[Congressional Record (Bound Edition), Volume 150 (2004), Part 11]
[Senate]
[Pages 14904-14907]
[From the U.S. Government Publishing Office, www.gpo.gov]




                     GARRETT LEE SMITH MEMORIAL ACT

  Mr. FRIST. Mr. President, I ask unanimous consent that the Senate 
proceed to the immediate consideration of S. 2634, introduced earlier 
today by Senators Dodd, DeWine, Reed, Smith, Reid, Daschle, and others.
  The PRESIDING OFFICER. The clerk will state the bill by title.
  The legislative clerk read as follows:

       A bill (S. 2634) to amend the Public Health Service Act to 
     support planning, implementation, and evaluation of organized 
     activities involving statewide youth suicide early 
     intervention and prevention strategies, to provide funds for 
     campus mental and behavioral health service centers.

  There being no objection, the Senate proceeded to consider the bill.
  Mr. FRIST. Mr. President, I ask unanimous consent that the bill be 
read the third time and passed, the motion to reconsider be laid upon 
the table, and that any statements relating to the bill be printed in 
the Record.
  The PRESIDING OFFICER. Without objection, it is so ordered.
  The bill (S. 2634) was read the third time and passed, as follows:

                                S. 2634

       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 ``Garrett Lee Smith Memorial 
     Act''.

     SEC. 2. FINDINGS.

       Congress makes the following findings:
       (1) More children and young adults die from suicide each 
     year than from cancer,

[[Page 14905]]

     heart disease, AIDS, birth defects, stroke, and chronic lung 
     disease combined.
       (2) Over 4,000 children and young adults tragically take 
     their lives every year, making suicide the third overall 
     cause of death between the ages of 10 and 24. According to 
     the Centers for Disease Control and Prevention suicide is the 
     third overall cause of death among college-age students.
       (3) According to the National Center for Injury Prevention 
     and Control of the Centers for Disease Control and 
     Prevention, children and young adults accounted for 15 
     percent of all suicides completed in 2000.
       (4) From 1952 to 1995, the rate of suicide in children and 
     young adults has tripled.
       (5) From 1980 to 1997, the rate of suicide among young 
     adults ages 15 to 19 increased 11 percent.
       (6) From 1980 to 1997, the rate of suicide among children 
     ages 10 to 14 increased 109 percent.
       (7) According to the National Center of Health Statistics, 
     suicide rates among Native Americans range from 1.5 to 3 
     times the national average for other groups, with young 
     people ages 15 to 34 making up 64 percent of all suicides.
       (8) Congress has recognized that youth suicide is a public 
     health tragedy linked to underlying mental health problems 
     and that youth suicide early intervention and prevention 
     activities are national priorities.
       (9) Youth suicide early intervention and prevention have 
     been listed as urgent public health priorities by the 
     President's New Freedom Commission in Mental Health (2002), 
     the Institute of Medicine's Reducing Suicide: A National 
     Imperative (2002), the National Strategy for Suicide 
     Prevention: Goals and Objectives for Action (2001), and the 
     Surgeon General's Call to Action To Prevent Suicide (1999).
       (10) Many States have already developed comprehensive 
     Statewide youth suicide early intervention and prevention 
     strategies that seek to provide effective early intervention 
     and prevention services.
       (11) In a recent report, a startling 85 percent of college 
     counseling centers revealed an increase in the number of 
     students they see with psychological problems. Furthermore, 
     the American College Health Association found that 61 percent 
     of college students reported feeling hopeless, 45 percent 
     said they felt so depressed they could barely function, and 9 
     percent felt suicidal.
       (12) There is clear evidence of an increased incidence of 
     depression among college students. According to a survey 
     described in the Chronicle of Higher Education (February 1, 
     2002), depression among freshmen has nearly doubled (from 8.2 
     percent to 16.3 percent). Without treatment, researchers 
     recently noted that ``depressed adolescents are at risk for 
     school failure, social isolation, promiscuity, self 
     medication with drugs and alcohol, and suicide--now the third 
     leading cause of death among 10-24 year olds.''.
       (13) Researchers who conducted the study ``Changes in 
     Counseling Center Client Problems Across 13 Years'' (1989-
     2001) at Kansas State University stated that ``students are 
     experiencing more stress, more anxiety, more depression than 
     they were a decade ago.'' (The Chronicle of Higher Education, 
     February 14, 2003).
       (14) According to the 2001 National Household Survey on 
     Drug Abuse, 20 percent of full-time undergraduate college 
     students use illicit drugs.
       (15) The 2001 National Household Survey on Drug Abuse also 
     reported that 18.4 percent of adults aged 18 to 24 are 
     dependent on or abusing illicit drugs or alcohol. In 
     addition, the study found that ``serious mental illness is 
     highly correlated with substance dependence or abuse. Among 
     adults with serious mental illness in 2001, 20.3 percent were 
     dependent on or abused alcohol or illicit drugs, while the 
     rate among adults without serious mental illness was only 6.3 
     percent.''.
       (16) A 2003 Gallagher's Survey of Counseling Center 
     Directors found that 81 percent were concerned about the 
     increasing number of students with more serious psychological 
     problems, 67 percent reported a need for more psychiatric 
     services, and 63 percent reported problems with growing 
     demand for services without an appropriate increase in 
     resources.
       (17) The International Association of Counseling Services 
     accreditation standards recommend 1 counselor per 1,000 to 
     1,500 students. According to the 2003 Gallagher's Survey of 
     Counseling Center Directors, the ratio of counselors to 
     students is as high as 1 counselor per 2,400 students at 
     institutions of higher education with more than 15,000 
     students.

