,i #aacth ,,congress #b;d ,session ,h4 ,r4 #degd ,,in ,,the ,,house ,,of ,,representatives ,may #f1 #bjad ,mr4 ,barber 7for himself1 ,ms4 ,de,gette1 ,mr4 ,tonko1 ,ms4 ,matsui1 and ,mrs4 ,napolitano7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce1 and in addition to the ,committees on ,ways and ,means1 the ,judiciary1 ,armed ,services1 ,veterans' ,affairs1 ,education and the ,workforce1 and ,natural ,resources1 for a period to be subsequently determined by the ,speaker1 in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned ,a ,,bill ,to maximize the access of individuals with mental illness to community-based services1 to strengthen the impact of such services1 and for other purposes4 #a4 ,short title2 table of contents 7a7 ,short title ,this ,act may be cited as the ,strengthening ,mental ,health in ,our ,communities ,act of #bjad4 7b7 ,table of contents ,the table of contents for this ,act is as follows3 ,sec4 #a4 ,short title2 table of contents4 ,sec4 #b4 ,purpose4 ,title ,i--,white ,house ,office of ,mental ,health ,policy ,sec4 #aja4 ,white ,house ,office of ,mental ,health ,policy4 ,sec4 #ajb4 ,appointment and duties of the ,director4 ,sec4 #ajc4 ,national strategy for mental health4 ,sec4 #ajd4 ,coordination with ,federal departments and agencies4 ,sec4 #aje4 ,national mental health advisory board4 ,title ,,ii--,strengthening and ,investing in ,,samhsa ,programs ,sec4 #bja4 ,community mental health services block grant reauthorization4 ,sec4 #bjb4 ,reporting requirements for block grants regarding mental health and substance use disorders4 ,sec4 #bjc4 ,garrett ,lee ,smith ,memorial ,act reauthorization4 ,sec4 #bjd4 ,priority mental health needs of regional and national significance reauthorization4 ,sec4 #bje4 ,grants for jail diversion programs reauthorization4 ,sec4 #bjf4 ,projects for assistance in transition from homelessness4 ,sec4 #bjg4 ,comprehensive community mental health services for children with serious emotional disturbances4 ,sec4 #bjh4 ,children's recovery from trauma4 ,sec4 #bji4 ,protection and advocacy for individuals with mental illness reauthorization4 ,sec4 #baj4 ,mental health awareness training grants4 ,sec4 #baa4 ,national media campaign to reduce the stigma associated with mental illness4 ,sec4 #bab4 ,,samhsa and ,,hrsa integration of behavioral health services into primary care settings4 ,sec4 #bac4 ,geriatric mental health disorders4 ,sec4 #bad4 ,assessing barriers to behavioral health integration4 ,sec4 #bae4 ,acute care bed registry grant for ,states4 ,sec4 #baf4 ,awards for co-locating primary and specialty care in community-based mental health settings4 ,sec4 #bag4 ,grants for the benefit of homeless individuals4 ,title ,,iii--,improving ,medicaid and ,medicare ,mental ,health ,services ,sec4 #cja4 ,access to mental health prescription drugs under ,medicare4 ,sec4 #cjb4 ,medicaid coverage of mental health services and primary care services furnished on the same day4 ,sec4 #cjc4 ,elimination of #aij-;day lifetime limit on inpatient psychiatric hospital services4 ,sec4 #cjd4 ,expanding the ,medicaid home and community-based services waiver to include youth in need of services provided in a psychiatric residential treatment facility4 ,sec4 #cje4 ,application of ,rosa's ,law for individuals with intellectual disabilities4 ,sec4 #cjf4 ,complete application of mental health and substance use parity rules under ,medicaid and ,,chip4 ,sec4 #cjg4 ,coverage of marriage and family therapist services and mental health counselor services under part ,b of the ,medicare program4 ,title ,,iv--,developing the ,behavioral ,health ,workforce ,sec4 #dja4 ,national health service corps scholarship and loan repayment funding for behavioral and mental health professionals4 ,sec4 #djb4 ,reauthorization of ,,hrsa's mental and behavioral health education and training program4 ,sec4 #djc4 ,,samhsa grant program for development and implementation of curricula for continuing education on serious mental illness4 ,sec4 #djd4 ,demonstration grant program to recruit1 train1 deploy1 and professionally support psychiatric physicians in ,indian health programs4 ,sec4 #dje4 ,including occupational therapists as behavioral and mental health professionals for purposes of the ,national ,health ,service ,corps4 ,sec4 #djf4 ,extension of certain health care workforce loan repayment programs through fiscal year #bjai4 ,title ,v--,improving ,mental ,health ,research and ,coordination ,sec4 #eja4 ,national ,institute of ,mental ,health research program on serious mental illness and suicide prevention4 ,sec4 #ejb4 ,youth mental health research network4 ,sec4 #ejc4 ,national violent death reporting system4 ,title ,,vi--,education and ,youth ,sec4 #fja4 ,school-based mental health programs4 ,sec4 #fjb4 ,examining mental health care for children4 ,title ,,vii--,justice and ,mental ,health ,collaboration ,sec4 #gja4 ,assisting veterans4 ,sec4 #gjb4 ,correctional facilities4 ,sec4 #gjc4 ,high utilizers4 ,sec4 #gjd4 ,academy training4 ,sec4 #gje4 ,evidence-based practices4 ,sec4 #gjf4 ,safe communities4 ,sec4 #gjg4 ,reauthorization of appropriations4 ,title ,,viii--,behavioral ,health ,information ,technology ,sec4 #hja4 ,extension of health information technology assistance for behavioral and mental health and substance abuse4 ,sec4 #hjb4 ,extension of eligibility for ,medicare and ,medicaid health information technology implementation assistance4 ,title ,,ix--,servicemembers and ,veterans ,mental ,health ,sec4 #ija4 ,preliminary mental health assessments4 ,sec4 #ijb4 ,unlimited eligibility for health care for mental illnesses for veterans of combat service during certain periods of hostilities and war4 ,sec4 #ijc4 ,timeline for implementing integrated electronic health records4 ,sec4 #ijd4 ,pilot program for repayment of educational loans for certain psychiatrists of ,veterans ,health ,administration4 ,title ,x--,making ,parity ,work ,sec4 #ajja4 ,,gao study on mental health and substance use disorder parity enforcement efforts4 ,sec4 #ajjb4 ,report to ,congress on ,federal assistance to ,state insurance regulators regarding mental health parity enforcement4 ,sec4 #ajjc4 ,annual report to ,congress by ,secretaries of ,labor and ,health and ,human ,services4 #b4 ,purpose ,the purposes of this ,act are-- 7#a7 to improve the responsiveness1 coordination1 accountability1 accessibility1 and integration of person-centered behavioral health services to provide timely and appropriate help to individuals1 families1 and communities2 7#b7 to reduce mental health crises1 homelessness1 and incarceration by strengthening community-based services1 including early intervention1 outreach1 engagement1 prevention1 crisis support1 rehabilitation1 and peer-run services for persons of all ages2 7#c7 to ensure that all ,americans with mental illnesses and their families can-- 7,a7 gain access to evidence-based and emerging best practices based on the values and principles of trauma-informed care and mental health recovery1 delivered in a culturally and linguistically competent manner2 and 7,b7 fully participate in the most integrated settings within their chosen communities2 7#d7 to develop an integrated behavioral health workforce through improved training and education1 recruitment1 and retention to meet the needs of all communities and populations2 7#e7 to increase mental health awareness and reduce stigma and discrimination through mental health training1 education1 and literacy2 and 7#f7 to ensure the full implementation and enforcement of mental health parity for all ,americans4 ,i ,white ,house ,office of ,mental ,health ,policy #aja4 ,white ,house ,office of ,mental ,health ,policy 7a7 ,establishment of office ,there is established in the ,executive ,office of the ,president the ,white ,house ,office of ,mental ,health ,policy 7hereafter referred to as the ,office71 which shall-- 7#a7 monitor ,federal activities with respect to mental health1 serious mental illness1 and serious emotional disturbances2 7#b7 make recommendations to the ,secretary of ,health and ,human ,services regarding any appropriate changes to such activities1 including recommendations with respect to the national strategy developed under paragraph 7#c72 7#c7 develop and annually update a ,national ,strategy for ,mental ,health to maximize the access of individuals with mental illness to community-based services1 strengthen the impact of such services1 and meet the comprehensive needs of individuals with mental illness2 7#d7 make recommendations to the ,secretary of ,health and ,human ,services regarding public participation in decisions relating to mental health1 serious mental illness1 and serious emotional disturbances2 7#e7 review and make recommendations with respect to the budgets for ,federal mental health services to ensure the adequacy of those budgets2 7#f7 submit to the ,congress the national strategy and any updates to such strategy2 7#g7 coordinate the mental health services provided by ,federal departments and agencies and coordinate ,federal interagency mental health services2 7#h7 consult1 coordinate with1 facilitate joint efforts among1 and support ,state1 local1 and tribal governments1 nongovernmental entities1 and individuals with a mental illness1 particularly individuals with a serious mental illness and children and adolescents with a serious emotional disturbance1 with respect to improving community-based and other mental health services2 and 7#i7 develop and annually update a summary of advances in serious mental illness and serious emotional disturbances research related to causes1 prevention1 treatment1 early screening1 diagnosis or rule out1 intervention1 and access to services and supports for individuals with serious mental illness and children and adolescents with a serious emotional disturbance4 7b7 ,director ,there shall be a ,director who shall head the ,office 7hereafter referred to as the ,director7 and who shall hold the same rank and status as the head of an executive department listed in section #aja of title #e1 ,united ,states ,code4 7c7 ,access by congress ,the location of the ,office in the ,executive ,office of the ,president shall not be construed as affecting access by ,congress1 or any committee of the ,house of ,representatives or the ,senate1 to any-- 7#a7 information1 document1 or study in the possession of1 or conducted by or at the direction of1 the ,director2 or 7#b7 personnel of the ,office4 #ajb4 ,appointment and duties of the ,director 7a7 ,appointment 7#a7 ,in general ,the ,president shall appoint the ,director1 by and with the advice and consent of the ,senate4 ,the ,director shall serve at the pleasure of the ,president4 7#b7 ,prohibition ,no person shall serve as ,director while serving in any other position in the ,federal ,government or while employed in a full-time position outside of the ,federal ,government4 7b7 ,responsibilities ,the ,director shall-- 7#a7 assist the ,president-- 7,a7 to establish policies1 goals1 objectives1 and priorities with respect to mental health1 particularly serious mental illness and serious emotional disturbances2 7,b7 to maximize the access of individuals with mental illness to community-based services2 7,c7 to strengthen the impact of such services2 and 7,d7 to meet the comprehensive needs of individuals with mental illness2 7#b7 work with ,federal departments and agencies providing mental health services to strengthen the coordination of mental health services in order to maximize the access of individuals with a mental illness1 particularly individuals with a serious mental illness and children and adolescents with a serious emotional disturbance1 to community-based services1 strengthen the impact of services1 and meet the comprehensive needs of individuals with a mental illness2 7#c7 coordinate and oversee the development1 coordination1 implementation1 and evaluation of the ,national ,strategy for ,mental ,health2 7#d7 promulgate the ,national ,strategy for ,mental ,health1 ensuring its wide availability to government officials and the public2 7#e7 make such recommendations to the ,president as the ,director determines are appropriate with respect to the organization1 management1 and budgets of ,federal departments and agencies providing mental health services1 including changes in the allocation of personnel to and within those departments and agencies to implement the policies1 goals1 objectives1 and priorities established under paragraph 7#a7 and the ,national ,strategy for ,mental ,health2 7#f7 consult1 coordinate with1 facilitate joint efforts among1 and support ,state1 local1 and tribal governments1 nongovernmental entities1 and individuals with a mental illness1 particularly individuals with a serious mental illness and children and adolescents with a serious emotional disturbance1 with respect to improving mental health services2 7#g7 appear before duly constituted committees and subcommittees of the ,house of ,representatives and of the ,senate to represent the policies of the ,president related to mental health and serve as the spokesperson of the ,president1 if the ,president determines it appropriate1 on issues related to mental health1 and the ,national ,strategy for ,mental ,health2 7#h7 submit an annual report to ,congress detailing how the ,director has consulted and coordinated with the ,national ,mental ,health ,council described in section #ajd7;d71 the ,national ,mental ,health ,advisory ,board described in section #aje1 ,state1 local1 and tribal governments1 nongovernmental entities1 and individuals with a mental illness1 particularly individuals with a serious mental illness and children and adolescents with a serious emotional disturbance2 and 7#i7 ensure the ,office meets each of its responsibilities under this title4 7c7 ,budget review and recommendations 7#a7 ,review of budget requests ,each department or agency of the ,federal ,government providing mental health services and benefits shall transmit each year to the ,director a copy of the proposed budget request of that department or agency with respect to mental health services and benefits at a time not later than that department or agency's submitting of such budget request to the ,office of ,management and ,budget for preparation of the budget of the ,president submitted to ,congress under section #aaje7;a7 of title #ca1 ,united ,states ,code4 ,the proposed budget request shall be transmitted to the ,director in such form as the ,director1 in consultation with the ,office of ,management and ,budget1 determines appropriate4 7#b7 ,recommendations with respect to budget requests ,after the receipt of proposed budget requests pursuant to paragraph 7#a71 the ,director shall provide budget recommendations with respect to ,federal mental health services and benefits to the ,director of the ,office of ,management and ,budget and to the ,president at a time that allows such recommendations to be incorporated1 as appropriate1 into the budget of the ,president submitted to ,congress under section #aaje7;a7 of title #ca1 ,united ,states ,code4 ,the recommendations shall address funding priorities developed in the ,national ,strategy for ,mental ,health and shall address future fiscal projections as determined by the ,director4 7d7 ,powers of the ,director ,in carrying out this title1 the ,director may-- 7#a7 select1 appoint1 employ1 and fix the compensation of such officers and employees of the ,office as may be necessary to carry out the functions of the ,office under this title2 7#b7 request the head of a department or agency of the ,federal ,government to place department or agency personnel who are engaged in activities with respect to mental health1 on temporary detail to another department or agency in order to implement the ,national ,strategy for ,mental ,health1 and the head of such department or agency shall comply with such request2 7#c7 use for administrative purposes1 on a reimbursable basis1 the available services1 equipment1 personnel1 and facilities of ,federal1 ,state1 local1 and tribal departments and agencies2 7#d7 procure the services of experts and consultants in accordance with section #caji of title #e1 ,united ,states ,code1 relating to appointments in the ,federal ,service1 at rates of compensation for individuals not to exceed the daily equivalent of the rate of pay payable under level ,,iv of the ,executive ,schedule under section #ecaa of title #e1 ,united ,states ,code2 7#e7 use the mails in the same manner as any other department or agency of the executive branch2 and 7#f7 monitor implementation of the ,national ,strategy for ,mental ,health1 including-- 7,a7 conducting program and performance audits and evaluations2 and 7,b7 requesting assistance from the ,inspector ,general of the relevant department or agency in such audits and evaluations4 #ajc4 ,national strategy for mental health 7a7 ,in general ,not later than ,february #a of each year1 the ,director shall submit to the ,president and ,congress and make available to the public a ,national ,strategy for ,mental ,health 7in this title referred to as the ,national ,strategy for ,mental ,health or the ,strategy7 setting forth a comprehensive plan to maximize the access of individuals with mental illness to community-based services1 to strengthen the impact of such services1 and to meet the comprehensive needs of individuals with mental illness4 7b7 ,process ,in preparing the ,strategy1 the ,director shall actively consult and work in coordination with the following3 7#a7 ,the heads of all ,federal departments and agencies that provide mental health services4 7#b7 ,the ,national ,mental ,health ,council4 7#c7 ,the ,national ,mental ,health ,advisory ,board4 7#d7 ,existing ,federal interagency efforts related to mental health services1 such as the ,military and ,veterans ,mental ,health ,interagency ,task ,force4 7#e7 ,state1 local1 and tribal governments4 7#f7 ,nongovernmental entities4 7#g7 ,individuals with mental illness1 particularly individuals with a serious mental illness and children and adolescents with a serious emotional disturbance4 7c7 ,contents ,the ,director shall ensure the ,strategy meets the following requirements3 7#a7 ,goals and performance measures ,the ,strategy shall contain comprehensive1 research-based goals and quantifiable performance measures that shall serve as targets for the year with respect to which the ,strategy applies for-- 7,a7 improving the outcomes of and accessibility to evidence-based mental programs and services2 7,b7 promoting community integration of individuals with mental illness2 7,c7 increasing access to prevention and early intervention services related to mental health2 7,d7 promoting mental health awareness and reducing stigma2 and 7,e7 advancing mental health research4 7#b7 ,accountability for past performance measures ,the ,strategy shall contain a report on ,federal effectiveness with respect to meeting those performance measures set by the ,strategy for the preceding year1 including an evaluation of whether or not such performance measures were met and the reasons therefore1 including-- 7,a7 the extent of coordination between ,federal departments and agencies providing mental health services2 7,b7 the extent to which the objectives and budgets of ,federal departments and agencies providing mental health services were consistent with the recommendations of the ,strategy for the preceding year2 and 7,c7 the efficiency and adequacy of ,federal programs and policies with respect to mental health services4 7#c7 ,reporting on