,i #aac? ,,congress #a/ ,session ,h4 ,r4 #cgag ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,decemb] #ab1 #bjac,mr4 ,murphy ( ,p5nsylvania 7= himself1 ,mr4 ,cassidy1 ,mr4 ,lance1 & ,ms4 ,eddie ,b]nice ,johnson ( ,texas7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce1 & 9 addition to ! ,committees on ! ,judici>y1 ,education & ! ,work=ce1 ,ways & ,means1 & ,sci5ce1 ,space1 & ,te*nology1 = a p]iod to be subsequ5tly det]m9$ by ! ,speak]1 9 ea* case = consid]ation ( su* provisions z fall )9 ! jurisdiction ( ! committee conc]n$ ,a ,,bill ,to make available ne$$ psy*iatric1 psy*ological1 & supportive s]vices = individuals diagnos$ ) m5tal illness & families 9 m5tal heal? crisis1 & = o!r purposes4 #a4 ,%ort title2 table ( cont5ts 7a7 ,%ort title ,?is ,act may be cit$ z ! ,help+ ,families 9 ,m5tal ,heal? ,crisis ,act ( #bjac4 7b7 ,table ( cont5ts ,! table ( cont5ts = ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title2 table ( cont5ts4,title ,i--,assi/ant ,secret>y = ,m5tal ,health,sec4 #aja4 ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s4,sec4 #ajb4 ,int]ag5cy ,s]i\s ,m5tal ,illness ,coord9at+ ,committee4,sec4 #ajc4 ,assi/$ outpati5t treatm5t grant program4,sec4 #ajd4 ,tele-psy*iatry & prim>y c>e physician tra9+ grant program4,title ,,ii--,f$]ally ,qualifi$ ,behavioral ,heal? ,clinics,sec4 #bja4 ,demon/ration program to improve f$]ally qualifi$ community behavioral heal? cl9ic s]vices4,title ,,iii--,,hipaa & ,,f]pa caregivers,sec4 #cja4 ,promot+ appropriate treatm5t = m5tally ill individuals by treat+ _! c>egiv]s z p]sonal repres5tatives = purposes ( ,,hipaa privacy regulations4,sec4 #cjb4 ,c>egiv]s p]mitt$ access to c]ta9 education records "u ,,f]pa4,title ,,iv--,dep>tm5t ( ,ju/ice reforms,sec4 #dja4 ,additional purposes = c]ta9 ,f$]al grants4,sec4 #djb4 ,reau?orization & additional am5dm5ts to ! ,m5tally ,ill ,(f5d] ,treatm5t & ,crime ,r$uction ,act4,sec4 #djc4 ,assi/$ outpati5t treatm5t4,sec4 #djd4 ,improvem5ts to ! ,dep>tm5t ( ,ju/ice data collection & report+ ( m5tal illness 9 crime4,sec4 #dje4 ,reports on ! numb] ( s]i\sly m5tally ill :o are imprison$4,title ,v--,m$ic>e & ,m$icaid reforms,sec4 #eja4 ,enhanc$ ,m$icaid cov]age relat+ to c]ta9 m5tal heal? s]vices4,sec4 #ejb4 ,access to m5tal heal? prescription drugs "u ,m$ic>e & ,m$icaid4,title ,,vi--,rese>* by ,national ,in/itute ( ,m5tal ,health,sec4 #fja4 ,increase 9 fund+ = c]ta9 rese>*4,title ,,vii--,community ,m5tal ,heal? ,s]vices ,block ,grant ,reform,sec4 #gja4 ,adm9i/ration ( block grants by ,assi/ant ,secret>y4,sec4 #gjb4 ,additional program requirem5ts4,sec4 #gjc4 ,p]iod = exp5diture ( grant funds4,sec4 #gjd4 ,treatm5t /&>d "u ,/ate law4,sec4 #gje4 ,assi/$ outpati5t treatm5t "u ,/ate law4,sec4 #gjf4 ,be/ available sci5ce & models ( c>e4,sec4 #gjg4 ,pap]work r$uction /udy4,title ,,viii--,behavioral heal? aw>5ess program ,sec4 #hja4 ,r$uc+ ! /igma ( s]i\s m5tal illness4,title ,,ix--,behavioral heal? in=mation technology,sec4 #ija4 ,ext5sion ( heal? in=mation te*nology assi/ance = behavioral & m5tal heal? & sub/ance abuse4,sec4 #ijb4 ,ext5sion ( eligibility = ,m$ic>e & ,m$icaid heal? in=mation te*nology implem5tation assi/ance4,title ,x--,exp&+ access to c>e ?r\gh heal? c>e pr(essional volunteerism,sec4 #ajja4 ,liability protections = heal? c>e pr(essional volunte]s at community heal? c5t]s & f$]ally qualifi$ community behavioral heal? cl9ics4,title ,,xi--,,samhsa ,reau?orization & ,reforms,subtitle ,a--,organization & g5]al authorities,sec4 #aaja4 ,9 g5]al4,sec4 #aajb4 ,advisory c\ncils4,sec4 #aajc4 ,pe] review4,sec4 #aajd4 ,data collection4,subtitle ,b--,c5t] = ,m5tal ,heal? ,services,sec4 #aaaa4 ,c5t] = ,m5tal ,heal? ,s]vices4,sec4 #aaab4 ,reau?orization ( priority m5tal heal? ne$s ( regional & national significance4,sec4 #aaac4 ,g>rett ,lee ,smi? ,reau?orization4,subtitle ,c--,*ildr5 ) s]i\s emotional disturbances,sec4 #aaba4 ,compreh5sive community m5tal heal? s]vices = *ildr5 ) s]i\s emotional di/urbances4,sec4 #aabb4 ,g5]al provisions2 report2 fund+4,subtitle ,d--,projects = *ildr5 & violence,sec4 #aaca4 ,*ildr5 & viol5ce4,sec4 #aacb4 ,reau?orization ( ,national ,*ild ,traumatic ,/ress ,network4,subtitle ,e--,protection & advocacy = individuals ) m5tal illness,sec4 #aada4 ,prohibition aga9/ lobby+ by sy/ems accept+ ,f$]al funds to protect & advocate ! rights ( individuals ) m5tal illness4,subtitle ,f--,limitations on authority,sec4 #aaea4 ,limitations on ,,samhsa programs4,sec4 #aaeb4 ,elim9ation ( unau?oriz$ ,,samhsa programs4 ,i ,assi/ant ,secret>y = ,m5tal ,heal? #aja4 ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s ,title ,v ( ! ,public ,heal? ,s]vice ,act is am5d$ by ins]t+ aft] section #eja ( su* ,act 7#db ,u4,s4,c4 #bij;aa7 ! foll[+3 #eja;,a4 ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s 7a7 ,9 g5]al ,!re %all be 9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices an (ficial to be kn[n z ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s 79 ?is section ref]r$ to z ! ,assi/ant ,secret>y71 :o %all-- 7#a7 report directly to ! ,secret>y2 7#b7 be appo9t$ by ! ,secret>y1 by & ) ! advice & cons5t ( ! ,s5ate2 & 7#c7 be select$ f among individuals :o-- 7,a7 7i7 h a doctoral degree 9 m$ic9e or o/eopa?ic m$ic9e & cl9ical & rese>* exp]i5ce 9 psy*iatry2 7ii7 graduat$ f an ,accr$itation ,c\ncil = ,graduate ,m$ical ,education-c]tifi$ psy*iatric resid5cy program2 & 7iii7 h an und]/&+ ( biological1 psy*osocial1 & ph>maceutical treatm5ts ( m5tal illness2 or 7,b7 h a doctoral degree 9 psy*ology )-- 7i7 cl9ical & rese>* exp]i5ce2 & 7ii7 an und]/&+ ( biological1 psy*osocial1 & ph>maceutical treatm5ts ( m5tal illness4 7b7 ,relation to ,,samhsa ,adm9i/rator ,! ,adm9i/rator ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration %all be "u ! sup]vision & direction ( ! ,assi/ant ,secret>y4 7c7 ,duties ,! ,assi/ant ,secret>y %all-- 7#a7 promote ! coord9ation ( s]vice programs conduct$ by o!r dep>tm5ts1 ag5cies1 organizations1 & individuals t are or may be relat$ to ! problems ( individuals suff]+ f sub/ance abuse & m5tal illness2 7#b7 c>ry out any functions )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices-- 7,a7 to improve ! treatm5t (1 & relat$ s]vices to1 individuals ) respect to sub/ance abuse & m5tal illness2 7,b7 to improve prev5tion s]vices = su* individuals2 & 7,c7 to protect ! legal rights ( individuals ) m5tal illnesses & individuals :o are sub/ance abus]s2 7#c7 c>ry out ! adm9i/rative & f9ancial managem5t1 policy developm5t & plann+1 evaluation1 k dissem9ation1 & public in=mation functions t are requir$ = ! implem5tation ( m5tal heal? programs1 includ+ block grants1 treatm5ts1 & data collection2 7#d7 ensure t ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration conducts & coord9ates demon/ration projects1 evaluations1 & s]vice sy/em assessm5ts & o!r activities necess>y to improve ! availability & quality ( treatm5t1 prev5tion1 & relat$ s]vices relat$ to sub/ance abuse2 7#e7 )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 ov]see & coord9ate all programs & activities relat+ to ! prev5tion (1 or treatm5t or rehabilitation =1 m5tal heal? or sub/ance use disord]s2 7#f7 across ! ,f$]al ,gov]nm5t-- 7,a7 review programs & activities describ$ 9 p>agraph 7#e72 7,b7 id5tify any su* programs & activities t are duplicative2 & 7,c7 =mulate recomm5dations = ! coord9ation & improvem5t ( su* programs & activities2 & 7#g7 sup]vise data collection = & dissem9ate be/ practices by ! ,national ,m5tal ,heal? ,policy ,laboratory4 7d7 ,prioritization ( integration ( s]vices & e>ly diagnosis & int]v5tion ,9 c>ry+ out ! duties describ$ 9 subsection 7c71 ! ,assi/ant ,secret>y %all prioritize-- 7#a7 ! integration ( s]vices = ! purpose ( prev5t+1 treat+1 or provid+ rehabilitation = ! prev5tion (1 & treatm5t or rehabilitation =1 m5tal heal? or sub/ance use disord]s ) prim>y c>e s]vices2 & 7#b7 e>ly diagnosis & int]v5tion s]vices = ! prev5tion (1 & treatm5t or rehabilitation =1 s]i\s m5tal heal? or sub/ance use disord]s4 7e7 ,national m5tal heal? policy laboratory 7#a7 ,9 g5]al ,! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s %all e/abli%1 )9 ! ,(fice ( ! ,assi/ant ,secret>y1 ! ,national ,m5tal ,heal? ,policy ,laboratory 79 ?is section ref]r$ to z ! ,,nmhpl71 to be head$ by a ,director4 7#b7 ,duties ,! ,director ( ! ,,nmhpl %all-- 7,a7 id5tify & implem5t policy *anges & o!r tr5ds likely to h ! mo/ significant impact on m5tal heal? s]vices & monitor _! impact 9 accordance ) ! pr9ciples outl9$ 9 ,national ,advisory ,m5tal ,heal? ,c\ncil's #bjjf report entitl$ ,! ,road ,ahead3 ,rese>* ,p>tn]%ips ,to ,trans=m ,s]vices2 7,b7 collect in=mation f grantees "u programs e/abli%$ or am5d$ by ! ,help+ ,families 9 ,m5tal ,heal? ,crisis ,act ( #bjac & "u o!r m5tal heal? programs "u ?is ,act1 includ+ grantees t are f$]ally qualifi$ community behavioral heal? cl9ics c]tifi$ "u section #bja ( ! ,help+ ,families 9 ,m5tal ,heal? ,crisis ,act ( #bjac & ,/ates receiv+ funds "u a block grant "u "p ,b ( title ,,xix ( ?is ,act2 & 7,c7 evaluate & dissem9ate to su* grantees evid5ce-bas$ practices & s]vices deliv]y models us+ ! be/ available sci5ce %[n to r$uce program exp5ditures :ile enhanc+ ! quality ( c>e furni%$ to individuals by o!r su* grantees4 7#c7 ,evid5ce-bas$ practices & s]vice deliv]y models ,9 select+ evid5ce-bas$ practices & s]vices deliv]y models = evaluation & dissem9ation "u p>agraph 7#b77;,c71 ! ,director ( ! ,,nmhpl-- 7,a7 %all give pref]5ce to models t improve ! coord9ation1 quality1 & effici5cy ( heal? c>e s]vices furni%$ to individuals ) s]i\s m5tal illness2 & 7,b7 may include cl9ical protocols & practices us$ 9 ! ,recov]y ,aft] ,initial ,s*izophr5ia ,episode 7,,raise7 project & ! ,nor? ,am]ican ,prodrome ,longitud9al ,/udy 7,,napls7 ( ! ,national ,in/itute ( ,m5tal ,heal?4 7#d7 ,deadl9e = beg9n+ implem5tation ,! ,director ( ! ,,nmhpl %all beg9 implem5tation ( ! duties describ$ 9 ?is subsection n lat] ?an ,janu>y #a1 #bjaf4 7#e7 ,consultation ,9 c>ry+ out ! duties "u ?is section1 ! ,director ( ! ,,nmhpl %all consult )-- 7,a7 repres5tatives ( ! ,national ,in/itute ( ,m5tal ,heal? on organization1 hir+ decisions1 & op]ations1 initially & on an ongo+ basis2 7,b7 o!r appropriate ,f$]al ag5cies2 & 7,c7 cl9ical & analytical exp]ts ) exp]tise 9 m$ic9e1 psy*iatric & cl9ical psy*ological c>e1 & heal? c>e managem5t4 7#f7 ,evaluation 7,a7 ,9 g5]al ,! ,director ( ! ,,nmhpl %all conduct an evaluation ( grant programs describ$ 9 p>agraph 7#b77;,b74 ,su* evaluation %all include an analysis (-- 7i7 ! quality ( c>e furni%$ "u ! respective s]vices deliv]y model1 includ+ ! measurem5t ( pati5t-level outcomes & public heal? outcomes su* z r$uc$ mortality rates1 r$uc$ hospitalization f psy*otic episodes1 & o!r crit]ia det]m9$ by ! ,assi/ant ,secret>y2 & 7ii7 ! *anges 9 sp5d+ "u su* programs by reason ( ! model4 7,b7 ,in=mation ,! ,assi/ant ,secret>y %all make ! results ( ea* evaluation "u ?is p>agraph available to ! public 9 a timely fa%ion & may e/abli% requirem5ts = ,/ates & o!r entities p>ticipat+ 9 ! te/+ ( models "u grant programs describ$ 9 p>agraph 7#b77;,b7 to collect in=mation t ! ,assi/ant ,secret>y det]m9es is necess>y to monitor & evaluate su* models4 7f7 ,expansion ( models 7#a7 ,9 g5]al ,tak+ into acc\nt ! results ( evaluations "u subsection 7e71 ! ,assi/ant ,secret>y may1 by rule1 z "p ( ! program ( block grants = community m5tal heal? s]vices "u subp>t ,i ( "p ,b ( title ,,xix1 provide = exp&$ use across ! ,nation ( s]vice deliv]y models by provid]s fund$ "u su* block grants1 s long z-- 7,a7 ! ,assi/ant ,secret>y det]m9es t su* expansion w-- 7i7 r$uce sp5d+ "u su* block grants )\t r$uc+ ! quality ( c>e2 or 7ii7 improve ! quality ( pati5t c>e )\t significantly increas+ sp5d+2 & 7,b7 ! ,director ( ! ,national ,in/itute ( ,m5tal ,heal? det]m9es t su* expansion w\ld improve ! quality ( pati5t c>e4 7#b7 ,congressional review ,any rule promulgat$ pursuant to p>agraph 7#a7 is deem$ to be a major rule subject to congressional review & disapproval "u *apt] #h ( title #e1 ,unit$ ,/ates ,code4 7g7 ,reports to ,congress ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 & e #b ye>s !reaft]1 ! ,assi/ant ,secret>y %all submit a report to ! ,congress-- 7#a7 summ>iz+ ! activities ( ! ,assi/ant ,secret>y2 7#b7 analyz+ ! effici5cy & effectiv5ess ( ,f$]al programs & activities relat+ to ! prev5tion (1 or treatm5t or rehabilitation =1 m5tal heal? or sub/ance use disord]s1 includ+ an acc\nt+ ( ! co/s ( su* programs & activities ) adm9i/rative co/s disaggregat$ f ! co/s ( s]vices & c>e provid$2 7#c7 evaluat+ ! impact on public heal? ( projects address+ priority m5tal heal? ne$s ( regional & national significance "u section #ebj;,a to det]m9e-- 7,a7 :e!r ea* su* project has r$uc$ ! mortality rate1 preval5ce1 & em]g5cy room visits = p]sons ) s]i\s m5tal illness2 & 7,b7 ! effect ( su* projects on o!r public heal? measures2 7#d7 =mulat+ recomm5dations = ! coord9ation & improvem5t ( ,f$]al programs & activities describ$ 9 p>agraph 7#b72 & 7#e7 id5tify+ any su* programs & activities t are duplicative4 7h7 ,fund+ ,( ! am\nts made available to c>ry out ! block grant = community m5tal heal? s]vices = ea* ( fiscal ye>s #bjad ?r\gh #bjai1 n m ?an #e p]c5t ( su* am\nts are au?oriz$ to be appropriat$ to c>ry out ?is section4 4 #ajb4 ,int]ag5cy ,s]i\s ,m5tal ,illness ,coord9at+ ,committee ,title ,v ( ! ,public ,heal? ,s]vice ,act1 z am5d$ by section #gja1 is fur!r am5d$ by ins]t+ aft] section #eja;,a ( su* ,act ! foll[+3 #eja;,b4 ,int]ag5cy s]i\s ,m5tal ,illness ,coord9at+ ,committee 7a7 ,e/abli%m5t ,! