[House Report 117-213]
[From the U.S. Government Publishing Office]


117th Congress }                                          { Report
                        HOUSE OF REPRESENTATIVES
 1st Session   }                                          { 117-213

======================================================================
 
         DR. LORNA BREEN HEALTH CARE PROVIDER PROTECTION ACT

                                _______
                                

December 8, 2021.--Committed to the Committee of the Whole House on the 
              State of the Union and ordered to be printed

                                _______
                                

 Mr. Pallone, from the Committee on Energy and Commerce, submitted the 
                               following

                              R E P O R T

                        [To accompany H.R. 1667]

    The Committee on Energy and Commerce, to whom was referred 
the bill (H.R. 1667) to address behavioral health and well-
being among health care professionals, having considered the 
same, reports favorably thereon with an amendment and 
recommends that the bill as amended do pass.

                                CONTENTS

                                                                   Page
  I. Purpose and Summary..............................................3
 II. Background and Need for the Legislation..........................4
III. Committee Hearings...............................................5
 IV. Committee Consideration..........................................5
  V. Committee Votes..................................................5
 VI. Oversight Findings...............................................6
VII. New Budget Authority, Entitlement Authority, and Tax Expenditures6
VIII.Federal Mandates Statement.......................................6

 IX. Statement of General Performance Goals and Objectives............6
  X. Duplication of Federal Programs..................................6
 XI. Committee Cost Estimate..........................................6
XII. Earmarks, Limited Tax Benefits, and Limited Tariff Benefits......6
XIII.Advisory Committee Statement.....................................7

XIV. Applicability to Legislative Branch..............................7
 XV. Section-by-Section Analysis of the Legislation...................7
XVI. Changes in Existing Law Made by the Bill, as Reported............9

    The amendment is as follows:
  Strike all after the enacting clause and insert the 
following:

SECTION 1. SHORT TITLE.

  This Act may be cited as the ``Dr. Lorna Breen Health Care Provider 
Protection Act''.

SEC. 2. DISSEMINATION OF BEST PRACTICES.

  Not later than 2 years after the date of the enactment of this Act, 
the Secretary of Health and Human Services (referred to in this Act as 
the ``Secretary'') shall identify and disseminate evidence-based or 
evidence-informed best practices for preventing suicide and improving 
mental health and resiliency among health care professionals, and for 
training health care professionals in appropriate strategies to promote 
their mental health. Such best practices shall include recommendations 
related to preventing suicide and improving mental health and 
resiliency among health care professionals.

SEC. 3. EDUCATION AND AWARENESS INITIATIVE ENCOURAGING USE OF MENTAL 
                    HEALTH AND SUBSTANCE USE DISORDER SERVICES BY 
                    HEALTH CARE PROFESSIONALS.

  (a) In General.--The Secretary, in consultation with relevant 
stakeholders, including medical professional associations, shall 
establish a national evidence-based or evidence-informed education and 
awareness initiative--
          (1) to encourage health care professionals to seek support 
        and care for their mental health or substance use concerns, to 
        help such professionals identify risk factors associated with 
        suicide and mental health conditions, and to help such 
        professionals learn how best to respond to such risks, with the 
        goal of preventing suicide, mental health conditions, and 
        substance use disorders; and
          (2) to address stigma associated with seeking mental health 
        and substance use disorder services.
  (b) Reporting.--Not later than 2 years after the date of enactment of 
this Act, the Secretary shall provide to the Committee on Health, 
Education, Labor, and Pensions of the Senate and the Committee on 
Energy and Commerce of the House of Representatives an update on the 
activities and outcomes of the initiative under subsection (a), 
including a description of quantitative and qualitative metrics used to 
evaluate such activities and outcomes.
  (c) Authorization of Appropriations.--To carry out this section, 
there are authorized to be appropriated $10,000,000 for each of fiscal 
years 2022 through 2024.

SEC. 4. PROGRAMS TO PROMOTE MENTAL HEALTH AMONG THE HEALTH PROFESSIONAL 
                    WORKFORCE.

  Subpart I of part E of title VII of the Public Health Service Act (42 
U.S.C.. 294n et seq.) is amended by adding at the end the following:

``SEC. 764. PROGRAMS TO PROMOTE MENTAL HEALTH AMONG THE HEALTH 
                    PROFESSIONAL WORKFORCE.

