,i #aacth ,,congress #ast ,session ,h4 ,r4 #cgag ,,in ,,the ,,house ,,of ,,representatives ,december #ab1 #bjac,mr4 ,murphy of ,pennsylvania 7for himself1 ,mr4 ,cassidy1 ,mr4 ,lance1 and ,ms4 ,eddie ,bernice ,johnson of ,texas7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce1 and in addition to the ,committees on the ,judiciary1 ,education and the ,workforce1 ,ways and ,means1 and ,science1 ,space1 and ,technology1 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 make available needed psychiatric1 psychological1 and supportive services for individuals diagnosed with mental illness and families in mental health crisis1 and for other purposes4 #a4 ,short title2 table of contents 7a7 ,short title ,this ,act may be cited as the ,helping ,families in ,mental ,health ,crisis ,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--,assistant ,secretary for ,mental ,health,sec4 #aja4 ,assistant ,secretary for ,mental ,health and ,substance ,use ,disorders4,sec4 #ajb4 ,interagency ,serious ,mental ,illness ,coordinating ,committee4,sec4 #ajc4 ,assisted outpatient treatment grant program4,sec4 #ajd4 ,tele-psychiatry and primary care physician training grant program4,title ,,ii--,federally ,qualified ,behavioral ,health ,clinics,sec4 #bja4 ,demonstration program to improve federally qualified community behavioral health clinic services4,title ,,iii--,,hipaa and ,,ferpa caregivers,sec4 #cja4 ,promoting appropriate treatment for mentally ill individuals by treating their caregivers as personal representatives for purposes of ,,hipaa privacy regulations4,sec4 #cjb4 ,caregivers permitted access to certain education records under ,,ferpa4,title ,,iv--,department of ,justice reforms,sec4 #dja4 ,additional purposes for certain ,federal grants4,sec4 #djb4 ,reauthorization and additional amendments to the ,mentally ,ill ,offender ,treatment and ,crime ,reduction ,act4,sec4 #djc4 ,assisted outpatient treatment4,sec4 #djd4 ,improvements to the ,department of ,justice data collection and reporting of mental illness in crime4,sec4 #dje4 ,reports on the number of seriously mentally ill who are imprisoned4,title ,v--,medicare and ,medicaid reforms,sec4 #eja4 ,enhanced ,medicaid coverage relating to certain mental health services4,sec4 #ejb4 ,access to mental health prescription drugs under ,medicare and ,medicaid4,title ,,vi--,research by ,national ,institute of ,mental ,health,sec4 #fja4 ,increase in funding for certain research4,title ,,vii--,community ,mental ,health ,services ,block ,grant ,reform,sec4 #gja4 ,administration of block grants by ,assistant ,secretary4,sec4 #gjb4 ,additional program requirements4,sec4 #gjc4 ,period for expenditure of grant funds4,sec4 #gjd4 ,treatment standard under ,state law4,sec4 #gje4 ,assisted outpatient treatment under ,state law4,sec4 #gjf4 ,best available science and models of care4,sec4 #gjg4 ,paperwork reduction study4,title ,,viii--,behavioral health awareness program ,sec4 #hja4 ,reducing the stigma of serious mental illness4,title ,,ix--,behavioral health information technology,sec4 #ija4 ,extension of health information technology assistance for behavioral and mental health and substance abuse4,sec4 #ijb4 ,extension of eligibility for ,medicare and ,medicaid health information technology implementation assistance4,title ,x--,expanding access to care through health care professional volunteerism,sec4 #ajja4 ,liability protections for health care professional volunteers at community health centers and federally qualified community behavioral health clinics4,title ,,xi--,,samhsa ,reauthorization and ,reforms,subtitle ,a--,organization and general authorities,sec4 #aaja4 ,in general4,sec4 #aajb4 ,advisory councils4,sec4 #aajc4 ,peer review4,sec4 #aajd4 ,data collection4,subtitle ,b--,center for ,mental ,health ,services,sec4 #aaaa4 ,center for ,mental ,health ,services4,sec4 #aaab4 ,reauthorization of priority mental health needs of regional and national significance4,sec4 #aaac4 ,garrett ,lee ,smith ,reauthorization4,subtitle ,c--,children with serious emotional disturbances,sec4 #aaba4 ,comprehensive community mental health services for children with serious emotional disturbances4,sec4 #aabb4 ,general provisions2 report2 funding4,subtitle ,d--,projects for children and violence,sec4 #aaca4 ,children and violence4,sec4 #aacb4 ,reauthorization of ,national ,child ,traumatic ,stress ,network4,subtitle ,e--,protection and advocacy for individuals with mental illness,sec4 #aada4 ,prohibition against lobbying by systems accepting ,federal funds to protect and advocate the rights of individuals with mental illness4,subtitle ,f--,limitations on authority,sec4 #aaea4 ,limitations on ,,samhsa programs4,sec4 #aaeb4 ,elimination of unauthorized ,,samhsa programs4 ,i ,assistant ,secretary for ,mental ,health #aja4 ,assistant ,secretary for ,mental ,health and ,substance ,use ,disorders ,title ,v of the ,public ,health ,service ,act is amended by inserting after section #eja of such ,act 7#db ,u4,s4,c4 #bij;aa7 the following3 #eja;,a4 ,assistant ,secretary for ,mental ,health and ,substance ,use ,disorders 7a7 ,in general ,there shall be in the ,department of ,health and ,human ,services an official to be known as the ,assistant ,secretary for ,mental ,health and ,substance ,use ,disorders 7in this section referred to as the ,assistant ,secretary71 who shall-- 7#a7 report directly to the ,secretary2 7#b7 be appointed by the ,secretary1 by and with the advice and consent of the ,senate2 and 7#c7 be selected from among individuals who-- 7,a7 7i7 have a doctoral degree in medicine or osteopathic medicine and clinical and research experience in psychiatry2 7ii7 graduated from an ,accreditation ,council for ,graduate ,medical ,education-certified psychiatric residency program2 and 7iii7 have an understanding of biological1 psychosocial1 and pharmaceutical treatments of mental illness2 or 7,b7 have a doctoral degree in psychology with-- 7i7 clinical and research experience2 and 7ii7 an understanding of biological1 psychosocial1 and pharmaceutical treatments of mental illness4 7b7 ,relation to ,,samhsa ,administrator ,the ,administrator of the ,substance ,abuse and ,mental ,health ,services ,administration shall be under the supervision and direction of the ,assistant ,secretary4 7c7 ,duties ,the ,assistant ,secretary shall-- 7#a7 promote the coordination of service programs conducted by other departments1 agencies1 organizations1 and individuals that are or may be related to the problems of individuals suffering from substance abuse and mental illness2 7#b7 carry out any functions within the ,department of ,health and ,human ,services-- 7,a7 to improve the treatment of1 and related services to1 individuals with respect to substance abuse and mental illness2 7,b7 to improve prevention services for such individuals2 and 7,c7 to protect the legal rights of individuals with mental illnesses and individuals who are substance abusers2 7#c7 carry out the administrative and financial management1 policy development and planning1 evaluation1 knowledge dissemination1 and public information functions that are required for the implementation of mental health programs1 including block grants1 treatments1 and data collection2 7#d7 ensure that the ,substance ,abuse and ,mental ,health ,services ,administration conducts and coordinates demonstration projects1 evaluations1 and service system assessments and other activities necessary to improve the availability and quality of treatment1 prevention1 and related services related to substance abuse2 7#e7 within the ,department of ,health and ,human ,services1 oversee and coordinate all programs and activities relating to the prevention of1 or treatment or rehabilitation for1 mental health or substance use disorders2 7#f7 across the ,federal ,government-- 7,a7 review programs and activities described in paragraph 7#e72 7,b7 identify any such programs and activities that are duplicative2 and 7,c7 formulate recommendations for the coordination and improvement of such programs and activities2 and 7#g7 supervise data collection for and disseminate best practices by the ,national ,mental ,health ,policy ,laboratory4 7d7 ,prioritization of integration of services and early diagnosis and intervention ,in carrying out the duties described in subsection 7c71 the ,assistant ,secretary shall prioritize-- 7#a7 the integration of services for the purpose of preventing1 treating1 or providing rehabilitation for the prevention of1 and treatment or rehabilitation for1 mental health or substance use disorders with primary care services2 and 7#b7 early diagnosis and intervention services for the prevention of1 and treatment or rehabilitation for1 serious mental health or substance use disorders4 7e7 ,national mental health policy laboratory 7#a7 ,in general ,the ,assistant ,secretary for ,mental ,health and ,substance ,use ,disorders shall establish1 within the ,office of the ,assistant ,secretary1 the ,national ,mental ,health ,policy ,laboratory 7in this section referred to as the ,,nmhpl71 to be headed by a ,director4 7#b7 ,duties ,the ,director of the ,,nmhpl shall-- 7,a7 identify and implement policy changes and other trends likely to have the most significant impact on mental health services and monitor their impact in accordance with the principles outlined in ,national ,advisory ,mental ,health ,council's #bjjf report entitled ,the ,road ,ahead3 ,research ,partnerships ,to ,transform ,services2 7,b7 collect information from grantees under programs established or amended by the ,helping ,families in ,mental ,health ,crisis ,act of #bjac and under other mental health programs under this ,act1 including grantees that are federally qualified community behavioral health clinics certified under section #bja of the ,helping ,families in ,mental ,health ,crisis ,act of #bjac and ,states receiving funds under a block grant under part ,b of title ,,xix of this ,act2 and 7,c7 evaluate and disseminate to such grantees evidence-based practices and services delivery models using the best available science shown to reduce program expenditures while enhancing the quality of care furnished to individuals by other such grantees4 7#c7 ,evidence-based practices and service delivery models ,in selecting evidence-based practices and services delivery models for evaluation and dissemination under paragraph 7#b77;,c71 the ,director of the ,,nmhpl-- 7,a7 shall give preference to models that improve the coordination1 quality1 and efficiency of health care services furnished to individuals with serious mental illness2 and 7,b7 may include clinical protocols and practices used in the ,recovery ,after ,initial ,schizophrenia ,episode 7,,raise7 project and the ,north ,american ,prodrome ,longitudinal ,study 7,,napls7 of the ,national ,institute of ,mental ,health4 7#d7 ,deadline for beginning implementation ,the ,director of the ,,nmhpl shall begin implementation of the duties described in this subsection not later than ,january #a1 #bjaf4 7#e7 ,consultation ,in carrying out the duties under this section1 the ,director of the ,,nmhpl shall consult with-- 7,a7 representatives of the ,national ,institute of ,mental ,health on organization1 hiring decisions1 and operations1 initially and on an ongoing basis2 7,b7 other appropriate ,federal agencies2 and 7,c7 clinical and analytical experts with expertise in medicine1 psychiatric and clinical psychological care1 and health care management4 7#f7 ,evaluation 7,a7 ,in general ,the ,director of the ,,nmhpl shall conduct an evaluation of grant programs described in paragraph 7#b77;,b74 ,such evaluation shall include an analysis of-- 7i7 the quality of care furnished under the respective services delivery model1 including the measurement of patient-level outcomes and public health outcomes such as reduced mortality rates1 reduced hospitalization from psychotic episodes1 and other criteria determined by the ,assistant ,secretary2 and 7ii7 the changes in spending under such programs by reason of the model4 7,b7 ,information ,the ,assistant ,secretary shall make the results of each evaluation under this paragraph available to the public in a timely fashion and may establish requirements for ,states and other entities participating in the testing of models under grant programs described in paragraph 7#b77;,b7 to collect information that the ,assistant ,secretary determines is necessary to monitor and evaluate such models4 7f7 ,expansion of models 7#a7 ,in general ,taking into account the results of evaluations under subsection 7e71 the ,assistant ,secretary may1 by rule1 as part of the program of block grants for community mental health services under subpart ,i of part ,b of title ,,xix1 provide for expanded use across the ,nation of service delivery models by providers funded under such block grants1 so long as-- 7,a7 the ,assistant ,secretary determines that such expansion will-- 7i7 reduce spending under such block grants without reducing the quality of care2 or 7ii7 improve the quality of patient care without significantly increasing spending2 and 7,b7 the ,director of the ,national ,institute of ,mental ,health determines that such expansion would improve the quality of patient care4 7#b7 ,congressional review ,any rule promulgated pursuant to paragraph 7#a7 is deemed to be a major rule subject to congressional review and disapproval under chapter #h of title #e1 ,united ,states ,code4 7g7 ,reports to ,congress ,not later than #a year after the date of enactment of this ,act1 and every #b years thereafter1 the ,assistant ,secretary shall submit a report to the ,congress-- 7#a7 summarizing the activities of the ,assistant ,secretary2 7#b7 analyzing the efficiency and effectiveness of ,federal programs and activities relating to the prevention of1 or treatment or rehabilitation for1 mental health or substance use disorders1 including an accounting of the costs of such programs and activities with administrative costs disaggregated from the costs of services and care provided2 7#c7 evaluating the impact on public health of projects addressing priority mental health needs of regional and national significance under section #ebj;,a to determine-- 7,a7 whether each such project has reduced the mortality rate1 prevalence1 and emergency room visits for persons with serious mental illness2 and 7,b7 the effect of such projects on other public health measures2 7#d7 formulating recommendations for the coordination and improvement of ,federal programs and activities described in paragraph 7#b72 and 7#e7 identifying any such programs and activities that are duplicative4 7h7 ,funding ,of the amounts made available to carry out the block grant for community mental health services for each of fiscal years #bjad through #bjai1 not more than #e percent of such amounts are authorized to be appropriated to carry out this section4 4 #ajb4 ,interagency ,serious ,mental ,illness ,coordinating ,committee ,title ,v of the ,public ,health ,service ,act1 as amended by section #gja1 is further amended by inserting after section #eja;,a of such ,act the following3 #eja;,b4 ,interagency serious ,mental ,illness ,coordinating ,committee 7a7 ,establishment ,the ,assistant ,secretary for ,mental ,health and ,substance ,use ,disorders 7in this section referred to as the ,assistant ,secretary7 shall establish a committee1 to be known as the ,interagency ,serious ,mental ,illness ,coordinating ,committee 7in this section referred to as the ,committee71 to assist the ,assistant ,secretary in carrying out the ,assistant ,secretary's duties4 7b7 ,responsibilities ,the ,committee shall-- 7#a7 develop and annually update a summary of advances in serious mental illness research related to causes1 prevention1 treatment1 early screening1 diagnosis or rule out1 intervention1 and access to services and supports for individuals with serious mental illness2 7#b7 monitor ,federal activities with respect to serious mental illness2 7#c7 make recommendations to the ,assistant ,secretary regarding any appropriate changes to such activities1 including recommendations to the ,director of ,,nih with respect to the strategic plan developed under paragraph 7#e72 7#d7 make recommendations to the ,assistant ,secretary regarding public participation in decisions relating to serious mental illness2 7#e7 develop and annually update a strategic plan for the conduct of1 and support for1 serious mental illness research1 including proposed budgetary requirements2 and 7#f7 submit to the ,congress such strategic plan and any updates to such plan4 7c7 ,membership 7#a7 ,in general ,the ,committee shall be composed of-- 7,a7 the ,assistant ,secretary for ,mental ,health and ,substance ,use ,disorders 7or the ,assistant ,secretary's designee71 who shall serve as the ,chair of the ,committee2 7,b7 the ,director of the ,national ,institute of ,mental ,health 7or the ,director's designee72 7,c7 the ,attorney ,general of the ,united ,states 7or the ,attorney ,general's designee72 7,d7 the ,director of the ,centers for ,disease ,control and ,prevention 7or the ,director's designee72 7,e7 the ,director of the ,national ,institutes of ,health 7or the ,director's designee72 7,f7 the directors of such national research institutes of the ,national ,institutes of ,health as the ,assistant ,secretary for ,mental ,health and ,substance ,use ,disorders determines appropriate 7or their designees72 7,g7 representatives1 appointed by the ,assistant ,secretary1 of ,federal agencies that are outside of the ,department of ,health and ,human ,services and serve individuals with serious mental