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s 79 ?is section ref]r$ to z ! ,assi/ant ,secret>y7 %all e/abli% a committee1 to be kn[n z ! ,int]ag5cy ,s]i\s ,m5tal ,illness ,coord9at+ ,committee 79 ?is section ref]r$ to z ! ,committee71 to assi/ ! ,assi/ant ,secret>y 9 c>ry+ out ! ,assi/ant ,secret>y's duties4 7b7 ,responsibilities ,! ,committee %all-- 7#a7 develop & annually update a summ>y ( advances 9 s]i\s m5tal illness rese>* relat$ to causes1 prev5tion1 treatm5t1 e>ly scre5+1 diagnosis or rule out1 int]v5tion1 & access to s]vices & supports = individuals ) s]i\s m5tal illness2 7#b7 monitor ,f$]al activities ) respect to s]i\s m5tal illness2 7#c7 make recomm5dations to ! ,assi/ant ,secret>y reg>d+ any appropriate *anges to su* activities1 includ+ recomm5dations to ! ,director ( ,,nih ) respect to ! /rategic plan develop$ "u p>agraph 7#e72 7#d7 make recomm5dations to ! ,assi/ant ,secret>y reg>d+ public p>ticipation 9 decisions relat+ to s]i\s m5tal illness2 7#e7 develop & annually update a /rategic plan = ! conduct (1 & support =1 s]i\s m5tal illness rese>*1 includ+ propos$ budget>y requirem5ts2 & 7#f7 submit to ! ,congress su* /rategic plan & any updates to su* plan4 7c7 ,memb]%ip 7#a7 ,9 g5]al ,! ,committee %all be compos$ (-- 7,a7 ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s 7or ! ,assi/ant ,secret>y's designee71 :o %all s]ve z ! ,*air ( ! ,committee2 7,b7 ! ,director ( ! ,national ,in/itute ( ,m5tal ,heal? 7or ! ,director's designee72 7,c7 ! ,attorney ,g5]al ( ! ,unit$ ,/ates 7or ! ,attorney ,g5]al's designee72 7,d7 ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion 7or ! ,director's designee72 7,e7 ! ,director ( ! ,national ,in/itutes ( ,heal? 7or ! ,director's designee72 7,f7 ! directors ( su* national rese>* in/itutes ( ! ,national ,in/itutes ( ,heal? z ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s det]m9es appropriate 7or _! designees72 7,g7 repres5tatives1 appo9t$ by ! ,assi/ant ,secret>y1 ( ,f$]al ag5cies t are outside ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices & s]ve individuals ) s]i\s m5tal illness1 su* z ! ,dep>tm5t ( ,education2 7,h7 ! ,adm9i/rator ( ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration2 & 7,i7 ! additional memb]s appo9t$ "u p>agraph 7#b74 7#b7 ,additional memb]s ,n few] ?an #i memb]s ( ! ,committee1 or #a_/c ( ! total memb]%ip ( ! ,committee1 :i*ev] is great]1 %all be compos$ ( non-,f$]al public memb]s to be appo9t$ by ! ,assi/ant ,secret>y1 ( :i*-- 7,a7 at lea/ "o su* memb] %all be an individual ) a diagnosis ( s]i\s m5tal illness :o has b5efitt$ f & is receiv+ m$ical treatm5t "u ! c>e ( a physician2 7,b7 at lea/ "o su* memb] %all be a p>5t or legal gu>dian ( an individual ) a s]i\s m5tal illness2 7,c7 at lea/ "o su* memb] %all be a repres5tative ( lead+ rese>*1 advocacy1 & s]vice organizations = individuals ) s]i\s m5tal illness2 7,d7 at lea/ "o memb] %all be a psy*iatri/2 7,e7 at lea/ "o memb] %all be a cl9ical psy*ologi/2 7,f7 at lea/ "o memb] %all be a judge ) successful exp]i5ces apply+ assi/$ outpati5t treatm5t2 7,g7 at lea/ "o memb] %all be a law en=cem5t (fic]2 & 7,h7 at lea/ "o memb] %all be a corrections (fic]4 7d7 ,adm9i/rative support2 t]ms ( s]vice2 o!r provisions ,! foll[+ provisions %all apply ) respect to ! ,committee3 7#a7 ,! ,assi/ant ,secret>y %all provide su* adm9i/rative support to ! ,committee z may be necess>y = ! ,committee to c>ry out its responsibilities4 7#b7 ,memb]s ( ! ,committee appo9t$ "u subsection 7c77#b7 %all s]ve = a t]m ( #d ye>s1 & may be reappo9t$ = "o or m additional #d-ye> t]ms4 ,any memb] appo9t$ to fill a vacancy = an unexpir$ t]m %all be appo9t$ = ! rema9d] ( su* t]m4 ,a memb] may s]ve aft] ! expiration ( ! memb]'s t]m until a successor has tak5 (fice4 7#c7 ,! ,committee %all meet at ! call ( ! *air or ^u ! reque/ ( ! ,assi/ant ,secret>y4 ,! ,committee %all meet n few] ?an #b times ea* ye>4 7#d7 ,all meet+s ( ! ,committee %all be public & %all include appropriate "t p]iods = que/ions & pres5tations by ! public4 7e7 ,subcommittees2 e/abli%m5t & memb]%ip ,9 c>ry+ out its functions1 ! ,committee may e/abli% subcommittees & conv5e work%ops & conf]5ces4 ,su* subcommittees %all be compos$ ( ,committee memb]s & may hold su* meet+s z are necess>y to enable ! subcommittees to c>ry out _! duties4 4 #ajc4 ,assi/$ outpati5t treatm5t grant program 7a7 ,9 g5]al ,! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s 79 ?is section ref]r$ to z ! ,assi/ant ,secret>y71 9 consultation ) ! ,director ( ! ,national ,in/itute ( ,m5tal ,heal? & ! ,attorney ,g5]al ( ! ,unit$ ,/ates1 %all e/abli% a #d-ye> pilot program to aw>d n m ?an #ej grants ea* ye> to c\nties1 cities1 m5tal heal? sy/ems1 m5tal heal? c\rts1 & any o!r entities ) au?ority "u ! law ( a ,/ate to implem5t1 monitor1 & ov]see assi/$ outpati5t treatm5t programs4 ,! ,assi/ant ,secret>y may only aw>d grants "u ?is section to applicants t h n previ\sly implem5t$ an assi/$ outpati5t treatm5t program4 ,! ,assi/ant ,secret>y %all evaluate applicants bas$ on _! pot5tial to r$uce hospitalization1 homelessness1 inc>c]ation1 & int]action ) ! crim9al ju/ice sy/em :ile improv+ heal? outcomes1 su* z adh]5ce to m$ication usage4 7b7 ,use ( grant ,an assi/$ outpati5t treatm5t program c>ri$ out ) a grant aw>d$ "u ?is section %all include-- 7#a7 evaluat+ & seek+ out eligible individuals :o may b5efit f assi/$ outpati5t treatm5t2 7#b7 prep>+ & execut+ treatm5t plans = eligible pati5ts & fil+ petitions = assi/$ outpati5t treatm5t 9 appropriate c\rts2 7#c7 provid+ case managem5t s]vices to eligible pati5ts :o are p>ticipat+ 9 ! program to provide su* pati5ts ) res\rces1 monitor+1 & ov]sight1 includ+ directly monitor+ a p>ticipant's level ( compliance & ! deliv]y ( s]vices by o!r provid]s pursuant to ! c\rt ord]2 & 7#d7 c>ry+ out ref]rals & m$ical evaluations1 & pay+ ! co/s ( legal c\nsel = commitm5t ord]s to be submitt$ & evaluat$ by ! c\rts4 7c7 ,data collection ,grantees "u ?is section %all provide 9 a timely fa%ion any data collect$ pursuant to ! grant to ! ,national ,m5tal ,heal? ,policy ,laboratory1 z reque/$ by ! ,assi/ant ,secret>y1 conc]n+ heal? outcomes & treatm5ts4 7d7 ,report ,! ,assi/ant ,secret>y %all submit an annual report to ! ,committees on ,en]gy & ,comm]ce & ! ,judici>y ( ! ,h\se ( ,repres5tatives1 ! ,committees on ,heal?1 ,education1 ,labor1 & ,p5sions & ! ,judici>y ( ! ,s5ate1 & ! ,congressional ,budget ,(fice on ! grant program "u ?is section4 ,ea* su* report %all include an evaluation ( ! foll[+3 7#a7 ,co/ sav+s & public heal? outcomes su* z mortality1 suicide1 sub/ance abuse1 hospitalization1 & use ( s]vices4 7#b7 ,rates ( inc>c]ation by pati5ts4 7#c7 ,rates ( employm5t by pati5ts4 7#d7 ,rates ( homelessness4 7e7 ,def9itions ,9 ?is section3 7#a7 ,assi/$ outpati5t treatm5t ,! t]m assi/$ outpati5t treatm5t means-- 7,a7 except z provid$ 9 subp>agraph 7,b71 m$ically prescrib$ treatm5t t an eligible pati5t mu/ und]go :ile liv+ 9 a community "u ! t]ms ( a law au?oriz+ a ,/ate or local c\rt to ord] su* treatm5t2 & 7,b7 9 ! case ( a ,/ate t does n h a law describ$ 9 subp>agraph 7,a7 9 effect on ! date ( enactm5t-- 7i7 a c\rt-ord]$ treatm5t plan = an eligible pati5t t requires su* pati5t to obta9 outpati5t m5tal heal? treatm5t :ile ! pati5t is liv+ 9 a community2 & 7ii7 is design$ to improve access & adh]5ce by su* pati5t to int5sive behavioral heal? s]vices 9 ord] to-- 7,i7 av]t relapse1 repeat$ hospitalizations1 arre/1 inc>c]ation1 suicide1 prop]ty de/ruction1 & viol5t behavior2 & 7,,ii7 provide su* pati5t ) ! opportunity to live 9 a less re/rictive alt]native to inc>c]ation or involunt>y hospitalization4 7#b7 ,eligible pati5t ,! t]m eligible pati5t means an adult1 m5tally ill p]son :o1 z det]m9$ by ! c\rt-- 7,a7 has a hi/ory ( viol5ce1 inc>c]ation1 or m$ically unnecess>y hospitalizations2 7,b7 )\t sup]vision & treatm5t1 may be a dang] to self or o!rs 9 ! community2 7,c7 is sub/antially unlikely to volunt>ily p>ticipate 9 treatm5t2 7,d7 may be unable1 = reasons o!r ?an indig5ce1 to provide = any ( 8 or h] basic ne$s1 su* z food1 clo?+1 %elt]1 heal?1 or safety2 7,e7 has a hi/ory ( m5tal illness or condition t is likely to sub/antially det]iorate if ! pati5t is n provid$ ) timely treatm5t2 or 7,f7 due to m5tal illness1 lacks capacity to fully und]/& or lacks judgm5t to make in=m$ decisions reg>d+ 8 or h] ne$ = treatm5t1 c>e1 or sup]vision4 7f7 ,fund+ 7#a7 ,am\nt ( grants ,a grant "u ?is section %all be 9 an am\nt t is n m ?an #a1jjj1jjj = ea* ( grant ye>s #bjad ?r\gh #bjag4 ,subject to ! prec$+ s5t5ce1 ! ,assi/ant ,secret>y %all det]m9e ! am\nt ( ea* grant bas$ on ! population ( pati5ts ( ! area to be s]v$ "u ! grant4 7#b7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #ae1jjj1jjj = ea* ( fiscal ye>s #bjad ?r\gh #bjag4 #ajd4 ,tele-psy*iatry & prim>y c>e physician tra9+ grant program 7a7 ,9 g5]al ,! ,assi/ant ,secret>y ( ,m5tal ,heal? & ,sub/ance ,use ,disord]s 79 ?is section ref]r$ to z ! ,assi/ant ,secret>y7 %all e/abli% a grant program 79 ?is section ref]r$ to z ! grant program7 "u :i* ! ,assi/ant ,secret>y %all aw>d to #aj eligible ,/ates 7z describ$ 9 subsection 7e77 grants = c>ry+ out all #c ( ! purposes describ$ 9 subsections 7b71 7c71 & 7d74 7b7 ,tra9+ program = c]ta9 prim>y c>e physicians ,= purposes ( subsection 7a71 ! purpose describ$ 9 ?is subsection1 ) respect to a grant aw>d$ to a ,/ate "u ! grant program1 is = ! ,/ate to e/abli% a tra9+ program to tra9 prim>y c>e physicians 9-- 7#a7 approv$ /&>diz$ behavioral-heal? scre5+ tools1 includ+-- 7,a7 ,ages & ,/ages ,que/ionnaires 7,,asq3 ,,se72 7,b7 ,brief ,infant-,toddl] ,social & ,emotional ,assessm5t 7,,bitsea72 7,c7 scre5+ = sub/ance abuse1 kn[n z ,c>1 ,relax1 ,alone1 ,=get1 ,fri5ds1 ,tr\ble1 7,,crafft72 7,d7 scre5+ = autism1 kn[n z ,modifi$ ,*eckli/ = ,autism 9 ,toddl]s 7,m-,,cat72 7,e7 ,p>5ts' ,evaluation ( ,developm5tal ,/atus 7,,p$s72 7,f7 scre5+ = depression1 kn[n z ,pati5t ,heal? ,que/ionnaire-#i 7,,phq-#i72 7,g7 ,p$iatric ,symptom ,*eckli/ 7,,psc7 & ,p$iatric ,symptom ,*eckli/-,y\? ,report 7,y-,,psc72 7,h7 ,/r5g?s & ,difficulties ,que/ionnaire 7,,sdq72 & 7,i7 any additional areas t ! ,assi/ant ,secret>y det]m9es applicable2 7#b7 implem5t+ ! use ( behavioral-heal? scre5+ tools 9 _! practices2 & 7#c7 kn[+ :at to d :5 a behavioral-heal? ne$ is id5tifi$4 7c7 ,paym5ts = m5tal heal? s]vices provid$ by c]ta9 prim>y c>e physicians 7#a7 ,= purposes ( subsection 7a71 ! purpose describ$ 9 ?is subsection1 ) respect to a grant aw>d$ to a ,/ate "u ! grant program1 is = ! ,/ate to provide1 9 accordance ) ?is subsection1 9 ! case ( a prim>y c>e physician t p>ticipates 9 ! tra9+ program ( ! ,/ate e/abli% pursuant to subsection 7b71 paym5ts to ! prim>y c>e physician = s]vices furni%$ by ! prim>y c>e physician4 7#b7 ,! ,assi/ant ,secret>y1 9 det]m9+ ! /ructure1 quality1 & =m ( paym5t "u p>agraph 7#a7 %all seek to f9d innovative paym5t sy/ems :i* may take 9 to acc\nt-- 7,a7 quality ( s]vices r5d]$2 7,b7 pati5ts' heal? outcome2 7,c7 geographical location ( :]e s]vices 7 provid$2 7,d7 sev]ity ( pati5ts' m$ical condition2 7,e7 duration ( s]vices provid$2 & 7,f7 feasibility ( replicat+ t paym5t model 9 o!r ,/ates nationwide4 7d7 ,teleheal? s]vices = m5tal heal? disord]s 7#a7 ,9 g5]al ,= purposes ( subsection 7a71 ! purpose describ$ 9 ?is subsection1 ) respect to a grant aw>d$ to a ,/ate "u ! grant program1 is = ! ,/ate to provide1 9 ! case ( an individual furni%$ items & s]vices by a prim>y c>e physician dur+ an (fice visit1 = paym5t = a consultation provid$ by a psy*iatri/ or psy*ologi/ to su* physician ) respect to su* individual ?r\gh ! use ( qualifi$ teleheal? te*nology = ! id5tification1 diagnosis1 mitigation1 or treatm5t ( a m5tal heal? disord] if su* consultation occurs n lat] ?an ! fir/ bus9ess day t foll[s su* visit4 7#b7 ,qualifi$ teleheal? te*nology ,= purposes ( subsection 7,c77#a71 ! t]m qualifi$ teleheal? te*nology1 ) respect to ! provision ( items & s]vices to a pati5t by a heal? c>e provid]-- 7,a7 includes ! use ( int]active audio1 audio-only telephone conv]sation1 video1 or o!r telecommunications te*nology by a heal? c>e provid] to deliv] heal? c>e s]vices )9 ! scope ( ! provid]'s practice at a site o!r ?an ! site :]e ! pati5t is locat$1 includ+ ! use ( electronic m$ia = consultation relat+ to ! heal? c>e diagnosis or treatm5t ( ! pati5t2 & 7,b7 does n include ! use ( electronic mail message or facsimile transmission4 7e7 ,eligible ,/ate 7#a7 ,9 g5]al ,= purposes ( ?is section1 an eligible ,/ate is a ,/ate t has submitt$ to ! ,assi/ant ,secret>y an application "u p>agraph 7a7 & has be5 select$ "u p>agraph 7#c74 7#b7 ,application ,a ,/ate seek+ to p>ticipate 9 ! grant program "u ?is section %all submit to ! ,assi/ant ,secret>y1 at su* "t & 9 su* =mat z ! ,assi/ant ,secret>y requires1 an application t includes su* in=mation1 provisions1 & assurances1 z ! ,assi/ant ,secret>y may require4 7#c7 ,mat*+ requirem5t ,! ,assi/ant ,secret>y may n make a grant "u ! grant program unless ! ,/ate involv$ agrees1 ) respect to ! co/s to be incurr$ by ! ,/ate 9 c>ry+ out ! purpose describ$ 9 ?is section1 to make available non-,f$]al contributions 79 ca% or 9 k9d7 t[>d su* co/s 9 an am\nt equal to n less ?an #bj p]c5t ( ,f$]al funds provid$ 9 ! grant4 7#d7 ,selection ,a ,/ate %all be det]m9$ eligible = ! grant program by ! ,assi/ant ,secret>y on a competitive basis among ,/ates ) applications meet+ ! requirem5ts ( p>agraphs 7#b7 & 7#c74 ,9 select+ ,/ate applications = ! grant program1 ! ,secret>y %all seek to a*ieve an appropriate national balance 9 ! geographic di/ribution ( grants aw>d$ "u ! grant program4 7f7 ,l5g? ( grant program ,! grant program e/abli%$ "u ?is section %all be conduct$ = a p]iod ( #c consecutive ye>s4 7g7 ,au?orization ( appropriations ,out ( any funds 9 ! ,treasury n o!rwise appropriat$1 !re is au?oriz$ to be appropriat$ to c>ry out ?is section1 #c1jjj1jjj = ea* ( ! fiscal ye>s #bjae ?r\gh #bjag4 7h7 ,reports 7#a7 ,reports ,= ea* fiscal ye> t grants are aw>d$ "u ?is section1 ! ,assi/ant ,secret>y & ! ,national ,m5tal ,heal? ,policy ,laboratory %all conduct a /udy on ! results ( ! grants & submit to ! ,congress a report on su* results t includes ! foll[+3 7,a7 ,an evaluation ( ! grant program outcomes1 includ+ a summ>y ( activities c>ri$ out ) ! grant & ! results a*iev$ ?r\gh ^? activities4 7,b7 ,recomm5dations on h[ to improve access to m5tal heal? s]vices at grantee locations4 7,c7 ,an assessm5t ( access to m5tal heal? s]vices "u ! program4 7,d7 ,an assessm5t ( ! impact ( ! demon/ration project on ! co/s ( ! full range ( m5tal heal? s]vices 7includ+ inpati5t1 em]g5cy & ambulatory c>e74 7,e7 ,recomm5dations on congressional action to improve ! grant4 7#b7 ,report ,n lat] ?an ,decemb] #ca1 #bjag1 ! ,assi/ant ,secret>y & ! ,national ,m5tal ,heal? ,policy ,laboratory %all submit to ,congress & make available to ! public a report on ! f9d+s ( ! evaluation "u p>agraph 7#a7 & also a policy outl9e on h[ ,congress c exp& ! grant program to ! national level4 ,,ii ,f$]ally ,qualifi$ ,behavioral ,heal? ,cl9ics #bja4 ,demon/ration program to improve f$]ally qualifi$ community behavioral heal? cl9ic s]vices 7a7 ,e/abli%m5t ,n lat] ?an ,janu>y #a1 #bjaf1 ! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! ,secret>y71 9 coord9ation ) ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s1 %all aw>d plann+ grants to n to exce$ #aj ,/ates to enable su* ,/ates to c>ry out #e-ye> demon/ration programs to improve ! provision ( behavioral heal? s]vices provid$ by f$]ally qualifi$ community behavioral heal? cl9ics 9 ! ,/ate4 7b7 ,eligibility 7#a7 ,application ,to be eligible to receive a grant "u subsection 7a71 a ,/ate %all-- 7,a7 submit to ! ,secret>y an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require2 7,b7 c]tify to ! ,secret>y t behavioral heal? provid]s t are provid$ assi/ance "u ! demon/ration program are f$]ally qualifi$ community behavioral heal? cl9ics2 7,c7 c]tify to ! ,secret>y t1 ) respect to ! behavioral heal? provid]s provid$ assi/ance "u ! demon/ration program1 n m ?an #ge p]c5t ( ! total numb] ( su* provid]s are p>ticipat+ provid]s "u ! ,/ate ,m$icaid plan "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq472 7,d7 demon/rate ! actu>ial s\ndness ( ! demon/ration program to be c>ri$ out "u ! grant by provid+ a detail$ e/imate ( eligible cl9ics & ,m$icaid exp5ditures ov] ! entire project$ p]iod ( ! demon/ration program2 & 7,e7 comply ) any o!r requirem5t det]m9$ appropriate by ! ,secret>y4 7#b7 ,waiv] ( ,m$icaid requirem5ts ,9 approv+ ,/ates to conduct demon/ration programs "u ?is section1 ! ,secret>y %all waive su* provisions ( title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 z are necess>y to conduct ! demon/ration program 9 accordance ) ! requirem5ts ( ?is section1 includ+ section #aijb7;a77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7a77#a77 7relat+ to /atewid5ess74 7c7 ,requirem5ts ,9 aw>d+ grants "u ?is section1 ! ,secret>y %all-- 7#a7 ensure ! geographic div]sity ( grantee ,/ates2 7#b7 ensure t f$]ally qualifi$ community behavioral heal? cl9ics 9 su* ,/ates t are locat$ 9 rural areas1 z def9$ by ! ,secret>y1 & o!r m5tal heal? pr(essional %ortage areas are fairly & appropriately consid]$ ) ! objective ( facilitat+ access to m5tal heal? s]vices 9 su* areas2 7#c7 take into acc\nt ! ability ( cl9ics 9 su* ,/ates to provide requir$ s]vices1 & ! ability ( su* cl9ics to report requir$ data z requir$ "u ?is section2 & 7#d7 take into acc\nt ! ability ( su* ,/ates to provide su* requir$ s]vices on a /atewide basis4 7d7 ,treatm5t ( c]ta9 s]vices provid$ by community behavioral heal? cl9ics z m$ical assi/ance 7#a7 ,9 g5]al ,= purposes ( ! demon/ration program "u ?is section1 community behavioral heal? cl9ic s]vices 7z def9$ 9 subsection 7f77#a77 t are provid$ by f$]ally qualifi$ community behavioral heal? cl9ics receiv+ assi/ance "u ?is section %all be consid]$ m$ical assi/ance = purposes ( paym5ts to ,/ates "u p>agraph 7#c77;,c74 7#b7 ,grant condition ,z a condition ( receiv+ a grant "u ?is section1 a ,/ate %all agree to provide = paym5t = community behavioral heal? cl9ic s]vices 9 accordance ) ! prospective paym5t sy/em e/abli%$ by ! ,secret>y "u p>agraph 7#c74 7#c7 ,prospective paym5t sy/em 7,a7 ,9 g5]al ,n lat] ?an #ah mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all e/abli% a prospective paym5t sy/em = community behavioral heal? cl9ic s]vices furni%$ by a community behavioral heal? cl9ic receiv+ assi/ance "u ?is section 9 ! same mann] z paym5ts are requir$ to be made "u section #aijb7;bb7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7bb77 = s]vices describ$ 9 section #aije7;a77#b77;,c7 ( su* ,act 7#db ,u4,s4,c4 #acif;d7a77#b77;,c77 furni%$ by a f$]ally qualifi$ heal? c5t] & s]vices describ$ 9 section #aije7;a77#b77;,b7 ( su* ,act 7#db ,u4,s4,c4 #acif;d7a77#b77;,b77 furni%$ by a rural heal? cl9ic4 7,b7 ,requirem5ts ,! prospective paym5t sy/em e/abli%$ by ! ,secret>y "u subp>agraph 7,a7 %all provide t-- 7i7 no paym5t %all be made = inpati5t c>e1 resid5tial treatm5t1 room & bo>d exp5ses1 or any o!r nonambulatory s]vices1 z det]m9$ by ! ,secret>y2 & 7ii7 no paym5t %all be made to satellite facilities ( community behavioral heal? cl9ics if su* facilities are e/abli%$ aft] ! date ( enactm5t ( ?is ,act4 7,c7 ,paym5ts to /ates ,! ,secret>y %all pay ea* ,/ate aw>d$ a grant "u ?is section an am\nt ea* qu>t] equal to ! enhanc$ ,,fmap 7z def9$ 9 section #baje7;b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;dd7b77 b )\t reg>d to ! second & ?ird s5t5ces ( t section7 ( ! ,/ate's exp5ditures 9 ! qu>t] = m$ical assi/ance = community behavioral heal? cl9ic s]vices provid$ by f$]ally qualifi$ community behavioral heal? cl9ics 9 ! ,/ate t receive assi/ance "u ?is section4 ,paym5ts to ,/ates made "u ?is subp>agraph %all be consid]$ to h be5 "u1 & are subject to ! requirem5ts (1 section #aijc ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;b74 7e7 ,annual report 7#a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date on :i* ! fir/ grants are aw>d$ "u ?is section1 & annually !reaft]1 ! ,secret>y %all submit to ,congress an annual report on ! use ( funds provid$ "u ! demon/ration program4 ,ea* su* report %all include-- 7,a7 an assessm5t ( access to community-bas$ m5tal heal? s]vices "u ! ,m$icaid program 9 ! ,/ates aw>d$ su* grants2 7,b7 an assessm5t ( ! quality & scope ( s]vices provid$ by f$]ally qualifi$ community behavioral heal? cl9ics "u ! grants z comp>$ aga9/ community-bas$ m5tal heal? s]vices provid$ 9 ,/ates t are n receiv+ su* grants2 7,c7 an assessm5t ( ! impact ( ! demon/ration programs on ! co/s ( a full range ( m5tal heal? s]vices 7includ+ inpati5t1 em]g5cy & ambulatory s]vices72 & 7,d7 a pe]-review$ assessm5t ( ! public heal? impact1 includ+ b n limit$ to rates ( community mortality1 hospitalization1 & o!r measures z det]m9$ by ! ,director ( ! ,national ,in/itute ( ,m5tal ,heal?4 7#b7 ,recomm5dations ,n lat] ?an ,decemb] #ca1 #bjai1 ! ,secret>y %all submit to ,congress recomm5dations conc]n+ :e!r ! demon/ration programs "u ?is section %\ld be cont9u$ & exp&$ on a national basis4 7#c7 ,data collection ,grantees %all provide 9 a timely fa%ion any su* data to ! ,national ,m5tal ,heal? ,policy ,laboratory1 z reque/$ by ! ,assi/ant ,secret>y conc]n+ heal? outcomes & treatm5ts4 7f7 ,crit]ia = f$]ally qualifi$ community behavioral heal? cl9ics 7#a7 ,9 g5]al ,! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s %all c]tify f$]ally qualifi$ community behavioral heal? cl9ics z meet+ ! crit]ia specifi$ 9 ?is subsection4 7#b7 ,crit]ia ,! crit]ia ref]r$ to 9 ?is subsection are t ! cl9ic p]=ms ea* ( ! foll[+3 7,a7 ,provide requir$ prim>y heal? s]vices 7z def9$ by ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s74 7,b7 ,provide s]vices 9 locations t ensure s]vices w be available & accessible promptly & 9 a mann] :i* pres]ves human dignity & assures cont9uity ( c>e4 7,c7 ,provide s]vices 9 a mode ( s]vice deliv]y appropriate = ! t>get population4 7,d7 ,provide individuals ) a *oice ( s]vice options :]e !re is m ?an "o evid5ce-bas$ treatm5t4 7,e7 ,employ a core /aff t is suffici5tly tra9$ 9 *ild & adolesc5t psy*iatry or psy*ology4 7,f7 ,employ a core /aff t is suffici5tly tra9$ 9 *ild & adolesc5t psy*iatry1 dual diagnosis issues1 crisis managem5t & /abilization & int]v5tions ) pati5ts at high risk = viol5ce4 7,g7 ,provide s]vices1 )9 ! limits ( ! capacities ( ! c5t]1 to any individual resid+ or employ$ 9 ! s]vice area ( ! c5t]1 reg>dless ( ! ability ( ! individual to pay4 7,h7 ,provide1 directly or ?r\gh contract1 to ! ext5t cov]$ = adults 9 ! ,/ate ,m$icaid plan "u title ,,xix ( ! ,social ,security ,act & = *ildr5 9 accordance ) section #aije7r7 ( su* ,act reg>d+ e>ly & p]iodic scre5+1 diagnosis1 & treatm5t1 ea* ( ! foll[+ s]vices3 7i7 ,scre5+1 assessm5t1 & diagnosis1 includ+ risk assessm5t4 7ii7 ,p]son-c5t]$ treatm5t plann+ or simil> processes1 includ+ risk assessm5t & crisis plann+4 7iii7 ,outpati5t m5tal heal? & sub/ance use s]vices1 includ+ scre5+1 assessm5t1 diagnosis1 psy*o!rapy1 m$ication managem5t1 & integrat$ treatm5t = m5tal illness & sub/ance abuse :i* %all be evid5ce-bas$ 7includ+ cognitive behavioral !rapy & o!r su* !rapies :i* are evid5ce-bas$74 7iv7 ,outpati5t cl9ic prim>y c>e scre5+ & monitor+ ( key heal? indicators & heal? risk 7includ+ scre5+ = diabetes1 hyp]t5sion1 & c>diovascul> disease & monitor+ ( weight1 height1 body mass index 7,,bmi71 blood pressure1 blood glucose or ,hb,a#a;,c1 & lipid pr(ile74 7v7 ,crisis m5tal heal? s]vices1 includ+ #bd-;h\r mobile crisis teams1 em]g5cy crisis int]v5tion s]vices1 & crisis /abilization4 7vi7 ,t>get$ case managem5t 7s]vices provid$ by a social work] to assi/ individuals ga9+ access to ne$$ m$ical1 social1 educational1 & o!r s]vices & apply+ = income security & o!r b5efits to :i* !y may be entitl$74 7vii7 ,psy*iatric rehabilitation s]vices includ+ skills tra9+1 ass]tive community treatm5t1 family psy*o$ucation1 disability self-managem5t1 support$ employm5t1 support$ h\s+ s]vices1 !rapeutic fo/] c>e s]vices1 & su* o!r evid5ce-bas$ practices z ! ,secret>y may require4 7viii7 ,pe] support & c\nselor s]vices & family supports4 7ix7 ,support$ education & support$ employm5t = individuals ) s]i\s m5tal illness aft] an initial psy*otic episode4 7x7 ,case managem5t s]vices = individuals ) s]i\s m5tal illness aft] an initial psy*otic episode4 7,i7 ,use & %>e electronic heal? records consi/5t ) o!r applicable law4 7,j7 ,be available to provide assi/$ outpati5t treatm5t t is ord]$ by a ,/ate c\rt pursuant to a ,/ate law describ$ 9 section #aiae7;d74 7,k7 ,be available to p>ticipate 9 rese>* projects conduct$ or support$ by ! ,national ,in/itute ( ,m5tal ,heal?4 7,l7 ,ma9ta9 l9kages1 & :]e possible ent] into =mal contracts ) ! foll[+3 7i7 ,f$]ally qualifi$ heal? c5t]s4 7ii7 ,inpati5t psy*iatric facilities & sub/ance use detoxification1 po/-detoxification /ep-d[n s]vices1 & resid5tial programs4 7iii7 ,adult & y\? pe] support & c\nselor s]vices4 7iv7 ,family support s]vices = families ( *ildr5 ) s]i\s m5tal or sub/ance use disord]s4 7v7 ,o!r community or regional s]vices1 supports1 & provid]s1 includ+ s*ools1 *ild welf>e ag5cies1 juv5ile & crim9al ju/ice ag5cies & facilities 7includ+ m5tal heal? c\rts1 local police =ces1 & local jails & o!r det5tion facilities71 h\s+ ag5cies & programs1 employ]s1 & o!r social s]vices su* z s*ools & religi\s organizations4 7vi7 ,integrat+ c>e ) prim>y c>e s]vices1 includ+1 to ! ext5t feasible1 ?r\gh a common deliv]y site4 7vii7 ,enabl+ s]vices1 includ+ outrea*1 transportation1 & translation4 7viii7 ,heal? & wellness s]vices1 includ+ s]vices = tobacco cessation4 7ix7 ,adopt models ( fir/ episode psy*osis tra9+1 sup]vision1 team meet+s1 & coord9ation ) adjac5t c>e organizations4 7,m7 ,:]e feasible1 provide outrea* & engagem5t to enc\rage individuals :o c\ld b5efit f m5tal heal? c>e to freely p>ticipate 9 receiv+ ! s]vices describ$ 9 ?is subsection4 7#c7 ,rule ( con/ruction ,no?+ 9 ?is section %all be con/ru$ z prohibit+ ,/ates receiv+ funds appropriat$ ?r\gh ! ,community ,m5tal ,heal? ,s]vices ,block ,grant "u ?is subp>t f f9anc+ qualifi$ community programs 7:e!r su* programs meet ! def9ition ( eligible programs prior to or aft] ! date ( enactm5t ( ?is subsection74 7g7 ,def9itions ,9 ?is section3 7#a7 ,community behavioral heal? cl9ic s]vices ,! t]m community behavioral heal? cl9ic s]vices means ambulatory behavioral heal? s]vices ( ! type describ$ 9 subp>agraphs 7,i71 7,l71 7,m71 & 7,n7 ( subsection 7f77#b7 t are provid$ by f$]ally qualifi$ community behavioral heal? cl9ics receiv+ assi/ance "u ?is section4 7#b7 ,/ate ,! t]m ,/ate has ! mean+ giv5 su* t]m = purposes ( title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq474 7#c7 ,f$]ally qualifi$ community behavioral heal? cl9ic ,! t]m f$]ally qualifi$ community behavioral heal? cl9ic means a f$]ally qualifi$ behavioral heal? cl9ic ) a c]tification 9 effect "u ?is section4 7h7 ,au?orization ( appropriations ,9 ord] to fund ,/ate plann+ grants & ! adm9i/rative co/s associat$ ) c]tify+ community behavioral heal? cl9ics1 !re is au?oriz$ to be appropriat$ to c>ry out ?is section1 #ej1jjj1jjj = fiscal ye> #bjaf1 to rema9 available until exp5d$4 ,,iii ,,hipaa & ,,f]pa c>egiv]s #cja4 ,promot+ appropriate treatm5t = m5tally ill individuals by treat+ _! c>egiv]s z p]sonal repres5tatives = purposes ( ,,hipaa privacy regulations 7a7 ,c>egiv] access to in=mation ,9 apply+ section #afd4ejb7;g7 ( title #de1 ,code ( ,f$]al ,regulations1 to an individual ) a s]i\s m5tal illness :o does n provide cons5t = ! disclosure ( protect$ heal? in=mation to a c>egiv] ( su* individual1 ! c>egiv] %all be treat$ by a cov]$ entity z a p]sonal repres5tative 7z describ$ "u su* section #afd4ejb7;g77 ( su* individual ) respect to protect$ heal? in=mation ( su* individual :5 ! provid] furni%+ s]vices to ! individual reasonably believes x is necess>y = protect$ heal? in=mation ( ! individual to be made available to ! c>egiv] 9 ord] to protect ! heal?1 safety1 or welf>e ( su* individual or ! safety ( "o or m o!r individuals4 7b7 ,def9itions ,= purposes ( ?is section3 7#a7 ,cov]$ entity ,! t]m cov]$ entity has ! mean+ giv5 su* t]m 9 section #ajf4ajc ( title #de1 ,code ( ,f$]al ,regulations4 7#b7 ,protect$ heal? in=mation ,! t]m protect$ heal? in=mation has ! mean+ giv5 su* t]m 9 section #ajf4ajc ( title #de1 ,code ( ,f$]al ,regulations4 7#c7 ,c>egiv] ,! t]m c>egiv] means1 ) respect to an individual ) a s]i\s m5tal illness-- 7,a7 an imm$iate family memb] ( su* individual2 7,b7 an individual :o assumes prim>y responsibility = provid+ a basic ne$ ( su* individual2 or 7,c7 a p]sonal repres5tative ( ! individual z det]m9$ by ! law ( ! ,/ate 9 :i* su* individual resides4 7#d7 ,individual ) a s]i\s m5tal illness ,! t]m individual ) a s]i\s m5tal illness means1 ) respect to ! disclosure to a c>egiv] ( protect$ heal? in=mation ( an individual1 an individual :o-- 7,a7 is #ah ye>s ( age or old]2 & 7,b7 has1 )9 "o ye> be=e ! date ( ! disclosure1 be5 evaluat$1 diagnos$1 or treat$ = a m5tal1 behavioral1 or emotional disord] t-- 7i7 is det]m9$ by a physician to be ( suffici5t duration to meet diagno/ic crit]ia specifi$ )9 ! ,diagno/ic & ,/ati/ical ,manual ( ,m5tal ,disord]s2 & 7ii7 results 9 functional impairm5t ( ! individual t sub/antially int]f]es ) or limits "o or m major life activities ( ! individual4 #cjb4 ,c>egiv]s p]mitt$ access to c]ta9 education records "u ,,f]pa ,section #ddd ( ! ,g5]al ,education ,provisions ,act 7#bj ,u4,s4,c4 #abcb;g7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7k7 ,disclosures to c>egiv]s ( ! m5tally ill 7#a7 ,9 g5]al ,no?+ 9 ?is ,act1 ! ,elem5t>y & ,second>y ,education ,act ( #aife1 or ! ,high] ,education ,act ( #aife %all be con/ru$ to prohibit an educational ag5cy or in/itution f disclos+1 to a c>egiv] ( an individual ) a s]i\s m5tal illness :o has n explicitly provid$ cons5t to ! ag5cy or in/itution = ! disclosure ( protect$ heal? in=mation1 an education record ( su* individual if a physician1 psy*ologi/1 or o!r recogniz$ m5tal heal? pr(essional or p>apr(essional act+ 9 8 or h] pr(essional or p>apr(essional capacity1 or assi/+ 9 t capacity reasonably believes su* disclosure to ! c>egiv] is necess>y to protect ! heal?1 safety1 or welf>e ( su* individual or ! safety ( "o or m o!r individuals4 7#b7 ,def9itions ,9 ?is subsection3 7,a7 ,c>egiv] ,! t]m c>egiv] means1 ) respect to an individual ) a s]i\s m5tal illness1 a family memb] or imm$iate pa/ legal gu>dian :o assumes a prim>y responsibility = provid+ a basic ne$ ( su* individual 7su* z a family memb] or pa/ legal gu>dian ( ! individual :o has assum$ ! responsibility ( co-sign+ a loan ) ! individual74 7,b7 ,education record ,not)/&+ subsection 7a77#d77;,b71 ! t]m education record %all include a record describ$ 9 clause 7iv7 ( su* subsection4 7,c7 ,individual ) a s]i\s m5tal illness ,! t]m individual ) a s]i\s m5tal illness means1 ) respect to ! disclosure to a c>egiv] ( protect$ heal? in=mation ( an individual1 an individual :o-- 7i7 is #ah ye>s ( age or old]2 & 7ii7 has1 )9 "o ye> be=e ! date ( ! disclosure1 be5 evaluat$1 diagnos$1 or treat$ = a m5tal1 behavioral1 or emotional disord] t-- 7,i7 is det]m9$ by a physician to be ( suffici5t duration to meet diagno/ic crit]ia specifi$ )9 ! ,diagno/ic & ,/ati/ical ,manual ( ,m5tal ,disord]s2 & 7,,ii7 results 9 functional impairm5t ( ! individual t sub/antially int]f]es ) or limits "o or m major life activities ( ! individual4 4 ,,iv ,dep>tm5t ( ,ju/ice re=ms #dja4 ,additional purposes = c]ta9 ,f$]al grants 7a7 ,modifications to ! ,edw>d ,byrne ,memorial ,ju/ice ,assi/ance ,grant ,program ,section #eja7;a77#a7 ( title ,i ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#db ,u4,s4,c4 #cgea7;a77#a77 is am5d$ by add+ at ! end ! foll[+3 7,h7 ,m5tal heal? programs & op]ations by law en=cem5t or corrections (fic]s4 4 7b7 ,modifications to ! ,community ,ori5t$ ,polic+ ,s]vices program ,section #agja7;b7 ( title ,i ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#db ,u4,s4,c4 #cgif;dd7b77 is am5d$-- 7#a7 9 p>agraph 7#af71 by /rik+ & at ! end2 7#b7 by r$esignat+ p>agraph 7#ag7 z p>agraph 7#ai72 7#c7 by ins]t+ aft] p>agraph 7#af7 ! foll[+3 7#ag7 to provide specializ$ tra9+ to law en=cem5t (fic]s 7includ+ village public safety (fic]s 7z def9$ 9 section #bdg ( ! ,indian ,arts & ,crafts ,am5dm5ts ,act ( #bjaj 7#db ,u4,s4,c4 #cgif;dd note777 to recognize individuals :o h m5tal illness & h[ to prop]ly int]v5e ) individuals ) m5tal illness1 & to e/abli% programs t enhance ! ability ( law en=cem5t ag5cies to address ! m5tal heal?1 behavioral1 & sub/ance abuse problems ( individuals enc\nt]$ 9 ! l9e ( duty2 7#ah7 to provide specializ$ tra9+ to enhance ! ability ( corrections (fic]s to address ! m5tal heal? ( individuals "u ! c>e & cu/ody ( jails & prisons2 & 2 & 7#d7 9 p>agraph 7#ai71 z r$esignat$1 by /rik+ ?r\gh 7#af7 & ins]t+ ?r\gh 7#ai74 7c7 ,modifications to ! ,/aff+ = adequate fire & em]g5cy response grants ,section #cd7;a77#a77;,b7 ( ,public ,law #ic-dih 7#ae ,u4,s4,c4 #bbbi;a7a77#a77;,b77 is am5d$ by ins]t+ be=e ! p]iod at ! end ! foll[+3 & to provide specializ$ tra9+ to p>am$ics1 em]g5cy m$ical s]vices work]s1 & o!r fir/ respond]s to recognize individuals :o h m5tal illness & h[ to prop]ly int]v5e ) individuals ) m5tal illness4 #djb4 ,reau?orization & additional am5dm5ts to ! ,m5tally ,ill ,(f5d] ,treatm5t & ,crime ,r$uction ,act 7a7 ,safe communities 7#a7 ,9 g5]al ,section #biia7;a7 ( title ,i ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#db ,u4,s4,c4 #cgig;aa7a77 is am5d$-- 7,a7 9 p>agraph 7#g7-- 7i7 9 ! head+1 by /rik+ ,m5tal illness & ins]t+ ,m5tal illness2 m5tal ,heal? disord]2 & 7ii7 by /rik+ t]m m5tal illness means & ins]t+ t]ms m5tal illness & m5tal heal? disord] mean2 & 7,b7 by /rik+ p>agraph 7#i7 & ins]t+ ! foll[+3 7#i7 ,prelim9>ily qualifi$ (f5d] 7,a7 ,9 g5]al ,! t]m prelim9>ily qualifi$ (f5d] means an adult or juv5ile accus$ ( an (f5se :o-- 7i7 7,i7 previ\sly or curr5tly has be5 diagnos$ by a qualifi$ m5tal heal? pr(essional z hav+ a m5tal illness or co-occurr+ m5tal illness & sub/ance abuse disord]s2 7,,ii7 manife/s obvi\s signs ( m5tal illness or co-occurr+ m5tal illness & sub/ance abuse disord]s dur+ arre/ or conf9em5t or be=e any c\rt2 or 7,,iii7 9 ! case ( a vet]ans treatm5t c\rt provid$ "u subsection 7i71 has be5 diagnos$ )1 or manife/s obvi\s signs (1 m5tal illness or a sub/ance abuse disord] or co-occurr+ m5tal illness & sub/ance abuse disord]2 & 7ii7 has be5 unanim\sly approv$ = p>ticipation 9 a program fund$ "u ?is section by1 :5 appropriate1 ! relevant-- 7,i7 prosecut+ attorney2 7,,ii7 def5se attorney2 7,,iii7 probation or corrections (ficial2 7,,iv7 judge2 & 7,v7 a repres5tative f ! relevant m5tal heal? ag5cy describ$ 9 subsection 7b77#e77;,b77i74 7,b7 ,det]m9ation ,9 det]m9+ :e!r to designate a def5dant z a prelim9>ily qualifi$ (f5d]1 ! relevant prosecut+ attorney1 def5se attorney1 probation or corrections (ficial1 judge1 & m5tal heal? or sub/ance abuse ag5cy repres5tative %all take into acc\nt-- 7i7 :e!r ! p>ticipation ( ! def5dant 9 ! program w\ld pose a sub/antial risk ( viol5ce to ! community2 7ii7 ! crim9al hi/ory ( ! def5dant & ! nature & sev]ity ( ! (f5se = :i* ! def5dant is *>g$2 7iii7 ! views ( any relevant victims to ! (f5se2 7iv7 ! ext5t to :i* ! def5dant w\ld b5efit f p>ticipation 9 ! program2 7v7 ! ext5t to :i* ! community w\ld realize co/ sav+s because ( ! def5dant's p>ticipation 9 ! program2 & 7vi7 :e!r ! def5dant satisfies ! eligibility crit]ia = program p>ticipation unanim\sly e/abli%$ by ! relevant prosecut+ attorney1 def5se attorney1 probation or corrections (ficial1 judge & m5tal heal? or sub/ance abuse ag5cy repres5tative4 4 7#b7 ,te*nical & con=m+ am5dm5t ,section #bibg7b7 ( title ,i ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#db ,u4,s4,c4 #cgigs-#f7b77 is am5d$-- 7,a7 by /rik+ has ! mean+ giv5 t t]m 9 section #biia7;a74 & ins]t+ ! foll[+3 means an (f5se t-- 2 & 7,b7 by add+ at ! end ! foll[+3 7,a7 does n h z an elem5t ! use1 attempt$ use1 or ?reat5$ use ( physical =ce aga9/ ! p]son or prop]ty ( ano!r2 or 7,b7 is n a felony t by its nature involves a sub/antial risk t physical =ce aga9/ ! p]son or prop]ty ( ano!r may be us$ 9 ! c\rse ( committ+ ! (f5se4 4 7b7 ,evid5ce-,bas$ practices ,section #biia7;c7 ( title ,i ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#db ,u4,s4,c4 #cgig;aa7c77 is am5d$-- 7#a7 9 p>agraph 7#c71 by /rik+ or at ! end2 7#b7 by r$esignat+ p>agraph 7#d7 z p>agraph 7#f72 & 7#c7 by ins]t+ aft] p>agraph 7#c7 ! foll[+3 7#d7 propose int]v5tions t h be5 %[n by empirical evid5ce to r$uce recidivism2 7#e7 :5 appropriate1 use validat$ assessm5t tools to t>get prelim9>ily qualifi$ (f5d]s ) a mod]ate or high risk ( recidivism & a ne$ = treatm5t & s]vices2 or 4 7c7 ,academy tra9+ ,section #biia7;h7 ( title ,i ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#db ,u4,s4,c4 #cgig;aa7h77 is am5d$-- 7#a7 9 p>agraph 7#a71 by add+ at ! end ! foll[+3 7,f7 ,academy tra9+ ,to provide support = academy curricula1 law en=cem5t (fic] ori5tation programs1 cont9u+ education tra9+1 & o!r programs t tea* law en=cem5t p]sonnel h[ to id5tify & respond to incid5ts involv+ p]sons ) m5tal heal? disord]s or co-occurr+ m5tal heal? & sub/ance abuse disord]s4 2 & 7#b7 by add+ at ! end ! foll[+3 7#d7 ,priority consid]ation ,! ,attorney ,g5]al1 9 aw>d+ grants "u ?is subsection1 %all give priority to programs t law en=cem5t p]sonnel & memb]s ( ! m5tal heal? & sub/ance abuse pr(essions develop & adm9i/] coop]atively4 4 7d7 ,assi/+ vet]ans ,section #biia ( title ,i ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#db ,u4,s4,c4 #cgig;aa7 is fur!r am5d$-- 7#a7 by r$esignat+ subsection 7i7 z subsection 7n72 & 7#b7 by ins]t+ aft] subsection 7h7 ! foll[+3 7i7 ,assi/+ vet]ans 7#a7 ,def9itions ,9 ?is subsection3 7,a7 ,pe] to pe] s]vices or programs ,! t]m pe] to pe] s]vices or programs means s]vices or programs t connect qualifi$ vet]ans ) o!r vet]ans = ! purpose ( provid+ support & m5tor%ip to assi/ qualifi$ vet]ans 9 obta9+ treatm5t1 recov]y1 /abilization1 or rehabilitation4 7,b7 ,qualifi$ vet]an ,! t]m qualifi$ vet]an means a prelim9>ily qualifi$ (f5d] :o-- 7i7 has s]v$ on active duty 9 any bran* ( ! ,arm$ ,=ces1 includ+ ! ,national ,gu>d & res]ve compon5ts2 & 7ii7 0 dis*>g$ or releas$ f su* s]vice "u conditions o!r ?an di%onorable4 7,c7 ,vet]ans treatm5t c\rt program ,! t]m vet]ans treatm5t c\rt program means a c\rt program involv+ collaboration among crim9al ju/ice1 vet]ans1 & m5tal heal? & sub/ance abuse ag5cies t provides qualifi$ vet]ans )-- 7i7 int5sive judicial sup]vision & case managem5t1 :i* may include r&om & frequ5t drug te/+ :]e appropriate2 7ii7 a full cont9uum ( treatm5t s]vices1 includ+ m5tal heal? s]vices1 sub/ance abuse s]vices1 m$ical s]vices1 & s]vices to address trauma2 7iii7 alt]natives to inc>c]ation2 & 7iv7 o!r appropriate s]vices1 includ+ h\s+1 transportation1 m5tor+1 employm5t1 job tra9+1 education1 & assi/ance 9 apply+ = & obta9+ available b5efits4 7#b7 ,vet]ans assi/ance program 7,a7 ,9 g5]al ,! ,attorney ,g5]al1 9 consultation ) ! ,secret>y ( ,vet]ans ,affairs1 may aw>d grants "u ?is subsection to applicants to e/abli% or exp&-- 7i7 vet]ans treatm5t c\rt programs2 7ii7 pe] to pe] s]vices or programs = qualifi$ vet]ans2 7iii7 practices t id5tify & provide treatm5t1 rehabilitation1 legal1 transitional1 & o!r appropriate s]vices to qualifi$ vet]ans :o h be5 inc>c]at$2 & 7iv7 tra9+ programs to tea* crim9al ju/ice1 law en=cem5t1 corrections1 m5tal heal?1 & sub/ance abuse p]sonnel h[ to id5tify & appropriately respond to incid5ts involv+ qualifi$ vet]ans4 7,b7 ,priority ,9 aw>d+ grants "u ?is subsection1 ! ,attorney ,g5]al %all give priority to applications t-- 7i7 demon/rate collaboration betwe5 & jo9t inve/m5ts by crim9al ju/ice1 m5tal heal?1 sub/ance abuse1 & vet]ans s]vice ag5cies2 7ii7 promote effective /rategies to id5tify & r$uce ! risk ( h>m to qualifi$ vet]ans & public safety2 & 7iii7 propose int]v5tions ) empirical support to improve outcomes = qualifi$ vet]ans4 4 7e7 ,correctional facilities ,section #biia ( title ,i ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#db ,u4,s4,c4 #cgig;aa7 is fur!r am5d$ by ins]t+ aft] subsection 7i71 z s add$ by subsection 7d71 ! foll[+3 7j7 ,correctional facilities 7#a7 ,def9itions 7,a7 ,correctional facility ,! t]m correctional facility means a jail1 prison1 or o!r det5tion facility us$ to h\se p :o h be5 arre/$1 deta9$1 held1 or convict$ by a crim9al ju/ice ag5cy or a c\rt4 7,b7 ,eligible inmate ,! t]m eligible inmate means an individual :o-- 7i7 is be+ held1 deta9$1 or inc>c]at$ 9 a correctional facility2 & 7ii7 manife/s obvi\s signs ( a m5tal illness or has be5 diagnos$ by a qualifi$ m5tal heal? pr(essional z hav+ a m5tal illness4 7#b7 ,correctional facility grants ,! ,attorney ,g5]al may aw>d grants to applicants to enhance ! capabilities ( a correctional facility-- 7,a7 to id5tify & scre5 = eligible inmates2 7,b7 to plan & provide-- 7i7 initial & p]iodic assessm5ts ( ! cl9ical1 m$ical1 & social ne$s ( inmates2 & 7ii7 appropriate treatm5t & s]vices t address ! m5tal heal? & sub/ance abuse ne$s ( inmates2 7,c7 to develop1 implem5t1 & enhance-- 7i7 po/-release transition plans = eligible inmates t1 9 a compreh5sive mann]1 coord9ate heal?1 h\s+1 m$ical1 employm5t1 & o!r appropriate s]vices & public b5efits2 7ii7 ! availability ( m5tal heal? c>e s]vices & sub/ance abuse treatm5t s]vices2 & 7iii7 alt]natives to solit>y conf9em5t & segregat$ h\s+ & m5tal heal? scre5+ & treatm5t = inmates plac$ 9 solit>y conf9em5t or segregat$ h\s+2 & 7,d7 to tra9 ea* employee ( ! correctional facility to id5tify & appropriately respond to incid5ts involv+ inmates ) m5tal heal? or co-occurr+ m5tal heal? & sub/ance abuse disord]s4 4 7f7 ,reau?orization ( appropriations ,section #biia7n7 ( title ,i ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh1 z r$esignat$ 9 subsection 7d71 is am5d$-- 7#a7 9 p>agraph 7#a7-- 7,a7 9 subp>agraph 7,b71 by /rik+ & at ! end2 7,b7 9 subp>agraph 7,c71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7,c7 by add+ at ! end ! foll[+3 7,d7 #dj1jjj1jjj = ea* ( fiscal ye>s #bjae ?r\gh #bjai4 2 & 7#b7 by add+ at ! end ! foll[+3 7#c7 ,limitation ,n m ?an #bj p]c5t ( ! funds au?oriz$ to be appropriat$ "u ?is section may be us$ = purposes describ$ 9 subsection 7i7 7relat+ to vet]ans74 4 #djc4 ,assi/$ outpati5t treatm5t ,section #bbja7b77;,b7 ( title ,i ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#db ,u4,s4,c4 #cgif;ii7#b77;,b77 is am5d$ by ins]t+ be=e ! semicolon ! foll[+3 1 or c\rt-ord]$ assi/$ outpati5t treatm5t 7z def9$ 9 section #ad7;a7 ( ! ,help+ ,families 9 ,m5tal ,heal? ,crisis ,act ( #bjac7 :5 ! c\rt has det]m9$ su* treatm5t to be necess>y4 #djd4 ,improvem5ts to ! ,dep>tm5t ( ,ju/ice data collection & report+ ( m5tal illness 9 crime ,not)/&+ any o!r provision ( law1 any data prep>$ by or submitt$ to ! ,attorney ,g5]al or ! ,director ( ! ,f$]al ,bureau ( ,inve/igation on or aft] ! date ( enactm5t ( ?is ,act t is #ij days aft] ! date ( enactm5t ( ?is ,act ) respect to ! incid5ces ( homicides1 law en=cem5t (fic]s kill$ & assault$1 or individuals kill$ by law en=cem5t (fic]s %all include data ) respect to ! involvem5t ( m5tal illness 9 su* incid5ces1 if any4 ,n lat] ?an #ij days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,attorney ,g5]al %all promulgate or revise regulations z necess>y to c>ry out ?is section4 #dje4 ,reports on ! numb] ( s]i\sly m5tally ill :o are imprison$ 7a7 ,report on ! ,co/ ( ,treat+ ! ,m5tally ,ill 9 ! ,crim9al ,ju/ice ,sy/em ,n lat] ?an #ab mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ,congress a report detail+ ! co/ ( imprisonm5t = p]sons :o h s]i\s m5tal illness by ! ,f$]al ,gov]nm5t or a ,/ate or local gov]nm5t4 ,! report %all calculate ! numb] & type ( crimes committ$ by p]sons ) s]i\s m5tal illness ea* ye>1 & detail /rategies or ideas = prev5t+ crimes by ^? individuals ) s]i\s m5tal illness f occurr+4 7b7 ,def9ition ,= purposes ( ?is section1 ! ,attorney ,g5]al1 9 consultation ) ! ,assi/ant ,secret>y ( ,m5tal ,heal? & ,sub/ance ,use ,disord]s %all det]m9e an appropriate def9ition ( s]i\s m5tal illness bas$ on ! ,heal? ,c>e ,re=m = ,am]icans ) ,sev]e ,m5tal ,illnesses3 ,report ( ! ,national ,advisory ,m5tal ,heal? ,c\ncil1 ,am]ican ,j\rnal ( ,psy*iatry #aiic2 #aej3addg-adfe4 ,v ,m$ic>e & ,m$icaid re=ms #eja4 ,enhanc$ ,m$icaid cov]age relat+ to c]ta9 m5tal heal? s]vices 7a7 ,m$icaid cov]age ( m5tal heal? s]vices & prim>y c>e s]vices furni%$ on ! same day 7#a7 ,9 g5]al ,section #aijb7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7a77 is am5d$ by ins]t+ aft] p>agraph 7#gg7 ! foll[+ new p>agraph3 7#gh7 n prohibit paym5t "u ! plan = a m5tal heal? s]vice or prim>y c>e s]vice furni%$ to an individual at a f$]ally qualifi$ community behavioral heal? c5t] 7z def9$ 9 section #aije7l77#d77 or a f$]ally qualifi$ heal? c5t] 7z def9$ 9 section #ahfa7;aa77#c77 = :i* paym5t w\ld o!rwise be payable "u ! plan1 ) respect to su* individual1 if su* s]vice 7 n a same-day qualify+ s]vice 7z def9$ 9 subsection 7ll772 4 7#b7 ,same-day qualify+ s]vices def9$ ,section #aijb ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7ll7 ,same-,day qualify+ s]vices def9$ ,= purposes ( subsection 7a77#gh71 ! t]m same-day qualify+ s]vice means-- 7#a7 a prim>y c>e s]vice furni%$ to an individual by a provid] at a facility on ! same day a m5tal heal? s]vice is furni%$ to su* individual by su* provid] 7or ano!r provid]7 at ! facility2 & 7#b7 a m5tal heal? s]vice furni%$ to an individual by a provid] at a facility on ! same day a prim>y c>e s]vice is furni%$ to su* individual by su* provid] 7or ano!r provid]7 at ! facility4 4 7b7 ,/ate option ,to provide m$ical assi/ance = c]ta9 inpati5t psy*iatric s]vices to noneld]ly adults ,section #aije ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7 is am5d$-- 7#a7 9 subsection 7a77#af7-- 7,a7 by ins]t+ 7,a7 be=e effective2 & 7,b7 by ins]t+ be=e ! semicolon at ! end ! foll[+3 7,b7 qualifi$ inpati5t psy*iatric hospital s]vices 7z def9$ 9 subsection 7h77#c77 = individuals ov] #ba ye>s ( age & "u #fe ye>s ( age1 & 7,c7 psy*iatric resid5tial treatm5t facility s]vices 7z def9$ 9 subsection 7h77#d77 = individuals ov] #ba ye>s ( age & "u #fe ye>s ( age2 7#b7 9 ! subdivision 7,b7 t foll[s p>agraph 7#bi71 by ins]t+ 7o!r ?an s]vices describ$ 9 subp>agraphs 7,b7 & 7,c7 ( p>agraph 7#af7 = individuals describ$ 9 su* subp>agraphs7 aft] m5tal diseases2 & 7#c7 9 subsection 7h71 by add+ at ! end ! foll[+ new p>agraphs3 7#c7 ,= purposes ( subsection 7a77#af77;,b71 ! t]m qualifi$ inpati5t psy*iatric hospital s]vices means1 ) respect to individuals describ$ 9 su* subsection1 s]vices describ$ 9 subp>agraphs 7,a7 & 7,b7 ( p>agraph 7#a7 t are furni%$ 9 an acute c>e psy*iatric unit 9 a ,/ate-op]at$ psy*iatric hospital or a psy*iatric hospital 7z def9$ section #ahfa7;f77 if su* unit or hospital1 z applicable1 has a facilitywide av]age 7det]m9$ on an annual basis7 l5g? ( /ay ( less ?an #cj days4 7#d7 ,= purposes ( subsection 7a77#af77;,c71 ! t]m psy*iatric resid5tial treatm5t facility s]vices means1 ) respect to individuals describ$ 9 su* subsection1 s]vices describ$ 9 subp>agraphs 7,a7 & 7,b7 ( p>agraph 7#a7 t are furni%$ 9 a psy*iatric resid5tial treatm5t facility 7z def9$ 9 section #dhd4cec ( title #db1 ,code ( ,f$]al ,regulations1 z 9 effect on ,decemb] #i1 #bjac74 4 7c7 ,effective date 7#a7 ,9 g5]al ,subject to p>agraph 7#b71 ! am5dm5ts made ?is section %all apply to items & s]vices furni%$ aft] ! fir/ day ( ! fir/ cal5d> ye> t beg9s aft] ! date ( ! enactm5t ( ?is section4 7#b7 ,exception = ,/ate legislation ,9 ! case ( a ,/ate plan "u title ,,xix ( ! ,social ,security ,act1 :i* ! ,secret>y ( ,heal? & ,human ,s]vices det]m9es requires ,/ate legislation 9 ord] = ! respective plan to meet any requirem5t impos$ by am5dm5ts made by ?is section1 ! respective plan %all n be reg>d$ z fail+ to comply ) ! requirem5ts ( su* title solely on ! basis ( its failure to meet su* an