  ``(a) Programs to Promote Mental Health Among Health Care 
Professionals.--
          ``(1) In general.--The Secretary shall award grants or 
        contracts to health care entities, including entities that 
        provide health care services, such as hospitals, community 
        health centers, and rural health clinics, or to medical 
        professional associations, to establish or enhance evidence-
        based or evidence-informed programs dedicated to improving 
        mental health and resiliency for health care professionals.
          ``(2) Use of funds.--An eligible entity receiving a grant or 
        contract under this subsection shall use funds received through 
        the grant or contract to implement a new program or enhance an 
        existing program to promote mental health among health care 
        professionals, which may include--
                  ``(A) improving awareness among health care 
                professionals about risk factors for, and signs of, 
                suicide and mental health or substance use disorders, 
                in accordance with evidence-based or evidence-informed 
                practices;
                  ``(B) establishing new, or enhancing existing, 
                evidence-based or evidence-informed programs for 
                preventing suicide and improving mental health and 
                resiliency among health care professionals;
                  ``(C) establishing new, or enhancing existing, peer-
                support programs among health care professionals; or
                  ``(D) providing mental health care, follow-up 
                services and care, or referral for such services and 
                care, as appropriate.
          ``(3) Priority.--In awarding grants and contracts under this 
        subsection, the Secretary shall give priority to eligible 
        entities in health professional shortage areas or rural areas.
  ``(b) Training Grants.--The Secretary may establish a program to 
award grants to health professions schools, academic health centers, 
State or local governments, Indian Tribes or Tribal organizations, or 
other appropriate public or private nonprofit entities (or consortia of 
entities, including entities promoting multidisciplinary approaches) to 
support the training of health care students, residents, or health care 
professionals in evidence-based or evidence-informed strategies to 
address mental and substance use disorders and improve mental health 
and resiliency among health care professionals.
  ``(c) Grant Terms.--A grant or contract awarded under subsection (a) 
or (b) shall be for a period of 3 years.
  ``(d) Application Submission.--An entity seeking a grant or contract 
under subsection (a) or (b) shall submit an application to the 
Secretary at such time, in such manner, and accompanied by such 
information as the Secretary may require.
  ``(e) Reporting.--An entity awarded a grant or contract under 
subsection (a) or (b) shall periodically submit to the Secretary a 
report evaluating the activities supported by the grant or contract.
  ``(f) Authorization of Appropriations.--To carry out this section and 
section 5 of the Dr. Lorna Breen Health Care Provider Protection Act, 
there are authorized to be appropriated $35,000,000 for each of fiscal 
years 2022 through 2024.''.

SEC. 5. REVIEW WITH RESPECT TO HEALTH CARE PROFESSIONAL MENTAL HEALTH 
                    AND RESILIENCY.

  (a) In General.--Not later than 3 years after the date of enactment 
of this Act, the Secretary, in consultation with relevant stakeholders, 
shall--
          (1) conduct a review on improving health care professional 
        mental health and the outcomes of programs authorized under 
        this Act; and
          (2) submit a report to the Congress on the results of such 
        review.
  (b) Considerations.--The review under subsection (a) shall take into 
account--
          (1) the prevalence and severity of mental health conditions 
        among health professionals, and factors that contribute to 
        those mental health conditions;
          (2) barriers to seeking and accessing mental health care for 
        health care professionals, which may include consideration of 
        stigma and licensing concerns, and actions taken by State 
        licensing boards, schools for health professionals, health care 
        professional training associations, hospital associations, or 
        other organizations, as appropriate, to address such barriers;
          (3) the impact of the COVID-19 public health emergency on the 
        mental health of health care professionals and lessons learned 
        for future public health emergencies;
          (4) factors that promote mental health and resiliency among 
        health care professionals, including programs or strategies to 
        strengthen mental health and resiliency among health care 
        professionals; and
          (5) the efficacy of health professional training programs 
        that promote resiliency and improve mental health.
  (c) Recommendations.--The review under subsection (a), as 
appropriate, shall identify best practices related to, and make 
recommendations to address--
          (1) improving mental health and resiliency among health care 
        professionals;
          (2) removing barriers to mental health care for health care 
        professionals; and
          (3) strategies to promote resiliency among health care 
        professionals in health care settings.

SEC. 6. GAO REPORT.

  Not later than 4 years after the date of enactment of this Act, the 
Comptroller General of the United States shall submit to the Congress a 
report on the extent to which Federal substance use disorder and mental 
health grant programs address the prevalence and severity of mental 
health conditions and substance use disorders among health 
professionals. Such report shall--
          (1) include an analysis of available evidence and data 
        related to such conditions and programs; and
          (2) assess whether there are duplicative goals and objectives 
        among such grant programs.

