,i #aac? ,,congress #b;d ,session ,h4 ,r4 #degd ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,may #f1 #bjad ,mr4 ,b>b] 7= himself1 ,ms4 ,de,gette1 ,mr4 ,tonko1 ,ms4 ,matsui1 & ,mrs4 ,napolitano7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce1 & 9 addition to ! ,committees on ,ways & ,means1 ! ,judici>y1 ,arm$ ,s]vices1 ,vet]ans' ,affairs1 ,education & ! ,work=ce1 & ,natural ,res\rces1 = a p]iod to be subsequ5tly det]m9$ by ! ,speak]1 9 ea* case = consid]ation ( su* provisions z fall )9 ! jurisdiction ( ! committee conc]n$ ,a ,,bill ,to maximize ! access ( individuals ) m5tal illness to community-bas$ s]vices1 to /r5g!n ! impact ( su* s]vices1 & = o!r purposes4 #a4 ,%ort title2 table ( cont5ts 7a7 ,%ort title ,?is ,act may be cit$ z ! ,/r5g!n+ ,m5tal ,heal? 9 ,our ,communities ,act ( #bjad4 7b7 ,table ( cont5ts ,! table ( cont5ts = ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title2 table ( cont5ts4 ,sec4 #b4 ,purpose4 ,title ,i--,:ite ,h\se ,(fice ( ,m5tal ,heal? ,policy ,sec4 #aja4 ,:ite ,h\se ,(fice ( ,m5tal ,heal? ,policy4 ,sec4 #ajb4 ,appo9tm5t & duties ( ! ,director4 ,sec4 #ajc4 ,national /rategy = m5tal heal?4 ,sec4 #ajd4 ,coord9ation ) ,f$]al dep>tm5ts & ag5cies4 ,sec4 #aje4 ,national m5tal heal? advisory bo>d4 ,title ,,ii--,/r5g!n+ & ,inve/+ 9 ,,samhsa ,programs ,sec4 #bja4 ,community m5tal heal? s]vices block grant reau?orization4 ,sec4 #bjb4 ,report+ requirem5ts = block grants reg>d+ m5tal heal? & sub/ance use disord]s4 ,sec4 #bjc4 ,g>rett ,lee ,smi? ,memorial ,act reau?orization4 ,sec4 #bjd4 ,priority m5tal heal? ne$s ( regional & national significance reau?orization4 ,sec4 #bje4 ,grants = jail div]sion programs reau?orization4 ,sec4 #bjf4 ,projects = assi/ance 9 transition f homelessness4 ,sec4 #bjg4 ,compreh5sive community m5tal heal? s]vices = *ildr5 ) s]i\s emotional di/urbances4 ,sec4 #bjh4 ,*ildr5's recov]y f trauma4 ,sec4 #bji4 ,protection & advocacy = individuals ) m5tal illness reau?orization4 ,sec4 #baj4 ,m5tal heal? aw>5ess tra9+ grants4 ,sec4 #baa4 ,national m$ia campaign to r$uce ! /igma associat$ ) m5tal illness4 ,sec4 #bab4 ,,samhsa & ,,hrsa integration ( behavioral heal? s]vices into prim>y c>e sett+s4 ,sec4 #bac4 ,g]iatric m5tal heal? disord]s4 ,sec4 #bad4 ,assess+ b>ri]s to behavioral heal? integration4 ,sec4 #bae4 ,acute c>e b$ regi/ry grant = ,/ates4 ,sec4 #baf4 ,aw>ds = co-locat+ prim>y & specialty c>e 9 community-bas$ m5tal heal? sett+s4 ,sec4 #bag4 ,grants = ! b5efit ( homeless individuals4 ,title ,,iii--,improv+ ,m$icaid & ,m$ic>e ,m5tal ,heal? ,s]vices ,sec4 #cja4 ,access to m5tal heal? prescription drugs "u ,m$ic>e4 ,sec4 #cjb4 ,m$icaid cov]age ( m5tal heal? s]vices & prim>y c>e s]vices furni%$ on ! same day4 ,sec4 #cjc4 ,elim9ation ( #aij-;day lifetime limit on inpati5t psy*iatric hospital s]vices4 ,sec4 #cjd4 ,exp&+ ! ,m$icaid home & community-bas$ s]vices waiv] to include y\? 9 ne$ ( s]vices provid$ 9 a psy*iatric resid5tial treatm5t facility4 ,sec4 #cje4 ,application ( ,rosa's ,law = individuals ) intellectual disabilities4 ,sec4 #cjf4 ,complete application ( m5tal heal? & sub/ance use p>ity rules "u ,m$icaid & ,,*ip4 ,sec4 #cjg4 ,cov]age ( m>riage & family !rapi/ s]vices & m5tal heal? c\nselor s]vices "u "p ,b ( ! ,m$ic>e program4 ,title ,,iv--,develop+ ! ,behavioral ,heal? ,work=ce ,sec4 #dja4 ,national heal? s]vice corps s*ol>%ip & loan repaym5t fund+ = behavioral & m5tal heal? pr(essionals4 ,sec4 #djb4 ,reau?orization ( ,,hrsa's m5tal & behavioral heal? education & tra9+ program4 ,sec4 #djc4 ,,samhsa grant program = developm5t & implem5tation ( curricula = cont9u+ education on s]i\s m5tal illness4 ,sec4 #djd4 ,demon/ration grant program to recruit1 tra91 deploy1 & pr(essionally support psy*iatric physicians 9 ,indian heal? programs4 ,sec4 #dje4 ,includ+ occupational !rapi/s z behavioral & m5tal heal? pr(essionals = purposes ( ! ,national ,heal? ,s]vice ,corps4 ,sec4 #djf4 ,ext5sion ( c]ta9 heal? c>e work=ce loan repaym5t programs ?r\gh fiscal ye> #bjai4 ,title ,v--,improv+ ,m5tal ,heal? ,rese>* & ,coord9ation ,sec4 #eja4 ,national ,in/itute ( ,m5tal ,heal? rese>* program on s]i\s m5tal illness & suicide prev5tion4 ,sec4 #ejb4 ,y\? m5tal heal? rese>* network4 ,sec4 #ejc4 ,national viol5t dea? report+ sy/em4 ,title ,,vi--,education & ,y\? ,sec4 #fja4 ,s*ool-bas$ m5tal heal? programs4 ,sec4 #fjb4 ,exam9+ m5tal heal? c>e = *ildr54 ,title ,,vii--,ju/ice & ,m5tal ,heal? ,collaboration ,sec4 #gja4 ,assi/+ vet]ans4 ,sec4 #gjb4 ,correctional facilities4 ,sec4 #gjc4 ,high utiliz]s4 ,sec4 #gjd4 ,academy tra9+4 ,sec4 #gje4 ,evid5ce-bas$ practices4 ,sec4 #gjf4 ,safe communities4 ,sec4 #gjg4 ,reau?orization ( appropriations4 ,title ,,viii--,behavioral ,heal? ,in=mation ,te*nology ,sec4 #hja4 ,ext5sion ( heal? in=mation te*nology assi/ance = behavioral & m5tal heal? & sub/ance abuse4 ,sec4 #hjb4 ,ext5sion ( eligibility = ,m$ic>e & ,m$icaid heal? in=mation te*nology implem5tation assi/ance4 ,title ,,ix--,s]vicememb]s & ,vet]ans ,m5tal ,heal? ,sec4 #ija4 ,prelim9>y m5tal heal? assessm5ts4 ,sec4 #ijb4 ,unlimit$ eligibility = heal? c>e = m5tal illnesses = vet]ans ( combat s]vice dur+ c]ta9 p]iods ( ho/ilities & w>4 ,sec4 #ijc4 ,timel9e = implem5t+ integrat$ electronic heal? records4 ,sec4 #ijd4 ,pilot program = repaym5t ( educational loans = c]ta9 psy*iatri/s ( ,vet]ans ,heal? ,adm9i/ration4 ,title ,x--,mak+ ,p>ity ,"w ,sec4 #ajja4 ,,gao /udy on m5tal heal? & sub/ance use disord] p>ity en=cem5t ef=ts4 ,sec4 #ajjb4 ,report to ,congress on ,f$]al assi/ance to ,/ate insurance regulators reg>d+ m5tal heal? p>ity en=cem5t4 ,sec4 #ajjc4 ,annual report to ,congress by ,secret>ies ( ,labor & ,heal? & ,human ,s]vices4 #b4 ,purpose ,! purposes ( ?is ,act are-- 7#a7 to improve ! responsiv5ess1 coord9ation1 acc\ntability1 accessibility1 & integration ( p]son-c5t]$ behavioral heal? s]vices to provide timely & appropriate help to individuals1 families1 & communities2 7#b7 to r$uce m5tal heal? crises1 homelessness1 & inc>c]ation by /r5g!n+ community-bas$ s]vices1 includ+ e>ly int]v5tion1 outrea*1 engagem5t1 prev5tion1 crisis support1 rehabilitation1 & pe]-run s]vices = p]sons ( all ages2 7#c7 to ensure t all ,am]icans ) m5tal illnesses & _! families c-- 7,a7 ga9 access to evid5ce-bas$ & em]g+ be/ practices bas$ on ! values & pr9ciples ( trauma-in=m$ c>e & m5tal heal? recov]y1 deliv]$ 9 a culturally & l+ui/ically compet5t mann]2 & 7,b7 fully p>ticipate 9 ! mo/ integrat$ sett+s )9 _! *os5 communities2 7#d7 to develop an integrat$ behavioral heal? work=ce ?r\gh improv$ tra9+ & education1 recruitm5t1 & ret5tion to meet ! ne$s ( all communities & populations2 7#e7 to increase m5tal heal? aw>5ess & r$uce /igma & discrim9ation ?r\gh m5tal heal? tra9+1 education1 & lit]acy2 & 7#f7 to ensure ! full implem5tation & en=cem5t ( m5tal heal? p>ity = all ,am]icans4 ,i ,:ite ,h\se ,(fice ( ,m5tal ,heal? ,policy #aja4 ,:ite ,h\se ,(fice ( ,m5tal ,heal? ,policy 7a7 ,e/abli%m5t ( (fice ,!re is e/abli%$ 9 ! ,executive ,(fice ( ! ,presid5t ! ,:ite ,h\se ,(fice ( ,m5tal ,heal? ,policy 7h]eaft] ref]r$ to z ! ,(fice71 :i* %all-- 7#a7 monitor ,f$]al activities ) respect to m5tal heal?1 s]i\s m5tal illness1 & s]i\s emotional di/urbances2 7#b7 make recomm5dations to ! ,secret>y ( ,heal? & ,human ,s]vices reg>d+ any appropriate *anges to su* activities1 includ+ recomm5dations ) respect to ! national /rategy develop$ "u p>agraph 7#c72 7#c7 develop & annually update a ,national ,/rategy = ,m5tal ,heal? to maximize ! access ( individuals ) m5tal illness to community-bas$ s]vices1 /r5g!n ! impact ( su* s]vices1 & meet ! compreh5sive ne$s ( individuals ) m5tal illness2 7#d7 make recomm5dations to ! ,secret>y ( ,heal? & ,human ,s]vices reg>d+ public p>ticipation 9 decisions relat+ to m5tal heal?1 s]i\s m5tal illness1 & s]i\s emotional di/urbances2 7#e7 review & make recomm5dations ) respect to ! budgets = ,f$]al m5tal heal? s]vices to ensure ! adequacy ( ^? budgets2 7#f7 submit to ! ,congress ! national /rategy & any updates to su* /rategy2 7#g7 coord9ate ! m5tal heal? s]vices provid$ by ,f$]al dep>tm5ts & ag5cies & coord9ate ,f$]al int]ag5cy m5tal heal? s]vices2 7#h7 consult1 coord9ate )1 facilitate jo9t ef=ts among1 & support ,/ate1 local1 & tribal gov]nm5ts1 nongov]nm5tal entities1 & individuals ) a m5tal illness1 p>ticul>ly individuals ) a s]i\s m5tal illness & *ildr5 & adolesc5ts ) a s]i\s emotional di/urbance1 ) respect to improv+ community-bas$ & o!r m5tal heal? s]vices2 & 7#i7 develop & annually update a summ>y ( advances 9 s]i\s m5tal illness & s]i\s emotional di/urbances rese>* relat$ to causes1 prev5tion1 treatm5t1 e>ly scre5+1 diagnosis or rule out1 int]v5tion1 & access to s]vices & supports = individuals ) s]i\s m5tal illness & *ildr5 & adolesc5ts ) a s]i\s emotional di/urbance4 7b7 ,director ,!re %all be a ,director :o %all head ! ,(fice 7h]eaft] ref]r$ to z ! ,director7 & :o %all hold ! same rank & /atus z ! head ( an executive dep>tm5t li/$ 9 section #aja ( title #e1 ,unit$ ,/ates ,code4 7c7 ,access by congress ,! location ( ! ,(fice 9 ! ,executive ,(fice ( ! ,presid5t %all n be con/ru$ z affect+ access by ,congress1 or any committee ( ! ,h\se ( ,repres5tatives or ! ,s5ate1 to any-- 7#a7 in=mation1 docum5t1 or /udy 9 ! possession (1 or conduct$ by or at ! direction (1 ! ,director2 or 7#b7 p]sonnel ( ! ,(fice4 #ajb4 ,appo9tm5t & duties ( ! ,director 7a7 ,appo9tm5t 7#a7 ,9 g5]al ,! ,presid5t %all appo9t ! ,director1 by & ) ! advice & cons5t ( ! ,s5ate4 ,! ,director %all s]ve at ! pleasure ( ! ,presid5t4 7#b7 ,prohibition ,no p]son %all s]ve z ,director :ile s]v+ 9 any o!r position 9 ! ,f$]al ,gov]nm5t or :ile employ$ 9 a full-"t position outside ( ! ,f$]al ,gov]nm5t4 7b7 ,responsibilities ,! ,director %all-- 7#a7 assi/ ! ,presid5t-- 7,a7 to e/abli% policies1 goals1 objectives1 & priorities ) respect to m5tal heal?1 p>ticul>ly s]i\s m5tal illness & s]i\s emotional di/urbances2 7,b7 to maximize ! access ( individuals ) m5tal illness to community-bas$ s]vices2 7,c7 to /r5g!n ! impact ( su* s]vices2 & 7,d7 to meet ! compreh5sive ne$s ( individuals ) m5tal illness2 7#b7 "w ) ,f$]al dep>tm5ts & ag5cies provid+ m5tal heal? s]vices to /r5g!n ! coord9ation ( m5tal heal? s]vices 9 ord] to maximize ! access ( individuals ) a m5tal illness1 p>ticul>ly individuals ) a s]i\s m5tal illness & *ildr5 & adolesc5ts ) a s]i\s emotional di/urbance1 to community-bas$ s]vices1 /r5g!n ! impact ( s]vices1 & meet ! compreh5sive ne$s ( individuals ) a m5tal illness2 7#c7 coord9ate & ov]see ! developm5t1 coord9ation1 implem5tation1 & evaluation ( ! ,national ,/rategy = ,m5tal ,heal?2 7#d7 promulgate ! ,national ,/rategy = ,m5tal ,heal?1 ensur+ its wide availability to gov]nm5t (ficials & ! public2 7#e7 make su* recomm5dations to ! ,presid5t z ! ,director det]m9es are appropriate ) respect to ! organization1 managem5t1 & budgets ( ,f$]al dep>tm5ts & ag5cies provid+ m5tal heal? s]vices1 includ+ *anges 9 ! allocation ( p]sonnel to & )9 ^? dep>tm5ts & ag5cies to implem5t ! policies1 goals1 objectives1 & priorities e/abli%$ "u p>agraph 7#a7 & ! ,national ,/rategy = ,m5tal ,heal?2 7#f7 consult1 coord9ate )1 facilitate jo9t ef=ts among1 & support ,/ate1 local1 & tribal gov]nm5ts1 nongov]nm5tal entities1 & individuals ) a m5tal illness1 p>ticul>ly individuals ) a s]i\s m5tal illness & *ildr5 & adolesc5ts ) a s]i\s emotional di/urbance1 ) respect to improv+ m5tal heal? s]vices2 7#g7 appe> be=e duly con/itut$ committees & subcommittees ( ! ,h\se ( ,repres5tatives & ( ! ,s5ate to repres5t ! policies ( ! ,presid5t relat$ to m5tal heal? & s]ve z ! spokesp]son ( ! ,presid5t1 if ! ,presid5t det]m9es x appropriate1 on issues relat$ to m5tal heal?1 & ! ,national ,/rategy = ,m5tal ,heal?2 7#h7 submit an annual report to ,congress detail+ h[ ! ,director has consult$ & coord9at$ ) ! ,national ,m5tal ,heal? ,c\ncil describ$ 9 section #ajd7;d71 ! ,national ,m5tal ,heal? ,advisory ,bo>d describ$ 9 section #aje1 ,/ate1 local1 & tribal gov]nm5ts1 nongov]nm5tal entities1 & individuals ) a m5tal illness1 p>ticul>ly individuals ) a s]i\s m5tal illness & *ildr5 & adolesc5ts ) a s]i\s emotional di/urbance2 & 7#i7 ensure ! ,(fice meets ea* ( its responsibilities "u ?is title4 7c7 ,budget review & recomm5dations 7#a7 ,review ( budget reque/s ,ea* dep>tm5t or ag5cy ( ! ,f$]al ,gov]nm5t provid+ m5tal heal? s]vices & b5efits %all transmit ea* ye> to ! ,director a copy ( ! propos$ budget reque/ ( t dep>tm5t or ag5cy ) respect to m5tal heal? s]vices & b5efits at a "t n lat] ?an t dep>tm5t or ag5cy's submitt+ ( su* budget reque/ to ! ,(fice ( ,managem5t & ,budget = prep>ation ( ! budget ( ! ,presid5t submitt$ to ,congress "u section #aaje7;a7 ( title #ca1 ,unit$ ,/ates ,code4 ,! propos$ budget reque/ %all be transmitt$ to ! ,director 9 su* =m z ! ,director1 9 consultation ) ! ,(fice ( ,managem5t & ,budget1 det]m9es appropriate4 7#b7 ,recomm5dations ) respect to budget reque/s ,aft] ! receipt ( propos$ budget reque/s pursuant to p>agraph 7#a71 ! ,director %all provide budget recomm5dations ) respect to ,f$]al m5tal heal? s]vices & b5efits to ! ,director ( ! ,(fice ( ,managem5t & ,budget & to ! ,presid5t at a "t t all[s su* recomm5dations to be incorporat$1 z appropriate1 into ! budget ( ! ,presid5t submitt$ to ,congress "u section #aaje7;a7 ( title #ca1 ,unit$ ,/ates ,code4 ,! recomm5dations %all address fund+ priorities develop$ 9 ! ,national ,/rategy = ,m5tal ,heal? & %all address future fiscal projections z det]m9$ by ! ,director4 7d7 ,p[]s ( ! ,director ,9 c>ry+ out ?is title1 ! ,director may-- 7#a7 select1 appo9t1 employ1 & fix ! comp5sation ( su* (fic]s & employees ( ! ,(fice z may be necess>y to c>ry out ! functions ( ! ,(fice "u ?is title2 7#b7 reque/ ! head ( a dep>tm5t or ag5cy ( ! ,f$]al ,gov]nm5t to place dep>tm5t or ag5cy p]sonnel :o are engag$ 9 activities ) respect to m5tal heal?1 on tempor>y detail to ano!r dep>tm5t or ag5cy 9 ord] to implem5t ! ,national ,/rategy = ,m5tal ,heal?1 & ! head ( su* dep>tm5t or ag5cy %all comply ) su* reque/2 7#c7 use = adm9i/rative purposes1 on a reimbursable basis1 ! available s]vices1 equipm5t1 p]sonnel1 & facilities ( ,f$]al1 ,/ate1 local1 & tribal dep>tm5ts & ag5cies2 7#d7 procure ! s]vices ( exp]ts & consultants 9 accordance ) section #caji ( title #e1 ,unit$ ,/ates ,code1 relat+ to appo9tm5ts 9 ! ,f$]al ,s]vice1 at rates ( comp5sation = individuals n to exce$ ! daily equival5t ( ! rate ( pay payable "u level ,,iv ( ! ,executive ,s*$ule "u section #ecaa ( title #e1 ,unit$ ,/ates ,code2 7#e7 use ! mails 9 ! same mann] z any o!r dep>tm5t or ag5cy ( ! executive bran*2 & 7#f7 monitor implem5tation ( ! ,national ,/rategy = ,m5tal ,heal?1 includ+-- 7,a7 conduct+ program & p]=mance audits & evaluations2 & 7,b7 reque/+ assi/ance f ! ,inspector ,g5]al ( ! relevant dep>tm5t or ag5cy 9 su* audits & evaluations4 #ajc4 ,national /rategy = m5tal heal? 7a7 ,9 g5]al ,n lat] ?an ,febru>y #a ( ea* ye>1 ! ,director %all submit to ! ,presid5t & ,congress & make available to ! public a ,national ,/rategy = ,m5tal ,heal? 79 ?is title ref]r$ to z ! ,national ,/rategy = ,m5tal ,heal? or ! ,/rategy7 sett+ =? a compreh5sive plan to maximize ! access ( individuals ) m5tal illness to community-bas$ s]vices1 to /r5g!n ! impact ( su* s]vices1 & to meet ! compreh5sive ne$s ( individuals ) m5tal illness4 7b7 ,process ,9 prep>+ ! ,/rategy1 ! ,director %all actively consult & "w 9 coord9ation ) ! foll[+3 7#a7 ,! heads ( all ,f$]al dep>tm5ts & ag5cies t provide m5tal heal? s]vices4 7#b7 ,! ,national ,m5tal ,heal? ,c\ncil4 7#c7 ,! ,national ,m5tal ,heal? ,advisory ,bo>d4 7#d7 ,exi/+ ,f$]al int]ag5cy ef=ts relat$ to m5tal heal? s]vices1 su* z ! ,milit>y & ,vet]ans ,m5tal ,heal? ,int]ag5cy ,task ,=ce4 7#e7 ,/ate1 local1 & tribal gov]nm5ts4 7#f7 ,nongov]nm5tal entities4 7#g7 ,individuals ) m5tal illness1 p>ticul>ly individuals ) a s]i\s m5tal illness & *ildr5 & adolesc5ts ) a s]i\s emotional di/urbance4 7c7 ,cont5ts ,! ,director %all ensure ! ,/rategy meets ! foll[+ requirem5ts3 7#a7 ,goals & p]=mance measures ,! ,/rategy %all conta9 compreh5sive1 rese>*-bas$ goals & quantifiable p]=mance measures t %all s]ve z t>gets = ! ye> ) respect to :i* ! ,/rategy applies =-- 7,a7 improv+ ! outcomes ( & accessibility to evid5ce-bas$ m5tal programs & s]vices2 7,b7 promot+ community integration ( individuals ) m5tal illness2 7,c7 increas+ access to prev5tion & e>ly int]v5tion s]vices relat$ to m5tal heal?2 7,d7 promot+ m5tal heal? aw>5ess & r$uc+ /igma2 & 7,e7 advanc+ m5tal heal? rese>*4 7#b7 ,acc\ntability = pa/ p]=mance measures ,! ,/rategy %all conta9 a report on ,f$]al effectiv5ess ) respect to meet+ ^? p]=mance measures set by ! ,/rategy = ! prec$+ ye>1 includ+ an evaluation ( :e!r or n su* p]=mance measures 7 met & ! reasons !re=e1 includ+-- 7,a7 ! ext5t ( coord9ation betwe5 ,f$]al dep>tm5ts & ag5cies provid+ m5tal heal? s]vices2 7,b7 ! ext5t to :i* ! objectives & budgets ( ,f$]al dep>tm5ts & ag5cies provid+ m5tal heal? s]vices 7 consi/5t ) ! recomm5dations ( ! ,/rategy = ! prec$+ ye>2 & 7,c7 ! effici5cy & adequacy ( ,f$]al programs & policies ) respect to m5tal heal? s]vices4 7#c7 ,report+ on & id5tify+ gaps 9 m5tal heal? s]vices ,! ,/rategy %all conta9 a report on-- 7,a7 ! m5tal heal? diagnoses1 disaggregat$ by age1 race1 g5d]1 geographic di/ribution1 population d5sity1 socioeconomic /atus1 & o!r t>get populations det]m9$ necess>y = inclusion by ! ,director2 7,b7 ! quality & quantity ( m5tal heal? s]vices1 includ+ community-bas$ s]vices1 = individuals ) m5tal illness1 disaggregat$ by age1 race1 g5d]1 geographic di/ribution1 population d5sity1 socioeconomic /atus1 & o!r t>get populations det]m9$ necess>y = inclusion by ! ,director2 & 7,c7 ! size & allocation ( ,f$]al res\rces devot$ to support+ individuals ) m5tal illness1 p>ticul>ly s]i\s m5tal illness1 & *ildr5 & adolesc5ts ) a s]i\s emotional di/urbance1 disaggregat$ by age1 race1 g5d]1 geographic di/ribution1 population d5sity1 socioeconomic /atus1 & o!r t>get populations det]m9$ necess>y = inclusion by ! ,director4 7#d7 ,coord9ation ef=ts ,! ,/rategy %all conta9 a report on ,f$]al ef=ts to consult1 coord9ate )1 facilitate jo9t ef=ts among1 & support ,/ate1 local1 & tribal gov]nm5ts1 nongov]nm5tal entities1 & individuals ) m5tal illness1 p>ticul>ly s]i\s m5tal illness1 & *ildr5 & adolesc5ts ) a s]i\s emotional di/urbance1 includ+ an evaluation ( ! effectiv5ess ( ^? ef=ts4 7#e7 ,guidance ,! ,/rategy %all conta9 rese>*-bas$ guidance = assess+ & improv+ ! quality ( m5tal heal? s]vices t is responsive to gaps id5tifi$ 9 community-bas$ & o!r m5tal heal? s]vices1 p>ticul>ly = individuals ) a s]i\s m5tal illness & *ildr5 & adolesc5ts ) a s]i\s emotional di/urbance4 7#f7 ,m5tal heal? advocates & p]spectives ,! ,/rategy %all conta9 ! views & p]spectives ( individuals ) m5tal illness1 p>ticul>ly individuals ) s]i\s m5tal illness & *ildr5 & adolesc5ts ) a s]i\s emotional di/urbance1 ) respect to m5tal heal? s]vices z prep>$ by ! ,national ,m5tal ,heal? ,advisory ,bo>d4 7#g7 ,/rategic plan ,! ,/rategy %all conta9 a plan to a*ieve ! goals & p]=mance measures set = ! ye> ) respect to :i* ! ,/rategy applies1 includ+ ! foll[+3 7,a7 ,program & budget priorities necess>y to a*ieve ! p]=mance measures4 7,b7 ,recomm5dations = improv$ ,f$]al int]ag5cy coord9ation1 su* z %>$ grant application processes1 grantee report+ requirem5ts1 tra9+ & te*nical assi/ance ef=ts1 def9itions1 recipi5t eligibility requirem5ts1 rese>*1 evaluation ef=ts1 & data collection1 & recomm5dations = legislative *anges necess>y to a*ieve su* int]ag5cy coord9ation & to facilitate ! deliv]y ( a compreh5sive array ( m5tal heal? s]vices4 7,c7 ,recomm5dations = improv$ coord9ation betwe5 ! ,f$]al ,gov]nm5t & ,/ate1 local1 & tribal gov]nm5ts1 nongov]nm5tal entities1 & individuals ) m5tal illness1 p>ticul>ly individuals ) s]i\s m5tal illness & *ildr5 & adolesc5ts ) a s]i\s emotional di/urbance4 7,d7 ,a /rategic rese>*1 innovation1 & demon/ration ag5da to guide ! use ( ,f$]al rese>* sp5d+ ) respect to m5tal illness1 p>ticul>ly s]i\s m5tal illness4 7,e7 ,recomm5dations to promote community integration ( individuals ) m5tal illness1 consi/5t ) ! ,am]icans ) ,disabilities ,act ( #aiij1 section #ejd ( ! ,rehabilitation ,act ( #aigc1 & ! ,supreme ,c\rt's decision 9 ,olm/ead v4 ,l4,c4 7,f7 ,recomm5dations to enhance prev5tion & e>ly int]v5tion s]vices = *ildr5 & adolesc5ts ) m5tal illness4 7,g7 ,recomm5dations conc]n+ ways to ensure appropriate access to int5sive community-bas$ s]vices = ,m$icaid b5efici>ies4 7#h7 ,additional reports ,! ,/rategy %all conta9 additional reports ! ,director det]m9es necess>y1 su* z reports on ! unmet ne$s ( individuals ) m5tal illness1 int]national comp>isons ( m5tal heal? s]vices & outcomes1 or ! /atus ( implem5tation & en=cem5t ( m5tal heal? p>ity4 #ajd4 ,coord9ation ) ,f$]al dep>tm5ts & ag5cies 7a7 ,f$]al dep>tm5t & ag5cy coop]ation ,ea* dep>tm5t or ag5cy ( ! ,f$]al ,gov]nm5t provid+ m5tal heal? s]vices %all-- 7#a7 coop]ate ) ! ef=ts ( ! ,director "u ?is title2 7#b7 provide su* assi/ance1 /ati/ics1 /udies1 reports1 in=mation1 & advice z ! ,director may reque/1 to ! ext5t p]mitt$ by law2 7#c7 adju/ dep>tm5t or ag5cy /aff job descriptions & p]=mance measures to support collaboration & implem5tation ( ! ,/rategy2 & 7#d7 assign dep>tm5t or ag5cy liaisons to ! ,(fice to ov]see & implem5t int]ag5cy coord9ation4 7b7 ,int]ag5cy alignm5t ,! ,director1 9 collaboration ) ! heads ( ,f$]al dep>tm5ts & ag5cies provid+ m5tal heal? s]vices1 %all /r5g!n ! coord9ation ( ,f$]al m5tal heal? s]vices 9 ord] to maximize ! access ( individuals ) m5tal illness1 p>ticul>ly individuals ) s]i\s m5tal illness1 to community-bas$ m5tal heal? s]vices1 /r5g!n ! impact ( m5tal heal? s]vices1 & meet ! compreh5sive ne$s ( individuals ) m5tal illness1 p>ticul>ly individuals ) s]i\s m5tal illness & *ildr5 & adolesc5ts ) a s]i\s emotional di/urbance1 by1 :]e appropriate-- 7#a7 facilitat+ ! developm5t ( %>$ grant application processes2 7#b7 (f]+ jo9t tra9+ & te*nical assi/ance ef=ts2 7#c7 improv+ opportunities = individuals ) m5tal illness to ma9ta9 s]vices z !y transition f sy/ems ( c>e2 7#d7 align+-- 7,a7 grantee report+ requirem5ts2 7,b7 def9itions2 7,c7 eligibility requirem5ts2 7,d7 rese>*2 7,e7 evaluation ef=ts2 & 7,f7 data collection2 7#e7 mak+ recomm5dations ) respect to ! legislative *anges necess>y to a*ieve ! int]ag5cy alignm5t & coord9ation necess>y to facilitate ! deliv]y ( a compreh5sive array ( m5tal heal? s]vices2 & 7#f7 tak+ o!r /eps necess>y to improve collaboration betwe5 ,f$]al dep>tm5ts & ag5cies provid+ m5tal heal? s]vices4 7c7 ,jo9t fund+ & coord9ation 7#a7 ,9 g5]al ,! ,director1 9 consultation ) ! heads ( ,f$]al dep>tm5ts & ag5cies1 may ov]see ! developm5t & adm9i/ration ( initiatives involv+ multiple ,f$]al dep>tm5ts & ag5cies1 includ+ initiatives t involve ! integration ( fund+ f diff]5t ,f$]al dep>tm5ts & ag5cies to ! ext5t p]mitt$ by law4 7#b7 ,adm9i/ration ( funds ,) respect to an initiative t involves ! integration ( fund+ f diff]5t ,f$]al dep>tm5ts & ag5cies1 ! ,f$]al dep>tm5t or ag5cy pr9cipally involv$ 9 su* an initiative1 z det]m9$ by ! ,director1 may be designat$ by ! ,director to act = all involv$ dep>tm5ts or ag5cies 9 adm9i/]+ funds = ! initiative to ! ext5t p]mitt$ by law4 7#c7 ,nongov]nm5tal entities ,initiatives develop$ "u ?is subsection may involve nongov]nm5tal entities to ! ext5t p]mitt$ by law4 7d7 ,national m5tal heal? c\ncil 7#a7 ,e/abli%m5t ,!re is e/abli%$ )9 ! ,(fice ! ,national ,m5tal ,heal? ,c\ncil 7h]e9aft] ref]r$ to 9 ?is title z ! ,c\ncil74 7#b7 ,memb]s & t]ms ,! memb]s ( ! ,c\ncil %all include-- 7,a7 ! ,presid5t2 7,b7 ! ,director2 7,c7 ! ,secret>y ( ,heal? & ,human ,s]vices2 7,d7 ! ,director ( ! ,national ,in/itute ( ,m5tal ,heal?2 7,e7 ! ,attorney ,g5]al ( ! ,unit$ ,/ates2 7,f7 ! ,secret>y ( ,vet]ans ,affairs2 7,g7 ! ,assi/ant ,secret>y-,indian ,affairs ( ! ,dep>tm5t ( ! ,int]ior2 7,h7 ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion2 7,i7 ! ,director ( ! ,national ,in/itutes ( ,heal?2 7,j7 ! directors ( su* national rese>* in/itutes ( ! ,national ,in/itutes ( ,heal? z ! ,director det]m9es appropriate2 7,k7 repres5tatives1 appo9t$ by ! ,director1 ( ,f$]al ag5cies t are outside ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices & s]ve individuals ) m5tal illness1 su* z ! ,dep>tm5t ( ,education2 7,l7 ! ,adm9i/rator ( ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration2 7,m7 ! ,secret>y ( ,def5se2 & 7,n7 o!r ,f$]al (ficials z direct$ by ! ,presid5t4 7#c7 ,*airp]son ,! ,*airp]son ( ! ,c\ncil %all be ! ,presid5t4 7#d7 ,designees ,memb]s ( ! ,c\ncil may select a designee to p]=m duties "u ?is subsection1 b x is ! s5se ( ,congress t su* memb]s %\ld refra9 f do+ s :5ev] possible4 7#e7 ,meet+s 7,a7 ,9 g5]al ,! full memb]%ip ( ! ,c\ncil %all meet at ! call ( ! ,*airp]son1 b at lea/ once ea* ye>4 ,! ,*airp]son may call additional meet+s compos$ ( less ?an ! full memb]%ip ( ! ,c\ncil z ne$$4 7,b7 ,fir/ meet+ ,! fir/ meet+ ( ! ,c\ncil %all be n m ?an f\r mon?s aft] ! date ( ! enactm5t ( ?is title4 7,c7 ,inclusion ( ! national m5tal heal? advisory bo>d ,at lea/ two meet+s ( ! ,c\ncil ea* ye> %all be op5$ to ! p>ticipation ( memb]s ( ! ,national ,m5tal ,heal? ,advisory ,bo>d4 7#f7 ,responsibilities ,! ,c\ncil %all-- 7,a7 assi/ ! ,director to coord9ate ! m5tal heal? s]vices provid$ by ,f$]al dep>tm5ts & ag5cies & to coord9ate ,f$]al int]ag5cy m5tal heal? s]vices2 7,b7 assi/ ! ,director 9 ! developm5t1 coord9ation1 implem5tation1 evaluation1 & promulgation ( ! ,/rategy2 7,c7 assi/ ! ,director 9 solicit+ & docum5t+ ongo+ input & recomm5dations ) respect to m5tal heal? s]vices & m5tal heal? outcomes f ,/ate1 local1 & tribal gov]nm5ts1 nongov]nm5tal entities1 & individuals ) m5tal illness1 p>ticul>ly individuals ) s]i\s m5tal illness & *ildr5 & adolesc5ts ) a s]i\s emotional di/urbance2 & 7,d7 ensure t memb]s ( ! ,c\ncil ov]see ! implem5tation ( ^? sections ( ! ,/rategy = :i* ea* su* memb]'s dep>tm5t or ag5cy is responsible1 z det]m9$ by ! ,director1 & to report to ! ,director on su* implem5tation & ! results !re(4 #aje4 ,national m5tal heal? advisory bo>d 7a7 ,e/abli%m5t ,!re is e/abli%$ )9 ! ,(fice ! ,national ,m5tal ,heal? ,advisory ,bo>d 7h]e9aft] ref]r$ to 9 ?is title z ! ,bo>d74 7b7 ,memb]s & t]ms 7#a7 ,9 g5]al ,except z provid$ 9 p>agraph 7#c71 ea* memb] %all s]ve a two-ye> t]m4 ,no memb] %all s]ve m ?an ?ree t]ms4 ,! ,bo>d %all be compos$ ( non-,f$]al public memb]s to be appo9t$ by ! ,director1 ( :i*-- 7,a7 at lea/ eight su* memb]s1 or #a_/c ( total memb]%ip1 :i*ev] is great]1 %all be individuals ) a diagnosis ( s]i\s m5tal illness2 7,b7 at lea/ six su* memb]s1 or #a_/d ( total memb]%ip1 :i*ev] is great]1 %all be a p>5t or legal gu>dian ( an individual ) a s]i\s m5tal illness or a *ild or adolesc5t ) a s]i\s emotional di/urbance2 7,c7 at lea/ "o su* memb] %all be a repres5tative ( a lead+ rese>* organization = individuals ) s]i\s m5tal illness2 7,d7 at lea/ "o su* memb] %all be a repres5tative ( a lead+ advocacy organization = individuals ) s]i\s m5tal illness2 7,e7 at lea/ "o su* memb] %all be a repres5tative ( a lead+ community s]vice organization = individuals ) s]i\s m5tal illness2 7,f7 at lea/ "o memb] %all h s]v$ 9 a s5ior position 9 a ,/ate m5tal heal? sy/em2 7,g7 at lea/ "o memb] %all h s]v$ 9 a s5ior position 9 a local m5tal heal? sy/em2 7,h7 at lea/ "o memb] %all be a psy*iatri/2 7,i7 at lea/ "o memb] %all be a cl9ical psy*ologi/2 7,j7 at lea/ "o memb] %all be a law en=cem5t (fic]2 7,k7 at lea/ "o su* memb] %all be a repres5tative ( a lead+ vet]ans s]vice organization2 & 7,l7 at lea/ "o su* memb] %all be a *ild or adolesc5t psy*iatri/4 7#b7 ,selection process = ! initial memb]%ip ( ! bo>d ,! ,director %all design an application & selection process to fill ! initial memb]%ip ( ! ,bo>d4 ,political affiliation or views may n be tak5 into acc\nt 9 su* application & selection process & relatives ( elect$ (ficials %all n be eligible = memb]%ip4 7#c7 ,selection process = memb]%ip ( ! bo>d foll[+ ! initial memb]%ip ,! initial memb]%ip ( ! ,bo>d %all design an application & selection process to fill ! memb]%ip ( ! ,bo>d = ^? t]ms foll[+ ! t]m ( ! initial memb]%ip4 ,su* application & selection process %all ensure t ,bo>d memb]s select ! memb]%ip t w foll[ t ,bo>d memb]%ip's t]m &1 not)/&+ ! two-ye> t]m requirem5t 9 p>agraph 7#a71 su* application process %all ensure t n m ?an half ( ! t]ms ( ,bo>d memb]s expire 9 a giv5 ye>4 7#d7 ,*airp]son ,! initial memb]%ip ( ! ,bo>d %all elect two memb]s z co-*airs ( ! ,bo>d4 ,co-*airs %all s]ve a t]m ( "o ye> & ! ,bo>d %all elect new co-*airs z vacancies arise4 7c7 ,meet+s ,! ,bo>d %all meet 9 p]son n few] ?an f\r times ea* ye>4 ,! ,director %all reque/ s5ior ,f$]al ,gov]nm5t (ficials to att5d ea* ( ! f\r meet+s1 includ+ reque/+ t ! ,c\ncil att5d "o ( ! f\r meet+s4 ,! co-*airs ( ! ,bo>d may call additional meet+s onl9e & by telephone z det]m9$ necess>y by ! co-*airs4 7d7 ,duties ,! ,bo>d %all-- 7#a7 advise ! ,presid5t1 ! heads ( ,f$]al dep>tm5ts & ag5cies provid+ m5tal heal? s]vices1 & o!r s5ior ,f$]al ,gov]nm5t (ficials on propos$ & p5d+ legislation1 budget exp5ditures1 & o!r policy matt]s ) respect to m5tal illness1 p>ticul>ly s]i\s m5tal illness & *ildr5 & adolesc5ts ) a s]i\s emotional di/urbance2 7#b7 "w 9 p>tn]%ip ) local organizations to solicit ! views & p]spectives ( individuals ) m5tal illness1 p>ticul>ly individuals ) s]i\s m5tal illness1 & p>5ts or legal gu>dians ( individuals ) m5tal illness1 ) respect to m5tal heal? s]vices2 7#c7 prep>e a section ( ! ,/rategy outl9+ ! views & p]spectives ( individuals ) m5tal illness1 p>ticul>ly individuals ) s]i\s m5tal illness & *ildr5 & adolesc5ts ) a s]i\s emotional di/urbance1 ) respect to m5tal heal? s]vices2 & 7#d7 provide ! ,director evaluations ( ! /aff support & tra9+ & te*nical assi/ance ! ,bo>d has receiv$4 7e7 ,proc$ures ,! memb]%ip ( ! ,bo>d %all1 9 consultation ) ! ,director1 det]m9e ! proc$ures ( ! ,bo>d4 ,,ii ,/r5g!n+ & ,inve/+ 9 ,,samhsa ,programs #bja4 ,community m5tal heal? s]vices block grant reau?orization ,section #aibj7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#i7;a77 is am5d$ by /rik+ #dej1jjj1jjj = fiscal ye> #bjja1 & su* sums z may be necess>y = ea* ( ! fiscal ye>s #bjjb & #bjjc & ins]t+ #dhc1gdd1jjj = fiscal ye> #bjae & su* sums z may be necess>y = ea* ( fiscal ye>s #bjaf ?r\gh #bjai4 #bjb4 ,report+ requirem5ts = block grants reg>d+ m5tal heal? & sub/ance use disord]s ,section #aidb ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#eb7 is am5d$ to read z foll[s3 #aidb4 ,requirem5t ( reports & audits by ,/ates 7a7 ,annual report ,a fund+ agreem5t = a grant "u section #aiaa is t-- 7#a7 ! ,/ate involv$ w prep>e & submit to ! ,secret>y an annual report on ! activities fund$ ?r\gh ! grant2 & 7#b7 ea* su* report %all be prep>$ by1 or 9 consultation )1 ! ,/ate ag5cy responsible = community m5tal heal? programs & activities4 7b7 ,/&>diz$ =m2 cont5ts ,9 ord] to prop]ly evaluate & to comp>e ! p]=mance ( diff]5t ,/ates assi/$ "u section #aiaa1 reports "u ?is section %all be 9 su* /&>diz$ =m & conta9 su* in=mation z ! ,secret>y det]m9es 7aft] consultation ) ! ,/ates7 to be necess>y-- 7#a7 to secure an accurate description ( ! activities fund$ ?r\gh ! grant "u section #aiaa2 7#b7 to det]m9e ! ext5t to :i* funds 7 exp5d$ consi/5t ) ! ,/ate's application transmitt$ "u section #aiag7;a72 & 7#c7 to describe ! ext5t to :i* ! ,/ate has met ! goals & objectives x set =? 9 its ,/ate plan "u section #aiab7;b74 7c7 ,m9imum cont5ts ,ea* report "u ?is section %all1 at a m9imum1 include ! foll[+ in=mation3 7#a7 7,a7 ,! numb] ( individuals s]v$ by ! ,/ate "u subp>t ,i 7by class ( individuals74 7,b7 ,! proportion ( ea* class ( su* individuals :i* has heal? cov]age4 7,c7 ,! types ( s]vices 7z def9$ by ! ,secret>y7 provid$ "u subp>t ,i to individuals )9 ea* su* class4 7,d7 ,! am\nts sp5t "u subp>t ,i on ea* type ( s]vice 7by class ( individuals s]v$74 7#b7 ,in=mation on ! /atus ( m5tal heal? 9 ! ,/ate1 includ+ in=mation 7by c\nty & by racial & e?nic gr\p7 on ea* ( ! foll[+3 7,a7 ,! proportion ( adolesc5ts ) s]i\s emotional di/urbances4 7,b7 ,! proportion ( adults ) s]i\s m5tal illness 7includ+ major depression74 7,c7 ,! proportion ( individuals ) co-occurr+ m5tal heal? & sub/ance use disord]s4 7,d7 ,! proportion ( *ildr5 & adolesc5ts ) m5tal heal? disord]s :o seek & receive treatm5t4 7,e7 ,! proportion ( adults ) m5tal heal? disord]s :o seek & receive treatm5t4 7,f7 ,! proportion ( individuals ) co-occurr+ m5tal heal? & sub/ance use disord]s :o seek & receive treatm5t4 7,g7 ,! proportion ( homeless adults ) m5tal heal? disord]s :o receive treatm5t4 7,h7 ,! numb] ( prim>y c>e facilities t provide m5tal heal? scre5+ & treatm5t s]vices onsite or by paid ref]ral4 7,i7 ,! numb] ( prim>y c>e physician (fice visits t include m5tal heal? scre5+ s]vices4 7,j7 ,! numb] ( juv5ile resid5tial facilities t scre5 admissions = m5tal heal? disord]s4 7,k7 ,! numb] ( dea?s attributable to suicide4 7#c7 ,in=mation on ! numb] & type ( heal? c>e practition]s lic5s$ 9 ! ,/ate & provid+ m5tal heal?