and biological disorders associated
                    with psychological trauma)''; and
                        (C) by striking ``mental health agencies and
                    programs that have established clinical and basic
                    research'' and inserting ``universities, hospitals,
                    mental health agencies, and other programs that have
                    established clinical expertise and research'';
                (3) by redesignating subsections (c) through (g) as
            subsections (g) through (k), respectively;
                (4) by inserting after subsection (b), the following:
        ``(c) Child Outcome Data.--The NCTSI coordinating center shall
    collect, analyze, and report NCTSI-wide child treatment process and
    outcome data regarding the early identification and delivery of
    evidence-based treatment and services for children and families served
    by the NCTSI grantees.
        ``(d) Training.--The NCTSI coordinating center shall facilitate the
    coordination of training initiatives in evidence-based and trauma-
    informed treatments, interventions, and practices offered to NCTSI
    grantees, providers, and partners.
        ``(e) Dissemination and Collaboration.--The NCTSI coordinating
    center shall, as appropriate, collaborate with--
                ``(1) the Secretary, in the dissemination of evidence-based
            and trauma-informed interventions, treatments, products, and
            other resources to appropriate stakeholders; and
                ``(2) appropriate agencies that conduct or fund research
            within the Department of Health and Human Services, for
            purposes of sharing NCTSI expertise, evaluation data, and other
            activities, as appropriate.
        ``(f) Review.--The Secretary shall, consistent with the peer review
    process, ensure that NCTSI applications are reviewed by appropriate
    experts in the field as part of a consensus review process. The
    Secretary shall include review criteria related to expertise and
    experience in child trauma and evidence-based practices.'';
                (5) in subsection (g) (as so redesignated), by striking
            ``with respect to centers of excellence are distributed
            equitably among the regions of the country'' and inserting
            ``are distributed equitably among the regions of the United
            States'';
                (6) in subsection (i) (as so redesignated), by striking
            ``recipient may not exceed 5 years'' and inserting ``recipient
            shall not be less than 4 years, but shall not exceed 5 years'';
            and
                (7) in subsection (j) (as so redesignated), by striking
            ``$50,000,000'' and all that follows through ``2006'' and
            inserting ``$46,000,000 for each of fiscal years 2017 through
            2021''.

    SEC. 705. ASSESSING BARRIERS TO BEHAVIORAL HEALTH INTEGRATION.

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

    SEC. 706. INCREASING EDUCATION AND AWARENESS OF TREATMENTS FOR OPIOID
                  USE DISORDERS.

        (a) In General.--In order to improve the quality of care delivery
    and treatment outcomes among patients with opioid use disorders, the
    Secretary of Health and Human Services (referred to in this section as
    the ``Secretary''), acting through the Administrator for the Substance
    Abuse and Mental Health Services Administration, may advance, through
    existing programs as appropriate, the education and awareness of
    providers, patients, and other appropriate stakeholders regarding all
    products approved by the Food and Drug Administration to treat opioid
    use disorders.
        (b) Activities.--The activities described in subsection (a) may
    include--
                (1) disseminating evidence-based practices for the
            treatment of opioid use disorders;
                (2) facilitating continuing education programs for health
            professionals involved in treating opioid use disorders;
                (3) increasing awareness among relevant stakeholders of the
            treatment of opioid use disorders;
                (4) assessing current barriers to the treatment of opioid
            use disorders for patients and providers and development and
            implementation of strategies to mitigate such barriers; and
                (5) continuing innovative approaches to the treatment of
            opioid use disorders in various treatment settings, such as
            prisons, community mental health centers, primary care, and
            hospitals.
        (c) Report.--Not later than 1 year after the date of enactment of
    this Act, if the Secretary carries out the activities under this
    section, the Secretary shall submit to the Committee on Health,
    Education, Labor, and Pensions of the Senate and the Committee on
    Energy and Commerce of the House of Representatives a report that
    examines--
                (1) the activities the Substance Abuse and Mental Health
            Services Administration conducts under this section, including
            any potential effect on health care costs associated with such
            activities;
                (2) the role of adherence in the treatment of opioid use
            disorders and methods to reduce opioid use disorders; and
                (3) recommendations on priorities and strategies to address
            co-occurring substance use disorders and mental illnesses.