                         I. Purpose and Summary

    H.R. 1667, the ``Dr. Lorna Breen Health Care Provider 
Protection Act,'' requires the Department of Health and Human 
Services (HHS) to establish grant programs and conduct 
activities intended to address the behavioral health and well-
being among health care professionals. Among other things, HHS 
would be required to award grants for relevant mental and 
behavioral health training for health care students, residents, 
or professionals and to support mental health and behavioral 
health needs among health care providers; conduct a campaign to 
encourage health care providers to seek support and treatment 
for mental and behavioral health concerns; and disseminate best 
practices to prevent suicide and improve mental health and 
resiliency among health care providers. The legislation also 
requires HHS to study, develop, and submit policy 
recommendations to Congress on policies to improve health care 
professional mental health and prevent burnout. Finally, the 
legislation requires a Government Accountability Office (GAO) 
study on how federal substance use disorder (SUD) and mental 
health grant programs address mental health conditions and SUDs 
among health care professionals and identify any duplication of 
work amongst agencies.

                II. Background and Need for Legislation

    The coronavirus disease of 2019 (COVID-19) pandemic has 
compounded the stress and burnout experienced by health care 
workers working in an already emotionally demanding field.\1\ A 
recent American Medical Association survey of over 20,000 
medical professionals found that 38 percent of respondents were 
experiencing anxiety and depression, and 49 percent had 
burnout.\2\ Another survey from the Kaiser Family Foundation 
and the Washington Post found that a majority of frontline 
health care workers (62 percent) say that worry or stress 
related to COVID-19 had a negative impact on their mental 
health.\3\ The same survey found that only 13 percent of health 
care workers reported receiving mental health services. An 
additional 18 percent surveyed said that although they thought 
they needed them, they did not seek out these services, citing 
busy schedules, embarrassment or fear, professional 
repercussions and financial concerns.\4\
---------------------------------------------------------------------------
    \1\Gemma Seda-Gombau et al., Impact of the COVID-19 Pandemic on 
Burnout in Primary Care Physicians in Catalonia, U.S. National Library 
of Medicine, National Institutes of Health (https://
www.ncbi.nlm.nih.gov/pmc/articles/PMC8431168/) (Sep. 2021).
    \2\American Medical Association, Half of health workers report 
burnout amid COVID-19 (www.ama-assn.org/practice-management/physician-
health/half-health-workers-report-burnout-amid-covid-19) (July 20, 
2021).
    \3\Kaiser Family Foundation, KFF/The Washington Post Frontline 
Health Care Workers Survey (www.kff.org/report-section/kff-the-
washington-post-frontline-health-care-workers-survey-toll-of-
the-pandemic/?utm_campaign=KFF-2021-polling-
surveys&utm_medium=email&_hsmi=2&_
hsenc=p2ANqtz-
_O1wzC3EysCZIKW0kCMDZpbV6oLd5xwx4CIkuyY3sw3HY_IWeElYAKCkK_
a7ODLB801Vx8g9u2oXcvko8YvTVJhgmDoQ&utm_content=2&utm_source=hs_email) 
(Apr. 6, 2021).
    \4\Id.
---------------------------------------------------------------------------
    The American Rescue Plan (ARP) which included funding for 
grants to medical providers to promote mental health among 
their health professional workforce as well as for an education 
and awareness campaign encouraging healthy work conditions and 
greater use of mental health and SUD services by health care 
providers.\5\ H.R. 1667 would authorize the funding provided in 
ARP in order to provide sustained and predictable programming 
to support the behavioral health and well-being among health 
care providers through the establishment of programs that offer 
behavioral health services for front-line health care workers, 
the authorization of studies and recommendations about 
strategies to address provider burnout and facilitate 
resiliency, and the creation of a public awareness campaign 
encouraging health care workers to seek assistance when needed. 
This legislation is named for Dr. Lorna M. Breen, the medical 
director of the emergency department at New York-Presbyterian 
Allen Hospital, who died of suicide in April 2020.
---------------------------------------------------------------------------
    \5\American Rescue Plan Act of 2021, Pub. L. No 117-2.
---------------------------------------------------------------------------