-relat$ s]vices4 7d7 ,availability ( reports ,! ,secret>y %all1 ^u reque/1 provide a copy ( any report "u ?is section to any int]e/$ public ag5cy4 4 #bjc4 ,g>rett ,lee ,smi? ,memorial ,act reau?orization 7a7 ,suicide prev5tion te*nical assi/ance c5t] ,section #ebj;,c ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cd7 is am5d$-- 7#a7 9 ! section head+1 by /rik+ ! section head+ & ins]t+ ,suicide prev5tion te*nical assi/ance c5t]42 7#b7 9 subsection 7a71 by /rik+ & 9 consultation ) & all t foll[s ?r\gh ! p]iod at ! end ( p>agraph 7#b7 & ins]t+ %all e/abli% a rese>*1 tra9+1 & te*nical assi/ance res\rce c5t] to provide appropriate in=mation1 tra9+1 & te*nical assi/ance to ,/ates1 political subdivisions ( ,/ates1 f$]ally recogniz$ ,indian tribes1 tribal organizations1 in/itutions ( high] education1 public organizations1 or private nonpr(it organizations reg>d+ ! prev5tion ( suicide among all ages1 p>ticul>ly among gr\ps t are at high risk = suicide42 7#c7 by /rik+ subsections 7b7 & 7c72 7#d7 by r$esignat+ subsection 7d7 z subsection 7b72 7#e7 9 subsection 7b71 z s r$esignat$-- 7,a7 by /rik+ ! subsection head+ & ins]t+ ,responsibilities ( ! c5t]42 7,b7 9 ! matt] prec$+ p>agraph 7#a71 by /rik+ ,! additional rese>* & all t foll[s ?r\gh nonpr(it organizations = & ins]t+ ,! c5t] e/abli%$ "u subsection 7a7 %all conduct activities = ! purpose (2 7,c7 by /rik+ y\? suicide ea* place su* t]m appe>s & ins]t+ suicide2 7,d7 9 p>agraph 7#a7-- 7i7 by /rik+ ! developm5t or cont9uation ( & ins]t+ develop+ & cont9u+2 & 7ii7 by ins]t+ = all ages1 p>ticul>ly among gr\ps t are at high risk = suicide be=e ! semicolon at ! end2 7,e7 9 p>agraph 7#b71 by ins]t+ = all ages1 p>ticul>ly among gr\ps t are at high risk = suicide be=e ! semicolon at ! end2 7,f7 9 p>agraph 7#c71 by ins]t+ & tribal aft] /atewide2 7,g7 9 p>agraph 7#e71 by ins]t+ & prev5tion aft] int]v5tion2 7,h7 9 p>agraph 7#h71 by /rik+ 9 y\?2 7,i7 9 p>agraph 7#i71 by /rik+ & behavioral heal? & ins]t+ heal? & sub/ance use disord]2 & 7,j7 9 p>agraph 7#aj71 by ins]t+ conduct+ be=e o!r2 & 7#f7 by /rik+ subsection 7e7 & ins]t+ ! foll[+3 7c7 ,au?orization ( appropriations ,= ! purpose ( c>ry+ out ?is section1 !re are au?oriz$ to be appropriat$ #d1idh1jjj = ea* ( fiscal ye>s #bjae ?r\gh #bjai4 4 7b7 ,y\? suicide e>ly int]v5tion & prev5tion /rategies ,section #ebj;,e ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cf7 is am5d$-- 7#a7 9 p>agraph 7#a7 ( subsection 7a7 & 9 subsection 7c71 by /rik+ sub/ance abuse ea* place su* t]m appe>s & ins]t+ sub/ance use disord]2 7#b7 9 subsection 7b77#b7-- 7,a7 by /rik+ ea* ,/ate is aw>d$ only #a grant or coop]ative agreem5t "u ?is section & ins]t+ a ,/ate does n receive m ?an #a grant or coop]ative agreem5t "u ?is section at any #a "t2 & 7,b7 by /rik+ be5 aw>d$ & ins]t+ receiv$2 & 7#c7 by /rik+ subsection 7m7 & ins]t+ ! foll[+3 7m7 ,au?orization ( appropriations ,= ! purpose ( c>ry+ out ?is section1 !re are au?oriz$ to be appropriat$ #bi1fhb1jjj = ea* ( fiscal ye>s #bjae ?r\gh #bjai4 4 7c7 ,m5tal heal? & sub/ance use disord] s]vices ,section #ebj;,e-#b ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cf;b7 is am5d$-- 7#a7 9 ! section head+1 by /rik+ & behavioral heal? & ins]t+ heal? & sub/ance use disord] s]vices2 7#b7 9 subsection 7a7-- 7,a7 by /rik+ ,s]vices1 & ins]t+ ,s]vices &2 7,b7 by /rik+ & behavioral heal? problems & ins]t+ heal? or sub/ance use disord]s2 & 7,c7 by /rik+ sub/ance abuse & ins]t+ sub/ance use disord]s2 7#c7 9 subsection 7b7-- 7,a7 9 ! matt] prec$+ p>agraph 7#a71 by /rik+ =-- & ins]t+ = "o or m ( ! foll[+32 & 7,b7 by /rik+ p>agraphs 7#a7 ?r\gh 7#f7 & ins]t+ ! foll[+3 7#a7 ,educat+ /ud5ts1 families1 faculty1 & /aff to increase aw>5ess ( m5tal heal? & sub/ance use disord]s4 7#b7 ,! op]ation ( hotl9es4 7#c7 ,prep>+ in=mational mat]ial4 7#d7 ,provid+ outrea* s]vices to notify /ud5ts ab\t available m5tal heal? & sub/ance use disord] s]vices4 7#e7 ,adm9i/]+ volunt>y m5tal heal? & sub/ance use disord] scre5+s & assessm5ts4 7#f7 ,support+ ! tra9+ ( /ud5ts1 faculty1 & /aff to respond effectively to /ud5ts ) m5tal heal? & sub/ance use disord]s4 7#g7 ,creat+ a network infra/ructure to l9k colleges & univ]sities ) heal? c>e provid]s :o treat m5tal heal? & sub/ance use disord]s4 2 7#d7 9 subsection 7c77#e71 by /rik+ sub/ance abuse & ins]t+ sub/ance use disord]2 7#e7 9 subsection 7d7-- 7,a7 9 ! matt] prec$+ p>agraph 7#a71 by /rik+ ,an in/itution ( high] education desir+ a grant "u ?is section & ins]t+ ,to be eligible to receive a grant "u ?is section1 an in/itution ( high] education2 7,b7 9 p>agraph 7#a7-- 7i7 by /rik+ & behavioral heal? & ins]t+ heal? & sub/ance use disord]2 & 7ii7 by ins]t+ 1 includ+ vet]ans :5ev] possible & appropriate1 aft] /ud5ts2 & 7,c7 9 p>agraph 7#b71 by ins]t+ 1 :i* may include1 z appropriate & 9 accordance ) subsection 7b77#g71 a plan to seek input f relevant /akehold]s 9 ! community1 includ+ appropriate public & private entities1 9 ord] to c>ry out ! program "u ! grant be=e ! p]iod at ! end2 7#f7 9 subsection 7e77#a71 by /rik+ & behavioral heal? problems & ins]t+ heal? & sub/ance use disord]s2 7#g7 9 subsection 7f77#b7-- 7,a7 by /rik+ & behavioral heal? & ins]t+ heal? & sub/ance use disord]2 & 7,b7 by /rik+ suicide & sub/ance abuse & ins]t+ suicide & sub/ance use disord]s2 & 7#h7 9 subsection 7h71 by /rik+ #e1jjj1jjj = fiscal ye> #bjje & all t foll[s ?r\gh ! p]iod at ! end & ins]t+ #d1heh1jjj = ea* ( fiscal ye>s #bjae ?r\gh #bjai44 #bjd4 ,priority m5tal heal? ne$s ( regional & national significance reau?orization ,section #ebj;,a7f77#a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cb7;f77#a77 is am5d$ by /rik+ #cjj1jjj1jjj = fiscal ye> #bjja1 & su* sums z may be necess>y = ea* ( ! fiscal ye>s #bjjb & #bjjc & ins]t+ #baf1fcb1jjj = fiscal ye> #bjae & su* sums z may be necess>y = ea* ( fiscal ye>s #bjaf ?r\gh #bjai4 #bje4 ,grants = jail div]sion programs reau?orization ,section #ebj;,g7i7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#ch7;i77 is am5d$ by /rik+ #aj1jjj1jjj = fiscal ye> #bjja1 & su* sums z may be necess>y = fiscal ye>s #bjjb ?r\gh #bjjc & ins]t+ #d1bhj1jjj = fiscal ye> #bjae & su* sums z may be necess>y = ea* ( fiscal ye>s #bjaf ?r\gh #bjai4 #bjf4 ,projects = assi/ance 9 transition f homelessness ,section #ece7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bi;cc-#ce7;a77 is am5d$ by /rik+ #ge1jjj1jjj = ea* ( ! fiscal ye>s #bjja ?r\gh #bjjc & ins]t+ #fd1hjj1jjj = fiscal ye> #bjae & su* sums z may be necess>y = ea* ( fiscal ye>s #bjaf ?r\gh #bjai4 #bjg4 ,compreh5sive community m5tal heal? s]vices = *ildr5 ) s]i\s emotional di/urbances ,section #efe ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ff-#d7 is am5d$-- 7#a7 9 subsection 7b77#a71 by /rik+ receiv+ a grant "u section #efa7;a7 & ins]t+ 7irrespective ( :e!r ! public entity is 9 receipt ( a grant "u section #efa7;a772 7#b7 9 subsection 7b77#a77;,b71 by /rik+ plann+1 developm5t1 & op]ation ( sy/ems ( c>e pursuant to section #efb & ins]t+ plann+1 developm5t1 & op]ation ( sy/ems ( c>e describ$ 9 section #efb2 & 7#c7 9 subsection 7f77#a71 by /rik+ #ajj1jjj1jjj = fiscal ye> #bjja1 & su* sums z may be necess>y = ea* ( ! fiscal ye>s #bjjb & #bjjc & ins]t+ #aag1cae1jjj = fiscal ye> #bjae & su* sums z may be necess>y = ea* ( fiscal ye>s #bjaf ?r\gh #bjai4 #bjh4 ,*ildr5's recov]y f trauma ,section #ehb ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;hh-#a7 is am5d$-- 7#a7 9 subsection 7a71 by /rik+ develop+ programs & all t foll[s & ins]t+ 8develop+ & ma9ta9+ programs t provide =-- 7#a7 ! cont9u$ op]ation ( ! ,national ,*ild ,traumatic ,/ress ,initiative 7ref]r$ to 9 ?is section z ! ,,nctsi71 :i* includes a coord9at+ c5t]1 t focuses on ! m5tal1 behavioral1 & biological aspects ( psy*ological trauma response2 & 7#b7 ! developm5t ( k ) reg>d to evid5ce-bas$ practices = id5tify+ & treat+ m5tal1 behavioral1 & biological disord]s ( *ildr5 & y\? result+ f witness+ or exp]i5c+ a traumatic ev5t4 2 7#b7 9 subsection 7b7-- 7,a7 by /rik+ subsection 7a7 relat$ & ins]t+ subsection 7a77#b7 7relat$2 7,b7 by /rik+ treat+ disord]s associat$ ) psy*ological trauma & ins]t+ treat+ m5tal1 behavioral1 & biological disord]s associat$ ) psy*ological trauma72 & 7,c7 by /rik+ m5tal heal? ag5cies & programs t h e/abli%$ cl9ical & basic rese>* & ins]t+ univ]sities1 hospitals1 m5tal heal? ag5cies1 & o!r programs t h e/abli%$ cl9ical exp]tise & rese>*2 7#c7 by r$esignat+ subsections 7c7 ?r\gh 7g7 z subsections 7g7 ?r\gh 7k71 respectively2 7#d7 by ins]t+ aft] subsection 7b71 ! foll[+3 7c7 ,*ild outcome data ,! ,,nctsi coord9at+ c5t] %all collect1 analyze1 & report ,,nctsi-wide *ild treatm5t process & outcome data reg>d+ ! e>ly id5tification & deliv]y ( evid5ce-bas$ treatm5t & s]vices = *ildr5 & families s]v$ by ! ,,nctsi grantees4 7d7 ,tra9+ ,! ,,nctsi coord9at+ c5t] %all facilitate ! coord9ation ( tra9+ initiatives 9 evid5ce-bas$ & trauma-in=m$ treatm5ts1 int]v5tions1 & practices (f]$ to ,,nctsi grantees1 provid]s1 & p>tn]s4 7e7 ,dissem9ation ,! ,,nctsi coord9at+ c5t] %all1 z appropriate1 collaborate ) ! ,secret>y 9 ! dissem9ation ( evid5ce-bas$ & trauma-in=m$ int]v5tions1 treatm5ts1 products & o!r res\rces to appropriate /akehold]s4 7f7 ,review ,! ,secret>y %all1 consi/5t ) ! pe] review process1 ensure t ,,nctsi applications are review$ by appropriate exp]ts 9 ! field z "p ( a cons5sus review process4 ,! ,secret>y %all include review crit]ia relat$ to exp]tise & exp]i5ce 9 *ild trauma & evid5ce-bas$ practices4 2 7#e7 9 subsection 7g7 7z s r$esignat$71 by /rik+ ) respect to c5t]s ( excell5ce are di/ribut$ equitably among ! regions ( ! c\ntry & ins]t+ are di/ribut$ equitably among ! regions ( ! ,unit$ ,/ates2 7#f7 9 subsection 7i7 7z s r$esignat$71 by /rik+ recipi5t may n exce$ #e ye>s & ins]t+ recipi5t %all n be less ?an #d ye>s1 b %all n exce$ #e ye>s2 & 7#g7 9 subsection 7j7 7z s r$esignat$71 by /rik+ #ej1jjj1jjj & all t foll[s ?r\gh #bjjf & ins]t+ #de1gad1jjj = ea* ( fiscal ye>s #bjae ?r\gh #bjai4 #bji4 ,protection & advocacy = individuals ) m5tal illness reau?orization ,section #aag ( ! ,protection & ,advocacy = ,individuals ) ,m5tal ,illness ,act 7#db ,u4,s4,c4 #ajhbg7 is am5d$ by /rik+ #ai1ejj1jjj = fiscal ye> #aiib1 & su* sums z may be necess>y = ea* ( ! fiscal ye>s #aiic ?r\gh #bjjc & ins]t+ #cf1bch1jjj = fiscal ye> #bjae & su* sums z may be necess>y = ea* ( fiscal ye>s #bjaf ?r\gh #bjai4 #baj4 ,m5tal heal? aw>5ess tra9+ grants ,section #ebj;,j ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#da7 is am5d$-- 7#a7 9 ! section head+1 by ins]t+ ,m5tal heal? aw>5ess be=e ,tra9+2 & 7#b7 9 subsection 7b7-- 7,a7 9 ! subsection head+1 by /rik+ illness & ins]t+ heal?2 7,b7 9 p>agraph 7#a71 by ins]t+ 1 & o!r categories ( individuals li/$ 9 p>agraph 7#b71 aft] em]g5cy s]vices p]sonnel2 & 7,c7 by /rik+ p>agraph 7#b7 & ins]t+ ! foll[+3 7#b7 ,categories ( individuals to be tra9$ ,! categories ( individuals li/$ 9 ?is p>agraph are ! foll[+3 7,a7 ,em]g5cy s]vices p]sonnel & o!r fir/ respond]s4 7,b7 ,police (fic]s & o!r law en=cem5t p]sonnel4 7,c7 ,tea*]s & s*ool adm9i/rators4 7,d7 ,human res\rces pr(essionals4 7,e7 ,fai? community lead]s4 7,f7 ,nurses & o!r prim>y c>e p]sonnel4 7,g7 ,/ud5ts enroll$ 9 an elem5t>y s*ool1 a second>y s*ool1 or an in/itution ( high] education4 7,h7 ,! p>5ts ( /ud5ts describ$ 9 subp>agraph 7,g74 7,i7 ,vet]ans4 7,j7 ,o!r individuals1 audi5ces1 or tra9+ populations z det]m9$ appropriate by ! ,secret>y4 2 7,d7 9 p>agraph 7#e7-- 7i7 9 ! matt] prec$+ subp>agraph 7,a71 by /rik+ to & ins]t+ = evid5ce-bas$ programs = ! purpose (2 & 7ii7 by /rik+ subp>agraphs 7,a7 ?r\gh 7,c7 & ins]t+ ! foll[+3 7,a7 recogniz+ ! signs & symptoms ( m5tal illness2 & 7,b7 7i7 provid+ education to p]sonnel reg>d+ res\rces available 9 ! community = individuals ) a m5tal illness & o!r relevant res\rces2 or 7ii7 ! safe de-escalation ( crisis situations involv+ individuals ) a m5tal illness4 2 & 7,e7 9 p>agraph 7#g71 by /rik+ 1 #be1jjj1jjj & all t foll[s ?r\gh ! p]iod at ! end & ins]t+ #bj1jjj1jjj = ea* ( fiscal ye>s #bjad ?r\gh #bjah4 #baa4 ,national m$ia campaign to r$uce ! /igma associat$ ) m5tal illness ,subp>t #c ( "p ,b ( title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#ca et seq47 is am5d$ by add+ at ! end ! foll[+ new section3 #ebj,l4 ,national m$ia campaign to r$uce ! /igma associat$ ) m5tal illness 7a7 ,scope ( ! campaign ,! ,secret>y1 act+ ?r\gh ! ,adm9i/rator ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 %all provide = ! production1 broadca/+1 & evaluation ( a national m$ia public s]vice campaign to r$uce ! /igma associat$ ) m5tal illness4 ,su* campaign %all seek to rea* z wide & div]se an audi5ce z possible & %all p>ticul>ly t>get ! population betwe5 ! ages ( #af & #bd ye>s ( age4 7b7 ,report ,! ,secret>y %all provide a report to ! ,congress annually detail+-- 7#a7 ! production1 broadca/+1 & evaluation ( ! campaign "u subsection 7a72 & 7#b7 ! effectiv5ess ( ! campaign 9 r$uc+ ! /igma associat$ ) m5tal illness1 z measur$ us+ su* me?ods z public attitude surveys & m5tal heal? s]vices utilization /ati/ics4 7c7 ,consultation requirem5t ,9 c>ry+ out ?is section1 ! ,secret>y %all ensure t m5tal heal? pr(essionals & pati5t advocates are consult$ 9 c>ry+ out ! m$ia campaign "u ?is section4 ,! progress ( ?is consultative process is to be cov]$ 9 ! report "u subsection 7b74 7d7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is section1 #aj1jjj1jjj = ea* ( ! fiscal ye>s #bjae ?r\gh #bjai4 4 #bab4 ,,samhsa & ,,hrsa integration ( behavioral heal? s]vices into prim>y c>e sett+s ,title ,v ( ! ,public ,heal? ,s]vice ,act is am5d$ by ins]t+ aft] section #ebj,k 7#db ,u4,s4,c4 #bij;bb-#db7 ! foll[+3 #ebj,k-#a4 ,aw>ds = co-locat+ behavioral heal? s]vices 9 prim>y c>e sett+s 7a7 ,program au?oriz$ ,! ,secret>y1 act+ ?r\gh ! ,adm9i/rators ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration & ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 %all aw>d grants1 contracts1 & coop]ative agreem5ts to eligible entities = ! provision ( coord9at$ & integrat$ behavioral heal? s]vices & prim>y heal? c>e4 7b7 ,eligible entities ,to be eligible to seek a grant1 contract1 or coop]ative agreem5t ?is section1 an entity %all be a public or nonpr(it entity4 7c7 ,use ( funds ,an eligible entity receiv+ an aw>d "u ?is section %all use ! aw>d = ! provision ( coord9at$ & integrat$ behavioral heal? s]vices & prim>y heal? c>e ?r\gh-- 7#a7 ! co-location ( behavioral heal? s]vices 9 prim>y c>e sett+s2 7#b7 ! use ( c>e managem5t s]vices to facilitate coord9ation betwe5 behavioral heal? & prim>y c>e provid]s2 7#c7 ! use ( in=mation te*nology 7su* z telem$ic9e7-- 7,a7 to facilitate coord9ation betwe5 behavioral heal? & prim>y c>e provid]s2 or 7,b7 to exp& ! availability ( behavioral heal? s]vices2 or 7#d7 ! provision ( tra9+ & te*nical assi/ance to improve ! deliv]y1 effectiv5ess1 & integration ( behavioral heal? s]vices into prim>y c>e sett+s4 7d7 ,au?orization ( appropriations ,to c>ry out ?is section-- 7#a7 !re are au?oriz$ to be appropriat$ su* sums z may be necess>y = fiscal ye>s #bjae ?r\gh #bjai2 & 7#b7 su* sums z necess>y are au?oriz$ to be transf]r$ f ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration to ! ,heal? ,res\rces & ,s]vices ,adm9i/ration4 4 #bac4 ,g]iatric m5tal heal? disord]s ,section #ebj;,a7e7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cb7;e77 is am5d$ by add+ at ! end ! foll[+3 7#c7 ,g]iatric m5tal heal? disord]s ,! ,secret>y %all1 z appropriate1 provide te*nical assi/ance to grantees reg>d+ evid5ce-bas$ practices = ! prev5tion & treatm5t ( g]iatric m5tal heal? disord]s1 z well z dissem9ate in=mation ab\t su* evid5ce-bas$ practices to ,/ates & nongrantees ?r\gh\t ! ,unit$ ,/ates4 4 #bad4 ,assess+ b>ri]s to behavioral heal? integration 7a7 ,9 g5]al ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit a report to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives conc]n+ ,f$]al requirem5ts t impact access to treatm5t ( m5tal heal? & sub/ance use disord]s relat$ to integration ) prim>y c>e1 adm9i/rative & regulatory issues1 quality measurem5t & acc\ntability1 & data %>+4 7b7 ,cont5ts ,! report submitt$ "u subsection 7a7 %all include ! foll[+3 7#a7 ,an evaluation ( ! adm9i/rative or regulatory burd5 on behavioral heal? c>e provid]s4 7#b7 ,! id5tification ( outcome & quality measures relevant to integrat$ heal? c>e1 evaluation ( ! data collection burd5 on behavioral heal? c>e provid]s1 & any alt]native me?ods = evaluation4 7#c7 ,an analysis ( ! degree to :i* electronic data /&>ds1 includ+ int]op]ability & mean+ful use includes behavioral heal? measures1 & an analysis ( /rategies to address b>ri]s to heal? in=mation ex*ange pos$ by "p #b ( title #db1 ,code ( ,f$]al ,regulations4 7#d7 ,an analysis ( ! degree to :i* ,f$]al rules & regulations = behavioral & physical heal? c>e are align$1 includ+ recomm5dations to address any id5tifi$ b>ri]s4 #bae4 ,acute c>e b$ regi/ry grant = ,/ates 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ,adm9i/rator ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 %all aw>d grants to ,/ate m5tal heal? ag5cies to develop & adm9i/] a ,web-bas$ acute psy*iatric b$ regi/ry to collect1 aggregate1 & display in=mation ab\t available acute b$s 9 public & private inpati5t psy*iatric facilities & public & private resid5tial crisis /abilization units to facilitate ! id5tification & designation ( facilities = ! tempor>y treatm5t ( individuals 9 psy*iatric crisis4 7b7 ,regi/ry requirem5ts ,an acute psy*iatric b$ regi/ry fund$ "u ?is section %all-- 7#a7 include descriptive in=mation = e public & private inpati5t psy*iatric facility & e public & private resid5tial crisis /abilization unit 9 ! ,/ate involv$1 includ+ contact in=mation = ! facility or unit2 7#b7 provide real-"t in=mation ab\t ! numb] ( b$s available at ea* facility or unit &1 = ea* available