,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #biaj  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,augu/ #a1 #bjac ,mr4 
,waxman 7= himself1 ,mr4 ,pallone1 ,mrs4
 ,capps1 ,ms4 ,s*ak[sky1 ,ms4 ,matsui1  
,mrs4 ,napolitano1 & ,mr4 ,danny ,k4    
,davis ( ,ill9ois7 introduc$ ! foll[+   
bill2 :i* 0 ref]r$ to ! ,committee on   
,en]gy & ,comm]ce1 & 9 addition to !    
,committees on ,ways & ,means &         
,education & ! ,work=ce1 = a p]iod to be
 subsequ5tly det]m9$ by ! ,speak]1 9 ea*
 case = consid]ation ( su* provisions z 
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,a ,,bill  ,to protect ,am]ican
 *ildr5 & _! families f ! epidemic ( gun
 viol5ce by bann+ access to c]ta9       
weapons1 /r5g!n+ ! ,nation's m5tal heal?
 infra/ructure1 & improv+ ! und]/&+ (   
gun viol5ce4  #a4 ,%ort title2 table (  
cont5ts  7a7 ,%ort title ,?is ,act may  
be cit$ z ! ,gun ,viol5ce ,prev5tion &  
,r$uction ,act ( #bjac4  7b7 ,table (   
cont5ts ,! table ( cont5ts = ?is ,act is
 z foll[s3  ,sec4 #a4 ,%ort title2 table

 ( cont5ts4 ,title ,i--,bann+ ,access to
 ,d-,x-,y\rself ,assault ,weapons ,sec4 
#aja4 ,d-x-y\rself assault weapon ban4  
,sec4 #ajb4 ,prohibition ( adv]tis+     
d-x-y\rself assault weapons4 ,sec4 #ajc4
 ,def9itions4 ,sec4 #ajd4 ,con/ruction4 
,title ,,ii--,/r5g!n+ ! ,nation's ,m5tal
 ,heal? ,infra/ructure  ,subtitle       
,a--,advanc+ ,rese>* on ,s]i\s ,m5tal   
,illness ,sec4 #bja4 ,national ,in/itute
 ( ,m5tal ,heal? rese>* program on s]i\s
 m5tal illness4 ,subtitle ,b--,improv+ !
 ,m5tal ,heal? ,work=ce ,sec4 #baa4     
,national ,heal? ,s]vice ,corps s*ol>%ip
 & loan repaym5t fund+ = behavioral &   
m5tal heal? pr(essionals4 ,sec4 #bab4   
,reau?orization ( ,,hrsa's ,m5tal &     
,behavioral ,heal? ,education & ,tra9+  
,program4 ,sec4 #bac4 ,m5tal heal?      
aw>5ess tra9+ = s*ool & em]g5cy s]vices 
p]sonnel4 ,sec4 #bad4 ,,samhsa grant    
program = developm5t & implem5tation (  
curricula = cont9u+ education on s]i\s  
m5tal illness4 ,sec4 #bae4 ,cl>ification
 ( ,,hipaa tra9+ requirem5ts reg>d+     

disclosure ( protect$ heal? in=mation   
conc]n+ individuals ) m5tal heal?       
disord]s4 ,subtitle ,c--,exp&+ ,access  
to ,m5tal ,heal? ,s]vices ,sec4 #bba4   
,advanc+ ,wellness & ,resili5ce 9       
,education 7,,aw>e7 ,initiative4 ,sec4  
#bbb4 ,,samhsa & ,,hrsa integration (   
m5tal heal? s]vices into prim>y c>e     
sett+s4 ,sec4 #bbc4 ,*ildr5's recov]y f 
trauma4 ,sec4 #bbd4 ,in=mation on       
g]iatric m5tal heal? disord]s4 ,sec4    
#bbe4 ,,gao /udy on availability (      
inpati5t b$s4 ,sec4 #bbf4 ,report+      
requirem5ts = block grants reg>d+ m5tal 
heal? & sub/ance use disord]s4 ,sec4    
#bbg4 ,m5tal heal? p>ity4 ,subtitle     
,d--,promot+ ,public ,aw>5ess ( ,m5tal  
,heal? ,disord]s & ,r$uc+ ,/igma ( ,su* 
,disord]s ,sec4 #bca4 ,promot+ public   
aw>5ess ( m5tal heal? disord]s & r$uc+  
/igma ( su* disord]s4 ,title            
,,iii--,und]/&+ ! ,epidemic ( ,gun      
,viol5ce ,sec4 #cja4 ,reaffirm+ ,,cdc   
rese>* au?ority4 ,sec4 #cjb4 ,national  
viol5t dea? report+ sy/em4 ,sec4 #cjc4  

,protect+ confid5tial doctor-pati5t     
relation%ip4  ,i ,bann+ ,access to      
,d-,x-,y\rself ,assault ,weapons  #aja4 
,d-x-y\rself assault weapon ban  7a7    
,bann$ haz>d\s products ,not)/&+ section
 #c7;a77#e77;,e7 ( ! ,consum] ,product  
,safety ,act 7#ae ,u4,s4,c4             
#bjeb7;,a77#e77;,e771 a fire>m receiv]  
ca/+ or fire>m receiv] blank t--  7#a7  
at ! po9t ( sale does n meet ! def9ition
 ( a fire>m 9 section #iba7;a7 ( title  
#ah1 ,unit$ ,/ates ,code1 &  7#b7 aft]  
pur*ase by a consum]1 c be complet$ by !
 consum] to ! po9t at :i* su* ca/+ or   
blank functions z a fire>m frame or     
receiv] = a semiautomatic assault weapon
 or ma*9e gun1  %all be consid]$ a bann$
 haz>d\s product "u section #h ( su*    
,act 7#ae ,u4,s4,c4 #bjeg74  7b7        
,prohibit$ ,acts ,x %all be unlawful =  
any p]son to sell1 (f] = sale1          
manufacture = sale1 or import into !    
,unit$ ,/ates = sale1 to a consum]--    
7#a7 an assault weapon p>ts kit2 or     
7#b7 a ma*9egun p>ts kit4  7c7 ,en=cem5t

  7#a7 ,subsection 7a7 %all be treat$ z 
a ban "u section #ai ( ! ,consum]       
,product ,safety ,act 7#ae ,u4,s4,c4    
#bjfh74  7#b7 ,not)/&+ section          
#c7;a77#e77;,e7 ( ! ,consum] ,product   
,safety ,act 7#ae ,u4,s4,c4             
#bjeb7;,a77#e77;,e771 a violation (     
subsection 7b7 %all be treat$ z a       
violation ( section #ai ( su* ,act & any
 p]son :o violates su* subsection %all  
be subject to ! p5alties set =? 9       
section #bj ( su* ,act4  7d7            
,consultation ,9 en=c+ ?is section1 !   
,consum] ,product ,safety ,commission   
%all p]iodically consult ) ! ,bureau (  
,alcohol1 ,tobacco1 ,fire>ms &          
,explosives reg>d+ effective /rategies =
 & me?ods ( en=cem5t4  #ajb4            
,prohibition ( adv]tis+ d-x-y\rself     
assault weapons  7a7 ,9 g5]al ,x %all be
 unlawful to m>ket or adv]tise1 on any  
m$ium ( electronic communications1      
includ+ ov] ! ,int]net1 = ! sale ( any (
 ! foll[+3  7#a7 ,a fire>m receiv] ca/+ 
or fire>m receiv] blank t--  7,a7 at !  

po9t ( sale does n meet ! def9ition ( a 
fire>m 9 section #iba7;a7 ( title #ah1  
,unit$ ,/ates ,code2 &  7,b7 aft]       
pur*ase by a consum]1 c be complet$ by !
 consum] to ! po9t at :i* x functions z 
a fire>m frame or receiv] = a           
semiautomatic assault weapon or         
ma*9egun4  7#b7 ,an assault weapon p>ts 
kit4  7#c7 ,a ma*9egun p>ts kit4  7b7   
,en=cem5t by ! ,f$]al ,trade ,commission
 ,a violation ( subsection 7a7 %all be  
treat$ z a violation ( a rule def9+ an  
unfair or deceptive act or practice     
describ$ "u section #ah7;a77#a77;,b7 ( !
 ,f$]al ,trade ,commission ,act 7#ae    
,u4,s4,c4 #eg;a7a77#a77;,b774 ,! ,f$]al 
,trade ,commission %all en=ce ?is       
section 9 ! same mann]1 by ! same means1
 & ) ! same jurisdiction1 p[]s1 & duties
 z ?\gh all applicable t]ms & provisions
 ( ! ,f$]al ,trade ,commission ,act 7   
incorporat$ into & made a "p ( ?is ,act4
  7c7 ,rule ( con/ruction ,no?+ conta9$ 
9 ?is title %all be con/ru$ to limit !  
au?ority ( ! ,f$]al ,trade ,commission  