                        III. Committee Hearings

    For the purposes of section 3(c) of rule XIII of the Rules 
of the House of Representatives, the following hearing was used 
to develop or consider H.R. 1667:
    The Subcommittee on Health held a legislative hearing on 
October 26, 2021, entitled ``Caring for America: Legislation to 
Support Patients, Caregivers, and Providers.'' The Subcommittee 
received testimony from the following witnesses:
          Corey Feist, Founder, Dr. Lorna Breen Foundation;
          Lisa Macon Harrison, M.P.H., President, National 
        Association of County and City Health Officials 
        (NACCHO);
          Brooks A. Keel, Ph.D., President, Augusta University;
          Alan Levine, Executive Chairman, President, and CEO, 
        Ballad Health;
          Jeanne Marrazzo, M.D., Board Member, Infectious 
        Disease Society of America (IDSA), Infectious Disease 
        Division Chief, University of Alabama at Birmingham;
          Stephanie Monroe, J.D., Director, Equity and Access, 
        UsAgainstAlzheimer's, Executive Director, 
        AfricanAmericans AgainstAlzheimer's; and
          Victoria Garcia Wilburn, D.H.Sc., O.T.R., F.A.O.T.A., 
        Assistant Professor, Occupational Therapy, IUPUI School 
        of Health & Human Sciences.

                      IV. Committee Consideration

    H.R. 1667, the ``Dr. Lorna Breen Health Care Provider 
Protection Act,'' was introduced on March 8, 2021, by 
Representative Susan Wild (D-PA) and 14 original cosponsors and 
referred to the Committee on Energy and Commerce. Subsequently, 
on March 9, 2021, the bill was referred to the Subcommittee on 
Health.
    On November 4, 2021, the Subcommittee on Health met in open 
markup session, pursuant to notice, to consider H.R. 1667 and 
eight other bills. During consideration of the bill, an 
amendment in the nature of a substitute (AINS) offered by 
Representative Griffith (R-VA) was agreed to by a voice vote. 
Upon conclusion of consideration of the bill, the Subcommittee 
on Health agreed to report the bill favorably to the full 
Committee, amended, by a voice vote.
    On November 17, 2021, the full Committee met in open markup 
session, pursuant to notice, to consider H.R. 1193 and 11 other 
bills. No amendments were offered during consideration of the 
bill. Upon conclusion of consideration of the bill, the full 
Committee agreed to a motion on final passage offered by 
Representative Pallone (D-NJ), Chairman of the Committee, to 
order H.R. 1193 reported favorably to the House, as amended, by 
a voice vote.

                           V. Committee Votes

    Clause 3(b) of rule XIII of the Rules of the House of 
Representatives requires the Committee to list each record vote 
on the motion to report legislation and amendments thereto. The 
Committee advises that there were no record votes taken on H.R. 
1667, including a motion by Mr. Pallone ordering H.R. 1667 
favorably reported to the House, as amended.

                         VI. Oversight Findings

    Pursuant to clause 3(c)(1) of rule XIII and clause 2(b)(1) 
of rule X of the Rules of the House of Representatives, the 
oversight findings and recommendations of the Committee are 
reflected in the descriptive portion of the report.

         VII. New Budget Authority, Entitlement Authority, and 
                            Tax Expenditures

    Pursuant to 3(c)(2) of rule XIII of the Rules of the House 
of Representatives, the Committee adopts as its own the 
estimate of new budget authority, entitlement authority, or tax 
expenditures or revenues contained in the cost estimate 
prepared by the Director of the Congressional Budget Office 
pursuant to section 402 of the Congressional Budget Act of 
1974.
    The Committee has requested but not received from the 
Director of the Congressional Budget Office a statement as to 
whether this bill contains any new budget authority, spending 
authority, credit authority, or an increase or decrease in 
revenues or tax expenditures.

                    VIII. Federal Mandates Statement

    The Committee adopts as its own the estimate of Federal 
mandates prepared by the Director of the Congressional Budget 
Office pursuant to section 423 of the Unfunded Mandates Reform 
Act.

       IX. Statement of General Performance Goals and Objectives

    Pursuant to clause 3(c)(4) of rule XIII, the general 
performance goal or objective of this legislation is to reduce 
and prevent suicide, burnout, and mental and behavioral health 
conditions among health care professionals and to provide 
resources to support health care entities to offer assistance 
to address these needs.

                   X. Duplication of Federal Programs

    Pursuant to clause 3(c)(5) of rule XIII, no provision of 
H.R. 1667 is known to be duplicative of another Federal 
program, including any program that was included in a report to 
Congress pursuant to section 21 of Public Law 111-139 or the 
most recent Catalog of Federal Domestic Assistance.