and identifying gaps in mental health services ,the ,strategy shall contain a report on-- 7,a7 the mental health diagnoses1 disaggregated by age1 race1 gender1 geographic distribution1 population density1 socioeconomic status1 and other target populations determined necessary for inclusion by the ,director2 7,b7 the quality and quantity of mental health services1 including community-based services1 for individuals with mental illness1 disaggregated by age1 race1 gender1 geographic distribution1 population density1 socioeconomic status1 and other target populations determined necessary for inclusion by the ,director2 and 7,c7 the size and allocation of ,federal resources devoted to supporting individuals with mental illness1 particularly serious mental illness1 and children and adolescents with a serious emotional disturbance1 disaggregated by age1 race1 gender1 geographic distribution1 population density1 socioeconomic status1 and other target populations determined necessary for inclusion by the ,director4 7#d7 ,coordination efforts ,the ,strategy shall contain a report on ,federal efforts to consult1 coordinate with1 facilitate joint efforts among1 and support ,state1 local1 and tribal governments1 nongovernmental entities1 and individuals with mental illness1 particularly serious mental illness1 and children and adolescents with a serious emotional disturbance1 including an evaluation of the effectiveness of those efforts4 7#e7 ,guidance ,the ,strategy shall contain research-based guidance for assessing and improving the quality of mental health services that is responsive to gaps identified in community-based and other mental health services1 particularly for individuals with a serious mental illness and children and adolescents with a serious emotional disturbance4 7#f7 ,mental health advocates and perspectives ,the ,strategy shall contain the views and perspectives of individuals with mental illness1 particularly individuals with serious mental illness and children and adolescents with a serious emotional disturbance1 with respect to mental health services as prepared by the ,national ,mental ,health ,advisory ,board4 7#g7 ,strategic plan ,the ,strategy shall contain a plan to achieve the goals and performance measures set for the year with respect to which the ,strategy applies1 including the following3 7,a7 ,program and budget priorities necessary to achieve the performance measures4 7,b7 ,recommendations for improved ,federal interagency coordination1 such as shared grant application processes1 grantee reporting requirements1 training and technical assistance efforts1 definitions1 recipient eligibility requirements1 research1 evaluation efforts1 and data collection1 and recommendations for legislative changes necessary to achieve such interagency coordination and to facilitate the delivery of a comprehensive array of mental health services4 7,c7 ,recommendations for improved coordination between the ,federal ,government and ,state1 local1 and tribal governments1 nongovernmental entities1 and individuals with mental illness1 particularly individuals with serious mental illness and children and adolescents with a serious emotional disturbance4 7,d7 ,a strategic research1 innovation1 and demonstration agenda to guide the use of ,federal research spending with respect to mental illness1 particularly serious mental illness4 7,e7 ,recommendations to promote community integration of individuals with mental illness1 consistent with the ,americans with ,disabilities ,act of #aiij1 section #ejd of the ,rehabilitation ,act of #aigc1 and the ,supreme ,court's decision in ,olmstead v4 ,l4,c4 7,f7 ,recommendations to enhance prevention and early intervention services for children and adolescents with mental illness4 7,g7 ,recommendations concerning ways to ensure appropriate access to intensive community-based services for ,medicaid beneficiaries4 7#h7 ,additional reports ,the ,strategy shall contain additional reports the ,director determines necessary1 such as reports on the unmet needs of individuals with mental illness1 international comparisons of mental health services and outcomes1 or the status of implementation and enforcement of mental health parity4 #ajd4 ,coordination with ,federal departments and agencies 7a7 ,federal department and agency cooperation ,each department or agency of the ,federal ,government providing mental health services shall-- 7#a7 cooperate with the efforts of the ,director under this title2 7#b7 provide such assistance1 statistics1 studies1 reports1 information1 and advice as the ,director may request1 to the extent permitted by law2 7#c7 adjust department or agency staff job descriptions and performance measures to support collaboration and implementation of the ,strategy2 and 7#d7 assign department or agency liaisons to the ,office to oversee and implement interagency coordination4 7b7 ,interagency alignment ,the ,director1 in collaboration with the heads of ,federal departments and agencies providing mental health services1 shall strengthen the coordination of ,federal mental health services in order to maximize the access of individuals with mental illness1 particularly individuals with serious mental illness1 to community-based mental health services1 strengthen the impact of mental health services1 and meet the comprehensive needs of individuals with mental illness1 particularly individuals with serious mental illness and children and adolescents with a serious emotional disturbance1 by1 where appropriate-- 7#a7 facilitating the development of shared grant application processes2 7#b7 offering joint training and technical assistance efforts2 7#c7 improving opportunities for individuals with mental illness to maintain services as they transition from systems of care2 7#d7 aligning-- 7,a7 grantee reporting requirements2 7,b7 definitions2 7,c7 eligibility requirements2 7,d7 research2 7,e7 evaluation efforts2 and 7,f7 data collection2 7#e7 making recommendations with respect to the legislative changes necessary to achieve the interagency alignment and coordination necessary to facilitate the delivery of a comprehensive array of mental health services2 and 7#f7 taking other steps necessary to improve collaboration between ,federal departments and agencies providing mental health services4 7c7 ,joint funding and coordination 7#a7 ,in general ,the ,director1 in consultation with the heads of ,federal departments and agencies1 may oversee the development and administration of initiatives involving multiple ,federal departments and agencies1 including initiatives that involve the integration of funding from different ,federal departments and agencies to the extent permitted by law4 7#b7 ,administration of funds ,with respect to an initiative that involves the integration of funding from different ,federal departments and agencies1 the ,federal department or agency principally involved in such an initiative1 as determined by the ,director1 may be designated by the ,director to act for all involved departments or agencies in administering funds for the initiative to the extent permitted by law4 7#c7 ,nongovernmental entities ,initiatives developed under this subsection may involve nongovernmental entities to the extent permitted by law4 7d7 ,national mental health council 7#a7 ,establishment ,there is established within the ,office the ,national ,mental ,health ,council 7hereinafter referred to in this title as the ,council74 7#b7 ,members and terms ,the members of the ,council shall include-- 7,a7 the ,president2 7,b7 the ,director2 7,c7 the ,secretary of ,health and ,human ,services2 7,d7 the ,director of the ,national ,institute of ,mental ,health2 7,e7 the ,attorney ,general of the ,united ,states2 7,f7 the ,secretary of ,veterans ,affairs2 7,g7 the ,assistant ,secretary-,indian ,affairs of the ,department of the ,interior2 7,h7 the ,director of the ,centers for ,disease ,control and ,prevention2 7,i7 the ,director of the ,national ,institutes of ,health2 7,j7 the directors of such national research institutes of the ,national ,institutes of ,health as the ,director determines appropriate2 7,k7 representatives1 appointed by the ,director1 of ,federal agencies that are outside of the ,department of ,health and ,human ,services and serve individuals with mental illness1 such as the ,department of ,education2 7,l7 the ,administrator of ,substance ,abuse and ,mental ,health ,services ,administration2 7,m7 the ,secretary of ,defense2 and 7,n7 other ,federal officials as directed by the ,president4 7#c7 ,chairperson ,the ,chairperson of the ,council shall be the ,president4 7#d7 ,designees ,members of the ,council may select a designee to perform duties under this subsection1 but it is the sense of ,congress that such members should refrain from doing so whenever possible4 7#e7 ,meetings 7,a7 ,in general ,the full membership of the ,council shall meet at the call of the ,chairperson1 but at least once each year4 ,the ,chairperson may call additional meetings composed of less than the full membership of the ,council as needed4 7,b7 ,first meeting ,the first meeting of the ,council shall be not more than four months after the date of the enactment of this title4 7,c7 ,inclusion of the national mental health advisory board ,at least two meetings of the ,council each year shall be opened to the participation of members of the ,national ,mental ,health ,advisory ,board4 7#f7 ,responsibilities ,the ,council shall-- 7,a7 assist the ,director to coordinate the mental health services provided by ,federal departments and agencies and to coordinate ,federal interagency mental health services2 7,b7 assist the ,director in the development1 coordination1 implementation1 evaluation1 and promulgation of the ,strategy2 7,c7 assist the ,director in soliciting and documenting ongoing input and recommendations with respect to mental health services and mental health outcomes from ,state1 local1 and tribal governments1 nongovernmental entities1 and individuals with mental illness1 particularly individuals with serious mental illness and children and adolescents with a serious emotional disturbance2 and 7,d7 ensure that members of the ,council oversee the implementation of those sections of the ,strategy for which each such member's department or agency is responsible1 as determined by the ,director1 and to report to the ,director on such implementation and the results thereof4 #aje4 ,national mental health advisory board 7a7 ,establishment ,there is established within the ,office the ,national ,mental ,health ,advisory ,board 7hereinafter referred to in this title as the ,board74 7b7 ,members and terms 7#a7 ,in general ,except as provided in paragraph 7#c71 each member shall serve a two-year term4 ,no member shall serve more than three terms4 ,the ,board shall be composed of non-,federal public members to be appointed by the ,director1 of which-- 7,a7 at least eight such members1 or #a_/c of total membership1 whichever is greater1 shall be individuals with a diagnosis of serious mental illness2 7,b7 at least six such members1 or #a_/d of total membership1 whichever is greater1 shall be a parent or legal guardian of an individual with a serious mental illness or a child or adolescent with a serious emotional disturbance2 7,c7 at least one such member shall be a representative of a leading research organization for individuals with serious mental illness2 7,d7 at least one such member shall be a representative of a leading advocacy organization for individuals with serious mental illness2 7,e7 at least one such member shall be a representative of a leading community service organization for individuals with serious mental illness2 7,f7 at least one member shall have served in a senior position in a ,state mental health system2 7,g7 at least one member shall have served in a senior position in a local mental health system2 7,h7 at least one member shall be a psychiatrist2 7,i7 at least one member shall be a clinical psychologist2 7,j7 at least one member shall be a law enforcement officer2 7,k7 at least one such member shall be a representative of a leading veterans service organization2 and 7,l7 at least one such member shall be a child or adolescent psychiatrist4 7#b7 ,selection process for the initial membership of the board ,the ,director shall design an application and selection process to fill the initial membership of the ,board4 ,political affiliation or views may not be taken into account in such application and selection process and relatives of elected officials shall not be eligible for membership4 7#c7 ,selection process for membership of the board following the initial membership ,the initial membership of the ,board shall design an application and selection process to fill the membership of the ,board for those terms following the term of the initial membership4 ,such application and selection process shall ensure that ,board members select the membership that will follow that ,board membership's term and1 notwithstanding the two-year term requirement in paragraph 7#a71 such application process shall ensure that not more than half of the terms of ,board members expire in a given year4 7#d7 ,chairperson ,the initial membership of the ,board shall elect two members as co-chairs of the ,board4 ,co-chairs shall serve a term of one year and the ,board shall elect new co-chairs as vacancies arise4 7c7 ,meetings ,the ,board shall meet in person not fewer than four times each year4 ,the ,director shall request senior ,federal ,government officials to attend each of the four meetings1 including requesting that the ,council attend one of the four meetings4 ,the co-chairs of the ,board may call additional meetings online and by telephone as determined necessary by the co-chairs4 7d7 ,duties ,the ,board shall-- 7#a7 advise the ,president1 the heads of ,federal departments and agencies providing mental health services1 and other senior ,federal ,government officials on proposed and pending legislation1 budget expenditures1 and other policy matters with respect to mental illness1 particularly serious mental illness and children and adolescents with a serious emotional disturbance2 7#b7 work in partnership with local organizations to solicit the views and perspectives of individuals with mental illness1 particularly individuals with serious mental illness1 and parents or legal guardians of individuals with mental illness1 with respect to mental health services2 7#c7 prepare a section of the ,strategy outlining the views and perspectives of individuals with mental illness1 particularly individuals with serious mental illness and children and adolescents with a serious emotional disturbance1 with respect to mental health services2 and 7#d7 provide the ,director evaluations of the staff support and training and technical assistance the ,board has received4 7e7 ,procedures ,the membership of the ,board shall1 in consultation with the ,director1 determine the procedures of the ,board4 ,,ii ,strengthening and ,investing in ,,samhsa ,programs #bja4 ,community mental health services block grant reauthorization ,section #aibj7;a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#i7;a77 is amended by striking #dej1jjj1jjj for fiscal year #bjja1 and such sums as may be necessary for each of the fiscal years #bjjb and #bjjc and inserting #dhc1gdd1jjj for fiscal year #bjae and such sums as may be necessary for each of fiscal years #bjaf through #bjai4 #bjb4 ,reporting requirements for block grants regarding mental health and substance use disorders ,section #aidb of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#eb7 is amended to read as follows3 #aidb4 ,requirement of reports and audits by ,states 7a7 ,annual report ,a funding agreement for a grant under section #aiaa is that-- 7#a7 the ,state involved will prepare and submit to the ,secretary an annual report on the activities funded through the grant2 and 7#b7 each such report shall be prepared by1 or in consultation with1 the ,state agency responsible for community mental health programs and activities4 7b7 ,standardized form2 contents ,in order to properly evaluate and to compare the performance of different ,states assisted under section #aiaa1 reports under this section shall be in such standardized form and contain such information as the ,secretary determines 7after consultation with the ,states7 to be necessary-- 7#a7 to secure an accurate description of the activities funded through the grant under section #aiaa2 7#b7 to determine the extent to which funds were expended consistent with the ,state's application transmitted under section #aiag7;a72 and 7#c7 to describe the extent to which the ,state has met the goals and objectives it set forth in its ,state plan under section #aiab7;b74 7c7 ,minimum contents ,each report under this section shall1 at a minimum1 include the following information3 7#a7 7,a7 ,the number of individuals served by the ,state under subpart ,i 7by class of individuals74 7,b7 ,the proportion of each class of such individuals which has health coverage4 7,c7 ,the types of services 7as defined by the ,secretary7 provided under subpart ,i to individuals within each such class4 7,d7 ,the amounts spent under subpart ,i on each type of service 7by class of individuals served74 7#b7 ,information on the status of mental health in the ,state1 including information 7by county and by racial and ethnic group7 on each of the following3 7,a7 ,the proportion of adolescents with serious emotional disturbances4 7,b7 ,the proportion of adults with serious mental illness 7including major depression74 7,c7 ,the proportion of individuals with co-occurring mental health and substance use disorders4 7,d7 ,the proportion of children and adolescents with mental health disorders who seek and receive treatment4 7,e7 ,the proportion of adults with mental health disorders who seek and receive treatment4 7,f7 ,the proportion of individuals with co-occurring mental health and substance use disorders who seek and receive treatment4 7,g7 ,the proportion of homeless adults with mental health disorders who receive treatment4 7,h7 ,the number of primary care facilities that provide mental health screening and treatment services onsite or by paid referral4 7,i7 ,the number of primary care physician office visits that include mental health screening services4 7,j7 ,the number of juvenile residential facilities that screen admissions for mental health disorders4 7,k7 ,the number of deaths attributable to suicide4 7#c7 ,information on the number and type of health care practitioners licensed in the ,state and providing mental health-related services4 7d7 ,availability of reports ,the ,secretary shall1 upon request1 provide a copy of any report under this section to any interested public agency4 4 #bjc4 ,garrett ,lee ,smith ,memorial ,act reauthorization 7a7 ,suicide prevention technical assistance center ,section #ebj;,c of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#cd7 is amended-- 7#a7 in the section heading1 by striking the section heading and inserting ,suicide prevention technical assistance center42 7#b7 in subsection 7a71 by striking and in consultation with and all that follows through the period at the end of paragraph 7#b7 and inserting shall establish a research1 training1 and technical assistance resource center to provide appropriate information1 training1 and technical assistance to ,states1 political subdivisions of ,states1 federally recognized ,indian tribes1 tribal organizations1 institutions of higher education1 