b$1 ! type ( pati5t t may be admitt$1 ! level ( security provid$1 & any o!r in=mation t may be necess>y to all[ = ! prop] id5tification ( appropriate facilities = treatm5t ( individuals 9 psy*iatric crisis2 & 7#c7 all[ employees & designees ( community m5tal heal? s]vice provid]s1 employees ( inpati5t psy*iatric facilities or public & private resid5tial crisis /abilization units1 & heal? c>e provid]s work+ 9 an em]g5cy room ( a hospital or cl9ic or o!r facility r5d]+ em]g5cy m$ical c>e to p]=m se>*es ( ! regi/ry to id5tify available b$s t are appropriate = ! treatm5t ( individuals 9 psy*iatric crisis4 7c7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re are au?oriz$ to be appropriat$ su* sums z may be necess>y = fiscal ye>s #bjae ?r\gh #bjai4 #baf4 ,aw>ds = co-locat+ prim>y & specialty c>e 9 community-bas$ m5tal heal? sett+s ,section #ebj,k7f7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#db7;f77 is am5d$ by /rik+ #ej1jjj1jjj = fiscal ye> #bjaj & su* sums z may be necess>y = ea* ( fiscal ye>s #bjaa ?r\gh #bjad & ins]t+ #ej1jjj1jjj = fiscal ye> #bjae & su* sums z may be necess>y = ea* ( fiscal ye>s #bjaf ?r\gh #bjai4 #bag4 ,grants = ! b5efit ( homeless individuals ,section #ejf7;e7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa-#e7;e77 is am5d$ by /rik+ #ej1jjj1jjj = fiscal ye> #bjja1 & su* sums z may be necess>y = ea* ( ! fiscal ye>s #bjjb & #bjjc & ins]t+ = fiscal ye> #bjae & su* sums z may be necess>y = ea* ( fiscal ye>s #bjaf ?r\gh #bjai4 ,,iii ,improv+ ,m$icaid & ,m$ic>e ,m5tal ,heal? ,s]vices #cja4 ,access to m5tal heal? prescription drugs "u ,m$ic>e ,section #ahfj;,d-#d7;b77#c77;,g77ii77,i7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#ajd7;b77#c77;,g77ii77,i77 is am5d$ by add+ at ! end ! foll[+3 ,not)/&+ ! previ\s s5t5ce1 categories & classes ( drugs specifi$ 9 subclauses 7,,ii7 & 7,,iv7 ( clause 7iv7 %all be id5tifi$ "u ?is subclause44 #cjb4 ,m$icaid cov]age ( m5tal heal? s]vices & prim>y c>e s]vices furni%$ on ! same day 7a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all issue guidance to cl>ify t paym5t "u a ,/ate plan is n prohibit$ = a m5tal heal? s]vice or prim>y c>e s]vice furni%$ to an individual at a community m5tal heal? c5t] t meets ! crit]ia specifi$ 9 section #aiac7;c7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#b7;c77 or a f$]ally qualifi$ heal? c5t] 7z def9$ 9 section #ahfa7;aa77#c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7aa77#c777 = :i* paym5t w\ld o!rwise be payable "u ! plan1 ) respect to su* individual1 if su* s]vice 7 n a same-day qualify+ s]vice4 7b7 ,same-,day qualify+ s]vice def9$ ,9 ?is section1 ! t]m same-day qualify+ s]vice means-- 7#a7 a prim>y c>e s]vice furni%$ to an individual by a provid] at a facility on ! same day a m5tal heal? s]vice is furni%$ to su* individual by su* provid] 7or ano!r provid]7 at ! facility2 & 7#b7 a m5tal heal? s]vice furni%$ to an individual by a provid] at a facility on ! same day a prim>y c>e s]vice is furni%$ to su* individual by su* provid] 7or ano!r provid]7 at ! facility4 #cjc4 ,elim9ation ( #aij-;day lifetime limit on inpati5t psy*iatric hospital s]vices 7a7 ,9 g5]al ,section #ahab ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;d7 is am5d$-- 7#a7 9 subsection 7b7-- 7,a7 9 p>agraph 7#a71 by add+ or at ! end2 7,b7 9 p>agraph 7#b71 by /rik+ 2 or at ! end & ins]t+ a p]iod2 & 7,c7 by /rik+ p>agraph 7#c72 & 7#b7 9 subsection 7c71 by /rik+ or 9 det]m9+ ! #aij-;day limit "u subsection 7b77#c74 7b7 ,effective date ,! am5dm5ts made by subsection 7a7 %all apply to items & s]vices furni%$ on or aft] ,janu>y #a1 #bjaf4 #cjd4 ,exp&+ ! ,m$icaid home & community-bas$ s]vices waiv] to include y\? 9 ne$ ( s]vices provid$ 9 a psy*iatric resid5tial treatm5t facility 7a7 ,9 g5]al ,section #aiae7;c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifn7c77 is am5d$-- 7#a7 9 p>agraph 7#a7-- 7,a7 by /rik+ a hospital or a nurs+ facility or int]m$iate c>e facility = ! m5tally ret>d$ & ins]t+ a hospital1 a nurs+ facility1 an int]m$iate c>e facility = ! intellectually disabl$1 or a psy*iatric resid5tial treatm5t facility12 & 7,b7 by /rik+ a hospital1 nurs+ facility1 or int]m$iate c>e facility = ! m5tally ret>d$ & ins]t+ a hospital1 nurs+ facility1 int]m$iate c>e facility = ! intellectually disabl$1 or psy*iatric resid5tial treatm5t facility2 7#b7 9 p>agraph 7#b77;,b71 by /rik+ or s]vices 9 an int]m$iate c>e facility = ! m5tally ret>d$ ea* place x appe>s & ins]t+ s]vices 9 an int]m$iate c>e facility = ! intellectually disabl$1 or s]vices 9 a psy*iatric resid5tial treatm5t facility2 7#c7 9 p>agraph 7#b77;,c7-- 7,a7 by /rik+ or int]m$iate c>e facility = ! m5tally ret>d$ & ins]t+ int]m$iate c>e facility = ! intellectually disabl$1 or psy*iatric resid5tial treatm5t facility2 & 7,b7 by /rik+ or s]vices 9 an int]m$iate c>e facility = ! m5tally ret>d$ & ins]t+ s]vices 9 an int]m$iate c>e facility = ! intellectually disabl$1 or s]vices 9 a psy*iatric resid5tial treatm5t facility2 7#d7 9 p>agraph 7#g77;,a71 by /rik+ or int]m$iate c>e facilities = ! m5tally ret>d$1 & ins]t+ int]m$iate c>e facilities = ! intellectually disabl$1 or psy*iatric resid5tial treatm5t facilities12 & 7#e7 by add+ at ! end ! foll[+ new p>agraph3 7#aa7 ,= purposes ( ?is subsection1 ! t]m psy*iatric resid5tial treatm5t facility means a facility o!r ?an a hospital t is c]tifi$ z meet+ ! requirem5ts specifi$ 9 regulations promulgat$ = su* facilities "u section #aije7;h77#a7 & t provides psy*iatric s]vices 9 an inpati5t sett+ to individuals "u age #ba = :i* m$ical assi/ance is available "u a ,/ate plan "u ?is title4 4 7b7 ,waiv] limitation ,section #aiae7;c7 ( su* ,act1 z am5d$ by subsection 7a71 is fur!r am5d$-- 7#a7 9 p>agraph 7#b7-- 7,a7 9 subp>agraph 7,d71 by /rik+ 2 & & ins]t+ a semicolon2 7,b7 9 subp>agraph 7,e71 by /rik+ ! p]iod at ! end & ins]t+ a semicolon2 & 7,c7 by add+ at ! end ! foll[+ new subp>agraphs3 7,f7 "u ! waiv]1 ! total numb] ( ,m$icaid inpati5t b$ days at psy*iatric resid5tial treatm5t facilities dur+ ea* fiscal ye> )9 ! waiv] p]iod w n exce$ ! total numb] ( ,m$icaid inpati5t b$ days at su* facilities = ! previ\s fiscal ye> z increas$ by ! e/imat$ p]c5tage increase 7if any7 9 ! population ( individuals "u age #ba resid+ 9 ! ,/ate ov] ! prec$+ #ab-mon? p]iod2 & 7,g7 ! ,/ate w provide to ! ,secret>y annually1 subject to su* requirem5ts z ! ,secret>y det]m9es appropriate1 relevant in=mation & evid5ce z to ! mann] 9 :i* ! ,/ate w satisfy ! requirem5ts describ$ 9 subp>agraph 7,f74 2 & 7#b7 by add+ at ! end ! foll[+ new p>agraph3 7#ab7 ,= purposes ( p>agraph 7#b77;,f71 an individual :o is "u age #ba & is an inpati5t 9 a b$ 9 a psy*iatric resid5tial treatm5t facility = a s+le day %all be c\nt$ z "o inpati5t b$ day4 4 #cje4 ,application ( ,rosa's ,law = individuals ) intellectual disabilities 7a7 ,ref]5ces 9 ! ,social ,security ,act 7#a7 ,9 g5]al ,) ! exception ( section #aicj7;b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifu7b771 z am5d$ by section #cje1 su* ,act is fur!r am5d$-- 7,a7 by /rik+1 :]ev] x appe>s1 ,/ate m5tal ret>dation or developm5tal disability au?ority & ins]t+ ,/ate intellectual disability or developm5tal disability au?ority2 7,b7 by /rik+1 :]ev] x appe>s1 m5tal ret>dation & ins]t+ intellectual disabilities2 & 7,c7 by /rik+1 :]ev] x appe>s1 m5tally ret>d$ & ins]t+ intellectually disabl$4 7#b7 ,con=m+ am5dm5t 7,a7 ,9 g5]al ,section #aijb7;e77#ad77;,f7 ( su* ,act is am5d$ by /rik+ m5tally ret>d$ & ins]t+ intellectually disabl$4 7,b7 ,effective date ,! am5dm5t made "u subp>agraph 7,a7 %all take effect on ,janu>y #b1 #bjae4 7b7 ,ref]5ces 7#a7 ,9 g5]al ,= purposes ( ea* provision am5d$ by ?is section1 issu+ or am5d+ regulations to c>ry out a provision am5d$ by ?is section1 or issu+ any publication or o!r (ficial communication 9 reg>ds to any provision ( ! ,social ,security ,act-- 7,a7 a ref]5ce to an intellectual disability %all mean a condition previ\sly ref]r$ to z m5tal ret>dation1 or a v>iation ( su* t]m1 & %all h ! same mean+ ) respect to programs1 or qualifications = su* programs1 = individuals ) su* a condition2 7,b7 a ref]5ce to an individual :o is intellectually disabl$ %all mean an individual :o 0 previ\sly ref]r$ to z an individual :o is m5tally ret>d$1 an individual ) m5tal ret>dation1 or v>iations ( su* t]ms2 7,c7 a ref]5ce to an int]m$iate c>e facility = ! intellectually disabl$ %all mean a facility t 0 previ\sly ref]r$ to z an int]m$iate c>e facility = ! m5tally ret>d$2 & 7,d7 a ref]5ce to a ,/ate intellectual disability or developm5tal disability au?ority %all mean an entity t 0 previ\sly ref]r$ to z a ,/ate m5tal ret>dation or developm5tal disability au?ority4 7#b7 ,regulations ,= purposes ( am5d+ regulations to c>ry out ?is section1 a ,f$]al ag5cy %all ensure t ! regulations cle>ly /ate-- 7,a7 t an intellectual disability 0 =m]ly t]m$ m5tal ret>dation2 7,b7 t individuals ) intellectual disabilities 7 =m]ly t]m$ individuals :o are m5tally ret>d$2 7,c7 t an int]m$iate c>e facility = ! intellectually disabl$ 0 =m]ly t]m$ an int]m$iate c>e facility = ! m5tally ret>d$2 & 7,d7 t a ,/ate intellectual disability or developm5tal disability au?ority 0 =m]ly t]m$ a ,/ate m5tal ret>dation or developm5tal disability au?ority4 7c7 ,rule ( con/ruction ,?is section %all be con/ru$ to make am5dm5ts to provisions ( ,f$]al law to sub/itute ! t]m intellectual disability = m5tal ret>dation or any v>iation ( su* t]m )\t any int5t to-- 7#a7 *ange ! cov]age1 eligibility1 rights1 responsibilities1 or def9itions ref]r$ to 9 ! am5d$ provisions2 or 7#b7 compel ,/ates to *ange t]m9ology 9 ,/ate laws = individuals cov]$ by a provision am5d$ by ?is section4 #cjf4 ,complete application ( m5tal heal? & sub/ance use p>ity rules "u ,m$icaid & ,,*ip ,n lat] ?an ,janu>y #a1 #bjae1 ! ,secret>y ( ,heal? & ,human ,s]vices %all issue a f9al rule to c>ry out ! foll[+ provisions ( law3 7#a7 ,section #aicb7;b77#h7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifu-#b7;b77#h77 7requir+ ,m$icaid manag$ c>e organizations to comply ) ! m5tal heal? & sub/ance use requirem5ts "u c]ta9 provisions ( "p ,a ( title ,,xxvii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg et seq4774 7#b7 ,section #aicg7;b77#f7 ( su* ,act 7#db ,u4,s4,c4 #acifu-#g7;b77#f77 7requir+ b5*m>k b5efit packages or b5*m>k equival5t cov]age to comply ) ! m5tal heal? & sub/ance use p>ity requirem5ts "u section #bgje7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#d774 7#c7 ,section #bajc7;c77#f7 ( su* ,act 7#db ,u4,s4,c4 #aicg;cc7c77#f77 7requir+ ,/ate *ild heal? plans to comply ) m5tal heal? & sub/ance use p>ity requirem5ts "u section #bgje7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#d774 #cjg4 ,cov]age ( m>riage & family !rapi/ s]vices & m5tal heal? c\nselor s]vices "u "p ,b ( ! ,m$ic>e program 7a7 ,cov]age ( ,s]vices 7#a7 ,9 g5]al ,section #ahfa7s77#b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7s77#b77 is am5d$-- 7,a7 9 subp>agraph 7,,ee71 by /rik+ & aft] ! semicolon at ! end2 7,b7 9 subp>agraph 7,,ff71 by ins]t+ & aft] ! semicolon at ! end2 & 7,c7 by add+ at ! end ! foll[+ new subp>agraph3 7,,gg7 m>riage & family !rapi/ s]vices 7z def9$ 9 subsection 7iii77#a77 & m5tal heal? c\nselor s]vices 7z def9$ 9 subsection 7iii77#c772 4 7#b7 ,def9itions ,section #ahfa ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7iii7 ,m>riage & ,family ,!rapi/ ,s]vices2 ,m>riage & ,family ,!rapi/2 ,m5tal ,heal? ,c\nselor ,s]vices2 ,m5tal ,heal? ,c\nselor 7#a7 ,! t]m m>riage & family !rapi/ s]vices means s]vices p]=m$ by a m>riage & family !rapi/ 7z def9$ 9 p>agraph 7#b77 = ! diagnosis & treatm5t ( m5tal illnesses1 :i* ! m>riage & family !rapi/ is legally au?oriz$ to p]=m "u ,/ate law 7or ! ,/ate regulatory me*anism provid$ by ,/ate law7 ( ! ,/ate 9 :i* su* s]vices are p]=m$1 z w\ld o!rwise be cov]$ if furni%$ by a physician or z an incid5t to a physician's pr(essional s]vice1 b only if no facility or o!r provid] *>ges or is paid any am\nts ) respect to ! furni%+ ( su* s]vices4 7#b7 ,! t]m m>riage & family !rapi/ means an individual :o-- 7,a7 possesses a ma/]'s or doctoral degree :i* qualifies = lic5sure or c]tification z a m>riage & family !rapi/ pursuant to ,/ate law2 7,b7 aft] obta9+ su* degree has p]=m$ at lea/ #b ye>s ( cl9ical sup]vis$ exp]i5ce 9 m>riage & family !rapy2 & 7,c7 is lic5s$ or c]tifi$ z a m>riage & family !rapi/ 9 ! ,/ate 9 :i* m>riage & family !rapi/ s]vices are p]=m$4 7#c7 ,! t]m m5tal heal? c\nselor s]vices means s]vices p]=m$ by a m5tal heal? c\nselor 7z def9$ 9 p>agraph 7#d77 = ! diagnosis & treatm5t ( m5tal illnesses :i* ! m5tal heal? c\nselor is legally au?oriz$ to p]=m "u ,/ate law 7or ! ,/ate regulatory me*anism provid$ by ! ,/ate law7 ( ! ,/ate 9 :i* su* s]vices are p]=m$1 z w\ld o!rwise be cov]$ if furni%$ by a physician or z incid5t to a physician's pr(essional s]vice1 b only if no facility or o!r provid] *>ges or is paid any am\nts ) respect to ! furni%+ ( su* s]vices4 7#d7 ,! t]m m5tal heal? c\nselor means an individual :o-- 7,a7 possesses a ma/]'s or doctoral degree 9 m5tal heal? c\nsel+ or a relat$ field2 7,b7 aft] obta9+ su* a degree has p]=m$ at lea/ #b ye>s ( sup]vis$ m5tal heal? c\nselor practice2 & 7,c7 9 ! case ( an individual p]=m+ s]vices 9 a ,/ate t provides = lic5sure or c]tification ( m5tal heal? c\nselors or pr(essional c\nselors1 is lic5s$ or c]tifi$ z a m5tal heal? c\nselor or pr(essional c\nselor 9 su* ,/ate4 4 7#c7 ,provision = paym5t "u "p ,b ,section #ahcb7;a77#b77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciek7a77#b77;,b77 is am5d$ by add+ at ! end ! foll[+ new clause3 7v7 m>riage & family !rapi/ s]vices 7z def9$ 9 section #ahfa7;iii77#a77 & m5tal heal? c\nselor s]vices 7z def9$ 9 section #ahfa7;iii77#c772 4 7#d7 ,am\nt ( paym5t 7,a7 ,9 g5]al ,section #ahcc7;a77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciel7a77#a77 is am5d$-- 7i7 by /rik+ & 7,z7 & ins]t+ 7,z72 & 7ii7 by ins]t+ be=e ! semicolon at ! end ! foll[+3 1 & 7,,aa7 ) respect to m>riage & family !rapi/ s]vices & m5tal heal? c\nselor s]vices "u section #ahfa7s77#b77;,,gg71 ! am\nts paid %all be #hj p]c5t ( ! less] ( ! actual *>ge = ! s]vices or #ge p]c5t ( ! am\nt det]m9$ = paym5t ( a psy*ologi/ "u subp>agraph 7,l74 7,b7 ,developm5t ( crit]ia ) respect to consultation ) a heal? c>e pr(essional ,! ,secret>y ( ,heal? & ,human ,s]vices %all1 tak+ into consid]ation conc]ns = pati5t confid5tiality1 develop crit]ia ) respect to paym5t = m>riage & family !rapi/ s]vices = :i* paym5t may be made directly to ! m>riage & family !rapi/ "u "p ,b ( title ,,xviii ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;j et seq47 "u :i* su* a !rapi/ mu/ agree to consult ) a pati5t's att5d+ or prim>y c>e physician or nurse practition] 9 accordance ) su* crit]ia4 7#e7 ,exclusion ( m>riage & family !rapi/ s]vices & m5tal heal? c\nselor s]vices f skill$ nurs+ facility prospective paym5t sy/em ,section #ahhh7;e77#b77;,a77ii7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acieyy7e77#b77;,a77ii77 is am5d$ by ins]t+ m>riage & family !rapi/ s]vices 7z def9$ 9 section #ahfa7;iii77#a771 m5tal heal? c\nselor s]vices 7z def9$ 9 section #ahfa7;iii77#c771 aft] qualifi$ psy*ologi/ s]vices14 7#f7 ,inclusion ( m>riage & family !rapi/s & m5tal heal? c\nselors z practition]s = assignm5t ( claims ,section #ahdb7;b77#ah77;,c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acieu7b77#ah77;,c77 is am5d$ by add+ at ! end ! foll[+ new clauses3 7vii7 ,a m>riage & family !rapi/ 7z def9$ 9 section #ahfa7;iii77#b774 7viii7 ,a m5tal heal? c\nselor 7z def9$ 9 section #ahfa7;iii77#d774 4 7b7 ,cov]age ( ,c]ta9 ,m5tal ,heal? ,s]vices ,provid$ 9 ,c]ta9 ,sett+s 7#a7 ,rural heal? cl9ics & f$]ally qualifi$ heal? c5t]s ,section #ahfa7;aa77#a77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7aa77#a77;,b77 is am5d$ by /rik+ or by a cl9ical social work] 7z def9$ 9 subsection 7hh77#a77 & ins]t+ 1 by a cl9ical social work] 7z def9$ 9 subsection 7hh77#a771 by a m>riage & family !rapi/ 7z def9$ 9 subsection 7iii77#b771 or by a m5tal heal? c\nselor 7z def9$ 9 subsection 7iii77#d774 7#b7 ,hospice programs ,section #ahfa7;dd77#b77;,b77i77,,iii7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7dd77#b77;,b77i77,,iii77 is am5d$ by ins]t+ 7& may1 9 addition1 include a m>riage & family !rapi/ & m5tal heal? c\nselor7 aft] social work]4 7c7 ,au?orization ( m>riage & family !rapi/s & m5tal heal? c\nselors ,to develop dis*>ge plans = po/-,hospital s]vices ,section #ahfa7;ee77#b77;,g7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7ee77#b77;,g77 is am5d$ by ins]t+ 1 includ+ a m>riage & family !rapi/ & a m5tal heal? c\nselor :o meets qualification /&>ds e/abli%$ by ! ,secret>y be=e ! p]iod at ! end4 7d7 ,effective ,date ,! am5dm5ts made by ?is section %all apply ) respect to s]vices furni%$ on or aft] ! date t is "o ye> aft] ! date ( ! enactm5t ( ?is ,act4 ,,iv ,develop+ ! ,behavioral ,heal? ,work=ce #dja4 ,national heal? s]vice corps s*ol>%ip & loan repaym5t fund+ = behavioral & m5tal