,i #aacth ,,congress #ast ,session ,h4 ,r4 #biaj ,,in ,,the ,,house ,,of ,,representatives ,august #a1 #bjac ,mr4 ,waxman 7for himself1 ,mr4 ,pallone1 ,mrs4 ,capps1 ,ms4 ,schakowsky1 ,ms4 ,matsui1 ,mrs4 ,napolitano1 and ,mr4 ,danny ,k4 ,davis of ,illinois7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce1 and in addition to the ,committees on ,ways and ,means and ,education and the ,workforce1 for a period to be subsequently determined by the ,speaker1 in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned ,a ,,bill ,to protect ,american children and their families from the epidemic of gun violence by banning access to certain weapons1 strengthening the ,nation's mental health infrastructure1 and improving the understanding of gun violence4 #a4 ,short title2 table of contents 7a7 ,short title ,this ,act may be cited as the ,gun ,violence ,prevention and ,reduction ,act of #bjac4 7b7 ,table of contents ,the table of contents for this ,act is as follows3 ,sec4 #a4 ,short title2 table of contents4 ,title ,i--,banning ,access to ,do-,it-,yourself ,assault ,weapons ,sec4 #aja4 ,do-it-yourself assault weapon ban4 ,sec4 #ajb4 ,prohibition of advertising do-it-yourself assault weapons4 ,sec4 #ajc4 ,definitions4 ,sec4 #ajd4 ,construction4 ,title ,,ii--,strengthening the ,nation's ,mental ,health ,infrastructure ,subtitle ,a--,advancing ,research on ,serious ,mental ,illness ,sec4 #bja4 ,national ,institute of ,mental ,health research program on serious mental illness4 ,subtitle ,b--,improving the ,mental ,health ,workforce ,sec4 #baa4 ,national ,health ,service ,corps scholarship and loan repayment funding for behavioral and mental health professionals4 ,sec4 #bab4 ,reauthorization of ,,hrsa's ,mental and ,behavioral ,health ,education and ,training ,program4 ,sec4 #bac4 ,mental health awareness training for school and emergency services personnel4 ,sec4 #bad4 ,,samhsa grant program for development and implementation of curricula for continuing education on serious mental illness4 ,sec4 #bae4 ,clarification of ,,hipaa training requirements regarding disclosure of protected health information concerning individuals with mental health disorders4 ,subtitle ,c--,expanding ,access to ,mental ,health ,services ,sec4 #bba4 ,advancing ,wellness and ,resilience in ,education 7,,aware7 ,initiative4 ,sec4 #bbb4 ,,samhsa and ,,hrsa integration of mental health services into primary care settings4 ,sec4 #bbc4 ,children's recovery from trauma4 ,sec4 #bbd4 ,information on geriatric mental health disorders4 ,sec4 #bbe4 ,,gao study on availability of inpatient beds4 ,sec4 #bbf4 ,reporting requirements for block grants regarding mental health and substance use disorders4 ,sec4 #bbg4 ,mental health parity4 ,subtitle ,d--,promoting ,public ,awareness of ,mental ,health ,disorders and ,reducing ,stigma of ,such ,disorders ,sec4 #bca4 ,promoting public awareness of mental health disorders and reducing stigma of such disorders4 ,title ,,iii--,understanding the ,epidemic of ,gun ,violence ,sec4 #cja4 ,reaffirming ,,cdc research authority4 ,sec4 #cjb4 ,national violent death reporting system4 ,sec4 #cjc4 ,protecting confidential doctor-patient relationship4 ,i ,banning ,access to ,do-,it-,yourself ,assault ,weapons #aja4 ,do-it-yourself assault weapon ban 7a7 ,banned hazardous products ,notwithstanding section #c7;a77#e77;,e7 of the ,consumer ,product ,safety ,act 7#ae ,u4,s4,c4 #bjeb7;,a77#e77;,e771 a firearm receiver casting or firearm receiver blank that-- 7#a7 at the point of sale does not meet the definition of a firearm in section #iba7;a7 of title #ah1 ,united ,states ,code1 and 7#b7 after purchase by a consumer1 can be completed by the consumer to the point at which such casting or blank functions as a firearm frame or receiver for a semiautomatic assault weapon or machine gun1 shall be considered a banned hazardous product under section #h of such ,act 7#ae ,u4,s4,c4 #bjeg74 7b7 ,prohibited ,acts ,it shall be unlawful for any person to sell1 offer for sale1 manufacture for sale1 or import into the ,united ,states for sale1 to a consumer-- 7#a7 an assault weapon parts kit2 or 7#b7 a machinegun parts kit4 7c7 ,enforcement 7#a7 ,subsection 7a7 shall be treated as a ban under section #ai of the ,consumer ,product ,safety ,act 7#ae ,u4,s4,c4 #bjfh74 7#b7 ,notwithstanding section #c7;a77#e77;,e7 of the ,consumer ,product ,safety ,act 7#ae ,u4,s4,c4 #bjeb7;,a77#e77;,e771 a violation of subsection 7b7 shall be treated as a violation of section #ai of such ,act and any person who violates such subsection shall be subject to the penalties set forth in section #bj of such ,act4 7d7 ,consultation ,in enforcing this section1 the ,consumer ,product ,safety ,commission shall periodically consult with the ,bureau of ,alcohol1 ,tobacco1 ,firearms and ,explosives regarding effective strategies for and methods of enforcement4 #ajb4 ,prohibition of advertising do-it-yourself assault weapons 7a7 ,in general ,it shall be unlawful to market or advertise1 on any medium of electronic communications1 including over the ,internet1 for the sale of any of the following3 7#a7 ,a firearm receiver casting or firearm receiver blank that-- 7,a7 at the point of sale does not meet the definition of a firearm in section #iba7;a7 of title #ah1 ,united ,states ,code2 and 7,b7 after purchase by a consumer1 can be completed by the consumer to the point at which it functions as a firearm frame or receiver for a semiautomatic assault weapon or machinegun4 7#b7 ,an assault weapon parts kit4 7#c7 ,a machinegun parts kit4 7b7 ,enforcement by the ,federal ,trade ,commission ,a violation of subsection 7a7 shall be treated as a violation of a rule defining an unfair or deceptive act or practice described under section #ah7;a77#a77;,b7 of the ,federal ,trade ,commission ,act 7#ae ,u4,s4,c4 #eg;a7a77#a77;,b774 ,the ,federal ,trade ,commission shall enforce this section in the same manner1 by the same means1 and with the same jurisdiction1 powers1 and duties as though all applicable terms and provisions of the ,federal ,trade ,commission ,act were incorporated into and made a part of this ,act4 7c7 ,rule of construction ,nothing contained in this title shall be construed to limit the authority of the ,federal ,trade ,commission under any other provision of law4 #ajc4 ,definitions 7a7 ,terms ,for purposes of this title-- 7#a7 the term assault weapon parts kit means any part or combination of parts not designed and intended for repair or replacement but designed and intended to enable a consumer who possesses all such necessary parts to assemble a semiautomatic assault weapon2 7#b7 the term machinegun