public organizations1 or private nonprofit organizations regarding the prevention of suicide among all ages1 particularly among groups that are at high risk for suicide42 7#c7 by striking subsections 7b7 and 7c72 7#d7 by redesignating subsection 7d7 as subsection 7b72 7#e7 in subsection 7b71 as so redesignated-- 7,a7 by striking the subsection heading and inserting ,responsibilities of the center42 7,b7 in the matter preceding paragraph 7#a71 by striking ,the additional research and all that follows through nonprofit organizations for and inserting ,the center established under subsection 7a7 shall conduct activities for the purpose of2 7,c7 by striking youth suicide each place such term appears and inserting suicide2 7,d7 in paragraph 7#a7-- 7i7 by striking the development or continuation of and inserting developing and continuing2 and 7ii7 by inserting for all ages1 particularly among groups that are at high risk for suicide before the semicolon at the end2 7,e7 in paragraph 7#b71 by inserting for all ages1 particularly among groups that are at high risk for suicide before the semicolon at the end2 7,f7 in paragraph 7#c71 by inserting and tribal after statewide2 7,g7 in paragraph 7#e71 by inserting and prevention after intervention2 7,h7 in paragraph 7#h71 by striking in youth2 7,i7 in paragraph 7#i71 by striking and behavioral health and inserting health and substance use disorder2 and 7,j7 in paragraph 7#aj71 by inserting conducting before other2 and 7#f7 by striking subsection 7e7 and inserting the following3 7c7 ,authorization of appropriations ,for the purpose of carrying out this section1 there are authorized to be appropriated #d1idh1jjj for each of fiscal years #bjae through #bjai4 4 7b7 ,youth suicide early intervention and prevention strategies ,section #ebj;,e of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#cf7 is amended-- 7#a7 in paragraph 7#a7 of subsection 7a7 and in subsection 7c71 by striking substance abuse each place such term appears and inserting substance use disorder2 7#b7 in subsection 7b77#b7-- 7,a7 by striking each ,state is awarded only #a grant or cooperative agreement under this section and inserting a ,state does not receive more than #a grant or cooperative agreement under this section at any #a time2 and 7,b7 by striking been awarded and inserting received2 and 7#c7 by striking subsection 7m7 and inserting the following3 7m7 ,authorization of appropriations ,for the purpose of carrying out this section1 there are authorized to be appropriated #bi1fhb1jjj for each of fiscal years #bjae through #bjai4 4 7c7 ,mental health and substance use disorder services ,section #ebj;,e-#b of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#cf;b7 is amended-- 7#a7 in the section heading1 by striking and behavioral health and inserting health and substance use disorder services2 7#b7 in subsection 7a7-- 7,a7 by striking ,services1 and inserting ,services and2 7,b7 by striking and behavioral health problems and inserting health or substance use disorders2 and 7,c7 by striking substance abuse and inserting substance use disorders2 7#c7 in subsection 7b7-- 7,a7 in the matter preceding paragraph 7#a71 by striking for-- and inserting for one or more of the following32 and 7,b7 by striking paragraphs 7#a7 through 7#f7 and inserting the following3 7#a7 ,educating students1 families1 faculty1 and staff to increase awareness of mental health and substance use disorders4 7#b7 ,the operation of hotlines4 7#c7 ,preparing informational material4 7#d7 ,providing outreach services to notify students about available mental health and substance use disorder services4 7#e7 ,administering voluntary mental health and substance use disorder screenings and assessments4 7#f7 ,supporting the training of students1 faculty1 and staff to respond effectively to students with mental health and substance use disorders4 7#g7 ,creating a network infrastructure to link colleges and universities with health care providers who treat mental health and substance use disorders4 2 7#d7 in subsection 7c77#e71 by striking substance abuse and inserting substance use disorder2 7#e7 in subsection 7d7-- 7,a7 in the matter preceding paragraph 7#a71 by striking ,an institution of higher education desiring a grant under this section and inserting ,to be eligible to receive a grant under this section1 an institution of higher education2 7,b7 in paragraph 7#a7-- 7i7 by striking and behavioral health and inserting health and substance use disorder2 and 7ii7 by inserting 1 including veterans whenever possible and appropriate1 after students2 and 7,c7 in paragraph 7#b71 by inserting 1 which may include1 as appropriate and in accordance with subsection 7b77#g71 a plan to seek input from relevant stakeholders in the community1 including appropriate public and private entities1 in order to carry out the program under the grant before the period at the end2 7#f7 in subsection 7e77#a71 by striking and behavioral health problems and inserting health and substance use disorders2 7#g7 in subsection 7f77#b7-- 7,a7 by striking and behavioral health and inserting health and substance use disorder2 and 7,b7 by striking suicide and substance abuse and inserting suicide and substance use disorders2 and 7#h7 in subsection 7h71 by striking #e1jjj1jjj for fiscal year #bjje and all that follows through the period at the end and inserting #d1heh1jjj for each of fiscal years #bjae through #bjai44 #bjd4 ,priority mental health needs of regional and national significance reauthorization ,section #ebj;,a7f77#a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#cb7;f77#a77 is amended by striking #cjj1jjj1jjj for fiscal year #bjja1 and such sums as may be necessary for each of the fiscal years #bjjb and #bjjc and inserting #baf1fcb1jjj for fiscal year #bjae and such sums as may be necessary for each of fiscal years #bjaf through #bjai4 #bje4 ,grants for jail diversion programs reauthorization ,section #ebj;,g7i7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#ch7;i77 is amended by striking #aj1jjj1jjj for fiscal year #bjja1 and such sums as may be necessary for fiscal years #bjjb through #bjjc and inserting #d1bhj1jjj for fiscal year #bjae and such sums as may be necessary for each of fiscal years #bjaf through #bjai4 #bjf4 ,projects for assistance in transition from homelessness ,section #ece7;a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bi;cc-#ce7;a77 is amended by striking #ge1jjj1jjj for each of the fiscal years #bjja through #bjjc and inserting #fd1hjj1jjj for fiscal year #bjae and such sums as may be necessary for each of fiscal years #bjaf through #bjai4 #bjg4 ,comprehensive community mental health services for children with serious emotional disturbances ,section #efe of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;ff-#d7 is amended-- 7#a7 in subsection 7b77#a71 by striking receiving a grant under section #efa7;a7 and inserting 7irrespective of whether the public entity is in receipt of a grant under section #efa7;a772 7#b7 in subsection 7b77#a77;,b71 by striking planning1 development1 and operation of systems of care pursuant to section #efb and inserting planning1 development1 and operation of systems of care described in section #efb2 and 7#c7 in subsection 7f77#a71 by striking #ajj1jjj1jjj for fiscal year #bjja1 and such sums as may be necessary for each of the fiscal years #bjjb and #bjjc and inserting #aag1cae1jjj for fiscal year #bjae and such sums as may be necessary for each of fiscal years #bjaf through #bjai4 #bjh4 ,children's recovery from trauma ,section #ehb of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;hh-#a7 is amended-- 7#a7 in subsection 7a71 by striking developing programs and all that follows and inserting 8developing and maintaining programs that provide for-- 7#a7 the continued operation of the ,national ,child ,traumatic ,stress ,initiative 7referred to in this section as the ,,nctsi71 which includes a coordinating center1 that focuses on the mental1 behavioral1 and biological aspects of psychological trauma response2 and 7#b7 the development of knowledge with regard to evidence-based practices for identifying and treating mental1 behavioral1 and biological disorders of children and youth resulting from witnessing or experiencing a traumatic event4 2 7#b7 in subsection 7b7-- 7,a7 by striking subsection 7a7 related and inserting subsection 7a77#b7 7related2 7,b7 by striking treating disorders associated with psychological trauma and inserting treating mental1 behavioral1 and biological disorders associated with psychological trauma72 and 7,c7 by striking mental health agencies and programs that have established clinical and basic research and inserting universities1 hospitals1 mental health agencies1 and other programs that have established clinical expertise and research2 7#c7 by redesignating subsections 7c7 through 7g7 as subsections 7g7 through 7k71 respectively2 7#d7 by inserting after subsection 7b71 the following3 7c7 ,child outcome data ,the ,,nctsi coordinating center shall collect1 analyze1 and report ,,nctsi-wide child treatment process and outcome data regarding the early identification and delivery of evidence-based treatment and services for children and families served by the ,,nctsi grantees4 7d7 ,training ,the ,,nctsi coordinating center shall facilitate the coordination of training initiatives in evidence-based and trauma-informed treatments1 interventions1 and practices offered to ,,nctsi grantees1 providers1 and partners4 7e7 ,dissemination ,the ,,nctsi coordinating center shall1 as appropriate1 collaborate with the ,secretary in the dissemination of evidence-based and trauma-informed interventions1 treatments1 products and other resources to appropriate stakeholders4 7f7 ,review ,the ,secretary shall1 consistent with the peer review process1 ensure that ,,nctsi applications are reviewed by appropriate experts in the field as part of a consensus review process4 ,the ,secretary shall include review criteria related to expertise and experience in child trauma and evidence-based practices4 2 7#e7 in subsection 7g7 7as so redesignated71 by striking with respect to centers of excellence are distributed equitably among the regions of the country and inserting are distributed equitably among the regions of the ,united ,states2 7#f7 in subsection 7i7 7as so redesignated71 by striking recipient may not exceed #e years and inserting recipient shall not be less than #d years1 but shall not exceed #e years2 and 7#g7 in subsection 7j7 7as so redesignated71 by striking #ej1jjj1jjj and all that follows through #bjjf and inserting #de1gad1jjj for each of fiscal years #bjae through #bjai4 #bji4 ,protection and advocacy for individuals with mental illness reauthorization ,section #aag of the ,protection and ,advocacy for ,individuals with ,mental ,illness ,act 7#db ,u4,s4,c4 #ajhbg7 is amended by striking #ai1ejj1jjj for fiscal year #aiib1 and such sums as may be necessary for each of the fiscal years #aiic through #bjjc and inserting #cf1bch1jjj for fiscal year #bjae and such sums as may be necessary for each of fiscal years #bjaf through #bjai4 #baj4 ,mental health awareness training grants ,section #ebj;,j of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#da7 is amended-- 7#a7 in the section heading1 by inserting ,mental health awareness before ,training2 and 7#b7 in subsection 7b7-- 7,a7 in the subsection heading1 by striking illness and inserting health2 7,b7 in paragraph 7#a71 by inserting 1 and other categories of individuals listed in paragraph 7#b71 after emergency services personnel2 and 7,c7 by striking paragraph 7#b7 and inserting the following3 7#b7 ,categories of individuals to be trained ,the categories of individuals listed in this paragraph are the following3 7,a7 ,emergency services personnel and other first responders4 7,b7 ,police officers and other law enforcement personnel4 7,c7 ,teachers and school administrators4 7,d7 ,human resources professionals4 7,e7 ,faith community leaders4 7,f7 ,nurses and other primary care personnel4 7,g7 ,students enrolled in an elementary school1 a secondary school1 or an institution of higher education4 7,h7 ,the parents of students described in subparagraph 7,g74 7,i7 ,veterans4 7,j7 ,other individuals1 audiences1 or training populations as determined appropriate by the ,secretary4 2 7,d7 in paragraph 7#e7-- 7i7 in the matter preceding subparagraph 7,a71 by striking to and inserting for evidence-based programs for the purpose of2 and 7ii7 by striking subparagraphs 7,a7 through 7,c7 and inserting the following3 7,a7 recognizing the signs and symptoms of mental illness2 and 7,b7 7i7 providing education to personnel regarding resources available in the community for individuals with a mental illness and other relevant resources2 or 7ii7 the safe de-escalation of crisis situations involving individuals with a mental illness4 2 and 7,e7 in paragraph 7#g71 by striking 1 #be1jjj1jjj and all that follows through the period at the end and inserting #bj1jjj1jjj for each of fiscal years #bjad through #bjah4 #baa4 ,national media campaign to reduce the stigma associated with mental illness ,subpart #c of part ,b of title ,v of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#ca et seq47 is amended by adding at the end the following new section3 #ebj,l4 ,national media campaign to reduce the stigma associated with mental illness 7a7 ,scope of the campaign ,the ,secretary1 acting through the ,administrator of the ,substance ,abuse and ,mental ,health ,services ,administration1 shall provide for the production1 broadcasting1 and evaluation of a national media public service campaign to reduce the stigma associated with mental illness4 ,such campaign shall seek to reach as wide and diverse an audience as possible and shall particularly target the population between the ages of #af and #bd years of age4 7b7 ,report ,the ,secretary shall provide a report to the ,congress annually detailing-- 7#a7 the production1 broadcasting1 and evaluation of the campaign under subsection 7a72 and 7#b7 the effectiveness of the campaign in reducing the stigma associated with mental illness1 as measured using such methods as public attitude surveys and mental health services utilization statistics4 7c7 ,consultation requirement ,in carrying out this section1 the ,secretary shall ensure that mental health professionals and patient advocates are consulted in carrying out the media campaign under this section4 ,the progress of this consultative process is to be covered in the report under subsection 7b74 7d7 ,authorization of appropriations ,there are authorized to be appropriated to carry out this section1 #aj1jjj1jjj for each of the fiscal years #bjae through #bjai4 4 #bab4 ,,samhsa and ,,hrsa integration of behavioral health services into primary care settings ,title ,v of the ,public ,health ,service ,act is amended by inserting after section #ebj,k 7#db ,u4,s4,c4 #bij;bb-#db7 the following3 #ebj,k-#a4 ,awards for co-locating behavioral health services in primary care settings 7a7 ,program authorized ,the ,secretary1 acting through the ,administrators of the ,substance ,abuse and ,mental ,health ,services ,administration and the ,health ,resources and ,services ,administration1 shall award grants1 contracts1 and cooperative agreements to eligible entities for the provision of coordinated and integrated behavioral health services and primary health care4 7b7 ,eligible entities ,to be eligible to seek a grant1 contract1 or cooperative agreement this section1 an entity shall be a public or nonprofit entity4 7c7 ,use of funds ,an eligible entity receiving an award under this section shall use the award for the provision of coordinated and integrated behavioral health services and primary health care through-- 7#a7 the co-location of behavioral health services in primary care settings2 7#b7 the use of care management services to facilitate coordination between behavioral health and primary care providers2 7#c7 the use of information technology 7such as telemedicine7-- 7,a7 to facilitate coordination between behavioral health and primary care providers2 or 7,b7 to expand the availability of behavioral health services2 or 7#d7 the provision of training and technical assistance to improve the delivery1 effectiveness1 and integration of behavioral health services into primary care settings4 7d7 ,authorization of appropriations ,to carry out this section-- 7#a7 there are authorized to be appropriated such sums as may be necessary for fiscal years #bjae through #bjai2 and 7#b7 such sums as necessary are authorized to be transferred from the ,substance ,abuse and ,mental ,health ,services ,administration to the ,health ,resources and ,services ,administration4 4 #bac4 ,geriatric mental health disorders ,section #ebj;,a7e7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#cb7;e77 is amended by adding at the end the following3 7#c7 ,geriatric mental health disorders ,the ,secretary shall1 as appropriate1 provide technical assistance to grantees regarding evidence-based practices for the prevention and treatment of geriatric mental health disorders1 as well as disseminate information about such evidence-based practices to ,states and nongrantees throughout the ,united ,states4 4 #bad4 ,assessing barriers to behavioral health integration 7a7 ,in general ,not later than #b years after the date of enactment of this ,act1 the ,comptroller ,general of the ,united ,states shall submit a report to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,energy and ,commerce of the ,house of ,representatives concerning ,federal requirements that impact access to treatment of mental health and substance use disorders related to integration with primary care1 administrative and regulatory issues1 quality measurement and accountability1 and data sharing4 7b7 ,contents ,the report submitted under subsection 7a7 shall include the following3 7#a7 ,an evaluation of the administrative or regulatory burden on behavioral health care providers4 7#b7 ,the identification of outcome and quality measures relevant to integrated health care1 evaluation of the data collection burden on behavioral health care providers1 and any alternative methods for evaluation4 7#c7 ,an analysis of the degree to which electronic data standards1 including interoperability and meaningful use includes behavioral health measures1 and an analysis of strategies to address barriers to health information exchange posed by part #b of title #db1 ,code of ,federal ,regulations4 7#d7 ,an analysis of the degree to which ,federal rules and regulations for behavioral and physical health care are aligned1 including recommendations to address any identified barriers4 #bae4 ,acute care bed registry grant for ,states 7a7 ,in general ,the ,secretary of ,health and ,human ,services1 acting through ,administrator of the ,substance ,abuse and ,mental ,health ,services ,administration1 shall award grants to ,state mental health agencies to develop and administer a ,web-based acute psychiatric bed registry to collect1 aggregate1 and display information about available acute beds in public and private inpatient psychiatric facilities and public and private residential crisis stabilization units to facilitate the identification and designation of facilities for the temporary treatment of individuals in psychiatric crisis4 7b7 ,registry requirements ,an acute psychiatric bed registry funded under this section shall-- 7#a7 include descriptive information for every public and private inpatient psychiatric