heal? pr(essionals ,section #cch;,h ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bedq7 is am5d$-- 7#a7 by r$esignat+ subsections 7b7 & 7c7 z subsections 7c7 & 7d71 respectively2 & 7#b7 by ins]t+ aft] subsection 7a7 ! foll[+3 7b7 ,additional fund+ = behavioral & m5tal heal? pr(essionals ,9 addition to ! am\nts au?oriz$ to be appropriat$ "u subsection 7a71 & 9 addition to ! am\nts appropriat$ "u section #ajejc ( ,public ,law #aaa-adh1 !re are au?oriz$ to be appropriat$ su* sums z may be necess>y = fiscal ye>s #bjae ?r\gh #bjai = s*ol>%ips & loan repaym5ts "u ?is subp>t = ensur+1 z describ$ 9 sections #cch;,a7a7 & #cch;,b7a71 an adequate supply ( behavioral & m5tal heal? pr(essionals4 4 #djb4 ,reau?orization ( ,,hrsa's m5tal & behavioral heal? education & tra9+ program ,subsection 7e7 ( section #gef ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bid;e-#a7 is am5d$ to read z foll[s3 7e7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re are au?oriz$ to be appropriat$ su* sums z may be necess>y = fiscal ye>s #bjae ?r\gh #bjai4 4 #djc4 ,,samhsa grant program = developm5t & implem5tation ( curricula = cont9u+ education on s]i\s m5tal illness ,title ,v ( ! ,public ,heal? ,s]vice ,act is am5d$ by ins]t+ aft] section #ebj;,i 7#db ,u4,s4,c4 #bij;bb-#dj7 ! foll[+3 #ebj;,i-#a4 ,curricula = cont9u+ education on s]i\s m5tal illness 7a7 ,grants ,! ,secret>y may aw>d grants to eligible entities = ! developm5t & implem5tation ( curricula = provid+ cont9u+ education & tra9+ to heal? c>e pr(essionals on id5tify+1 ref]r+1 & treat+ individuals ) s]i\s m5tal illness4 7b7 ,eligible entities ,to be eligible to seek a grant "u ?is section1 an entity %all be a public or nonpr(it entity t-- 7#a7 provides cont9u+ education or tra9+ to heal? c>e pr(essionals2 or 7#b7 applies = ! grant 9 p>tn]%ip ) ano!r entity t provides su* education & tra9+4 7c7 ,pref]5ce ,9 aw>d+ grants "u ?is section1 ! ,secret>y %all give pref]5ce to eligible entities propos+ to develop & implem5t curricula = provid+ cont9u+ education & tra9+ to-- 7#a7 heal? c>e pr(essionals 9 prim>y c>e specialities2 or 7#b7 heal? c>e pr(essionals :o are requir$1 z a condition ( ,/ate lic5sure1 to p>ticipate 9 cont9u+ education or tra9+ specific to m5tal heal?4 7d7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re are au?oriz$ to be appropriat$ su* sums z may be necess>y = fiscal ye>s #bjae ?r\gh #bjai4 4 #djd4 ,demon/ration grant program to recruit1 tra91 deploy1 & pr(essionally support psy*iatric physicians 9 ,indian heal? programs 7a7 ,%ort title ,?is section may be cit$ z ! ,native ,am]ican ,psy*iatric & ,m5tal ,heal? ,c>e ,improvem5t ,act4 7b7 ,demon/ration grant program ,to recruit1 tra91 deploy1 & pr(essionally support psy*iatric physicians 9 ,indian heal? programs 7#a7 ,e/abli%m5t ,! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is subsection ref]r$ to z ! ,secret>y71 9 consultation ) ! ,director ( ! ,indian ,heal? ,s]vice & demon/ration programs e/abli%$ "u section #abc ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afafp71 %all aw>d "o #e-ye> grant to "o eligible entity to c>ry out a demon/ration program 79 ?is ,act ref]r$ to z ! ,program7 "u :i* ! eligible entity %all c>ry out ! activities describ$ 9 p>agraph 7#b74 7#b7 ,activities ,to be c>ri$ out by recipi5t ( grant "u ,program ,"u ! ,program1 ! grant recipi5t %all-- 7,a7 create a nationally replicable work=ce model t id5tifies & incorporates be/ practices = recruit+1 tra9+1 deploy+1 & pr(essionally support+ ,native ,am]ican & non-,native ,am]ican psy*iatric physicians to be fully integrat$ into m$ical1 m5tal1 & behavioral heal? sy/ems 9 ,indian heal? programs2 7,b7 recruit to p>ticipate 9 ! ,program ,native ,am]ican & non-,native ,am]ican psy*iatric physicians :o demon/rate int]e/ 9 provid+ specialty heal? c>e s]vices 7z def9$ 9 section #cac7;a77#c7 ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afch;g7a77#c777 & prim>y c>e s]vices to ,am]ican ,indians & ,alaska ,natives2 7,c7 provide su* psy*iatric physicians p>ticipat+ 9 ! ,program ) n m ?an #a ye> ( supplem5tal cl9ical & cultural compet5cy tra9+ to enable su* physicians to provide su* specialty heal? c>e s]vices & prim>y c>e s]vices 9 ,indian heal? programs2 7,d7 ) respect to su* psy*iatric physicians :o are p>ticipat+ 9 ! ,program & tra9$ "u subp>agraph 7,c71 deploy su* physicians to practice specialty c>e or prim>y c>e 9 ,indian heal? programs = a p]iod ( n less ?an #b ye>s & pr(essionally support su* physicians = su* p]iod ) respect to practic+ su* c>e 9 su* programs2 & 7,e7 n lat] ?an #a ye> aft] ! la/ day ( ! #e-ye> p]iod = :i* ! grant is aw>d$ "u p>agraph 7#a71 submit to ! ,secret>y & to ! appropriate committees ( ,congress a report t %all include-- 7i7 ! work=ce model creat$ "u subp>agraph 7,a72 7ii7 /rategies = dissem9at+ ! work=ce model to o!r entities ) ! capability ( adopt+ x2 & 7iii7 recomm5dations = ! ,secret>y & ,congress ) respect to support+ an effective & /able psy*iatric & m5tal heal? work=ce t s]ves ,am]ican ,indians & ,alaska ,natives4 7#c7 ,eligible entities 7,a7 ,requirem5ts ,to be eligible to receive ! grant "u ?is section1 an entity %all-- 7i7 submit to ! ,secret>y an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require2 7ii7 be a dep>tm5t ( psy*iatry )9 a m$ical s*ool 9 ! ,unit$ ,/ates t is accr$it$ by ! ,liaison ,committee on ,m$ical ,education or a public or private nonpr(it entity affiliat$ ) a m$ical s*ool 9 ! ,unit$ ,/ates t is accr$it$ by ! ,liaison ,committee on ,m$ical ,education2 & 7iii7 h 9 exi/5ce1 z ( ! "t ( submission ( ! application "u subp>agraph 7,a71 a relation%ip ) ,indian heal? programs 9 at lea/ two ,/ates ) a demon/rat$ ne$ = psy*iatric physicians & provide assurances t ! grant w be us$ to s]ve rural & non-rural ,am]ican ,indian & ,alaska ,native populations 9 at lea/ two ,/ates4 7,b7 ,priority 9 select+ grant recipi5t ,9 aw>d+ ! grant "u ?is section1 ! ,secret>y %all give priority to an eligible entity t satisfies ea* ( ! foll[+3 7i7 ,demon/rates suffici5t infra/ructure 9 size1 scope1 & capacity to und]take ! supplem5tal cl9ical & cultural compet5cy tra9+ ( a m9imum ( #e psy*iatric physicians1 & to provide ongo+ pr(essional support to psy*iatric physicians dur+ ! deploym5t p]iod to an ,indian heal? program4 7ii7 ,demon/rates a record 9 successfully recruit+1 tra9+1 & deploy+ physicians :o are ,am]ican ,indians & ,alaska ,natives4 7iii7 ,demon/rates ! ability to e/abli% a program advisory bo>d1 :i* may be prim>ily compos$ ( repres5tatives ( f$]ally recogniz$ tribes1 ,alaska ,natives1 & ,indian heal? programs to be s]v$ by ! ,program4 7#d7 ,eligibility ( psy*iatric physicians ,to p>ticipate 9 ! ,program 7,a7 ,9 g5]al ,to be eligible to p>ticipate 9 ! ,program1 z describ$ 9 p>agraph 7#b71 a psy*iatric physician %all-- 7i7 be lic5s$ or eligible = lic5sure to practice 9 ! ,/ate to :i* ! physician is to be deploy$ "u p>agraph 7#b77;,d72 & 7ii7 demon/rate a commitm5t beyond ! "o ye> ( tra9+ describ$ 9 p>agraph 7#b77;,c7 & two ye>s ( deploym5t describ$ 9 p>agraph 7#b77;,d7 to a c>e] z a specialty c>e physician or prim>y c>e physician provid+ m5tal heal? s]vices 9 ,indian heal? programs4 7,b7 ,pref]5ce ,9 select+ physicians to p>ticipate "u ! ,program1 z describ$ 9 p>agraph 7#b77;,b71 ! grant recipi5t %all give pref]5ce to physicians :o are ,am]ican ,indians & ,alaska ,natives4 7#e7 ,loan =giv5ess ,"u ! ,program1 any psy*iatric physician accept$ to p>ticipate 9 ! ,program %all1 not)/&+ ! provisions ( subsection 7b7 ( section #ajh ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afaf;a7 & ^u acceptance into ! ,program1 be deem$ eligible & enroll$ to p>ticipate 9 ! ,indian ,heal? ,s]vice ,loan ,repaym5t ,program "u su* section #ajh4 ,"u su* ,loan ,repaym5t ,program1 ! ,secret>y %all pay on behalf ( ! physician = ea* ye> ( deploym5t "u ! ,program "u ?is section up to #ce1jjj = loans describ$ 9 subsection 7g77#a7 ( su* section #ajh4 7#f7 ,def]ral ( c]ta9 s]vice ,! />t+ date ( requir$ s]vice ( individuals 9 ! ,national ,heal? ,s]vice ,corps ,s]vice ,program "u title ,,ii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bjb et seq47 :o are psy*iatric physicians p>ticipat+ "u ! ,program "u ?is section %all be def]r$ until ! date t is #cj days aft] ! date ( completion ( ! p>ticipation ( su* a physician 9 ! ,program "u ?is section4 7#g7 ,def9itions ,= purposes ( ?is ,act3 7,a7 ,am]ican ,indians & ,alaska ,natives ,! t]m ,am]ican ,indians & ,alaska ,natives has ! mean+ giv5 ! t]m ,indian 9 section #ddg4ej7;b77#a7 ( title #db1 ,code ( ,f$]al ,regulations1 z 9 exi/5ce z ( ! date ( ! enactm5t ( ?is ,act4 7,b7 ,indian heal? program ,! t]m ,indian heal? program has ! mean+ giv5 su* t]m 9 section #ajd7ab7 ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afjc7ab774 7,c7 ,pr(essionally support ,! t]m pr(essionally support means1 ) respect to psy*iatric physicians p>ticipat+ 9 ! ,program & deploy$ to practice specialty c>e or prim>y c>e 9 ,indian heal? programs1 ! provision ( comp5sation to su* physicians = ! provision ( su* c>e dur+ su* deploym5t & may include ! provision1 dissem9ation1 or %>+ ( be/ practices1 field tra9+1 & o!r activities deem$ appropriate by ! recipi5t ( ! grant "u ?is section4 7,d7 ,psy*iatric physician ,! t]m psy*iatric physician means a m$ical doctor or doctor ( o/eopa?y 9 good /&+ :o has successfully complet$ f\r-ye> psy*iatric resid5cy tra9+ or :o is enroll$ 9 f\r-ye> psy*iatric resid5cy tra9+ 9 a resid5cy program accr$it$ by ! ,accr$itation ,c\ncil = ,graduate ,m$ical ,education4 7#h7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #a1jjj1jjj = ea* ( ! fiscal ye>s #bjae ?r\gh #bjai4 #dje4 ,includ+ occupational !rapi/s z behavioral & m5tal heal? pr(essionals = purposes ( ! ,national ,heal? ,s]vice ,corps 7a7 ,inclusion ( ,occupational ,!rapi/ ,section #cca7;a77#c77;,e77i7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;d7a77#c77;,e77i77 is am5d$ by ins]t+ subject to section #dje7;b77#b7 ( ! ,/r5g!n+ ,m5tal ,heal? 9 ,our ,communities ,act ( #bjad1 occupational !rapi/s1 aft] psy*iatric nurse speciali/s24 7b7 ,effective date2 cont+5t implem5tation 7#a7 ,effective date ,subject to p>agraph 7#b71 ! am5dm5t made by subsection 7a7 %all apply beg9n+ on ,octob] #a1 #bjad4 7#b7 ,cont+5t implem5tation ,! am5dm5t made by subsection 7a7 %all apply ) respect to obligations ent]$ into = a fiscal ye> aft] fiscal ye> #bjad only if ! total am\nt made available = ! purpose ( c>ry+ out subp>ts ,,ii & ,,iii ( "p ,d ( title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;d et seq47 = su* fiscal ye> is great] ?an ! total am\nt made available = su* purpose = fiscal ye> #bjad4 #djf4 ,ext5sion ( c]ta9 heal? c>e work=ce loan repaym5t programs ?r\gh fiscal ye> #bjai ,section #gge7;e7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bie;f7e77 is am5d$-- 7#a7 by /rik+ #bjad & ins]t+ #bjai2 & 7#b7 by /rik+ #bjac & ins]t+ #bjai4 ,v ,improv+ ,m5tal ,heal? ,rese>* & ,coord9ation #eja4 ,national ,in/itute ( ,m5tal ,heal? rese>* program on s]i\s m5tal illness & suicide prev5tion 7a7 ,purpose ( in/itute ,section #dfd,r7a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhep7a77 is am5d$ by ins]t+ s]i\s m5tal illness rese>*1 aft] biom$ical & behavioral rese>*14 7b7 ,rese>* program ,section #dfd,r7b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhep7b77 is am5d$-- 7#a7 by /rik+ ,! rese>* program & ins]t+ ! foll[+3 7#a7 ,9 g5]al ,! rese>* program 2 7#b7 by /rik+ to fur!r ! treatm5t & prev5tion ( m5tal illness & ins]t+ to fur!r ! treatm5t & prev5tion ( m5tal illness 7includ+ s]i\s m5tal illness72 & 7#c7 by add+ at ! end ! foll[+3 7#b7 ,rese>* ) respect to s]i\s m5tal illness ,z "p ( ! rese>* program e/abli%$ "u ?is subp>t1 ! ,director ( ! ,in/itute %all conduct or support rese>* on s]i\s m5tal illness1 includ+ ) respect to-- 7,a7 ! causes1 prev5tion1 & treatm5t ( s]i\s m5tal illness2 & 7,b7 int]v5tions to improve e>ly id5tification ( individuals ) s]i\s m5tal illness4 7#c7 ,rese>* ) respect to viol5ce associat$ ) m5tal illness ,z "p ( ! rese>* program e/abli%$ "u ?is subp>t1 ! ,director ( ! ,in/itute %all conduct or support rese>* on self-direct$ & o!r-direct$ viol5ce associat$ ) m5tal illness1 includ+ ) respect to-- 7,a7 ! causes ( su* viol5ce2 & 7,b7 int]v5tions to r$uce ! risk ( self-h>m1 suicide1 & int]p]sonal viol5ce1 includ+ 9 rural & o!r und]s]v$ communities4 4 7c7 ,bi5nial report ,section #djc7;a77#e7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhc7;a77#e77 is am5d$-- 7#a7 by r$esignat+ subp>agraph 7,l7 z subp>agraph 7,m72 & 7#b7 by ins]t+ aft] subp>agraph 7,k7 ! foll[+3 7,l7 ,s]i\s m5tal illness4 4 7d7 ,au?orization ( appropriations ,section #dfd,r ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhep7 is am5d$ by add+ at ! end ! foll[+3 7f7 ,au?orization ( appropriations ,9 addition to am\nts o!rwise made available to ! ,national ,in/itute ( ,m5tal ,heal?1 includ+ am\nts appropriat$ pursuant to section #djb;,a7a71 !re are au?oriz$ to be appropriat$ to su* ,in/itute #dj1jjj1jjj = ea* ( fiscal ye>s #bjae ?r\gh #bjai to c>ry out subsection 7b77#c7 7relat+ to rese>* ) respect to viol5ce associat$ ) m5tal illness74 4 #ejb4 ,y\? m5tal heal? rese>* network 7a7 ,y\? m5tal heal? rese>* network 7#a7 ,network ,! ,director ( ! ,national ,in/itutes ( ,heal? may provide = ! e/abli%m5t ( a ,y\? ,m5tal ,heal? ,rese>* ,network = ! conduct or support (-- 7,a7 y\? m5tal heal? rese>*2 & 7,b7 y\? m5tal heal? int]v5tion s]vices4 7#b7 ,collaboration by in/itutes & c5t]s ,! ,director ( ,,nih %all c>ry out ?is ,act act+-- 7,a7 ?r\gh ! ,director ( ! ,national ,in/itute ( ,m5tal ,heal?2 & 7,b7 9 collaboration ) o!r appropriate national rese>* in/itutes & national c5t]s t c>ry out activities involv+ y\? m5tal heal? rese>*4 7#c7 ,m5tal heal? rese>* 7,a7 ,9 g5]al ,9 c>ry+ out p>agraph 7#a71 ! ,director ( ,,nih may aw>d coop]ative agreem5ts1 grants1 & contracts to ,/ate1 local1 & tribal gov]nm5ts & private nonpr(it entities =-- 7i7 conduct+1 or ent]+ into consortia ) o!r entities to conduct-- 7,i7 basic1 cl9ical1 behavioral1 or translational rese>* to meet unmet ne$s = y\? m5tal heal? rese>*2 or 7,,ii7 tra9+ = rese>*]s 9 y\? m5tal heal? rese>* te*niques2 7ii7 provid+1 or p>tn]+ ) non-rese>* in/itutions or community-bas$ gr\ps ) exi/+ connections to y\? to provide1 y\? m5tal heal? int]v5tion s]vices2 & 7iii7 collaborat+ ) ! ,national ,in/itute ( ,m5tal ,heal? to make use (1 & build on1 ! sci5tific f9d+s & cl9ical te*niques ( ! ,in/itute's e>li] programs1 /udies1 & demon/ration projects4 7,b7 ,rese>* ,! ,director ( ,,nih %all ensure t-- 7i7 ea* recipi5t ( an aw>d "u subp>agraph 7,a77i7 conducts or supports at lea/ "o category ( rese>* describ$ 9 subp>agraph 7,a77i77,i7 & collectively su* recipi5ts conduct or support all su* categories ( rese>*2 & 7ii7 "o or m su* recipi5ts provide tra9+ describ$ 9 subp>agraph 7,a77i77,,ii74 7,c7 ,numb] ( aw>d recipi5ts ,! ,director ( ,,nih may make aw>ds "u ?is p>agraph = n m ?an #gj entities4 7,d7 ,supplem5t1 n supplant ,any support receiv$ by an entity "u subp>agraph 7,a7 %all be us$ to supplem5t1 & n supplant1 o!r public or private support = activities au?oriz$ to be support$ "u ?is p>agraph4 7,e7 ,duration ( support ,support ( an entity "u subp>agraph 7,a7 may be = a p]iod ( n to exce$ #e ye>s4 ,su* p]iod may be ext5d$ by ! ,director ( ,,nih = additional p]iods ( n m ?an #e ye>s4 7#d7 ,coord9ation ,! ,director ( ,,nih %all-- 7,a7 z appropriate1 provide = ! coord9ation ( activities 7includ+ ! ex*ange ( in=mation & regul> communication7 among ! recipi5ts ( aw>ds "u ?is subsection2 & 7,b7 require ! p]iodic prep>ation & submission to ! ,director ( reports on ! activities ( ea* su* recipi5t4 7b7 ,int]v5tion s]vices =1 & rese>* on1 s]i\s emotional di/urbance 7#a7 ,9 g5]al ,9 mak+ aw>ds "u subsection 7a77#c71 ! ,director ( ,,nih %all ensure t an appropriate numb] ( su* aw>ds are aw>d$ to entities t agree to-- 7,a7 focus prim>ily on ! e>ly detection ( & int]v5tions = s]i\s emotional di/urbances 9 *ildr5 & adolesc5ts2 7,b7 conduct or coord9ate "o or m multisite cl9ical trials ( !rapies =1 or approa*es to1 ! prev5tion1 diagnosis1 or treatm5t ( e>ly s]i\s emotional di/urbance 9 a community sett+2 7,c7 rapidly & effici5tly dissem9ate sci5tific f9d+s result+ f su* trials2 & 7,d7 adh]e to ! guidel9es1 protocols1 & practices us$ 9 ! ,nor? ,am]ican ,prodrome ,longitud9al ,/udy 7,,napls7 & ! ,recov]y ,aft] an ,initial ,s*izophr5ia ,episode 7,,raise7 initiative4 7#b7 ,data coord9at+ c5t] 7,a7 ,e/abli%m5t ,9 connection ) aw>ds to entities describ$ 9 p>agraph 7#a71 ! ,director ( ,,nih %all e/abli% a data coord9at+ c5t] = ! foll[+ purposes3 7i7 ,to di/ribute ! sci5tific f9d+s ref]r$ to 9 p>agraph 7#a77;,c74 7ii7 ,to provide assi/ance 9 ! design & conduct ( collaborative rese>* projects & ! managem5t1 analysis1 & /orage ( data associat$ ) su* projects4 7iii7 ,to organize & conduct multisite monitor+ activities4 7iv7 ,to provide assi/ance to ! ,c5t]s = ,disease ,control & ,prev5tion 9 ! e/abli%m5t ( pati5t regi/ries4 7,b7 ,report+ ,! ,director ( ,,nih %all-- 7i7 require ! data coord9at+ c5t] e/abli%$ "u subp>agraph 7,a7 to provide regul> reports to ! ,director ( ,,nih on rese>* conduct$ by entities describ$ 9 p>agraph 7#a71 includ+ in=mation on enrollm5t 9 cl9ical trials & ! allocation ( res\rces ) respect to su* rese>*2 & 7ii7 z appropriate1 incorporate in=mation report$ "u clause 7i7 into ! ,director's bi5nial reports "u section #djc ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhc74 7c7 ,def9itions ,9 ?is ,act1 ! t]ms ,director ( ,,nih1 national c5t]1 & national rese>* in/itute h ! mean+s giv5 to su* t]ms 9 section #dja ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bha74 7d7 ,au?orization ( appropriations ,to c>ry out ?is ,act1 !re is au?oriz$ to be appropriat$ #be1jjj1jjj = ea* ( fiscal ye>s #bjae ?r\gh #bjai4 #ejc4 ,national viol5t dea? report+ sy/em ,! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 %all improve1 p>ticul>ly ?r\gh ! inclusion ( additional ,/ates1 ! ,national ,viol5t ,dea? ,report+ ,sy/em1 z au?oriz$ by title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bda et seq474 ,p>ticipation 9 ! sy/em by ! ,/ates %all be volunt>y4 ,,vi ,education & ,y\? #fja4 ,s*ool-bas$ m5tal heal? programs 7a7 ,purposes ,x is ! purpose ( ?is section to-- 7#a7 revise1 increase fund+ =1 & exp& ! scope ( ! ,safe ,s*ools-,heal?y ,/ud5ts program 9 ord] to provide access to m compreh5sive s*ool-bas$ m5tal heal? s]vices & supports2 7#b7 increase access to s*ool employ$ m5tal heal? pr(essionals2 7#c7 provide = compreh5sive /aff developm5t = s*ool & community s]vice p]sonnel work+ 9 ! s*ool2 & 7#d7 provide = compreh5sive tra9+ = *ildr5 ) m5tal heal? disord]s1 = p>5ts1 sibl+s1 & o!r family memb]s ( su* *ildr51 & = conc]n$ memb]s ( ! community4 7b7 ,am5dm5ts to ! ,public ,heal? ,s]vice ,act 7#a7 ,te*nical am5dm5ts ,! second "p ,g 7relat+ to s]vices provid$ ?r\gh religi\s organizations7 ( title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bijkk et seq47 is am5d$-- 7,a7 by r$esignat+ su* "p z "p ,j2 & 7,b7 by r$esignat+ sections #eha ?r\gh #ehd z sections #eif ?r\gh #eif;,c1 respectively4 7#b7 ,s*ool-,bas$ m5tal heal? & *ildr5 & viol5ce ,section #eha ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;hh7 is am5d$ to read z foll[s3 #eha4 ,s*ool-bas$ m5tal heal? & *ildr5 & viol5ce 7a7 ,9 g5]al ,! ,secret>y1 9 collaboration ) ! ,secret>y ( ,education & 9 consultation ) ! ,attorney ,g5]al1 %all1 directly or ?r\gh grants1 contracts1 or coop]ative agreem5ts aw>d$ to ,/ates1 assi/ local communities & s*ools 9 apply+ a public heal? approa* to m5tal heal? s]vices bo? 9 s*ools & 9 ! community4 ,su* an approa* %\ld provide compreh5sive1 age-appropriate s]vices & supports1 be l+ui/ically & culturally appropriate1 be trauma-in=m$1 & incorporate age appropriate /rategies ( positive behavioral int]v5tions & supports4 7b7 ,activities ,"u ! program "u subsection 7a71 ! ,secret>y may-- 7#a7 provide f9ancial support to enable local communities to implem5t a compreh5sive culturally & l+ui/ically appropriate1 trauma-in=m$1 & age-appropriate1 s*ool m5tal heal? program t incorporates positive behavioral int]v5tions1 cli5t treatm5t1 & supports to fo/] ! heal? & developm5t ( *ildr52 7#b7 provide te*nical assi/ance to local communities ) respect to ! developm5t ( programs describ$ 9 p>agraph 7#a72 7#c7 provide assi/ance to local communities 9 ! developm5t ( policies to address *ild & adolesc5t trauma & m5tal heal? issues & viol5ce :5 & if x occurs2 7#d7 facilitate community p>tn]%ips among families1 /ud5ts1 law en=cem5t ag5cies1 education sy/ems1 s*ool-bas$ heal? c5t]s1 m5tal heal? & sub/ance use disord] s]vice sy/ems1 family-bas$ m5tal heal? s]vice sy/ems1 welf>e ag5cies1 heal? c>e s]vice sy/ems 7includ+ physicians71 fai?-bas$ programs1 trauma networks1 & o!r community-bas$ sy/ems2 & 7#e7 e/abli% me*anisms = *ildr5 & adolesc5ts to report incid5ts ( viol5ce or plans by o!r *ildr51 adolesc5ts1 or adults to commit viol5ce4 7c7 ,requirem5ts 7#a7 ,9 g5]al ,to be eligible = a grant1 contract1 or coop]ative agreem5t "u subsection 7a71 an entity %all-- 7,a7 be a ,/ate1 9 p>tn]%ip ) at lea/ ?ree local education ag5cies2 & 7,b7 submit an application1 t is endors$ by all memb]s ( ! p>tn]%ip1 t conta9s ! assurances describ$ 9 p>agraph 7#b74 7#b7 ,requir$ assurances ,an application "u p>agraph 7#a7 %all conta9 assurances z foll[s3 7,a7 ,t ! applicant w ensure t1 9 c>ry+ out activities "u ?is section1 ! local educational ag5cy involv$ w ent] into a memor&um ( und]/&+-- 7i7 )1 at lea/ "o1 public or private m5tal heal? entity1 heal? c>e entity1 law en=cem5t or juv5ile ju/ice entity1 *ild welf>e ag5cy1 family-bas$ m5tal heal? entity1 family or family organization1 trauma network1 or o!r community-bas$ entity2 & 7ii7 t cle>ly /ates-- 7,i7 h[ s*ool employ$ m5tal heal? pr(essionals w be utiliz$ = c>ry+ out su* responsibilities2 7,,ii7 ! responsibilities ( ea* p>tn] ) respect to ! activities to be c>ri$ out2 7,,iii7 h[ ea* su* p>tn] w be acc\ntable = c>ry+ out su* responsibilities2 & 7,,iv7 ! am\nt ( non-,f$]al fund+ or 9-k9d contributions t ea* su* p>tn] w contribute 9 ord] to su/a9 ! program4 7,b7 ,t ! compreh5sive s*ool-bas$ m5tal heal? program c>ri$ out "u ?is section supports ! flexible use ( funds to address-- 7i7 ! promotion ( ! social1 emotional1 & behavioral heal? ( all /ud5ts 9 an environm5t t is conducive to le>n+2 7ii7 ! r$uction 9 ! likelihood ( at-risk /ud5ts develop+ social1 emotional1 behavioral heal? problems1 or sub/ance use disord]s2 7iii7 ! e>ly id5tification ( social1 emotional1 behavioral problems1 or sub/ance use disord]s & ! provision ( e>ly int]v5tion s]vices2 7iv7 ! treatm5t or ref]ral = treatm5t ( /ud5ts ) exi/+ social1 emotional1 behavioral heal? problems1 or sub/ance use disord]s2 & 7v7 ! developm5t & implem5tation ( programs to assi/ *ildr5 9 deal+ ) trauma & viol5ce4 7,c7 ,t ! compreh5sive s*ool-bas$ m5tal heal? program c>ri$ out "u ?is section w provide = 9-s]vice tra9+ ( all s*ool p]sonnel1 includ+ ancill>y /aff & volunte]s1 9-- 7i7 ! te*niques & supports ne$$ to id5tify e>ly *ildr5 ) trauma hi/ories & *ildr5 )1 or at risk (1 m5tal illness2 7ii7 ! use ( ref]ral me*anisms t effectively l9k su* *ildr5 to appropriate treatm5t & int]v5tion s]vices 9 ! s*ool & 9 ! community & to foll[ up :5 s]vices are n available2 7iii7 /rategies t promote a s*ool-wide positive environm5t2 7iv7 /rategies = promot+ ! social1 emotional1 m5tal1 & behavioral heal? ( all /ud5ts2 & 7v7 /rategies to increase ! k & skills ( s*ool & community lead]s ab\t ! impact ( trauma & viol5ce & on ! application ( a public heal? approa* to compreh5sive s*ool-bas$ m5tal heal? programs4 7,d7 ,t ! compreh5sive s*ool-bas$ m5tal heal? program c>ri$ out "u ?is section w include compreh5sive tra9+ = p>5ts1 sibl+s1 & o!r family memb]s ( *ildr5 ) m5tal heal? disord]s1 & = conc]n$ memb]s ( ! community 9-- 7i7 ! te*niques & supports ne$$ to id5tify e>ly *ildr5 ) trauma hi/ories1 & *ildr5 )1 or at risk (1 m5tal illness2 7ii7 ! use ( ref]ral me*anisms t effectively l9k su* *ildr5 to appropriate treatm5t & int]v5tion s]vices 9 ! s*ool & 9 ! community & foll[ up :5 su* s]vices are n available2 & 7iii7 /rategies t promote a s*ool-wide positive environm5t4 7,e7 ,t ! compreh5sive s*ool-bas$ m5tal heal? program c>ri$ out "u ?is section w demon/rate ! measures to be tak5 to su/a9 ! program aft] fund+ "u ?is section t]m9ates4 7,f7 ,t ! local educational ag5cy p>tn]%ip involv$ is support$ by ! ,/ate educational & m5tal heal? sy/em to ensure t ! su/a9ability ( ! program is e/abli%$ aft] fund+ "u ?is section t]m9ates4 7,g7 ,t ! compreh5sive s*ool-bas$ m5tal heal? program c>ri$ out "u ?is section w be bas$ on trauma-in=m$ & evid5ce-bas$ practices4 7,h7 ,t ! compreh5sive s*ool-bas$ m5tal heal? program c>ri$ out "u ?is section w be coord9at$ ) e>ly int]v5+ activities c>ri$ out "u ! ,individuals ) ,disabilities ,education ,act4 7,i7 ,t ! compreh5sive s*ool-bas$ m5tal heal? program c>ri$ out "u ?is section w be trauma-in=m$ & culturally & l+ui/ically appropriate4 7,j7 ,t ! compreh5sive s*ool-bas$ m5tal heal? program c>ri$ out "u ?is section w include a broad ne$s assessm5t ( y\? :o drop out ( s*ool due to policies ( z]o tol]ance ) respect to drugs1 alcohol1 or weapons & an inability to obta9 appropriate s]vices4 7,k7 ,t ! m5tal heal? s]vices provid$ ?r\gh ! compreh5sive s*ool-bas$ m5tal heal? program c>ri$ out "u ?is section w be provid$ by qualifi$ m5tal & behavioral heal? pr(essionals :o are c]tifi$ or lic5s$ by ! ,/ate involv$ & practic+ )9 _! area ( exp]tise4 7#c7 ,coord9ator ,any entity t is a memb] ( a p>tn]%ip describ$ 9 p>agraph 7#a77;,a7 may s]ve z ! coord9ator ( fund+ & activities "u ! grant if all memb]s ( ! p>tn]%ip agree4 7#d7 ,compliance ) ,,hipaa ,a grantee "u ?is section %all be deem$ to be a cov]$ entity = purposes ( compliance ) ! regulations promulgat$ "u section #bfd7;c7 ( ! ,heal? ,insurance ,portability & ,acc\ntability ,act ( #aiif ) respect to any pati5t records develop$ ?r\gh activities "u ! grant4 7d7 ,geographical di/ribution ,! ,secret>y %all ensure t grants1 contracts1 or coop]ative agreem5ts "u subsection 7a7 w be di/ribut$ equitably among ! regions ( ! c\ntry & among urban & rural areas4 7e7 ,duration ( aw>ds ,) respect to a grant1 contract1 or coop]ative agreem5t "u subsection 7a71 ! p]iod dur+ :i* paym5ts "u su* an aw>d w be made to ! recipi5t %all be #f ye>s4 ,an entity may receive only "o aw>d "u ?is section1 except t an entity t is provid+ s]vices & supports on a regional basis may receive additional fund+ aft] ! expiration ( ! prec$+ grant p]iod4 7f7 ,evaluation & measures ( outcomes 7#a7 ,developm5t ( process ,! ,adm9i/rator %all develop a fiscally appropriate process = evaluat+ activities c>ri$ out "u ?is section4 ,su* process %all include-- 7,a7 ! developm5t ( guidel9es = ! submission ( program data by grant1 contract1 or coop]ative agreem5t recipi5ts2 7,b7 ! developm5t ( measures ( outcomes 79 accordance ) p>agraph 7#b77 to be appli$ by su* recipi5ts 9 evaluat+ programs c>ri$ out "u ?is section2 & 7,c7 ! submission ( annual reports by su* recipi5ts conc]n+ ! effectiv5ess ( programs c>ri$ out "u ?is section4 7#b7 ,measures ( outcomes 7,a7 ,9 g5]al ,! ,adm9i/rator %all develop measures ( outcomes to be appli$ by recipi5ts ( assi/ance "u ?is section1 & ! ,adm9i/rator1 9 evaluat+ ! effectiv5ess ( programs c>ri$ out "u ?is section4 ,su* measures %all include /ud5t & family measures z provid$ = 9 subp>agraph 7,b7 & local educational measures z provid$ = "u subp>agraph 7,c74 7,b7 ,/ud5t & family measures ( outcomes ,! measures ( outcomes develop$ "u p>agraph 7#a77;,b7 relat+ to /ud5ts & families %all1 ) respect to activities c>ri$ out "u a program "u ?is section1 at a m9imum include provisions to evaluate :e!r ! program is effective 9-- 7i7 increas+ social & emotional compet5cy2 7ii7 increas+ academic compet5cy 7z def9$ by ,secret>y72 7iii7 r$uc+ disruptive & aggressive behaviors2 7iv7 improv+ *ild function+2 7v7 r$uc+ sub/ance use disord]s2 7vi7 r$uc+ susp5sions1 truancy1 expulsions & viol5ce2 7vii7 increas+ graduation rates 7z def9$ 9 section #aaaa7;b77#b77;,c77vi7 ( ! ,elem5t>y & ,second>y ,education ,act ( #aife72 & 7viii7 improv+ access to c>e = m5tal heal? disord]s4 7,c7 ,local educational outcomes ,! outcome measures develop$ "u p>agraph 7#a77;,b7 relat+ to local educational sy/ems %all1 ) respect to activities c>ri$ out "u a program "u ?is section1 at a m9imum include provisions to evaluate-- 7i7 ! effectiv5ess ( compreh5sive s*ool m5tal heal? programs e/abli%$ "u ?is section2 7ii7 ! effectiv5ess ( =mal p>tn]%ip l9kages among *ild & family s]v+ in/itutions1 community support sy/ems1 & ! educational sy/em2 7iii7 ! progress made 9 su/a9+ ! program once fund+ "u ! grant has expir$2 7iv7 ! effectiv5ess ( tra9+ & pr(essional developm5t programs = all s*ool p]sonnel t incorporate indicators t measure cultural & l+ui/ic compet5cies "u ! program 9 a mann] t incorporates appropriate cultural & l+ui/ic tra9+2 7v7 ! improvem5t 9 p]ception ( a safe & supportive le>n+ environm5t among s*ool /aff1 /ud5ts1 & p>5ts2 7vi7 ! improvem5t 9 case-f9d+ ( /ud5ts 9 ne$ ( m int5sive s]vices & ref]ral ( id5tifi$ /ud5ts to e>ly int]v5tion & cl9ical s]vices2 7vii7 ! improvem5t 9 ! imm$iate availability ( cl9ical assessm5t & treatm5t s]vices )9 ! context ( ! local community to /ud5ts pos+ a dang] to !mselves or o!rs2 7viii7 ! increas$ successful matriculation to po/second>y s*ool2 & 7ix7 r$uc$ ref]rals to juv5ile ju/ice4 7#c7 ,submission ( annual data ,an entity t receives a grant1 contract1 or coop]ative agreem5t "u ?is section %all annually submit to ! ,adm9i/rator a report t includes data to evaluate ! success ( ! program c>ri$ out by ! entity bas$ on :e!r su* program is a*iev+ ! purposes ( ! program4 ,su* reports %all utilize ! measures ( outcomes "u p>agraph 7#b7 9 a reasonable mann] to demon/rate ! progress ( ! program 9 a*iev+ su* purposes4 7#d7 ,evaluation by ,adm9i/rator ,bas$ on ! data submitt$ "u p>agraph 7#c71 ! ,adm9i/rator %all annually submit to ,congress a report conc]n+ ! results & effectiv5ess ( ! programs c>ri$ out ) assi/ance receiv$ "u ?is section4 7#e7 ,limitation ,a grantee %all use n to exce$ #aj p]c5t ( am\nts receiv$ "u a grant "u ?is section to c>ry out evaluation activities "u ?is subsection4 7g7 ,in=mation & education ,! ,secret>y %all e/abli% compreh5sive in=mation & education programs to dissem9ate ! f9d+s ( ! k developm5t & application "u ?is section to ! g5]al public & to heal? c>e pr(essionals4 7h7 ,am\nt ( grants & au?orization ( appropriations 7#a7 ,am\nt ( grants ,a grant "u ?is section %all be 9 an am\nt t is n m ?an #a1jjj1jjj = ea* ( grant ye>s #bjae ?r\gh #bjai4 ,! ,secret>y %all det]m9e ! am\nt ( ea* su* grant bas$ on ! population ( *ildr5 up to age #ba ( ! area to be s]v$ "u ! grant4 7#b7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section1 #bjj1jjj1jjj = ea* ( fiscal ye>s #bjae ?r\gh #bjai4 4 7#c7 ,con=m+ am5dm5t ,"p ,g ( title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;hh et seq471 z am5d$ by ?is section1 is fur!r am5d$ by /rik+ ! "p head+ & ins]t+ ! foll[+3 ,g ,s*ool-bas$ m5tal heal? 4 #fjb4 ,exam9+ m5tal heal? c>e = *ildr5 7a7 ,9 ,g5]al ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all conduct an indep5d5t evaluation1 & submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives1 a report conc]n+ ! utilization ( m5tal heal? s]vices = *ildr51 includ+ ! usage ( psy*otropic m$ications4 7b7 ,cont5t ,! report submitt$ "u subsection 7a7 %all review & assess-- 7#a7 ! ways 9 :i* *ildr5 access m5tal heal? c>e1 includ+ in=mation on :e!r *ildr5 are scre5$ & treat$ by prim>y c>e or specialty physicians or o!r heal? c>e provid]s1 :at types ( ref]rals = additional c>e are recomm5d$1 & any b>ri]s to access+ ?is c>e2 7#b7 ! ext5t to :i* *ildr5 prescrib$ psy*otropic m$ications 9 ! ,unit$ ,/ates face b>ri]s to m compreh5sive or o!r m5tal heal? s]vices1 int]v5tions1 & treatm5ts2 7#c7 ! ext5t to :i* *ildr5 are prescrib$ psy*otropic m$ications 9 ! ,unit$ ,/ates includ+ ! frequ5cy ( concurr5t m$ication usage2 & 7#d7 ! tools1 assessm5ts1 & m$ications t are available & us$ to diagnose & treat *ildr5 ) m5tal heal? disord]s4 ,,vii ,ju/ice & ,m5tal ,heal? ,collaboration #gja4 ,assi/+ vet]ans 7a7 ,r$esignation ,section #biia ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#db ,u4,s4,c4 #cgig;aa7 is am5d$ by r$esignat+ subsection 7i7 z subsection 7l74 7b7 ,assi/+ vet]ans ,section #biia ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#db ,u4,s4,c4 #cgig;aa7 is am5d$ by ins]t+ aft] subsection 7h7 ! foll[+3 7i7 ,assi/+ vet]ans 7#a7 ,def9itions ,9 ?is subsection3 7,a7 ,pe]-to-pe] s]vices or programs ,! t]m pe]-to-pe] s]vices or programs means s]vices or programs t connect qualifi$ vet]ans ) o!r vet]ans = ! purpose ( provid+ support & m5tor%ip to assi/ qualifi$ vet]ans 9 obta9+ treatm5t1 recov]y1 /abilization1 or rehabilitation4 7,b7 ,qualifi$ vet]an ,! t]m qualifi$ vet]an means a prelim9>ily qualifi$ (f5d] :o-- 7i7 has s]v$ on active duty 9 any bran* ( ! ,arm$ ,=ces1 includ+ ! ,national ,gu>d & res]ve compon5ts2 & 7ii7 0 dis*>g$ or releas$ f su* s]vice "u conditions o!r ?an di%onorable4 7,c7 ,vet]ans treatm5t c\rt program ,! t]m vet]ans treatm5t c\rt program means a c\rt program involv+ collaboration among crim9al ju/ice1 vet]ans1 & m5tal heal? & sub/ance abuse ag5cies t provides qualifi$ vet]ans )-- 7i7 int5sive judicial sup]vision & case managem5t1 :i* may include r&om & frequ5t drug te/+ :]e appropriate2 7ii7 a full cont9uum ( treatm5t s]vices1 includ+ m5tal heal? s]vices1 sub/ance abuse s]vices1 m$ical s]vices1 & s]vices to address trauma2 7iii7 alt]natives to inc>c]ation2 & 7iv7 o!r appropriate s]vices1 includ+ h\s+1 transportation1 m5tor+1 employm5t1 job tra9+1 education1 & assi/ance 9 apply+ = & obta9+ available b5efits4 7#b7 ,vet]ans assi/ance program 7,a7 ,9 g5]al ,! ,attorney ,g5]al1 9 consultation ) ! ,secret>y ( ,vet]ans ,affairs1 may aw>d grants "u ?is subsection to applicants to e/abli% or exp&-- 7i7 vet]ans treatm5t c\rt programs2 7ii7 pe]-to-pe] s]vices or programs = qualifi$ vet]ans2 7iii7 practices t id5tify & provide treatm5t1 rehabilitation1 legal1 transitional1 & o!r appropriate s]vices to qualifi$ vet]ans :o h be5 inc>c]at$2 & 7iv7 tra9+ programs to tea* crim9al ju/ice1 law en=cem5t1 corrections1 m5tal heal?1 & sub/ance abuse p]sonnel h[ to id5tify & appropriately respond to incid5ts involv+ qualifi$ vet]ans4 7,b7 ,priority ,9 aw>d+ grants "u ?is subsection1 ! ,attorney ,g5]al %all give priority to applications t-- 7i7 demon/rate collaboration betwe5 & jo9t inve/m5ts by crim9al ju/ice1 m5tal heal?1 sub/ance abuse1 & vet]ans s]vice ag5cies2 7ii7 promote effective /rategies to id5tify & r$uce ! risk ( h>m to qualifi$ vet]ans & public safety2 & 7iii7 propose int]v5tions ) empirical support to improve outcomes = qualifi$ vet]ans4 4 #gjb4 ,correctional facilities ,section #biia ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#db ,u4,s4,c4 #cgig;aa7 is am5d$ by ins]t+ aft] subsection 7i71 z s add$ by section #gja1 ! foll[+3 7j7 ,correctional facilities 7#a7 ,def9itions 7,a7 ,correctional facility ,! t]m correctional facility means a jail1 prison1 or o!r det5tion facility us$ to h\se p :o h be5 arre/$1 deta9$1 held1 or convict$ by a crim9al ju/ice ag5cy or a c\rt4 7,b7 ,eligible inmate ,! t]m eligible inmate means an individual :o-- 7i7 is be+ held1 deta9$1 or inc>c]at$ 9 a correctional facility2 & 7ii7 manife/s obvi\s signs ( a m5tal illness or has be5 diagnos$ by a qualifi$ m5tal heal? pr(essional z hav+ a m5tal illness4 7#b7 ,correctional facility grants ,! ,attorney ,g5]al may aw>d grants to applicants to enhance ! capabilities ( a correctional facility-- 7,a7 to id5tify & scre5 = eligible inmates2 7,b7 to plan & provide-- 7i7 initial & p]iodic assessm5ts ( ! cl9ical1 m$ical1 & social ne$s ( inmates2 & 7ii7 appropriate treatm5t & s]vices t address ! m5tal heal? & sub/ance abuse ne$s ( inmates2 7,c7 to develop1 implem5t1 & enhance-- 7i7 po/-release transition plans = eligible inmates t1 9 a compreh5sive mann]1 coord9ate heal?1 h\s+1 m$ical1 employm5t1 & o!r appropriate s]vices & public b5efits2 7ii7 ! availability ( m5tal heal? c>e s]vices & sub/ance abuse treatm5t s]vices2 & 7iii7 alt]natives to solit>y conf9em5t & segregat$ h\s+ & m5tal heal? scre5+ & treatm5t = inmates plac$ 9 solit>y conf9em5t or segregat$ h\s+2 & 7,d7 to tra9 ea* employee ( ! correctional facility to id5tify & appropriately respond to incid5ts involv+ inmates ) m5tal heal? or co-occurr+ m5tal heal? & sub/ance abuse disord]s4 4 #gjc4 ,high utiliz]s ,section #biia ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#db ,u4,s4,c4 #cgig;aa7 is am5d$ by ins]t+ aft] subsection 7j71 z add$ by section #gjb1 ! foll[+3 7k7 ,demon/ration grants respond+ to high utiliz]s 7#a7 ,def9ition ,9 ?is subsection1 ! t]m high utiliz] means an individual :o-- 7,a7 manife/s obvi\s signs ( m5tal illness or has be5 diagnos$ by a qualifi$ m5tal heal? pr(essional z hav+ a m5tal illness2 & 7,b7 consumes a significantly disproportionate quantity ( public res\rces1 su* z em]g5cy1 h\s+1 judicial1 corrections1 & law en=cem5t s]vices4 7#b7 ,demon/ration grants respond+ to high utiliz]s 7,a7 ,9 g5]al ,! ,attorney ,g5]al may aw>d n m ?an #f grants p] ye> "u ?is subsection to applicants = ! purpose ( r$uc+ ! use ( public s]vices by high utiliz]s4 7,b7 ,use ( grants ,a recipi5t ( a grant aw>d$ "u ?is subsection may use ! grant-- 7i7 to develop or support multidiscipl9>y teams t coord9ate1 implem5t1 & adm9i/] community-bas$ crisis responses & long-t]m plans = high utiliz]s2 7ii7 to provide tra9+ on h[ to respond appropriately to ! unique issues involv+ high utiliz]s = public s]vice p]sonnel1 includ+ crim9al ju/ice1 m5tal heal?1 sub/ance abuse1 em]g5cy room1 heal? c>e1 law en=cem5t1 corrections1 & h\s+ p]sonnel2 7iii7 to develop or support alt]natives to hospital & jail admissions = high utiliz]s t provide treatm5t1 /abilization1 & o!r appropriate supports 9 ! lea/ re/rictive1 yet appropriate1 environm5t2 or 7iv7 to develop protocols & sy/ems among law en=cem5t1 m5tal heal?1 sub/ance abuse1 h\s+1 corrections1 & em]g5cy m$ical s]vice op]ations to provide coord9at$ assi/ance to high utiliz]s4 7,c7 ,report ,n lat] ?an ! la/ day ( ! fir/ ye> foll[+ ! fiscal ye> 9 :i* a grant is aw>d$ "u ?is subsection1 ! recipi5t ( ! grant %all submit to ! ,attorney ,g5]al a report t-- 7i7 measures ! p]=mance ( ! grant recipi5t 9 r$uc+ ! use ( public s]vices by high utiliz]s2 & 7ii7 provides a model set ( practices1 sy/ems1 or proc$ures t o!r jurisdictions c adopt to r$uce ! use ( public s]vices by high utiliz]s4 4 #gjd4 ,academy tra9+ ,section #biia7;h7 ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#db ,u4,s4,c4 #cgig;aa7h77 is am5d$-- 7#a7 9 p>agraph 7#a71 by add+ at ! end ! foll[+3 7,f7 ,academy tra9+ ,to provide support = academy curricula1 law en=cem5t (fic] ori5tation programs1 cont9u+ education tra9+1 & o!r programs t tea* law en=cem5t p]sonnel h[ to id5tify & respond to incid5ts involv+ individuals ) m5tal illness or co-occurr+ m5tal illness & sub/ance abuse disord]s4 2 & 7#b7 by add+ at ! end ! foll[+3 7#d7 ,priority consid]ation ,! ,attorney ,g5]al1 9 aw>d+ grants "u ?is subsection1 %all give priority to programs t law en=cem5t p]sonnel & memb]s ( ! m5tal heal? & sub/ance abuse pr(essions develop & adm9i/] coop]atively4 4 #gje4 ,evid5ce-bas$ practices ,section #biia7;c7 ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#db ,u4,s4,c4 #cgig;aa7c77 is am5d$-- 7#a7 9 p>agraph 7#c71 by /rik+ or at ! end2 7#b7 by r$esignat+ p>agraph 7#d7 z p>agraph 7#f72 & 7#c7 by ins]t+ aft] p>agraph 7#c71 ! foll[+3 7#d7 propose int]v5tions t h be5 %[n by empirical evid5ce to r$uce recidivism2 7#e7 :5 appropriate1 use validat$ assessm5t tools to t>get prelim9>ily qualifi$ (f5d]s ) a mod]ate or high risk ( recidivism & a ne$ = treatm5t & s]vices2 or 4 #gjf4 ,safe communities 7a7 ,9 g5]al ,section #biia7;a7 ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#db ,u4,s4,c4 #cgig;aa7a77 is am5d$ by /rik+ p>agraph 7#i7 & ins]t+ ! foll[+3 7#i7 ,prelim9>ily qualifi$ (f5d] 7,a7 ,9 g5]al ,! t]m prelim9>ily qualifi$ (f5d] means an adult or juv5ile accus$ ( an (f5se :o-- 7i7 7,i7 previ\sly or curr5tly has be5 diagnos$ by a qualifi$ m5tal heal? pr(essional z hav+ a m5tal illness or co-occurr+ m5tal illness & sub/ance abuse disord]s2 7,,ii7 manife/s obvi\s signs ( m5tal illness or co-occurr+ m5tal illness & sub/ance abuse disord]s dur+ arre/ or conf9em5t or be=e any c\rt2 or 7,,iii7 9 ! case ( a vet]ans treatm5t c\rt provid$ "u subsection 7i71 has be5 diagnos$ )1 or manife/s obvi\s signs (1 m5tal illness or a sub/ance abuse disord] or co-occurr+ m5tal illness & sub/ance abuse disord]2 & 7ii7 has be5 unanim\sly approv$ = p>ticipation 9 a program fund$ "u ?is section by1 :5 appropriate1 ! relevant-- 7,i7 prosecut+ attorney2 7,,ii7 def5se attorney2 7,,iii7 probation or corrections (ficial2 7,,iv7 judge2 & 7,v7 a repres5tative f ! relevant m5tal heal? ag5cy describ$ 9 subsection 7b77#e77;,b77i74 7,b7 ,det]m9ation ,9 det]m9+ :e!r to designate an individual z a prelim9>ily qualifi$ (f5d]1 ! relevant prosecut+ attorney1 def5se attorney1 probation or corrections (ficial1 judge1 & m5tal heal? or sub/ance abuse ag5cy repres5tative %all take into acc\nt-- 7i7 :e!r ! p>ticipation ( ! individual 9 ! program w\ld pose a sub/antial risk ( viol5ce to ! community2 7ii7 ! crim9al hi/ory ( ! individual & ! nature & sev]ity ( ! (f5se = :i* ! individual is *>g$2 7iii7 ! views ( any relevant victims to ! (f5se2 7iv7 ! ext5t to :i* ! individual w\ld b5efit f p>ticipation 9 ! program2 7v7 ! ext5t to :i* ! community w\ld realize co/ sav+s because ( ! individual's p>ticipation 9 ! program2 & 7vi7 :e!r ! individual satisfies ! eligibility crit]ia = program p>ticipation unanim\sly e/abli%$ by ! relevant prosecut+ attorney1 def5se attorney1 probation or corrections (ficial1 judge & m5tal heal? or sub/ance abuse ag5cy repres5tative4 4 7b7 ,te*nical & con=m+ am5dm5t ,section #bibg7b7 ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#db ,u4,s4,c4 #cgigs-#f7b77 is am5d$ by /rik+ has ! mean+ giv5 t t]m 9 section #biia7;a74 & ins]t+ 8means an (f5se t-- 7,a7 does n h z an elem5t ! use1 attempt$ use1 or ?reat5$ use ( physical =ce aga9/ ! p]son or prop]ty ( ano!r2 or 7,b7 is n a felony t by its nature involves a sub/antial risk t physical =ce aga9/ ! p]son or prop]ty ( ano!r may be us$ 9 ! c\rse ( committ+ ! (f5se4 4 #gjg4 ,reau?orization ( appropriations ,subsection 7l7 ( section #biia ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#db ,u4,s4,c4 #cgig;aa71 z r$esignat$ 9 section #gja7;a71 is am5d$-- 7#a7 9 p>agraph 7#a7-- 7,a7 9 subp>agraph 7,b71 by /rik+ & at ! end2 7,b7 9 subp>agraph 7,c71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7,c7 by add+ at ! end ! foll[+3 7,d7 #dj1jjj1jjj = ea* ( fiscal ye>s #bjae ?r\gh #bjai4 2 & 7#b7 by add+ at ! end ! foll[+3 7#c7 ,limitation ,n m ?an #bj p]c5t ( ! funds au?oriz$ to be appropriat$ "u ?is section may be us$ = purposes describ$ 9 subsection 7i7 7relat+ to vet]ans74 4 ,,viii ,behavioral ,heal? ,in=mation ,te*nology #hja4 ,ext5sion ( heal? in=mation te*nology assi/ance = behavioral & m5tal heal? & sub/ance abuse ,section #cjjj7c7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;jj7#c77 is am5d$ by ins]t+ be=e & any o!r category ! foll[+3 behavioral & m5tal heal? pr(essionals 7z def9$ 9 section #cca7;a77#c77;,e77i771 a sub/ance abuse pr(essional1 a psy*iatric hospital 7z def9$ 9 section #ahfa7;f7 ( ! ,social ,security ,act71 a community m5tal heal? c5t] meet+ ! crit]ia specifi$ 9 section #aiac7;c71 a resid5tial or outpati5t m5tal heal? or sub/ance abuse treatm5t facility14 #hjb4 ,ext5sion ( eligibility = ,m$ic>e & ,m$icaid heal? in=mation te*nology implem5tation assi/ance 7a7 ,paym5t inc5tives = eligible pr(essionals "u m$ic>e ,section #ahdh ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#d7 is am5d$-- 7#a7 9 subsection 7a77#g7-- 7,a7 9 subp>agraph 7,e71 by add+ at ! end ! foll[+ new clause3 7iv7 ,additional eligible pr(essional ,! t]m additional eligible pr(essional means a cl9ical psy*ologi/ provid+ qualifi$ psy*ologi/ s]vices 7z def9$ 9 section #ahfa7;ii774 2 & 7,b7 by add+ at ! end ! foll[+ new subp>agraph3 7,f7 ,application to additional eligible pr(essionals ,! ,secret>y %all apply ! provisions ( ?is p>agraph ) respect to an additional eligible pr(essional 9 ! same mann] z su* provisions apply to an eligible pr(essional1 except 9 apply+ subp>agraph 7,a7-- 7i7 9 clause 7i71 ! ref]5ce to #bjae %all be deem$ a ref]5ce to #bjai2 7ii7 9 clause 7ii71 ! ref]5ces to #bjae1 #bjaf1 & #bjag %all be deem$ ref]5ces to #bjai1 #bjbj1 & #bjba1 respectively2 & 7iii7 9 clause 7iii71 ! ref]5ce to #bjah %all be deem$ a ref]5ce to #bjbb4 2 & 7#b7 9 subsection 7o7-- 7,a7 9 p>agraph 7#e71 by add+ at ! end ! foll[+ new subp>agraph3 7,d7 ,additional eligible pr(essional ,! t]m additional eligible pr(essional means a cl9ical psy*ologi/ provid+ qualifi$ psy*ologi/ s]vices 7z def9$ 9 section #ahfa7;ii774 2 & 7,b7 by add+ at ! end ! foll[+ new p>agraph3 7#f7 ,application to additional eligible pr(essionals ,! ,secret>y %all apply ! provisions ( ?is subsection ) respect to an additional eligible pr(essional 9 ! same mann] z su* provisions apply to an eligible pr(essional1 except 9 apply+-- 7,a7 p>agraph 7#a77;,a77ii71 ! ref]5ce to #bjaf %all be deem$ a ref]5ce to #bjbj2 7,b7 p>agraph 7#a77;,b77ii71 ! ref]5ces to #bjaa & #bjab %all be deem$ ref]5ces to #bjae & #bjaf1 respectively2 7,c7 p>agraph 7#a77;,b77iii71 ! ref]5ces to #bjac %all be deem$ ref]5ces to #bjag2 7,d7 p>agraph 7#a77;,b77v71 ! ref]5ces to #bjad %all be deem$ ref]5ces to #bjah2 & 7,e7 p>agraph 7#a77;,e71 ! ref]5ce to #bjaa %all be deem$ a ref]5ce to #bjae4 4 7b7 ,eligible hospitals ,section #ahhf ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acieww7 is am5d$-- 7#a7 9 subsection 7b77#c77;,b77ix71 by add+ at ! end ! foll[+ new subclause3 7,v7 ,! ,secret>y %all apply ! provisions ( ?is subsection ) respect to an additional eligible hospital 7z def9$ 9 subsection 7n77#f77;,c77 9 ! same mann] z su* provisions apply to an eligible hospital1 except 9 apply+-- 7aa7 subclause 7,i71 ! ref]5ces to #bjae1 #bjaf1 & #bjag %all be deem$ ref]5ces to #bjai1 #bjbj1 & #bjba1 respectively2 & 7bb7 subclause 7,,iii71 ! ref]5ce to #bjae %all be deem$ a ref]5ce to #bjai4 2 & 7#b7 9 subsection 7n7-- 7,a7 9 p>agraph 7#f71 by add+ at ! end ! foll[+ new subp>agraph3 7,c7 ,additional eligible hospital ,! t]m additional eligible hospital means an inpati5t hospital t is a psy*iatric hospital 7z def9$ 9 section #ahfa7;f774 2 & 7,b7 by add+ at ! end ! foll[+ new p>agraph3 7#g7 ,application to additional eligible hospitals ,! ,secret>y %all apply ! provisions ( ?is subsection ) respect to an additional eligible hospital 9 ! same mann] z su* provisions apply to an eligible hospital1 except 9 apply+ p>agraph 7#b7-- 7,a7 ! ,secret>y %all adju/ ! base am\nt specifi$ 9 subp>agraph 7,b7 ( su* p>agraph1 9 a mann] specifi$ by ! ,secret>y1 to reflect ! small] size ( su* additional eligible hospitals relative to eligible hospitals2 7,b7 ! ,secret>y %all adju/ ! dis*>ge relat$ am\nt specifi$ 9 subp>agraph 7,c7 ( su* p>agraph = ea* #ab-mon? p]iod select$ by ! ,secret>y "u su* subp>agraph1 9 a mann] specifi$ by ! ,secret>y1 to reflect ! small] size su* additional hospitals relative to eligible hospitals1 includ+ by adju/+ ! ranges ( dis*>ges specifi$ 9 su* subp>agraph & ! am\nt specifi$ 9 su* subp>agraph = ea* dis*>ge )9 su* a specifi$ range2 7,c7 ! ref]5ces 9 subp>agraph 7,e77ii7 ( su* p>agraph to #bjac & #bjae %all be deem$ ref]5ces to #bjag & #bjai1 respectively2 & 7,d7 ! ref]5ce 9 subp>agraph 7,g77i7 ( su* p>agraph to #bjaa %all be deem$ a ref]5ce to #bjae4 4 7c7 ,m$icaid provid]s ,section #aijc7t7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;b7t77 is am5d$-- 7#a7 9 p>agraph 7#b77;,b7-- 7,a7 9 clause 7i71 by /rik+ 1 or & ins]t+ a semicolon2 7,b7 9 clause 7ii71 by /rik+ ! p]iod & ins]t+ a semicolon2 & 7,c7 by add+ aft] clause 7ii7 ! foll[+ new clauses3 7iii7 a public hospital t is pr9cipally a psy*iatric hospital 7z def9$ 9 section #ahfa7;f772 7iv7 a private hospital t is pr9cipally a psy*iatric hospital 7z def9$ 9 section #ahfa7;f77 & t has at lea/ #aj p]c5t ( its pati5t volume 7z e/imat$ 9 accordance ) a me?odology e/abli%$ by ! ,secret>y7 attributable to individuals receiv+ m$ical assi/ance "u ?is title2 7v7 a community m5tal heal? c5t] meet+ ! crit]ia specifi$ 9 section #aiac7;c7 ( ! ,public ,heal? ,s]vice ,act2 or 7vi7 a resid5tial or outpati5t m5tal heal? or sub/ance abuse treatm5t facility t-- 7,i7 is accr$it$ by ! ,jo9t ,commission on ,accr$itation ( ,heal?c>e ,organizations1 ! ,commission on ,accr$itation ( ,rehabilitation ,facilities1 ! ,c\ncil on ,accr$itation1 or any o!r national accr$it+ ag5cy recogniz$ by ! ,secret>y2 & 7,,ii7 has at lea/ #aj p]c5t ( its pati5t volume 7z e/imat$ 9 accordance ) a me?odology e/abli%$ by ! ,secret>y7 attributable to individuals receiv+ m$ical assi/ance "u ?is title4 2 7#b7 9 p>agraph 7#c77;,b7-- 7,a7 9 clause 7iv71 by /rik+ & aft] ! semicolon2 7,b7 9 clause 7v71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7,c7 by add+ at ! end ! foll[+ new clause3 7vi7 cl9ical psy*ologi/ provid+ qualifi$ psy*ologi/ s]vices 7z def9$ 9 section #ahfa7;ii771 if su* cl9ical psy*ologi/ is practic+ 9 an outpati5t cl9ic t-- 7,i7 is l$ by a cl9ical psy*ologi/2 & 7,,ii7 is n o!rwise receiv+ paym5t "u p>agraph 7#a7 z a ,m$icaid provid] describ$ 9 p>agraph 7#b77;,b74 2 & 7#c7 9 p>agraph 7#e77;,b71 by add+ at ! end ! foll[+ new s5t5ce3 ,= purposes ( ?is subp>agraph 9 comput+ ! am\nts "u section #ahhf7n77#b77;,c7 = paym5t ye>s aft] #bjae1 ) respect to a ,m$icaid provid] describ$ 9 clause 7iii71 7iv71 7v71 or 7vi7 ( p>agraph 7#b77;,b71 9 ord] to reflect ! small] size ( ,m$icaid provid]s describ$ 9 su* clauses relative to ,m$icaid provid]s describ$ 9 clauses 7i7 & 7ii7 ( su* p>agraph 7#b77;,b71 ! ,secret>y %all1 9 a mann] specifi$ by ! ,secret>y1 adju/ ! base am\nt specifi$ 9 subp>agraph 7,b7 ( section #ahhf7n77#b7 & ! dis*>ge relat$ am\nt calculat$ "u subp>agraph 7,c7 ( su* section1 includ+ by adju/+ ! ranges ( dis*>ges specifi$ 9 su* subp>agraph 7,c7 & ! am\nt specifi$ 9 su* subp>agraph 7,c7 = ea* dis*>ge )9 su* a specifi$ range44 7d7 ,m$ic>e ,advantage organizations ,section #ahec ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#bc7 is am5d$-- 7#a7 9 subsection 7l7-- 7,a7 9 p>agraph 7#a7-- 7i7 by ins]t+ or additional eligible pr(essionals 7z describ$ 9 p>agraph 7#i77 aft] p>agraph 7#b72 & 7ii7 by ins]t+ & additional eligible pr(essionals be=e "u su* sections2 7,b7 9 p>agraph 7#c77;,b7-- 7i7 9 clause 7i7 9 ! matt] prec$+ subclause 7,i71 by ins]t+ or an additional eligible pr(essional describ$ 9 p>agraph 7#i7 aft] p>agraph 