[Congressional Record Volume 170, Number 115 (Thursday, July 11, 2024)]
[Senate]
[Pages S4857-S4860]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

  SA 2529. Mr. CORNYN (for himself, Mr. Tester, Mr. Tillis, Ms. Hassan, 
and Ms. Sinema) submitted an amendment intended to be proposed by him 
to the bill S. 4638, to authorize appropriations for fiscal year 2025 
for military activities of the Department of Defense, for military 
construction, and for defense activities of the Department of Energy, 
to prescribe military personnel strengths for such fiscal year, and for 
other purposes; which was ordered to lie on the table; as follows:

       At the end of title X, insert the following:

  Subtitle I--Creating Access and Resources in Education for Student 
                           Mental Health Act

     SEC. 1099. SHORT TITLE.

       This subtitle may be cited as the ``Creating Access and 
     Resources in Education for Student Mental Health Act'' or the 
     ``CARE for Student Mental Health Act''.

     SEC. 1099A. PURPOSES.

       The purposes of this subtitle are to address the student 
     mental health crisis by--
       (1) increasing the number of, and diversifying, school-
     based mental health services providers; and
       (2) supporting local educational agencies in recruiting, 
     hiring, retaining, and diversifying school-based mental 
     health services providers to meet the mental health needs of 
     students.

     SEC. 1099B. DEFINITIONS.

       In this subtitle:
       (1) ESEA definitions.--The terms ``child with a 
     disability'', ``educational service agency'', ``elementary 
     school'', ``English learner'', ``evidence-based'', 
     ``institution of higher education'', ``local educational 
     agency'', ``other staff'', ``outlying area'', 
     ``paraprofessional'', ``professional development'', ``school 
     leader'', ``secondary school'', ``specialized instructional 
     support personnel'', ``Secretary'', ``State'', and ``State 
     educational agency'' have the meaning given those terms in 
     section 8101 of the Elementary and Secondary Education Act of 
     1965 (20 U.S.C. 7801).
       (2) Eligible institution.--The term ``eligible 
     institution'' means an institution of higher education that 
     offers a program of study in--
       (A) school psychology that prepares students in such 
     program for a State credential as a school psychologist;

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       (B) school counseling that prepares students in such 
     program for a State credential as a school counselor;
       (C) school social work that prepares students in such 
     program for a State credential as a school social worker;
       (D) another school-based mental health field that prepares 
     students in such program for a State license or credential as 
     a school-based mental health services provider under State 
     law or regulation, as determined by the Secretary; or
       (E) any combination of study described in subparagraphs (A) 
     through (D) that prepares students in such program for a 
     State credential as a school based mental health services 
     provider.
       (3) High-need local educational agency.--
       (A) In general.--The term ``high-need local educational 
     agency'' means a local educational agency that, as of the 
     date on which an application is submitted for a grant under 
     this subtitle--
       (i)(I) has a locale code of 32, 33, 41, 42, or 43, as 
     determined by the Secretary; or
       (II) is in the highest quartile of local educational 
     agencies, as determined by the State educational agency, in a 
     ranking of all local educational agencies in the State, 
     ranked in descending order by the number or percentage of 
     children in each such agency counted under section 1124(c) of 
     the Elementary and Secondary Education Act of 1965 (20 U.S.C. 
     6333(c)); and
       (ii) does not meet 2 or more of the following ratios:

       (I) A ratio of 1 full-time equivalent school counselor for 
     every 250 students.
       (II) A ratio of 1 full-time equivalent school psychologist 
     for every 500 students.
       (III) A ratio of 1 full-time equivalent school social 
     worker for every 250 students.