    SEC. 707. EXAMINING MENTAL HEALTH CARE FOR CHILDREN.

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

    SEC. 708. EVIDENCE BASED PRACTICES FOR OLDER ADULTS.

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

    SEC. 709. NATIONAL VIOLENT DEATH REPORTING SYSTEM.

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

    SEC. 710. GAO STUDY ON VIRGINIA TECH RECOMMENDATIONS.

        (a) In General.--Not later than 1 year after the date of enactment
    of this Act, the Comptroller General of the United States shall conduct
    an independent evaluation, and submit to the appropriate committees of
    Congress a report concerning the status of implementation of
    recommendations made in the report to the President, On Issues Raised
    by the Virginia Tech Tragedy, by the Secretaries of Health and Human
    Services and Education and the Attorney General of the United States,
    submitted to the President on June 13, 2007.
        (b) Content.--The report submitted to the committees of Congress
    under subsection (a) shall review and assess--
                (1) the extent to which the recommendations in the report
            that include participation by the Department of Health and
            Human Services were implemented;
                (2) whether there are any barriers to implementation of
            such recommendations; and
                (3) identification of any additional actions the Federal
            government can take to support States and local communities and
            ensure that the Federal government and Federal law are not
            obstacles to addressing at the community level--
                        (A) school violence; and
                        (B) mental illness.

    SEC. 711. PERFORMANCE METRICS.

        (a) Evaluation of Current Programs.--
                (1) In general.--Not later than 180 days after the date of
            enactment of this Act, the Assistant Secretary for Planning and
            Evaluation of the Department of Health and Human Services shall
            conduct an evaluation of the effect of activities related to
            the prevention and treatment of mental illness and substance
            use disorders conducted by the Substance Abuse and Mental
            Health Services Administration.
                (2) Assessment of performance metrics.--The evaluation
            conducted under paragraph (1) shall include an assessment of
            the use of performance metrics to evaluate activities carried
            out by entities receiving grants, contracts, or cooperative
            agreements related to mental illness or substance use disorders
            under title V or title XIX of the Public Health Service Act (42
            U.S.C. 290aa et seq.; 42 U.S.C. 300w et seq.).
                (3) Recommendations.--The evaluation conducted under
            paragraph (1) shall include recommendations for the use of
            performance metrics to improve the quality of programs related
            to the prevention and treatment of mental illness and substance
            use disorders.
        (b) Use of Performance Metrics.--Not later than 1 year after the
    date of enactment of this Act, the Secretary of Health and Human
    Services, acting through the Administrator of the Substance Abuse and
    Mental Health Services Administration, shall advance, through existing
    programs, the use of performance metrics, taking into consideration the
    recommendations under subsection (a)(3), to improve programs related to
    the prevention and treatment of mental illness and substance use
    disorders.

          TITLE VIII--PREVENTION AND TREATMENT OF OPIOID USE DISORDER

    SEC. 801. FDA OPIOID ACTION PLAN.

