[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[S. 4472 Introduced in Senate (IS)]

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117th CONGRESS
  2d Session
                                S. 4472

   To expand the availability of mental, emotional, behavioral, and 
    substance use disorder health services, and for other purposes.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                             June 23, 2022

Mr. Casey (for himself and Mr. Cassidy) introduced the following bill; 
     which was read twice and referred to the Committee on Health, 
                     Education, Labor, and Pensions

_______________________________________________________________________

                                 A BILL


 
   To expand the availability of mental, emotional, behavioral, and 
    substance use disorder health services, 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.

    This Act may be cited as the ``Health Care Capacity for Pediatric 
Mental Health Act of 2022''.

SEC. 2. PROGRAMS TO SUPPORT PEDIATRIC MENTAL, EMOTIONAL, BEHAVIORAL, 
              AND SUBSTANCE USE DISORDER HEALTH CARE.

    Subpart V of part D of title III of the Public Health Service Act 
(42 U.S.C. 256 et seq.) is amended by adding at the end the following:

``SEC. 340A-1. PROGRAM TO SUPPORT PEDIATRIC MENTAL, EMOTIONAL, 
              BEHAVIORAL, AND SUBSTANCE USE DISORDER HEALTH CARE 
              INTEGRATION AND COORDINATION.

    ``(a) In General.--The Secretary, acting through the Administrator 
of the Health Resources and Services Administration, in consultation 
with the Assistant Secretary for Mental Health and Substance Use, shall 
award grants, contracts, or cooperative agreements to eligible entities 
for the purpose of supporting pediatric mental, emotional, behavioral, 
and substance use disorder health care integration and coordination to 
meet local community needs in underserved and high-need communities.
    ``(b) Eligible Entities.--Entities eligible for grants under 
subsection (a) include--
            ``(1) children's hospitals;
            ``(2) facilities that provide trauma-informed, culturally-
        sensitive, developmentally-appropriate intensive pediatric 
        mental, emotional, behavioral, or substance use disorder health 
        services in partial hospital, day treatment, intensive 
        outpatient program, or walk-in crisis assessment program 
        settings; and
            ``(3) other entities providing trauma-informed, culturally-
        sensitive, developmentally-appropriate intensive pediatric 
        mental, emotional, behavioral, or substance use disorder health 
        services, as the Secretary determines appropriate.
    ``(c) Prioritization.--In making awards under subsection (a), the 
Secretary shall prioritize--
            ``(1) applicants that demonstrate plans to utilize funds to 
        expand access to integrated care and care coordination for the 
        prevention, screening, assessment, and treatment of pediatric 
        mental health disorders, eating disorders, developmental 
        disorders, and substance use disorders in high-need, rural, or 
        underserved communities;
            ``(2) applicants that demonstrate plans to coordinate with 
        and complement initiatives to improve pediatric mental health 
        and substance use disorder care implemented through other 
        Federal programs; and
            ``(3) applicants that demonstrate a significant role in 
        care for children in the region.
    ``(d) Use of Funds.--Activities that may be funded through an award 
under subsection (a) include--
            ``(1) increasing the capacity of eligible entities to 
        integrate trauma-informed, culturally-sensitive, 
        developmentally-appropriate pediatric mental, emotional, 
        behavioral, and substance use disorder health services, 
        including through telehealth access to, and co-location of, 
        mental, emotional, behavioral, and substance use disorder 
        health providers;
            ``(2) facilitating access to trauma-informed, culturally-
        sensitive, developmentally-appropriate intensive pediatric 
        mental, emotional, behavioral, or substance use disorder health 
        services in partial hospital, day treatment, intensive 
        outpatient program, or walk-in crisis assessment program 
        settings, in order to prevent hospitalizations and support 
        children as they transition back to their homes and 
        communities;
            ``(3) supporting the collection of data on pediatric 
        mental, emotional, behavioral, and substance use disorder 
        health care needs, service utilization and availability, and 
        demographic data, to identify unmet needs and barriers in 
        access to care, in a manner that protects personal privacy, 
        consistent with applicable Federal and State privacy laws;
            ``(4) establishing or maintaining community-based pediatric 
        mental health and substance use disorder partnerships, such as 
        partnerships with schools, early childhood education programs, 
        community-based organizations, and community-based mental 
        health and substance use disorder care providers, to address 
        identified gaps in access to care; and
            ``(5) training for non-clinical pediatric health care 
        workers, including care coordinators, community health workers, 
        and navigators, on providing trauma-informed, culturally-
        sensitive, developmentally-appropriate care for pediatric 
        mental health disorders, eating disorders, developmental 
        disorders, and substance use disorders, and on local resources 
        to support children and their caregivers.
    ``(e) Authorization of Appropriations.--To carry out this section, 
there is authorized to be appropriated such sums as may be necessary 
for each of fiscal years 2023 through 2027.