       (B) ESA.--The term ``high-need local educational agency'' 
     includes an educational service agency acting on behalf of 1 
     or more local educational agencies described in subparagraph 
     (A).
       (4) Indian tribe.--The term ``Indian tribe'' means any 
     Indian tribe identified as such by the Secretary of the 
     Interior under section 104 of the Federally Recognized Indian 
     Tribe List Act of 1994 (25 U.S.C. 5131).
       (5) Minority-serving institution.--The term ``minority-
     serving institution'' means an institution of higher 
     education that is an eligible institution under section 
     371(a) of the Higher Education Act of 1965 (20 U.S.C. 
     1067q(a)).
       (6) School-based mental health partnership.--The term 
     ``school-based mental health partnership'' means a 
     partnership that--
       (A) is between an eligible institution and 1 or more local 
     educational agencies;
       (B) prepares students enrolled in the eligible institution 
     to obtain a State credential as a school-based mental health 
     services provider; and
       (C) is designed to increase the number or diversity of 
     school-based mental health services providers in schools 
     served by local educational agencies in order to meet 
     recommended ratios of students to full-time equivalent 
     school-based mental health services providers in those 
     schools, such as by--
       (i) recruiting, preparing, or respecializing students 
     enrolled in the eligible institution's school-based mental 
     health provider program of study to obtain a State credential 
     as, and to be employed as, a school-based mental health 
     services provider;
       (ii) expanding supervised opportunities for students 
     enrolled in such program of study to complete required field 
     work, credit hours, internships, or related training in order 
     to meet State credentialing requirements as a school-based 
     mental health services provider in schools served by a local 
     educational agency; and
       (iii) recruiting and retaining graduates of eligible 
     institutions who have obtained a State credential as a 
     school-based mental health services provider, to provide 
     school-based mental health services related to prevention, 
     early identification, and individualized intervention in 
     schools served by a local educational agency.
       (7) School-based mental health services provider.--The term 
     ``school-based mental health services provider'' has the 
     meaning given the term in section 4102 of the Elementary and 
     Secondary Education Act of 1965 (20 U.S.C. 7112).

     SEC. 1099C. STRENGTHENING THE PIPELINE OF SCHOOL-BASED MENTAL 
                   HEALTH SERVICES PROVIDERS.