parts kit means any part or combination of parts designed and intended to enable a consumer who possesses all such necessary parts to assemble a machinegun or convert a firearm into a machinegun2 7#c7 the term semiautomatic assault weapon means-- 7,a7 a semiautomatic rifle or semiautomatic shotgun that has the capacity to accept a detachable ammunition magazine2 or 7,b7 a semiautomatic pistol that has-- 7i7 the capacity to accept a detachable ammunition magazine2 and 7ii7 any one of the features described in subsection 7b72 7#d7 the term machinegun has the meaning given such term in section #ehde7;b7 of title #bf1 ,united ,states ,code2 7#e7 the term semiautomatic pistol means any repeating pistol that utilizes a portion of the energy of a firing cartridge to extract the fixed cartridge case and chamber the next round and requires a separate pull of the trigger to fire each cartridge2 7#f7 the term semiautomatic rifle has the meaning given such term in section #iba7;a77#bh7 of title #ah1 ,united ,states ,code2 and 7#g7 the term semiautomatic shotgun means any repeating shotgun that utilizes a portion of the energy of a firing cartridge to extract the fixed cartridge case and chamber the next round and requires a separate pull of a trigger to fire each cartridge4 7b7 ,special features of a semiautomatic pistol ,the special features described in paragraph 7#c77;,b77ii7 are-- 7#a7 an ammunition magazine that attaches to the pistol outside of the pistol grip2 7#b7 a threaded barrel capable of accepting a barrel extender1 flash suppressor1 forward handgrip1 or silencer2 7#c7 a shroud that is attached to1 or partially or completely encircles1 the barrel and that permits the shooter to hold the firearm with the nontrigger hand without being burned2 7#d7 a manufactured weight of #ej ounces or more when the pistol is unloaded2 and 7#e7 a semiautomatic version of an automatic firearm4 #ajd4 ,construction ,nothing in this title shall be construed as limiting the ability of a ,state to enact more restrictive gun-related laws1 or bans on firearm receiver casts1 firearm receiver blanks1 assault weapon parts kits1 or machinegun parts kits4 ,,ii ,strengthening the ,nation's ,mental ,health ,infrastructure ,a ,advancing ,research on ,serious ,mental ,illness #bja4 ,national ,institute of ,mental ,health research program on serious mental illness 7a7 ,purpose of ,institute ,section #dfd,r7a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhep7a77 is amended by inserting serious mental illness research1 after biomedical and behavioral research14 7b7 ,research program ,section #dfd,r7b7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhep7b77 is amended-- 7#a7 by striking ,the research program and inserting the following3 7#a7 ,in general ,the research program 2 7#b7 by striking to further the treatment and prevention of mental illness and inserting to further the treatment and prevention of mental illness 7including serious mental illness72 and 7#c7 by adding at the end the following3 7#b7 ,research with respect to serious mental illness ,as part of the research program established under this subpart1 the ,director of the ,institute shall conduct or support research on serious mental illness1 including with respect to-- 7,a7 the causes1 prevention1 and treatment of serious mental illness2 and 7,b7 interventions to improve early identification of individuals with serious mental illness and referral of such individuals to mental health professionals for treatment4 4 7c7 ,biennial report ,section #djc7;a77#e7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhc7;a77#e77 is amended-- 7#a7 by redesignating subparagraph 7,l7 as subparagraph 7,m72 and 7#b7 by inserting after subparagraph 7,k7 the following3 7,l7 ,serious mental illness4 4 ,b ,improving the ,mental ,health ,workforce #baa4 ,national ,health ,service ,corps scholarship and loan repayment funding for behavioral and mental health professionals ,section #cch;,h of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bedq7 is amended-- 7#a7 by redesignating subsections 7b7 and 7c7 as subsections 7c7 and 7d71 respectively2 and 7#b7 by inserting after subsection 7a7 the following3 7b7 ,additional funding for behavioral and mental health professionals ,in addition to the amounts authorized to be appropriated under subsection 7a71 and in addition to the amounts appropriated under section #ajejc of ,public ,law #aaa-adh1 there are authorized to be appropriated such sums as may be necessary for fiscal years #bjad through #bjah for scholarships and loan repayments under this subpart for ensuring1 as described in sections #cch;,a7a7 and #cch;,b7a71 an adequate supply of behavioral and mental health professionals4 4 #bab4 ,reauthorization of ,,hrsa's ,mental and ,behavioral ,health ,education and ,training ,program ,subsection 7e7 of section #gef of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bid;e-#a7 is amended to read as follows3 7e7 ,authorization of appropriations ,to carry out this section1 there are authorized to be appropriated such sums as may be necessary for fiscal years #bjad through #bjah4 4 #bac4 ,mental health awareness training for school and emergency services personnel ,section #ebj;,j of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#da7 is amended-- 7#a7 in the section heading1 by inserting ,mental health awareness before ,training2 and 7#b7 in subsection 7b7-- 7,a7 in the subsection heading1 by striking illness and inserting health2 7,b7 in paragraph 7#a7-- 7i7 by inserting and other categories of individuals1 as determined by the ,secretary1 after emergency services personnel2 and 7ii7 by striking mental illness each place it appears and inserting mental health disorder2 7,c7 in paragraph 7#e7-- 7i7 in the matter preceding subparagraph 7,a71 by striking to and inserting for evidence-based programs for the purpose of2 and 7ii7 by striking subparagraphs 7,a7 through 7,c7 and inserting the following3 7,a7 recognizing the signs and symptoms of mental health disorders2 and 7,b7 7i7 providing education to personnel regarding resources available in the community for individuals with a mental health disorder and other relevant resources2 or 7ii7 the safe de-escalation of crisis situations involving individuals with a mental health disorder4 2 and 7,d7 by amending paragraph 7#g7 to read as follows3 7#g7 ,authorization of appropriations ,there are authorized to be appropriated to carry out this subsection such sums as may be necessary for fiscal years #bjad through #bjah4 4 #bad4 ,,samhsa grant program for development and implementation of curricula for continuing education