[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[H.R. 7666 Engrossed in House (EH)]
<DOC>
117th CONGRESS
2d Session
H. R. 7666
_______________________________________________________________________
AN ACT
To amend the Public Health Service Act to reauthorize certain programs
relating to mental health and substance use disorders, and for other
purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE; TABLE OF CONTENTS.
(a) Short Title.--This Act may be cited as the ``Restoring Hope for
Mental Health and Well-Being Act of 2022''.
(b) Table of Contents.--The table of contents for this Act is as
follows:
Sec. 1. Short title; table of contents.
TITLE I--MENTAL HEALTH AND CRISIS CARE NEEDS
Subtitle A--Crisis Care Services and 9-8-8 Implementation
Sec. 101. Behavioral Health Crisis Coordinating Office.
Sec. 102. Crisis response continuum of care.
Sec. 103. Suicide Prevention Lifeline Improvement.
Subtitle B--Into the Light for Maternal Mental Health and Substance Use
Disorders
Sec. 111. Screening and treatment for maternal mental health and
substance use disorders.
Sec. 112. Maternal mental health hotline.
Sec. 113. Task force on maternal mental health.
Subtitle C--Reaching Improved Mental Health Outcomes for Patients
Sec. 121. Innovation for mental health.
Sec. 122. Crisis care coordination.
Sec. 123. Treatment of serious mental illness.
Sec. 124. Study on the costs of serious mental illness.
Subtitle D--Anna Westin Legacy
Sec. 131. Maintaining education and training on eating disorders.
Subtitle E--Community Mental Health Services Block Grant
Reauthorization
Sec. 141. Reauthorization of block grants for community mental health
services.
Subtitle F--Peer-Supported Mental Health Services
Sec. 151. Peer-supported mental health services.
Subtitle G--Military Suicide Prevention in the 21st Century
Sec. 161. Pilot program on pre-programming of suicide prevention
resources into smart devices issued to
members of the Armed Forces.
TITLE II--SUBSTANCE USE DISORDER PREVENTION, TREATMENT, AND RECOVERY
SERVICES
Subtitle A--Native Behavioral Health Access Improvement
Sec. 201. Behavioral health and substance use disorder services for
Native Americans.
Subtitle B--Summer Barrow Prevention, Treatment, and Recovery
Sec. 211. Grants for the benefit of homeless individuals.
Sec. 212. Priority substance abuse treatment needs of regional and
national significance.
Sec. 213. Evidence-based prescription opioid and heroin treatment and
interventions demonstration.
Sec. 214. Priority substance use disorder prevention needs of regional
and national significance.
Sec. 215. Sober Truth on Preventing (STOP) Underage Drinking
Reauthorization.
Sec. 216. Grants for jail diversion programs.
Sec. 217. Formula grants to States.
Sec. 218. Projects for Assistance in Transition From Homelessness.
Sec. 219. Grants for reducing overdose deaths.
Sec. 220. Opioid overdose reversal medication access and education
grant programs.
Sec. 221. State demonstration grants for comprehensive opioid abuse
response.
Sec. 222. Emergency department alternatives to opioids.
Subtitle C--Excellence in Recovery Housing
Sec. 231. Clarifying the role of SAMHSA in promoting the availability
of high-quality recovery housing.
Sec. 232. Developing guidelines for States to promote the availability
of high-quality recovery housing.
Sec. 233. Coordination of Federal activities to promote the
availability of recovery housing.
Sec. 234. NAS study and report.
Sec. 235. Grants for States to promote the availability of recovery
housing and services.
Sec. 236. Funding.
Sec. 237. Technical correction.
Subtitle D--Substance Use Prevention, Treatment, and Recovery Services
Block Grant
Sec. 241. Eliminating stigmatizing language relating to substance use.
Sec. 242. Authorized activities.
Sec. 243. Requirements relating to certain infectious diseases and
human immunodeficiency virus.
Sec. 244. State plan requirements.
Sec. 245. Updating certain language relating to Tribes.
Sec. 246. Block grants for substance use prevention, treatment, and
recovery services.
Sec. 247. Requirement of reports and audits by States.
Sec. 248. Study on assessment for use in distribution of limited State
resources.
Subtitle E--Timely Treatment for Opioid Use Disorder
Sec. 251. Study on exemptions for treatment of opioid use disorder
through opioid treatment programs during
the COVID-19 public health emergency.
Sec. 252. Changes to Federal opioid treatment standards.
Subtitle F--Additional Provisions Relating to Addiction Treatment
Sec. 261. Prohibition.
Sec. 262. Eliminating additional requirements for dispensing narcotic
drugs in schedule III, IV, and V for
maintenance or detoxification treatment.
Sec. 263. Requiring prescribers of controlled substances to complete
training.
Sec. 264. Increase in number of days before which certain controlled
substances must be administered.
Sec. 265. Block, report, and suspend suspicious shipments.
Subtitle G--Opioid Epidemic Response
Sec. 271. Opioid prescription verification.
Sec. 272. Synthetic Opioid Danger Awareness.
Sec. 273. Grant program for State and Tribal response to opioid and
stimulant use and misuse.
TITLE III--ACCESS TO MENTAL HEALTH CARE AND COVERAGE
Subtitle A--Collaborate in an Orderly and Cohesive Manner
Sec. 301. Increasing uptake of the collaborative care model.
Subtitle B--Helping Enable Access to Lifesaving Services
Sec. 311. Reauthorization and provision of certain programs to
strengthen the health care workforce.
Sec. 312. Reauthorization of minority fellowship program.
Subtitle C--Eliminating the Opt-Out for Nonfederal Governmental Health
Plans
Sec. 321. Eliminating the opt-out for nonfederal governmental health
plans.
Subtitle D--Mental Health and Substance Use Disorder Parity
Implementation
Sec. 331. Grants to support mental health and substance use disorder
parity implementation.
Subtitle E--Improving Emergency Department Mental Health Access,
Services, and Responders
Sec. 341. Helping emergency responders overcome.
Subtitle F--Other Provisions
Sec. 351. Report on Law Enforcement Mental Health and Wellness.
TITLE IV--CHILDREN AND YOUTH
Subtitle A--Supporting Children's Mental Health Care Access
Sec. 401. Pediatric mental health care access grants.
Sec. 402. Infant and early childhood mental health promotion,
intervention, and treatment.
Sec. 403. School-based mental health; children and adolescents.
Sec. 404. Co-occurring chronic conditions and mental health in youth
study.
Sec. 405. Best practices for behavioral intervention teams.
Subtitle B--Continuing Systems of Care for Children
Sec. 411. Comprehensive Community Mental Health Services for Children
with Serious Emotional Disturbances.
Sec. 412. Substance Use Disorder Treatment and Early Intervention
Services for Children and Adolescents.
Subtitle C--Garrett Lee Smith Memorial Reauthorization
Sec. 421. Suicide prevention technical assistance center.
Sec. 422. Youth suicide early intervention and prevention strategies.
Sec. 423. Mental health and substance use disorder services for
students in higher education.
Sec. 424. Mental and behavioral health outreach and education at
institutions of higher education.
Subtitle D--Media and Mental Health
Sec. 431. Study on the effects of smartphone and social media use on
adolescents.
Sec. 432. Research on the health and development effects of media on
infants, children, and adolescents.
TITLE V--MEDICAID AND CHIP
Sec. 501. Medicaid and CHIP requirements for health screenings and
referrals for eligible juveniles in public
institutions.
Sec. 502. Guidance on reducing administrative barriers to providing
health care services in schools.
Sec. 503. Guidance to States on supporting pediatric behavioral health
services under Medicaid and CHIP.
Sec. 504. Ensuring children receive timely access to care.
Sec. 505. Strategies to increase access to telehealth under Medicaid
and CHIP.
Sec. 506. Removal of limitations on Federal financial participation for
inmates who are eligible juveniles pending
disposition of charges.
TITLE VI--MISCELLANEOUS PROVISIONS
Sec. 601. Determination of budgetary effects.
Sec. 602. Oversight of pharmacy benefit manager services.
Sec. 603. Medicare Improvement Fund.
Sec. 604. Limitations on authority.
TITLE I--MENTAL HEALTH AND CRISIS CARE NEEDS
Subtitle A--Crisis Care Services and 9-8-8 Implementation
SEC. 101. BEHAVIORAL HEALTH CRISIS COORDINATING OFFICE.
Part A of title V of the Public Health Service Act (42 U.S.C. 290aa
et seq.) is amended by adding at the end the following:
``SEC. 506B. BEHAVIORAL HEALTH CRISIS COORDINATING OFFICE.
``(a) In General.--The Secretary shall establish, within the
Substance Abuse and Mental Health Services Administration, an office to
coordinate work relating to behavioral health crisis care across the
operating divisions and agencies of the Department of Health and Human
Services, including the Substance Abuse and Mental Health Services
Administration, the Centers for Medicare & Medicaid Services, and the
Health Resources and Services Administration, and external
stakeholders.
``(b) Duty.--The office established under subsection (a) shall--
``(1) convene Federal, State, Tribal, local, and private
partners;
``(2) launch and manage Federal workgroups charged with
making recommendations regarding behavioral health crisis
issues, including with respect to health care best practices,
workforce development, mental health disparities, data
collection, technology, program oversight, public awareness,
and engagement; and
``(3) support technical assistance, data analysis, and
evaluation functions in order to assist States, localities,
Territories, Tribes, and Tribal communities to develop crisis
care systems and establish nationwide best practices with the
objective of expanding the capacity of, and access to, local
crisis call centers, mobile crisis care, crisis stabilization,
psychiatric emergency services, and rapid post-crisis follow-up
care provided by--
``(A) the National Suicide Prevention and Mental
Health Crisis Hotline and Response System;
``(B) the Veterans Crisis Line;
``(C) community mental health centers (as defined
in section 1861(ff)(3)(B) of the Social Security Act);
``(D) certified community behavioral health
clinics, as described in section 223 of the Protecting
Access to Medicare Act of 2014; and
``(E) other community mental health and substance
use disorder providers.
``(c) Authorization of Appropriations.--There is authorized to be
appropriated to carry out this section $5,000,000 for each of fiscal
years 2023 through 2027.''.
SEC. 102. CRISIS RESPONSE CONTINUUM OF CARE.
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 adding at the end the following:
``SEC. 520N. CRISIS RESPONSE CONTINUUM OF CARE.
``(a) In General.--The Secretary shall publish best practices for a
crisis response continuum of care for use by health care providers,
crisis services administrators, and crisis services providers in
responding to individuals (including children and adolescents)
experiencing mental health crises, substance-related crises, and crises
arising from co-occurring disorders.
``(b) Best Practices.--
``(1) Scope of best practices.--The best practices
published under subsection (a) shall define--
``(A) a minimum set of core crisis response
services, as determined by the Secretary, for each
entity that furnishes such services, that--
``(i) do not require prior authorization
from an insurance provider or group health plan
nor a referral from a health care provider
prior to the delivery of services;
``(ii) provide for serving all individuals
regardless of age or ability to pay;
``(iii) provide for operating 24 hours a
day, 7 days a week; and
``(iv) provide for care and support through
resources described in paragraph (2)(A) until
the individual has been stabilized or
transferred to the next level of crisis care;
and
``(B) psychiatric stabilization, including the
point at which a case may be closed for--
``(i) individuals screened over the phone;
and
``(ii) individuals stabilized on the scene
by mobile teams.
``(2) Identification of essential functions.--The best
practices published under subsection (a) shall identify the
essential functions of each service in the crisis response
continuum, which shall include at least the following:
``(A) Identification of resources for referral and
enrollment in continuing mental health, substance use,
or other human services relevant for the individual in
crisis where necessary.
``(B) Delineation of access and entry points to
services within the crisis response continuum.
``(C) Development of protocols and agreements for
the transfer and receipt of individuals to and from
other segments of the crisis response continuum
segments as needed, and from outside referrals
including health care providers, first responders
including law enforcement, paramedics, and
firefighters, education institutions, and community-
based organizations.
``(D) Description of the qualifications of crisis
services staff, including roles for physicians,
licensed clinicians, case managers, and peers (in
accordance with State licensing requirements or
requirements applicable to Tribal health
professionals).
``(E) The convening of collaborative meetings of
crisis response service providers, first responders
including law enforcement, paramedics, and
firefighters, and community partners (including
National Suicide Prevention Lifeline or 9-8-8 call
centers, 9-1-1 public service answering points, and
local mental health and substance use disorder
treatment providers) operating in a common region for
the discussion of case management, best practices, and
general performance improvement.
``(3) Service capacity and quality best practices.--The
best practices under subsection (a) shall include
recommendations on--
``(A) adequate volume of services to meet
population need;
``(B) appropriate timely response; and
``(C) capacity to meet the needs of different
patient populations that may experience a mental health
or substance use crisis, including children, families,
and all age groups, cultural and linguistic minorities,
veterans, individuals with co-occurring mental health
and substance use disorders, individuals with cognitive
disabilities, individuals with developmental delays,
and individuals with chronic medical conditions and
physical disabilities.
``(4) Implementation timeframe.--The Secretary shall--
``(A) not later than 1 year after the date of
enactment of this section, publish and maintain the
best practices required by subsection (a); and
``(B) every two years thereafter, publish updates.
``(5) Data collection and evaluations.--The Secretary,
directly or through grants, contracts, or interagency
agreements, shall collect data and conduct evaluations with
respect to the provision of services and programs offered on
the crisis response continuum for purposes of assessing the
extent to which the provision of such services and programs
meet certain objectives and outcomes measures as determined by
the Secretary. Such objectives shall include--
``(A) a reduction in reliance on law enforcement
response, as appropriate, to individuals in crisis who
would be more appropriately served by a mobile crisis
team capable of responding to mental health and
substance-related crises;
``(B) a reduction in boarding or extended holding
of patients in emergency room facilities who require
further psychiatric care, including care for substance
use disorders;
``(C) evidence of adequate access to crisis care
centers and crisis bed services; and
``(D) evidence of adequate linkage to appropriate
post-crisis care and longitudinal treatment for mental
health or substance use disorder when relevant.''.
SEC. 103. SUICIDE PREVENTION LIFELINE IMPROVEMENT.
(a) Suicide Prevention Lifeline.--
(1) Plan.--Section 520E-3 of the Public Health Service Act
(42 U.S.C. 290bb-36c) is amended--
(A) by redesignating subsection (c) as subsection
(e); and
(B) by inserting after subsection (b) the
following:
``(c) Plan.--
``(1) In general.--For purposes of maintaining the suicide
prevention hotline under subsection (b)(2), the Secretary shall
develop and implement a plan to ensure the provision of high-
quality service.
``(2) Contents.--The plan required by paragraph (1) shall
include the following:
``(A) Quality assurance provisions, including--
``(i) clearly defined and measurable
performance indicators and objectives to
improve the responsiveness and performance of
the hotline, including at backup call centers;
and
``(ii) quantifiable timeframes to track the
progress of the hotline in meeting such
performance indicators and objectives.
``(B) Standards that crisis centers and backup
centers must meet--
``(i) to participate in the network under
subsection (b)(1); and
``(ii) to ensure that each telephone call,
online chat message, and other communication
received by the hotline, including at backup
call centers, is answered in a timely manner by
a person, consistent with the guidance
established by the American Association of
Suicidology or other guidance determined by the
Secretary to be appropriate.
``(C) Guidelines for crisis centers and backup
centers to implement evidence-based practices including
with respect to followup and referral to other health
and social services resources.
``(D) Guidelines to ensure that resources are
available and distributed to individuals using the
hotline who are not personally in a time of crisis but
know of someone who is.
``(E) Guidelines to carry out periodic testing of
the hotline, including at crisis centers and backup
centers, during each fiscal year to identify and
correct any problems in a timely manner.
``(F) Guidelines to operate in consultation with
the State department of health, local governments,
Indian tribes, and tribal organizations.
``(3) Initial plan; updates.--The Secretary shall--
``(A) not later than 6 months after the date of
enactment of the Restoring Hope for Mental Health and
Well-Being Act of 2022, complete development of the
initial version of the plan required by paragraph (1),
begin implementation of such plan, and make such plan
publicly available; and
``(B) periodically thereafter, update such plan and
make the updated plan publicly available.''.
(2) Transmission of data to cdc.--Section 520E-3 of the
Public Health Service Act (42 U.S.C. 290bb-36c) is amended by
inserting after subsection (c) of such section, as added by
paragraph (1), the following:
``(d) Transmission of Data to CDC.--The Secretary shall formalize
and strengthen agreements between the National Suicide Prevention
Lifeline program and the Centers for Disease Control and Prevention to
transmit any necessary epidemiological data from the program to the
Centers, including local call center data, to assist the Centers in
suicide prevention efforts.''.
(3) Authorization of appropriations.--Subsection (e) of
section 520E-3 of the Public Health Service Act (42 U.S.C.
290bb-36c) is amended to read as follows:
``(e) Authorization of Appropriations.--
``(1) In general.--To carry out this section, there are
authorized to be appropriated $101,621,000 for each of fiscal
years 2023 through 2027.
``(2) Allocation.--Of the amount authorized to be
appropriated by paragraph (1) for each of fiscal years 2023
through 2027--
``(A) at least 80 percent shall be made available
to crisis centers; and
``(B) not more than 10 percent may be used for
carrying out the pilot program in section 103(b)(1) of
the Restoring Hope for Mental Health and Well-Being Act
of 2022.''.
(b) Pilot Program on Innovative Technologies.--
(1) In general.--The Secretary of Health and Human
Services, acting through the Assistant Secretary for Mental
Health and Substance Use, shall carry out a pilot program to
research, analyze, and employ various technologies and
platforms of communication (including social media platforms,
texting platforms, and email platforms) for suicide prevention
in addition to the telephone and online chat service provided
by the Suicide Prevention Lifeline.
(2) Report.--Not later than 24 months after the date on
which the pilot program under paragraph (1) commences, the
Secretary of Health and Human Services, acting through the
Assistant Secretary for Mental Health and Substance Use, shall
submit to the Congress a report on the pilot program. With
respect to each platform of communication employed pursuant to
the pilot program, the report shall include--
(A) a full description of the program;
(B) the number of individuals served by the
program;
(C) the average wait time for each individual to
receive a response;
(D) the cost of the program, including the cost per
individual served; and
(E) any other information the Secretary determines
appropriate.
(c) HHS Study and Report.--Not later than 24 months after the
Secretary of Health and Human Services begins implementation of the
plan required by section 520E-3(c) of the Public Health Service Act, as
added by subsection (a)(1)(B), the Secretary shall--
(1) complete a study on--
(A) the implementation of such plan, including the
progress towards meeting the objectives identified
pursuant to paragraph (2)(A)(i) of such section 520E-
3(c) by the timeframes identified pursuant to paragraph
(2)(A)(ii) of such section 520E-3(c); and
(B) in consultation with the Director of the
Centers for Disease Control and Prevention, options to
expand data gathering from calls to the Suicide
Prevention Lifeline in order to better track aspects of
usage such as repeat calls, consistent with applicable
Federal and State privacy laws; and
(2) submit a report to the Congress on the results of such
study, including recommendations on whether additional
legislation or appropriations are needed.
(d) GAO Study and Report.--
(1) In general.--Not later than 24 months after the
Secretary of Health and Human Services begins implementation of
the plan required by section 520E-3(c) of the Public Health
Service Act, as added by subsection (a)(1)(B), the Comptroller
General of the United States shall--
(A) complete a study on the Suicide Prevention
Lifeline; and
(B) submit a report to the Congress on the results
of such study.
(2) Issues to be studied.--The study required by paragraph
(1) shall address--
(A) the feasibility of geolocating callers to
direct calls to the nearest crisis center;
(B) operation shortcomings of the Suicide
Prevention Lifeline;
(C) geographic coverage of each crisis call center;
(D) the call answer rate of each crisis call
center;
(E) the call wait time of each crisis call center;
(F) the hours of operation of each crisis call
center;
(G) funding avenues of each crisis call center;
(H) the implementation of the plan under section
520E-3(c) of the Public Health Service Act, as added by
subsection (a)(1)(B), including the progress towards
meeting the objectives identified pursuant to paragraph
(2)(A)(i) of such section 520E-3(c) by the timeframes
identified pursuant to paragraph (2)(A)(ii) of such
section 520E-3(c); and
(I) service to individuals requesting a foreign
language speaker, including--
(i) the number of calls or chats the
Lifeline receives from individuals speaking a
foreign language;
(ii) the capacity of the Lifeline to handle
these calls or chats; and
(iii) the number of crisis centers with the
capacity to serve foreign language speakers, in
house.
(3) Recommendations.--The report required by paragraph (1)
shall include recommendations for improving the Suicide
Prevention Lifeline, including recommendations for legislative
and administrative actions.
(e) Definition.--In this section, the term ``Suicide Prevention
Lifeline'' means the suicide prevention hotline maintained pursuant to
section 520E-3 of the Public Health Service Act (42 U.S.C. 290bb-36c).
Subtitle B--Into the Light for Maternal Mental Health and Substance Use
Disorders
SEC. 111. SCREENING AND TREATMENT FOR MATERNAL MENTAL HEALTH AND
SUBSTANCE USE DISORDERS.
(a) In General.--Section 317L-1 of the Public Health Service Act
(42 U.S.C. 247b-13a) is amended--
(1) in the section heading, by striking ``maternal
depression'' and inserting ``maternal mental health and
substance use disorders''; and
(2) in subsection (a)--
(A) by inserting ``, Indian Tribes and Tribal
organizations (as such terms are defined in section 4
of the Indian Self-Determination and Education
Assistance Act), and Urban Indian organizations (as
such term is defined under the Federally Recognized
Indian Tribe List Act of 1994)'' after ``States''; and
(B) by striking ``for women who are pregnant, or
who have given birth within the preceding 12 months,
for maternal depression'' and inserting ``for women who
are postpartum, pregnant, or have given birth within
the preceding 12 months, for maternal mental health and
substance use disorders''.
(b) Application.--Subsection (b) of section 317L-1 of the Public
Health Service Act (42 U.S.C. 247b-13a) is amended--
(1) by striking ``a State shall submit'' and inserting ``an
entity listed in subsection (a) shall submit''; and
(2) in paragraphs (1) and (2), by striking ``maternal
depression'' each place it appears and inserting ``maternal
mental health and substance use disorders''.
(c) Priority.--Subsection (c) of section 317L-1 of the Public
Health Service Act (42 U.S.C. 247b-13a) is amended--
(1) by striking ``may give priority to States proposing to
improve or enhance access to screening'' and inserting the
following: ``shall give priority to entities listed in
subsection (a) that--
``(1) are proposing to create, improve, or enhance
screening, prevention, and treatment'';
(2) by striking ``maternal depression'' and inserting
``maternal mental health and substance use disorders'';
(3) by striking the period at the end of paragraph (1), as
so designated, and inserting a semicolon; and
(4) by inserting after such paragraph (1) the following:
``(2) are currently partnered with, or will partner with, a
community-based organization to address maternal mental health
and substance use disorders;
``(3) are located in an area with high rates of adverse
maternal health outcomes or significant health, economic,
racial, or ethnic disparities in maternal health and substance
use disorder outcomes; and
``(4) operate in a health professional shortage area
designated under section 332.''.
(d) Use of Funds.--Subsection (d) of section 317L-1 of the Public
Health Service Act (42 U.S.C. 247b-13a) is amended--
(1) in paragraph (1)--
(A) in subparagraph (A), by striking ``to health
care providers; and'' and inserting ``on maternal
mental health and substance use disorder screening,
brief intervention, treatment (as applicable for health
care providers), and referrals for treatment to health
care providers in the primary care setting and
nonclinical perinatal support workers;'';
(B) in subparagraph (B), by striking ``to health
care providers, including information on maternal
depression screening, treatment, and followup support
services, and linkages to community-based resources;
and'' and inserting ``on maternal mental health and
substance use disorder screening, brief intervention,
treatment (as applicable for health care providers) and
referrals for treatment, follow-up support services,
and linkages to community-based resources to health
care providers in the primary care setting and clinical
perinatal support workers; and''; and
(C) by adding at the end the following:
``(C) enabling health care providers (such as
obstetrician-gynecologists, nurse practitioners, nurse
midwives, pediatricians, psychiatrists, mental and
other behavioral health care providers, and adult
primary care clinicians) to provide or receive real-
time psychiatric consultation (in-person or remotely),
including through the use of technology-enabled
collaborative learning and capacity building models (as
defined in section 330N), to aid in the treatment of
pregnant and postpartum women; and''; and
(2) in paragraph (2)--
(A) by striking subparagraph (A) and redesignating
subparagraphs (B) and (C) as subparagraphs (A) and (B),
respectively;
(B) in subparagraph (A), as redesignated, by
striking ``and'' at the end;
(C) in subparagraph (B), as redesignated--
(i) by inserting ``, including'' before
``for rural areas''; and
(ii) by striking the period at the end and
inserting a semicolon; and
(D) by inserting after subparagraph (B), as
redesignated, the following:
``(C) providing assistance to pregnant and
postpartum women to receive maternal mental health and
substance use disorder treatment, including patient
consultation, care coordination, and navigation for
such treatment;
``(D) coordinating with maternal and child health
programs of the Federal Government and State, local,
and Tribal governments, including child psychiatric
access programs;
``(E) conducting public outreach and awareness
regarding grants under subsection (a);
``(F) creating multistate consortia to carry out
the activities required or authorized under this
subsection; and
``(G) training health care providers in the primary
care setting and nonclinical perinatal support workers
on trauma-informed care, culturally and linguistically
appropriate services, and best practices related to
training to improve the provision of maternal mental
health and substance use disorder care for racial and
ethnic minority populations, including with respect to
perceptions and biases that may affect the approach to,
and provision of, care.''.
(e) Additional Provisions.--Section 317L-1 of the Public Health
Service Act (42 U.S.C. 247b-13a) is amended--
(1) by redesignating subsection (e) as subsection (h); and
(2) by inserting after subsection (d) the following:
``(e) Technical Assistance.--The Secretary shall provide technical
assistance to grantees and entities listed in subsection (a) for
carrying out activities pursuant to this section.
``(f) Dissemination of Best Practices.--The Secretary, based on
evaluation of the activities funded pursuant to this section, shall
identify and disseminate evidence-based or evidence-informed best
practices for screening, assessment, and treatment services for
maternal mental health and substance use disorders, including
culturally and linguistically appropriate services, for women during
pregnancy and 12 months following pregnancy.
``(g) Matching Requirement.--The Federal share of the cost of the
activities for which a grant is made to an entity under subsection (a)
shall not exceed 90 percent of the total cost of such activities.''.
(f) Authorization of Appropriations.--Subsection (h) of section
317L-1 (42 U.S.C. 247b-13a) of the Public Health Service Act, as
redesignated, is further amended--
(1) by striking ``$5,000,000'' and inserting
``$24,000,000''; and
(2) by striking ``2018 through 2022'' and inserting ``2023
through 2027''.
SEC. 112. MATERNAL MENTAL HEALTH HOTLINE.
Part P of title III of the Public Health Service Act (42 U.S.C.
280g et seq.) is amended by adding at the end the following:
``SEC. 399V-7. MATERNAL MENTAL HEALTH HOTLINE.
``(a) In General.--The Secretary shall maintain, directly or by
grant or contract, a national hotline to provide emotional support,
information, brief intervention, and mental health and substance use
disorder resources to pregnant and postpartum women at risk of, or
affected by, maternal mental health and substance use disorders, and to
their families or household members.
``(b) Requirements for Hotline.--The hotline under subsection (a)
shall--
``(1) be a 24/7 real-time hotline;
``(2) provide voice and text support;
``(3) be staffed by certified peer specialists, licensed
health care professionals, or licensed mental health
professionals who are trained on--
``(A) maternal mental health and substance use
disorder prevention, identification, and intervention;
and
``(B) providing culturally and linguistically
appropriate support; and
``(4) provide maternal mental health and substance use
disorder assistance and referral services to meet the needs of
underserved populations, individuals with disabilities, and
family and household members of pregnant or postpartum women at
risk of experiencing maternal mental health and substance use
disorders.
``(c) Additional Requirements.--In maintaining the hotline under
subsection (a), the Secretary shall--
``(1) consult with the Domestic Violence Hotline, National
Suicide Prevention Lifeline, and Veterans Crisis Line to ensure
that pregnant and postpartum women are connected in real-time
to the appropriate specialized hotline service, when
applicable;
``(2) conduct a public awareness campaign for the hotline;
``(3) consult with Federal departments and agencies,
including the Centers of Excellence of the Substance Abuse and
Mental Health Services Administration and the Department of
Veterans Affairs, to increase awareness regarding the hotline;
and
``(4) consult with appropriate State, local, and Tribal
public health officials, including officials that administer
programs that serve low-income pregnant and postpartum
individuals.
``(d) Annual Report.--The Secretary shall submit an annual report
to the Congress on the hotline under subsection (a) and implementation
of this section, including--
``(1) an evaluation of the effectiveness of activities
conducted or supported under subsection (a);
``(2) a directory of entities or organizations to which
staff maintaining the hotline funded under this section may
make referrals; and
``(3) such additional information as the Secretary
determines appropriate.
``(e) Authorization of Appropriations.--To carry out this section,
there are authorized to be appropriated $10,000,000 for each of fiscal
years 2023 through 2027.''.
SEC. 113. TASK FORCE ON MATERNAL MENTAL HEALTH.
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-1 (42 U.S.C. 247b-
13a) the following:
``SEC. 317L-2. TASK FORCE ON MATERNAL MENTAL HEALTH.
``(a) Establishment.--Not later than 180 days after the date of
enactment of the Restoring Hope for the Mental Health and Well-Being
Act of 2022, the Secretary, for purposes of identifying, evaluating,
and making recommendations to coordinate and improve Federal responses
to maternal mental health conditions, shall--
``(1) establish a task force to be known as the Task Force
on Maternal Mental Health (in this section referred to as the
`Task Force'); or
``(2) incorporate the duties, public meetings, and reports
specified in subsections (c) through (f) into existing Federal
policy forums, including the Maternal Health Interagency Policy
Committee and the Maternal Health Working Group, as
appropriate.
``(b) Membership.--
``(1) Composition.--The Task Force shall be composed of--
``(A) the Federal members under paragraph (2); and
``(B) the non-Federal members under paragraph (3).
``(2) Federal members.--The Federal members of the Task
Force shall consist of the following heads of Federal
departments and agencies (or their designees):
``(A) The Assistant Secretary for Health of the
Department of Health and Human Services, who shall
serve as Chair.