illness1 such as the ,department of ,education2 7,h7 the ,administrator of ,substance ,abuse and ,mental ,health ,services ,administration2 and 7,i7 the additional members appointed under paragraph 7#b74 7#b7 ,additional members ,not fewer than #i members of the ,committee1 or #a_/c of the total membership of the ,committee1 whichever is greater1 shall be composed of non-,federal public members to be appointed by the ,assistant ,secretary1 of which-- 7,a7 at least one such member shall be an individual with a diagnosis of serious mental illness who has benefitted from and is receiving medical treatment under the care of a physician2 7,b7 at least one such member shall be a parent or legal guardian of an individual with a serious mental illness2 7,c7 at least one such member shall be a representative of leading research1 advocacy1 and service organizations for individuals with serious mental illness2 7,d7 at least one member shall be a psychiatrist2 7,e7 at least one member shall be a clinical psychologist2 7,f7 at least one member shall be a judge with successful experiences applying assisted outpatient treatment2 7,g7 at least one member shall be a law enforcement officer2 and 7,h7 at least one member shall be a corrections officer4 7d7 ,administrative support2 terms of service2 other provisions ,the following provisions shall apply with respect to the ,committee3 7#a7 ,the ,assistant ,secretary shall provide such administrative support to the ,committee as may be necessary for the ,committee to carry out its responsibilities4 7#b7 ,members of the ,committee appointed under subsection 7c77#b7 shall serve for a term of #d years1 and may be reappointed for one or more additional #d-year terms4 ,any member appointed to fill a vacancy for an unexpired term shall be appointed for the remainder of such term4 ,a member may serve after the expiration of the member's term until a successor has taken office4 7#c7 ,the ,committee shall meet at the call of the chair or upon the request of the ,assistant ,secretary4 ,the ,committee shall meet not fewer than #b times each year4 7#d7 ,all meetings of the ,committee shall be public and shall include appropriate time periods for questions and presentations by the public4 7e7 ,subcommittees2 establishment and membership ,in carrying out its functions1 the ,committee may establish subcommittees and convene workshops and conferences4 ,such subcommittees shall be composed of ,committee members and may hold such meetings as are necessary to enable the subcommittees to carry out their duties4 4 #ajc4 ,assisted outpatient treatment grant program 7a7 ,in general ,the ,assistant ,secretary for ,mental ,health and ,substance ,use ,disorders 7in this section referred to as the ,assistant ,secretary71 in consultation with the ,director of the ,national ,institute of ,mental ,health and the ,attorney ,general of the ,united ,states1 shall establish a #d-year pilot program to award not more than #ej grants each year to counties1 cities1 mental health systems1 mental health courts1 and any other entities with authority under the law of a ,state to implement1 monitor1 and oversee assisted outpatient treatment programs4 ,the ,assistant ,secretary may only award grants under this section to applicants that have not previously implemented an assisted outpatient treatment program4 ,the ,assistant ,secretary shall evaluate applicants based on their potential to reduce hospitalization1 homelessness1 incarceration1 and interaction with the criminal justice system while improving health outcomes1 such as adherence to medication usage4 7b7 ,use of grant ,an assisted outpatient treatment program carried out with a grant awarded under this section shall include-- 7#a7 evaluating and seeking out eligible individuals who may benefit from assisted outpatient treatment2 7#b7 preparing and executing treatment plans for eligible patients and filing petitions for assisted outpatient treatment in appropriate courts2 7#c7 providing case management services to eligible patients who are participating in the program to provide such patients with resources1 monitoring1 and oversight1 including directly monitoring a participant's level of compliance and the delivery of services by other providers pursuant to the court order2 and 7#d7 carrying out referrals and medical evaluations1 and paying the costs of legal counsel for commitment orders to be submitted and evaluated by the courts4 7c7 ,data collection ,grantees under this section shall provide in a timely fashion any data collected pursuant to the grant to the ,national ,mental ,health ,policy ,laboratory1 as requested by the ,assistant ,secretary1 concerning health outcomes and treatments4 7d7 ,report ,the ,assistant ,secretary shall submit an annual report to the ,committees on ,energy and ,commerce and the ,judiciary of the ,house of ,representatives1 the ,committees on ,health1 ,education1 ,labor1 and ,pensions and the ,judiciary of the ,senate1 and the ,congressional ,budget ,office on the grant program under this section4 ,each such report shall include an evaluation of the following3 7#a7 ,cost savings and public health outcomes such as mortality1 suicide1 substance abuse1 hospitalization1 and use of services4 7#b7 ,rates of incarceration by patients4 7#c7 ,rates of employment by patients4 7#d7 ,rates of homelessness4 7e7 ,definitions ,in this section3 7#a7 ,assisted outpatient treatment ,the term assisted outpatient treatment means-- 7,a7 except as provided in subparagraph 7,b71 medically prescribed treatment that an eligible patient must undergo while living in a community under the terms of a law authorizing a ,state or local court to order such treatment2 and 7,b7 in the case of a ,state that does not have a law described in subparagraph 7,a7 in effect on the date of enactment-- 7i7 a court-ordered treatment plan for an eligible patient that requires such patient to obtain outpatient mental health treatment while the patient is living in a community2 and 7ii7 is designed to improve access and adherence by such patient to intensive behavioral health services in order to-- 7,i7 avert relapse1 repeated hospitalizations1 arrest1 incarceration1 suicide1 property destruction1 and violent behavior2 and 7,,ii7 provide such patient with the opportunity to live in a less restrictive alternative to incarceration or involuntary hospitalization4 7#b7 ,eligible patient ,the term eligible patient means an adult1 mentally ill person who1 as determined by the court-- 7,a7 has a history of violence1 incarceration1 or medically unnecessary hospitalizations2 7,b7 without supervision and treatment1 may be a danger to self or others in the community2 7,c7 is substantially unlikely to voluntarily participate in treatment2 7,d7 may be unable1 for reasons other than indigence1 to provide for any of his or her basic needs1 such as food1 clothing1 shelter1 health1 or safety2 7,e7 has a history of mental illness or condition that is likely to substantially deteriorate if the patient is not provided with timely treatment2 or 7,f7 due to mental illness1 lacks capacity to fully understand or lacks judgment to make informed decisions regarding his or her need for treatment1 care1 or supervision4 7f7 ,funding 7#a7 ,amount of grants ,a grant under this section shall be in an amount that is not more than #a1jjj1jjj for each of grant years #bjad through #bjag4 ,subject to the preceding sentence1 the ,assistant ,secretary shall determine the amount of each grant based on the population of patients of the area to be served under the grant4 7#b7 ,authorization of appropriations ,there is authorized to be appropriated to carry out this section #ae1jjj1jjj for each of fiscal years #bjad through #bjag4 #ajd4 ,tele-psychiatry and primary care physician training grant program 7a7 ,in general ,the ,assistant ,secretary of ,mental ,health and ,substance ,use ,disorders 7in this section referred to as the ,assistant ,secretary7 shall establish a grant program 7in this section referred to as the grant program7 under which the ,assistant ,secretary shall award to #aj eligible ,states 7as described in subsection 7e77 grants for carrying out all #c of the purposes described in subsections 7b71 7c71 and 7d74 7b7 ,training program for certain primary care physicians ,for purposes of subsection 7a71 the purpose described in this subsection1 with respect to a grant awarded to a ,state under the grant program1 is for the ,state to establish a training program to train primary care physicians in-- 7#a7 approved standardized behavioral-health screening tools1 including-- 7,a7 ,ages and ,stages ,questionnaires 7,,asq3 ,,se72 7,b7 ,brief ,infant-,toddler ,social and ,emotional ,assessment 7,,bitsea72 7,c7 screening for substance abuse1 known as ,car1 ,relax1 ,alone1 ,forget1 ,friends1 ,trouble1 7,,crafft72 7,d7 screening for autism1 known as ,modified ,checklist for ,autism in ,toddlers 7,m-,,cat72 7,e7 ,parents' ,evaluation of ,developmental ,status 7,,peds72 7,f7 screening for depression1 known as ,patient ,health ,questionnaire-#i 7,,phq-#i72 7,g7 ,pediatric ,symptom ,checklist 7,,psc7 and ,pediatric ,symptom ,checklist-,youth ,report 7,y-,,psc72 7,h7 ,strengths and ,difficulties ,questionnaire 7,,sdq72 and 7,i7 any additional areas that the ,assistant ,secretary determines applicable2 7#b7 implementing the use of behavioral-health screening tools in their practices2 and 7#c7 knowing what to do when a behavioral-health need is identified4 7c7 ,payments for mental health services provided by certain primary care physicians 7#a7 ,for purposes of subsection 7a71 the purpose described in this subsection1 with respect to a grant awarded to a ,state under the grant program1 is for the ,state to provide1 in accordance with this subsection1 in the case of a primary care physician that participates in the training program of the ,state establish pursuant to subsection 7b71 payments to the primary care physician for services furnished by the primary care physician4 7#b7 ,the ,assistant ,secretary1 in determining the structure1 quality1 and form of payment under paragraph 7#a7 shall seek to find innovative payment systems which may take in to account-- 7,a7 quality of services rendered2 7,b7 patients' health outcome2 7,c7 geographical location of where services were provided2 7,d7 severity of patients' medical condition2 7,e7 duration of services provided2 and 7,f7 feasibility of replicating that payment model in other ,states nationwide4 7d7 ,telehealth services for mental health disorders 7#a7 ,in general ,for purposes of subsection 7a71 the purpose described in this subsection1 with respect to a grant awarded to a ,state under the grant program1 is for the ,state to provide1 in the case of an individual furnished items and services by a primary care physician during an office visit1 for payment for a consultation provided by a psychiatrist or psychologist to such physician with respect to such individual through the use of qualified telehealth technology for the identification1 diagnosis1 mitigation1 or treatment of a mental health disorder if such consultation occurs not later than the first business day that follows such visit4 7#b7 ,qualified telehealth technology ,for purposes of subsection 7,c77#a71 the term qualified telehealth technology1 with respect to the provision of items and services to a patient by a health care provider-- 7,a7 includes the use of interactive audio1 audio-only telephone conversation1 video1 or other telecommunications technology by a health care provider to deliver health care services within the scope of the provider's practice at a site other than the site where the patient is located1 including the use of electronic media for consultation relating to the health care diagnosis or treatment of the patient2 and 7,b7 does not include the use of electronic mail message or facsimile transmission4 7e7 ,eligible ,state 7#a7 ,in general ,for purposes of this section1 an eligible ,state is a ,state that has submitted to the ,assistant ,secretary an application under paragraph 7a7 and has been selected under paragraph 7#c74 7#b7 ,application ,a ,state seeking to participate in the grant program under this section shall submit to the ,assistant ,secretary1 at such time and in such format as the ,assistant ,secretary requires1 an application that includes such information1 provisions1 and assurances1 as the ,assistant ,secretary may require4 7#c7 ,matching requirement ,the ,assistant ,secretary may not make a grant under the grant program unless the ,state involved agrees1 with respect to the costs to be incurred by the ,state in carrying out the purpose described in this section1 to make available non-,federal contributions 7in cash or in kind7 toward such costs in an amount equal to not less than #bj percent of ,federal funds provided in the grant4 7#d7 ,selection ,a ,state shall be determined eligible for the grant program by the ,assistant ,secretary on a competitive basis among ,states with applications meeting the requirements of paragraphs 7#b7 and 7#c74 ,in selecting ,state applications for the grant program1 the ,secretary shall seek to achieve an appropriate national balance in the geographic distribution of grants awarded under the grant program4 7f7 ,length of grant program ,the grant program established under this section shall be conducted for a period of #c consecutive years4 7g7 ,authorization of appropriations ,out of any funds in the ,treasury not otherwise appropriated1 there is authorized to be appropriated to carry out this section1 #c1jjj1jjj for each of the fiscal years #bjae through #bjag4 7h7 ,reports 7#a7 ,reports ,for each fiscal year that grants are awarded under this section1 the ,assistant ,secretary and the ,national ,mental ,health ,policy ,laboratory shall conduct a study on the results of the grants and submit to the ,congress a report on such results that includes the following3 7,a7 ,an evaluation of the grant program outcomes1 including a summary of activities carried out with the grant and the results achieved through those activities4 7,b7 ,recommendations on how to improve access to mental health services at grantee locations4 7,c7 ,an assessment of access to mental health services under the program4 7,d7 ,an assessment of the impact of the demonstration project on the costs of the full range of mental health services 7including inpatient1 emergency and ambulatory care74 7,e7 ,recommendations on congressional action to improve the grant4 7#b7 ,report ,not later than ,december #ca1 #bjag1 the ,assistant ,secretary and the ,national ,mental ,health ,policy ,laboratory shall submit to ,congress and make available to the public a report on the findings of the evaluation under paragraph 7#a7 and also a policy outline on how ,congress can expand the grant program to the national level4 ,,ii ,federally ,qualified ,behavioral ,health ,clinics #bja4 ,demonstration program to improve federally qualified community behavioral health clinic services 7a7 ,establishment ,not later than ,january #a1 #bjaf1 the ,secretary of ,health and ,human ,services 7referred to in this section as the ,secretary71 in coordination with the ,assistant ,secretary for ,mental ,health and ,substance ,use ,disorders1 shall award planning grants to not to exceed #aj ,states to enable such ,states to carry out #e-year demonstration programs to improve the provision of behavioral health services provided by federally qualified community behavioral health clinics in the ,state4 7b7 ,eligibility 7#a7 ,application ,to be eligible to receive a grant under subsection 7a71 a ,state shall-- 7,a7 submit to the ,secretary an application at such time1 in such manner1 and containing such information as the ,secretary may require2 7,b7 certify to the ,secretary that behavioral health providers that are provided assistance under the demonstration program are federally qualified community behavioral health clinics2 7,c7 certify to the ,secretary that1 with respect to the behavioral health providers provided assistance under the demonstration program1 not more than #ge percent of the total number of such providers are participating providers under the ,state ,medicaid plan under title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq472 7,d7 demonstrate the actuarial soundness of the demonstration program to be carried out under the grant by providing a detailed estimate of eligible clinics and ,medicaid expenditures over the entire projected period of the demonstration program2 and 7,e7 comply with any other requirement determined appropriate by the ,secretary4 7#b7 ,waiver of ,medicaid requirements ,in approving ,states to conduct demonstration programs under this section1 the ,secretary shall waive such provisions of title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 as are necessary to conduct the demonstration program in accordance with the requirements of this section1 including section #aijb7;a77#a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7a77#a77 7relating to statewideness74 7c7 ,requirements ,in awarding grants under this section1 the ,secretary shall-- 7#a7 ensure the geographic diversity of grantee ,states2 7#b7 ensure that federally qualified community behavioral health clinics in such ,states that are located in rural areas1 as defined by the ,secretary1 and other mental health professional shortage areas are fairly and appropriately considered with the objective of facilitating access to mental health services in such areas2 7#c7 take into account the ability of clinics in such ,states to provide required