on serious mental illness ,title ,v of the ,public ,health ,service ,act is amended by inserting after section #ebj;,i 7#db ,u4,s4,c4 #bij;bb-#dj7 the following3 #ebj;,i-#a4 ,curricula for continuing education on serious mental illness 7a7 ,grants ,the ,secretary may award grants to eligible entities for the development and implementation of curricula for providing continuing education and training to health care professionals on identifying1 referring1 and treating individuals with serious mental illness4 7b7 ,eligible entities ,to be eligible to seek a grant under this section1 an entity shall be a public or nonprofit entity that-- 7#a7 provides continuing education or training to health care professionals2 or 7#b7 applies for the grant in partnership with another entity that provides such education and training4 7c7 ,preference ,in awarding grants under this section1 the ,secretary shall give preference to eligible entities proposing to develop and implement curricula for providing continuing education and training to-- 7#a7 health care professionals in primary care specialities2 or 7#b7 health care professionals who are required1 as a condition of ,state licensure1 to participate in continuing education or training specific to mental health4 7d7 ,authorization of appropriations ,to carry out this section1 there are authorized to be appropriated such sums as may be necessary for fiscal years #bjad through #bjah4 4 #bae4 ,clarification of ,,hipaa training requirements regarding disclosure of protected health information concerning individuals with mental health disorders ,not later than #f months after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services shall issue guidance regarding the requirements of section #afd4ecj7;b7 of title #de1 ,code of ,federal ,regulations1 so as to ensure that training under such section includes a clear explanation of the circumstances under which health care professionals and other covered entities 7as such term is defined for purposes of regulations promulgated under section #bfd7;c7 of the ,health ,insurance ,portability and ,accountability ,act of #aiif7 are permitted or required to disclose protected health information concerning individuals with a mental health disorder4 ,c ,expanding ,access to ,mental ,health ,services #bba4 ,advancing ,wellness and ,resilience in ,education 7,,aware7 ,initiative 7a7 ,children and adolescents1 violence1 and school- and community-,based mental health 7#a7 ,in general ,the first section #eha 7in the first part ,g relating to projects for children and violence7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;hh7 is amended to read as follows3 #eha4 ,children and adolescents1 violence1 and school- and community-based mental health 7a7 ,in general ,the ,secretary shall1 directly or through grants1 contracts1 or cooperative agreements awarded to local educational agencies and other public entities1 assist schools and local communities in implementing a comprehensive mental health program that-- 7#a7 assists children and adolescents in dealing with trauma and violence2 7#b7 provides comprehensive1 age-appropriate mental health services and supports2 7#c7 is linguistically and culturally appropriate2 and 7#d7 incorporates age-appropriate strategies of positive behavioral interventions and supports4 7b7 ,collaboration2 consultation ,the ,secretary shall carry out this section-- 7#a7 in collaboration with the ,secretary of ,education2 and 7#b7 in consultation with the ,attorney ,general of the ,united ,states4 7c7 ,activities ,in carrying out subsection 7a71 the ,secretary may-- 7#a7 provide financial and technical support to enable schools and local communities to implement a comprehensive mental health program described in such subsection2 7#b7 facilitate community partnerships among families1 students1 law enforcement agencies1 education systems1 mental health and substance use disorder service systems1 family-based mental health service systems1 welfare agencies1 health care systems 7including physicians71 faith-based programs1 trauma networks1 and other community-based systems2 and 7#c7 establish mechanisms for children and adolescents to report incidents of violence or plans by other children1 adolescents1 or adults to commit violence4 7d7 ,requirements 7#a7 ,in general ,to be eligible for an award under this section1 an entity shall-- 7,a7 be a partnership between a local educational agency and at least one community program or agency that is involved in mental health activities2 and 7,b7 submit an application that-- 7i7 is endorsed by all members of the partnership2 7ii7 designates an entity to serve as coordinator of the activities to be funded through the award2 and 7iii7 contains the assurances described in paragraph 7#b74 7#b7 ,required assurances ,an application under paragraph 7#a7 for a comprehensive mental health program shall contain assurances as follows3 7,a7 ,the local educational agency involved will enter into a memorandum of understanding-- 7i7 with-- 7,i7 at least one of each of the following3 a public or private mental health entity1 a health care entity1 a law enforcement or juvenile justice entity1 a child welfare agency1 a family-based mental health entity1 a family or family organization1 and a trauma network2 and 7,,ii7 any other community-based entities deemed appropriate by the local educational agency2 and 7ii7 that specifies-- 7,i7 the responsibilities of each partner with respect to the activities to be carried out2 7,,ii7 how each partner will be accountable for carrying out such responsibilities2 and 7,,iii7 the amount of non-,federal funding or in-kind contributions that each such partner will contribute in order to sustain the program4 7,b7 ,the program will address-- 7i7 the promotion of the social1 emotional1 and behavioral health of all students in an environment that is conducive to learning2 7ii7 the reduction in the likelihood of at-risk students developing social1 emotional1 or behavioral health problems1 or substance use disorders2 7iii7 the early identification of social1 emotional1 or behavioral problems1 or substance use disorders1 and the provision of early intervention services2 7iv7 the treatment or referral for treatment of students with existing social1 emotional1 or behavioral health problems1 or substance use disorders2 and 7v7 the development and implementation of programs to assist children and adolescents in dealing with trauma and violence4 7,c7 ,for appropriate school personnel1 the program will provide in-service training on-- 7i7 the techniques and supports needed for the early identification