     SEC. 3. AMENDMENT TO THE PUBLIC HEALTH SERVICES ACT.

       Title V of the Public Health Service Act (42 U.S.C. 290aa 
     et seq) is amended--
       (1) in section 520E (42 U.S.C. 290bb-36)--
       (A) in the section heading by striking ``CHILDREN AND 
     ADOLESCENTS'' and inserting ``YOUTH'';
       (B) by striking subsection (a) and inserting the following:
       ``(a) In General.--The Secretary shall award grants or 
     cooperative agreements to public organizations, private 
     nonprofit organizations, political subdivisions, and 
     Federally recognized Indian tribes or tribal organizations to 
     implement the State-sponsored statewide or tribal youth 
     suicide early intervention and prevention strategy as 
     developed under section 596A.'';
       (C) in subsection (b), by striking all after 
     ``coordinated'' and inserting ``with the Strategy for Suicide 
     Prevention Federal Steering Group and the suicide prevention 
     resource center provided for under section 596B.'';
       (D) in subsection (c)--
       (i) in the matter preceding paragraph (1), by striking ``A 
     State'' and all that follows through ``desiring'' and 
     inserting ``A public organization, private nonprofit 
     organization, political subdivision, and Federally recognized 
     Indian tribes or tribal organization desiring'';
       (ii) by redesignating paragraphs (1) through (9) as 
     paragraphs (2) through (10), respectively;
       (iii) by inserting before paragraph (2) (as so 
     redesignated), the following:
       ``(1) comply with the State-sponsored statewide early 
     intervention and prevention strategy as developed under 
     section 596A;'';
       (iv) in paragraph (2) (as so redesignated), by striking 
     ``children and adolescents'' and inserting ``youth'';
       (v) in paragraph (3) (as so redesignated), by striking 
     ``best evidence-based,'';
       (vi) in paragraph (4) (as so redesignated), by striking 
     ``primary'' and all that follows and inserting ``general, 
     mental, and behavioral health services, and substance abuse 
     services;'';
       (vii) in paragraph (5) (as so redesignated), by striking 
     ``children and'' and all that follows and inserting ``youth 
     including the school systems, educational institutions, 
     juvenile justice system, substance abuse programs, mental 
     health programs, foster care systems, and community child and 
     youth support organizations;'';
       (viii) by striking paragraph (8) (as so redesignated), and 
     inserting the following:
       ``(8) offer access to services and care to youth with 
     diverse linguistic and cultural backgrounds;''; and
       (ix) by striking paragraph (9) (as so redesignated), and 
     inserting the following:
       ``(9) conduct annual self-evaluations of outcomes and 
     activities, including consulting with interested families and 
     advocacy organizations;'';
       (E) by striking subsection (d) and inserting the following:
       ``(d) Use of Funds.--Amounts provided under a grant or 
     cooperative agreement 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. Applicants shall provide financial information to 
     demonstrate compliance with this section.'';
       (F) in subsection (e)--
       (i) by striking ``contract,''; and
       (ii) by inserting after ``Secretary that the'' the 
     following: ``application complies with the State-sponsored 
     statewide early intervention and prevention strategy as 
     developed under section 596A and'';
       (G) in subsection (f), by striking ``contracts,'';
       (H) in subsection (g)--
       (i) by striking ``A State'' and all that follows through 
     ``organization receiving'' and inserting ``A public 
     organization, private nonprofit organization, political 
     subdivision, and Federally recognized Indian tribes or tribal 
     organization receiving''; and
       (ii) by striking ``contract,'' each place that such 
     appears;
       (I) in subsection (h), by striking ``contracts,'';
       (J) in subsection (i)--
       (i) by striking ``A State'' and all that follows through 
     ``organization receiving'' and inserting ``A public 
     organization, private nonprofit organization, political 
     subdivision, and Federally recognized Indian tribes or tribal 
     organization receiving''; and
       (ii) by striking ``contract,'';
       (K) in subsection (k), by striking ``5 years'' and 
     inserting ``3 years'';
       (L) in subsection (l)(2), by striking ``21'' and inserting 
     ``24''; and
       (M) in subsection (m)--
       (i) by striking ``Appropriation.--'' and all that follows 
     through ``For'' in paragraph (1) and inserting 
     ``Appropriation.--For''; and
       (ii) by striking paragraph (2);
       (2) by inserting after part I (42 U.S.C. 290jj et seq), the 
     following:

