,,ii ,calendar ,no4 #cg #aacth ,,congress #ast ,session ,s4 #fhi ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,april #i1 #bjac ,mr4 ,harkin 7for himself1 ,mr4 ,alexander1 ,mr4 ,franken1 ,mr4 ,enzi1 ,mr4 ,bennet1 ,ms4 ,murkowski1 ,ms4 ,baldwin1 ,mr4 ,roberts1 ,mrs4 ,hagan1 ,mr4 ,isakson1 ,mr4 ,murphy1 and ,mr4 ,kirk7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,april #aa1 #bjac ,reported by ,mr4 ,harkin1 with an amendment ,strike out all after the enacting clause and insert the part printed in italic ,a ,,bill ,to reauthorize and improve programs related to mental health and substance use disorders4 #a4 ,short title ,this ,act may be cited as the ,mental ,health ,awareness and ,improvement ,act of #bjac4 ,i ,education programs #aja4 ,short title ,this title may be cited as the ,achievement ,through ,prevention ,act4 #ajb4 ,purpose ,the purpose of this title is to expand the use of positive behavioral interventions and supports and early intervening services in schools in order to improve student academic achievement1 reduce overidentification of individuals with disabilities1 and reduce disciplinary problems in schools4 #ajc4 ,amendments to the ,elementary and ,secondary ,education ,act of #aife 7a7 ,title ,i ,state plans ,section #aaaa7;b7 of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #fcaa7;b77 is amended by adding at the end the following3 7#aa7 ,positive behavioral interventions and supports ,in the case of a ,state that proposes to use funds under this part to support positive behavioral interventions and supports1 the ,state plan shall describe how the ,state educational agency will-- 7,a7 assist local educational agencies in implementing positive behavioral interventions and supports in schools served by the local educational agency on a whole-school basis2 7,b7 provide technical assistance and training to local educational agencies to improve and support the development1 implementation1 and coordination of comprehensive positive behavioral interventions and supports carried out under this ,act with activities carried out under the ,individuals with ,disabilities ,education ,act2 and 7,c7 evaluate the effects of providing positive behavioral interventions and supports for all students1 including improvement of the learning environment1 academic achievement1 disciplinary problems such as incidents of suspensions1 expulsions1 referrals to law enforcement1 and other actions that remove students from instruction1 and any other effects the ,state chooses to evaluate4 7#ab7 ,early intervening services ,in the case of a ,state that proposes to use funds under this part to support early intervening services1 the ,state plan shall describe how the ,state educational agency will-- 7,a7 assist local educational agencies in implementing early intervening services in schools served by the local educational agency to reduce the need to label children as children with disabilities in order to address the learning and behavioral needs of such children2 7,b7 provide technical assistance and training to local educational agencies to improve coordination of early intervening services provided under this ,act with early intervening services carried out under the ,individuals with ,disabilities ,education ,act2 and 7,c7 evaluate the effects of providing early intervening services4 7#ac7 ,crisis management plans ,in the case of a ,state that proposes to use funds under this part to assist local educational agencies in the ,state in periodically updating the crisis management plans1 as described in section #daad7;d77#g77;,d71 of such local educational agencies1 the ,state plan shall describe how the ,state educational agency will assist local educational agencies in updating such crisis management plans4 4 7b7 ,title ,i ,state reports ,section #aaaa7;h77#a77;,c7 of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #fcaa7;h77#a77;,c77 is amended-- 7#a7 in clause 7vii71 by striking and after the semicolon2 7#b7 in clause 7viii71 by striking the period and inserting a semicolon2 and 7#c7 by adding at the end the following3 7ix7 the number of local educational agencies in the ,state that implement positive behavioral interventions and supports2 7x7 the number of students-- 7,i7 who are served through the use of early intervening services2 and 7,,ii7 who1 in the preceding #b-year period1 received early intervening services and who1 after receiving such services1 have been identified as eligible for1 and receive1 special education and related services under part ,b of the ,individuals with ,disabilities ,education ,act2 and 7xi7 the number of local educational agencies in the ,state that implement school-based mental health programs4 4 7c7 ,title ,i local educational agency plans ,section #aaab7;b77#a7 of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #fcab7;b77#a77 is amended-- 7#a7 in subparagraph 7,p71 by striking and after the semicolon2 7#b7 in subparagraph 7,q71 by striking the period and inserting a semicolon2 and 7#c7 by adding at the end the following3 7,r7 if the local educational agency proposes to use subgrant funds under this part for positive behavioral interventions and supports1 a description of the actions the local educational agency will take to provide positive behavioral interventions and supports and coordinate those activities with activities carried out under the ,individuals with ,disabilities ,education ,act2 7,s7 if the local educational agency proposes to use subgrant funds under this part for early intervening services1 a description of the actions the local educational agency will take to provide early intervening services and coordinate those services with early intervening services carried out under the ,individuals with ,disabilities ,education ,act2 7,t7 if the local educational agency proposes to use subgrant funds under this part for school-based mental health programs1 a description of the actions the local educational agency will take to provide school-based mental health programs and coordinate those activities with activities carried out under the ,individuals with ,disabilities ,education ,act2 and 7,u7 if the local educational agency proposes to use subgrant funds under this part for periodically updating the crisis management plan of the local educational agency1 as described in section #daad7;d77#g77;,d71 a description of the actions the local educational agency will take to develop and implement an updated crisis management plan4 4 7d7 ,title ,i schoolwide programs 7#a7 ,schoolwide programs ,section #aaad7;b77#a77;,b77iii77,i7 of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #fcad7;b77#a77;,b77iii77,i77 is amended-- 7,a7 in item 7aa71 by inserting and school-based mental health programs after services2 7,b7 by redesignating items 7bb7 and 7cc7 as items 7dd7 and 7ee71 respectively2 and 7,c7 by inserting after item 7aa7 the following3 7bb7 implementation of schoolwide positive behavioral interventions and supports1 including through coordination with activities carried out under the ,individuals with ,disabilities ,education ,act1 in order to improve academic outcomes for students and reduce the need for suspensions1 expulsions1 and other actions that remove students from instruction2 7cc7 implementation of early intervening services1 including through coordination with early intervening services carried out under the ,individuals with ,disabilities ,education ,act2 4 7#b7 ,technical assistance ,section #aaaf7;b77#d77;,b7 of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #fcaf7;b77#d77;,b77 is amended-- 7,a7 by redesignating clauses 7iii7 and 7iv7 as clauses 7iv7 and 7v71 respectively2 and 7,b7 by inserting after clause 7ii7 the following3 7iii7 shall include assistance in the implementation of schoolwide positive behavior supports1 school-based mental health programs1 and other approaches with evidence of effectiveness for improving the learning environment in the school and reducing the need for suspensions1 expulsions1 and other actions that remove students from instruction1 including effective strategies for improving coordination of community resources2 4 7e7 ,title ,i assessments and school improvement 7#a7 ,school improvement plan ,section #aaaf7;b77#c77;,a7 of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #fcaf7;b77#c77;,a77 is amended-- 7,a7 in clause 7ix71 by striking and after the semicolon2 7,b7 in clause 7x71 by striking the period and inserting a semicolon2 and 7,c7 by adding at the end the following3 7xi7 specify whether the local educational agency or the school will adopt and implement policies or practices to implement or improve positive behavioral interventions and supports and enhance coordination with activities carried out under the ,individuals with ,disabilities ,education ,act2 7xii7 specify whether the local educational agency or the school will adopt and implement policies or practices to implement or improve early intervening services and coordinate with early intervening services carried out under such ,act2 and 7xiii7 specify whether the local educational agency or school will adopt and implement school-based mental health programs and coordinate with programs carried out under such ,act4 4 7#b7 ,local educational agency improvement plans ,section #aaaf7;c77#aj7 of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #fcaf7;c77#aj77 