[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[H.R. 7666 Referred in Senate (RFS)]

<DOC>
117th CONGRESS
  2d Session
                                H. R. 7666


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                             June 23, 2022

     Received; read twice and referred to the Committee on Health, 
                     Education, Labor, and Pensions

_______________________________________________________________________

                                 AN ACT


 
To amend the Public Health Service Act to reauthorize certain programs 
 relating to mental health and substance use disorders, and for other 
                               purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

    (a) Short Title.--This Act may be cited as the ``Restoring Hope for 
Mental Health and Well-Being Act of 2022''.
    (b) Table of Contents.--The table of contents for this Act is as 
follows:

Sec. 1. Short title; table of contents.
              TITLE I--MENTAL HEALTH AND CRISIS CARE NEEDS

       Subtitle A--Crisis Care Services and 9-8-8 Implementation

Sec. 101. Behavioral Health Crisis Coordinating Office.
Sec. 102. Crisis response continuum of care.
Sec. 103. Suicide Prevention Lifeline Improvement.
Subtitle B--Into the Light for Maternal Mental Health and Substance Use 
                               Disorders

Sec. 111. Screening and treatment for maternal mental health and 
                            substance use disorders.
Sec. 112. Maternal mental health hotline.
Sec. 113. Task force on maternal mental health.
   Subtitle C--Reaching Improved Mental Health Outcomes for Patients

Sec. 121. Innovation for mental health.
Sec. 122. Crisis care coordination.
Sec. 123. Treatment of serious mental illness.
Sec. 124. Study on the costs of serious mental illness.
                     Subtitle D--Anna Westin Legacy

Sec. 131. Maintaining education and training on eating disorders.
       Subtitle E--Community Mental Health Services Block Grant 
                            Reauthorization

Sec. 141. Reauthorization of block grants for community mental health 
                            services.
           Subtitle F--Peer-Supported Mental Health Services

Sec. 151. Peer-supported mental health services.
      Subtitle G--Military Suicide Prevention in the 21st Century

Sec. 161. Pilot program on pre-programming of suicide prevention 
                            resources into smart devices issued to 
                            members of the Armed Forces.
 TITLE II--SUBSTANCE USE DISORDER PREVENTION, TREATMENT, AND RECOVERY 
                                SERVICES

        Subtitle A--Native Behavioral Health Access Improvement

Sec. 201. Behavioral health and substance use disorder services for 
                            Native Americans.
     Subtitle B--Summer Barrow Prevention, Treatment, and Recovery

Sec. 211. Grants for the benefit of homeless individuals.
Sec. 212. Priority substance abuse treatment needs of regional and 
                            national significance.
Sec. 213. Evidence-based prescription opioid and heroin treatment and 
                            interventions demonstration.
Sec. 214. Priority substance use disorder prevention needs of regional 
                            and national significance.
Sec. 215.  Sober Truth on Preventing (STOP) Underage Drinking 
                            Reauthorization.
Sec. 216. Grants for jail diversion programs.
Sec. 217. Formula grants to States.
Sec. 218. Projects for Assistance in Transition From Homelessness.
Sec. 219. Grants for reducing overdose deaths.
Sec. 220. Opioid overdose reversal medication access and education 
                            grant programs.
Sec. 221. State demonstration grants for comprehensive opioid abuse 
                            response.
Sec. 222. Emergency department alternatives to opioids.
               Subtitle C--Excellence in Recovery Housing

Sec. 231. Clarifying the role of SAMHSA in promoting the availability 
                            of high-quality recovery housing.
Sec. 232. Developing guidelines for States to promote the availability 
                            of high-quality recovery housing.
Sec. 233. Coordination of Federal activities to promote the 
                            availability of recovery housing.
Sec. 234. NAS study and report.
Sec. 235. Grants for States to promote the availability of recovery 
                            housing and services.
Sec. 236. Funding.
Sec. 237. Technical correction.
Subtitle D--Substance Use Prevention, Treatment, and Recovery Services 
                              Block Grant

Sec. 241. Eliminating stigmatizing language relating to substance use.
Sec. 242. Authorized activities.
Sec. 243. Requirements relating to certain infectious diseases and 
                            human immunodeficiency virus.
Sec. 244. State plan requirements.
Sec. 245. Updating certain language relating to Tribes.
Sec. 246. Block grants for substance use prevention, treatment, and 
                            recovery services.
Sec. 247. Requirement of reports and audits by States.
Sec. 248. Study on assessment for use in distribution of limited State 
                            resources.
          Subtitle E--Timely Treatment for Opioid Use Disorder

Sec. 251. Study on exemptions for treatment of opioid use disorder 
                            through opioid treatment programs during 
                            the COVID-19 public health emergency.
Sec. 252. Changes to Federal opioid treatment standards.
   Subtitle F--Additional Provisions Relating to Addiction Treatment

Sec. 261. Prohibition.
Sec. 262. Eliminating additional requirements for dispensing narcotic 
                            drugs in schedule III, IV, and V for 
                            maintenance or detoxification treatment.
Sec. 263. Requiring prescribers of controlled substances to complete 
                            training.
Sec. 264. Increase in number of days before which certain controlled 
                            substances must be administered.
Sec. 265. Block, report, and suspend suspicious shipments.
                  Subtitle G--Opioid Epidemic Response

Sec. 271. Opioid prescription verification.
Sec. 272. Synthetic Opioid Danger Awareness.
Sec. 273. Grant program for State and Tribal response to opioid and 
                            stimulant use and misuse.
          TITLE III--ACCESS TO MENTAL HEALTH CARE AND COVERAGE

       Subtitle A--Collaborate in an Orderly and Cohesive Manner

Sec. 301. Increasing uptake of the collaborative care model.
        Subtitle B--Helping Enable Access to Lifesaving Services

Sec. 311. Reauthorization and provision of certain programs to 
                            strengthen the health care workforce.
Sec. 312. Reauthorization of minority fellowship program.
Subtitle C--Eliminating the Opt-Out for Nonfederal Governmental Health 
                                 Plans

Sec. 321. Eliminating the opt-out for nonfederal governmental health 
                            plans.
      Subtitle D--Mental Health and Substance Use Disorder Parity 
                             Implementation

Sec. 331. Grants to support mental health and substance use disorder 
                            parity implementation.
   Subtitle E--Improving Emergency Department Mental Health Access, 
                        Services, and Responders

Sec. 341. Helping emergency responders overcome.
                      Subtitle F--Other Provisions

Sec. 351. Report on Law Enforcement Mental Health and Wellness.
                      TITLE IV--CHILDREN AND YOUTH

      Subtitle A--Supporting Children's Mental Health Care Access

Sec. 401. Pediatric mental health care access grants.
Sec. 402. Infant and early childhood mental health promotion, 
                            intervention, and treatment.
Sec. 403. School-based mental health; children and adolescents.
Sec. 404. Co-occurring chronic conditions and mental health in youth 
                            study.
Sec. 405. Best practices for behavioral intervention teams.
          Subtitle B--Continuing Systems of Care for Children

Sec. 411. Comprehensive Community Mental Health Services for Children 
                            with Serious Emotional Disturbances.
Sec. 412. Substance Use Disorder Treatment and Early Intervention 
                            Services for Children and Adolescents.
         Subtitle C--Garrett Lee Smith Memorial Reauthorization

Sec. 421. Suicide prevention technical assistance center.
Sec. 422. Youth suicide early intervention and prevention strategies.
Sec. 423. Mental health and substance use disorder services for 
                            students in higher education.
Sec. 424. Mental and behavioral health outreach and education at 
                            institutions of higher education.
                  Subtitle D--Media and Mental Health

Sec. 431. Study on the effects of smartphone and social media use on 
                            adolescents.
Sec. 432. Research on the health and development effects of media on 
                            infants, children, and adolescents.
                       TITLE V--MEDICAID AND CHIP

Sec. 501. Medicaid and CHIP requirements for health screenings and 
                            referrals for eligible juveniles in public 
                            institutions.
Sec. 502. Guidance on reducing administrative barriers to providing 
                            health care services in schools.
Sec. 503. Guidance to States on supporting pediatric behavioral health 
                            services under Medicaid and CHIP.
Sec. 504. Ensuring children receive timely access to care.
Sec. 505. Strategies to increase access to telehealth under Medicaid 
                            and CHIP.
Sec. 506. Removal of limitations on Federal financial participation for 
                            inmates who are eligible juveniles pending 
                            disposition of charges.
                   TITLE VI--MISCELLANEOUS PROVISIONS

Sec. 601. Determination of budgetary effects.
Sec. 602. Oversight of pharmacy benefit manager services.
Sec. 603. Medicare Improvement Fund.
Sec. 604. Limitations on authority.

              TITLE I--MENTAL HEALTH AND CRISIS CARE NEEDS

       Subtitle A--Crisis Care Services and 9-8-8 Implementation

SEC. 101. BEHAVIORAL HEALTH CRISIS COORDINATING OFFICE.

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

``SEC. 506B. BEHAVIORAL HEALTH CRISIS COORDINATING OFFICE.

    ``(a) In General.--The Secretary shall establish, within the 
Substance Abuse and Mental Health Services Administration, an office to 
coordinate work relating to behavioral health crisis care across the 
operating divisions and agencies of the Department of Health and Human 
Services, including the Substance Abuse and Mental Health Services 
Administration, the Centers for Medicare & Medicaid Services, and the 
Health Resources and Services Administration, and external 
stakeholders.
    ``(b) Duty.--The office established under subsection (a) shall--
            ``(1) convene Federal, State, Tribal, local, and private 
        partners;
            ``(2) launch and manage Federal workgroups charged with 
        making recommendations regarding behavioral health crisis 
        issues, including with respect to health care best practices, 
        workforce development, mental health disparities, data 
        collection, technology, program oversight, public awareness, 
        and engagement; and
            ``(3) support technical assistance, data analysis, and 
        evaluation functions in order to assist States, localities, 
        Territories, Tribes, and Tribal communities to develop crisis 
        care systems and establish nationwide best practices with the 
        objective of expanding the capacity of, and access to, local 
        crisis call centers, mobile crisis care, crisis stabilization, 
        psychiatric emergency services, and rapid post-crisis follow-up 
        care provided by--
                    ``(A) the National Suicide Prevention and Mental 
                Health Crisis Hotline and Response System;
                    ``(B) the Veterans Crisis Line;
                    ``(C) community mental health centers (as defined 
                in section 1861(ff)(3)(B) of the Social Security Act);
                    ``(D) certified community behavioral health 
                clinics, as described in section 223 of the Protecting 
                Access to Medicare Act of 2014; and
                    ``(E) other community mental health and substance 
                use disorder providers.
    ``(c) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section $5,000,000 for each of fiscal 
years 2023 through 2027.''.

SEC. 102. CRISIS RESPONSE CONTINUUM OF CARE.

    Subpart 3 of part B of title V of the Public Health Service Act (42 
U.S.C. 290bb-31 et seq.) is amended by adding at the end the following:

``SEC. 520N. CRISIS RESPONSE CONTINUUM OF CARE.

    ``(a) In General.--The Secretary shall publish best practices for a 
crisis response continuum of care for use by health care providers, 
crisis services administrators, and crisis services providers in 
responding to individuals (including children and adolescents) 
experiencing mental health crises, substance-related crises, and crises 
arising from co-occurring disorders.
    ``(b) Best Practices.--
            ``(1) Scope of best practices.--The best practices 
        published under subsection (a) shall define--
                    ``(A) a minimum set of core crisis response 
                services, as determined by the Secretary, for each 
                entity that furnishes such services, that--
                            ``(i) do not require prior authorization 
                        from an insurance provider or group health plan 
                        nor a referral from a health care provider 
                        prior to the delivery of services;
                            ``(ii) provide for serving all individuals 
                        regardless of age or ability to pay;
                            ``(iii) provide for operating 24 hours a 
                        day, 7 days a week; and
                            ``(iv) provide for care and support through 
                        resources described in paragraph (2)(A) until 
                        the individual has been stabilized or 
                        transferred to the next level of crisis care; 
                        and
                    ``(B) psychiatric stabilization, including the 
                point at which a case may be closed for--
                            ``(i) individuals screened over the phone; 
                        and
                            ``(ii) individuals stabilized on the scene 
                        by mobile teams.
            ``(2) Identification of essential functions.--The best 
        practices published under subsection (a) shall identify the 
        essential functions of each service in the crisis response 
        continuum, which shall include at least the following:
                    ``(A) Identification of resources for referral and 
                enrollment in continuing mental health, substance use, 
                or other human services relevant for the individual in 
                crisis where necessary.
                    ``(B) Delineation of access and entry points to 
                services within the crisis response continuum.
                    ``(C) Development of protocols and agreements for 
                the transfer and receipt of individuals to and from 
                other segments of the crisis response continuum 
                segments as needed, and from outside referrals 
                including health care providers, first responders 
                including law enforcement, paramedics, and 
                firefighters, education institutions, and community-
                based organizations.
                    ``(D) Description of the qualifications of crisis 
                services staff, including roles for physicians, 
                licensed clinicians, case managers, and peers (in 
                accordance with State licensing requirements or 
                requirements applicable to Tribal health 
                professionals).
                    ``(E) The convening of collaborative meetings of 
                crisis response service providers, first responders 
                including law enforcement, paramedics, and 
                firefighters, and community partners (including 
                National Suicide Prevention Lifeline or 9-8-8 call 
                centers, 9-1-1 public service answering points, and 
                local mental health and substance use disorder 
                treatment providers) operating in a common region for 
                the discussion of case management, best practices, and 
                general performance improvement.
            ``(3) Service capacity and quality best practices.--The 
        best practices under subsection (a) shall include 
        recommendations on--
                    ``(A) adequate volume of services to meet 
                population need;
                    ``(B) appropriate timely response; and
                    ``(C) capacity to meet the needs of different 
                patient populations that may experience a mental health 
                or substance use crisis, including children, families, 
                and all age groups, cultural and linguistic minorities, 
                veterans, individuals with co-occurring mental health 
                and substance use disorders, individuals with cognitive 
                disabilities, individuals with developmental delays, 
                and individuals with chronic medical conditions and 
                physical disabilities.
            ``(4) Implementation timeframe.--The Secretary shall--
                    ``(A) not later than 1 year after the date of 
                enactment of this section, publish and maintain the 
                best practices required by subsection (a); and
                    ``(B) every two years thereafter, publish updates.
            ``(5) Data collection and evaluations.--The Secretary, 
        directly or through grants, contracts, or interagency 
        agreements, shall collect data and conduct evaluations with 
        respect to the provision of services and programs offered on 
        the crisis response continuum for purposes of assessing the 
        extent to which the provision of such services and programs 
        meet certain objectives and outcomes measures as determined by 
        the Secretary. Such objectives shall include--
                    ``(A) a reduction in reliance on law enforcement 
                response, as appropriate, to individuals in crisis who 
                would be more appropriately served by a mobile crisis 
                team capable of responding to mental health and 
                substance-related crises;
                    ``(B) a reduction in boarding or extended holding 
                of patients in emergency room facilities who require 
                further psychiatric care, including care for substance 
                use disorders;
                    ``(C) evidence of adequate access to crisis care 
                centers and crisis bed services; and
                    ``(D) evidence of adequate linkage to appropriate 
                post-crisis care and longitudinal treatment for mental 
                health or substance use disorder when relevant.''.

SEC. 103. SUICIDE PREVENTION LIFELINE IMPROVEMENT.

    (a) Suicide Prevention Lifeline.--
            (1) Plan.--Section 520E-3 of the Public Health Service Act 
        (42 U.S.C. 290bb-36c) is amended--
                    (A) by redesignating subsection (c) as subsection 
                (e); and
                    (B) by inserting after subsection (b) the 
                following:
    ``(c) Plan.--
            ``(1) In general.--For purposes of maintaining the suicide 
        prevention hotline under subsection (b)(2), the Secretary shall 
        develop and implement a plan to ensure the provision of high-
        quality service.
            ``(2) Contents.--The plan required by paragraph (1) shall 
        include the following:
                    ``(A) Quality assurance provisions, including--
                            ``(i) clearly defined and measurable 
                        performance indicators and objectives to 
                        improve the responsiveness and performance of 
                        the hotline, including at backup call centers; 
                        and
                            ``(ii) quantifiable timeframes to track the 
                        progress of the hotline in meeting such 
                        performance indicators and objectives.
                    ``(B) Standards that crisis centers and backup 
                centers must meet--
                            ``(i) to participate in the network under 
                        subsection (b)(1); and
                            ``(ii) to ensure that each telephone call, 
                        online chat message, and other communication 
                        received by the hotline, including at backup 
                        call centers, is answered in a timely manner by 
                        a person, consistent with the guidance 
                        established by the American Association of 
                        Suicidology or other guidance determined by the 
                        Secretary to be appropriate.
                    ``(C) Guidelines for crisis centers and backup 
                centers to implement evidence-based practices including 
                with respect to followup and referral to other health 
                and social services resources.
                    ``(D) Guidelines to ensure that resources are 
                available and distributed to individuals using the 
                hotline who are not personally in a time of crisis but 
                know of someone who is.
                    ``(E) Guidelines to carry out periodic testing of 
                the hotline, including at crisis centers and backup 
                centers, during each fiscal year to identify and 
                correct any problems in a timely manner.
                    ``(F) Guidelines to operate in consultation with 
                the State department of health, local governments, 
                Indian tribes, and tribal organizations.
            ``(3) Initial plan; updates.--The Secretary shall--
                    ``(A) not later than 6 months after the date of 
                enactment of the Restoring Hope for Mental Health and 
                Well-Being Act of 2022, complete development of the 
                initial version of the plan required by paragraph (1), 
                begin implementation of such plan, and make such plan 
                publicly available; and
                    ``(B) periodically thereafter, update such plan and 
                make the updated plan publicly available.''.
            (2) Transmission of data to cdc.--Section 520E-3 of the 
        Public Health Service Act (42 U.S.C. 290bb-36c) is amended by 
        inserting after subsection (c) of such section, as added by 
        paragraph (1), the following:
    ``(d) Transmission of Data to CDC.--The Secretary shall formalize 
and strengthen agreements between the National Suicide Prevention 
Lifeline program and the Centers for Disease Control and Prevention to 
transmit any necessary epidemiological data from the program to the 
Centers, including local call center data, to assist the Centers in 
suicide prevention efforts.''.
            (3) Authorization of appropriations.--Subsection (e) of 
        section 520E-3 of the Public Health Service Act (42 U.S.C. 
        290bb-36c) is amended to read as follows:
    ``(e) Authorization of Appropriations.--
            ``(1) In general.--To carry out this section, there are 
        authorized to be appropriated $101,621,000 for each of fiscal 
        years 2023 through 2027.
            ``(2) Allocation.--Of the amount authorized to be 
        appropriated by paragraph (1) for each of fiscal years 2023 
        through 2027--
                    ``(A) at least 80 percent shall be made available 
                to crisis centers; and
                    ``(B) not more than 10 percent may be used for 
                carrying out the pilot program in section 103(b)(1) of 
                the Restoring Hope for Mental Health and Well-Being Act 
                of 2022.''.
    (b) Pilot Program on Innovative Technologies.--
            (1) In general.--The Secretary of Health and Human 
        Services, acting through the Assistant Secretary for Mental 
        Health and Substance Use, shall carry out a pilot program to 
        research, analyze, and employ various technologies and 
        platforms of communication (including social media platforms, 
        texting platforms, and email platforms) for suicide prevention 
        in addition to the telephone and online chat service provided 
        by the Suicide Prevention Lifeline.
            (2) Report.--Not later than 24 months after the date on 
        which the pilot program under paragraph (1) commences, the 
        Secretary of Health and Human Services, acting through the 
        Assistant Secretary for Mental Health and Substance Use, shall 
        submit to the Congress a report on the pilot program. With 
        respect to each platform of communication employed pursuant to 
        the pilot program, the report shall include--
                    (A) a full description of the program;
                    (B) the number of individuals served by the 
                program;
                    (C) the average wait time for each individual to 
                receive a response;
                    (D) the cost of the program, including the cost per 
                individual served; and
                    (E) any other information the Secretary determines 
                appropriate.
    (c) HHS Study and Report.--Not later than 24 months after the 
Secretary of Health and Human Services begins implementation of the 
plan required by section 520E-3(c) of the Public Health Service Act, as 
added by subsection (a)(1)(B), the Secretary shall--
            (1) complete a study on--
                    (A) the implementation of such plan, including the 
                progress towards meeting the objectives identified 
                pursuant to paragraph (2)(A)(i) of such section 520E-
                3(c) by the timeframes identified pursuant to paragraph 
                (2)(A)(ii) of such section 520E-3(c); and
                    (B) in consultation with the Director of the 
                Centers for Disease Control and Prevention, options to 
                expand data gathering from calls to the Suicide 
                Prevention Lifeline in order to better track aspects of 
                usage such as repeat calls, consistent with applicable 
                Federal and State privacy laws; and
            (2) submit a report to the Congress on the results of such 
        study, including recommendations on whether additional 
        legislation or appropriations are needed.
    (d) GAO Study and Report.--
            (1) In general.--Not later than 24 months after the 
        Secretary of Health and Human Services begins implementation of 
        the plan required by section 520E-3(c) of the Public Health 
        Service Act, as added by subsection (a)(1)(B), the Comptroller 
        General of the United States shall--
                    (A) complete a study on the Suicide Prevention 
                Lifeline; and
                    (B) submit a report to the Congress on the results 
                of such study.
            (2) Issues to be studied.--The study required by paragraph 
        (1) shall address--
                    (A) the feasibility of geolocating callers to 
                direct calls to the nearest crisis center;
                    (B) operation shortcomings of the Suicide 
                Prevention Lifeline;
                    (C) geographic coverage of each crisis call center;
                    (D) the call answer rate of each crisis call 
                center;
                    (E) the call wait time of each crisis call center;
                    (F) the hours of operation of each crisis call 
                center;
                    (G) funding avenues of each crisis call center;
                    (H) the implementation of the plan under section 
                520E-3(c) of the Public Health Service Act, as added by 
                subsection (a)(1)(B), including the progress towards 
                meeting the objectives identified pursuant to paragraph 
                (2)(A)(i) of such section 520E-3(c) by the timeframes 
                identified pursuant to paragraph (2)(A)(ii) of such 
                section 520E-3(c); and
                    (I) service to individuals requesting a foreign 
                language speaker, including--
                            (i) the number of calls or chats the 
                        Lifeline receives from individuals speaking a 
                        foreign language;
                            (ii) the capacity of the Lifeline to handle 
                        these calls or chats; and
                            (iii) the number of crisis centers with the 
                        capacity to serve foreign language speakers, in 
                        house.
            (3) Recommendations.--The report required by paragraph (1) 
        shall include recommendations for improving the Suicide 
        Prevention Lifeline, including recommendations for legislative 
        and administrative actions.
    (e) Definition.--In this section, the term ``Suicide Prevention 
Lifeline'' means the suicide prevention hotline maintained pursuant to 
section 520E-3 of the Public Health Service Act (42 U.S.C. 290bb-36c).

Subtitle B--Into the Light for Maternal Mental Health and Substance Use 
                               Disorders

SEC. 111. SCREENING AND TREATMENT FOR MATERNAL MENTAL HEALTH AND 
              SUBSTANCE USE DISORDERS.

    (a) In General.--Section 317L-1 of the Public Health Service Act 
(42 U.S.C. 247b-13a) is amended--
            (1) in the section heading, by striking ``maternal 
        depression'' and inserting ``maternal mental health and 
        substance use disorders''; and
            (2) in subsection (a)--
                    (A) by inserting ``, Indian Tribes and Tribal 
                organizations (as such terms are defined in section 4 
                of the Indian Self-Determination and Education 
                Assistance Act), and Urban Indian organizations (as 
                such term is defined under the Federally Recognized 
                Indian Tribe List Act of 1994)'' after ``States''; and
                    (B) by striking ``for women who are pregnant, or 
                who have given birth within the preceding 12 months, 
                for maternal depression'' and inserting ``for women who 
                are postpartum, pregnant, or have given birth within 
                the preceding 12 months, for maternal mental health and 
                substance use disorders''.
    (b) Application.--Subsection (b) of section 317L-1 of the Public 
Health Service Act (42 U.S.C. 247b-13a) is amended--
            (1) by striking ``a State shall submit'' and inserting ``an 
        entity listed in subsection (a) shall submit''; and
            (2) in paragraphs (1) and (2), by striking ``maternal 
        depression'' each place it appears and inserting ``maternal 
        mental health and substance use disorders''.
    (c) Priority.--Subsection (c) of section 317L-1 of the Public 
Health Service Act (42 U.S.C. 247b-13a) is amended--
            (1) by striking ``may give priority to States proposing to 
        improve or enhance access to screening'' and inserting the 
        following: ``shall give priority to entities listed in 
        subsection (a) that--
            ``(1) are proposing to create, improve, or enhance 
        screening, prevention, and treatment'';
            (2) by striking ``maternal depression'' and inserting 
        ``maternal mental health and substance use disorders'';
            (3) by striking the period at the end of paragraph (1), as 
        so designated, and inserting a semicolon; and
            (4) by inserting after such paragraph (1) the following:
            ``(2) are currently partnered with, or will partner with, a 
        community-based organization to address maternal mental health 
        and substance use disorders;
            ``(3) are located in an area with high rates of adverse 
        maternal health outcomes or significant health, economic, 
        racial, or ethnic disparities in maternal health and substance 
        use disorder outcomes; and
            ``(4) operate in a health professional shortage area 
        designated under section 332.''.
    (d) Use of Funds.--Subsection (d) of section 317L-1 of the Public 
Health Service Act (42 U.S.C. 247b-13a) is amended--
            (1) in paragraph (1)--
                    (A) in subparagraph (A), by striking ``to health 
                care providers; and'' and inserting ``on maternal 
                mental health and substance use disorder screening, 
                brief intervention, treatment (as applicable for health 
                care providers), and referrals for treatment to health 
                care providers in the primary care setting and 
                nonclinical perinatal support workers;'';
                    (B) in subparagraph (B), by striking ``to health 
                care providers, including information on maternal 
                depression screening, treatment, and followup support 
                services, and linkages to community-based resources; 
                and'' and inserting ``on maternal mental health and 
                substance use disorder screening, brief intervention, 
                treatment (as applicable for health care providers) and 
                referrals for treatment, follow-up support services, 
                and linkages to community-based resources to health 
                care providers in the primary care setting and clinical 
                perinatal support workers; and''; and
                    (C) by adding at the end the following:
                    ``(C) enabling health care providers (such as 
                obstetrician-gynecologists, nurse practitioners, nurse 
                midwives, pediatricians, psychiatrists, mental and 
                other behavioral health care providers, and adult 
                primary care clinicians) to provide or receive real-
                time psychiatric consultation (in-person or remotely), 
                including through the use of technology-enabled 
                collaborative learning and capacity building models (as 
                defined in section 330N), to aid in the treatment of 
                pregnant and postpartum women; and''; and
            (2) in paragraph (2)--
                    (A) by striking subparagraph (A) and redesignating 
                subparagraphs (B) and (C) as subparagraphs (A) and (B), 
                respectively;
                    (B) in subparagraph (A), as redesignated, by 
                striking ``and'' at the end;
                    (C) in subparagraph (B), as redesignated--
                            (i) by inserting ``, including'' before 
                        ``for rural areas''; and
                            (ii) by striking the period at the end and 
                        inserting a semicolon; and
                    (D) by inserting after subparagraph (B), as 
                redesignated, the following:
                    ``(C) providing assistance to pregnant and 
                postpartum women to receive maternal mental health and 
                substance use disorder treatment, including patient 
                consultation, care coordination, and navigation for 
                such treatment;
                    ``(D) coordinating with maternal and child health 
                programs of the Federal Government and State, local, 
                and Tribal governments, including child psychiatric 
                access programs;
                    ``(E) conducting public outreach and awareness 
                regarding grants under subsection (a);
                    ``(F) creating multistate consortia to carry out 
                the activities required or authorized under this 
                subsection; and
                    ``(G) training health care providers in the primary 
                care setting and nonclinical perinatal support workers 
                on trauma-informed care, culturally and linguistically 
                appropriate services, and best practices related to 
                training to improve the provision of maternal mental 
                health and substance use disorder care for racial and 
                ethnic minority populations, including with respect to 
                perceptions and biases that may affect the approach to, 
                and provision of, care.''.
    (e) Additional Provisions.--Section 317L-1 of the Public Health 
Service Act (42 U.S.C. 247b-13a) is amended--
            (1) by redesignating subsection (e) as subsection (h); and
            (2) by inserting after subsection (d) the following:
    ``(e) Technical Assistance.--The Secretary shall provide technical 
assistance to grantees and entities listed in subsection (a) for 
carrying out activities pursuant to this section.
    ``(f) Dissemination of Best Practices.--The Secretary, based on 
evaluation of the activities funded pursuant to this section, shall 
identify and disseminate evidence-based or evidence-informed best 
practices for screening, assessment, and treatment services for 
maternal mental health and substance use disorders, including 
culturally and linguistically appropriate services, for women during 
pregnancy and 12 months following pregnancy.
    ``(g) Matching Requirement.--The Federal share of the cost of the 
activities for which a grant is made to an entity under subsection (a) 
shall not exceed 90 percent of the total cost of such activities.''.
    (f) Authorization of Appropriations.--Subsection (h) of section 
317L-1 (42 U.S.C. 247b-13a) of the Public Health Service Act, as 
redesignated, is further amended--
            (1) by striking ``$5,000,000'' and inserting 
        ``$24,000,000''; and
            (2) by striking ``2018 through 2022'' and inserting ``2023 
        through 2027''.

SEC. 112. MATERNAL MENTAL HEALTH HOTLINE.

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

``SEC. 399V-7. MATERNAL MENTAL HEALTH HOTLINE.

    ``(a) In General.--The Secretary shall maintain, directly or by 
grant or contract, a national hotline to provide emotional support, 
information, brief intervention, and mental health and substance use 
disorder resources to pregnant and postpartum women at risk of, or 
affected by, maternal mental health and substance use disorders, and to 
their families or household members.
    ``(b) Requirements for Hotline.--The hotline under subsection (a) 
shall--
            ``(1) be a 24/7 real-time hotline;
            ``(2) provide voice and text support;
            ``(3) be staffed by certified peer specialists, licensed 
        health care professionals, or licensed mental health 
        professionals who are trained on--
                    ``(A) maternal mental health and substance use 
                disorder prevention, identification, and intervention; 
                and
                    ``(B) providing culturally and linguistically 
                appropriate support; and
            ``(4) provide maternal mental health and substance use 
        disorder assistance and referral services to meet the needs of 
        underserved populations, individuals with disabilities, and 
        family and household members of pregnant or postpartum women at 
        risk of experiencing maternal mental health and substance use 
        disorders.
    ``(c) Additional Requirements.--In maintaining the hotline under 
subsection (a), the Secretary shall--
            ``(1) consult with the Domestic Violence Hotline, National 
        Suicide Prevention Lifeline, and Veterans Crisis Line to ensure 
        that pregnant and postpartum women are connected in real-time 
        to the appropriate specialized hotline service, when 
        applicable;
            ``(2) conduct a public awareness campaign for the hotline;
            ``(3) consult with Federal departments and agencies, 
        including the Centers of Excellence of the Substance Abuse and 
        Mental Health Services Administration and the Department of 
        Veterans Affairs, to increase awareness regarding the hotline; 
        and
            ``(4) consult with appropriate State, local, and Tribal 
        public health officials, including officials that administer 
        programs that serve low-income pregnant and postpartum 
        individuals.
    ``(d) Annual Report.--The Secretary shall submit an annual report 
to the Congress on the hotline under subsection (a) and implementation 
of this section, including--
            ``(1) an evaluation of the effectiveness of activities 
        conducted or supported under subsection (a);
            ``(2) a directory of entities or organizations to which 
        staff maintaining the hotline funded under this section may 
        make referrals; and
            ``(3) such additional information as the Secretary 
        determines appropriate.
    ``(e) Authorization of Appropriations.--To carry out this section, 
there are authorized to be appropriated $10,000,000 for each of fiscal 
years 2023 through 2027.''.

SEC. 113. TASK FORCE ON MATERNAL MENTAL HEALTH.

    Part B of title III of the Public Health Service Act (42 U.S.C. 243 
et seq.) is amended by inserting after section 317L-1 (42 U.S.C. 247b-
13a) the following:

``SEC. 317L-2. TASK FORCE ON MATERNAL MENTAL HEALTH.