         ``PART J--SUICIDE EARLY INTERVENTION AND PREVENTION'';

       (3) by redesignating section 520E (42 U.S.C. 290bb-36), as 
     amended by paragraph (1), as section 596 and transferring 
     such section to part J (as added by paragraph (2)); and
       (4) by adding at the end of part J (as added by paragraph 
     (2) and amended by paragraph (3)), the following:

     ``SEC. 596A. YOUTH SUICIDE EARLY INTERVENTION AND PREVENTION 
                   STRATEGIES, TRAINING, AND TECHNICAL ASSISTANCE.

       ``(a) Youth Suicide Early Intervention and Prevention 
     Strategies.--
       ``(1) In general.--The Secretary acting through the 
     Administrator of the Substance Abuse and Mental Health 
     Services Administration, shall award grants or cooperative 
     agreements to eligible entities to--
       ``(A) develop and implement State-sponsored statewide or 
     tribal youth suicide early intervention and prevention 
     strategies in schools, educational institutions, juvenile

[[Page 14906]]

     justice systems, substance abuse programs, mental health 
     programs, foster care systems, and other child and youth 
     support organizations;
       ``(B) support public organizations and private nonprofit 
     organizations actively involved in State-sponsored statewide 
     or tribal youth suicide early intervention and prevention 
     strategies and in the development and continuation of State-
     sponsored statewide youth suicide early intervention and 
     prevention strategies;
       ``(C) collect and analyze data on State-sponsored statewide 
     or tribal youth suicide early intervention and prevention 
     services that can be used to monitor the effectiveness of 
     such services and for research, technical assistance, and 
     policy development; and
       ``(D) assist eligible entities, through State-sponsored 
     statewide or tribal youth suicide early intervention and 
     prevention strategies, in achieving targets for youth suicide 
     reductions under title V of the Social Security Act (42 
     U.S.C. 701 et seq.).
       ``(2) Eligible entity.--
       ``(A) Definition.--In this subsection, the term `eligible 
     entity' means--
       ``(i) a State;
       ``(ii) a public organization or private nonprofit 
     organization designated by a State to develop or direct the 
     State-sponsored statewide youth suicide early intervention 
     and prevention strategy; and
       ``(iii) a Federally-recognized Indian tribe or tribal 
     organization (as defined in the Indian Self-Determination and 
     Education Assistance Act) or an urban Indian organization (as 
     defined in the Indian Health Care Improvement Act) that is 
     actively involved in the development and continuation of a 
     tribal youth suicide early intervention and prevention 
     strategy.
       ``(B) Preference.--In awarding grants and cooperative 
     agreements under this section, the Secretary shall give 
     preference to States that have rates of youth suicide that 
     significantly exceed the national average as determined by 
     the Centers for Disease Control and Prevention.
       ``(C) Limitation.--In carrying out this section, the 
     Secretary shall ensure that each State is awarded only one 
     grant or cooperative agreement under this section. For 
     purposes of the preceding sentence, a State shall be 
     considered to have been awarded a grant or cooperative 
     agreement if the eligible entity involved is the State or an 
     entity designated by the State under subparagraph (A)(ii). 
     Nothing in this subparagraph shall be construed to apply to 
     entities described in subparagraph (A)(iii).
       ``(3) Preference.--In providing assistance under a grant or 
     cooperative agreement under this subsection, an eligible 
     entity shall give preference to public organizations, private 
     nonprofit organizations, political subdivisions, and tribal 
     organizations actively involved with the State-sponsored 
     statewide or tribal youth suicide early intervention and 
     prevention strategy that--
       ``(A) provide early intervention and assessment services, 
     including screening programs, to youth who are at risk for 
     mental or emotional disorders that may lead to a suicide 
     attempt, and that are integrated with, school systems, 
     educational institutions, juvenile justice systems, substance 
     abuse programs, mental health programs, foster care systems, 
     and other child and youth support organizations;
       ``(B) demonstrate collaboration among early intervention 
     and prevention services or certify that entities will engage 
     in future collaboration;
       ``(C) employ or include in their applications a commitment 
     to evaluate youth suicide early intervention and prevention 
     practices and strategies adapted to the local community;
       ``(D) provide timely referrals for appropriate community-
     based mental health care and treatment of youth who are at 
     risk for suicide in child-serving settings and agencies;
       ``(E) provide immediate support and information resources 
     to families of youth who are at risk for suicide;
       ``(F) offer access to services and care to youth with 
     diverse linguistic and cultural backgrounds;
       ``(G) offer appropriate post-suicide intervention services, 
     care, and information to families, friends, schools, 
     educational institutions, juvenile justice systems, substance 
     abuse programs, mental health programs, foster care systems, 
     and other child and youth support organizations of youth who 
     recently completed suicide;
       ``(H) offer continuous and up-to-date information and 
     awareness campaigns that target parents, family members, 
     child care professionals, community care providers, and the 
     general public and highlight the risk factors associated with 
     youth suicide and the life-saving help and care available 