"u any o!r provision ( law4  #ajc4      
,def9itions  7a7 ,t]ms ,= purposes ( ?is
 title--  7#a7 ! t]m assault weapon p>ts
 kit means any "p or comb9ation ( p>ts n
 design$ & int5d$ = repair or replacem5t
 b design$ & int5d$ to enable a consum] 
:o possesses all su* necess>y p>ts to   
assemble a semiautomatic assault weapon2
  7#b7 ! t]m ma*9egun p>ts kit means any
 "p or comb9ation ( p>ts design$ &      
int5d$ to enable a consum] :o possesses 
all su* necess>y p>ts to assemble a     
ma*9egun or conv]t a fire>m into a      
ma*9egun2  7#c7 ! t]m semiautomatic     
assault weapon means--  7,a7 a          
semiautomatic rifle or semiautomatic    
%otgun t has ! capacity to accept a     
deta*able ammunition magaz9e2 or  7,b7 a
 semiautomatic pi/ol t has--  7i7 !     
capacity to accept a deta*able          
ammunition magaz9e2 &  7ii7 any "o ( !  
features describ$ 9 subsection 7b72     
7#d7 ! t]m ma*9egun has ! mean+ giv5 su*
 t]m 9 section #ehde7;b7 ( title #bf1   
,unit$ ,/ates ,code2  7#e7 ! t]m        

semiautomatic pi/ol means any repeat+   
pi/ol t utilizes a portion ( ! en]gy ( a
 fir+ c>tridge to extract ! fix$        
c>tridge case & *amb] ! next r\nd &     
requires a sep>ate pull ( ! trigg] to   
fire ea* c>tridge2  7#f7 ! t]m          
semiautomatic rifle has ! mean+ giv5 su*
 t]m 9 section #iba7;a77#bh7 ( title    
#ah1 ,unit$ ,/ates ,code2 &  7#g7 ! t]m 
semiautomatic %otgun means any repeat+  
%otgun t utilizes a portion ( ! en]gy ( 
a fir+ c>tridge to extract ! fix$       
c>tridge case & *amb] ! next r\nd &     
requires a sep>ate pull ( a trigg] to   
fire ea* c>tridge4  7b7 ,special        
features ( a semiautomatic pi/ol ,!     
special features describ$ 9 p>agraph    
7#c77;,b77ii7 are--  7#a7 an ammunition 
magaz9e t atta*es to ! pi/ol outside ( !
 pi/ol grip2  7#b7 a ?read$ b>rel       
capable ( accept+ a b>rel ext5d]1 fla%  
suppressor1 =w>d h&grip1 or sil5c]2     
7#c7 a %r\d t is atta*$ to1 or p>tially 
or completely encircles1 ! b>rel & t    
p]mits ! %oot] to hold ! fire>m ) !     

nontrigg] h& )\t be+ burn$2  7#d7 a     
manufactur$ weight ( #ej ounces or m :5 
! pi/ol is unload$2 &  7#e7 a           
semiautomatic v]sion ( an automatic     
fire>m4  #ajd4 ,con/ruction ,no?+ 9 ?is 
title %all be con/ru$ z limit+ ! ability
 ( a ,/ate to enact m re/rictive        
gun-relat$ laws1 or bans on fire>m      
receiv] ca/s1 fire>m receiv] blanks1    
assault weapon p>ts kits1 or ma*9egun   
p>ts kits4  ,,ii ,/r5g!n+ ! ,nation's   
,m5tal ,heal? ,infra/ructure  ,a        
,advanc+ ,rese>* on ,s]i\s ,m5tal       
,illness  #bja4 ,national ,in/itute (   
,m5tal ,heal? rese>* program on s]i\s   
m5tal illness  7a7 ,purpose ( ,in/itute 
,section #dfd,r7a7 ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4 #bhep7a77 is
 am5d$ by ins]t+ s]i\s m5tal illness    
rese>*1 aft] biom$ical & behavioral     
rese>*14  7b7 ,rese>* program ,section  
#dfd,r7b7 ( ! ,public ,heal? ,s]vice    
,act 7#db ,u4,s4,c4 #bhep7b77 is am5d$--
  7#a7 by /rik+ ,! rese>* program &     
ins]t+ ! foll[+3  7#a7 ,9 g5]al ,!      

rese>* program  2  7#b7 by /rik+ to     
fur!r ! treatm5t & prev5tion ( m5tal    
illness & ins]t+ to fur!r ! treatm5t &  
prev5tion ( m5tal illness 7includ+ s]i\s
 m5tal illness72 &  7#c7 by add+ at !   
end ! foll[+3  7#b7 ,rese>* ) respect to
 s]i\s m5tal illness ,z "p ( ! rese>*   
program e/abli%$ "u ?is subp>t1 !       
,director ( ! ,in/itute %all conduct or 
support rese>* on s]i\s m5tal illness1  
includ+ ) respect to--  7,a7 ! causes1  
prev5tion1 & treatm5t ( s]i\s m5tal     
illness2 &  7,b7 int]v5tions to improve 
e>ly id5tification ( individuals ) s]i\s
 m5tal illness & ref]ral ( su*          
individuals to m5tal heal? pr(essionals 
= treatm5t4  4  7c7 ,bi5nial report     
,section #djc7;a77#e7 ( ! ,public ,heal?
 ,s]vice ,act 7#db ,u4,s4,c4            
#bhc7;a77#e77 is am5d$--  7#a7 by       
r$esignat+ subp>agraph 7,l7 z           
subp>agraph 7,m72 &  7#b7 by ins]t+ aft]
 subp>agraph 7,k7 ! foll[+3  7,l7 ,s]i\s
 m5tal illness4  4  ,b ,improv+ ! ,m5tal
 ,heal? ,work=ce  #baa4 ,national ,heal?

 ,s]vice ,corps s*ol>%ip & loan repaym5t
 fund+ = behavioral & m5tal heal?       
pr(essionals ,section #cch;,h ( !       
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bedq7 is am5d$--  7#a7 by    
r$esignat+ subsections 7b7 & 7c7 z      
subsections 7c7 & 7d71 respectively2 &  
7#b7 by ins]t+ aft] subsection 7a7 !    
foll[+3  7b7 ,additional fund+ =        
behavioral & m5tal heal? pr(essionals ,9
 addition to ! am\nts au?oriz$ to be    
appropriat$ "u subsection 7a71 & 9      
addition to ! am\nts appropriat$ "u     
section #ajejc ( ,public ,law #aaa-adh1 
!re are au?oriz$ to be appropriat$ su*  
sums z may be necess>y = fiscal ye>s    
#bjad ?r\gh #bjah = s*ol>%ips & loan    
repaym5ts "u ?is subp>t = ensur+1 z     
describ$ 9 sections #cch;,a7a7 &        
#cch;,b7a71 an adequate supply (        
behavioral & m5tal heal? pr(essionals4  
4  #bab4 ,reau?orization ( ,,hrsa's     
,m5tal & ,behavioral ,heal? ,education &
 ,tra9+ ,program ,subsection 7e7 (      
section #gef ( ! ,public ,heal? ,s]vice 

,act 7#db ,u4,s4,c4 #bid;e-#a7 is am5d$ 
to read z foll[s3  7e7 ,au?orization (  
appropriations ,to c>ry out ?is section1
 !re are au?oriz$ to be appropriat$ su* 
sums z may be necess>y = fiscal ye>s    
#bjad ?r\gh #bjah4  4  #bac4 ,m5tal     
heal? aw>5ess tra9+ = s*ool & em]g5cy   
s]vices p]sonnel ,section #ebj;,j ( !   
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bij;bb-#da7 is am5d$--  7#a7 
9 ! section head+1 by ins]t+ ,m5tal     
heal? aw>5ess be=e ,tra9+2 &  7#b7 9    
subsection 7b7--  7,a7 9 ! subsection   
head+1 by /rik+ illness & ins]t+ heal?2 
7,b7 9 p>agraph 7#a7--  7i7 by ins]t+ & 
o!r categories ( individuals1 z det]m9$ 
by ! ,secret>y1 aft] em]g5cy s]vices    
p]sonnel2 &  7ii7 by /rik+ m5tal illness
 ea* place x appe>s & ins]t+ m5tal heal?
 disord]2  7,c7 9 p>agraph 7#e7--  7i7 9
 ! matt] prec$+ subp>agraph 7,a71 by    
/rik+ to & ins]t+ = evid5ce-bas$        
programs = ! purpose (2 &  7ii7 by /rik+
 subp>agraphs 7,a7 ?r\gh 7,c7 & ins]t+ !
 foll[+3  7,a7 recogniz+ ! signs &      