    ``(a) Establishment.--Not later than 180 days after the date of 
enactment of the Restoring Hope for the Mental Health and Well-Being 
Act of 2022, the Secretary, for purposes of identifying, evaluating, 
and making recommendations to coordinate and improve Federal responses 
to maternal mental health conditions, shall--
            ``(1) establish a task force to be known as the Task Force 
        on Maternal Mental Health (in this section referred to as the 
        `Task Force'); or
            ``(2) incorporate the duties, public meetings, and reports 
        specified in subsections (c) through (f) into existing Federal 
        policy forums, including the Maternal Health Interagency Policy 
        Committee and the Maternal Health Working Group, as 
        appropriate.
    ``(b) Membership.--
            ``(1) Composition.--The Task Force shall be composed of--
                    ``(A) the Federal members under paragraph (2); and
                    ``(B) the non-Federal members under paragraph (3).
            ``(2) Federal members.--The Federal members of the Task 
        Force shall consist of the following heads of Federal 
        departments and agencies (or their designees):
                    ``(A) The Assistant Secretary for Health of the 
                Department of Health and Human Services, who shall 
                serve as Chair.
                    ``(B) The Assistant Secretary for Planning and 
                Evaluation of the Department of Health and Human 
                Services.
                    ``(C) The Assistant Secretary of the Administration 
                for Children and Families.
                    ``(D) The Director of the Centers for Disease 
                Control and Prevention.
                    ``(E) The Administrator of the Centers for Medicare 
                & Medicaid Services.
                    ``(F) The Administrator of the Health Resources and 
                Services Administration.
                    ``(G) The Director of the Indian Health Service.
                    ``(H) The Assistant Secretary for Mental Health and 
                Substance Use.
                    ``(I) Such other Federal departments and agencies 
                as the Secretary determines appropriate that serve 
                individuals with maternal mental health conditions.
            ``(3) Non-federal members.--The non-Federal members of the 
        Task Force shall--
                    ``(A) compose not more than one-half, and not less 
                than one-third, of the total membership of the Task 
                Force;
                    ``(B) be appointed by the Secretary; and
                    ``(C) include--
                            ``(i) representatives of medical societies 
                        with expertise in maternal or mental health;
                            ``(ii) representatives of nonprofit 
                        organizations with expertise in maternal or 
                        mental health;
                            ``(iii) relevant industry representatives; 
                        and
                            ``(iv) other representatives, as 
                        appropriate.
            ``(4) Deadline for designating designees.--If the Assistant 
        Secretary for Health, or the head of a Federal department or 
        agency serving as a member of the Task Force under paragraph 
        (2), chooses to be represented on the Task Force by a designee, 
        the Assistant Secretary or department or agency head shall 
        designate such designee not later than 90 days after the date 
        of the enactment of this section.
    ``(c) Duties.--The Task Force shall--
            ``(1) prepare and regularly update a report that analyzes 
        and evaluates the state of national maternal mental health 
        policy and programs at the Federal, State, and local levels, 
        and identifies best practices with respect to maternal mental 
        health policy, including--
                    ``(A) a set of evidence-based, evidence-informed, 
                and promising practices with respect to--
                            ``(i) prevention strategies for individuals 
                        at risk of experiencing a maternal mental 
                        health condition, including strategies and 
                        recommendations to address health inequities;
                            ``(ii) the identification, screening, 
                        diagnosis, intervention, and treatment of 
                        individuals and families affected by a maternal 
                        mental health condition;
                            ``(iii) the expeditious referral to, and 
                        implementation of, practices and supports that 
                        prevent and mitigate the effects of a maternal 
                        mental health condition, including strategies 
                        and recommendations to eliminate the racial and 
                        ethnic disparities that exist in maternal 
                        mental health; and
                            ``(iv) community-based or multigenerational 
                        practices that support individuals and families 
                        affected by a maternal mental health condition; 
                        and
                    ``(B) Federal and State programs and activities to 
                prevent, screen, diagnose, intervene, and treat 
                maternal mental health conditions;
            ``(2) develop and regularly update a national strategy for 
        maternal mental health, taking into consideration the findings 
        of the report under paragraph (1), on how the Task Force and 
        Federal departments and agencies represented on the Task Force 
        may prioritize options for, and may implement a coordinated 
        approach to, addressing maternal mental health conditions, 
        including by--
                    ``(A) increasing prevention, screening, diagnosis, 
                intervention, treatment, and access to care, including 
                clinical and nonclinical care such as peer-support and 
                community health workers, through the public and 
                private sectors;
                    ``(B) providing support for pregnant or postpartum 
                individuals who are at risk for or experiencing a 
                maternal mental health condition, and their families, 
                as appropriate;
                    ``(C) reducing racial, ethnic, geographic, and 
                other health disparities for prevention, diagnosis, 
                intervention, treatment, and access to care;
                    ``(D) identifying options for modifying, 
                strengthening, and coordinating Federal programs and 
                activities, such as the Medicaid program under title 
                XIX of the Social Security Act and the State Children's 
                Health Insurance Program under title XXI of such Act, 
                including existing infant and maternity programs, in 
                order to increase research, prevention, identification, 
                intervention, and treatment with respect to maternal 
                mental health; and
                    ``(E) planning, data sharing, and communication 
                within and across Federal departments, agencies, 
                offices, and programs;
            ``(3) solicit public comments from stakeholders for the 
        report under paragraph (1) and the national strategy under 
        paragraph (2), including comments from frontline service 
        providers, mental health professionals, researchers, experts in 
        maternal mental health, institutions of higher education, 
        public health agencies (including maternal and child health 
        programs), and industry representatives, in order to inform the 
        activities and reports of the Task Force; and
            ``(4) disaggregate any data collected under this section by 
        race, ethnicity, geographical location, age, marital status, 
        socioeconomic level, and other factors, as the Secretary 
        determines appropriate.
    ``(d) Meetings.--The Task Force shall--
            ``(1) meet not less than two times each year; and
            ``(2) convene public meetings, as appropriate, to fulfill 
        its duties under this section.
    ``(e) Reports to Public and Federal Leaders.--The Task Force shall 
make publicly available and submit to the heads of relevant Federal 
departments and agencies, the Committee on Energy and Commerce of the 
House of Representatives, the Committee on Health, Education, Labor, 
and Pensions of the Senate, and other relevant congressional 
committees, the following:
            ``(1) Not later than 1 year after the first meeting of the 
        Task Force, an initial report under subsection (c)(1).
            ``(2) Not later than 2 years after the first meeting of the 
        Task Force, an initial national strategy under subsection 
        (c)(2).
            ``(3) Each year thereafter--
                    ``(A) an updated report under subsection (c)(1);
                    ``(B) an updated national strategy under subsection 
                (c)(2); or
                    ``(C) if no update is made under subsection (c)(1) 
                or (c)(2), a report summarizing the activities of the 
                Task Force.
    ``(f) Reports to Governors.--Upon finalizing the initial national 
strategy under subsection (c)(2), and upon making relevant updates to 
such strategy, the Task Force shall submit a report to the Governors of 
all States describing opportunities for local- and State-level 
partnerships identified under subsection (c)(2)(D).
    ``(g) Sunset.--The Task Force shall terminate on September 30, 
2027.
    ``(h) Nonduplication of Federal Efforts.--The Secretary may relieve 
the Task Force, in carrying out subsections (c) through (f), from 
responsibility for carrying out such activities as may be specified by 
the Secretary as duplicative with other activities carried out by the 
Department of Health and Human Services.''.

   Subtitle C--Reaching Improved Mental Health Outcomes for Patients

SEC. 121. INNOVATION FOR MENTAL HEALTH.

    (a) National Mental Health and Substance Use Policy Laboratory.--
Section 501A of the Public Health Service Act (42 U.S.C. 290aa-0) is 
amended--
            (1) in subsection (e)(1), by striking ``Indian tribes or 
        tribal organizations'' and inserting ``Indian Tribes or Tribal 
        organizations'';
            (2) by striking subsection (e)(3); and
            (3) by adding at the end the following:
    ``(f) Authorization of Appropriations.--To carry out this section, 
there is authorized to be appropriated $10,000,000 for each of fiscal 
years 2023 through 2027.''.
    (b) Interdepartmental Serious Mental Illness Coordinating 
Committee.--
            (1) In general.--Part A of title V of the Public Health 
        Service Act (42 U.S.C. 290aa et seq.) is amended by inserting 
        after section 501A (42 U.S.C. 290aa-0) the following:

``SEC. 501B. INTERDEPARTMENTAL SERIOUS MENTAL ILLNESS COORDINATING 
              COMMITTEE.

    ``(a) Establishment.--
            ``(1) In general.--The Secretary of Health and Human 
        Services, or the designee of the Secretary, shall establish a 
        committee to be known as the Interdepartmental Serious Mental 
        Illness Coordinating Committee (in this section referred to as 
        the `Committee').
            ``(2) Federal advisory committee act.--Except as provided 
        in this section, the provisions of the Federal Advisory 
        Committee Act (5 U.S.C. App.) shall apply to the Committee.
    ``(b) Meetings.--The Committee shall meet not fewer than 2 times 
each year.
    ``(c) Responsibilities.--The Committee shall submit, on a biannual 
basis, to Congress and any other relevant Federal department or agency 
a report including--
            ``(1) a summary of advances in serious mental illness and 
        serious emotional disturbance research related to the 
        prevention of, diagnosis of, intervention in, and treatment and 
        recovery of serious mental illnesses, serious emotional 
        disturbances, and advances in access to services and support 
        for adults with a serious mental illness or children with a 
        serious emotional disturbance;
            ``(2) an evaluation of the effect Federal programs related 
        to serious mental illness have on public health, including 
        public health outcomes such as--
                    ``(A) rates of suicide, suicide attempts, incidence 
                and prevalence of serious mental illnesses, serious 
                emotional disturbances, and substance use disorders, 
                overdose, overdose deaths, emergency hospitalizations, 
                emergency room boarding, preventable emergency room 
                visits, interaction with the criminal justice system, 
                homelessness, and unemployment;
                    ``(B) increased rates of employment and enrollment 
                in educational and vocational programs;
                    ``(C) quality of mental and substance use disorders 
                treatment services; or
                    ``(D) any other criteria as may be determined by 
                the Secretary; and
            ``(3) specific recommendations for actions that agencies 
        can take to better coordinate the administration of mental 
        health services for adults with a serious mental illness or 
        children with a serious emotional disturbance.
    ``(d) Membership.--
            ``(1) Federal members.--The Committee shall be composed of 
        the following Federal representatives, or the designees of such 
        representatives--
                    ``(A) the Secretary of Health and Human Services, 
                who shall serve as the Chair of the Committee;
                    ``(B) the Assistant Secretary for Mental Health and 
                Substance Use;
                    ``(C) the Attorney General;
                    ``(D) the Secretary of Veterans Affairs;
                    ``(E) the Secretary of Defense;
                    ``(F) the Secretary of Housing and Urban 
                Development;
                    ``(G) the Secretary of Education;
                    ``(H) the Secretary of Labor;
                    ``(I) the Administrator of the Centers for Medicare 
                & Medicaid Services; and
                    ``(J) the Commissioner of Social Security.
            ``(2) Non-federal members.--The Committee shall also 
        include not less than 14 non-Federal public members appointed 
        by the Secretary of Health and Human Services, of which--
                    ``(A) at least 2 members shall be an individual who 
                has received treatment for a diagnosis of a serious 
                mental illness;
                    ``(B) at least 1 member shall be a parent or legal 
                guardian of an adult with a history of a serious mental 
                illness or a child with a history of a serious 
                emotional disturbance;
                    ``(C) at least 1 member shall be a representative 
                of a leading research, advocacy, or service 
                organization for adults with a serious mental illness;
                    ``(D) at least 2 members shall be--
                            ``(i) a licensed psychiatrist with 
                        experience in treating serious mental 
                        illnesses;
                            ``(ii) a licensed psychologist with 
                        experience in treating serious mental illnesses 
                        or serious emotional disturbances;
                            ``(iii) a licensed clinical social worker 
                        with experience treating serious mental 
                        illnesses or serious emotional disturbances; or
                            ``(iv) a licensed psychiatric nurse, nurse 
                        practitioner, or physician assistant with 
                        experience in treating serious mental illnesses 
                        or serious emotional disturbances;
                    ``(E) at least 1 member shall be a licensed mental 
                health professional with a specialty in treating 
                children and adolescents with a serious emotional 
                disturbance;
                    ``(F) at least 1 member shall be a mental health 
                professional who has research or clinical mental health 
                experience in working with minorities;
                    ``(G) at least 1 member shall be a mental health 
                professional who has research or clinical mental health 
                experience in working with medically underserved 
                populations;
                    ``(H) at least 1 member shall be a State certified 
                mental health peer support specialist;
                    ``(I) at least 1 member shall be a judge with 
                experience in adjudicating cases related to criminal 
                justice or serious mental illness;
                    ``(J) at least 1 member shall be a law enforcement 
                officer or corrections officer with extensive 
                experience in interfacing with adults with a serious 
                mental illness, children with a serious emotional 
                disturbance, or individuals in a mental health crisis; 
                and
                    ``(K) at least 1 member shall have experience 
                providing services for homeless individuals and working 
                with adults with a serious mental illness, children 
                with a serious emotional disturbance, or individuals in 
                a mental health crisis.
            ``(3) Terms.--A member of the Committee appointed under 
        paragraph (2) shall serve for a term of 3 years, and may be 
        reappointed for 1 or more additional 3-year terms. Any member 
        appointed to fill a vacancy for an unexpired term shall be 
        appointed for the remainder of such term. A member may serve 
        after the expiration of the member's term until a successor has 
        been appointed.
    ``(e) Working Groups.--In carrying out its functions, the Committee 
may establish working groups. Such working groups shall be composed of 
Committee members, or their designees, and may hold such meetings as 
are necessary.
    ``(f) Sunset.--The Committee shall terminate on September 30, 
2027.''.
            (2) Conforming amendments.--
                    (A) Section 501(l)(2) of the Public Health Service 
                Act (42 U.S.C. 290aa(l)(2)) is amended by striking 
                ``section 6031 of such Act'' and inserting ``section 
                501B of this Act''.
                    (B) Section 6031 of the Helping Families in Mental 
                Health Crisis Reform Act of 2016 (Division B of Public 
                Law 114-255) is repealed (and by conforming the item 
                relating to such section in the table of contents in 
                section 1(b)).
    (c) Priority Mental Health Needs of Regional and National 
Significance.--Section 520A of the Public Health Service Act (42 U.S.C. 
290bb-32) is amended--
            (1) in subsection (a), by striking ``Indian tribes or 
        tribal organizations'' and inserting ``Indian Tribes or Tribal 
        organizations''; and
            (2) in subsection (f), by striking ``$394,550,000 for each 
        of fiscal years 2018 through 2022'' and inserting 
        ``$599,036,000 for each of fiscal years 2023 through 2027''.

SEC. 122. CRISIS CARE COORDINATION.

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

``SEC. 520F. MENTAL HEALTH CRISIS RESPONSE PARTNERSHIP PILOT PROGRAM.

    ``(a) In General.--The Secretary shall establish a pilot program 
under which the Secretary will award competitive grants to States, 
localities, territories, Indian Tribes, and Tribal organizations to 
establish new, or enhance existing, mobile crisis response teams that 
divert the response for mental health and substance use crises from law 
enforcement to mobile crisis teams, as described in subsection (b).
    ``(b) Mobile Crisis Teams Described.--A mobile crisis team 
described in this subsection is a team of individuals--
            ``(1) that is available to respond to individuals in crisis 
        and provide immediate stabilization, referrals to community-
        based mental health and substance use disorder services and 
        supports, and triage to a higher level of care if medically 
        necessary;
            ``(2) which may include licensed counselors, clinical 
        social workers, physicians, paramedics, crisis workers, peer 
        support specialists, or other qualified individuals; and
            ``(3) which may provide support to divert behavioral health 
        crisis calls from the 9-1-1 system to the 9-8-8 system.
    ``(c) Priority.--In awarding grants under this section, the 
Secretary shall prioritize applications which account for the specific 
needs of the communities to be served, including children and families, 
veterans, rural and underserved populations, and other groups at 
increased risk of death from suicide or overdose.
    ``(d) Report.--
            ``(1) Initial report.--Not later than September 30, 2024, 
        the Secretary shall submit to Congress a report on steps taken 
        by the entities specified in subsection (a) as of such date of 
        enactment to strengthen the partnerships among mental health 
        providers, substance use disorder treatment providers, primary 
        care physicians, mental health and substance use crisis teams, 
        paramedics, law enforcement officers, and other first 
        responders.
            ``(2) Progress reports.--Not later than one year after the 
        date on which the first grant is awarded to carry out this 
        section, and for each year thereafter, the Secretary shall 
        submit to Congress a report on the grants made during the year 
        covered by the report, which shall include--
                    ``(A) impact data on the teams and people served by 
                such programs, including demographic information of 
                individuals served, volume, and types of service 
                utilization;
                    ``(B) outcomes of the number of linkages to 
                community-based resources, short-term crisis receiving 
                and stabilization facilities, and diversion from law 
                enforcement or hospital emergency department settings;
                    ``(C) data consistent with the State block grant 
                requirements for continuous evaluation and quality 
                improvement, and other relevant data as determined by 
                the Secretary; and
                    ``(D) the Secretary's recommendations and best 
                practices for--
                            ``(i) States and localities providing 
                        mobile crisis response and stabilization 
                        services for youth and adults; and
                            ``(ii) improvements to the program 
                        established under this section.
    ``(e) Authorization of Appropriations.--There are authorized to be 
appropriated to carry out this section, $10,000,000 for each of fiscal 
years 2023 through 2027.''.
    (b) Mental Health Awareness Training Grants.--
            (1) In general.--Section 520J(b) of the Public Health 
        Service Act (42 U.S.C. 290bb-41(b)) is amended--
                    (A) in paragraph (1), by striking ``Indian tribes, 
                tribal organizations'' and inserting ``Indian Tribes, 
                Tribal organizations'';
                    (B) in paragraph (4), by striking ``Indian tribe, 
                tribal organization'' and inserting ``Indian Tribe, 
                Tribal organization'';
                    (C) in paragraph (5)--
                            (i) by striking ``Indian tribe, tribal 
                        organization'' and inserting ``Indian Tribe, 
                        Tribal organization'';
                            (ii) in subparagraph (A), by striking 
                        ``and'' at the end;
                            (iii) in subparagraph (B)(ii), by striking 
                        the period at the end and inserting ``; and''; 
                        and
                            (iv) by adding at the end the following:
                    ``(C) suicide intervention and prevention, 
                including recognizing warning signs and how to refer 
                someone for help.'';
                    (D) in paragraph (6), by striking ``Indian tribe, 
                tribal organization'' and inserting ``Indian Tribe, 
                Tribal organization''; and
                    (E) in paragraph (7), by striking ``$14,693,000 for 
                each of fiscal years 2018 through 2022'' and inserting 
                ``$24,963,000 for each of fiscal years 2023 through 
                2027''.
            (2) Technical corrections.--Section 520J(b) of the Public 
        Health Service Act (42 U.S.C. 290bb-41(b)) is amended--
                    (A) in the heading of paragraph (2), by striking 
                ``Emergency Services Personnel'' and inserting 
                ``Emergency services personnel''; and
                    (B) in the heading of paragraph (3), by striking 
                ``Distribution of Awards'' and inserting ``Distribution 
                of awards''.
    (c) Adult Suicide Prevention.--Section 520L of the Public Health 
Service Act (42 U.S.C. 290bb-43) is amended--
            (1) in subsection (a)--
                    (A) in paragraph (2)--
                            (i) by striking ``Indian tribe'' each place 
                        it appears and inserting ``Indian Tribe''; and
                            (ii) by striking ``tribal organization'' 
                        each place it appears and inserting ``Tribal 
                        organization''; and
                    (B) by amending paragraph (3)(C) to read as 
                follows:
                    ``(C) Raising awareness of suicide prevention 
                resources, promoting help seeking among those at risk 
                for suicide.''; and
            (2) in subsection (d), by striking ``$30,000,000 for the 
        period of fiscal years 2018 through 2022'' and inserting 
        ``$30,000,000 for each of fiscal years 2023 through 2027''.

SEC. 123. TREATMENT OF SERIOUS MENTAL ILLNESS.

    (a) Assertive Community Treatment Grant Program.--
            (1) Technical amendment.--Section 520M(b) of the Public 
        Health Service Act (42 U.S.C. 290bb-44(b)) is amended by 
        striking ``Indian tribe or tribal organization'' and inserting 
        ``Indian Tribe or Tribal organization''.
            (2) Report to congress.--Section 520M(d)(1) of the Public 
        Health Service Act (42 U.S.C. 290bb-44(d)(1)) is amended by 
        striking ``not later than the end of fiscal year 2021'' and 
        inserting ``not later than the end of fiscal year 2026''.
            (3) Authorization of appropriations.--Section 520M(e)(1) of 
        the Public Health Service Act (42 U.S.C. 290bb-44(d)(1)) is 
        amended by striking ``$5,000,000 for the period of fiscal years 
        2018 through 2022'' and inserting ``$9,000,000 for each of 
        fiscal years 2023 through 2027''.
    (b) Assisted Outpatient Treatment.--Section 224 of the Protecting 
Access to Medicare Act of 2014 (42 U.S.C. 290aa note) is amended to 
read as follows:

``SEC. 224. ASSISTED OUTPATIENT TREATMENT GRANT PROGRAM FOR INDIVIDUALS 
              WITH SERIOUS MENTAL ILLNESS.

    ``(a) In General.--The Secretary shall carry out a program to award 
grants to eligible entities for assisted outpatient treatment programs 
for individuals with serious mental illness.
    ``(b) Consultation.--The Secretary shall carry out this section in 
consultation with the Director of the National Institute of Mental 
Health, the Attorney General of the United States, the Administrator of 
the Administration for Community Living, and the Assistant Secretary 
for Mental Health and Substance Use.
    ``(c) Selecting Among Applicants.--In awarding grants under this 
section, the Secretary--
            ``(1) may give preference to applicants that have not 
        previously implemented an assisted outpatient treatment 
        program; and
            ``(2) shall evaluate applicants based on their potential to 
        reduce hospitalization, homelessness, incarceration, and 
        interaction with the criminal justice system while improving 
        the health and social outcomes of the patient.
    ``(d) Program Requirements.--An assisted outpatient treatment 
program funded with a grant awarded under this section shall include--
            ``(1) evaluating the medical and social needs of the 
        patients who are participating in the program;
            ``(2) preparing and executing treatment plans for such 
        patients that--
                    ``(A) include criteria for completion of court-
                ordered treatment if applicable; and
                    ``(B) provide for monitoring of the patient's 
                compliance with the treatment plan, including 
                compliance with medication and other treatment 
                regimens;
            ``(3) providing for case management services that support 
        the treatment plan;
            ``(4) ensuring appropriate referrals to medical and social 
        services providers;
            ``(5) evaluating the process for implementing the program 
        to ensure consistency with the patient's needs and State law; 
        and
            ``(6) measuring treatment outcomes, including health and 
        social outcomes such as rates of incarceration, health care 
        utilization, and homelessness.
    ``(e) Report.--Not later than the end of fiscal year 2027, the 
Secretary shall submit a report to the appropriate congressional 
committees on the grant program under this section. Such report shall 
include an evaluation of the following:
            ``(1) Cost savings and public health outcomes such as 
        mortality, suicide, substance abuse, hospitalization, and use 
        of services.
            ``(2) Rates of incarceration of patients.
            ``(3) Rates of homelessness of patients.
            ``(4) Patient and family satisfaction with program 
        participation.
            ``(5) Demographic information regarding participation of 
        those served by the grant compared to demographic information 
        in the population of the grant recipient.
    ``(f) Definitions.--In this section:
            ``(1) The term `assisted outpatient treatment' means 
        medically prescribed mental health treatment that a patient 
        receives while living in a community under the terms of a law 
        authorizing a State or local civil court to order such 
        treatment.
            ``(2) The term `eligible entity' means a county, city, 
        mental health system, mental health court, or any other entity 
        with authority under the law of the State in which the entity 
        is located to implement, monitor, and oversee an assisted 
        outpatient treatment program.
    ``(g) Funding.--
            ``(1) Amount of grants.--
                    ``(A) Maximum amount.--The amount of a grant under 
                this section shall not exceed $1,000,000 for any fiscal 
                year.
                    ``(B) Determination.--Subject to subparagraph (A), 
                the Secretary shall determine the amount of each grant 
                under this section based on the population of the area 
                to be served through the grant and an estimate of the 
                number of patients to be served.
            ``(2) Authorization of appropriations.--There is authorized 
        to be appropriated to carry out this section $22,000,000 for 
        each of fiscal years 2023 through 2027.''.

SEC. 124. STUDY ON THE COSTS OF SERIOUS MENTAL ILLNESS.

    (a) In General.--The Secretary of Health and Human Services, in 
consultation with the Assistant Secretary for Mental Health and 
Substance Use, the Assistant Secretary for Planning and Evaluation, the 
Attorney General of the United States, the Secretary of Labor, and the 
Secretary of Housing and Urban Development, shall conduct a study on 
the direct and indirect costs of serious mental illness with respect 
to--
            (1) nongovernmental entities; and
            (2) the Federal Government and State, local, and Tribal 
        governments.
    (b) Content.--The study under subsection (a) shall consider each of 
the following:
            (1) The costs to the health care system for health 
        services, including with respect to--
                    (A) office-based physician visits;
                    (B) residential and inpatient treatment programs;
                    (C) outpatient treatment programs;
                    (D) emergency room visits;
                    (E) crisis stabilization programs;
                    (F) home health care;
                    (G) skilled nursing and long-term care facilities;
                    (H) prescription drugs and digital therapeutics; 
                and
                    (I) any other relevant health services.
            (2) The costs of homelessness, including with respect to--
                    (A) homeless shelters;
                    (B) street outreach activities;
                    (C) crisis response center visits; and
                    (D) other supportive services.
            (3) The costs of structured residential facilities and 
        other supportive housing for residential and custodial care 
        services.
            (4) The costs of law enforcement encounters and encounters 
        with the criminal justice system, including with respect to--
                    (A) encounters that do and do not result in an 
                arrest;
                    (B) criminal and judicial proceedings;
                    (C) services provided by law enforcement and 
                judicial staff (including public defenders, 
                prosecutors, and private attorneys); and
                    (D) incarceration.
            (5) The costs of serious mental illness on employment.
            (6) With respect to family members and caregivers, the 
        costs of caring for an individual with a serious mental 
        illness.
            (7) Any other relevant costs for programs and services 
        administered by the Federal Government or State, Tribal, or 
        local governments.
    (c) Data Disaggregation.--In conducting the study under subsection 
(a), the Secretary of Health and Human Services shall (to the extent 
feasible)--
            (1) disaggregate data by--
                    (A) costs to nongovernmental entities, the Federal 
                Government, and State, local, and Tribal governments;
                    (B) types of serious mental illnesses and medical 
                chronic diseases common in patients with a serious 
                mental illness; and
                    (C) demographic characteristics, including race, 
                ethnicity, sex, age (including pediatric subgroups), 
                and other characteristics determined by the Secretary; 
                and
            (2) include an estimate of--
                    (A) the total number of individuals with a serious 
                mental illness in the United States, including in 
                traditional and nontraditional housing; and
                    (B) the percentage of such individuals in--
                            (i) homeless shelters;
                            (ii) penal facilities, including Federal 
                        prisons, State prisons, and county and 
                        municipal jails; and
                            (iii) nursing facilities.
    (d) Report.--Not later than 2 years after the date of the enactment 
of this Act, the Secretary of Health and Human Services shall--
            (1) submit to the Congress a report containing the results 
        of the study conducted under this section; and
            (2) make such report publicly available.

                     Subtitle D--Anna Westin Legacy

SEC. 131. MAINTAINING EDUCATION AND TRAINING ON EATING DISORDERS.

     Subpart 3 of part B of title V of the Public Health Service Act 
(42 U.S.C. 290bb-31 et seq.), as amended by section 102, is further 
amended by adding at the end the following:

``SEC. 520O. CENTER OF EXCELLENCE FOR EATING DISORDERS FOR EDUCATION 
              AND TRAINING ON EATING DISORDERS.

    ``(a) In General.--The Secretary, acting through the Assistant 
Secretary, shall maintain, by competitive grant or contract, a Center 
of Excellence for Eating Disorders (referred to in this section as the 
`Center') to improve the identification of, interventions for, and 
treatment of eating disorders in a manner that is developmentally, 
culturally, and linguistically appropriate.
    ``(b) Subgrants and Subcontracts.--The Center shall coordinate and 
implement the activities under subsection (c), in whole or in part, by 
awarding competitive subgrants or subcontracts--
            ``(1) across geographical regions; and
            ``(2) in a manner that is not duplicative.
    ``(c) Activities.--The Center--
            ``(1) shall--
                    ``(A) provide training and technical assistance 
                for--
                            ``(i) primary care and behavioral health 
                        care providers to carry out screening, brief 
                        intervention, and referral to treatment for 
                        individuals experiencing, or at risk for, 
                        eating disorders; and
                            ``(ii) nonclinical community support 
                        workers to identify and support individuals 
                        with, or at disproportionate risk for, eating 
                        disorders;
                    ``(B) develop and provide training materials to 
                health care providers, including primary care and 
                behavioral health care providers, in the effective 
                treatment and ongoing support of individuals with 
                eating disorders, including children and marginalized 
                populations at disproportionate risk for eating 
                disorders;
                    ``(C) provide collaboration and coordination to 
                other centers of excellence, technical assistance 
                centers, and psychiatric consultation lines of the 
                Substance Abuse and Mental Health Services 
                Administration and the Health Resources and Services 
                Administration on the identification, effective 
                treatment, and ongoing support of individuals with 
                eating disorders; and
                    ``(D) coordinate with the Director of the Centers 
                for Disease Control and Prevention and the 
                Administrator of the Health Resources and Services 
                Administration to disseminate training to primary care 
                and behavioral health care providers; and
            ``(2) may--
                    ``(A) coordinate with electronic health record 
                systems for the integration of protocols pertaining to 
                screening, brief intervention, and referral to 
                treatment for individuals experiencing, or at risk for, 
                eating disorders;
                    ``(B) develop and provide training materials to 
                health care providers, including primary care and 
                behavioral health care providers, in the effective 
                treatment and ongoing support for members of the Armed 
                Forces and veterans experiencing, or at risk for, 
                eating disorders; and
                    ``(C) consult with the Secretary of Defense and the 
                Secretary of Veterans Affairs on prevention, 
                identification, intervention for, and treatment of 
                eating disorders.
    ``(d) Authorization of Appropriations.--To carry out this section, 
there is authorized to be appropriated $1,000,000 for each of fiscal 
years 2023 through 2027.''.

       Subtitle E--Community Mental Health Services Block Grant 
                            Reauthorization

SEC. 141. REAUTHORIZATION OF BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH 
              SERVICES.

    (a) Funding.--Section 1920(a) of the Public Health Service Act (42 
U.S.C. 300x-9(a)) is amended by striking ``$532,571,000 for each of 
fiscal years 2018 through 2022'' and inserting ``$857,571,000 for each 
of fiscal years 2023 through 2027''.
    (b) Set-Aside for Evidence-based Crisis Care Services.--Section 
1920 of the Public Health Service Act (42 U.S.C. 300x-9) is amended by 
adding at the end the following:
    ``(d) Crisis Care.--
            ``(1) In general.--Except as provided in paragraph (3), a 
        State shall expend at least 5 percent of the amount the State 
        receives pursuant to section 1911 for each fiscal year to 
        support evidenced-based programs that address the crisis care 
        needs of--
                    ``(A) individuals, including children and 
                adolescents, experiencing mental health crises, 
                substance-related crises, or crises arising from co-
                occurring disorders; and
                    ``(B) persons with intellectual and developmental 
                disabilities.
            ``(2) Core elements.--At the discretion of the single State 
        agency responsible for the administration of the program of the 
        State under a grant under section 1911, funds expended pursuant 
        to paragraph (1) may be used to fund some or all of the core 
        crisis care service components, delivered according to 
        evidence-based principles, including the following:
                    ``(A) Crisis call centers.
                    ``(B) 24/7 mobile crisis services.
                    ``(C) Crisis stabilization programs offering acute 
                care or subacute care in a hospital or appropriately 
                licensed facility, as determined by the Substance Abuse 
                and Mental Health Services Administration, with 
                referrals to inpatient or outpatient care.
            ``(3) State flexibility.--In lieu of expending 5 percent of 
        the amount the State receives pursuant to section 1911 for a 
        fiscal year to support evidence-based programs as required by 
        paragraph (1), a State may elect to expend not less than 10 
        percent of such amount to support such programs by the end of 
        two consecutive fiscal years.
            ``(4) Rule of construction.--With respect to funds expended 
        pursuant to the set-aside in paragraph (1), section 
        1912(b)(1)(A)(vi) shall not apply.''.
    (c) Early Intervention.--
            (1) State plan option.--Section 1912(b)(1)(A)(vii) of the 
        Public Health Service Act (42 U.S.C. 300x-1(b)(1)(A)(vii)) is 
        amended--
                    (A) in subclause (III), by striking ``and'' at the 
                end;
                    (B) in subclause (IV), by striking the period at 
                the end and inserting ``; and''; and
                    (C) by adding at the end the following:
                                    ``(V) a description of any 
                                evidence-based early intervention 
                                strategies and programs the State 
                                provides to prevent, delay, or reduce 
                                the severity and onset of mental 
                                illness and behavioral problems, 
                                including for children and adolescents, 
                                irrespective of experiencing a serious 
                                mental illness or serious emotional 
                                disturbance, as defined under 
                                subsection (c)(1).''.
            (2) Allocation allowance; reports.--Section 1920 of the 
        Public Health Service Act (42 U.S.C. 300x-9), as amended by 
        subsection (c), is further amended by adding at the end the 
        following:
    ``(e) Early Intervention Services.--In the case of a State with a 
State plan that provides for strategies and programs specified in 
section 1912(b)(1)(A)(vii)(VI), such State may expend not more than 5 
percent of the amount of the allotment of the State pursuant to a 
funding agreement under section 1911 for each fiscal year to support 
such strategies and programs.
    ``(f) Reports to Congress.--Not later than September 30, 2025, and 
biennially thereafter, the Secretary shall provide a report to the 
Congress on the crisis care and early intervention strategies and 
programs pursued by States pursuant to subsections (d) and (e). Each 
such report shall include--
            ``(1) a description of the each State's crisis care and 
        early intervention activities;
            ``(2) the population served, including information on 
        demographics, including age;
            ``(3) the outcomes of such activities, including--
                    ``(A) how such activities reduced hospitalizations 
                and hospital stays;
                    ``(B) how such activities reduced incidents of 
                suicidal ideation and behaviors; and
                    ``(C) how such activities reduced the severity of 
                onset of serious mental illness and serious emotional 
                disturbance; and
            ``(4) any other relevant information the Secretary deems 
        necessary.''.

           Subtitle F--Peer-Supported Mental Health Services

SEC. 151. PEER-SUPPORTED MENTAL HEALTH SERVICES.

    Subpart 3 of part B of title V of the Public Health Service Act (42 
U.S.C. 290bb--31 et seq.) is amended by inserting after section 520G 
(42 U.S.C. 290bb--38) the following:

``SEC. 520H. PEER-SUPPORTED MENTAL HEALTH SERVICES.

    ``(a) Grants Authorized.--The Secretary, acting through the 
Director of the Center for Mental Health Services, shall award grants 
to eligible entities to enable such entities to develop, expand, and 
enhance access to mental health peer-delivered services.
    ``(b) Use of Funds.--Grants awarded under subsection (a) shall be 
used to develop, expand, and enhance national, statewide, or community-
focused programs, including virtual peer-support services and 
infrastructure, including by--
            ``(1) carrying out workforce development, recruitment, and 
        retention activities, to train, recruit, and retain peer-
        support providers;
            ``(2) building connections between mental health treatment 
        programs, including between community organizations and peer-
        support networks, including virtual peer-support networks, and 
        with other mental health support services;
            ``(3) reducing stigma associated with mental health 
        disorders;
            ``(4) expanding and improving virtual peer mental health 
        support services, including adoption of technologies to expand 
        access to virtual peer mental health support services, 
        including by acquiring--
                    ``(A) appropriate physical hardware for such 
                virtual services;
                    ``(B) software and programs to efficiently run 
                peer-support services virtually; and
                    ``(C) other technology for establishing virtual 
                waiting rooms and virtual video platforms for meetings; 
                and
            ``(5) conducting research on issues relating to mental 
        illness and the impact peer-support has on resiliency, 
        including identifying--
                    ``(A) the signs of mental illness;
                    ``(B) the resources available to individuals with 
                mental illness and to their families; and
                    ``(C) the resources available to help support 
                individuals living with mental illness.
    ``(c) Special Consideration.--In carrying out this section, the 
Secretary shall give special consideration to the unique needs of rural 
areas.
    ``(d) Definition.--In this section, the term `eligible entity' 
means--
            ``(1) a nonprofit consumer-run organization that--
                    ``(A) is principally governed by people living with 
                a mental health condition; and
                    ``(B) mobilizes resources within and outside of the 
                mental health community, which may include through 
                peer-support networks, to increase the prevalence and 
                quality of long-term wellness of individuals living 
                with a mental health condition, including those with a 
                co-occurring substance use disorder; or
            ``(2) a Federally recognized Tribe, Tribal organization, 
        Urban Indian organization, or consortium of Tribes or Tribal 
        organizations.
    ``(e) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section $13,000,000 for each of fiscal 
years 2023 through 2027.''.