of children and adolescents with trauma histories and children and adolescents with1 or at risk of1 mental health disorders2 7ii7 the use of referral mechanisms that effectively link such children and adolescents to appropriate treatment and intervention services in the school and in the community and to followup when services are not available2 7iii7 strategies that promote a school-wide positive environment2 7iv7 strategies for promoting the social1 emotional1 mental1 and behavioral health of all students2 and 7v7 strategies to increase the knowledge and skills of school and community leaders about the impact of trauma and violence and on the application of a public health approach to comprehensive mental health programs4 7,d7 ,for parents1 siblings1 and other family members of children and adolescents with mental health disorders1 and for members of the community1 the program will provide training on-- 7i7 the techniques and supports described in subparagraph 7,c77i72 7ii7 the referral mechanisms and followup described in subparagraph 7,c77ii72 and 7iii7 the strategies described in clauses 7iii71 7iv71 and 7v7 of subparagraph 7,c74 7,e7 ,a plan will be developed and implemented to sustain the program after funding under this section terminates4 7,f7 ,the local educational agency partnership involved will be supported by the appropriate ,state educational and mental health authority to ensure that the sustainability of the program is established after funding under this section terminates4 7,g7 ,the program will-- 7i7 be based on evidence-based practices1 including those related to trauma2 7ii7 be implemented in a culturally and linguistically appropriate manner2 7iii7 be coordinated with early intervening activities carried out under the ,individuals with ,disabilities ,education ,act2 and 7iv7 include a broad needs assessment of youth who drop out of school due to policies of zero tolerance with respect to drugs1 alcohol1 or weapons and an inability to obtain appropriate services4 7,h7 ,the program will provide mental health services through qualified mental and behavioral health professionals who are-- 7i7 certified or licensed by the ,state involved2 and 7ii7 practicing within their area of expertise4 7#c7 ,compliance with ,,hipaa ,an award recipient under this section shall be deemed to be a covered entity for purposes of compliance with the regulations promulgated under section #bfd7;c7 of the ,health ,insurance ,portability and ,accountability ,act of #aiif with respect to any patient records developed through activities funded through the award4 7e7 ,geographical distribution ,the ,secretary shall ensure that awards under this section are distributed equitably among the regions of the country and among urban and rural areas4 7f7 ,duration of awards ,the period of an award under this section shall be #f years4 ,an entity may receive only one award under this section1 except that an entity that is providing services and supports on a regional basis may receive additional funding after the expiration of the preceding award period4 7g7 ,program evaluation and outcome measures 7#a7 ,development of process ,the ,secretary shall develop a process for evaluating comprehensive mental health programs under this section that includes-- 7,a7 the development of guidelines for the submission of program data by an award recipient2 7,b7 the development of outcome measures 7in accordance with paragraph 7#b77 to be applied by such recipient1 and used by the ,secretary1 to measure and evaluate the program's effectiveness and success2 and 7,c7 the submission by such recipient of annual reports-- 7i7 concerning the effectiveness and success of the program2 and 7ii7 including data and other information relating to each outcome measure developed under subparagraph 7,b74 7#b7 ,outcome measures 7,a7 ,student and family measures ,the outcome measures developed under paragraph 7#a77;,b7 shall include outcome measures relating to students and families1 which1 at a minimum1 should be designed to measure a program's effectiveness in-- 7i7 increasing social and emotional competency2 7ii7 increasing academic competency 7as defined by ,secretary72 7iii7 reducing disruptive and aggressive behaviors2 7iv7 improving child and adolescent functioning2 7v7 reducing substance use disorders2 7vi7 reducing suspensions1 truancy1 expulsions1 and violence2 7vii7 increasing graduation rates 7as defined under section #aaaa7;b77#b77;,c77vi7 of the ,elementary and ,secondary ,education ,act of #aife72 and 7viii7 improving access to care for mental health disorders4 7,b7 ,local educational system measures ,the outcome measures developed under paragraph 7#a77;,b7 shall include outcome measures relating to local educational systems1 which1 at a minimum1 should be designed to measure-- 7i7 the effectiveness of-- 7,i7 formal partnership linkages among child and family-serving institutions1 community support systems1 and the educational system in addressing mental health disorders2 and 7,,ii7 training and professional development programs1 including culturally and linguistically appropriate training for appropriate school personnel2 and 7ii7 the progress in-- 7,i7 improving the perception of a safe and supportive learning environment among school staff1 students1 and parents2 7,,ii7 improving the identification of students in need of more intensive mental health services and referral of such students to early intervention and clinical mental health services2 7,,iii7 improving access to clinical assessment and treatment services within the context of the local community to students posing a danger to themselves or others2 and 7,,iv7 improving rates of matriculation to postsecondary school and reducing referrals to the juvenile justice system4 7#c7 ,evaluation and dissemination by ,secretary 7,a7 ,evaluation ,the ,secretary shall annually submit to ,congress a report on the effectiveness and success of the programs under this section1 based on the data submitted under paragraph 7#a77;,c74 7,b7 ,dissemination ,the ,secretary shall establish comprehensive information and education programs to disseminate to the general public and to health care professionals findings and conclusions based on the data submitted under paragraph 7#a77;,c74 7#d7 ,limitation on evaluation activities ,an award recipient shall not use more than #aj percent of amounts received under this section to carry out evaluation activities4 7h7 ,definition ,in this section1 the terms children and adolescents and child and adolescent refer to individuals under #bb years of age4 7i7 ,funding 7#a7 ,amount of awards ,an