       (a) Purpose.--The purpose of this section is to increase 
     the number or diversity of school counselors, school social 
     workers, school psychologists, and other school-based mental 
     health services providers to serve students enrolled in 
     schools served by local educational agencies.
       (b) Authorization of Grants.--
       (1) In general.--From amounts made available to carry out 
     this section and not reserved under paragraph (2), the 
     Secretary shall award grants, on a competitive basis, to 
     eligible institutions to support school-based mental health 
     partnerships, in accordance with subsection (d).
       (2) Reservations.--From the total amount made available to 
     carry out this section for any fiscal year, the Secretary 
     shall reserve not more than 2 percent to support program 
     administration, technical assistance, data collection, and 
     dissemination of best practices under this section.
       (3) Duration and renewals.--
       (A) Duration.--A grant awarded under this section shall be 
     for a period of not more than 5 years.
       (B) Renewal.--The Secretary may renew a grant awarded under 
     this section if the eligible institution demonstrates to the 
     Secretary that the eligible institution is effectively using 
     funds to significantly expand the pipeline of school 
     counselors, school social workers, school psychologists, and 
     other mental health professionals who meet State 
     credentialing standards as a school-based mental health 
     services provider.
       (4) Geographic diversity.--In awarding grants under 
     paragraph (1), the Secretary shall ensure that, to the extent 
     practicable and in accordance with paragraph (6), grants are 
     distributed among eligible institutions that will serve 
     geographically diverse areas, including urban, suburban, and 
     rural areas.
       (5) Sufficient size and scope.--Each grant awarded under 
     this section shall be of sufficient size and scope to allow 
     the grantee to carry out the purpose of this section.
       (6) Priorities.--In awarding grants under paragraph (1), 
     the Secretary shall give priority to--
       (A) minority-serving institutions, including historically 
     Black colleges and universities (defined as ``part B 
     institutions'' under section 322 of the Higher Education Act 
     of 1965 (20 U.S.C. 1061) and Tribal Colleges or Universities 
     (as defined in section 316 of such Act (20 U.S.C. 1059c)); 
     and
       (B) eligible institutions that seek to form a school-based 
     mental health partnership with a high need local educational 
     agency.
       (7) Timeline.--In carrying out the competitive process 
     described in paragraph (1), the Secretary shall--
       (A) to the greatest extent practicable, ensure that an 
     eligible institution receives not less than 90 days to submit 
     an application described in subsection (c); and
       (B) to the greatest extent practicable, provide technical 
     assistance to eligible institutions and to local educational 
     agencies that are or may be part of a school-based mental 
     health partnership, in applying for grants under this 
     section, including by--
       (i) disseminating the application under this section to all 
     State educational agencies and providing guidance, to the 
     extent practicable, to ensure accurate identification of 
     local educational agencies that may participate in a school-
     based mental health partnership;
       (ii) supporting eligible institutions in identifying 
     prospective local educational agencies with whom to partner 
     in a school-based mental health partnership that may be 
     supported by a grant under this section;
       (iii) provide timely notice about the competitive process 
     under this section, on the same day that a notice inviting 
     applications is published in the Federal Register;
       (iv) making publicly available templates for sample letters 
     of intent described in subsection (c)(5) and model 
     application materials on the same day that a notice inviting 
     applications is published in the Federal Register; and
       (v) addressing questions or concerns from the field in a 
     timely manner, as well as offering multiple opportunities, 
     webinars, or other efforts to engage eligible institutions 
     and local educational agencies that are or may be part of a 
     school-based mental health partnership with an eligible 
     institution.
       (c) Application.--An eligible institution applying for a 
     grant under subsection (b)(1) shall submit an application to 
     the Secretary at such time, in such manner, and accompanied 
     by such information as the Secretary may require, which shall 
     include--
       (1) a description of the prevalent mental health or 
     substance use and misuse concerns facing students enrolled in 
     schools served by local educational agencies that will be 
     part of the school-based mental health partnership (referred 
     to in this section as ``participating local educational 
     agencies''), and, if applicable, challenges related to high 
     rates of chronic absenteeism in those schools;
       (2) the extent to which the proposed school-based mental 
     health partnership will address the challenges described in 
     paragraph (1);
       (3) a description of how the eligible institution will 
     increase the number or diversity of school-based mental 
     health services providers in participating local educational 
     agencies through the establishment and operation of a school-
     based mental health partnership, including a description of 
     such partnership's strategies to--
       (A) recruit, prepare, respecialize, retrain, or diversify 
     the students enrolled in school-based mental health programs 
     of study in order to help such students to obtain a State 
     credential and be employed as school-based mental health 
     services providers in schools served by local educational 
     agencies; and
       (B) provide supervised opportunities to place students 
     enrolled in the eligible institution in schools served by a 
     participating local educational agency to complete required 
     field work, credit hours, internships, or related training to 
     meet State credentialing requirements as a school-based 
     mental health services provider, including a description of 
     the factors the partnership will consider when determining 
     the schools in which to place those students;
       (4) a description of how the school-based mental health 
     partnership will increase the capacity of participating local 
     educational agencies to provide evidence-based comprehensive 
     school-based mental health services, accessible to all 
     students, to address the concerns described in paragraph (1), 
     and, if applicable, how such services will best meet the 
     diverse population of students to be served;