``(B) The Assistant Secretary for Planning and
Evaluation of the Department of Health and Human
Services.
``(C) The Assistant Secretary of the Administration
for Children and Families.
``(D) The Director of the Centers for Disease
Control and Prevention.
``(E) The Administrator of the Centers for Medicare
& Medicaid Services.
``(F) The Administrator of the Health Resources and
Services Administration.
``(G) The Director of the Indian Health Service.
``(H) The Assistant Secretary for Mental Health and
Substance Use.
``(I) Such other Federal departments and agencies
as the Secretary determines appropriate that serve
individuals with maternal mental health conditions.
``(3) Non-federal members.--The non-Federal members of the
Task Force shall--
``(A) compose not more than one-half, and not less
than one-third, of the total membership of the Task
Force;
``(B) be appointed by the Secretary; and
``(C) include--
``(i) representatives of medical societies
with expertise in maternal or mental health;
``(ii) representatives of nonprofit
organizations with expertise in maternal or
mental health;
``(iii) relevant industry representatives;
and
``(iv) other representatives, as
appropriate.
``(4) Deadline for designating designees.--If the Assistant
Secretary for Health, or the head of a Federal department or
agency serving as a member of the Task Force under paragraph
(2), chooses to be represented on the Task Force by a designee,
the Assistant Secretary or department or agency head shall
designate such designee not later than 90 days after the date
of the enactment of this section.
``(c) Duties.--The Task Force shall--
``(1) prepare and regularly update a report that analyzes
and evaluates the state of national maternal mental health
policy and programs at the Federal, State, and local levels,
and identifies best practices with respect to maternal mental
health policy, including--
``(A) a set of evidence-based, evidence-informed,
and promising practices with respect to--
``(i) prevention strategies for individuals
at risk of experiencing a maternal mental
health condition, including strategies and
recommendations to address health inequities;
``(ii) the identification, screening,
diagnosis, intervention, and treatment of
individuals and families affected by a maternal
mental health condition;
``(iii) the expeditious referral to, and
implementation of, practices and supports that
prevent and mitigate the effects of a maternal
mental health condition, including strategies
and recommendations to eliminate the racial and
ethnic disparities that exist in maternal
mental health; and
``(iv) community-based or multigenerational
practices that support individuals and families
affected by a maternal mental health condition;
and
``(B) Federal and State programs and activities to
prevent, screen, diagnose, intervene, and treat
maternal mental health conditions;
``(2) develop and regularly update a national strategy for
maternal mental health, taking into consideration the findings
of the report under paragraph (1), on how the Task Force and
Federal departments and agencies represented on the Task Force
may prioritize options for, and may implement a coordinated
approach to, addressing maternal mental health conditions,
including by--
``(A) increasing prevention, screening, diagnosis,
intervention, treatment, and access to care, including
clinical and nonclinical care such as peer-support and
community health workers, through the public and
private sectors;
``(B) providing support for pregnant or postpartum
individuals who are at risk for or experiencing a
maternal mental health condition, and their families,
as appropriate;
``(C) reducing racial, ethnic, geographic, and
other health disparities for prevention, diagnosis,
intervention, treatment, and access to care;
``(D) identifying options for modifying,
strengthening, and coordinating Federal programs and
activities, such as the Medicaid program under title
XIX of the Social Security Act and the State Children's
Health Insurance Program under title XXI of such Act,
including existing infant and maternity programs, in
order to increase research, prevention, identification,
intervention, and treatment with respect to maternal
mental health; and
``(E) planning, data sharing, and communication
within and across Federal departments, agencies,
offices, and programs;
``(3) solicit public comments from stakeholders for the
report under paragraph (1) and the national strategy under
paragraph (2), including comments from frontline service
providers, mental health professionals, researchers, experts in
maternal mental health, institutions of higher education,
public health agencies (including maternal and child health
programs), and industry representatives, in order to inform the
activities and reports of the Task Force; and
``(4) disaggregate any data collected under this section by
race, ethnicity, geographical location, age, marital status,
socioeconomic level, and other factors, as the Secretary
determines appropriate.
``(d) Meetings.--The Task Force shall--
``(1) meet not less than two times each year; and
``(2) convene public meetings, as appropriate, to fulfill
its duties under this section.
``(e) Reports to Public and Federal Leaders.--The Task Force shall
make publicly available and submit to the heads of relevant Federal
departments and agencies, the Committee on Energy and Commerce of the
House of Representatives, the Committee on Health, Education, Labor,
and Pensions of the Senate, and other relevant congressional
committees, the following:
``(1) Not later than 1 year after the first meeting of the
Task Force, an initial report under subsection (c)(1).
``(2) Not later than 2 years after the first meeting of the
Task Force, an initial national strategy under subsection
(c)(2).
``(3) Each year thereafter--
``(A) an updated report under subsection (c)(1);
``(B) an updated national strategy under subsection
(c)(2); or
``(C) if no update is made under subsection (c)(1)
or (c)(2), a report summarizing the activities of the
Task Force.
``(f) Reports to Governors.--Upon finalizing the initial national
strategy under subsection (c)(2), and upon making relevant updates to
such strategy, the Task Force shall submit a report to the Governors of
all States describing opportunities for local- and State-level
partnerships identified under subsection (c)(2)(D).
``(g) Sunset.--The Task Force shall terminate on September 30,
2027.
``(h) Nonduplication of Federal Efforts.--The Secretary may relieve
the Task Force, in carrying out subsections (c) through (f), from
responsibility for carrying out such activities as may be specified by
the Secretary as duplicative with other activities carried out by the
Department of Health and Human Services.''.
Subtitle C--Reaching Improved Mental Health Outcomes for Patients
SEC. 121. INNOVATION FOR MENTAL HEALTH.
(a) National Mental Health and Substance Use Policy Laboratory.--
Section 501A of the Public Health Service Act (42 U.S.C. 290aa-0) is
amended--
(1) in subsection (e)(1), by striking ``Indian tribes or
tribal organizations'' and inserting ``Indian Tribes or Tribal
organizations'';
(2) by striking subsection (e)(3); and
(3) by adding at the end the following:
``(f) Authorization of Appropriations.--To carry out this section,
there is authorized to be appropriated $10,000,000 for each of fiscal
years 2023 through 2027.''.
(b) Interdepartmental Serious Mental Illness Coordinating
Committee.--
(1) In general.--Part A of title V of the Public Health
Service Act (42 U.S.C. 290aa et seq.) is amended by inserting
after section 501A (42 U.S.C. 290aa-0) the following:
``SEC. 501B. INTERDEPARTMENTAL SERIOUS MENTAL ILLNESS COORDINATING
COMMITTEE.
``(a) Establishment.--
``(1) In general.--The Secretary of Health and Human
Services, or the designee of the Secretary, shall establish a
committee to be known as the Interdepartmental 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.--The Committee shall submit, on a biannual
basis, to Congress and any other relevant Federal department or agency
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 adults with a serious mental illness or children with a
serious emotional disturbance;
``(2) an evaluation of the effect Federal programs related
to serious mental illness have on public health, including
public health outcomes such as--
``(A) rates of suicide, suicide attempts, incidence
and prevalence of serious mental illnesses, serious
emotional disturbances, and substance use disorders,
overdose, overdose deaths, emergency hospitalizations,
emergency room boarding, preventable emergency room
visits, interaction with the criminal justice system,
homelessness, and unemployment;
``(B) increased rates of employment and enrollment
in educational and vocational programs;
``(C) quality of mental and substance use disorders
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 adults with a serious mental illness or
children with a serious emotional disturbance.
``(d) Membership.--
``(1) Federal members.--The Committee shall be composed of
the following Federal representatives, or the designees of such
representatives--
``(A) the Secretary of Health and Human Services,
who shall serve as the Chair of the Committee;
``(B) the Assistant Secretary for Mental Health and
Substance Use;
``(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;
``(I) the Administrator of the Centers for Medicare
& Medicaid Services; and
``(J) 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 2 members 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 adult with a history of a serious mental
illness or a child with a history of a serious
emotional disturbance;
``(C) at least 1 member shall be a representative
of a leading research, advocacy, or service
organization for adults with a serious mental illness;
``(D) at least 2 members shall be--
``(i) a licensed psychiatrist with
experience in treating serious mental
illnesses;
``(ii) a licensed psychologist with
experience in treating serious mental illnesses
or serious emotional disturbances;
``(iii) a licensed clinical social worker
with experience treating serious mental
illnesses or serious emotional disturbances; or
``(iv) a licensed psychiatric nurse, nurse
practitioner, or physician assistant with
experience in treating serious mental illnesses
or serious emotional disturbances;
``(E) at least 1 member shall be a licensed mental
health professional with a specialty in treating
children and adolescents with a serious emotional
disturbance;
``(F) at least 1 member shall be a mental health
professional who has research or clinical mental health
experience in working with minorities;
``(G) at least 1 member shall be a mental health
professional who has research or clinical mental health
experience in working with medically underserved
populations;
``(H) at least 1 member shall be a State certified
mental health peer support specialist;
``(I) at least 1 member shall be a judge with
experience in adjudicating cases related to criminal
justice or serious mental illness;
``(J) at least 1 member shall be a law enforcement
officer or corrections officer with extensive
experience in interfacing with adults with a serious
mental illness, children with a serious emotional
disturbance, or individuals in a mental health crisis;
and
``(K) at least 1 member shall have experience
providing services for homeless individuals and working
with adults with a serious mental illness, children
with a serious emotional disturbance, or individuals in
a mental health crisis.
``(3) Terms.--A member of the Committee appointed under
paragraph (2) shall serve for a term of 3 years, and may be
reappointed for 1 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.
``(e) 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.
``(f) Sunset.--The Committee shall terminate on September 30,
2027.''.
(2) Conforming amendments.--
(A) Section 501(l)(2) of the Public Health Service
Act (42 U.S.C. 290aa(l)(2)) is amended by striking
``section 6031 of such Act'' and inserting ``section
501B of this Act''.
(B) Section 6031 of the Helping Families in Mental
Health Crisis Reform Act of 2016 (Division B of Public
Law 114-255) is repealed (and by conforming the item
relating to such section in the table of contents in
section 1(b)).
(c) 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), by striking ``Indian tribes or
tribal organizations'' and inserting ``Indian Tribes or Tribal
organizations''; and
(2) in subsection (f), by striking ``$394,550,000 for each
of fiscal years 2018 through 2022'' and inserting
``$599,036,000 for each of fiscal years 2023 through 2027''.
SEC. 122. CRISIS CARE COORDINATION.
(a) 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. MENTAL HEALTH CRISIS RESPONSE PARTNERSHIP PILOT PROGRAM.
``(a) In General.--The Secretary shall establish a pilot program
under which the Secretary will award competitive grants to States,
localities, territories, Indian Tribes, and Tribal organizations to
establish new, or enhance existing, mobile crisis response teams that
divert the response for mental health and substance use crises from law
enforcement to mobile crisis teams, as described in subsection (b).
``(b) Mobile Crisis Teams Described.--A mobile crisis team
described in this subsection is a team of individuals--
``(1) that is available to respond to individuals in crisis
and provide immediate stabilization, referrals to community-
based mental health and substance use disorder services and
supports, and triage to a higher level of care if medically
necessary;
``(2) which may include licensed counselors, clinical
social workers, physicians, paramedics, crisis workers, peer
support specialists, or other qualified individuals; and
``(3) which may provide support to divert behavioral health
crisis calls from the 9-1-1 system to the 9-8-8 system.
``(c) Priority.--In awarding grants under this section, the
Secretary shall prioritize applications which account for the specific
needs of the communities to be served, including children and families,
veterans, rural and underserved populations, and other groups at
increased risk of death from suicide or overdose.
``(d) Report.--
``(1) Initial report.--Not later than September 30, 2024,
the Secretary shall submit to Congress a report on steps taken
by the entities specified in subsection (a) as of such date of
enactment to strengthen the partnerships among mental health
providers, substance use disorder treatment providers, primary
care physicians, mental health and substance use crisis teams,
paramedics, law enforcement officers, and other first
responders.
``(2) Progress reports.--Not later than one year after the
date on which the first grant is awarded to carry out this
section, and for each year thereafter, the Secretary shall
submit to Congress a report on the grants made during the year
covered by the report, which shall include--
``(A) impact data on the teams and people served by
such programs, including demographic information of
individuals served, volume, and types of service
utilization;
``(B) outcomes of the number of linkages to
community-based resources, short-term crisis receiving
and stabilization facilities, and diversion from law
enforcement or hospital emergency department settings;
``(C) data consistent with the State block grant
requirements for continuous evaluation and quality
improvement, and other relevant data as determined by
the Secretary; and
``(D) the Secretary's recommendations and best
practices for--
``(i) States and localities providing
mobile crisis response and stabilization
services for youth and adults; and
``(ii) improvements to the program
established under this section.
``(e) Authorization of Appropriations.--There are authorized to be
appropriated to carry out this section, $10,000,000 for each of fiscal
years 2023 through 2027.''.
(b) Mental Health Awareness Training Grants.--
(1) In general.--Section 520J(b) of the Public Health
Service Act (42 U.S.C. 290bb-41(b)) is amended--
(A) in paragraph (1), by striking ``Indian tribes,
tribal organizations'' and inserting ``Indian Tribes,
Tribal organizations'';
(B) in paragraph (4), by striking ``Indian tribe,
tribal organization'' and inserting ``Indian Tribe,
Tribal organization'';
(C) in paragraph (5)--
(i) by striking ``Indian tribe, tribal
organization'' and inserting ``Indian Tribe,
Tribal organization'';
(ii) in subparagraph (A), by striking
``and'' at the end;
(iii) in subparagraph (B)(ii), by striking
the period at the end and inserting ``; and'';
and
(iv) by adding at the end the following:
``(C) suicide intervention and prevention,
including recognizing warning signs and how to refer
someone for help.'';
(D) in paragraph (6), by striking ``Indian tribe,
tribal organization'' and inserting ``Indian Tribe,
Tribal organization''; and
(E) in paragraph (7), by striking ``$14,693,000 for
each of fiscal years 2018 through 2022'' and inserting
``$24,963,000 for each of fiscal years 2023 through
2027''.
(2) Technical corrections.--Section 520J(b) of the Public
Health Service Act (42 U.S.C. 290bb-41(b)) is amended--
(A) in the heading of paragraph (2), by striking
``Emergency Services Personnel'' and inserting
``Emergency services personnel''; and
(B) in the heading of paragraph (3), by striking
``Distribution of Awards'' and inserting ``Distribution
of awards''.
(c) Adult Suicide Prevention.--Section 520L of the Public Health
Service Act (42 U.S.C. 290bb-43) is amended--
(1) in subsection (a)--
(A) in paragraph (2)--
(i) by striking ``Indian tribe'' each place
it appears and inserting ``Indian Tribe''; and
(ii) by striking ``tribal organization''
each place it appears and inserting ``Tribal
organization''; and
(B) by amending paragraph (3)(C) to read as
follows:
``(C) Raising awareness of suicide prevention
resources, promoting help seeking among those at risk
for suicide.''; and
(2) in subsection (d), by striking ``$30,000,000 for the
period of fiscal years 2018 through 2022'' and inserting
``$30,000,000 for each of fiscal years 2023 through 2027''.
SEC. 123. TREATMENT OF SERIOUS MENTAL ILLNESS.
(a) Assertive Community Treatment Grant Program.--
(1) Technical amendment.--Section 520M(b) of the Public
Health Service Act (42 U.S.C. 290bb-44(b)) is amended by
striking ``Indian tribe or tribal organization'' and inserting
``Indian Tribe or Tribal organization''.
(2) Report to congress.--Section 520M(d)(1) of the Public
Health Service Act (42 U.S.C. 290bb-44(d)(1)) is amended by
striking ``not later than the end of fiscal year 2021'' and
inserting ``not later than the end of fiscal year 2026''.
(3) Authorization of appropriations.--Section 520M(e)(1) of
the Public Health Service Act (42 U.S.C. 290bb-44(d)(1)) is
amended by striking ``$5,000,000 for the period of fiscal years
2018 through 2022'' and inserting ``$9,000,000 for each of
fiscal years 2023 through 2027''.
(b) Assisted Outpatient Treatment.--Section 224 of the Protecting
Access to Medicare Act of 2014 (42 U.S.C. 290aa note) is amended to
read as follows:
``SEC. 224. ASSISTED OUTPATIENT TREATMENT GRANT PROGRAM FOR INDIVIDUALS
WITH SERIOUS MENTAL ILLNESS.
``(a) In General.--The Secretary shall carry out a program to award
grants to eligible entities for assisted outpatient treatment programs
for individuals with serious mental illness.
``(b) Consultation.--The Secretary shall carry out this section in
consultation with the Director of the National Institute of Mental
Health, the Attorney General of the United States, the Administrator of
the Administration for Community Living, and the Assistant Secretary
for Mental Health and Substance Use.
``(c) Selecting Among Applicants.--In awarding grants under this
section, the Secretary--
``(1) may give preference to applicants that have not
previously implemented an assisted outpatient treatment
program; and
``(2) shall evaluate applicants based on their potential to
reduce hospitalization, homelessness, incarceration, and
interaction with the criminal justice system while improving
the health and social outcomes of the patient.
``(d) Program Requirements.--An assisted outpatient treatment
program funded with a grant awarded under this section shall include--
``(1) evaluating the medical and social needs of the
patients who are participating in the program;
``(2) preparing and executing treatment plans for such
patients that--
``(A) include criteria for completion of court-
ordered treatment if applicable; and
``(B) provide for monitoring of the patient's
compliance with the treatment plan, including
compliance with medication and other treatment
regimens;
``(3) providing for case management services that support
the treatment plan;
``(4) ensuring appropriate referrals to medical and social
services providers;
``(5) evaluating the process for implementing the program
to ensure consistency with the patient's needs and State law;
and
``(6) measuring treatment outcomes, including health and
social outcomes such as rates of incarceration, health care
utilization, and homelessness.
``(e) Report.--Not later than the end of fiscal year 2027, the
Secretary shall submit a report to the appropriate congressional
committees on the grant program under this section. Such report shall
include an evaluation of the following:
``(1) Cost savings and public health outcomes such as
mortality, suicide, substance abuse, hospitalization, and use
of services.
``(2) Rates of incarceration of patients.
``(3) Rates of homelessness of patients.
``(4) Patient and family satisfaction with program
participation.
``(5) Demographic information regarding participation of
those served by the grant compared to demographic information
in the population of the grant recipient.
``(f) Definitions.--In this section:
``(1) The term `assisted outpatient treatment' means
medically prescribed mental health treatment that a patient
receives while living in a community under the terms of a law
authorizing a State or local civil court to order such
treatment.
``(2) The term `eligible entity' means a county, city,
mental health system, mental health court, or any other entity
with authority under the law of the State in which the entity
is located to implement, monitor, and oversee an assisted
outpatient treatment program.
``(g) Funding.--
``(1) Amount of grants.--
``(A) Maximum amount.--The amount of a grant under
this section shall not exceed $1,000,000 for any fiscal
year.
``(B) Determination.--Subject to subparagraph (A),
the Secretary shall determine the amount of each grant
under this section based on the population of the area
to be served through the grant and an estimate of the
number of patients to be served.
``(2) Authorization of appropriations.--There is authorized
to be appropriated to carry out this section $22,000,000 for
each of fiscal years 2023 through 2027.''.
SEC. 124. STUDY ON THE COSTS OF SERIOUS MENTAL ILLNESS.
(a) In General.--The Secretary of Health and Human Services, in
consultation with the Assistant Secretary for Mental Health and
Substance Use, the Assistant Secretary for Planning and Evaluation, the
Attorney General of the United States, the Secretary of Labor, and the
Secretary of Housing and Urban Development, shall conduct a study on
the direct and indirect costs of serious mental illness with respect
to--
(1) nongovernmental entities; and
(2) the Federal Government and State, local, and Tribal
governments.
(b) Content.--The study under subsection (a) shall consider each of
the following:
(1) The costs to the health care system for health
services, including with respect to--
(A) office-based physician visits;
(B) residential and inpatient treatment programs;
(C) outpatient treatment programs;
(D) emergency room visits;
(E) crisis stabilization programs;
(F) home health care;
(G) skilled nursing and long-term care facilities;
(H) prescription drugs and digital therapeutics;
and
(I) any other relevant health services.
(2) The costs of homelessness, including with respect to--
(A) homeless shelters;
(B) street outreach activities;
(C) crisis response center visits; and
(D) other supportive services.
(3) The costs of structured residential facilities and
other supportive housing for residential and custodial care
services.
(4) The costs of law enforcement encounters and encounters
with the criminal justice system, including with respect to--
(A) encounters that do and do not result in an
arrest;
(B) criminal and judicial proceedings;
(C) services provided by law enforcement and
judicial staff (including public defenders,
prosecutors, and private attorneys); and
(D) incarceration.
(5) The costs of serious mental illness on employment.
(6) With respect to family members and caregivers, the
costs of caring for an individual with a serious mental
illness.
(7) Any other relevant costs for programs and services
administered by the Federal Government or State, Tribal, or
local governments.
(c) Data Disaggregation.--In conducting the study under subsection
(a), the Secretary of Health and Human Services shall (to the extent
feasible)--
(1) disaggregate data by--
(A) costs to nongovernmental entities, the Federal
Government, and State, local, and Tribal governments;
(B) types of serious mental illnesses and medical
chronic diseases common in patients with a serious
mental illness; and
(C) demographic characteristics, including race,
ethnicity, sex, age (including pediatric subgroups),
and other characteristics determined by the Secretary;
and
(2) include an estimate of--
(A) the total number of individuals with a serious
mental illness in the United States, including in
traditional and nontraditional housing; and
(B) the percentage of such individuals in--
(i) homeless shelters;
(ii) penal facilities, including Federal
prisons, State prisons, and county and
municipal jails; and
(iii) nursing facilities.
(d) Report.--Not later than 2 years after the date of the enactment
of this Act, the Secretary of Health and Human Services shall--
(1) submit to the Congress a report containing the results
of the study conducted under this section; and
(2) make such report publicly available.
Subtitle D--Anna Westin Legacy
SEC. 131. MAINTAINING EDUCATION AND TRAINING ON EATING DISORDERS.
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 102, is further
amended by adding at the end the following:
``SEC. 520O. CENTER OF EXCELLENCE FOR EATING DISORDERS FOR EDUCATION
AND TRAINING ON EATING DISORDERS.
``(a) In General.--The Secretary, acting through the Assistant
Secretary, shall maintain, by competitive grant or contract, a Center
of Excellence for Eating Disorders (referred to in this section as the
`Center') to improve the identification of, interventions for, and
treatment of eating disorders in a manner that is developmentally,
culturally, and linguistically appropriate.
``(b) Subgrants and Subcontracts.--The Center shall coordinate and
implement the activities under subsection (c), in whole or in part, by
awarding competitive subgrants or subcontracts--
``(1) across geographical regions; and
``(2) in a manner that is not duplicative.
``(c) Activities.--The Center--
``(1) shall--
``(A) provide training and technical assistance
for--
``(i) primary care and behavioral health
care providers to carry out screening, brief
intervention, and referral to treatment for
individuals experiencing, or at risk for,
eating disorders; and
``(ii) nonclinical community support
workers to identify and support individuals
with, or at disproportionate risk for, eating
disorders;
``(B) develop and provide training materials to
health care providers, including primary care and
behavioral health care providers, in the effective
treatment and ongoing support of individuals with
eating disorders, including children and marginalized
populations at disproportionate risk for eating
disorders;
``(C) provide collaboration and coordination to
other centers of excellence, technical assistance
centers, and psychiatric consultation lines of the
Substance Abuse and Mental Health Services
Administration and the Health Resources and Services
Administration on the identification, effective
treatment, and ongoing support of individuals with
eating disorders; and
``(D) coordinate with the Director of the Centers
for Disease Control and Prevention and the
Administrator of the Health Resources and Services
Administration to disseminate training to primary care
and behavioral health care providers; and
``(2) may--
``(A) coordinate with electronic health record
systems for the integration of protocols pertaining to
screening, brief intervention, and referral to
treatment for individuals experiencing, or at risk for,
eating disorders;
``(B) develop and provide training materials to
health care providers, including primary care and
behavioral health care providers, in the effective
treatment and ongoing support for members of the Armed
Forces and veterans experiencing, or at risk for,
eating disorders; and
``(C) consult with the Secretary of Defense and the
Secretary of Veterans Affairs on prevention,
identification, intervention for, and treatment of
eating disorders.
``(d) Authorization of Appropriations.--To carry out this section,
there is authorized to be appropriated $1,000,000 for each of fiscal
years 2023 through 2027.''.
Subtitle E--Community Mental Health Services Block Grant
Reauthorization
SEC. 141. REAUTHORIZATION OF BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH
SERVICES.
(a) Funding.--Section 1920(a) of the Public Health Service Act (42
U.S.C. 300x-9(a)) is amended by striking ``$532,571,000 for each of
fiscal years 2018 through 2022'' and inserting ``$857,571,000 for each
of fiscal years 2023 through 2027''.
(b) Set-Aside for Evidence-based Crisis Care Services.--Section
1920 of the Public Health Service Act (42 U.S.C. 300x-9) is amended by
adding at the end the following:
``(d) Crisis Care.--
``(1) In general.--Except as provided in paragraph (3), a
State shall expend at least 5 percent of the amount the State
receives pursuant to section 1911 for each fiscal year to
support evidenced-based programs that address the crisis care
needs of--
``(A) individuals, including children and
adolescents, experiencing mental health crises,
substance-related crises, or crises arising from co-
occurring disorders; and
``(B) persons with intellectual and developmental
disabilities.
``(2) Core elements.--At the discretion of the single State
agency responsible for the administration of the program of the
State under a grant under section 1911, funds expended pursuant
to paragraph (1) may be used to fund some or all of the core
crisis care service components, delivered according to
evidence-based principles, including the following:
``(A) Crisis call centers.
``(B) 24/7 mobile crisis services.
``(C) Crisis stabilization programs offering acute
care or subacute care in a hospital or appropriately
licensed facility, as determined by the Substance Abuse
and Mental Health Services Administration, with
referrals to inpatient or outpatient care.
``(3) State flexibility.--In lieu of expending 5 percent of
the amount the State receives pursuant to section 1911 for a
fiscal year to support evidence-based programs as required by
paragraph (1), a State may elect to expend not less than 10
percent of such amount to support such programs by the end of
two consecutive fiscal years.
``(4) Rule of construction.--With respect to funds expended
pursuant to the set-aside in paragraph (1), section
1912(b)(1)(A)(vi) shall not apply.''.
(c) Early Intervention.--
(1) State plan option.--Section 1912(b)(1)(A)(vii) of the
Public Health Service Act (42 U.S.C. 300x-1(b)(1)(A)(vii)) is
amended--
(A) in subclause (III), by striking ``and'' at the
end;
(B) in subclause (IV), by striking the period at
the end and inserting ``; and''; and
(C) by adding at the end the following:
``(V) a description of any
evidence-based early intervention
strategies and programs the State
provides to prevent, delay, or reduce
the severity and onset of mental
illness and behavioral problems,
including for children and adolescents,
irrespective of experiencing a serious
mental illness or serious emotional
disturbance, as defined under
subsection (c)(1).''.
(2) Allocation allowance; reports.--Section 1920 of the
Public Health Service Act (42 U.S.C. 300x-9), as amended by
subsection (c), is further amended by adding at the end the
following:
``(e) Early Intervention Services.--In the case of a State with a
State plan that provides for strategies and programs specified in
section 1912(b)(1)(A)(vii)(VI), such State may expend not more than 5
percent of the amount of the allotment of the State pursuant to a
funding agreement under section 1911 for each fiscal year to support
such strategies and programs.
``(f) Reports to Congress.--Not later than September 30, 2025, and
biennially thereafter, the Secretary shall provide a report to the
Congress on the crisis care and early intervention strategies and
programs pursued by States pursuant to subsections (d) and (e). Each
such report shall include--
``(1) a description of the each State's crisis care and
early intervention activities;
``(2) the population served, including information on
demographics, including age;
``(3) the outcomes of such activities, including--
``(A) how such activities reduced hospitalizations
and hospital stays;
``(B) how such activities reduced incidents of
suicidal ideation and behaviors; and
``(C) how such activities reduced the severity of
onset of serious mental illness and serious emotional
disturbance; and
``(4) any other relevant information the Secretary deems
necessary.''.
Subtitle F--Peer-Supported Mental Health Services
SEC. 151. PEER-SUPPORTED MENTAL HEALTH SERVICES.
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 520G
(42 U.S.C. 290bb--38) the following:
``SEC. 520H. PEER-SUPPORTED MENTAL HEALTH SERVICES.
``(a) Grants Authorized.--The Secretary, acting through the
Director of the Center for Mental Health Services, shall award grants
to eligible entities to enable such entities to develop, expand, and
enhance access to mental health peer-delivered services.
``(b) Use of Funds.--Grants awarded under subsection (a) shall be
used to develop, expand, and enhance national, statewide, or community-
focused programs, including virtual peer-support services and
infrastructure, including by--
``(1) carrying out workforce development, recruitment, and
retention activities, to train, recruit, and retain peer-
support providers;
``(2) building connections between mental health treatment
programs, including between community organizations and peer-
support networks, including virtual peer-support networks, and
with other mental health support services;
``(3) reducing stigma associated with mental health
disorders;
``(4) expanding and improving virtual peer mental health
support services, including adoption of technologies to expand
access to virtual peer mental health support services,
including by acquiring--
``(A) appropriate physical hardware for such
virtual services;
``(B) software and programs to efficiently run
peer-support services virtually; and
``(C) other technology for establishing virtual
waiting rooms and virtual video platforms for meetings;
and
``(5) conducting research on issues relating to mental
illness and the impact peer-support has on resiliency,
including identifying--
``(A) the signs of mental illness;
``(B) the resources available to individuals with
mental illness and to their families; and
``(C) the resources available to help support
individuals living with mental illness.
``(c) Special Consideration.--In carrying out this section, the
Secretary shall give special consideration to the unique needs of rural
areas.
``(d) Definition.--In this section, the term `eligible entity'
means--
``(1) a nonprofit consumer-run organization that--
``(A) is principally governed by people living with
a mental health condition; and
``(B) mobilizes resources within and outside of the
mental health community, which may include through
peer-support networks, to increase the prevalence and
quality of long-term wellness of individuals living
with a mental health condition, including those with a
co-occurring substance use disorder; or
``(2) a Federally recognized Tribe, Tribal organization,
Urban Indian organization, or consortium of Tribes or Tribal
organizations.