symptoms ( m5tal heal? disord]s2 &  7,b7
 7i7 provid+ education to p]sonnel      
reg>d+ res\rces available 9 ! community 
= individuals ) a m5tal heal? disord] & 
o!r relevant res\rces2 or  7ii7 ! safe  
de-escalation ( crisis situations       
involv+ individuals ) a m5tal heal?     
disord]4  2 &  7,d7 by am5d+ p>agraph   
7#g7 to read z foll[s3  7#g7            
,au?orization ( appropriations ,!re are 
au?oriz$ to be appropriat$ to c>ry out  
?is subsection su* sums z may be        
necess>y = fiscal ye>s #bjad ?r\gh      
#bjah4  4  #bad4 ,,samhsa grant program 
= developm5t & implem5tation ( curricula
 = cont9u+ education on s]i\s m5tal     
illness ,title ,v ( ! ,public ,heal?    
,s]vice ,act is am5d$ by ins]t+ aft]    
section #ebj;,i 7#db ,u4,s4,c4          
#bij;bb-#dj7 ! foll[+3  #ebj;,i-#a4     
,curricula = cont9u+ education on s]i\s 
m5tal illness  7a7 ,grants ,! ,secret>y 
may aw>d grants to eligible entities = !
 developm5t & implem5tation ( curricula 
= provid+ cont9u+ education & tra9+ to  

heal? c>e pr(essionals on id5tify+1     
ref]r+1 & treat+ individuals ) s]i\s    
m5tal illness4  7b7 ,eligible entities  
,to be eligible to seek a grant "u ?is  
section1 an entity %all be a public or  
nonpr(it entity t--  7#a7 provides      
cont9u+ education or tra9+ to heal? c>e 
pr(essionals2 or  7#b7 applies = ! grant
 9 p>tn]%ip ) ano!r entity t provides   
su* education & tra9+4  7c7 ,pref]5ce ,9
 aw>d+ grants "u ?is section1 !         
,secret>y %all give pref]5ce to eligible
 entities propos+ to develop & implem5t 
curricula = provid+ cont9u+ education & 
tra9+ to--  7#a7 heal? c>e pr(essionals 
9 prim>y c>e specialities2 or  7#b7     
heal? c>e pr(essionals :o are requir$1 z
 a condition ( ,/ate lic5sure1 to       
p>ticipate 9 cont9u+ education or tra9+ 
specific to m5tal heal?4  7d7           
,au?orization ( appropriations ,to c>ry 
out ?is section1 !re are au?oriz$ to be 
appropriat$ su* sums z may be necess>y =
 fiscal ye>s #bjad ?r\gh #bjah4  4      
#bae4 ,cl>ification ( ,,hipaa tra9+     

requirem5ts reg>d+ disclosure ( protect$
 heal? in=mation conc]n+ individuals )  
m5tal heal? disord]s ,n lat] ?an #f     
mon?s aft] ! date ( enactm5t ( ?is ,act1
 ! ,secret>y ( ,heal? & ,human ,s]vices 
%all issue guidance reg>d+ ! requirem5ts
 ( section #afd4ecj7;b7 ( title #de1    
,code ( ,f$]al ,regulations1 s z to     
ensure t tra9+ "u su* section includes a
 cle> explanation ( ! circum/ances "u   
:i* heal? c>e pr(essionals & o!r cov]$  
entities 7z su* t]m is def9$ = purposes 
( regulations promulgat$ "u section     
#bfd7;c7 ( ! ,heal? ,insurance          
,portability & ,acc\ntability ,act (    
#aiif7 are p]mitt$ or requir$ to        
disclose protect$ heal? in=mation       
conc]n+ individuals ) a m5tal heal?     
disord]4  ,c ,exp&+ ,access to ,m5tal   
,heal? ,s]vices  #bba4 ,advanc+         
,wellness & ,resili5ce 9 ,education     
7,,aw>e7 ,initiative  7a7 ,*ildr5 &     
adolesc5ts1 viol5ce1 & s*ool- &         
community-,bas$ m5tal heal?  7#a7 ,9    
g5]al ,! fir/ section #eha 79 ! fir/ "p 

,g relat+ to projects = *ildr5 &        
viol5ce7 ( ! ,public ,heal? ,s]vice ,act
 7#db ,u4,s4,c4 #bij;hh7 is am5d$ to    
read z foll[s3  #eha4 ,*ildr5 &         
adolesc5ts1 viol5ce1 & s*ool- &         
community-bas$ m5tal heal?  7a7 ,9 g5]al
 ,! ,secret>y %all1 directly or ?r\gh   
grants1 contracts1 or coop]ative        
agreem5ts aw>d$ to local educational    
ag5cies & o!r public entities1 assi/    
s*ools & local communities 9 implem5t+ a
 compreh5sive m5tal heal? program t--   
7#a7 assi/s *ildr5 & adolesc5ts 9 deal+ 
) trauma & viol5ce2  7#b7 provides      
compreh5sive1 age-appropriate m5tal     
heal? s]vices & supports2  7#c7 is      
l+ui/ically & culturally appropriate2 & 
7#d7 incorporates age-appropriate       
/rategies ( positive behavioral         
int]v5tions & supports4  7b7            
,collaboration2 consultation ,!         
,secret>y %all c>ry out ?is section--   
7#a7 9 collaboration ) ! ,secret>y (    
,education2 &  7#b7 9 consultation ) !  
,attorney ,g5]al ( ! ,unit$ ,/ates4  7c7

 ,activities ,9 c>ry+ out subsection    
7a71 ! ,secret>y may--  7#a7 provide    
f9ancial & te*nical support to enable   
s*ools & local communities to implem5t a
 compreh5sive m5tal heal? program       
describ$ 9 su* subsection2  7#b7        
facilitate community p>tn]%ips among    
families1 /ud5ts1 law en=cem5t ag5cies1 
education sy/ems1 m5tal heal? & sub/ance
 use disord] s]vice sy/ems1 family-bas$ 
m5tal heal? s]vice sy/ems1 welf>e       
ag5cies1 heal? c>e sy/ems 7includ+      
physicians71 fai?-bas$ programs1 trauma 
networks1 & o!r community-bas$ sy/ems2 &
  7#c7 e/abli% me*anisms = *ildr5 &     
adolesc5ts to report incid5ts ( viol5ce 
or plans by o!r *ildr51 adolesc5ts1 or  
adults to commit viol5ce4  7d7          
,requirem5ts  7#a7 ,9 g5]al ,to be      
eligible = an aw>d "u ?is section1 an   
entity %all--  7,a7 be a p>tn]%ip betwe5
 a local educational ag5cy & at lea/ "o 
community program or ag5cy t is involv$ 
9 m5tal heal? activities2 &  7,b7 submit
 an application t--  7i7 is endors$ by  

all memb]s ( ! p>tn]%ip2  7ii7          
designates an entity to s]ve z          
coord9ator ( ! activities to be fund$   
?r\gh ! aw>d2 &  7iii7 conta9s !        
assurances describ$ 9 p>agraph 7#b74    
7#b7 ,requir$ assurances ,an application
 "u p>agraph 7#a7 = a compreh5sive m5tal
 heal? program %all conta9 assurances z 
foll[s3  7,a7 ,! local educational ag5cy
 involv$ w ent] into a memor&um (       
und]/&+--  7i7 )--  7,i7 at lea/ "o (   
ea* ( ! foll[+3 a public or private     
m5tal heal? entity1 a heal? c>e entity1 
a law en=cem5t or juv5ile ju/ice entity1
 a *ild welf>e ag5cy1 a family-bas$     
m5tal heal? entity1 a family or family  
organization1 & a trauma network2 &     
7,,ii7 any o!r community-bas$ entities  
deem$ appropriate by ! local educational
 ag5cy2 &  7ii7 t specifies--  7,i7 !   
responsibilities ( ea* p>tn] ) respect  
to ! activities to be c>ri$ out2  7,,ii7
 h[ ea* p>tn] w be acc\ntable = c>ry+   
out su* responsibilities2 &  7,,iii7 !  
am\nt ( non-,f$]al fund+ or 9-k9d       