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       (5) if applicable, a description of how the school-based 
     mental health partnership will collaborate with State, 
     regional, and local public health agencies (including mental 
     health agencies), the State Medicaid agency, child welfare 
     agencies, or other related public and private agencies that 
     provide mental health services to support the activities of 
     the school-based mental health partnership; and
       (6) a preliminary letter of intent, signed by each eligible 
     institution and each participating local educational agency 
     in the school-based mental health partnership described in 
     paragraph (3), that details the financial, programmatic, and 
     long-term commitment of the institution or agency, with 
     respect to the strategies described in the application.
       (d) Use of Funds.--An eligible institution that receives a 
     grant under subsection (b)(1) shall use such funds to 
     establish and operate the school-based mental health 
     partnership described in subsection (c)(3) to increase the 
     number or diversity of school-based mental health services 
     providers and support the recruitment, preparation, 
     respecialization, retraining, or diversification of students 
     enrolled in school-based mental health programs of study, in 
     order to help such students to obtain a State credential and 
     be employed as school-based mental health services providers 
     in schools served by local educational agencies, by engaging 
     in 1 or more of the following:
       (1) Establishing a new, or expanding an existing, program 
     of study in school psychology, school counseling, school 
     social work, or another school-based mental health field that 
     prepares students to obtain a State credential and be 
     employed as a school-based mental health services provider. 
     Funds may be used to--
       (A) support recruitment and retention of new or additional 
     faculty;
       (B) purchase training materials;
       (C) develop and disseminate materials to recruit potential 
     students;
       (D) offer financial support to enrolled students; or
       (E) carry out any other activity necessary to establish or 
     expand such a program of study.
       (2) Expanding supervised opportunities for students 
     enrolled in school-based mental health programs of study to 
     be placed in schools served by a participating local 
     educational agency in order to complete required field work, 
     credit hours, internships, or related training required to 
     obtain a State credential as a school-based mental health 
     service provider.
       (3) Developing pathways for staff, particularly diverse and 
     multilingual staff, of local educational agencies to receive 
     necessary education and training to obtain a credential as a 
     school-based mental health services provider.
       (4) Supporting activities to diversify the school-based 
     mental health services provider workforce, including 
     multilingual school-based mental health services providers.
       (5) Providing stipends or other financial assistance for 
     students enrolled in school-based mental health programs of 
     study, and supporting required field work, credit hours, 
     internships, or related training in local educational 
     agencies.
       (6) Supporting collaborations with State, regional, and 
     local public health agencies (such as State substance abuse 
     agencies and State mental health agencies), State Medicaid 
     agencies, community health centers, child welfare agencies, 
     and other related public and private agencies that provide 
     mental health services to support activities under this 
     subsection.
       (e) Reporting Requirements.--
       (1) Annual report.--Each eligible institution that receives 
     a grant under subsection (b)(1) shall submit a public report 
     to the Secretary on an annual basis and publish such report 
     in a clear and easily accessible format on the website of the 
     eligible institution. Such report shall contain, at a 
     minimum, the following information:
       (A) The number of postsecondary students enrolled in 
     relevant programs of study operated by the eligible 
     institution and any increases in student enrollment or 
     faculty in such programs of study from the prior year.
       (B) The number of such postsecondary students supported 
     under the grant.
       (C) If applicable, the number of such eligible institutions 
     that met their goal of increasing the diversity of school-
     based mental health services providers.
       (D) The number of such postsecondary students supported 
     under the grant who were placed in a school served by a 
     participating local educational agency--
       (i) for training; or
       (ii) for employment.
       (E) The ratios of students to full-time equivalent school-
     based mental health services providers, disaggregated by 
     profession to the extent practicable, at schools served by a 
     participating local educational agency in the school year 
     immediately preceding the first year of the grant and in the 
     most recent year of the grant.
       (F) The number of school-based mental health services 
     providers employed by participating local educational 
     agencies, disaggregated by the number of such employees who 
     graduated from an eligible institution and obtained a 
     credential as and were placed into employment as a school-
     based mental health services provider.
       (2) Secretary's report.--Not later than 3 years after 
     receiving the reports described in paragraph (1), and every 2 
     years thereafter, the Secretary shall submit a report to the 
     Committee on Health, Education, Labor, and Pensions of the 
     Senate and the Committee on Education and the Workforce of 
     the House of Representatives and make the report publicly 
     available in a clear and easily accessible format on the 
     website of the Department of Education. Such report shall 
     include a summary of the reports submitted by eligible 
     institutions and identify best practices related to--
       (A) improving, expanding, and diversifying preparation 
     programs for school counselors, school psychologists, school 
     social workers, and other school-based mental health services 
     providers; and
       (B) supporting the recruitment and preparation of school-
     based mental health services providers, including effective 
     respecialization and retraining programs.
       (f) Disaggregation of Data.--Disaggregation of data shall 
     not be required under this section when the number is 
     insufficient to yield statistically reliable information or 
     the results would reveal personally identifiable information 
     about an individual.
       (g) Supplement Not Supplant.--Funds made available to an 
     eligible institution through a grant under this section shall 
     be used only to supplement and not supplant, any State, 
     local, or non-Federal funds that would otherwise be used to 
     carry out the activities described under this section.
       (h) Multiple Grants to Single Institution.--In awarding 
     grants under subsection (b)(1), the Secretary may award 
     multiple grants to a single eligible institution if the 
     Secretary determines that--
       (1) the eligible institution submitted a high-quality 
     application for each distinct program of study, such as a 
     program related to school psychology or school social work; 
     and
       (2) each award would support students enrolled in distinct 
     programs of study in related school-based mental health 
     services fields.
       (i) Prohibition.--A local educational agency that enters a 
     school-based mental health partnership with an eligible 
     institution that receives funds under this section shall not 
     be eligible to participate in another school-based mental 
     health partnership with another eligible institution that 
     receives funds under this section until the original grant 
     period has ended.
       (j) Authorization of Appropriations.--There are authorized 
     to be appropriated to carry out this section such sums as may 
     be necessary for each of fiscal years 2025 through 2029.