      Subtitle G--Military Suicide Prevention in the 21st Century

SEC. 161. PILOT PROGRAM ON PRE-PROGRAMMING OF SUICIDE PREVENTION 
              RESOURCES INTO SMART DEVICES ISSUED TO MEMBERS OF THE 
              ARMED FORCES.

    (a) In General.--Commencing not later than 120 days after the date 
of the enactment of this Act, the Secretary of Defense shall carry out 
a pilot program under which the Secretary--
            (1) pre-downloads the Virtual Hope Box application of the 
        Defense Health Agency, or such successor application, on smart 
        devices individually issued to members of the Armed Forces;
            (2) pre-programs the National Suicide Hotline number and 
        Veterans Crisis Line number into the contacts for such devices; 
        and
            (3) provides training, as part of training on suicide 
        awareness and prevention conducted throughout the Department of 
        Defense, on the preventative resources described in paragraphs 
        (1) and (2).
    (b) Duration.--The Secretary shall carry out the pilot program 
under this section for a two-year period.
    (c) Scope.--The Secretary shall determine the appropriate scope of 
individuals participating in the pilot program under this section to 
best represent each Armed Force and to ensure a relevant sample size.
    (d) Identification of Other Resources.--In carrying out the pilot 
program under this section, the Secretary shall coordinate with the 
Director of the Defense Health Agency and the Secretary of Veterans 
Affairs to identify other useful technology-related resources for use 
in the pilot program.
    (e) Report.--Not later than 30 days after completing the pilot 
program under this section, the Secretary shall submit to the Committee 
on Armed Services of the Senate and the Committee on Armed Services of 
the House of Representatives a report on the pilot program.
    (f) Veterans Crisis Line Defined.--In this section, the term 
``Veterans Crisis Line'' means the toll-free hotline for veterans 
established under section 1720F(h) of title 38, United States Code.

 TITLE II--SUBSTANCE USE DISORDER PREVENTION, TREATMENT, AND RECOVERY 
                                SERVICES

        Subtitle A--Native Behavioral Health Access Improvement

SEC. 201. BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER SERVICES FOR 
              NATIVE AMERICANS.

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

``SEC. 506A. BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER SERVICES FOR 
              NATIVE AMERICANS.

    ``(a) Definitions.--In this section:
            ``(1) The term `eligible entity' means an Indian Tribe, a 
        Tribal organization, an Urban Indian organization, and a Native 
        Hawaiian health organization.
            ``(2) The terms `Indian Tribe', `Tribal organization', and 
        `Urban Indian organization' have the meanings given to the 
        terms `Indian tribe', `tribal organization', and `Urban Indian 
        organization' in section 4 of the Indian Health Care 
        Improvement Act.
            ``(3) The term `Native Hawaiian health organization' means 
        `Papa Ola Lokahi' as defined in section 12 of the Native 
        Hawaiian Health Care Improvement Act.
    ``(b) Formula Funds.--
            ``(1) In general.--The Secretary, in consultation with the 
        Director of the Indian Health Service, as appropriate, shall 
        award funds to eligible entities, in amounts determined 
        pursuant to the formula described in paragraph (2), to be used 
        by the eligible entity to provide culturally appropriate mental 
        health and substance use disorder prevention, treatment, and 
        recovery services to American Indians, Alaska Natives, and 
        Native Hawaiians.
            ``(2) Formula.--The Secretary, using the process described 
        in subsection (d), shall develop a formula to determine the 
        amount of an award under paragraph (1). Such formula shall take 
        into account the populations of eligible entities whose rates 
        of overdose deaths or suicide are substantially higher relative 
        to the populations of other Indian Tribes, Tribal 
        organizations, Urban Indian organizations, or Native Hawaiian 
        health organizations, as applicable.
    ``(c) Technical Assistance and Program Evaluation.--
            ``(1) In general.--The Secretary shall--
                    ``(A) provide technical assistance to applicants 
                and awardees under this section; and
                    ``(B) collect and evaluate information on the 
                program carried out under this section.
            ``(2) Consultation on evaluation measures, and data 
        submission and reporting requirements.--The Secretary shall, 
        using the process described in subsection (d), develop 
        evaluation measures and data submission and reporting 
        requirements for purposes of the collection and evaluation of 
        information.
            ``(3) Data submission and reporting.--As a condition on 
        receipt of funds under this section, an applicant shall agree 
        to submit data and reports in a timely manner consistent with 
        the evaluation measures and data submission and reporting 
        requirements developed under subsection (d).
    ``(d) Regulations.--
            ``(1) Promulgation.--Not later than 180 days after the date 
        of enactment of the Restoring Hope for Mental Health and Well-
        Being Act of 2022, the Secretary shall initiate procedures 
        under subchapter III of chapter 5 of title 5, United States 
        Code, to negotiate and promulgate such regulations as are 
        necessary to carry out this section, including development of 
        the funding formula described in subsection (b) and the program 
        evaluation and reporting requirements under subsection (c).
            ``(2) Publication.--Not later than 18 months after the date 
        of enactment of the Restoring Hope for Mental Health and Well-
        Being Act of 2022, the Secretary shall publish in the Federal 
        Register proposed regulations to implement this section.
            ``(3) Committee.--A negotiated rulemaking committee 
        established pursuant to section 565 of title 5, United States 
        Code, to carry out this subsection shall have as its members 
        only representatives of the Federal Government, Tribal 
        Governments, and Urban Indian organizations. For purposes of 
        such rulemaking, the Indian Health Service shall be the lead 
        agency for the Department.
            ``(4) Adaptation of procedures.--In carrying out this 
        subsection, the Secretary shall adapt any negotiated rulemaking 
        procedures to the unique context of the government-to-
        government relationship between the United States and Indian 
        Tribes.
            ``(5) Effect.--The lack of promulgated regulations under 
        this subsection shall not limit the effect or implementation of 
        this section.
    ``(e) Application.--An entity desiring an award under subsection 
(b) shall submit an application to the Secretary at such time, in such 
manner, and accompanied by such information as the Secretary may 
reasonably require.
    ``(f) Report.--Not later than 3 years after the date of the 
enactment of the Restoring Hope for Mental Health and Well-Being Act of 
2022, and annually thereafter, the Secretary shall prepare and submit, 
to the Committee on Health, Education, Labor, and Pensions of the 
Senate, and the Committee on Energy and Commerce of the House of 
Representatives, a report describing the services provided pursuant to 
this section.
    ``(g) Authorization of Appropriations.--There are authorized to be 
appropriated to carry out this section, $40,000,000 for each of fiscal 
years 2023 through 2027.''.

     Subtitle B--Summer Barrow Prevention, Treatment, and Recovery

SEC. 211. GRANTS FOR THE BENEFIT OF HOMELESS INDIVIDUALS.

    Section 506(e) of the Public Health Service Act (42 U.S.C. 290aa-
5(e)) is amended by striking ``2018 through 2022'' and inserting ``2023 
through 2027''.

SEC. 212. PRIORITY SUBSTANCE ABUSE TREATMENT NEEDS OF REGIONAL AND 
              NATIONAL SIGNIFICANCE.

    Section 509 of the Public Health Service Act (42 U.S.C. 290bb-2) is 
amended--
            (1) in the section heading, by striking ``abuse'' and 
        inserting ``use disorder'';
            (2) in subsection (a)--
                    (A) by striking ``tribes and tribal organizations 
                (as the terms `Indian tribes' and `tribal 
                organizations' are defined'' and inserting ``Tribes and 
                Tribal organizations (as such terms are defined''; and
                    (B) in paragraph (3), by striking ``in substance 
                abuse'';
            (3) in subsection (b), in the subsection heading, by 
        striking ``Abuse'' and inserting ``Use Disorder''; and
            (4) in subsection (f), by striking ``$333,806,000 for each 
        of fiscal years 2018 through 2022'' and inserting 
        ``$521,517,000 for each of fiscal years 2023 through 2027''.

SEC. 213. EVIDENCE-BASED PRESCRIPTION OPIOID AND HEROIN TREATMENT AND 
              INTERVENTIONS DEMONSTRATION.

    Section 514B of the Public Health Service Act (42 U.S.C. 290bb-10) 
is amended--
            (1) in subsection (a)(1)--
                    (A) by striking ``substance abuse'' and inserting 
                ``substance use disorder'';
                    (B) by striking ``tribes and tribal organizations'' 
                and inserting ``Tribes and Tribal organizations''; and
                    (C) by striking ``addiction'' and inserting 
                ``substance use disorders'';
            (2) in subsection (e)(3), by striking ``tribes and tribal 
        organizations'' and inserting ``Tribes and Tribal 
        organizations''; and
            (3) in subsection (f), by striking ``2017 through 2021'' 
        and inserting ``2023 through 2027''.

SEC. 214. PRIORITY SUBSTANCE USE DISORDER PREVENTION NEEDS OF REGIONAL 
              AND NATIONAL SIGNIFICANCE.

    Section 516 of the Public Health Service Act (42 U.S.C. 290bb-22) 
is amended--
            (1) in subsection (a)--
                    (A) in paragraph (3), by striking ``abuse'' and 
                inserting ``use''; and
                    (B) in the matter following paragraph (3), by 
                striking ``tribes or tribal organizations'' and 
                inserting ``Tribes or Tribal organizations'';
            (2) in subsection (b), in the subsection heading, by 
        striking ``Abuse'' and inserting ``Use Disorder''; and
            (3) in subsection (f), by striking ``$211,148,000 for each 
        of fiscal years 2018 through 2022'' and inserting 
        ``$218,219,000 for each of fiscal years 2023 through 2027''.

SEC. 215. SOBER TRUTH ON PREVENTING (STOP) UNDERAGE DRINKING 
              REAUTHORIZATION.

    Section 519B of the Public Health Service Act (42 U.S.C. 290bb-25b) 
is amended--
            (1) by amending subsection (a) to read as follows:
    ``(a) Definitions.--For purposes of this section:
            ``(1) The term `alcohol beverage industry' means the 
        brewers, vintners, distillers, importers, distributors, and 
        retail or online outlets that sell or serve beer, wine, and 
        distilled spirits.
            ``(2) The term `school-based prevention' means programs, 
        which are institutionalized, and run by staff members or 
        school-designated persons or organizations in any grade of 
        school, kindergarten through 12th grade.
            ``(3) The term `youth' means persons under the age of 
        21.''; and
            (2) by striking subsections (c) through (g) and inserting 
        the following:
    ``(c) Interagency Coordinating Committee; Annual Report on State 
Underage Drinking Prevention and Enforcement Activities.--
            ``(1) Interagency coordinating committee on the prevention 
        of underage drinking.--
                    ``(A) In general.--The Secretary, in collaboration 
                with the Federal officials specified in subparagraph 
                (B), shall continue to support and enhance the efforts 
                of the interagency coordinating committee, that began 
                operating in 2004, focusing on underage drinking 
                (referred to in this subsection as the `Committee').
                    ``(B) Other agencies.--The officials referred to in 
                subparagraph (A) are the Secretary of Education, the 
                Attorney General, the Secretary of Transportation, the 
                Secretary of the Treasury, the Secretary of Defense, 
                the Surgeon General, the Director of the Centers for 
                Disease Control and Prevention, the Director of the 
                National Institute on Alcohol Abuse and Alcoholism, the 
                Assistant Secretary for Mental Health and Substance 
                Use, the Director of the National Institute on Drug 
                Abuse, the Assistant Secretary for Children and 
                Families, the Director of the Office of National Drug 
                Control Policy, the Administrator of the National 
                Highway Traffic Safety Administration, the 
                Administrator of the Office of Juvenile Justice and 
                Delinquency Prevention, the Chairman of the Federal 
                Trade Commission, and such other Federal officials as 
                the Secretary of Health and Human Services determines 
                to be appropriate.
                    ``(C) Chair.--The Secretary of Health and Human 
                Services shall serve as the chair of the Committee.
                    ``(D) Duties.--The Committee shall guide policy and 
                program development across the Federal Government with 
                respect to underage drinking, provided, however, that 
                nothing in this section shall be construed as 
                transferring regulatory or program authority from an 
                Agency to the Coordinating Committee.
                    ``(E) Consultations.--The Committee shall actively 
                seek the input of and shall consult with all 
                appropriate and interested parties, including States, 
                public health research and interest groups, 
                foundations, and alcohol beverage industry trade 
                associations and companies.
                    ``(F) Annual report.--
                            ``(i) In general.--The Secretary, on behalf 
                        of the Committee, shall annually submit to the 
                        Congress a report that summarizes--
                                    ``(I) all programs and policies of 
                                Federal agencies designed to prevent 
                                and reduce underage drinking, focusing 
                                particularly on programs and policies 
                                that support the adoption and 
                                enforcement of State policies designed 
                                to prevent and reduce underage drinking 
                                as specified in paragraph (2);
                                    ``(II) the extent of progress in 
                                preventing and reducing underage 
                                drinking at State and national levels;
                                    ``(III) data that the Secretary 
                                shall collect with respect to the 
                                information specified in clause (ii); 
                                and
                                    ``(IV) such other information 
                                regarding underage drinking as the 
                                Secretary determines to be appropriate.
                            ``(ii) Certain information.--The report 
                        under clause (i) shall include information on 
                        the following:
                                    ``(I) Patterns and consequences of 
                                underage drinking as reported in 
                                research and surveys such as, but not 
                                limited to, Monitoring the Future, 
                                Youth Risk Behavior Surveillance 
                                System, the National Survey on Drug Use 
                                and Health, and the Fatality Analysis 
                                Reporting System.
                                    ``(II) Measures of the availability 
                                of alcohol from commercial and non-
                                commercial sources to underage 
                                populations.
                                    ``(III) Measures of the exposure of 
                                underage populations to messages 
                                regarding alcohol in advertising, 
                                social media, and the entertainment 
                                media.
                                    ``(IV) Surveillance data, including 
                                information on the onset and prevalence 
                                of underage drinking, consumption 
                                patterns, beverage preferences, 
                                prevalence of drinking among students 
                                at institutions of higher education, 
                                correlations between adult and youth 
                                drinking, and the means of underage 
                                access, including trends over time for 
                                these surveillance data. The Secretary 
                                shall develop a plan to improve the 
                                collection, measurement, and 
                                consistency of reporting Federal 
                                underage alcohol data.
                                    ``(V) Any additional findings 
                                resulting from research conducted or 
                                supported under subsection (f).
                                    ``(VI) Evidence-based best 
                                practices to prevent and reduce 
                                underage drinking including a review of 
                                the research literature related to 
                                State laws, regulations, and policies 
                                designed to prevent and reduce underage 
                                drinking, as described in paragraph 
                                (2)(B)(i).
            ``(2) Annual report on state underage drinking prevention 
        and enforcement activities.--
                    ``(A) In general.--The Secretary shall, with input 
                and collaboration from other appropriate Federal 
                agencies, States, Indian Tribes, territories, and 
                public health, consumer, and alcohol beverage industry 
                groups, annually issue a report on each State's 
                performance in enacting, enforcing, and creating laws, 
                regulations, and policies to prevent or reduce underage 
                drinking based on an assessment of best practices 
                developed pursuant to paragraph (1)(F)(ii)(VI) and 
                subparagraph (B)(i). For purposes of this paragraph, 
                each such report, with respect to a year, shall be 
                referred to as the `State Report'. Each State Report 
                shall be designed as a resource tool for Federal 
                agencies assisting States in the their underage 
                drinking prevention efforts, State public health and 
                law enforcement agencies, State and local policymakers, 
                and underage drinking prevention coalitions including 
                those receiving grants pursuant to subsection (e).
                    ``(B) State performance measures.--
                            ``(i) In general.--The Secretary shall 
                        develop, in consultation with the Committee, a 
                        set of measures to be used in preparing the 
                        State Report on best practices as they relate 
                        to State laws, regulations, policies, and 
                        enforcement practices.
                            ``(ii) State report content.--The State 
                        Report shall include updates on State laws, 
                        regulations, and policies included in previous 
                        reports to Congress, including with respect to 
                        the following:
                                    ``(I) Whether or not the State has 
                                comprehensive anti-underage drinking 
                                laws such as for the illegal sale, 
                                purchase, attempt to purchase, 
                                consumption, or possession of alcohol; 
                                illegal use of fraudulent ID; illegal 
                                furnishing or obtaining of alcohol for 
                                an individual under 21 years; the 
                                degree of strictness of the penalties 
                                for such offenses; and the prevalence 
                                of the enforcement of each of these 
                                infractions.
                                    ``(II) Whether or not the State has 
                                comprehensive liability statutes 
                                pertaining to underage access to 
                                alcohol such as dram shop, social host, 
                                and house party laws, and the 
                                prevalence of enforcement of each of 
                                these laws.
                                    ``(III) Whether or not the State 
                                encourages and conducts comprehensive 
                                enforcement efforts to prevent underage 
                                access to alcohol at retail outlets, 
                                such as random compliance checks and 
                                shoulder tap programs, and the number 
                                of compliance checks within alcohol 
                                retail outlets measured against the 
                                number of total alcohol retail outlets 
                                in each State, and the result of such 
                                checks.
                                    ``(IV) Whether or not the State 
                                encourages training on the proper 
                                selling and serving of alcohol for all 
                                sellers and servers of alcohol as a 
                                condition of employment.
                                    ``(V) Whether or not the State has 
                                policies and regulations with regard to 
                                direct sales to consumers and home 
                                delivery of alcoholic beverages.
                                    ``(VI) Whether or not the State has 
                                programs or laws to deter adults from 
                                purchasing alcohol for minors; and the 
                                number of adults targeted by these 
                                programs.
                                    ``(VII) Whether or not the State 
                                has enacted graduated drivers licenses 
                                and the extent of those provisions.
                            ``(iii) Additional categories.--In addition 
                        to the updates on State laws, regulations, and 
                        policies listed in clause (ii), the Secretary 
                        shall consider the following:
                                    ``(I) Whether or not States have 
                                adopted laws, regulations, and policies 
                                that deter underage alcohol use, as 
                                described in `The Surgeon General's 
                                Call to Action to Prevent and Reduce 
                                Underage Drinking' issued in 2007 and 
                                `Facing Addiction in America: The 
                                Surgeon General's Report on Alcohol, 
                                Drugs and Health' issued in 2016, 
                                including restrictions on low-price, 
                                high-volume drink specials, and 
                                wholesaler pricing provisions.
                                    ``(II) Whether or not States have 
                                adopted laws, regulations, and policies 
                                designed to reduce alcohol advertising 
                                messages attractive to youth and youth 
                                exposure to alcohol advertising and 
                                marketing in measured and unmeasured 
                                media and digital and social media.
                                    ``(III) Whether or not States have 
                                laws and policies that promote underage 
                                drinking prevention policy development 
                                by local jurisdictions.
                                    ``(IV) Whether or not States have 
                                adopted laws, regulations, and policies 
                                to restrict youth access to alcoholic 
                                beverages that may pose special risks 
                                to youth, including but not limited to 
                                alcoholic mists, gelatins, freezer 
                                pops, premixed caffeinated alcoholic 
                                beverages, and flavored malt beverages.
                                    ``(V) Whether or not States have 
                                adopted uniform best practices 
                                protocols for conducting compliance 
                                checks and shoulder tap programs.
                                    ``(VI) Whether or not States have 
                                adopted uniform best practices penalty 
                                protocols for violations of laws 
                                prohibiting retail licensees from 
                                selling or furnishing of alcohol to 
                                minors.
                            ``(iv) Uniform data system.--For 
                        performance measures related to enforcement of 
                        underage drinking laws as specified in clauses 
                        (ii) and (iii), the Secretary shall develop and 
                        test a uniform data system for reporting State 
                        enforcement data, including the development of 
                        a pilot program for this purpose. The pilot 
                        program shall include procedures for collecting 
                        enforcement data from both State and local law 
                        enforcement jurisdictions.
            ``(3) Authorization of appropriations.--There is authorized 
        to be appropriated to carry out this subsection $1,000,000 for 
        each of fiscal years 2023 through 2027.
    ``(d) National Media Campaign To Prevent Underage Drinking.--
            ``(1) In general.--The Secretary, in consultation with the 
        National Highway Traffic Safety Administration, shall develop 
        an intensive, multifaceted, adult-oriented national media 
        campaign to reduce underage drinking by influencing attitudes 
        regarding underage drinking, increasing the willingness of 
        adults to take actions to reduce underage drinking, and 
        encouraging public policy changes known to decrease underage 
        drinking rates.
            ``(2) Purpose.--The purpose of the national media campaign 
        described in this section shall be to achieve the following 
        objectives:
                    ``(A) Instill a broad societal commitment to reduce 
                underage drinking.
                    ``(B) Increase specific actions by adults that are 
                meant to discourage or inhibit underage drinking.
                    ``(C) Decrease adult conduct that tends to 
                facilitate or condone underage drinking.
            ``(3) Components.--When implementing the national media 
        campaign described in this section, the Secretary shall--
                    ``(A) educate the public about the public health 
                and safety benefits of evidence-based policies to 
                reduce underage drinking, including minimum legal 
                drinking age laws, and build public and parental 
                support for and cooperation with enforcement of such 
                policies;
                    ``(B) educate the public about the negative 
                consequences of underage drinking;
                    ``(C) promote specific actions by adults that are 
                meant to discourage or inhibit underage drinking, 
                including positive behavior modeling, general parental 
                monitoring, and consistent and appropriate discipline;
                    ``(D) discourage adult conduct that tends to 
                facilitate underage drinking, including the hosting of 
                underage parties with alcohol and the purchasing of 
                alcoholic beverages on behalf of underage youth;
                    ``(E) establish collaborative relationships with 
                local and national organizations and institutions to 
                further the goals of the campaign and assure that the 
                messages of the campaign are disseminated from a 
                variety of sources;
                    ``(F) conduct the campaign through multi-media 
                sources; and
                    ``(G) conduct the campaign with regard to changing 
                demographics and cultural and linguistic factors.
            ``(4) Consultation requirement.--In developing and 
        implementing the national media campaign described in this 
        section, the Secretary shall consult recommendations for 
        reducing underage drinking published by the National Academy of 
        Sciences and the Surgeon General. The Secretary shall also 
        consult with interested parties including medical, public 
        health, and consumer and parent groups, law enforcement, 
        institutions of higher education, community organizations and 
        coalitions, and other stakeholders supportive of the goals of 
        the campaign.
            ``(5) Annual report.--The Secretary shall produce an annual 
        report on the progress of the development or implementation of 
        the media campaign described in this subsection, including 
        expenses and projected costs, and, as such information is 
        available, report on the effectiveness of such campaign in 
        affecting adult attitudes toward underage drinking and adult 
        willingness to take actions to decrease underage drinking.
            ``(6) Research on youth-oriented campaign.--The Secretary 
        may, based on the availability of funds, conduct research on 
        the potential success of a youth-oriented national media 
        campaign to reduce underage drinking. The Secretary shall 
        report any such results to Congress with policy recommendations 
        on establishing such a campaign.
            ``(7) Administration.--The Secretary may enter into a 
        subcontract with another Federal agency to delegate the 
        authority for execution and administration of the adult-
        oriented national media campaign.
            ``(8) Authorization of appropriations.--There is authorized 
        to be appropriated to carry out this section $2,500,000 for 
        each of fiscal years 2023 through 2027.
    ``(e) Community-Based Coalition Enhancement Grants To Prevent 
Underage Drinking.--
            ``(1) Authorization of program.--The Assistant Secretary 
        for Mental Health and Substance Use, in consultation with the 
        Director of the Office of National Drug Control Policy, shall 
        award enhancement grants to eligible entities to design, 
        implement, evaluate, and disseminate comprehensive strategies 
        to maximize the effectiveness of community-wide approaches to 
        preventing and reducing underage drinking. This subsection is 
        subject to the availability of appropriations.
            ``(2) Purposes.--The purposes of this subsection are to--
                    ``(A) prevent and reduce alcohol use among youth in 
                communities throughout the United States;
                    ``(B) strengthen collaboration among communities, 
                the Federal Government, Tribal Governments, and State 
                and local governments;
                    ``(C) enhance intergovernmental cooperation and 
                coordination on the issue of alcohol use among youth;
                    ``(D) serve as a catalyst for increased citizen 
                participation and greater collaboration among all 
                sectors and organizations of a community that first 
                demonstrates a long-term commitment to reducing alcohol 
                use among youth;
                    ``(E) implement state-of-the-art science-based 
                strategies to prevent and reduce underage drinking by 
                changing local conditions in communities; and
                    ``(F) enhance, not supplant, effective local 
                community initiatives for preventing and reducing 
                alcohol use among youth.
            ``(3) Application.--An eligible entity desiring an 
        enhancement grant under this subsection shall submit an 
        application to the Assistant Secretary at such time, and in 
        such manner, and accompanied by such information and 
        assurances, as the Assistant Secretary may require. Each 
        application shall include--
                    ``(A) a complete description of the entity's 
                current underage alcohol use prevention initiatives and 
                how the grant will appropriately enhance the focus on 
                underage drinking issues; or
                    ``(B) a complete description of the entity's 
                current initiatives, and how it will use this grant to 
                enhance those initiatives by adding a focus on underage 
                drinking prevention.
            ``(4) Uses of funds.--Each eligible entity that receives a 
        grant under this subsection shall use the grant funds to carry 
        out the activities described in such entity's application 
        submitted pursuant to paragraph (3) and obtain specialized 
        training and technical assistance by the entity funded under 
        section 4 of Public Law 107-82, as amended (21 U.S.C. 1521 
        note). Grants under this subsection shall not exceed $60,000 
        per year and may not exceed four years.
            ``(5) Supplement not supplant.--Grant funds provided under 
        this subsection shall be used to supplement, not supplant, 
        Federal and non-Federal funds available for carrying out the 
        activities described in this subsection.
            ``(6) Evaluation.--Grants under this subsection shall be 
        subject to the same evaluation requirements and procedures as 
        the evaluation requirements and procedures imposed on 
        recipients of drug-free community grants.
            ``(7) Definitions.--For purposes of this subsection, the 
        term `eligible entity' means an organization that is currently 
        receiving or has received grant funds under the Drug-Free 
        Communities Act of 1997.
            ``(8) Administrative expenses.--Not more than 6 percent of 
        a grant under this subsection may be expended for 
        administrative expenses.
            ``(9) Authorization of appropriations.--There is authorized 
        to be appropriated to carry out this subsection $11,500,000 for 
        each of fiscal years 2023 through 2027.
    ``(f) Grants to Professional Pediatric Provider Organizations To 
Reduce Underage Drinking Through Screening and Brief Interventions.--
            ``(1) In general.--The Secretary, acting through the 
        Assistant Secretary for Mental Health and Substance Use, shall 
        make one or more grants to professional pediatric provider 
        organizations to increase among the members of such 
        organizations effective practices to reduce the prevalence of 
        alcohol use among individuals under the age of 21, including 
        college students.
            ``(2) Purposes.--Grants under this subsection shall be made 
        to promote the practices of--
                    ``(A) screening adolescents for alcohol use;
                    ``(B) offering brief interventions to adolescents 
                to discourage such use;
                    ``(C) educating parents about the dangers of and 
                methods of discouraging such use;
                    ``(D) diagnosing and treating alcohol use 
                disorders; and
                    ``(E) referring patients, when necessary, to other 
                appropriate care.
            ``(3) Use of funds.--A professional pediatric provider 
        organization receiving a grant under this section may use the 
        grant funding to promote the practices specified in paragraph 
        (2) among its members by--
                    ``(A) providing training to health care providers;
                    ``(B) disseminating best practices, including 
                culturally and linguistically appropriate best 
                practices, and developing, printing, and distributing 
                materials; and
                    ``(C) supporting other activities approved by the 
                Assistant Secretary.
            ``(4) Application.--To be eligible to receive a grant under 
        this subsection, a professional pediatric provider organization 
        shall submit an application to the Assistant Secretary at such 
        time, and in such manner, and accompanied by such information 
        and assurances as the Secretary may require. Each application 
        shall include--
                    ``(A) a description of the pediatric provider 
                organization;
                    ``(B) a description of the activities to be 
                completed that will promote the practices specified in 
                paragraph (2);
                    ``(C) a description of the organization's 
                qualifications for performing such practices; and
                    ``(D) a timeline for the completion of such 
                activities.
            ``(5) Definitions.--For the purpose of this subsection:
                    ``(A) Brief intervention.--The term `brief 
                intervention' means, after screening a patient, 
                providing the patient with brief advice and other brief 
                motivational enhancement techniques designed to 
                increase the insight of the patient regarding the 
                patient's alcohol use, and any realized or potential 
                consequences of such use to effect the desired related 
                behavioral change.
                    ``(B) Adolescents.--The term `adolescents' means 
                individuals under 21 years of age.
                    ``(C) Professional pediatric provider 
                organization.--The term `professional pediatric 
                provider organization' means an organization or 
                association that--
                            ``(i) consists of or represents pediatric 
                        health care providers; and
                            ``(ii) is qualified to promote the 
                        practices specified in paragraph (2).
                    ``(D) Screening.--The term `screening' means using 
                validated patient interview techniques to identify and 
                assess the existence and extent of alcohol use in a 
                patient.
            ``(6) Authorization of appropriations.--There is authorized 
        to be appropriated to carry out this subsection $3,000,000 for 
        each of fiscal years 2023 through 2027.
    ``(g) Data Collection and Research.--
            ``(1) Additional research on underage drinking.--
                    ``(A) In general.--The Secretary shall, subject to 
                the availability of appropriations, collect data, and 
                conduct or support research that is not duplicative of 
                research currently being conducted or supported by the 
                Department of Health and Human Services, on underage 
                drinking, with respect to the following:
                            ``(i) Improve data collection in support of 
                        evaluation of the effectiveness of 
                        comprehensive community-based programs or 
                        strategies and statewide systems to prevent and 
                        reduce underage drinking, across the underage 
                        years from early childhood to age 21, such as 
                        programs funded and implemented by governmental 
                        entities, public health interest groups and 
                        foundations, and alcohol beverage companies and 
                        trade associations, through the development of 
                        models of State-level epidemiological 
                        surveillance of underage drinking by funding in 
                        States or large metropolitan areas new 
                        epidemiologists focused on excessive drinking 
                        including underage alcohol use.
                            ``(ii) Obtain and report more precise 
                        information than is currently collected on the 
                        scope of the underage drinking problem and 
                        patterns of underage alcohol consumption, 
                        including improved knowledge about the problem 
                        and progress in preventing, reducing, and 
                        treating underage drinking, as well as 
                        information on the rate of exposure of youth to 
                        advertising and other media messages 
                        encouraging and discouraging alcohol 
                        consumption.
                            ``(iii) Synthesize, expand on, and widely 
                        disseminate existing research on effective 
                        strategies for reducing underage drinking, 
                        including translational research, and make this 
                        research easily accessible to the general 
                        public.
                            ``(iv) Improve and conduct public health 
                        surveillance on alcohol use and alcohol-related 
                        conditions in States by increasing the use of 
                        surveys, such as the Behavioral Risk Factor 
                        Surveillance System, to monitor binge and 
                        excessive drinking and related harms among 
                        individuals who are at least 18 years of age, 
                        but not more than 20 years of age, including 
                        harm caused to self or others as a result of 
                        alcohol use that is not duplicative of research 
                        currently being conducted or supported by the 
                        Department of Health and Human Services.
                    ``(B) Authorization of appropriations.--There is 
                authorized to be appropriated to carry out this 
                paragraph $5,000,000 for each of fiscal years 2023 
                through 2027.
            ``(2) National academy of sciences study.--
                    ``(A) In general.--Not later than 12 months after 
                the enactment of the Restoring Hope for Mental Health 
                and Well-Being Act of 2022, the Secretary shall--
                            ``(i) contract with the National Academy of 
                        Sciences to study developments in research on 
                        underage drinking and the public policy 
                        implications of these developments; and
                            ``(ii) report to the Congress on the 
                        results of such review.
                    ``(B) Authorization of appropriations.--There is 
                authorized to be appropriated to carry out this 
                paragraph $500,000 for fiscal year 2023.''.

SEC. 216. GRANTS FOR JAIL DIVERSION PROGRAMS.

    Section 520G of the Public Health Service Act (42 U.S.C. 290bb-38) 
is amended--
            (1) in subsection (a)--
                    (A) by striking ``up to 125''; and
                    (B) by striking ``tribes and tribal organizations'' 
                and inserting ``Tribes and Tribal organizations'';
            (2) in subsection (b)(2), by striking ``tribes, and tribal 
        organizations'' and inserting ``Tribes, and Tribal 
        organizations'';
            (3) in subsection (c)--
                    (A) in paragraph (1), by striking ``tribe or tribal 
                organization'' and inserting ``Tribe or Tribal 
                organization, health facility or program described in 
                subsection (a), or public or nonprofit entity referred 
                to in subsection (a)''; and
                    (B) in paragraph (2)(A)(iii), by striking ``tribe, 
                or tribal organization'' and inserting ``Tribe, or 
                Tribal organization'';
            (4) in subsection (e)--
                    (A) in the matter preceding paragraph (1), by 
                striking ``tribe, or tribal organization'' and 
                inserting ``Tribe, or Tribal organization''; and
                    (B) in paragraph (5), by striking ``or arrest'' and 
                inserting ``, arrest, or release'';
            (5) in subsection (f), by striking ``tribe, or tribal 
        organization'' each place it appears and inserting ``Tribe, or 
        Tribal organization'';
            (6) in subsection (h), by striking ``tribe, or tribal 
        organization'' and inserting ``Tribe, or Tribal organization''; 
        and
            (7) in subsection (j), by striking ``$4,269,000 for each of 
        fiscal years 2018 through 2022'' and inserting ``$14,000,000 
        for each of fiscal years 2023 through 2027''.