award to an entity under this section shall not exceed #a1jjj1jjj for each of fiscal years #bjad through #bjah4 ,the ,secretary shall determine the amount of each award based on the population of children and adolescents in the area to be served through the award4 7#b7 ,authorization of appropriations ,there are authorized to be appropriated to carry out this section such sums as may be necessary for fiscal years #bjad through #bjah4 4 7#b7 ,technical amendments ,the second part ,g 7relating to services provided through religious organizations7 of title ,v of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bijkk et seq47 is amended-- 7,a7 by redesignating such part as part ,j2 and 7,b7 by redesignating sections #eha through #ehd as sections #eif through #eif;,c1 respectively4 7#c7 ,conforming amendment ,part ,g of title ,v of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;hh et seq471 as amended by this subsection1 is further amended by striking the part heading and inserting the following3 ,g ,school-based mental health 4 7b7 ,garrett ,lee ,smith ,memorial ,act reauthorization 7#a7 ,suicide prevention technical assistance center ,section #ebj;,c of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#cd7 is amended-- 7,a7 in the section heading1 by striking the section heading and inserting ,suicide prevention technical assistance center42 7,b7 in subsection 7a71 by striking and in consultation with and all that follows through the period at the end of paragraph 7#b7 and inserting shall establish a research1 training1 and technical assistance resource center to provide appropriate information1 training1 and technical assistance to ,states1 political subdivisions of ,states1 federally recognized ,indian tribes1 tribal organizations1 institutions of higher education1 public organizations1 or private nonprofit organizations regarding the prevention of suicide among all ages1 particularly among groups that are at high risk for suicide42 7,c7 by striking subsections 7b7 and 7c72 7,d7 by redesignating subsection 7d7 as subsection 7b72 7,e7 in subsection 7b71 as so redesignated-- 7i7 by striking the subsection heading and inserting ,responsibilities of the center42 7ii7 in the matter preceding paragraph 7#a71 by striking ,the additional research and all that follows through nonprofit organizations for and inserting ,the center established under subsection 7a7 shall conduct activities for the purpose of2 7iii7 by striking youth suicide each place such term appears and inserting suicide2 7iv7 in paragraph 7#a7-- 7,i7 by striking the development or continuation of and inserting developing and continuing2 and 7,,ii7 by inserting for all ages1 particularly among groups that are at high risk for suicide before the semicolon at the end2 7v7 in paragraph 7#b71 by inserting for all ages1 particularly among groups that are at high risk for suicide before the semicolon at the end2 7vi7 in paragraph 7#c71 by inserting and tribal after statewide2 7vii7 in paragraph 7#e71 by inserting and prevention after intervention2 7viii7 in paragraph 7#h71 by striking in youth2 7ix7 in paragraph 7#i71 by striking and behavioral health and inserting health and substance use disorder2 and 7x7 in paragraph 7#aj71 by inserting conducting before other2 and 7,f7 by striking subsection 7e7 and inserting the following3 7c7 ,authorization of appropriations ,to carry out this section1 there are authorized to be appropriated such sums as may be necessary for fiscal years #bjad through #bjah4 4 7#b7 ,youth suicide early intervention and prevention strategies ,section #ebj;,e of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#cf7 is amended-- 7,a7 in paragraph 7#a7 of subsection 7a7 and in subsection 7c71 by striking substance abuse each place such term appears and inserting substance use disorder2 7,b7 in subsection 7b77#b7-- 7i7 by striking each ,state is awarded only #a grant or cooperative agreement under this section and inserting a ,state does not receive more than #a grant or cooperative agreement under this section at any #a time2 and 7ii7 by striking been awarded and inserting received2 and 7,c7 by striking subsection 7m7 and inserting the following3 7m7 ,authorization of appropriations ,to carry out this section1 there are authorized to be appropriated such sums as may be necessary for fiscal years #bjad through #bjah4 4 7#c7 ,mental health and substance use disorder services ,section #ebj;,e-#b of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#cf;b7 is amended-- 7,a7 in the section heading1 by striking and behavioral health and inserting health and substance use disorder services2 7,b7 in subsection 7a7-- 7i7 by striking ,services1 and inserting ,services and2 7ii7 by striking and behavioral health problems and inserting health or substance use disorders2 and 7iii7 by striking substance abuse and inserting substance use disorders2 7,c7 in subsection 7b7-- 7i7 in the matter preceding paragraph 7#a71 by striking for-- and inserting for one or more of the following32 and 7ii7 by striking paragraphs 7#a7 through 7#f7 and inserting the following3 7#a7 ,educating students1 families1 faculty1 and staff to increase awareness of mental health and substance use disorders4 7#b7 ,operating hotlines4 7#c7 ,preparing informational material4 7#d7 ,providing outreach services to notify students about available mental health and substance use disorder services4 7#e7 ,administering voluntary mental health and substance use disorder screenings and assessments4 7#f7 ,supporting the training of students1 faculty1 and staff to respond effectively to students with mental health and substance use disorders4 7#g7 ,creating a network infrastructure to link colleges and universities with health care providers who treat mental health and substance use disorders4 2 7,d7 in subsection 7c77#e71 by striking substance abuse and inserting substance use disorder2 7,e7 in subsection 7d7-- 7i7 in the matter preceding paragraph 7#a71 by striking ,an institution of higher education desiring a grant under this section and inserting ,to be eligible to receive a grant under this section1 an institution of higher education2 7ii7 in paragraph 7#a7-- 7,i7 by striking and behavioral health and inserting health and substance use disorder2 and 7,,ii7 by inserting 1 including veterans as appropriate1 after students2 and 7iii7 in paragraph 7#b71 by inserting 1 which may include1 as appropriate and in accordance with subsection 7b77#g71 a plan to seek input from relevant stakeholders in the community1 including appropriate public and private entities1 in order to carry out the program under the