[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