services1 and the ability of such clinics to report required data as required under this section2 and 7#d7 take into account the ability of such ,states to provide such required services on a statewide basis4 7d7 ,treatment of certain services provided by community behavioral health clinics as medical assistance 7#a7 ,in general ,for purposes of the demonstration program under this section1 community behavioral health clinic services 7as defined in subsection 7f77#a77 that are provided by federally qualified community behavioral health clinics receiving assistance under this section shall be considered medical assistance for purposes of payments to ,states under paragraph 7#c77;,c74 7#b7 ,grant condition ,as a condition of receiving a grant under this section1 a ,state shall agree to provide for payment for community behavioral health clinic services in accordance with the prospective payment system established by the ,secretary under paragraph 7#c74 7#c7 ,prospective payment system 7,a7 ,in general ,not later than #ah months after the date of enactment of this ,act1 the ,secretary shall establish a prospective payment system for community behavioral health clinic services furnished by a community behavioral health clinic receiving assistance under this section in the same manner as payments are required to be made under section #aijb7;bb7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7bb77 for services described in section #aije7;a77#b77;,c7 of such ,act 7#db ,u4,s4,c4 #acif;d7a77#b77;,c77 furnished by a federally qualified health center and services described in section #aije7;a77#b77;,b7 of such ,act 7#db ,u4,s4,c4 #acif;d7a77#b77;,b77 furnished by a rural health clinic4 7,b7 ,requirements ,the prospective payment system established by the ,secretary under subparagraph 7,a7 shall provide that-- 7i7 no payment shall be made for inpatient care1 residential treatment1 room and board expenses1 or any other nonambulatory services1 as determined by the ,secretary2 and 7ii7 no payment shall be made to satellite facilities of community behavioral health clinics if such facilities are established after the date of enactment of this ,act4 7,c7 ,payments to states ,the ,secretary shall pay each ,state awarded a grant under this section an amount each quarter equal to the enhanced ,,fmap 7as defined in section #baje7;b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acig;dd7b77 but without regard to the second and third sentences of that section7 of the ,state's expenditures in the quarter for medical assistance for community behavioral health clinic services provided by federally qualified community behavioral health clinics in the ,state that receive assistance under this section4 ,payments to ,states made under this subparagraph shall be considered to have been under1 and are subject to the requirements of1 section #aijc of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;b74 7e7 ,annual report 7#a7 ,in general ,not later than #a year after the date on which the first grants are awarded under this section1 and annually thereafter1 the ,secretary shall submit to ,congress an annual report on the use of funds provided under the demonstration program4 ,each such report shall include-- 7,a7 an assessment of access to community-based mental health services under the ,medicaid program in the ,states awarded such grants2 7,b7 an assessment of the quality and scope of services provided by federally qualified community behavioral health clinics under the grants as compared against community-based mental health services provided in ,states that are not receiving such grants2 7,c7 an assessment of the impact of the demonstration programs on the costs of a full range of mental health services 7including inpatient1 emergency and ambulatory services72 and 7,d7 a peer-reviewed assessment of the public health impact1 including but not limited to rates of community mortality1 hospitalization1 and other measures as determined by the ,director of the ,national ,institute of ,mental ,health4 7#b7 ,recommendations ,not later than ,december #ca1 #bjai1 the ,secretary shall submit to ,congress recommendations concerning whether the demonstration programs under this section should be continued and expanded on a national basis4 7#c7 ,data collection ,grantees shall provide in a timely fashion any such data to the ,national ,mental ,health ,policy ,laboratory1 as requested by the ,assistant ,secretary concerning health outcomes and treatments4 7f7 ,criteria for federally qualified community behavioral health clinics 7#a7 ,in general ,the ,assistant ,secretary for ,mental ,health and ,substance ,use ,disorders shall certify federally qualified community behavioral health clinics as meeting the criteria specified in this subsection4 7#b7 ,criteria ,the criteria referred to in this subsection are that the clinic performs each of the following3 7,a7 ,provide required primary health services 7as defined by the ,assistant ,secretary for ,mental ,health and ,substance ,use ,disorders74 7,b7 ,provide services in locations that ensure services will be available and accessible promptly and in a manner which preserves human dignity and assures continuity of care4 7,c7 ,provide services in a mode of service delivery appropriate for the target population4 7,d7 ,provide individuals with a choice of service options where there is more than one evidence-based treatment4 7,e7 ,employ a core staff that is sufficiently trained in child and adolescent psychiatry or psychology4 7,f7 ,employ a core staff that is sufficiently trained in child and adolescent psychiatry1 dual diagnosis issues1 crisis management and stabilization and interventions with patients at high risk for violence4 7,g7 ,provide services1 within the limits of the capacities of the center1 to any individual residing or employed in the service area of the center1 regardless of the ability of the individual to pay4 7,h7 ,provide1 directly or through contract1 to the extent covered for adults in the ,state ,medicaid plan under title ,,xix of the ,social ,security ,act and for children in accordance with section #aije7r7 of such ,act regarding early and periodic screening1 diagnosis1 and treatment1 each of the following services3 7i7 ,screening1 assessment1 and diagnosis1 including risk assessment4 7ii7 ,person-centered treatment planning or similar processes1 including risk assessment and crisis planning4 7iii7 ,outpatient mental health and substance use services1 including screening1 assessment1 diagnosis1 psychotherapy1 medication management1 and integrated treatment for mental illness and substance abuse which shall be evidence-based 7including cognitive behavioral therapy and other such therapies which are evidence-based74 7iv7 ,outpatient clinic primary care screening and monitoring of key health indicators and health risk 7including screening for diabetes1 hypertension1 and cardiovascular disease and monitoring of weight1 height1 body mass index 7,,bmi71 blood pressure1 blood glucose or ,hb,a#a;,c1 and lipid profile74 7v7 ,crisis mental health services1 including #bd-;hour mobile crisis teams1 emergency crisis intervention services1 and crisis stabilization4 7vi7 ,targeted case management 7services provided by a social worker to assist individuals gaining access to needed medical1 social1 educational1 and other services and applying for income security and other benefits to which they may be entitled74 7vii7 ,psychiatric rehabilitation services including skills training1 assertive community treatment1 family psychoeducation1 disability self-management1 supported employment1 supported housing services1 therapeutic foster care services1 and such other evidence-based practices as the ,secretary may require4 7viii7 ,peer support and counselor services and family supports4 7ix7 ,supported education and supported employment for individuals with serious mental illness after an initial psychotic episode4 7x7 ,case management services for individuals with serious mental illness after an initial psychotic episode4 7,i7 ,use and share electronic health records consistent with other applicable law4 7,j7 ,be available to provide assisted outpatient treatment that is ordered by a ,state court pursuant to a ,state law described in section #aiae7;d74 7,k7 ,be available to participate in research projects conducted or supported by the ,national ,institute of ,mental ,health4 7,l7 ,maintain linkages1 and where possible enter into formal contracts with the following3 7i7 ,federally qualified health centers4 7ii7 ,inpatient psychiatric facilities and substance use detoxification1 post-detoxification step-down services1 and residential programs4 7iii7 ,adult and youth peer support and counselor services4 7iv7 ,family support services for families of children with serious mental or substance use disorders4 7v7 ,other community or regional services1 supports1 and providers1 including schools1 child welfare agencies1 juvenile and criminal justice agencies and facilities 7including mental health courts1 local police forces1 and local jails and other detention facilities71 housing agencies and programs1 employers1 and other social services such as schools and religious organizations4 7vi7 ,integrating care with primary care services1 including1 to the extent feasible1 through a common delivery site4 7vii7 ,enabling services1 including outreach1 transportation1 and translation4 7viii7 ,health and wellness services1 including services for tobacco cessation4 7ix7 ,adopt models of first episode psychosis training1 supervision1 team meetings1 and coordination with adjacent care organizations4 7,m7 ,where feasible1 provide outreach and engagement to encourage individuals who could benefit from mental health care to freely participate in receiving the services described in this subsection4 7#c7 ,rule of construction ,nothing in this section shall be construed as prohibiting ,states receiving funds appropriated through the ,community ,mental ,health ,services ,block ,grant under this subpart from financing qualified community programs 7whether such programs meet the definition of eligible programs prior to or after the date of enactment of this subsection74 7g7 ,definitions ,in this section3 7#a7 ,community behavioral health clinic services ,the term community behavioral health clinic services means ambulatory behavioral health services of the type described in subparagraphs 7,i71 7,l71 7,m71 and 7,n7 of subsection 7f77#b7 that are provided by federally qualified community behavioral health clinics receiving assistance under this section4 7#b7 ,state ,the term ,state has the meaning given such term for purposes of title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq474 7#c7 ,federally qualified community behavioral health clinic ,the term federally qualified community behavioral health clinic means a federally qualified behavioral health clinic with a certification in effect under this section4 7h7 ,authorization of appropriations ,in order to fund ,state planning grants and the administrative costs associated with certifying community behavioral health clinics1 there is authorized to be appropriated to carry out this section1 #ej1jjj1jjj for fiscal year #bjaf1 to remain available until expended4 ,,iii ,,hipaa and ,,ferpa caregivers #cja4 ,promoting appropriate treatment for mentally ill individuals by treating their caregivers as personal representatives for purposes of ,,hipaa privacy regulations 7a7 ,caregiver access to information ,in applying section #afd4ejb7;g7 of title #de1 ,code of ,federal ,regulations1 to an individual with a serious mental illness who does not provide consent for the disclosure of protected health information to a caregiver of such individual1 the caregiver shall be treated by a covered entity as a personal representative 7as described under such section #afd4ejb7;g77 of such individual with respect to protected health information of such individual when the provider furnishing services to the individual reasonably believes it is necessary for protected health information of the individual to be made available to the caregiver in order to protect the health1 safety1 or welfare of such individual or the safety of one or more other individuals4 7b7 ,definitions ,for purposes of this section3 7#a7 ,covered entity ,the term covered entity has the meaning given such term in section #ajf4ajc of title #de1 ,code of ,federal ,regulations4 7#b7 ,protected health information ,the term protected health information has the meaning given such term in section #ajf4ajc of title #de1 ,code of ,federal ,regulations4 7#c7 ,caregiver ,the term caregiver means1 with respect to an individual with a serious mental illness-- 7,a7 an immediate family member of such individual2 7,b7 an individual who assumes primary responsibility for providing a basic need of such individual2 or 7,c7 a personal representative of the individual as determined by the law of the ,state in which such individual resides4 7#d7 ,individual with a serious mental illness ,the term individual with a serious mental illness means1 with respect to the disclosure to a caregiver of protected health information of an individual1 an individual who-- 7,a7 is #ah years of age or older2 and 7,b7 has1 within one year before the date of the disclosure1 been evaluated1 diagnosed1 or treated for a mental1 behavioral1 or emotional disorder that-- 7i7 is determined by a physician to be of sufficient duration to meet diagnostic criteria specified within the ,diagnostic and ,statistical ,manual of ,mental ,disorders2 and 7ii7 results in functional impairment of the individual that substantially interferes with or limits one or more major life activities of the individual4 #cjb4 ,caregivers permitted access to certain education records under ,,ferpa ,section #ddd of the ,general ,education ,provisions ,act 7#bj ,u4,s4,c4 #abcb;g7 is amended by adding at the end the following new subsection3 7k7 ,disclosures to caregivers of the mentally ill 7#a7 ,in general ,nothing in this ,act1 the ,elementary and ,secondary ,education ,act of #aife1 or the ,higher ,education ,act of #aife shall be construed to prohibit an educational agency or institution from disclosing1 to a caregiver of an individual with a serious mental illness who has not explicitly provided consent to the agency or institution for the disclosure of protected health information1 an education record of such individual if a physician1 psychologist1 or other recognized mental health professional or paraprofessional acting in his or her professional or paraprofessional capacity1 or assisting in that capacity reasonably believes such disclosure to the caregiver is necessary to protect the health1 safety1 or welfare of such individual or the safety of one or more other individuals4 7#b7 ,definitions ,in this subsection3 7,a7 ,caregiver ,the term caregiver means1 with respect to an individual with a serious mental illness1 a family member or immediate past legal guardian who assumes a primary responsibility for providing a basic need of such individual 7such as a family member or past legal guardian of the individual who has assumed the responsibility of co-signing a loan with the individual74 7,b7 ,education record ,notwithstanding subsection 7a77#d77;,b71 the term education record shall include a record described in clause 7iv7 of such subsection4 7,c7 ,individual with a serious mental illness ,the term individual with a serious mental illness means1 with respect to the disclosure to a caregiver of protected health information of an individual1 an individual who-- 7i7 is #ah years of age or older2 and 7ii7 has1 within one year before the date of the disclosure1 been evaluated1 diagnosed1 or treated for a mental1 behavioral1 or emotional disorder that-- 7,i7 is determined by a physician to be of sufficient duration to meet diagnostic criteria specified within the ,diagnostic and ,statistical ,manual of ,mental ,disorders2 and 7,,ii7 results in functional impairment of the individual that substantially interferes with or limits one or more major life activities of the individual4 4 ,,iv ,department of ,justice reforms #dja4 ,additional purposes for certain ,federal grants 7a7 ,modifications to the ,edward ,byrne ,memorial ,justice ,assistance ,grant ,program ,section #eja7;a77#a7 of title ,i of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#db ,u4,s4,c4 #cgea7;a77#a77 is amended by adding at the end the following3 7,h7 ,mental health programs and operations by law enforcement or corrections officers4 4 7b7 ,modifications to the ,community ,oriented ,policing ,services program ,section #agja7;b7 of title ,i of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#db ,u4,s4,c4 #cgif;dd7b77 is amended-- 7#a7 in paragraph 7#af71 by striking and at the end2 7#b7 by redesignating paragraph 7#ag7 as paragraph 7#ai72 7#c7 by inserting after paragraph 7#af7 the following3 7#ag7 to provide specialized training to law enforcement officers 7including village public safety officers 7as defined in section #bdg of the ,indian ,arts and ,crafts ,amendments ,act of #bjaj 7#db ,u4,s4,c4 #cgif;dd note777 to recognize individuals who have mental illness and how to properly intervene with individuals with mental illness1 and to establish programs that enhance the ability of law enforcement agencies to address the mental health1 behavioral1 and substance abuse problems of individuals encountered in the line of duty2 7#ah7 to provide specialized training to enhance the ability of corrections officers to address the mental health of individuals