SEC. 217. FORMULA GRANTS TO STATES.

    Section 521 of the Public Health Service Act (42 U.S.C. 290cc-21) 
is amended by striking ``2018 through 2022'' and inserting ``2023 
through 2027''.

SEC. 218. PROJECTS FOR ASSISTANCE IN TRANSITION FROM HOMELESSNESS.

    Section 535(a) of the Public Health Service Act (42 U.S.C. 290cc-
35(a)) is amended by striking ``2018 through 2022'' and inserting 
``2023 through 2027''.

SEC. 219. GRANTS FOR REDUCING OVERDOSE DEATHS.

    (a) Grants.--
            (1) Repeal of maximum grant amount.--Paragraph (2) of 
        section 544(a) of the Public Health Service Act (42 U.S.C. 
        290dd-3(a)) is hereby repealed.
            (2) Eligible entity; subgrants.--Section 544(a) of the 
        Public Health Service Act (42 U.S.C. 290dd-3(a)) is amended by 
        striking paragraph (3) and inserting the following:
            ``(2) Eligible entity.--For purposes of this section, the 
        term `eligible entity' means a State, Territory, locality, 
        Indian Tribe (as defined in the Federally Recognized Indian 
        Tribe List Act of 1994), Tribal organization, or Urban Indian 
        organization (as those terms are defined in section 4 of the 
        Indian Health Care Improvement Act).
            ``(3) Subgrants.--For the purposes for which a grant is 
        awarded under this section, the eligible entity receiving the 
        grant may award subgrants to a Federally qualified health 
        center (as defined in section 1861(aa) of the Social Security 
        Act), an opioid treatment program (as defined in section 8.2 of 
        title 42, Code of Federal Regulations (or any successor 
        regulations)), any practitioner dispensing narcotic drugs 
        pursuant to section 303(g) of the Controlled Substances Act, or 
        any nonprofit organization that the Secretary deems 
        appropriate.''.
            (3) Prescribing.--Section 544(a)(4) of the Public Health 
        Service Act (42 U.S.C. 290dd-3(a)(4)) is amended--
                    (A) in subparagraph (A), by inserting ``, including 
                patients prescribed with both an opioid and a 
                benzodiazepine'' before the semicolon at the end; and
                    (B) in subparagraph (D), by striking ``drug 
                overdose'' and inserting ``substance overdose''.
            (4) Use of funds.--Paragraph (5) of section 544(c) of the 
        Public Health Service Act (42 U.S.C. 290dd-3(c)) is amended to 
        read as follows:
            ``(5) To establish protocols to connect patients who have 
        experienced an overdose with appropriate treatment, including 
        overdose reversal medications, medication assisted treatment, 
        and appropriate counseling and behavioral therapies.''.
            (5) Improving access to overdose treatment.--Section 544 of 
        the Public Health Service Act (42 U.S.C. 290dd-3) is amended--
                    (A) by redesignating subsections (d) through (f) as 
                subsections (e) through (g), respectively;
                    (B) in subsection (f), as so redesignated, by 
                striking ``subsection (d)'' and inserting ``subsection 
                (e)''; and
                    (C) by inserting after subsection (c) the 
                following:
    ``(d) Improving Access to Overdose Treatment.--
            ``(1) Information on best practices.--
                    ``(A) Health and human services.--The Secretary of 
                Health and Human Services may provide information to 
                States, localities, Indian Tribes, Tribal 
                organizations, and Urban Indian organizations on best 
                practices for prescribing or co-prescribing a drug or 
                device approved, cleared, or otherwise authorized under 
                the Federal Food, Drug, and Cosmetic Act for emergency 
                treatment of known or suspected opioid overdose, 
                including for patients receiving chronic opioid therapy 
                and patients being treated for opioid use disorders.
                    ``(B) Defense.--The Secretary of Defense may 
                provide information to prescribers within Department of 
                Defense medical facilities on best practices for 
                prescribing or co-prescribing a drug or device 
                approved, cleared, or otherwise authorized under the 
                Federal Food, Drug, and Cosmetic Act for emergency 
                treatment of known or suspected opioid overdose, 
                including for patients receiving chronic opioid therapy 
                and patients being treated for opioid use disorders.
                    ``(C) Veterans affairs.--The Secretary of Veterans 
                Affairs may provide information to prescribers within 
                Department of Veterans Affairs medical facilities on 
                best practices for prescribing or co-prescribing a drug 
                or device approved, cleared, or otherwise authorized 
                under the Federal Food, Drug, and Cosmetic Act for 
                emergency treatment of known or suspected opioid 
                overdose, including for patients receiving chronic 
                opioid therapy and patients being treated for opioid 
                use disorders.
            ``(2) Rule of construction.--Nothing in this subsection 
        shall be construed as establishing or contributing to a medical 
        standard of care.''.
            (6) Authorization of appropriations.--Section 544(g) of the 
        Public Health Service Act (42 U.S.C. 290dd-3), as redesignated, 
        is amended by striking ``fiscal years 2017 through 2021'' and 
        inserting ``fiscal years 2023 through 2027''.
            (7) Technical amendments.--
                    (A) Section 544 of the Public Health Service Act 
                (42 U.S.C. 290dd-3), as amended, is further amended by 
                striking ``approved or cleared'' each place it appears 
                and inserting ``approved, cleared, or otherwise 
                authorized''.
                    (B) Section 107 of the Comprehensive Addiction and 
                Recovery Act of 2016 (Public Law 114-198) is amended by 
                striking subsection (b).

SEC. 220. OPIOID OVERDOSE REVERSAL MEDICATION ACCESS AND EDUCATION 
              GRANT PROGRAMS.

    (a) Grants.--Section 545 of the Public Health Service Act (42 
U.S.C. 290ee) is amended--
            (1) in the section heading, by striking ``access and 
        education grant programs'' and inserting ``access, education, 
        and co-prescribing grant programs'';
            (2) in the heading of subsection (a), by striking ``Grants 
        to States'' and inserting ``Grants'';
            (3) in subsection (a), by striking ``shall make grants to 
        States'' and inserting ``shall make grants to States, 
        localities, Indian Tribes (as defined by the Federally 
        Recognized Indian Tribe List Act of 1994), Tribal 
        organizations, and Urban Indian organizations (as those terms 
        are defined in section 4 of the Indian Health Care Improvement 
        Act)'';
            (4) in subsection (a)(1), by striking ``implement 
        strategies for pharmacists to dispense a drug or device'' and 
        inserting ``implement strategies that increase access to drugs 
        or devices'';
            (5) by redesignating paragraphs (3) and (4) as paragraphs 
        (4) and (5), respectively; and
            (6) by inserting after paragraph (2) the following:
            ``(3) encourage health care providers to co-prescribe, as 
        appropriate, drugs or devices approved, cleared, or otherwise 
        authorized under the Federal Food, Drug, and Cosmetic Act for 
        emergency treatment of known or suspected opioid overdose;''.
    (b) Grant Period.--Section 545(d)(2) of the Public Health Service 
Act (42 U.S.C. 290ee(d)(2)) is amended by striking ``3 years'' and 
inserting ``5 years''.
    (c) Limitation.--Paragraph (3) of section 545(d) of the Public 
Health Service Act (42 U.S.C. 290ee(d)) is amended to read as follows:
            ``(3) Limitations.--A State may--
                    ``(A) use not more than 10 percent of a grant under 
                this section for educating the public pursuant to 
                subsection (a)(5); and
                    ``(B) use not less than 20 percent of a grant under 
                this section to offset cost-sharing for distribution 
                and dispensing of drugs or devices approved, cleared, 
                or otherwise authorized under the Federal Food, Drug, 
                and Cosmetic Act for emergency treatment of known or 
                suspected opioid overdose.''.
    (d) Authorization of Appropriations.--Section 545(h)(1) of the 
Public Health Service Act, is amended by striking ``fiscal years 2017 
through 2019'' and inserting ``fiscal years 2023 through 2027''.
    (e) Technical Amendment.--Section 545 of the Public Health Service 
Act (42 U.S.C. 290ee), as amended, is further amended by striking 
``approved or cleared'' each place it appears and inserting ``approved, 
cleared, or otherwise authorized''.

SEC. 221. STATE DEMONSTRATION GRANTS FOR COMPREHENSIVE OPIOID ABUSE 
              RESPONSE.

    Section 548 of the Public Health Service Act (42 U.S.C. 290ee-3) is 
amended--
            (1) in the section heading, by striking ``abuse'' and 
        inserting ``use disorder'';
            (2) in subsection (b)--
                    (A) in the subsection heading, by striking 
                ``Abuse'' and inserting ``Use Disorder'';
                    (B) in paragraph (1), by striking ``abuse'' and 
                inserting ``use disorder'';
                    (C) in paragraph (2)--
                            (i) in the matter preceding subparagraph 
                        (A), by striking ``abuse'' and inserting ``use 
                        disorder'';
                            (ii) in subparagraph (A), by striking 
                        ``opioid use, treatment, and addiction 
                        recovery'' and inserting ``opioid use 
                        disorders, and treatment for, and recovery from 
                        opioid use disorders'';
                            (iii) in subparagraph (C), by striking 
                        ``addiction'' each place it appears and 
                        inserting ``use disorder'';
                            (iv) by amending subparagraph (D) to read 
                        as follows:
                    ``(D) developing, implementing, and expanding 
                efforts to prevent overdose death from opioid or other 
                prescription medication use disorders; and''; and
                            (v) in subparagraph (E), by striking 
                        ``abuse'' and inserting ``use disorders''; and
                    (D) in paragraph (4), by striking ``abuse'' each 
                place it appears and inserting ``use disorders''; and
            (3) by striking ``2017 through 2021'' and inserting ``2023 
        through 2027''.

SEC. 222. EMERGENCY DEPARTMENT ALTERNATIVES TO OPIOIDS.

    Section 7091 of the SUPPORT for Patients and Communities Act 
(Public Law 115-271) is amended--
            (1) in the section heading, by striking ``demonstration'' 
        (and by conforming the item relating to such section in the 
        table of contents in section 1(b));
            (2) in subsection (a)--
                    (A) by amending the subsection heading to read as 
                follows: ``Grant Program''; and
                    (B) in paragraph (1), by striking 
                ``demonstration'';
            (3) in subsection (b), in the subsection heading, by 
        striking ``Demonstration'';
            (4) in subsection (d)(4), by striking ``tribal'' and 
        inserting ``Tribal'';
            (5) in subsection (f), by striking ``Not later than 1 year 
        after completion of the demonstration program under this 
        section, the Secretary shall submit a report to the Congress on 
        the results of the demonstration program'' and inserting ``Not 
        later than the end of each of fiscal years 2024 and 2027, the 
        Secretary shall submit to the Congress a report on the results 
        of the program''; and
            (6) in subsection (g), by striking ``2019 through 2021'' 
        and inserting ``2023 through 2027''.

               Subtitle C--Excellence in Recovery Housing

SEC. 231. CLARIFYING THE ROLE OF SAMHSA IN PROMOTING THE AVAILABILITY 
              OF HIGH-QUALITY RECOVERY HOUSING.

    Section 501(d) of the Public Health Service Act (42 U.S.C. 290aa) 
is amended--
            (1) in paragraph (24)(E), by striking ``and'' at the end;
            (2) in paragraph (25), by striking the period at the end 
        and inserting ``; and''; and
            (3) by adding at the end the following:
            ``(26) collaborate with national accrediting entities, 
        reputable providers, organizations or individuals with 
        established expertise in delivery of recovery housing services, 
        States, Federal agencies (including the Department of Health 
        and Human Services, the Department of Housing and Urban 
        Development, and the agencies listed in section 550(e)(2)(B)), 
        and other relevant stakeholders, to promote the availability of 
        high-quality recovery housing and services for individuals with 
        a substance use disorder.''.

SEC. 232. DEVELOPING GUIDELINES FOR STATES TO PROMOTE THE AVAILABILITY 
              OF HIGH-QUALITY RECOVERY HOUSING.

    Section 550(a) of the Public Health Service Act (42 U.S.C. 290ee-
5(a)) (relating to national recovery housing best practices) is 
amended--
            (1) by amending paragraph (1) to read as follows:
            ``(1) In general.--The Secretary, in consultation with the 
        individuals and entities specified in paragraph (2), shall 
        build on existing best practices and previously developed 
        guidelines to develop and periodically update consensus-based 
        best practices, which may include model laws for implementing 
        suggested minimum standards for operating, and promoting the 
        availability of, high-quality recovery housing.'';
            (2) in paragraph (2)--
                    (A) by striking subparagraphs (A) and (B) and 
                inserting the following:
                    ``(A) Officials representing the agencies described 
                in subsection (e)(2).''; and
                    (B) by redesignating subparagraphs (C) through (G) 
                as subparagraphs (B) through (F), respectively; and
            (3) by adding at the end the following:
            ``(3) Availability.--The best practices referred to in 
        paragraph (1) shall be--
                    ``(A) made publicly available; and
                    ``(B) published on the public website of the 
                Substance Abuse and Mental Health Services 
                Administration.
            ``(4) Exclusion of guideline on treatment services.--In 
        developing the guidelines under paragraph (1), the Secretary 
        may not include any guidelines with respect to substance use 
        disorder treatment services.''.

SEC. 233. COORDINATION OF FEDERAL ACTIVITIES TO PROMOTE THE 
              AVAILABILITY OF RECOVERY HOUSING.

    Section 550 of the Public Health Service Act (42 U.S.C. 290ee-5) 
(relating to national recovery housing best practices) is amended--
            (1) by redesignating subsections (e), (f), and (g) as 
        subsections (g), (h), and (i), respectively; and
            (2) by inserting after subsection (d) the following:
    ``(e) Coordination of Federal Activities To Promote the 
Availability of Housing for Individuals Experiencing Homelessness, 
Individuals With a Mental Illness, and Individuals With a Substance Use 
Disorder.--
            ``(1) In general.--The Secretary, acting through the 
        Assistant Secretary, and the Secretary of Housing and Urban 
        Development shall convene an interagency working group for the 
        following purposes:
                    ``(A) To increase collaboration, cooperation, and 
                consultation among the Department of Health and Human 
                Services, the Department of Housing and Urban 
                Development, and the Federal agencies listed in 
                paragraph (2)(B), with respect to promoting the 
                availability of housing, including recovery housing, 
                for individuals experiencing homelessness, individuals 
                with mental illnesses, and individuals with substance 
                use disorder.
                    ``(B) To align the efforts of such agencies and 
                avoid duplication of such efforts by such agencies.
                    ``(C) To develop objectives, priorities, and a 
                long-term plan for supporting State, Tribal, and local 
                efforts with respect to the operation of recovery 
                housing that is consistent with the best practices 
                developed under this section.
                    ``(D) To coordinate enforcement of fair housing 
                practices, as appropriate, among Federal and State 
                agencies.
                    ``(E) To coordinate data collection on the quality 
                of recovery housing.
            ``(2) Composition.--The interagency working group under 
        paragraph (1) shall be composed of--
                    ``(A) the Secretary, acting through the Assistant 
                Secretary, and the Secretary of Housing and Urban 
                Development, who shall serve as the co-chairs; and
                    ``(B) representatives of each of the following 
                Federal agencies:
                            ``(i) The Centers for Medicare & Medicaid 
                        Services.
                            ``(ii) The Substance Abuse and Mental 
                        Health Services Administration.
                            ``(iii) The Health Resources and Services 
                        Administration.
                            ``(iv) The Office of Inspector General.
                            ``(v) The Indian Health Service.
                            ``(vi) The Department of Agriculture.
                            ``(vii) The Department of Justice.
                            ``(viii) The Office of National Drug 
                        Control Policy.
                            ``(ix) The Bureau of Indian Affairs.
                            ``(x) The Department of Labor.
                            ``(xi) The Department of Veterans Affairs.
                            ``(xii) Any other Federal agency as the co-
                        chairs determine appropriate.
            ``(3) Meetings.--The working group shall meet on a 
        quarterly basis.
            ``(4) Reports to congress.--Not later than 4 years after 
        the date of the enactment of this section, the working group 
        shall submit to the Committee on Energy and Commerce, the 
        Committee on Ways and Means, the Committee on Agriculture, and 
        the Committee on Financial Services of the House of 
        Representatives and the Committee on Health, Education, Labor, 
        and Pensions, the Committee on Agriculture, Nutrition, and 
        Forestry, and the Committee on Finance of the Senate a report 
        describing the work of the working group and any 
        recommendations of the working group to improve Federal, State, 
        and local coordination with respect to recovery housing and 
        other housing resources and operations for individuals 
        experiencing homelessness, individuals with a mental illness, 
        and individuals with a substance use disorder.''.

SEC. 234. NAS STUDY AND REPORT.

    (a) In General.--Not later than 60 days after the date of enactment 
of this Act, the Secretary of Health and Human Services, acting through 
the Assistant Secretary for Mental Health and Substance Use shall--
            (1) contract with the National Academies of Sciences, 
        Engineering, and Medicine--
                    (A) to study the quality and effectiveness of 
                recovery housing in the United States and whether the 
                availability of such housing meets demand; and
                    (B) to identify recommendations to promote the 
                availability of high-quality recovery housing; and
            (2) report to the Congress on the results of such review.
    (b) Authorization of Appropriations.--To carry out this section 
there is authorized to be appropriated $1,500,000 for fiscal year 2023.

SEC. 235. GRANTS FOR STATES TO PROMOTE THE AVAILABILITY OF RECOVERY 
              HOUSING AND SERVICES.

    Section 550 of the Public Health Service Act (42 U.S.C. 290ee-5) 
(relating to national recovery housing best practices), as amended by 
sections 232 and 233, is further amended by inserting after subsection 
(e) (as inserted by section 233) the following:
    ``(f) Grants for Implementing National Recovery Housing Best 
Practices.--
            ``(1) In general.--The Secretary shall award grants to 
        States (and political subdivisions thereof), Tribes, and 
        territories--
                    ``(A) for the provision of technical assistance to 
                implement the guidelines and recommendations developed 
                under subsection (a); and
                    ``(B) to promote--
                            ``(i) the availability of recovery housing 
                        for individuals with a substance use disorder; 
                        and
                            ``(ii) the maintenance of recovery housing 
                        in accordance with best practices developed 
                        under this section.
            ``(2) State promotion plans.--Not later than 90 days after 
        receipt of a grant under paragraph (1), and every 2 years 
        thereafter, each State (or political subdivisions thereof,) 
        Tribe, or territory receiving a grant under paragraph (1) shall 
        submit to the Secretary, and publish on a publicly accessible 
        internet website of the State (or political subdivisions 
        thereof), Tribe, or territory--
                    ``(A) the plan of the State (or political 
                subdivisions thereof), Tribe, or territory, with 
                respect to the promotion of recovery housing for 
                individuals with a substance use disorder located 
                within the jurisdiction of such State (or political 
                subdivisions thereof), Tribe, or territory; and
                    ``(B) a description of how such plan is consistent 
                with the best practices developed under this 
                section.''.

SEC. 236. FUNDING.

    Subsection (i) of section 550 of the Public Health Service Act (42 
U.S.C. 290ee-5) (relating to national recovery housing best practices), 
as redesignated by section 233, is amended by striking ``$3,000,000 for 
the period of fiscal years 2019 through 2021'' and inserting 
``$5,000,000 for the period of fiscal years 2023 through 2027''.

SEC. 237. TECHNICAL CORRECTION.

    Title V of the Public Health Service Act (42 U.S.C. 290aa et seq.) 
is amended--
            (1) by redesignating section 550 (relating to Sobriety 
        Treatment and Recovery Teams) (42 U.S.C. 290ee-10), as added by 
        section 8214 of Public Law 115-271, as section 550A; and
            (2) by moving such section so it appears after section 550 
        (relating to national recovery housing best practices).

Subtitle D--Substance Use Prevention, Treatment, and Recovery Services 
                              Block Grant

SEC. 241. ELIMINATING STIGMATIZING LANGUAGE RELATING TO SUBSTANCE USE.

    (a) Block Grants for Prevention and Treatment of Substance Use.--
Part B of title XIX of the Public Health Service Act (42 U.S.C. 300x et 
seq.) is amended--
            (1) in the part heading, by striking ``substance abuse'' 
        and inserting ``substance use'';
            (2) in subpart II, by amending the subpart heading to read 
        as follows: ``Block Grants for Substance Use Prevention, 
        Treatment, and Recovery Services'';
            (3) in section 1922(a) (42 U.S.C. 300x-22(a))--
                    (A) in paragraph (1), in the matter preceding 
                subparagraph (A), by striking ``substance abuse'' and 
                inserting ``substance use disorders''; and
                    (B) by striking ``such abuse'' each place it 
                appears in paragraphs (1) and (2) and inserting ``such 
                disorders'';
            (4) in section 1923 (42 U.S.C. 300x-23)--
                    (A) in the section heading, by striking ``substance 
                abuse'' and inserting ``substance use''; and
                    (B) in subsection (a), by striking ``drug abuse'' 
                and inserting ``substance use disorders'';
            (5) in section 1925(a)(1) (42 U.S.C. 300x-25(a)(1)), by 
        striking ``alcohol or drug abuse'' and inserting ``alcohol or 
        other substance use disorders'';
            (6) in section 1926(b)(2)(B) (42 U.S.C. 300x-26(b)(2)(B)), 
        by striking ``substance abuse'';
            (7) in section 1931(b)(2) (42 U.S.C. 300x-31(b)(2)), by 
        striking ``substance abuse'' and inserting ``substance use 
        disorders'';
            (8) in section 1933(d)(1) (42 U.S.C. 300x-33(d)), in the 
        matter following subparagraph (B), by striking ``abuse of 
        alcohol and other drugs'' and inserting ``use of substances'';
            (9) by amending paragraph (4) of section 1934 (42 U.S.C. 
        300x-34) to read as follows:
            ``(4) The term `substance use disorder' means the recurrent 
        use of alcohol or other drugs that causes clinically 
        significant impairment.'';
            (10) in section 1935 (42 U.S.C. 300x-35)--
                    (A) in subsection (a), by striking ``substance 
                abuse'' and inserting ``substance use disorders''; and
                    (B) in subsection (b)(1), by striking ``substance 
                abuse'' each place it appears and inserting ``substance 
                use disorders'';
            (11) in section 1949 (42 U.S.C. 300x-59), by striking 
        ``substance abuse'' each place it appears in subsections (a) 
        and (d) and inserting ``substance use disorders'';
            (12) in section 1954(b)(4) (42 U.S.C. 300x-64(b)(4))--
                    (A) by striking ``substance abuse'' and inserting 
                ``substance use disorders''; and
                    (B) by striking ``such abuse'' and inserting ``such 
                disorders'';
            (13) in section 1955 (42 U.S.C. 300x-65), by striking 
        ``substance abuse'' each place it appears and inserting 
        ``substance use disorder''; and
            (14) in section 1956 (42 U.S.C. 300x-66), by striking 
        ``substance abuse'' and inserting ``substance use disorders''.
    (b) Certain Programs Regarding Mental Health and Substance Abuse.--
Part C of title XIX of the Public Health Service Act (42 U.S.C. 300y et 
seq.) is amended--
            (1) in the part heading, by striking ``substance abuse'' 
        and inserting ``substance use'';
            (2) in section 1971 (42 U.S.C. 300y), by striking 
        ``substance abuse'' each place it appears in subsections (a), 
        (b), and (f) and inserting ``substance use''; and
            (3) in section 1976 (42 U.S.C. 300y-11), by striking 
        ``intravenous abuse'' each place it appears and inserting 
        ``intravenous use''.

SEC. 242. AUTHORIZED ACTIVITIES.

    Section 1921(b) of the Public Health Service Act (42 U.S.C. 300x-
21(b)) is amended by striking ``prevent and treat substance use 
disorders'' and inserting ``prevent, treat, and provide recovery 
support services for substance use disorders''.

SEC. 243. REQUIREMENTS RELATING TO CERTAIN INFECTIOUS DISEASES AND 
              HUMAN IMMUNODEFICIENCY VIRUS.

    Section 1924 of the Public Health Service Act (42 U.S.C. 300x-24) 
is amended--
            (1) in the section heading, by striking ``tuberculosis and 
        human immunodeficiency virus'' and inserting ``tuberculosis, 
        viral hepatitis, and human immunodeficiency virus'';
            (2) by amending subsection (a)(2) to read as follows:
            ``(2) Designated states.--
                    ``(A) Fiscal years through fiscal year 2024.--For 
                purposes of this subsection, through September 30, 
                2024, a State described in this paragraph is any State 
                whose rate of cases of acquired immune deficiency 
                syndrome is 10 or more such cases per 100,000 
                individuals (as indicated by the number of such cases 
                reported to and confirmed by the Director of the 
                Centers for Disease Control and Prevention for the most 
                recent calendar year for which such data are 
                available).
                    ``(B) Fiscal year 2025 and succeeding fiscal 
                years.--
                            ``(i) In general.--Beginning with fiscal 
                        year 2025, for purposes of this subsection, a 
                        State described in this paragraph is any State 
                        whose rate of cases of human immunodeficiency 
                        virus is 10 or more such cases per 100,000 
                        individuals (as indicated by the number of such 
                        cases newly reported to and confirmed by the 
                        Director of the Centers for Disease Control and 
                        Prevention for the most recent calendar year 
                        for which such data are available).
                            ``(ii) Continuation of designated state 
                        status.--In the case of a State whose rate of 
                        cases of human immunodeficiency virus falls 
                        below the threshold specified in clause (i) for 
                        a calendar year, such State shall, 
                        notwithstanding clause (i), continue to be 
                        described in this paragraph unless the rate of 
                        cases falls below such threshold for three 
                        consecutive calendar years.''.
            (3) by redesignating subsections (c) and (d) as subsections 
        (d) and (e), respectively; and
            (4) by inserting after subsection (b) the following:
    ``(c) Viral Hepatitis.--
            ``(1) In general.--A funding agreement for a grant under 
        section 1921 is that the State involved will require that any 
        entity receiving amounts from the grant for operating a program 
        of treatment for substance use disorders--
                    ``(A) will, directly or through arrangements with 
                other public or nonprofit private entities, routinely 
                make available viral hepatitis services to each 
                individual receiving treatment for such disorders; and
                    ``(B) in the case of an individual in need of such 
                treatment who is denied admission to the program on the 
                basis of the lack of the capacity of the program to 
                admit the individual, will refer the individual to 
                another provider of viral hepatitis services.
            ``(2) Viral hepatitis services.--For purposes of paragraph 
        (1), the term `viral hepatitis services', with respect to an 
        individual, means--
                    ``(A) screening the individual for viral hepatitis; 
                and
                    ``(B) referring the individual to a provider whose 
                practice includes viral hepatitis vaccination and 
                treatment.''.

SEC. 244. STATE PLAN REQUIREMENTS.

    Section 1932(b)(1)(A) of the Public Health Service Act (42 U.S.C. 
300x-32(b)(1)(A)) is amended--
            (1) by redesignating clauses (vi) through (ix) as clauses 
        (vii) through (x), respectively; and
            (2) by inserting after clause (v) the following:
                            ``(vi) provides a description of--
                                    ``(I) the State's comprehensive 
                                statewide recovery support services 
                                activities, including the number of 
                                individuals being served, target 
                                populations, and priority needs; and
                                    ``(II) the amount of funds received 
                                under this subpart expended on recovery 
                                support services, disaggregated by the 
                                amount expended for type of service 
                                activity;''.

SEC. 245. UPDATING CERTAIN LANGUAGE RELATING TO TRIBES.

    Section 1933(d) of the Public Health Service Act (42 U.S.C. 300x-
33(d)) is amended--
            (1) in paragraph (1)--
                    (A) in subparagraph (A)--
                            (i) by striking ``of an Indian tribe or 
                        tribal organization'' and inserting ``of an 
                        Indian Tribe or Tribal organization''; and
                            (ii) by striking ``such tribe'' and 
                        inserting ``such Tribe'';
                    (B) in subparagraph (B)--
                            (i) by striking ``tribe or tribal 
                        organization'' and inserting ``Tribe or Tribal 
                        organization''; and
                            (ii) by striking ``Secretary under this'' 
                        and inserting ``Secretary under this subpart''; 
                        and
                    (C) in the matter following subparagraph (B), by 
                striking ``tribe or tribal organization'' and inserting 
                ``Tribe or Tribal organization'';
            (2) by amending paragraph (2) to read as follows:
            ``(2) Indian tribe or tribal organization as grantee.--The 
        amount reserved by the Secretary on the basis of a 
        determination under this subsection shall be granted to the 
        Indian Tribe or Tribal organization serving the individuals for 
        whom such a determination has been made.'';
            (3) in paragraph (3), by striking ``tribe or tribal 
        organization'' and inserting ``Tribe or Tribal organization''; 
        and
            (4) in paragraph (4)--
                    (A) in the paragraph heading, by striking 
                ``Definition'' and inserting ``Definitions''; and
                    (B) by striking ``The terms'' and all that follows 
                through ``given such terms'' and inserting the 
                following: ``The terms `Indian Tribe' and `Tribal 
                organization' have the meanings given the terms `Indian 
                tribe' and `tribal organization'''.

SEC. 246. BLOCK GRANTS FOR SUBSTANCE USE PREVENTION, TREATMENT, AND 
              RECOVERY SERVICES.

    (a) In General.--Section 1935(a) of the Public Health Service Act 
(42 U.S.C. 300x-35(a)), as amended by section 241, is further amended 
by striking ``appropriated'' and all that follows through ``2022..'' 
and inserting the following: ``appropriated $1,908,079,000 for each of 
fiscal years 2023 through 2027.''.
    (b) Technical Corrections.--Section 1935(b)(1)(B) of the Public 
Health Service Act (42 U.S.C. 300x-35(b)(1)(B)) is amended by striking 
``the collection of data in this paragraph is''.

SEC. 247. REQUIREMENT OF REPORTS AND AUDITS BY STATES.

    Section 1942(a) of the Public Health Service Act (42 U.S.C. 300x-
52(a)) is amended--
            (1) in paragraph (1), by striking ``and'' at the end;
            (2) in paragraph (2), by striking the period at the end and 
        inserting ``; and''; and
            (3) by adding at the end the following:
            ``(3) the amount provided to each recipient in the previous 
        fiscal year.''.

SEC. 248. STUDY ON ASSESSMENT FOR USE IN DISTRIBUTION OF LIMITED STATE 
              RESOURCES.

    (a) In General.--The Secretary of Health and Human Services, acting 
through the Assistant Secretary for Mental Health and Substance Use (in 
this section referred to as the ``Secretary''), shall, in consultation 
with States and other local entities providing prevention, treatment, 
or recovery support services related to substance use, conduct a study 
to develop a model needs assessment process for States to consider to 
help determine how best to allocate block grant funding received under 
subpart II of part B of title XIX of the Public Health Service Act (42 
U.S.C. 300x-21) to provide services to substance use disorder 
prevention, treatment, and recovery support. The study shall include 
cost estimates with each model needs assessment process.
    (b) Report.--Not later than 2 years after the date of the enactment 
of this Act, the Secretary shall submit to the Committee on Energy and 
Commerce of the House of Representatives and the Committee on Health, 
Education, Labor, and Pensions of the Senate a report on the results of 
the study conducted under paragraph (1).

          Subtitle E--Timely Treatment for Opioid Use Disorder

SEC. 251. STUDY ON EXEMPTIONS FOR TREATMENT OF OPIOID USE DISORDER 
              THROUGH OPIOID TREATMENT PROGRAMS DURING THE COVID-19 
              PUBLIC HEALTH EMERGENCY.

    (a) Study.--The Assistant Secretary for Mental Health and Substance 
Use shall conduct a study, in consultation with patients and other 
stakeholders, on activities carried out pursuant to exemptions 
granted--
            (1) to a State (including the District of Columbia or any 
        territory of the United States) or an opioid treatment program;
            (2) pursuant to section 8.11(h) of title 42, Code of 
        Federal Regulations; and
            (3) during the period--
                    (A) beginning on the declaration of the public 
                health emergency for the COVID-19 pandemic under 
                section 319 of the Public Health Service Act (42 U.S.C. 
                247d); and
                    (B) ending on the earlier of--
                            (i) the termination of such public health 
                        emergency, including extensions thereof 
                        pursuant to such section 319; and
                            (ii) the end of calendar year 2022.
    (b) Privacy.--The section does not authorize the disclosure by the 
Department of Health and Human Services of individually identifiable 
information about patients.
    (c) Feedback.--In conducting the study under subsection (a), the 
Assistant Secretary for Mental Health and Substance Use shall gather 
feedback from the States and opioid treatment programs on their 
experiences in implementing exemptions described in subsection (a).
    (d) Report.--Not later than 180 days after the end of the period 
described in subsection (a)(3)(B), and subject to subsection (c), the 
Assistant Secretary for Mental Health and Substance Use shall publish a 
report on the results of the study under this section.

SEC. 252. CHANGES TO FEDERAL OPIOID TREATMENT STANDARDS.

    (a) Mobile Medication Units.--Section 302(e) of the Controlled 
Substances Act (21 U.S.C. 822(e)) is amended by adding at the end the 
following:
    ``(3) Notwithstanding paragraph (1), a registrant that is 
dispensing pursuant to section 303(g) narcotic drugs to individuals for 
maintenance treatment or detoxification treatment shall not be required 
to have a separate registration to incorporate one or more mobile 
medication units into the registrant's practice to dispense such 
narcotics at locations other than the registrant's principal place of 
business or professional practice described in paragraph (1), so long 
as the registrant meets such standards for operation of a mobile 
medication unit as the Attorney General may establish.''.
    (b) Revise Opioid Treatment Program Admission Criteria to Eliminate 
Requirement That Patients Have an Opioid Use Disorder for at Least 1 
Year.--Not later than 18 months after the date of enactment of this 
Act, the Secretary of Health and Human Services shall revise section 
8.12(e)(1) of title 42, Code of Federal Regulations (or successor 
regulations), to eliminate the requirement that an opioid treatment 
program only admit an individual for treatment under the program if the 
individual has been addicted to opioids for at least 1 year before 
being so admitted for treatment.
    (c) Final Regulation on Periods for Take-Home Supply 
Requirements.--
            (1) In general.--Not later than 18 months after the date of 
        enactment of this Act, the Secretary of Health and Human 
        Services shall promulgate a final regulation amending 
        paragraphs (i)(3)(i) through (i)(3)(vi) of section 8.12 of 
        title 42, Code of Federal Regulations, as appropriate based on 
        the findings of the study under section 251 of this Act.
            (2) Criteria.--The regulation under paragraph (1) shall 
        establish relevant criteria for the medical director or an 
        appropriately licensed practitioner of an opioid treatment 
        program, to determine whether a patient is stable and may 
        qualify for unsupervised use, which criteria may allow for 
        consideration of each of the following:
                    (A) Whether the benefits of providing unsupervised 
                doses to a patient outweigh the risks.
                    (B) The patient's demonstrated adherence to their 
                treatment plan.
                    (C) The patient's history of negative toxicology 
                tests.
                    (D) Whether there is an absence of serious 
                behavioral problems.
                    (E) The patient's stability in living arrangements 
                and social relationships.
                    (F) Whether there is an absence of substance 
                misuse-related behaviors.
                    (G) Whether there is an absence of recent diversion 
                activity.
                    (H) Whether there is an assurance that the 
                medication can be safely stored by the patient.
                    (I) Any other criterion the Secretary of Health and 
                Human Services determines appropriate.
            (3) Prohibited sole consideration.--The regulation under 
        paragraph (1) shall prohibit the medical director of an opioid 
        treatment program from considering, as the sole consideration 
        in determining whether a patient is sufficiently responsible in 
        handling opioid drugs for unsupervised use, whether the patient 
        has an absence of recent misuse of drugs (whether narcotic or 
        nonnarcotic), including alcohol.