``SEC. 340A-2. PEDIATRIC MENTAL, EMOTIONAL, BEHAVIORAL, AND SUBSTANCE 
              USE DISORDER HEALTH WORKFORCE TRAINING PROGRAM.

    ``(a) In General.--The Secretary, acting through the Administrator 
of the Health Resources and Services Administration, in consultation 
with the Assistant Secretary for Mental Health and Substance Use and 
the Administrator of the Centers for Medicare & Medicaid Services, 
shall award grants, contracts, or cooperative agreements to eligible 
entities for the purpose of supporting evidence-based pediatric mental, 
emotional, behavioral, and substance use disorder health workforce 
training.
    ``(b) Eligible Entities.--Entities eligible for grants under 
subsection (a) include--
            ``(1) children's hospitals;
            ``(2) facilities that provide trauma-informed, culturally-
        sensitive, developmentally-appropriate intensive pediatric 
        mental, emotional, behavioral, or substance use disorder health 
        services in partial hospital, day treatment, intensive 
        outpatient program, or walk-in crisis assessment program 
        settings, that can prevent hospitalizations and support 
        children as they transition back to their homes and 
        communities; and
            ``(3) other entities providing trauma-informed, culturally-
        sensitive, developmentally-appropriate intensive pediatric 
        mental, emotional, behavioral, or substance use disorder health 
        services, as the Secretary determines appropriate.
    ``(c) Prioritization.--In making awards under subsection (a), the 
Secretary shall prioritize applicants that serve high-need, rural, or 
underserved communities, and that demonstrate plans to utilize funds to 
expand access to prevention, screening, assessment, and treatment of 
pediatric mental health disorders, eating disorders, developmental 
disorders, and substance use disorders.
    ``(d) Use of Funds.--Activities that may be supported through an 
award under subsection (a) include expanded training to enhance the 
capabilities of the existing workforce, including primary care 
providers, pediatricians, psychiatrists, psychologists, nurses, social 
workers, counselors, and other health care providers, as the Secretary 
determines appropriate, to provide trauma-informed, culturally-
sensitive, developmentally-appropriate care for pediatric mental health 
disorders, eating disorders, developmental disorders, and substance use 
disorders.
    ``(e) Reporting.--
            ``(1) Reports from award recipients.--Not later than 180 
        days after the completion of activities funded by an award 
        under this section, the entity that received such award shall 
        submit a report to the Secretary on the activities conducted 
        using funds from such award, and other information as the 
        Secretary may require.
            ``(2) Reports to congress.--Not later than 180 days after 
        receiving reports from all award recipients, the Secretary 
        shall submit to the Committee on Health, Education, Labor, and 
        Pensions of the Senate and the Committee on Energy and Commerce 
        of the House of Representatives a report on the projects and 
        activities conducted with funds awarded under this section, and 
        the outcome of such projects and activities. Such report shall 
        include--
                    ``(A) the number of projects supported by awards 
                made under this section;
                    ``(B) an overview of the impact, if any, of such 
                projects on access to pediatric mental, emotional, 
                behavioral, and substance use disorder health services;
                    ``(C) recommendations for improving the investment 
                program under this section; and
                    ``(D) any other considerations as the Secretary 
                determines appropriate.
    ``(f) Authorization of Appropriations.--To carry out this section, 
there is authorized to be appropriated such sums as may be necessary 
for each of fiscal years 2023 through 2027.''.

SEC. 3. INCREASING FEDERAL INVESTMENT IN PEDIATRIC MENTAL, EMOTIONAL, 
              BEHAVIORAL, AND SUBSTANCE USE DISORDER HEALTH SERVICES.