                      XI. Committee Cost Estimate

    Pursuant to clause 3(d)(1) of rule XIII, the Committee 
adopts as its own the cost estimate prepared by the Director of 
the Congressional Budget Office pursuant to section 402 of the 
Congressional Budget Act of 1974.

           XII. Earmarks, Limited Tax Benefits, and Limited 
                            Tariff Benefits

    Pursuant to clause 9(e), 9(f), and 9(g) of rule XXI, the 
Committee finds that H.R. 1667 contains no earmarks, limited 
tax benefits, or limited tariff benefits.

                   XIII. Advisory Committee Statement

    No advisory committee within the meaning of section 5(b) of 
the Federal Advisory Committee Act was created by this 
legislation.

                XIV. Applicability to Legislative Branch

    The Committee finds that the legislation does not relate to 
the terms and conditions of employment or access to public 
services or accommodations within the meaning of section 
102(b)(3) of the Congressional Accountability Act.

           XV. Section-by-Section Analysis of the Legislation


Section 1. Short title

    Section 1 designates that the short title may be cited as 
the ``Dr. Lorna Breen Health Care Provider Protection Act.''

Sec. 2. Dissemination of best practices

    Section 2 requires the Secretary of HHS, two years after 
enactment of the legislation, to identify and disseminate 
evidence-based or evidence-informed best practices and 
recommendations for preventing suicide and improving mental 
health and resiliency among health care professionals, and for 
training health care professionals in appropriate strategies to 
promote their mental health.

Sec. 3. Education and awareness initiative encouraging use of mental 
        health and substance use disorder services by health care 
        professionals

    Section 3 requires the Secretary of HHS, in consultation 
with relevant stakeholders, to establish a national evidence-
based or evidence-informed awareness initiative. The initiative 
shall (1) encourage health care professionals to seek support 
and care for their mental health or substance use concerns, to 
help such professionals identify risk factors associated with 
suicide and mental health conditions, and to help such 
professionals learn how best to respond to such risks, with the 
goal of preventing suicide, mental health conditions, and SUDs, 
and (2) to address stigma associated with seeking mental health 
and SUD services. Section 3 also requires the Secretary of HHS 
to provide an update on the activities and outcomes of the 
initiative to the Senate Committee on Health, Education, Labor, 
and Pensions and the House Committee on Energy and Commerce no 
later than two years after enactment. Section 3 authorizes $10 
million for each of fiscal years 2022 through 2024 to carry out 
the activities outlined in this section.

Sec. 4. Programs to promote mental health among the heath professional 
        workforce

    Section 4 amends the Public Health Service Act to establish 
programming to promote mental health among the health 
professional workforce, by authorizing $35 million for each of 
fiscal years 2022 through 2024 for the Secretary of HHS to 
award grants or contracts to health care entities such as 
hospitals, community health centers, and rural health clinics, 
or to medical professional associations, to establish or 
enhance evidence-based or evidence-informed programs dedicated 
to improving mental health and resiliency for health care 
professionals. Eligible entities receiving a grant or contract 
shall use funds to implement a new program or enhance an 
existing program to promote mental health among health care 
professionals, which may include improving awareness among 
health professionals about risk factors and signs of suicide 
and mental health or SUD; establishing new or enhancing 
existing peer-support programs; and, providing mental health 
care, follow-up services and care, or referrals for such 
services or care. The Secretary of HHS must also prioritize 
eligible entities in areas with health professional shortages 
or rural areas. The Secretary may also establish a program to 
award grants to health professions schools, academic health 
centers, state or local governments, Indian Tribes or tribal 
organizations or other appropriate public or private nonprofit 
entities to support training for health care students, 
residents, or health care professionals to address mental 
health and SUD and improve mental health and resiliency among 
health care professionals. Grants or contracts shall be for a 
period of three years, and entities receiving grants or 
contracts shall submit a report evaluating the activities 
supported by the grant or contract.