facility and every public and private residential crisis stabilization unit in the ,state involved1 including contact information for the facility or unit2 7#b7 provide real-time information about the number of beds available at each facility or unit and1 for each available bed1 the type of patient that may be admitted1 the level of security provided1 and any other information that may be necessary to allow for the proper identification of appropriate facilities for treatment of individuals in psychiatric crisis2 and 7#c7 allow employees and designees of community mental health service providers1 employees of inpatient psychiatric facilities or public and private residential crisis stabilization units1 and health care providers working in an emergency room of a hospital or clinic or other facility rendering emergency medical care to perform searches of the registry to identify available beds that are appropriate for the treatment of individuals in psychiatric crisis4 7c7 ,authorization of appropriations ,to carry out this section1 there are authorized to be appropriated such sums as may be necessary for fiscal years #bjae through #bjai4 #baf4 ,awards for co-locating primary and specialty care in community-based mental health settings ,section #ebj,k7f7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#db7;f77 is amended by striking #ej1jjj1jjj for fiscal year #bjaj and such sums as may be necessary for each of fiscal years #bjaa through #bjad and inserting #ej1jjj1jjj for fiscal year #bjae and such sums as may be necessary for each of fiscal years #bjaf through #bjai4 #bag4 ,grants for the benefit of homeless individuals ,section #ejf7;e7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;aa-#e7;e77 is amended by striking #ej1jjj1jjj for fiscal year #bjja1 and such sums as may be necessary for each of the fiscal years #bjjb and #bjjc and inserting for fiscal year #bjae and such sums as may be necessary for each of fiscal years #bjaf through #bjai4 ,,iii ,improving ,medicaid and ,medicare ,mental ,health ,services #cja4 ,access to mental health prescription drugs under ,medicare ,section #ahfj;,d-#d7;b77#c77;,g77ii77,i7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#ajd7;b77#c77;,g77ii77,i77 is amended by adding at the end the following3 ,notwithstanding the previous sentence1 categories and classes of drugs specified in subclauses 7,,ii7 and 7,,iv7 of clause 7iv7 shall be identified under this subclause44 #cjb4 ,medicaid coverage of mental health services and primary care services furnished on the same day 7a7 ,in general ,not later than one year after the date of the enactment of this ,act1 the ,secretary of ,health and ,human ,services shall issue guidance to clarify that payment under a ,state plan is not prohibited for a mental health service or primary care service furnished to an individual at a community mental health center that meets the criteria specified in section #aiac7;c7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#b7;c77 or a federally qualified health center 7as defined in section #ahfa7;aa77#c7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciex7aa77#c777 for which payment would otherwise be payable under the plan1 with respect to such individual1 if such service were not a same-day qualifying service4 7b7 ,same-,day qualifying service defined ,in this section1 the term same-day qualifying service means-- 7#a7 a primary care service furnished to an individual by a provider at a facility on the same day a mental health service is furnished to such individual by such provider 7or another provider7 at the facility2 and 7#b7 a mental health service furnished to an individual by a provider at a facility on the same day a primary care service is furnished to such individual by such provider 7or another provider7 at the facility4 #cjc4 ,elimination of #aij-;day lifetime limit on inpatient psychiatric hospital services 7a7 ,in general ,section #ahab of the ,social ,security ,act 7#db ,u4,s4,c4 #acie;d7 is amended-- 7#a7 in subsection 7b7-- 7,a7 in paragraph 7#a71 by adding or at the end2 7,b7 in paragraph 7#b71 by striking 2 or at the end and inserting a period2 and 7,c7 by striking paragraph 7#c72 and 7#b7 in subsection 7c71 by striking or in determining the #aij-;day limit under subsection 7b77#c74 7b7 ,effective date ,the amendments made by subsection 7a7 shall apply to items and services furnished on or after ,january #a1 #bjaf4 #cjd4 ,expanding the ,medicaid home and community-based services waiver to include youth in need of services provided in a psychiatric residential treatment facility 7a7 ,in general ,section #aiae7;c7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acifn7c77 is amended-- 7#a7 in paragraph 7#a7-- 7,a7 by striking a hospital or a nursing facility or intermediate care facility for the mentally retarded and inserting a hospital1 a nursing facility1 an intermediate care facility for the intellectually disabled1 or a psychiatric residential treatment facility12 and 7,b7 by striking a hospital1 nursing facility1 or intermediate care facility for the mentally retarded and inserting a hospital1 nursing facility1 intermediate care facility for the intellectually disabled1 or psychiatric residential treatment facility2 7#b7 in paragraph 7#b77;,b71 by striking or services in an intermediate care facility for the mentally retarded each place it appears and inserting services in an intermediate care facility for the intellectually disabled1 or services in a psychiatric residential treatment facility2 7#c7 in paragraph 7#b77;,c7-- 7,a7 by striking or intermediate care facility for the mentally retarded and inserting intermediate care facility for the intellectually disabled1 or psychiatric residential treatment facility2 and 7,b7 by striking or services in an intermediate care facility for the mentally retarded and inserting services in an intermediate care facility for the intellectually disabled1 or services in a psychiatric residential treatment facility2 7#d7 in paragraph 7#g77;,a71 by striking or intermediate care facilities for the mentally retarded1 and inserting intermediate care facilities for the intellectually disabled1 or psychiatric residential treatment facilities12 and 7#e7 by adding at the end the following new paragraph3 7#aa7 ,for purposes of this subsection1 the term psychiatric residential treatment facility means a facility other than a hospital that is certified as meeting the requirements specified in regulations promulgated for such facilities under section #aije7;h77#a7 and that provides psychiatric services in an inpatient setting to individuals under age #ba for which medical assistance is available under a ,state plan under this title4 4 7b7 ,waiver limitation ,section #aiae7;c7 of such ,act1 as amended by subsection 7a71 is further amended-- 7#a7 in paragraph 7#b7-- 7,a7 in subparagraph 7,d71 by striking 2 and and inserting a semicolon2 7,b7 in subparagraph 7,e71 by striking the period at the end and inserting a semicolon2 and 7,c7 by adding at the end the following new subparagraphs3 7,f7 under the waiver1 the total number of ,medicaid inpatient bed days at psychiatric residential treatment facilities during each fiscal year within the waiver period will not exceed the total number of ,medicaid inpatient bed days at such facilities for the previous fiscal year as increased by the estimated percentage increase 7if any7 in the population of individuals under age #ba residing in the ,state over the preceding #ab-month period2 and 7,g7 the ,state will provide to the ,secretary annually1 subject to such requirements as the ,secretary determines appropriate1 relevant information and evidence as to the manner in which the ,state will satisfy the requirements described in subparagraph 7,f74 2 and 7#b7 by adding at the end the following new paragraph3 7#ab7 ,for purposes of paragraph 7#b77;,f71 an individual who is under age #ba and is an inpatient in a bed in a psychiatric residential treatment facility for a single day shall be counted as one inpatient bed day4 4 #cje4 ,application of ,rosa's ,law for individuals with intellectual disabilities 7a7 ,references in the ,social ,security ,act 7#a7 ,in general ,with the exception of section #aicj7;b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acifu7b771 as amended by section #cje1 such ,act is further amended-- 7,a7 by striking1 wherever it appears1 ,state mental retardation or developmental disability authority and inserting ,state intellectual disability or developmental disability authority2 7,b7 by striking1 wherever it appears1 mental retardation and inserting intellectual disabilities2 and 7,c7 by striking1 wherever it appears1 mentally retarded and inserting intellectually disabled4 7#b7 ,conforming amendment 7,a7 ,in general ,section #aijb7;e77#ad77;,f7 of such ,act is amended by striking mentally retarded and inserting intellectually disabled4 7,b7 ,effective date ,the amendment made under subparagraph 7,a7 shall take effect on ,january #b1 #bjae4 7b7 ,references 7#a7 ,in general ,for purposes of each provision amended by this section1 issuing or amending regulations to carry out a provision amended by this section1 or issuing any publication or other official communication in regards to any provision of the ,social ,security ,act-- 7,a7 a reference to an intellectual disability shall mean a condition previously referred to as mental retardation1 or a variation of such term1 and shall have the same meaning with respect to programs1 or qualifications for such programs1 for individuals with such a condition2 7,b7 a reference to an individual who is intellectually disabled shall mean an individual who was previously referred to as an individual who is mentally retarded1 an individual with mental retardation1 or variations of such terms2 7,c7 a reference to an intermediate care facility for the intellectually disabled shall mean a facility that was previously referred to as an intermediate care facility for the mentally retarded2 and 7,d7 a reference to a ,state intellectual disability or developmental disability authority shall mean an entity that was previously referred to as a ,state mental retardation or developmental disability authority4 7#b7 ,regulations ,for purposes of amending regulations to carry out this section1 a ,federal agency shall ensure that the regulations clearly state-- 7,a7 that an intellectual disability was formerly termed mental retardation2 7,b7 that individuals with intellectual disabilities were formerly termed individuals who are mentally retarded2 7,c7 that an intermediate care facility for the intellectually disabled was formerly termed an intermediate care facility for the mentally retarded2 and 7,d7 that a ,state intellectual disability or developmental disability authority was formerly termed a ,state mental retardation or developmental disability authority4 7c7 ,rule of construction ,this section shall be construed to make amendments to provisions of ,federal law to substitute the term intellectual disability for mental retardation or any variation of such term without any intent to-- 7#a7 change the coverage1 eligibility1 rights1 responsibilities1 or definitions referred to in the amended provisions2 or 7#b7 compel ,states to change terminology in ,state laws for individuals covered by a provision amended by this section4 #cjf4 ,complete application of mental health and substance use parity rules under ,medicaid and ,,chip ,not later than ,january #a1 #bjae1 the ,secretary of ,health and ,human ,services shall issue a final rule to carry out the following provisions of law3 7#a7 ,section #aicb7;b77#h7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acifu-#b7;b77#h77 7requiring ,medicaid managed care organizations to comply with the mental health and substance use requirements under certain provisions of part ,a of title ,,xxvii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;gg et seq4774 7#b7 ,section #aicg7;b77#f7 of such ,act 7#db ,u4,s4,c4 #acifu-#g7;b77#f77 7requiring benchmark benefit packages or benchmark equivalent coverage to comply with the mental health and substance use parity requirements under section #bgje7;a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;gg-#d774 7#c7 ,section #bajc7;c77#f7 of such ,act 7#db ,u4,s4,c4 #aicg;cc7c77#f77 7requiring ,state child health plans to comply with mental health and substance use parity requirements under section #bgje7;a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;gg-#d774 #cjg4 ,coverage of marriage and family therapist services and mental health counselor services under part ,b of the ,medicare program 7a7 ,coverage of ,services 7#a7 ,in general ,section #ahfa7s77#b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciex7s77#b77 is amended-- 7,a7 in subparagraph 7,,ee71 by striking and after the semicolon at the end2 7,b7 in subparagraph 7,,ff71 by inserting and after the semicolon at the end2 and 7,c7 by adding at the end the following new subparagraph3 7,,gg7 marriage and family therapist services 7as defined in subsection 7iii77#a77 and mental health counselor services 7as defined in subsection 7iii77#c772 4 7#b7 ,definitions ,section #ahfa of the ,social ,security ,act 7#db ,u4,s4,c4 #aciex7 is amended by adding at the end the following new subsection3 7iii7 ,marriage and ,family ,therapist ,services2 ,marriage and ,family ,therapist2 ,mental ,health ,counselor ,services2 ,mental ,health ,counselor 7#a7 ,the term marriage and family therapist services means services performed by a marriage and family therapist 7as defined in paragraph 7#b77 for the diagnosis and treatment of mental illnesses1 which the marriage and family therapist is legally authorized to perform under ,state law 7or the ,state regulatory mechanism provided by ,state law7 of the ,state in which such services are performed1 as would otherwise be covered if furnished by a physician or as an incident to a physician's professional service1 but only if no facility or other provider charges or is paid any amounts with respect to the furnishing of such services4 7#b7 ,the term marriage and family therapist means an individual who-- 7,a7 possesses a master's or doctoral degree which qualifies for licensure or certification as a marriage and family therapist pursuant to ,state law2 7,b7 after obtaining such degree has performed at least #b years of clinical supervised experience in marriage and family therapy2 and 7,c7 is licensed or certified as a marriage and family therapist in the ,state in which marriage and family therapist services are performed4 7#c7 ,the term mental health counselor services means services performed by a mental health counselor 7as defined in paragraph 7#d77 for the diagnosis and treatment of mental illnesses which the mental health counselor is legally authorized to perform under ,state law 7or the ,state regulatory mechanism provided by the ,state law7 of the ,state in which such services are performed1 as would otherwise be covered if furnished by a physician or as incident to a physician's professional service1 but only if no facility or other provider charges or is paid any amounts with respect to the furnishing of such services4 7#d7 ,the term mental health counselor means an individual who-- 7,a7 possesses a master's or doctoral degree in mental health counseling or a related field2 7,b7 after obtaining such a degree has performed at least #b years of supervised mental health counselor practice2 and 7,c7 in the case of an individual performing services in a ,state that provides for licensure or certification of mental health counselors or professional counselors1 is licensed or certified as a mental health counselor or professional counselor in such ,state4 4 7#c7 ,provision for payment under part ,b ,section #ahcb7;a77#b77;,b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciek7a77#b77;,b77 is amended by adding at the end the following new clause3 7v7 marriage and family therapist services 7as defined in section #ahfa7;iii77#a77 and mental health counselor services 7as defined in section #ahfa7;iii77#c772 4 7#d7 ,amount of payment 7,a7 ,in general ,section #ahcc7;a77#a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciel7a77#a77 is amended-- 7i7 by striking and 7,z7 and inserting 7,z72 and 7ii7 by inserting before the semicolon at the end the following3 1 and 7,,aa7 with respect to marriage and family therapist services and mental health counselor services under section #ahfa7s77#b77;,,gg71 the amounts paid shall be #hj percent of the lesser of the actual charge for the services or #ge percent of the amount determined for payment of a psychologist under subparagraph 7,l74 7,b7 ,development of criteria with respect to consultation with a health care professional ,the ,secretary of ,health and ,human ,services shall1 taking into consideration concerns for patient confidentiality1 develop criteria with respect to payment for marriage and family therapist services for which payment may be made directly to the marriage and family therapist under part ,b of title ,,xviii of the ,social ,security ,act 7#db ,u4,s4,c4 #acie;j et seq47 under which such a therapist must agree to consult with a patient's attending or primary care physician or nurse practitioner in accordance with such criteria4 7#e7 ,exclusion of marriage and family therapist services and mental health counselor services from skilled nursing facility prospective payment system ,section #ahhh7;e77#b77;,a77ii7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acieyy7e77#b77;,a77ii77 is amended by inserting marriage and family therapist services 7as defined in section #ahfa7;iii77#a771 mental health counselor services 7as defined in section #ahfa7;iii77#c771 after qualified psychologist services14 7#f7 ,inclusion of marriage and family therapists and mental health counselors as practitioners for assignment of claims ,section #ahdb7;b77#ah77;,c7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acieu7b77#ah77;,c77 is amended by adding at the end the following new clauses3 7vii7 ,a marriage and family therapist 7as defined in section #ahfa7;iii77#b774 7viii7 ,a mental health counselor 7as defined in section #ahfa7;iii77#d774 4 7b7 ,coverage of ,certain ,mental ,health ,services ,provided in ,certain ,settings 7#a7 ,rural health clinics and federally qualified health centers ,section #ahfa7;aa77#a77;,b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciex7aa77#a77;,b77 is amended by striking or by a clinical social worker 7as defined in subsection 7hh77#a77 and inserting 1 by a clinical social worker 7as defined in subsection 7hh77#a771 by a marriage and family therapist 7as defined in subsection 7iii77#b771 or by a mental health counselor 7as defined in subsection 7iii77#d774 7#b7 ,hospice programs ,section #ahfa7;dd77#b77;,b77i77,,iii7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciex7dd77#b77;,b77i77,,iii77 is amended by inserting 7and may1 in addition1 include a marriage and family therapist and mental health counselor7 after social worker4 7c7 ,authorization of marriage and family therapists and mental health counselors ,to develop discharge plans for post-,hospital services ,section #ahfa7;ee77#b77;,g7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciex7ee77#b77;,g77 is amended by inserting 1 including a marriage and family therapist and a mental health counselor who meets qualification standards established by the ,secretary before the period at the end4 7d7 ,effective ,date ,the amendments made by this section shall apply with respect to services