under the care and custody of jails and prisons2 and 2 and 7#d7 in paragraph 7#ai71 as redesignated1 by striking through 7#af7 and inserting through 7#ai74 7c7 ,modifications to the ,staffing for adequate fire and emergency response grants ,section #cd7;a77#a77;,b7 of ,public ,law #ic-dih 7#ae ,u4,s4,c4 #bbbi;a7a77#a77;,b77 is amended by inserting before the period at the end the following3 and to provide specialized training to paramedics1 emergency medical services workers1 and other first responders to recognize individuals who have mental illness and how to properly intervene with individuals with mental illness4 #djb4 ,reauthorization and additional amendments to the ,mentally ,ill ,offender ,treatment and ,crime ,reduction ,act 7a7 ,safe communities 7#a7 ,in general ,section #biia7;a7 of title ,i of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#db ,u4,s4,c4 #cgig;aa7a77 is amended-- 7,a7 in paragraph 7#g7-- 7i7 in the heading1 by striking ,mental illness and inserting ,mental illness2 mental ,health disorder2 and 7ii7 by striking term mental illness means and inserting terms mental illness and mental health disorder mean2 and 7,b7 by striking paragraph 7#i7 and inserting the following3 7#i7 ,preliminarily qualified offender 7,a7 ,in general ,the term preliminarily qualified offender means an adult or juvenile accused of an offense who-- 7i7 7,i7 previously or currently has been diagnosed by a qualified mental health professional as having a mental illness or co-occurring mental illness and substance abuse disorders2 7,,ii7 manifests obvious signs of mental illness or co-occurring mental illness and substance abuse disorders during arrest or confinement or before any court2 or 7,,iii7 in the case of a veterans treatment court provided under subsection 7i71 has been diagnosed with1 or manifests obvious signs of1 mental illness or a substance abuse disorder or co-occurring mental illness and substance abuse disorder2 and 7ii7 has been unanimously approved for participation in a program funded under this section by1 when appropriate1 the relevant-- 7,i7 prosecuting attorney2 7,,ii7 defense attorney2 7,,iii7 probation or corrections official2 7,,iv7 judge2 and 7,v7 a representative from the relevant mental health agency described in subsection 7b77#e77;,b77i74 7,b7 ,determination ,in determining whether to designate a defendant as a preliminarily qualified offender1 the relevant prosecuting attorney1 defense attorney1 probation or corrections official1 judge1 and mental health or substance abuse agency representative shall take into account-- 7i7 whether the participation of the defendant in the program would pose a substantial risk of violence to the community2 7ii7 the criminal history of the defendant and the nature and severity of the offense for which the defendant is charged2 7iii7 the views of any relevant victims to the offense2 7iv7 the extent to which the defendant would benefit from participation in the program2 7v7 the extent to which the community would realize cost savings because of the defendant's participation in the program2 and 7vi7 whether the defendant satisfies the eligibility criteria for program participation unanimously established by the relevant prosecuting attorney1 defense attorney1 probation or corrections official1 judge and mental health or substance abuse agency representative4 4 7#b7 ,technical and conforming amendment ,section #bibg7b7 of title ,i of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#db ,u4,s4,c4 #cgigs-#f7b77 is amended-- 7,a7 by striking has the meaning given that term in section #biia7;a74 and inserting the following3 means an offense that-- 2 and 7,b7 by adding at the end the following3 7,a7 does not have as an element the use1 attempted use1 or threatened use of physical force against the person or property of another2 or 7,b7 is not a felony that by its nature involves a substantial risk that physical force against the person or property of another may be used in the course of committing the offense4 4 7b7 ,evidence-,based practices ,section #biia7;c7 of title ,i of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#db ,u4,s4,c4 #cgig;aa7c77 is amended-- 7#a7 in paragraph 7#c71 by striking or at the end2 7#b7 by redesignating paragraph 7#d7 as paragraph 7#f72 and 7#c7 by inserting after paragraph 7#c7 the following3 7#d7 propose interventions that have been shown by empirical evidence to reduce recidivism2 7#e7 when appropriate1 use validated assessment tools to target preliminarily qualified offenders with a moderate or high risk of recidivism and a need for treatment and services2 or 4 7c7 ,academy training ,section #biia7;h7 of title ,i of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#db ,u4,s4,c4 #cgig;aa7h77 is amended-- 7#a7 in paragraph 7#a71 by adding at the end the following3 7,f7 ,academy training ,to provide support for academy curricula1 law enforcement officer orientation programs1 continuing education training1 and other programs that teach law enforcement personnel how to identify and respond to incidents involving persons with mental health disorders or co-occurring mental health and substance abuse disorders4 2 and 7#b7 by adding at the end the following3 7#d7 ,priority consideration ,the ,attorney ,general1 in awarding grants under this subsection1 shall give priority to programs that law enforcement personnel and members of the mental health and substance abuse professions develop and administer cooperatively4 4 7d7 ,assisting veterans ,section #biia of title ,i of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#db ,u4,s4,c4 #cgig;aa7 is further amended-- 7#a7 by redesignating subsection 7i7 as subsection 7n72 and 7#b7 by inserting after subsection 7h7 the following3 7i7 ,assisting veterans 7#a7 ,definitions ,in this subsection3 7,a7 ,peer to peer services or programs ,the term peer to peer services or programs means services or programs that connect qualified veterans with other veterans for the purpose of providing support and mentorship to assist qualified veterans in obtaining treatment1 recovery1 stabilization1 or rehabilitation4 7,b7 ,qualified veteran ,the term qualified veteran means a preliminarily qualified offender who-- 7i7 has served on active duty in any branch of the ,armed ,forces1 including the ,national ,guard and reserve components2 and 7ii7 was discharged or released from such service under conditions other than dishonorable4 7,c7 ,veterans treatment court program ,the term veterans treatment court program means a court program involving collaboration among criminal justice1 veterans1 and mental health and substance abuse agencies that provides qualified veterans with-- 7i7 intensive judicial supervision and case management1 which may include random and frequent drug testing where appropriate2 7ii7 a full continuum of treatment services1 including mental health services1 substance abuse services1 medical services1 and services to address trauma2 7iii7 alternatives to incarceration2 and 7iv7 other appropriate services1 including housing1 transportation1 mentoring1 employment1 job training1 education1 and assistance in applying for and obtaining available benefits4 7#b7 ,veterans assistance program 7,a7 ,in general ,the ,attorney ,general1 in consultation with the ,secretary of ,veterans ,affairs1 may award grants under this subsection to applicants to establish or expand-- 7i7 veterans treatment court programs2 7ii7 peer to peer services or programs for qualified veterans2 7iii7 practices that identify and provide treatment1 rehabilitation1 legal1 transitional1 and other appropriate services to qualified veterans who have been incarcerated2 and 7iv7 training programs to teach criminal justice1 law enforcement1 corrections1 mental health1 and substance abuse personnel how to identify and appropriately respond to incidents involving qualified veterans4 7,b7 ,priority ,in awarding grants under this subsection1 the ,attorney ,general shall give priority to applications that-- 7i7 demonstrate collaboration between and joint investments by criminal justice1 mental health1 substance abuse1 and veterans service agencies2 7ii7 promote effective strategies to identify and reduce the risk of harm to qualified veterans and public safety2 and 7iii7 propose interventions with empirical support to improve outcomes for qualified veterans4 4 7e7 ,correctional facilities ,section #biia of title ,i of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#db ,u4,s4,c4 #cgig;aa7 is further amended by inserting after subsection 7i71 as so added by subsection 7d71 the following3 7j7 ,correctional facilities 7#a7 ,definitions 7,a7 ,correctional facility ,the term correctional facility means a jail1 prison1 or other detention facility used to house people who have been arrested1 detained1 held1 or convicted by a criminal justice agency or a court4 7,b7 ,eligible inmate ,the term eligible inmate means an individual who-- 7i7 is being held1 detained1 or incarcerated in a correctional facility2 and 7ii7 manifests obvious signs of a mental illness or has been diagnosed by a qualified mental health professional as having a mental illness4 7#b7 ,correctional facility grants ,the ,attorney ,general may award grants to applicants to enhance the capabilities of a correctional facility-- 7,a7 to identify and screen for eligible inmates2 7,b7 to plan and provide-- 7i7 initial and periodic assessments of the clinical1 medical1 and social needs of inmates2 and 7ii7 appropriate treatment and services that address the mental health and substance abuse needs of inmates2 7,c7 to develop1 implement1 and enhance-- 7i7 post-release transition plans for eligible inmates that1 in a comprehensive manner1 coordinate health1 housing1 medical1 employment1 and other appropriate services and public benefits2 7ii7 the availability of mental health care services and substance abuse treatment services2 and 7iii7 alternatives to solitary confinement and segregated housing and mental health screening and treatment for inmates placed in solitary confinement or segregated housing2 and 7,d7 to train each employee of the correctional facility to identify and appropriately respond to incidents involving inmates with mental health or co-occurring mental health and substance abuse disorders4 4 7f7 ,reauthorization of appropriations ,section #biia7n7 of title ,i of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh1 as redesignated in subsection 7d71 is amended-- 7#a7 in paragraph 7#a7-- 7,a7 in subparagraph 7,b71 by striking and at the end2 7,b7 in subparagraph 7,c71 by striking the period and inserting 2 and2 and 7,c7 by adding at the end the following3 7,d7 #dj1jjj1jjj for each of fiscal years #bjae through #bjai4 2 and 7#b7 by adding at the end the following3 7#c7 ,limitation ,not more than #bj percent of the funds authorized to be appropriated under this section may be used for purposes described in subsection 7i7 7relating to veterans74 4 #djc4 ,assisted outpatient treatment ,section #bbja7b77;,b7 of title ,i of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#db ,u4,s4,c4 #cgif;ii7#b77;,b77 is amended by inserting before the semicolon the following3 1 or court-ordered assisted outpatient treatment 7as defined in section #ad7;a7 of the ,helping ,families in ,mental ,health ,crisis ,act of #bjac7 when the court has determined such treatment to be necessary4 #djd4 ,improvements to the ,department of ,justice data collection and reporting of mental illness in crime ,notwithstanding any other provision of law1 any data prepared by or submitted to the ,attorney ,general or the ,director of the ,federal ,bureau of ,investigation on or after the date of enactment of this ,act that is #ij days after the date of enactment of this ,act with respect to the incidences of homicides1 law enforcement officers killed and assaulted1 or individuals killed by law enforcement officers shall include data with respect to the involvement of mental illness in such incidences1 if any4 ,not later than #ij days after the date of the enactment of this ,act1 the ,attorney ,general shall promulgate or revise regulations as necessary to carry out this section4 #dje4 ,reports on the number of seriously mentally ill who are imprisoned 7a7 ,report on the ,cost of ,treating the ,mentally ,ill in the ,criminal ,justice ,system ,not later than #ab months after the date of enactment of this ,act1 the ,comptroller ,general of the ,united ,states shall submit to ,congress a report detailing the cost of imprisonment for persons who have serious mental illness by the ,federal ,government or a ,state or local government4 ,the report shall calculate the number and type of crimes committed by persons with serious mental illness each year1 and detail strategies or ideas for preventing crimes by those individuals with serious mental illness from occurring4 7b7 ,definition ,for purposes of this section1 the ,attorney ,general1 in consultation with the ,assistant ,secretary of ,mental ,health and ,substance ,use ,disorders shall determine an appropriate definition of serious mental illness based on the ,health ,care ,reform for ,americans with ,severe ,mental ,illnesses3 ,report of the ,national ,advisory ,mental ,health ,council1 ,american ,journal of ,psychiatry #aiic2 #aej3addg-adfe4 ,v ,medicare and ,medicaid reforms #eja4 ,enhanced ,medicaid coverage relating to certain mental health services 7a7 ,medicaid coverage of mental health services and primary care services furnished on the same day 7#a7 ,in general ,section #aijb7;a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7a77 is amended by inserting after paragraph 7#gg7 the following new paragraph3 7#gh7 not prohibit payment under the plan for a mental health service or primary care service furnished to an individual at a federally qualified community behavioral health center 7as defined in section #aije7l77#d77 or a federally qualified health center 7as defined in section #ahfa7;aa77#c77 for which payment would otherwise be payable under the plan1 with respect to such individual1 if such service were not a same-day qualifying service 7as defined in subsection 7ll772 4 7#b7 ,same-day qualifying services defined ,section #aijb of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7 is amended by adding at the end the following new subsection3 7ll7 ,same-,day qualifying services defined ,for purposes of subsection 7a77#gh71 the term same-day qualifying service means-- 7#a7 a primary care service furnished to an individual by a provider at a facility on the same day a mental health service is furnished to such individual by such provider 7or another provider7 at the facility2 and 7#b7 a mental health service furnished to an individual by a provider at a facility on the same day a primary care service is furnished to such individual by such provider 7or another provider7 at the facility4 4 7b7 ,state option ,to provide medical assistance for certain inpatient psychiatric services to nonelderly adults ,section #aije of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7 is amended-- 7#a7 in subsection 7a77#af7-- 7,a7 by inserting 7,a7 before effective2 and 7,b7 by inserting before the semicolon at the end the following3 7,b7 qualified inpatient psychiatric hospital services 7as defined in subsection 7h77#c77 for individuals over #ba years of age and under #fe years of age1 and 7,c7 psychiatric residential treatment facility services 7as defined in subsection 7h77#d77 for individuals over #ba years of age and under #fe years of age2 7#b7 in the subdivision 7,b7 that follows paragraph 7#bi71 by inserting 7other than services described in subparagraphs 7,b7 and 7,c7 of paragraph 7#af7 for individuals described in such subparagraphs7 after mental diseases2 and 7#c7 in subsection 7h71 by adding at the end the following new paragraphs3 7#c7 ,for purposes of subsection 7a77#af77;,b71 the term qualified inpatient psychiatric hospital services means1 with respect to individuals described in such subsection1 services described in subparagraphs 7,a7 and 7,b7 of paragraph 7#a7 that are furnished in an acute care psychiatric unit in a ,state-operated psychiatric hospital or a psychiatric hospital 7as defined section #ahfa7;f77 if such unit or hospital1 as applicable1 has a facilitywide average 7determined on an annual basis7 length of stay of less than #cj days4 7#d7 ,for purposes of subsection 7a77#af77;,c71 the term psychiatric residential treatment facility services means1 with respect to individuals described in such subsection1 services described in subparagraphs 7,a7 and 7,b7 of paragraph 7#a7 that are furnished in a psychiatric residential treatment facility 7as defined in section #dhd4cec of title #db1 ,code of ,federal ,regulations1 as in effect on ,december #i1 #bjac74 4 7c7 ,effective date 7#a7 ,in general ,subject to paragraph 7#b71 the amendments made this section shall apply to items and services furnished after the first day of the first calendar year that begins after the date of the enactment of this section4 7#b7 ,exception for ,state legislation ,in the case of a ,state plan under title ,,xix of the ,social ,security ,act1 which the ,secretary of ,health and ,human ,services determines requires ,state legislation in order for the respective plan to meet any requirement imposed by amendments made by this section1 the respective plan shall not be regarded as failing to comply with the requirements of such title solely on the basis of its failure to meet such an additional requirement before the first day of the first calendar quarter beginning after the close