contributions t ea* su* p>tn] w         
contribute 9 ord] to su/a9 ! program4   
7,b7 ,! program w address--  7i7 !      
promotion ( ! social1 emotional1 &      
behavioral heal? ( all /ud5ts 9 an      
environm5t t is conducive to le>n+2     
7ii7 ! r$uction 9 ! likelihood ( at-risk
 /ud5ts develop+ social1 emotional1 or  
behavioral heal? problems1 or sub/ance  
use disord]s2  7iii7 ! e>ly             
id5tification ( social1 emotional1 or   
behavioral problems1 or sub/ance use    
disord]s1 & ! provision ( e>ly          
int]v5tion s]vices2  7iv7 ! treatm5t or 
ref]ral = treatm5t ( /ud5ts ) exi/+     
social1 emotional1 or behavioral heal?  
problems1 or sub/ance use disord]s2 &   
7v7 ! developm5t & implem5tation (      
programs to assi/ *ildr5 & adolesc5ts 9 
deal+ ) trauma & viol5ce4  7,c7 ,=      
appropriate s*ool p]sonnel1 ! program w 
provide 9-s]vice tra9+ on--  7i7 !      
te*niques & supports ne$$ = ! e>ly      
id5tification ( *ildr5 & adolesc5ts )   
trauma hi/ories & *ildr5 & adolesc5ts )1

 or at risk (1 m5tal heal? disord]s2    
7ii7 ! use ( ref]ral me*anisms t        
effectively l9k su* *ildr5 & adolesc5ts 
to appropriate treatm5t & int]v5tion    
s]vices 9 ! s*ool & 9 ! community & to  
foll[up :5 s]vices are n available2     
7iii7 /rategies t promote a s*ool-wide  
positive environm5t2  7iv7 /rategies =  
promot+ ! social1 emotional1 m5tal1 &   
behavioral heal? ( all /ud5ts2 &  7v7   
/rategies to increase ! k & skills (    
s*ool & community lead]s ab\t ! impact (
 trauma & viol5ce & on ! application ( a
 public heal? approa* to compreh5sive   
m5tal heal? programs4  7,d7 ,= p>5ts1   
sibl+s1 & o!r family memb]s ( *ildr5 &  
adolesc5ts ) m5tal heal? disord]s1 & =  
memb]s ( ! community1 ! program w       
provide tra9+ on--  7i7 ! te*niques &   
supports describ$ 9 subp>agraph 7,c77i72
  7ii7 ! ref]ral me*anisms & foll[up    
describ$ 9 subp>agraph 7,c77ii72 &      
7iii7 ! /rategies describ$ 9 clauses    
7iii71 7iv71 & 7v7 ( subp>agraph 7,c74  
7,e7 ,a plan w be develop$ & implem5t$  

to su/a9 ! program aft] fund+ "u ?is    
section t]m9ates4  7,f7 ,! local        
educational ag5cy p>tn]%ip involv$ w be 
support$ by ! appropriate ,/ate         
educational & m5tal heal? au?ority to   
ensure t ! su/a9ability ( ! program is  
e/abli%$ aft] fund+ "u ?is section      
t]m9ates4  7,g7 ,! program w--  7i7 be  
bas$ on evid5ce-bas$ practices1 includ+ 
^? relat$ to trauma2  7ii7 be implem5t$ 
9 a culturally & l+ui/ically appropriate
 mann]2  7iii7 be coord9at$ ) e>ly      
int]v5+ activities c>ri$ out "u !       
,individuals ) ,disabilities ,education 
,act2 &  7iv7 include a broad ne$s      
assessm5t ( y\? :o drop out ( s*ool due 
to policies ( z]o tol]ance ) respect to 
drugs1 alcohol1 or weapons & an         
inability to obta9 appropriate s]vices4 
7,h7 ,! program w provide m5tal heal?   
s]vices ?r\gh qualifi$ m5tal &          
behavioral heal? pr(essionals :o are--  
7i7 c]tifi$ or lic5s$ by ! ,/ate        
involv$2 &  7ii7 practic+ )9 _! area (  
exp]tise4  7#c7 ,compliance ) ,,hipaa   

,an aw>d recipi5t "u ?is section %all be
 deem$ to be a cov]$ entity = purposes (
 compliance ) ! regulations promulgat$  
"u section #bfd7;c7 ( ! ,heal?          
,insurance ,portability & ,acc\ntability
 ,act ( #aiif ) respect to any pati5t   
records develop$ ?r\gh activities fund$ 
?r\gh ! aw>d4  7e7 ,geographical        
di/ribution ,! ,secret>y %all ensure t  
aw>ds "u ?is section are di/ribut$      
equitably among ! regions ( ! c\ntry &  
among urban & rural areas4  7f7         
,duration ( aw>ds ,! p]iod ( an aw>d "u 
?is section %all be #f ye>s4 ,an entity 
may receive only "o aw>d "u ?is section1
 except t an entity t is provid+ s]vices
 & supports on a regional basis may     
receive additional fund+ aft] !         
expiration ( ! prec$+ aw>d p]iod4  7g7  
,program evaluation & outcome measures  
7#a7 ,developm5t ( process ,! ,secret>y 
%all develop a process = evaluat+       
compreh5sive m5tal heal? programs "u ?is
 section t includes--  7,a7 ! developm5t
 ( guidel9es = ! submission ( program   

data by an aw>d recipi5t2  7,b7 !       
developm5t ( outcome measures 79        
accordance ) p>agraph 7#b77 to be appli$
 by su* recipi5t1 & us$ by ! ,secret>y1 
to measure & evaluate ! program's       
effectiv5ess & success2 &  7,c7 !       
submission by su* recipi5t ( annual     
reports--  7i7 conc]n+ ! effectiv5ess & 
success ( ! program2 &  7ii7 includ+    
data & o!r in=mation relat+ to ea*      
outcome measure develop$ "u subp>agraph 
7,b74  7#b7 ,outcome measures  7,a7     
,/ud5t & family measures ,! outcome     
measures develop$ "u p>agraph 7#a77;,b7 
%all include outcome measures relat+ to 
/ud5ts & families1 :i*1 at a m9imum1    
%\ld be design$ to measure a program's  
effectiv5ess 9--  7i7 increas+ social & 
emotional compet5cy2  7ii7 increas+     
academic compet5cy 7z def9$ by          
,secret>y72  7iii7 r$uc+ disruptive &   
aggressive behaviors2  7iv7 improv+ *ild
 & adolesc5t function+2  7v7 r$uc+      
sub/ance use disord]s2  7vi7 r$uc+      
susp5sions1 truancy1 expulsions1 &      

viol5ce2  7vii7 increas+ graduation     
rates 7z def9$ "u section               
#aaaa7;b77#b77;,c77vi7 ( ! ,elem5t>y &  
,second>y ,education ,act ( #aife72 &   
7viii7 improv+ access to c>e = m5tal    
heal? disord]s4  7,b7 ,local educational
 sy/em measures ,! outcome measures     
develop$ "u p>agraph 7#a77;,b7 %all     
include outcome measures relat+ to local
 educational sy/ems1 :i*1 at a m9imum1  
%\ld be design$ to measure--  7i7 !     
effectiv5ess (--  7,i7 =mal p>tn]%ip    
l9kages among *ild & family-s]v+        
in/itutions1 community support sy/ems1 &
 ! educational sy/em 9 address+ m5tal   
heal? disord]s2 &  7,,ii7 tra9+ &       
pr(essional developm5t programs1 includ+
 culturally & l+ui/ically appropriate   
tra9+ = appropriate s*ool p]sonnel2 &   
7ii7 ! progress 9--  7,i7 improv+ !     
p]ception ( a safe & supportive le>n+   
environm5t among s*ool /aff1 /ud5ts1 &  
p>5ts2  7,,ii7 improv+ ! id5tification (
 /ud5ts 9 ne$ ( m int5sive m5tal heal?  
s]vices & ref]ral ( su* /ud5ts to e>ly  

int]v5tion & cl9ical m5tal heal?        
s]vices2  7,,iii7 improv+ access to     
cl9ical assessm5t & treatm5t s]vices )9 
! context ( ! local community to /ud5ts 
pos+ a dang] to !mselves or o!rs2 &     
7,,iv7 improv+ rates ( matriculation to 
po/second>y s*ool & r$uc+ ref]rals to ! 
juv5ile ju/ice sy/em4  7#c7 ,evaluation 
& dissem9ation by ,secret>y  7,a7       
,evaluation ,! ,secret>y %all annually  
submit to ,congress a report on !       
effectiv5ess & success ( ! programs "u  
?is section1 bas$ on ! data submitt$ "u 
p>agraph 7#a77;,c74  7,b7 ,dissem9ation 
,! ,secret>y %all e/abli% compreh5sive  
in=mation & education programs to       
dissem9ate to ! g5]al public & to heal? 
c>e pr(essionals f9d+s & conclusions    
bas$ on ! data submitt$ "u p>agraph     
7#a77;,c74  7#d7 ,limitation on         
evaluation activities ,an aw>d recipi5t 
%all n use m ?an #aj p]c5t ( am\nts     
receiv$ "u ?is section to c>ry out      
evaluation activities4  7h7 ,def9ition  
,9 ?is section1 ! t]ms *ildr5 &         