furnished on or after the date that is one year after the date of the enactment of this ,act4 ,,iv ,developing the ,behavioral ,health ,workforce #dja4 ,national health service corps scholarship and loan repayment funding for behavioral and mental health professionals ,section #cch;,h of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bedq7 is amended-- 7#a7 by redesignating subsections 7b7 and 7c7 as subsections 7c7 and 7d71 respectively2 and 7#b7 by inserting after subsection 7a7 the following3 7b7 ,additional funding for behavioral and mental health professionals ,in addition to the amounts authorized to be appropriated under subsection 7a71 and in addition to the amounts appropriated under section #ajejc of ,public ,law #aaa-adh1 there are authorized to be appropriated such sums as may be necessary for fiscal years #bjae through #bjai for scholarships and loan repayments under this subpart for ensuring1 as described in sections #cch;,a7a7 and #cch;,b7a71 an adequate supply of behavioral and mental health professionals4 4 #djb4 ,reauthorization of ,,hrsa's mental and behavioral health education and training program ,subsection 7e7 of section #gef of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bid;e-#a7 is amended to read as follows3 7e7 ,authorization of appropriations ,to carry out this section1 there are authorized to be appropriated such sums as may be necessary for fiscal years #bjae through #bjai4 4 #djc4 ,,samhsa grant program for development and implementation of curricula for continuing education on serious mental illness ,title ,v of the ,public ,health ,service ,act is amended by inserting after section #ebj;,i 7#db ,u4,s4,c4 #bij;bb-#dj7 the following3 #ebj;,i-#a4 ,curricula for continuing education on serious mental illness 7a7 ,grants ,the ,secretary may award grants to eligible entities for the development and implementation of curricula for providing continuing education and training to health care professionals on identifying1 referring1 and treating individuals with serious mental illness4 7b7 ,eligible entities ,to be eligible to seek a grant under this section1 an entity shall be a public or nonprofit entity that-- 7#a7 provides continuing education or training to health care professionals2 or 7#b7 applies for the grant in partnership with another entity that provides such education and training4 7c7 ,preference ,in awarding grants under this section1 the ,secretary shall give preference to eligible entities proposing to develop and implement curricula for providing continuing education and training to-- 7#a7 health care professionals in primary care specialities2 or 7#b7 health care professionals who are required1 as a condition of ,state licensure1 to participate in continuing education or training specific to mental health4 7d7 ,authorization of appropriations ,to carry out this section1 there are authorized to be appropriated such sums as may be necessary for fiscal years #bjae through #bjai4 4 #djd4 ,demonstration grant program to recruit1 train1 deploy1 and professionally support psychiatric physicians in ,indian health programs 7a7 ,short title ,this section may be cited as the ,native ,american ,psychiatric and ,mental ,health ,care ,improvement ,act4 7b7 ,demonstration grant program ,to recruit1 train1 deploy1 and professionally support psychiatric physicians in ,indian health programs 7#a7 ,establishment ,the ,secretary of ,health and ,human ,services 7in this subsection referred to as the ,secretary71 in consultation with the ,director of the ,indian ,health ,service and demonstration programs established under section #abc of the ,indian ,health ,care ,improvement ,act 7#be ,u4,s4,c4 #afafp71 shall award one #e-year grant to one eligible entity to carry out a demonstration program 7in this ,act referred to as the ,program7 under which the eligible entity shall carry out the activities described in paragraph 7#b74 7#b7 ,activities ,to be carried out by recipient of grant under ,program ,under the ,program1 the grant recipient shall-- 7,a7 create a nationally replicable workforce model that identifies and incorporates best practices for recruiting1 training1 deploying1 and professionally supporting ,native ,american and non-,native ,american psychiatric physicians to be fully integrated into medical1 mental1 and behavioral health systems in ,indian health programs2 7,b7 recruit to participate in the ,program ,native ,american and non-,native ,american psychiatric physicians who demonstrate interest in providing specialty health care services 7as defined in section #cac7;a77#c7 of the ,indian ,health ,care ,improvement ,act 7#be ,u4,s4,c4 #afch;g7a77#c777 and primary care services to ,american ,indians and ,alaska ,natives2 7,c7 provide such psychiatric physicians participating in the ,program with not more than #a year of supplemental clinical and cultural competency training to enable such physicians to provide such specialty health care services and primary care services in ,indian health programs2 7,d7 with respect to such psychiatric physicians who are participating in the ,program and trained under subparagraph 7,c71 deploy such physicians to practice specialty care or primary care in ,indian health programs for a period of not less than #b years and professionally support such physicians for such period with respect to practicing such care in such programs2 and 7,e7 not later than #a year after the last day of the #e-year period for which the grant is awarded under paragraph 7#a71 submit to the ,secretary and to the appropriate committees of ,congress a report that shall include-- 7i7 the workforce model created under subparagraph 7,a72 7ii7 strategies for disseminating the workforce model to other entities with the capability of adopting it2 and 7iii7 recommendations for the ,secretary and ,congress with respect to supporting an effective and stable psychiatric and mental health workforce that serves ,american ,indians and ,alaska ,natives4 7#c7 ,eligible entities 7,a7 ,requirements ,to be eligible to receive the grant under this section1 an entity shall-- 7i7 submit to the ,secretary an application at such time1 in such manner1 and containing such information as the ,secretary may require2 7ii7 be a department of psychiatry within a medical school in the ,united ,states that is accredited by the ,liaison ,committee on ,medical ,education or a public or private nonprofit entity affiliated with a medical school in the ,united ,states that is accredited by the ,liaison ,committee on ,medical ,education2 and 7iii7 have in existence1 as of the time of submission of the application under subparagraph 7,a71 a relationship with ,indian health programs in at least two ,states with a demonstrated need for psychiatric physicians and provide assurances that the grant will be used to serve rural and non-rural ,american ,indian and ,alaska ,native populations in at least two ,states4 7,b7 ,priority in selecting grant recipient ,in awarding the grant under this section1 the ,secretary shall give priority to an eligible entity that satisfies each of the following3 7i7 ,demonstrates sufficient infrastructure in size1 scope1 and capacity to undertake the supplemental clinical and cultural competency training of a minimum of #e psychiatric physicians1 and to provide ongoing professional support to psychiatric physicians during the deployment period to an ,indian health program4 7ii7 ,demonstrates a record in successfully recruiting1 training1 and deploying physicians who are ,american ,indians and ,alaska ,natives4 7iii7 ,demonstrates the ability to establish a program advisory board1 which may be primarily composed of representatives of federally recognized tribes1 ,alaska ,natives1 and ,indian health programs to be served by the ,program4 7#d7 ,eligibility of psychiatric physicians ,to participate in the ,program 7,a7 ,in general ,to be eligible to participate in the ,program1 as described in paragraph 7#b71 a psychiatric physician shall-- 7i7 be licensed or eligible for licensure to practice in the ,state to which the physician is to be deployed under paragraph 7#b77;,d72 and 7ii7 demonstrate a commitment beyond the one year of training described in paragraph 7#b77;,c7 and two years of deployment described in paragraph 7#b77;,d7 to a career as a specialty care physician or primary care physician providing mental health services in ,indian health programs4 7,b7 ,preference ,in selecting physicians to participate under the ,program1 as described in paragraph 7#b77;,b71 the grant recipient shall give preference to physicians who are ,american ,indians and ,alaska ,natives4 7#e7 ,loan forgiveness ,under the ,program1 any psychiatric physician accepted to participate in the ,program shall1 notwithstanding the provisions of subsection 7b7 of section #ajh of the ,indian ,health ,care ,improvement ,act 7#be ,u4,s4,c4 #afaf;a7 and upon acceptance into the ,program1 be deemed eligible and enrolled to participate in the ,indian ,health ,service ,loan ,repayment ,program under such section #ajh4 ,under such ,loan ,repayment ,program1 the ,secretary shall pay on behalf of the physician for each year of deployment under the ,program under this section up to #ce1jjj for loans described in subsection 7g77#a7 of such section #ajh4 7#f7 ,deferral of certain service ,the starting date of required service of individuals in the ,national ,health ,service ,corps ,service ,program under title ,,ii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bjb et seq47 who are psychiatric physicians participating under the ,program under this section shall be deferred until the date that is #cj days after the date of completion of the participation of such a physician in the ,program under this section4 7#g7 ,definitions ,for purposes of this ,act3 7,a7 ,american ,indians and ,alaska ,natives ,the term ,american ,indians and ,alaska ,natives has the meaning given the term ,indian in section #ddg4ej7;b77#a7 of title #db1 ,code of ,federal ,regulations1 as in existence as of the date of the enactment of this ,act4 7,b7 ,indian health program ,the term ,indian health program has the meaning given such term in section #ajd7ab7 of the ,indian ,health ,care ,improvement ,act 7#be ,u4,s4,c4 #afjc7ab774 7,c7 ,professionally support ,the term professionally support means1 with respect to psychiatric physicians participating in the ,program and deployed to practice specialty care or primary care in ,indian health programs1 the provision of compensation to such physicians for the provision of such care during such deployment and may include the provision1 dissemination1 or sharing of best practices1 field training1 and other activities deemed appropriate by the recipient of the grant under this section4 7,d7 ,psychiatric physician ,the term psychiatric physician means a medical doctor or doctor of osteopathy in good standing who has successfully completed four-year psychiatric residency training or who is enrolled in four-year psychiatric residency training in a residency program accredited by the ,accreditation ,council for ,graduate ,medical ,education4 7#h7 ,authorization of appropriations ,there is authorized to be appropriated to carry out this section #a1jjj1jjj for each of the fiscal years #bjae through #bjai4 #dje4 ,including occupational therapists as behavioral and mental health professionals for purposes of the ,national ,health ,service ,corps 7a7 ,inclusion of ,occupational ,therapist ,section #cca7;a77#c77;,e77i7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bed;d7a77#c77;,e77i77 is amended by inserting subject to section #dje7;b77#b7 of the ,strengthening ,mental ,health in ,our ,communities ,act of #bjad1 occupational therapists1 after psychiatric nurse specialists24 7b7 ,effective date2 contingent implementation 7#a7 ,effective date ,subject to paragraph 7#b71 the amendment made by subsection 7a7 shall apply beginning on ,october #a1 #bjad4 7#b7 ,contingent implementation ,the amendment made by subsection 7a7 shall apply with respect to obligations entered into for a fiscal year after fiscal year #bjad only if the total amount made available for the purpose of carrying out subparts ,,ii and ,,iii of part ,d of title ,,iii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bed;d et seq47 for such fiscal year is greater than the total amount made available for such purpose for fiscal year #bjad4 #djf4 ,extension of certain health care workforce loan repayment programs through fiscal year #bjai ,section #gge7;e7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bie;f7e77 is amended-- 7#a7 by striking #bjad and inserting #bjai2 and 7#b7 by striking #bjac and inserting #bjai4 ,v ,improving ,mental ,health ,research and ,coordination #eja4 ,national ,institute of ,mental ,health research program on serious mental illness and suicide prevention 7a7 ,purpose of institute ,section #dfd,r7a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhep7a77 is amended by inserting serious mental illness research1 after biomedical and behavioral research14 7b7 ,research program ,section #dfd,r7b7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhep7b77 is amended-- 7#a7 by striking ,the research program and inserting the following3 7#a7 ,in general ,the research program 2 7#b7 by striking to further the treatment and prevention of mental illness and inserting to further the treatment and prevention of mental illness 7including serious mental illness72 and 7#c7 by adding at the end the following3 7#b7 ,research with respect to serious mental illness ,as part of the research program established under this subpart1 the ,director of the ,institute shall conduct or support research on serious mental illness1 including with respect to-- 7,a7 the causes1 prevention1 and treatment of serious mental illness2 and 7,b7 interventions to improve early identification of individuals with serious mental illness4 7#c7 ,research with respect to violence associated with mental illness ,as part of the research program established under this subpart1 the ,director of the ,institute shall conduct or support research on self-directed and other-directed violence associated with mental illness1 including with respect to-- 7,a7 the causes of such violence2 and 7,b7 interventions to reduce the risk of self-harm1 suicide1 and interpersonal violence1 including in rural and other underserved communities4 4 7c7 ,biennial report ,section #djc7;a77#e7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhc7;a77#e77 is amended-- 7#a7 by redesignating subparagraph 7,l7 as subparagraph 7,m72 and 7#b7 by inserting after subparagraph 7,k7 the following3 7,l7 ,serious mental illness4 4 7d7 ,authorization of appropriations ,section #dfd,r of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhep7 is amended by adding at the end the following3 7f7 ,authorization of appropriations ,in addition to amounts otherwise made available to the ,national ,institute of ,mental ,health1 including amounts appropriated pursuant to section #djb;,a7a71 there are authorized to be appropriated to such ,institute #dj1jjj1jjj for each of fiscal years #bjae through #bjai to carry out subsection 7b77#c7 7relating to research with respect to violence associated with mental illness74 4 #ejb4 ,youth mental health research network 7a7 ,youth mental health research network 7#a7 ,network ,the ,director of the ,national ,institutes of ,health may provide for the establishment of a ,youth ,mental ,health ,research ,network for the conduct or support of-- 7,a7 youth mental health research2 and 7,b7 youth mental health intervention services4 7#b7 ,collaboration by institutes and centers ,the ,director of ,,nih shall carry out this ,act acting-- 7,a7 through the ,director of the ,national ,institute of ,mental ,health2 and 7,b7 in collaboration with other appropriate national research institutes and national centers that carry out activities involving youth mental health research4 7#c7 ,mental health research 7,a7 ,in general ,in carrying out paragraph 7#a71 the ,director of ,,nih may award cooperative agreements1 grants1 and contracts to ,state1 local1 and tribal governments and private nonprofit entities for-- 7i7 conducting1 or entering into consortia with other entities to conduct-- 7,i7 basic1 clinical1 behavioral1 or translational research to meet unmet needs for youth mental health research2 or 7,,ii7 training for researchers in youth mental health research techniques2 7ii7 providing1 or partnering with non-research institutions or community-based groups with existing connections to youth to provide1 youth mental health intervention services2 and 7iii7 collaborating with the ,national ,institute of ,mental ,health to make use of1 and build on1 the scientific findings and clinical techniques of the ,institute's earlier programs1 studies1 and demonstration projects4 7,b7 ,research ,the ,director of ,,nih shall ensure that-- 7i7 each recipient of an award under subparagraph 7,a77i7 conducts or supports at least one category of research described in subparagraph 7,a77i77,i7 and collectively such recipients conduct or support all such categories of research2 and 7ii7 one or more such recipients provide training described in subparagraph 7,a77i77,,ii74 7,c7 ,number of award recipients ,the ,director of ,,nih may make awards under this paragraph for not more than #gj entities4 7,d7 ,supplement1 not supplant ,any support received by an entity under subparagraph 7,a7 shall be used to supplement1 and not supplant1 other public or private support for activities authorized to be supported under this paragraph4 7,e7 ,duration of support ,support of an entity under subparagraph 7,a7 may be for a period of not to exceed #e years4 ,such period may be extended by the ,director of ,,nih for additional periods of not more than #e years4 7#d7 ,coordination ,the ,director of ,,nih shall-- 7,a7 as appropriate1 provide for the coordination of activities 7including the exchange of information and regular communication7 among the recipients of awards under this subsection2 and 7,b7 require the periodic preparation and submission to the ,director of reports on the activities of each such recipient4 7b7 ,intervention services for1 and research on1 serious emotional disturbance 7#a7 ,in general ,in making awards under subsection 7a77#c71 the ,director of ,,nih shall ensure that an appropriate number of such awards are awarded to entities that agree to-- 7,a7 focus primarily on the early detection of and interventions for serious emotional disturbances in children and adolescents2 7,b7 conduct or coordinate one or more multisite clinical trials of therapies for1 or approaches to1 the prevention1 diagnosis1 or treatment of early serious emotional disturbance in a community setting2 7,c7 rapidly and efficiently disseminate scientific findings resulting from such trials2 and 7,d7 adhere to the guidelines1 protocols1 and practices used in the ,north ,american ,prodrome ,longitudinal ,study 7,,napls7 and the ,recovery ,after an ,initial ,schizophrenia ,episode 7,,raise7 initiative4 7#b7 ,data coordinating center 7,a7 ,establishment ,in connection with awards to entities described in paragraph 7#a71 the ,director of ,,nih shall establish a data coordinating center for the following purposes3 7i7 ,to distribute the scientific findings referred to in paragraph 7#a77;,c74 7ii7 ,to provide assistance in the design and conduct of collaborative research projects and the management1 analysis1 and storage of data associated with such projects4 7iii7 ,to organize and conduct multisite