grant before the period at the end2 7,f7 in subsection 7e77#a71 by striking and behavioral health problems and inserting health and substance use disorders2 7,g7 in subsection 7f77#b7-- 7i7 by striking and behavioral health and inserting health and substance use disorder2 and 7ii7 by striking suicide and substance abuse and inserting suicide and substance use disorders2 and 7,h7 by amending subsection 7h7 to read as follows3 7h7 ,authorization of appropriations ,to carry out this section1 there are authorized to be appropriated such sums as may be necessary for fiscal years #bjad through #bjah4 4 7c7 ,mental health awareness training grants ,for provisions of the ,advancing ,wellness and ,resilience in ,education 7,,aware7 ,initiative relating to mental health awareness training for school and emergency services personnel1 see section #bac of this ,act4 7d7 ,evaluation ,not later than the end of fiscal year #bjag1 the ,secretary of ,health and ,human ,services shall submit to the ,congress a report on the implementation and effectiveness of the activities carried out under sections #eha1 #ebj;,c1 #ebj;,e1 and #ebj;,e-#b of the ,public ,health ,service ,act1 as amended by this section1 and section #ebj;,j of the ,public ,health ,service ,act1 as amended by section #bac4 #bbb4 ,,samhsa and ,,hrsa integration of mental health services into primary care settings ,title ,v of the ,public ,health ,service ,act is amended by inserting after section #ebj,k 7#db ,u4,s4,c4 #bij;bb-#db7 the following3 #ebj,k-#a4 ,awards for co-locating mental health services in primary care settings 7a7 ,program authorized ,the ,secretary1 acting through the ,administrators of the ,substance ,abuse and ,mental ,health ,services ,administration and the ,health ,resources and ,services ,administration1 shall award grants1 contracts1 and cooperative agreements to eligible entities for the provision of coordinated and integrated mental health services and primary health care4 7b7 ,eligible entities ,to be eligible to seek a grant1 contract1 or cooperative agreement this section1 an entity shall be a public or nonprofit entity4 7c7 ,use of funds ,an eligible entity receiving an award under this section shall use the award for the provision of coordinated and integrated mental health services and primary health care through-- 7#a7 the co-location of mental health services in primary care settings2 7#b7 the use of care management services to facilitate coordination between mental health and primary care providers2 7#c7 the use of information technology 7such as telemedicine7-- 7,a7 to facilitate coordination between mental health and primary care providers2 or 7,b7 to expand the availability of mental health services2 or 7#d7 the provision of training and technical assistance to improve the delivery1 effectiveness1 and integration of mental health services into primary care settings4 7d7 ,authorization of appropriations ,to carry out this section1 there are authorized to be appropriated such sums as may be necessary for fiscal years #bjad through #bjah4 4 #bbc4 ,children's recovery from trauma ,section #ehb of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;hh-#a7 is amended-- 7#a7 in subsection 7a71 by striking developing programs and all that follows and inserting 8developing and maintaining programs that provide for-- 7#a7 the continued operation of the ,national ,child ,traumatic ,stress ,initiative 7referred to in this section as the ,,nctsi71 including a coordinating center1 that focuses on the mental1 behavioral1 and biological aspects of psychological trauma response2 and 7#b7 the development of knowledge with regard to evidence-based practices for identifying and treating mental1 behavioral1 and biological disorders of children and youth resulting from witnessing or experiencing a traumatic event4 2 7#b7 in subsection 7b7 by striking subsection 7a7 related and all that follows through the end of the subsection and inserting subsection 7a77#b7 7related to the development of knowledge on evidence-based practices for treating mental1 behavioral1 and biological disorders associated with psychological trauma71 the ,secretary shall give priority to universities1 hospitals1 mental health agencies1 and other programs that have established clinical expertise and research experience in the field of trauma-related mental disorders42 7#c7 by redesignating subsections 7c7 through 7g7 as subsections 7e7 through 7i71 respectively2 7#d7 by inserting after subsection 7b71 the following3 7c7 ,national ,child ,traumatic ,stress ,initiative ,the ,,nctsi coordinating center shall-- 7#a7 collect1 analyze1 and report ,,nctsi-wide child treatment process and outcome data regarding the early identification and delivery of evidence-based treatment and services for children and families served by the ,,nctsi grantees2 7#b7 facilitate the coordination of training initiatives in evidence-based and trauma-informed treatments1 interventions1 and practices offered to ,,nctsi grantees1 providers1 and partners2 and 7#c7 collaborate1 as appropriate1 with the ,secretary in the dissemination of evidence-based and trauma-informed interventions1 treatments1 products1 and other resources to appropriate stakeholders4 7d7 ,review ,the ,secretary shall1 consistent with the peer review process1 ensure that ,,nctsi applications are reviewed by appropriate experts in the field1 including experts in child trauma4 2 7#e7 in subsection 7e7 7as so redesignated71 by striking with respect to centers of excellence are distributed equitably among the regions of the country and inserting are distributed equitably among the regions of the ,united ,states2 7#f7 in subsection 7g7 7as so redesignated71 by striking recipient may not exceed #e years and inserting recipient shall not be less than #d years1 but shall not exceed #e years2 and 7#g7 by amending subsection 7h7 7as so redesignated7 to read as follows3 7h7 ,authorization of appropriations ,to carry out this section1 there are authorized to be appropriated such sums as may be necessary for fiscal years #bjad through #bjah4 4 #bbd4 ,information on geriatric mental health disorders ,section #ebj;,a7e7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#cb7;e77 is amended by adding at the end the following3 7#c7 ,geriatric mental health disorders ,the ,secretary shall1 as appropriate1 provide information to grantees regarding evidence-based practices for the prevention and treatment of geriatric mental health disorders and co-occurring mental health and substance use disorders among geriatric populations1 as well as disseminate information about such evidence-based