is amended-- 7,a7 in subparagraph 7,b71 by striking subparagraph 7,e7 and inserting subparagraph 7,f72 7,b7 by redesignating subparagraphs 7,d7 through 7,f7 as subparagraphs 7,e7 through 7,g71 respectively2 and 7,c7 by inserting after subparagraph 7,c7 the following3 7,d7 ,additional activities ,in addition to carrying out #a or more of the corrective actions required under subparagraph 7,c7 for a local educational agency1 the ,state educational agency may also carry out #a or more of the following activities3 7i7 ,improving or expanding positive behavioral interventions and supports and enhancing coordination with activities under the ,individuals with ,disabilities ,education ,act4 7ii7 ,improving or expanding early intervening services and coordinating such services with early intervening services carried out under the ,individuals with ,disabilities ,education ,act4 4 7f7 ,title ,i school support and recognition 7#a7 ,regional centers ,section #aaag7;a77#c7 of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #fcag7;a77#c77 is amended-- 7,a7 by striking of #bjjb and comprehensive and inserting of #bjjb1 comprehensive2 7,b7 by striking and the comprehensive and inserting 1 the comprehensive2 and 7,c7 by inserting and any technical assistance center on schoolwide positive behavioral interventions and supports funded under section #ffe7;b7 of the ,individuals with ,disabilities ,education ,act1 after #bjjb714 7#b7 ,statewide systems for support ,section #aaag7;a77#e77;,b7 of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #fcag7;a77#e77;,b77 is amended-- 7,a7 in clause 7i71 by striking the semicolon at the end and inserting the following3 81 including by improving or expanding the use of positive behavioral interventions and supports aligned with activities carried out under the ,individuals with ,disabilities ,education ,act202 7,b7 in clause 7iii71 by striking and after the semicolon2 7,c7 in clause 7iv71 by striking the period and inserting a semicolon2 and 7,d7 by adding at the end the following3 7v7 review and analyze the school's efforts to identify and assist students with poor academic achievement and students who are children with disabilities1 and assist the school in developing or improving early intervening services that are coordinated with activities carried out under the ,individuals with ,disabilities ,education ,act2 7vi7 review and analyze the school's efforts to address behavioral or disciplinary problems1 and assist the school in developing or improving schoolwide positive behavioral interventions and supports that are coordinated with activities carried out under the ,individuals with ,disabilities ,education ,act2 7vii7 review the number of discipline incidents in the school and use that information to assist the school to implement schoolwide positive behavioral interventions and supports or other early intervening services1 or both2 and 7viii7 review and analyze the school's efforts to address mental health needs among students and assist the school in developing or improving school-based mental health programs that are coordinated with activities carried out under the ,individuals with ,disabilities ,education ,act4 4 7g7 ,title ,i parental involvement ,section #aaah7;e7 of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #fcah7;e77 is amended-- 7#a7 by redesignating paragraphs 7#f7 through 7#ad7 as paragraphs 7#g7 through 7#ae71 respectively2 and 7#b7 by inserting after paragraph 7#e7 the following3 7#f7 shall provide information to school personnel1 students1 and parents about the school's use of positive behavioral interventions and supports1 school-based mental health programs1 and the expectations of school personnel1 students1 and parents in supporting a safe learning environment for all students2 4 7h7 ,prevention and intervention programs ,section #adad7;c77#h7 of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #fdcd7;c77#h77 is amended by inserting 81 including coordinating the use of positive behavioral interventions and supports1 early intervening services1 and school-based mental health programs to improve academic achievement and reduce disciplinary actions0 before the semicolon at the end4 7i7 ,technical assistance ,section #adai of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #fdci7 is amended-- 7#a7 in paragraph 7#a71 by striking and after the semicolon2 7#b7 in paragraph 7#b71 by striking the period and inserting 2 and2 and 7#c7 by adding at the end the following3 7#c7 to provide technical assistance in implementing positive behavior interventions and supports1 early intervening services1 and school-based mental health programs in order to improve academic achievement and reduce disciplinary actions4 4 7j7 ,title ,,ii mental health professional development ,section #babc of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #fbbc7 is amended-- 7#a7 in subsection 7a71 by inserting after paragraph 7#h7 the following3 7#i7 ,carrying out in-service training for school personnel in-- 7,a7 the techniques and supports needed to identify children with trauma histories1 and children with1 or at risk of1 mental illness1 early2 7,b7 the use of referral mechanisms that effectively link such children to appropriate treatment and intervention services in the school and in the community where appropriate2 and 7,c7 forming partnerships between school-based mental health programs and public or private mental health organizations4 2 7#b7 by redesignating subsection 7b7 as subsection 7c72 and 7#c7 by inserting after subsection 7a7 the following3 7b7 ,liability protection for school personnel ,section #bcff shall apply to school personnel who received in-service training under subsection 7a77#i71 and who are carrying out activities related to such training1 in the same manner as such section applies to teachers4 4 7k7 ,school-based mental health services partnership programs ,section #daba of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #gaca7 is amended-- 7#a7 in subsection 7a7-- 7,a7 in the matter preceding paragraph 7#a71 by inserting 1 health 7including mental health71 after promote safety2 7,b7 by redesignating paragraphs 7#c7 through 7#h7 and 7#i7 as paragraphs 7#d7 through 7#i7 and 7#aa71 respectively2 7,c7 by inserting after paragraph 7#b7 the following3 7#c7 the development and implementation of school-based mental health services partnership programs under subsection 7c72 2 7,d7 by striking paragraph 7#g71 as redesignated by subparagraph 7,b71 and inserting the following3 7#g7 7,a7 assistance to school systems that have particularly severe drug and violence problems or assistance to support appropriate response efforts to crisis situations1 including-- 7i7 hiring drug prevention and school safety coordinators2 and 7ii7 making available to students mental health services1 conflict resolution programs1 and other school-based violence prevention strategies2 2 7,e7 in paragraph 7#i71 as redesignated by subparagraph 7,b71 by striking and after the semicolon2 and 7,f7 by inserting after such paragraph 7#i7 the following3 7#aj7 assistance to ,states to help local educational agencies develop and implement comprehensive emergency management plans2 and 2 and 7#b7 by adding at the end the following3 7c7 ,school-based mental health services partnership programs 7#a7 ,in general ,each grant1 contract1 or cooperative agreement awarded or entered into under subsection 7a77#c7 shall meet the requirements of this subsection4 7#b7 ,eligibility 7,a7 ,in general ,to be eligible to receive a grant1 contract1 or cooperative agreement under this subsection1 a local educational agency shall enter into a school-based mental health partnership that-- 7i7 shall include a public or private mental health entity or health care entity2 and 7ii7 may include a child welfare agency1 family-based mental health entity1 family organization1 trauma network1 or other community-based entity4 7,b7 ,flexibility for certain local educational agencies ,notwithstanding subparagraph 7,a71 a local educational agency that is eligible for services under subpart #a or #b of part ,b of title ,,vi1 as determined by the ,secretary1 and that is unable to partner with a public or private mental health entity or health care entity shall be eligible for a grant under this subsection if the local educational agency can demonstrate to the ,secretary1 in its application for a grant under this subsection1 that the local educational agency can otherwise build the capacity to carry out the requirements of this subsection4 7#c7 ,application ,a local educational agency that desires a grant1 contract1 or cooperative agreement under this subsection shall include1 in the application required by the ,secretary1 a description of how the local educational agency will-- 7,a7 assist schools served by the local educational agency to provide1 through the school-based mental health services partnership program1 comprehensive school-based mental health services and supports and comprehensive staff development for school and community service personnel working in the school2 7,b7 provide technical assistance and training to improve and support the development1 implementation1 and coordination of school-based mental health programs and ensure such programs are coordinated with activities carried out under the ,individuals with ,disabilities ,education ,act2 and 7,c7 evaluate the effects of providing school-based mental health programs4 7#d7 ,use of funds ,a local educational agency receiving a grant1 contract1 or cooperative agreement under this subsection shall use funds provided under such grant1 contract1 or cooperative agreement to provide school-based mental health services and supports that-- 7,a7 may include-- 7i7 the early identification of social1 emotional1 or behavioral problems1 or substance use disorders1 and the provision of early intervening services2 7ii7 not withstanding section #daed1 the treatment or referral for treatment of students with social1 emotional1 or behavioral health problems1 or substance use disorders2 7iii7 the development and implementation of programs to assist children in dealing with trauma and violence2 and 7iv7 the development of mechanisms1 based on best practices1 for children to report incidents of violence or plans by other children or adults to commit violence2 7,b7 are based on trauma-informed and evidence-based practices2 7,c7 are coordinated1 where appropriate1 with early intervening services carried out under the ,individuals with ,disabilities ,education ,act2 and 7,d7 are provided by qualified mental and behavioral health professionals who are certified or licensed by the ,state involved and practicing within their area of expertise4 7#e7 ,general requirements 7,a7 ,parental consent 7i7 ,in general ,each local educational agency receiving a grant1 contract1 or cooperative agreement under this subsection shall obtain prior written1 informed consent from the parent of each child who is under #ah years of age to participate in any assessment service1 program1 activity1 or treatment that is-- 7,i7 funded under this subsection2 and 7,,ii7 conducted in connection with an elementary school or secondary school under the grant1 contract1 or cooperative agreement4 7ii7 ,exception ,notwithstanding clause 7i71 the written1 informed consent described in such clause shall not be required in-- 7,i7 an emergency1 where it is necessary to protect the immediate health and safety of the student1 other students1 or school personnel2 or 7,,ii7 other instances where parental consent cannot reasonably be obtained1 as defined by the ,secretary4 7,b7 ,prohibition on mandatory medication ,no child shall be required to obtain a prescription for a substance covered by the ,controlled ,substances ,act 7#ba ,u4,s4,c4 #hja et seq47 as a condition of receiving an evaluation under this subsection1 receiving services under this subsection1 or attending a school receiving assistance under this subsection4 7,c7 ,privacy ,each eligible entity receiving a grant under this subsection shall ensure that student mental health records are accorded the privacy protections provided under the regulations promulgated under section #bfd7;c7 of the ,health ,insurance ,portability and ,accountability ,act of #aiif 7,public ,law #ajd-aia2 #aaj ,stat4 #bjcc7 and section #ddd of the ,general ,education ,provisions ,act 7#bj ,u4,s4,c4 #abcb;g7 7commonly referred to as the ,federal ,educational ,rights and ,privacy ,act of #aigd74 7#f7 ,liability protection for school personnel ,section #bcff shall apply to school personnel providing services under a grant1 contract1 or cooperative agreement under this subsection in the same manner as such section applies to teachers4 7#g7 ,prohibition against ,federal mandates1 direction1 or control or ,federal regulation ,in addition to the prohibition of ,federal ,government control of a ,state1 local educational agency1 or school's curriculum or program of instruction that is provided under section #iebg7;a71 nothing in this subsection shall be construed to authorize an officer or employee of the ,federal ,government to mandate1 direct1 or control a ,state1 local educational agency1 or school's specific instructional content or academic achievement standards and assessments4 4 7l7 ,definition ,section #iaja of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #ghja7 is amended-- 7#a7 by redesignating paragraphs 7#ag7 through 7#dc7 as paragraphs 7#ah7 through 7#dd71 respectively2 and 7#b7 by inserting after paragraph 7#af7 the following3 7#ag7 ,early intervening services ,the term early intervening services means early intervening services described in section #fac7;f77#a7 of the ,individuals with ,disabilities ,education ,act4 4 #ajd4 ,conforming amendments 7a7 ,america ,,competes ,reauthorization ,act of #bjaj ,section #eec7;d77#f7 of the ,america ,,competes ,reauthorization ,act of #bjaj 7#bj ,u4,s4,c4 #iijc7 is amended by striking section #iaja7bc7 and inserting section #iaja7bd74 7b7 ,higher ,education ,act of #aife ,section #bee7k7 of the ,higher ,education ,act of #aife is amended-- 7#a7 in paragraph 7#a71 by striking section #iaja7bc77;,b77ii7 and inserting section #iaja7bd77;,b77ii72 and 7#b7 in paragraph 7#c71 by striking section #iaja7bc7 and inserting section #iaja7bd74 7c7 ,individuals with ,disabilities ,education ,act ,section #fjb7aj7 of the ,individuals with ,disabilities ,education ,act 7#bj ,u4,s4,c4 #adja7aj77 is amended-- 7#a7 in subparagraph 7,c77ii71 by striking section #iaja7bc7 and inserting section #iaja7bd72 and 7#b7 in each of clauses 7ii7 and 7iii7 of subparagraph 7,d71 by striking section #iaja7bc77;,c77ii7 and inserting section #iaja7bd77;,c77ii74 ,,ii ,health programs #bja4 ,garrett ,lee ,smith ,memorial ,act reauthorization 7a7 ,suicide prevention technical assistance center ,section #ebj;,c of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#cd7 is amended-- 7#a7 in the section heading1 by striking the section heading and inserting ,suicide prevention technical assistance center42 7#b7 in subsection 7a71 by striking and in consultation with and all that follows through the period at the end of paragraph 7#b7 and inserting shall establish a research1 training1 and technical assistance resource center to provide appropriate information1 training1 and technical assistance to ,states1 political subdivisions of ,states1 federally recognized ,indian tribes1 tribal organizations1 institutions of higher education1 public organizations1 or private nonprofit organizations regarding the prevention of suicide among all ages1 particularly among groups that are at high risk for suicide42 7#c7 by striking subsections 7b7 and 7c72 7#d7 by redesignating subsection 7d7 as subsection 7b72 7#e7 in subsection 7b71 as so redesignated-- 7,a7 by striking the subsection heading and inserting ,responsibilities of the center42 7,b7 in the matter preceding paragraph 7#a71 by striking ,the additional research and all that follows through nonprofit organizations for and inserting ,the center established under subsection 7a7 shall conduct activities for the purpose of2 7,c7 by striking youth suicide each place such term appears and inserting suicide2 7,d7 in paragraph 7#a7-- 7i7 by striking the development or continuation of and inserting developing and continuing2 and 7ii7 by inserting for all ages1 particularly among groups that are at high risk for suicide before the semicolon at the end2 7,e7 in paragraph 7#b71 by inserting for all ages1 particularly among groups that are at high risk for suicide before the semicolon at the end2 7,f7 in paragraph 7#c71 by inserting and tribal after statewide2 7,g7 in paragraph 7#e71 by inserting and prevention after intervention2 7,h7 in paragraph 7#h71 by striking in youth2 7,i7 in paragraph 7#i71 by striking and behavioral health and inserting health and substance use disorder2 and 7,j7 in paragraph 7#aj71 by inserting conducting before other2 and 7#f7 by striking subsection 7e7 and inserting the following3 7c7 ,authorization of appropriations ,for the purpose of carrying out this section1 there are authorized to be appropriated #d1idh1jjj for each of fiscal years #bjad through #bjah4 4 7b7 ,youth suicide early intervention and prevention strategies ,section #ebj;,e of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#cf7 is amended-- 7#a7 in paragraph 7#a7 of subsection 7a7 and in subsection 7c71 by striking substance abuse each place such term appears and inserting substance use disorder2 7#b7 in subsection 7b77#b7-- 7,a7 by striking each ,state is awarded only #a grant or cooperative agreement under this section and inserting a ,state does not receive more than #a grant or cooperative agreement under this section at any #a time2 and 7,b7 by striking been awarded and inserting received2 and 7#c7 by striking subsection 7m7 and inserting the following3 7m7 ,authorization of appropriations ,for the purpose of carrying out this section1 there are authorized to be appropriated #bi1fhb1jjj for each of fiscal years #bjad through #bjah4 4 7c7 ,mental health and substance use disorder services ,section #ebj;,e-#b of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#cf;b7 is amended-- 7#a7 in the section heading1 by striking and behavioral health and inserting health and substance use disorder services2 7#b7 in subsection 7a7-- 7,a7 by striking ,services1 and inserting ,services and2 7,b7 by striking and behavioral health problems and inserting health or substance use disorders2 and 7,c7 by striking substance abuse and inserting substance use disorders2 7#c7 in subsection 7b7-- 7,a7 in the matter preceding paragraph 7#a71 by striking for-- and inserting for one or more of the