``(e) Authorization of Appropriations.--There is authorized to be
appropriated to carry out this section $13,000,000 for each of fiscal
years 2023 through 2027.''.
Subtitle G--Military Suicide Prevention in the 21st Century
SEC. 161. PILOT PROGRAM ON PRE-PROGRAMMING OF SUICIDE PREVENTION
RESOURCES INTO SMART DEVICES ISSUED TO MEMBERS OF THE
ARMED FORCES.
(a) In General.--Commencing not later than 120 days after the date
of the enactment of this Act, the Secretary of Defense shall carry out
a pilot program under which the Secretary--
(1) pre-downloads the Virtual Hope Box application of the
Defense Health Agency, or such successor application, on smart
devices individually issued to members of the Armed Forces;
(2) pre-programs the National Suicide Hotline number and
Veterans Crisis Line number into the contacts for such devices;
and
(3) provides training, as part of training on suicide
awareness and prevention conducted throughout the Department of
Defense, on the preventative resources described in paragraphs
(1) and (2).
(b) Duration.--The Secretary shall carry out the pilot program
under this section for a two-year period.
(c) Scope.--The Secretary shall determine the appropriate scope of
individuals participating in the pilot program under this section to
best represent each Armed Force and to ensure a relevant sample size.
(d) Identification of Other Resources.--In carrying out the pilot
program under this section, the Secretary shall coordinate with the
Director of the Defense Health Agency and the Secretary of Veterans
Affairs to identify other useful technology-related resources for use
in the pilot program.
(e) Report.--Not later than 30 days after completing the pilot
program under this section, the Secretary shall submit to the Committee
on Armed Services of the Senate and the Committee on Armed Services of
the House of Representatives a report on the pilot program.
(f) Veterans Crisis Line Defined.--In this section, the term
``Veterans Crisis Line'' means the toll-free hotline for veterans
established under section 1720F(h) of title 38, United States Code.
TITLE II--SUBSTANCE USE DISORDER PREVENTION, TREATMENT, AND RECOVERY
SERVICES
Subtitle A--Native Behavioral Health Access Improvement
SEC. 201. BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER SERVICES FOR
NATIVE AMERICANS.
Section 506A of the Public Health Service Act (42 U.S.C. 290aa-5a)
is amended to read as follows:
``SEC. 506A. BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER SERVICES FOR
NATIVE AMERICANS.
``(a) Definitions.--In this section:
``(1) The term `eligible entity' means an Indian Tribe, a
Tribal organization, an Urban Indian organization, and a Native
Hawaiian health organization.
``(2) The terms `Indian Tribe', `Tribal organization', and
`Urban Indian organization' have the meanings given to the
terms `Indian tribe', `tribal organization', and `Urban Indian
organization' in section 4 of the Indian Health Care
Improvement Act.
``(3) The term `Native Hawaiian health organization' means
`Papa Ola Lokahi' as defined in section 12 of the Native
Hawaiian Health Care Improvement Act.
``(b) Formula Funds.--
``(1) In general.--The Secretary, in consultation with the
Director of the Indian Health Service, as appropriate, shall
award funds to eligible entities, in amounts determined
pursuant to the formula described in paragraph (2), to be used
by the eligible entity to provide culturally appropriate mental
health and substance use disorder prevention, treatment, and
recovery services to American Indians, Alaska Natives, and
Native Hawaiians.
``(2) Formula.--The Secretary, using the process described
in subsection (d), shall develop a formula to determine the
amount of an award under paragraph (1). Such formula shall take
into account the populations of eligible entities whose rates
of overdose deaths or suicide are substantially higher relative
to the populations of other Indian Tribes, Tribal
organizations, Urban Indian organizations, or Native Hawaiian
health organizations, as applicable.
``(c) Technical Assistance and Program Evaluation.--
``(1) In general.--The Secretary shall--
``(A) provide technical assistance to applicants
and awardees under this section; and
``(B) collect and evaluate information on the
program carried out under this section.
``(2) Consultation on evaluation measures, and data
submission and reporting requirements.--The Secretary shall,
using the process described in subsection (d), develop
evaluation measures and data submission and reporting
requirements for purposes of the collection and evaluation of
information.
``(3) Data submission and reporting.--As a condition on
receipt of funds under this section, an applicant shall agree
to submit data and reports in a timely manner consistent with
the evaluation measures and data submission and reporting
requirements developed under subsection (d).
``(d) Regulations.--
``(1) Promulgation.--Not later than 180 days after the date
of enactment of the Restoring Hope for Mental Health and Well-
Being Act of 2022, the Secretary shall initiate procedures
under subchapter III of chapter 5 of title 5, United States
Code, to negotiate and promulgate such regulations as are
necessary to carry out this section, including development of
the funding formula described in subsection (b) and the program
evaluation and reporting requirements under subsection (c).
``(2) Publication.--Not later than 18 months after the date
of enactment of the Restoring Hope for Mental Health and Well-
Being Act of 2022, the Secretary shall publish in the Federal
Register proposed regulations to implement this section.
``(3) Committee.--A negotiated rulemaking committee
established pursuant to section 565 of title 5, United States
Code, to carry out this subsection shall have as its members
only representatives of the Federal Government, Tribal
Governments, and Urban Indian organizations. For purposes of
such rulemaking, the Indian Health Service shall be the lead
agency for the Department.
``(4) Adaptation of procedures.--In carrying out this
subsection, the Secretary shall adapt any negotiated rulemaking
procedures to the unique context of the government-to-
government relationship between the United States and Indian
Tribes.
``(5) Effect.--The lack of promulgated regulations under
this subsection shall not limit the effect or implementation of
this section.
``(e) Application.--An entity desiring an award under subsection
(b) shall submit an application to the Secretary at such time, in such
manner, and accompanied by such information as the Secretary may
reasonably require.
``(f) Report.--Not later than 3 years after the date of the
enactment of the Restoring Hope for Mental Health and Well-Being Act of
2022, and annually thereafter, the Secretary shall prepare 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 describing the services provided pursuant to
this section.
``(g) Authorization of Appropriations.--There are authorized to be
appropriated to carry out this section, $40,000,000 for each of fiscal
years 2023 through 2027.''.
Subtitle B--Summer Barrow Prevention, Treatment, and Recovery
SEC. 211. GRANTS FOR THE BENEFIT OF HOMELESS INDIVIDUALS.
Section 506(e) of the Public Health Service Act (42 U.S.C. 290aa-
5(e)) is amended by striking ``2018 through 2022'' and inserting ``2023
through 2027''.
SEC. 212. PRIORITY SUBSTANCE ABUSE 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 the section heading, by striking ``abuse'' and
inserting ``use disorder'';
(2) in subsection (a)--
(A) by striking ``tribes and tribal organizations
(as the terms `Indian tribes' and `tribal
organizations' are defined'' and inserting ``Tribes and
Tribal organizations (as such terms are defined''; and
(B) in paragraph (3), by striking ``in substance
abuse'';
(3) in subsection (b), in the subsection heading, by
striking ``Abuse'' and inserting ``Use Disorder''; and
(4) in subsection (f), by striking ``$333,806,000 for each
of fiscal years 2018 through 2022'' and inserting
``$521,517,000 for each of fiscal years 2023 through 2027''.
SEC. 213. EVIDENCE-BASED PRESCRIPTION OPIOID AND HEROIN TREATMENT AND
INTERVENTIONS DEMONSTRATION.
Section 514B of the Public Health Service Act (42 U.S.C. 290bb-10)
is amended--
(1) in subsection (a)(1)--
(A) by striking ``substance abuse'' and inserting
``substance use disorder'';
(B) by striking ``tribes and tribal organizations''
and inserting ``Tribes and Tribal organizations''; and
(C) by striking ``addiction'' and inserting
``substance use disorders'';
(2) in subsection (e)(3), by striking ``tribes and tribal
organizations'' and inserting ``Tribes and Tribal
organizations''; and
(3) in subsection (f), by striking ``2017 through 2021''
and inserting ``2023 through 2027''.
SEC. 214. 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 subsection (a)--
(A) in paragraph (3), by striking ``abuse'' and
inserting ``use''; and
(B) in the matter following paragraph (3), by
striking ``tribes or tribal organizations'' and
inserting ``Tribes or Tribal organizations'';
(2) in subsection (b), in the subsection heading, by
striking ``Abuse'' and inserting ``Use Disorder''; and
(3) in subsection (f), by striking ``$211,148,000 for each
of fiscal years 2018 through 2022'' and inserting
``$218,219,000 for each of fiscal years 2023 through 2027''.
SEC. 215. SOBER TRUTH ON PREVENTING (STOP) UNDERAGE DRINKING
REAUTHORIZATION.
Section 519B of the Public Health Service Act (42 U.S.C. 290bb-25b)
is amended--
(1) by amending subsection (a) to read as follows:
``(a) Definitions.--For purposes of this section:
``(1) The term `alcohol beverage industry' means the
brewers, vintners, distillers, importers, distributors, and
retail or online outlets that sell or serve beer, wine, and
distilled spirits.
``(2) The term `school-based prevention' means programs,
which are institutionalized, and run by staff members or
school-designated persons or organizations in any grade of
school, kindergarten through 12th grade.
``(3) The term `youth' means persons under the age of
21.''; and
(2) by striking subsections (c) through (g) and inserting
the following:
``(c) Interagency Coordinating Committee; Annual Report on State
Underage Drinking Prevention and Enforcement Activities.--
``(1) Interagency coordinating committee on the prevention
of underage drinking.--
``(A) In general.--The Secretary, in collaboration
with the Federal officials specified in subparagraph
(B), shall continue to support and enhance the efforts
of the interagency coordinating committee, that began
operating in 2004, focusing on underage drinking
(referred to in this subsection as the `Committee').
``(B) Other agencies.--The officials referred to in
subparagraph (A) are the Secretary of Education, the
Attorney General, the Secretary of Transportation, the
Secretary of the Treasury, the Secretary of Defense,
the Surgeon General, the Director of the Centers for
Disease Control and Prevention, the Director of the
National Institute on Alcohol Abuse and Alcoholism, the
Assistant Secretary for Mental Health and Substance
Use, the Director of the National Institute on Drug
Abuse, the Assistant Secretary for Children and
Families, the Director of the Office of National Drug
Control Policy, the Administrator of the National
Highway Traffic Safety Administration, the
Administrator of the Office of Juvenile Justice and
Delinquency Prevention, the Chairman of the Federal
Trade Commission, and such other Federal officials as
the Secretary of Health and Human Services determines
to be appropriate.
``(C) Chair.--The Secretary of Health and Human
Services shall serve as the chair of the Committee.
``(D) Duties.--The Committee shall guide policy and
program development across the Federal Government with
respect to underage drinking, provided, however, that
nothing in this section shall be construed as
transferring regulatory or program authority from an
Agency to the Coordinating Committee.
``(E) Consultations.--The Committee shall actively
seek the input of and shall consult with all
appropriate and interested parties, including States,
public health research and interest groups,
foundations, and alcohol beverage industry trade
associations and companies.
``(F) Annual report.--
``(i) In general.--The Secretary, on behalf
of the Committee, shall annually submit to the
Congress a report that summarizes--
``(I) all programs and policies of
Federal agencies designed to prevent
and reduce underage drinking, focusing
particularly on programs and policies
that support the adoption and
enforcement of State policies designed
to prevent and reduce underage drinking
as specified in paragraph (2);
``(II) the extent of progress in
preventing and reducing underage
drinking at State and national levels;
``(III) data that the Secretary
shall collect with respect to the
information specified in clause (ii);
and
``(IV) such other information
regarding underage drinking as the
Secretary determines to be appropriate.
``(ii) Certain information.--The report
under clause (i) shall include information on
the following:
``(I) Patterns and consequences of
underage drinking as reported in
research and surveys such as, but not
limited to, Monitoring the Future,
Youth Risk Behavior Surveillance
System, the National Survey on Drug Use
and Health, and the Fatality Analysis
Reporting System.
``(II) Measures of the availability
of alcohol from commercial and non-
commercial sources to underage
populations.
``(III) Measures of the exposure of
underage populations to messages
regarding alcohol in advertising,
social media, and the entertainment
media.
``(IV) Surveillance data, including
information on the onset and prevalence
of underage drinking, consumption
patterns, beverage preferences,
prevalence of drinking among students
at institutions of higher education,
correlations between adult and youth
drinking, and the means of underage
access, including trends over time for
these surveillance data. The Secretary
shall develop a plan to improve the
collection, measurement, and
consistency of reporting Federal
underage alcohol data.
``(V) Any additional findings
resulting from research conducted or
supported under subsection (f).
``(VI) Evidence-based best
practices to prevent and reduce
underage drinking including a review of
the research literature related to
State laws, regulations, and policies
designed to prevent and reduce underage
drinking, as described in paragraph
(2)(B)(i).
``(2) Annual report on state underage drinking prevention
and enforcement activities.--
``(A) In general.--The Secretary shall, with input
and collaboration from other appropriate Federal
agencies, States, Indian Tribes, territories, and
public health, consumer, and alcohol beverage industry
groups, annually issue a report on each State's
performance in enacting, enforcing, and creating laws,
regulations, and policies to prevent or reduce underage
drinking based on an assessment of best practices
developed pursuant to paragraph (1)(F)(ii)(VI) and
subparagraph (B)(i). For purposes of this paragraph,
each such report, with respect to a year, shall be
referred to as the `State Report'. Each State Report
shall be designed as a resource tool for Federal
agencies assisting States in the their underage
drinking prevention efforts, State public health and
law enforcement agencies, State and local policymakers,
and underage drinking prevention coalitions including
those receiving grants pursuant to subsection (e).
``(B) State performance measures.--
``(i) In general.--The Secretary shall
develop, in consultation with the Committee, a
set of measures to be used in preparing the
State Report on best practices as they relate
to State laws, regulations, policies, and
enforcement practices.
``(ii) State report content.--The State
Report shall include updates on State laws,
regulations, and policies included in previous
reports to Congress, including with respect to
the following:
``(I) Whether or not the State has
comprehensive anti-underage drinking
laws such as for the illegal sale,
purchase, attempt to purchase,
consumption, or possession of alcohol;
illegal use of fraudulent ID; illegal
furnishing or obtaining of alcohol for
an individual under 21 years; the
degree of strictness of the penalties
for such offenses; and the prevalence
of the enforcement of each of these
infractions.
``(II) Whether or not the State has
comprehensive liability statutes
pertaining to underage access to
alcohol such as dram shop, social host,
and house party laws, and the
prevalence of enforcement of each of
these laws.
``(III) Whether or not the State
encourages and conducts comprehensive
enforcement efforts to prevent underage
access to alcohol at retail outlets,
such as random compliance checks and
shoulder tap programs, and the number
of compliance checks within alcohol
retail outlets measured against the
number of total alcohol retail outlets
in each State, and the result of such
checks.
``(IV) Whether or not the State
encourages training on the proper
selling and serving of alcohol for all
sellers and servers of alcohol as a
condition of employment.
``(V) Whether or not the State has
policies and regulations with regard to
direct sales to consumers and home
delivery of alcoholic beverages.
``(VI) Whether or not the State has
programs or laws to deter adults from
purchasing alcohol for minors; and the
number of adults targeted by these
programs.
``(VII) Whether or not the State
has enacted graduated drivers licenses
and the extent of those provisions.
``(iii) Additional categories.--In addition
to the updates on State laws, regulations, and
policies listed in clause (ii), the Secretary
shall consider the following:
``(I) Whether or not States have
adopted laws, regulations, and policies
that deter underage alcohol use, as
described in `The Surgeon General's
Call to Action to Prevent and Reduce
Underage Drinking' issued in 2007 and
`Facing Addiction in America: The
Surgeon General's Report on Alcohol,
Drugs and Health' issued in 2016,
including restrictions on low-price,
high-volume drink specials, and
wholesaler pricing provisions.
``(II) Whether or not States have
adopted laws, regulations, and policies
designed to reduce alcohol advertising
messages attractive to youth and youth
exposure to alcohol advertising and
marketing in measured and unmeasured
media and digital and social media.
``(III) Whether or not States have
laws and policies that promote underage
drinking prevention policy development
by local jurisdictions.
``(IV) Whether or not States have
adopted laws, regulations, and policies
to restrict youth access to alcoholic
beverages that may pose special risks
to youth, including but not limited to
alcoholic mists, gelatins, freezer
pops, premixed caffeinated alcoholic
beverages, and flavored malt beverages.
``(V) Whether or not States have
adopted uniform best practices
protocols for conducting compliance
checks and shoulder tap programs.
``(VI) Whether or not States have
adopted uniform best practices penalty
protocols for violations of laws
prohibiting retail licensees from
selling or furnishing of alcohol to
minors.
``(iv) Uniform data system.--For
performance measures related to enforcement of
underage drinking laws as specified in clauses
(ii) and (iii), the Secretary shall develop and
test a uniform data system for reporting State
enforcement data, including the development of
a pilot program for this purpose. The pilot
program shall include procedures for collecting
enforcement data from both State and local law
enforcement jurisdictions.
``(3) Authorization of appropriations.--There is authorized
to be appropriated to carry out this subsection $1,000,000 for
each of fiscal years 2023 through 2027.
``(d) National Media Campaign To Prevent Underage Drinking.--
``(1) In general.--The Secretary, in consultation with the
National Highway Traffic Safety Administration, shall develop
an intensive, multifaceted, adult-oriented national media
campaign to reduce underage drinking by influencing attitudes
regarding underage drinking, increasing the willingness of
adults to take actions to reduce underage drinking, and
encouraging public policy changes known to decrease underage
drinking rates.
``(2) Purpose.--The purpose of the national media campaign
described in this section shall be to achieve the following
objectives:
``(A) Instill a broad societal commitment to reduce
underage drinking.
``(B) Increase specific actions by adults that are
meant to discourage or inhibit underage drinking.
``(C) Decrease adult conduct that tends to
facilitate or condone underage drinking.
``(3) Components.--When implementing the national media
campaign described in this section, the Secretary shall--
``(A) educate the public about the public health
and safety benefits of evidence-based policies to
reduce underage drinking, including minimum legal
drinking age laws, and build public and parental
support for and cooperation with enforcement of such
policies;
``(B) educate the public about the negative
consequences of underage drinking;
``(C) promote specific actions by adults that are
meant to discourage or inhibit underage drinking,
including positive behavior modeling, general parental
monitoring, and consistent and appropriate discipline;
``(D) discourage adult conduct that tends to
facilitate underage drinking, including the hosting of
underage parties with alcohol and the purchasing of
alcoholic beverages on behalf of underage youth;
``(E) establish collaborative relationships with
local and national organizations and institutions to
further the goals of the campaign and assure that the
messages of the campaign are disseminated from a
variety of sources;
``(F) conduct the campaign through multi-media
sources; and
``(G) conduct the campaign with regard to changing
demographics and cultural and linguistic factors.
``(4) Consultation requirement.--In developing and
implementing the national media campaign described in this
section, the Secretary shall consult recommendations for
reducing underage drinking published by the National Academy of
Sciences and the Surgeon General. The Secretary shall also
consult with interested parties including medical, public
health, and consumer and parent groups, law enforcement,
institutions of higher education, community organizations and
coalitions, and other stakeholders supportive of the goals of
the campaign.
``(5) Annual report.--The Secretary shall produce an annual
report on the progress of the development or implementation of
the media campaign described in this subsection, including
expenses and projected costs, and, as such information is
available, report on the effectiveness of such campaign in
affecting adult attitudes toward underage drinking and adult
willingness to take actions to decrease underage drinking.
``(6) Research on youth-oriented campaign.--The Secretary
may, based on the availability of funds, conduct research on
the potential success of a youth-oriented national media
campaign to reduce underage drinking. The Secretary shall
report any such results to Congress with policy recommendations
on establishing such a campaign.
``(7) Administration.--The Secretary may enter into a
subcontract with another Federal agency to delegate the
authority for execution and administration of the adult-
oriented national media campaign.
``(8) Authorization of appropriations.--There is authorized
to be appropriated to carry out this section $2,500,000 for
each of fiscal years 2023 through 2027.
``(e) Community-Based Coalition Enhancement Grants To Prevent
Underage Drinking.--
``(1) Authorization of program.--The Assistant Secretary
for Mental Health and Substance Use, in consultation with the
Director of the Office of National Drug Control Policy, shall
award enhancement grants to eligible entities to design,
implement, evaluate, and disseminate comprehensive strategies
to maximize the effectiveness of community-wide approaches to
preventing and reducing underage drinking. This subsection is
subject to the availability of appropriations.
``(2) Purposes.--The purposes of this subsection are to--
``(A) prevent and reduce alcohol use among youth in
communities throughout the United States;
``(B) strengthen collaboration among communities,
the Federal Government, Tribal Governments, and State
and local governments;
``(C) enhance intergovernmental cooperation and
coordination on the issue of alcohol use among youth;
``(D) serve as a catalyst for increased citizen
participation and greater collaboration among all
sectors and organizations of a community that first
demonstrates a long-term commitment to reducing alcohol
use among youth;
``(E) implement state-of-the-art science-based
strategies to prevent and reduce underage drinking by
changing local conditions in communities; and
``(F) enhance, not supplant, effective local
community initiatives for preventing and reducing
alcohol use among youth.
``(3) Application.--An eligible entity desiring an
enhancement grant under this subsection shall submit an
application to the Assistant Secretary at such time, and in
such manner, and accompanied by such information and
assurances, as the Assistant Secretary may require. Each
application shall include--
``(A) a complete description of the entity's
current underage alcohol use prevention initiatives and
how the grant will appropriately enhance the focus on
underage drinking issues; or
``(B) a complete description of the entity's
current initiatives, and how it will use this grant to
enhance those initiatives by adding a focus on underage
drinking prevention.
``(4) Uses of funds.--Each eligible entity that receives a
grant under this subsection shall use the grant funds to carry
out the activities described in such entity's application
submitted pursuant to paragraph (3) and obtain specialized
training and technical assistance by the entity funded under
section 4 of Public Law 107-82, as amended (21 U.S.C. 1521
note). Grants under this subsection shall not exceed $60,000
per year and may not exceed four years.
``(5) Supplement not supplant.--Grant funds provided under
this subsection shall be used to supplement, not supplant,
Federal and non-Federal funds available for carrying out the
activities described in this subsection.
``(6) Evaluation.--Grants under this subsection shall be
subject to the same evaluation requirements and procedures as
the evaluation requirements and procedures imposed on
recipients of drug-free community grants.
``(7) Definitions.--For purposes of this subsection, the
term `eligible entity' means an organization that is currently
receiving or has received grant funds under the Drug-Free
Communities Act of 1997.
``(8) Administrative expenses.--Not more than 6 percent of
a grant under this subsection may be expended for
administrative expenses.
``(9) Authorization of appropriations.--There is authorized
to be appropriated to carry out this subsection $11,500,000 for
each of fiscal years 2023 through 2027.
``(f) Grants to Professional Pediatric Provider Organizations To
Reduce Underage Drinking Through Screening and Brief Interventions.--
``(1) In general.--The Secretary, acting through the
Assistant Secretary for Mental Health and Substance Use, shall
make one or more grants to professional pediatric provider
organizations to increase among the members of such
organizations effective practices to reduce the prevalence of
alcohol use among individuals under the age of 21, including
college students.
``(2) Purposes.--Grants under this subsection shall be made
to promote the practices of--
``(A) screening adolescents for alcohol use;
``(B) offering brief interventions to adolescents
to discourage such use;
``(C) educating parents about the dangers of and
methods of discouraging such use;
``(D) diagnosing and treating alcohol use
disorders; and
``(E) referring patients, when necessary, to other
appropriate care.
``(3) Use of funds.--A professional pediatric provider
organization receiving a grant under this section may use the
grant funding to promote the practices specified in paragraph
(2) among its members by--
``(A) providing training to health care providers;
``(B) disseminating best practices, including
culturally and linguistically appropriate best
practices, and developing, printing, and distributing
materials; and
``(C) supporting other activities approved by the
Assistant Secretary.
``(4) Application.--To be eligible to receive a grant under
this subsection, a professional pediatric provider organization
shall submit an application to the Assistant Secretary at such
time, and in such manner, and accompanied by such information
and assurances as the Secretary may require. Each application
shall include--
``(A) a description of the pediatric provider
organization;
``(B) a description of the activities to be
completed that will promote the practices specified in
paragraph (2);
``(C) a description of the organization's
qualifications for performing such practices; and
``(D) a timeline for the completion of such
activities.
``(5) Definitions.--For the purpose of this subsection:
``(A) Brief intervention.--The term `brief
intervention' means, after screening a patient,
providing the patient with brief advice and other brief
motivational enhancement techniques designed to
increase the insight of the patient regarding the
patient's alcohol use, and any realized or potential
consequences of such use to effect the desired related
behavioral change.
``(B) Adolescents.--The term `adolescents' means
individuals under 21 years of age.
``(C) Professional pediatric provider
organization.--The term `professional pediatric
provider organization' means an organization or
association that--
``(i) consists of or represents pediatric
health care providers; and
``(ii) is qualified to promote the
practices specified in paragraph (2).
``(D) Screening.--The term `screening' means using
validated patient interview techniques to identify and
assess the existence and extent of alcohol use in a
patient.
``(6) Authorization of appropriations.--There is authorized
to be appropriated to carry out this subsection $3,000,000 for
each of fiscal years 2023 through 2027.
``(g) Data Collection and Research.--
``(1) Additional research on underage drinking.--
``(A) In general.--The Secretary shall, subject to
the availability of appropriations, collect data, and
conduct or support research that is not duplicative of
research currently being conducted or supported by the
Department of Health and Human Services, on underage
drinking, with respect to the following:
``(i) Improve data collection in support of
evaluation of the effectiveness of
comprehensive community-based programs or
strategies and statewide systems to prevent and
reduce underage drinking, across the underage
years from early childhood to age 21, such as
programs funded and implemented by governmental
entities, public health interest groups and
foundations, and alcohol beverage companies and
trade associations, through the development of
models of State-level epidemiological
surveillance of underage drinking by funding in
States or large metropolitan areas new
epidemiologists focused on excessive drinking
including underage alcohol use.
``(ii) Obtain and report more precise
information than is currently collected on the
scope of the underage drinking problem and
patterns of underage alcohol consumption,
including improved knowledge about the problem
and progress in preventing, reducing, and
treating underage drinking, as well as
information on the rate of exposure of youth to
advertising and other media messages
encouraging and discouraging alcohol
consumption.
``(iii) Synthesize, expand on, and widely
disseminate existing research on effective
strategies for reducing underage drinking,
including translational research, and make this
research easily accessible to the general
public.
``(iv) Improve and conduct public health
surveillance on alcohol use and alcohol-related
conditions in States by increasing the use of
surveys, such as the Behavioral Risk Factor
Surveillance System, to monitor binge and
excessive drinking and related harms among
individuals who are at least 18 years of age,
but not more than 20 years of age, including
harm caused to self or others as a result of
alcohol use that is not duplicative of research
currently being conducted or supported by the
Department of Health and Human Services.
``(B) Authorization of appropriations.--There is
authorized to be appropriated to carry out this
paragraph $5,000,000 for each of fiscal years 2023
through 2027.
``(2) National academy of sciences study.--
``(A) In general.--Not later than 12 months after
the enactment of the Restoring Hope for Mental Health
and Well-Being Act of 2022, the Secretary shall--
``(i) contract with the National Academy of
Sciences to study developments in research on
underage drinking and the public policy
implications of these developments; and
``(ii) report to the Congress on the
results of such review.
``(B) Authorization of appropriations.--There is
authorized to be appropriated to carry out this
paragraph $500,000 for fiscal year 2023.''.
SEC. 216. GRANTS FOR JAIL DIVERSION PROGRAMS.
Section 520G of the Public Health Service Act (42 U.S.C. 290bb-38)
is amended--
(1) in subsection (a)--
(A) by striking ``up to 125''; and
(B) by striking ``tribes and tribal organizations''
and inserting ``Tribes and Tribal organizations'';
(2) in subsection (b)(2), by striking ``tribes, and tribal
organizations'' and inserting ``Tribes, and Tribal
organizations'';
(3) in subsection (c)--
(A) in paragraph (1), by striking ``tribe or tribal
organization'' and inserting ``Tribe or Tribal
organization, health facility or program described in
subsection (a), or public or nonprofit entity referred
to in subsection (a)''; and
(B) in paragraph (2)(A)(iii), by striking ``tribe,
or tribal organization'' and inserting ``Tribe, or
Tribal organization'';
(4) in subsection (e)--
(A) in the matter preceding paragraph (1), by
striking ``tribe, or tribal organization'' and
inserting ``Tribe, or Tribal organization''; and
(B) in paragraph (5), by striking ``or arrest'' and
inserting ``, arrest, or release'';
(5) in subsection (f), by striking ``tribe, or tribal
organization'' each place it appears and inserting ``Tribe, or
Tribal organization'';
(6) in subsection (h), by striking ``tribe, or tribal
organization'' and inserting ``Tribe, or Tribal organization'';
and
(7) in subsection (j), by striking ``$4,269,000 for each of
fiscal years 2018 through 2022'' and inserting ``$14,000,000
for each of fiscal years 2023 through 2027''.
SEC. 217. FORMULA GRANTS TO STATES.
Section 521 of the Public Health Service Act (42 U.S.C. 290cc-21)
is amended by striking ``2018 through 2022'' and inserting ``2023
through 2027''.
SEC. 218. PROJECTS FOR ASSISTANCE IN TRANSITION FROM HOMELESSNESS.
Section 535(a) of the Public Health Service Act (42 U.S.C. 290cc-
35(a)) is amended by striking ``2018 through 2022'' and inserting
``2023 through 2027''.
SEC. 219. GRANTS FOR REDUCING OVERDOSE DEATHS.
(a) Grants.--
(1) Repeal of maximum grant amount.--Paragraph (2) of
section 544(a) of the Public Health Service Act (42 U.S.C.
290dd-3(a)) is hereby repealed.
(2) Eligible entity; subgrants.--Section 544(a) of the
Public Health Service Act (42 U.S.C. 290dd-3(a)) is amended by
striking paragraph (3) and inserting the following:
``(2) Eligible entity.--For purposes of this section, the
term `eligible entity' means a State, Territory, locality,
Indian Tribe (as defined in the Federally Recognized Indian
Tribe List Act of 1994), Tribal organization, or Urban Indian
organization (as those terms are defined in section 4 of the
Indian Health Care Improvement Act).