practices to ,states and nongrantees throughout the ,united ,states4 4 #bbe4 ,,gao study on availability of inpatient beds ,not later than #b years after the date of enactment of this ,act1 the ,comptroller ,general of the ,united ,states shall conduct a study and submit a report to the ,congress on-- 7#a7 the availability of inpatient beds for treatment of mental health disorders2 7#b7 the impact of such availability on access to1 and the quality of1 mental health services2 and 7#c7 the impact on individuals with serious mental illness and on ,states of the exclusion from medical assistance under section #aije7;a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7a77 of payment with respect to care or services for certain patients in an institution for mental diseases4 #bbf4 ,reporting requirements for block grants regarding mental health and substance use disorders ,section #aidb of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#eb7 is amended to read as follows3 #aidb4 ,requirement of reports and audits by ,states 7a7 ,block grants for community mental health services 7#a7 ,annual report ,a funding agreement for a grant under section #aiaa is that-- 7,a7 the ,state involved will prepare and submit to the ,secretary an annual report on the activities funded through the grant2 and 7,b7 each such report shall be prepared by1 or in consultation with1 the ,state agency responsible for community mental health programs and activities4 7#b7 ,standardized form2 contents ,in order to properly evaluate and to compare the performance of different ,states assisted under section #aiaa1 reports under this section shall be in such standardized form and contain such information as the ,secretary determines 7after consultation with the ,states7 to be necessary-- 7,a7 to secure an accurate description of the activities funded through the grant under section #aiaa2 7,b7 to determine the extent to which funds were expended consistent with the ,state's application transmitted under section #aiag7;a72 and 7,c7 to describe the extent to which the ,state has met the goals and objectives it set forth in its ,state plan under section #aiab7;b74 7#c7 ,minimum contents ,each report under this section shall1 at a minimum1 include the following information3 7,a7 7i7 ,the number of individuals served by the ,state under subpart ,i 7by class of individuals74 7ii7 ,the proportion of each class of such individuals which has health coverage4 7iii7 ,the types of services 7as defined by the ,secretary7 provided under subpart ,i to individuals within each such class4 7iv7 ,the amounts spent under subpart ,i on each type of service 7by class of individuals served74 7,b7 ,information on the status of mental health in the ,state1 including information 7by county and by racial and ethnic group7 on each of the following3 7i7 ,the proportion of adolescents with serious mental illness 7including major depression74 7ii7 ,the proportion of adults with serious mental illness 7including major depression74 7iii7 ,the proportion of individuals with co-occurring mental health and substance use disorders4 7iv7 ,the proportion of children and adolescents with mental health disorders who seek and receive treatment4 7v7 ,the proportion of adults with mental health disorders who seek and receive treatment4 7vi7 ,the proportion of individuals with co-occurring mental health and substance use disorders who seek and receive treatment4 7vii7 ,the proportion of homeless adults with mental health disorders who receive treatment4 7viii7 ,the number of primary care facilities that provide mental health screening and treatment services onsite or by paid referral4 7ix7 ,the number of primary care physician office visits that include mental health screening services4 7x7 ,the number of juvenile residential facilities that screen admissions for mental health disorders4 7xi7 ,the number of deaths attributable to suicide4 7,c7 ,information on the number and type of health care practitioners licensed in the ,state and providing mental health-related services4 7#d7 ,availability of reports ,the ,secretary shall1 upon request1 provide a copy of any report under this section to any interested public agency4 7b7 ,block grants for prevention and treatment of substance use disorders 7#a7 ,annual report ,a funding agreement for a grant under section #aiba is that-- 7,a7 the ,state involved will prepare and submit to the ,secretary an annual report on the activities funded through the grant2 and 7,b7 each such report shall be prepared by1 or in consultation with1 the ,state agency responsible for substance use disorder programs and activities4 7#b7 ,standardized form2 contents ,in order to properly evaluate and to compare the performance of different ,states assisted under section #aiba1 reports under this section shall be in such standardized form and contain such information as the ,secretary determines 7after consultation with the ,states7 to be necessary-- 7,a7 to secure an accurate description of the activities funded through the grant under section #aiba2 7,b7 to determine the extent to which funds were expended consistent with the ,state's application transmitted under section #aicb7;a72 and 7,c7 to describe the extent to which the ,state has met the goals and objectives it set forth in its ,state plan under section #aicb7;b74 7#c7 ,minimum contents ,each report under this section shall1 at a minimum1 include the following information3 7,a7 7i7 ,the number of individuals served by the ,state under subpart ,,ii 7by class of individuals74 7ii7 ,the proportion of each class of such individuals which has health coverage4 7iii7 ,the types of services 7as defined by the ,secretary7 provided under subpart ,,ii to individuals within each such class4 7iv7 ,the amounts spent under subpart ,,ii on each type of service 7by class of individuals served74 7,b7 ,information on the status of substance use disorders in the ,state1 including information 7by county and by racial and ethnic group7 on each of the following3 7i7 ,the proportion of adolescents using alcohol or other addictive drugs 7including nicotine74 7ii7 ,the proportion of adults 7including pregnant women7 using alcohol or other addictive drugs 7including nicotine74 7iii7 ,the proportion of adolescents using prescription drugs for nonmedical purposes4 7iv7 ,the proportion of adults using prescription drugs for nonmedical purposes4 7v7 ,the number of individuals 7including pregnant women7 admitted to substance use disorder treatment programs 7including group home arrangements74 7vi7 ,the number of deaths attributable to alcohol4 7vii7 ,the number