Sec. 5. Review with respect to health care professional mental health 
        and resiliency

    Section 5 directs the Secretary of HHS, in consultation 
with stakeholders, to conduct a review on improving health care 
professional mental health and the outcomes of programs 
authorized under this legislation, and submit a report to 
Congress on the results of this review no later than three 
years after enactment. This review should take into account (1) 
the prevalence and severity of mental health conditions for 
health care professionals and factors that contribute to those 
conditions, (2) barriers to seeking and accessing mental health 
care for health care professionals, which may include 
consideration of stigma and licensing concerns, and actions 
taken by State licensing boards, schools for health 
professionals, health care professional training associations, 
hospital associations, or other organizations, as appropriate, 
to address such barriers, (3) the impact of the COVID-19 public 
health emergency on the mental health of health care 
professionals and lessons learned for future public health 
emergencies, (4) factors that promote mental health resiliency 
among health care professionals, including programs or 
strategies to strengthen mental health and resiliency among 
health care professionals and (5) the efficacy of health 
professional training programs that promote resiliency and 
improve mental health. This review, as appropriate, shall 
identify best practices and make recommendations to address (1) 
improving mental health and resiliency among health care 
professionals, (2) removing barriers to mental health care for 
health care professionals, and (3) strategies to promote 
resiliency among health care professionals in health care 
settings.

Sec 6. GAO report

    Section 6 requires GAO, no later than four years after 
enactment, to submit a report to Congress on the extent to 
which federal SUD and mental health programs address the 
prevalence and severity of mental health conditions and SUDs 
among health care professionals. The report shall include an 
analysis of available evidence and data related to such 
conditions and programs and assess whether there are 
duplicative goals and objective among such grant programs.

       XVI. Changes in Existing Law Made by the Bill, as Reported

    In compliance with clause 3(e) of rule XIII of the Rules of 
the House of Representatives, changes in existing law made by 
the bill, as reported, are shown as follows (new matter is 
printed in italics and existing law in which no change is 
proposed is shown in roman):

                       PUBLIC HEALTH SERVICE ACT




           *       *       *       *       *       *       *
SEC. 764. PROGRAMS TO PROMOTE MENTAL HEALTH AMONG THE HEALTH 
                    PROFESSIONAL WORKFORCE.

  (a) Programs to Promote Mental Health Among Health Care 
Professionals.--
          (1) In general.--The Secretary shall award grants or 
        contracts to health care entities, including entities 
        that provide health care services, such as hospitals, 
        community health centers, and rural health clinics, or 
        to medical professional associations, to establish or 
        enhance evidence-based or evidence-informed programs 
        dedicated to improving mental health and resiliency for 
        health care professionals.
          (2) Use of funds.--An eligible entity receiving a 
        grant or contract under this subsection shall use funds 
        received through the grant or contract to implement a 
        new program or enhance an existing program to promote 
        mental health among health care professionals, which 
        may include--
                  (A) improving awareness among health care 
                professionals about risk factors for, and signs 
                of, suicide and mental health or substance use 
                disorders, in accordance with evidence-based or 
                evidence-informed practices;
                  (B) establishing new, or enhancing existing, 
                evidence-based or evidence-informed programs 
                for preventing suicide and improving mental 
                health and resiliency among health care 
                professionals;
                  (C) establishing new, or enhancing existing, 
                peer-support programs among health care 
                professionals; or
                  (D) providing mental health care, follow-up 
                services and care, or referral for such 
                services and care, as appropriate.
          (3) Priority.--In awarding grants and contracts under 
        this subsection, the Secretary shall give priority to 
        eligible entities in health professional shortage areas 
        or rural areas.
  (b) Training Grants.--The Secretary may establish a program 
to award grants to health professions schools, academic health 
centers, State or local governments, Indian Tribes or Tribal 
organizations, or other appropriate public or private nonprofit 
entities (or consortia of entities, including entities 
promoting multidisciplinary approaches) to support the training 
of health care students, residents, or health care 
professionals in evidence-based or evidence-informed strategies 
to address mental and substance use disorders and improve 
mental health and resiliency among health care professionals.
  (c) Grant Terms.--A grant or contract awarded under 
subsection (a) or (b) shall be for a period of 3 years.
  (d) Application Submission.--An entity seeking a grant or 
contract under subsection (a) or (b) shall submit an 
application to the Secretary at such time, in such manner, and 
accompanied by such information as the Secretary may require.
  (e) Reporting.--An entity awarded a grant or contract under 
subsection (a) or (b) shall periodically submit to the 
Secretary a report evaluating the activities supported by the 
grant or contract.
  (f) Authorization of Appropriations.--To carry out this 
section and section 5 of the Dr. Lorna Breen Health Care 
Provider Protection Act, there are authorized to be 
appropriated $35,000,000 for each of fiscal years 2022 through 
2024.

           *       *       *       *       *       *       *


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