monitoring activities4 7iv7 ,to provide assistance to the ,centers for ,disease ,control and ,prevention in the establishment of patient registries4 7,b7 ,reporting ,the ,director of ,,nih shall-- 7i7 require the data coordinating center established under subparagraph 7,a7 to provide regular reports to the ,director of ,,nih on research conducted by entities described in paragraph 7#a71 including information on enrollment in clinical trials and the allocation of resources with respect to such research2 and 7ii7 as appropriate1 incorporate information reported under clause 7i7 into the ,director's biennial reports under section #djc of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhc74 7c7 ,definitions ,in this ,act1 the terms ,director of ,,nih1 national center1 and national research institute have the meanings given to such terms in section #dja of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bha74 7d7 ,authorization of appropriations ,to carry out this ,act1 there is authorized to be appropriated #be1jjj1jjj for each of fiscal years #bjae through #bjai4 #ejc4 ,national violent death reporting system ,the ,secretary of ,health and ,human ,services1 acting through the ,director of the ,centers for ,disease ,control and ,prevention1 shall improve1 particularly through the inclusion of additional ,states1 the ,national ,violent ,death ,reporting ,system1 as authorized by title ,,iii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bda et seq474 ,participation in the system by the ,states shall be voluntary4 ,,vi ,education and ,youth #fja4 ,school-based mental health programs 7a7 ,purposes ,it is the purpose of this section to-- 7#a7 revise1 increase funding for1 and expand the scope of the ,safe ,schools-,healthy ,students program in order to provide access to more comprehensive school-based mental health services and supports2 7#b7 increase access to school employed mental health professionals2 7#c7 provide for comprehensive staff development for school and community service personnel working in the school2 and 7#d7 provide for comprehensive training for children with mental health disorders1 for parents1 siblings1 and other family members of such children1 and for concerned members of the community4 7b7 ,amendments to the ,public ,health ,service ,act 7#a7 ,technical amendments ,the second part ,g 7relating to services provided through religious organizations7 of title ,v of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bijkk et seq47 is amended-- 7,a7 by redesignating such part as part ,j2 and 7,b7 by redesignating sections #eha through #ehd as sections #eif through #eif;,c1 respectively4 7#b7 ,school-,based mental health and children and violence ,section #eha of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;hh7 is amended to read as follows3 #eha4 ,school-based mental health and children and violence 7a7 ,in general ,the ,secretary1 in collaboration with the ,secretary of ,education and in consultation with the ,attorney ,general1 shall1 directly or through grants1 contracts1 or cooperative agreements awarded to ,states1 assist local communities and schools in applying a public health approach to mental health services both in schools and in the community4 ,such an approach should provide comprehensive1 age-appropriate services and supports1 be linguistically and culturally appropriate1 be trauma-informed1 and incorporate age appropriate strategies of positive behavioral interventions and supports4 7b7 ,activities ,under the program under subsection 7a71 the ,secretary may-- 7#a7 provide financial support to enable local communities to implement a comprehensive culturally and linguistically appropriate1 trauma-informed1 and age-appropriate1 school mental health program that incorporates positive behavioral interventions1 client treatment1 and supports to foster the health and development of children2 7#b7 provide technical assistance to local communities with respect to the development of programs described in paragraph 7#a72 7#c7 provide assistance to local communities in the development of policies to address child and adolescent trauma and mental health issues and violence when and if it occurs2 7#d7 facilitate community partnerships among families1 students1 law enforcement agencies1 education systems1 school-based health centers1 mental health and substance use disorder service systems1 family-based mental health service systems1 welfare agencies1 health care service systems 7including physicians71 faith-based programs1 trauma networks1 and other community-based systems2 and 7#e7 establish mechanisms for children and adolescents to report incidents of violence or plans by other children1 adolescents1 or adults to commit violence4 7c7 ,requirements 7#a7 ,in general ,to be eligible for a grant1 contract1 or cooperative agreement under subsection 7a71 an entity shall-- 7,a7 be a ,state1 in partnership with at least three local education agencies2 and 7,b7 submit an application1 that is endorsed by all members of the partnership1 that contains the assurances described in paragraph 7#b74 7#b7 ,required assurances ,an application under paragraph 7#a7 shall contain assurances as follows3 7,a7 ,that the applicant will ensure that1 in carrying out activities under this section1 the local educational agency involved will enter into a memorandum of understanding-- 7i7 with1 at least one1 public or private mental health entity1 health care entity1 law enforcement or juvenile justice entity1 child welfare agency1 family-based mental health entity1 family or family organization1 trauma network1 or other community-based entity2 and 7ii7 that clearly states-- 7,i7 how school employed mental health professionals will be utilized for carrying out such responsibilities2 7,,ii7 the responsibilities of each partner with respect to the activities to be carried out2 7,,iii7 how each such partner will be accountable for carrying out such responsibilities2 and 7,,iv7 the amount of non-,federal funding or in-kind contributions that each such partner will contribute in order to sustain the program4 7,b7 ,that the comprehensive school-based mental health program carried out under this section supports the flexible use of funds to address-- 7i7 the promotion of the social1 emotional1 and behavioral health of all students in an environment that is conducive to learning2 7ii7 the reduction in the likelihood of at-risk students developing social1 emotional1 behavioral health problems1 or substance use disorders2 7iii7 the early identification of social1 emotional1 behavioral problems1 or substance use disorders and the provision of early intervention services2 7iv7 the treatment or referral for treatment of students with existing social1 emotional1 behavioral health problems1 or substance use disorders2 and 7v7 the development and implementation of programs to assist children in dealing with trauma and violence4 7,c7 ,that the comprehensive school-based mental health program carried out under this section will provide for in-service training of all school personnel1 including ancillary staff and volunteers1 in-- 7i7 the techniques and supports needed to identify early children with trauma histories and children with1 or at risk of1 mental illness2 7ii7 the use of referral mechanisms that effectively link such children to appropriate treatment and intervention services in the school and in the community and to follow up when services are not available2 7iii7 strategies that promote a school-wide positive environment2 7iv7 strategies for promoting the social1 emotional1 mental1 and behavioral health of all students2 and 7v7 strategies to increase the knowledge and skills of school and community leaders about the impact of trauma and violence and on the application of a public health approach to comprehensive school-based mental health programs4 7,d7 ,that the comprehensive school-based mental health program carried out under this section will include comprehensive training for parents1 siblings1 and other family members of children with mental health disorders1 and for concerned members of the community in-- 7i7 the techniques and supports needed to identify early children with trauma histories1 and children with1 or at risk of1 mental illness2 7ii7 the use of referral mechanisms that effectively link such children to appropriate treatment and intervention services in the school and in the community and follow up when such services are not available2 and 7iii7 strategies that promote a school-wide positive environment4 7,e7 ,that the comprehensive school-based mental health program carried out under this section will demonstrate the measures to be taken to sustain the program after funding under this section terminates4 7,f7 ,that the local educational agency partnership involved is supported by the ,state educational and mental health system to ensure that the sustainability of the program is established after funding under this section terminates4 7,g7 ,that the comprehensive school-based mental health program carried out under this section will be based on trauma-informed and evidence-based practices4 7,h7 ,that the comprehensive school-based mental health program carried out under this section will be coordinated with early intervening activities carried out under the ,individuals with ,disabilities ,education ,act4 7,i7 ,that the comprehensive school-based mental health program carried out under this section will be trauma-informed and culturally and linguistically appropriate4 7,j7 ,that the comprehensive school-based mental health program carried out under this section will include a broad needs assessment of youth who drop out of school due to policies of zero tolerance with respect to drugs1 alcohol1 or weapons and an inability to obtain appropriate services4 7,k7 ,that the mental health services provided through the comprehensive school-based mental health program carried out under this section will be provided by qualified mental and behavioral health professionals who are certified or licensed by the ,state involved and practicing within their area of expertise4 7#c7 ,coordinator ,any entity that is a member of a partnership described in paragraph 7#a77;,a7 may serve as the coordinator of funding and activities under the grant if all members of the partnership agree4 7#d7 ,compliance with ,,hipaa ,a grantee under this section shall be deemed to be a covered entity for purposes of compliance with the regulations promulgated under section #bfd7;c7 of the ,health ,insurance ,portability and ,accountability ,act of #aiif with respect to any patient records developed through activities under the grant4 7d7 ,geographical distribution ,the ,secretary shall ensure that grants1 contracts1 or cooperative agreements under subsection 7a7 will be distributed equitably among the regions of the country and among urban and rural areas4 7e7 ,duration of awards ,with respect to a grant1 contract1 or cooperative agreement under subsection 7a71 the period during which payments under such an award will be made to the recipient shall be #f years4 ,an entity may receive only one award under this section1 except that an entity that is providing services and supports on a regional basis may receive additional funding after the expiration of the preceding grant period4 7f7 ,evaluation and measures of outcomes 7#a7 ,development of process ,the ,administrator shall develop a fiscally appropriate process for evaluating activities carried out under this section4 ,such process shall include-- 7,a7 the development of guidelines for the submission of program data by grant1 contract1 or cooperative agreement recipients2 7,b7 the development of measures of outcomes 7in accordance with paragraph 7#b77 to be applied by such recipients in evaluating programs carried out under this section2 and 7,c7 the submission of annual reports by such recipients concerning the effectiveness of programs carried out under this section4 7#b7 ,measures of outcomes 7,a7 ,in general ,the ,administrator shall develop measures of outcomes to be applied by recipients of assistance under this section1 and the ,administrator1 in evaluating the effectiveness of programs carried out under this section4 ,such measures shall include student and family measures as provided for in subparagraph 7,b7 and local educational measures as provided for under subparagraph 7,c74 7,b7 ,student and family measures of outcomes ,the measures of outcomes developed under paragraph 7#a77;,b7 relating to students and families shall1 with respect to activities carried out under a program under this section1 at a minimum include provisions to evaluate whether the program is effective in-- 7i7 increasing social and emotional competency2 7ii7 increasing academic competency 7as defined by ,secretary72 7iii7 reducing disruptive and aggressive behaviors2 7iv7 improving child functioning2 7v7 reducing substance use disorders2 7vi7 reducing suspensions1 truancy1 expulsions and violence2 7vii7 increasing graduation rates 7as defined in section #aaaa7;b77#b77;,c77vi7 of the ,elementary and ,secondary ,education ,act of #aife72 and 7viii7 improving access to care for mental health disorders4 7,c7 ,local educational outcomes ,the outcome measures developed under paragraph 7#a77;,b7 relating to local educational systems shall1 with respect to activities carried out under a program under this section1 at a minimum include provisions to evaluate-- 7i7 the effectiveness of comprehensive school mental health programs established under this section2 7ii7 the effectiveness of formal partnership linkages among child and family serving institutions1 community support systems1 and the educational system2 7iii7 the progress made in sustaining the program once funding under the grant has expired2 7iv7 the effectiveness of training and professional development programs for all school personnel that incorporate indicators that measure cultural and linguistic competencies under the program in a manner that incorporates appropriate cultural and linguistic training2 7v7 the improvement in perception of a safe and supportive learning environment among school staff1 students1 and parents2 7vi7 the improvement in case-finding of students in need of more intensive services and referral of identified students to early intervention and clinical services2 7vii7 the improvement in the immediate availability of clinical assessment and treatment services within the context of the local community to students posing a danger to themselves or others2 7viii7 the increased successful matriculation to postsecondary school2 and 7ix7 reduced referrals to juvenile justice4 7#c7 ,submission of annual data ,an entity that receives a grant1 contract1 or cooperative agreement under this section shall annually submit to the ,administrator a report that includes data to evaluate the success of the program carried out by the entity based on whether such program is achieving the purposes of the program4 ,such reports shall utilize the measures of outcomes under paragraph 7#b7 in a reasonable manner to demonstrate the progress of the program in achieving such purposes4 7#d7 ,evaluation by ,administrator ,based on the data submitted under paragraph 7#c71 the ,administrator shall annually submit to ,congress a report concerning the results and effectiveness of the programs carried out with assistance received under this section4 7#e7 ,limitation ,a grantee shall use not to exceed #aj percent of amounts received under a grant under this section to carry out evaluation activities under this subsection4 7g7 ,information and education ,the ,secretary shall establish comprehensive information and education programs to disseminate the findings of the knowledge development and application under this section to the general public and to health care professionals4 7h7 ,amount of grants and authorization of appropriations 7#a7 ,amount of grants ,a grant under this section shall be in an amount that is not more than #a1jjj1jjj for each of grant years #bjae through #bjai4 ,the ,secretary shall determine the amount of each such grant based on the population of children up to age #ba of the area to be served under the grant4 7#b7 ,authorization of appropriations ,there is authorized to be appropriated to carry out this section1 #bjj1jjj1jjj for each of fiscal years #bjae through #bjai4 4 7#c7 ,conforming amendment ,part ,g of title ,v of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;hh et seq471 as amended by this section1 is further amended by striking the part heading and inserting the following3 ,g ,school-based mental health 4 #fjb4 ,examining mental health care for children 7a7 ,in ,general ,not later than #a year after the date of enactment of this ,act1 the ,comptroller ,general of the ,united ,states shall conduct an independent evaluation1 and submit to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,energy and ,commerce of the ,house of ,representatives1 a report concerning the utilization of mental health services for children1 including the usage of psychotropic medications4 7b7 ,content ,the report submitted under subsection 7a7 shall review and assess-- 7#a7 the ways in which children access mental health care1 including information on whether children are screened and treated by primary care or specialty physicians or other health care providers1 what types of referrals for additional care are recommended1 and any barriers to accessing this care2 7#b7 the extent to which children prescribed psychotropic medications in the ,united ,states face barriers to more comprehensive or other mental health services1 interventions1 and treatments2 7#c7 the extent to which children are prescribed psychotropic medications in the ,united ,states including the frequency of concurrent medication usage2 and 7#d7 the tools1 assessments1 and medications that are available and used to diagnose and treat children with mental health disorders4 ,,vii ,justice and ,mental ,health ,collaboration #gja4 ,assisting veterans 7a7 ,redesignation ,section #biia of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#db ,u4,s4,c4 #cgig;aa7 is amended by redesignating subsection 7i7 as subsection 7l74 7b7 ,assisting veterans ,section #biia of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#db ,u4,s4,c4 #cgig;aa7 is amended by inserting after subsection 7h7 the following3 7i7 ,assisting veterans 7#a7 ,definitions ,in this subsection3 7,a7 ,peer-to-peer services or programs ,the term peer-to-peer services or programs means services or programs that connect qualified veterans with other veterans for the purpose of providing support and mentorship to assist qualified veterans in obtaining treatment1 recovery1 stabilization1 or rehabilitation4 7,b7 ,qualified veteran ,the term qualified veteran means a preliminarily qualified offender who-- 7i7 has served on active duty in any branch of the ,armed ,forces1 including the ,national ,guard and reserve components2 and 7ii7 was discharged or released from such service under conditions other than dishonorable4 7,c7 ,veterans treatment court program ,the term veterans treatment court program means a court program involving collaboration among criminal justice1 veterans1 and mental health and substance abuse agencies that provides qualified veterans with-- 7i7 intensive judicial supervision and case management1 which may include random and frequent drug testing where appropriate2 7ii7 a full continuum of treatment services1 including mental health services1 substance abuse