of the first regular session of the ,state legislature that begins after the date of enactment of this section4 ,for purposes of the previous sentence1 in the case of a ,state that has a #b-year legislative session1 each year of the session shall be considered to be a separate regular session of the ,state legislature4 #ejb4 ,access to mental health prescription drugs under ,medicare and ,medicaid 7a7 ,coverage of prescription drugs used ,to treat mental health disorders under ,medicare ,section #ahfj;,d-#d7;b77#c77;,g77i77,,ii7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#ajd7;b77#c77;,g77i77,,ii77 is amended by inserting 1 for categories and classes of drugs other than the categories and classes of drugs specified in subclauses 7,,ii7 and 7,,iv7 of clause 7iv71 before exceptions4 7b7 ,coverage of prescription drugs used ,to treat mental health disorders under ,medicaid ,section #aibg7;d7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acifr-#h7;d77 is amended by adding at the end the following new paragraph3 7#h7 ,access to mental health drugs ,with respect to covered outpatient drugs used for the treatment of a mental health disorder1 including major depression1 bipolar 7manic-depressive7 disorder1 panic disorder1 obsessive-compulsive disorder1 schizophrenia1 and schizoaffective disorder1 a ,state shall not exclude from coverage or otherwise restrict access to such drugs other than pursuant to a prior authorization program that is consistent with paragraph 7#e74 4 ,,vi ,research by ,national ,institute of ,mental ,health #fja4 ,increase in funding for certain research ,section #djb;,a7a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhb;a7a77 is amended-- 7#a7 by striking ,for the purpose of and inserting the following3 7#a7 ,in general ,for the purpose of 2 and 7#b7 by adding at the end the following3 7#b7 ,funding for the brain initiative at the ,national ,institute of ,mental ,health 7,a7 ,funding ,in addition to amounts made available pursuant to paragraph 7#a71 there are authorized to be appropriated to the ,national ,institute of ,mental ,health for the purpose described in subparagraph 7,b77ii7 #dj1jjj1jjj for each of fiscal years #bjae through #bjai4 7,b7 ,purposes ,amounts appropriated pursuant to subparagraph 7,a7 shall be used exclusively for the purpose of conducting or supporting-- 7i7 research on the determinants of self- and other directed-violence in mental illness1 including studies directed at reducing the risk of self harm1 suicide1 and interpersonal violence2 or 7ii7 brain research through the ,brain ,research through ,advancing ,innovative ,neurotechnologies ,initiative4 4 ,,vii ,community ,mental ,health ,services ,block ,grant ,reform #gja4 ,administration of block grants by ,assistant ,secretary ,section #aiaa7;a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx7 is amended by striking acting through the ,director of the ,center for ,mental ,health ,services and inserting acting through the ,assistant ,secretary for ,mental ,health and ,substance ,use ,disorders4 #gjb4 ,additional program requirements 7a7 ,integrated services ,subsection 7b77#a7 of section #aiab of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#a7 is amended by inserting integration of after ,the description of the system of care shall include4 7b7 ,data collection system ,subsection 7b77#b7 of section #aiab of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#a7 is amended-- 7#a7 by striking ,the plan contains an estimate of and inserting the following3 ,the plan contains-- 7,a7 an estimate of 2 7#b7 by striking the period at the end and inserting 2 and2 and 7#c7 by adding at the end the following3 7,b7 an agreement by the ,state to report to the ,national ,mental ,health ,policy ,laboratory-- 7i7 such data as may be required by the ,secretary concerning-- 7,i7 comprehensive community mental health services in the ,state2 and 7,,ii7 public health outcomes for persons with serious mental illness in the ,state1 including mortality1 emergency room visits1 and medication adherence4 4 #gjc4 ,period for expenditure of grant funds ,section #aiac of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#b71 as amended1 is further amended by adding at the end the following3 7d7 ,period for expenditure of grant funds ,in implementing a plan submitted under section #aiab7;a71 a ,state receiving grant funds under section #aiaa may make such funds available to providers of services described in subsection 7b7 for the provision of services without fiscal year limitation4 4 #gjd4 ,treatment standard under ,state law ,section #aiae of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#d7 is amended by adding at the end the following3 7c7 ,treatment standard under ,state law 7#a7 ,in general ,a funding agreement for a grant under section #aiaa is that-- 7,a7 the ,state involved has in effect a law under which1 if a ,state court finds by clear and convincing evidence that an individual1 as a result of mental illness1 is a danger to self1 is a danger to others1 is persistently or acutely disabled1 or is gravely disabled and in need of treatment1 and is either unwilling or unable to accept voluntary treatment1 the court must order the individual to undergo inpatient or outpatient treatment2 or 7,b7 the ,state involved has in effect a law under which a ,state court must order an individual with a mental illness to undergo inpatient or outpatient treatment1 the law was in effect on the date of enactment of the ,helping ,families in ,mental ,health ,crisis ,act of #bjac1 and the ,secretary finds that the law requires a ,state court to order such treatment across all or a sufficient range of the type of circumstances described in subparagraph 7,a74 7#b7 ,definition ,for purposes of paragraph 7#a71 the term persistently or acutely disabled refers to a serious mental illness that meets all the following criteria3 7,a7 ,if not treated1 the illness has a substantial probability of causing the individual to suffer or continue to suffer severe and abnormal mental1 emotional1 or physical harm that significantly impairs judgment1 reason1 behavior1 or capacity to recognize reality4 7,b7 ,the illness substantially impairs the individual's capacity to make an informed decision regarding treatment1 and this impairment causes the individual to be incapable of understanding and expressing an understanding of the advantages and disadvantages of accepting treatment and understanding and expressing an understanding of the alternatives to the particular treatment offered after the advantages1 disadvantages1 and alternatives are explained to that individual4 7,c7 ,the illness has a reasonable prospect of being treatable by outpatient1 inpatient1 or combined inpatient and outpatient treatment4 4 #gje4 ,assisted outpatient treatment under ,state law ,section #aiae of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#d71 as amended1 is further amended by adding at the end the following3 7d7 ,assisted outpatient treatment under ,state law 7#a7 ,in general ,a funding agreement for a grant under section #aiaa is that the ,state involved has in effect a law under which a ,state court may order a treatment plan for an eligible patient that-- 7,a7 requires such patient to obtain outpatient mental health treatment while the patient is living in a community2 and 7,b7 is designed to improve access and adherence by such patient to intensive behavioral health services in order to-- 7i7 avert relapse1 repeated hospitalizations1 arrest1 incarceration1 suicide1 property destruction1 and violent behavior2 and 7ii7 provide such patient with the opportunity to live in a less restrictive alternative to incarceration or involuntary hospitalization4 7#b7 ,certification of state compliance ,a funding agreement described in paragraph 7#a7 is effective only if the ,assistant ,secretary for ,mental ,health and ,substance ,use ,disorders reviews the ,state law and certifies that it satisfies the criteria specified in such paragraph4 7#c7 ,definition ,in this subsection1 the term eligible patient means an adult1 mentally ill person who1 as determined by the court-- 7,a7 has a history of violence1 incarceration1 or medically unnecessary hospitalizations2 7,b7 without supervision and treatment1 may be a danger to self or others in the community2 7,c7 is substantially unlikely to voluntarily participate in treatment2 7,d7 may be unable1 for reasons other than indigence1 to provide for any of his or her basic needs1 such as food1 clothing1 shelter1 health or safety2 7,e7 with a history of mental illness or condition that is likely to substantially deteriorate if the patient is not provided with timely treatment2 and 7,f7 due to mental illness1 lacks capacity to fully understand or lacks judgment to make informed decisions regarding his or her need for treatment1 care1 or supervision4 4 #gjf4 ,best available science and models of care ,section #aibj of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#i7 is amended by adding at the end the following3 7c7 ,best practices in clinical care models ,for the purpose of translating evidence-based medicine and best available science into systems of care1 the ,assistant ,secretary for ,mental ,health and ,substance ,use ,disorders shall obligate #e percent of the amounts appropriated under subsection 7a7 for a fiscal year through the ,national ,mental ,health ,laboratory created under this ,act4 ,these models may include the ,recovery ,after an ,initial ,schizophrenia ,episode research project of the ,national ,institute of ,mental ,health and the ,north ,american ,prodrome ,longitudinal ,study4 4 #gjg4 ,paperwork reduction study 7a7 ,in general ,the ,assistant ,secretary for ,mental ,health and ,substance ,use ,disorders shall enter into an arrangement with the ,institute of ,medicine of the ,national ,academies 7or1 if the ,institute declines1 another appropriate entity7 under which1 not later than #ab months after the date of enactment of this ,act1 the ,institute will submit to the appropriate committees of ,congress a report that evaluates the combined paperwork burden of-- 7#a7 community mental health centers meeting the criteria specified in section #aiac7;c7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#b71 including such centers meeting such criteria as in effect on the day before the date of enactment of this ,act2 and 7#b7 federally qualified community mental health clinics certified pursuant to section #bja of this ,act4 7b7 ,scope ,in preparing the report under section 7a71 the ,institute of ,medicine 7or1 if applicable1 other appropriate entity7 shall examine licensing1 certification1 service definitions1 claims payment1 billing codes1 and financial auditing requirements used by the ,office of ,management and ,budget1 the ,centers for ,medicare ,medicaid ,services1 the ,health ,resources and ,services ,administration1 the ,substance ,abuse and ,mental ,health ,services ,administration1 the ,office of the ,inspector ,general of the ,department of ,health and ,human ,services1 ,state ,medicaid agencies1 ,state departments of health1 ,state departments of education1 and ,state and local juvenile justice and social service agencies to-- 7#a7 establish an estimate of the combined nationwide cost of complying with such requirements1 in terms of both administrative funding and staff time2 7#b7 establish an estimate of the per capita cost to each center described in paragraph 7#a7 or 7#b7 of subsection 7a7 to comply with such requirements1 in terms of both administrative funding and staff time2 and 7#c7 make administrative and statutory recommendations to ,congress 7which recommendations may include a uniform methodology7 to reduce the paperwork burden experienced by centers described in paragraph 7#a7 or 7#b7 of subsection 7a74 ,,viii ,behavioral health awareness program #hja4 ,reducing the stigma of serious mental illness 7a7 ,in general ,the ,secretary of ,education1 along with the ,assistant ,secretary for ,mental ,health and ,substance ,use ,disorders1 shall organize a national awareness campaign involving public health organizations1 advocacy groups for persons with serious mental illness1 and social media companies to assist secondary school students and postsecondary students in-- 7#a7 reducing the stigma associated with serious mental illness2 7#b7 understanding how to assist an individual who is demonstrating signs of a serious mental illness2 and 7#c7 understanding the importance of seeking treatment from a physician1 clinical psychologist1 or licensed mental health professional when a student believes the student may be suffering from a serious mental illness or behavioral health disorder4 7b7 ,data collection ,the ,secretary of ,education shall-- 7#a7 evaluate the program under subsection 7a7 on public health to determine whether the program has made an impact on public health1 including mortality rates of persons with serious mental illness1 prevalence of serious mental illness1 physician and clinical psychological visits1 emergency room visits2 and 7#b7 submit a report on the evaluation to the ,national ,mental ,health ,policy ,laboratory created by title ,i of this ,act4 7c7 ,secondary school defined ,for purposes of this section1 the term secondary school has the meaning given the term in section #iaja of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #ghja74 ,,ix ,behavioral health information technology #ija4 ,extension of health information technology assistance for behavioral and mental health and substance abuse ,section #cjjj7c7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;jj7#c77 is amended by inserting before and any other category the following3 behavioral and mental health professionals 7as defined in section #cca7;a77#c77;,e77i771 a substance abuse professional1 a psychiatric hospital 7as defined in section #ahfa7;f7 of the ,social ,security ,act71 a community mental health center meeting the criteria specified in section #aiac7;c71 a federally qualified community behavioral health clinic certified under section #bja of the ,helping ,families in ,mental ,health ,crisis ,act of #bjac1 a residential or outpatient mental health or substance abuse treatment facility14 #ijb4 ,extension of eligibility for ,medicare and ,medicaid health information technology implementation assistance 7a7 ,payment incentives for eligible professionals under medicare ,section #ahdh of the ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#d7 is amended-- 7#a7 in subsection 7a77#g7-- 7,a7 in subparagraph 7,e71 by adding at the end the following new clause3 7iv7 ,additional eligible professional ,the term additional eligible professional means a clinical psychologist providing qualified psychologist services 7as defined in section #ahfa7;ii774 2 and 7,b7 by adding at the end the following new subparagraph3 7,f7 ,application to additional eligible professionals ,the ,secretary shall apply the provisions of this paragraph with respect to an additional eligible professional in the same manner as such provisions apply to an eligible professional1 except in applying subparagraph 7,a7-- 7i7 in clause 7i71 the reference to #bjae shall be deemed a reference to #bjai2 7ii7 in clause 7ii71 the references to #bjae1 #bjaf1 and #bjag shall be deemed references to #bjai1 #bjbj1 and #bjba1 respectively2 and 7iii7 in clause 7iii71 the reference to #bjah shall be deemed a reference to #bjbb4 2 and 7#b7 in subsection 7o7-- 7,a7 in paragraph 7#e71 by adding at the end the following new subparagraph3 7,d7 ,additional eligible professional ,the term additional eligible professional means a clinical psychologist providing qualified psychologist services 7as defined in section #ahfa7;ii774 2 and 7,b7 by adding at the end the following new paragraph3 7#f7 ,application to additional eligible professionals ,the ,secretary shall apply the provisions of this subsection with respect to an additional eligible professional in the same manner as such provisions apply to an eligible professional1 except in applying-- 7,a7 paragraph 7#a77;,a77ii71 the reference to #bjaf shall be deemed a reference to #bjbj2 7,b7 paragraph 7#a77;,b77ii71 the references to #bjaa and #bjab shall be deemed references to #bjae and #bjaf1 respectively2 7,c7 paragraph 7#a77;,b77iii71 the references to #bjac shall be deemed references to #bjag2 7,d7 paragraph 7#a77;,b77v71 the references to #bjad shall be deemed references to #bjah2 and 7,e7 paragraph 7#a77;,e71 the reference to #bjaa shall be deemed a reference to #bjae4 4 7b7 ,eligible hospitals ,section #ahhf of the ,social ,security ,act 7#db ,u4,s4,c4 #acieww7 is amended-- 7#a7 in subsection 7b77#c77;,b77ix71 by adding at the end the following new subclause3 7,v7 ,the ,secretary shall apply the provisions of this subsection with respect to an additional eligible hospital 7as defined in subsection 7n77#f77;,c77 in the same manner as such provisions apply to an eligible hospital1 except in applying-- 7aa7 subclause 7,i71 the references to #bjae1 #bjaf1 and #bjag shall be deemed references to #bjai1 #bjbj1 and #bjba1 respectively2 and 7bb7 subclause 7,,iii71 the reference to #bjae shall be deemed a reference to #bjai4 2 and 7#b7 in subsection 7n7-- 7,a7 in paragraph 7#f71 by adding at the end the following new subparagraph3 7,c7 ,additional eligible hospital ,the term additional eligible hospital means an inpatient hospital that is a psychiatric hospital 7as defined in section #ahfa7;f774 2 and 7,b7 by adding at the end the following new paragraph3 7#g7 ,application to additional eligible hospitals ,the ,secretary shall