   Subtitle F--Additional Provisions Relating to Addiction Treatment

SEC. 261. PROHIBITION.

    Notwithstanding any provision of this Act and the amendments made 
by this Act, no funds made available to carry out this Act or any 
amendment made by this Act shall be used to purchase, procure, or 
distribute pipes or cylindrical objects intended to be used to smoke or 
inhale illegal scheduled substances.

SEC. 262. ELIMINATING ADDITIONAL REQUIREMENTS FOR DISPENSING NARCOTIC 
              DRUGS IN SCHEDULE III, IV, AND V FOR MAINTENANCE OR 
              DETOXIFICATION TREATMENT.

    (a) In General.--Section 303(g) of the Controlled Substances Act 
(21 U.S.C. 823(g)) is amended--
            (1) by striking paragraph (2);
            (2) by striking ``(g)(1) Except as provided in paragraph 
        (2), practitioners who dispense narcotic drugs to individuals 
        for maintenance treatment or detoxification treatment'' and 
        inserting ``(g) Practitioners who dispense narcotic drugs 
        (other than narcotic drugs in schedule III, IV, or V) to 
        individuals for maintenance treatment or detoxification 
        treatment'';
            (3) by redesignating subparagraphs (A), (B), and (C) as 
        paragraphs (1), (2), and (3), respectively; and
            (4) in paragraph (2), as so redesignated--
                    (A) by striking ``(i) security of stocks'' and 
                inserting ``(A) security of stocks''; and
                    (B) by striking ``(ii) the maintenance of records'' 
                and inserting ``(B) the maintenance of records''.
    (b) Conforming Changes.--
            (1) Subsections (a) and (d)(1) of section 304 of the 
        Controlled Substances Act (21 U.S.C. 824) are each amended by 
        striking ``303(g)(1)'' each place it appears and inserting 
        ``303(g)''.
            (2) Section 309A(a)(2) of the Controlled Substances Act (21 
        U.S.C. 829a) is amended--
                    (A) in the matter preceding subparagraph (A), by 
                striking ``the controlled substance is to be 
                administered for the purpose of maintenance or 
                detoxification treatment under section 303(g)(2)'' and 
                inserting ``the controlled substance is a narcotic drug 
                in schedule III, IV, or V to be administered for the 
                purpose of maintenance or detoxification treatment''; 
                and
                    (B) by striking ``and--'' and all that follows 
                through ``is to be administered by injection or 
                implantation;'' and inserting ``and is to be 
                administered by injection or implantation;''.
            (3) Section 520E-4(c) of the Public Health Service Act (42 
        U.S.C. 290bb-36d(c)) is amended by striking ``information on 
        any qualified practitioner that is certified to prescribe 
        medication for opioid dependency under section 303(g)(2)(B) of 
        the Controlled Substances Act'' and inserting ``information on 
        any practitioner who prescribes narcotic drugs in schedule III, 
        IV, or V of section 202 of the Controlled Substances Act for 
        the purpose of maintenance or detoxification treatment''.
            (4) Section 544(a)(3) of the Public Health Service Act (42 
        U.S.C. 290dd-3), as added by section 219(a)(2), is amended by 
        striking ``any practitioner dispensing narcotic drugs pursuant 
        to section 303(g) of the Controlled Substances Act'' and 
        inserting ``any practitioner dispensing narcotic drugs for the 
        purpose of maintenance or detoxification treatment''.
            (5) Section 1833(bb)(3)(B) of the Social Security Act (42 
        U.S.C. 1395l(bb)(3)(B)) is amended by striking ``first receives 
        a waiver under section 303(g) of the Controlled Substances Act 
        on or after January 1, 2019'' and inserting ``first begins 
        prescribing narcotic drugs in schedule III, IV, or V of section 
        202 of the Controlled Substances Act for the purpose of 
        maintenance or detoxification treatment on or after January 1, 
        2021''.
            (6) Section 1834(o)(3)(C)(ii) of the Social Security Act 
        (42 U.S.C. 1395m(o)(3)(C)(ii)) is amended by striking ``first 
        receives a waiver under section 303(g) of the Controlled 
        Substances Act on or after January 1, 2019'' and inserting 
        ``first begins prescribing narcotic drugs in schedule III, IV, 
        or V of section 202 of the Controlled Substances Act for the 
        purpose of maintenance or detoxification treatment on or after 
        January 1, 2021''.
            (7) Section 1866F(c)(3) of the Social Security Act (42 
        U.S.C. 1395cc-6(c)(3)) is amended--
                    (A) in subparagraph (A), by adding ``and'' at the 
                end;
                    (B) in subparagraph (B), by striking ``; and'' and 
                inserting a period; and
                    (C) by striking subparagraph (C).
            (8) Section 1903(aa)(2)(C) of the Social Security Act (42 
        U.S.C. 1396b(aa)(2)(C)) is amended--
                    (A) in clause (i), by adding ``and'' at the end;
                    (B) by striking clause (ii); and
                    (C) by redesignating clause (iii) as clause (ii).

SEC. 263. REQUIRING PRESCRIBERS OF CONTROLLED SUBSTANCES TO COMPLETE 
              TRAINING.

    Section 303 of the Controlled Substances Act (21 U.S.C. 823) is 
amended by adding at the end the following:
    ``(l) Required Training for Prescribers.--
            ``(1) Training required.--As a condition on registration 
        under this section to dispense controlled substances in 
        schedule II, III, IV, or V, the Attorney General shall require 
        any qualified practitioner, beginning with the first applicable 
        registration for the practitioner, to meet the following:
                    ``(A) If the practitioner is a physician (as 
                defined under section 1861(r) of the Social Security 
                Act), the practitioner meets one or more of the 
                following conditions:
                            ``(i) The physician holds a board 
                        certification in addiction psychiatry or 
                        addiction medicine from the American Board of 
                        Medical Specialties.
                            ``(ii) The physician holds a board 
                        certification from the American Board of 
                        Addiction Medicine.
                            ``(iii) The physician holds a board 
                        certification in addiction medicine from the 
                        American Osteopathic Association.
                            ``(iv) The physician has, with respect to 
                        the treatment and management of patients with 
                        opioid or other substance use disorders, or the 
                        safe pharmacological management of dental pain 
                        and screening, brief intervention, and referral 
                        for appropriate treatment of patients with or 
                        at risk of developing opioid or other substance 
                        use disorders, completed not less than 8 hours 
                        of training (through classroom situations, 
                        seminars at professional society meetings, 
                        electronic communications, or otherwise) that 
                        is provided by--
                                    ``(I) the American Society of 
                                Addiction Medicine, the American 
                                Academy of Addiction Psychiatry, the 
                                American Medical Association, the 
                                American Osteopathic Association, the 
                                American Dental Association, the 
                                American Association of Oral and 
                                Maxillofacial Surgeons, the American 
                                Psychiatric Association, or any other 
                                organization accredited by the 
                                Accreditation Council for Continuing 
                                Medical Education (commonly known as 
                                the `ACCME') or the Commission on 
                                Dental Accreditation;
                                    ``(II) any organization accredited 
                                by a State medical society accreditor 
                                that is recognized by the ACCME or the 
                                Commission on Dental Accreditation;
                                    ``(III) any organization accredited 
                                by the American Osteopathic Association 
                                to provide continuing medical 
                                education; or
                                    ``(IV) any organization approved by 
                                the Assistant Secretary for Mental 
                                Health and Substance Abuse, the ACCME, 
                                or the Commission on Dental 
                                Accreditation.
                            ``(v) The physician graduated in good 
                        standing from an accredited school of 
                        allopathic medicine, osteopathic medicine, 
                        dental surgery, or dental medicine in the 
                        United States during the 5-year period 
                        immediately preceding the date on which the 
                        physician first registers or renews under this 
                        section and has successfully completed a 
                        comprehensive allopathic or osteopathic 
                        medicine curriculum or accredited medical 
                        residency or dental surgery or dental medicine 
                        curriculum that included not less than 8 hours 
                        of training on--
                                    ``(I) treating and managing 
                                patients with opioid and other 
                                substance use disorders, including the 
                                appropriate clinical use of all drugs 
                                approved by the Food and Drug 
                                Administration for the treatment of a 
                                substance use disorder; or
                                    ``(II) the safe pharmacological 
                                management of dental pain and 
                                screening, brief intervention, and 
                                referral for appropriate treatment of 
                                patients with or at risk of developing 
                                opioid and other substance use 
                                disorders.
                    ``(B) If the practitioner is not a physician (as 
                defined under section 1861(r) of the Social Security 
                Act), the practitioner meets one or more of the 
                following conditions:
                            ``(i) The practitioner has completed not 
                        fewer than 8 hours of training with respect to 
                        the treatment and management of patients with 
                        opioid or other substance use disorders 
                        (through classroom situations, seminars at 
                        professional society meetings, electronic 
                        communications, or otherwise) provided by the 
                        American Society of Addiction Medicine, the 
                        American Academy of Addiction Psychiatry, the 
                        American Medical Association, the American 
                        Osteopathic Association, the American Nurses 
                        Credentialing Center, the American Psychiatric 
                        Association, the American Association of Nurse 
                        Practitioners, the American Academy of 
                        Physician Associates, or any other organization 
                        approved or accredited by the Assistant 
                        Secretary for Mental Health and Substance Abuse 
                        or the Accreditation Council for Continuing 
                        Medical Education.
                            ``(ii) The practitioner has graduated in 
                        good standing from an accredited physician 
                        assistant school or accredited school of 
                        advanced practice nursing in the United States 
                        during the 5-year period immediately preceding 
                        the date on which the practitioner first 
                        registers or renews under this section and has 
                        successfully completed a comprehensive 
                        physician assistant or advanced practice 
                        nursing curriculum that included not fewer than 
                        8 hours of training on treating and managing 
                        patients with opioid and other substance use 
                        disorders, including the appropriate clinical 
                        use of all drugs approved by the Food and Drug 
                        Administration for the treatment of a substance 
                        use disorder.
            ``(2) One-time training.--
                    ``(A) In general.--The Attorney General shall not 
                require any qualified practitioner to complete the 
                training described in clause (iv) or (v) of paragraph 
                (1)(A) or clause (i) or (ii) of paragraph (1)(B) more 
                than once.
                    ``(B) Notification.--Not later than 90 days after 
                the date of the enactment of the Restoring Hope for 
                Mental Health and Well-Being Act of 2022, the Attorney 
                General shall provide to qualified practitioners a 
                single written, electronic notification of the training 
                described in clauses (iv) and (v) of paragraph (1)(A) 
                or clauses (i) and (ii) of paragraph (1)(B).
            ``(3) Rule of construction.--Nothing in this subsection 
        shall be construed to preclude the use, by a qualified 
        practitioner, of training received pursuant to this subsection 
        to satisfy registration requirements of a State or for some 
        other lawful purpose.
            ``(4) Definitions.--In this section:
                    ``(A) First applicable registration.--The term 
                `first applicable registration' means the first 
                registration or renewal of registration by a qualified 
                practitioner under this section that occurs on or after 
                the date that is 180 days after the date of enactment 
                of the Restoring Hope for Mental Health and Well-Being 
                Act of 2022.
                    ``(B) Qualified practitioner.--In this subsection, 
                the term `qualified practitioner' means a practitioner 
                who--
                            ``(i) is licensed under State law to 
                        prescribe controlled substances; and
                            ``(ii) is not solely a veterinarian.''.

SEC. 264. INCREASE IN NUMBER OF DAYS BEFORE WHICH CERTAIN CONTROLLED 
              SUBSTANCES MUST BE ADMINISTERED.

    Section 309A(a)(5) of the Controlled Substances Act (21 U.S.C. 
829a(a)(5)) is amended by striking ``14 days'' and inserting ``60 
days''.

SEC. 265. BLOCK, REPORT, AND SUSPEND SUSPICIOUS SHIPMENTS.

    (a) Clarification of Process for Registrants to Exercise Due 
Diligence Upon Discovering a Suspicious Order.--Paragraph (3) of 
section 312(a) of the Controlled Substances Act (21 U.S.C. 832(a)) is 
amended to read as follows:
            ``(3) upon discovering a suspicious order or series of 
        orders, and in a manner consistent with the other requirements 
        of this section--
                    ``(A) exercise due diligence as appropriate;
                    ``(B) establish and maintain (for not less than a 
                period to be determined by the Administrator of the 
                Drug Enforcement Administration) a record of the due 
                diligence that was performed;
                    ``(C) decline to fill the order or series of orders 
                if the due diligence fails to dispel all of the 
                indicators that give rise to the suspicion that, if the 
                order or series of orders is filled, the drugs that are 
                the subject of the order or series of orders are likely 
                to be diverted; and
                    ``(D) notify the Administrator of the Drug 
                Enforcement Administration and the Special Agent in 
                Charge of the Division Office of the Drug Enforcement 
                Administration for the area in which the registrant is 
                located or conducts business of--
                            ``(i) each suspicious order or series of 
                        orders discovered by the registrant; and
                            ``(ii) the indicators giving rise to the 
                        suspicion that, if the order or series of 
                        orders is filled, the drugs that are the 
                        subject of the order or series of orders are 
                        likely to be diverted.''.
    (b) Resolution of Suspicious Indicators.--Section 312 of the 
Controlled Substances Act (21 U.S.C. 832) is amended--
            (1) by redesignating subsection (b) and (c) as subsections 
        (c) and (d), respectively; and
            (2) by inserting after subsection (a) the following:
    ``(b) Resolution of Suspicious Indicators.--If a registrant 
resolves all of the indicators giving rise to suspicion about an order 
or series of orders under subsection (a)(3)--
            ``(1) notwithstanding subsection (a)(3)(C), the registrant 
        may choose to fill the order or series of orders; and
            ``(2) notwithstanding subsection (a)(3)(D), the registrant 
        may choose not to make the notification otherwise required by 
        such subsection.''.
    (c) Regulations.--Not later than 1 year after the date of enactment 
of this Act, for purposes of subsections (a)(3) and (b) of section 312 
of the Controlled Substances Act, as amended or inserted by subsection 
(a), the Attorney General of the United States shall promulgate a final 
regulation specifying the indicators that give rise to a suspicion 
that, if an order or series of orders is filled, the drugs that are the 
subject of the order or series of orders are likely to be diverted.
    (d) Applicability.--Subsections (a)(3) and (b) of section 312 of 
the Controlled Substances Act, as amended or inserted by subsection 
(a), shall apply beginning on the day that is 1 year after the date of 
enactment of this Act. Until such day, section 312(a)(3) of the 
Controlled Substances Act shall apply as such section 312(a)(3) was in 
effect on the day before the date of enactment of this Act.

                  Subtitle G--Opioid Epidemic Response

SEC. 271. OPIOID PRESCRIPTION VERIFICATION.

    (a) Materials for Training Pharmacists on Certain Circumstances 
Under Which a Pharmacist May Decline to Fill a Prescription.--
            (1) Updates to materials.--Section 3212(a) of the SUPPORT 
        for Patients and Communities Act (21 U.S.C. 829 note) is 
        amended by striking ``Not later than 1 year after the date of 
        enactment of this Act, the Secretary of Health and Human 
        Services, in consultation with the Administrator of the Drug 
        Enforcement Administration, Commissioner of Food and Drugs, 
        Director of the Centers for Disease Control and Prevention, and 
        Assistant Secretary for Mental Health and Substance Use, shall 
        develop and disseminate'' and inserting ``The Secretary of 
        Health and Human Services, in consultation with the 
        Administrator of the Drug Enforcement Administration, 
        Commissioner of Food and Drugs, Director of the Centers for 
        Disease Control and Prevention, and Assistant Secretary for 
        Mental Health and Substance Use, shall develop and disseminate 
        not later than 1 year after the date of enactment of this Act, 
        and update periodically thereafter''.
            (2) Materials included.--Section 3212(b) of the SUPPORT for 
        Patients and Communities Act (21 U.S.C. 829 note) is amended--
                    (A) by redesignating paragraphs (1) and (2) as 
                paragraphs (2) and (3), respectively; and
                    (B) by inserting before paragraph (2), as so 
                redesignated, the following new paragraph:
            ``(1) pharmacists on how to verify the identity of the 
        patient;''.
            (3) Materials for training on patient verification .--
        Section 3212 of the SUPPORT for Patients and Communities Act 
        (21 U.S.C. 829 note) is amended by adding at the end the 
        following new subsection:
    ``(d) Materials for Training on Verification of Identity.--Not 
later than 1 year after the date of enactment of this subsection, the 
Secretary of Health and Human Services, after seeking stakeholder input 
in accordance with subsection (c), shall--
            ``(1) update the materials developed under subsection (a) 
        to include information for pharmacists on how to verify the 
        identity the patient; and
            ``(2) disseminate, as appropriate, the updated 
        materials.''.
    (b) Incentivizing States To Facilitate Responsible, Informed 
Dispensing of Controlled Substances.--
            (1) In general.--Section 392A of the Public Health Service 
        Act (42 U.S.C. 280b-1) is amended--
                    (A) by redesignating subsections (c) and (d) as 
                subsections (d) and (e), respectively; and
                    (B) by inserting after subsection (b) the following 
                new subsection:
    ``(c) Preference.--In determining the amounts of grants awarded to 
States under subsections (a) and (b), the Director of the Centers for 
Disease Control and Prevention may give preference to States in 
accordance with such criteria as the Director may specify and may 
choose to give preference to States that--
            ``(1) maintain a prescription drug monitoring program;
            ``(2) require prescribers of controlled substances in 
        schedule II, III, or IV to issue such prescriptions 
        electronically, and make such requirement subject to exceptions 
        in the cases listed in section 1860D-4(e)(7)(B) of the Social 
        Security Act; and
            ``(3) require dispensers of such controlled substances to 
        enter certain information about the purchase of such controlled 
        substances into the respective State's prescription drug 
        monitoring program, including--
                    ``(A) the National Drug Code or, in the case of 
                compounded medications, compound identifier;
                    ``(B) the quantity dispensed;
                    ``(C) the patient identifier; and
                    ``(D) the date filled.''.
            (2) Definitions.--
                    (A) In general.--Subsection (d) of section 392A of 
                the Public Health Service Act (42 U.S.C. 280b-1), as 
                redesignated by paragraph (1)(A), is amended to read as 
                follows:
    ``(d) Definitions.--In this section:
            ``(1) Controlled substance.--The term `controlled 
        substance' has the meaning given that term in section 102 of 
        the Controlled Substances Act.
            ``(2) Dispenser.--The term `dispenser' means a physician, 
        pharmacist, or other person that dispenses a controlled 
        substance to an ultimate user.
            ``(3) Indian tribe.--The term `Indian Tribe' has the 
        meaning given that term in section 4 of the Indian Self-
        Determination and Education Assistance Act.''.
                    (B) Conforming change.--Section 392A of the Public 
                Health Service Act (42 U.S.C. 280b-1) is amended by 
                striking ``Indian tribes'' each place it appears and 
                inserting ``Indian Tribes''.

SEC. 272. SYNTHETIC OPIOID DANGER AWARENESS.

    (a) Synthetic Opioids Public Awareness Campaign.--Part B of title 
III of the Public Health Service Act is amended by inserting after 
section 317U (42 U.S.C. 247b-23) the following new section:

``SEC. 317V. SYNTHETIC OPIOIDS PUBLIC AWARENESS CAMPAIGN.

    ``(a) In General.--Not later than one year after the date of the 
enactment of this section, the Secretary shall provide for the planning 
and implementation of a public education campaign to raise public 
awareness of synthetic opioids (including fentanyl and its analogues). 
Such campaign shall include the dissemination of information that--
            ``(1) promotes awareness about the potency and dangers of 
        fentanyl and its analogues and other synthetic opioids;
            ``(2) explains services provided by the Substance Abuse and 
        Mental Health Services Administration and the Centers for 
        Disease Control and Prevention (and any entity providing such 
        services under a contract entered into with such agencies) with 
        respect to the misuse of opioids, particularly as such services 
        relate to the provision of alternative, non-opioid pain 
        management treatments; and
            ``(3) relates generally to opioid use and pain management.
    ``(b) Use of Media.--The campaign under subsection (a) may be 
implemented through the use of television, radio, internet, in-person 
public communications, and other commercial marketing venues and may be 
targeted to specific age groups.
    ``(c) Consideration of Report Findings.--In planning and 
implementing the public education campaign under subsection (a), the 
Secretary shall take into consideration the findings of the report 
required under section 7001 of the SUPPORT for Patients and Communities 
Act (Public Law 115-271).
    ``(d) Consultation.--In coordinating the campaign under subsection 
(a), the Secretary shall consult with the Assistant Secretary for 
Mental Health and Substance Use to provide ongoing advice on the 
effectiveness of information disseminated through the campaign.
    ``(e) Requirement of Campaign.--The campaign implemented under 
subsection (a) shall not be duplicative of any other Federal efforts 
relating to eliminating the misuse of opioids.
    ``(f) Evaluation.--
            ``(1) In general.--The Secretary shall ensure that the 
        campaign implemented under subsection (a) is subject to an 
        independent evaluation, beginning 2 years after the date of the 
        enactment of this section, and every 2 years thereafter.
            ``(2) Measures and benchmarks.--For purposes of an 
        evaluation conducted pursuant to paragraph (1), the Secretary 
        shall--
                    ``(A) establish baseline measures and benchmarks to 
                quantitatively evaluate the impact of the campaign 
                under this section; and
                    ``(B) conduct qualitative assessments regarding the 
                effectiveness of strategies employed under this 
                section.
    ``(g) Report.--The Secretary shall, beginning 2 years after the 
date of the enactment of this section, and every 2 years thereafter, 
submit to Congress a report on the effectiveness of the campaign 
implemented under subsection (a) towards meeting the measures and 
benchmarks established under subsection (e)(2).
    ``(h) Dissemination of Information Through Providers.--The 
Secretary shall develop and implement a plan for the dissemination of 
information related to synthetic opioids, to health care providers who 
participate in Federal programs, including programs administered by the 
Department of Health and Human Services, the Indian Health Service, the 
Department of Veterans Affairs, the Department of Defense, and the 
Health Resources and Services Administration, the Medicare program 
under title XVIII of the Social Security Act, and the Medicaid program 
under title XIX of such Act.''.
    (b) Training Guide and Outreach on Synthetic Opioid Exposure 
Prevention.--
            (1) Training guide.--Not later than 18 months after the 
        date of the enactment of this Act, the Secretary of Health and 
        Human Services shall design, publish, and make publicly 
        available on the internet website of the Department of Health 
        and Human Services, a training guide and webinar for first 
        responders and other individuals who also may be at high risk 
        of exposure to synthetic opioids that details measures to 
        prevent that exposure.
            (2) Outreach.--Not later than 18 months after the date of 
        the enactment of this Act, the Secretary of Health and Human 
        Services shall also conduct outreach about the availability of 
        the training guide and webinar published under paragraph (1) 
        to--
                    (A) police and fire managements;
                    (B) sheriff deputies in city and county jails;
                    (C) ambulance transport and hospital emergency room 
                personnel;
                    (D) clinicians; and
                    (E) other high-risk occupations, as identified by 
                the Assistant Secretary for Mental Health and Substance 
                Use.

SEC. 273. GRANT PROGRAM FOR STATE AND TRIBAL RESPONSE TO OPIOID AND 
              STIMULANT USE AND MISUSE.

    Section 1003 of the 21st Century Cures Act (42 U.S.C. 290ee-3 note) 
is amended to read as follows:

``SEC. 1003. GRANT PROGRAM FOR STATE AND TRIBAL RESPONSE TO OPIOID AND 
              STIMULANT USE AND MISUSE.

    ``(a) In General.--The Secretary of Health and Human Services 
(referred to in this section as the `Secretary') shall carry out the 
grant program described in subsection (b) for purposes of addressing 
opioid and stimulant use and misuse, within States, Indian Tribes, and 
populations served by Tribal organizations and Urban Indian 
organizations.
    ``(b) Grants Program.--
            ``(1) In general.--Subject to the availability of 
        appropriations, the Secretary shall award grants to States, 
        Indian Tribes, Tribal organizations, and Urban Indian 
        organizations for the purpose of addressing opioid and 
        stimulant use and misuse, within such States, such Indian 
        Tribes, and populations served by such Tribal organizations and 
        Urban Indian organizations, in accordance with paragraph (2).
            ``(2) Minimum allocations; preference.--In determining 
        grant amounts for each recipient of a grant under paragraph 
        (1), the Secretary shall--
                    ``(A) ensure that each State receives not less than 
                $4,000,000; and
                    ``(B) give preference to States, Indian Tribes, 
                Tribal organizations, and Urban Indian organizations 
                whose populations have an incidence or prevalence of 
                opioid use disorders or stimulant use or misuse that is 
                substantially higher relative to the populations of 
                other States, other Indian Tribes, Tribal 
                organizations, or Urban Indian organizations, as 
                applicable.
            ``(3) Formula methodology.--
                    ``(A) In general.--Before publishing a funding 
                opportunity announcement with respect to grants under 
                this section, the Secretary shall--
                            ``(i) develop a formula methodology to be 
                        followed in allocating grant funds awarded 
                        under this section among grantees, which 
                        includes performance assessments for 
                        continuation awards; and
                            ``(ii) not later than 30 days after 
                        developing the formula methodology under clause 
                        (i), submit the formula methodology to--
                                    ``(I) the Committee on Energy and 
                                Commerce and the Committee on 
                                Appropriations of the House of 
                                Representatives; and
                                    ``(II) the Committee on Health, 
                                Education, Labor, and Pensions and the 
                                Committee on Appropriations of the 
                                Senate.
                    ``(B) Report.--Not later than two years after the 
                date of the enactment of the Restoring Hope for Mental 
                Health and Well-Being Act of 2022, the Comptroller 
                General of the United States shall submit to the 
                Committee on Health, Education, Labor, and Pensions of 
                the Senate and the Committee on Energy and Commerce of 
                the House of Representatives a report that--
                            ``(i) assesses how grant funding is 
                        allocated to States under this section and how 
                        such allocations have changed over time;
                            ``(ii) assesses how any changes in funding 
                        under this section have affected the efforts of 
                        States to address opioid or stimulant use or 
                        misuse; and
                            ``(iii) assesses the use of funding 
                        provided through the grant program under this 
                        section and other similar grant programs 
                        administered by the Substance Abuse and Mental 
                        Health Services Administration.
            ``(4) Use of funds.--Grants awarded under this subsection 
        shall be used for carrying out activities that supplement 
        activities pertaining to opioid and stimulant use and misuse, 
        undertaken by the State agency responsible for administering 
        the substance abuse prevention and treatment block grant under 
        subpart II of part B of title XIX of the Public Health Service 
        Act (42 U.S.C. 300x-21 et seq.), which may include public 
        health-related activities such as the following:
                    ``(A) Implementing prevention activities, and 
                evaluating such activities to identify effective 
                strategies to prevent substance use disorders.
                    ``(B) Establishing or improving prescription drug 
                monitoring programs.
                    ``(C) Training for health care practitioners, such 
                as best practices for prescribing opioids, pain 
                management, recognizing potential cases of substance 
                use disorders, referral of patients to treatment 
                programs, preventing diversion of controlled 
                substances, and overdose prevention.
                    ``(D) Supporting access to health care services, 
                including--
                            ``(i) services provided by federally 
                        certified opioid treatment programs;
                            ``(ii) outpatient and residential substance 
                        use disorder treatment services that utilize 
                        medication-assisted treatment, as appropriate; 
                        or
                            ``(iii) other appropriate health care 
                        providers to treat substance use disorders.
                    ``(E) Recovery support services, including--
                            ``(i) community-based services that include 
                        peer supports;
                            ``(ii) mutual aid recovery programs that 
                        support medication-assisted treatment; or
                            ``(iii) services to address housing needs 
                        and family issues.
                    ``(F) Other public health-related activities, as 
                the State, Indian Tribe, Tribal organization, or Urban 
                Indian organization determines appropriate, related to 
                addressing substance use disorders within the State, 
                Indian Tribe, Tribal organization, or Urban Indian 
                organization, including directing resources in 
                accordance with local needs related to substance use 
                disorders.
    ``(c) Accountability and Oversight.--A State receiving a grant 
under subsection (b) shall include in reporting related to substance 
use disorders submitted to the Secretary pursuant to section 1942 of 
the Public Health Service Act (42 U.S.C. 300x-52), a description of--
            ``(1) the purposes for which the grant funds received by 
        the State under such subsection for the preceding fiscal year 
        were expended and a description of the activities of the State 
        under the grant;
            ``(2) the ultimate recipients of amounts provided to the 
        State; and
            ``(3) the number of individuals served through the grant.
    ``(d) Limitations.--Any funds made available pursuant to subsection 
(i)--
            ``(1) shall not be used for any purpose other than the 
        grant program under subsection (b); and
            ``(2) shall be subject to the same requirements as 
        substance use disorders prevention and treatment programs under 
        titles V and XIX of the Public Health Service Act (42 U.S.C. 
        290aa et seq., 300w et seq.).
    ``(e) Indian Tribes, Tribal Organizations, and Urban Indian 
Organizations.--The Secretary, in consultation with Indian Tribes, 
Tribal organizations, and Urban Indian organizations, shall identify 
and establish appropriate mechanisms for Indian Tribes, Tribal 
organizations, and Urban Indian organizations to demonstrate or report 
the information as required under subsections (b), (c), and (d).
    ``(f) Report to Congress.--Not later than September 30, 2024, and 
biennially thereafter, the Secretary shall submit to the Committee on 
Health, Education, Labor, and Pensions of the Senate and the Committee 
on Energy and Commerce of the House of Representatives, and the 
Committees on Appropriations of the House of Representatives and the 
Senate, a report that includes a summary of the information provided to 
the Secretary in reports made pursuant to subsections (c) and (e), 
including--
            ``(1) the purposes for which grant funds are awarded under 
        this section;
            ``(2) the activities of the grant recipients; and
            ``(3) for each State, Indian Tribe, Tribal organization, 
        and Urban Indian organization that receives a grant under this 
        section, the funding level provided to such recipient.
    ``(g) Technical Assistance.--The Secretary, including through the 
Tribal Training and Technical Assistance Center of the Substance Abuse 
and Mental Health Services Administration, shall provide States, Indian 
Tribes, Tribal organizations, and Urban Indian organizations, as 
applicable, with technical assistance concerning grant application and 
submission procedures under this section, award management activities, 
and enhancing outreach and direct support to rural and underserved 
communities and providers in addressing substance use disorders.
    ``(h) Definitions.--In this section:
            ``(1) Indian tribe.--The term `Indian Tribe' has the 
        meaning given the term `Indian tribe' in section 4 of the 
        Indian Self-Determination and Education Assistance Act (25 
        U.S.C. 5304).
            ``(2) Tribal organization.--The term `Tribal organization' 
        has the meaning given the term `tribal organization' in such 
        section 4.
            ``(3) State.--The term `State' has the meaning given such 
        term in section 1954(b) of the Public Health Service Act (42 
        U.S.C. 300x-64(b)).
            ``(4) Urban indian organization.--The term `Urban Indian 
        organization' has the meaning given such term in section 4 of 
        the Indian Health Care Improvement Act.
    ``(i) Authorization of Appropriations.--
            ``(1) In general.--For purposes of carrying out the grant 
        program under subsection (b), there is authorized to be 
        appropriated $1,750,000,000 for each of fiscal years 2023 
        through 2027, to remain available until expended.
            ``(2) Federal administrative expenses.--Of the amounts made 
        available for each fiscal year to award grants under subsection 
        (b), the Secretary shall not use more than 20 percent for 
        Federal administrative expenses, training, technical 
        assistance, and evaluation.
            ``(3) Set aside.--Of the amounts made available for each 
        fiscal year to award grants under subsection (b) for a fiscal 
        year, the Secretary shall--
                    ``(A) award 5 percent to Indian Tribes, Tribal 
                organizations, and Urban Indian organizations; and
                    ``(B) of the amount remaining after application of 
                subparagraph (A), set aside up to 15 percent for awards 
                to States with the highest age-adjusted rate of drug 
                overdose death based on the ordinal ranking of States 
                according to the Director of the Centers for Disease 
                Control and Prevention.''.

          TITLE III--ACCESS TO MENTAL HEALTH CARE AND COVERAGE

       Subtitle A--Collaborate in an Orderly and Cohesive Manner

SEC. 301. INCREASING UPTAKE OF THE COLLABORATIVE CARE MODEL.

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

``SEC. 520K. INTEGRATION INCENTIVE GRANTS AND COOPERATIVE AGREEMENTS.