7#b72 & 7ii7 9 clause 7ii7-- 7,i7 9 ! matt] prec$+ subclause 7,i71 by ins]t+ or an additional eligible pr(essional describ$ 9 p>agraph 7#i7 aft] p>agraph 7#b72 & 7,,ii7 9 subclause 7,i71 by ins]t+ or an additional eligible pr(essional1 respectively1 aft] eligible pr(essional2 7,c7 9 p>agraph 7#c77;,c71 by ins]t+ & additional eligible pr(essionals aft] all eligible pr(essionals2 7,d7 9 p>agraph 7#d77;,d71 by add+ at ! end ! foll[+ new s5t5ce3 ,9 ! case t a qualify+ ,,ma organization atte/s t n all additional eligible pr(essionals ( ! organization are mean+ful ,,ehr us]s ) respect to an applicable ye>1 ! ,secret>y %all apply ! paym5t adju/m5t "u ?is p>agraph bas$ on ! proportion ( all su* additional eligible pr(essionals ( ! organization t are n mean+ful ,,ehr us]s = su* ye>42 7,e7 9 p>agraph 7#f77;,a71 by ins]t+ &1 z applicable1 ea* additional eligible pr(essional describ$ 9 p>agraph 7#i7 aft] p>agraph 7#b72 7,f7 9 p>agraph 7#f77;,b71 by ins]t+ &1 z applicable1 ea* additional eligible hospital describ$ 9 p>agraph 7#i7 aft] subsection 7m77#a72 7,g7 9 p>agraph 7#g77;,a71 by ins]t+ &1 z applicable1 additional eligible pr(essionals aft] eligible pr(essionals2 7,h7 9 p>agraph 7#g77;,b71 by ins]t+ &1 z applicable1 additional eligible pr(essionals aft] eligible pr(essionals2 7,i7 9 p>agraph 7#h77;,b71 by ins]t+ & additional eligible pr(essionals describ$ 9 p>agraph 7#i7 aft] p>agraph 7#b72 & 7,j7 by add+ at ! end ! foll[+ new p>agraph3 7#i7 ,additional eligible pr(essional describ$ ,) respect to a qualify+ ,,ma organization1 an additional eligible pr(essional describ$ 9 ?is p>agraph is an additional eligible pr(essional 7z def9$ = purposes ( section #ahdh7o77 :o-- 7,a7 7i7 is employ$ by ! organization2 or 7ii7 7,i7 is employ$ by1 or is a p>tn] (1 an entity t ?r\gh contract ) ! organization furni%es at lea/ #hj p]c5t ( ! entity's ,m$ic>e pati5t c>e s]vices to enrollees ( su* organization2 & 7,,ii7 furni%es at lea/ #hj p]c5t ( ! pr(essional s]vices ( ! additional eligible pr(essional cov]$ "u ?is title to enrollees ( ! organization2 & 7,b7 furni%es1 on av]age1 at lea/ #bj h\rs p] week ( pati5t c>e s]vices4 2 & 7#b7 9 subsection 7m7-- 7,a7 9 p>agraph 7#a7-- 7i7 by ins]t+ or additional eligible hospitals 7z describ$ 9 p>agraph 7#g77 aft] p>agraph 7#b72 & 7ii7 by ins]t+ & additional eligible hospitals be=e "u su* sections2 7,b7 9 p>agraph 7#c77;,a77i71 by ins]t+ or additional eligible hospital aft] eligible hospital2 7,c7 9 p>agraph 7#c77;,a77ii71 by ins]t+ or an additional eligible hospital aft] eligible hospital 9 ea* place x occurs2 7,d7 9 p>agraph 7#c77;,b7-- 7i7 9 clause 7i71 by ins]t+ or an additional eligible hospital describ$ 9 p>agraph 7#g7 aft] p>agraph 7#b72 & 7ii7 9 clause 7ii7-- 7,i7 9 ! matt] prec$+ subclause 7,i71 by ins]t+ or an additional eligible hospital describ$ 9 p>agraph 7#g7 aft] p>agraph 7#b72 & 7,,ii7 9 subclause 7,i71 by ins]t+ or an additional eligible hospital1 respectively1 aft] eligible hospital2 7,e7 9 p>agraph 7#d77;,a71 by ins]t+ or "o or m additional eligible hospitals 7z def9$ 9 section #ahhf7n771 z appropriate1 aft] section #ahhf7n77#f77;,a772 7,f7 9 p>agraph 7#d77;,d71 by add+ at ! end ! foll[+ new s5t5ce3 ,9 ! case t a qualify+ ,,ma organization atte/s t n all additional eligible hospitals ( ! organization are mean+ful ,,ehr us]s ) respect to an applicable p]iod1 ! ,secret>y %all apply ! paym5t adju/m5t "u ?is p>agraph bas$ on ! me?odology specifi$ by ! ,secret>y1 tak+ into acc\nt ! proportion ( su* additional eligible hospitals1 or dis*>ges f su* hospitals1 t are n mean+ful ,,ehr us]s = su* p]iod42 7,g7 9 p>agraph 7#e77;,a71 by ins]t+ &1 z applicable1 ea* additional eligible hospital describ$ 9 p>agraph 7#g7 aft] p>agraph 7#b72 7,h7 9 p>agraph 7#e77;,b71 by ins]t+ & additional eligible hospitals1 z applicable1 aft] eligible hospitals2 7,i7 9 p>agraph 7#f77;,b71 by ins]t+ & additional eligible hospitals describ$ 9 p>agraph 7#g7 aft] p>agraph 7#b72 & 7,j7 by add+ at ! end ! foll[+ new p>agraph3 7#g7 ,additional eligible hospital describ$ ,) respect to a qualify+ ,,ma organization1 an additional eligible hospital describ$ 9 ?is p>agraph is an additional eligible hospital 7z def9$ 9 section #ahhf7n77#f77;,c77 t is "u common corporate gov]nance ) su* organization & s]ves individuals enroll$ "u an ,,ma plan (f]$ by su* organization4 4 ,,ix ,s]vicememb]s & ,vet]ans ,m5tal ,heal? #ija4 ,prelim9>y m5tal heal? assessm5ts 7a7 ,9 g5]al ,*apt] #ca ( title #aj1 ,unit$ ,/ates ,code1 is am5d$ by add+ at ! end ! foll[+ new section3 #ebj;d4 ,prelim9>y m5tal heal? assessm5ts 7a7 ,provision ( m5tal heal? assessm5t ,be=e any individual enli/s 9 an ,arm$ ,=ce or is commission$ z an (fic] 9 an ,arm$ ,=ce1 ! ,secret>y conc]n$ %all provide ! individual ) a m5tal heal? assessm5t4 ,! ,secret>y %all use su* results z a basel9e = any subsequ5t m5tal heal? exam9ations1 includ+ su* exam9ations provid$ "u sections #ajgd;f & #ajgdm ( ?is title4 7b7 ,use ( assessm5t ,! ,secret>y may n consid] ! results ( a m5tal heal? assessm5t conduct$ "u subsection 7a7 9 det]m9+ ! assignm5t or promotion ( a memb] ( ! ,arm$ ,=ces4 7c7 ,application ( privacy laws ,) respect to applicable laws & regulations relat+ to ! privacy ( in=mation1 ! ,secret>y %all treat a m5tal heal? assessm5t conduct$ "u subsection 7a7 9 ! same mann] z ! m$ical records ( a memb] ( ! ,arm$ ,=ces4 4 7b7 ,cl]ical am5dm5t ,! table ( sections at ! beg9n+ ( su* *apt] is am5d$ by add+ aft] ! item relat+ to section #ebj;c ! foll[+ new item3 #ebj;d4 ,prelim9>y m5tal heal? assessm5ts4 4 7c7 ,report 7#a7 ,9 g5]al ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,def5se %all submit to ,congress a report on prelim9>y m5tal heal? assessm5ts ( memb]s ( ! ,arm$ ,=ces4 7#b7 ,matt]s includ$ ,! report "u p>agraph 7#a7 %all include ! foll[+3 7,a7 ,recomm5dations ) respect to e/abli%+ a prelim9>y m5tal heal? assessm5t ( memb]s ( ! ,arm$ ,=ces to br+ m5tal heal? scre5+s to p>ity ) physical scre5+s ( memb]s4 7,b7 ,recomm5dations ) respect to ! composition ( ! m5tal heal? assessm5t1 be/ practices1 & h[ to track assessm5t *anges relat+ to traumatic bra9 injuries1 po/-traumatic /ress disord]1 & o!r conditions4 7#c7 ,coord9ation ,! ,secret>y %all c>ry out p>agraph 7#a7 9 coord9ation ) ! ,secret>y ( ,vet]ans ,affairs1 ! ,uni=m$ ,s]vices ,univ]sity ( ! ,heal? ,sci5ces1 ! surgeons g5]al ( ! milit>y dep>tm5ts1 & o!r relevant exp]ts4 #ijb4 ,unlimit$ eligibility = heal? c>e = m5tal illnesses = vet]ans ( combat s]vice dur+ c]ta9 p]iods ( ho/ilities & w> 7a7 ,eligibility ,section #agaj7;e77#a7 ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by add+ at ! end ! foll[+ new subp>agraph3 7,g7 ,not)/&+ p>agraphs 7#b7 & 7#c71 a vet]an :o s]v$ on active duty 9 a !at] ( combat op]ations 7z det]m9$ by ! ,secret>y 9 consultation ) ! ,secret>y ( ,def5se7 dur+ ,_w ,w> ,,ii1 ! ,korean conflict1 ! ,vietnam ,era1 ! ,p]sian ,gulf w>1 ,op]ation ,iraqi ,fre$om1 ,op]ation ,endur+ ,fre$om1 or any o!r p]iod ( w> aft] ! ,p]sian ,gulf w>1 or 9 combat aga9/ a ho/ile =ce dur+ a p]iod ( ho/ilities 7z def9$ 9 section #agab;,a7a77#b77;,b7 ( ?is title71 is eligible = hospital c>e1 m$ical s]vices1 & nurs+ home c>e "u subsection 7a77#b77;,f7 = any m5tal illness1 not)/&+ t !re is insuffici5t m$ical evid5ce to conclude t su* illness is attributable to su* s]vice4 4 7b7 ,effective date ,subp>agraph 7,g7 ( section #agaj7;e77#a7 ( title #ch1 ,unit$ ,/ates ,code1 z add$ by subsection 7a71 %all apply ) respect to hospital c>e1 m$ical s]vices1 & nurs+ home c>e provid$ on or aft] ! date ( ! enactm5t ( ?is ,act4 #ijc4 ,timel9e = implem5t+ integrat$ electronic heal? records 7a7 ,e/abli%m5t ( timel9e ,section #afce ( ! ,w\nd$ ,w>rior ,act 7#aj ,u4,s4,c4 #ajga note7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7k7 ,timel9e ,9 c>ry+ out ?is section1 ! ,secret>y ( ,def5se & ! ,secret>y ( ,vet]ans ,affairs %all ensure t-- 7#a7 ! creation ( a heal? data au?oritative s\rce is a*iev$ by n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is subsection2 7#b7 ! ability ( pati5ts ( bo? ! ,dep>tm5t ( ,def5se & ! ,dep>tm5t ( ,vet]ans ,affairs to d[nload ! m$ical records ( ! pati5t 7commonly ref]r$ to z ! ,blue ,button ,initiative7 is a*iev$ by n lat] ?an #cfe days aft] ! date ( ! enactm5t ( ?is subsection2 7#c7 ! seamless integration ( p]sonal heal? c>e in=mation betwe5 ! ,dep>tm5ts is a*iev$ by n lat] ?an #cfe days aft] ! date ( ! enactm5t ( ?is subsection2 7#d7 ! /&>dization ( heal? c>e data ( ! ,dep>tm5ts is a*iev$ by n lat] ?an #cfe days aft] ! date ( ! enactm5t ( ?is subsection2 7#e7 ! accel]ation ( ! ex*ange ( real-"t data betwe5 ! ,dep>tm5ts is a*iev$ by n lat] ?an #cfe days aft] ! date ( ! enactm5t ( ?is subsection2 7#f7 ! upgrade ( ! graphical us] int]face to display ! new /&>diz$ heal? c>e data ( ! ,dep>tm5ts is a*iev$ by n lat] ?an #cfe days aft] ! date ( ! enactm5t ( ?is subsection2 7#g7 ea* incom+ memb] ( ! ,arm$ ,=ces & ! dep5d5t ( su* a memb] may elect to receive an electronic copy ( ! heal? c>e record ( ! individual beg9n+ n lat] ?an ,octob] #a1 #bjad2 & 7#h7 ea* curr5t memb] ( ! ,arm$ ,=ces & ! dep5d5t ( su* a memb] may elect to receive an electronic copy ( ! heal? c>e record ( ! individual beg9n+ n lat] ?an ,octob] #a1 #bjae4 4 7b7 ,cl\d /orage ,section #afce ( su* ,act is fur!r am5d$ by add+ at ! end ! foll[+ new subsection3 7l7 ,cl\d /orage ,! ,secret>y ( ,def5se & ! ,secret>y ( ,vet]ans ,affairs %all /udy ! feasibility ( e/abli%+ a secure1 remote1 network-accessible comput] /orage sy/em 7commonly ref]r$ to z cl\d /orage7 to-- 7#a7 provide memb]s ( ! ,arm$ ,=ces & vet]ans ! ability to upload ! heal? c>e records ( ! memb] or vet]an if ! memb] or vet]an elects to d s2 & 7#b7 all[ m$ical provid]s ( ! ,dep>tm5t ( ,def5se & ! ,dep>tm5t ( ,vet]ans ,affairs to access su* records 9 ! c\rse ( provid+ c>e to ! memb] or vet]an4 4 7c7 ,con=m+ am5dm5ts ,section #afce ( su* ,act is fur!r am5d$-- 7#a7 9 subsection 7a71 by /rik+ ,! ,secret>y & ins]t+ ,9 accordance ) ! timel9e describ$ 9 subsection 7k71 ! ,secret>y2 & 7#b7 9 ! matt] prec$+ p>agraph 7#a7 ( subsection 7e71 by ins]t+ 9 accordance ) subsection 7k7 aft] "u ?is section4 #ijd4 ,pilot program = repaym5t ( educational loans = c]ta9 psy*iatri/s ( ,vet]ans ,heal? ,adm9i/ration 7a7 ,pilot program 7#a7 ,e/abli%m5t ,! ,secret>y ( ,vet]ans ,affairs %all c>ry out a pilot program to repay a loan ( an individual describ$ 9 p>agraph 7#b7 t-- 7,a7 0 us$ by ! individual to f9ance education reg>d+ psy*iatric m$ic9e1 includ+ education lead+ to an und]graduate degree & education lead+ to ! degree ( doctor ( m$ic9e or ( doctor ( o/eopa?y2 & 7,b7 0 obta9$ f a gov]nm5tal entity1 private f9ancial in/itution1 s*ool1 or o!r au?oriz$ entity1 z det]m9$ by ! ,secret>y4 7#b7 ,eligible individuals ,to be eligible to obta9 a loan repaym5t "u ?is subsection1 an individual %all-- 7,a7 ei!r-- 7i7 be lic5s$ or eligible = lic5sure to practice psy*iatric m$ic9e 9 ! ,vet]ans ,heal? ,adm9i/ration ( ! ,dep>tm5t ( ,vet]ans ,affairs2 or 7ii7 be enroll$ 9 ! f9al ye> ( a resid5cy program lead+ to a specialty qualification 9 psy*iatric m$ic9e t is approv$ by ! ,accr$itation ,c\ncil = ,graduate ,m$ical ,education2 & 7,b7 z det]m9$ appropriate by ! ,secret>y1 demon/rate a commitm5t to a long-t]m c>e] z a psy*iatri/ 9 ! ,vet]ans ,heal? ,adm9i/ration1 includ+ by requir+ a set numb] ( ye>s ( obligat$ s]vice4 7#c7 ,selection ,! ,secret>y %all select n less ?an #aj individuals describ$ 9 p>agraph 7#b7 to p>ticipate 9 ! pilot program = ea* ye> 9 :i* ! ,secret>y c>ries out ! pilot program4 7#d7 ,loan repaym5ts 7,a7 ,am\nts ,subject to ! limits e/abli%$ by subp>agraph 7,b71 a loan repaym5t "u ?is subsection may consi/ ( paym5t ( ! pr9cipal1 int]e/1 & relat$ exp5ses ( a loan obta9$ by an individual describ$ 9 p>agraph 7#b7 = all educational exp5ses 7includ+ tuition1 fees1 books1 & laboratory exp5ses7 relat+ to a degree describ$ 9 p>agraph 7#a77;,a74 7,b7 ,limit ,= ea* ye> ( obligat$ s]vice t an individual agrees to s]ve 9 an agreem5t describ$ 9 p>agraph 7#b77;,b71 ! ,secret>y may pay n m ?an #fj1jjj on behalf ( ! individual4 7#e7 ,brea* 7,a7 ,liability ,an individual :o p>ticipates 9 ! pilot program "u p>agraph 7#a7 :o fails to satisfy ! commitm5t describ$ 9 p>agraph 7#b77;,b7 %all be liable to ! ,unit$ ,/ates1 9 lieu ( any s]vice obligation aris+ f su* p>ticipation1 = ! am\nt :i* has be5 paid or is payable to or on behalf ( ! individual "u ! program1 r$uc$ by ! proportion t ! numb] ( days s]v$ = completion ( ! s]vice obligation be>s to ! total numb] ( days 9 ! p]iod ( obligat$ s]vice ( ! individual4 7,b7 ,repaym5t p]iod ,any am\nt ( damages :i* ! ,unit$ ,/ates is entitl$ to recov] "u ?is p>agraph %all be paid to ! ,unit$ ,/ates )9 ! "o-ye> p]iod beg9n+ on ! date ( ! brea* ( ! agreem5t4 7#f7 ,prohibition on simultane\s eligibility ,an individual :o is p>ticipat+ 9 any o!r program ( ! ,f$]al ,gov]nm5t t repays ! educational loans ( ! individual may n p>ticipate 9 ! pilot program "u p>agraph 7#a74 7#g7 ,report ,n lat] ?an #ij days aft] ! date on :i* ! pilot program t]m9ates "u p>agraph 7#g71 ! ,secret>y %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives & ! ,s5ate a report on ! pilot program4 ,! report %all include ! ov]all effect ( ! pilot program on ! psy*iatric work=ce %ortage ( ! ,vet]ans ,heal? ,adm9i/ration1 ! long-t]m /ability ( su* work=ce1 & ov]all work=ce /rategies ( ! ,vet]ans ,heal? ,adm9i/ration t seek to promote ! physical & m5tal resili5cy ( all vet]ans4 7#h7 ,regulations ,! ,secret>y %all prescribe regulations to c>ry out ?is subsection1 includ+ /&>ds = qualifi$ loans & au?oriz$ payees & o!r t]ms & conditions = ! mak+ ( loan repaym5ts4 7#i7 ,t]m9ation ,! au?ority to c>ry out ! pilot program %all expire on ! date t is ?ree ye>s aft] ! date on :i* ! ,secret>y comm5ces ! pilot program4 7b7 ,comptroll] g5]al /udy on pay disp>ities ( psy*iatri/s ( vet]ans heal? adm9i/ration 7#a7 ,/udy ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all conduct a /udy ( pay disp>ities among psy*iatri/s ( ! ,vet]ans ,heal? ,adm9i/ration ( ! ,dep>tm5t ( ,vet]ans ,affairs4 ,! /udy %all include-- 7,a7 an exam9ation ( laws1 regulations1 practices1 & policies1 includ+ sal>y flexibilities1 t contribute to su* disp>ities2 & 7,b7 recomm5dations ) respect to legislative or regulatory actions to improve equity 9 pay among su* psy*iatri/s4 7#b7 ,report ,n lat] ?an "o ye> aft] ! date on :i* ! ,comptroll] ,g5]al completes ! /udy "u p>agraph 7#a71 ! ,comptroll] ,g5]al %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives & ! ,s5ate a report conta9+ ! results ( ! /udy4 ,x ,mak+ ,p>ity ,"w #ajja4 ,,gao /udy on m5tal heal? & sub/ance use disord] p>ity en=cem5t ef=ts ,n lat] ?an "o ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates1 9 consultation ) ! ,secret>y ( ,heal? & ,human ,s]vices & ! ,secret>y ( ,labor1 %all submit to ,congress a report detail+ ! en=cem5t ef=ts ( ! responsible dep>tm5ts & ag5cies 9 implem5t+ ! ,paul ,well/one & ,pete ,dom5ici ,m5tal ,heal? ,p>ity & ,addiction ,equity ,act 7subtitle ,b ( title ,v ( division ,c ( ,public ,law #aaj-cdc71 includ+-- 7#a7 ! numb] ( inve/igations t h be5 conduct$ into pot5tial p>ity violations2 & 7#b7 details on ! inve/igation or en=cem5t action t 0 c>ri$ out z a result ( su* inve/igations t w\ld n id5tify ! subject ( su* inve/igation or en=cem5t4 #ajjb4 ,report to ,congress on ,f$]al assi/ance to ,/ate insurance regulators reg>d+ m5tal heal? p>ity en=cem5t ,n lat] ?an "o ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all submit to ,congress a report detail+-- 7#a7 ! ways 9 :i* ,/ate gov]nm5ts & ,/ate insurance regulators are ei!r emp[]$ or requir$ to en=ce ! ,paul ,well/one & ,pete ,dom5ici ,m5tal ,heal? ,p>ity & ,addiction ,equity ,act ( #bjjh 7subtitle ,b ( title ,v ( division ,c ( ,public ,law #aaj-cdc72 7#b7 _! capability to c>ry out ^! en=cem5t p[]s or requirem5ts2 & 7#c7 any te*nical assi/ance to ,/ate gov]nm5t & ,/ate insurance regulators t has be5 communicat$ by ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 #ajjc4 ,annual report to ,congress by ,secret>ies ( ,labor & ,heal? & ,human ,s]vices ,n lat] ?an "o ye> aft] ! date ( enactm5t ( ?is ,act1 & annually !reaft]1 ! ,secret>y ( ,labor1 9 coord9ation ) ! ,secret>y ( ,heal? & ,human ,s]vices1 %all submit to ,congress a report-- 7#a7 describ+ ! actions tak5 by ! ,f$]al ,gov]nm5t & ! ,/ates to ensure compliance ) ! ,paul ,well/one & ,pete ,dom5ici ,m5tal ,heal? ,p>ity & ,addiction ,equity ,act ( #bjjh 7subtitle ,b ( title ,v ( division ,c ( ,public ,law #aaj-cdc72 7#b7 includ+ a collection & classification ( inquiries & compla9ts reg>d+ ! implem5tation or en=cem5t ( su* ,act2 7#c7 includ+ a transp>5t de-id5tifi$ report ( all ,f$]al & ,/ate actions to en=ce su* ,act2 & 7#d7 include a compliance guide t includes-- 7,a7 detail$ answ]s to relevant que/ions rais$ dur+ ! previ\s ye> conc]n+ implem5tation or en=cem5t ( su* ,act2 & 7,b7 specific guidel9es provid+ cle> int]pretations ( su* ,act & ! regulations !reund]4