additional requirem5t be=e ! fir/ day ( ! fir/ cal5d> qu>t] beg9n+ aft] ! close ( ! fir/ regul> session ( ! ,/ate legislature t beg9s aft] ! date ( enactm5t ( ?is section4 ,= purposes ( ! previ\s s5t5ce1 9 ! case ( a ,/ate t has a #b-ye> legislative session1 ea* ye> ( ! session %all be consid]$ to be a sep>ate regul> session ( ! ,/ate legislature4 #ejb4 ,access to m5tal heal? prescription drugs "u ,m$ic>e & ,m$icaid 7a7 ,cov]age ( prescription drugs us$ ,to treat m5tal heal? disord]s "u ,m$ic>e ,section #ahfj;,d-#d7;b77#c77;,g77i77,,ii7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#ajd7;b77#c77;,g77i77,,ii77 is am5d$ by ins]t+ 1 = categories & classes ( drugs o!r ?an ! categories & classes ( drugs specifi$ 9 subclauses 7,,ii7 & 7,,iv7 ( clause 7iv71 be=e exceptions4 7b7 ,cov]age ( prescription drugs us$ ,to treat m5tal heal? disord]s "u ,m$icaid ,section #aibg7;d7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifr-#h7;d77 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#h7 ,access to m5tal heal? drugs ,) respect to cov]$ outpati5t drugs us$ = ! treatm5t ( a m5tal heal? disord]1 includ+ major depression1 bipol> 7manic-depressive7 disord]1 panic disord]1 obsessive-compulsive disord]1 s*izophr5ia1 & s*izoaffective disord]1 a ,/ate %all n exclude f cov]age or o!rwise re/rict access to su* drugs o!r ?an pursuant to a prior au?orization program t is consi/5t ) p>agraph 7#e74 4 ,,vi ,rese>* by ,national ,in/itute ( ,m5tal ,heal? #fja4 ,increase 9 fund+ = c]ta9 rese>* ,section #djb;,a7a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhb;a7a77 is am5d$-- 7#a7 by /rik+ ,= ! purpose ( & ins]t+ ! foll[+3 7#a7 ,9 g5]al ,= ! purpose ( 2 & 7#b7 by add+ at ! end ! foll[+3 7#b7 ,fund+ = ! bra9 initiative at ! ,national ,in/itute ( ,m5tal ,heal? 7,a7 ,fund+ ,9 addition to am\nts made available pursuant to p>agraph 7#a71 !re are au?oriz$ to be appropriat$ to ! ,national ,in/itute ( ,m5tal ,heal? = ! purpose describ$ 9 subp>agraph 7,b77ii7 #dj1jjj1jjj = ea* ( fiscal ye>s #bjae ?r\gh #bjai4 7,b7 ,purposes ,am\nts appropriat$ pursuant to subp>agraph 7,a7 %all be us$ exclusively = ! purpose ( conduct+ or support+-- 7i7 rese>* on ! det]m9ants ( self- & o!r direct$-viol5ce 9 m5tal illness1 includ+ /udies direct$ at r$uc+ ! risk ( self h>m1 suicide1 & int]p]sonal viol5ce2 or 7ii7 bra9 rese>* ?r\gh ! ,bra9 ,rese>* ?r\gh ,advanc+ ,innovative ,neurote*nologies ,initiative4 4 ,,vii ,community ,m5tal ,heal? ,s]vices ,block ,grant ,re=m #gja4 ,adm9i/ration ( block grants by ,assi/ant ,secret>y ,section #aiaa7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx7 is am5d$ by /rik+ act+ ?r\gh ! ,director ( ! ,c5t] = ,m5tal ,heal? ,s]vices & ins]t+ act+ ?r\gh ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s4 #gjb4 ,additional program requirem5ts 7a7 ,integrat$ s]vices ,subsection 7b77#a7 ( section #aiab ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#a7 is am5d$ by ins]t+ integration ( aft] ,! description ( ! sy/em ( c>e %all include4 7b7 ,data collection sy/em ,subsection 7b77#b7 ( section #aiab ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#a7 is am5d$-- 7#a7 by /rik+ ,! plan conta9s an e/imate ( & ins]t+ ! foll[+3 ,! plan conta9s-- 7,a7 an e/imate ( 2 7#b7 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+3 7,b7 an agreem5t by ! ,/ate to report to ! ,national ,m5tal ,heal? ,policy ,laboratory-- 7i7 su* data z may be requir$ by ! ,secret>y conc]n+-- 7,i7 compreh5sive community m5tal heal? s]vices 9 ! ,/ate2 & 7,,ii7 public heal? outcomes = p]sons ) s]i\s m5tal illness 9 ! ,/ate1 includ+ mortality1 em]g5cy room visits1 & m$ication adh]5ce4 4 #gjc4 ,p]iod = exp5diture ( grant funds ,section #aiac ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#b71 z am5d$1 is fur!r am5d$ by add+ at ! end ! foll[+3 7d7 ,p]iod = exp5diture ( grant funds ,9 implem5t+ a plan submitt$ "u section #aiab7;a71 a ,/ate receiv+ grant funds "u section #aiaa may make su* funds available to provid]s ( s]vices describ$ 9 subsection 7b7 = ! provision ( s]vices )\t fiscal ye> limitation4 4 #gjd4 ,treatm5t /&>d "u ,/ate law ,section #aiae ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#d7 is am5d$ by add+ at ! end ! foll[+3 7c7 ,treatm5t /&>d "u ,/ate law 7#a7 ,9 g5]al ,a fund+ agreem5t = a grant "u section #aiaa is t-- 7,a7 ! ,/ate involv$ has 9 effect a law "u :i*1 if a ,/ate c\rt f9ds by cle> & conv9c+ evid5ce t an individual1 z a result ( m5tal illness1 is a dang] to self1 is a dang] to o!rs1 is p]si/5tly or acutely disabl$1 or is gravely disabl$ & 9 ne$ ( treatm5t1 & is ei!r unwill+ or unable to accept volunt>y treatm5t1 ! c\rt mu/ ord] ! individual to und]go inpati5t or outpati5t treatm5t2 or 7,b7 ! ,/ate involv$ has 9 effect a law "u :i* a ,/ate c\rt mu/ ord] an individual ) a m5tal illness to und]go inpati5t or outpati5t treatm5t1 ! law 0 9 effect on ! date ( enactm5t ( ! ,help+ ,families 9 ,m5tal ,heal? ,crisis ,act ( #bjac1 & ! ,secret>y f9ds t ! law requires a ,/ate c\rt to ord] su* treatm5t across all or a suffici5t range ( ! type ( circum/ances describ$ 9 subp>agraph 7,a74 7#b7 ,def9ition ,= purposes ( p>agraph 7#a71 ! t]m p]si/5tly or acutely disabl$ ref]s to a s]i\s m5tal illness t meets all ! foll[+ crit]ia3 7,a7 ,if n treat$1 ! illness has a sub/antial probability ( caus+ ! individual to suff] or cont9ue to suff] sev]e & abnormal m5tal1 emotional1 or physical h>m t significantly impairs judgm5t1 reason1 behavior1 or capacity to recognize reality4 7,b7 ,! illness sub/antially impairs ! individual's capacity to make an in=m$ decision reg>d+ treatm5t1 & ?is impairm5t causes ! individual to be incapable ( und]/&+ & express+ an und]/&+ ( ! advantages & disadvantages ( accept+ treatm5t & und]/&+ & express+ an und]/&+ ( ! alt]natives to ! p>ticul> treatm5t (f]$ aft] ! advantages1 disadvantages1 & alt]natives are expla9$ to t individual4 7,c7 ,! illness has a reasonable prospect ( be+ treatable by outpati5t1 inpati5t1 or comb9$ inpati5t & outpati5t treatm5t4 4 #gje4 ,assi/$ outpati5t treatm5t "u ,/ate law ,section #aiae ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#d71 z am5d$1 is fur!r am5d$ by add+ at ! end ! foll[+3 7d7 ,assi/$ outpati5t treatm5t "u ,/ate law 7#a7 ,9 g5]al ,a fund+ agreem5t = a grant "u section #aiaa is t ! ,/ate involv$ has 9 effect a law "u :i* a ,/ate c\rt may ord] a treatm5t plan = an eligible pati5t t-- 7,a7 requires su* pati5t to obta9 outpati5t m5tal heal? treatm5t :ile ! pati5t is liv+ 9 a community2 & 7,b7 is design$ to improve access & adh]5ce by su* pati5t to int5sive behavioral heal? s]vices 9 ord] to-- 7i7 av]t relapse1 repeat$ hospitalizations1 arre/1 inc>c]ation1 suicide1 prop]ty de/ruction1 & viol5t behavior2 & 7ii7 provide su* pati5t ) ! opportunity to live 9 a less re/rictive alt]native to inc>c]ation or involunt>y hospitalization4 7#b7 ,c]tification ( /ate compliance ,a fund+ agreem5t describ$ 9 p>agraph 7#a7 is effective only if ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s reviews ! ,/ate law & c]tifies t x satisfies ! crit]ia specifi$ 9 su* p>agraph4 7#c7 ,def9ition ,9 ?is subsection1 ! t]m eligible pati5t means an adult1 m5tally ill p]son :o1 z det]m9$ by ! c\rt-- 7,a7 has a hi/ory ( viol5ce1 inc>c]ation1 or m$ically unnecess>y hospitalizations2 7,b7 )\t sup]vision & treatm5t1 may be a dang] to self or o!rs 9 ! community2 7,c7 is sub/antially unlikely to volunt>ily p>ticipate 9 treatm5t2 7,d7 may be unable1 = reasons o!r ?an indig5ce1 to provide = any ( 8 or h] basic ne$s1 su* z food1 clo?+1 %elt]1 heal? or safety2 7,e7 ) a hi/ory ( m5tal illness or condition t is likely to sub/antially det]iorate if ! pati5t is n provid$ ) timely treatm5t2 & 7,f7 due to m5tal illness1 lacks capacity to fully und]/& or lacks judgm5t to make in=m$ decisions reg>d+ 8 or h] ne$ = treatm5t1 c>e1 or sup]vision4 4 #gjf4 ,be/ available sci5ce & models ( c>e ,section #aibj ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#i7 is am5d$ by add+ at ! end ! foll[+3 7c7 ,be/ practices 9 cl9ical c>e models ,= ! purpose ( translat+ evid5ce-bas$ m$ic9e & be/ available sci5ce into sy/ems ( c>e1 ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s %all obligate #e p]c5t ( ! am\nts appropriat$ "u subsection 7a7 = a fiscal ye> ?r\gh ! ,national ,m5tal ,heal? ,laboratory creat$ "u ?is ,act4 ,^! models may include ! ,recov]y ,aft] an ,initial ,s*izophr5ia ,episode rese>* project ( ! ,national ,in/itute ( ,m5tal ,heal? & ! ,nor? ,am]ican ,prodrome ,longitud9al ,/udy4 4 #gjg4 ,pap]work r$uction /udy 7a7 ,9 g5]al ,! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s %all ent] into an arrangem5t ) ! ,in/itute ( ,m$ic9e ( ! ,national ,academies 7or1 if ! ,in/itute decl9es1 ano!r appropriate entity7 "u :i*1 n lat] ?an #ab mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,in/itute w submit to ! appropriate committees ( ,congress a report t evaluates ! comb9$ pap]work burd5 (-- 7#a7 community m5tal heal? c5t]s meet+ ! crit]ia specifi$ 9 section #aiac7;c7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#b71 includ+ su* c5t]s meet+ su* crit]ia z 9 effect on ! day be=e ! date ( enactm5t ( ?is ,act2 & 7#b7 f$]ally qualifi$ community m5tal heal? cl9ics c]tifi$ pursuant to section #bja ( ?is ,act4 7b7 ,scope ,9 prep>+ ! report "u section 7a71 ! ,in/itute ( ,m$ic9e 7or1 if applicable1 o!r appropriate entity7 %all exam9e lic5s+1 c]tification1 s]vice def9itions1 claims paym5t1 bill+ codes1 & f9ancial audit+ requirem5ts us$ by ! ,(fice ( ,managem5t & ,budget1 ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 ! ,(fice ( ! ,inspector ,g5]al ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 ,/ate ,m$icaid ag5cies1 ,/ate dep>tm5ts ( heal?1 ,/ate dep>tm5ts ( education1 & ,/ate & local juv5ile ju/ice & social s]vice ag5cies to-- 7#a7 e/abli% an e/imate ( ! comb9$ nationwide co/ ( comply+ ) su* requirem5ts1 9 t]ms ( bo? adm9i/rative fund+ & /aff "t2 7#b7 e/abli% an e/imate ( ! p] capita co/ to ea* c5t] describ$ 9 p>agraph 7#a7 or 7#b7 ( subsection 7a7 to comply ) su* requirem5ts1 9 t]ms ( bo? adm9i/rative fund+ & /aff "t2 & 7#c7 make adm9i/rative & /atutory recomm5dations to ,congress 7:i* recomm5dations may include a uni=m me?odology7 to r$uce ! pap]work burd5 exp]i5c$ by c5t]s describ$ 9 p>agraph 7#a7 or 7#b7 ( subsection 7a74 ,,viii ,behavioral heal? aw>5ess program #hja4 ,r$uc+ ! /igma ( s]i\s m5tal illness 7a7 ,9 g5]al ,! ,secret>y ( ,education1 along ) ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s1 %all organize a national aw>5ess campaign involv+ public heal? organizations1 advocacy gr\ps = p]sons ) s]i\s m5tal illness1 & social m$ia companies to assi/ second>y s*ool /ud5ts & po/second>y /ud5ts 9-- 7#a7 r$uc+ ! /igma associat$ ) s]i\s m5tal illness2 7#b7 und]/&+ h[ to assi/ an individual :o is demon/rat+ signs ( a s]i\s m5tal illness2 & 7#c7 und]/&+ ! importance ( seek+ treatm5t f a physician1 cl9ical psy*ologi/1 or lic5s$ m5tal heal? pr(essional :5 a /ud5t believes ! /ud5t may be suff]+ f a s]i\s m5tal illness or behavioral heal? disord]4 7b7 ,data collection ,! ,secret>y ( ,education %all-- 7#a7 evaluate ! program "u subsection 7a7 on public heal? to det]m9e :e!r ! program has made an impact on public heal?1 includ+ mortality rates ( p]sons ) s]i\s m5tal illness1 preval5ce ( s]i\s m5tal illness1 physician & cl9ical psy*ological visits1 em]g5cy room visits2 & 7#b7 submit a report on ! evaluation to ! ,national ,m5tal ,heal? ,policy ,laboratory creat$ by title ,i ( ?is ,act4 7c7 ,second>y s*ool def9$ ,= purposes ( ?is section1 ! t]m second>y s*ool has ! mean+ giv5 ! t]m 9 section #iaja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #ghja74 ,,ix ,behavioral heal? in=mation te*nology #ija4 ,ext5sion ( heal? in=mation te*nology assi/ance = behavioral & m5tal heal? & sub/ance abuse ,section #cjjj7c7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;jj7#c77 is am5d$ by ins]t+ be=e & any o!r category ! foll[+3 behavioral & m5tal heal? pr(essionals 7z def9$ 9 section #cca7;a77#c77;,e77i771 a sub/ance abuse pr(essional1 a psy*iatric hospital 7z def9$ 9 section #ahfa7;f7 ( ! ,social ,security ,act71 a community m5tal heal? c5t] meet+ ! crit]ia specifi$ 9 section #aiac7;c71 a f$]ally qualifi$ community behavioral heal? cl9ic c]tifi$ "u section #bja ( ! ,help+ ,families 9 ,m5tal ,heal? ,crisis ,act ( #bjac1 a resid5tial or outpati5t m5tal heal? or sub/ance abuse treatm5t facility14 #ijb4 ,ext5sion ( eligibility = ,m$ic>e & ,m$icaid heal? in=mation te*nology implem5tation assi/ance 7a7 ,paym5t inc5tives = eligible pr(essionals "u m$ic>e ,section #ahdh ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#d7 is am5d$-- 7#a7 9 subsection 7a77#g7-- 7,a7 9 subp>agraph 7,e71 by add+ at ! end ! foll[+ new clause3 7iv7 ,additional eligible pr(essional ,! t]m additional eligible pr(essional means a cl9ical psy*ologi/ provid+ qualifi$ psy*ologi/ s]vices 7z def9$ 9 section #ahfa7;ii774 2 & 7,b7 by add+ at ! end ! foll[+ new subp>agraph3 7,f7 ,application to additional eligible pr(essionals ,! ,secret>y %all apply ! provisions ( ?is p>agraph ) respect to an additional eligible pr(essional 9 ! same mann] z su* provisions apply to an eligible pr(essional1 except 9 apply+ subp>agraph 7,a7-- 7i7 9 clause 7i71 ! ref]5ce to #bjae %all be deem$ a ref]5ce to #bjai2 7ii7 9 clause 7ii71 ! ref]5ces to #bjae1 #bjaf1 & #bjag %all be deem$ ref]5ces to #bjai1 #bjbj1 & #bjba1 respectively2 & 7iii7 9 clause 7iii71 ! ref]5ce to #bjah %all be deem$ a ref]5ce to #bjbb4 2 & 7#b7 9 subsection 7o7-- 7,a7 9 p>agraph 7#e71 by add+ at ! end ! foll[+ new subp>agraph3 7,d7 ,additional eligible pr(essional ,! t]m additional eligible pr(essional means a cl9ical psy*ologi/ provid+ qualifi$ psy*ologi/ s]vices 7z def9$ 9 section #ahfa7;ii774 2 & 7,b7 by add+ at ! end ! foll[+ new p>agraph3 7#f7 ,application to additional eligible pr(essionals ,! ,secret>y %all apply ! provisions ( ?is subsection ) respect to an additional eligible pr(essional 9 ! same mann] z su* provisions apply to an eligible pr(essional1 except 9 apply+-- 7,a7 p>agraph 7#a77;,a77ii71 ! ref]5ce to #bjaf %all be deem$ a ref]5ce to #bjbj2 7,b7 p>agraph 7#a77;,b77ii71 ! ref]5ces to #bjaa & #bjab %all be deem$ ref]5ces to #bjae & #bjaf1 respectively2 7,c7 p>agraph 7#a77;,b77iii71 ! ref]5ces to #bjac %all be deem$ ref]5ces to #bjag2 7,d7 p>agraph 7#a77;,b77v71 ! ref]5ces to #bjad %all be deem$ ref]5ces to #bjah2 & 7,e7 p>agraph 7#a77;,e71 ! ref]5ce to #bjaa %all be deem$ a ref]5ce to #bjae4 4 7b7 ,eligible hospitals ,section #ahhf ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acieww7 is am5d$-- 7#a7 9 subsection 7b77#c77;,b77ix71 by add+ at ! end ! foll[+ new subclause3 7,v7 ,! ,secret>y %all apply ! provisions ( ?is subsection ) respect to an additional eligible hospital 7z def9$ 9 subsection 7n77#f77;,c77 9 ! same mann] z su* provisions apply to an eligible hospital1 except 9 apply+-- 7aa7 subclause 7,i71 ! ref]5ces to #bjae1 #bjaf1 & #bjag %all be deem$ ref]5ces to #bjai1 #bjbj1 & #bjba1 respectively2 & 7bb7 subclause 7,,iii71 ! ref]5ce to #bjae %all be deem$ a ref]5ce to #bjai4 2 & 7#b7 9 subsection 7n7-- 7,a7 9 p>agraph 7#f71 by add+ at ! end ! foll[+ new subp>agraph3 7,c7 ,additional eligible hospital ,! t]m additional eligible hospital means an inpati5t hospital t is a psy*iatric hospital 7z def9$ 9 section #ahfa7;f774 2 & 7,b7 by add+ at ! end ! foll[+ new p>agraph3 7#g7 ,application to additional eligible hospitals ,! ,secret>y %all apply ! provisions ( ?is subsection ) respect to an additional eligible hospital 9 ! same mann] z su* provisions apply to an eligible hospital1 except 9 apply+-- 7,a7 p>agraph 7#b77;,e77ii71 ! ref]5ces to #bjac & #bjae %all be deem$ ref]5ces to #bjag & #bjai1 respectively2 & 7,b7 p>agraph 7#b77;,g77i71 ! ref]5ce to #bjaa %all be deem$ a ref]5ce to #bjae4 4 7c7 ,m$icaid provid]s ,section #aijc7t7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;b7t77 is am5d$-- 7#a7 9 p>agraph 7#b77;,b7-- 7,a7 9 clause 7i71 by /rik+ 1 or & ins]t+ a semicolon2 7,b7 9 clause 7ii71 by /rik+ ! p]iod & ins]t+ a semicolon2 & 7,c7 by add+ aft] clause 7ii7 ! foll[+ new clauses3 7iii7 a public hospital t is pr9cipally a psy*iatric hospital 7z def9$ 9 section #ahfa7;f772 7iv7 a private hospital t is pr9cipally a psy*iatric hospital 7z def9$ 9 section #ahfa7;f77 & t has at lea/ #aj p]c5t ( its pati5t volume 7z e/imat$ 9 accordance ) a me?odology e/abli%$ by ! ,secret>y7 attributable to individuals receiv+ m$ical assi/ance "u ?is title2 7v7 a community m5tal heal? c5t] meet+ ! crit]ia specifi$ 9 section #aiac7;c7 ( ! ,public ,heal? ,s]vice ,act2 or 7vi7 a resid5tial or outpati5t m5tal heal? or sub/ance abuse treatm5t facility t-- 7,i7 is accr$it$ by ! ,jo9t ,commission on ,accr$itation ( ,heal?c>e ,organizations1 ! ,commission on ,accr$itation ( ,rehabilitation ,facilities1 ! ,c\ncil on ,accr$itation1 or any o!r national accr$it+ ag5cy recogniz$ by ! ,secret>y2 & 7,,ii7 has at lea/ #aj p]c5t ( its pati5t volume 7z e/imat$ 9 accordance ) a me?odology e/abli%$ by ! ,secret>y7 attributable to individuals receiv+ m$ical assi/ance "u ?is title4 2 & 7#b7 9 p>agraph 7#c77;,b7-- 7,a7 9 clause 7iv71 by /rik+ & aft] ! semicolon2 7,b7 9 clause 7v71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7,c7 by add+ at ! end ! foll[+ new clause3 7vi7 cl9ical psy*ologi/ provid+ qualifi$ psy*ologi/ s]vices 7z def9$ 9 section #ahfa7;ii771 if su* cl9ical psy*ologi/ is practic+ 9 an outpati5t cl9ic t-- 7,i7 is l$ by a cl9ical psy*ologi/2 & 7,,ii7 is n o!rwise receiv+ paym5t "u p>agraph 7#a7 z a ,m$icaid provid] describ$ 9 p>agraph 7#b77;,b74 4 7d7 ,m$ic>e ,advantage organizations ,section #ahec ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#bc7 is am5d$-- 7#a7 9 subsection 7l7-- 7,a7 9 p>agraph 7#a7-- 7i7 by ins]t+ or additional eligible pr(essionals 7z describ$ 9 p>agraph 7#i77 aft] p>agraph 7#b72 & 7ii7 by ins]t+ & additional eligible pr(essionals be=e "u su* sections2 7,b7 9 p>agraph 7#c77;,b7-- 7i7 9 clause 7i7 9 ! matt] prec$+ subclause 7,i71 by ins]t+ or an additional eligible pr(essional describ$ 9 p>agraph 7#i7 aft] p>agraph 7#b72 & 7ii7 9 clause 7ii7-- 7,i7 9 ! matt] prec$+ subclause 7,i71 by ins]t+ or an additional eligible pr(essional describ$ 9 p>agraph 7#i7 aft] p>agraph 7#b72 & 7,,ii7 9 subclause 7,i71 by ins]t+ or an additional eligible pr(essional1 respectively1 aft] eligible pr(essional2 7,c7 9 p>agraph 7#c77;,c71 by ins]t+ & additional eligible pr(essionals aft] all eligible pr(essionals2 7,d7 9 p>agraph 7#d77;,d71 by add+ at ! end ! foll[+ new s5t5ce3 ,9 ! case t a qualify+ ,,ma organization atte/s t n all additional eligible pr(essionals ( ! organization are mean+ful ,,ehr us]s ) respect to an applicable ye>1 ! ,secret>y %all apply ! paym5t adju/m5t "u ?is p>agraph bas$ on ! proportion ( all su* additional eligible pr(essionals ( ! organization t are n mean+ful ,,ehr us]s = su* ye>42 7,e7 9 p>agraph 7#f77;,a71 by ins]t+ &1 z applicable1 ea* additional eligible pr(essional describ$ 9 p>agraph 7#i7 aft] p>agraph 7#b72 7,f7 9 p>agraph 7#f77;,b71 by ins]t+ &1 z applicable1 ea* additional eligible hospital describ$ 9 p>agraph 7#i7 aft] subsection 7m77#a72 7,g7 9 p>agraph 7#g77;,a71 by ins]t+ &1 z applicable1 additional eligible pr(essionals aft] eligible pr(essionals2 7,h7 9 p>agraph 7#g77;,b71 by ins]t+ &1 z applicable1 additional eligible pr(essionals aft] eligible pr(essionals2 7,i7 9 p>agraph 7#h77;,b71 by ins]t+ & additional eligible pr(essionals describ$ 9 p>agraph 7#i7 aft] p>agraph 7#b72 & 7,j7 by add+ at ! end ! foll[+ new p>agraph3 7#i7 ,additional eligible pr(essional describ$ ,) respect to a qualify+ ,,ma organization1 an additional eligible pr(essional describ$ 9 ?is p>agraph is an additional eligible pr(essional 7z def9$ = purposes ( section #ahdh7o77 :o-- 7,a7 7i7 is employ$ by ! organization2 or 7ii7 7,i7 is employ$ by1 or is a p>tn] (1 an entity t ?r\gh contract ) ! organization furni%es at lea/ #hj p]c5t ( ! entity's ,m$ic>e pati5t c>e s]vices to enrollees ( su* organization2 & 7,,ii7 furni%es at lea/ #hj p]c5t ( ! pr(essional s]vices ( ! additional eligible pr(essional cov]$ "u ?is title to enrollees ( ! organization2 & 7,b7 furni%es1 on av]age1 at lea/ #bj h\rs p] week ( pati5t c>e s]vices4 2 & 7#b7 9 subsection 7m7-- 7,a7 9 p>agraph 7#a7-- 7i7 by ins]t+ or additional eligible hospitals 7z describ$ 9 p>agraph 7#g77 aft] p>agraph 7#b72 & 7ii7 by ins]t+ & additional eligible hospitals be=e "u su* sections2 7,b7 9 p>agraph 7#c77;,a77i71 by ins]t+ or additional eligible hospital aft] eligible hospital2 7,c7 9 p>agraph 7#c77;,a77ii71 by ins]t+ or an additional eligible hospital aft] eligible hospital 9 ea* place x occurs2 7,d7 9 p>agraph 7#c77;,b7-- 7i7 9 clause 7i71 by ins]t+ or an additional eligible hospital describ$ 9 p>agraph 7#g7 aft] p>agraph 7#b72 & 7ii7 9 clause 7ii7-- 7,i7 9 ! matt] prec$+ subclause 7,i71 by ins]t+ or an additional eligible hospital describ$ 9 p>agraph 7#g7 aft] p>agraph 7#b72 & 7,,ii7 9 subclause 7,i71 by ins]t+ or an additional eligible hospital1 respectively1 aft] eligible hospital2 7,e7 9 p>agraph 7#d77;,a71 by ins]t+ or "o or m additional eligible hospitals 7z def9$ 9 section #ahhf7n771 z appropriate1 aft] section #ahhf7n77#f77;,a772 7,f7 9 p>agraph 7#d77;,d71 by add+ at ! end ! foll[+ new s5t5ce3 ,9 ! case t a qualify+ ,,ma organization atte/s t n all additional eligible hospitals ( ! organization are mean+ful ,,ehr us]s ) respect to an applicable p]iod1 ! ,secret>y %all apply ! paym5t adju/m5t "u ?is p>agraph bas$ on ! me?odology specifi$ by ! ,secret>y1 tak+ into acc\nt ! proportion ( su* additional eligible hospitals1 or dis*>ges f su* hospitals1 t are n mean+ful ,,ehr us]s = su* p]iod42 7,g7 9 p>agraph 7#e77;,a71 by ins]t+ &1 z applicable1 ea* additional eligible hospital describ$ 9 p>agraph 7#g7 aft] p>agraph 7#b72 7,h7 9 p>agraph 7#e77;,b71 by ins]t+ & additional eligible hospitals1 z applicable1 aft] eligible hospitals2 7,i7 9 p>agraph 7#f77;,b71 by ins]t+ & additional eligible hospitals describ$ 9 p>agraph 7#g7 aft] p>agraph 7#b72 & 7,j7 by add+ at ! end ! foll[+ new p>agraph3 7#g7 ,additional eligible hospital describ$ ,) respect to a qualify+ ,,ma organization1 an additional eligible hospital describ$ 9 ?is p>agraph is an additional eligible hospital 7z def9$ 9 section #ahhf7n77#f77;,c77 t is "u common corporate gov]nance ) su* organization & s]ves individuals enroll$ "u an ,,ma plan (f]$ by su* organization4 4 ,x ,exp&+ access to c>e ?r\gh heal? c>e pr(essional volunte]ism #ajja4 ,liability protections = heal? c>e pr(essional volunte]s at community heal? c5t]s & f$]ally qualifi$ community behavioral heal? cl9ics ,section #bbd ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bcc7 is am5d$ by add+ at ! end ! foll[+3 7q7 7#a7 ,9 ?is subsection1 ! t]m f$]ally qualifi$ community behavioral heal? cl9ic means-- 7,a7 a f$]ally qualifi$ community behavioral heal? cl9ic ) a c]tification 9 effect "u section #bja ( ! ,help+ ,families 9 ,m5tal ,heal? ,crisis ,act ( #bjac2 or 7,b7 a community m5tal heal? c5t] meet+ ! crit]ia specifi$ 9 section #aiac7;c7 ( ?is ,act4 7#b7 ,= purposes ( ?is section1 a heal? c>e pr(essional volunte] at an entity describ$ 9 subsection 7g77#d7 or a f$]ally qualifi$ community behavioral heal? cl9ic %all1 9 provid+ heal? c>e s]vices eligible = fund+ "u section #ccj or subp>t ,i ( "p ,b ( title ,,xix to an individual1 be deem$ to be an employee ( ! ,public ,heal? ,s]vice = a cal5d> ye> t beg9s dur+ a fiscal ye> = :i* a transf] 0 made "u p>agraph 7#e77;,c74 ,! prec$+ s5t5ce is subject to ! provisions ( ?is subsection4 7#c7 ,9 provid+ a heal? c>e s]vice to an individual1 a heal? c>e pr(essional %all = purposes ( ?is subsection be consid]$ to be a heal? pr(essional volunte] at an entity describ$ 9 subsection 7g77#d7 or at a f$]ally qualifi$ community behavioral heal? cl9ic if ! foll[+ conditions are met3 7,a7 ,! s]vice is provid$ to ! individual at ! facilities ( an entity describ$ 9 subsection 7g77#d71 at a f$]ally qualifi$ community behavioral heal? cl9ic1 or ?r\gh (fsite programs or ev5ts c>ri$ out by ! c5t]4 7,b7 ,! c5t] or entity is sponsor+ ! heal? c>e pr(essional volunte] pursuant to p>agraph 7#d77;,b74 7,c7 ,! heal? c>e pr(essional does n receive any comp5sation = ! s]vice f ! individual or f any ?ird-p>ty pay] 7includ+ reimbursem5t "u any insurance policy or heal? plan1 or "u any ,f$]al or ,/ate heal? b5efits program71 except t ! heal? c>e pr(essional may receive repaym5t f ! entity describ$ 9 subsection 7g77#d7 or ! c5t] = reasonable exp5ses incurr$ by ! heal? c>e pr(essional 9 ! provision ( ! s]vice to ! individual4 7,d7 ,be=e ! s]vice is provid$1 ! heal? c>e pr(essional or ! c5t] or entity describ$ 9 subsection 7g77#d7 po/s a cle> & conspicu\s notice at ! site :]e ! s]vice is provid$ ( ! ext5t to :i* ! legal liability ( ! heal? c>e pr(essional is limit$ pursuant to ?is subsection4 7,e7 ,at ! "t ! s]vice is provid$1 ! heal? c>e pr(essional is lic5s$ or c]tifi$ 9 accordance ) applicable law reg>d+ ! provision ( ! s]vice4 7#d7 ,subsection 7g7 7o!r ?an p>agraphs 7#c7 & 7#e77 & subsections 7h71 7i71 & 7l7 apply to a heal? c>e pr(essional = purposes ( ?is subsection to ! same ext5t & 9 ! same mann] z su* subsections apply to an (fic]1 gov]n+ bo>d memb]1 employee1 or contractor ( an entity describ$ 9 subsection 7g77#d71 subject to p>agraph 7#e7 & subject to ! foll[+3 7,a7 ,! fir/ s5t5ce ( p>agraph 7#b7 applies 9 lieu ( ! fir/ s5t5ce ( subsection 7g77#a77;,a74 7,b7 ,) respect to an entity describ$ 9 subsection 7g77#d7 or a f$]ally qualifi$ community behavioral heal? cl9ic1 a heal? c>e pr(essional is n a heal? pr(essional volunte] at su* c5t] unless ! c5t] sponsors ! heal? c>e pr(essional4 ,= purposes ( ?is subsection1 ! c5t] %all be consid]$ to be sponsor+ ! heal? c>e pr(essional if-- 7i7 ) respect to ! heal? c>e pr(essional1 ! c5t] submits to ! ,secret>y an application meet+ ! requirem5ts ( subsection 7g77#a77;,d72 & 7ii7 ! ,secret>y1 pursuant to subsection 7g77#a77;,e71 det]m9es t ! heal? c>e pr(essional is deem$ to be an employee ( ! ,public ,heal? ,s]vice4 7,c7 ,9 ! case ( a heal? c>e pr(essional :o is det]m9$ by ! ,secret>y pursuant to subsection 7g77#a77;,e7 to be a heal? pr(essional volunte] at su* c5t]1 ?is subsection applies to ! heal? c>e pr(essional 7) respect to s]vices describ$ 9 p>agraph 7#b77 = any cause ( action aris+ f an act or omission ( ! heal? c>e pr(essional occurr+ on or aft] ! date on :i* ! ,secret>y makes su* det]m9ation4 7,d7 ,subsection 7g77#a77;,f7 applies to a heal? pr(essional volunte] = purposes ( ?is subsection only to ! ext5t t1 9 provid+ heal? s]vices to an individual1 ea* ( ! conditions specifi$ 9 p>agraph 7#c7 is met4 7#e7 7,a7 ,am\nts 9 ! fund e/abli%$ "u subsection 7k77#b7 %all be available = transf] "u subp>agraph 7,c7 = purposes ( c>ry+ out ?is subsection = heal? pr(essional volunte]s at entities describ$ 9 subsection 7g77#d74 7,b7 ,n lat] ?an ,may #a ( ea* fiscal ye>1 ! ,attorney ,g5]al1 9 consultation ) ! ,secret>y1 %all submit to ! ,congress a report provid+ an e/imate ( ! am\nt ( claims 7toge!r ) relat$ fees & exp5ses ( witnesses7 t1 by reason ( ! acts or omissions ( heal? c>e pr(essional volunte]s1 w be paid pursuant to ?is subsection dur+ ! cal5d> ye> t beg9s 9 ! foll[+ fiscal ye>4 ,subsection 7k77#a77;,b7 applies to ! e/imate "u ! prec$+ s5t5ce reg>d+ heal? c>e pr(essional volunte]s to ! same ext5t & 9 ! same mann] z su* subsection applies to ! e/imate "u su* subsection reg>d+ (fic]s1 gov]n+ bo>d memb]s1 employees1 & contractors ( entities describ$ 9 subsection 7g77#d74 7,c7 ,n lat] ?an ,decemb] #ca ( ea* fiscal ye>1 ! ,secret>y %all transf] f ! fund "u subsection 7k77#b7 to ! appropriate acc\nts 9 ! ,treasury an am\nt equal to ! e/imate made "u subp>agraph 7,b7 = ! cal5d> ye> beg9n+ 9 su* fiscal ye>1 subject to ! ext5t ( am\nts 9 ! fund4 7#f7 7,a7 ,?is subsection takes effect on ,octob] #a1 #bjae1 except z provid$ 9 subp>agraph 7,b74 7,b7 ,effective on ! date ( ! enactm5t ( ?is subsection-- 7i7 ! ,secret>y may issue regulations = c>ry+ out ?is subsection1 & ! ,secret>y may accept & consid] applications submitt$ pursuant to p>agraph 7#d77;,b72 & 7ii7 reports "u p>agraph 7#e77;,b7 may be submitt$ to ! ,congress4 4 ,,xi ,,samhsa ,reau?orization & ,re=ms ,a ,organization & g5]al au?orities #aaja4 ,9 g5]al ,section #eja ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa7 is am5d$-- 7#a7 9 subsection 7c77#b71 by /rik+ ,secret>y & ins]t+ ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s2 7#b7 9 subsection 7d7-- 7,a7 9 p>agraph 7#b7-- 7i7 by /rik+ & m5tal illness2 & 7ii7 by /rik+ promote m5tal heal?2 7,b7 9 p>agraph 7#d71 by ins]t+ relat$ to sub/ance abuse aft] relat$ s]vices2 7,c7 9 p>agraph 7#f71 by /rik+ & individuals ) m5tal illness & to develop appropriate m5tal heal? s]vices = individuals ) su* illnesses2 & 7,d7 9 p>agraph 7#ah71 by /rik+ m5tal illness or2 7#c7 9 subsection 7h71 by ins]t+ at ! end ! foll[+3 ,= any su* pe] review gr\p review+ a proposal or grant relat$ to m5tal illness1 no few] ?an half ( ! memb]s ( ! gr\p %all h a m$ical degree1 or an equival5t doctoral degree 9 psy*ology & cl9ical exp]i5ce42 7#d7 9 subsection 7l7-- 7,a7 9 p>agraph 7#b71 by /rik+ & at ! end2 7,b7 9 p>agraph 7#c71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7,c7 by add+ at ! end ! foll[+3 7#d7 ,at lea/ #cj days be=e aw>d+ a grant1 coop]ative agreem5t1 or contract1 ! ,adm9i/rator %all give writt5 notice ( ! aw>d to ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate4 2 & 7#e7 9 subsection 7m7-- 7,a7 9 p>agraph 7#a71 by /rik+ #b4e p]c5t & ins]t+ #a4e p]c5t2 & 7,b7 9 p>agraph 7#c71 by /rik+ ,secret>y & ins]t+ ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s4 #aajb4 ,advisory c\ncils ,p>agraph 7#c7 ( section #ejb7;b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa-#a7;b77 is am5d$ by add+ at ! end ! foll[+3 7,c7 ,no few] ?an half ( ! memb]s ( an advisory c\ncil %all-- 7i7 h a m$ical degree2 7ii7 h an equival5t doctoral degree 9 psy*ology2 or 7iii7 s]ve z a lic5s$ m5tal heal? pr(essional4 4 #aajc4 ,pe] review ,section #ejd ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa-#c7 is am5d$-- 7#a7 by add+ at ! end ( subsection 7b7 ! foll[+3 ,at lea/ half ( ! memb]s ( any pe] review gr\p e/abli%$ "u subsection 7a7 %all h a degree 9 m$ic9e1 or an equival5t doctoral degree 9 psy*ology1 or be a lic5s$ m5tal heal? pr(essional4 ,be=e aw>d+ a grant1 coop]ative agreem5t1 or contract1 ! ,secret>y %all provide a li/ ( ! memb]s ( ! pe] review gr\p responsible = review+ ! aw>d to ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate42 & 7#b7 by add+ at ! end ! foll[+3 7e7 ,sci5tific controls & /&>ds ,pe] review "u ?is section %all ensure t any rese>* conc]n+ an int]v5tion is bas$ on sci5tific controls & /&>ds indicat+ :e!r ! int]v5tion r$uces symptoms1 improves m$ical or behavioral outcomes1 & improves social function+4 4 #aajd4 ,data collection 7a7 ,transf] ( behavioral heal? /ati/ics & quality ,! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s %all transf] all functions & responsibilities ( ! ,c5t] = ,behavioral ,heal? ,/ati/ics & ,quality to ! ,national ,m5tal ,heal? ,policy ,laboratory1 e/abli%$ "u section #eja;,a4 7b7 ,transf]r+ data collection & surveys to ! national m5tal heal? policy laboratory ,section #eje ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa-#d7 is am5d$-- 7#a7 9 subsection 7a71 by /rik+ act+ ?r\gh ! ,adm9i/rator & ins]t+ act+ ?r\gh ! ,national ,m5tal ,heal? ,policy ,laboratory "u ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s 79 ?is section ref]r$ to z ! ,assi/ant ,secret>y7 ) respect to m5tal illness & sub/ance abuse2 7#b7 9 subsections 7a77#b7 & 7d71 by /rik+ ,adm9i/rator ea* place x appe>s & ins]t+ ,assi/ant ,secret>y2 & 7#c7 9 subsection 7b7-- 7,a7 by /rik+ ,adm9i/rator ea* place x appe>s & ins]t+ ,assi/ant ,secret>y2 7,b7 by /rik+ & at ! end ( p>agraph 7#c72 7,c7 by /rik+ p>agraph 7#d72 & 7,d7 by add+ at ! end ! foll[+3 7#d7 ! numb] ( individuals ) s]i\s m5tal illnesses1 includ+ ^? ) s*izophr5ia1 bipol> disord]1 or major depressive disord]2 7#e7 ! numb] ( individuals admitt$ to hospital em]g5cy rooms z a result ( s]i\s m5tal illness2 7#f7 ! numb] ( individuals :o receive inpati5t c>e & are subsequ5tly readmitt$ to ! hospital z a result ( _! condition )9 two ye>s2 & 7#g7 o!r public heal? outcomes includ+ mortality rates = individuals ) s]i\s m5tal illness4 4 ,b ,c5t] = ,m5tal ,heal? ,s]vices #aaaa4 ,c5t] = ,m5tal ,heal? ,s]vices ,section #ebj ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#ca7 is am5d$ to read z foll[s3 #ebj4 ,c5t] = ,m5tal ,heal? ,s]vices 7a7 ,e/abli%m5t ,!re is e/abli%$ 9 ! ,adm9i/ration a ,c5t] = ,m5tal ,heal? ,s]vices 7h]eaft] 9 ?is section ref]r$ to z ! ,c5t]74 ,! ,c5t] %all be head$ by a ,director 7h]eaft] 9 ?is section ref]r$ to z ! ,director7 appo9t$ by ! ,secret>y f among individuals ) ext5sive exp]i5ce or academic qualifications 9 ! provision ( m5tal heal? s]vices or 9 ! evaluation ( m5tal heal? s]vice sy/ems4 7b7 ,duties ,! ,director ( ! ,c5t] %all-- 7#a7 assi/ ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s 9 design+ national goals & e/abli%+ national priorities =-- 7,a7 ! prev5tion ( m5tal illness2 7,b7 ! treatm5t ( m5tal illness2 & 7,c7 ! promotion ( m5tal heal?2 7#b7 enc\rage local entities & ,/ate ag5cies to a*ieve ! goals & priorities describ$ 9 p>agraph 7#a72 7#c7 collaborate ) ! ,dep>tm5t ( ,education & ! ,dep>tm5t ( ,ju/ice to assi/ local communities 9 address+ viol5ce among *ildr5 & adolesc5ts relat$ to m5tal illness2 7#d7 assi/ ! ,national ,in/itute ( ,m5tal ,heal? 9 deploy+ improv$ me?ods ( treat+ individuals ) m5tal heal? problems & improv$ me?ods ( assi/+ ! families ( su* individuals2 7#e7 c>ry out ! provisions ( ! ,protection & ,advocacy ( ,m5tally ,ill ,individuals ,act 9 ord] to fo/] indep5d5ce & protect ! legal rights ( p]sons ) m5tal illness2 7#f7 c>ry out ! programs "u "p ,c2 7#g7 c>ry out responsibilities = ! ,human ,res\rce ,developm5t programs2 7#h7 conduct s]vices-relat$ assessm5ts1 includ+ evaluations ( ! organization & f9anc+ ( c>e1 self-help1 m5tal heal? economics1 m5tal heal? s]vice sy/ems1 & rural m5tal heal?1 & improve ! capacity ( ,/ates to conduct evaluations ( publicly fund$ m5tal heal? programs2 7#i7 e/abli% a cle>+h\se ( evid5ce-bas$ practices1 :i* has fir/ be5 review$ & approv$ by a panel ( psy*iatri/s & cl9ical psy*ologi/s1 = m5tal heal? in=mation to assure ! widespread dissem9ation ( su* in=mation to ,/ates1 political subdivisions1 educational ag5cies & in/itutions1 treatm5t & prev5tion s]vice provid]s1 & ! g5]al public1 includ+ in=mation conc]n+ ! practical application ( rese>* support$ by ! ,national ,in/itute ( ,m5tal ,heal? t is applicable to improv+ ! deliv]y ( s]vices2 7#aj7 provide te*nical assi/ance to public & private entities t are provid]s ( m5tal heal? s]vices2 7#aa7 monitor & en=ce obligations incurr$ by community m5tal heal? c5t]s pursuant to ! ,community ,m5tal ,heal? ,c5t]s ,act 7z 9 effect prior to ! repeal ( su* ,act on ,augu/ #ac1 #aiha1 by section #ijb7;e77#b77;,b7 ( ,public ,law #ig-ce 7#ie ,/at4 #efj772 & 7#ab7 assi/ ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s1 & ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 ) surveys ) respect to m5tal heal?1 su* z ! ,national ,report+ ,program4 ,no?+ 9 ?is subsection %all be con/ru$ z au?oriz+ any new grant program or project t is n explicitly au?oriz$ or requir$ by o!r /atutory provisions4 7c7 ,no g5]al au?ority = grants ,no?+ 9 ?is section %all be con/ru$ z au?oriz+ or requir+ any new grant program or project t is n explicitly au?oriz$ or requir$ by o!r /atutory provisions4 4 #aaab4 ,reau?orization ( priority m5tal heal? ne$s ( regional & national significance ,section #ebj;,a ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cb7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 9 p>agraph 7#b71 by ins]t+ us+ evid5ce-bas$ m$ic9e aft] te*nical assi/ance programs2 7,b7 by am5d+ p>agraph 7#d7 to read z foll[s3 7#d7 evid5ce-bas$ programs design$ 9 conjunction ) ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s to treat individuals ) s]i\s m5tal illness4 2 & 7,c7 by add+ at ! end ! foll[+3 ,be=e aw>d+ a grant1 coop]ative agreem5t1 or contract "u ?is section1 ! ,secret>y %all give writt5 notice ( ! aw>d to ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate42 7#b7 9 subsection 7b77#b71 by ins]t+ 1 includ+ ! prim>y & behavioral heal? c>e integration program "u section #ebj,k aft] prim>y heal? c>e sy/ems2 & 7#c7 by am5d+ subsection 7f77#a7 to read z foll[s3 7#a7 ,9 g5]al ,= c>ry+ out ?is section1 !re is au?oriz$ to be appropriat$ #aej1jjj1jjj = ea* ( fiscal ye>s #bjad ?r\gh #bjah4 4 #aaac4 ,g>rett ,lee ,smi? ,reau?orization 7a7 ,suicide prev5tion te*nical assi/ance c5t] ,section #ebj;,c ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cd7 is am5d$ to read z foll[s3 #ebj;,c4 ,suicide prev5tion te*nical assi/ance c5t] 7a7 ,program au?oriz$ ,! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s1 act+ ?r\gh ! ,adm9i/rator ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 %all aw>d a grant = ! op]ation & ma9t5ance ( a rese>*1 tra9+1 & te*nical assi/ance res\rce c5t] to provide appropriate in=mation1 tra9+1 & te*nical assi/ance to ,/ates1 political subdivisions ( ,/ates1 f$]ally recogniz$ ,indian tribes1 tribal organizations1 in/itutions ( high] education1 public organizations1 or private nonpr(it organizations conc]n+ ! prev5tion ( suicide among all ages1 p>ticul>ly among gr\ps t are at high risk = suicide4 7b7 ,responsibilities ( ! c5t] ,! c5t] op]at$ & ma9ta9$ "u subsection 7a7 %all-- 7#a7 assi/ 9 ! developm5t or cont9uation ( /atewide & tribal suicide e>ly int]v5tion & prev5tion /rategies = all ages1 p>ticul>ly among gr\ps t are at high risk = suicide2 7#b7 ensure ! surveillance ( suicide e>ly int]v5tion & prev5tion /rategies = all ages1 p>ticul>ly among gr\ps t are at high risk = suicide2 7#c7 /udy ! co/s & effectiv5ess ( /atewide & tribal suicide e>ly int]v5tion & prev5tion /rategies 9 ord] to provide in=mation conc]n+ relevant issues ( importance to ,/ate1 tribal1 & national policymak]s2 7#d7 fur!r id5tify & und]/& causes & associat$ risk factors = suicide = all ages1 p>ticul>ly among gr\ps t are at high risk = suicide2 7#e7 analyze ! efficacy ( new & exi/+ suicide e>ly int]v5tion & prev5tion te*niques & te*nology = all ages1 p>ticul>ly among gr\ps t are at high risk = suicide2 7#f7 ensure ! surveillance ( suicidal behaviors & nonfatal suicidal attempts2 7#g7 /udy ! effectiv5ess ( ,/ate-sponsor$ /atewide & tribal suicide e>ly int]v5tion & prev5tion /rategies = all ages p>ticul>ly among gr\ps t are at high risk = suicide on ! ov]all wellness & heal? promotion /rategies relat$ to suicide attempts2 7#h7 promote ! %>+ ( data reg>d+ suicide ) ,f$]al ag5cies involv$ ) suicide e>ly int]v5tion & prev5tion1 & ,/ate-sponsor$ /atewide & tribal suicide e>ly int]v5tion & prev5tion /rategies = ! purpose ( id5tify+ previ\sly unkn[n m5tal heal? causes & associat$ risk factors = suicide among all ages p>ticul>ly among gr\ps t are at high risk = suicide2 7#i7 evaluate & dissem9ate outcomes & be/ practices ( m5tal heal? & sub/ance use disord] s]vices at in/itutions ( high] education2 & 7#aj7 conduct o!r activities det]m9$ appropriate by ! ,secret>y4 7c7 ,au?orization ( appropriations ,= ! purpose ( c>ry+ out ?is section1 !re are au?oriz$ to be appropriat$ #d1ieg1jjj = ea* ( ! fiscal ye>s #bjad ?r\gh #bjah4 4 7b7 ,y\? suicide int]v5tion & prev5tion /rategies ,section #ebj;,e ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cf7 is am5d$ to read z foll[s3 #ebj;,e4 ,y\? suicide e>ly int]v5tion & prev5tion /rategies 7a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,adm9i/rator ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 %all aw>d grants or coop]ative agreem5ts to eligible entities to-- 7#a7 develop & implem5t ,/ate-sponsor$ /atewide or tribal y\? suicide e>ly int]v5tion & prev5tion /rategies 9 s*ools1 educational in/itutions1 juv5ile ju/ice sy/ems1 sub/ance use disord] programs1 m5tal heal? programs1 fo/] c>e sy/ems1 & o!r *ild & y\? support organizations2 7#b7 support public organizations & private nonpr(it organizations actively involv$ 9 ,/ate-sponsor$ /atewide or tribal y\? suicide e>ly int]v5tion & prev5tion /rategies & 9 ! developm5t & cont9uation ( ,/ate-sponsor$ /atewide y\? suicide e>ly int]v5tion & prev5tion /rategies2 7#c7 provide grants to in/itutions ( high] education to coord9ate ! implem5tation ( ,/ate-sponsor$ /atewide or tribal y\? suicide e>ly int]v5tion & prev5tion /rategies2 7#d7 collect & analyze data on ,/ate-sponsor$ /atewide or tribal y\? suicide e>ly int]v5tion & prev5tion s]vices t c be us$ to monitor ! effectiv5ess ( su* s]vices & = rese>*1 te*nical assi/ance1 & policy developm5t2 & 7#e7 assi/ eligible entities1 ?r\gh ,/ate-sponsor$ /atewide or tribal y\? suicide e>ly int]v5tion & prev5tion /rategies1 9 a*iev+ t>gets = y\? suicide r$uctions "u title ,v ( ! ,social ,security ,act4 7b7 ,eligible entity 7#a7 ,def9ition ,9 ?is section1 ! t]m eligible entity means-- 7,a7 a ,/ate2 7,b7 a public organization or private nonpr(it organization designat$ by a ,/ate to develop or direct ! ,/ate-sponsor$ /atewide y\? suicide e>ly int]v5tion & prev5tion /rategy2 or 7,c7 a f$]ally recogniz$ ,indian tribe or tribal organization 7z def9$ 9 ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act7 or an urban ,indian organization 7z def9$ 9 ! ,indian ,heal? ,c>e ,improvem5t ,act7 t is actively involv$ 9 ! developm5t & cont9uation ( a tribal y\? suicide e>ly int]v5tion & prev5tion /rategy4 7#b7 ,limitation ,9 c>ry+ out ?is section1 ! ,secret>y %all ensure t a ,/ate does n receive m ?an "o grant or coop]ative agreem5t "u ?is section at any "o "t4 ,= purposes ( ! prec$+ s5t5ce1 a ,/ate %all be consid]$ to h receiv$ a grant or coop]ative agreem5t if ! eligible entity involv$ is ! ,/ate or an entity designat$ by ! ,/ate "u p>agraph 7#a77;,b74 ,no?+ 9 ?is p>agraph %all be con/ruct$ to apply to entities describ$ 9 p>agraph 7#a77;,c74 7c7 ,pref]5ce ,9 provid+ assi/ance "u a grant or coop]ative agreem5t "u ?is section1 an eligible entity %all give pref]5ce to public organizations1 private nonpr(it organizations1 political subdivisions1 in/itutions ( high] education1 & tribal organizations actively involv$ ) ! ,/ate-sponsor$ /atewide or tribal y\? suicide e>ly int]v5tion & prev5tion /rategy t-- 7#a7 provide e>ly int]v5tion & assessm5t s]vices1 includ+ scre5+ programs1 to y\? :o are at risk = m5tal or emotional disord]s t may lead to a suicide attempt1 & t are integrat$ ) s*ool sy/ems1 educational in/itutions1 juv5ile ju/ice sy/ems1 sub/ance use disord] programs1 m5tal heal? programs1 fo/] c>e sy/ems1 & o!r *ild & y\? support organizations2 7#b7 demon/rate collaboration among e>ly int]v5tion & prev5tion s]vices or c]tify t entities w engage 9 future collaboration2 7#c7 employ or include 9 _! applications a commitm5t to evaluate y\? suicide e>ly int]v5tion & prev5tion practices & /rategies adapt$ to ! local community2 7#d7 provide timely ref]rals = appropriate community-bas$ m5tal heal? c>e & treatm5t ( y\? :o are at risk = suicide 9 *ild-s]v+ sett+s & ag5cies2 7#e7 provide imm$iate support & in=mation res\rces to families ( y\? :o are at risk = suicide2 7#f7 (f] access to s]vices & c>e to y\? ) div]se l+ui/ic & cultural backgr\nds2 7#g7 (f] appropriate po/suicide int]v5tion s]vices1 c>e1 & in=mation to families1 fri5ds1 s*ools1 educational in/itutions1 juv5ile ju/ice sy/ems1 sub/ance use disord] programs1 m5tal heal? programs1 fo/] c>e sy/ems1 & o!r *ild & y\? support organizations ( y\? :o rec5tly complet$ suicide2 7#h7 (f] cont9u\s & up-to-date in=mation & aw>5ess campaigns t t>get p>5ts1 family memb]s1 *ild c>e pr(essionals1 community c>e provid]s1 & ! g5]al public & highlight ! risk factors associat$ ) y\? suicide & ! life-sav+ help & c>e available f e>ly int]v5tion & prev5tion s]vices2 7#i7 ensure t in=mation & aw>5ess campaigns on y\? suicide risk factors1 & e>ly int]v5tion & prev5tion s]vices1 use effective communication me*anisms t are t>get$ to & rea* y\?1 families1 s*ools1 educational in/itutions1 & y\? organizations2 7#aj7 provide a timely response sy/em to ensure t *ild-s]v+ pr(essionals & provid]s are prop]ly tra9$ 9 y\? suicide e>ly int]v5tion & prev5tion /rategies & t *ild-s]v+ pr(essionals & provid]s involv$ 9 e>ly int]v5tion & prev5tion s]vices are prop]ly tra9$ 9 effectively id5tify+ y\? :o are at risk = suicide2 7#aa7 provide cont9u\s tra9+ activities = *ild c>e pr(essionals & community c>e provid]s on ! late/ y\? suicide e>ly int]v5tion & prev5tion s]vices practices & /rategies2 7#ab7 conduct annual self-evaluations ( outcomes & activities1 includ+ consult+ ) int]e/$ families & advocacy organizations2 7#ac7 provide s]vices 9 areas or regions ) rates ( y\? suicide t exce$ ! national av]age z det]m9$ by ! ,c5t]s = ,disease ,control & ,prev5tion2 & 7#ad7 obta9 in=m$ writt5 cons5t f a p>5t or legal gu>dian ( an at-risk *ild be=e involv+ ! *ild 9 a y\? suicide e>ly int]v5tion & prev5tion program4 7d7 ,requirem5t = direct s]vices ,n less ?an #he p]c5t ( grant funds receiv$ "u ?is section %all be us$ to provide direct s]vices1 ( :i* n less ?an #e p]c5t %all be us$ = activities au?oriz$ "u subsection 7a77#c74 7e7 ,consultation & policy developm5t 7#a7 ,9 g5]al ,9 c>ry+ out ?is section1 ! ,secret>y %all collaborate ) ! ,secret>y ( ,education & relevant ,f$]al ag5cies & suicide work+ gr\ps responsible = e>ly int]v5tion & prev5tion s]vices relat+ to y\? suicide4 7#b7 ,consultation ,9 c>ry+ out ?is section1 ! ,secret>y %all consult )-- 7,a7 ,/ate & local ag5cies1 includ+ ag5cies responsible = e>ly int]v5tion & prev5tion s]vices "u title ,,xix ( ! ,social ,security ,act1 ! ,/ate ,*ildr5's ,heal? ,insurance ,program "u title ,,xxi ( ! ,social ,security ,act1 & programs fund$ by grants "u title ,v ( ! ,social ,security ,act2 7,b7 local & national organizations t s]ve y\? at risk = suicide & _! families2 7,c7 relevant national m$ical & o!r heal? & education specialty organizations2 7,d7 y\? :o are at risk = suicide1 :o h surviv$ suicide attempts1 or :o are curr5tly receiv+ c>e f e>ly int]v5tion s]vices2 7,e7 families & fri5ds ( y\? :o are at risk = suicide1 :o h surviv$ suicide attempts1 :o are curr5tly receiv+ c>e f e>ly int]v5tion & prev5tion s]vices1 or :o h complet$ suicide2 7,f7 qualifi$ pr(essionals :o possess ! specializ$ k1 skills1 exp]i5ce1 & relevant attributes ne$$ to s]ve y\? at risk = suicide & _! families2 & 7,g7 ?ird-p>ty pay]s1 manag$ c>e organizations1 & relat$ comm]cial indu/ries4 7#c7 ,policy developm5t ,9 c>ry+ out ?is section1 ! ,secret>y %all-- 7,a7 coord9ate & collaborate on policy developm5t at ! ,f$]al level ) ! relevant ,dep>tm5t ( ,heal? & ,human ,s]vices ag5cies & suicide work+ gr\ps2 & 7,b7 consult on policy developm5t at ! ,f$]al level ) ! private sector1 includ+ consum]1 m$ical1 suicide prev5tion advocacy gr\ps1 & o!r heal? & education pr(essional-bas$ organizations1 ) respect to ,/ate-sponsor$ /atewide or tribal y\? suicide e>ly int]v5tion & prev5tion /rategies4 7f7 ,rule ( con/ruction2 religi\s & moral accommodation ,no?