     from early intervention and prevention services;
       ``(I) ensure that information and awareness campaigns on 
     youth suicide risk factors, and early intervention and 
     prevention services, use effective communication mechanisms 
     that are targeted to and reach youth, families, schools, 
     educational institutions, and youth organizations;
       ``(J) provide a timely response system to ensure that 
     child-serving professionals and providers are properly 
     trained in youth suicide early intervention and prevention 
     strategies and that child-serving professionals and providers 
     involved in early intervention and prevention services are 
     properly trained in effectively identifying youth who are at 
     risk for suicide;
       ``(K) provide continuous training activities for child care 
     professionals and community care providers on the latest 
     youth suicide early intervention and prevention services 
     practices and strategies;
       ``(L) conduct annual self-evaluations of outcomes and 
     activities, including consulting with interested families and 
     advocacy organizations; and
       ``(M) provide services in areas or regions with rates of 
     youth suicide that exceed the national average as determined 
     by the Centers for Disease Control and Prevention.
       ``(4) Requirement for direct services.--Not less than 85 
     percent of grant funds received under this subsection shall 
     be used to provide direct services.
       ``(b) Suicide Prevention Resource Center; Training and 
     Technical Assistance.--
       ``(1) Operation of center.--The Secretary, acting through 
     the Administrator of the Substance Abuse and Mental Health 
     Services Administration and in consultation with the National 
     Strategy for Suicide Prevention Federal Steering Group, shall 
     award a competitive grant or contract to a public or private 
     nonprofit entity for the establishment of a Suicide 
     Prevention Resource Center to carry out the activities 
     described in paragraph (3).
       ``(2) Application.--To be eligible for a grant or contract 
     under paragraph (1), an entity shall prepare and submit to 
     the Secretary an application at such time, in such manner, 
     and containing such information as the Secretary may require.
       ``(3) Authorized activities.--The Suicide Prevention 
     Resource Center shall provide appropriate information, 
     training, and technical assistance to States, political 
     subdivisions of a State, Federally recognized Indian tribes, 
     tribal organizations, public organizations, or private 
     nonprofit organizations for--
       ``(A) the development or continuation of statewide or 
     tribal youth suicide early intervention and prevention 
     strategies;
       ``(B) ensuring the surveillance of youth suicide early 
     intervention and prevention strategies;
       ``(C) studying the costs and effectiveness of statewide 
     youth suicide early intervention and prevention strategies in 
     order to provide information concerning relevant issues of 
     importance to State, tribal, and national policymakers;
       ``(D) further identifying and understanding causes and 
     associated risk factors for youth suicide;
       ``(E) analyzing the efficacy of new and existing youth 
     suicide early intervention techniques and technology;
       ``(F) ensuring the surveillance of suicidal behaviors and 
     nonfatal suicidal attempts;
       ``(G) studying the effectiveness of State-sponsored 
     statewide and tribal youth suicide early intervention and 
     prevention strategies on the overall wellness and health 
     promotion strategies related to suicide attempts;
       ``(H) promoting the sharing of data regarding youth suicide 
     with Federal agencies involved with youth suicide early 
     intervention and prevention, and State-sponsored statewide or 
     tribal youth suicide early intervention and prevention 
     strategies for the purpose of identifying previously unknown 
     mental health causes and associated risk-factors for suicide 
     in youth; and
       ``(I) other activities determined appropriate by the 
     Secretary.
       ``(5) Authorization of appropriations.--There is authorized 
     to be appropriated to carry out this subsection, $3,000,000 
     for fiscal year 2005, $4,000,000 for fiscal year 2006, and 
     $5,000,000 for fiscal year 2007.
       ``(c) Coordination and Collaboration.--
       ``(1) In general.--In carrying out this section, the 
     Secretary shall collaborate with the National Strategy for 
     Suicide Prevention Federal Steering Group and other Federal 
     agencies responsible for early intervention and prevention 
     services relating to youth suicide.
       ``(2) Consultation.--In carrying out this section, the 
     Secretary shall consult with--
       ``(A) State and local agencies, including agencies 
     responsible for early intervention and prevention services 
     under title XIX of the Social Security Act (42 U.S.C. 1396 et 
     seq.), the State Children's Health Insurance Program under 
     title XXI of the Social Security Act (42 U.S.C. 1397aa et 
     seq.), programs funded by grants under title V of the Social 
     Security Act (42 U.S.C. 701 et seq.), and programs under part 
     C of the Individuals with Disabilities Education Act (20 
     U.S.C. 1431 et seq.);
       ``(B) local and national organizations that serve youth at 
     risk for suicide and their families;
       ``(C) relevant national medical and other health and 
     education specialty organizations;
       ``(D) youth who are at risk for suicide, who have survived 
     suicide attempts, or who are currently receiving care from 
     early intervention services;
       ``(E) families and friends of youth who are at risk for 
     suicide, who have survived suicide attempts, who are 
     currently receiving care