services1 medical services1 and services to address trauma2 7iii7 alternatives to incarceration2 and 7iv7 other appropriate services1 including housing1 transportation1 mentoring1 employment1 job training1 education1 and assistance in applying for and obtaining available benefits4 7#b7 ,veterans assistance program 7,a7 ,in general ,the ,attorney ,general1 in consultation with the ,secretary of ,veterans ,affairs1 may award grants under this subsection to applicants to establish or expand-- 7i7 veterans treatment court programs2 7ii7 peer-to-peer services or programs for qualified veterans2 7iii7 practices that identify and provide treatment1 rehabilitation1 legal1 transitional1 and other appropriate services to qualified veterans who have been incarcerated2 and 7iv7 training programs to teach criminal justice1 law enforcement1 corrections1 mental health1 and substance abuse personnel how to identify and appropriately respond to incidents involving qualified veterans4 7,b7 ,priority ,in awarding grants under this subsection1 the ,attorney ,general shall give priority to applications that-- 7i7 demonstrate collaboration between and joint investments by criminal justice1 mental health1 substance abuse1 and veterans service agencies2 7ii7 promote effective strategies to identify and reduce the risk of harm to qualified veterans and public safety2 and 7iii7 propose interventions with empirical support to improve outcomes for qualified veterans4 4 #gjb4 ,correctional facilities ,section #biia of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#db ,u4,s4,c4 #cgig;aa7 is amended by inserting after subsection 7i71 as so added by section #gja1 the following3 7j7 ,correctional facilities 7#a7 ,definitions 7,a7 ,correctional facility ,the term correctional facility means a jail1 prison1 or other detention facility used to house people who have been arrested1 detained1 held1 or convicted by a criminal justice agency or a court4 7,b7 ,eligible inmate ,the term eligible inmate means an individual who-- 7i7 is being held1 detained1 or incarcerated in a correctional facility2 and 7ii7 manifests obvious signs of a mental illness or has been diagnosed by a qualified mental health professional as having a mental illness4 7#b7 ,correctional facility grants ,the ,attorney ,general may award grants to applicants to enhance the capabilities of a correctional facility-- 7,a7 to identify and screen for eligible inmates2 7,b7 to plan and provide-- 7i7 initial and periodic assessments of the clinical1 medical1 and social needs of inmates2 and 7ii7 appropriate treatment and services that address the mental health and substance abuse needs of inmates2 7,c7 to develop1 implement1 and enhance-- 7i7 post-release transition plans for eligible inmates that1 in a comprehensive manner1 coordinate health1 housing1 medical1 employment1 and other appropriate services and public benefits2 7ii7 the availability of mental health care services and substance abuse treatment services2 and 7iii7 alternatives to solitary confinement and segregated housing and mental health screening and treatment for inmates placed in solitary confinement or segregated housing2 and 7,d7 to train each employee of the correctional facility to identify and appropriately respond to incidents involving inmates with mental health or co-occurring mental health and substance abuse disorders4 4 #gjc4 ,high utilizers ,section #biia of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#db ,u4,s4,c4 #cgig;aa7 is amended by inserting after subsection 7j71 as added by section #gjb1 the following3 7k7 ,demonstration grants responding to high utilizers 7#a7 ,definition ,in this subsection1 the term high utilizer means an individual who-- 7,a7 manifests obvious signs of mental illness or has been diagnosed by a qualified mental health professional as having a mental illness2 and 7,b7 consumes a significantly disproportionate quantity of public resources1 such as emergency1 housing1 judicial1 corrections1 and law enforcement services4 7#b7 ,demonstration grants responding to high utilizers 7,a7 ,in general ,the ,attorney ,general may award not more than #f grants per year under this subsection to applicants for the purpose of reducing the use of public services by high utilizers4 7,b7 ,use of grants ,a recipient of a grant awarded under this subsection may use the grant-- 7i7 to develop or support multidisciplinary teams that coordinate1 implement1 and administer community-based crisis responses and long-term plans for high utilizers2 7ii7 to provide training on how to respond appropriately to the unique issues involving high utilizers for public service personnel1 including criminal justice1 mental health1 substance abuse1 emergency room1 health care1 law enforcement1 corrections1 and housing personnel2 7iii7 to develop or support alternatives to hospital and jail admissions for high utilizers that provide treatment1 stabilization1 and other appropriate supports in the least restrictive1 yet appropriate1 environment2 or 7iv7 to develop protocols and systems among law enforcement1 mental health1 substance abuse1 housing1 corrections1 and emergency medical service operations to provide coordinated assistance to high utilizers4 7,c7 ,report ,not later than the last day of the first year following the fiscal year in which a grant is awarded under this subsection1 the recipient of the grant shall submit to the ,attorney ,general a report that-- 7i7 measures the performance of the grant recipient in reducing the use of public services by high utilizers2 and 7ii7 provides a model set of practices1 systems1 or procedures that other jurisdictions can adopt to reduce the use of public services by high utilizers4 4 #gjd4 ,academy training ,section #biia7;h7 of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#db ,u4,s4,c4 #cgig;aa7h77 is amended-- 7#a7 in paragraph 7#a71 by adding at the end the following3 7,f7 ,academy training ,to provide support for academy curricula1 law enforcement officer orientation programs1 continuing education training1 and other programs that teach law enforcement personnel how to identify and respond to incidents involving individuals with mental illness or co-occurring mental illness and substance abuse disorders4 2 and 7#b7 by adding at the end the following3 7#d7 ,priority consideration ,the ,attorney ,general1 in awarding grants under this subsection1 shall give priority to programs that law enforcement personnel and members of the mental health and substance abuse professions develop and administer cooperatively4 4 #gje4 ,evidence-based practices ,section #biia7;c7 of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#db ,u4,s4,c4 #cgig;aa7c77 is amended-- 7#a7 in paragraph 7#c71 by striking or at the end2 7#b7 by redesignating paragraph 7#d7 as paragraph 7#f72 and 7#c7 by inserting after paragraph 7#c71 the following3 7#d7 propose interventions that have been shown by empirical evidence to reduce recidivism2 7#e7 when appropriate1 use validated assessment tools to target preliminarily qualified offenders with a moderate or high risk of recidivism and a need for treatment and services2 or 4 #gjf4 ,safe communities 7a7 ,in general ,section #biia7;a7 of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#db ,u4,s4,c4 #cgig;aa7a77 is amended by striking paragraph 7#i7 and inserting the following3 7#i7 ,preliminarily qualified offender 7,a7 ,in general ,the term preliminarily qualified offender means an adult or juvenile accused of an offense who-- 7i7 7,i7 previously or currently has been diagnosed by a qualified mental health professional as having a mental illness or co-occurring mental illness and substance abuse disorders2 7,,ii7 manifests obvious signs of mental illness or co-occurring mental illness and substance abuse disorders during arrest or confinement or before any court2 or 7,,iii7 in the case of a veterans treatment court provided under subsection 7i71 has been diagnosed with1 or manifests obvious signs of1 mental illness or a substance abuse disorder or co-occurring mental illness and substance abuse disorder2 and 7ii7 has been unanimously approved for participation in a program funded under this section by1 when appropriate1 the relevant-- 7,i7 prosecuting attorney2 7,,ii7 defense attorney2 7,,iii7 probation or corrections official2 7,,iv7 judge2 and 7,v7 a representative from the relevant mental health agency described in subsection 7b77#e77;,b77i74 7,b7 ,determination ,in determining whether to designate an individual as a preliminarily qualified offender1 the relevant prosecuting attorney1 defense attorney1 probation or corrections official1 judge1 and mental health or substance abuse agency representative shall take into account-- 7i7 whether the participation of the individual in the program would pose a substantial risk of violence to the community2 7ii7 the criminal history of the individual and the nature and severity of the offense for which the individual is charged2 7iii7 the views of any relevant victims to the offense2 7iv7 the extent to which the individual would benefit from participation in the program2 7v7 the extent to which the community would realize cost savings because of the individual's participation in the program2 and 7vi7 whether the individual satisfies the eligibility criteria for program participation unanimously established by the relevant prosecuting attorney1 defense attorney1 probation or corrections official1 judge and mental health or substance abuse agency representative4 4 7b7 ,technical and conforming amendment ,section #bibg7b7 of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#db ,u4,s4,c4 #cgigs-#f7b77 is amended by striking has the meaning given that term in section #biia7;a74 and inserting 8means an offense that-- 7,a7 does not have as an element the use1 attempted use1 or threatened use of physical force against the person or property of another2 or 7,b7 is not a felony that by its nature involves a substantial risk that physical force against the person or property of another may be used in the course of committing the offense4 4 #gjg4 ,reauthorization of appropriations ,subsection 7l7 of section #biia of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#db ,u4,s4,c4 #cgig;aa71 as redesignated in section #gja7;a71 is amended-- 7#a7 in paragraph 7#a7-- 7,a7 in subparagraph 7,b71 by striking and at the end2 7,b7 in subparagraph 7,c71 by striking the period and inserting 2 and2 and 7,c7 by adding at the end the following3 7,d7 #dj1jjj1jjj for each of fiscal years #bjae through #bjai4 2 and 7#b7 by adding at the end the following3 7#c7 ,limitation ,not more than #bj percent of the funds authorized to be appropriated under this section may be used for purposes described in subsection 7i7 7relating to veterans74 4 ,,viii ,behavioral ,health ,information ,technology #hja4 ,extension of health information technology assistance for behavioral and mental health and substance abuse ,section #cjjj7c7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;jj7#c77 is amended by inserting before and any other category the following3 behavioral and mental health professionals 7as defined in section #cca7;a77#c77;,e77i771 a substance abuse professional1 a psychiatric hospital 7as defined in section #ahfa7;f7 of the ,social ,security ,act71 a community mental health center meeting the criteria specified in section #aiac7;c71 a residential or outpatient mental health or substance abuse treatment facility14 #hjb4 ,extension of eligibility for ,medicare and ,medicaid health information technology implementation assistance 7a7 ,payment incentives for eligible professionals under medicare ,section #ahdh of the ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#d7 is amended-- 7#a7 in subsection 7a77#g7-- 7,a7 in subparagraph 7,e71 by adding at the end the following new clause3 7iv7 ,additional eligible professional ,the term additional eligible professional means a clinical psychologist providing qualified psychologist services 7as defined in section #ahfa7;ii774 2 and 7,b7 by adding at the end the following new subparagraph3 7,f7 ,application to additional eligible professionals ,the ,secretary shall apply the provisions of this paragraph with respect to an additional eligible professional in the same manner as such provisions apply to an eligible professional1 except in applying subparagraph 7,a7-- 7i7 in clause 7i71 the reference to #bjae shall be deemed a reference to #bjai2 7ii7 in clause 7ii71 the references to #bjae1 #bjaf1 and #bjag shall be deemed references to #bjai1 #bjbj1 and #bjba1 respectively2 and 7iii7 in clause 7iii71 the reference to #bjah shall be deemed a reference to #bjbb4 2 and 7#b7 in subsection 7o7-- 7,a7 in paragraph 7#e71 by adding at the end the following new subparagraph3 7,d7 ,additional eligible professional ,the term additional eligible professional means a clinical psychologist providing qualified psychologist services 7as defined in section #ahfa7;ii774 2 and 7,b7 by adding at the end the following new paragraph3 7#f7 ,application to additional eligible professionals ,the ,secretary shall apply the provisions of this subsection with respect to an additional eligible professional in the same manner as such provisions apply to an eligible professional1 except in applying-- 7,a7 paragraph 7#a77;,a77ii71 the reference to #bjaf shall be deemed a reference to #bjbj2 7,b7 paragraph 7#a77;,b77ii71 the references to #bjaa and #bjab shall be deemed references to #bjae and #bjaf1 respectively2 7,c7 paragraph 7#a77;,b77iii71 the references to #bjac shall be deemed references to #bjag2 7,d7 paragraph 7#a77;,b77v71 the references to #bjad shall be deemed references to #bjah2 and 7,e7 paragraph 7#a77;,e71 the reference to #bjaa shall be deemed a reference to #bjae4 4 7b7 ,eligible hospitals ,section #ahhf of the ,social ,security ,act 7#db ,u4,s4,c4 #acieww7 is amended-- 7#a7 in subsection 7b77#c77;,b77ix71 by adding at the end the following new subclause3 7,v7 ,the ,secretary shall apply the provisions of this subsection with respect to an additional eligible hospital 7as defined in subsection 7n77#f77;,c77 in the same manner as such provisions apply to an eligible hospital1 except in applying-- 7aa7 subclause 7,i71 the references to #bjae1 #bjaf1 and #bjag shall be deemed references to #bjai1 #bjbj1 and #bjba1 respectively2 and 7bb7 subclause 7,,iii71 the reference to #bjae shall be deemed a reference to #bjai4 2 and 7#b7 in subsection 7n7-- 7,a7 in paragraph 7#f71 by adding at the end the following new subparagraph3 7,c7 ,additional eligible hospital ,the term additional eligible hospital means an inpatient hospital that is a psychiatric hospital 7as defined in section #ahfa7;f774 2 and 7,b7 by adding at the end the following new paragraph3 7#g7 ,application to additional eligible hospitals ,the ,secretary shall apply the provisions of this subsection with respect to an additional eligible hospital in the same manner as such provisions apply to an eligible hospital1 except in applying paragraph 7#b7-- 7,a7 the ,secretary shall adjust the base amount specified in subparagraph 7,b7 of such paragraph1 in a manner specified by the ,secretary1 to reflect the smaller size of such additional eligible hospitals relative to eligible hospitals2 7,b7 the ,secretary shall adjust the discharge related amount specified in subparagraph 7,c7 of such paragraph for each #ab-month period selected by the ,secretary under such subparagraph1 in a manner specified by the ,secretary1 to reflect the smaller size such additional hospitals relative to eligible hospitals1 including by adjusting the ranges of discharges specified in such subparagraph and the amount specified in such subparagraph for each discharge within such a specified range2 7,c7 the references in subparagraph 7,e77ii7 of such paragraph to #bjac and #bjae shall be deemed references to #bjag and #bjai1 respectively2 and 7,d7 the reference in subparagraph 7,g77i7 of such paragraph to #bjaa shall be deemed a reference to #bjae4 4 7c7 ,medicaid providers ,section #aijc7t7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;b7t77 is amended-- 7#a7 in paragraph 7#b77;,b7-- 7,a7 in clause 7i71 by striking 1 or and inserting a semicolon2 7,b7 in clause 7ii71 by striking the period and inserting a semicolon2 and 7,c7 by adding after clause 7ii7 the following new clauses3 7iii7 a public hospital that is principally a psychiatric hospital 7as defined in section #ahfa7;f772 7iv7 a private hospital that is principally a psychiatric hospital 7as defined in section #ahfa7;f77 and that has at least #aj percent of its patient volume 7as estimated in accordance with a methodology established by the ,secretary7 attributable to individuals receiving medical assistance under this title2 7v7 a community mental health center meeting the criteria specified in section #aiac7;c7 of the ,public ,health ,service ,act2 or 7vi7 a residential or outpatient mental health or substance abuse treatment facility that-- 7,i7 is accredited by the ,joint ,commission on ,accreditation of ,healthcare ,organizations1 the ,commission on ,accreditation of ,rehabilitation ,facilities1 the ,council on ,accreditation1 or any other national accrediting agency recognized by the ,secretary2 and 7,,ii7 has at least #aj percent of its patient volume 7as estimated in accordance with a methodology established by the ,secretary7 attributable to individuals receiving medical assistance under this title4 2 7#b7 in paragraph 7#c77;,b7-- 7,a7 in clause 7iv71 by striking and after the semicolon2 7,b7 in clause 7v71 by striking the period and inserting 2 and2 and 7,c7 by adding at the end the following new clause3 7vi7 clinical psychologist providing qualified psychologist services 7as defined in section #ahfa7;ii771 if such clinical psychologist is practicing in an outpatient clinic that-- 7,i7 is led by a clinical psychologist2 and 7,,ii7 is not otherwise receiving payment under paragraph 7#a7 as a ,medicaid provider described in paragraph 7#b77;,b74 2 and 7#c7 in paragraph 7#e77;,b71 by adding at the end the following new sentence3 ,for purposes of this subparagraph in computing the amounts under section #ahhf7n77#b77;,c7 for payment years after #bjae1 with respect to a ,medicaid provider described in clause 7iii71 7iv71 7v71 or 7vi7 of paragraph 7#b77;,b71 in order to reflect the smaller size of ,medicaid providers described in such clauses relative to ,medicaid providers described in clauses 7i7 and 7ii7 of such paragraph 7#b77;,b71 the ,secretary shall1 in a manner specified by the ,secretary1 adjust the base amount specified in subparagraph 7,b7 of section #ahhf7n77#b7 and the discharge related amount calculated under subparagraph 7,c7 of such section1 including by adjusting the ranges of discharges specified in such subparagraph 7,c7 and the amount specified in such subparagraph 7,c7 for each discharge within such a specified range44 7d7 ,medicare ,advantage organizations ,section #ahec of the ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#bc7 is amended-- 7#a7 in subsection 7l7-- 7,a7 in paragraph 7#a7-- 7i7 by inserting or additional eligible professionals 7as described in paragraph 7#i77 after paragraph 7#b72 and 7ii7 by inserting and additional eligible professionals before under such sections2 7,b7 in paragraph 7#c77;,b7-- 7i7 in clause 7i7 in the matter preceding subclause 7,i71 by inserting or an additional eligible professional described in paragraph 7#i7 after paragraph 7#b72 and 7ii7 in clause 7ii7-- 7,i7 in the matter preceding subclause 7,i71 by