``(3) Subgrants.--For the purposes for which a grant is
awarded under this section, the eligible entity receiving the
grant may award subgrants to a Federally qualified health
center (as defined in section 1861(aa) of the Social Security
Act), an opioid treatment program (as defined in section 8.2 of
title 42, Code of Federal Regulations (or any successor
regulations)), any practitioner dispensing narcotic drugs
pursuant to section 303(g) of the Controlled Substances Act, or
any nonprofit organization that the Secretary deems
appropriate.''.
(3) Prescribing.--Section 544(a)(4) of the Public Health
Service Act (42 U.S.C. 290dd-3(a)(4)) is amended--
(A) in subparagraph (A), by inserting ``, including
patients prescribed with both an opioid and a
benzodiazepine'' before the semicolon at the end; and
(B) in subparagraph (D), by striking ``drug
overdose'' and inserting ``substance overdose''.
(4) Use of funds.--Paragraph (5) of section 544(c) of the
Public Health Service Act (42 U.S.C. 290dd-3(c)) is amended to
read as follows:
``(5) To establish protocols to connect patients who have
experienced an overdose with appropriate treatment, including
overdose reversal medications, medication assisted treatment,
and appropriate counseling and behavioral therapies.''.
(5) Improving access to overdose treatment.--Section 544 of
the Public Health Service Act (42 U.S.C. 290dd-3) is amended--
(A) by redesignating subsections (d) through (f) as
subsections (e) through (g), respectively;
(B) in subsection (f), as so redesignated, by
striking ``subsection (d)'' and inserting ``subsection
(e)''; and
(C) by inserting after subsection (c) the
following:
``(d) Improving Access to Overdose Treatment.--
``(1) Information on best practices.--
``(A) Health and human services.--The Secretary of
Health and Human Services may provide information to
States, localities, Indian Tribes, Tribal
organizations, and Urban Indian organizations on best
practices for prescribing or co-prescribing a drug or
device approved, cleared, or otherwise authorized under
the Federal Food, Drug, and Cosmetic Act for emergency
treatment of known or suspected opioid overdose,
including for patients receiving chronic opioid therapy
and patients being treated for opioid use disorders.
``(B) Defense.--The Secretary of Defense may
provide information to prescribers within Department of
Defense medical facilities on best practices for
prescribing or co-prescribing a drug or device
approved, cleared, or otherwise authorized under the
Federal Food, Drug, and Cosmetic Act for emergency
treatment of known or suspected opioid overdose,
including for patients receiving chronic opioid therapy
and patients being treated for opioid use disorders.
``(C) Veterans affairs.--The Secretary of Veterans
Affairs may provide information to prescribers within
Department of Veterans Affairs medical facilities on
best practices for prescribing or co-prescribing a drug
or device approved, cleared, or otherwise authorized
under the Federal Food, Drug, and Cosmetic Act for
emergency treatment of known or suspected opioid
overdose, including for patients receiving chronic
opioid therapy and patients being treated for opioid
use disorders.
``(2) Rule of construction.--Nothing in this subsection
shall be construed as establishing or contributing to a medical
standard of care.''.
(6) Authorization of appropriations.--Section 544(g) of the
Public Health Service Act (42 U.S.C. 290dd-3), as redesignated,
is amended by striking ``fiscal years 2017 through 2021'' and
inserting ``fiscal years 2023 through 2027''.
(7) Technical amendments.--
(A) Section 544 of the Public Health Service Act
(42 U.S.C. 290dd-3), as amended, is further amended by
striking ``approved or cleared'' each place it appears
and inserting ``approved, cleared, or otherwise
authorized''.
(B) Section 107 of the Comprehensive Addiction and
Recovery Act of 2016 (Public Law 114-198) is amended by
striking subsection (b).
SEC. 220. OPIOID OVERDOSE REVERSAL MEDICATION ACCESS AND EDUCATION
GRANT PROGRAMS.
(a) Grants.--Section 545 of the Public Health Service Act (42
U.S.C. 290ee) is amended--
(1) in the section heading, by striking ``access and
education grant programs'' and inserting ``access, education,
and co-prescribing grant programs'';
(2) in the heading of subsection (a), by striking ``Grants
to States'' and inserting ``Grants'';
(3) in subsection (a), by striking ``shall make grants to
States'' and inserting ``shall make grants to States,
localities, Indian Tribes (as defined by the Federally
Recognized Indian Tribe List Act of 1994), Tribal
organizations, and Urban Indian organizations (as those terms
are defined in section 4 of the Indian Health Care Improvement
Act)'';
(4) in subsection (a)(1), by striking ``implement
strategies for pharmacists to dispense a drug or device'' and
inserting ``implement strategies that increase access to drugs
or devices'';
(5) by redesignating paragraphs (3) and (4) as paragraphs
(4) and (5), respectively; and
(6) by inserting after paragraph (2) the following:
``(3) encourage health care providers to co-prescribe, as
appropriate, drugs or devices approved, cleared, or otherwise
authorized under the Federal Food, Drug, and Cosmetic Act for
emergency treatment of known or suspected opioid overdose;''.
(b) Grant Period.--Section 545(d)(2) of the Public Health Service
Act (42 U.S.C. 290ee(d)(2)) is amended by striking ``3 years'' and
inserting ``5 years''.
(c) Limitation.--Paragraph (3) of section 545(d) of the Public
Health Service Act (42 U.S.C. 290ee(d)) is amended to read as follows:
``(3) Limitations.--A State may--
``(A) use not more than 10 percent of a grant under
this section for educating the public pursuant to
subsection (a)(5); and
``(B) use not less than 20 percent of a grant under
this section to offset cost-sharing for distribution
and dispensing of drugs or devices approved, cleared,
or otherwise authorized under the Federal Food, Drug,
and Cosmetic Act for emergency treatment of known or
suspected opioid overdose.''.
(d) Authorization of Appropriations.--Section 545(h)(1) of the
Public Health Service Act, is amended by striking ``fiscal years 2017
through 2019'' and inserting ``fiscal years 2023 through 2027''.
(e) Technical Amendment.--Section 545 of the Public Health Service
Act (42 U.S.C. 290ee), as amended, is further amended by striking
``approved or cleared'' each place it appears and inserting ``approved,
cleared, or otherwise authorized''.
SEC. 221. STATE DEMONSTRATION GRANTS FOR COMPREHENSIVE OPIOID ABUSE
RESPONSE.
Section 548 of the Public Health Service Act (42 U.S.C. 290ee-3) is
amended--
(1) in the section heading, by striking ``abuse'' and
inserting ``use disorder'';
(2) in subsection (b)--
(A) in the subsection heading, by striking
``Abuse'' and inserting ``Use Disorder'';
(B) in paragraph (1), by striking ``abuse'' and
inserting ``use disorder'';
(C) in paragraph (2)--
(i) in the matter preceding subparagraph
(A), by striking ``abuse'' and inserting ``use
disorder'';
(ii) in subparagraph (A), by striking
``opioid use, treatment, and addiction
recovery'' and inserting ``opioid use
disorders, and treatment for, and recovery from
opioid use disorders'';
(iii) in subparagraph (C), by striking
``addiction'' each place it appears and
inserting ``use disorder'';
(iv) by amending subparagraph (D) to read
as follows:
``(D) developing, implementing, and expanding
efforts to prevent overdose death from opioid or other
prescription medication use disorders; and''; and
(v) in subparagraph (E), by striking
``abuse'' and inserting ``use disorders''; and
(D) in paragraph (4), by striking ``abuse'' each
place it appears and inserting ``use disorders''; and
(3) by striking ``2017 through 2021'' and inserting ``2023
through 2027''.
SEC. 222. EMERGENCY DEPARTMENT ALTERNATIVES TO OPIOIDS.
Section 7091 of the SUPPORT for Patients and Communities Act
(Public Law 115-271) is amended--
(1) in the section heading, by striking ``demonstration''
(and by conforming the item relating to such section in the
table of contents in section 1(b));
(2) in subsection (a)--
(A) by amending the subsection heading to read as
follows: ``Grant Program''; and
(B) in paragraph (1), by striking
``demonstration'';
(3) in subsection (b), in the subsection heading, by
striking ``Demonstration'';
(4) in subsection (d)(4), by striking ``tribal'' and
inserting ``Tribal'';
(5) in subsection (f), by striking ``Not later than 1 year
after completion of the demonstration program under this
section, the Secretary shall submit a report to the Congress on
the results of the demonstration program'' and inserting ``Not
later than the end of each of fiscal years 2024 and 2027, the
Secretary shall submit to the Congress a report on the results
of the program''; and
(6) in subsection (g), by striking ``2019 through 2021''
and inserting ``2023 through 2027''.
Subtitle C--Excellence in Recovery Housing
SEC. 231. CLARIFYING THE ROLE OF SAMHSA IN PROMOTING THE AVAILABILITY
OF HIGH-QUALITY RECOVERY HOUSING.
Section 501(d) of the Public Health Service Act (42 U.S.C. 290aa)
is amended--
(1) in paragraph (24)(E), by striking ``and'' at the end;
(2) in paragraph (25), by striking the period at the end
and inserting ``; and''; and
(3) by adding at the end the following:
``(26) collaborate with national accrediting entities,
reputable providers, organizations or individuals with
established expertise in delivery of recovery housing services,
States, Federal agencies (including the Department of Health
and Human Services, the Department of Housing and Urban
Development, and the agencies listed in section 550(e)(2)(B)),
and other relevant stakeholders, to promote the availability of
high-quality recovery housing and services for individuals with
a substance use disorder.''.
SEC. 232. DEVELOPING GUIDELINES FOR STATES TO PROMOTE THE AVAILABILITY
OF HIGH-QUALITY RECOVERY HOUSING.
Section 550(a) of the Public Health Service Act (42 U.S.C. 290ee-
5(a)) (relating to national recovery housing best practices) is
amended--
(1) by amending paragraph (1) to read as follows:
``(1) In general.--The Secretary, in consultation with the
individuals and entities specified in paragraph (2), shall
build on existing best practices and previously developed
guidelines to develop and periodically update consensus-based
best practices, which may include model laws for implementing
suggested minimum standards for operating, and promoting the
availability of, high-quality recovery housing.'';
(2) in paragraph (2)--
(A) by striking subparagraphs (A) and (B) and
inserting the following:
``(A) Officials representing the agencies described
in subsection (e)(2).''; and
(B) by redesignating subparagraphs (C) through (G)
as subparagraphs (B) through (F), respectively; and
(3) by adding at the end the following:
``(3) Availability.--The best practices referred to in
paragraph (1) shall be--
``(A) made publicly available; and
``(B) published on the public website of the
Substance Abuse and Mental Health Services
Administration.
``(4) Exclusion of guideline on treatment services.--In
developing the guidelines under paragraph (1), the Secretary
may not include any guidelines with respect to substance use
disorder treatment services.''.
SEC. 233. COORDINATION OF FEDERAL ACTIVITIES TO PROMOTE THE
AVAILABILITY OF RECOVERY HOUSING.
Section 550 of the Public Health Service Act (42 U.S.C. 290ee-5)
(relating to national recovery housing best practices) is amended--
(1) by redesignating subsections (e), (f), and (g) as
subsections (g), (h), and (i), respectively; and
(2) by inserting after subsection (d) the following:
``(e) Coordination of Federal Activities To Promote the
Availability of Housing for Individuals Experiencing Homelessness,
Individuals With a Mental Illness, and Individuals With a Substance Use
Disorder.--
``(1) In general.--The Secretary, acting through the
Assistant Secretary, and the Secretary of Housing and Urban
Development shall convene an interagency working group for the
following purposes:
``(A) To increase collaboration, cooperation, and
consultation among the Department of Health and Human
Services, the Department of Housing and Urban
Development, and the Federal agencies listed in
paragraph (2)(B), with respect to promoting the
availability of housing, including recovery housing,
for individuals experiencing homelessness, individuals
with mental illnesses, and individuals with substance
use disorder.
``(B) To align the efforts of such agencies and
avoid duplication of such efforts by such agencies.
``(C) To develop objectives, priorities, and a
long-term plan for supporting State, Tribal, and local
efforts with respect to the operation of recovery
housing that is consistent with the best practices
developed under this section.
``(D) To coordinate enforcement of fair housing
practices, as appropriate, among Federal and State
agencies.
``(E) To coordinate data collection on the quality
of recovery housing.
``(2) Composition.--The interagency working group under
paragraph (1) shall be composed of--
``(A) the Secretary, acting through the Assistant
Secretary, and the Secretary of Housing and Urban
Development, who shall serve as the co-chairs; and
``(B) representatives of each of the following
Federal agencies:
``(i) The Centers for Medicare & Medicaid
Services.
``(ii) The Substance Abuse and Mental
Health Services Administration.
``(iii) The Health Resources and Services
Administration.
``(iv) The Office of Inspector General.
``(v) The Indian Health Service.
``(vi) The Department of Agriculture.
``(vii) The Department of Justice.
``(viii) The Office of National Drug
Control Policy.
``(ix) The Bureau of Indian Affairs.
``(x) The Department of Labor.
``(xi) The Department of Veterans Affairs.
``(xii) Any other Federal agency as the co-
chairs determine appropriate.
``(3) Meetings.--The working group shall meet on a
quarterly basis.
``(4) Reports to congress.--Not later than 4 years after
the date of the enactment of this section, the working group
shall submit to the Committee on Energy and Commerce, the
Committee on Ways and Means, the Committee on Agriculture, and
the Committee on Financial Services of the House of
Representatives and the Committee on Health, Education, Labor,
and Pensions, the Committee on Agriculture, Nutrition, and
Forestry, and the Committee on Finance of the Senate a report
describing the work of the working group and any
recommendations of the working group to improve Federal, State,
and local coordination with respect to recovery housing and
other housing resources and operations for individuals
experiencing homelessness, individuals with a mental illness,
and individuals with a substance use disorder.''.
SEC. 234. NAS STUDY AND REPORT.
(a) In General.--Not later than 60 days after the date of enactment
of this Act, the Secretary of Health and Human Services, acting through
the Assistant Secretary for Mental Health and Substance Use shall--
(1) contract with the National Academies of Sciences,
Engineering, and Medicine--
(A) to study the quality and effectiveness of
recovery housing in the United States and whether the
availability of such housing meets demand; and
(B) to identify recommendations to promote the
availability of high-quality recovery housing; and
(2) report to the Congress on the results of such review.
(b) Authorization of Appropriations.--To carry out this section
there is authorized to be appropriated $1,500,000 for fiscal year 2023.
SEC. 235. GRANTS FOR STATES TO PROMOTE THE AVAILABILITY OF RECOVERY
HOUSING AND SERVICES.
Section 550 of the Public Health Service Act (42 U.S.C. 290ee-5)
(relating to national recovery housing best practices), as amended by
sections 232 and 233, is further amended by inserting after subsection
(e) (as inserted by section 233) the following:
``(f) Grants for Implementing National Recovery Housing Best
Practices.--
``(1) In general.--The Secretary shall award grants to
States (and political subdivisions thereof), Tribes, and
territories--
``(A) for the provision of technical assistance to
implement the guidelines and recommendations developed
under subsection (a); and
``(B) to promote--
``(i) the availability of recovery housing
for individuals with a substance use disorder;
and
``(ii) the maintenance of recovery housing
in accordance with best practices developed
under this section.
``(2) State promotion plans.--Not later than 90 days after
receipt of a grant under paragraph (1), and every 2 years
thereafter, each State (or political subdivisions thereof,)
Tribe, or territory receiving a grant under paragraph (1) shall
submit to the Secretary, and publish on a publicly accessible
internet website of the State (or political subdivisions
thereof), Tribe, or territory--
``(A) the plan of the State (or political
subdivisions thereof), Tribe, or territory, with
respect to the promotion of recovery housing for
individuals with a substance use disorder located
within the jurisdiction of such State (or political
subdivisions thereof), Tribe, or territory; and
``(B) a description of how such plan is consistent
with the best practices developed under this
section.''.
SEC. 236. FUNDING.
Subsection (i) of section 550 of the Public Health Service Act (42
U.S.C. 290ee-5) (relating to national recovery housing best practices),
as redesignated by section 233, is amended by striking ``$3,000,000 for
the period of fiscal years 2019 through 2021'' and inserting
``$5,000,000 for the period of fiscal years 2023 through 2027''.
SEC. 237. TECHNICAL CORRECTION.
Title V of the Public Health Service Act (42 U.S.C. 290aa et seq.)
is amended--
(1) by redesignating section 550 (relating to Sobriety
Treatment and Recovery Teams) (42 U.S.C. 290ee-10), as added by
section 8214 of Public Law 115-271, as section 550A; and
(2) by moving such section so it appears after section 550
(relating to national recovery housing best practices).
Subtitle D--Substance Use Prevention, Treatment, and Recovery Services
Block Grant
SEC. 241. ELIMINATING STIGMATIZING LANGUAGE RELATING TO SUBSTANCE USE.
(a) Block Grants for Prevention and Treatment of Substance Use.--
Part B of title XIX of the Public Health Service Act (42 U.S.C. 300x et
seq.) is amended--
(1) in the part heading, by striking ``substance abuse''
and inserting ``substance use'';
(2) in subpart II, by amending the subpart heading to read
as follows: ``Block Grants for Substance Use Prevention,
Treatment, and Recovery Services'';
(3) in section 1922(a) (42 U.S.C. 300x-22(a))--
(A) in paragraph (1), in the matter preceding
subparagraph (A), by striking ``substance abuse'' and
inserting ``substance use disorders''; and
(B) by striking ``such abuse'' each place it
appears in paragraphs (1) and (2) and inserting ``such
disorders'';
(4) in section 1923 (42 U.S.C. 300x-23)--
(A) in the section heading, by striking ``substance
abuse'' and inserting ``substance use''; and
(B) in subsection (a), by striking ``drug abuse''
and inserting ``substance use disorders'';
(5) in section 1925(a)(1) (42 U.S.C. 300x-25(a)(1)), by
striking ``alcohol or drug abuse'' and inserting ``alcohol or
other substance use disorders'';
(6) in section 1926(b)(2)(B) (42 U.S.C. 300x-26(b)(2)(B)),
by striking ``substance abuse'';
(7) in section 1931(b)(2) (42 U.S.C. 300x-31(b)(2)), by
striking ``substance abuse'' and inserting ``substance use
disorders'';
(8) in section 1933(d)(1) (42 U.S.C. 300x-33(d)), in the
matter following subparagraph (B), by striking ``abuse of
alcohol and other drugs'' and inserting ``use of substances'';
(9) by amending paragraph (4) of section 1934 (42 U.S.C.
300x-34) to read as follows:
``(4) The term `substance use disorder' means the recurrent
use of alcohol or other drugs that causes clinically
significant impairment.'';
(10) in section 1935 (42 U.S.C. 300x-35)--
(A) in subsection (a), by striking ``substance
abuse'' and inserting ``substance use disorders''; and
(B) in subsection (b)(1), by striking ``substance
abuse'' each place it appears and inserting ``substance
use disorders'';
(11) in section 1949 (42 U.S.C. 300x-59), by striking
``substance abuse'' each place it appears in subsections (a)
and (d) and inserting ``substance use disorders'';
(12) in section 1954(b)(4) (42 U.S.C. 300x-64(b)(4))--
(A) by striking ``substance abuse'' and inserting
``substance use disorders''; and
(B) by striking ``such abuse'' and inserting ``such
disorders'';
(13) in section 1955 (42 U.S.C. 300x-65), by striking
``substance abuse'' each place it appears and inserting
``substance use disorder''; and
(14) in section 1956 (42 U.S.C. 300x-66), by striking
``substance abuse'' and inserting ``substance use disorders''.
(b) Certain Programs Regarding Mental Health and Substance Abuse.--
Part C of title XIX of the Public Health Service Act (42 U.S.C. 300y et
seq.) is amended--
(1) in the part heading, by striking ``substance abuse''
and inserting ``substance use'';
(2) in section 1971 (42 U.S.C. 300y), by striking
``substance abuse'' each place it appears in subsections (a),
(b), and (f) and inserting ``substance use''; and
(3) in section 1976 (42 U.S.C. 300y-11), by striking
``intravenous abuse'' each place it appears and inserting
``intravenous use''.
SEC. 242. AUTHORIZED ACTIVITIES.
Section 1921(b) of the Public Health Service Act (42 U.S.C. 300x-
21(b)) is amended by striking ``prevent and treat substance use
disorders'' and inserting ``prevent, treat, and provide recovery
support services for substance use disorders''.
SEC. 243. REQUIREMENTS RELATING TO CERTAIN INFECTIOUS DISEASES AND
HUMAN IMMUNODEFICIENCY VIRUS.
Section 1924 of the Public Health Service Act (42 U.S.C. 300x-24)
is amended--
(1) in the section heading, by striking ``tuberculosis and
human immunodeficiency virus'' and inserting ``tuberculosis,
viral hepatitis, and human immunodeficiency virus'';
(2) by amending subsection (a)(2) to read as follows:
``(2) Designated states.--
``(A) Fiscal years through fiscal year 2024.--For
purposes of this subsection, through September 30,
2024, a State described in this paragraph is any State
whose rate of cases of acquired immune deficiency
syndrome is 10 or more such cases per 100,000
individuals (as indicated by the number of such cases
reported to and confirmed by the Director of the
Centers for Disease Control and Prevention for the most
recent calendar year for which such data are
available).
``(B) Fiscal year 2025 and succeeding fiscal
years.--
``(i) In general.--Beginning with fiscal
year 2025, for purposes of this subsection, a
State described in this paragraph is any State
whose rate of cases of human immunodeficiency
virus is 10 or more such cases per 100,000
individuals (as indicated by the number of such
cases newly reported to and confirmed by the
Director of the Centers for Disease Control and
Prevention for the most recent calendar year
for which such data are available).
``(ii) Continuation of designated state
status.--In the case of a State whose rate of
cases of human immunodeficiency virus falls
below the threshold specified in clause (i) for
a calendar year, such State shall,
notwithstanding clause (i), continue to be
described in this paragraph unless the rate of
cases falls below such threshold for three
consecutive calendar years.''.
(3) by redesignating subsections (c) and (d) as subsections
(d) and (e), respectively; and
(4) by inserting after subsection (b) the following:
``(c) Viral Hepatitis.--
``(1) In general.--A funding agreement for a grant under
section 1921 is that the State involved will require that any
entity receiving amounts from the grant for operating a program
of treatment for substance use disorders--
``(A) will, directly or through arrangements with
other public or nonprofit private entities, routinely
make available viral hepatitis services to each
individual receiving treatment for such disorders; and
``(B) in the case of an individual in need of such
treatment who is denied admission to the program on the
basis of the lack of the capacity of the program to
admit the individual, will refer the individual to
another provider of viral hepatitis services.
``(2) Viral hepatitis services.--For purposes of paragraph
(1), the term `viral hepatitis services', with respect to an
individual, means--
``(A) screening the individual for viral hepatitis;
and
``(B) referring the individual to a provider whose
practice includes viral hepatitis vaccination and
treatment.''.
SEC. 244. STATE PLAN REQUIREMENTS.
Section 1932(b)(1)(A) of the Public Health Service Act (42 U.S.C.
300x-32(b)(1)(A)) is amended--
(1) by redesignating clauses (vi) through (ix) as clauses
(vii) through (x), respectively; and
(2) by inserting after clause (v) the following:
``(vi) provides a description of--
``(I) the State's comprehensive
statewide recovery support services
activities, including the number of
individuals being served, target
populations, and priority needs; and
``(II) the amount of funds received
under this subpart expended on recovery
support services, disaggregated by the
amount expended for type of service
activity;''.
SEC. 245. UPDATING CERTAIN LANGUAGE RELATING TO TRIBES.
Section 1933(d) of the Public Health Service Act (42 U.S.C. 300x-
33(d)) is amended--
(1) in paragraph (1)--
(A) in subparagraph (A)--
(i) by striking ``of an Indian tribe or
tribal organization'' and inserting ``of an
Indian Tribe or Tribal organization''; and
(ii) by striking ``such tribe'' and
inserting ``such Tribe'';
(B) in subparagraph (B)--
(i) by striking ``tribe or tribal
organization'' and inserting ``Tribe or Tribal
organization''; and
(ii) by striking ``Secretary under this''
and inserting ``Secretary under this subpart'';
and
(C) in the matter following subparagraph (B), by
striking ``tribe or tribal organization'' and inserting
``Tribe or Tribal organization'';
(2) by amending paragraph (2) to read as follows:
``(2) Indian tribe or tribal organization as grantee.--The
amount reserved by the Secretary on the basis of a
determination under this subsection shall be granted to the
Indian Tribe or Tribal organization serving the individuals for
whom such a determination has been made.'';
(3) in paragraph (3), by striking ``tribe or tribal
organization'' and inserting ``Tribe or Tribal organization'';
and
(4) in paragraph (4)--
(A) in the paragraph heading, by striking
``Definition'' and inserting ``Definitions''; and
(B) by striking ``The terms'' and all that follows
through ``given such terms'' and inserting the
following: ``The terms `Indian Tribe' and `Tribal
organization' have the meanings given the terms `Indian
tribe' and `tribal organization'''.
SEC. 246. BLOCK GRANTS FOR SUBSTANCE USE PREVENTION, TREATMENT, AND
RECOVERY SERVICES.
(a) In General.--Section 1935(a) of the Public Health Service Act
(42 U.S.C. 300x-35(a)), as amended by section 241, is further amended
by striking ``appropriated'' and all that follows through ``2022..''
and inserting the following: ``appropriated $1,908,079,000 for each of
fiscal years 2023 through 2027.''.
(b) Technical Corrections.--Section 1935(b)(1)(B) of the Public
Health Service Act (42 U.S.C. 300x-35(b)(1)(B)) is amended by striking
``the collection of data in this paragraph is''.
SEC. 247. REQUIREMENT OF REPORTS AND AUDITS BY STATES.
Section 1942(a) of the Public Health Service Act (42 U.S.C. 300x-
52(a)) is amended--
(1) in paragraph (1), by striking ``and'' at the end;
(2) in paragraph (2), by striking the period at the end and
inserting ``; and''; and
(3) by adding at the end the following:
``(3) the amount provided to each recipient in the previous
fiscal year.''.
SEC. 248. STUDY ON ASSESSMENT FOR USE IN DISTRIBUTION OF LIMITED STATE
RESOURCES.
(a) In General.--The Secretary of Health and Human Services, acting
through the Assistant Secretary for Mental Health and Substance Use (in
this section referred to as the ``Secretary''), shall, in consultation
with States and other local entities providing prevention, treatment,
or recovery support services related to substance use, conduct a study
to develop a model needs assessment process for States to consider to
help determine how best to allocate block grant funding received under
subpart II of part B of title XIX of the Public Health Service Act (42
U.S.C. 300x-21) to provide services to substance use disorder
prevention, treatment, and recovery support. The study shall include
cost estimates with each model needs assessment process.
(b) Report.--Not later than 2 years after the date of the enactment
of this Act, the Secretary shall submit to the Committee on Energy and
Commerce of the House of Representatives and the Committee on Health,
Education, Labor, and Pensions of the Senate a report on the results of
the study conducted under paragraph (1).
Subtitle E--Timely Treatment for Opioid Use Disorder
SEC. 251. STUDY ON EXEMPTIONS FOR TREATMENT OF OPIOID USE DISORDER
THROUGH OPIOID TREATMENT PROGRAMS DURING THE COVID-19
PUBLIC HEALTH EMERGENCY.
(a) Study.--The Assistant Secretary for Mental Health and Substance
Use shall conduct a study, in consultation with patients and other
stakeholders, on activities carried out pursuant to exemptions
granted--
(1) to a State (including the District of Columbia or any
territory of the United States) or an opioid treatment program;
(2) pursuant to section 8.11(h) of title 42, Code of
Federal Regulations; and
(3) during the period--
(A) beginning on the declaration of the public
health emergency for the COVID-19 pandemic under
section 319 of the Public Health Service Act (42 U.S.C.
247d); and
(B) ending on the earlier of--
(i) the termination of such public health
emergency, including extensions thereof
pursuant to such section 319; and
(ii) the end of calendar year 2022.
(b) Privacy.--The section does not authorize the disclosure by the
Department of Health and Human Services of individually identifiable
information about patients.
(c) Feedback.--In conducting the study under subsection (a), the
Assistant Secretary for Mental Health and Substance Use shall gather
feedback from the States and opioid treatment programs on their
experiences in implementing exemptions described in subsection (a).
(d) Report.--Not later than 180 days after the end of the period
described in subsection (a)(3)(B), and subject to subsection (c), the
Assistant Secretary for Mental Health and Substance Use shall publish a
report on the results of the study under this section.
SEC. 252. CHANGES TO FEDERAL OPIOID TREATMENT STANDARDS.
(a) Mobile Medication Units.--Section 302(e) of the Controlled
Substances Act (21 U.S.C. 822(e)) is amended by adding at the end the
following:
``(3) Notwithstanding paragraph (1), a registrant that is
dispensing pursuant to section 303(g) narcotic drugs to individuals for
maintenance treatment or detoxification treatment shall not be required
to have a separate registration to incorporate one or more mobile
medication units into the registrant's practice to dispense such
narcotics at locations other than the registrant's principal place of
business or professional practice described in paragraph (1), so long
as the registrant meets such standards for operation of a mobile
medication unit as the Attorney General may establish.''.
(b) Revise Opioid Treatment Program Admission Criteria to Eliminate
Requirement That Patients Have an Opioid Use Disorder for at Least 1
Year.--Not later than 18 months after the date of enactment of this
Act, the Secretary of Health and Human Services shall revise section
8.12(e)(1) of title 42, Code of Federal Regulations (or successor
regulations), to eliminate the requirement that an opioid treatment
program only admit an individual for treatment under the program if the
individual has been addicted to opioids for at least 1 year before
being so admitted for treatment.
(c) Final Regulation on Periods for Take-Home Supply
Requirements.--
(1) In general.--Not later than 18 months after the date of
enactment of this Act, the Secretary of Health and Human
Services shall promulgate a final regulation amending
paragraphs (i)(3)(i) through (i)(3)(vi) of section 8.12 of
title 42, Code of Federal Regulations, as appropriate based on
the findings of the study under section 251 of this Act.
(2) Criteria.--The regulation under paragraph (1) shall
establish relevant criteria for the medical director or an
appropriately licensed practitioner of an opioid treatment
program, to determine whether a patient is stable and may
qualify for unsupervised use, which criteria may allow for
consideration of each of the following:
(A) Whether the benefits of providing unsupervised
doses to a patient outweigh the risks.
(B) The patient's demonstrated adherence to their
treatment plan.