adolesc5ts & *ild & adolesc5t ref] to   
individuals "u #bb ye>s ( age4  7i7     
,fund+  7#a7 ,am\nt ( aw>ds ,an aw>d to 
an entity "u ?is section %all n exce$   
#a1jjj1jjj = ea* ( fiscal ye>s #bjad    
?r\gh #bjah4 ,! ,secret>y %all det]m9e !
 am\nt ( ea* aw>d bas$ on ! population (
 *ildr5 & adolesc5ts 9 ! area to be s]v$
 ?r\gh ! aw>d4  7#b7 ,au?orization (    
appropriations ,!re are au?oriz$ to be  
appropriat$ to c>ry out ?is section su* 
sums z may be necess>y = fiscal ye>s    
#bjad ?r\gh #bjah4  4  7#b7 ,te*nical   
am5dm5ts ,! second "p ,g 7relat+ to     
s]vices provid$ ?r\gh religi\s          
organizations7 ( title ,v ( ! ,public   
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bijkk et seq47 is am5d$--  7,a7 by     
r$esignat+ su* "p z "p ,j2 &  7,b7 by   
r$esignat+ sections #eha ?r\gh #ehd z   
sections #eif ?r\gh #eif;,c1            
respectively4  7#c7 ,con=m+ am5dm5t ,"p 
,g ( title ,v ( ! ,public ,heal? ,s]vice
 ,act 7#db ,u4,s4,c4 #bij;hh et seq471 z
 am5d$ by ?is subsection1 is fur!r am5d$

 by /rik+ ! "p head+ & ins]t+ ! foll[+3 
,g ,s*ool-bas$ m5tal heal?  4  7b7      
,g>rett ,lee ,smi? ,memorial ,act       
reau?orization  7#a7 ,suicide prev5tion 
te*nical assi/ance c5t] ,section #ebj;,c
 ( ! ,public ,heal? ,s]vice ,act 7#db   
,u4,s4,c4 #bij;bb-#cd7 is am5d$--  7,a7 
9 ! section head+1 by /rik+ ! section   
head+ & ins]t+ ,suicide prev5tion       
te*nical assi/ance c5t]42  7,b7 9       
subsection 7a71 by /rik+ & 9            
consultation ) & all t foll[s ?r\gh !   
p]iod at ! end ( p>agraph 7#b7 & ins]t+ 
%all e/abli% a rese>*1 tra9+1 & te*nical
 assi/ance res\rce c5t] to provide      
appropriate in=mation1 tra9+1 & te*nical
 assi/ance to ,/ates1 political         
subdivisions ( ,/ates1 f$]ally recogniz$
 ,indian tribes1 tribal organizations1  
in/itutions ( high] education1 public   
organizations1 or private nonpr(it      
organizations reg>d+ ! prev5tion (      
suicide among all ages1 p>ticul>ly among
 gr\ps t are at high risk = suicide42   
7,c7 by /rik+ subsections 7b7 & 7c72    

7,d7 by r$esignat+ subsection 7d7 z     
subsection 7b72  7,e7 9 subsection 7b71 
z s r$esignat$--  7i7 by /rik+ !        
subsection head+ & ins]t+               
,responsibilities ( ! c5t]42  7ii7 9 !  
matt] prec$+ p>agraph 7#a71 by /rik+ ,! 
additional rese>* & all t foll[s ?r\gh  
nonpr(it organizations = & ins]t+ ,!    
c5t] e/abli%$ "u subsection 7a7 %all    
conduct activities = ! purpose (2  7iii7
 by /rik+ y\? suicide ea* place su* t]m 
appe>s & ins]t+ suicide2  7iv7 9        
p>agraph 7#a7--  7,i7 by /rik+ !        
developm5t or cont9uation ( & ins]t+    
develop+ & cont9u+2 &  7,,ii7 by ins]t+ 
= all ages1 p>ticul>ly among gr\ps t are
 at high risk = suicide be=e ! semicolon
 at ! end2  7v7 9 p>agraph 7#b71 by     
ins]t+ = all ages1 p>ticul>ly among     
gr\ps t are at high risk = suicide be=e 
! semicolon at ! end2  7vi7 9 p>agraph  
7#c71 by ins]t+ & tribal aft] /atewide2 
7vii7 9 p>agraph 7#e71 by ins]t+ &      
prev5tion aft] int]v5tion2  7viii7 9    
p>agraph 7#h71 by /rik+ 9 y\?2  7ix7 9  

p>agraph 7#i71 by /rik+ & behavioral    
heal? & ins]t+ heal? & sub/ance use     
disord]2 &  7x7 9 p>agraph 7#aj71 by    
ins]t+ conduct+ be=e o!r2 &  7,f7 by    
/rik+ subsection 7e7 & ins]t+ ! foll[+3 
7c7 ,au?orization ( appropriations ,to  
c>ry out ?is section1 !re are au?oriz$  
to be appropriat$ su* sums z may be     
necess>y = fiscal ye>s #bjad ?r\gh      
#bjah4  4  7#b7 ,y\? suicide e>ly       
int]v5tion & prev5tion /rategies        
,section #ebj;,e ( ! ,public ,heal?     
,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cf7
 is am5d$--  7,a7 9 p>agraph 7#a7 (     
subsection 7a7 & 9 subsection 7c71 by   
/rik+ sub/ance abuse ea* place su* t]m  
appe>s & ins]t+ sub/ance use disord]2   
7,b7 9 subsection 7b77#b7--  7i7 by     
/rik+ ea* ,/ate is aw>d$ only #a grant  
or coop]ative agreem5t "u ?is section & 
ins]t+ a ,/ate does n receive m ?an #a  
grant or coop]ative agreem5t "u ?is     
section at any #a "t2 &  7ii7 by /rik+  
be5 aw>d$ & ins]t+ receiv$2 &  7,c7 by  
/rik+ subsection 7m7 & ins]t+ ! foll[+3 

7m7 ,au?orization ( appropriations ,to  
c>ry out ?is section1 !re are au?oriz$  
to be appropriat$ su* sums z may be     
necess>y = fiscal ye>s #bjad ?r\gh      
#bjah4  4  7#c7 ,m5tal heal? & sub/ance 
use disord] s]vices ,section #ebj;,e-#b 
( ! ,public ,heal? ,s]vice ,act 7#db    
,u4,s4,c4 #bij;bb-#cf;b7 is am5d$--     
7,a7 9 ! section head+1 by /rik+ &      
behavioral heal? & ins]t+ heal? &       
sub/ance use disord] s]vices2  7,b7 9   
subsection 7a7--  7i7 by /rik+ ,s]vices1
 & ins]t+ ,s]vices &2  7ii7 by /rik+ &  
behavioral heal? problems & ins]t+ heal?
 or sub/ance use disord]s2 &  7iii7 by  
/rik+ sub/ance abuse & ins]t+ sub/ance  
use disord]s2  7,c7 9 subsection 7b7--  
7i7 9 ! matt] prec$+ p>agraph 7#a71 by  
/rik+ =-- & ins]t+ = "o or m ( !        
foll[+32 &  7ii7 by /rik+ p>agraphs 7#a7
 ?r\gh 7#f7 & ins]t+ ! foll[+3  7#a7    
,educat+ /ud5ts1 families1 faculty1 &   
/aff to increase aw>5ess ( m5tal heal? &
 sub/ance use disord]s4  7#b7 ,op]at+   
hotl9es4  7#c7 ,prep>+ in=mational      

mat]ial4  7#d7 ,provid+ outrea* s]vices 
to notify /ud5ts ab\t available m5tal   
heal? & sub/ance use disord] s]vices4   
7#e7 ,adm9i/]+ volunt>y m5tal heal? &   
sub/ance use disord] scre5+s &          
assessm5ts4  7#f7 ,support+ ! tra9+ (   
/ud5ts1 faculty1 & /aff to respond      
effectively to /ud5ts ) m5tal heal? &   
sub/ance use disord]s4  7#g7 ,creat+ a  
network infra/ructure to l9k colleges & 
univ]sities ) heal? c>e provid]s :o     
treat m5tal heal? & sub/ance use        
disord]s4  2  7,d7 9 subsection 7c77#e71
 by /rik+ sub/ance abuse & ins]t+       
sub/ance use disord]2  7,e7 9 subsection
 7d7--  7i7 9 ! matt] prec$+ p>agraph   
7#a71 by /rik+ ,an in/itution ( high]   
education desir+ a grant "u ?is section 
& ins]t+ ,to be eligible to receive a   
grant "u ?is section1 an in/itution (   
high] education2  7ii7 9 p>agraph 7#a7--
  7,i7 by /rik+ & behavioral heal? &    
ins]t+ heal? & sub/ance use disord]2 &  
7,,ii7 by ins]t+ 1 includ+ vet]ans z    
appropriate1 aft] /ud5ts2 &  7iii7 9    