        (a) Advisory Committee.--
                (1) New drug application.--Except as provided in paragraph
            (4), prior to the approval of a new drug that is an opioid
            under section 505 of the Federal Food, Drug, and Cosmetic Act
            (21 U.S.C. 355), the Commissioner of Food and Drugs shall refer
            such drug to an advisory committee of the Food and Drug
            Administration to seek recommendations from such Committee.
                (2) Pediatric opioid labeling.--The Commissioner of Food
            and Drugs shall convene the Pediatric Advisory Committee of the
            Food and Drug Administration to seek recommendations from such
            Committee regarding a framework for the inclusion of
            information in the labeling of drugs that are opioids relating
            to the use of such drugs in pediatric populations before such
            Commissioner approves any labeling changes for drugs that are
            opioids intended for use in pediatric populations.
                (3) Public health exemption.--If the Commissioner of Food
            and Drugs finds that referring a new opioid drug or drugs to an
            advisory committee of the Food and Drug Administration as
            required under paragraph (1) is not in the interest of
            protecting and promoting public health, and has submitted a
            notice containing the rationale for such a finding to the
            Committee on Health, Education, Labor, and Pensions of the
            Senate and the Committee on Energy and Commerce of the House of
            Representatives, or if the matter that would be considered by
            such advisory committee with respect to any such drug or drugs
            concerns bioequivalence, sameness of active ingredient, or
            other criteria applicable to applications submitted under
            section 505(j), the Commissioner shall not be required to refer
            such drug or drugs to an advisory committee as required under
            paragraph (1).
                (4) Sunset.--Unless Congress reauthorizes paragraphs (1)
            and (2), the requirements of such paragraphs shall cease to be
            effective on October 1, 2022.
        (b) Education for Prescribers of Opioids.--Not later than 1 year
    after the date of enactment of this Act, the Secretary of Health and
    Human Services, acting through the Commissioner of Food and Drugs, as
    part of the Food and Drug Administration's evaluation of the Extended-
    Release/Long-Acting Opioid Analgesics Risk Evaluation and Mitigation
    Strategy, and in consultation with the Director of the Centers for
    Disease Control and Prevention, the Director of the National Institutes
    of Health, the Administrator of the Agency for Healthcare Research and
    Quality, the Administrator of the Drug Enforcement Administration, and
    relevant stakeholders, shall develop recommendations regarding
    education programs for prescribers of opioids required to be
    disseminated under section 505-1 of the Federal Food, Drug, and
    Cosmetic Act (21 U.S.C. 355-1), including recommendations for which
    prescribers should participate in such programs and how often
    participation in such programs is necessary.
        (c) Guidance.--Not later than 1 year after the date of enactment of
    this Act, the Commissioner of Food and Drugs shall issue guidance on if
    and how the approved labeling of a drug that is an opioid and is the
    subject of an application under section 505(j) of the Federal Food,
    Drug, and Cosmetic Act (21 U.S.C. 355(j)) may include statements that
    such drug deters abuse.

    SEC. 802. DISCLOSURE OF INFORMATION TO STATE CONTROLLED SUBSTANCE
                  MONITORING PROGRAMS.

        Section 5701(l) of title 38, United States Code, is amended by
    striking ``may'' and inserting ``shall''.

    SEC. 803. GAO REPORT ON STATE PRESCRIPTION DRUG MONITORING PROGRAMS.

        Not later than 18 months after the date of enactment of this Act,
    the Comptroller General of the United States shall prepare and submit
    to Congress a report examining the variations that exist across State
    prescription drug monitoring programs that have been supported by
    Federal funds. The Comptroller General shall review, and include in the
    report recommendations on, best practices to maximize the effectiveness
    of such programs and State strategies to increase queries to such
    programs by health care providers.

    SEC. 804. NIH OPIOID RESEARCH.

        (a) In General.--The Director of the National Institutes of Health
    (referred to in this section as the ``NIH'') may intensify and
    coordinate fundamental, translational, and clinical research of the NIH
    with respect to--
                (1) the understanding of pain;
                (2) the discovery and development of therapies for chronic
            pain; and
                (3) the development of alternatives to opioids for
            effective pain treatments.
        (b) Priority and Direction.--The prioritization and direction of
    the Federally funded portfolio of pain research studies shall consider
    recommendations made by the Interagency Pain Research Coordinating
    Committee in concert with the Pain Management Best Practices Inter-
    Agency Task Force, and in accordance with the National Pain Strategy,
    the Federal Pain Research Strategy, and the NIH-Wide Strategic Plan for
    Fiscal Years 2016-2020, the latter which calls for the relative burdens
    of individual diseases and medical disorders to be regarded as crucial
    considerations in balancing the priorities of the Federal research
    portfolio.

    SEC. 805. ENSURING PROVIDER ACCESS TO BEST PRACTICES FOR COMBATING
                  PRESCRIPTION DRUG OVERDOSE.