(C) The patient's history of negative toxicology
tests.
(D) Whether there is an absence of serious
behavioral problems.
(E) The patient's stability in living arrangements
and social relationships.
(F) Whether there is an absence of substance
misuse-related behaviors.
(G) Whether there is an absence of recent diversion
activity.
(H) Whether there is an assurance that the
medication can be safely stored by the patient.
(I) Any other criterion the Secretary of Health and
Human Services determines appropriate.
(3) Prohibited sole consideration.--The regulation under
paragraph (1) shall prohibit the medical director of an opioid
treatment program from considering, as the sole consideration
in determining whether a patient is sufficiently responsible in
handling opioid drugs for unsupervised use, whether the patient
has an absence of recent misuse of drugs (whether narcotic or
nonnarcotic), including alcohol.
Subtitle F--Additional Provisions Relating to Addiction Treatment
SEC. 261. PROHIBITION.
Notwithstanding any provision of this Act and the amendments made
by this Act, no funds made available to carry out this Act or any
amendment made by this Act shall be used to purchase, procure, or
distribute pipes or cylindrical objects intended to be used to smoke or
inhale illegal scheduled substances.
SEC. 262. ELIMINATING ADDITIONAL REQUIREMENTS FOR DISPENSING NARCOTIC
DRUGS IN SCHEDULE III, IV, AND V FOR MAINTENANCE OR
DETOXIFICATION TREATMENT.
(a) In General.--Section 303(g) of the Controlled Substances Act
(21 U.S.C. 823(g)) is amended--
(1) by striking paragraph (2);
(2) by striking ``(g)(1) Except as provided in paragraph
(2), practitioners who dispense narcotic drugs to individuals
for maintenance treatment or detoxification treatment'' and
inserting ``(g) Practitioners who dispense narcotic drugs
(other than narcotic drugs in schedule III, IV, or V) to
individuals for maintenance treatment or detoxification
treatment'';
(3) by redesignating subparagraphs (A), (B), and (C) as
paragraphs (1), (2), and (3), respectively; and
(4) in paragraph (2), as so redesignated--
(A) by striking ``(i) security of stocks'' and
inserting ``(A) security of stocks''; and
(B) by striking ``(ii) the maintenance of records''
and inserting ``(B) the maintenance of records''.
(b) Conforming Changes.--
(1) Subsections (a) and (d)(1) of section 304 of the
Controlled Substances Act (21 U.S.C. 824) are each amended by
striking ``303(g)(1)'' each place it appears and inserting
``303(g)''.
(2) Section 309A(a)(2) of the Controlled Substances Act (21
U.S.C. 829a) is amended--
(A) in the matter preceding subparagraph (A), by
striking ``the controlled substance is to be
administered for the purpose of maintenance or
detoxification treatment under section 303(g)(2)'' and
inserting ``the controlled substance is a narcotic drug
in schedule III, IV, or V to be administered for the
purpose of maintenance or detoxification treatment'';
and
(B) by striking ``and--'' and all that follows
through ``is to be administered by injection or
implantation;'' and inserting ``and is to be
administered by injection or implantation;''.
(3) Section 520E-4(c) of the Public Health Service Act (42
U.S.C. 290bb-36d(c)) is amended by striking ``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'' and inserting ``information on
any practitioner who prescribes narcotic drugs in schedule III,
IV, or V of section 202 of the Controlled Substances Act for
the purpose of maintenance or detoxification treatment''.
(4) Section 544(a)(3) of the Public Health Service Act (42
U.S.C. 290dd-3), as added by section 219(a)(2), is amended by
striking ``any practitioner dispensing narcotic drugs pursuant
to section 303(g) of the Controlled Substances Act'' and
inserting ``any practitioner dispensing narcotic drugs for the
purpose of maintenance or detoxification treatment''.
(5) Section 1833(bb)(3)(B) of the Social Security Act (42
U.S.C. 1395l(bb)(3)(B)) is amended by striking ``first receives
a waiver under section 303(g) of the Controlled Substances Act
on or after January 1, 2019'' and inserting ``first begins
prescribing narcotic drugs in schedule III, IV, or V of section
202 of the Controlled Substances Act for the purpose of
maintenance or detoxification treatment on or after January 1,
2021''.
(6) Section 1834(o)(3)(C)(ii) of the Social Security Act
(42 U.S.C. 1395m(o)(3)(C)(ii)) is amended by striking ``first
receives a waiver under section 303(g) of the Controlled
Substances Act on or after January 1, 2019'' and inserting
``first begins prescribing narcotic drugs in schedule III, IV,
or V of section 202 of the Controlled Substances Act for the
purpose of maintenance or detoxification treatment on or after
January 1, 2021''.
(7) Section 1866F(c)(3) of the Social Security Act (42
U.S.C. 1395cc-6(c)(3)) is amended--
(A) in subparagraph (A), by adding ``and'' at the
end;
(B) in subparagraph (B), by striking ``; and'' and
inserting a period; and
(C) by striking subparagraph (C).
(8) Section 1903(aa)(2)(C) of the Social Security Act (42
U.S.C. 1396b(aa)(2)(C)) is amended--
(A) in clause (i), by adding ``and'' at the end;
(B) by striking clause (ii); and
(C) by redesignating clause (iii) as clause (ii).
SEC. 263. REQUIRING PRESCRIBERS OF CONTROLLED SUBSTANCES TO COMPLETE
TRAINING.
Section 303 of the Controlled Substances Act (21 U.S.C. 823) is
amended by adding at the end the following:
``(l) Required Training for Prescribers.--
``(1) Training required.--As a condition on registration
under this section to dispense controlled substances in
schedule II, III, IV, or V, the Attorney General shall require
any qualified practitioner, beginning with the first applicable
registration for the practitioner, to meet the following:
``(A) If the practitioner is a physician (as
defined under section 1861(r) of the Social Security
Act), the practitioner meets one or more of the
following conditions:
``(i) The physician holds a board
certification in addiction psychiatry or
addiction medicine from the American Board of
Medical Specialties.
``(ii) The physician holds a board
certification from the American Board of
Addiction Medicine.
``(iii) The physician holds a board
certification in addiction medicine from the
American Osteopathic Association.
``(iv) The physician has, with respect to
the treatment and management of patients with
opioid or other substance use disorders, or the
safe pharmacological management of dental pain
and screening, brief intervention, and referral
for appropriate treatment of patients with or
at risk of developing opioid or other substance
use disorders, completed not less than 8 hours
of training (through classroom situations,
seminars at professional society meetings,
electronic communications, or otherwise) that
is provided by--
``(I) the American Society of
Addiction Medicine, the American
Academy of Addiction Psychiatry, the
American Medical Association, the
American Osteopathic Association, the
American Dental Association, the
American Association of Oral and
Maxillofacial Surgeons, the American
Psychiatric Association, or any other
organization accredited by the
Accreditation Council for Continuing
Medical Education (commonly known as
the `ACCME') or the Commission on
Dental Accreditation;
``(II) any organization accredited
by a State medical society accreditor
that is recognized by the ACCME or the
Commission on Dental Accreditation;
``(III) any organization accredited
by the American Osteopathic Association
to provide continuing medical
education; or
``(IV) any organization approved by
the Assistant Secretary for Mental
Health and Substance Abuse, the ACCME,
or the Commission on Dental
Accreditation.
``(v) The physician graduated in good
standing from an accredited school of
allopathic medicine, osteopathic medicine,
dental surgery, or dental medicine in the
United States during the 5-year period
immediately preceding the date on which the
physician first registers or renews under this
section and has successfully completed a
comprehensive allopathic or osteopathic
medicine curriculum or accredited medical
residency or dental surgery or dental medicine
curriculum that included not less than 8 hours
of training on--
``(I) treating and managing
patients with opioid and other
substance use disorders, including the
appropriate clinical use of all drugs
approved by the Food and Drug
Administration for the treatment of a
substance use disorder; or
``(II) the safe pharmacological
management of dental pain and
screening, brief intervention, and
referral for appropriate treatment of
patients with or at risk of developing
opioid and other substance use
disorders.
``(B) If the practitioner is not a physician (as
defined under section 1861(r) of the Social Security
Act), the practitioner meets one or more of the
following conditions:
``(i) The practitioner has completed not
fewer than 8 hours of training with respect to
the treatment and management of patients with
opioid or other substance use disorders
(through classroom situations, seminars at
professional society meetings, electronic
communications, or otherwise) provided by the
American Society of Addiction Medicine, the
American Academy of Addiction Psychiatry, the
American Medical Association, the American
Osteopathic Association, the American Nurses
Credentialing Center, the American Psychiatric
Association, the American Association of Nurse
Practitioners, the American Academy of
Physician Associates, or any other organization
approved or accredited by the Assistant
Secretary for Mental Health and Substance Abuse
or the Accreditation Council for Continuing
Medical Education.
``(ii) The practitioner has graduated in
good standing from an accredited physician
assistant school or accredited school of
advanced practice nursing in the United States
during the 5-year period immediately preceding
the date on which the practitioner first
registers or renews under this section and has
successfully completed a comprehensive
physician assistant or advanced practice
nursing curriculum that included not fewer than
8 hours of training on treating and managing
patients with opioid and other substance use
disorders, including the appropriate clinical
use of all drugs approved by the Food and Drug
Administration for the treatment of a substance
use disorder.
``(2) One-time training.--
``(A) In general.--The Attorney General shall not
require any qualified practitioner to complete the
training described in clause (iv) or (v) of paragraph
(1)(A) or clause (i) or (ii) of paragraph (1)(B) more
than once.
``(B) Notification.--Not later than 90 days after
the date of the enactment of the Restoring Hope for
Mental Health and Well-Being Act of 2022, the Attorney
General shall provide to qualified practitioners a
single written, electronic notification of the training
described in clauses (iv) and (v) of paragraph (1)(A)
or clauses (i) and (ii) of paragraph (1)(B).
``(3) Rule of construction.--Nothing in this subsection
shall be construed to preclude the use, by a qualified
practitioner, of training received pursuant to this subsection
to satisfy registration requirements of a State or for some
other lawful purpose.
``(4) Definitions.--In this section:
``(A) First applicable registration.--The term
`first applicable registration' means the first
registration or renewal of registration by a qualified
practitioner under this section that occurs on or after
the date that is 180 days after the date of enactment
of the Restoring Hope for Mental Health and Well-Being
Act of 2022.
``(B) Qualified practitioner.--In this subsection,
the term `qualified practitioner' means a practitioner
who--
``(i) is licensed under State law to
prescribe controlled substances; and
``(ii) is not solely a veterinarian.''.
SEC. 264. INCREASE IN NUMBER OF DAYS BEFORE WHICH CERTAIN CONTROLLED
SUBSTANCES MUST BE ADMINISTERED.
Section 309A(a)(5) of the Controlled Substances Act (21 U.S.C.
829a(a)(5)) is amended by striking ``14 days'' and inserting ``60
days''.
SEC. 265. BLOCK, REPORT, AND SUSPEND SUSPICIOUS SHIPMENTS.
(a) Clarification of Process for Registrants to Exercise Due
Diligence Upon Discovering a Suspicious Order.--Paragraph (3) of
section 312(a) of the Controlled Substances Act (21 U.S.C. 832(a)) is
amended to read as follows:
``(3) upon discovering a suspicious order or series of
orders, and in a manner consistent with the other requirements
of this section--
``(A) exercise due diligence as appropriate;
``(B) establish and maintain (for not less than a
period to be determined by the Administrator of the
Drug Enforcement Administration) a record of the due
diligence that was performed;
``(C) decline to fill the order or series of orders
if the due diligence fails to dispel all of the
indicators that give rise to the suspicion that, if the
order or series of orders is filled, the drugs that are
the subject of the order or series of orders are likely
to be diverted; and
``(D) notify the Administrator of the Drug
Enforcement Administration and the Special Agent in
Charge of the Division Office of the Drug Enforcement
Administration for the area in which the registrant is
located or conducts business of--
``(i) each suspicious order or series of
orders discovered by the registrant; and
``(ii) the indicators giving rise to the
suspicion that, if the order or series of
orders is filled, the drugs that are the
subject of the order or series of orders are
likely to be diverted.''.
(b) Resolution of Suspicious Indicators.--Section 312 of the
Controlled Substances Act (21 U.S.C. 832) is amended--
(1) by redesignating subsection (b) and (c) as subsections
(c) and (d), respectively; and
(2) by inserting after subsection (a) the following:
``(b) Resolution of Suspicious Indicators.--If a registrant
resolves all of the indicators giving rise to suspicion about an order
or series of orders under subsection (a)(3)--
``(1) notwithstanding subsection (a)(3)(C), the registrant
may choose to fill the order or series of orders; and
``(2) notwithstanding subsection (a)(3)(D), the registrant
may choose not to make the notification otherwise required by
such subsection.''.
(c) Regulations.--Not later than 1 year after the date of enactment
of this Act, for purposes of subsections (a)(3) and (b) of section 312
of the Controlled Substances Act, as amended or inserted by subsection
(a), the Attorney General of the United States shall promulgate a final
regulation specifying the indicators that give rise to a suspicion
that, if an order or series of orders is filled, the drugs that are the
subject of the order or series of orders are likely to be diverted.
(d) Applicability.--Subsections (a)(3) and (b) of section 312 of
the Controlled Substances Act, as amended or inserted by subsection
(a), shall apply beginning on the day that is 1 year after the date of
enactment of this Act. Until such day, section 312(a)(3) of the
Controlled Substances Act shall apply as such section 312(a)(3) was in
effect on the day before the date of enactment of this Act.
Subtitle G--Opioid Epidemic Response
SEC. 271. OPIOID PRESCRIPTION VERIFICATION.
(a) Materials for Training Pharmacists on Certain Circumstances
Under Which a Pharmacist May Decline to Fill a Prescription.--
(1) Updates to materials.--Section 3212(a) of the SUPPORT
for Patients and Communities Act (21 U.S.C. 829 note) is
amended by striking ``Not later than 1 year after the date of
enactment of this Act, the Secretary of Health and Human
Services, in consultation with the Administrator of the Drug
Enforcement Administration, Commissioner of Food and Drugs,
Director of the Centers for Disease Control and Prevention, and
Assistant Secretary for Mental Health and Substance Use, shall
develop and disseminate'' and inserting ``The Secretary of
Health and Human Services, in consultation with the
Administrator of the Drug Enforcement Administration,
Commissioner of Food and Drugs, Director of the Centers for
Disease Control and Prevention, and Assistant Secretary for
Mental Health and Substance Use, shall develop and disseminate
not later than 1 year after the date of enactment of this Act,
and update periodically thereafter''.
(2) Materials included.--Section 3212(b) of the SUPPORT for
Patients and Communities Act (21 U.S.C. 829 note) is amended--
(A) by redesignating paragraphs (1) and (2) as
paragraphs (2) and (3), respectively; and
(B) by inserting before paragraph (2), as so
redesignated, the following new paragraph:
``(1) pharmacists on how to verify the identity of the
patient;''.
(3) Materials for training on patient verification .--
Section 3212 of the SUPPORT for Patients and Communities Act
(21 U.S.C. 829 note) is amended by adding at the end the
following new subsection:
``(d) Materials for Training on Verification of Identity.--Not
later than 1 year after the date of enactment of this subsection, the
Secretary of Health and Human Services, after seeking stakeholder input
in accordance with subsection (c), shall--
``(1) update the materials developed under subsection (a)
to include information for pharmacists on how to verify the
identity the patient; and
``(2) disseminate, as appropriate, the updated
materials.''.
(b) Incentivizing States To Facilitate Responsible, Informed
Dispensing of Controlled Substances.--
(1) In general.--Section 392A of the Public Health Service
Act (42 U.S.C. 280b-1) is amended--
(A) by redesignating subsections (c) and (d) as
subsections (d) and (e), respectively; and
(B) by inserting after subsection (b) the following
new subsection:
``(c) Preference.--In determining the amounts of grants awarded to
States under subsections (a) and (b), the Director of the Centers for
Disease Control and Prevention may give preference to States in
accordance with such criteria as the Director may specify and may
choose to give preference to States that--
``(1) maintain a prescription drug monitoring program;
``(2) require prescribers of controlled substances in
schedule II, III, or IV to issue such prescriptions
electronically, and make such requirement subject to exceptions
in the cases listed in section 1860D-4(e)(7)(B) of the Social
Security Act; and
``(3) require dispensers of such controlled substances to
enter certain information about the purchase of such controlled
substances into the respective State's prescription drug
monitoring program, including--
``(A) the National Drug Code or, in the case of
compounded medications, compound identifier;
``(B) the quantity dispensed;
``(C) the patient identifier; and
``(D) the date filled.''.
(2) Definitions.--
(A) In general.--Subsection (d) of section 392A of
the Public Health Service Act (42 U.S.C. 280b-1), as
redesignated by paragraph (1)(A), is amended to read as
follows:
``(d) Definitions.--In this section:
``(1) Controlled substance.--The term `controlled
substance' has the meaning given that term in section 102 of
the Controlled Substances Act.
``(2) Dispenser.--The term `dispenser' means a physician,
pharmacist, or other person that dispenses a controlled
substance to an ultimate user.
``(3) Indian tribe.--The term `Indian Tribe' has the
meaning given that term in section 4 of the Indian Self-
Determination and Education Assistance Act.''.
(B) Conforming change.--Section 392A of the Public
Health Service Act (42 U.S.C. 280b-1) is amended by
striking ``Indian tribes'' each place it appears and
inserting ``Indian Tribes''.
SEC. 272. SYNTHETIC OPIOID DANGER AWARENESS.
(a) Synthetic Opioids Public Awareness Campaign.--Part B of title
III of the Public Health Service Act is amended by inserting after
section 317U (42 U.S.C. 247b-23) the following new section:
``SEC. 317V. SYNTHETIC OPIOIDS PUBLIC AWARENESS CAMPAIGN.
``(a) In General.--Not later than one year after the date of the
enactment of this section, the Secretary shall provide for the planning
and implementation of a public education campaign to raise public
awareness of synthetic opioids (including fentanyl and its analogues).
Such campaign shall include the dissemination of information that--
``(1) promotes awareness about the potency and dangers of
fentanyl and its analogues and other synthetic opioids;
``(2) explains services provided by the Substance Abuse and
Mental Health Services Administration and the Centers for
Disease Control and Prevention (and any entity providing such
services under a contract entered into with such agencies) with
respect to the misuse of opioids, particularly as such services
relate to the provision of alternative, non-opioid pain
management treatments; and
``(3) relates generally to opioid use and pain management.
``(b) Use of Media.--The campaign under subsection (a) may be
implemented through the use of television, radio, internet, in-person
public communications, and other commercial marketing venues and may be
targeted to specific age groups.
``(c) Consideration of Report Findings.--In planning and
implementing the public education campaign under subsection (a), the
Secretary shall take into consideration the findings of the report
required under section 7001 of the SUPPORT for Patients and Communities
Act (Public Law 115-271).
``(d) Consultation.--In coordinating the campaign under subsection
(a), the Secretary shall consult with the Assistant Secretary for
Mental Health and Substance Use to provide ongoing advice on the
effectiveness of information disseminated through the campaign.
``(e) Requirement of Campaign.--The campaign implemented under
subsection (a) shall not be duplicative of any other Federal efforts
relating to eliminating the misuse of opioids.
``(f) Evaluation.--
``(1) In general.--The Secretary shall ensure that the
campaign implemented under subsection (a) is subject to an
independent evaluation, beginning 2 years after the date of the
enactment of this section, and every 2 years thereafter.
``(2) Measures and benchmarks.--For purposes of an
evaluation conducted pursuant to paragraph (1), the Secretary
shall--
``(A) establish baseline measures and benchmarks to
quantitatively evaluate the impact of the campaign
under this section; and
``(B) conduct qualitative assessments regarding the
effectiveness of strategies employed under this
section.
``(g) Report.--The Secretary shall, beginning 2 years after the
date of the enactment of this section, and every 2 years thereafter,
submit to Congress a report on the effectiveness of the campaign
implemented under subsection (a) towards meeting the measures and
benchmarks established under subsection (e)(2).
``(h) Dissemination of Information Through Providers.--The
Secretary shall develop and implement a plan for the dissemination of
information related to synthetic opioids, to health care providers who
participate in Federal programs, including programs administered by the
Department of Health and Human Services, the Indian Health Service, the
Department of Veterans Affairs, the Department of Defense, and the
Health Resources and Services Administration, the Medicare program
under title XVIII of the Social Security Act, and the Medicaid program
under title XIX of such Act.''.
(b) Training Guide and Outreach on Synthetic Opioid Exposure
Prevention.--
(1) Training guide.--Not later than 18 months after the
date of the enactment of this Act, the Secretary of Health and
Human Services shall design, publish, and make publicly
available on the internet website of the Department of Health
and Human Services, a training guide and webinar for first
responders and other individuals who also may be at high risk
of exposure to synthetic opioids that details measures to
prevent that exposure.
(2) Outreach.--Not later than 18 months after the date of
the enactment of this Act, the Secretary of Health and Human
Services shall also conduct outreach about the availability of
the training guide and webinar published under paragraph (1)
to--
(A) police and fire managements;
(B) sheriff deputies in city and county jails;
(C) ambulance transport and hospital emergency room
personnel;
(D) clinicians; and
(E) other high-risk occupations, as identified by
the Assistant Secretary for Mental Health and Substance
Use.
SEC. 273. GRANT PROGRAM FOR STATE AND TRIBAL RESPONSE TO OPIOID AND
STIMULANT USE AND MISUSE.
Section 1003 of the 21st Century Cures Act (42 U.S.C. 290ee-3 note)
is amended to read as follows:
``SEC. 1003. GRANT PROGRAM FOR STATE AND TRIBAL RESPONSE TO OPIOID AND
STIMULANT USE AND MISUSE.
``(a) In General.--The Secretary of Health and Human Services
(referred to in this section as the `Secretary') shall carry out the
grant program described in subsection (b) for purposes of addressing
opioid and stimulant use and misuse, within States, Indian Tribes, and
populations served by Tribal organizations and Urban Indian
organizations.
``(b) Grants Program.--
``(1) In general.--Subject to the availability of
appropriations, the Secretary shall award grants to States,
Indian Tribes, Tribal organizations, and Urban Indian
organizations for the purpose of addressing opioid and
stimulant use and misuse, within such States, such Indian
Tribes, and populations served by such Tribal organizations and
Urban Indian organizations, in accordance with paragraph (2).
``(2) Minimum allocations; preference.--In determining
grant amounts for each recipient of a grant under paragraph
(1), the Secretary shall--
``(A) ensure that each State receives not less than
$4,000,000; and
``(B) give preference to States, Indian Tribes,
Tribal organizations, and Urban Indian organizations
whose populations have an incidence or prevalence of
opioid use disorders or stimulant use or misuse that is
substantially higher relative to the populations of
other States, other Indian Tribes, Tribal
organizations, or Urban Indian organizations, as
applicable.
``(3) Formula methodology.--
``(A) In general.--Before publishing a funding
opportunity announcement with respect to grants under
this section, the Secretary shall--
``(i) develop a formula methodology to be
followed in allocating grant funds awarded
under this section among grantees, which
includes performance assessments for
continuation awards; and
``(ii) not later than 30 days after
developing the formula methodology under clause
(i), submit the formula methodology to--
``(I) the Committee on Energy and
Commerce and the Committee on
Appropriations of the House of
Representatives; and
``(II) the Committee on Health,
Education, Labor, and Pensions and the
Committee on Appropriations of the
Senate.
``(B) Report.--Not later than two years after the
date of the enactment of the Restoring Hope for Mental
Health and Well-Being Act of 2022, the Comptroller
General of the United States 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--
``(i) assesses how grant funding is
allocated to States under this section and how
such allocations have changed over time;
``(ii) assesses how any changes in funding
under this section have affected the efforts of
States to address opioid or stimulant use or
misuse; and
``(iii) assesses the use of funding
provided through the grant program under this
section and other similar grant programs
administered by the Substance Abuse and Mental
Health Services Administration.
``(4) Use of funds.--Grants awarded under this subsection
shall be used for carrying out activities that supplement
activities pertaining to opioid and stimulant use and misuse,
undertaken by the State agency responsible for administering
the substance abuse prevention and treatment block grant under
subpart II of part B of title XIX of the Public Health Service
Act (42 U.S.C. 300x-21 et seq.), which may include public
health-related activities such as the following:
``(A) Implementing prevention activities, and
evaluating such activities to identify effective
strategies to prevent substance use disorders.
``(B) Establishing or improving prescription drug
monitoring programs.
``(C) Training for health care practitioners, such
as best practices for prescribing opioids, pain
management, recognizing potential cases of substance
use disorders, referral of patients to treatment
programs, preventing diversion of controlled
substances, and overdose prevention.
``(D) Supporting access to health care services,
including--
``(i) services provided by federally
certified opioid treatment programs;
``(ii) outpatient and residential substance
use disorder treatment services that utilize
medication-assisted treatment, as appropriate;
or
``(iii) other appropriate health care
providers to treat substance use disorders.
``(E) Recovery support services, including--
``(i) community-based services that include
peer supports;
``(ii) mutual aid recovery programs that
support medication-assisted treatment; or
``(iii) services to address housing needs
and family issues.
``(F) Other public health-related activities, as
the State, Indian Tribe, Tribal organization, or Urban
Indian organization determines appropriate, related to
addressing substance use disorders within the State,
Indian Tribe, Tribal organization, or Urban Indian
organization, including directing resources in
accordance with local needs related to substance use
disorders.
``(c) Accountability and Oversight.--A State receiving a grant
under subsection (b) shall include in reporting related to substance
use disorders submitted to the Secretary pursuant to section 1942 of
the Public Health Service Act (42 U.S.C. 300x-52), a description of--
``(1) the purposes for which the grant funds received by
the State under such subsection for the preceding fiscal year
were expended and a description of the activities of the State
under the grant;
``(2) the ultimate recipients of amounts provided to the
State; and
``(3) the number of individuals served through the grant.
``(d) Limitations.--Any funds made available pursuant to subsection
(i)--
``(1) shall not be used for any purpose other than the
grant program under subsection (b); and
``(2) shall be subject to the same requirements as
substance use disorders prevention and treatment programs under
titles V and XIX of the Public Health Service Act (42 U.S.C.
290aa et seq., 300w et seq.).
``(e) Indian Tribes, Tribal Organizations, and Urban Indian
Organizations.--The Secretary, in consultation with Indian Tribes,
Tribal organizations, and Urban Indian organizations, shall identify
and establish appropriate mechanisms for Indian Tribes, Tribal
organizations, and Urban Indian organizations to demonstrate or report
the information as required under subsections (b), (c), and (d).
``(f) Report to Congress.--Not later than September 30, 2024, and
biennially thereafter, 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, and the
Committees on Appropriations of the House of Representatives and the
Senate, a report that includes a summary of the information provided to
the Secretary in reports made pursuant to subsections (c) and (e),
including--
``(1) the purposes for which grant funds are awarded under
this section;
``(2) the activities of the grant recipients; and
``(3) for each State, Indian Tribe, Tribal organization,
and Urban Indian organization that receives a grant under this
section, the funding level provided to such recipient.
``(g) Technical Assistance.--The Secretary, including through the
Tribal Training and Technical Assistance Center of the Substance Abuse
and Mental Health Services Administration, shall provide States, Indian
Tribes, Tribal organizations, and Urban Indian organizations, as
applicable, with technical assistance concerning grant application and
submission procedures under this section, award management activities,
and enhancing outreach and direct support to rural and underserved
communities and providers in addressing substance use disorders.
``(h) Definitions.--In this section:
``(1) Indian tribe.--The term `Indian Tribe' has the
meaning given the term `Indian tribe' in section 4 of the
Indian Self-Determination and Education Assistance Act (25
U.S.C. 5304).
``(2) Tribal organization.--The term `Tribal organization'
has the meaning given the term `tribal organization' in such
section 4.
``(3) State.--The term `State' has the meaning given such
term in section 1954(b) of the Public Health Service Act (42
U.S.C. 300x-64(b)).
``(4) Urban indian organization.--The term `Urban Indian
organization' has the meaning given such term in section 4 of
the Indian Health Care Improvement Act.
``(i) Authorization of Appropriations.--
``(1) In general.--For purposes of carrying out the grant
program under subsection (b), there is authorized to be
appropriated $1,750,000,000 for each of fiscal years 2023
through 2027, to remain available until expended.
``(2) Federal administrative expenses.--Of the amounts made
available for each fiscal year to award grants under subsection
(b), the Secretary shall not use more than 20 percent for
Federal administrative expenses, training, technical
assistance, and evaluation.
``(3) Set aside.--Of the amounts made available for each
fiscal year to award grants under subsection (b) for a fiscal
year, the Secretary shall--
``(A) award 5 percent to Indian Tribes, Tribal
organizations, and Urban Indian organizations; and
``(B) of the amount remaining after application of
subparagraph (A), set aside up to 15 percent for awards
to States with the highest age-adjusted rate of drug
overdose death based on the ordinal ranking of States
according to the Director of the Centers for Disease
Control and Prevention.''.
TITLE III--ACCESS TO MENTAL HEALTH CARE AND COVERAGE
Subtitle A--Collaborate in an Orderly and Cohesive Manner
SEC. 301. INCREASING UPTAKE OF THE COLLABORATIVE CARE MODEL.
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 AND COOPERATIVE AGREEMENTS.
``(a) Definitions.--In this section:
``(1) Collaborative care model.--The term `collaborative
care model' means the evidence-based, integrated behavioral
health service delivery method that includes--
``(A) care directed by the primary care team;
``(B) structured care management;
``(C) regular assessments of clinical status using
developmentally appropriate, validated tools; and
``(D) modification of treatment as appropriate.
``(2) Eligible entity.--The term `eligible entity' means a
State, or an appropriate State agency, in collaboration with--
``(A) 1 or more qualified community programs as
described in section 1913(b)(1);
``(B) 1 or more health centers (as defined in
section 330(a)), a rural health clinic (as defined in
section 1961(aa) of the Social Security Act), or a
Federally qualified health center (as defined in such
section); or
``(C) 1 or more primary health care practices.
``(3) Integrated care; bidirectional integrated care.--
``(A) The term `integrated care' means models or
practices for coordinating and jointly delivering
behavioral and physical health services, which may
include practices that share the same space in the same
facility.
``(B) The term `bidirectional integrated care'
means the integration of behavioral health care and
specialty physical health care, as well as the
integration of primary and physical health care with
specialty behavioral health settings, including within
primary health care settings.