+ 9 ?is section %all be con/ru$ to require suicide assessm5t1 e>ly int]v5tion1 or treatm5t s]vices = y\? ^: p>5ts or legal gu>dians object bas$ on ! p>5ts' or legal gu>dians' religi\s beliefs or moral objections4 7g7 ,evaluations & report 7#a7 ,evaluations by eligible entities ,n lat] ?an #ah mon?s aft] receiv+ a grant or coop]ative agreem5t "u ?is section1 an eligible entity %all submit to ! ,secret>y ! results ( an evaluation to be conduct$ by ! entity conc]n+ ! effectiv5ess ( ! activities c>ri$ out "u ! grant or agreem5t4 7#b7 ,report ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is section1 ! ,secret>y %all submit to ! appropriate committees ( ,congress a report conc]n+ ! results (-- 7,a7 ! evaluations conduct$ "u p>agraph 7#a72 & 7,b7 an evaluation conduct$ by ! ,secret>y to analyze ! effectiv5ess & efficacy ( ! activities conduct$ ) grants1 collaborations1 & consultations "u ?is section4 7h7 ,rule ( con/ruction2 /ud5t m$ication ,no?+ 9 ?is section %all be con/ru$ to all[ s*ool p]sonnel to require t a /ud5t obta9 any m$ication z a condition ( att5d+ s*ool or receiv+ s]vices4 7i7 ,prohibition ,funds appropriat$ to c>ry out ?is section1 section #ebg1 or section #ebi %all n be us$ to pay = or ref] = abortion4 7j7 ,p>5tal cons5t ,/ates & entities receiv+ fund+ "u ?is section %all obta9 prior writt51 in=m$ cons5t f ! *ild's p>5t or legal gu>dian = assessm5t s]vices1 s*ool-sponsor$ programs1 & treatm5t involv+ m$ication relat$ to y\? suicide conduct$ 9 elem5t>y & second>y s*ools4 ,! requirem5t ( ! prec$+ s5t5ce does n apply 9 ! foll[+ cases3 7#a7 ,9 an em]g5cy1 :]e x is necess>y to protect ! imm$iate heal? & safety ( ! /ud5t or o!r /ud5ts4 7#b7 ,o!r in/ances1 z def9$ by ! ,/ate1 :]e p>5tal cons5t _c reasonably be obta9$4 7k7 ,relation to education provisions ,no?+ 9 ?is section %all be con/ru$ to sup]s$e section #ddd ( ! ,g5]al ,education ,provisions ,act1 includ+ ! requirem5t ( prior p>5tal cons5t = ! disclosure ( any education records4 ,no?+ 9 ?is section %all be con/ru$ to modify or affect p>5tal notification requirem5ts = programs au?oriz$ "u ! ,elem5t>y & ,second>y ,education ,act ( #aife 7z am5d$ by ! ,no ,*ild ,left ,beh9d ,act ( #bjja2 ,public ,law #ajg-aaj74 7l7 ,def9itions ,9 ?is section3 7#a7 ,e>ly int]v5tion ,! t]m e>ly int]v5tion means a /rategy or approa* t is int5d$ to prev5t an outcome or to alt] ! c\rse ( an exi/+ condition4 7#b7 ,educational in/itution2 in/itution ( high] education2 s*ool ,! t]m-- 7,a7 educational in/itution means a s*ool or in/itution ( high] education2 7,b7 in/itution ( high] education has ! mean+ giv5 su* t]m 9 section #aja ( ! ,high] ,education ,act ( #aife2 & 7,c7 s*ool means an elem5t>y or second>y s*ool 7z su* t]ms are def9$ 9 section #iaja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife74 7#c7 ,prev5tion ,! t]m prev5tion means a /rategy or approa* t r$uces ! likelihood or risk ( onset1 or delays ! onset1 ( adv]se heal? problems t h be5 kn[n to lead to suicide4 7#d7 ,y\? ,! t]m y\? means individuals :o are betwe5 #aj & #bd ye>s ( age4 7m7 ,au?orization ( appropriations ,= ! purpose ( c>ry+ out ?is section1 !re are au?oriz$ to be appropriat$ #bi1gch1jjj = ea* ( ! fiscal ye>s #bjad ?r\gh #bjah4 4 7c7 ,suicide prev5tion = y\? ,section #ebj;,e-#a ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cf;a7 is am5d$-- 7#a7 by am5d+ ! section head+ to read z foll[s3 ,suicide prev5tion = y\?2 & 7#b7 by /rik+ subsection 7n7 & ins]t+ ! foll[+3 7n7 ,au?orization ( appropriations ,= ! purpose ( c>ry+ out ?is section1 !re is au?oriz$ to be appropriat$ su* sums z may be necess>y = ea* ( fiscal ye>s #bjad ?r\gh #bjah4 4 7d7 ,m5tal heal? & sub/ance use disord]s s]vices & outrea* on campus ,section #ebj;,e-#b ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cf;b7 is am5d$ to read z foll[s3 #ebj;,e-#b4 ,m5tal heal? & sub/ance use disord]s s]vices on campus 7a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,director ( ! ,c5t] = ,m5tal ,heal? ,s]vices & 9 consultation ) ! ,secret>y ( ,education1 %all aw>d grants on a competitive basis to in/itutions ( high] education to enhance s]vices = /ud5ts ) m5tal heal? or sub/ance use disord]s & to develop be/ practices = ! deliv]y ( su* s]vices4 7b7 ,uses ( funds ,am\nts receiv$ "u a grant "u ?is section %all be us$ = #a or m ( ! foll[+ activities3 7#a7 ,! provision ( m5tal heal? & sub/ance use disord] s]vices to /ud5ts1 includ+ prev5tion1 promotion ( m5tal heal?1 volunt>y scre5+1 e>ly int]v5tion1 volunt>y assessm5t1 treatm5t1 & managem5t ( m5tal heal? & sub/ance abuse disord] issues4 7#b7 ,! provision ( outrea* s]vices to notify /ud5ts ab\t ! exi/5ce ( m5tal heal? & sub/ance use disord] s]vices4 7#c7 ,educat+ /ud5ts1 families1 faculty1 /aff1 & communities to increase aw>5ess ( m5tal heal? & sub/ance use disord]s4 7#d7 ,! employm5t ( appropriately tra9$ /aff1 includ+ adm9i/rative /aff4 7#e7 ,! provision ( tra9+ to /ud5ts1 faculty1 & /aff to respond effectively to /ud5ts ) m5tal heal? & sub/ance use disord]s4 7#f7 ,! creation ( a network+ infra/ructure to l9k colleges & univ]sities ) provid]s :o c treat m5tal heal? & sub/ance use disord]s4 7#g7 ,develop+1 support+1 evaluat+1 & dissem9at+ evid5ce-bas$ & em]g+ be/ practices4 7c7 ,implem5tation ( activities us+ grant funds ,an in/itution ( high] education t receives a grant "u ?is section may c>ry out activities "u ! grant ?r\gh-- 7#a7 college c\nsel+ c5t]s2 7#b7 college & univ]sity psy*ological s]vice c5t]s2 7#c7 m5tal heal? c5t]s2 7#d7 psy*ology tra9+ cl9ics2 7#e7 in/itution ( high] education support$1 evid5ce-bas$1 m5tal heal? & sub/ance use disord] programs2 or 7#f7 any o!r entity t provides m5tal heal? & sub/ance use disord] s]vices at an in/itution ( high] education4 7d7 ,application ,to be eligible to receive a grant "u ?is section1 an in/itution ( high] education %all prep>e & submit to ! ,secret>y an application at su* "t & 9 su* mann] z ! ,secret>y may require4 ,at a m9imum1 su* application %all include ! foll[+3 7#a7 ,a description ( id5tifi$ m5tal heal? & sub/ance use disord] ne$s ( /ud5ts at ! in/itution ( high] education4 7#b7 ,a description ( ,f$]al1 ,/ate1 local1 private1 & in/itutional res\rces curr5tly available to address ! ne$s describ$ 9 p>agraph 7#a7 at ! in/itution ( high] education4 7#c7 ,a description ( ! outrea* /rategies ( ! in/itution ( high] education = promot+ access to s]vices1 includ+ a propos$ plan = rea*+ ^? /ud5ts mo/ 9 ne$ ( m5tal heal? s]vices4 7#d7 ,a plan1 :5 applicable1 to meet ! specific m5tal heal? & sub/ance use disord] ne$s ( vet]ans att5d+ in/itutions ( high] education4 7#e7 ,a plan to seek input f community m5tal heal? provid]s1 :5 available1 community gr\ps & o!r public & private entities 9 c>ry+ out ! program "u ! grant4 7#f7 ,a plan to evaluate program outcomes1 includ+ a description ( ! propos$ use ( funds1 ! program objectives1 & h[ ! objectives w be met4 7#g7 ,an assurance t ! in/itution w submit a report to ! ,secret>y ea* fiscal ye> conc]n+ ! activities c>ri$ out ) ! grant & ! results a*iev$ ?r\gh ^? activities4 7e7 ,special consid]ations ,9 aw>d+ grants "u ?is section1 ! ,secret>y %all give special consid]ation to applications t describe programs to be c>ri$ out "u ! grant t-- 7#a7 demon/rate ! greate/ ne$ = new or additional m5tal & sub/ance use disord] s]vices1 9 "p by provid+ in=mation on curr5t ratios ( /ud5ts to m5tal heal? & sub/ance use disord] heal? pr(essionals2 & 7#b7 demon/rate ! greate/ pot5tial = replication4 7f7 ,requirem5t ( mat*+ funds 7#a7 ,9 g5]al ,! ,secret>y may make a grant "u ?is section to an in/itution ( high] education only if ! in/itution agrees to make available 7directly or ?r\gh donations f public or private entities7 non-,f$]al contributions 9 an am\nt t is n less ?an #a = ea* #a ( ,f$]al funds provid$ "u ! grant1 t[>d ! co/s ( activities c>ri$ out ) ! grant 7z describ$ 9 subsection 7b77 & o!r activities by ! in/itution to r$uce /ud5t m5tal heal? & sub/ance use disord]s4 7#b7 ,det]m9ation ( am\nt contribut$ ,non-,f$]al contributions requir$ "u p>agraph 7#a7 may be 9 ca% or 9 k9d4 ,am\nts provid$ by ! ,f$]al ,gov]nm5t1 or s]vices assi/$ or subsidiz$ to any significant ext5t by ! ,f$]al ,gov]nm5t1 may n be includ$ 9 det]m9+ ! am\nt ( su* non-,f$]al contributions4 7#c7 ,waiv] ,! ,secret>y may waive ! application ( p>agraph 7#a7 ) respect to an in/itution ( high] education if ! ,secret>y det]m9es t extraord9>y ne$ at ! in/itution ju/ifies ! waiv]4 7g7 ,reports ,= ea* fiscal ye> t grants are aw>d$ "u ?is section1 ! ,secret>y %all conduct a /udy on ! results ( ! grants & submit to ! ,congress a report on su* results t includes ! foll[+3 7#a7 ,an evaluation ( ! grant program outcomes1 includ+ a summ>y ( activities c>ri$ out ) ! grant & ! results a*iev$ ?r\gh ^? activities4 7#b7 ,recomm5dations on h[ to improve access to m5tal heal? & sub/ance use disord] s]vices at in/itutions ( high] education1 includ+ ef=ts to r$uce ! incid5ce ( suicide & sub/ance use disord]s4 7h7 ,def9itions ,9 ?is section1 ! t]m in/itution ( high] education has ! mean+ giv5 su* t]m 9 section #aja ( ! ,high] ,education ,act ( #aife4 7i7 ,au?orization ( appropriations ,= ! purpose ( c>ry+ out ?is section1 !re are au?oriz$ to be appropriat$ #d1ige1jjj = ea* ( ! fiscal ye>s #bjad ?r\gh #bjah4 4 ,c ,*ildr5 ) s]i\s emotional di/urbances #aaba4 ,compreh5sive community m5tal heal? s]vices = *ildr5 ) s]i\s emotional di/urbances ,p>agraph 7#a7 ( section #efd7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ff7a77 is am5d$-- 7#a7 by /rik+ 1 act+ ?r\gh ! ,director ( ! ,c5t] = ,m5tal ,heal? ,s]vices12 & 7#b7 by add+ at ! end ! foll[+3 ,be=e mak+ any su* grant1 ! ,assi/ant ,secret>y %all consult ) ! ,director ( ! ,national ,in/itutes ( ,heal? to ensure t ! grant recipi5t w use evid5ce-bas$ practices44 #aabb4 ,g5]al provisions2 report2 fund+ ,section #efe ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ff-#d7 is am5d$-- 7#a7 9 subsection 7c77#b71 by /rik+ n lat] ?an #a ye> aft] ! date on :i* am\nts are fir/ appropriat$ "u subsection 7c7 & ins]t+ n lat] ?an #a ye> aft] ! date ( enactm5t ( ! ,help+ ,families 9 ,m5tal ,heal? ,crisis ,act ( #bjac2 & 7#b7 9 subsection 7f7-- 7,a7 by am5d+ p>agraph 7#a7 to read z foll[s3 7#a7 ,au?orization ( appropriations ,= ! purpose ( c>ry+ out ?is "p1 !re are au?oriz$ to be appropriat$ #aag1jjj1jjj = fiscal ye> #bjae1 #abj1jjj1jjj = fiscal ye> #bjaf1 #abc1jjj1jjj = fiscal ye> #bjag1 #abf1jjj1jjj = fiscal ye> #bjah1 & #acj1jjj1jjj = fiscal ye> #bjai4 2 & 7,b7 by mov+ ! m>g9 ( p>agraph 7#b7 two ems to ! "r4 ,d ,projects = *ildr5 & viol5ce #aaca4 ,*ildr5 & viol5ce ,section #eha ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;hh7 are repeal$4 #aacb4 ,reau?orization ( ,national ,*ild ,traumatic ,/ress ,network 7a7 ,reau?orization ( ,national ,*ild ,traumatic ,/ress ,network ,section #ehb7;f7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;hh7f77 is am5d$ to read z foll[s3 7f7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re are au?oriz$ to be appropriat$ #ej1jjj1jjj = ea* ( ! fiscal ye>s #bjad ?r\gh #bjag4 4 7b7 ,correspond+ r$uction 9 fund+ = protection & advocacy sy/ems ,section #aag ( ! ,protection & ,advocacy = ,individuals ) ,m5tal ,illness ,act 7#db ,u4,s4,c4 #ajhbg7 is am5d$ to read z foll[s3 #aag4 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ = allotm5ts "u ?is title #e1jjj1jjj = ea* ( ! fiscal ye>s #bjad ?r\gh #bjag4 4 ,e ,protection & advocacy = individuals ) m5tal illness #aada4 ,prohibition aga9/ lobby+ by sy/ems accept+ ,f$]al funds to protect & advocate ! rights ( individuals ) m5tal illness ,section #aje7;a7 ( ! ,protection & ,advocacy = ,individuals ) ,m5tal ,illness ,act 7#db ,u4,s4,c4 #ajhje7;a77 is am5d$-- 7#a7 9 p>agraph 7#i71 by /rik+ & at ! end2 7#b7 9 p>agraph 7#aj71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+3 7#aa7 agree to refra91 dur+ any p]iod = :i* fund+ is provid$ to ! sy/em "u ?is "p1 f-- 7,a7 lobby+ or reta9+ a lobbyi/ = ! purpose ( influ5c+ a ,f$]al1 ,/ate1 or local gov]nm5tal entity or (fic]2 7,b7 us+ su* fund+ to engage 9 sy/emic lawsuits1 or to inve/igate & seek legal rem$ies cases o!r ?an individual cases ( abuse or neglect2 or 7,c7 c\nsel+ an individual ) a s]i\s m5tal illness :o lacks insight into _! condition on refus+ m$ical treatm5t or act+ aga9/ ! wi%es ( su* individual's c>egiv]4 4 ,f ,limitations on au?ority #aaea4 ,limitations on ,,samhsa programs 7a7 ,no sponsor+ conf]5ces ,! ,adm9i/rator ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration %all n ho/ or sponsor any conf]5ce t w n be prim>ily adm9i/]$ by ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration )\t giv+ at lea/ #ij days ( prior notification to ! ,committee on ,en]gy & ,comm]ce & ! ,committee on ,appropriations ( ! ,h\se ( ,repres5tatives & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions & ! ,committee on ,appropriations ( ! ,s5ate4 7b7 ,evid5ce-,bas$ practices ,! ,adm9i/rator ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration %all n provide any f9ancial assi/ance = any program relat+ to m5tal heal? or sub/ance use diagnosis or treatm5t1 unless su* diagnosis & treatm5t relies on evid5ce-bas$ practices4 #aaeb4 ,elim9ation ( unau?oriz$ ,,samhsa programs 7a7 ,elim9ation ( programs )\t explicit /atutory au?orization 7#a7 ,no new programs ,! ,adm9i/rator ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration may n e/abli%1 & ! ,secret>y ( ,heal? & ,human ,s]vices may n delegate to ! ,adm9i/rator responsibility =1 any program or project t is n explicitly au?oriz$ or requir$ by /atute4 7#b7 ,t]m9ation ( exi/+ programs ,by ! end ( fiscal ye> #bjad1 any program or project ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration t is n explicitly au?oriz$ or requir$ by /atute %all be t]m9at$4 7b7 ,report 7#a7 ,9 g5]al ,! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s %all seek to ent] into an arrangem5t ) ! ,in/itute ( ,m$ic9e "u :i* ! ,in/itute 7or1 if ! ,in/itute decl9es to ent] into su* arrangem5t1 ano!r appropriate entity7 agrees to submit a report to ! ,congress n lat] ?an ,july #ca1 #bjad1 id5tify+ ea* program1 project1 or activity to be t]m9at$ "u subsection 7a74 7#b7 ,recomm5dations ,! report "u p>agraph 7#a7 %all recomm5d :e!r any ( ! programs %\ld be reta9$ bas$ on public heal? data1 su* z r$uc$ mortality rates & hospitalization )9 ! community = individuals ) s]i\s m5tal illness1 ?us prov+ ! program has _h a demon/rable b5efit us+ public heal? & epidemiological factors4