        (a) Best Practices for Prescribing Opioids.--Not later than 2 years
    after the date of enactment of this Act, the Secretary of Health and
    Human Services, acting through the Director of the Centers for Disease
    Control and Prevention, shall issue best practices for prescribing
    opioids for the treatment of acute pain.
        (b) Dissemination of Best Practices and Guidelines.--The Director
    of the Centers for Disease Control and Prevention shall, as
    appropriate, make information on best practices and guidelines related
    to safe opioid prescribing practices for chronic pain (outside of
    active cancer treatment, palliative care, and end-of-life care),
    including guidelines, available to prescribers to reduce opioid use
    disorders and overdose. Such guidelines are not intended to replace
    good clinical judgment for clinicians in addressing special
    circumstances or individual patient care needs. In carrying out this
    subsection, the Director shall, where appropriate, disseminate such
    best practices in succinct, usable formats accessible to health care
    providers.

    SEC. 806. PARTIAL FILL OF SCHEDULE II PRESCRIPTIONS.

        (a) Definitions.--In this section--
                (1) the terms ``controlled substance'', ``dispense'', and
            ``practitioner'' have the meanings given those terms in section
            102 of the Controlled Substances Act (21 U.S.C. 802);
                (2) the term ``emergency situation'' means an emergency
            situation prescribed by the Secretary of Health and Human
            Services in accordance with section 309(a) of the Controlled
            Substances Act (21 U.S.C. 829(a)); and
                (3) the term ``schedule II'' means schedule II of section
            202(c) of the Controlled Substances Act (21 U.S.C. 812(c)).
        (b) Partial Fills.--A prescription for a controlled substance in
    schedule II may be partially filled if--
                (1) it is not prohibited by State law;
                (2) the prescription is written and filled in accordance
            with the Controlled Substances Act (21 U.S.C. 801 et seq.),
            regulations prescribed by the Attorney General, and State law;
                (3) the partial fill is requested by the patient or the
            practitioner that wrote the prescription; and
                (4) the total quantity dispensed in all partial fillings
            does not exceed the total quantity prescribed.
        (c) Remaining Portions.--
                (1) In general.--Except as provided in paragraph (2),
            remaining portions of a partially filled prescription for a
            controlled substance in schedule II--
                        (A) may be filled; and
                        (B) shall be filled not later than 30 days after
                    the date on which the prescription is written.
                (2) Emergency situations.--In emergency situations, the
            remaining portions of a partially filled prescription for a
            controlled substance in schedule II--
                        (A) may be filled; and
                        (B) shall be filled not later than 72 hours after
                    the prescription is issued.

                 TITLE IX--MENTAL HEALTH ON CAMPUS IMPROVEMENT

    SEC. 901. SHORT TITLE.

        This title may be cited as the ``Mental Health on Campus
    Improvement Act''.

    SEC. 902. FINDINGS.

        Congress makes the following findings:
                (1) The 2014 Association for University and College
            Counseling Center Directors Survey found that the average ratio
            of counselors to students on campus is nearly 1 to 1,833 and is
            often far higher on large campuses. The International
            Association of Counseling Services accreditation standards
            recommends 1 counselor per 1,000 to 1,500 students.
                (2) College counselors report that 10 percent of enrolled
            students sought counseling in 2014.
                (3) More than 90 percent of counseling directors believe
            there is an increase in the number of students coming to campus
            with severe psychological problems; today, 44 percent of the
            students who visit campus counseling centers are dealing with
            severe mental illness, up from 16 percent in 2000, and 24
            percent are on psychiatric medication, up from 17 percent in
            2000.
                (4) The majority of campus counseling directors report that
            the demand for services and the severity of student needs are
            growing without an increase in resources.
                (5) Many students who need help never receive it. Only 15
            percent of college and university students who commit suicide
            received campus counseling. Of students who seriously consider
            suicide each year, only 52 percent of them seek any
            professional help at all.
                (6) A 2015 American College Health Association survey of
            more than 93,000 college and university students revealed that,
            within the last 12 months, 57 percent of students report having
            felt overwhelming anxiety, 35 percent felt so depressed it was
            difficult to function, and 48 percent felt hopeless. However,
            only 12 percent of students reported receiving professional
            treatment for anxiety within the past 12 months, and 11 percent
            reported receiving treatment for depression within the past 12
            months.
                (7) The 2015 American College Health Association survey
            also found that 9 percent of students have seriously considered
            suicide in the past 12 months, a 20 percent increase compared
            to 2012.
                (8) Research conducted between 1997 and 2009, and presented
            at the 118th annual convention of the American Psychological
            Association found that more students are grappling with
            depression and anxiety disorders than were a decade ago. The
            study found that, of students who sought college or university
            counseling, 41 percent had moderate to severe depression in
            2009, and that percentage was 34 percent in 1997.
                (9) A survey conducted by the student counseling center at
            the University of Idaho in 2000 found that 77 percent of
            students who responded reported that they were more likely to
            stay in school because of counseling and that their school
            performance would have declined without counseling.
                (10) Students with psychological issues often struggle
            academically and are at risk for dropping out of school.
            Counseling has been shown to address these issues while having
            a positive impact on students remaining in school. A 6-year
            longitudinal study found college and university students
            receiving counseling to have a 11.4 percent higher retention
            rate than the general college and university population.
                (11) A national survey of college and university students
            living with mental health conditions, conducted by the National
            Alliance on Mental Illness, found that 64 percent of students
            who experience mental health problems in college or university
            and withdraw from school do so because of their mental health
            issues. The survey also found that 50 percent of that group
            never accessed mental health services and supports.