``(4) Primary health care provider.--The term `primary
health care provider' means a provider who--
``(A) provides health services related to family
medicine, internal medicine, pediatrics, obstetrics,
gynecology, or geriatrics; or
``(B) is a doctor of medicine or osteopathy,
physician assistant, or nurse practitioner, who is
licensed to practice medicine by the State in which
such physician, assistant, or practitioner primarily
practices, including within primary health care
settings.
``(5) Primary health care practice.--The term `primary
health care practice' means a medical practice of primary
health care providers, including a practice within a larger
health care system.
``(6) Special population.--The term `special population',
for an eligible entity that is collaborating with an entity
described in subparagraph (A) or (B) of paragraph (3), means--
``(A) adults with a serious mental illness who have
a co-occurring physical health condition or chronic
disease;
``(B) children and adolescents with a mental
illness who have a co-occurring physical health
condition or chronic disease;
``(C) individuals with a substance use disorder; or
``(D) individuals with a mental illness who have a
co-occurring substance use disorder.
``(b) Grants and Cooperative Agreements.--
``(1) In general.--The Secretary may award grants and
cooperative agreements to eligible entities to support the
improvement of integrated care for physical and behavioral
health care in accordance with paragraph (2).
``(2) Use of funds.--A grant or cooperative agreement
awarded under this section shall be used--
``(A) in the case of an eligible entity that is
collaborating with an entity described in subparagraph
(A) or (B) of subsection (a)(2)--
``(i) to promote full integration and
collaboration in clinical practices between
physical and behavioral health care for special
populations including each population listed in
subsection (a)(7);
``(ii) to support the improvement of
integrated care models for physical and
behavioral health care to improve the overall
wellness and physical health status of--
``(I) adults with a serious mental
illness or children with a serious
emotional disturbance; and
``(II) individuals with a substance
use disorder; and
``(iii) to promote bidirectional integrated
care services including screening, diagnosis,
prevention, treatment, and recovery of mental
and substance use disorders, and co-occurring
physical health conditions and chronic
diseases; and
``(B) in the case of an eligible entity that is
collaborating with a primary health care practice, to
support the uptake of the collaborative care model,
including by--
``(i) hiring staff;
``(ii) identifying and formalizing
contractual relationships with other health
care providers, including providers who will
function as psychiatric consultants and
behavioral health care managers in providing
behavioral health integration services through
the collaborative care model;
``(iii) purchasing or upgrading software
and other resources needed to appropriately
provide behavioral health integration services
through the collaborative care model, including
resources needed to establish a patient
registry and implement measurement-based care;
and
``(iv) for such other purposes as the
Secretary determines to be necessary.
``(c) Applications.--
``(1) In general.--An eligible entity that is collaborating
with an entity described in subparagraph (A) or (B) of
subsection (a)(2) seeking a grant or cooperative agreement
under subsection (b)(2)(A) 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.--Any such application of an eligible entity
described in subparagraph (A) or (B) of subsection (a)(2) shall
include--
``(A) a description of a plan to achieve fully
collaborative agreements to provide bidirectional
integrated care to special populations;
``(B) a document that summarizes the policies, if
any, that are 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;
``(E) a description of how validated rating scales
will be implemented to support the improvement of
patient outcomes using measurement-based care,
including those related to depression screening,
patient follow-up, and symptom remission; and
``(F) a plan for sustainability beyond the grant or
cooperative agreement period under subsection (e).
``(3) Collaborative care model grants.--An eligible entity
that is collaborating with a primary health care practice
seeking a grant pursuant to subsection (b)(2)(B) shall submit
an application to the Secretary at such time, in such manner,
and accompanied by such information as the Secretary may
require.
``(d) Grant and Cooperative Agreement Amounts.--
``(1) Target amount.--The target amount that an eligible
entity may receive for a year through a grant or cooperative
agreement under this section shall be--
``(A) $2,000,000 for an eligible entity described
in subparagraph (A) or (B) of subsection (a)(2); or
``(B) $100,000 or less for an eligible entity
described in subparagraph (C) of subsection (a)(2).
``(2) Adjustment permitted.--The Secretary, taking into
consideration the quality of an eligible entity's application
and the number of eligible entities that received grants under
this section prior to the date of enactment of the Restoring
Hope for Mental Health and Well-Being Act of 2022, may adjust
the target amount that an eligible entity may receive for a
year through a grant or cooperative agreement under this
section.
``(3) Limitation.--An eligible entity that is collaborating
with an entity described in subparagraph (A) or (B) of
subsection (a)(2) receiving funding under this section--
``(A) may not allocate more than 20 percent of the
funds awarded to such eligible entity under this
section to administrative functions; and
``(B) shall allocate the remainder of such funding
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--
``(1) that is collaborating with an entity described in
subparagraph (A) or (B) of subsection (a)(2) shall submit an
annual report to the Secretary that includes--
``(A) the progress made to reduce barriers to
integrated care as described in the entity's
application under subsection (c); and
``(B) a description of outcomes with respect to
each special population listed in subsection (a)(7),
including outcomes related to education, employment,
and housing; or
``(2) that is collaborating with a primary health care
practice shall submit an annual report to the Secretary that
includes--
``(A) the progress made to improve access;
``(B) the progress made to improve patient
outcomes; and
``(C) the progress made to reduce referrals to
specialty care.
``(g) Technical Assistance for Primary-Behavioral Health Care
Integration.--
``(1) Certain recipients.--The Secretary may provide
appropriate information, training, and technical assistance to
eligible entities that are collaborating with an entity
described in subparagraph (A) or (B) of subsection (a)(2) 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) Collaborative care model recipients.--The Secretary
shall provide appropriate information, training, and technical
assistance to eligible entities that are collaborating with
primary health care practices that receive funds under this
section to help such entities implement the collaborative care
model, including--
``(A) developing financial models and budgets for
implementing and maintaining a collaborative care
model, based on practice size;
``(B) developing staffing models for essential
staff roles;
``(C) providing strategic advice to assist
practices seeking to utilize other clinicians for
additional psychotherapeutic interventions;
``(D) providing information technology expertise to
assist with building the collaborative care model into
electronic health records, including assistance with
care manager tools, patient registry, ongoing patient
monitoring, and patient records;
``(E) training support for all key staff and
operational consultation to develop practice workflows;
``(F) establishing methods to ensure the sharing of
best practices and operational knowledge among primary
health care physicians and primary health care
practices that provide behavioral health integration
services through the collaborative care model; and
``(G) providing guidance and instruction to primary
health care physicians and primary health care
practices on developing and maintaining relationships
with community-based mental health and substance use
disorder facilities for referral and treatment of
patients whose clinical presentation or diagnosis is
best suited for treatment at such facilities.
``(3) Additional dissemination of technical information.--
In addition to providing the assistance described in paragraphs
(1) and (2) to recipients of a grant or cooperative agreement
under this section, the Secretary may also provide such
assistance to other States and political subdivisions of
States, Indian Tribes and Tribal organizations (as defined
under the Federally Recognized Indian Tribe List Act of 1994),
outpatient mental health and addiction treatment centers,
community mental health centers that meet the criteria under
section 1913(c), certified community behavioral health clinics
described in section 223 of the Protecting Access to Medicare
Act of 2014, primary care organizations such as Federally
qualified health centers or rural health clinics as defined in
section 1861(aa) of the Social Security Act, primary health
care practices, other community-based organizations, and other
entities engaging in integrated care activities, as the
Secretary determines appropriate.
``(h) Authorization of Appropriations.--To carry out this section,
there is authorized to be appropriated $60,000,000 for each of fiscal
years 2023 through 2027.''.
Subtitle B--Helping Enable Access to Lifesaving Services
SEC. 311. REAUTHORIZATION AND PROVISION OF CERTAIN PROGRAMS TO
STRENGTHEN THE HEALTH CARE WORKFORCE.
(a) Liability Protections for Health Professional Volunteers.--
Section 224(q)(6) of the Public Health Service Act (42 U.S.C.
233(q)(6)) is amended by striking ``October 1, 2022'' and inserting
``October 1, 2027''.
(b) Minority Fellowships in Crisis Care Management.--Section 597(b)
of the Public Health Service Act (42 U.S.C. 290ll(b)) is amended by
striking ``in the fields of psychiatry,'' and inserting ``in the fields
of crisis care management, psychiatry,''.
(c) 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)(1), by inserting ``(which may include
master's and doctoral level programs)'' after ``occupational
therapy''; and
(2) in subsection (f), by striking ``For each of fiscal
years 2019 through 2023'' and inserting ``For each of fiscal
years 2023 through 2027''.
(d) Training Demonstration Program.--Section 760(g) of the Public
Health Service Act (42 U.S.C. 294k(g)) is amended by inserting ``and
$31,700,000 for each of fiscal years 2023 through 2027'' before the
period at the end.
SEC. 312. REAUTHORIZATION OF MINORITY FELLOWSHIP PROGRAM.
Section 597(c) of the Public Health Service Act (42 U.S.C.
290ll(c)) is amended by striking ``$12,669,000 for each of fiscal years
2018 through 2022'' and inserting ``$25,000,000 for each of fiscal
years 2023 through 2027''.
Subtitle C--Eliminating the Opt-Out for Nonfederal Governmental Health
Plans
SEC. 321. ELIMINATING THE OPT-OUT FOR NONFEDERAL GOVERNMENTAL HEALTH
PLANS.
Section 2722(a)(2) of the Public Health Service Act (42 U.S.C.
300gg-21(a)(2)) is amended by adding at the end the following new
subparagraph:
``(F) Sunset of election option.--
``(i) In general.--Notwithstanding the
preceding provisions of this paragraph--
``(I) no election described in
subparagraph (A) with respect to
section 2726 may be made on or after
the date of the enactment of this
subparagraph; and
``(II) except as provided in clause
(ii), no such election with respect to
section 2726 expiring on or after the
date that is 180 days after the date of
such enactment may be renewed.
``(ii) Exception for certain collectively
bargained plans.--Notwithstanding clause
(i)(II), a plan described in subparagraph
(B)(ii) that is subject to multiple agreements
described in such subparagraph of varying
lengths and that has an election described in
subparagraph (A) with respect to section 2726
in effect as of the date of the enactment of
this subparagraph that expires on or after the
date that is 180 days after the date of such
enactment may extend such election until the
date on which the term of the last such
agreement expires.''.
Subtitle D--Mental Health and Substance Use Disorder Parity
Implementation
SEC. 331. GRANTS TO SUPPORT MENTAL HEALTH AND SUBSTANCE USE DISORDER
PARITY IMPLEMENTATION.
(a) In General.--Section 2794(c) of the Public Health Service Act
(42 U.S.C. 300gg-94(c)) (as added by section 1003 of the Patient
Protection and Affordable Care Act (Public Law 111-148)) is amended by
adding at the end the following:
``(3) Parity implementation.--
``(A) In general.--Beginning during the first
fiscal year that begins after the date of enactment of
this paragraph, the Secretary shall, out of funds made
available pursuant to subparagraph (C), award grants to
eligible States to enforce and ensure compliance with
the mental health and substance use disorder parity
provisions of section 2726.
``(B) Eligible state.--A State shall be eligible
for a grant awarded under this paragraph only if such
State--
``(i) submits to the Secretary an
application for such grant at such time, in
such manner, and containing such information as
specified by the Secretary; and
``(ii) agrees to request and review from
health insurance issuers offering group or
individual health insurance coverage the
comparative analyses and other information
required of such health insurance issuers under
subsection (a)(8)(A) of section 2726 relating
to the design and application of
nonquantitative treatment limitations imposed
on mental health or substance use disorder
benefits.
``(C) Authorization of appropriations.--There are
authorized to be appropriated $10,000,000 for each of
the first five fiscal years beginning after the date of
the enactment of this paragraph, to remain available
until expended, for purposes of awarding grants under
subparagraph (A).''.
(b) Technical Amendment.--Section 2794 of the Public Health Service
Act (42 U.S.C. 300gg-95), as added by section 6603 of the Patient
Protection and Affordable Care Act (Public Law 111-148) is redesignated
as section 2795.
Subtitle E--Improving Emergency Department Mental Health Access,
Services, and Responders
SEC. 341. HELPING EMERGENCY RESPONDERS OVERCOME.
(a) Data System to Capture National Public Safety Officer Suicide
Incidence.--The Public Health Service Act is amended by inserting
before section 318 of such Act (42 U.S.C. 247c) the following:
``SEC. 317V. DATA SYSTEM TO CAPTURE NATIONAL PUBLIC SAFETY OFFICER
SUICIDE INCIDENCE.
``(a) In General.--The Secretary, in coordination with the Director
of the Centers for Disease Control and Prevention and other agencies as
the Secretary determines appropriate, may--
``(1) develop and maintain a data system, to be known as
the Public Safety Officer Suicide Reporting System, for the
purposes of--
``(A) collecting data on the suicide incidence
among public safety officers; and
``(B) facilitating the study of successful
interventions to reduce suicide among public safety
officers; and
``(2) integrate such system into the National Violent Death
Reporting System, so long as the Secretary determines such
integration to be consistent with the purposes described in
paragraph (1).
``(b) Data Collection.--In collecting data for the Public Safety
Officer Suicide Reporting System, the Secretary shall, at a minimum,
collect the following information:
``(1) The total number of suicides in the United States
among all public safety officers in a given calendar year.
``(2) Suicide rates for public safety officers in a given
calendar year, disaggregated by--
``(A) age and gender of the public safety officer;
``(B) State;
``(C) occupation; including both the individual's
role in their public safety agency and their primary
occupation in the case of volunteer public safety
officers;
``(D) where available, the status of the public
safety officer as volunteer, paid-on-call, or career;
and
``(E) status of the public safety officer as active
or retired.
``(c) Consultation During Development.--In developing the Public
Safety Officer Suicide Reporting System, the Secretary shall consult
with non-Federal experts to determine the best means to collect data
regarding suicide incidence in a safe, sensitive, anonymous, and
effective manner. Such non-Federal experts shall include, as
appropriate, the following:
``(1) Public health experts with experience in developing
and maintaining suicide registries.
``(2) Organizations that track suicide among public safety
officers.
``(3) Mental health experts with experience in studying
suicide and other profession-related traumatic stress.
``(4) Clinicians with experience in diagnosing and treating
mental health issues.
``(5) Active and retired volunteer, paid-on-call, and
career public safety officers.
``(6) Relevant national police, and fire and emergency
medical services, organizations.
``(d) Data Privacy and Security.--In developing and maintaining the
Public Safety Officer Suicide Reporting System, the Secretary shall
ensure that all applicable Federal privacy and security protections are
followed to ensure that--
``(1) the confidentiality and anonymity of suicide victims
and their families are protected, including so as to ensure
that data cannot be used to deny benefits; and
``(2) data is sufficiently secure to prevent unauthorized
access.
``(e) Reporting.--
``(1) Annual report.--Not later than 2 years after the date
of enactment of the Restoring Hope for Mental Health and Well-
Being Act of 2022, and biannually thereafter, the Secretary
shall submit a report to the Congress on the suicide incidence
among public safety officers. Each such report shall--
``(A) include the number and rate of such suicide
incidence, disaggregated by age, gender, and State of
employment;
``(B) identify characteristics and contributing
circumstances for suicide among public safety officers;
``(C) disaggregate rates of suicide by--
``(i) occupation;
``(ii) status as volunteer, paid-on-call,
or career; and
``(iii) status as active or retired;
``(D) include recommendations for further study
regarding the suicide incidence among public safety
officers;
``(E) specify in detail, if found, any obstacles in
collecting suicide rates for volunteers and include
recommended improvements to overcome such obstacles;
``(F) identify options for interventions to reduce
suicide among public safety officers; and
``(G) describe procedures to ensure the
confidentiality and anonymity of suicide victims and
their families, as described in subsection (d)(1).
``(2) Public availability.--Upon the submission of each
report to the Congress under paragraph (1), the Secretary shall
make the full report publicly available on the website of the
Centers for Disease Control and Prevention.
``(f) Definition.--In this section, the term `public safety
officer' means--
``(1) a public safety officer as defined in section 1204 of
the Omnibus Crime Control and Safe Streets Act of 1968; or
``(2) a public safety telecommunicator as described in
detailed occupation 43-5031 in the Standard Occupational
Classification Manual of the Office of Management and Budget
(2018).
``(g) Prohibited Use of Information.--Notwithstanding any other
provision of law, if an individual is identified as deceased based on
information contained in the Public Safety Officer Suicide Reporting
System, such information may not be used to deny or rescind life
insurance payments or other benefits to a survivor of the deceased
individual.''.
(b) Peer-support Behavioral Health and Wellness Programs Within
Fire Departments and Emergency Medical Service Agencies.--
(1) In general.--Part B of title III of the Public Health
Service Act (42 U.S.C. 243 et seq.) is amended by adding at the
end the following:
``SEC. 320C. PEER-SUPPORT BEHAVIORAL HEALTH AND WELLNESS PROGRAMS
WITHIN FIRE DEPARTMENTS AND EMERGENCY MEDICAL SERVICE
AGENCIES.
``(a) In General.--The Secretary may award grants to eligible
entities for the purpose of establishing or enhancing peer-support
behavioral health and wellness programs within fire departments and
emergency medical services agencies.
``(b) Program Description.--A peer-support behavioral health and
wellness program funded under this section shall--
``(1) use career and volunteer members of fire departments
or emergency medical services agencies to serve as peer
counselors;
``(2) provide training to members of career, volunteer, and
combination fire departments or emergency medical service
agencies to serve as such peer counselors;
``(3) purchase materials to be used exclusively to provide
such training; and
``(4) disseminate such information and materials as are
necessary to conduct the program.
``(c) Definition.--In this section:
``(1) The term `eligible entity' means a nonprofit
organization with expertise and experience with respect to the
health and life safety of members of fire and emergency medical
services agencies.
``(2) The term `member'--
``(A) with respect to an emergency medical services
agency, means an employee, regardless of rank or
whether the employee receives compensation (as defined
in section 1204(7) of the Omnibus Crime Control and
Safe Streets Act of 1968); and
``(B) with respect to a fire department, means any
employee, regardless of rank or whether the employee
receives compensation, of a Federal, State, Tribal, or
local fire department who is responsible for responding
to calls for emergency service.''.
(2) Technical correction.--Effective as if included in the
enactment of the Children's Health Act of 2000 (Public Law 106-
310), the amendment instruction in section 1603 of such Act is
amended by striking ``Part B of the Public Health Service Act''
and inserting ``Part B of title III of the Public Health
Service Act''.
(c) Health Care Provider Behavioral Health and Wellness Programs.--
Part B of title III of the Public Health Service Act (42 U.S.C. 243 et
seq.), as amended by subsection (b)(1), is further amended by adding at
the end the following:
``SEC. 320D. HEALTH CARE PROVIDER BEHAVIORAL HEALTH AND WELLNESS
PROGRAMS.
``(a) In General.--The Secretary may award grants to eligible
entities for the purpose of establishing or enhancing behavioral health
and wellness programs for health care providers.
``(b) Program Description.--A behavioral health and wellness
program funded under this section shall--
``(1) provide confidential support services for health care
providers to help handle stressful or traumatic patient-related
events, including counseling services and wellness seminars;
``(2) provide training to health care providers to serve as
peer counselors to other health care providers;
``(3) purchase materials to be used exclusively to provide
such training; and
``(4) disseminate such information and materials as are
necessary to conduct such training and provide such peer
counseling.
``(c) Definitions.--In this section, the term `eligible entity'
means a hospital, including a critical access hospital (as defined in
section 1861(mm)(1) of the Social Security Act) or a disproportionate
share hospital (as defined under section 1923(a)(1)(A) of such Act), a
Federally-qualified health center (as defined in section 1905(1)(2)(B)
of such Act), or any other health care facility.''.
(d) Development of Resources for Educating Mental Health
Professionals About Treating Fire Fighters and Emergency Medical
Services Personnel.--
(1) In general.--The Secretary of Health and Human Services
shall develop and make publicly available resources that may be
used by the Federal Government and other entities to educate
mental health professionals about--
(A) the culture of Federal, State, Tribal, and
local career, volunteer, and combination fire
departments and emergency medical services agencies;
(B) the different stressors experienced by
firefighters and emergency medical services personnel,
supervisory firefighters and emergency medical services
personnel, and chief officers of fire departments and
emergency medical services agencies;
(C) challenges encountered by retired firefighters
and emergency medical services personnel; and
(D) evidence-based therapies for mental health
issues common to firefighters and emergency medical
services personnel within such departments and
agencies.
(2) Consultation.--In developing resources under paragraph
(1), the Secretary of Health and Human Services shall consult
with national fire and emergency medical services
organizations.
(3) Definitions.--In this subsection:
(A) The term ``firefighter'' means any employee,
regardless of rank or whether the employee receives
compensation, of a Federal, State, Tribal, or local
fire department who is responsible for responding to
calls for emergency service.
(B) The term ``emergency medical services
personnel'' means any employee, regardless of rank or
whether the employee receives compensation, as defined
in section 1204(7) of the Omnibus Crime Control and
Safe Streets Act of 1968 (34 U.S.C. 10284(7)).
(C) The term ``chief officer'' means any individual
who is responsible for the overall operation of a fire
department or an emergency medical services agency,
irrespective of whether such individual also serves as
a firefighter or emergency medical services personnel.
(e) Best Practices and Other Resources for Addressing Posttraumatic
Stress Disorder in Public Safety Officers.--
(1) Development; updates.--The Secretary of Health and
Human Services shall--
(A) develop and assemble evidence-based best
practices and other resources to identify, prevent, and
treat posttraumatic stress disorder and co-occurring
disorders in public safety officers; and
(B) reassess and update, as the Secretary
determines necessary, such best practices and
resources, including based upon the options for
interventions to reduce suicide among public safety
officers identified in the annual reports required by
section 317V(e)(1)(F) of the Public Health Service Act,
as added by subsection (a).
(2) Consultation.--In developing, assembling, and updating
the best practices and resources under paragraph (1), the
Secretary of Health and Human Services shall consult with, at a
minimum, the following:
(A) Public health experts.
(B) Mental health experts with experience in
studying suicide and other profession-related traumatic
stress.
(C) Clinicians with experience in diagnosing and
treating mental health issues.
(D) Relevant national police, fire, and emergency
medical services organizations.
(3) Availability.--The Secretary of Health and Human
Services shall make the best practices and resources under
paragraph (1) available to Federal, State, and local fire, law
enforcement, and emergency medical services agencies.
(4) Federal training and development programs.--The
Secretary of Health and Human Services shall work with Federal
departments and agencies, including the United States Fire
Administration, to incorporate education and training on the
best practices and resources under paragraph (1) into Federal
training and development programs for public safety officers.
(5) Definition.--In this subsection, the term ``public
safety officer'' means--
(A) a public safety officer as defined in section
1204 of the Omnibus Crime Control and Safe Streets Act
of 1968 (34 U.S.C. 10284); or
(B) a public safety telecommunicator as described
in detailed occupation 43-5031 in the Standard
Occupational Classification Manual of the Office of
Management and Budget (2018).
Subtitle F--Other Provisions
SEC. 351. REPORT ON LAW ENFORCEMENT MENTAL HEALTH AND WELLNESS.
(a) In General.--Not later than 270 days after the date of
enactment of this Act, the Attorney General, in consultation with the
Director of the Federal Bureau of Investigation, the Director of the
National Institute for Justice, and the Assistant Secretary for Mental
Health and Substance Abuse, shall submit to the Committee on Health,
Education, Labor, and Pensions and the Committee on the Judiciary of
the Senate and the Committee on Energy and Commerce and the Committee
on the Judiciary of the House of Representatives a report on--
(1) the types, frequency, and severity of mental health and
stress-related responses of law enforcement officers to
aggressive actions or other trauma-inducing incidents against
law enforcement officers;
(2) mental health and stress-related resources or programs
that are available to law enforcement officers at the Federal,
State, and local level, including peer-to-peer programs;
(3) the extent to which law enforcement officers use the
resources or programs described in paragraph (2);
(4) the availability of, or need for, mental health
screening within Federal, State, and local law enforcement
agencies; and
(5) recommendations for Federal, State, and local law
enforcement agencies to improve the mental health and wellness
of their officers.
(b) Development.--In developing the report required under
subsection (a), the Attorney General, the Director of the Federal
Bureau of Investigation, the Director of the National Institute of
Justice, and the Assistant Secretary for Mental Health and Substance
Abuse shall consult relevant stakeholders, including--
(1) Federal, State, Tribal and local law enforcement
agencies; and
(2) nongovernmental organizations, international
organizations, academies, or other entities.
TITLE IV--CHILDREN AND YOUTH
Subtitle A--Supporting Children's Mental Health Care Access
SEC. 401. PEDIATRIC MENTAL HEALTH CARE ACCESS GRANTS.
Section 330M of the Public Health Service Act (42 U.S.C. 254c-19)
is amended--
(1) in the section enumerator, by striking ``330M'' and
inserting ``330M.'';
(2) in subsection (a)--
(A) by striking ``Indian tribes and tribal
organizations'' and inserting ``Indian Tribes and
Tribal organizations''; and
(B) by inserting ``or, in the case of a State that
does not submit an application, a nonprofit entity that
has the support of the State'' after ``450b))'';
(3) in subsection (b)--
(A) in paragraph (1)--
(i) in subparagraph (G), by inserting
``developmental-behavioral pediatricians,''
after ``adolescent psychiatrists,'';
(ii) in subparagraph (H), by striking ``;
and'' at the end and inserting a semicolon;
(iii) by redesignating subparagraph (I) as
subparagraph (J); and
(iv) by inserting after subparagraph (H)
the following:
``(I) maintain an up-to-date list of community-
based supports for children with mental health
problems; and'';
(B) by redesignating paragraph (2) as paragraph
(4);
(C) by inserting after paragraph (1) the following:
``(2) Support to schools and emergency departments.--In
addition to the activities required by paragraph (1), a
pediatric mental health care telehealth access program referred
to in subsection (a), with respect to which a grant under such
subsection may be used, may provide support to schools and
emergency departments.
``(3) Priority.--In awarding grants under this section, the
Secretary shall give priority to applicants proposing to--
``(A) continue existing programs that meet the
requirements of paragraph (1);
``(B) establish a pediatric mental health care
telehealth access program in the jurisdiction of a
State, Territory, Indian Tribe, or Tribal organization
that does not yet have such a program; or
``(C) expand a pediatric mental health care
telehealth access program to include one or more new
sites of care, such as a school or emergency
department.''; and
(D) in paragraph (4), as redesignated by
subparagraph (B), by inserting ``Such a team may
include a developmental-behavioral pediatrician.''
after ``mental health counselor.'';
(4) in subsections (c), (d), and (f), by striking ``Indian
tribe, or tribal organization'' each place it appears and
inserting ``Indian Tribe, Tribal organization, or nonprofit
entity''; and
(5) by striking subsection (g) and inserting the following:
``(g) Technical Assistance.--The Secretary shall award grants or
contracts to one or more eligible entities (as defined by the
Secretary) for the purposes of providing technical assistance and
evaluation support to grantees under subsection (a).
``(h) Authorization of Appropriations.--To carry out this section,
there are authorized to be appropriated--
``(1) $14,000,000 for each of fiscal years 2023 through
2025; and
``(2) $30,000,000 for each of fiscal years 2026 through
2027.''.
SEC. 402. INFANT AND EARLY CHILDHOOD MENTAL HEALTH PROMOTION,
INTERVENTION, AND TREATMENT.
Section 399Z-2(f) of the Public Health Service Act (42 U.S.C. 280h-
6(f)) is amended by striking ``$20,000,000 for the period of fiscal
years 2018 through 2022'' and inserting ``$50,000,000 for the period of
fiscal years 2023 through 2027''.
SEC. 403. SCHOOL-BASED MENTAL HEALTH; CHILDREN AND ADOLESCENTS.
(a) Technical Amendments.--The second part G (relating to services
provided through religious organizations) of title V of the Public
Health Service Act (42 U.S.C. 290kk et seq.) is amended--
(1) by redesignating such part as part J; and
(2) by redesignating sections 581 through 584 as sections
596 through 596C, respectively.
(b) School-Based Mental Health and Children.--Section 581 of the
Public Health Service Act (42 U.S.C. 290hh) (relating to children and
violence) is amended to read as follows:
``SEC. 581. SCHOOL-BASED MENTAL HEALTH; CHILDREN AND ADOLESCENTS.
``(a) In General.--The Secretary, in consultation with the
Secretary of Education, shall, through grants, contracts, or
cooperative agreements awarded to eligible entities described in
subsection (c), provide comprehensive school-based mental health
services and supports to assist children in local communities and
schools (including schools funded by the Bureau of Indian Education)
dealing with traumatic experiences, grief, bereavement, risk of
suicide, and violence. Such services and supports shall be--
``(1) developmentally, linguistically, and culturally
appropriate;
``(2) trauma-informed; and
``(3) incorporate positive behavioral interventions and
supports.
``(b) Activities.--Grants, contracts, or cooperative agreements
awarded under subsection (a), shall, as appropriate, be used for--
``(1) implementation of school and community-based mental
health programs that--
``(A) build awareness of individual trauma and the
intergenerational, continuum of impacts of trauma on
populations;
``(B) train appropriate staff to identify, and
screen for, signs of trauma exposure, mental health
disorders, or risk of suicide; and
``(C) incorporate positive behavioral
interventions, family engagement, student treatment,
and multigenerational supports to foster the health and
development of children, prevent mental health
disorders, and ameliorate the impact of trauma;
``(2) technical assistance to local communities with
respect to the development of programs described in paragraph
(1);
``(3) facilitating community partnerships among families,
students, law enforcement agencies, education agencies, mental
health and substance use disorder service systems, family-based
mental health service systems, child welfare agencies, health
care providers (including primary care physicians, mental
health professionals, and other professionals who specialize in
children's mental health such as child and adolescent
psychiatrists), institutions of higher education, faith-based
programs, trauma networks, and other community-based systems to
address child and adolescent trauma, mental health issues, and
violence; and
``(4) establishing mechanisms for children and adolescents
to report incidents of violence or plans by other children,
adolescents, or adults to commit violence.
``(c) Requirements.--
``(1) In general.--To be eligible for a grant, contract, or
cooperative agreement under subsection (a), an entity shall be
a partnership that includes--
``(A) a State educational agency, as defined in
section 8101 of the Elementary and Secondary Education
Act of 1965, in coordination with one or more local
educational agencies, as defined in section 8101 of the
Elementary and Secondary Education Act of 1965, or a
consortium of any entities described in subparagraph
(B), (C), (D), or (E) of section 8101(30) of such Act;
and
``(B) at least 1 community-based mental health
provider, including a public or private mental health
entity, health care entity, family-based mental health
entity, trauma network, or other community-based
entity, as determined by the Secretary (and which may
include additional entities such as a human services
agency, law enforcement or juvenile justice entity,
child welfare agency, agency, an institution of higher
education, or another entity, as determined by the
Secretary).