[[Page 14907]]

     from early intervention and prevention services, or who have 
     completed suicide;
       ``(F) qualified professionals who possess the specialized 
     knowledge, skills, experience, and relevant attributes needed 
     to serve youth at risk for suicide and their families; and
       ``(G) third-party payers, managed care organizations, and 
     related commercial industries.
       ``(3) Policy development.--The Secretary shall--
       ``(A) coordinate and collaborate on policy development at 
     the Federal level with the National Strategy for Suicide 
     Prevention Federal Steering Group; and
       ``(B) consult on policy development at the Federal level 
     with the private sector, including consumer, medical, suicide 
     prevention advocacy groups, and other health and education 
     professional-based organizations, with respect to State-
     sponsored statewide or tribal youth suicide early 
     intervention and prevention strategies.
       ``(d) Rule of Construction; Religious Accommodation.--
     Nothing in this section shall be construed to preempt any 
     State law, including any State law that does not require the 
     suicide early intervention for youth whose parents or legal 
     guardians object to such early intervention based on the 
     parents' or legal guardians' religious beliefs.
       ``(e) Evaluations and report.--
       ``(1) Evaluations by eligible entities.--Not later than 18 
     months after receiving a grant or cooperative agreement under 
     subsection (a), an eligible entity shall submit to the 
     Secretary the results of an evaluation to be conducted by the 
     entity concerning the effectiveness of the activities carried 
     out under the grant or agreement.
       ``(2) Report.--Not later than 2 years after the date of 
     enactment of this section, the Secretary shall submit to the 
     appropriate committees of Congress a report concerning the 
     results of--
       ``(A) the evaluations conducted under paragraph (1); and
       ``(B) an evaluation conducted by the Secretary to analyze 
     the effectiveness and efficacy of the activities conducted 
     with grants, collaborations, and consultations under this 
     section.
       ``(f) Authorization of Appropriations.--For the purpose of 
     carrying out subsection (a), there are authorized to be 
     appropriated $7,000,000 for fiscal year 2005, $16,000,000 for 
     fiscal year 2006, $25,000,000 for fiscal year 2007, and such 
     sums as may be necessary for each of fiscal years 2008 and 
     2009.

     ``SEC. 596B. MENTAL AND BEHAVIORAL HEALTH SERVICES ON CAMPUS.