     SEC. 1099D. SCHOOL-BASED MENTAL HEALTH SERVICES GRANT 
                   PROGRAM.

       (a) Purpose.--The purpose of this section is to support 
     high-need local educational agencies in recruiting, hiring, 
     retaining, and diversifying school-based mental health 
     services providers to expand access to school-based mental 
     health services for students enrolled in schools served by 
     such agencies.
       (b) Authorization of Grants.--
       (1) In general.--From amounts made available to carry out 
     this section and not reserved under paragraph (2), the 
     Secretary shall award grants, on a competitive basis, to 
     high-need local educational agencies, in accordance with this 
     section.
       (2) Reservations.--From the total amount made available to 
     carry out this section for a fiscal year, the Secretary 
     shall--
       (A) reserve not more than 2 percent of such amount for 
     program administration, technical assistance, and data 
     collection;
       (B) reserve 1 percent for the Secretary of the Interior for 
     schools operated or funded by the Bureau of Indian Education, 
     in accordance with the purpose of this section; and
       (C) reserve 1 percent for allotments for payments to the 
     outlying areas, to be distributed among those outlying areas 
     on the basis of their relative need, as determined by the 
     Secretary, in accordance with the purpose of this section.
       (3) Duration and renewals.--
       (A) Duration.--A grant awarded under this section shall be 
     for a period of not more than 5 years.
       (B) Renewal.--The Secretary may renew a grant awarded under 
     this section for a period of not more than 2 years.
       (4) Diversity of projects.--
       (A) In general.--Subject to subparagraph (B), in awarding 
     grants under paragraph (1), the Secretary shall ensure that, 
     to the extent practicable, grants are distributed among high-
     need local educational agencies that will serve 
     geographically diverse areas, including urban, suburban, and 
     rural areas.
       (B) Rural local educational agencies.--In awarding grants 
     under paragraph (1), the Secretary shall ensure that, to the 
     greatest extent practicable, not less than 30 percent of the 
     amounts made available to carry out this section that remain 
     after making reservations under paragraph (2) are awarded to 
     high-quality applications submitted by high-need local 
     educational agencies to support rural high-need local 
     educational agencies described in section 1099B(3)(A)(i)(I).
       (5) Sufficient size and scope.--Each grant awarded under 
     paragraph (1) shall be of sufficient size and scope to allow 
     the high-need local educational agency receiving the grant to 
     carry out the purpose of this section.
       (6) Timeline.--In carrying out the competitive process 
     under this subsection, the Secretary shall--