following32 and 7,b7 by striking paragraphs 7#a7 through 7#f7 and inserting the following3 7#a7 ,educating students1 families1 faculty1 and staff to increase awareness of mental health and substance use disorders4 7#b7 ,the operation of hotlines4 7#c7 ,preparing informational material4 7#d7 ,providing outreach services to notify students about available mental health and substance use disorder services4 7#e7 ,administering voluntary mental health and substance use disorder screenings and assessments4 7#f7 ,supporting the training of students1 faculty1 and staff to respond effectively to students with mental health and substance use disorders4 7#g7 ,creating a network infrastructure to link colleges and universities with health care providers who treat mental health and substance use disorders4 2 7#d7 in subsection 7c77#e71 by striking substance abuse and inserting substance use disorder2 7#e7 in subsection 7d7-- 7,a7 in the matter preceding paragraph 7#a71 by striking ,an institution of higher education desiring a grant under this section and inserting ,to be eligible to receive a grant under this section1 an institution of higher education2 7,b7 in paragraph 7#a7-- 7i7 by striking and behavioral health and inserting health and substance use disorder2 and 7ii7 by inserting 1 including veterans whenever possible and appropriate1 after students2 and 7,c7 in paragraph 7#b71 by inserting 1 which may include1 as appropriate and in accordance with subsection 7b77#g71 a plan to seek input from relevant stakeholders in the community1 including appropriate public and private entities1 in order to carry out the program under the grant before the period at the end2 7#f7 in subsection 7e77#a71 by striking and behavioral health problems and inserting health and substance use disorders2 7#g7 in subsection 7f77#b7-- 7,a7 by striking and behavioral health and inserting health and substance use disorder2 and 7,b7 by striking suicide and substance abuse and inserting suicide and substance use disorders2 and 7#h7 in subsection 7h71 by striking #e1jjj1jjj for fiscal year #bjje and all that follows through the period at the end and inserting #d1heh1jjj for each of fiscal years #bjad through #bjah44 #bjb4 ,mental health awareness training grants ,section #ebj;,j of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#da7 is amended-- 7#a7 in the section heading1 by inserting ,mental health awareness before ,training2 and 7#b7 in subsection 7b7-- 7,a7 in the subsection heading1 by striking illness and inserting health2 7,b7 in paragraph 7#a71 by inserting and other categories of individuals1 as determined by the ,secretary1 after emergency services personnel2 7,c7 in paragraph 7#e7-- 7i7 in the matter preceding subparagraph 7#e71 by striking to and inserting for evidence-based programs for the purpose of2 and 7ii7 by striking subparagraphs 7,a7 through 7,c7 and inserting the following3 7,a7 recognizing the signs and symptoms of mental illness2 and 7,b7 7i7 providing education to personnel regarding resources available in the community for individuals with a mental illness and other relevant resources2 or 7ii7 the safe de-escalation of crisis situations involving individuals with a mental illness4 2 and 7,d7 in paragraph 7#g71 by striking 1 #be1jjj1jjj and all that follows through the period at the end and inserting #bj1jjj1jjj for each of fiscal years #bjad through #bjah4 #bjc4 ,children's recovery from trauma ,section #ehb of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;hh-#a7 is amended-- 7#a7 in subsection 7a71 by striking developing programs and all that follows and inserting 8developing and maintaining programs that provide for-- 7#a7 the continued operation of the ,national ,child ,traumatic ,stress ,initiative 7referred to in this section as the ,,nctsi71 which includes a coordinating center1 that focuses on the mental1 behavioral1 and biological aspects of psychological trauma response2 and 7#b7 the development of knowledge with regard to evidence-based practices for identifying and treating mental1 behavioral1 and biological disorders of children and youth resulting from witnessing or experiencing a traumatic event4 2 7#b7 in subsection 7b7-- 7,a7 by striking subsection 7a7 related and inserting subsection 7a77#b7 7related2 7,b7 by striking treating disorders associated with psychological trauma and inserting treating mental1 behavioral1 and biological disorders associated with psychological trauma72 and 7,c7 by striking mental health agencies and programs that have established clinical and basic research and inserting universities1 hospitals1 mental health agencies1 and other programs that have established clinical expertise and research2 7#c7 by redesignating subsections 7c7 through 7g7 as subsections 7g7 through 7k71 respectively2 7#d7 by inserting after subsection 7b71 the following3 7c7 ,child outcome data ,the ,,nctsi coordinating center shall collect1 analyze1 and report ,,nctsi-wide child treatment process and outcome data regarding the early identification and delivery of evidence-based treatment and services for children and families served by the ,,nctsi grantees4 7d7 ,training ,the ,,nctsi coordinating center shall facilitate the coordination of training initiatives in evidence-based and trauma-informed treatments1 interventions1 and practices offered to ,,nctsi grantees1 providers1 and partners4 7e7 ,dissemination ,the ,,nctsi coordinating center shall1 as appropriate1 collaborate with the ,secretary in the dissemination of evidence-based and trauma-informed interventions1 treatments1 products and other resources to appropriate stakeholders4 7f7 ,review ,the ,secretary shall1 consistent with the peer review process1 ensure that ,,nctsi applications are reviewed by appropriate experts in the field as part of a consensus review process4 ,the ,secretary shall include review criteria related to expertise and experience in child trauma and evidence-based practices4 2 7#e7 in subsection 7g7 7as so redesignated71 by striking with respect to centers of excellence are distributed equitably among the regions of the country and inserting are distributed equitably among the regions of the ,united ,states2 7#f7 in subsection 7i7 7as so redesignated71 by striking recipient may not exceed #e years and inserting recipient shall not be less than #d years1 but shall not exceed #e years2 and 7#g7 in subsection 7j7 7as so redesignated71 by striking #ej1jjj1jjj and all that follows through #bjjf and inserting #de1gac1jjj for each of fiscal years #bjad through #bjah4 #bjd4 ,assessing barriers to behavioral health integration 7a7 ,in general ,not later than #b years after the date of enactment of this ,act1 the ,comptroller ,general of the ,united ,states shall submit a report to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,energy and ,commerce of the ,house of ,representatives concerning ,federal requirements that impact access to treatment of mental health and substance use disorders related to integration with primary care1 administrative and regulatory issues1 quality measurement and accountability1 and data sharing4 7b7 ,contents ,the report submitted under subsection 7a7 shall include the following3 7#a7 ,an evaluation of the administrative or regulatory burden on behavioral healthcare providers4 7#b7 ,the identification of outcome and quality measures relevant to integrated health care1 evaluation of the data collection burden on behavioral healthcare providers1 and any alternative methods for evaluation4 7#c7 ,an analysis of the degree to which electronic data standards1 including interoperability and meaningful use includes behavioral health measures1 and an analysis of strategies to address barriers to health information exchange posed by part #b of title #db1 ,code of ,federal ,regulations4 7#d7 ,an analysis of the degree to which ,federal rules and regulations for behavioral and physical health care are aligned1 including recommendations to address any identified barriers4 #bje4 ,increasing education and awareness of treatments for opioid use disorders 7a7 ,in general ,in order to improve the quality of care delivery and treatment outcomes among patients with opioid use disorders1 the ,secretary of ,health and ,human ,services 7referred to in this section as the ,secretary71 acting through the ,administrator for the ,substance ,abuse and ,mental ,health ,services ,administration1 may advance1 through existing programs as appropriate1 the education and awareness of providers1 patients1 and other appropriate stakeholders regarding all products approved by the ,food and ,drug ,administration to treat opioid use disorders4 7b7 ,activities ,the activities described in subsection 7a7 may include-- 7#a7 disseminating evidence-based practices for the treatment of opioid use disorders2 7#b7 facilitating continuing education programs for health professionals involved in treating opioid use disorders2 7#c7 increasing awareness among relevant stakeholders of the treatment of opioid use disorders2 7#d7 assessing current barriers to the treatment of opioid use disorders for patients and providers and development and implementation of strategies to mitigate such barriers2 and 7#e7 continuing innovative approaches to the treatment of opioid use disorders in various treatment settings1 such as prisons1 community mental health centers1 primary