p>agraph 7#b71 by ins]t+ 1 :i* may      
include1 z appropriate & 9 accordance ) 
subsection 7b77#g71 a plan to seek input
 f relevant /akehold]s 9 ! community1   
includ+ appropriate public & private    
entities1 9 ord] to c>ry out ! program  
"u ! grant be=e ! p]iod at ! end2  7,f7 
9 subsection 7e77#a71 by /rik+ &        
behavioral heal? problems & ins]t+ heal?
 & sub/ance use disord]s2  7,g7 9       
subsection 7f77#b7--  7i7 by /rik+ &    
behavioral heal? & ins]t+ heal? &       
sub/ance use disord]2 &  7ii7 by /rik+  
suicide & sub/ance abuse & ins]t+       
suicide & sub/ance use disord]s2 &  7,h7
 by am5d+ subsection 7h7 to read z      
foll[s3  7h7 ,au?orization (            
appropriations ,to c>ry out ?is section1
 !re are au?oriz$ to be appropriat$ su* 
sums z may be necess>y = fiscal ye>s    
#bjad ?r\gh #bjah4  4  7c7 ,m5tal heal? 
aw>5ess tra9+ grants ,= provisions ( !  
,advanc+ ,wellness & ,resili5ce 9       
,education 7,,aw>e7 ,initiative relat+  
to m5tal heal? aw>5ess tra9+ = s*ool &  

em]g5cy s]vices p]sonnel1 see section   
#bac ( ?is ,act4  7d7 ,evaluation ,n    
lat] ?an ! end ( fiscal ye> #bjag1 !    
,secret>y ( ,heal? & ,human ,s]vices    
%all submit to ! ,congress a report on !
 implem5tation & effectiv5ess ( !       
activities c>ri$ out "u sections #eha1  
#ebj;,c1 #ebj;,e1 & #ebj;,e-#b ( !      
,public ,heal? ,s]vice ,act1 z am5d$ by 
?is section1 & section #ebj;,j ( !      
,public ,heal? ,s]vice ,act1 z am5d$ by 
section #bac4  #bbb4 ,,samhsa & ,,hrsa  
integration ( m5tal heal? s]vices into  
prim>y c>e sett+s ,title ,v ( ! ,public 
,heal? ,s]vice ,act is am5d$ by ins]t+  
aft] section #ebj,k 7#db ,u4,s4,c4      
#bij;bb-#db7 ! foll[+3  #ebj,k-#a4      
,aw>ds = co-locat+ m5tal heal? s]vices 9
 prim>y c>e sett+s  7a7 ,program        
au?oriz$ ,! ,secret>y1 act+ ?r\gh !     
,adm9i/rators ( ! ,sub/ance ,abuse &    
,m5tal ,heal? ,s]vices ,adm9i/ration & !
 ,heal? ,res\rces & ,s]vices            
,adm9i/ration1 %all aw>d grants1        
contracts1 & coop]ative agreem5ts to    

eligible entities = ! provision (       
coord9at$ & integrat$ m5tal heal?       
s]vices & prim>y heal? c>e4  7b7        
,eligible entities ,to be eligible to   
seek a grant1 contract1 or coop]ative   
agreem5t ?is section1 an entity %all be 
a public or nonpr(it entity4  7c7 ,use (
 funds ,an eligible entity receiv+ an   
aw>d "u ?is section %all use ! aw>d = ! 
provision ( coord9at$ & integrat$ m5tal 
heal? s]vices & prim>y heal? c>e ?r\gh--
  7#a7 ! co-location ( m5tal heal?      
s]vices 9 prim>y c>e sett+s2  7#b7 ! use
 ( c>e managem5t s]vices to facilitate  
coord9ation betwe5 m5tal heal? & prim>y 
c>e provid]s2  7#c7 ! use ( in=mation   
te*nology 7su* z telem$ic9e7--  7,a7 to 
facilitate coord9ation betwe5 m5tal     
heal? & prim>y c>e provid]s2 or  7,b7 to
 exp& ! availability ( m5tal heal?      
s]vices2 or  7#d7 ! provision ( tra9+ & 
te*nical assi/ance to improve ! deliv]y1
 effectiv5ess1 & integration ( m5tal    
heal? s]vices into prim>y c>e sett+s4   
7d7 ,au?orization ( appropriations ,to  

c>ry out ?is section1 !re are au?oriz$  
to be appropriat$ su* sums z may be     
necess>y = fiscal ye>s #bjad ?r\gh      
#bjah4  4  #bbc4 ,*ildr5's recov]y f    
trauma ,section #ehb ( ! ,public ,heal? 
,s]vice ,act 7#db ,u4,s4,c4 #bij;hh-#a7 
is am5d$--  7#a7 9 subsection 7a71 by   
/rik+ develop+ programs & all t foll[s &
 ins]t+ 8develop+ & ma9ta9+ programs t  
provide =--  7#a7 ! cont9u$ op]ation ( !
 ,national ,*ild ,traumatic ,/ress      
,initiative 7ref]r$ to 9 ?is section z !
 ,,nctsi71 includ+ a coord9at+ c5t]1 t  
focuses on ! m5tal1 behavioral1 &       
biological aspects ( psy*ological trauma
 response2 &  7#b7 ! developm5t ( k )   
reg>d to evid5ce-bas$ practices =       
id5tify+ & treat+ m5tal1 behavioral1 &  
biological disord]s ( *ildr5 & y\?      
result+ f witness+ or exp]i5c+ a        
traumatic ev5t4  2  7#b7 9 subsection   
7b7 by /rik+ subsection 7a7 relat$ & all
 t foll[s ?r\gh ! end ( ! subsection &  
ins]t+ subsection 7a77#b7 7relat$ to !  
developm5t ( k on evid5ce-bas$ practices

 = treat+ m5tal1 behavioral1 &          
biological disord]s associat$ )         
psy*ological trauma71 ! ,secret>y %all  
give priority to univ]sities1 hospitals1
 m5tal heal? ag5cies1 & o!r programs t h
 e/abli%$ cl9ical exp]tise & rese>*     
exp]i5ce 9 ! field ( trauma-relat$ m5tal
 disord]s42  7#c7 by r$esignat+         
subsections 7c7 ?r\gh 7g7 z subsections 
7e7 ?r\gh 7i71 respectively2  7#d7 by   
ins]t+ aft] subsection 7b71 ! foll[+3   
7c7 ,national ,*ild ,traumatic ,/ress   
,initiative ,! ,,nctsi coord9at+ c5t]   
%all--  7#a7 collect1 analyze1 & report 
,,nctsi-wide *ild treatm5t process &    
outcome data reg>d+ ! e>ly id5tification
 & deliv]y ( evid5ce-bas$ treatm5t &    
s]vices = *ildr5 & families s]v$ by !   
,,nctsi grantees2  7#b7 facilitate !    
coord9ation ( tra9+ initiatives 9       
evid5ce-bas$ & trauma-in=m$ treatm5ts1  
int]v5tions1 & practices (f]$ to ,,nctsi
 grantees1 provid]s1 & p>tn]s2 &  7#c7  
collaborate1 z appropriate1 ) !         
,secret>y 9 ! dissem9ation (            

evid5ce-bas$ & trauma-in=m$ int]v5tions1
 treatm5ts1 products1 & o!r res\rces to 
appropriate /akehold]s4  7d7 ,review ,! 
,secret>y %all1 consi/5t ) ! pe] review 
process1 ensure t ,,nctsi applications  
are review$ by appropriate exp]ts 9 !   
field1 includ+ exp]ts 9 *ild trauma4  2 
7#e7 9 subsection 7e7 7z s r$esignat$71 
by /rik+ ) respect to c5t]s ( excell5ce 
are di/ribut$ equitably among ! regions 
( ! c\ntry & ins]t+ are di/ribut$       
equitably among ! regions ( ! ,unit$    
,/ates2  7#f7 9 subsection 7g7 7z s     
r$esignat$71 by /rik+ recipi5t may n    
exce$ #e ye>s & ins]t+ recipi5t %all n  
be less ?an #d ye>s1 b %all n exce$ #e  
ye>s2 &  7#g7 by am5d+ subsection 7h7 7z
 s r$esignat$7 to read z foll[s3  7h7   
,au?orization ( appropriations ,to c>ry 
out ?is section1 !re are au?oriz$ to be 
appropriat$ su* sums z may be necess>y =
 fiscal ye>s #bjad ?r\gh #bjah4  4      
#bbd4 ,in=mation on g]iatric m5tal heal?
 disord]s ,section #ebj;,a7e7 ( !       
,public ,heal? ,s]vice ,act 7#db        

