[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[H.R. 7666 Introduced in House (IH)]
<DOC>
117th CONGRESS
2d Session
H. R. 7666
To amend the Public Health Service Act to reauthorize certain programs
relating to mental health and substance use disorders, and for other
purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 6, 2022
Mr. Pallone (for himself and Mrs. Rodgers of Washington) introduced the
following bill; which was referred to the Committee on Energy and
Commerce, and in addition to the Committee on the Judiciary, for a
period to be subsequently determined by the Speaker, in each case for
consideration of such provisions as fall within the jurisdiction of the
committee concerned
_______________________________________________________________________
A BILL
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.
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.
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.
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.
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
American Indians and Alaska Natives.
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. Revise opioid treatment program admission criteria to
eliminate requirement that patients have an
opioid use disorder for at least 1 year.
Sec. 252. Study on exemptions for treatment of opioid use disorder
through opioid treatment programs during
the COVID-19 public health emergency.
Sec. 253. Changes to Federal opioid treatment standards.
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.
Subtitle C--Eliminating the Opt-Out for Nonfederal Governmental Health
Plans
Sec. 321. Eliminating the opt-out for nonfederal governmental health
plans.
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.
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.
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 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) community mental health centers (as defined
in section 1861(ff)(3)(B) of the Social Security Act);
``(C) certified community behavioral health
clinics, as described in section 223 of the Protecting
Access to Medicare Act of 2014; and
``(D) 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,
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.''.
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 in section 4 of the Indian Health
Care Improvement Act)'' 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 follow-up 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 multi-State 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 2028''.
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;
and
``(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.
``(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 2028.''.
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.
(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,
and 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--
(B) in paragraph (1), by striking ``Indian tribes,
tribal organizations'' and inserting ``Indian Tribes,
Tribal organizations'';
(C) in paragraph (4), by striking ``Indian tribe,
tribal organization'' each place it appears and
inserting ``Indian Tribe, Tribal organization'';
(D) in paragraph (5)--
(i) by striking ``Indian tribe, tribal
organization'' each place it appears and
inserting ``Indian Tribe, Tribal
organization''; and
(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.'';
(E) in paragraph (6), by striking ``Indian tribe,
tribal organization'' each place it appears and
inserting ``Indian Tribe, Tribal organization''; and
(F) 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 ``$15,000,000 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.''.
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) non-clinical 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.''.
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
AMERICAN INDIANS AND ALASKA NATIVES.
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
AMERICAN INDIANS AND ALASKA NATIVES.
``(a) Definitions.--In this section:
``(1) The term `eligible entity' means an Indian Tribe, a
Tribal organization, and Urban Indian organizations.
``(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.
``(b) Formula Grants.--
``(1) In general.--The Secretary shall award grants 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 and Alaska Natives.
``(2) Formula.--The Secretary, in consultation with the
Director of the Indian Health Service, Indian Tribes, Tribal
Organizations, and Urban Indian Organizations, shall develop a
formula to determine the amount of a grant 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, or Urban Indian
Organizations.
``(c) Technical Assistance and Program Evaluation.--
``(1) In general.--The Secretary shall--
``(A) provide technical assistance to applicants
and grantees 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, in
consultation with eligible entities, develop evaluation
measures and data submission and reporting requirements for
purposes of the collection and evaluation of information under
paragraph (1)(B).
``(3) Data submission and reporting.--As a condition on
receipt of a grant under this section, an applicant shall agree
to submit data and reports consistent with the evaluation
measures and data submission and reporting requirements
developed under paragraph (2).
``(d) Application.--An entity desiring a grant, contract, or
cooperative agreement 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.
``(e) Report.--Not later than 3 years after the date of the
enactment of this section 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.
``(f) 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''
each place it appears and inserting ``Tribes and Tribal
organizations''; 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'' each place
it appears 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.
Section 544 of the Public Health Service Act (42 U.S.C. 290dd-3) is
amended--
(1) in subsection (b)(1), by striking ``abuse'' and
inserting ``use disorder''; and
(2) in subsection (f), by striking ``2017 through 2021''
and inserting ``2023 through 2027''.
SEC. 220. OPIOID OVERDOSE REVERSAL MEDICATION ACCESS AND EDUCATION
GRANT PROGRAMS.
Section 545 of the Public Health Service Act (42 U.S.C. 290ee) is
amended--
(1) in subsection (c)(2), by striking ``abuse'' and
inserting ``use disorder''; and
(2) in subsection (h)(1), by striking ``2017 through 2019''
and inserting ``2023 through 2027''.
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'';
(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) 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 subsections (a) and (b), 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'' each place it
appears 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'' each place it appears 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'' 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 the subsection heading, by striking ``Tribes and
Tribal Organizations'' and inserting ``Tribes and Tribal
Organizations'';
(2) 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'';
(3) 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.'';
(4) in paragraph (3), by striking ``tribe or tribal
organization'' and inserting ``Tribe or Tribal organization'';
and
(5) 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 must 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. REVISE OPIOID TREATMENT PROGRAM ADMISSION CRITERIA TO
ELIMINATE REQUIREMENT THAT PATIENTS HAVE AN OPIOID USE
DISORDER FOR AT LEAST 1 YEAR.
Not later than 180 days 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.
SEC. 252. 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.
274); 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. 253. 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) Final Regulation on Periods for Take-Home Supply
Requirements.--
(1) In general.--Not later than two years 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 252 of this Act.
(2) Criteria.--The regulation under paragraph (1) shall
establish relevant criteria for the medical director of an
opioid treatment program, or a medical practitioner
appropriately licensed by the State to prescribe or dispense
controlled medications, to determine whether a patient is
stable and may qualify for unsupervised use, which criteria
shall include 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.
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--
``(A) is described on page 80230 of volume 81 of
the Federal Register (November 15, 2016), which
includes a formal collaborative arrangement among a
primary care team consisting of a primary care
provider, a care manager, and a psychiatric consultant;
and
``(B) includes the following elements:
``(i) Care directed by the primary care
team.
``(ii) Structured care management.
``(iii) Regular assessments of clinical
status using developmentally appropriate,
validated tools.
``(iv) 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); 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, and the integration of
primary and physical health care into specialty
behavioral health settings.
``(4) Primary health care physician.--The term `primary
health care physician' means a physician 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 who is
licensed to practice medicine by the State in which
such physician primarily practices.
``(5) Primary health care practice.--The term `primary
health care practice' means a medical practice of primary
health care physicians, 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 mental illness who have a co-
occurring physical health condition or chronic disease;
``(B) adults with a serious mental illness who have
a co-occurring physical health condition or chronic
disease;
``(C) children and adolescents with a mental
illness who have a co-occurring physical health
condition or chronic disease;
``(D) individuals with a substance use disorder; or
``(E) 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 in
section 4 of the Indian Self-Determination and Education
Assistance Act), outpatient mental health and addiction
treatment centers, community mental health centers that meet
the criteria under section 1913(c), certified community
behavioral health clinics described in section 223 of the
Protecting Access to Medicare Act of 2014, 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(f) of the Public Health Service Act (42 U.S.C. 294e-1(f))
is amended 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 striking ``for
each of fiscal years 2018 through 2022'' and inserting ``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.''.
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''.
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
left; 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'' each place it appears 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'' each place it appears 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 in the Indian Self-Determination and Education
Assistance Act) 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 age 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''.
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