[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