    SEC. 903. IMPROVING MENTAL AND BEHAVIORAL HEALTH ON COLLEGE CAMPUSES.

        Title V of the Public Health Service Act (42 U.S.C. 290aa et seq.)
    is amended by inserting after section 520E-4, as added by section 406,
    the following:

    ``SEC. 520E-5. GRANTS TO IMPROVE MENTAL AND BEHAVIORAL HEALTH ON
                  COLLEGE CAMPUSES.

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

    ``SEC. 520E-6. MENTAL AND BEHAVIORAL HEALTH OUTREACH AND EDUCATION ON
                  COLLEGE CAMPUSES.

        ``(a) Purpose.--It is the purpose of this section to increase
    access to, and reduce the stigma associated with, mental health
    services to ensure that students at institutions of higher education
    have the support necessary to successfully complete their studies.
        ``(b) National Public Education Campaign.--The Secretary, acting
    through the Administrator and in collaboration with the Director of the
    Centers for Disease Control and Prevention, shall convene an
    interagency, public-private sector working group to plan, establish,
    and begin coordinating and evaluating a targeted public education
    campaign that is designed to focus on mental and behavioral health on
    the campuses of institutions of higher education. Such campaign shall
    be designed to--
                ``(1) improve the general understanding of mental health
            and mental health disorders;
                ``(2) encourage help-seeking behaviors relating to the
            promotion of mental health, prevention of mental health
            disorders, and treatment of such disorders;
                ``(3) make the connection between mental and behavioral
            health and academic success; and
                ``(4) assist the general public in identifying the early
            warning signs and reducing the stigma of mental illness.
        ``(c) Composition.--The working group convened under subsection (b)
    shall include--
                ``(1) mental health consumers, including students and
            family members;
                ``(2) representatives of institutions of higher education;
                ``(3) representatives of national mental and behavioral
            health associations and associations of institutions of higher
            education;
                ``(4) representatives of health promotion and prevention
            organizations at institutions of higher education;
                ``(5) representatives of mental health providers, including
            community mental health centers; and
                ``(6) representatives of private- and public-sector groups
            with experience in the development of effective public health
            education campaigns.
        ``(d) Plan.--The working group under subsection (b) shall develop a
    plan that--
                ``(1) targets promotional and educational efforts to the
            age population of students at institutions of higher education
            and individuals who are employed in settings of institutions of
            higher education, including through the use of roundtables;
                ``(2) develops and proposes the implementation of research-
            based public health messages and activities;
                ``(3) provides support for local efforts to reduce stigma
            by using the National Health Information Center as a primary
            point of contact for information, publications, and service
            program referrals; and
                ``(4) develops and proposes the implementation of a social
            marketing campaign that is targeted at the population of
            students attending institutions of higher education and
            individuals who are employed in settings of institutions of
            higher education.
        ``(e) Definition.--In this section, the term `institution of higher
    education' has the meaning given such term in section 101 of the Higher
    Education Act of 1965 (20 U.S.C. 1001).
        ``(f) Authorization of Appropriations.--There are authorized to be
    appropriated such sums as may be necessary to carry out this
    section.''.