    The Public Health Service Act (42 U.S.C. 201 et seq.) is amended by 
adding at the end the following:

   ``TITLE XXXIV--ASSISTANCE FOR MODERNIZATION OF PEDIATRIC MENTAL, 
     EMOTIONAL, BEHAVIORAL, AND SUBSTANCE USE DISORDER HEALTH CARE 
                             INFRASTRUCTURE

``SEC. 3401. INCREASING FEDERAL INVESTMENT IN PEDIATRIC MENTAL, 
              EMOTIONAL, BEHAVIORAL, AND SUBSTANCE USE DISORDER HEALTH 
              SERVICES.

    ``(a) In General.--The Secretary, acting through the Administrator 
of the Health Resources and Services Administration, in consultation 
with the Assistant Secretary for Mental Health and Substance Use, shall 
award grants, contracts, or cooperative agreements to eligible entities 
for the purpose of improving their ability to provide trauma-informed, 
culturally-sensitive, developmentally-appropriate pediatric mental, 
emotional, behavioral, and substance use disorder health services, 
including by--
            ``(1) constructing or modernizing sites of care for trauma-
        informed, culturally-sensitive, developmentally-appropriate 
        pediatric mental, emotional, behavioral, and substance use 
        disorder health services;
            ``(2) expanding capacity to provide trauma-informed, 
        culturally-sensitive, developmentally-appropriate pediatric 
        mental, emotional, behavioral, or substance use disorder health 
        services, including enhancements to digital infrastructure, 
        telehealth capabilities, or other improvements to patient care 
        infrastructure; and
            ``(3) supporting the reallocation of existing resources to 
        accommodate pediatric mental, emotional, and behavioral health 
        and substance use disorder patients, including by converting or 
        adding sufficient capacity to establish or increase the 
        entity's inventory of licensed and operational, trauma-
        informed, culturally-sensitive, developmentally-appropriate 
        intensive pediatric mental, emotional, behavioral, and 
        substance use disorder health care programs, such as partial 
        hospital, day treatment, intensive outpatient programs, or 
        walk-in crisis assessment programs, in order to prevent 
        hospitalizations and support children as they transition back 
        to their homes and communities.
    ``(b) Eligible Entities.--Entities eligible for grants under 
subsection (a) include--
            ``(1) children's hospitals;
            ``(2) facilities that provide trauma-informed, culturally-
        sensitive, developmentally-appropriate intensive pediatric 
        mental, emotional, behavioral, or substance use disorder health 
        services in partial hospital, day treatment, intensive 
        outpatient program, or walk-in crisis assessment program 
        settings, that can prevent hospitalizations and support 
        children as they transition back to their homes and 
        communities; and
            ``(3) other entities providing trauma-informed, culturally-
        sensitive, developmentally-appropriate intensive pediatric 
        mental, emotional, behavioral, or substance use disorder health 
        services, as the Secretary determines appropriate.
    ``(c) Prioritization.--In making awards under subsection (a), the 
Secretary shall prioritize applicants that serve high-need, rural, or 
underserved communities, and that demonstrate plans to utilize funds to 
expand access to prevention, screening, assessment, and treatment of 
pediatric mental health disorders, eating disorders, developmental 
disorders, and substance use disorders.
    ``(d) Supplement, Not Supplant.--Funds provided under this section 
shall be used to supplement, and not supplant, Federal and non-Federal 
funds available for carrying out the activities described in this 
section.
    ``(e) Reporting.--
            ``(1) Reports from award recipients.--Not later than 180 
        days after the completion of activities funded by an award 
        under this section, the entity that received such award shall 
        submit a report to the Secretary on the activities conducted 
        using funds from such award, and other information as the 
        Secretary may require.
            ``(2) Reports to congress.--Not later than 180 days after 
        receiving reports from all award recipients under paragraph 
        (1), the Secretary shall submit to the Committee on Health, 
        Education, Labor, and Pensions of the Senate and the Committee 
        on Energy and Commerce of the House of Representatives a report 
        on the projects and activities conducted with funds awarded 
        under this section, and the outcome of such projects and 
        activities. Such report shall include--
                    ``(A) the number of projects supported by awards 
                made under this section;
                    ``(B) an overview of the impact, if any, of such 
                projects on pediatric health care infrastructure, 
                including any impact on access to pediatric mental, 
                emotional, behavioral, and substance use disorder 
                health services;
                    ``(C) recommendations for improving the investment 
                program under this section; and
                    ``(D) any other considerations as the Secretary 
                determines appropriate.
    ``(f) Authorization of Appropriations.--To carry out this section, 
there is authorized to be appropriated such sums as may be necessary 
for each of fiscal years 2023 through 2027.''.
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