,u4,s4,c4 #bij;bb-#cb7;e77 is am5d$ by  
add+ at ! end ! foll[+3  7#c7 ,g]iatric 
m5tal heal? disord]s ,! ,secret>y %all1 
z appropriate1 provide in=mation to     
grantees reg>d+ evid5ce-bas$ practices =
 ! prev5tion & treatm5t ( g]iatric m5tal
 heal? disord]s & co-occurr+ m5tal heal?
 & sub/ance use disord]s among g]iatric 
populations1 z well z dissem9ate        
in=mation ab\t su* evid5ce-bas$         
practices to ,/ates & nongrantees       
?r\gh\t ! ,unit$ ,/ates4  4  #bbe4 ,,gao
 /udy on availability ( inpati5t b$s ,n 
lat] ?an #b ye>s aft] ! date ( enactm5t 
( ?is ,act1 ! ,comptroll] ,g5]al ( !    
,unit$ ,/ates %all conduct a /udy &     
submit a report to ! ,congress on--     
7#a7 ! availability ( inpati5t b$s =    
treatm5t ( m5tal heal? disord]s2  7#b7 !
 impact ( su* availability on access to1
 & ! quality (1 m5tal heal? s]vices2 &  
7#c7 ! impact on individuals ) s]i\s    
m5tal illness & on ,/ates ( ! exclusion 
f m$ical assi/ance "u section #aije7;a7 
( ! ,social ,security ,act 7#db         

,u4,s4,c4 #acif;d7a77 ( paym5t ) respect
 to c>e or s]vices = c]ta9 pati5ts 9 an 
in/itution = m5tal diseases4  #bbf4     
,report+ requirem5ts = block grants     
reg>d+ m5tal heal? & sub/ance use       
disord]s ,section #aidb ( ! ,public     
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#cjjx-#eb7 is am5d$ to read z foll[s3   
#aidb4 ,requirem5t ( reports & audits by
 ,/ates  7a7 ,block grants = community  
m5tal heal? s]vices  7#a7 ,annual report
 ,a fund+ agreem5t = a grant "u section 
#aiaa is t--  7,a7 ! ,/ate involv$ w    
prep>e & submit to ! ,secret>y an annual
 report on ! activities fund$ ?r\gh !   
grant2 &  7,b7 ea* su* report %all be   
prep>$ by1 or 9 consultation )1 ! ,/ate 
ag5cy responsible = community m5tal     
heal? programs & activities4  7#b7      
,/&>diz$ =m2 cont5ts ,9 ord] to prop]ly 
evaluate & to comp>e ! p]=mance (       
diff]5t ,/ates assi/$ "u section #aiaa1 
reports "u ?is section %all be 9 su*    
/&>diz$ =m & conta9 su* in=mation z !   
,secret>y det]m9es 7aft] consultation ) 

! ,/ates7 to be necess>y--  7,a7 to     
secure an accurate description ( !      
activities fund$ ?r\gh ! grant "u       
section #aiaa2  7,b7 to det]m9e ! ext5t 
to :i* funds 7 exp5d$ consi/5t ) !      
,/ate's application transmitt$ "u       
section #aiag7;a72 &  7,c7 to describe !
 ext5t to :i* ! ,/ate has met ! goals & 
objectives x set =? 9 its ,/ate plan "u 
section #aiab7;b74  7#c7 ,m9imum cont5ts
 ,ea* report "u ?is section %all1 at a  
m9imum1 include ! foll[+ in=mation3     
7,a7 7i7 ,! numb] ( individuals s]v$ by 
! ,/ate "u subp>t ,i 7by class (        
individuals74  7ii7 ,! proportion ( ea* 
class ( su* individuals :i* has heal?   
cov]age4  7iii7 ,! types ( s]vices 7z   
def9$ by ! ,secret>y7 provid$ "u subp>t 
,i to individuals )9 ea* su* class4     
7iv7 ,! am\nts sp5t "u subp>t ,i on ea* 
type ( s]vice 7by class ( individuals   
s]v$74  7,b7 ,in=mation on ! /atus (    
m5tal heal? 9 ! ,/ate1 includ+ in=mation
 7by c\nty & by racial & e?nic gr\p7 on 
ea* ( ! foll[+3  7i7 ,! proportion (    

adolesc5ts ) s]i\s m5tal illness        
7includ+ major depression74  7ii7 ,!    
proportion ( adults ) s]i\s m5tal       
illness 7includ+ major depression74     
7iii7 ,! proportion ( individuals )     
co-occurr+ m5tal heal? & sub/ance use   
disord]s4  7iv7 ,! proportion ( *ildr5 &
 adolesc5ts ) m5tal heal? disord]s :o   
seek & receive treatm5t4  7v7 ,!        
proportion ( adults ) m5tal heal?       
disord]s :o seek & receive treatm5t4    
7vi7 ,! proportion ( individuals )      
co-occurr+ m5tal heal? & sub/ance use   
disord]s :o seek & receive treatm5t4    
7vii7 ,! proportion ( homeless adults ) 
m5tal heal? disord]s :o receive         
treatm5t4  7viii7 ,! numb] ( prim>y c>e 
facilities t provide m5tal heal? scre5+ 
& treatm5t s]vices onsite or by paid    
ref]ral4  7ix7 ,! numb] ( prim>y c>e    
physician (fice visits t include m5tal  
heal? scre5+ s]vices4  7x7 ,! numb] (   
juv5ile resid5tial facilities t scre5   
admissions = m5tal heal? disord]s4  7xi7
 ,! numb] ( dea?s attributable to       

suicide4  7,c7 ,in=mation on ! numb] &  
type ( heal? c>e practition]s lic5s$ 9 !
 ,/ate & provid+ m5tal heal?-relat$     
s]vices4  7#d7 ,availability ( reports  
,! ,secret>y %all1 ^u reque/1 provide a 
copy ( any report "u ?is section to any 
int]e/$ public ag5cy4  7b7 ,block grants
 = prev5tion & treatm5t ( sub/ance use  
disord]s  7#a7 ,annual report ,a fund+  
agreem5t = a grant "u section #aiba is  
t--  7,a7 ! ,/ate involv$ w prep>e &    
submit to ! ,secret>y an annual report  
on ! activities fund$ ?r\gh ! grant2 &  
7,b7 ea* su* report %all be prep>$ by1  
or 9 consultation )1 ! ,/ate ag5cy      
responsible = sub/ance use disord]      
programs & activities4  7#b7 ,/&>diz$   
=m2 cont5ts ,9 ord] to prop]ly evaluate 
& to comp>e ! p]=mance ( diff]5t ,/ates 
assi/$ "u section #aiba1 reports "u ?is 
section %all be 9 su* /&>diz$ =m &      
conta9 su* in=mation z ! ,secret>y      
det]m9es 7aft] consultation ) ! ,/ates7 
to be necess>y--  7,a7 to secure an     
accurate description ( ! activities     

fund$ ?r\gh ! grant "u section #aiba2   
7,b7 to det]m9e ! ext5t to :i* funds 7  
exp5d$ consi/5t ) ! ,/ate's application 
transmitt$ "u section #aicb7;a72 &  7,c7
 to describe ! ext5t to :i* ! ,/ate has 
met ! goals & objectives x set =? 9 its 
,/ate plan "u section #aicb7;b74  7#c7  
,m9imum cont5ts ,ea* report "u ?is      
section %all1 at a m9imum1 include !    
foll[+ in=mation3  7,a7 7i7 ,! numb] (  
individuals s]v$ by ! ,/ate "u subp>t   
,,ii 7by class ( individuals74  7ii7 ,! 
proportion ( ea* class ( su* individuals
 :i* has heal? cov]age4  7iii7 ,! types 
( s]vices 7z def9$ by ! ,secret>y7      
provid$ "u subp>t ,,ii to individuals )9
 ea* su* class4  7iv7 ,! am\nts sp5t "u 
subp>t ,,ii on ea* type ( s]vice 7by    
class ( individuals s]v$74  7,b7        
,in=mation on ! /atus ( sub/ance use    
disord]s 9 ! ,/ate1 includ+ in=mation   
7by c\nty & by racial & e?nic gr\p7 on  
ea* ( ! foll[+3  7i7 ,! proportion (    
adolesc5ts us+ alcohol or o!r addictive 
drugs 7includ+ nicot9e74  7ii7 ,!       

proportion ( adults 7includ+ pregnant   
wom57 us+ alcohol or o!r addictive drugs
 7includ+ nicot9e74  7iii7 ,! proportion
 ( adolesc5ts us+ prescription drugs =  
nonm$ical purposes4  7iv7 ,! proportion 
( adults us+ prescription drugs =       
nonm$ical purposes4  7v7 ,! numb] (     
individuals 7includ+ pregnant wom57     
admitt$ to sub/ance use disord] treatm5t
 programs 7includ+ gr\p home            
arrangem5ts74  7vi7 ,! numb] ( dea?s    
attributable to alcohol4  7vii7 ,! numb]
 ( dea?s attributable to illicit drugs4 
7viii7 ,! numb] ( dea?s attributable to 
prescription drugs4  7,c7 ,in=mation on 
! numb] & type ( heal? c>e practition]s 
lic5s$ 9 ! ,/ate & provid+ sub/ance use 
disord]-relat$ s]vices4  7#d7           
,availability ( reports ,! ,secret>y    
%all1 ^u reque/1 provide a copy ( any   
report "u ?is section to any int]e/$    
public ag5cy4  4  #bbg4 ,m5tal heal?    
p>ity ,9 ! case ( a gr\p heal? plan or  
heal? insurance cov]age t provides bo?  
m$ical & surgical b5efits & m5tal heal? 