``(2) Compliance with hipaa.--Any patient records developed
by covered entities through activities under the grant shall
meet the regulations promulgated under section 264(c) of the
Health Insurance Portability and Accountability Act of 1996.
``(3) Compliance with ferpa.--Section 444 of the General
Education Provisions Act (commonly known as the `Family
Educational Rights and Privacy Act of 1974') shall apply to any
entity that is a member of the partnership in the same manner
that such section applies to an educational agency or
institution (as that term is defined in such section).
``(d) Geographical Distribution.--The Secretary shall ensure that
grants, contracts, or cooperative agreements under subsection (a) will
be distributed equitably among the regions of the country and among
urban and rural areas.
``(e) Duration of Awards.--With respect to a grant, contract, or
cooperative agreement under subsection (a), the period during which
payments under such an award will be made to the recipient shall be 5
years, with options for renewal.
``(f) Evaluation and Measures of Outcomes.--
``(1) Development of process.--The Assistant Secretary
shall develop a fiscally appropriate process for evaluating
activities carried out under this section. Such process shall
include--
``(A) the development of guidelines for the
submission of program data by grant, contract, or
cooperative agreement recipients;
``(B) the development of measures of outcomes (in
accordance with paragraph (2)) to be applied by such
recipients in evaluating programs carried out under
this section; and
``(C) the submission of annual reports by such
recipients concerning the effectiveness of programs
carried out under this section.
``(2) Measures of outcomes.--The Assistant Secretary shall
develop measures of outcomes to be applied by recipients of
assistance under this section to evaluate the effectiveness of
programs carried out under this section, including outcomes
related to the student, family, and local educational systems
supported by this Act.
``(3) Submission of annual data.--An eligible entity
described in subsection (c) that receives a grant, contract, or
cooperative agreement under this section shall annually submit
to the Assistant Secretary a report that includes data to
evaluate the success of the program carried out by the entity
based on whether such program is achieving the purposes of the
program. Such reports shall utilize the measures of outcomes
under paragraph (2) in a reasonable manner to demonstrate the
progress of the program in achieving such purposes.
``(4) Evaluation by assistant secretary.--Based on the data
submitted under paragraph (3), the Assistant Secretary shall
annually submit to Congress a report concerning the results and
effectiveness of the programs carried out with assistance
received under this section.
``(5) Limitation.--An eligible entity shall use not more
than 20 percent of amounts received under a grant under this
section to carry out evaluation activities under this
subsection.
``(g) Information and Education.--The Secretary shall disseminate
best practices based on the findings of the knowledge development and
application under this section.
``(h) Amount of Grants and Authorization of Appropriations.--
``(1) Amount of grants.--A grant under this section shall
be in an amount that is not more than $2,000,000 for each of
the first 5 fiscal years following the date of enactment of the
Restoring Hope for Mental Health and Well-Being Act of 2022.
The Secretary shall determine the amount of each such grant
based on the population of children up to age 21 of the area to
be served under the grant.
``(2) Authorization of appropriations.--There is authorized
to be appropriated to carry out this section, $130,000,000 for
each of fiscal years 2023 through 2027.''.
(c) Conforming Amendment.--Part G of title V of the Public Health
Service Act (42 U.S.C. 290hh et seq.), as amended by subsection (b), is
further amended by striking the part designation and heading and
inserting the following:
``PART G--SCHOOL-BASED MENTAL HEALTH''.
SEC. 404. CO-OCCURRING CHRONIC CONDITIONS AND MENTAL HEALTH IN YOUTH
STUDY.
Not later than 12 months after the date of enactment of this Act,
the Secretary of Health and Human Services shall--
(1) complete a study on the rates of suicidal behaviors
among children and adolescents with chronic illnesses,
including substance use disorders, autoimmune disorders, and
heritable blood disorders; and
(2) submit a report to the Congress on the results of such
study, including recommendations for early intervention
services for such children and adolescents at risk of suicide,
the dissemination of best practices to support the emotional
and mental health needs of youth, and strategies to lower the
rates of suicidal behaviors in children and adolescents
described in paragraph (1) to reduce any demographic
disparities in such rates.
SEC. 405. BEST PRACTICES FOR BEHAVIORAL INTERVENTION TEAMS.
The Public Health Service Act is amended by inserting after section
520H of such Act, as added by section 151, the following new section:
``SEC. 520I. BEST PRACTICES FOR BEHAVIORAL INTERVENTION TEAMS.
``(a) In General.--The Secretary shall identify and facilitate the
development of best practices to assist elementary schools, secondary
schools, and institutions of higher education in establishing and using
behavioral intervention teams.
``(b) Elements.--The best practices under subsection (a)(1) shall
include guidance on the following:
``(1) How behavioral intervention teams can operate
effectively from an evidence-based, objective perspective while
protecting the constitutional and civil rights of individuals.
``(2) The use of behavioral intervention teams to identify
concerning behaviors, implement interventions, and manage risk
through the framework of the school's or institution's rules or
code of conduct, as applicable.
``(3) How behavioral intervention teams can, when assessing
an individual--
``(A) access training on evidence-based, threat-
assessment rubrics;
``(B) ensure that such teams--
``(i) have trained, diverse stakeholders
with varied expertise; and
``(ii) use cross validation by a wide-range
of individual perspectives on the team; and
``(C) use violence risk assessment.
``(4) How behavioral intervention teams can help mitigate--
``(A) inappropriate use of a mental health
assessment;
``(B) inappropriate limitations or restrictions on
law enforcement's jurisdiction over criminal matters;
``(C) attempts to substitute the behavioral
intervention process in place of a criminal process, or
impede a criminal process, when an individual's
behavior has potential criminal implications;
``(D) endangerment of an individual's privacy by
failing to ensure that all applicable Federal and State
privacy laws are fully complied with; or
``(E) inappropriate referrals to, or involvement
of, law enforcement when an individual's behavior does
not warrant a criminal response.
``(c) Consultation.--In carrying out subsection (a)(1), the
Secretary shall consult with--
``(1) the Secretary of Education;
``(2) the Director of the National Threat Assessment Center
of the United States Secretary Service;
``(3) the Attorney General and the Director of the Bureau
of Justice Assistance;
``(4) teachers and other educators, principals, school
administrators, school board members, school psychologists,
mental health professionals, and parents of students;
``(5) local law enforcement agencies and campus law
enforcement administrators;
``(6) privacy experts; and
``(7) other education and mental health professionals as
the Secretary deems appropriate.
``(d) Publication.--Not later than 2 years after the date of
enactment of this section, the Secretary shall publish the best
practices under subsection (a)(1) on the internet website of the
Department of Health and Human Services.
``(e) Technical Assistance.--The Secretary shall provide technical
assistance to institutions of higher education, elementary schools, and
secondary schools to assist such institutions and schools in
implementing the best practices under subsection (a).
``(f) Definitions.--In this section:
``(1) The term `behavioral intervention team' means a team
of qualified individuals who--
``(A) are responsible for identifying and assessing
individuals exhibiting concerning behaviors,
experiencing distress, or who are at risk of harm to
self or others;
``(B) develop and facilitate implementation of
evidence-based interventions to mitigate the threat of
harm to self or others posed by an individual and
address the mental and behavioral health needs of
individuals to reduce risk; and
``(C) provide information to students, parents, and
school employees on recognizing behavior described in
this subsection.
``(2) The terms `elementary school', `parent', and
`secondary school' have the meanings given to such terms in
section 8101 of the Elementary and Secondary Education Act of
1965.
``(3) The term `institution of higher education' has the
meaning given to such term in section 102 of the Higher
Education Act of 1965.
``(4) The term `mental health assessment' means an
evaluation, primarily focused on diagnosis, determining the
need for involuntary commitment, medication management, and on-
going treatment recommendations.
``(5) The term `violence risk assessment' means a broad
determination of the potential risk of violence based on
evidence-based literature.''.
Subtitle B--Continuing Systems of Care for Children
SEC. 411. COMPREHENSIVE COMMUNITY MENTAL HEALTH SERVICES FOR CHILDREN
WITH SERIOUS EMOTIONAL DISTURBANCES.
(a) Definition of Family.--Section 565(d)(2)(B) of the Public
Health Service Act (42 U.S.C. 290ff-4(d)(2)(B)) is amended by striking
``as appropriate regarding mental health services for the child, the
parents of the child (biological or adoptive, as the case may be) and
any foster parents of the child'' and inserting ``as appropriate
regarding mental health services for the child and the parents or
kinship caregivers of the child''.
(b) Authorization of Appropriations.--Paragraph (1) of section
565(f) of the Public Health Service Act (42 U.S.C. 290ff-4(f)) is
amended--
(1) by moving the margin of such paragraph 2 ems to the
right; and
(2) by striking ``$119,026,000 for each of fiscal years
2018 through 2022'' and inserting ``$125,000,000 for each of
fiscal years 2023 through 2027''.
SEC. 412. SUBSTANCE USE DISORDER TREATMENT AND EARLY INTERVENTION
SERVICES FOR CHILDREN AND ADOLESCENTS.
Section 514 of the Public Health Service Act (42 U.S.C. 290bb-7) is
amended--
(1) in subsection (a), by striking ``Indian tribes or
tribal organizations'' and inserting ``Indian Tribes or Tribal
organizations''; and
(2) in subsection (f), by striking ``2018 through 2022''
and inserting ``2023 through 2027''.
Subtitle C--Garrett Lee Smith Memorial Reauthorization
SEC. 421. SUICIDE PREVENTION TECHNICAL ASSISTANCE CENTER.
(a) Technical Amendment.--Section 520C of the Public Health Service
Act (42 U.S.C. 290bb-34) is amended--
(1) by striking ``tribes'' and inserting ``Tribes''; and
(2) by striking ``tribal'' each place it appears and
inserting ``Tribal''.
(b) Authorization of Appropriations.--Section 520C(c) of the Public
Health Service Act (42 U.S.C. 290bb-34(c)) is amended by striking
``$5,988,000 for each of fiscal years 2018 through 2022'' and inserting
``$9,000,000 for each of fiscal years 2023 through 2027''.
(c) Annual Report.--Section 520C(d) of the Public Health Service
Act (42 U.S.C. 290bb-34(d)) is amended by striking ``Not later than 2
years after the date of enactment of this subsection'' and inserting
``Not later than 2 years after the date of enactment of the Restoring
Hope for Mental Health and Well-Being Act of 2022''.
SEC. 422. YOUTH SUICIDE EARLY INTERVENTION AND PREVENTION STRATEGIES.
Section 520E of the Public Health Service Act (42 U.S.C. 290bb-36)
is amended--
(1) by striking ``tribe'' and inserting ``Tribe'';
(2) by striking ``tribal'' each place it appears and
inserting ``Tribal'';
(3) in subsection (a)(1), by inserting ``pediatric health
programs,'' after ``foster care systems,'';
(4) by amending subsection (b)(1)(B) to read as follows:
``(B) a public organization or private nonprofit
organization designated by a State or Indian Tribe (as
defined under the Federally Recognized Indian Tribe
List Act of 1994) to develop or direct the State-
sponsored statewide or Tribal youth suicide early
intervention and prevention strategy; or'';
(5) in subsection (c)--
(A) in paragraph (1), by inserting ``pediatric
health programs,'' after ``foster care systems,'';
(B) in paragraph (7), by inserting ``pediatric
health programs,'' after ``foster care systems,'';
(C) in paragraph (9), by inserting ``pediatric
health programs,'' after ``educational institutions,'';
(D) in paragraph (13), by striking ``and'' at the
end;
(E) in paragraph (14), by striking the period at
the end and inserting ``; and''; and
(F) by adding at the end the following:
``(15) provide to parents, legal guardians, and family
members of youth, supplies to securely store means commonly
used in suicide, if applicable, within the household.'';
(6) in subsection (d)--
(A) in the heading, by striking ``Direct Services''
and inserting ``Suicide Prevention Activities''; and
(B) by striking ``direct services, of which not
less than 5 percent shall be used for activities
authorized under subsection (a)(3)'' and inserting
``suicide prevention activities'';
(7) in subsection (e)(3)(A), by inserting ``and Department
of Education'' after ``Department of Health and Human
Services'';
(8) in subsection (g)--
(A) in paragraph (1), by striking ``18'' and
inserting ``24''; and
(B) in paragraph (2), by striking ``2 years after
the date of enactment of Helping Families in Mental
Health Crisis Reform Act of 2016'' and inserting ``3
years after December 31, 2022'';
(9) in subsection (l)(4), by striking ``between 10 and 24
years of age'' and inserting ``up to 24 years of age''; and
(10) in subsection (m), by striking ``$30,000,000 for each
of fiscal years 2018 through 2022'' and inserting ``$40,000,000
for each of fiscal years 2023 through 2027''.
SEC. 423. MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES FOR
STUDENTS IN HIGHER EDUCATION.
Section 520E-2 of the Public Health Service Act (42 U.S.C. 290bb-
36b) is amended--
(1) in the heading, by striking ``on campus'' and inserting
``for students in higher education''; and
(2) in subsection (i), by striking ``2018 through 2022''
and inserting ``2023 through 2027''.
SEC. 424. MENTAL AND BEHAVIORAL HEALTH OUTREACH AND EDUCATION AT
INSTITUTIONS OF HIGHER EDUCATION.
Section 549 of the Public Health Service Act (42 U.S.C. 290ee-4) is
amended--
(1) in the heading, by striking ``on college campuses'' and
inserting ``at institutions of higher education'';
(2) in subsection (c)(2), by inserting ``, including
minority-serving institutions as described in section 371(a) of
the Higher Education Act of 1965 (20 U.S.C. 1067q) and
community colleges'' after ``higher education''; and
(3) in subsection (f), by striking ``2018 through 2022''
and inserting ``2023 through 2027''.
Subtitle D--Media and Mental Health
SEC. 431. STUDY ON THE EFFECTS OF SMARTPHONE AND SOCIAL MEDIA USE ON
ADOLESCENTS.
(a) In General.--Not later than 1 year after the date of enactment
of this Act, the Secretary of Health and Human Services shall conduct
or support research on--
(1) smartphone and social media use by adolescents; and
(2) the effects of such use on--
(A) emotional, behavioral, and physical health and
development; and
(B) any disparities in the mental health outcomes
of rural, minority, and other underserved populations.
(b) Report.--Not later than 5 years after the date of enactment of
this Act, the Secretary of Health and Human Services shall submit to
the Congress, and make publicly available, a report on the findings of
research under this section.
SEC. 432. RESEARCH ON THE HEALTH AND DEVELOPMENT EFFECTS OF MEDIA ON
INFANTS, CHILDREN, AND ADOLESCENTS.
Subpart 7 of part C of title IV of the Public Health Service Act
(42 U.S.C. 285g et seq.) is amended by adding at the end the following:
``SEC. 452H. RESEARCH ON THE HEALTH AND DEVELOPMENT EFFECTS OF MEDIA ON
INFANTS, CHILDREN, AND ADOLESCENTS.
``(a) In General.--The Director of the National Institutes of
Health, in coordination with or acting through the Director of the
Institute, shall conduct and support research and related activities
concerning the health and developmental effects of media on infants,
children, and adolescents, which may include the positive and negative
effects of exposure to and use of media, such as social media,
applications, websites, television, motion pictures, artificial
intelligence, mobile devices, computers, video games, virtual and
augmented reality, and other media formats as they become available.
Such research shall attempt to better understand the relationships
between media and technology use and individual differences and
characteristics of children and shall include longitudinally designed
studies to assess the impact of media on youth over time. Such research
shall include consideration of core areas of child and adolescent
health and development including the following:
``(1) Cognitive.--The role and impact of media use and
exposure in the development of children and adolescents within
such cognitive areas as language development, executive
functioning, attention, creative problem solving skills, visual
and spatial skills, literacy, critical thinking, and other
learning abilities, and the impact of early technology use on
developmental trajectories.
``(2) Physical.--The role and impact of media use and
exposure on children's and adolescent's physical development
and health behaviors, including diet, exercise, sleeping and
eating routines, and other areas of physical development.
``(3) Socio-emotional.--The role and impact of media use
and exposure on children's and adolescents' social-emotional
competencies, including self-awareness, self-regulation, social
awareness, relationship skills, empathy, distress tolerance,
perception of social cues, awareness of one's relationship with
the media, and decision-making, as well as outcomes such as
violations of privacy, perpetration of or exposure to violence,
bullying or other forms of aggression, depression, anxiety,
substance use, misuse or disorder, and suicidal ideation/
behavior and self-harm.
``(b) Developing Research Agenda.--The Director of the National
Institutes of Health, in consultation with the Director of the
Institute, other appropriate national research institutes, academies,
and centers, the Trans-NIH Pediatric Research Consortium, and non-
Federal experts as needed, shall develop a research agenda on the
health and developmental effects of media on infants, children, and
adolescents to inform research activities under subsection (a). In
developing such research agenda, the Director may use whatever means
necessary (such as scientific workshops and literature reviews) to
assess current knowledge and research gaps in this area.
``(c) Research Program.--In coordination with the Institute and
other national research institutes and centers, and utilizing the
National Institutes of Health's process of scientific peer review, the
Director of the National Institutes of Health shall fund an expanded
research program on the health and developmental effects of media on
infants, children, and adolescents.
``(d) Report to Congress.--Not later than 1 year after the date of
enactment of this Act, the Director of the National Institutes of
Health shall submit a report to Congress on the progress made in
gathering data and expanding research on the health and developmental
effects of media on infants, children, and adolescents in accordance
with this section. Such report shall summarize the grants and research
funded, by year, under this section.''.
TITLE V--MEDICAID AND CHIP
SEC. 501. MEDICAID AND CHIP REQUIREMENTS FOR HEALTH SCREENINGS AND
REFERRALS FOR ELIGIBLE JUVENILES IN PUBLIC INSTITUTIONS.
(a) Medicaid State Plan Requirement.--Section 1902 of the Social
Security Act (42 U.S.C. 1396a) is amended--
(1) in subsection (a)(84)--
(A) in subparagraph (A), by inserting ``, subject
to subparagraph (D),'' after ``but'';
(B) in subparagraph (B), by striking ``and'' at the
end;
(C) in subparagraph (C), by adding ``and'' at the
end; and
(D) by adding at the end the following new
subparagraph:
``(D) beginning on the first day of the first
calendar quarter that begins two years after the date
of enactment of this subparagraph, in the case of
individuals who are eligible juveniles described in
subsection (nn)(2), are within 30 days of the date on
which such eligible juvenile is scheduled to be
released from a public institution following
adjudication, the State shall have in place a plan to
ensure, and in accordance with such plan, provide--
``(i) for, in the 30 days prior to the
release of such an eligible juvenile from such
public institution (or not later than one week
after release from the public institution), and
in coordination with such institution--
``(I) any screening or diagnostic
service which meets reasonable
standards of medical and dental
practice, as determined by the State,
or as indicated as medically necessary,
in accordance with paragraphs (1)(A)
and (5) of section 1905(r); and
``(II) a mental health or other
behavioral health screening that is a
screening service described under
section 1905(r)(1), or a diagnostic
service described under paragraph (5)
of such section, if such screening or
diagnostic service was not otherwise
conducted pursuant to this clause;
``(ii) for, not later than one week after
release from the public institution, referrals
for such eligible juvenile to the appropriate
care and services available under the State
plan (or waiver of such plan) in the geographic
region of the home or residence of such
eligible juvenile, based on such screenings;
and
``(iii) for, following the release of such
eligible juvenile from such institution, not
less than 30 days of targeted case management
services furnished by a provider in the
geographic region of the home or residence of
such eligible juvenile.''; and
(2) in subsection (nn)(3), by striking ``(30)'' and
inserting ``(31)''.
(b) Authorization of Federal Financial Participation.--The
subdivision (A) of section 1905(a) of the Social Security Act (42
U.S.C. 1396d(a)) following paragraph (31) of such section is amended by
inserting ``, or in the case of an eligible juvenile described in
section 1902(a)(84)(D) with respect to the screenings, diagnostic
services, referrals, and case management required under such
subparagraph (D)'' after ``(except as a patient in a medical
institution''.
(c) CHIP Conforming Amendments.--
(1) Section 2103(c) of the Social Security Act (42 U.S.C.
1397cc(c)) is amended by adding at the end the following new
paragraph:
``(12) Required coverage of screenings, diagnostic
services, referrals, and case management for certain inmates
pre-release.--With respect to individuals described in section
2110(b)(7), the State shall provide screenings, diagnostic
services, referrals, and case management otherwise covered
under the State child health plan (or waiver of such plan)
during the period described in such section with respect to
such screenings, services, referrals, and case management.''.
(2) Section 2110(b) of the Social Security Act (42 U.S.C.
1397jj(b)) is amended--
(A) in paragraph (2)(A), by inserting ``except as
provided in paragraph (7),'' before ``a child who is an
inmate of a public institution''; and
(B) by adding at the end the following new
paragraph:
``(7) Exception to exclusion of children who are inmates of
a public institution.--A child shall not be considered to be
described in paragraph (2)(A) if such child is an eligible
juvenile (as described in section 1902(a)(84)(D)) with respect
to the screenings, diagnostic services, referrals, and case
management otherwise covered under the State child health plan
(or waiver of such plan) during the period with respect to
which such screenings, services, referrals, and case management
is respectively required under such section.''.
SEC. 502. GUIDANCE ON REDUCING ADMINISTRATIVE BARRIERS TO PROVIDING
HEALTH CARE SERVICES IN SCHOOLS.
(a) In General.--Not later than 12 months after the date of
enactment of this Act, the Secretary of Health and Human Services shall
issue guidance to State Medicaid agencies, elementary and secondary
schools, and school-based health centers on reducing administrative
barriers to such schools and centers furnishing medical assistance and
obtaining payment for such assistance under titles XIX and XXI of the
Social Security Act (42 U.S.C. 1396 et seq., 1397aa et seq.).
(b) Contents of Guidance.--The guidance issued pursuant to
subsection (a) shall--
(1) include revisions to the May 2003 Medicaid School-Based
Administrative Claiming Guide, the 1997 Medicaid and Schools
Technical Assistance Guide, and other relevant guidance in
effect on the date of enactment of this Act;
(2) provide information on payment under titles XIX and XXI
of the Social Security Act (42 U.S.C. 1396 et seq., 1397aa et
seq.) for the provision of medical assistance, including such
assistance provided in accordance with an individualized
education program or under the policy described in the State
Medicaid Director letter on payment for services issued on
December 15, 2014 (#14-006);
(3) take into account reasons why small and rural local
education agencies may not provide medical assistance and
provide information on best practices to encourage such
agencies to provide such assistance; and
(4) include best practices and examples of methods that
State Medicaid agencies and local education agencies have used
to pay for, and increase the availability of, medical
assistance.
(c) Definitions.--In this Act:
(1) Individualized education program.--The term
``individualized education program'' has the meaning given such
term in section 602(14) of the Individuals with Disabilities
Education Act (20 U.S.C. 1401(14)).
(2) School-based health center.--The term ``school-based
health center'' has the meaning given such term in section
2110(c)(9) of the Social Security Act (42 U.S.C. 1397jj(c)(9)),
and includes an entity that provides Medicaid-covered services
in school-based settings for which Federal financial
participation is permitted.
SEC. 503. GUIDANCE TO STATES ON SUPPORTING PEDIATRIC BEHAVIORAL HEALTH
SERVICES UNDER MEDICAID AND CHIP.
Not later than 18 months after the date of enactment of this Act,
the Secretary of Health and Human Services shall issue guidance to
States on how to expand the provision of, and access to, behavioral
health services, including mental health services, for children covered
under State plans (or waivers of such plans) under title XIX of the
Social Security Act (42 U.S.C. 1396 et seq.), or State child health
plans (or waivers of such plans) under title XXI of such Act (42 U.S.C.
1397aa et seq.), including a description of best practices for--
(1) expanding access to such services;
(2) expanding access to such services in underserved
communities;
(3) flexibilities that States may offer for pediatric
hospitals and other pediatric behavioral health providers to
expand access to services; and
(4) recruitment and retention of providers of such
services.
SEC. 504. ENSURING CHILDREN RECEIVE TIMELY ACCESS TO CARE.
(a) Guidance to States on Flexibilities to Ensure Provider Capacity
to Provide Pediatric Behavioral Health, Including Mental Health, Crisis
Care.--Not later than 18 months after the date of enactment of this
Act, the Secretary of Health and Human Services shall provide guidance
to States on existing flexibilities under State plans (or waivers of
such plans) under title XIX of the Social Security Act (42 U.S.C. 1396
et seq.), or State child health plans under title XXI of such Act (42
U.S.C. 1397aa et seq.), to support children experiencing a behavioral
health crisis or in need of intensive behavioral health, including
mental health, services.
(b) Ensuring Consistent Review and State Implementation of Early
and Periodic Screening, Diagnostic, and Treatment Services.--Section
1905(r) of the Social Security Act (42 U.S.C. 1396d(r)) is amended by
adding at the end the following: ``Not later than January 1, 2025, and
every 5 years thereafter, the Secretary shall review implementation of
the requirements of this subsection by States, including such
requirements relating to services provided by managed care
organizations, prepaid inpatient health plans, prepaid ambulatory
health plans, and primary care case managers, to identify and
disseminate best practices for ensuring comprehensive coverage of
services, to identify gaps and deficiencies in meeting Federal
requirements, and to provide guidance to States on addressing
identified gaps and disparities and meeting Federal coverage
requirements in order to ensure children have access to health
services.''.
SEC. 505. STRATEGIES TO INCREASE ACCESS TO TELEHEALTH UNDER MEDICAID
AND CHIP.
Not later than 1 year after the date of the enactment of this Act,
and in the event updates are available, once every five years
thereafter, the Secretary of Health and Human Services shall update
guidance issued by the Centers for Medicare & Medicaid Services to
States, the State Medicaid & CHIP Telehealth Toolkit, or any successor
guidance, to describe strategies States may use to overcome existing
barriers and increase access to telehealth services under the Medicaid
program under title XIX of the Social Security Act (42 U.S.C. 1396 et
seq.) and the Children's Health Insurance Program under title XXI of
such Act (42 U.S.C. 1397aa et seq.). Such updated guidance shall
include examples of and promising practices regarding--
(1) telehealth delivery of covered services;
(2) recommended voluntary billing codes, modifiers, and
place-of-service designations for telehealth and other virtual
health care services;
(3) strategies States can use for the simplification or
alignment of provider credentialing and enrollment protocols
with respect to telehealth across States, State Medicaid plans
under title XIX, State child health plans under title XXI,
Medicaid managed care organizations, prepaid inpatient health
plans, prepaid ambulatory health plans, and primary care case
managers, including during national public health emergencies;
and
(4) strategies States can use to integrate telehealth and
other virtual health care services into value-based health care
models.
SEC. 506. REMOVAL OF LIMITATIONS ON FEDERAL FINANCIAL PARTICIPATION FOR
INMATES WHO ARE ELIGIBLE JUVENILES PENDING DISPOSITION OF
CHARGES.
(a) Medicaid.--
(1) In general.--The subdivision (A) of section 1905(a) of
the Social Security Act (42 U.S.C. 1396d(a)) following
paragraph (31) of such section, as amended by section 501(b),
is further amended by inserting ``, or, at the option of the
State, for an individual who is an eligible juvenile (as
defined in section 1902(nn)(2)), while such individual is an
inmate of a public institution (as defined in section
1902(nn)(3)) pending disposition of charges'' after ``or in the
case of an eligible juvenile described in section
1902(a)(84)(D) with respect to the screenings, diagnostic
services, referrals, and case management required under such
subparagraph (D)''.
(2) Conforming.--Section 1902(a)(84)(A) of the Social
Security Act (42 U.S.C. 1396a(a)(84)(A)) is amended by
inserting ``(or in the case of a State electing the option
described in the subdivision (A) following paragraph (31) of
section 1905(a), during such period beginning after the
disposition of charges with respect to such individual)'' after
``is such an inmate''.
(b) CHIP.--Section 2110(b)(7) of the Social Security Act (42 U.S.C.
13977jj(b)(7)), as added by section 501(c)(2)(B), is further amended by
inserting ``or, at the option of the State, for an individual who is a
juvenile, while such individual is an inmate of a public institution
pending disposition of charges'' after ``if such child is an eligible
juvenile (as described in section 1902(a)(84)(D)) with respect to
screenings, diagnostic services, referrals, and case management
otherwise covered under the State child health plan (or waiver of such
plan)''.
(c) Effective Date.--The amendments made by this section shall take
effect on the first day of the first calendar quarter that begins after
the date that is 18 months after the date of enactment of this Act and
shall apply to items and services furnished for periods beginning on or
after such date.
TITLE VI--MISCELLANEOUS PROVISIONS
SEC. 601. DETERMINATION OF BUDGETARY EFFECTS.
The budgetary effects of this Act, for the purpose of complying
with the Statutory Pay-As-You-Go Act of 2010, shall be determined by
reference to the latest statement titled ``Budgetary Effects of PAYGO
Legislation'' for this Act, submitted for printing in the Congressional
Record by the Chairman of the House Budget Committee, provided that
such statement has been submitted prior to the vote on passage.
SEC. 602. OVERSIGHT OF PHARMACY BENEFIT MANAGER SERVICES.
(a) PHSA.--Title XXVII of the Public Health Service Act (42 U.S.C.
300gg et seq.) is amended--
(1) in part D (42 U.S.C. 300gg-111 et seq.), by adding at
the end the following new section:
``SEC. 2799A-11. OVERSIGHT OF PHARMACY BENEFIT MANAGER SERVICES.
``(a) In General.--For plan years beginning on or after January 1,
2024, a group health plan or health insurance issuer offering group
health insurance coverage or an entity or subsidiary providing pharmacy
benefits management services on behalf of such a plan or issuer shall
not enter into a contract with a drug manufacturer, distributor,
wholesaler, subcontractor, rebate aggregator, or any associated third
party that limits the disclosure of information to plan sponsors in
such a manner that prevents the plan or issuer, or an entity or
subsidiary providing pharmacy benefits management services on behalf of
a plan or issuer, from making the reports described in subsection (b).