    ``(a) Definitions.--In this section:
            ``(1) Collaborative care model.--The term `collaborative 
        care model' means the evidence-based, integrated behavioral 
        health service delivery method that includes--
                    ``(A) care directed by the primary care team;
                    ``(B) structured care management;
                    ``(C) regular assessments of clinical status using 
                developmentally appropriate, validated tools; and
                    ``(D) modification of treatment as appropriate.
            ``(2) Eligible entity.--The term `eligible entity' means a 
        State, or an appropriate State agency, in collaboration with--
                    ``(A) 1 or more qualified community programs as 
                described in section 1913(b)(1);
                    ``(B) 1 or more health centers (as defined in 
                section 330(a)), a rural health clinic (as defined in 
                section 1961(aa) of the Social Security Act), or a 
                Federally qualified health center (as defined in such 
                section); or
                    ``(C) 1 or more primary health care practices.
            ``(3) Integrated care; bidirectional integrated care.--
                    ``(A) The term `integrated care' means models or 
                practices for coordinating and jointly delivering 
                behavioral and physical health services, which may 
                include practices that share the same space in the same 
                facility.
                    ``(B) The term `bidirectional integrated care' 
                means the integration of behavioral health care and 
                specialty physical health care, as well as the 
                integration of primary and physical health care with 
                specialty behavioral health settings, including within 
                primary health care settings.
            ``(4) Primary health care provider.--The term `primary 
        health care provider' means a provider who--
                    ``(A) provides health services related to family 
                medicine, internal medicine, pediatrics, obstetrics, 
                gynecology, or geriatrics; or
                    ``(B) is a doctor of medicine or osteopathy, 
                physician assistant, or nurse practitioner, who is 
                licensed to practice medicine by the State in which 
                such physician, assistant, or practitioner primarily 
                practices, including within primary health care 
                settings.
            ``(5) Primary health care practice.--The term `primary 
        health care practice' means a medical practice of primary 
        health care providers, including a practice within a larger 
        health care system.
            ``(6) Special population.--The term `special population', 
        for an eligible entity that is collaborating with an entity 
        described in subparagraph (A) or (B) of paragraph (3), means--
                    ``(A) adults with a serious mental illness who have 
                a co-occurring physical health condition or chronic 
                disease;
                    ``(B) children and adolescents with a mental 
                illness who have a co-occurring physical health 
                condition or chronic disease;
                    ``(C) individuals with a substance use disorder; or
                    ``(D) individuals with a mental illness who have a 
                co-occurring substance use disorder.
    ``(b) Grants and Cooperative Agreements.--
            ``(1) In general.--The Secretary may award grants and 
        cooperative agreements to eligible entities to support the 
        improvement of integrated care for physical and behavioral 
        health care in accordance with paragraph (2).
            ``(2) Use of funds.--A grant or cooperative agreement 
        awarded under this section shall be used--
                    ``(A) in the case of an eligible entity that is 
                collaborating with an entity described in subparagraph 
                (A) or (B) of subsection (a)(2)--
                            ``(i) to promote full integration and 
                        collaboration in clinical practices between 
                        physical and behavioral health care for special 
                        populations including each population listed in 
                        subsection (a)(7);
                            ``(ii) to support the improvement of 
                        integrated care models for physical and 
                        behavioral health care to improve the overall 
                        wellness and physical health status of--
                                    ``(I) adults with a serious mental 
                                illness or children with a serious 
                                emotional disturbance; and
                                    ``(II) individuals with a substance 
                                use disorder; and
                            ``(iii) to promote bidirectional integrated 
                        care services including screening, diagnosis, 
                        prevention, treatment, and recovery of mental 
                        and substance use disorders, and co-occurring 
                        physical health conditions and chronic 
                        diseases; and
                    ``(B) in the case of an eligible entity that is 
                collaborating with a primary health care practice, to 
                support the uptake of the collaborative care model, 
                including by--
                            ``(i) hiring staff;
                            ``(ii) identifying and formalizing 
                        contractual relationships with other health 
                        care providers, including providers who will 
                        function as psychiatric consultants and 
                        behavioral health care managers in providing 
                        behavioral health integration services through 
                        the collaborative care model;
                            ``(iii) purchasing or upgrading software 
                        and other resources needed to appropriately 
                        provide behavioral health integration services 
                        through the collaborative care model, including 
                        resources needed to establish a patient 
                        registry and implement measurement-based care; 
                        and
                            ``(iv) for such other purposes as the 
                        Secretary determines to be necessary.
    ``(c) Applications.--
            ``(1) In general.--An eligible entity that is collaborating 
        with an entity described in subparagraph (A) or (B) of 
        subsection (a)(2) seeking a grant or cooperative agreement 
        under subsection (b)(2)(A) shall submit an application to the 
        Secretary at such time, in such manner, and accompanied by such 
        information as the Secretary may require, including the 
        contents described in paragraph (2).
            ``(2) Contents.--Any such application of an eligible entity 
        described in subparagraph (A) or (B) of subsection (a)(2) shall 
        include--
                    ``(A) a description of a plan to achieve fully 
                collaborative agreements to provide bidirectional 
                integrated care to special populations;
                    ``(B) a document that summarizes the policies, if 
                any, that are barriers to the provision of integrated 
                care, and the specific steps, if applicable, that will 
                be taken to address such barriers;
                    ``(C) a description of partnerships or other 
                arrangements with local health care providers to 
                provide services to special populations;
                    ``(D) an agreement and plan to report to the 
                Secretary performance measures necessary to evaluate 
                patient outcomes and facilitate evaluations across 
                participating projects;
                    ``(E) a description of how validated rating scales 
                will be implemented to support the improvement of 
                patient outcomes using measurement-based care, 
                including those related to depression screening, 
                patient follow-up, and symptom remission; and
                    ``(F) a plan for sustainability beyond the grant or 
                cooperative agreement period under subsection (e).
            ``(3) Collaborative care model grants.--An eligible entity 
        that is collaborating with a primary health care practice 
        seeking a grant pursuant to subsection (b)(2)(B) shall submit 
        an application to the Secretary at such time, in such manner, 
        and accompanied by such information as the Secretary may 
        require.
    ``(d) Grant and Cooperative Agreement Amounts.--
            ``(1) Target amount.--The target amount that an eligible 
        entity may receive for a year through a grant or cooperative 
        agreement under this section shall be--
                    ``(A) $2,000,000 for an eligible entity described 
                in subparagraph (A) or (B) of subsection (a)(2); or
                    ``(B) $100,000 or less for an eligible entity 
                described in subparagraph (C) of subsection (a)(2).
            ``(2) Adjustment permitted.--The Secretary, taking into 
        consideration the quality of an eligible entity's application 
        and the number of eligible entities that received grants under 
        this section prior to the date of enactment of the Restoring 
        Hope for Mental Health and Well-Being Act of 2022, may adjust 
        the target amount that an eligible entity may receive for a 
        year through a grant or cooperative agreement under this 
        section.
            ``(3) Limitation.--An eligible entity that is collaborating 
        with an entity described in subparagraph (A) or (B) of 
        subsection (a)(2) receiving funding under this section--
                    ``(A) may not allocate more than 20 percent of the 
                funds awarded to such eligible entity under this 
                section to administrative functions; and
                    ``(B) shall allocate the remainder of such funding 
                to health facilities that provide integrated care.
    ``(e) Duration.--A grant or cooperative agreement under this 
section shall be for a period not to exceed 5 years.
    ``(f) Report on Program Outcomes.--An eligible entity receiving a 
grant or cooperative agreement under this section--
            ``(1) that is collaborating with an entity described in 
        subparagraph (A) or (B) of subsection (a)(2) shall submit an 
        annual report to the Secretary that includes--
                    ``(A) the progress made to reduce barriers to 
                integrated care as described in the entity's 
                application under subsection (c); and
                    ``(B) a description of outcomes with respect to 
                each special population listed in subsection (a)(7), 
                including outcomes related to education, employment, 
                and housing; or
            ``(2) that is collaborating with a primary health care 
        practice shall submit an annual report to the Secretary that 
        includes--
                    ``(A) the progress made to improve access;
                    ``(B) the progress made to improve patient 
                outcomes; and
                    ``(C) the progress made to reduce referrals to 
                specialty care.
    ``(g) Technical Assistance for Primary-Behavioral Health Care 
Integration.--
            ``(1) Certain recipients.--The Secretary may provide 
        appropriate information, training, and technical assistance to 
        eligible entities that are collaborating with an entity 
        described in subparagraph (A) or (B) of subsection (a)(2) that 
        receive a grant or cooperative agreement under this section, in 
        order to help such entities meet the requirements of this 
        section, including assistance with--
                    ``(A) development and selection of integrated care 
                models;
                    ``(B) dissemination of evidence-based interventions 
                in integrated care;
                    ``(C) establishment of organizational practices to 
                support operational and administrative success; and
                    ``(D) other activities, as the Secretary determines 
                appropriate.
            ``(2) Collaborative care model recipients.--The Secretary 
        shall provide appropriate information, training, and technical 
        assistance to eligible entities that are collaborating with 
        primary health care practices that receive funds under this 
        section to help such entities implement the collaborative care 
        model, including--
                    ``(A) developing financial models and budgets for 
                implementing and maintaining a collaborative care 
                model, based on practice size;
                    ``(B) developing staffing models for essential 
                staff roles;
                    ``(C) providing strategic advice to assist 
                practices seeking to utilize other clinicians for 
                additional psychotherapeutic interventions;
                    ``(D) providing information technology expertise to 
                assist with building the collaborative care model into 
                electronic health records, including assistance with 
                care manager tools, patient registry, ongoing patient 
                monitoring, and patient records;
                    ``(E) training support for all key staff and 
                operational consultation to develop practice workflows;
                    ``(F) establishing methods to ensure the sharing of 
                best practices and operational knowledge among primary 
                health care physicians and primary health care 
                practices that provide behavioral health integration 
                services through the collaborative care model; and
                    ``(G) providing guidance and instruction to primary 
                health care physicians and primary health care 
                practices on developing and maintaining relationships 
                with community-based mental health and substance use 
                disorder facilities for referral and treatment of 
                patients whose clinical presentation or diagnosis is 
                best suited for treatment at such facilities.
            ``(3) Additional dissemination of technical information.--
        In addition to providing the assistance described in paragraphs 
        (1) and (2) to recipients of a grant or cooperative agreement 
        under this section, the Secretary may also provide such 
        assistance to other States and political subdivisions of 
        States, Indian Tribes and Tribal organizations (as defined 
        under the Federally Recognized Indian Tribe List Act of 1994), 
        outpatient mental health and addiction treatment centers, 
        community mental health centers that meet the criteria under 
        section 1913(c), certified community behavioral health clinics 
        described in section 223 of the Protecting Access to Medicare 
        Act of 2014, primary care organizations such as Federally 
        qualified health centers or rural health clinics as defined in 
        section 1861(aa) of the Social Security Act, primary health 
        care practices, other community-based organizations, and other 
        entities engaging in integrated care activities, as the 
        Secretary determines appropriate.
    ``(h) Authorization of Appropriations.--To carry out this section, 
there is authorized to be appropriated $60,000,000 for each of fiscal 
years 2023 through 2027.''.

        Subtitle B--Helping Enable Access to Lifesaving Services

SEC. 311. REAUTHORIZATION AND PROVISION OF CERTAIN PROGRAMS TO 
              STRENGTHEN THE HEALTH CARE WORKFORCE.

    (a) Liability Protections for Health Professional Volunteers.--
Section 224(q)(6) of the Public Health Service Act (42 U.S.C. 
233(q)(6)) is amended by striking ``October 1, 2022'' and inserting 
``October 1, 2027''.
    (b) Minority Fellowships in Crisis Care Management.--Section 597(b) 
of the Public Health Service Act (42 U.S.C. 290ll(b)) is amended by 
striking ``in the fields of psychiatry,'' and inserting ``in the fields 
of crisis care management, psychiatry,''.
    (c) Mental and Behavioral Health Education and Training Grants.--
Section 756 of the Public Health Service Act (42 U.S.C. 294e-1) is 
amended--
            (1) in subsection (a)(1), by inserting ``(which may include 
        master's and doctoral level programs)'' after ``occupational 
        therapy''; and
            (2) in subsection (f), by striking ``For each of fiscal 
        years 2019 through 2023'' and inserting ``For each of fiscal 
        years 2023 through 2027''.
    (d) Training Demonstration Program.--Section 760(g) of the Public 
Health Service Act (42 U.S.C. 294k(g)) is amended by inserting ``and 
$31,700,000 for each of fiscal years 2023 through 2027'' before the 
period at the end.

SEC. 312. REAUTHORIZATION OF MINORITY FELLOWSHIP PROGRAM.

    Section 597(c) of the Public Health Service Act (42 U.S.C. 
290ll(c)) is amended by striking ``$12,669,000 for each of fiscal years 
2018 through 2022'' and inserting ``$25,000,000 for each of fiscal 
years 2023 through 2027''.

Subtitle C--Eliminating the Opt-Out for Nonfederal Governmental Health 
                                 Plans

SEC. 321. ELIMINATING THE OPT-OUT FOR NONFEDERAL GOVERNMENTAL HEALTH 
              PLANS.

    Section 2722(a)(2) of the Public Health Service Act (42 U.S.C. 
300gg-21(a)(2)) is amended by adding at the end the following new 
subparagraph:
                    ``(F) Sunset of election option.--
                            ``(i) In general.--Notwithstanding the 
                        preceding provisions of this paragraph--
                                    ``(I) no election described in 
                                subparagraph (A) with respect to 
                                section 2726 may be made on or after 
                                the date of the enactment of this 
                                subparagraph; and
                                    ``(II) except as provided in clause 
                                (ii), no such election with respect to 
                                section 2726 expiring on or after the 
                                date that is 180 days after the date of 
                                such enactment may be renewed.
                            ``(ii) Exception for certain collectively 
                        bargained plans.--Notwithstanding clause 
                        (i)(II), a plan described in subparagraph 
                        (B)(ii) that is subject to multiple agreements 
                        described in such subparagraph of varying 
                        lengths and that has an election described in 
                        subparagraph (A) with respect to section 2726 
                        in effect as of the date of the enactment of 
                        this subparagraph that expires on or after the 
                        date that is 180 days after the date of such 
                        enactment may extend such election until the 
                        date on which the term of the last such 
                        agreement expires.''.

      Subtitle D--Mental Health and Substance Use Disorder Parity 
                             Implementation

SEC. 331. GRANTS TO SUPPORT MENTAL HEALTH AND SUBSTANCE USE DISORDER 
              PARITY IMPLEMENTATION.

    (a) In General.--Section 2794(c) of the Public Health Service Act 
(42 U.S.C. 300gg-94(c)) (as added by section 1003 of the Patient 
Protection and Affordable Care Act (Public Law 111-148)) is amended by 
adding at the end the following:
            ``(3) Parity implementation.--
                    ``(A) In general.--Beginning during the first 
                fiscal year that begins after the date of enactment of 
                this paragraph, the Secretary shall, out of funds made 
                available pursuant to subparagraph (C), award grants to 
                eligible States to enforce and ensure compliance with 
                the mental health and substance use disorder parity 
                provisions of section 2726.
                    ``(B) Eligible state.--A State shall be eligible 
                for a grant awarded under this paragraph only if such 
                State--
                            ``(i) submits to the Secretary an 
                        application for such grant at such time, in 
                        such manner, and containing such information as 
                        specified by the Secretary; and
                            ``(ii) agrees to request and review from 
                        health insurance issuers offering group or 
                        individual health insurance coverage the 
                        comparative analyses and other information 
                        required of such health insurance issuers under 
                        subsection (a)(8)(A) of section 2726 relating 
                        to the design and application of 
                        nonquantitative treatment limitations imposed 
                        on mental health or substance use disorder 
                        benefits.
                    ``(C) Authorization of appropriations.--There are 
                authorized to be appropriated $10,000,000 for each of 
                the first five fiscal years beginning after the date of 
                the enactment of this paragraph, to remain available 
                until expended, for purposes of awarding grants under 
                subparagraph (A).''.
    (b) Technical Amendment.--Section 2794 of the Public Health Service 
Act (42 U.S.C. 300gg-95), as added by section 6603 of the Patient 
Protection and Affordable Care Act (Public Law 111-148) is redesignated 
as section 2795.

   Subtitle E--Improving Emergency Department Mental Health Access, 
                        Services, and Responders

SEC. 341. HELPING EMERGENCY RESPONDERS OVERCOME.

    (a) Data System to Capture National Public Safety Officer Suicide 
Incidence.--The Public Health Service Act is amended by inserting 
before section 318 of such Act (42 U.S.C. 247c) the following:

``SEC. 317V. DATA SYSTEM TO CAPTURE NATIONAL PUBLIC SAFETY OFFICER 
              SUICIDE INCIDENCE.

    ``(a) In General.--The Secretary, in coordination with the Director 
of the Centers for Disease Control and Prevention and other agencies as 
the Secretary determines appropriate, may--
            ``(1) develop and maintain a data system, to be known as 
        the Public Safety Officer Suicide Reporting System, for the 
        purposes of--
                    ``(A) collecting data on the suicide incidence 
                among public safety officers; and
                    ``(B) facilitating the study of successful 
                interventions to reduce suicide among public safety 
                officers; and
            ``(2) integrate such system into the National Violent Death 
        Reporting System, so long as the Secretary determines such 
        integration to be consistent with the purposes described in 
        paragraph (1).
    ``(b) Data Collection.--In collecting data for the Public Safety 
Officer Suicide Reporting System, the Secretary shall, at a minimum, 
collect the following information:
            ``(1) The total number of suicides in the United States 
        among all public safety officers in a given calendar year.
            ``(2) Suicide rates for public safety officers in a given 
        calendar year, disaggregated by--
                    ``(A) age and gender of the public safety officer;
                    ``(B) State;
                    ``(C) occupation; including both the individual's 
                role in their public safety agency and their primary 
                occupation in the case of volunteer public safety 
                officers;
                    ``(D) where available, the status of the public 
                safety officer as volunteer, paid-on-call, or career; 
                and
                    ``(E) status of the public safety officer as active 
                or retired.
    ``(c) Consultation During Development.--In developing the Public 
Safety Officer Suicide Reporting System, the Secretary shall consult 
with non-Federal experts to determine the best means to collect data 
regarding suicide incidence in a safe, sensitive, anonymous, and 
effective manner. Such non-Federal experts shall include, as 
appropriate, the following:
            ``(1) Public health experts with experience in developing 
        and maintaining suicide registries.
            ``(2) Organizations that track suicide among public safety 
        officers.
            ``(3) Mental health experts with experience in studying 
        suicide and other profession-related traumatic stress.
            ``(4) Clinicians with experience in diagnosing and treating 
        mental health issues.
            ``(5) Active and retired volunteer, paid-on-call, and 
        career public safety officers.
            ``(6) Relevant national police, and fire and emergency 
        medical services, organizations.
    ``(d) Data Privacy and Security.--In developing and maintaining the 
Public Safety Officer Suicide Reporting System, the Secretary shall 
ensure that all applicable Federal privacy and security protections are 
followed to ensure that--
            ``(1) the confidentiality and anonymity of suicide victims 
        and their families are protected, including so as to ensure 
        that data cannot be used to deny benefits; and
            ``(2) data is sufficiently secure to prevent unauthorized 
        access.
    ``(e) Reporting.--
            ``(1) Annual report.--Not later than 2 years after the date 
        of enactment of the Restoring Hope for Mental Health and Well-
        Being Act of 2022, and biannually thereafter, the Secretary 
        shall submit a report to the Congress on the suicide incidence 
        among public safety officers. Each such report shall--
                    ``(A) include the number and rate of such suicide 
                incidence, disaggregated by age, gender, and State of 
                employment;
                    ``(B) identify characteristics and contributing 
                circumstances for suicide among public safety officers;
                    ``(C) disaggregate rates of suicide by--
                            ``(i) occupation;
                            ``(ii) status as volunteer, paid-on-call, 
                        or career; and
                            ``(iii) status as active or retired;
                    ``(D) include recommendations for further study 
                regarding the suicide incidence among public safety 
                officers;
                    ``(E) specify in detail, if found, any obstacles in 
                collecting suicide rates for volunteers and include 
                recommended improvements to overcome such obstacles;
                    ``(F) identify options for interventions to reduce 
                suicide among public safety officers; and
                    ``(G) describe procedures to ensure the 
                confidentiality and anonymity of suicide victims and 
                their families, as described in subsection (d)(1).
            ``(2) Public availability.--Upon the submission of each 
        report to the Congress under paragraph (1), the Secretary shall 
        make the full report publicly available on the website of the 
        Centers for Disease Control and Prevention.
    ``(f) Definition.--In this section, the term `public safety 
officer' means--
            ``(1) a public safety officer as defined in section 1204 of 
        the Omnibus Crime Control and Safe Streets Act of 1968; or
            ``(2) a public safety telecommunicator as described in 
        detailed occupation 43-5031 in the Standard Occupational 
        Classification Manual of the Office of Management and Budget 
        (2018).
    ``(g) Prohibited Use of Information.--Notwithstanding any other 
provision of law, if an individual is identified as deceased based on 
information contained in the Public Safety Officer Suicide Reporting 
System, such information may not be used to deny or rescind life 
insurance payments or other benefits to a survivor of the deceased 
individual.''.
    (b) Peer-support Behavioral Health and Wellness Programs Within 
Fire Departments and Emergency Medical Service Agencies.--
            (1) In general.--Part B of title III of the Public Health 
        Service Act (42 U.S.C. 243 et seq.) is amended by adding at the 
        end the following:

``SEC. 320C. PEER-SUPPORT BEHAVIORAL HEALTH AND WELLNESS PROGRAMS 
              WITHIN FIRE DEPARTMENTS AND EMERGENCY MEDICAL SERVICE 
              AGENCIES.

    ``(a) In General.--The Secretary may award grants to eligible 
entities for the purpose of establishing or enhancing peer-support 
behavioral health and wellness programs within fire departments and 
emergency medical services agencies.
    ``(b) Program Description.--A peer-support behavioral health and 
wellness program funded under this section shall--
            ``(1) use career and volunteer members of fire departments 
        or emergency medical services agencies to serve as peer 
        counselors;
            ``(2) provide training to members of career, volunteer, and 
        combination fire departments or emergency medical service 
        agencies to serve as such peer counselors;
            ``(3) purchase materials to be used exclusively to provide 
        such training; and
            ``(4) disseminate such information and materials as are 
        necessary to conduct the program.
    ``(c) Definition.--In this section:
            ``(1) The term `eligible entity' means a nonprofit 
        organization with expertise and experience with respect to the 
        health and life safety of members of fire and emergency medical 
        services agencies.
            ``(2) The term `member'--
                    ``(A) with respect to an emergency medical services 
                agency, means an employee, regardless of rank or 
                whether the employee receives compensation (as defined 
                in section 1204(7) of the Omnibus Crime Control and 
                Safe Streets Act of 1968); and
                    ``(B) with respect to a fire department, means any 
                employee, regardless of rank or whether the employee 
                receives compensation, of a Federal, State, Tribal, or 
                local fire department who is responsible for responding 
                to calls for emergency service.''.
            (2) Technical correction.--Effective as if included in the 
        enactment of the Children's Health Act of 2000 (Public Law 106-
        310), the amendment instruction in section 1603 of such Act is 
        amended by striking ``Part B of the Public Health Service Act'' 
        and inserting ``Part B of title III of the Public Health 
        Service Act''.
    (c) Health Care Provider Behavioral Health and Wellness Programs.--
Part B of title III of the Public Health Service Act (42 U.S.C. 243 et 
seq.), as amended by subsection (b)(1), is further amended by adding at 
the end the following:

``SEC. 320D. HEALTH CARE PROVIDER BEHAVIORAL HEALTH AND WELLNESS 
              PROGRAMS.

    ``(a) In General.--The Secretary may award grants to eligible 
entities for the purpose of establishing or enhancing behavioral health 
and wellness programs for health care providers.
    ``(b) Program Description.--A behavioral health and wellness 
program funded under this section shall--
            ``(1) provide confidential support services for health care 
        providers to help handle stressful or traumatic patient-related 
        events, including counseling services and wellness seminars;
            ``(2) provide training to health care providers to serve as 
        peer counselors to other health care providers;
            ``(3) purchase materials to be used exclusively to provide 
        such training; and
            ``(4) disseminate such information and materials as are 
        necessary to conduct such training and provide such peer 
        counseling.
    ``(c) Definitions.--In this section, the term `eligible entity' 
means a hospital, including a critical access hospital (as defined in 
section 1861(mm)(1) of the Social Security Act) or a disproportionate 
share hospital (as defined under section 1923(a)(1)(A) of such Act), a 
Federally-qualified health center (as defined in section 1905(1)(2)(B) 
of such Act), or any other health care facility.''.
    (d) Development of Resources for Educating Mental Health 
Professionals About Treating Fire Fighters and Emergency Medical 
Services Personnel.--
            (1) In general.--The Secretary of Health and Human Services 
        shall develop and make publicly available resources that may be 
        used by the Federal Government and other entities to educate 
        mental health professionals about--
                    (A) the culture of Federal, State, Tribal, and 
                local career, volunteer, and combination fire 
                departments and emergency medical services agencies;
                    (B) the different stressors experienced by 
                firefighters and emergency medical services personnel, 
                supervisory firefighters and emergency medical services 
                personnel, and chief officers of fire departments and 
                emergency medical services agencies;
                    (C) challenges encountered by retired firefighters 
                and emergency medical services personnel; and
                    (D) evidence-based therapies for mental health 
                issues common to firefighters and emergency medical 
                services personnel within such departments and 
                agencies.
            (2) Consultation.--In developing resources under paragraph 
        (1), the Secretary of Health and Human Services shall consult 
        with national fire and emergency medical services 
        organizations.
            (3) Definitions.--In this subsection:
                    (A) The term ``firefighter'' means any employee, 
                regardless of rank or whether the employee receives 
                compensation, of a Federal, State, Tribal, or local 
                fire department who is responsible for responding to 
                calls for emergency service.
                    (B) The term ``emergency medical services 
                personnel'' means any employee, regardless of rank or 
                whether the employee receives compensation, as defined 
                in section 1204(7) of the Omnibus Crime Control and 
                Safe Streets Act of 1968 (34 U.S.C. 10284(7)).
                    (C) The term ``chief officer'' means any individual 
                who is responsible for the overall operation of a fire 
                department or an emergency medical services agency, 
                irrespective of whether such individual also serves as 
                a firefighter or emergency medical services personnel.
    (e) Best Practices and Other Resources for Addressing Posttraumatic 
Stress Disorder in Public Safety Officers.--
            (1) Development; updates.--The Secretary of Health and 
        Human Services shall--
                    (A) develop and assemble evidence-based best 
                practices and other resources to identify, prevent, and 
                treat posttraumatic stress disorder and co-occurring 
                disorders in public safety officers; and
                    (B) reassess and update, as the Secretary 
                determines necessary, such best practices and 
                resources, including based upon the options for 
                interventions to reduce suicide among public safety 
                officers identified in the annual reports required by 
                section 317V(e)(1)(F) of the Public Health Service Act, 
                as added by subsection (a).
            (2) Consultation.--In developing, assembling, and updating 
        the best practices and resources under paragraph (1), the 
        Secretary of Health and Human Services shall consult with, at a 
        minimum, the following:
                    (A) Public health experts.
                    (B) Mental health experts with experience in 
                studying suicide and other profession-related traumatic 
                stress.
                    (C) Clinicians with experience in diagnosing and 
                treating mental health issues.
                    (D) Relevant national police, fire, and emergency 
                medical services organizations.
            (3) Availability.--The Secretary of Health and Human 
        Services shall make the best practices and resources under 
        paragraph (1) available to Federal, State, and local fire, law 
        enforcement, and emergency medical services agencies.
            (4) Federal training and development programs.--The 
        Secretary of Health and Human Services shall work with Federal 
        departments and agencies, including the United States Fire 
        Administration, to incorporate education and training on the 
        best practices and resources under paragraph (1) into Federal 
        training and development programs for public safety officers.
            (5) Definition.--In this subsection, the term ``public 
        safety officer'' means--
                    (A) a public safety officer as defined in section 
                1204 of the Omnibus Crime Control and Safe Streets Act 
                of 1968 (34 U.S.C. 10284); or
                    (B) a public safety telecommunicator as described 
                in detailed occupation 43-5031 in the Standard 
                Occupational Classification Manual of the Office of 
                Management and Budget (2018).

                      Subtitle F--Other Provisions

SEC. 351. REPORT ON LAW ENFORCEMENT MENTAL HEALTH AND WELLNESS.

    (a) In General.--Not later than 270 days after the date of 
enactment of this Act, the Attorney General, in consultation with the 
Director of the Federal Bureau of Investigation, the Director of the 
National Institute for Justice, and the Assistant Secretary for Mental 
Health and Substance Abuse, shall submit to the Committee on Health, 
Education, Labor, and Pensions and the Committee on the Judiciary of 
the Senate and the Committee on Energy and Commerce and the Committee 
on the Judiciary of the House of Representatives a report on--
            (1) the types, frequency, and severity of mental health and 
        stress-related responses of law enforcement officers to 
        aggressive actions or other trauma-inducing incidents against 
        law enforcement officers;
            (2) mental health and stress-related resources or programs 
        that are available to law enforcement officers at the Federal, 
        State, and local level, including peer-to-peer programs;
            (3) the extent to which law enforcement officers use the 
        resources or programs described in paragraph (2);
            (4) the availability of, or need for, mental health 
        screening within Federal, State, and local law enforcement 
        agencies; and
            (5) recommendations for Federal, State, and local law 
        enforcement agencies to improve the mental health and wellness 
        of their officers.
    (b) Development.--In developing the report required under 
subsection (a), the Attorney General, the Director of the Federal 
Bureau of Investigation, the Director of the National Institute of 
Justice, and the Assistant Secretary for Mental Health and Substance 
Abuse shall consult relevant stakeholders, including--
            (1) Federal, State, Tribal and local law enforcement 
        agencies; and
            (2) nongovernmental organizations, international 
        organizations, academies, or other entities.

                      TITLE IV--CHILDREN AND YOUTH

      Subtitle A--Supporting Children's Mental Health Care Access

SEC. 401. PEDIATRIC MENTAL HEALTH CARE ACCESS GRANTS.

    Section 330M of the Public Health Service Act (42 U.S.C. 254c-19) 
is amended--
            (1) in the section enumerator, by striking ``330M'' and 
        inserting ``330M.'';
            (2) in subsection (a)--
                    (A) by striking ``Indian tribes and tribal 
                organizations'' and inserting ``Indian Tribes and 
                Tribal organizations''; and
                    (B) by inserting ``or, in the case of a State that 
                does not submit an application, a nonprofit entity that 
                has the support of the State'' after ``450b))'';
            (3) in subsection (b)--
                    (A) in paragraph (1)--
                            (i) in subparagraph (G), by inserting 
                        ``developmental-behavioral pediatricians,'' 
                        after ``adolescent psychiatrists,'';
                            (ii) in subparagraph (H), by striking ``; 
                        and'' at the end and inserting a semicolon;
                            (iii) by redesignating subparagraph (I) as 
                        subparagraph (J); and
                            (iv) by inserting after subparagraph (H) 
                        the following:
                    ``(I) maintain an up-to-date list of community-
                based supports for children with mental health 
                problems; and'';
                    (B) by redesignating paragraph (2) as paragraph 
                (4);
                    (C) by inserting after paragraph (1) the following:
            ``(2) Support to schools and emergency departments.--In 
        addition to the activities required by paragraph (1), a 
        pediatric mental health care telehealth access program referred 
        to in subsection (a), with respect to which a grant under such 
        subsection may be used, may provide support to schools and 
        emergency departments.
            ``(3) Priority.--In awarding grants under this section, the 
        Secretary shall give priority to applicants proposing to--
                    ``(A) continue existing programs that meet the 
                requirements of paragraph (1);
                    ``(B) establish a pediatric mental health care 
                telehealth access program in the jurisdiction of a 
                State, Territory, Indian Tribe, or Tribal organization 
                that does not yet have such a program; or
                    ``(C) expand a pediatric mental health care 
                telehealth access program to include one or more new 
                sites of care, such as a school or emergency 
                department.''; and
                    (D) in paragraph (4), as redesignated by 
                subparagraph (B), by inserting ``Such a team may 
                include a developmental-behavioral pediatrician.'' 
                after ``mental health counselor.'';
            (4) in subsections (c), (d), and (f), by striking ``Indian 
        tribe, or tribal organization'' each place it appears and 
        inserting ``Indian Tribe, Tribal organization, or nonprofit 
        entity''; and
            (5) by striking subsection (g) and inserting the following:
    ``(g) Technical Assistance.--The Secretary shall award grants or 
contracts to one or more eligible entities (as defined by the 
Secretary) for the purposes of providing technical assistance and 
evaluation support to grantees under subsection (a).
    ``(h) Authorization of Appropriations.--To carry out this section, 
there are authorized to be appropriated--
            ``(1) $14,000,000 for each of fiscal years 2023 through 
        2025; and
            ``(2) $30,000,000 for each of fiscal years 2026 through 
        2027.''.

SEC. 402. INFANT AND EARLY CHILDHOOD MENTAL HEALTH PROMOTION, 
              INTERVENTION, AND TREATMENT.

    Section 399Z-2(f) of the Public Health Service Act (42 U.S.C. 280h-
6(f)) is amended by striking ``$20,000,000 for the period of fiscal 
years 2018 through 2022'' and inserting ``$50,000,000 for the period of 
fiscal years 2023 through 2027''.

SEC. 403. SCHOOL-BASED MENTAL HEALTH; CHILDREN AND ADOLESCENTS.

    (a) Technical Amendments.--The second part G (relating to services 
provided through religious organizations) of title V of the Public 
Health Service Act (42 U.S.C. 290kk et seq.) is amended--
            (1) by redesignating such part as part J; and
            (2) by redesignating sections 581 through 584 as sections 
        596 through 596C, respectively.
    (b) School-Based Mental Health and Children.--Section 581 of the 
Public Health Service Act (42 U.S.C. 290hh) (relating to children and 
violence) is amended to read as follows:

``SEC. 581. SCHOOL-BASED MENTAL HEALTH; CHILDREN AND ADOLESCENTS.