& sub/ance use disord] b5efits1 ! ,paul 
,well/one & ,pete ,dom5ici ,m5tal ,heal?
 ,p>ity & ,addiction ,equity ,act (     
#bjjh 7subtitle ,b ( title ,v ( division
 ,c ( ,public ,law #aaj-cdc7 & !        
am5dm5ts made !reby %all be con/ru$ to  
ensure full p>ity ( su* b5efits1        
includ+--  7#a7 at all levels ( m$ically
 appropriate treatm5t2 &  7#b7 ) respect
 to applicable m$ical managem5t         
te*niques4  ,d ,promot+ ,public ,aw>5ess
 ( ,m5tal ,heal? ,disord]s & ,r$uc+     
,/igma ( ,su* ,disord]s  #bca4 ,promot+ 
public aw>5ess ( m5tal heal? disord]s & 
r$uc+ /igma ( su* disord]s ,title ,v ( !
 ,public ,heal? ,s]vice ,act is am5d$ by
 ins]t+ aft] section #ebj;,e-#b 7#db    
,u4,s4,c4 #bij;bb-#dj7 ! foll[+3        
#ebj;,e-#c4 ,promot+ public aw>5ess (   
m5tal heal? disord]s & r$uc+ /igma ( su*
 disord]s  7a7 ,program au?oriz$ ,!     
,secret>y may1 by aw>d+ grants1         
contracts1 & coop]ative agreem5ts to    
eligible entities1 provide = plann+1    
e/abli%+1 coord9at+1 & evaluat+ a       

nationwide public education campaign t  
is design$--  7#a7 to promote public    
aw>5ess & und]/&+ ( m5tal heal?         
disord]s1 includ+ s]i\s m5tal illness2 &
  7#b7 to r$uce ! /igma associat$ )     
m5tal heal? disord]s4  7b7 ,eligible    
entities ,to be eligible to seek an aw>d
 "u ?is section1 an entity %all be a    
public or nonpr(it entity ) demon/rat$  
exp]tise 9 conduct+ a public            
heal?-relat$ campaign4  7c7 ,activities 
,! public education campaign "u ?is     
section %all include--  7#a7 national   
education & outrea* ?r\gh television    
adv]tisem5ts1 radio adv]tisem5ts1       
,int]net-bas$ res\rces1 social m$ia1 &  
pr9t m$ia2 &  7#b7 community-bas$       
education & outrea*4  7d7 ,pref]5ce ,9  
mak+ aw>ds "u ?is section1 ! ,secret>y  
%all give pref]5ce to eligible entities 
t--  7#a7 h demon/rat$ exp]tise 9       
conduct+ a public heal?-relat$ campaign 
t is focus$ on m5tal heal? disord]s2 &  
7#b7 are propos+ public education       
campaigns t w--  7,a7 be c>ri$ out 9    

p>tn]%ip ) local community p>tn]s2 &    
7,b7 emphasize education & outrea*      
t>get+ *ildr51 adolesc5ts1 & "y adults  
?r\gh #bd ye>s ( age4  7e7 ,consultation
 ,9 c>ry+ out ?is section1 ! ,secret>y  
%all consult ) ea* ( ! foll[+           
/akehold]s3  7#a7 ,m5tal heal? consum]s1
 includ+ y\?1 adults1 & family memb]s4  
7#b7 ,repres5tatives ( m5tal &          
behavioral heal? organizations4  7#c7   
,repres5tatives ( m$ical1 public heal?1 
& behavioral heal? pr(essional          
organizations4  7#d7 ,repres5tatives (  
m5tal heal? provid]s1 includ+ community 
m5tal heal? c5t]s4  7#e7 ,repres5tatives
 ( private- & public-sector gr\ps )     
exp]i5ce 9 ! developm5t ( effective     
public heal? education campaigns4  7#f7 
,o!r /akehold]s ) relevant subject matt]
 exp]tise z appropriate4  7f7           
,evaluation ,z a condition on receipt ( 
an aw>d "u ?is section1 an eligible     
entity %all agree--  7#a7 to evaluate ! 
effectiv5ess ( activities fund$ ?r\gh ! 
aw>d2 &  7#b7 to report ! results ( su* 

evaluation to ! ,secret>y4  7g7         
,au?orization ( appropriations ,to c>ry 
out ?is section1 !re are au?oriz$ to be 
appropriat$ su* sums z may be necess>y =
 fiscal ye>s #bjad ?r\gh #bjah4  4      
,,iii ,und]/&+ ! ,epidemic ( ,gun       
,viol5ce  #cja4 ,reaffirm+ ,,cdc rese>* 
au?ority  7a7 ,9 g5]al ,section #cia ( !
 ,public ,heal? ,s]vice ,act 7#db       
,u4,s4,c4 #bhj;b7 is am5d$--  7#a7 9    
subsection 7a77#a71 by /rik+ rese>*     
relat+ to ! causes1 me*anisms1          
prev5tion1 diagnosis1 treatm5t (        
injuries1 & rehabilitation f injuries2 &
 ins]t+  rese>*1 includ+ data           
collection1 relat+ to-- 7,a7 ! causes1  
me*anisms1 prev5tion1 diagnosis1 &      
treatm5t ( injuries1 includ+ ) respect  
to gun viol5ce2 &  7,b7 rehabilitation f
 su* injuries2  2 &  7#b7 by add+ at !  
end ! foll[+ new subsection3  7c7 ,no   
advocacy or promotion ( gun control     
,no?+ 9 ?is section %all be con/ru$ to--
  7#a7 au?orize ! ,secret>y to give     
assi/ance1 make grants1 or ent] into    

coop]ative agreem5ts or contracts = !   
purpose ( advocat+ or promot+ gun       
control2 or  7#b7 p]mit a recipi5t ( any
 assi/ance1 grant1 coop]ative agreem5t1 
or contract "u ?is section to use su*   
assi/ance1 grant1 agreem5t1 or contract 
= ! purpose ( advocat+ or promot+ gun   
control4  4  7b7 ,au?orization (        
appropriations ,section #cid;,a ( !     
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bhj;b-#c7 is am5d$ by /rik+  
au?oriz$ to be appropriat$ & all t      
foll[s ?r\gh ! end & ins]t+ ! foll[+3   
au?oriz$ to be appropriat$ su* sums z   
may be necess>y = fiscal ye>s #bjad     
?r\gh #bjah44  #cjb4 ,national viol5t   
dea? report+ sy/em ,! ,secret>y ( ,heal?
 & ,human ,s]vices1 act+ ?r\gh !        
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion1 %all improve1 p>ticul>ly 
?r\gh ! inclusion ( additional ,/ates1 !
 ,national ,viol5t ,dea? ,report+       
,sy/em1 z au?oriz$ by title ,,iii ( !   
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bda et seq474 ,p>ticipation 9

 ! sy/em by ! ,/ates %all be volunt>y4  
#cjc4 ,protect+ confid5tial             
doctor-pati5t relation%ip ,section      
#bgag7;c7 ( ! ,public ,heal? ,s]vice    
,act 7#db ,u4,s4,c4 #cjj;gg-#ag7;c77 is 
am5d$ by add+ at ! end ! foll[+ new     
p>agraph3  7#f7 ,rule ( con/ruction     
,not)/&+ ! previ\s provisions ( ?is     
subsection1 none ( ! au?orities provid$ 
to ! ,secret>y "u ! ,pati5t ,protection 
& ,af=dable ,c>e ,act1 an am5dm5t made  
by t ,act1 or ?is subsection %all be    
con/ru$ to prohibit a physician or o!r  
heal? c>e provid] f--  7,a7 ask+ a      
pati5t ab\t ! own]%ip1 possession1 use1 
or /orage ( a fire>m or ammunition 9 !  
home ( su* pati5t2  7,b7 speak+ to a    
pati5t ab\t gun safety2 or  7,c7 report+
 to ! au?orities a pati5t's ?reat (     
viol5ce4  4