``(b) Reports.--
``(1) In general.--For plan years beginning on or after
January 1, 2024, not less frequently than once every 6 months,
a health insurance issuer offering group health insurance
coverage or an entity providing pharmacy benefits management
services on behalf of a group health plan or an issuer
providing group health insurance coverage shall submit to the
plan sponsor (as defined in section 3(16)(B) of the Employee
Retirement Income Security Act of 1974) of such group health
plan or health insurance coverage a report in accordance with
this subsection and make such report available to the plan
sponsor in a machine-readable format. Each such report shall
include, with respect to the applicable group health plan or
health insurance coverage--
``(A) as applicable, information collected from
drug manufacturers by such issuer or entity on the
total amount of copayment assistance dollars paid, or
copayment cards applied, that were funded by the drug
manufacturer with respect to the participants and
beneficiaries in such plan or coverage;
``(B) a list of each drug covered by such plan,
issuer, or entity providing pharmacy benefit management
services that was dispensed during the reporting
period, including, with respect to each such drug
during the reporting period--
``(i) the brand name, chemical entity, and
National Drug Code;
``(ii) the number of participants and
beneficiaries for whom the drug was filled
during the plan year, the total number of
prescription fills for the drug (including
original prescriptions and refills), and the
total number of dosage units of the drug
dispensed across the plan year, including
whether the dispensing channel was by retail,
mail order, or specialty pharmacy;
``(iii) the wholesale acquisition cost,
listed as cost per days supply and cost per
pill, or in the case of a drug in another form,
per dose;
``(iv) the total out-of-pocket spending by
participants and beneficiaries on such drug,
including participant and beneficiary spending
through copayments, coinsurance, and
deductibles; and
``(v) for any drug for which gross spending
of the group health plan or health insurance
coverage exceeded $10,000 during the reporting
period--
``(I) a list of all other drugs in
the same therapeutic category or class,
including brand name drugs and
biological products and generic drugs
or biosimilar biological products that
are in the same therapeutic category or
class as such drug; and
``(II) the rationale for preferred
formulary placement of such drug in
that therapeutic category or class, if
applicable;
``(C) a list of each therapeutic category or class
of drugs that were dispensed under the health plan or
health insurance coverage during the reporting period,
and, with respect to each such therapeutic category or
class of drugs, during the reporting period--
``(i) total gross spending by the plan,
before manufacturer rebates, fees, or other
manufacturer remuneration;
``(ii) the number of participants and
beneficiaries who filled a prescription for a
drug in that category or class;
``(iii) if applicable to that category or
class, a description of the formulary tiers and
utilization mechanisms (such as prior
authorization or step therapy) employed for
drugs in that category or class;
``(iv) the total out-of-pocket spending by
participants and beneficiaries, including
participant and beneficiary spending through
copayments, coinsurance, and deductibles; and
``(v) for each therapeutic category or
class under which 3 or more drugs are included
on the formulary of such plan or coverage--
``(I) the amount received, or
expected to be received, from drug
manufacturers in rebates, fees,
alternative discounts, or other
remuneration--
``(aa) that has been paid,
or is to be paid, by drug
manufacturers for claims
incurred during the reporting
period; or
``(bb) that is related to
utilization of drugs, in such
therapeutic category or class;
``(II) the total net spending,
after deducting rebates, price
concessions, alternative discounts or
other remuneration from drug
manufacturers, by the health plan or
health insurance coverage on that
category or class of drugs; and
``(III) the net price per course of
treatment or single fill, such as a 30-
day supply or 90-day supply, incurred
by the health plan or health insurance
coverage and its participants and
beneficiaries, after manufacturer
rebates, fees, and other remuneration
for drugs dispensed within such
therapeutic category or class during
the reporting period;
``(D) total gross spending on prescription drugs by
the plan or coverage during the reporting period,
before rebates and other manufacturer fees or
remuneration;
``(E) total amount received, or expected to be
received, by the health plan or health insurance
coverage in drug manufacturer rebates, fees,
alternative discounts, and all other remuneration
received from the manufacturer or any third party,
other than the plan sponsor, related to utilization of
drug or drug spending under that health plan or health
insurance coverage during the reporting period;
``(F) the total net spending on prescription drugs
by the health plan or health insurance coverage during
the reporting period; and
``(G) amounts paid directly or indirectly in
rebates, fees, or any other type of remuneration to
brokers, consultants, advisors, or any other individual
or firm who referred the group health plan's or health
insurance issuer's business to the pharmacy benefit
manager.
``(2) Privacy requirements.--Health insurance issuers
offering group health insurance coverage and entities providing
pharmacy benefits management services on behalf of a group
health plan shall provide information under paragraph (1) in a
manner consistent with the privacy, security, and breach
notification regulations promulgated under section 264(c) of
the Health Insurance Portability and Accountability Act of
1996, and shall restrict the use and disclosure of such
information according to such privacy regulations.
``(3) Disclosure and redisclosure.--
``(A) Limitation to business associates.--A group
health plan receiving a report under paragraph (1) may
disclose such information only to business associates
of such plan as defined in section 160.103 of title 45,
Code of Federal Regulations (or successor regulations).
``(B) Clarification regarding public disclosure of
information.--Nothing in this section prevents a health
insurance issuer offering group health insurance
coverage or an entity providing pharmacy benefits
management services on behalf of a group health plan
from placing reasonable restrictions on the public
disclosure of the information contained in a report
described in paragraph (1), except that such issuer or
entity may not restrict disclosure of such report to
the Department of Health and Human Services, the
Department of Labor, the Department of the Treasury, or
applicable State agencies.
``(C) Limited form of report.--The Secretary shall
define through rulemaking a limited form of the report
under paragraph (1) required of plan sponsors who are
drug manufacturers, drug wholesalers, or other direct
participants in the drug supply chain, in order to
prevent anti-competitive behavior.
``(4) Report to gao.--A health insurance issuer offering
group health insurance coverage or an entity providing pharmacy
benefits management services on behalf of a group health plan
shall submit to the Comptroller General of the United States
each of the first 4 reports submitted to a plan sponsor under
paragraph (1) with respect to such coverage or plan, and other
such reports as requested, in accordance with the privacy
requirements under paragraph (2), the disclosure and
redisclosure standards under paragraph (3), the standards
specified pursuant to paragraph (5), and such other information
that the Comptroller General determines necessary to carry out
the study under section 602(d) of the Restoring Hope for Mental
Health and Well-Being Act of 2022.
``(5) Standard format.--Not later than June 1, 2023, the
Secretary shall specify through rulemaking standards for health
insurance issuers and entities required to submit reports under
paragraph (4) to submit such reports in a standard format.
``(c) Enforcement.--
``(1) In general.--The Secretary, in consultation with the
Secretary of Labor and the Secretary of the Treasury, shall
enforce this section.
``(2) Failure to provide timely information.--A health
insurance issuer or an entity providing pharmacy benefit
management services that violates subsection (a) or fails to
provide information required under subsection (b), or a drug
manufacturer that fails to provide information under subsection
(b)(1)(A) in a timely manner, shall be subject to a civil
monetary penalty in the amount of $10,000 for each day during
which such violation continues or such information is not
disclosed or reported.
``(3) False information.--A health insurance issuer, entity
providing pharmacy benefit management services, or drug
manufacturer that knowingly provides false information under
this section shall be subject to a civil money penalty in an
amount not to exceed $100,000 for each item of false
information. Such civil money penalty shall be in addition to
other penalties as may be prescribed by law.
``(4) Procedure.--The provisions of section 1128A of the
Social Security Act, other than subsection (a) and (b) and the
first sentence of subsection (c)(1) of such section shall apply
to civil monetary penalties under this subsection in the same
manner as such provisions apply to a penalty or proceeding
under section 1128A of the Social Security Act.
``(5) Waivers.--The Secretary may waive penalties under
paragraph (2), or extend the period of time for compliance with
a requirement of this section, for an entity in violation of
this section that has made a good-faith effort to comply with
this section.
``(d) Rule of Construction.--Nothing in this section shall be
construed to permit a health insurance issuer, group health plan, or
other entity to restrict disclosure to, or otherwise limit the access
of, the Department of Health and Human Services to a report described
in subsection (b)(1) or information related to compliance with
subsection (a) by such issuer, plan, or entity.
``(e) Definition.--In this section, the term `wholesale acquisition
cost' has the meaning given such term in section 1847A(c)(6)(B) of the
Social Security Act.''; and
(2) in section 2723 (42 U.S.C. 300gg-22)--
(A) in subsection (a)--
(i) in paragraph (1), by inserting ``(other
than subsections (a) and (b) of section 2799A-
11)'' after ``part D''; and
(ii) in paragraph (2), by inserting
``(other than subsections (a) and (b) of
section 2799A-11)'' after ``part D''; and
(B) in subsection (b)--
(i) in paragraph (1), by inserting ``(other
than subsections (a) and (b) of section 2799A-
11)'' after ``part D'';
(ii) in paragraph (2)(A), by inserting
``(other than subsections (a) and (b) of
section 2799A-11)'' after ``part D''; and
(iii) in paragraph (2)(C)(ii), by inserting
``(other than subsections (a) and (b) of
section 2799A-11)'' after ``part D''.
(b) ERISA.--
(1) In general.--Subtitle B of title I of the Employee
Retirement Income Security Act of 1974 (29 U.S.C. 1021 et seq.)
is amended--
(A) in subpart B of part 7 (29 U.S.C. 1185 et
seq.), by adding at the end the following:
``SEC. 726. OVERSIGHT OF PHARMACY BENEFIT MANAGER SERVICES.
``(a) In General.--For plan years beginning on or after January 1,
2024, a group health plan (or health insurance issuer offering group
health insurance coverage in connection with such a plan) or an entity
or subsidiary providing pharmacy benefits management services on behalf
of such a plan or issuer shall not enter into a contract with a drug
manufacturer, distributor, wholesaler, subcontractor, rebate
aggregator, or any associated third party that limits the disclosure of
information to plan sponsors in such a manner that prevents the plan or
issuer, or an entity or subsidiary providing pharmacy benefits
management services on behalf of a plan or issuer, from making the
reports described in subsection (b).
``(b) Reports.--
``(1) In general.--For plan years beginning on or after
January 1, 2024, not less frequently than once every 6 months,
a health insurance issuer offering group health insurance
coverage or an entity providing pharmacy benefits management
services on behalf of a group health plan or an issuer
providing group health insurance coverage shall submit to the
plan sponsor (as defined in section 3(16)(B)) of such group
health plan or group health insurance coverage a report in
accordance with this subsection and make such report available
to the plan sponsor in a machine-readable format. Each such
report shall include, with respect to the applicable group
health plan or health insurance coverage--
``(A) as applicable, information collected from
drug manufacturers by such issuer or entity on the
total amount of copayment assistance dollars paid, or
copayment cards applied, that were funded by the drug
manufacturer with respect to the participants and
beneficiaries in such plan or coverage;
``(B) a list of each drug covered by such plan,
issuer, or entity providing pharmacy benefit management
services that was dispensed during the reporting
period, including, with respect to each such drug
during the reporting period--
``(i) the brand name, chemical entity, and
National Drug Code;
``(ii) the number of participants and
beneficiaries for whom the drug was filled
during the plan year, the total number of
prescription fills for the drug (including
original prescriptions and refills), and the
total number of dosage units of the drug
dispensed across the plan year, including
whether the dispensing channel was by retail,
mail order, or specialty pharmacy;
``(iii) the wholesale acquisition cost,
listed as cost per days supply and cost per
pill, or in the case of a drug in another form,
per dose;
``(iv) the total out-of-pocket spending by
participants and beneficiaries on such drug,
including participant and beneficiary spending
through copayments, coinsurance, and
deductibles; and
``(v) for any drug for which gross spending
of the group health plan or health insurance
coverage exceeded $10,000 during the reporting
period--
``(I) a list of all other drugs in
the same therapeutic category or class,
including brand name drugs and
biological products and generic drugs
or biosimilar biological products that
are in the same therapeutic category or
class as such drug; and
``(II) the rationale for preferred
formulary placement of such drug in
that therapeutic category or class, if
applicable;
``(C) a list of each therapeutic category or class
of drugs that were dispensed under the health plan or
health insurance coverage during the reporting period,
and, with respect to each such therapeutic category or
class of drugs, during the reporting period--
``(i) total gross spending by the plan,
before manufacturer rebates, fees, or other
manufacturer remuneration;
``(ii) the number of participants and
beneficiaries who filled a prescription for a
drug in that category or class;
``(iii) if applicable to that category or
class, a description of the formulary tiers and
utilization mechanisms (such as prior
authorization or step therapy) employed for
drugs in that category or class;
``(iv) the total out-of-pocket spending by
participants and beneficiaries, including
participant and beneficiary spending through
copayments, coinsurance, and deductibles; and
``(v) for each therapeutic category or
class under which 3 or more drugs are included
on the formulary of such plan or coverage--
``(I) the amount received, or
expected to be received, from drug
manufacturers in rebates, fees,
alternative discounts, or other
remuneration--
``(aa) that has been paid,
or is to be paid, by drug
manufacturers for claims
incurred during the reporting
period; or
``(bb) that is related to
utilization of drugs, in such
therapeutic category or class;
``(II) the total net spending,
after deducting rebates, price
concessions, alternative discounts or
other remuneration from drug
manufacturers, by the health plan or
health insurance coverage on that
category or class of drugs; and
``(III) the net price per course of
treatment or single fill, such as a 30-
day supply or 90-day supply, incurred
by the health plan or health insurance
coverage and its participants and
beneficiaries, after manufacturer
rebates, fees, and other remuneration
for drugs dispensed within such
therapeutic category or class during
the reporting period;
``(D) total gross spending on prescription drugs by
the plan or coverage during the reporting period,
before rebates and other manufacturer fees or
remuneration;
``(E) total amount received, or expected to be
received, by the health plan or health insurance
coverage in drug manufacturer rebates, fees,
alternative discounts, and all other remuneration
received from the manufacturer or any third party,
other than the plan sponsor, related to utilization of
drug or drug spending under that health plan or health
insurance coverage during the reporting period;
``(F) the total net spending on prescription drugs
by the health plan or health insurance coverage during
the reporting period; and
``(G) amounts paid directly or indirectly in
rebates, fees, or any other type of remuneration to
brokers, consultants, advisors, or any other individual
or firm who referred the group health plan's or health
insurance issuer's business to the pharmacy benefit
manager.
``(2) Privacy requirements.--Health insurance issuers
offering group health insurance coverage and entities providing
pharmacy benefits management services on behalf of a group
health plan shall provide information under paragraph (1) in a
manner consistent with the privacy, security, and breach
notification regulations promulgated under section 264(c) of
the Health Insurance Portability and Accountability Act of
1996, and shall restrict the use and disclosure of such
information according to such privacy regulations.
``(3) Disclosure and redisclosure.--
``(A) Limitation to business associates.--A group
health plan receiving a report under paragraph (1) may
disclose such information only to business associates
of such plan as defined in section 160.103 of title 45,
Code of Federal Regulations (or successor regulations).
``(B) Clarification regarding public disclosure of
information.--Nothing in this section prevents a health
insurance issuer offering group health insurance
coverage or an entity providing pharmacy benefits
management services on behalf of a group health plan
from placing reasonable restrictions on the public
disclosure of the information contained in a report
described in paragraph (1), except that such issuer or
entity may not restrict disclosure of such report to
the Department of Health and Human Services, the
Department of Labor, the Department of the Treasury, or
applicable State agencies.
``(C) Limited form of report.--The Secretary shall
define through rulemaking a limited form of the report
under paragraph (1) required of plan sponsors who are
drug manufacturers, drug wholesalers, or other direct
participants in the drug supply chain, in order to
prevent anti-competitive behavior.
``(4) Report to gao.--A health insurance issuer offering
group health insurance coverage or an entity providing pharmacy
benefits management services on behalf of a group health plan
shall submit to the Comptroller General of the United States
each of the first 4 reports submitted to a plan sponsor under
paragraph (1) with respect to such coverage or plan, and other
such reports as requested, in accordance with the privacy
requirements under paragraph (2), the disclosure and
redisclosure standards under paragraph (3), the standards
specified pursuant to paragraph (5), and such other information
that the Comptroller General determines necessary to carry out
the study under section 602(d) of the Restoring Hope for Mental
Health and Well-Being Act of 2022.
``(5) Standard format.--Not later than June 1, 2023, the
Secretary shall specify through rulemaking standards for health
insurance issuers and entities required to submit reports under
paragraph (4) to submit such reports in a standard format.
``(c) Enforcement.--
``(1) In general.--The Secretary, in consultation with the
Secretary of Health and Human Services and the Secretary of the
Treasury, shall enforce this section.
``(2) Failure to provide timely information.--A health
insurance issuer or an entity providing pharmacy benefit
management services that violates subsection (a) or fails to
provide information required under subsection (b), or a drug
manufacturer that fails to provide information under subsection
(b)(1)(A) in a timely manner, shall be subject to a civil
monetary penalty in the amount of $10,000 for each day during
which such violation continues or such information is not
disclosed or reported.
``(3) False information.--A health insurance issuer, entity
providing pharmacy benefit management services, or drug
manufacturer that knowingly provides false information under
this section shall be subject to a civil money penalty in an
amount not to exceed $100,000 for each item of false
information. Such civil money penalty shall be in addition to
other penalties as may be prescribed by law.
``(4) Procedure.--The provisions of section 1128A of the
Social Security Act, other than subsection (a) and (b) and the
first sentence of subsection (c)(1) of such section shall apply
to civil monetary penalties under this subsection in the same
manner as such provisions apply to a penalty or proceeding
under section 1128A of the Social Security Act.
``(5) Waivers.--The Secretary may waive penalties under
paragraph (2), or extend the period of time for compliance with
a requirement of this section, for an entity in violation of
this section that has made a good-faith effort to comply with
this section.
``(d) Rule of Construction.--Nothing in this section shall be
construed to permit a health insurance issuer, group health plan, or
other entity to restrict disclosure to, or otherwise limit the access
of, the Department of Labor to a report described in subsection (b)(1)
or information related to compliance with subsection (a) by such
issuer, plan, or entity.
``(e) Definition.--In this section, the term `wholesale acquisition
cost' has the meaning given such term in section 1847A(c)(6)(B) of the
Social Security Act.''; and
(B) in section 502(b)(3) (29 U.S.C. 1132(b)(3)), by
inserting ``(other than section 726)'' after ``part
7''.
(2) Clerical amendment.--The table of contents in section 1
of the Employee Retirement Income Security Act of 1974 (29
U.S.C. 1001 et seq.) is amended by inserting after the item
relating to section 725 the following new item:
``Sec. 726. Oversight of pharmacy benefit manager services.''.
(c) IRC.--
(1) In general.--Subchapter B of chapter 100 of the
Internal Revenue Code of 1986 is amended by adding at the end
the following:
``SEC. 9826. OVERSIGHT OF PHARMACY BENEFIT MANAGER SERVICES.
``(a) In General.--For plan years beginning on or after January 1,
2024, a group health plan or an entity or subsidiary providing pharmacy
benefits management services on behalf of such a plan shall not enter
into a contract with a drug manufacturer, distributor, wholesaler,
subcontractor, rebate aggregator, or any associated third party that
limits the disclosure of information to plan sponsors in such a manner
that prevents the plan, or an entity or subsidiary providing pharmacy
benefits management services on behalf of a plan, from making the
reports described in subsection (b).
``(b) Reports.--
``(1) In general.--For plan years beginning on or after
January 1, 2024, not less frequently than once every 6 months,
an entity providing pharmacy benefits management services on
behalf of a group health plan shall submit to the plan sponsor
(as defined in section 3(16)(B) of the Employee Retirement
Income Security Act of 1974) of such group health plan a report
in accordance with this subsection and make such report
available to the plan sponsor in a machine-readable format.
Each such report shall include, with respect to the applicable
group health plan--
``(A) as applicable, information collected from
drug manufacturers by such entity on the total amount
of copayment assistance dollars paid, or copayment
cards applied, that were funded by the drug
manufacturer with respect to the participants and
beneficiaries in such plan;
``(B) a list of each drug covered by such plan or
entity providing pharmacy benefit management services
that was dispensed during the reporting period,
including, with respect to each such drug during the
reporting period--
``(i) the brand name, chemical entity, and
National Drug Code;
``(ii) the number of participants and
beneficiaries for whom the drug was filled
during the plan year, the total number of
prescription fills for the drug (including
original prescriptions and refills), and the
total number of dosage units of the drug
dispensed across the plan year, including
whether the dispensing channel was by retail,
mail order, or specialty pharmacy;
``(iii) the wholesale acquisition cost,
listed as cost per days supply and cost per
pill, or in the case of a drug in another form,
per dose;
``(iv) the total out-of-pocket spending by
participants and beneficiaries on such drug,
including participant and beneficiary spending
through copayments, coinsurance, and
deductibles; and
``(v) for any drug for which gross spending
of the group health plan exceeded $10,000
during the reporting period--
``(I) a list of all other drugs in
the same therapeutic category or class,
including brand name drugs and
biological products and generic drugs
or biosimilar biological products that
are in the same therapeutic category or
class as such drug; and
``(II) the rationale for preferred
formulary placement of such drug in
that therapeutic category or class, if
applicable;
``(C) a list of each therapeutic category or class
of drugs that were dispensed under the health plan
during the reporting period, and, with respect to each
such therapeutic category or class of drugs, during the
reporting period--
``(i) total gross spending by the plan,
before manufacturer rebates, fees, or other
manufacturer remuneration;
``(ii) the number of participants and
beneficiaries who filled a prescription for a
drug in that category or class;
``(iii) if applicable to that category or
class, a description of the formulary tiers and
utilization mechanisms (such as prior
authorization or step therapy) employed for
drugs in that category or class;
``(iv) the total out-of-pocket spending by
participants and beneficiaries, including
participant and beneficiary spending through
copayments, coinsurance, and deductibles; and
``(v) for each therapeutic category or
class under which 3 or more drugs are included
on the formulary of such plan--
``(I) the amount received, or
expected to be received, from drug
manufacturers in rebates, fees,
alternative discounts, or other
remuneration--
``(aa) that has been paid,
or is to be paid, by drug
manufacturers for claims
incurred during the reporting
period; or
``(bb) that is related to
utilization of drugs, in such
therapeutic category or class;
``(II) the total net spending,
after deducting rebates, price
concessions, alternative discounts or
other remuneration from drug
manufacturers, by the health plan on
that category or class of drugs; and
``(III) the net price per course of
treatment or single fill, such as a 30-
day supply or 90-day supply, incurred
by the health plan and its participants
and beneficiaries, after manufacturer
rebates, fees, and other remuneration
for drugs dispensed within such
therapeutic category or class during
the reporting period;
``(D) total gross spending on prescription drugs by
the plan during the reporting period, before rebates
and other manufacturer fees or remuneration;
``(E) total amount received, or expected to be
received, by the health plan in drug manufacturer
rebates, fees, alternative discounts, and all other
remuneration received from the manufacturer or any
third party, other than the plan sponsor, related to
utilization of drug or drug spending under that health
plan during the reporting period;
``(F) the total net spending on prescription drugs
by the health plan during the reporting period; and
``(G) amounts paid directly or indirectly in
rebates, fees, or any other type of remuneration to
brokers, consultants, advisors, or any other individual
or firm who referred the group health plan's business
to the pharmacy benefit manager.
``(2) Privacy requirements.--Entities providing pharmacy
benefits management services on behalf of a group health plan
shall provide information under paragraph (1) in a manner
consistent with the privacy, security, and breach notification
regulations promulgated under section 264(c) of the Health
Insurance Portability and Accountability Act of 1996, and shall
restrict the use and disclosure of such information according
to such privacy regulations.
``(3) Disclosure and redisclosure.--
``(A) Limitation to business associates.--A group
health plan receiving a report under paragraph (1) may
disclose such information only to business associates
of such plan as defined in section 160.103 of title 45,
Code of Federal Regulations (or successor regulations).
``(B) Clarification regarding public disclosure of
information.--Nothing in this section prevents an
entity providing pharmacy benefits management services
on behalf of a group health plan from placing
reasonable restrictions on the public disclosure of the
information contained in a report described in
paragraph (1), except that such entity may not restrict
disclosure of such report to the Department of Health
and Human Services, the Department of Labor, the
Department of the Treasury, or applicable State
agencies.
``(C) Limited form of report.--The Secretary shall
define through rulemaking a limited form of the report
under paragraph (1) required of plan sponsors who are
drug manufacturers, drug wholesalers, or other direct
participants in the drug supply chain, in order to
prevent anti-competitive behavior.
``(4) Report to gao.--An entity providing pharmacy benefits
management services on behalf of a group health plan shall
submit to the Comptroller General of the United States each of
the first 4 reports submitted to a plan sponsor under paragraph
(1) with respect to such plan, and other such reports as
requested, in accordance with the privacy requirements under
paragraph (2), the disclosure and redisclosure standards under
paragraph (3), the standards specified pursuant to paragraph
(5), and such other information that the Comptroller General
determines necessary to carry out the study under section
602(d) of the Restoring Hope for Mental Health and Well-Being
Act of 2022.
``(5) Standard format.--Not later than June 1, 2023, the
Secretary shall specify through rulemaking standards for
entities required to submit reports under paragraph (4) to
submit such reports in a standard format.
``(c) Enforcement.--
``(1) In general.--The Secretary, in consultation with the
Secretary of Labor and the Secretary of Health and Human
Services, shall enforce this section.
``(2) Failure to provide timely information.--An entity
providing pharmacy benefit management services that violates
subsection (a) or fails to provide information required under
subsection (b), or a drug manufacturer that fails to provide
information under subsection (b)(1)(A) in a timely manner,
shall be subject to a civil monetary penalty in the amount of
$10,000 for each day during which such violation continues or
such information is not disclosed or reported.
``(3) False information.--An entity providing pharmacy
benefit management services, or drug manufacturer that
knowingly provides false information under this section shall
be subject to a civil money penalty in an amount not to exceed
$100,000 for each item of false information. Such civil money
penalty shall be in addition to other penalties as may be
prescribed by law.
``(4) Procedure.--The provisions of section 1128A of the
Social Security Act, other than subsection (a) and (b) and the
first sentence of subsection (c)(1) of such section shall apply
to civil monetary penalties under this subsection in the same
manner as such provisions apply to a penalty or proceeding
under section 1128A of the Social Security Act.
``(5) Waivers.--The Secretary may waive penalties under
paragraph (2), or extend the period of time for compliance with
a requirement of this section, for an entity in violation of
this section that has made a good-faith effort to comply with
this section.
``(d) Rule of Construction.--Nothing in this section shall be
construed to permit a group health plan or other entity to restrict
disclosure to, or otherwise limit the access of, the Department of the
Treasury to a report described in subsection (b)(1) or information
related to compliance with subsection (a) by such plan or entity.
``(e) Definition.--In this section, the term `wholesale acquisition
cost' has the meaning given such term in section 1847A(c)(6)(B) of the
Social Security Act.''.
(2) Clerical amendment.--The table of sections for
subchapter B of chapter 100 of the Internal Revenue Code of
1986 is amended by adding at the end the following new item:
``Sec. 9826. Oversight of pharmacy benefit manager services.''.
(d) GAO Study.--
(1) In general.--Not later than 3 years after the date of
enactment of this Act, the Comptroller General of the United
States shall submit to Congress a report on--
(A) pharmacy networks of group health plans, health
insurance issuers, and entities providing pharmacy
benefit management services under such group health
plan or group or individual health insurance coverage,
including networks that have pharmacies that are under
common ownership (in whole or part) with group health
plans, health insurance issuers, or entities providing
pharmacy benefit management services or pharmacy
benefit administrative services under group health plan
or group or individual health insurance coverage;
(B) as it relates to pharmacy networks that include
pharmacies under common ownership described in
subparagraph (A)--
(i) whether such networks are designed to
encourage enrollees of a plan or coverage to
use such pharmacies over other network
pharmacies for specific services or drugs, and
if so, the reasons the networks give for
encouraging use of such pharmacies; and
(ii) whether such pharmacies are used by
enrollees disproportionately more in the
aggregate or for specific services or drugs
compared to other network pharmacies;
(C) whether group health plans and health insurance
issuers offering group or individual health insurance
coverage have options to elect different network
pricing arrangements in the marketplace with entities
that provide pharmacy benefit management services, the
prevalence of electing such different network pricing
arrangements;
(D) pharmacy network design parameters that
encourage enrollees in the plan or coverage to fill
prescriptions at mail order, specialty, or retail
pharmacies that are wholly or partially-owned by that
issuer or entity; and
(E) the degree to which mail order, specialty, or
retail pharmacies that dispense prescription drugs to
an enrollee in a group health plan or health insurance
coverage that are under common ownership (in whole or
part) with group health plans, health insurance
issuers, or entities providing pharmacy benefit
management services or pharmacy benefit administrative
services under group health plan or group or individual
health insurance coverage receive reimbursement that is
greater than the median price charged to the group
health plan or health insurance issuer when the same
drug is dispensed to enrollees in the plan or coverage
by other pharmacies included in the pharmacy network of
that plan, issuer, or entity that are not wholly or
partially owned by the health insurance issuer or
entity providing pharmacy benefit management services.
(2) Requirement.--The Comptroller General of the United
States shall ensure that the report under paragraph (1) does
not contain information that would allow a reader to identify a
specific plan or entity providing pharmacy benefits management
services or otherwise contain commercial or financial
information that is privileged or confidential.
(3) Definitions.--In this subsection, the terms ``group
health plan'', ``health insurance coverage'', and ``health
insurance issuer'' have the meanings given such terms in
section 2791 of the Public Health Service Act (42 U.S.C. 300gg-
91).
SEC. 603. MEDICARE IMPROVEMENT FUND.
Section 1898(b)(1) of the Social Security Act (42 U.S.C.
1395iii(b)(1)) is amended by striking ``$5,000,000'' and inserting
``$1,029,000,000''.
SEC. 604. LIMITATIONS ON AUTHORITY.
In carrying out any program of the Substance Abuse and Mental
Health Services Administration whose statutory authorization is enacted
or amended by this Act, the Secretary of Health and Human Services
shall not allocate funding, or require award recipients to prioritize,
dedicate, or allocate funding, without consideration of the incidence,
prevalence, or determinants of mental health or substance use issues,
unless such allocation or requirement is consistent with statute,
regulation, or other Federal law.
Passed the House of Representatives June 22, 2022.
Attest:
Clerk.
117th CONGRESS
2d Session
H. R. 7666
_______________________________________________________________________
AN ACT
To amend the Public Health Service Act to reauthorize certain programs
relating to mental health and substance use disorders, and for other
purposes.