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       (A) to the greatest extent practicable, ensure that high-
     need local educational agencies have not less 90 days to 
     submit an application;
       (B) to the greatest extent practicable, send a 
     communication to every high-need local educational agency 
     containing notice of the application and the award deadline; 
     and
       (C) to the greatest extent practicable, provide technical 
     assistance to high-need local educational agencies, including 
     by--
       (i) addressing questions or concerns from the field in a 
     timely manner, as well as offering multiple opportunities, 
     webinars, or other efforts to engage local educational 
     agencies about the application process; and
       (ii) publishing not less than 3 examples of grant 
     applications from geographically diverse locales, including 
     not less than 1 such example from a rural high-need local 
     educational agency described in section 1099B(3)(A)(i)(I).
       (c) Application.--A high-need local educational agency 
     applying for a grant under subsection (b)(1) shall submit an 
     application to the Secretary at such time, in such manner, 
     and accompanied by such information as the Secretary may 
     require, which may include--
       (1) a description of the prevalent mental health or 
     substance use and misuse concerns facing students enrolled in 
     schools served by the high-need local educational agency, 
     and, if applicable, challenges related to high rates of 
     chronic absenteeism in those schools;
       (2) a description of the current shortage of school-based 
     mental health services providers in schools served by the 
     high-need local educational agency that will be served under 
     the grant;
       (3) a description of the applicant's plan to support 
     recruiting, hiring, retaining, or diversifying school-based 
     mental health services providers in schools served by the 
     high-need local educational agency to be served under the 
     grant;
       (4) if applicable, a description of the high-need local 
     educational agency's plan to increase the capacity of 
     educators, school leaders, school-based mental health 
     services providers, and other relevant staff to address the 
     needs described in paragraph (1); and
       (5) an assurance that any school-based mental health 
     services provider, including any provider offering telehealth 
     services, provides services in a manner consistent with 
     section 444 of the General Education Provisions Act (20 
     U.S.C. 1232g; commonly known as the ``Family Educational 
     Rights and Privacy Act of 1974'') and the Individuals with 
     Disabilities Education Act (20 U.S.C. 1400 et seq.), as well 
     as all applicable Federal, State, and local laws.
       (d) Use of Funds.--
       (1) Recruiting, hiring, and retaining school-based mental 
     health services providers.--A high-need local educational 
     agency that receives a grant under subsection (b)(1) shall 
     use such funds to carry out 1 or more of the following:
       (A) Implementing strategies to recruit school-based mental 
     health services providers in schools served by high-need 
     local educational agencies to help mitigate shortages of such 
     providers, such as--
       (i) salary stipends or other financial incentives;
       (ii) relocation benefits; and
       (iii) opportunities for continuing professional 
     development.
       (B) Hiring school-based mental health services providers 
     to--
       (i) provide school-based mental health services to students 
     enrolled in schools served by high-need local educational 
     agencies; and
       (ii) implement evidence-based practices to improve school 
     climate to support positive student mental health.
       (C) Implementing strategies to retain school-based mental 
     health services providers in schools served by high-need 
     local educational agencies, which may include providing--
       (i) incentives described in subparagraph (A); and
       (ii) ongoing professional development, induction, 
     mentorship, or peer support for school-based mental health 
     services providers.
       (2) Additional uses.--In addition to the activities 
     described in paragraph (1), a high-need local educational 
     agency that receives a grant under subsection (b)(1) may also 
     use such funds to increase the capacity of the high-need 
     local educational agency to address student needs described 
     in subsection (c)(1), through activities that may include--
       (A) providing professional development to school-based 
     mental health services providers, teachers, principals, other 
     school leaders, specialized instructional support personnel, 
     paraprofessionals, other staff employed by each high-need 
     local educational agency, and to the extent practicable, 
     families, related to--
       (i) meeting the needs of students at elevated risk of 
     suicide, mental health concerns, or substance use and misuse;
       (ii) implementation of evidence-based school-based mental 
     health services with high fidelity, including such services 
     related to--