apply the provisions of this subsection with respect to an additional eligible hospital in the same manner as such provisions apply to an eligible hospital1 except in applying-- 7,a7 paragraph 7#b77;,e77ii71 the references to #bjac and #bjae shall be deemed references to #bjag and #bjai1 respectively2 and 7,b7 paragraph 7#b77;,g77i71 the reference to #bjaa shall be deemed a reference to #bjae4 4 7c7 ,medicaid providers ,section #aijc7t7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;b7t77 is amended-- 7#a7 in paragraph 7#b77;,b7-- 7,a7 in clause 7i71 by striking 1 or and inserting a semicolon2 7,b7 in clause 7ii71 by striking the period and inserting a semicolon2 and 7,c7 by adding after clause 7ii7 the following new clauses3 7iii7 a public hospital that is principally a psychiatric hospital 7as defined in section #ahfa7;f772 7iv7 a private hospital that is principally a psychiatric hospital 7as defined in section #ahfa7;f77 and that has at least #aj percent of its patient volume 7as estimated in accordance with a methodology established by the ,secretary7 attributable to individuals receiving medical assistance under this title2 7v7 a community mental health center meeting the criteria specified in section #aiac7;c7 of the ,public ,health ,service ,act2 or 7vi7 a residential or outpatient mental health or substance abuse treatment facility that-- 7,i7 is accredited by the ,joint ,commission on ,accreditation of ,healthcare ,organizations1 the ,commission on ,accreditation of ,rehabilitation ,facilities1 the ,council on ,accreditation1 or any other national accrediting agency recognized by the ,secretary2 and 7,,ii7 has at least #aj percent of its patient volume 7as estimated in accordance with a methodology established by the ,secretary7 attributable to individuals receiving medical assistance under this title4 2 and 7#b7 in paragraph 7#c77;,b7-- 7,a7 in clause 7iv71 by striking and after the semicolon2 7,b7 in clause 7v71 by striking the period and inserting 2 and2 and 7,c7 by adding at the end the following new clause3 7vi7 clinical psychologist providing qualified psychologist services 7as defined in section #ahfa7;ii771 if such clinical psychologist is practicing in an outpatient clinic that-- 7,i7 is led by a clinical psychologist2 and 7,,ii7 is not otherwise receiving payment under paragraph 7#a7 as a ,medicaid provider described in paragraph 7#b77;,b74 4 7d7 ,medicare ,advantage organizations ,section #ahec of the ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#bc7 is amended-- 7#a7 in subsection 7l7-- 7,a7 in paragraph 7#a7-- 7i7 by inserting or additional eligible professionals 7as described in paragraph 7#i77 after paragraph 7#b72 and 7ii7 by inserting and additional eligible professionals before under such sections2 7,b7 in paragraph 7#c77;,b7-- 7i7 in clause 7i7 in the matter preceding subclause 7,i71 by inserting or an additional eligible professional described in paragraph 7#i7 after paragraph 7#b72 and 7ii7 in clause 7ii7-- 7,i7 in the matter preceding subclause 7,i71 by inserting or an additional eligible professional described in paragraph 7#i7 after paragraph 7#b72 and 7,,ii7 in subclause 7,i71 by inserting or an additional eligible professional1 respectively1 after eligible professional2 7,c7 in paragraph 7#c77;,c71 by inserting and additional eligible professionals after all eligible professionals2 7,d7 in paragraph 7#d77;,d71 by adding at the end the following new sentence3 ,in the case that a qualifying ,,ma organization attests that not all additional eligible professionals of the organization are meaningful ,,ehr users with respect to an applicable year1 the ,secretary shall apply the payment adjustment under this paragraph based on the proportion of all such additional eligible professionals of the organization that are not meaningful ,,ehr users for such year42 7,e7 in paragraph 7#f77;,a71 by inserting and1 as applicable1 each additional eligible professional described in paragraph 7#i7 after paragraph 7#b72 7,f7 in paragraph 7#f77;,b71 by inserting and1 as applicable1 each additional eligible hospital described in paragraph 7#i7 after subsection 7m77#a72 7,g7 in paragraph 7#g77;,a71 by inserting and1 as applicable1 additional eligible professionals after eligible professionals2 7,h7 in paragraph 7#g77;,b71 by inserting and1 as applicable1 additional eligible professionals after eligible professionals2 7,i7 in paragraph 7#h77;,b71 by inserting and additional eligible professionals described in paragraph 7#i7 after paragraph 7#b72 and 7,j7 by adding at the end the following new paragraph3 7#i7 ,additional eligible professional described ,with respect to a qualifying ,,ma organization1 an additional eligible professional described in this paragraph is an additional eligible professional 7as defined for purposes of section #ahdh7o77 who-- 7,a7 7i7 is employed by the organization2 or 7ii7 7,i7 is employed by1 or is a partner of1 an entity that through contract with the organization furnishes at least #hj percent of the entity's ,medicare patient care services to enrollees of such organization2 and 7,,ii7 furnishes at least #hj percent of the professional services of the additional eligible professional covered under this title to enrollees of the organization2 and 7,b7 furnishes1 on average1 at least #bj hours per week of patient care services4 2 and 7#b7 in subsection 7m7-- 7,a7 in paragraph 7#a7-- 7i7 by inserting or additional eligible hospitals 7as described in paragraph 7#g77 after paragraph 7#b72 and 7ii7 by inserting and additional eligible hospitals before under such sections2 7,b7 in paragraph 7#c77;,a77i71 by inserting or additional eligible hospital after eligible hospital2 7,c7 in paragraph 7#c77;,a77ii71 by inserting or an additional eligible hospital after eligible hospital in each place it occurs2 7,d7 in paragraph 7#c77;,b7-- 7i7 in clause 7i71 by inserting or an additional eligible hospital described in paragraph 7#g7 after paragraph 7#b72 and 7ii7 in clause 7ii7-- 7,i7 in the matter preceding subclause 7,i71 by inserting or an additional eligible hospital described in paragraph 7#g7 after paragraph 7#b72 and 7,,ii7 in subclause 7,i71 by inserting or an additional eligible hospital1 respectively1 after eligible hospital2 7,e7 in paragraph 7#d77;,a71 by inserting or one or more additional eligible hospitals 7as defined in section #ahhf7n771 as appropriate1 after section #ahhf7n77#f77;,a772 7,f7 in paragraph 7#d77;,d71 by adding at the end the following new sentence3 ,in the case that a qualifying ,,ma organization attests that not all additional eligible hospitals of the organization are meaningful ,,ehr users with respect to an applicable period1 the ,secretary shall apply the payment adjustment under this paragraph based on the methodology specified by the ,secretary1 taking into account the proportion of such additional eligible hospitals1 or discharges from such hospitals1 that are not meaningful ,,ehr users for such period42 7,g7 in paragraph 7#e77;,a71 by inserting and1 as applicable1 each additional eligible hospital described in paragraph 7#g7 after paragraph 7#b72 7,h7 in paragraph 7#e77;,b71 by inserting and additional eligible hospitals1 as applicable1 after eligible hospitals2 7,i7 in paragraph 7#f77;,b71 by inserting and additional eligible hospitals described in paragraph 7#g7 after paragraph 7#b72 and 7,j7 by adding at the end the following new paragraph3 7#g7 ,additional eligible hospital described ,with respect to a qualifying ,,ma organization1 an additional eligible hospital described in this paragraph is an additional eligible hospital 7as defined in section #ahhf7n77#f77;,c77 that is under common corporate governance with such organization and serves individuals enrolled under an ,,ma plan offered by such organization4 4 ,x ,expanding access to care through health care professional volunteerism #ajja4 ,liability protections for health care professional volunteers at community health centers and federally qualified community behavioral health clinics ,section #bbd of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bcc7 is amended by adding at the end the following3 7q7 7#a7 ,in this subsection1 the term federally qualified community behavioral health clinic means-- 7,a7 a federally qualified community behavioral health clinic with a certification in effect under section #bja of the ,helping ,families in ,mental ,health ,crisis ,act of #bjac2 or 7,b7 a community mental health center meeting the criteria specified in section #aiac7;c7 of this ,act4 7#b7 ,for purposes of this section1 a health care professional volunteer at an entity described in subsection 7g77#d7 or a federally qualified community behavioral health clinic shall1 in providing health care services eligible for funding under section #ccj or subpart ,i of part ,b of title ,,xix to an individual1 be deemed to be an employee of the ,public ,health ,service for a calendar year that begins during a fiscal year for which a transfer was made under paragraph 7#e77;,c74 ,the preceding sentence is subject to the provisions of this subsection4 7#c7 ,in providing a health care service to an individual1 a health care professional shall for purposes of this subsection be considered to be a health professional volunteer at an entity described in subsection 7g77#d7 or at a federally qualified community behavioral health clinic if the following conditions are met3 7,a7 ,the service is provided to the individual at the facilities of an entity described in subsection 7g77#d71 at a federally qualified community behavioral health clinic1 or through offsite programs or events carried out by the center4 7,b7 ,the center or entity is sponsoring the health care professional volunteer pursuant to paragraph 7#d77;,b74 7,c7 ,the health care professional does not receive any compensation for the service from the individual or from any third-party payer 7including reimbursement under any insurance policy or health plan1 or under any ,federal or ,state health benefits program71 except that the health care professional may receive repayment from the entity described in subsection 7g77#d7 or the center for reasonable expenses incurred by the health care professional in the provision of the service to the individual4 7,d7 ,before the service is provided1 the health care professional or the center or entity described in subsection 7g77#d7 posts a clear and conspicuous notice at the site where the service is provided of the extent to which the legal liability of the health care professional is limited pursuant to this subsection4 7,e7 ,at the time the service is provided1 the health care professional is licensed or certified in accordance with applicable law regarding the provision of the service4 7#d7 ,subsection 7g7 7other than paragraphs 7#c7 and 7#e77 and subsections 7h71 7i71 and 7l7 apply to a health care professional for purposes of this subsection to the same extent and in the same manner as such subsections apply to an officer1 governing board member1 employee1 or contractor of an entity described in subsection 7g77#d71 subject to paragraph 7#e7 and subject to the following3 7,a7 ,the first sentence of paragraph 7#b7 applies in lieu of the first sentence of subsection 7g77#a77;,a74 7,b7 ,with respect to an entity described in subsection 7g77#d7 or a federally qualified community behavioral health clinic1 a health care professional is not a health professional volunteer at such center unless the center sponsors the health care professional4 ,for purposes of this subsection1 the center shall be considered to be sponsoring the health care professional if-- 7i7 with respect to the health care professional1 the center submits to the ,secretary an application meeting the requirements of subsection 7g77#a77;,d72 and 7ii7 the ,secretary1 pursuant to subsection 7g77#a77;,e71 determines that the health care professional is deemed to be an employee of the ,public ,health ,service4 7,c7 ,in the case of a health care professional who is determined by the ,secretary pursuant to subsection 7g77#a77;,e7 to be a health professional volunteer at such center1 this subsection applies to the health care professional 7with respect to services described in paragraph 7#b77 for any cause of action arising from an act or omission of the health care professional occurring on or after the date on which the ,secretary makes such determination4 7,d7 ,subsection 7g77#a77;,f7 applies to a health professional volunteer for purposes of this subsection only to the extent that1 in providing health services to an individual1 each of the conditions specified in paragraph 7#c7 is met4 7#e7 7,a7 ,amounts in the fund established under subsection 7k77#b7 shall be available for transfer under subparagraph 7,c7 for purposes of carrying out this subsection for health professional volunteers at entities described in subsection 7g77#d74 7,b7 ,not later than ,may #a of each fiscal year1 the ,attorney ,general1 in consultation with the ,secretary1 shall submit to the ,congress a report providing an estimate of the amount of claims 7together with related fees and expenses of witnesses7 that1 by reason of the acts or omissions of health care professional volunteers1 will be paid pursuant to this subsection during the calendar year that begins in the following fiscal year4 ,subsection 7k77#a77;,b7 applies to the estimate under the preceding sentence regarding health care professional volunteers to the same extent and in the same manner as such subsection applies to the estimate under such subsection regarding officers1 governing board members1 employees1 and contractors of entities described in subsection 7g77#d74 7,c7 ,not later than ,december #ca of each fiscal year1 the ,secretary shall transfer from the fund under subsection 7k77#b7 to the appropriate accounts in the ,treasury an amount equal to the estimate made under subparagraph 7,b7 for the calendar year beginning in such fiscal year1 subject to the extent of amounts in the fund4 7#f7 7,a7 ,this subsection takes effect on ,october #a1 #bjae1 except as provided in subparagraph 7,b74 7,b7 ,effective on the date of the enactment of this subsection-- 7i7 the ,secretary may issue regulations for carrying out this subsection1 and the ,secretary may accept and consider applications submitted pursuant to paragraph 7#d77;,b72 and 7ii7 reports under paragraph 7#e77;,b7 may be submitted to the ,congress4 4 ,,xi ,,samhsa ,reauthorization and ,reforms ,a ,organization and general authorities #aaja4 ,in general ,section #eja of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;aa7 is amended-- 7#a7 in subsection 7c77#b71 by striking ,secretary and inserting ,assistant ,secretary for ,mental ,health and ,substance ,use ,disorders2 7#b7 in subsection 7d7-- 7,a7 in paragraph 7#b7-- 7i7 by striking and mental illness2 and 7ii7 by striking promote mental health2 7,b7 in paragraph 7#d71 by inserting related to substance abuse after related services2 7,c7 in paragraph 7#f71 by striking and individuals with mental illness and to develop appropriate mental health services for individuals with such illnesses2 and 7,d7 in paragraph 7#ah71 by striking mental illness or2 7#c7 in subsection 7h71 by inserting at the end the following3 ,for any such peer review group reviewing a proposal or grant related to mental illness1 no fewer than half of the members of the group shall have a medical degree1 or an equivalent doctoral degree in psychology and clinical experience42 7#d7 in subsection 7l7-- 7,a7 in paragraph 7#b71 by striking and at the end2 7,b7 in paragraph 7#c71 by striking the period at the end and inserting 2 and2 and 7,c7 by adding at the end the following3 7#d7 ,at least #cj days before awarding a grant1 cooperative agreement1 or contract1 the ,administrator shall give written notice of the award to the ,committee on ,energy and ,commerce of the ,house of ,representatives and the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate4 2 and 7#e7 in subsection 7m7-- 7,a7 in paragraph 7#a71 by striking #b4e percent and inserting #a4e percent2 and 7,b7 in paragraph 7#c71 by striking ,secretary and inserting ,assistant ,secretary for ,mental ,health and ,substance ,use ,disorders4 #aajb4 ,advisory councils ,paragraph 7#c7 of section #ejb7;b7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;aa-#a7;b77 is amended by adding at the end the following3 7,c7 ,no fewer than half of the members of an advisory council shall-- 7i7 have a medical degree2 7ii7 have an equivalent doctoral degree in psychology2 or 7iii7 serve as a licensed mental health professional4 4 #aajc4 ,peer review ,section #ejd of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;aa-#c7 is amended-- 7#a7 by adding at the end of subsection 7b7 the following3 ,at least half of the members of any peer review group established under subsection 7a7 shall have a degree in medicine1 or an equivalent doctoral degree in psychology1 or be a licensed mental health professional4 ,before awarding a grant1 cooperative agreement1 or contract1 the ,secretary shall provide a list of the members of the peer review group responsible for reviewing the award to the ,committee on ,energy and ,commerce of the ,house of ,representatives and the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate42 and 7#b7 by adding at the end the following3 7e7 ,scientific controls and standards ,peer review under this section shall ensure that any research concerning an intervention is based on scientific controls and standards indicating whether the intervention reduces symptoms1 improves medical or behavioral