       ``(a) Purpose.--It is the purpose of this section to 
     increase access to, and enhance the range of, services for 
     students with mental and behavioral health problems that can 
     lead to school failure, such as depression, substance abuse, 
     and suicide attempts, so as to ensure that college students 
     have the support necessary to successfully complete their 
     studies.
       ``(b) Program Authorized.--From funds appropriated under 
     subsection (j), the Secretary shall award competitive grants 
     to institutions of higher education to create or expand 
     mental and behavioral health services to students at such 
     institutions, to provide such services, and to develop best 
     practices for the delivery of such services. Such grants 
     shall, subject to the availability of such appropriations, be 
     for a period of 3 years.
       ``(c) Eligible Grant Recipients.--Any institution of higher 
     education that seeks to provide, or provides, mental and 
     behavioral health services to students is eligible to apply 
     for a grant under this section. Services may be provided at--
       ``(1) college counseling centers;
       ``(2) college and university psychological service centers;
       ``(3) mental health centers;
       ``(4) psychology training clinics; and
       ``(5) institution of higher education supported, evidence-
     based, mental health and substance abuse screening programs.
       ``(d) Applications.--Each institution of higher education 
     seeking to obtain a grant under this section shall submit an 
     application to the Secretary. Each such application shall 
     include--
       ``(1) a description of identified mental and behavioral 
     health needs of students at the institution of higher 
     education;
       ``(2) a description of currently available Federal, State, 
     local, private, and institutional resources to address the 
     needs described in paragraph (1) at the institution of higher 
     education;
       ``(3) an outline of program objectives and anticipated 
     program outcomes, including an explanation of how the 
     treatment provider at the institution of higher education 
     will coordinate activities under this section with existing 
     programs and services;
       ``(4) the anticipated impact of funds provided under this 
     section in improving the mental and behavioral health of 
     students attending the institution of higher education;
       ``(5) outreach strategies, including ways in which the 
     treatment provider at the institution of higher education 
     proposes to reach students, promote access to services, and 
     address the range of needs of students;
       ``(6) a proposed plan for reaching those students most in 
     need of services;
       ``(7) a plan to evaluate program outcomes and assess the 
     services provided with funds under this section;
       ``(8) financial information concerning the applicant to 
     demonstrate compliance with subsection (h); and
       ``(9) such additional information as is required by the 
     Secretary.
       ``(e) Peer Review of Applications.--The Secretary, in 
     consultation with the Secretary of Education, shall provide 
     the applications submitted under this section to a peer 
     review panel for evaluation. With respect to each 
     application, the peer review panel shall recommend the 
     application for funding or for disapproval.
       ``(f) Use of Funds.--Funds provided by a grant under this 
     section may be used for 1 or more of the following 
     activities:
       ``(1) Prevention, screening, early intervention, 
     assessment, treatment, management, and education of mental 
     and behavioral health problems that can lead to school 
     failure, such as depression, substance abuse, and suicide 