    SEC. 904. INTERAGENCY WORKING GROUP ON COLLEGE MENTAL HEALTH.

        (a) Purpose.--It is the purpose of this section to provide for the
    establishment of a College Campus Task Force to discuss mental and
    behavioral health concerns on campuses of institutions of higher
    education.
        (b) Establishment.--The Secretary of Health and Human Services
    (referred to in this section as the ``Secretary'') shall establish a
    College Campus Task Force (referred to in this section as the ``Task
    Force'') to discuss mental and behavioral health concerns on campuses
    of institutions of higher education.
        (c) Membership.--The Task Force shall be composed of a
    representative from each Federal agency (as appointed by the head of
    the agency) that has jurisdiction over, or is affected by, mental
    health and education policies and projects, including--
                (1) the Department of Education;
                (2) the Department of Health and Human Services;
                (3) the Department of Veterans Affairs; and
                (4) such other Federal agencies as the Administrator of the
            Substance Abuse and Mental Health Services Administration, in
            consultation with the Secretary, determines to be appropriate.
        (d) Duties.--The Task Force shall--
                (1) serve as a centralized mechanism to coordinate a
            national effort--
                        (A) to discuss and evaluate evidence and knowledge
                    on mental and behavioral health services available to,
                    and the prevalence of mental health illness among, the
                    age population of students attending institutions of
                    higher education in the United States;
                        (B) to determine the range of effective, feasible,
                    and comprehensive actions to improve mental and
                    behavioral health on campuses of institutions of higher
                    education;
                        (C) to examine and better address the needs of the
                    age population of students attending institutions of
                    higher education dealing with mental illness;
                        (D) to survey Federal agencies to determine which
                    policies are effective in encouraging, and how best to
                    facilitate outreach without duplicating, efforts
                    relating to mental and behavioral health promotion;
                        (E) to establish specific goals within and across
                    Federal agencies for mental health promotion, including
                    determinations of accountability for reaching those
                    goals;
                        (F) to develop a strategy for allocating
                    responsibilities and ensuring participation in mental
                    and behavioral health promotions, particularly in the
                    case of competing agency priorities;
                        (G) to coordinate plans to communicate research
                    results relating to mental and behavioral health
                    amongst the age population of students attending
                    institutions of higher education to enable reporting
                    and outreach activities to produce more useful and
                    timely information;
                        (H) to provide a description of evidence-based best
                    practices, model programs, effective guidelines, and
                    other strategies for promoting mental and behavioral
                    health on campuses of institutions of higher education;
                        (I) to make recommendations to improve Federal
                    efforts relating to mental and behavioral health
                    promotion on campuses of institutions of higher
                    education and to ensure Federal efforts are consistent
                    with available standards and evidence and other
                    programs in existence as of the date of enactment of
                    this Act; and
                        (J) to monitor Federal progress in meeting specific
                    mental and behavioral health promotion goals as they
                    relate to settings of institutions of higher education;
                (2) consult with national organizations with expertise in
            mental and behavioral health, especially those organizations
            working with the age population of students attending
            institutions of higher education; and
                (3) consult with and seek input from mental health
            professionals working on campuses of institutions of higher
            education as appropriate.
        (e) Meetings.--
                (1) In general.--The Task Force shall meet not less than 3
            times each year.
                (2) Annual conference.--The Secretary shall sponsor an
            annual conference on mental and behavioral health in settings
            of institutions of higher education to enhance coordination,
            build partnerships, and share best practices in mental and
            behavioral health promotion, data collection, analysis, and
            services.
        (f) Definition.--In this section, the term ``institution of higher
    education'' has the meaning given such term in section 101 of the
    Higher Education Act of 1965 (20 U.S.C. 1001).
        (g) Authorization of Appropriations.--There are authorized to be
    appropriated such sums as may be necessary to carry out this section.
                                                           Calendar No. 437

    114th CONGRESS

      2d Session

                                    S. 2680

    _______________________________________________________________________

                                     A BILL

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

    _______________________________________________________________________

                                 April 26, 2016

                           Reported with an amendment