outcomes1 and improves social functioning4 4 #aajd4 ,data collection 7a7 ,transfer of behavioral health statistics and quality ,the ,assistant ,secretary for ,mental ,health and ,substance ,use ,disorders shall transfer all functions and responsibilities of the ,center for ,behavioral ,health ,statistics and ,quality to the ,national ,mental ,health ,policy ,laboratory1 established under section #eja;,a4 7b7 ,transferring data collection and surveys to the national mental health policy laboratory ,section #eje of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;aa-#d7 is amended-- 7#a7 in subsection 7a71 by striking acting through the ,administrator and inserting acting through the ,national ,mental ,health ,policy ,laboratory under the ,assistant ,secretary for ,mental ,health and ,substance ,use ,disorders 7in this section referred to as the ,assistant ,secretary7 with respect to mental illness and substance abuse2 7#b7 in subsections 7a77#b7 and 7d71 by striking ,administrator each place it appears and inserting ,assistant ,secretary2 and 7#c7 in subsection 7b7-- 7,a7 by striking ,administrator each place it appears and inserting ,assistant ,secretary2 7,b7 by striking and at the end of paragraph 7#c72 7,c7 by striking paragraph 7#d72 and 7,d7 by adding at the end the following3 7#d7 the number of individuals with serious mental illnesses1 including those with schizophrenia1 bipolar disorder1 or major depressive disorder2 7#e7 the number of individuals admitted to hospital emergency rooms as a result of serious mental illness2 7#f7 the number of individuals who receive inpatient care and are subsequently readmitted to the hospital as a result of their condition within two years2 and 7#g7 other public health outcomes including mortality rates for individuals with serious mental illness4 4 ,b ,center for ,mental ,health ,services #aaaa4 ,center for ,mental ,health ,services ,section #ebj of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#ca7 is amended to read as follows3 #ebj4 ,center for ,mental ,health ,services 7a7 ,establishment ,there is established in the ,administration a ,center for ,mental ,health ,services 7hereafter in this section referred to as the ,center74 ,the ,center shall be headed by a ,director 7hereafter in this section referred to as the ,director7 appointed by the ,secretary from among individuals with extensive experience or academic qualifications in the provision of mental health services or in the evaluation of mental health service systems4 7b7 ,duties ,the ,director of the ,center shall-- 7#a7 assist the ,assistant ,secretary for ,mental ,health and ,substance ,use ,disorders in designing national goals and establishing national priorities for-- 7,a7 the prevention of mental illness2 7,b7 the treatment of mental illness2 and 7,c7 the promotion of mental health2 7#b7 encourage local entities and ,state agencies to achieve the goals and priorities described in paragraph 7#a72 7#c7 collaborate with the ,department of ,education and the ,department of ,justice to assist local communities in addressing violence among children and adolescents related to mental illness2 7#d7 assist the ,national ,institute of ,mental ,health in deploying improved methods of treating individuals with mental health problems and improved methods of assisting the families of such individuals2 7#e7 carry out the provisions of the ,protection and ,advocacy of ,mentally ,ill ,individuals ,act in order to foster independence and protect the legal rights of persons with mental illness2 7#f7 carry out the programs under part ,c2 7#g7 carry out responsibilities for the ,human ,resource ,development programs2 7#h7 conduct services-related assessments1 including evaluations of the organization and financing of care1 self-help1 mental health economics1 mental health service systems1 and rural mental health1 and improve the capacity of ,states to conduct evaluations of publicly funded mental health programs2 7#i7 establish a clearinghouse of evidence-based practices1 which has first been reviewed and approved by a panel of psychiatrists and clinical psychologists1 for mental health information to assure the widespread dissemination of such information to ,states1 political subdivisions1 educational agencies and institutions1 treatment and prevention service providers1 and the general public1 including information concerning the practical application of research supported by the ,national ,institute of ,mental ,health that is applicable to improving the delivery of services2 7#aj7 provide technical assistance to public and private entities that are providers of mental health services2 7#aa7 monitor and enforce obligations incurred by community mental health centers pursuant to the ,community ,mental ,health ,centers ,act 7as in effect prior to the repeal of such ,act on ,august #ac1 #aiha1 by section #ijb7;e77#b77;,b7 of ,public ,law #ig-ce 7#ie ,stat4 #efj772 and 7#ab7 assist the ,assistant ,secretary for ,mental ,health and ,substance ,use ,disorders1 and the ,director of the ,centers for ,disease ,control and ,prevention1 with surveys with respect to mental health1 such as the ,national ,reporting ,program4 ,nothing in this subsection shall be construed as authorizing any new grant program or project that is not explicitly authorized or required by other statutory provisions4 7c7 ,no general authority for grants ,nothing in this section shall be construed as authorizing or requiring any new grant program or project that is not explicitly authorized or required by other statutory provisions4 4 #aaab4 ,reauthorization of priority mental health needs of regional and national significance ,section #ebj;,a of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#cb7 is amended-- 7#a7 in subsection 7a7-- 7,a7 in paragraph 7#b71 by inserting using evidence-based medicine after technical assistance programs2 7,b7 by amending paragraph 7#d7 to read as follows3 7#d7 evidence-based programs designed in conjunction with the ,assistant ,secretary for ,mental ,health and ,substance ,use ,disorders to treat individuals with serious mental illness4 2 and 7,c7 by adding at the end the following3 ,before awarding a grant1 cooperative agreement1 or contract under this section1 the ,secretary shall give written notice of the award to the ,committee on ,energy and ,commerce of the ,house of ,representatives and the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate42 7#b7 in subsection 7b77#b71 by inserting 1 including the primary and behavioral health care integration program under section #ebj,k after primary health care systems2 and 7#c7 by amending subsection 7f77#a7 to read as follows3 7#a7 ,in general ,for carrying out this section1 there is authorized to be appropriated #aej1jjj1jjj for each of fiscal years #bjad through #bjah4 4 #aaac4 ,garrett ,lee ,smith ,reauthorization 7a7 ,suicide prevention technical assistance center ,section #ebj;,c of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#cd7 is amended to read as follows3 #ebj;,c4 ,suicide prevention technical assistance center 7a7 ,program authorized ,the ,assistant ,secretary for ,mental ,health and ,substance ,use ,disorders1 acting through the ,administrator of the ,substance ,abuse and ,mental ,health ,services ,administration1 shall award a grant for the operation and maintenance of 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 concerning the prevention of suicide among all ages1 particularly among groups that are at high risk for suicide4 7b7 ,responsibilities of the center ,the center operated and maintained under subsection 7a7 shall-- 7#a7 assist in the development or continuation of statewide and tribal suicide early intervention and prevention strategies for all ages1 particularly among groups that are at high risk for suicide2 7#b7 ensure the surveillance of suicide early intervention and prevention strategies for all ages1 particularly among groups that are at high risk for suicide2 7#c7 study the costs and effectiveness of statewide and tribal suicide early intervention and prevention strategies in order to provide information concerning relevant issues of importance to ,state1 tribal1 and national policymakers2 7#d7 further identify and understand causes and associated risk factors for suicide for all ages1 particularly among groups that are at high risk for suicide2 7#e7 analyze the efficacy of new and existing suicide early intervention and prevention techniques and technology for all ages1 particularly among groups that are at high risk for suicide2 7#f7 ensure the surveillance of suicidal behaviors and nonfatal suicidal attempts2 7#g7 study the effectiveness of ,state-sponsored statewide and tribal suicide early intervention and prevention strategies for all ages particularly among groups that are at high risk for suicide on the overall wellness and health promotion strategies related to suicide attempts2 7#h7 promote the sharing of data regarding suicide with ,federal agencies involved with suicide early intervention and prevention1 and ,state-sponsored statewide and tribal suicide early intervention and prevention strategies for the purpose of identifying previously unknown mental health causes and associated risk factors for suicide among all ages particularly among groups that are at high risk for suicide2 7#i7 evaluate and disseminate outcomes and best practices of mental health and substance use disorder services at institutions of higher education2 and 7#aj7 conduct other activities determined appropriate by the ,secretary4 7c7 ,authorization of appropriations ,for the purpose of carrying out this section1 there are authorized to be appropriated #d1ieg1jjj for each of the fiscal years #bjad through #bjah4 4 7b7 ,youth suicide intervention and prevention strategies ,section #ebj;,e of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#cf7 is amended to read as follows3 #ebj;,e4 ,youth suicide early intervention and prevention strategies 7a7 ,in general ,the ,secretary1 acting through the ,administrator of the ,substance ,abuse and ,mental ,health ,services ,administration1 shall award grants or cooperative agreements to eligible entities to-- 7#a7 develop and implement ,state-sponsored statewide or tribal youth suicide early intervention and prevention strategies in schools1 educational institutions1 juvenile justice systems1 substance use disorder programs1 mental health programs1 foster care systems1 and other child and youth support organizations2 7#b7 support public organizations and private nonprofit organizations actively involved in ,state-sponsored statewide or tribal youth suicide early intervention and prevention strategies and in the development and continuation of ,state-sponsored statewide youth suicide early intervention and prevention strategies2 7#c7 provide grants to institutions of higher education to coordinate the implementation of ,state-sponsored statewide or tribal youth suicide early intervention and prevention strategies2 7#d7 collect and analyze data on ,state-sponsored statewide or tribal youth suicide early intervention and prevention services that can be used to monitor the effectiveness of such services and for research1 technical assistance1 and policy development2 and 7#e7 assist eligible entities1 through ,state-sponsored statewide or tribal youth suicide early intervention and prevention strategies1 in achieving targets for youth suicide reductions under title ,v of the ,social ,security ,act4 7b7 ,eligible entity 7#a7 ,definition ,in this section1 the term eligible entity means-- 7,a7 a ,state2 7,b7 a public organization or private nonprofit organization designated by a ,state to develop or direct the ,state-sponsored statewide youth suicide early intervention and prevention strategy2 or 7,c7 a federally recognized ,indian tribe or tribal organization 7as defined in the ,indian ,self-,determination and ,education ,assistance ,act7 or an urban ,indian organization 7as defined in the ,indian ,health ,care ,improvement ,act7 that is actively involved in the development and continuation of a tribal youth suicide early intervention and prevention strategy4 7#b7 ,limitation ,in carrying out this section1 the ,secretary shall ensure that a ,state does not receive more than one grant or cooperative agreement under this section at any one time4 ,for purposes of the preceding sentence1 a ,state shall be considered to have received a grant or cooperative agreement if the eligible entity involved is the ,state or an entity designated by the ,state under paragraph 7#a77;,b74 ,nothing in this paragraph shall be constructed to apply to entities described in paragraph 7#a77;,c74 7c7 ,preference ,in providing assistance under a grant or cooperative agreement under this section1 an eligible entity shall give preference to public organizations1 private nonprofit organizations1 political subdivisions1 institutions of higher education1 and tribal organizations actively involved with the ,state-sponsored statewide or tribal youth suicide early intervention and prevention strategy that-- 7#a7 provide early intervention and assessment services1 including screening programs1 to youth who are at risk for mental or emotional disorders that may lead to a suicide attempt1 and that are integrated with school systems1 educational institutions1 juvenile justice systems1 substance use disorder programs1 mental health programs1 foster care systems1 and other child and youth support organizations2 7#b7 demonstrate collaboration among early intervention and prevention services or certify that entities will engage in future collaboration2 7#c7 employ or include in their applications a commitment to evaluate youth suicide early intervention and prevention practices and strategies adapted to the local community2 7#d7 provide timely referrals for appropriate community-based mental health care and treatment of youth who are at risk for suicide in child-serving settings and agencies2 7#e7 provide immediate support and information resources to families of youth who are at risk for suicide2 7#f7 offer access to services and care to youth with diverse linguistic and cultural backgrounds2 7#g7 offer appropriate postsuicide intervention services1 care1 and information to families1 friends1 schools1 educational institutions1 juvenile justice systems1 substance use disorder programs1 mental health programs1 foster care systems1 and other child and youth support organizations of youth who recently completed suicide2 7#h7 offer continuous and up-to-date information and awareness campaigns that target parents1 family members1 child care professionals1 community care providers1 and the general public and highlight the risk factors associated with youth suicide and the life-saving help and care available from early intervention and prevention services2 7#i7 ensure that information and awareness campaigns on youth suicide risk factors1 and early intervention and prevention services1 use effective communication mechanisms that are targeted to and reach youth1 families1 schools1 educational institutions1 and youth organizations2 7#aj7 provide a timely response system to ensure that child-serving professionals and providers are properly trained in youth suicide early intervention and prevention strategies and that child-serving professionals and providers involved in early intervention and prevention services are properly trained in effectively identifying youth who are at risk for suicide2 7#aa7 provide continuous training activities for child care professionals and community care providers on the latest youth suicide early intervention and prevention services practices and strategies2 7#ab7 conduct annual self-evaluations of outcomes and activities1 including consulting with interested families and advocacy organizations2 7#ac7 provide services in areas or regions with rates of youth suicide that exceed the national average as determined by the ,centers for ,disease ,control and ,prevention2 and 7#ad7 obtain informed written consent from a parent or legal guardian of an at-risk child before involving the child in a youth suicide early intervention and prevention program4 7d7 ,requirement for direct services ,not less than #he percent of grant funds received under this section shall be used to provide direct services1 of which not less than #e percent shall be used for activities authorized under subsection 7a77#c74 7e7 ,consultation and policy development 7#a7 ,in general ,in carrying out this section1 the ,secretary shall collaborate with the ,secretary of ,education and relevant ,federal agencies and suicide working groups responsible for early intervention and prevention services relating to youth suicide4 7#b7 ,consultation ,in carrying out this section1 the ,secretary shall consult with-- 7,a7 ,state and local agencies1 including agencies responsible for early intervention and prevention services under title ,,xix of the ,social ,security ,act1 the ,state ,children's ,health ,insurance ,program under title ,,xxi of the ,social ,security ,act1 and programs funded by grants under title ,v of the ,social ,security ,act2 7,b7 local and national organizations that serve youth at risk for suicide and their families2 7,c7 relevant national medical and other health and education specialty organizations2 7,d7 youth who are at risk for suicide1 who have survived suicide attempts1 or who are currently receiving care from early intervention services2 7,e7 families and friends of youth who are at risk for suicide1 who have survived suicide attempts1 who are currently receiving care from