    ``(a) In General.--The Secretary, in consultation with the 
Secretary of Education, shall, through grants, contracts, or 
cooperative agreements awarded to eligible entities described in 
subsection (c), provide comprehensive school-based mental health 
services and supports to assist children in local communities and 
schools (including schools funded by the Bureau of Indian Education) 
dealing with traumatic experiences, grief, bereavement, risk of 
suicide, and violence. Such services and supports shall be--
            ``(1) developmentally, linguistically, and culturally 
        appropriate;
            ``(2) trauma-informed; and
            ``(3) incorporate positive behavioral interventions and 
        supports.
    ``(b) Activities.--Grants, contracts, or cooperative agreements 
awarded under subsection (a), shall, as appropriate, be used for--
            ``(1) implementation of school and community-based mental 
        health programs that--
                    ``(A) build awareness of individual trauma and the 
                intergenerational, continuum of impacts of trauma on 
                populations;
                    ``(B) train appropriate staff to identify, and 
                screen for, signs of trauma exposure, mental health 
                disorders, or risk of suicide; and
                    ``(C) incorporate positive behavioral 
                interventions, family engagement, student treatment, 
                and multigenerational supports to foster the health and 
                development of children, prevent mental health 
                disorders, and ameliorate the impact of trauma;
            ``(2) technical assistance to local communities with 
        respect to the development of programs described in paragraph 
        (1);
            ``(3) facilitating community partnerships among families, 
        students, law enforcement agencies, education agencies, mental 
        health and substance use disorder service systems, family-based 
        mental health service systems, child welfare agencies, health 
        care providers (including primary care physicians, mental 
        health professionals, and other professionals who specialize in 
        children's mental health such as child and adolescent 
        psychiatrists), institutions of higher education, faith-based 
        programs, trauma networks, and other community-based systems to 
        address child and adolescent trauma, mental health issues, and 
        violence; and
            ``(4) establishing mechanisms for children and adolescents 
        to report incidents of violence or plans by other children, 
        adolescents, or adults to commit violence.
    ``(c) Requirements.--
            ``(1) In general.--To be eligible for a grant, contract, or 
        cooperative agreement under subsection (a), an entity shall be 
        a partnership that includes--
                    ``(A) a State educational agency, as defined in 
                section 8101 of the Elementary and Secondary Education 
                Act of 1965, in coordination with one or more local 
                educational agencies, as defined in section 8101 of the 
                Elementary and Secondary Education Act of 1965, or a 
                consortium of any entities described in subparagraph 
                (B), (C), (D), or (E) of section 8101(30) of such Act; 
                and
                    ``(B) at least 1 community-based mental health 
                provider, including a public or private mental health 
                entity, health care entity, family-based mental health 
                entity, trauma network, or other community-based 
                entity, as determined by the Secretary (and which may 
                include additional entities such as a human services 
                agency, law enforcement or juvenile justice entity, 
                child welfare agency, agency, an institution of higher 
                education, or another entity, as determined by the 
                Secretary).
            ``(2) Compliance with hipaa.--Any patient records developed 
        by covered entities through activities under the grant shall 
        meet the regulations promulgated under section 264(c) of the 
        Health Insurance Portability and Accountability Act of 1996.
            ``(3) Compliance with ferpa.--Section 444 of the General 
        Education Provisions Act (commonly known as the `Family 
        Educational Rights and Privacy Act of 1974') shall apply to any 
        entity that is a member of the partnership in the same manner 
        that such section applies to an educational agency or 
        institution (as that term is defined in such section).
    ``(d) Geographical Distribution.--The Secretary shall ensure that 
grants, contracts, or cooperative agreements under subsection (a) will 
be distributed equitably among the regions of the country and among 
urban and rural areas.
    ``(e) Duration of Awards.--With respect to a grant, contract, or 
cooperative agreement under subsection (a), the period during which 
payments under such an award will be made to the recipient shall be 5 
years, with options for renewal.
    ``(f) Evaluation and Measures of Outcomes.--
            ``(1) Development of process.--The Assistant Secretary 
        shall develop a fiscally appropriate process for evaluating 
        activities carried out under this section. Such process shall 
        include--
                    ``(A) the development of guidelines for the 
                submission of program data by grant, contract, or 
                cooperative agreement recipients;
                    ``(B) the development of measures of outcomes (in 
                accordance with paragraph (2)) to be applied by such 
                recipients in evaluating programs carried out under 
                this section; and
                    ``(C) the submission of annual reports by such 
                recipients concerning the effectiveness of programs 
                carried out under this section.
            ``(2) Measures of outcomes.--The Assistant Secretary shall 
        develop measures of outcomes to be applied by recipients of 
        assistance under this section to evaluate the effectiveness of 
        programs carried out under this section, including outcomes 
        related to the student, family, and local educational systems 
        supported by this Act.
            ``(3) Submission of annual data.--An eligible entity 
        described in subsection (c) that receives a grant, contract, or 
        cooperative agreement under this section shall annually submit 
        to the Assistant Secretary a report that includes data to 
        evaluate the success of the program carried out by the entity 
        based on whether such program is achieving the purposes of the 
        program. Such reports shall utilize the measures of outcomes 
        under paragraph (2) in a reasonable manner to demonstrate the 
        progress of the program in achieving such purposes.
            ``(4) Evaluation by assistant secretary.--Based on the data 
        submitted under paragraph (3), the Assistant Secretary shall 
        annually submit to Congress a report concerning the results and 
        effectiveness of the programs carried out with assistance 
        received under this section.
            ``(5) Limitation.--An eligible entity shall use not more 
        than 20 percent of amounts received under a grant under this 
        section to carry out evaluation activities under this 
        subsection.
    ``(g) Information and Education.--The Secretary shall disseminate 
best practices based on the findings of the knowledge development and 
application under this section.
    ``(h) Amount of Grants and Authorization of Appropriations.--
            ``(1) Amount of grants.--A grant under this section shall 
        be in an amount that is not more than $2,000,000 for each of 
        the first 5 fiscal years following the date of enactment of the 
        Restoring Hope for Mental Health and Well-Being Act of 2022. 
        The Secretary shall determine the amount of each such grant 
        based on the population of children up to age 21 of the area to 
        be served under the grant.
            ``(2) Authorization of appropriations.--There is authorized 
        to be appropriated to carry out this section, $130,000,000 for 
        each of fiscal years 2023 through 2027.''.
    (c) Conforming Amendment.--Part G of title V of the Public Health 
Service Act (42 U.S.C. 290hh et seq.), as amended by subsection (b), is 
further amended by striking the part designation and heading and 
inserting the following:

                ``PART G--SCHOOL-BASED MENTAL HEALTH''.

SEC. 404. CO-OCCURRING CHRONIC CONDITIONS AND MENTAL HEALTH IN YOUTH 
              STUDY.

    Not later than 12 months after the date of enactment of this Act, 
the Secretary of Health and Human Services shall--
            (1) complete a study on the rates of suicidal behaviors 
        among children and adolescents with chronic illnesses, 
        including substance use disorders, autoimmune disorders, and 
        heritable blood disorders; and
            (2) submit a report to the Congress on the results of such 
        study, including recommendations for early intervention 
        services for such children and adolescents at risk of suicide, 
        the dissemination of best practices to support the emotional 
        and mental health needs of youth, and strategies to lower the 
        rates of suicidal behaviors in children and adolescents 
        described in paragraph (1) to reduce any demographic 
        disparities in such rates.

SEC. 405. BEST PRACTICES FOR BEHAVIORAL INTERVENTION TEAMS.

    The Public Health Service Act is amended by inserting after section 
520H of such Act, as added by section 151, the following new section:

``SEC. 520I. BEST PRACTICES FOR BEHAVIORAL INTERVENTION TEAMS.

    ``(a) In General.--The Secretary shall identify and facilitate the 
development of best practices to assist elementary schools, secondary 
schools, and institutions of higher education in establishing and using 
behavioral intervention teams.
    ``(b) Elements.--The best practices under subsection (a)(1) shall 
include guidance on the following:
            ``(1) How behavioral intervention teams can operate 
        effectively from an evidence-based, objective perspective while 
        protecting the constitutional and civil rights of individuals.
            ``(2) The use of behavioral intervention teams to identify 
        concerning behaviors, implement interventions, and manage risk 
        through the framework of the school's or institution's rules or 
        code of conduct, as applicable.
            ``(3) How behavioral intervention teams can, when assessing 
        an individual--
                    ``(A) access training on evidence-based, threat-
                assessment rubrics;
                    ``(B) ensure that such teams--
                            ``(i) have trained, diverse stakeholders 
                        with varied expertise; and
                            ``(ii) use cross validation by a wide-range 
                        of individual perspectives on the team; and
                    ``(C) use violence risk assessment.
            ``(4) How behavioral intervention teams can help mitigate--
                    ``(A) inappropriate use of a mental health 
                assessment;
                    ``(B) inappropriate limitations or restrictions on 
                law enforcement's jurisdiction over criminal matters;
                    ``(C) attempts to substitute the behavioral 
                intervention process in place of a criminal process, or 
                impede a criminal process, when an individual's 
                behavior has potential criminal implications;
                    ``(D) endangerment of an individual's privacy by 
                failing to ensure that all applicable Federal and State 
                privacy laws are fully complied with; or
                    ``(E) inappropriate referrals to, or involvement 
                of, law enforcement when an individual's behavior does 
                not warrant a criminal response.
    ``(c) Consultation.--In carrying out subsection (a)(1), the 
Secretary shall consult with--
            ``(1) the Secretary of Education;
            ``(2) the Director of the National Threat Assessment Center 
        of the United States Secretary Service;
            ``(3) the Attorney General and the Director of the Bureau 
        of Justice Assistance;
            ``(4) teachers and other educators, principals, school 
        administrators, school board members, school psychologists, 
        mental health professionals, and parents of students;
            ``(5) local law enforcement agencies and campus law 
        enforcement administrators;
            ``(6) privacy experts; and
            ``(7) other education and mental health professionals as 
        the Secretary deems appropriate.
    ``(d) Publication.--Not later than 2 years after the date of 
enactment of this section, the Secretary shall publish the best 
practices under subsection (a)(1) on the internet website of the 
Department of Health and Human Services.
    ``(e) Technical Assistance.--The Secretary shall provide technical 
assistance to institutions of higher education, elementary schools, and 
secondary schools to assist such institutions and schools in 
implementing the best practices under subsection (a).
    ``(f) Definitions.--In this section:
            ``(1) The term `behavioral intervention team' means a team 
        of qualified individuals who--
                    ``(A) are responsible for identifying and assessing 
                individuals exhibiting concerning behaviors, 
                experiencing distress, or who are at risk of harm to 
                self or others;
                    ``(B) develop and facilitate implementation of 
                evidence-based interventions to mitigate the threat of 
                harm to self or others posed by an individual and 
                address the mental and behavioral health needs of 
                individuals to reduce risk; and
                    ``(C) provide information to students, parents, and 
                school employees on recognizing behavior described in 
                this subsection.
            ``(2) The terms `elementary school', `parent', and 
        `secondary school' have the meanings given to such terms in 
        section 8101 of the Elementary and Secondary Education Act of 
        1965.
            ``(3) The term `institution of higher education' has the 
        meaning given to such term in section 102 of the Higher 
        Education Act of 1965.
            ``(4) The term `mental health assessment' means an 
        evaluation, primarily focused on diagnosis, determining the 
        need for involuntary commitment, medication management, and on-
        going treatment recommendations.
            ``(5) The term `violence risk assessment' means a broad 
        determination of the potential risk of violence based on 
        evidence-based literature.''.

          Subtitle B--Continuing Systems of Care for Children

SEC. 411. COMPREHENSIVE COMMUNITY MENTAL HEALTH SERVICES FOR CHILDREN 
              WITH SERIOUS EMOTIONAL DISTURBANCES.

    (a) Definition of Family.--Section 565(d)(2)(B) of the Public 
Health Service Act (42 U.S.C. 290ff-4(d)(2)(B)) is amended by striking 
``as appropriate regarding mental health services for the child, the 
parents of the child (biological or adoptive, as the case may be) and 
any foster parents of the child'' and inserting ``as appropriate 
regarding mental health services for the child and the parents or 
kinship caregivers of the child''.
    (b) Authorization of Appropriations.--Paragraph (1) of section 
565(f) of the Public Health Service Act (42 U.S.C. 290ff-4(f)) is 
amended--
            (1) by moving the margin of such paragraph 2 ems to the 
        right; and
            (2) by striking ``$119,026,000 for each of fiscal years 
        2018 through 2022'' and inserting ``$125,000,000 for each of 
        fiscal years 2023 through 2027''.

SEC. 412. SUBSTANCE USE DISORDER TREATMENT AND EARLY INTERVENTION 
              SERVICES FOR CHILDREN AND ADOLESCENTS.

    Section 514 of the Public Health Service Act (42 U.S.C. 290bb-7) is 
amended--
            (1) in subsection (a), by striking ``Indian tribes or 
        tribal organizations'' and inserting ``Indian Tribes or Tribal 
        organizations''; and
            (2) in subsection (f), by striking ``2018 through 2022'' 
        and inserting ``2023 through 2027''.

         Subtitle C--Garrett Lee Smith Memorial Reauthorization

SEC. 421. SUICIDE PREVENTION TECHNICAL ASSISTANCE CENTER.

    (a) Technical Amendment.--Section 520C of the Public Health Service 
Act (42 U.S.C. 290bb-34) is amended--
            (1) by striking ``tribes'' and inserting ``Tribes''; and
            (2) by striking ``tribal'' each place it appears and 
        inserting ``Tribal''.
    (b) Authorization of Appropriations.--Section 520C(c) of the Public 
Health Service Act (42 U.S.C. 290bb-34(c)) is amended by striking 
``$5,988,000 for each of fiscal years 2018 through 2022'' and inserting 
``$9,000,000 for each of fiscal years 2023 through 2027''.
    (c) Annual Report.--Section 520C(d) of the Public Health Service 
Act (42 U.S.C. 290bb-34(d)) is amended by striking ``Not later than 2 
years after the date of enactment of this subsection'' and inserting 
``Not later than 2 years after the date of enactment of the Restoring 
Hope for Mental Health and Well-Being Act of 2022''.

SEC. 422. YOUTH SUICIDE EARLY INTERVENTION AND PREVENTION STRATEGIES.

    Section 520E of the Public Health Service Act (42 U.S.C. 290bb-36) 
is amended--
            (1) by striking ``tribe'' and inserting ``Tribe'';
            (2) by striking ``tribal'' each place it appears and 
        inserting ``Tribal'';
            (3) in subsection (a)(1), by inserting ``pediatric health 
        programs,'' after ``foster care systems,'';
            (4) by amending subsection (b)(1)(B) to read as follows:
                    ``(B) a public organization or private nonprofit 
                organization designated by a State or Indian Tribe (as 
                defined under the Federally Recognized Indian Tribe 
                List Act of 1994) to develop or direct the State-
                sponsored statewide or Tribal youth suicide early 
                intervention and prevention strategy; or'';
            (5) in subsection (c)--
                    (A) in paragraph (1), by inserting ``pediatric 
                health programs,'' after ``foster care systems,'';
                    (B) in paragraph (7), by inserting ``pediatric 
                health programs,'' after ``foster care systems,'';
                    (C) in paragraph (9), by inserting ``pediatric 
                health programs,'' after ``educational institutions,'';
                    (D) in paragraph (13), by striking ``and'' at the 
                end;
                    (E) in paragraph (14), by striking the period at 
                the end and inserting ``; and''; and
                    (F) by adding at the end the following:
            ``(15) provide to parents, legal guardians, and family 
        members of youth, supplies to securely store means commonly 
        used in suicide, if applicable, within the household.'';
            (6) in subsection (d)--
                    (A) in the heading, by striking ``Direct Services'' 
                and inserting ``Suicide Prevention Activities''; and
                    (B) by striking ``direct services, of which not 
                less than 5 percent shall be used for activities 
                authorized under subsection (a)(3)'' and inserting 
                ``suicide prevention activities'';
            (7) in subsection (e)(3)(A), by inserting ``and Department 
        of Education'' after ``Department of Health and Human 
        Services'';
            (8) in subsection (g)--
                    (A) in paragraph (1), by striking ``18'' and 
                inserting ``24''; and
                    (B) in paragraph (2), by striking ``2 years after 
                the date of enactment of Helping Families in Mental 
                Health Crisis Reform Act of 2016'' and inserting ``3 
                years after December 31, 2022'';
            (9) in subsection (l)(4), by striking ``between 10 and 24 
        years of age'' and inserting ``up to 24 years of age''; and
            (10) in subsection (m), by striking ``$30,000,000 for each 
        of fiscal years 2018 through 2022'' and inserting ``$40,000,000 
        for each of fiscal years 2023 through 2027''.

SEC. 423. MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES FOR 
              STUDENTS IN HIGHER EDUCATION.

    Section 520E-2 of the Public Health Service Act (42 U.S.C. 290bb-
36b) is amended--
            (1) in the heading, by striking ``on campus'' and inserting 
        ``for students in higher education''; and
            (2) in subsection (i), by striking ``2018 through 2022'' 
        and inserting ``2023 through 2027''.

SEC. 424. MENTAL AND BEHAVIORAL HEALTH OUTREACH AND EDUCATION AT 
              INSTITUTIONS OF HIGHER EDUCATION.

    Section 549 of the Public Health Service Act (42 U.S.C. 290ee-4) is 
amended--
            (1) in the heading, by striking ``on college campuses'' and 
        inserting ``at institutions of higher education'';
            (2) in subsection (c)(2), by inserting ``, including 
        minority-serving institutions as described in section 371(a) of 
        the Higher Education Act of 1965 (20 U.S.C. 1067q) and 
        community colleges'' after ``higher education''; and
            (3) in subsection (f), by striking ``2018 through 2022'' 
        and inserting ``2023 through 2027''.

                  Subtitle D--Media and Mental Health

SEC. 431. STUDY ON THE EFFECTS OF SMARTPHONE AND SOCIAL MEDIA USE ON 
              ADOLESCENTS.

    (a) In General.--Not later than 1 year after the date of enactment 
of this Act, the Secretary of Health and Human Services shall conduct 
or support research on--
            (1) smartphone and social media use by adolescents; and
            (2) the effects of such use on--
                    (A) emotional, behavioral, and physical health and 
                development; and
                    (B) any disparities in the mental health outcomes 
                of rural, minority, and other underserved populations.
    (b) Report.--Not later than 5 years after the date of enactment of 
this Act, the Secretary of Health and Human Services shall submit to 
the Congress, and make publicly available, a report on the findings of 
research under this section.

SEC. 432. RESEARCH ON THE HEALTH AND DEVELOPMENT EFFECTS OF MEDIA ON 
              INFANTS, CHILDREN, AND ADOLESCENTS.

    Subpart 7 of part C of title IV of the Public Health Service Act 
(42 U.S.C. 285g et seq.) is amended by adding at the end the following:

``SEC. 452H. RESEARCH ON THE HEALTH AND DEVELOPMENT EFFECTS OF MEDIA ON 
              INFANTS, CHILDREN, AND ADOLESCENTS.

    ``(a) In General.--The Director of the National Institutes of 
Health, in coordination with or acting through the Director of the 
Institute, shall conduct and support research and related activities 
concerning the health and developmental effects of media on infants, 
children, and adolescents, which may include the positive and negative 
effects of exposure to and use of media, such as social media, 
applications, websites, television, motion pictures, artificial 
intelligence, mobile devices, computers, video games, virtual and 
augmented reality, and other media formats as they become available. 
Such research shall attempt to better understand the relationships 
between media and technology use and individual differences and 
characteristics of children and shall include longitudinally designed 
studies to assess the impact of media on youth over time. Such research 
shall include consideration of core areas of child and adolescent 
health and development including the following:
            ``(1) Cognitive.--The role and impact of media use and 
        exposure in the development of children and adolescents within 
        such cognitive areas as language development, executive 
        functioning, attention, creative problem solving skills, visual 
        and spatial skills, literacy, critical thinking, and other 
        learning abilities, and the impact of early technology use on 
        developmental trajectories.
            ``(2) Physical.--The role and impact of media use and 
        exposure on children's and adolescent's physical development 
        and health behaviors, including diet, exercise, sleeping and 
        eating routines, and other areas of physical development.
            ``(3) Socio-emotional.--The role and impact of media use 
        and exposure on children's and adolescents' social-emotional 
        competencies, including self-awareness, self-regulation, social 
        awareness, relationship skills, empathy, distress tolerance, 
        perception of social cues, awareness of one's relationship with 
        the media, and decision-making, as well as outcomes such as 
        violations of privacy, perpetration of or exposure to violence, 
        bullying or other forms of aggression, depression, anxiety, 
        substance use, misuse or disorder, and suicidal ideation/
        behavior and self-harm.
    ``(b) Developing Research Agenda.--The Director of the National 
Institutes of Health, in consultation with the Director of the 
Institute, other appropriate national research institutes, academies, 
and centers, the Trans-NIH Pediatric Research Consortium, and non-
Federal experts as needed, shall develop a research agenda on the 
health and developmental effects of media on infants, children, and 
adolescents to inform research activities under subsection (a). In 
developing such research agenda, the Director may use whatever means 
necessary (such as scientific workshops and literature reviews) to 
assess current knowledge and research gaps in this area.
    ``(c) Research Program.--In coordination with the Institute and 
other national research institutes and centers, and utilizing the 
National Institutes of Health's process of scientific peer review, the 
Director of the National Institutes of Health shall fund an expanded 
research program on the health and developmental effects of media on 
infants, children, and adolescents.
    ``(d) Report to Congress.--Not later than 1 year after the date of 
enactment of this Act, the Director of the National Institutes of 
Health shall submit a report to Congress on the progress made in 
gathering data and expanding research on the health and developmental 
effects of media on infants, children, and adolescents in accordance 
with this section. Such report shall summarize the grants and research 
funded, by year, under this section.''.

                       TITLE V--MEDICAID AND CHIP

SEC. 501. MEDICAID AND CHIP REQUIREMENTS FOR HEALTH SCREENINGS AND 
              REFERRALS FOR ELIGIBLE JUVENILES IN PUBLIC INSTITUTIONS.

    (a) Medicaid State Plan Requirement.--Section 1902 of the Social 
Security Act (42 U.S.C. 1396a) is amended--
            (1) in subsection (a)(84)--
                    (A) in subparagraph (A), by inserting ``, subject 
                to subparagraph (D),'' after ``but'';
                    (B) in subparagraph (B), by striking ``and'' at the 
                end;
                    (C) in subparagraph (C), by adding ``and'' at the 
                end; and
                    (D) by adding at the end the following new 
                subparagraph:
                    ``(D) beginning on the first day of the first 
                calendar quarter that begins two years after the date 
                of enactment of this subparagraph, in the case of 
                individuals who are eligible juveniles described in 
                subsection (nn)(2), are within 30 days of the date on 
                which such eligible juvenile is scheduled to be 
                released from a public institution following 
                adjudication, the State shall have in place a plan to 
                ensure, and in accordance with such plan, provide--
                            ``(i) for, in the 30 days prior to the 
                        release of such an eligible juvenile from such 
                        public institution (or not later than one week 
                        after release from the public institution), and 
                        in coordination with such institution--
                                    ``(I) any screening or diagnostic 
                                service which meets reasonable 
                                standards of medical and dental 
                                practice, as determined by the State, 
                                or as indicated as medically necessary, 
                                in accordance with paragraphs (1)(A) 
                                and (5) of section 1905(r); and
                                    ``(II) a mental health or other 
                                behavioral health screening that is a 
                                screening service described under 
                                section 1905(r)(1), or a diagnostic 
                                service described under paragraph (5) 
                                of such section, if such screening or 
                                diagnostic service was not otherwise 
                                conducted pursuant to this clause;
                            ``(ii) for, not later than one week after 
                        release from the public institution, referrals 
                        for such eligible juvenile to the appropriate 
                        care and services available under the State 
                        plan (or waiver of such plan) in the geographic 
                        region of the home or residence of such 
                        eligible juvenile, based on such screenings; 
                        and
                            ``(iii) for, following the release of such 
                        eligible juvenile from such institution, not 
                        less than 30 days of targeted case management 
                        services furnished by a provider in the 
                        geographic region of the home or residence of 
                        such eligible juvenile.''; and
            (2) in subsection (nn)(3), by striking ``(30)'' and 
        inserting ``(31)''.
    (b) Authorization of Federal Financial Participation.--The 
subdivision (A) of section 1905(a) of the Social Security Act (42 
U.S.C. 1396d(a)) following paragraph (31) of such section is amended by 
inserting ``, or in the case of an eligible juvenile described in 
section 1902(a)(84)(D) with respect to the screenings, diagnostic 
services, referrals, and case management required under such 
subparagraph (D)'' after ``(except as a patient in a medical 
institution''.
    (c) CHIP Conforming Amendments.--
            (1) Section 2103(c) of the Social Security Act (42 U.S.C. 
        1397cc(c)) is amended by adding at the end the following new 
        paragraph:
            ``(12) Required coverage of screenings, diagnostic 
        services, referrals, and case management for certain inmates 
        pre-release.--With respect to individuals described in section 
        2110(b)(7), the State shall provide screenings, diagnostic 
        services, referrals, and case management otherwise covered 
        under the State child health plan (or waiver of such plan) 
        during the period described in such section with respect to 
        such screenings, services, referrals, and case management.''.
            (2) Section 2110(b) of the Social Security Act (42 U.S.C. 
        1397jj(b)) is amended--
                    (A) in paragraph (2)(A), by inserting ``except as 
                provided in paragraph (7),'' before ``a child who is an 
                inmate of a public institution''; and
                    (B) by adding at the end the following new 
                paragraph:
            ``(7) Exception to exclusion of children who are inmates of 
        a public institution.--A child shall not be considered to be 
        described in paragraph (2)(A) if such child is an eligible 
        juvenile (as described in section 1902(a)(84)(D)) with respect 
        to the screenings, diagnostic services, referrals, and case 
        management otherwise covered under the State child health plan 
        (or waiver of such plan) during the period with respect to 
        which such screenings, services, referrals, and case management 
        is respectively required under such section.''.

SEC. 502. GUIDANCE ON REDUCING ADMINISTRATIVE BARRIERS TO PROVIDING 
              HEALTH CARE SERVICES IN SCHOOLS.

    (a) In General.--Not later than 12 months after the date of 
enactment of this Act, the Secretary of Health and Human Services shall 
issue guidance to State Medicaid agencies, elementary and secondary 
schools, and school-based health centers on reducing administrative 
barriers to such schools and centers furnishing medical assistance and 
obtaining payment for such assistance under titles XIX and XXI of the 
Social Security Act (42 U.S.C. 1396 et seq., 1397aa et seq.).
    (b) Contents of Guidance.--The guidance issued pursuant to 
subsection (a) shall--
            (1) include revisions to the May 2003 Medicaid School-Based 
        Administrative Claiming Guide, the 1997 Medicaid and Schools 
        Technical Assistance Guide, and other relevant guidance in 
        effect on the date of enactment of this Act;
            (2) provide information on payment under titles XIX and XXI 
        of the Social Security Act (42 U.S.C. 1396 et seq., 1397aa et 
        seq.) for the provision of medical assistance, including such 
        assistance provided in accordance with an individualized 
        education program or under the policy described in the State 
        Medicaid Director letter on payment for services issued on 
        December 15, 2014 (#14-006);
            (3) take into account reasons why small and rural local 
        education agencies may not provide medical assistance and 
        provide information on best practices to encourage such 
        agencies to provide such assistance; and
            (4) include best practices and examples of methods that 
        State Medicaid agencies and local education agencies have used 
        to pay for, and increase the availability of, medical 
        assistance.
    (c) Definitions.--In this Act:
            (1) Individualized education program.--The term 
        ``individualized education program'' has the meaning given such 
        term in section 602(14) of the Individuals with Disabilities 
        Education Act (20 U.S.C. 1401(14)).
            (2) School-based health center.--The term ``school-based 
        health center'' has the meaning given such term in section 
        2110(c)(9) of the Social Security Act (42 U.S.C. 1397jj(c)(9)), 
        and includes an entity that provides Medicaid-covered services 
        in school-based settings for which Federal financial 
        participation is permitted.

SEC. 503. GUIDANCE TO STATES ON SUPPORTING PEDIATRIC BEHAVIORAL HEALTH 
              SERVICES UNDER MEDICAID AND CHIP.

    Not later than 18 months after the date of enactment of this Act, 
the Secretary of Health and Human Services shall issue guidance to 
States on how to expand the provision of, and access to, behavioral 
health services, including mental health services, for children covered 
under State plans (or waivers of such plans) under title XIX of the 
Social Security Act (42 U.S.C. 1396 et seq.), or State child health 
plans (or waivers of such plans) under title XXI of such Act (42 U.S.C. 
1397aa et seq.), including a description of best practices for--
            (1) expanding access to such services;
            (2) expanding access to such services in underserved 
        communities;
            (3) flexibilities that States may offer for pediatric 
        hospitals and other pediatric behavioral health providers to 
        expand access to services; and
            (4) recruitment and retention of providers of such 
        services.

SEC. 504. ENSURING CHILDREN RECEIVE TIMELY ACCESS TO CARE.

    (a) Guidance to States on Flexibilities to Ensure Provider Capacity 
to Provide Pediatric Behavioral Health, Including Mental Health, Crisis 
Care.--Not later than 18 months after the date of enactment of this 
Act, the Secretary of Health and Human Services shall provide guidance 
to States on existing flexibilities under State plans (or waivers of 
such plans) under title XIX of the Social Security Act (42 U.S.C. 1396 
et seq.), or State child health plans under title XXI of such Act (42 
U.S.C. 1397aa et seq.), to support children experiencing a behavioral 
health crisis or in need of intensive behavioral health, including 
mental health, services.
    (b) Ensuring Consistent Review and State Implementation of Early 
and Periodic Screening, Diagnostic, and Treatment Services.--Section 
1905(r) of the Social Security Act (42 U.S.C. 1396d(r)) is amended by 
adding at the end the following: ``Not later than January 1, 2025, and 
every 5 years thereafter, the Secretary shall review implementation of 
the requirements of this subsection by States, including such 
requirements relating to services provided by managed care 
organizations, prepaid inpatient health plans, prepaid ambulatory 
health plans, and primary care case managers, to identify and 
disseminate best practices for ensuring comprehensive coverage of 
services, to identify gaps and deficiencies in meeting Federal 
requirements, and to provide guidance to States on addressing 
identified gaps and disparities and meeting Federal coverage 
requirements in order to ensure children have access to health 
services.''.

SEC. 505. STRATEGIES TO INCREASE ACCESS TO TELEHEALTH UNDER MEDICAID 
              AND CHIP.

    Not later than 1 year after the date of the enactment of this Act, 
and in the event updates are available, once every five years 
thereafter, the Secretary of Health and Human Services shall update 
guidance issued by the Centers for Medicare & Medicaid Services to 
States, the State Medicaid & CHIP Telehealth Toolkit, or any successor 
guidance, to describe strategies States may use to overcome existing 
barriers and increase access to telehealth services under the Medicaid 
program under title XIX of the Social Security Act (42 U.S.C. 1396 et 
seq.) and the Children's Health Insurance Program under title XXI of 
such Act (42 U.S.C. 1397aa et seq.). Such updated guidance shall 
include examples of and promising practices regarding--
            (1) telehealth delivery of covered services;
            (2) recommended voluntary billing codes, modifiers, and 
        place-of-service designations for telehealth and other virtual 
        health care services;
            (3) strategies States can use for the simplification or 
        alignment of provider credentialing and enrollment protocols 
        with respect to telehealth across States, State Medicaid plans 
        under title XIX, State child health plans under title XXI, 
        Medicaid managed care organizations, prepaid inpatient health 
        plans, prepaid ambulatory health plans, and primary care case 
        managers, including during national public health emergencies; 
        and
            (4) strategies States can use to integrate telehealth and 
        other virtual health care services into value-based health care 
        models.

SEC. 506. REMOVAL OF LIMITATIONS ON FEDERAL FINANCIAL PARTICIPATION FOR 
              INMATES WHO ARE ELIGIBLE JUVENILES PENDING DISPOSITION OF 
              CHARGES.

    (a) Medicaid.--
            (1) In general.--The subdivision (A) of section 1905(a) of 
        the Social Security Act (42 U.S.C. 1396d(a)) following 
        paragraph (31) of such section, as amended by section 501(b), 
        is further amended by inserting ``, or, at the option of the 
        State, for an individual who is an eligible juvenile (as 
        defined in section 1902(nn)(2)), while such individual is an 
        inmate of a public institution (as defined in section 
        1902(nn)(3)) pending disposition of charges'' after ``or in the 
        case of an eligible juvenile described in section 
        1902(a)(84)(D) with respect to the screenings, diagnostic 
        services, referrals, and case management required under such 
        subparagraph (D)''.
            (2) Conforming.--Section 1902(a)(84)(A) of the Social 
        Security Act (42 U.S.C. 1396a(a)(84)(A)) is amended by 
        inserting ``(or in the case of a State electing the option 
        described in the subdivision (A) following paragraph (31) of 
        section 1905(a), during such period beginning after the 
        disposition of charges with respect to such individual)'' after 
        ``is such an inmate''.
    (b) CHIP.--Section 2110(b)(7) of the Social Security Act (42 U.S.C. 
13977jj(b)(7)), as added by section 501(c)(2)(B), is further amended by 
inserting ``or, at the option of the State, for an individual who is a 
juvenile, while such individual is an inmate of a public institution 
pending disposition of charges'' after ``if such child is an eligible 
juvenile (as described in section 1902(a)(84)(D)) with respect to 
screenings, diagnostic services, referrals, and case management 
otherwise covered under the State child health plan (or waiver of such 
plan)''.
    (c) Effective Date.--The amendments made by this section shall take 
effect on the first day of the first calendar quarter that begins after 
the date that is 18 months after the date of enactment of this Act and 
shall apply to items and services furnished for periods beginning on or 
after such date.

                   TITLE VI--MISCELLANEOUS PROVISIONS

SEC. 601. DETERMINATION OF BUDGETARY EFFECTS.

    The budgetary effects of this Act, for the purpose of complying 
with the Statutory Pay-As-You-Go Act of 2010, shall be determined by 
reference to the latest statement titled ``Budgetary Effects of PAYGO 
Legislation'' for this Act, submitted for printing in the Congressional 
Record by the Chairman of the House Budget Committee, provided that 
such statement has been submitted prior to the vote on passage.

SEC. 602. OVERSIGHT OF PHARMACY BENEFIT MANAGER SERVICES.

    (a) PHSA.--Title XXVII of the Public Health Service Act (42 U.S.C. 
300gg et seq.) is amended--
            (1) in part D (42 U.S.C. 300gg-111 et seq.), by adding at 
        the end the following new section:

``SEC. 2799A-11. OVERSIGHT OF PHARMACY BENEFIT MANAGER SERVICES.