     attempts by students enrolled at the institution of higher 
     education.
       ``(2) Education of families to increase awareness of 
     potential mental and behavioral health issues of students 
     enrolled at the institution of higher education.
       ``(3) Hiring staff trained to identify and treat mental and 
     behavioral health problems, including residents and interns 
     such as those in psychological doctoral and post doctoral 
     programs.
       ``(4) Evaluating and disseminating outcomes and best 
     practices of mental and behavioral health services.
       ``(g) Additional required elements.--Each institution of 
     higher education that receives a grant under this section 
     shall--
       ``(1) provide annual reports to the Secretary describing 
     the use of funds, the program's objectives, and how the 
     objectives were met, including a description of program 
     outcomes;
       ``(2) perform such additional evaluations as the Secretary 
     may require, which may include--
       ``(A) increases in range of services provided;
       ``(B) increases in the quality of services provided;
       ``(C) increases in access to services;
       ``(D) college continuation rates;
       ``(E) decreases in college dropout rates;
       ``(F) increases in college graduation rates; and
       ``(G) accepted and valid measurements and assessments of 
     improved mental health functionality; and
       ``(3) coordinate such institution's program under this 
     section with other related efforts on campus by entities 
     concerned with the general mental and behavioral health needs 
     of students.
       ``(h) Supplement not Supplant.--Grant 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. Grantees shall provide 
     financial information to demonstrate compliance with this 
     subsection.
       ``(i) Requirement for Direct Services and Limitations.--
       ``(1) Direct services.--Not less than 75 percent of grant 
     funds received under this section shall be used to provide 
     direct services.
       ``(2) Administrative costs.--Not more than 5 percent of 
     grant funds received under this section shall be used for 
     administrative costs.
       ``(3) Prohibition on use for construction or renovation.--
     Grant funds received under this section shall not be used for 
     construction or renovation of facilities or buildings.
       ``(j) Authorization of Appropriations.--There are 
     authorized to be appropriated for grants under this section, 
     $5,000,000 for fiscal year 2005, $7,000,000 for fiscal year 
     2006, $10,000,000 for fiscal year 2007, and such sums as may 
     be necessary for each fiscal years 2008 and 2009.

     ``SEC. 596C. DEFINITIONS.

       ``In this part:
       ``(1) Early intervention.--The term `early intervention' 
     means a strategy or approach that is intended to prevent an 
     outcome or to alter the course of an existing condition.
       ``(2) Educational institution; institution of higher 
     education; school.--The term--
       ``(A) `educational institution' means a school or 
     institution of higher education;
       ``(B) `institution of higher education' has the meaning 
     given such term in section 101 of the Higher Education Act of 
     1965; and
       ``(C) `school' means an elementary or secondary school (as 
     such terms are defined in section 901 of the Elementary and 
     Secondary Education Act of 1965).
       ``(3) Prevention.--The term `prevention' means a strategy 
     or approach that reduces the likelihood or risk of onset, or 
     delays the onset, of adverse health problems.
       ``(4) Youth.--The term `youth' means individuals who are 
     between 6 and 24 years of age.''.

                          ____________________