early intervention and prevention services1 or who have completed suicide2 7,f7 qualified professionals who possess the specialized knowledge1 skills1 experience1 and relevant attributes needed to serve youth at risk for suicide and their families2 and 7,g7 third-party payers1 managed care organizations1 and related commercial industries4 7#c7 ,policy development ,in carrying out this section1 the ,secretary shall-- 7,a7 coordinate and collaborate on policy development at the ,federal level with the relevant ,department of ,health and ,human ,services agencies and suicide working groups2 and 7,b7 consult on policy development at the ,federal level with the private sector1 including consumer1 medical1 suicide prevention advocacy groups1 and other health and education professional-based organizations1 with respect to ,state-sponsored statewide or tribal youth suicide early intervention and prevention strategies4 7f7 ,rule of construction2 religious and moral accommodation ,nothing in this section shall be construed to require suicide assessment1 early intervention1 or treatment services for youth whose parents or legal guardians object based on the parents' or legal guardians' religious beliefs or moral objections4 7g7 ,evaluations and report 7#a7 ,evaluations by eligible entities ,not later than #ah months after receiving a grant or cooperative agreement under this section1 an eligible entity shall submit to the ,secretary the results of an evaluation to be conducted by the entity concerning the effectiveness of the activities carried out under the grant or agreement4 7#b7 ,report ,not later than #b years after the date of enactment of this section1 the ,secretary shall submit to the appropriate committees of ,congress a report concerning the results of-- 7,a7 the evaluations conducted under paragraph 7#a72 and 7,b7 an evaluation conducted by the ,secretary to analyze the effectiveness and efficacy of the activities conducted with grants1 collaborations1 and consultations under this section4 7h7 ,rule of construction2 student medication ,nothing in this section shall be construed to allow school personnel to require that a student obtain any medication as a condition of attending school or receiving services4 7i7 ,prohibition ,funds appropriated to carry out this section1 section #ebg1 or section #ebi shall not be used to pay for or refer for abortion4 7j7 ,parental consent ,states and entities receiving funding under this section shall obtain prior written1 informed consent from the child's parent or legal guardian for assessment services1 school-sponsored programs1 and treatment involving medication related to youth suicide conducted in elementary and secondary schools4 ,the requirement of the preceding sentence does not apply in the following cases3 7#a7 ,in an emergency1 where it is necessary to protect the immediate health and safety of the student or other students4 7#b7 ,other instances1 as defined by the ,state1 where parental consent cannot reasonably be obtained4 7k7 ,relation to education provisions ,nothing in this section shall be construed to supersede section #ddd of the ,general ,education ,provisions ,act1 including the requirement of prior parental consent for the disclosure of any education records4 ,nothing in this section shall be construed to modify or affect parental notification requirements for programs authorized under the ,elementary and ,secondary ,education ,act of #aife 7as amended by the ,no ,child ,left ,behind ,act of #bjja2 ,public ,law #ajg-aaj74 7l7 ,definitions ,in this section3 7#a7 ,early intervention ,the term early intervention means a strategy or approach that is intended to prevent an outcome or to alter the course of an existing condition4 7#b7 ,educational institution2 institution of higher education2 school ,the term-- 7,a7 educational institution means a school or institution of higher education2 7,b7 institution of higher education has the meaning given such term in section #aja of the ,higher ,education ,act of #aife2 and 7,c7 school means an elementary or secondary school 7as such terms are defined in section #iaja of the ,elementary and ,secondary ,education ,act of #aife74 7#c7 ,prevention ,the term prevention means a strategy or approach that reduces the likelihood or risk of onset1 or delays the onset1 of adverse health problems that have been known to lead to suicide4 7#d7 ,youth ,the term youth means individuals who are between #aj and #bd years of age4 7m7 ,authorization of appropriations ,for the purpose of carrying out this section1 there are authorized to be appropriated #bi1gch1jjj for each of the fiscal years #bjad through #bjah4 4 7c7 ,suicide prevention for youth ,section #ebj;,e-#a of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#cf;a7 is amended-- 7#a7 by amending the section heading to read as follows3 ,suicide prevention for youth2 and 7#b7 by striking subsection 7n7 and inserting the following3 7n7 ,authorization of appropriations ,for the purpose of carrying out this section1 there is authorized to be appropriated such sums as may be necessary for each of fiscal years #bjad through #bjah4 4 7d7 ,mental health and substance use disorders services and outreach on campus ,section #ebj;,e-#b of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#cf;b7 is amended to read as follows3 #ebj;,e-#b4 ,mental health and substance use disorders services on campus 7a7 ,in general ,the ,secretary1 acting through the ,director of the ,center for ,mental ,health ,services and in consultation with the ,secretary of ,education1 shall award grants on a competitive basis to institutions of higher education to enhance services for students with mental health or substance use disorders and to develop best practices for the delivery of such services4 7b7 ,uses of funds ,amounts received under a grant under this section shall be used for #a or more of the following activities3 7#a7 ,the provision of mental health and substance use disorder services to students1 including prevention1 promotion of mental health1 voluntary screening1 early intervention1 voluntary assessment1 treatment1 and management of mental health and substance abuse disorder issues4 7#b7 ,the provision of outreach services to notify students about the existence of mental health and substance use disorder services4 7#c7 ,educating students1 families1 faculty1 staff1 and communities to increase awareness of mental health and substance use disorders4 7#d7 ,the employment of appropriately trained staff1 including administrative staff4 7#e7 ,the provision of training to students1 faculty1 and staff to respond effectively to students with mental health and substance use disorders4 7#f7 ,the creation of a networking infrastructure to link colleges and universities with providers who can treat mental health and substance use disorders4 7#g7 ,developing1 supporting1 evaluating1 and disseminating evidence-based and emerging best practices4 7c7 ,implementation of activities using grant funds ,an institution of higher education that receives a grant under this section may carry out activities under the grant through-- 7#a7 college counseling centers2 7#b7 college and university psychological service centers2 7#c7 mental health centers2 7#d7 psychology training clinics2 7#e7 institution of higher education supported1 evidence-based1 mental health and substance use disorder programs2 or 7#f7 any other entity that provides mental health and substance use disorder services at an institution of higher education4 7d7 ,application ,to be eligible to receive a grant under this section1 an institution of higher education shall prepare and submit to the ,secretary an application at such time and in such manner as the ,secretary may require4 ,at a minimum1 such application shall include the following3 7#a7 ,a description of identified mental health and substance use disorder needs of students at the institution of higher education4 7#b7 ,a description of ,federal1 ,state1 local1 private1 and institutional resources currently available to address the needs described in paragraph 7#a7 at the institution of higher education4 7#c7 ,a description of the outreach strategies of the institution of higher education for promoting access to services1 including a proposed plan for reaching those students most in need of mental health services4 7#d7 ,a plan1 when applicable1 to meet the specific mental health and substance use disorder needs of veterans attending institutions of higher education4 7#e7 ,a plan to seek input from community mental health providers1 when available1 community groups and other public and private entities in carrying out the program under the grant4 7#f7 ,a plan to evaluate program outcomes1 including a description of the proposed use of funds1 the program objectives1 and how the objectives will be met4 7#g7 ,an assurance that the institution will submit a report to the ,secretary each fiscal year concerning the activities carried out with the grant and the results achieved through those activities4 7e7 ,special considerations ,in awarding grants under this section1 the ,secretary shall give special consideration to applications that describe programs to be carried out under the grant that-- 7#a7 demonstrate the greatest need for new or additional mental and substance use disorder services1 in part by providing information on current ratios of students to mental health and substance use disorder health professionals2 and 7#b7 demonstrate the greatest potential for replication4 7f7 ,requirement of matching funds 7#a7 ,in general ,the ,secretary may make a grant under this section to an institution of higher education only if the institution agrees to make available 7directly or through donations from public or private entities7 non-,federal contributions in an amount that is not less than #a for each #a of ,federal funds provided under the grant1 toward the costs of activities carried out with the grant 7as described in subsection 7b77 and other activities by the institution to reduce student mental health and substance use disorders4 7#b7 ,determination of amount contributed ,non-,federal contributions required under paragraph 7#a7 may be in cash or in kind4 ,amounts provided by the ,federal ,government1 or services assisted or subsidized to any significant extent by the ,federal ,government1 may not be included in determining the amount of such non-,federal contributions4 7#c7 ,waiver ,the ,secretary may waive the application of paragraph 7#a7 with respect to an institution of higher education if the ,secretary determines that extraordinary need at the institution justifies the waiver4 7g7 ,reports ,for each fiscal year that grants are awarded under this section1 the ,secretary shall conduct a study on the results of the grants and submit to the ,congress a report on such results that includes the following3 7#a7 ,an evaluation of the grant program outcomes1 including a summary of activities carried out with the grant and the results achieved through those activities4 7#b7 ,recommendations on how to improve access to mental health and substance use disorder services at institutions of higher education1 including efforts to reduce the incidence of suicide and substance use disorders4 7h7 ,definitions ,in this section1 the term institution of higher education has the meaning given such term in section #aja of the ,higher ,education ,act of #aife4 7i7 ,authorization of appropriations ,for the purpose of carrying out this section1 there are authorized to be appropriated #d1ige1jjj for each of the fiscal years #bjad through #bjah4 4 ,c ,children with serious emotional disturbances #aaba4 ,comprehensive community mental health services for children with serious emotional disturbances ,paragraph 7#a7 of section #efd7;a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;ff7a77 is amended-- 7#a7 by striking 1 acting through the ,director of the ,center for ,mental ,health ,services12 and 7#b7 by adding at the end the following3 ,before making any such grant1 the ,assistant ,secretary shall consult with the ,director of the ,national ,institutes of ,health to ensure that the grant recipient will use evidence-based practices44 #aabb4 ,general provisions2 report2 funding ,section #efe of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;ff-#d7 is amended-- 7#a7 in subsection 7c77#b71 by striking not later than #a year after the date on which amounts are first appropriated under subsection 7c7 and inserting not later than #a year after the date of enactment of the ,helping ,families in ,mental ,health ,crisis ,act of #bjac2 and 7#b7 in subsection 7f7-- 7,a7 by amending paragraph 7#a7 to read as follows3 7#a7 ,authorization of appropriations ,for the purpose of carrying out this part1 there are authorized to be appropriated #aag1jjj1jjj for fiscal year #bjae1 #abj1jjj1jjj for fiscal year #bjaf1 #abc1jjj1jjj for fiscal year #bjag1 #abf1jjj1jjj for fiscal year #bjah1 and #acj1jjj1jjj for fiscal year #bjai4 2 and 7,b7 by moving the margin of paragraph 7#b7 two ems to the right4 ,d ,projects for children and violence #aaca4 ,children and violence ,section #eha of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;hh7 are repealed4 #aacb4 ,reauthorization of ,national ,child ,traumatic ,stress ,network 7a7 ,reauthorization of ,national ,child ,traumatic ,stress ,network ,section #ehb7;f7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;hh7f77 is amended to read as follows3 7f7 ,authorization of appropriations ,to carry out this section1 there are authorized to be appropriated #ej1jjj1jjj for each of the fiscal years #bjad through #bjag4 4 7b7 ,corresponding reduction in funding for protection and advocacy systems ,section #aag of the ,protection and ,advocacy for ,individuals with ,mental ,illness ,act 7#db ,u4,s4,c4 #ajhbg7 is amended to read as follows3 #aag4 ,authorization of appropriations ,there are authorized to be appropriated for allotments under this title #e1jjj1jjj for each of the fiscal years #bjad through #bjag4 4 ,e ,protection and advocacy for individuals with mental illness #aada4 ,prohibition against lobbying by systems accepting ,federal funds to protect and advocate the rights of individuals with mental illness ,section #aje7;a7 of the ,protection and ,advocacy for ,individuals with ,mental ,illness ,act 7#db ,u4,s4,c4 #ajhje7;a77 is amended-- 7#a7 in paragraph 7#i71 by striking and at the end2 7#b7 in paragraph 7#aj71 by striking the period at the end and inserting 2 and2 and 7#c7 by adding at the end the following3 7#aa7 agree to refrain1 during any period for which funding is provided to the system under this part1 from-- 7,a7 lobbying or retaining a lobbyist for the purpose of influencing a ,federal1 ,state1 or local governmental entity or officer2 7,b7 using such funding to engage in systemic lawsuits1 or to investigate and seek legal remedies cases other than individual cases of abuse or neglect2 or 7,c7 counseling an individual with a serious mental illness who lacks insight into their condition on refusing medical treatment or acting against the wishes of such individual's caregiver4 4 ,f ,limitations on authority #aaea4 ,limitations on ,,samhsa programs 7a7 ,no sponsoring conferences ,the ,administrator of the ,substance ,abuse and ,mental ,health ,services ,administration shall not host or sponsor any conference that will not be primarily administered by the ,substance ,abuse and ,mental ,health ,services ,administration without giving at least #ij days of prior notification to the ,committee on ,energy and ,commerce and the ,committee on ,appropriations of the ,house of ,representatives and the ,committee on ,health1 ,education1 ,labor1 and ,pensions and the ,committee on ,appropriations of the ,senate4 7b7 ,evidence-,based practices ,the ,administrator of the ,substance ,abuse and ,mental ,health ,services ,administration shall not provide any financial assistance for any program relating to mental health or substance use diagnosis or treatment1 unless such diagnosis and treatment relies on evidence-based practices4 #aaeb4 ,elimination of unauthorized ,,samhsa programs 7a7 ,elimination of programs without explicit statutory authorization 7#a7 ,no new programs ,the ,administrator of the ,substance ,abuse and ,mental ,health ,services ,administration may not establish1 and the ,secretary of ,health and ,human ,services may not delegate to the ,administrator responsibility for1 any program or project that is not explicitly authorized or required by statute4 7#b7 ,termination of existing programs ,by the end of fiscal year #bjad1 any program or project of the ,substance ,abuse and ,mental ,health ,services ,administration that is not explicitly authorized or required by statute shall be terminated4 7b7 ,report 7#a7 ,in general ,the ,assistant ,secretary for ,mental ,health and ,substance ,use ,disorders shall seek to enter into an arrangement with the ,institute of ,medicine under which the ,institute 7or1 if the ,institute declines to enter into such arrangement1 another appropriate entity7 agrees to submit a report to the ,congress not later than ,july #ca1 #bjad1 identifying each program1 project1 or activity to be terminated under subsection 7a74 7#b7 ,recommendations ,the report under paragraph 7#a7 shall recommend whether any of the programs should be retained based on public health data1 such as reduced mortality rates and hospitalization within the community for individuals with serious mental illness1 thus proving the program has had a demonstrable benefit using public health and epidemiological factors4