inserting or an additional eligible professional described in paragraph 7#i7 after paragraph 7#b72 and 7,,ii7 in subclause 7,i71 by inserting or an additional eligible professional1 respectively1 after eligible professional2 7,c7 in paragraph 7#c77;,c71 by inserting and additional eligible professionals after all eligible professionals2 7,d7 in paragraph 7#d77;,d71 by adding at the end the following new sentence3 ,in the case that a qualifying ,,ma organization attests that not all additional eligible professionals of the organization are meaningful ,,ehr users with respect to an applicable year1 the ,secretary shall apply the payment adjustment under this paragraph based on the proportion of all such additional eligible professionals of the organization that are not meaningful ,,ehr users for such year42 7,e7 in paragraph 7#f77;,a71 by inserting and1 as applicable1 each additional eligible professional described in paragraph 7#i7 after paragraph 7#b72 7,f7 in paragraph 7#f77;,b71 by inserting and1 as applicable1 each additional eligible hospital described in paragraph 7#i7 after subsection 7m77#a72 7,g7 in paragraph 7#g77;,a71 by inserting and1 as applicable1 additional eligible professionals after eligible professionals2 7,h7 in paragraph 7#g77;,b71 by inserting and1 as applicable1 additional eligible professionals after eligible professionals2 7,i7 in paragraph 7#h77;,b71 by inserting and additional eligible professionals described in paragraph 7#i7 after paragraph 7#b72 and 7,j7 by adding at the end the following new paragraph3 7#i7 ,additional eligible professional described ,with respect to a qualifying ,,ma organization1 an additional eligible professional described in this paragraph is an additional eligible professional 7as defined for purposes of section #ahdh7o77 who-- 7,a7 7i7 is employed by the organization2 or 7ii7 7,i7 is employed by1 or is a partner of1 an entity that through contract with the organization furnishes at least #hj percent of the entity's ,medicare patient care services to enrollees of such organization2 and 7,,ii7 furnishes at least #hj percent of the professional services of the additional eligible professional covered under this title to enrollees of the organization2 and 7,b7 furnishes1 on average1 at least #bj hours per week of patient care services4 2 and 7#b7 in subsection 7m7-- 7,a7 in paragraph 7#a7-- 7i7 by inserting or additional eligible hospitals 7as described in paragraph 7#g77 after paragraph 7#b72 and 7ii7 by inserting and additional eligible hospitals before under such sections2 7,b7 in paragraph 7#c77;,a77i71 by inserting or additional eligible hospital after eligible hospital2 7,c7 in paragraph 7#c77;,a77ii71 by inserting or an additional eligible hospital after eligible hospital in each place it occurs2 7,d7 in paragraph 7#c77;,b7-- 7i7 in clause 7i71 by inserting or an additional eligible hospital described in paragraph 7#g7 after paragraph 7#b72 and 7ii7 in clause 7ii7-- 7,i7 in the matter preceding subclause 7,i71 by inserting or an additional eligible hospital described in paragraph 7#g7 after paragraph 7#b72 and 7,,ii7 in subclause 7,i71 by inserting or an additional eligible hospital1 respectively1 after eligible hospital2 7,e7 in paragraph 7#d77;,a71 by inserting or one or more additional eligible hospitals 7as defined in section #ahhf7n771 as appropriate1 after section #ahhf7n77#f77;,a772 7,f7 in paragraph 7#d77;,d71 by adding at the end the following new sentence3 ,in the case that a qualifying ,,ma organization attests that not all additional eligible hospitals of the organization are meaningful ,,ehr users with respect to an applicable period1 the ,secretary shall apply the payment adjustment under this paragraph based on the methodology specified by the ,secretary1 taking into account the proportion of such additional eligible hospitals1 or discharges from such hospitals1 that are not meaningful ,,ehr users for such period42 7,g7 in paragraph 7#e77;,a71 by inserting and1 as applicable1 each additional eligible hospital described in paragraph 7#g7 after paragraph 7#b72 7,h7 in paragraph 7#e77;,b71 by inserting and additional eligible hospitals1 as applicable1 after eligible hospitals2 7,i7 in paragraph 7#f77;,b71 by inserting and additional eligible hospitals described in paragraph 7#g7 after paragraph 7#b72 and 7,j7 by adding at the end the following new paragraph3 7#g7 ,additional eligible hospital described ,with respect to a qualifying ,,ma organization1 an additional eligible hospital described in this paragraph is an additional eligible hospital 7as defined in section #ahhf7n77#f77;,c77 that is under common corporate governance with such organization and serves individuals enrolled under an ,,ma plan offered by such organization4 4 ,,ix ,servicemembers and ,veterans ,mental ,health #ija4 ,preliminary mental health assessments 7a7 ,in general ,chapter #ca of title #aj1 ,united ,states ,code1 is amended by adding at the end the following new section3 #ebj;d4 ,preliminary mental health assessments 7a7 ,provision of mental health assessment ,before any individual enlists in an ,armed ,force or is commissioned as an officer in an ,armed ,force1 the ,secretary concerned shall provide the individual with a mental health assessment4 ,the ,secretary shall use such results as a baseline for any subsequent mental health examinations1 including such examinations provided under sections #ajgd;f and #ajgdm of this title4 7b7 ,use of assessment ,the ,secretary may not consider the results of a mental health assessment conducted under subsection 7a7 in determining the assignment or promotion of a member of the ,armed ,forces4 7c7 ,application of privacy laws ,with respect to applicable laws and regulations relating to the privacy of information1 the ,secretary shall treat a mental health assessment conducted under subsection 7a7 in the same manner as the medical records of a member of the ,armed ,forces4 4 7b7 ,clerical amendment ,the table of sections at the beginning of such chapter is amended by adding after the item relating to section #ebj;c the following new item3 #ebj;d4 ,preliminary mental health assessments4 4 7c7 ,report 7#a7 ,in general ,not later than #ahj days after the date of the enactment of this ,act1 the ,secretary of ,defense shall submit to ,congress a report on preliminary mental health assessments of members of the ,armed ,forces4 7#b7 ,matters included ,the report under paragraph 7#a7 shall include the following3 7,a7 ,recommendations with respect to establishing a preliminary mental health assessment of members of the ,armed ,forces to bring mental health screenings to parity with physical screenings of members4 7,b7 ,recommendations with respect to the composition of the mental health assessment1 best practices1 and how to track assessment changes relating to traumatic brain injuries1 post-traumatic stress disorder1 and other conditions4 7#c7 ,coordination ,the ,secretary shall carry out paragraph 7#a7 in coordination with the ,secretary of ,veterans ,affairs1 the ,uniformed ,services ,university of the ,health ,sciences1 the surgeons general of the military departments1 and other relevant experts4 #ijb4 ,unlimited eligibility for health care for mental illnesses for veterans of combat service during certain periods of hostilities and war 7a7 ,eligibility ,section #agaj7;e77#a7 of title #ch1 ,united ,states ,code1 is amended by adding at the end the following new subparagraph3 7,g7 ,notwithstanding paragraphs 7#b7 and 7#c71 a veteran who served on active duty in a theater of combat operations 7as determined by the ,secretary in consultation with the ,secretary of ,defense7 during ,world ,war ,,ii1 the ,korean conflict1 the ,vietnam ,era1 the ,persian ,gulf war1 ,operation ,iraqi ,freedom1 ,operation ,enduring ,freedom1 or any other period of war after the ,persian ,gulf war1 or in combat against a hostile force during a period of hostilities 7as defined in section #agab;,a7a77#b77;,b7 of this title71 is eligible for hospital care1 medical services1 and nursing home care under subsection 7a77#b77;,f7 for any mental illness1 notwithstanding that there is insufficient medical evidence to conclude that such illness is attributable to such service4 4 7b7 ,effective date ,subparagraph 7,g7 of section #agaj7;e77#a7 of title #ch1 ,united ,states ,code1 as added by subsection 7a71 shall apply with respect to hospital care1 medical services1 and nursing home care provided on or after the date of the enactment of this ,act4 #ijc4 ,timeline for implementing integrated electronic health records 7a7 ,establishment of timeline ,section #afce of the ,wounded ,warrior ,act 7#aj ,u4,s4,c4 #ajga note7 is amended by adding at the end the following new subsection3 7k7 ,timeline ,in carrying out this section1 the ,secretary of ,defense and the ,secretary of ,veterans ,affairs shall ensure that-- 7#a7 the creation of a health data authoritative source is achieved by not later than #ahj days after the date of the enactment of this subsection2 7#b7 the ability of patients of both the ,department of ,defense and the ,department of ,veterans ,affairs to download the medical records of the patient 7commonly referred to as the ,blue ,button ,initiative7 is achieved by not later than #cfe days after the date of the enactment of this subsection2 7#c7 the seamless integration of personal health care information between the ,departments is achieved by not later than #cfe days after the date of the enactment of this subsection2 7#d7 the standardization of health care data of the ,departments is achieved by not later than #cfe days after the date of the enactment of this subsection2 7#e7 the acceleration of the exchange of real-time data between the ,departments is achieved by not later than #cfe days after the date of the enactment of this subsection2 7#f7 the upgrade of the graphical user interface to display the new standardized health care data of the ,departments is achieved by not later than #cfe days after the date of the enactment of this subsection2 7#g7 each incoming member of the ,armed ,forces and the dependent of such a member may elect to receive an electronic copy of the health care record of the individual beginning not later than ,october #a1 #bjad2 and 7#h7 each current member of the ,armed ,forces and the dependent of such a member may elect to receive an electronic copy of the health care record of the individual beginning not later than ,october #a1 #bjae4 4 7b7 ,cloud storage ,section #afce of such ,act is further amended by adding at the end the following new subsection3 7l7 ,cloud storage ,the ,secretary of ,defense and the ,secretary of ,veterans ,affairs shall study the feasibility of establishing a secure1 remote1 network-accessible computer storage system 7commonly referred to as cloud storage7 to-- 7#a7 provide members of the ,armed ,forces and veterans the ability to upload the health care records of the member or veteran if the member or veteran elects to do so2 and 7#b7 allow medical providers of the ,department of ,defense and the ,department of ,veterans ,affairs to access such records in the course of providing care to the member or veteran4 4 7c7 ,conforming amendments ,section #afce of such ,act is further amended-- 7#a7 in subsection 7a71 by striking ,the ,secretary and inserting ,in accordance with the timeline described in subsection 7k71 the ,secretary2 and 7#b7 in the matter preceding paragraph 7#a7 of subsection 7e71 by inserting in accordance with subsection 7k7 after under this section4 #ijd4 ,pilot program for repayment of educational loans for certain psychiatrists of ,veterans ,health ,administration 7a7 ,pilot program 7#a7 ,establishment ,the ,secretary of ,veterans ,affairs shall carry out a pilot program to repay a loan of an individual described in paragraph 7#b7 that-- 7,a7 was used by the individual to finance education regarding psychiatric medicine1 including education leading to an undergraduate degree and education leading to the degree of doctor of medicine or of doctor of osteopathy2 and 7,b7 was obtained from a governmental entity1 private financial institution1 school1 or other authorized entity1 as determined by the ,secretary4 7#b7 ,eligible individuals ,to be eligible to obtain a loan repayment under this subsection1 an individual shall-- 7,a7 either-- 7i7 be licensed or eligible for licensure to practice psychiatric medicine in the ,veterans ,health ,administration of the ,department of ,veterans ,affairs2 or 7ii7 be enrolled in the final year of a residency program leading to a specialty qualification in psychiatric medicine that is approved by the ,accreditation ,council for ,graduate ,medical ,education2 and 7,b7 as determined appropriate by the ,secretary1 demonstrate a commitment to a long-term career as a psychiatrist in the ,veterans ,health ,administration1 including by requiring a set number of years of obligated service4 7#c7 ,selection ,the ,secretary shall select not less than #aj individuals described in paragraph 7#b7 to participate in the pilot program for each year in which the ,secretary carries out the pilot program4 7#d7 ,loan repayments 7,a7 ,amounts ,subject to the limits established by subparagraph 7,b71 a loan repayment under this subsection may consist of payment of the principal1 interest1 and related expenses of a loan obtained by an individual described in paragraph 7#b7 for all educational expenses 7including tuition1 fees1 books1 and laboratory expenses7 relating to a degree described in paragraph 7#a77;,a74 7,b7 ,limit ,for each year of obligated service that an individual agrees to serve in an agreement described in paragraph 7#b77;,b71 the ,secretary may pay not more than #fj1jjj on behalf of the individual4 7#e7 ,breach 7,a7 ,liability ,an individual who participates in the pilot program under paragraph 7#a7 who fails to satisfy the commitment described in paragraph 7#b77;,b7 shall be liable to the ,united ,states1 in lieu of any service obligation arising from such participation1 for the amount which has been paid or is payable to or on behalf of the individual under the program1 reduced by the proportion that the number of days served for completion of the service obligation bears to the total number of days in the period of obligated service of the individual4 7,b7 ,repayment period ,any amount of damages which the ,united ,states is entitled to recover under this paragraph shall be paid to the ,united ,states within the one-year period beginning on the date of the breach of the agreement4 7#f7 ,prohibition on simultaneous eligibility ,an individual who is participating in any other program of the ,federal ,government that repays the educational loans of the individual may not participate in the pilot program under paragraph 7#a74 7#g7 ,report ,not later than #ij days after the date on which the pilot program terminates under paragraph 7#g71 the ,secretary shall submit to the ,committees on ,veterans' ,affairs of the ,house of ,representatives and the ,senate a report on the pilot program4 ,the report shall include the overall effect of the pilot program on the psychiatric workforce shortage of the ,veterans ,health ,administration1 the long-term stability of such workforce1 and overall workforce strategies of the ,veterans ,health ,administration that seek to promote the physical and mental resiliency of all veterans4 7#h7 ,regulations ,the ,secretary shall prescribe regulations to carry out this subsection1 including standards for qualified loans and authorized payees and other terms and conditions for the making of loan repayments4 7#i7 ,termination ,the authority to carry out the pilot program shall expire on the date that is three years after the date on which the ,secretary commences the pilot program4 7b7 ,comptroller general study on pay disparities of psychiatrists of veterans health administration 7#a7 ,study ,not later than one year after the date of the enactment of this ,act1 the ,comptroller ,general of the ,united ,states shall conduct a study of pay disparities among psychiatrists of the ,veterans ,health ,administration of the ,department of ,veterans ,affairs4 ,the study shall include-- 7,a7 an examination of laws1 regulations1 practices1 and policies1 including salary flexibilities1 that contribute to such disparities2 and 7,b7 recommendations with respect to legislative or regulatory actions to improve equity in pay among such psychiatrists4 7#b7 ,report ,not later than one year after the date on which the ,comptroller ,general completes the study under paragraph 7#a71 the ,comptroller ,general shall submit to the ,committees on ,veterans' ,affairs of the ,house of ,representatives and the ,senate a report containing the results of the study4 ,x ,making ,parity ,work #ajja4 ,,gao study on mental health and substance use disorder parity enforcement efforts ,not later than one year after the date of enactment of this ,act1 the ,comptroller ,general of the ,united ,states1 in consultation with the ,secretary of ,health and ,human ,services and the ,secretary of ,labor1 shall submit to ,congress a report detailing the enforcement efforts of the responsible departments and agencies in implementing the ,paul ,wellstone and ,pete ,domenici ,mental ,health ,parity and ,addiction ,equity ,act 7subtitle ,b of title ,v of division ,c of ,public ,law #aaj-cdc71 including-- 7#a7 the number of investigations that have been conducted into potential parity violations2 and 7#b7 details on the investigation or enforcement action that was carried out as a result of such investigations that would not identify the subject of such investigation or enforcement4 #ajjb4 ,report to ,congress on ,federal assistance to ,state insurance regulators regarding mental health parity enforcement ,not later than one year after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services shall submit to ,congress a report detailing-- 7#a7 the ways in which ,state governments and ,state insurance regulators are either empowered or required to enforce the ,paul ,wellstone and ,pete ,domenici ,mental ,health ,parity and ,addiction ,equity ,act of #bjjh 7subtitle ,b of title ,v of division ,c of ,public ,law #aaj-cdc72 7#b7 their capability to carry out these enforcement powers or requirements2 and 7#c7 any technical assistance to ,state government and ,state insurance regulators that has been communicated by the ,department of ,health and ,human ,services4 #ajjc4 ,annual report to ,congress by ,secretaries of ,labor and ,health and ,human ,services ,not later than one year after the date of enactment of this ,act1 and annually thereafter1 the ,secretary of ,labor1 in coordination with the ,secretary of ,health and ,human ,services1 shall submit to ,congress a report-- 7#a7 describing the actions taken by the ,federal ,government and the ,states to ensure compliance with the ,paul ,wellstone and ,pete ,domenici ,mental ,health ,parity and ,addiction ,equity ,act of #bjjh 7subtitle ,b of title ,v of division ,c of ,public ,law #aaj-cdc72 7#b7 including a collection and classification of inquiries and complaints regarding the implementation or enforcement of such ,act2 7#c7 including a transparent de-identified report of all ,federal and ,state actions to enforce such ,act2 and 7#d7 include a compliance guide that includes-- 7,a7 detailed answers to relevant questions raised during the previous year concerning implementation or enforcement of such ,act2 and 7,b7 specific guidelines providing clear interpretations of such ,act and the regulations thereunder4