care1 and hospitals4 7c7 ,report ,not later than #a year after the date of enactment of this ,act1 if the ,secretary carries out the activities under this section1 the ,secretary shall submit to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,energy and ,commerce of the ,house of ,representatives a report that examines-- 7#a7 the activities the ,substance ,abuse and ,mental ,health ,services ,administration conducts under this section1 including any potential impacts on health care costs associated with such activities2 7#b7 the role of adherence in the treatment of opioid use disorders and methods to reduce opioid use disorders2 and 7#c7 recommendations on priorities and strategies to address co-occurring substance use disorders and mental illnesses4 #bjf4 ,examining mental health care for children 7a7 ,in general ,not later than #a year after the date of enactment of this ,act1 the ,comptroller ,general of the ,united ,states shall conduct an independent evaluation1 and submit to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,energy and ,commerce of the ,house of ,representatives1 a report concerning the utilization of mental health services for children1 including the usage of psychotropic medications4 7b7 ,content ,the report submitted under subsection 7a7 shall review and assess-- 7#a7 the ways in which children access mental health care1 including information on whether children are treated by primary care or specialty providers1 what types of referrals for additional care are recommended1 and any barriers to accessing this care2 7#b7 the extent to which children are prescribed psychotropic medications in the ,united ,states including the frequency of concurrent medication usage2 and 7#c7 the tools1 assessments1 and medications that are available and used to diagnose and treat children with mental health disorders4 #bjg4 ,evidence based practices for older adults 7a7 ,geriatric substance use disorders treatment ,section #eji7;e7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#b7;e77 is amended-- 7#a7 by striking ,the ,secretary shall establish and inserting3 7#a7 ,in general ,the ,secretary shall establish 2 and 7#b7 by adding at the end the following3 7#b7 ,geriatric substance use disorders treatment ,the ,secretary shall1 as appropriate1 provide technical assistance to grantees regarding evidence-based practices for the treatment of geriatric substance use disorders1 as well as disseminate information about such evidence-based practices to ,states and nongrantees throughout the ,united ,states4 4 7b7 ,geriatric substance use disorders prevention ,section #eaf7;e7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#bb7;e77 is amended-- 7#a7 by striking ,the ,secretary shall establish and inserting3 7#a7 ,in general ,the ,secretary shall establish 2 and 7#b7 by adding at the end the following3 7#b7 ,geriatric substance use disorders prevention ,the ,secretary shall1 as appropriate1 provide technical assistance to grantees regarding evidence-based practices for the prevention of geriatric substance use disorders1 as well as disseminate information about such evidence-based practices to ,states and nongrantees throughout the ,united ,states4 4 7c7 ,geriatric mental health disorders ,section #ebj;,a7e7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#cb7;e77 is amended by adding at the end the following3 7#c7 ,geriatric mental health disorders ,the ,secretary shall1 as appropriate1 provide technical assistance to grantees regarding evidence-based practices for the prevention and treatment of geriatric mental health disorders1 as well as disseminate information about such evidence-based practices to ,states and nongrantees throughout the ,united ,states4 4 #bjh4 ,national violent death reporting system ,the ,secretary of ,health and ,human ,services1 acting through the ,director of the ,centers for ,disease ,control and ,prevention1 is encouraged to improve1 particularly through the inclusion of additional ,states1 the ,national ,violent ,death ,reporting ,system as authorized by title ,,iii of the ,public ,health ,service ,act4 ,participation in the system by the ,states shall be voluntary4 #bji4 ,,gao study on ,virginia ,tech recommendations 7a7 ,in general ,not later than #a year after the date of enactment of this ,act1 the ,comptroller ,general of the ,united ,states shall conduct an independent evaluation1 and submit to the appropriate committees of ,congress a report concerning the status of implementation of recommendations made in the report to the ,president1 ,on ,issues ,raised by the ,virginia ,tech ,tragedy1 by the ,secretaries of ,health and ,human ,services and ,education and the ,attorney ,general of the ,united ,states1 submitted to the ,president on ,june #ac1 #bjjg4 7b7 ,content ,the report submitted to the committees of ,congress under subsection 7a7 shall review and assess-- 7#a7 the extent to which the recommendations in the report that include participation by the ,department of ,health and ,human ,services were implemented2 7#b7 whether there are any barriers to implementation of such recommendations2 and 7#c7 identification of any additional actions the ,federal government can take to support ,states and local communities and ensure that the ,federal government and ,federal law are not obstacles to addressing at the community level-- 7,a7 school violence2 and 7,b7 mental illness4 #a4 ,short title ,this ,act may be cited as the ,mental ,health ,awareness and ,improvement ,act of #bjac4 ,i ,education programs #aja4 ,short title ,this title may be cited as the ,achievement ,through ,prevention ,act4 #ajb4 ,purpose ,the purpose of this title is to expand the use of positive behavioral interventions and supports and early intervening services in schools in order to improve student academic achievement1 reduce overidentification of individuals with disabilities1 and reduce disciplinary problems in schools4 #ajc4 ,amendments to the ,elementary and ,secondary ,education ,act of #aife 7a7 ,title ,i ,state plans ,section #aaaa7;b7 of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #fcaa7;b77 is amended by adding at the end the following3 7#aa7 ,positive behavioral interventions and supports ,in the case of a ,state that proposes to use funds under this part to support positive behavioral interventions and supports1 the ,state plan shall describe how the ,state educational agency will-- 7,a7 assist local educational agencies in implementing positive behavioral interventions and supports in schools served by the local educational agency on a whole-school basis2 7,b7 provide technical assistance and training to local educational agencies to improve and support the development1 implementation1 and coordination of comprehensive positive behavioral interventions and supports carried out under this ,act with activities carried out under the ,individuals with ,disabilities ,education ,act2 and 7,c7 evaluate the effects of providing positive behavioral interventions and supports for all students1 including improvement of the learning environment1 academic achievement1 disciplinary problems such as incidents of suspensions1 expulsions1 referrals to law enforcement1 and other actions that remove students from instruction1 and any other effects the ,state chooses to evaluate4 7#ab7 ,early intervening services ,in the case of a ,state that proposes to use funds under this part to support early intervening services1 the ,state plan shall describe how the ,state educational agency will-- 7,a7 assist local educational agencies in implementing early intervening services in schools served by the local educational agency to reduce the need to label children as children with disabilities in order to address the learning and behavioral needs of such children2 7,b7 provide technical assistance and training to local educational agencies to improve coordination of early intervening services provided under this ,act with early intervening services carried out under the ,individuals with ,disabilities ,education ,act2 and 7,c7 evaluate the effects of providing early intervening services4 7#ac7 ,crisis management plans ,in the case of a ,state that proposes to use funds under this part to assist local educational agencies in the ,state in periodically updating the crisis management plans1 as described in section #daad7;d77#g77;,d71 of such local educational agencies1 the ,state plan shall describe how the ,state educational agency will assist local educational agencies in updating such crisis management plans4 4 7b7 ,title ,i ,state reports ,section #aaaa7;h77#a77;,c7 of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #fcaa7;h77#a77;,c77 is amended-- 7#a7 in clause 7vii71 by striking and after the semicolon2 7#b7 in clause 7viii71 by striking the period and inserting a semicolon2 and 7#c7 by adding at the end the following3 7ix7 the number of local educational agencies in the ,state that implement positive behavioral interventions and supports2 7x7 the number of students-- 7,i7 who are served through the use of early intervening services2 and 7,,ii7 who1 in the preceding #b-year period1 received early intervening services and who1 after receiving such services1 have been identified as eligible for1 and receive1 special education and related services under part ,b of the ,individuals with ,disabilities ,education ,act2 and 7xi7 the number of local educational agencies in the ,state that implement school-based mental health programs4 4 7c7 ,title ,i local educational agency plans ,section #aaab7;b77#a7 of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #fcab7;b77#a77 is amended-- 7#a7 in subparagraph 7,p71 by striking and after the semicolon2 7#b7 in subparagraph 7,q71 by striking the period and inserting a semicolon2 and 7#c7 by adding at the end the following3 7,r7 if the local educational agency proposes to use subgrant funds under this part for positive behavioral interventions and supports1 a description of the actions the local educational agency will take to provide positive behavioral interventions and supports and coordinate those activities with activities carried out under the ,individuals with ,disabilities ,education ,act2 7,s7 if the local educational agency proposes to use subgrant funds under this part for early intervening services1 a description of the actions the local educational agency will take to provide early intervening services and coordinate those services with early intervening services carried out under the ,individuals with ,disabilities ,education ,act2 7,t7 if the local educational agency proposes to use subgrant funds under this part for school-based mental health programs1 a description of the actions the local educational agency will take to provide school-based mental health programs and coordinate those activities with activities carried out under the ,individuals with ,disabilities ,education ,act2 and 7,u7 if the local educational agency proposes to use subgrant funds under this part for periodically updating the crisis management plan of the local educational agency1 as described in section #daad7;d77#g77;,d71 a description of the actions the local educational agency will take to develop and implement an updated crisis management plan4 4 7d7 ,title ,i schoolwide programs 7#a7 ,schoolwide programs ,section #aaad7;b77#a77;,b77iii77,i7 of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #fcad7;b77#a77;,b77iii77,i77 is amended-- 7,a7 in item 7aa71 by striking and mentoring services and inserting mentoring services1 and school-based mental health programs2 7,b7 by redesignating items 7bb7 and 7cc7 as items 7dd7 and 7ee71 respectively2 and 7,c7 by inserting after item 7aa7 the following3 7bb7 implementation of schoolwide positive behavioral interventions and supports1 including through coordination with activities carried out under the ,individuals with ,disabilities ,education ,act1 in order to improve academic outcomes for students and reduce the need for suspensions1 expulsions1 and other actions that remove students from instruction2 7cc7 implementation of early intervening services1 including through coordination with early intervening services carried out under the ,individuals with ,disabilities ,education ,act2 4 7#b7 ,technical assistance ,section #aaaf7;b77#d77;,b7 of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #fcaf7;b77#d77;,b77 is amended-- 7,a7 by redesignating clauses 7iii7 and 7iv7 as clauses 7iv7 and 7v71 respectively2 and 7,b7 by inserting after clause 7ii7 the following3 7iii7 shall include assistance in the implementation of schoolwide positive behavioral interventions and supports1 school-based mental health programs1 and other approaches with evidence of effectiveness for improving the learning environment in the school and reducing the need for suspensions1 expulsions1 and other actions that remove students from instruction1 including effective strategies for improving coordination of community resources2 4 7e7 ,title ,i assessments and school improvement 7#a7 ,school improvement plan ,section #aaaf7;b77#c77;,a7 of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #fcaf7;b77#c77;,a77 is amended-- 7,a7 in clause 7ix71 by striking and after the semicolon2 7,b7 in clause 7x71 by striking the period and inserting a semicolon2 and 7,c7 by adding at the end the following3 7xi7 specify whether the local educational agency or the school will adopt and implement policies or practices to implement or improve positive behavioral interventions and supports and enhance coordination with activities carried out under the ,individuals with ,disabilities ,education ,act2 7xii7 specify whether the local educational agency or the school will adopt and implement policies or practices to implement or improve early intervening services and coordinate with early intervening services carried out under such ,act2 and 7xiii7 specify whether the local educational agency or school will adopt and implement school-based mental health programs and coordinate with programs carried out under such ,act4 4 7#b7 ,local educational agency improvement plans ,section #aaaf7;c77#aj7 of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #fcaf7;c77#aj77 is amended-- 7,a7 in subparagraph 7,b71 by striking subparagraph 7,e7 and inserting subparagraph 7,f72 7,b7 by redesignating subparagraphs 7,d7 through 7,f7 as subparagraphs 7,e7 through 7,g71 respectively2 and 7,c7 by inserting after subparagraph 7,c7 the following3 7,d7 ,additional activities ,in addition to carrying out #a or more of the corrective actions required under subparagraph 7,c7 for a local educational agency1 the ,state educational agency may also carry out #a or more of the following activities3 7i7 ,improving or expanding positive behavioral interventions and supports and enhancing coordination with activities under the ,individuals with ,disabilities ,education ,act4 7ii7 ,improving or expanding early intervening services and coordinating such services with early intervening services carried out under the ,individuals with ,disabilities ,education ,act4 4 7f7 ,title ,i school support and recognition 7#a7 ,regional centers ,section #aaag7;a77#c7 of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #fcag7;a77#c77 is amended-- 7,a7 by striking of #bjjb and comprehensive and inserting of #bjjb1 comprehensive2 7,b7 by striking and the comprehensive and inserting 1 the comprehensive2 and 7,c7 by inserting and any technical assistance center on schoolwide positive behavioral interventions and supports funded under section #ffe7;b7 of the ,individuals with ,disabilities ,education ,act1 after #bjjb714 7#b7 ,statewide systems for support ,section #aaag7;a77#e77;,b7 of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #fcag7;a77#e77;,b77 is amended-- 7,a7 in clause 7i71 by striking the semicolon at the end and inserting the following3 81 including by improving or expanding the use of positive behavioral interventions and supports aligned with activities carried out under the ,individuals with ,disabilities ,education ,act202 7,b7 in clause 7iii71 by striking and after the semicolon2 7,c7 in clause 7iv71 by striking the period and inserting a semicolon2 and 7,d7 by adding at the end the following3 7v7 review and analyze the school's efforts to identify and assist students with poor academic achievement and students who are children with disabilities1 and assist the school in developing or improving early intervening services that are coordinated with activities carried out under the ,individuals with ,disabilities ,education ,act2 7vi7 review and analyze the school's efforts to address behavioral or disciplinary problems1 and assist the school in developing or improving schoolwide positive behavioral interventions and supports that are coordinated with activities carried out under the ,individuals with ,disabilities ,education ,act2 7vii7 review the number of discipline incidents in the school and use that information to assist the school to implement schoolwide positive behavioral interventions and supports or other early intervening services1 or both2 and 7viii7 review and analyze the school's efforts to address mental health needs among students and assist the school in developing or improving school-based mental health programs that are coordinated with activities carried out under the ,individuals with ,disabilities ,education ,act4 4 7g7 ,title ,i parental involvement ,section #aaah7;e7 of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #fcah7;e77 is amended-- 7#a7 by redesignating paragraphs 7#f7 through 7#ad7 as paragraphs 7#g7 through 7#ae71 respectively2 and 7#b7 by inserting after paragraph 7#e7 the following3 7#f7 shall provide information to school personnel1 students1 and parents about the school's use of positive behavioral interventions and supports1 school-based mental health programs1 and the expectations of school personnel1 students1 and parents in supporting a safe learning environment for all students2 4 7h7 ,prevention and intervention programs ,section #adad7;c77#h7 of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #fdcd7;c77#h77 is amended by inserting 81 including coordinating the use of positive behavioral interventions and supports1 early intervening services1 and school-based mental health programs to improve academic achievement and reduce disciplinary actions0 before the semicolon at the end4 7i7 ,technical assistance ,section #adai of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #fdci7 is amended-- 7#a7 in paragraph 7#a71 by striking and after the semicolon2 7#b7 in paragraph 7#b71 by striking the period and inserting 2 and2 and 7#c7 by adding at the end the following3 7#c7 to provide technical