       (I) prevention, early identification, and individualized 
     intervention;
       (II) addressing substance use and misuse; and
       (III) preventing and eliminating any existing stigma in 
     accessing such services;

       (iii) mitigating indirect or secondary trauma experienced 
     by staff employed by the high-need local educational agency 
     and implementing evidence-based programs to promote mental 
     health among such staff;
       (iv) supporting school-based mental health services 
     providers qualified to support students in languages other 
     than English and children with disabilities;
       (v) understanding when and how to refer a student to a 
     school-based mental health services provider;
       (vi) supporting the use of evidence-based practices to 
     address student mental health needs; and
       (vii) addressing chronic absenteeism;
       (B) supporting high-need local educational agencies in 
     billing and accessing reimbursements 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 the Social Security Act (42 U.S.C. 1397aa 
     et seq.); or
       (C) other activities that support the development and 
     implementation of innovative strategies to increase access to 
     school-based mental health services in schools served by 
     high-need local educational agencies, which may include 
     increasing access to school-based mental health services 
     provided through telehealth, including ensuring any services 
     provided through telehealth are accessible for children with 
     disabilities.
       (e) Disaggregation of Data.--Disaggregation of data shall 
     not be required under this section when the number is 
     insufficient to yield statistically reliable information or 
     the results would reveal personally identifiable information 
     about an individual.
       (f) Reporting Requirements.--
       (1) Reporting.--Each high-need local educational agency 
     that receives a grant under subsection (b)(1) shall submit a 
     report to the Secretary on an annual basis and publish such 
     report in a clear and easily accessible format on the website 
     of the high-need local educational agency. Such report shall 
     contain any information required by the Secretary and, at a 
     minimum, the following:
       (A) The number of school-based mental health services 
     providers employed by high-need local educational agencies 
     served under the grant and any increases from the prior year, 
     disaggregated by--
       (i) the number of each type of such providers who was 
     recruited, hired, or retained, with support under this grant; 
     and
       (ii) the demographics of such providers.
       (B) The ratio of students to school-based mental health 
     services providers in schools served by high-need local 
     educational agencies served under the grant and the extent to 
     which such ratio has decreased since the start of the grant 
     period.
       (C) The reduction in the annual attrition rate of school-
     based mental health services providers employed by high-need 
     local educational agencies served under the grant and the 
     extent to which such attrition rate has decreased since the 
     start of the grant period.
       (D) A description of the strategies used by high-need local 
     educational agencies served under the grant to implement 
     innovative evidenced-based strategies to increase access to 
     school-based mental health services and to improve school 
     climate for students enrolled in schools served by such 
     agencies.
       (2) Secretary's reports.--
       (A) In general.--Not later than 3 years after receiving the 
     reports described in paragraph (1), and every 2 years 
     thereafter, the Secretary shall submit a report to the 
     Committee on Health, Education, Labor, and Pensions of the 
     Senate and the Committee on Education and the Workforce of 
     the House of Representatives that--
       (i) includes a summary of the reports submitted by grant 
     recipients under paragraph (1);
       (ii) identifies effective practices related to the 
     activities supported by the grant program under this section; 
     and
       (iii) includes an analysis of whether the recipient carried 
     out its plan described in subsection (c)(3).
       (B) Publicly available.--Not later than 1 month after 
     submitting a report described in subparagraph (A), the 
     Secretary shall publish such report in a clear and easily 
     accessible format on the website of the Department of 
     Education.
       (g) Authorization of Appropriations.--There are authorized 
     to be appropriated to carry out this section such sums as may 
     be necessary for each of fiscal years 2025 through 2029.

     SEC. 1099E. RULE.

       The requirements of section 4001 of the Elementary and 
     Secondary Education Act of 1965 (20 U.S.C. 7101) shall apply 
     to an eligible institution, local educational agency, or 
     educational service agency receiving a grant under this 
     subtitle, or participating in a program that receives funds 
     under this subtitle, in the same manner as those requirements 
     apply to an entity receiving an award under title IV of such 
     Act.
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