    ``(a) In General.--For plan years beginning on or after January 1, 
2024, a group health plan or health insurance issuer offering group 
health insurance coverage or an entity or subsidiary providing pharmacy 
benefits management services on behalf of such a plan or issuer shall 
not enter into a contract with a drug manufacturer, distributor, 
wholesaler, subcontractor, rebate aggregator, or any associated third 
party that limits the disclosure of information to plan sponsors in 
such a manner that prevents the plan or issuer, or an entity or 
subsidiary providing pharmacy benefits management services on behalf of 
a plan or issuer, from making the reports described in subsection (b).
    ``(b) Reports.--
            ``(1) In general.--For plan years beginning on or after 
        January 1, 2024, not less frequently than once every 6 months, 
        a health insurance issuer offering group health insurance 
        coverage or an entity providing pharmacy benefits management 
        services on behalf of a group health plan or an issuer 
        providing group health insurance coverage shall submit to the 
        plan sponsor (as defined in section 3(16)(B) of the Employee 
        Retirement Income Security Act of 1974) of such group health 
        plan or health insurance coverage a report in accordance with 
        this subsection and make such report available to the plan 
        sponsor in a machine-readable format. Each such report shall 
        include, with respect to the applicable group health plan or 
        health insurance coverage--
                    ``(A) as applicable, information collected from 
                drug manufacturers by such issuer or entity on the 
                total amount of copayment assistance dollars paid, or 
                copayment cards applied, that were funded by the drug 
                manufacturer with respect to the participants and 
                beneficiaries in such plan or coverage;
                    ``(B) a list of each drug covered by such plan, 
                issuer, or entity providing pharmacy benefit management 
                services that was dispensed during the reporting 
                period, including, with respect to each such drug 
                during the reporting period--
                            ``(i) the brand name, chemical entity, and 
                        National Drug Code;
                            ``(ii) the number of participants and 
                        beneficiaries for whom the drug was filled 
                        during the plan year, the total number of 
                        prescription fills for the drug (including 
                        original prescriptions and refills), and the 
                        total number of dosage units of the drug 
                        dispensed across the plan year, including 
                        whether the dispensing channel was by retail, 
                        mail order, or specialty pharmacy;
                            ``(iii) the wholesale acquisition cost, 
                        listed as cost per days supply and cost per 
                        pill, or in the case of a drug in another form, 
                        per dose;
                            ``(iv) the total out-of-pocket spending by 
                        participants and beneficiaries on such drug, 
                        including participant and beneficiary spending 
                        through copayments, coinsurance, and 
                        deductibles; and
                            ``(v) for any drug for which gross spending 
                        of the group health plan or health insurance 
                        coverage exceeded $10,000 during the reporting 
                        period--
                                    ``(I) a list of all other drugs in 
                                the same therapeutic category or class, 
                                including brand name drugs and 
                                biological products and generic drugs 
                                or biosimilar biological products that 
                                are in the same therapeutic category or 
                                class as such drug; and
                                    ``(II) the rationale for preferred 
                                formulary placement of such drug in 
                                that therapeutic category or class, if 
                                applicable;
                    ``(C) a list of each therapeutic category or class 
                of drugs that were dispensed under the health plan or 
                health insurance coverage during the reporting period, 
                and, with respect to each such therapeutic category or 
                class of drugs, during the reporting period--
                            ``(i) total gross spending by the plan, 
                        before manufacturer rebates, fees, or other 
                        manufacturer remuneration;
                            ``(ii) the number of participants and 
                        beneficiaries who filled a prescription for a 
                        drug in that category or class;
                            ``(iii) if applicable to that category or 
                        class, a description of the formulary tiers and 
                        utilization mechanisms (such as prior 
                        authorization or step therapy) employed for 
                        drugs in that category or class;
                            ``(iv) the total out-of-pocket spending by 
                        participants and beneficiaries, including 
                        participant and beneficiary spending through 
                        copayments, coinsurance, and deductibles; and
                            ``(v) for each therapeutic category or 
                        class under which 3 or more drugs are included 
                        on the formulary of such plan or coverage--
                                    ``(I) the amount received, or 
                                expected to be received, from drug 
                                manufacturers in rebates, fees, 
                                alternative discounts, or other 
                                remuneration--
                                            ``(aa) that has been paid, 
                                        or is to be paid, by drug 
                                        manufacturers for claims 
                                        incurred during the reporting 
                                        period; or
                                            ``(bb) that is related to 
                                        utilization of drugs, in such 
                                        therapeutic category or class;
                                    ``(II) the total net spending, 
                                after deducting rebates, price 
                                concessions, alternative discounts or 
                                other remuneration from drug 
                                manufacturers, by the health plan or 
                                health insurance coverage on that 
                                category or class of drugs; and
                                    ``(III) the net price per course of 
                                treatment or single fill, such as a 30-
                                day supply or 90-day supply, incurred 
                                by the health plan or health insurance 
                                coverage and its participants and 
                                beneficiaries, after manufacturer 
                                rebates, fees, and other remuneration 
                                for drugs dispensed within such 
                                therapeutic category or class during 
                                the reporting period;
                    ``(D) total gross spending on prescription drugs by 
                the plan or coverage during the reporting period, 
                before rebates and other manufacturer fees or 
                remuneration;
                    ``(E) total amount received, or expected to be 
                received, by the health plan or health insurance 
                coverage in drug manufacturer rebates, fees, 
                alternative discounts, and all other remuneration 
                received from the manufacturer or any third party, 
                other than the plan sponsor, related to utilization of 
                drug or drug spending under that health plan or health 
                insurance coverage during the reporting period;
                    ``(F) the total net spending on prescription drugs 
                by the health plan or health insurance coverage during 
                the reporting period; and
                    ``(G) amounts paid directly or indirectly in 
                rebates, fees, or any other type of remuneration to 
                brokers, consultants, advisors, or any other individual 
                or firm who referred the group health plan's or health 
                insurance issuer's business to the pharmacy benefit 
                manager.
            ``(2) Privacy requirements.--Health insurance issuers 
        offering group health insurance coverage and entities providing 
        pharmacy benefits management services on behalf of a group 
        health plan shall provide information under paragraph (1) in a 
        manner consistent with the privacy, security, and breach 
        notification regulations promulgated under section 264(c) of 
        the Health Insurance Portability and Accountability Act of 
        1996, and shall restrict the use and disclosure of such 
        information according to such privacy regulations.
            ``(3) Disclosure and redisclosure.--
                    ``(A) Limitation to business associates.--A group 
                health plan receiving a report under paragraph (1) may 
                disclose such information only to business associates 
                of such plan as defined in section 160.103 of title 45, 
                Code of Federal Regulations (or successor regulations).
                    ``(B) Clarification regarding public disclosure of 
                information.--Nothing in this section prevents a health 
                insurance issuer offering group health insurance 
                coverage or an entity providing pharmacy benefits 
                management services on behalf of a group health plan 
                from placing reasonable restrictions on the public 
                disclosure of the information contained in a report 
                described in paragraph (1), except that such issuer or 
                entity may not restrict disclosure of such report to 
                the Department of Health and Human Services, the 
                Department of Labor, the Department of the Treasury, or 
                applicable State agencies.
                    ``(C) Limited form of report.--The Secretary shall 
                define through rulemaking a limited form of the report 
                under paragraph (1) required of plan sponsors who are 
                drug manufacturers, drug wholesalers, or other direct 
                participants in the drug supply chain, in order to 
                prevent anti-competitive behavior.
            ``(4) Report to gao.--A health insurance issuer offering 
        group health insurance coverage or an entity providing pharmacy 
        benefits management services on behalf of a group health plan 
        shall submit to the Comptroller General of the United States 
        each of the first 4 reports submitted to a plan sponsor under 
        paragraph (1) with respect to such coverage or plan, and other 
        such reports as requested, in accordance with the privacy 
        requirements under paragraph (2), the disclosure and 
        redisclosure standards under paragraph (3), the standards 
        specified pursuant to paragraph (5), and such other information 
        that the Comptroller General determines necessary to carry out 
        the study under section 602(d) of the Restoring Hope for Mental 
        Health and Well-Being Act of 2022.
            ``(5) Standard format.--Not later than June 1, 2023, the 
        Secretary shall specify through rulemaking standards for health 
        insurance issuers and entities required to submit reports under 
        paragraph (4) to submit such reports in a standard format.
    ``(c) Enforcement.--
            ``(1) In general.--The Secretary, in consultation with the 
        Secretary of Labor and the Secretary of the Treasury, shall 
        enforce this section.
            ``(2) Failure to provide timely information.--A health 
        insurance issuer or an entity providing pharmacy benefit 
        management services that violates subsection (a) or fails to 
        provide information required under subsection (b), or a drug 
        manufacturer that fails to provide information under subsection 
        (b)(1)(A) in a timely manner, shall be subject to a civil 
        monetary penalty in the amount of $10,000 for each day during 
        which such violation continues or such information is not 
        disclosed or reported.
            ``(3) False information.--A health insurance issuer, entity 
        providing pharmacy benefit management services, or drug 
        manufacturer that knowingly provides false information under 
        this section shall be subject to a civil money penalty in an 
        amount not to exceed $100,000 for each item of false 
        information. Such civil money penalty shall be in addition to 
        other penalties as may be prescribed by law.
            ``(4) Procedure.--The provisions of section 1128A of the 
        Social Security Act, other than subsection (a) and (b) and the 
        first sentence of subsection (c)(1) of such section shall apply 
        to civil monetary penalties under this subsection in the same 
        manner as such provisions apply to a penalty or proceeding 
        under section 1128A of the Social Security Act.
            ``(5) Waivers.--The Secretary may waive penalties under 
        paragraph (2), or extend the period of time for compliance with 
        a requirement of this section, for an entity in violation of 
        this section that has made a good-faith effort to comply with 
        this section.
    ``(d) Rule of Construction.--Nothing in this section shall be 
construed to permit a health insurance issuer, group health plan, or 
other entity to restrict disclosure to, or otherwise limit the access 
of, the Department of Health and Human Services to a report described 
in subsection (b)(1) or information related to compliance with 
subsection (a) by such issuer, plan, or entity.
    ``(e) Definition.--In this section, the term `wholesale acquisition 
cost' has the meaning given such term in section 1847A(c)(6)(B) of the 
Social Security Act.''; and
            (2) in section 2723 (42 U.S.C. 300gg-22)--
                    (A) in subsection (a)--
                            (i) in paragraph (1), by inserting ``(other 
                        than subsections (a) and (b) of section 2799A-
                        11)'' after ``part D''; and
                            (ii) in paragraph (2), by inserting 
                        ``(other than subsections (a) and (b) of 
                        section 2799A-11)'' after ``part D''; and
                    (B) in subsection (b)--
                            (i) in paragraph (1), by inserting ``(other 
                        than subsections (a) and (b) of section 2799A-
                        11)'' after ``part D'';
                            (ii) in paragraph (2)(A), by inserting 
                        ``(other than subsections (a) and (b) of 
                        section 2799A-11)'' after ``part D''; and
                            (iii) in paragraph (2)(C)(ii), by inserting 
                        ``(other than subsections (a) and (b) of 
                        section 2799A-11)'' after ``part D''.
    (b) ERISA.--
            (1) In general.--Subtitle B of title I of the Employee 
        Retirement Income Security Act of 1974 (29 U.S.C. 1021 et seq.) 
        is amended--
                    (A) in subpart B of part 7 (29 U.S.C. 1185 et 
                seq.), by adding at the end the following:

``SEC. 726. OVERSIGHT OF PHARMACY BENEFIT MANAGER SERVICES.

    ``(a) In General.--For plan years beginning on or after January 1, 
2024, a group health plan (or health insurance issuer offering group 
health insurance coverage in connection with such a plan) or an entity 
or subsidiary providing pharmacy benefits management services on behalf 
of such a plan or issuer shall not enter into a contract with a drug 
manufacturer, distributor, wholesaler, subcontractor, rebate 
aggregator, or any associated third party that limits the disclosure of 
information to plan sponsors in such a manner that prevents the plan or 
issuer, or an entity or subsidiary providing pharmacy benefits 
management services on behalf of a plan or issuer, from making the 
reports described in subsection (b).
    ``(b) Reports.--
            ``(1) In general.--For plan years beginning on or after 
        January 1, 2024, not less frequently than once every 6 months, 
        a health insurance issuer offering group health insurance 
        coverage or an entity providing pharmacy benefits management 
        services on behalf of a group health plan or an issuer 
        providing group health insurance coverage shall submit to the 
        plan sponsor (as defined in section 3(16)(B)) of such group 
        health plan or group health insurance coverage a report in 
        accordance with this subsection and make such report available 
        to the plan sponsor in a machine-readable format. Each such 
        report shall include, with respect to the applicable group 
        health plan or health insurance coverage--
                    ``(A) as applicable, information collected from 
                drug manufacturers by such issuer or entity on the 
                total amount of copayment assistance dollars paid, or 
                copayment cards applied, that were funded by the drug 
                manufacturer with respect to the participants and 
                beneficiaries in such plan or coverage;
                    ``(B) a list of each drug covered by such plan, 
                issuer, or entity providing pharmacy benefit management 
                services that was dispensed during the reporting 
                period, including, with respect to each such drug 
                during the reporting period--
                            ``(i) the brand name, chemical entity, and 
                        National Drug Code;
                            ``(ii) the number of participants and 
                        beneficiaries for whom the drug was filled 
                        during the plan year, the total number of 
                        prescription fills for the drug (including 
                        original prescriptions and refills), and the 
                        total number of dosage units of the drug 
                        dispensed across the plan year, including 
                        whether the dispensing channel was by retail, 
                        mail order, or specialty pharmacy;
                            ``(iii) the wholesale acquisition cost, 
                        listed as cost per days supply and cost per 
                        pill, or in the case of a drug in another form, 
                        per dose;
                            ``(iv) the total out-of-pocket spending by 
                        participants and beneficiaries on such drug, 
                        including participant and beneficiary spending 
                        through copayments, coinsurance, and 
                        deductibles; and
                            ``(v) for any drug for which gross spending 
                        of the group health plan or health insurance 
                        coverage exceeded $10,000 during the reporting 
                        period--
                                    ``(I) a list of all other drugs in 
                                the same therapeutic category or class, 
                                including brand name drugs and 
                                biological products and generic drugs 
                                or biosimilar biological products that 
                                are in the same therapeutic category or 
                                class as such drug; and
                                    ``(II) the rationale for preferred 
                                formulary placement of such drug in 
                                that therapeutic category or class, if 
                                applicable;
                    ``(C) a list of each therapeutic category or class 
                of drugs that were dispensed under the health plan or 
                health insurance coverage during the reporting period, 
                and, with respect to each such therapeutic category or 
                class of drugs, during the reporting period--
                            ``(i) total gross spending by the plan, 
                        before manufacturer rebates, fees, or other 
                        manufacturer remuneration;
                            ``(ii) the number of participants and 
                        beneficiaries who filled a prescription for a 
                        drug in that category or class;
                            ``(iii) if applicable to that category or 
                        class, a description of the formulary tiers and 
                        utilization mechanisms (such as prior 
                        authorization or step therapy) employed for 
                        drugs in that category or class;
                            ``(iv) the total out-of-pocket spending by 
                        participants and beneficiaries, including 
                        participant and beneficiary spending through 
                        copayments, coinsurance, and deductibles; and
                            ``(v) for each therapeutic category or 
                        class under which 3 or more drugs are included 
                        on the formulary of such plan or coverage--
                                    ``(I) the amount received, or 
                                expected to be received, from drug 
                                manufacturers in rebates, fees, 
                                alternative discounts, or other 
                                remuneration--
                                            ``(aa) that has been paid, 
                                        or is to be paid, by drug 
                                        manufacturers for claims 
                                        incurred during the reporting 
                                        period; or
                                            ``(bb) that is related to 
                                        utilization of drugs, in such 
                                        therapeutic category or class;
                                    ``(II) the total net spending, 
                                after deducting rebates, price 
                                concessions, alternative discounts or 
                                other remuneration from drug 
                                manufacturers, by the health plan or 
                                health insurance coverage on that 
                                category or class of drugs; and
                                    ``(III) the net price per course of 
                                treatment or single fill, such as a 30-
                                day supply or 90-day supply, incurred 
                                by the health plan or health insurance 
                                coverage and its participants and 
                                beneficiaries, after manufacturer 
                                rebates, fees, and other remuneration 
                                for drugs dispensed within such 
                                therapeutic category or class during 
                                the reporting period;
                    ``(D) total gross spending on prescription drugs by 
                the plan or coverage during the reporting period, 
                before rebates and other manufacturer fees or 
                remuneration;
                    ``(E) total amount received, or expected to be 
                received, by the health plan or health insurance 
                coverage in drug manufacturer rebates, fees, 
                alternative discounts, and all other remuneration 
                received from the manufacturer or any third party, 
                other than the plan sponsor, related to utilization of 
                drug or drug spending under that health plan or health 
                insurance coverage during the reporting period;
                    ``(F) the total net spending on prescription drugs 
                by the health plan or health insurance coverage during 
                the reporting period; and
                    ``(G) amounts paid directly or indirectly in 
                rebates, fees, or any other type of remuneration to 
                brokers, consultants, advisors, or any other individual 
                or firm who referred the group health plan's or health 
                insurance issuer's business to the pharmacy benefit 
                manager.
            ``(2) Privacy requirements.--Health insurance issuers 
        offering group health insurance coverage and entities providing 
        pharmacy benefits management services on behalf of a group 
        health plan shall provide information under paragraph (1) in a 
        manner consistent with the privacy, security, and breach 
        notification regulations promulgated under section 264(c) of 
        the Health Insurance Portability and Accountability Act of 
        1996, and shall restrict the use and disclosure of such 
        information according to such privacy regulations.
            ``(3) Disclosure and redisclosure.--
                    ``(A) Limitation to business associates.--A group 
                health plan receiving a report under paragraph (1) may 
                disclose such information only to business associates 
                of such plan as defined in section 160.103 of title 45, 
                Code of Federal Regulations (or successor regulations).
                    ``(B) Clarification regarding public disclosure of 
                information.--Nothing in this section prevents a health 
                insurance issuer offering group health insurance 
                coverage or an entity providing pharmacy benefits 
                management services on behalf of a group health plan 
                from placing reasonable restrictions on the public 
                disclosure of the information contained in a report 
                described in paragraph (1), except that such issuer or 
                entity may not restrict disclosure of such report to 
                the Department of Health and Human Services, the 
                Department of Labor, the Department of the Treasury, or 
                applicable State agencies.
                    ``(C) Limited form of report.--The Secretary shall 
                define through rulemaking a limited form of the report 
                under paragraph (1) required of plan sponsors who are 
                drug manufacturers, drug wholesalers, or other direct 
                participants in the drug supply chain, in order to 
                prevent anti-competitive behavior.
            ``(4) Report to gao.--A health insurance issuer offering 
        group health insurance coverage or an entity providing pharmacy 
        benefits management services on behalf of a group health plan 
        shall submit to the Comptroller General of the United States 
        each of the first 4 reports submitted to a plan sponsor under 
        paragraph (1) with respect to such coverage or plan, and other 
        such reports as requested, in accordance with the privacy 
        requirements under paragraph (2), the disclosure and 
        redisclosure standards under paragraph (3), the standards 
        specified pursuant to paragraph (5), and such other information 
        that the Comptroller General determines necessary to carry out 
        the study under section 602(d) of the Restoring Hope for Mental 
        Health and Well-Being Act of 2022.
            ``(5) Standard format.--Not later than June 1, 2023, the 
        Secretary shall specify through rulemaking standards for health 
        insurance issuers and entities required to submit reports under 
        paragraph (4) to submit such reports in a standard format.
    ``(c) Enforcement.--
            ``(1) In general.--The Secretary, in consultation with the 
        Secretary of Health and Human Services and the Secretary of the 
        Treasury, shall enforce this section.
            ``(2) Failure to provide timely information.--A health 
        insurance issuer or an entity providing pharmacy benefit 
        management services that violates subsection (a) or fails to 
        provide information required under subsection (b), or a drug 
        manufacturer that fails to provide information under subsection 
        (b)(1)(A) in a timely manner, shall be subject to a civil 
        monetary penalty in the amount of $10,000 for each day during 
        which such violation continues or such information is not 
        disclosed or reported.
            ``(3) False information.--A health insurance issuer, entity 
        providing pharmacy benefit management services, or drug 
        manufacturer that knowingly provides false information under 
        this section shall be subject to a civil money penalty in an 
        amount not to exceed $100,000 for each item of false 
        information. Such civil money penalty shall be in addition to 
        other penalties as may be prescribed by law.
            ``(4) Procedure.--The provisions of section 1128A of the 
        Social Security Act, other than subsection (a) and (b) and the 
        first sentence of subsection (c)(1) of such section shall apply 
        to civil monetary penalties under this subsection in the same 
        manner as such provisions apply to a penalty or proceeding 
        under section 1128A of the Social Security Act.
            ``(5) Waivers.--The Secretary may waive penalties under 
        paragraph (2), or extend the period of time for compliance with 
        a requirement of this section, for an entity in violation of 
        this section that has made a good-faith effort to comply with 
        this section.
    ``(d) Rule of Construction.--Nothing in this section shall be 
construed to permit a health insurance issuer, group health plan, or 
other entity to restrict disclosure to, or otherwise limit the access 
of, the Department of Labor to a report described in subsection (b)(1) 
or information related to compliance with subsection (a) by such 
issuer, plan, or entity.
    ``(e) Definition.--In this section, the term `wholesale acquisition 
cost' has the meaning given such term in section 1847A(c)(6)(B) of the 
Social Security Act.''; and
                    (B) in section 502(b)(3) (29 U.S.C. 1132(b)(3)), by 
                inserting ``(other than section 726)'' after ``part 
                7''.
            (2) Clerical amendment.--The table of contents in section 1 
        of the Employee Retirement Income Security Act of 1974 (29 
        U.S.C. 1001 et seq.) is amended by inserting after the item 
        relating to section 725 the following new item:

``Sec. 726. Oversight of pharmacy benefit manager services.''.
    (c) IRC.--
            (1) In general.--Subchapter B of chapter 100 of the 
        Internal Revenue Code of 1986 is amended by adding at the end 
        the following:

``SEC. 9826. OVERSIGHT OF PHARMACY BENEFIT MANAGER SERVICES.

    ``(a) In General.--For plan years beginning on or after January 1, 
2024, a group health plan or an entity or subsidiary providing pharmacy 
benefits management services on behalf of such a plan shall not enter 
into a contract with a drug manufacturer, distributor, wholesaler, 
subcontractor, rebate aggregator, or any associated third party that 
limits the disclosure of information to plan sponsors in such a manner 
that prevents the plan, or an entity or subsidiary providing pharmacy 
benefits management services on behalf of a plan, from making the 
reports described in subsection (b).
    ``(b) Reports.--
            ``(1) In general.--For plan years beginning on or after 
        January 1, 2024, not less frequently than once every 6 months, 
        an entity providing pharmacy benefits management services on 
        behalf of a group health plan shall submit to the plan sponsor 
        (as defined in section 3(16)(B) of the Employee Retirement 
        Income Security Act of 1974) of such group health plan a report 
        in accordance with this subsection and make such report 
        available to the plan sponsor in a machine-readable format. 
        Each such report shall include, with respect to the applicable 
        group health plan--
                    ``(A) as applicable, information collected from 
                drug manufacturers by such entity on the total amount 
                of copayment assistance dollars paid, or copayment 
                cards applied, that were funded by the drug 
                manufacturer with respect to the participants and 
                beneficiaries in such plan;
                    ``(B) a list of each drug covered by such plan or 
                entity providing pharmacy benefit management services 
                that was dispensed during the reporting period, 
                including, with respect to each such drug during the 
                reporting period--
                            ``(i) the brand name, chemical entity, and 
                        National Drug Code;
                            ``(ii) the number of participants and 
                        beneficiaries for whom the drug was filled 
                        during the plan year, the total number of 
                        prescription fills for the drug (including 
                        original prescriptions and refills), and the 
                        total number of dosage units of the drug 
                        dispensed across the plan year, including 
                        whether the dispensing channel was by retail, 
                        mail order, or specialty pharmacy;
                            ``(iii) the wholesale acquisition cost, 
                        listed as cost per days supply and cost per 
                        pill, or in the case of a drug in another form, 
                        per dose;
                            ``(iv) the total out-of-pocket spending by 
                        participants and beneficiaries on such drug, 
                        including participant and beneficiary spending 
                        through copayments, coinsurance, and 
                        deductibles; and
                            ``(v) for any drug for which gross spending 
                        of the group health plan exceeded $10,000 
                        during the reporting period--
                                    ``(I) a list of all other drugs in 
                                the same therapeutic category or class, 
                                including brand name drugs and 
                                biological products and generic drugs 
                                or biosimilar biological products that 
                                are in the same therapeutic category or 
                                class as such drug; and
                                    ``(II) the rationale for preferred 
                                formulary placement of such drug in 
                                that therapeutic category or class, if 
                                applicable;
                    ``(C) a list of each therapeutic category or class 
                of drugs that were dispensed under the health plan 
                during the reporting period, and, with respect to each 
                such therapeutic category or class of drugs, during the 
                reporting period--
                            ``(i) total gross spending by the plan, 
                        before manufacturer rebates, fees, or other 
                        manufacturer remuneration;
                            ``(ii) the number of participants and 
                        beneficiaries who filled a prescription for a 
                        drug in that category or class;
                            ``(iii) if applicable to that category or 
                        class, a description of the formulary tiers and 
                        utilization mechanisms (such as prior 
                        authorization or step therapy) employed for 
                        drugs in that category or class;
                            ``(iv) the total out-of-pocket spending by 
                        participants and beneficiaries, including 
                        participant and beneficiary spending through 
                        copayments, coinsurance, and deductibles; and
                            ``(v) for each therapeutic category or 
                        class under which 3 or more drugs are included 
                        on the formulary of such plan--
                                    ``(I) the amount received, or 
                                expected to be received, from drug 
                                manufacturers in rebates, fees, 
                                alternative discounts, or other 
                                remuneration--
                                            ``(aa) that has been paid, 
                                        or is to be paid, by drug 
                                        manufacturers for claims 
                                        incurred during the reporting 
                                        period; or
                                            ``(bb) that is related to 
                                        utilization of drugs, in such 
                                        therapeutic category or class;
                                    ``(II) the total net spending, 
                                after deducting rebates, price 
                                concessions, alternative discounts or 
                                other remuneration from drug 
                                manufacturers, by the health plan on 
                                that category or class of drugs; and
                                    ``(III) the net price per course of 
                                treatment or single fill, such as a 30-
                                day supply or 90-day supply, incurred 
                                by the health plan and its participants 
                                and beneficiaries, after manufacturer 
                                rebates, fees, and other remuneration 
                                for drugs dispensed within such 
                                therapeutic category or class during 
                                the reporting period;
                    ``(D) total gross spending on prescription drugs by 
                the plan during the reporting period, before rebates 
                and other manufacturer fees or remuneration;
                    ``(E) total amount received, or expected to be 
                received, by the health plan in drug manufacturer 
                rebates, fees, alternative discounts, and all other 
                remuneration received from the manufacturer or any 
                third party, other than the plan sponsor, related to 
                utilization of drug or drug spending under that health 
                plan during the reporting period;
                    ``(F) the total net spending on prescription drugs 
                by the health plan during the reporting period; and
                    ``(G) amounts paid directly or indirectly in 
                rebates, fees, or any other type of remuneration to 
                brokers, consultants, advisors, or any other individual 
                or firm who referred the group health plan's business 
                to the pharmacy benefit manager.
            ``(2) Privacy requirements.--Entities providing pharmacy 
        benefits management services on behalf of a group health plan 
        shall provide information under paragraph (1) in a manner 
        consistent with the privacy, security, and breach notification 
        regulations promulgated under section 264(c) of the Health 
        Insurance Portability and Accountability Act of 1996, and shall 
        restrict the use and disclosure of such information according 
        to such privacy regulations.
            ``(3) Disclosure and redisclosure.--
                    ``(A) Limitation to business associates.--A group 
                health plan receiving a report under paragraph (1) may 
                disclose such information only to business associates 
                of such plan as defined in section 160.103 of title 45, 
                Code of Federal Regulations (or successor regulations).
                    ``(B) Clarification regarding public disclosure of 
                information.--Nothing in this section prevents an 
                entity providing pharmacy benefits management services 
                on behalf of a group health plan from placing 
                reasonable restrictions on the public disclosure of the 
                information contained in a report described in 
                paragraph (1), except that such entity may not restrict 
                disclosure of such report to the Department of Health 
                and Human Services, the Department of Labor, the 
                Department of the Treasury, or applicable State 
                agencies.
                    ``(C) Limited form of report.--The Secretary shall 
                define through rulemaking a limited form of the report 
                under paragraph (1) required of plan sponsors who are 
                drug manufacturers, drug wholesalers, or other direct 
                participants in the drug supply chain, in order to 
                prevent anti-competitive behavior.
            ``(4) Report to gao.--An entity providing pharmacy benefits 
        management services on behalf of a group health plan shall 
        submit to the Comptroller General of the United States each of 
        the first 4 reports submitted to a plan sponsor under paragraph 
        (1) with respect to such plan, and other such reports as 
        requested, in accordance with the privacy requirements under 
        paragraph (2), the disclosure and redisclosure standards under 
        paragraph (3), the standards specified pursuant to paragraph 
        (5), and such other information that the Comptroller General 
        determines necessary to carry out the study under section 
        602(d) of the Restoring Hope for Mental Health and Well-Being 
        Act of 2022.
            ``(5) Standard format.--Not later than June 1, 2023, the 
        Secretary shall specify through rulemaking standards for 
        entities required to submit reports under paragraph (4) to 
        submit such reports in a standard format.
    ``(c) Enforcement.--
            ``(1) In general.--The Secretary, in consultation with the 
        Secretary of Labor and the Secretary of Health and Human 
        Services, shall enforce this section.
            ``(2) Failure to provide timely information.--An entity 
        providing pharmacy benefit management services that violates 
        subsection (a) or fails to provide information required under 
        subsection (b), or a drug manufacturer that fails to provide 
        information under subsection (b)(1)(A) in a timely manner, 
        shall be subject to a civil monetary penalty in the amount of 
        $10,000 for each day during which such violation continues or 
        such information is not disclosed or reported.
            ``(3) False information.--An entity providing pharmacy 
        benefit management services, or drug manufacturer that 
        knowingly provides false information under this section shall 
        be subject to a civil money penalty in an amount not to exceed 
        $100,000 for each item of false information. Such civil money 
        penalty shall be in addition to other penalties as may be 
        prescribed by law.
            ``(4) Procedure.--The provisions of section 1128A of the 
        Social Security Act, other than subsection (a) and (b) and the 
        first sentence of subsection (c)(1) of such section shall apply 
        to civil monetary penalties under this subsection in the same 
        manner as such provisions apply to a penalty or proceeding 
        under section 1128A of the Social Security Act.
            ``(5) Waivers.--The Secretary may waive penalties under 
        paragraph (2), or extend the period of time for compliance with 
        a requirement of this section, for an entity in violation of 
        this section that has made a good-faith effort to comply with 
        this section.
    ``(d) Rule of Construction.--Nothing in this section shall be 
construed to permit a group health plan or other entity to restrict 
disclosure to, or otherwise limit the access of, the Department of the 
Treasury to a report described in subsection (b)(1) or information 
related to compliance with subsection (a) by such plan or entity.
    ``(e) Definition.--In this section, the term `wholesale acquisition 
cost' has the meaning given such term in section 1847A(c)(6)(B) of the 
Social Security Act.''.
            (2) Clerical amendment.--The table of sections for 
        subchapter B of chapter 100 of the Internal Revenue Code of 
        1986 is amended by adding at the end the following new item:

``Sec. 9826. Oversight of pharmacy benefit manager services.''.
    (d) GAO Study.--
            (1) In general.--Not later than 3 years after the date of 
        enactment of this Act, the Comptroller General of the United 
        States shall submit to Congress a report on--
                    (A) pharmacy networks of group health plans, health 
                insurance issuers, and entities providing pharmacy 
                benefit management services under such group health 
                plan or group or individual health insurance coverage, 
                including networks that have pharmacies that are under 
                common ownership (in whole or part) with group health 
                plans, health insurance issuers, or entities providing 
                pharmacy benefit management services or pharmacy 
                benefit administrative services under group health plan 
                or group or individual health insurance coverage;
                    (B) as it relates to pharmacy networks that include 
                pharmacies under common ownership described in 
                subparagraph (A)--
                            (i) whether such networks are designed to 
                        encourage enrollees of a plan or coverage to 
                        use such pharmacies over other network 
                        pharmacies for specific services or drugs, and 
                        if so, the reasons the networks give for 
                        encouraging use of such pharmacies; and
                            (ii) whether such pharmacies are used by 
                        enrollees disproportionately more in the 
                        aggregate or for specific services or drugs 
                        compared to other network pharmacies;
                    (C) whether group health plans and health insurance 
                issuers offering group or individual health insurance 
                coverage have options to elect different network 
                pricing arrangements in the marketplace with entities 
                that provide pharmacy benefit management services, the 
                prevalence of electing such different network pricing 
                arrangements;
                    (D) pharmacy network design parameters that 
                encourage enrollees in the plan or coverage to fill 
                prescriptions at mail order, specialty, or retail 
                pharmacies that are wholly or partially-owned by that 
                issuer or entity; and
                    (E) the degree to which mail order, specialty, or 
                retail pharmacies that dispense prescription drugs to 
                an enrollee in a group health plan or health insurance 
                coverage that are under common ownership (in whole or 
                part) with group health plans, health insurance 
                issuers, or entities providing pharmacy benefit 
                management services or pharmacy benefit administrative 
                services under group health plan or group or individual 
                health insurance coverage receive reimbursement that is 
                greater than the median price charged to the group 
                health plan or health insurance issuer when the same 
                drug is dispensed to enrollees in the plan or coverage 
                by other pharmacies included in the pharmacy network of 
                that plan, issuer, or entity that are not wholly or 
                partially owned by the health insurance issuer or 
                entity providing pharmacy benefit management services.
            (2) Requirement.--The Comptroller General of the United 
        States shall ensure that the report under paragraph (1) does 
        not contain information that would allow a reader to identify a 
        specific plan or entity providing pharmacy benefits management 
        services or otherwise contain commercial or financial 
        information that is privileged or confidential.
            (3) Definitions.--In this subsection, the terms ``group 
        health plan'', ``health insurance coverage'', and ``health 
        insurance issuer'' have the meanings given such terms in 
        section 2791 of the Public Health Service Act (42 U.S.C. 300gg-
        91).

SEC. 603. MEDICARE IMPROVEMENT FUND.

    Section 1898(b)(1) of the Social Security Act (42 U.S.C. 
1395iii(b)(1)) is amended by striking ``$5,000,000'' and inserting 
``$1,029,000,000''.

SEC. 604. LIMITATIONS ON AUTHORITY.

    In carrying out any program of the Substance Abuse and Mental 
Health Services Administration whose statutory authorization is enacted 
or amended by this Act, the Secretary of Health and Human Services 
shall not allocate funding, or require award recipients to prioritize, 
dedicate, or allocate funding, without consideration of the incidence, 
prevalence, or determinants of mental health or substance use issues, 
unless such allocation or requirement is consistent with statute, 
regulation, or other Federal law.

            Passed the House of Representatives June 22, 2022.

            Attest:

                                             CHERYL L. JOHNSON,

                                                                 Clerk.

                               By Kevin McCumber,

                                                          Deputy Clerk.