of deaths attributable to illicit drugs4 7viii7 ,the number of deaths attributable to prescription drugs4 7,c7 ,information on the number and type of health care practitioners licensed in the ,state and providing substance use disorder-related services4 7#d7 ,availability of reports ,the ,secretary shall1 upon request1 provide a copy of any report under this section to any interested public agency4 4 #bbg4 ,mental health parity ,in the case of a group health plan or health insurance coverage that provides both medical and surgical benefits and mental health and substance use disorder benefits1 the ,paul ,wellstone and ,pete ,domenici ,mental ,health ,parity and ,addiction ,equity ,act of #bjjh 7subtitle ,b of title ,v of division ,c of ,public ,law #aaj-cdc7 and the amendments made thereby shall be construed to ensure full parity of such benefits1 including-- 7#a7 at all levels of medically appropriate treatment2 and 7#b7 with respect to applicable medical management techniques4 ,d ,promoting ,public ,awareness of ,mental ,health ,disorders and ,reducing ,stigma of ,such ,disorders #bca4 ,promoting public awareness of mental health disorders and reducing stigma of such disorders ,title ,v of the ,public ,health ,service ,act is amended by inserting after section #ebj;,e-#b 7#db ,u4,s4,c4 #bij;bb-#dj7 the following3 #ebj;,e-#c4 ,promoting public awareness of mental health disorders and reducing stigma of such disorders 7a7 ,program authorized ,the ,secretary may1 by awarding grants1 contracts1 and cooperative agreements to eligible entities1 provide for planning1 establishing1 coordinating1 and evaluating a nationwide public education campaign that is designed-- 7#a7 to promote public awareness and understanding of mental health disorders1 including serious mental illness2 and 7#b7 to reduce the stigma associated with mental health disorders4 7b7 ,eligible entities ,to be eligible to seek an award under this section1 an entity shall be a public or nonprofit entity with demonstrated expertise in conducting a public health-related campaign4 7c7 ,activities ,the public education campaign under this section shall include-- 7#a7 national education and outreach through television advertisements1 radio advertisements1 ,internet-based resources1 social media1 and print media2 and 7#b7 community-based education and outreach4 7d7 ,preference ,in making awards under this section1 the ,secretary shall give preference to eligible entities that-- 7#a7 have demonstrated expertise in conducting a public health-related campaign that is focused on mental health disorders2 and 7#b7 are proposing public education campaigns that will-- 7,a7 be carried out in partnership with local community partners2 and 7,b7 emphasize education and outreach targeting children1 adolescents1 and young adults through #bd years of age4 7e7 ,consultation ,in carrying out this section1 the ,secretary shall consult with each of the following stakeholders3 7#a7 ,mental health consumers1 including youth1 adults1 and family members4 7#b7 ,representatives of mental and behavioral health organizations4 7#c7 ,representatives of medical1 public health1 and behavioral health professional organizations4 7#d7 ,representatives of mental health providers1 including community mental health centers4 7#e7 ,representatives of private- and public-sector groups with experience in the development of effective public health education campaigns4 7#f7 ,other stakeholders with relevant subject matter expertise as appropriate4 7f7 ,evaluation ,as a condition on receipt of an award under this section1 an eligible entity shall agree-- 7#a7 to evaluate the effectiveness of activities funded through the award2 and 7#b7 to report the results of such evaluation to the ,secretary4 7g7 ,authorization of appropriations ,to carry out this section1 there are authorized to be appropriated such sums as may be necessary for fiscal years #bjad through #bjah4 4 ,,iii ,understanding the ,epidemic of ,gun ,violence #cja4 ,reaffirming ,,cdc research authority 7a7 ,in general ,section #cia of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;b7 is amended-- 7#a7 in subsection 7a77#a71 by striking research relating to the causes1 mechanisms1 prevention1 diagnosis1 treatment of injuries1 and rehabilitation from injuries2 and inserting research1 including data collection1 relating to-- 7,a7 the causes1 mechanisms1 prevention1 diagnosis1 and treatment of injuries1 including with respect to gun violence2 and 7,b7 rehabilitation from such injuries2 2 and 7#b7 by adding at the end the following new subsection3 7c7 ,no advocacy or promotion of gun control ,nothing in this section shall be construed to-- 7#a7 authorize the ,secretary to give assistance1 make grants1 or enter into cooperative agreements or contracts for the purpose of advocating or promoting gun control2 or 7#b7 permit a recipient of any assistance1 grant1 cooperative agreement1 or contract under this section to use such assistance1 grant1 agreement1 or contract for the purpose of advocating or promoting gun control4 4 7b7 ,authorization of appropriations ,section #cid;,a of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;b-#c7 is amended by striking authorized to be appropriated and all that follows through the end and inserting the following3 authorized to be appropriated such sums as may be necessary for fiscal years #bjad through #bjah44 #cjb4 ,national violent death reporting system ,the ,secretary of ,health and ,human ,services1 acting through the ,director of the ,centers for ,disease ,control and ,prevention1 shall improve1 particularly through the inclusion of additional ,states1 the ,national ,violent ,death ,reporting ,system1 as authorized by title ,,iii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bda et seq474 ,participation in the system by the ,states shall be voluntary4 #cjc4 ,protecting confidential doctor-patient relationship ,section #bgag7;c7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;gg-#ag7;c77 is amended by adding at the end the following new paragraph3 7#f7 ,rule of construction ,notwithstanding the previous provisions of this subsection1 none of the authorities provided to the ,secretary under the ,patient ,protection and ,affordable ,care ,act1 an amendment made by that ,act1 or this subsection shall be construed to prohibit a physician or other health care provider from-- 7,a7 asking a patient about the ownership1 possession1 use1 or storage of a firearm or ammunition in the home of such patient2 7,b7 speaking to a patient about gun safety2 or 7,c7 reporting to the authorities a patient's threat of violence4 4