assistance in implementing positive behavioral interventions and supports1 early intervening services1 and school-based mental health programs in order to improve academic achievement and reduce disciplinary actions4 4 7j7 ,title ,,ii mental health professional development ,section #babc of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #ffbc7 is amended-- 7#a7 in subsection 7a71 by inserting after paragraph 7#h7 the following3 7#i7 ,carrying out in-service training for school personnel in-- 7,a7 the techniques and supports needed to identify children with trauma histories1 and children with1 or at risk of1 mental illness1 early2 7,b7 the use of referral mechanisms that effectively link such children to appropriate treatment and intervention services in the school and in the community where appropriate2 and 7,c7 forming partnerships between school-based mental health programs and public or private mental health organizations4 2 7#b7 by redesignating subsection 7b7 as subsection 7c72 and 7#c7 by inserting after subsection 7a7 the following3 7b7 ,liability protection for school personnel ,section #bcff shall apply to school personnel who received in-service training under subsection 7a77#i71 and who are carrying out activities related to such training1 in the same manner as such section applies to teachers4 4 7k7 ,school-based mental health services partnership programs ,section #daba of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #gaca7 is amended-- 7#a7 in subsection 7a7-- 7,a7 in the matter preceding paragraph 7#a71 by inserting 1 health 7including mental health71 after promote safety2 7,b7 by redesignating paragraphs 7#c7 through 7#h7 and 7#i7 as paragraphs 7#d7 through 7#i7 and 7#aa71 respectively2 7,c7 by inserting after paragraph 7#b7 the following3 7#c7 the development and implementation of school-based mental health services partnership programs under subsection 7c72 2 7,d7 by striking paragraph 7#g71 as redesignated by subparagraph 7,b71 and inserting the following3 7#g7 assistance to school systems that have particularly severe drug and violence problems or assistance to support appropriate response efforts to crisis situations1 including-- 7,a7 hiring drug prevention and school safety coordinators2 and 7,b7 making available to students mental health services1 conflict resolution programs1 and other school-based violence prevention strategies2 2 7,e7 in paragraph 7#i71 as redesignated by subparagraph 7,b71 by striking and after the semicolon2 and 7,f7 by inserting after such paragraph 7#i7 the following3 7#aj7 assistance to ,states to help local educational agencies develop and implement comprehensive emergency management plans2 and 2 and 7#b7 by adding at the end the following3 7c7 ,school-based mental health services partnership programs 7#a7 ,in general ,each grant1 contract1 or cooperative agreement awarded or entered into under subsection 7a77#c7 shall meet the requirements of this subsection4 7#b7 ,eligibility 7,a7 ,in general ,to be eligible to receive a grant1 contract1 or cooperative agreement under this subsection1 a local educational agency shall enter into a school-based mental health partnership that-- 7i7 shall include a public or private mental health entity or health care entity2 and 7ii7 may include a child welfare agency1 family-based mental health entity1 family organization1 trauma network1 or other community-based entity4 7,b7 ,flexibility for certain local educational agencies ,notwithstanding subparagraph 7,a71 a local educational agency that is eligible for services under subpart #a or #b of part ,b of title ,,vi1 as determined by the ,secretary1 and that is unable to partner with a public or private mental health entity or health care entity shall be eligible for a grant under this subsection if the local educational agency can demonstrate to the ,secretary1 in its application for a grant under this subsection1 that the local educational agency can otherwise build the capacity to carry out the requirements of this subsection4 7#c7 ,application ,a local educational agency that desires a grant1 contract1 or cooperative agreement under this subsection shall include1 in the application required by the ,secretary1 a description of how the local educational agency will-- 7,a7 assist schools served by the local educational agency to provide1 through the school-based mental health services partnership program1 comprehensive school-based mental health services and supports and comprehensive staff development for school and community service personnel working in the school2 7,b7 provide technical assistance and training to improve and support the development1 implementation1 and coordination of school-based mental health programs and ensure such programs are coordinated with activities carried out under the ,individuals with ,disabilities ,education ,act2 and 7,c7 evaluate the effects of providing school-based mental health programs4 7#d7 ,use of funds ,a local educational agency receiving a grant1 contract1 or cooperative agreement under this subsection shall use funds provided under such grant1 contract1 or cooperative agreement to provide school-based mental health services and supports that-- 7,a7 may include-- 7i7 the early identification of social1 emotional1 or behavioral problems1 or substance use disorders1 and the provision of early intervening services2 7ii7 not withstanding section #daed1 the treatment or referral for treatment of students with social1 emotional1 or behavioral health problems1 or substance use disorders2 7iii7 the development and implementation of programs to assist children in dealing with trauma and violence2 and 7iv7 the development of mechanisms1 based on best practices1 for children to report incidents of violence or plans by other children or adults to commit violence2 7,b7 are based on trauma-informed and evidence-based practices2 7,c7 are coordinated1 where appropriate1 with early intervening services carried out under the ,individuals with ,disabilities ,education ,act2 and 7,d7 are provided by qualified mental and behavioral health professionals who are certified or licensed by the ,state involved and practicing within their area of expertise4 7#e7 ,general requirements 7,a7 ,parental consent 7i7 ,in general ,each local educational agency receiving a grant1 contract1 or cooperative agreement under this subsection shall obtain prior written1 informed consent from the parent of each child who is under #ah years of age to participate in any assessment service1 program1 activity1 or treatment that is-- 7,i7 funded under this subsection2 and 7,,ii7 conducted in connection with an elementary school or secondary school under the grant1 contract1 or cooperative agreement4 7ii7 ,exception ,notwithstanding clause 7i71 the written1 informed consent described in such clause shall not be required in-- 7,i7 an emergency1 where it is necessary to protect the immediate health and safety of the student1 other students1 or school personnel2 or 7,,ii7 other instances where parental consent cannot reasonably be obtained1 as defined by the ,secretary4 7,b7 ,prohibition on mandatory medication ,no child shall be required to obtain a prescription for a substance covered by the ,controlled ,substances ,act 7#ba ,u4,s4,c4 #hja et seq47 as a condition of receiving an evaluation under this subsection1 receiving services under this subsection1 or attending a school receiving assistance under this subsection4 7,c7 ,privacy ,each local educational agency receiving a grant1 contract1 or cooperative agreement under this subsection shall ensure that student mental health records are accorded the privacy protections provided under the regulations promulgated under section #bfd7;c7 of the ,health ,insurance ,portability and ,accountability ,act of #aiif 7,public ,law #ajd-aia2 #aaj ,stat4 #bjcc7 and section #ddd of the ,general ,education ,provisions ,act 7#bj ,u4,s4,c4 #abcb;g7 7commonly referred to as the ,family ,educational ,rights and ,privacy ,act of #aigd74 7#f7 ,liability protection for school personnel ,section #bcff shall apply to school personnel providing services under a grant1 contract1 or cooperative agreement under this subsection in the same manner as such section applies to teachers4 7#g7 ,prohibition against ,federal mandates1 direction1 or control or ,federal regulation ,in addition to the prohibition of ,federal ,government control of a ,state1 local educational agency1 or school's curriculum or program of instruction that is provided under section #iebg7;a71 nothing in this subsection shall be construed to authorize an officer or employee of the ,federal ,government to mandate1 direct1 or control a ,state1 local educational agency1 or school's specific instructional content or academic achievement standards and assessments4 4 7l7 ,definition ,section #iaja of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #ghja7 is amended-- 7#a7 by redesignating paragraphs 7#ag7 through 7#dc7 as paragraphs 7#ah7 through 7#dd71 respectively2 and 7#b7 by inserting after paragraph 7#af7 the following3 7#ag7 ,early intervening services ,the term early intervening services means early intervening services described in section #fac7;f77#a7 of the ,individuals with ,disabilities ,education ,act4 4 #ajd4 ,conforming amendments 7a7 ,america ,,competes ,reauthorization ,act of #bjaj ,section #eec7;d77#f7 of the ,america ,,competes ,reauthorization ,act of #bjaj 7#bj ,u4,s4,c4 #iijc7;d77#f77 is amended by striking section #iaja7bc7 and inserting section #iaja7bd74 7b7 ,higher ,education ,act of #aife ,section #bee7k7 of the ,higher ,education ,act of #aife is amended-- 7#a7 in paragraph 7#a71 by striking section #iaja7bc77;,b77ii7 and inserting section #iaja7bd77;,b77ii72 and 7#b7 in paragraph 7#c71 by striking section #iaja7bc7 and inserting section #iaja7bd74 7c7 ,individuals with ,disabilities ,education ,act ,section #fjb7aj7 of the ,individuals with ,disabilities ,education ,act 7#bj ,u4,s4,c4 #adja7aj77 is amended-- 7#a7 in subparagraph 7,c77ii71 by striking section #iaja7bc7 and inserting section #iaja7bd72 and 7#b7 in each of clauses 7ii7 and 7iii7 of subparagraph 7,d71 by striking section #iaja7bc77;,c77ii7 and inserting section #iaja7bd77;,c77ii74 ,,ii ,health programs #bja4 ,garrett ,lee ,smith ,memorial ,act reauthorization 7a7 ,suicide prevention technical assistance center ,section #ebj;,c of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#cd7 is amended-- 7#a7 in the section heading1 by striking the section heading and inserting ,suicide prevention technical assistance center42 7#b7 in subsection 7a71 by striking and in consultation with and all that follows through the period at the end of paragraph 7#b7 and inserting shall establish a research1 training1 and technical assistance resource center to provide appropriate information1 training1 and technical assistance to ,states1 political subdivisions of ,states1 federally recognized ,indian tribes1 tribal organizations1 institutions of higher education1 public organizations1 or private nonprofit organizations regarding the prevention of suicide among all ages1 particularly among groups that are at high risk for suicide42 7#c7 by striking subsections 7b7 and 7c72 7#d7 by redesignating subsection 7d7 as subsection 7b72 7#e7 in subsection 7b71 as so redesignated-- 7,a7 by striking the subsection heading and inserting ,responsibilities of the center42 7,b7 in the matter preceding paragraph 7#a71 by striking ,the additional research and all that follows through nonprofit organizations for and inserting ,the center established under subsection 7a7 shall conduct activities for the purpose of2 7,c7 by striking youth suicide each place such term appears and inserting suicide2 7,d7 in paragraph 7#a7-- 7i7 by striking the development or continuation of and inserting developing and continuing2 and 7ii7 by inserting for all ages1 particularly among groups that are at high risk for suicide before the semicolon at the end2 7,e7 in paragraph 7#b71 by inserting for all ages1 particularly among groups that are at high risk for suicide before the semicolon at the end2 7,f7 in paragraph 7#c71 by inserting and tribal after statewide2 7,g7 in paragraph 7#e71 by inserting and prevention after intervention2 7,h7 in paragraph 7#h71 by striking in youth2 7,i7 in paragraph 7#i71 by striking and behavioral health and inserting health and substance use disorder2 and 7,j7 in paragraph 7#aj71 by inserting conducting before other2 and 7#f7 by striking subsection 7e7 and inserting the following3 7c7 ,authorization of appropriations ,for the purpose of carrying out this section1 there are authorized to be appropriated #d1idh1jjj for each of fiscal years #bjad through #bjah4 4 7b7 ,youth suicide early intervention and prevention strategies ,section #ebj;,e of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#cf7 is amended-- 7#a7 in paragraph 7#a7 of subsection 7a7 and in subsection 7c71 by striking substance abuse each place such term appears and inserting substance use disorder2 7#b7 in subsection 7b77#b7-- 7,a7 by striking each ,state is awarded only #a grant or cooperative agreement under this section and inserting a ,state does not receive more than #a grant or cooperative agreement under this section at any #a time2 and 7,b7 by striking been awarded and inserting received2 and 7#c7 by striking subsection 7m7 and inserting the following3 7m7 ,authorization of appropriations ,for the purpose of carrying out this section1 there are authorized to be appropriated #bi1fhb1jjj for each of fiscal years #bjad through #bjah4 4 7c7 ,mental health and substance use disorder services ,section #ebj;,e-#b of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#cf;b7 is amended-- 7#a7 in the section heading1 by striking and behavioral health and inserting health and substance use disorder services2 7#b7 in subsection 7a7-- 7,a7 by striking ,services1 and inserting ,services and2 7,b7 by striking and behavioral health problems and inserting health or substance use disorders2 and 7,c7 by striking substance abuse and inserting substance use disorders2 7#c7 in subsection 7b7-- 7,a7 in the matter preceding paragraph 7#a71 by striking for-- and inserting for one or more of the following32 and 7,b7 by striking paragraphs 7#a7 through 7#f7 and inserting the following3 7#a7 ,educating students1 families1 faculty1 and staff to increase awareness of mental health and substance use disorders4 7#b7 ,the operation of hotlines4 7#c7 ,preparing informational material4 7#d7 ,providing outreach services to notify students about available mental health and substance use disorder services4 7#e7 ,administering voluntary mental health and substance use disorder screenings and assessments4 7#f7 ,supporting the training of students1 faculty1 and staff to respond effectively to students with mental health and substance use disorders4 7#g7 ,creating a network infrastructure to link colleges and universities with health care providers who treat mental health and substance use disorders4 2 7#d7 in subsection 7c77#e71 by striking substance abuse and inserting substance use disorder2 7#e7 in subsection 7d7-- 7,a7 in the matter preceding paragraph 7#a71 by striking ,an institution of higher education desiring a grant under this section and inserting ,to be eligible to receive a grant under this section1 an institution of higher education2 7,b7 in paragraph 7#a7-- 7i7 by striking and behavioral health and inserting health and substance use disorder2 and 7ii7 by inserting 1 including veterans whenever possible and appropriate1 after students2 and 7,c7 in paragraph 7#b71 by inserting 1 which may include1 as appropriate and in accordance with subsection 7b77#g71 a plan to seek input from relevant stakeholders in the community1 including appropriate public and private entities1 in order to carry out the program under the grant before the period at the end2 7#f7 in subsection 7e77#a71 by striking and behavioral health problems and inserting health and substance use disorders2 7#g7 in subsection 7f77#b7-- 7,a7 by striking and behavioral health and inserting health and substance use disorder2 and 7,b7 by striking suicide and substance abuse and inserting suicide and substance use disorders2 and 7#h7 in subsection 7h71 by striking #e1jjj1jjj for fiscal year #bjje and all that follows through the period at the end and inserting #d1heh1jjj for each of fiscal years #bjad through #bjah44 #bjb4 ,mental health awareness training grants ,section #ebj;,j of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#da7 is amended-- 7#a7 in the section heading1 by inserting ,mental health awareness before ,training2 and 7#b7 in subsection 7b7-- 7,a7 in the subsection heading1 by striking illness and inserting health2 7,b7 in paragraph 7#a71 by inserting and other categories of individuals1 as determined by the ,secretary1 after emergency services personnel2 7,c7 in paragraph 7#e7-- 7i7 in the matter preceding subparagraph 7,a71 by striking to and inserting for evidence-based programs for the purpose of2 and 7ii7 by striking subparagraphs 7,a7 through 7,c7 and inserting the following3 7,a7 recognizing the signs and symptoms of mental illness2 and 7,b7 7i7 providing education to personnel regarding resources available in the community for individuals with a mental illness and other relevant resources2 or 7ii7 the safe de-escalation of crisis situations involving individuals with a mental illness4 2 and 7,d7 in paragraph 7#g71 by striking 1 #be1jjj1jjj and all that follows through the period at the end and inserting #bj1jjj1jjj for each of fiscal years #bjad through #bjah4 #bjc4 ,children's recovery from trauma ,section #ehb of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;hh-#a7 is amended-- 7#a7 in subsection 7a71 by striking developing programs and all that follows and inserting 8developing and maintaining programs that provide for-- 7#a7 the continued operation of the ,national ,child ,traumatic ,stress ,initiative 7referred to in this section as the ,,nctsi71 which includes a coordinating center1 that focuses on the mental1 behavioral1 and biological aspects of psychological trauma response2 and 7#b7 the development of knowledge with regard to evidence-based practices for identifying and treating mental1 behavioral1 and biological disorders of children and youth resulting from witnessing or experiencing a traumatic event4 2 7#b7 in subsection 7b7-- 7,a7 by striking subsection 7a7 related and inserting subsection 7a77#b7 7related2 7,b7 by striking treating disorders associated with psychological trauma and inserting treating mental1 behavioral1 and biological disorders associated with psychological trauma72 and 7,c7 by striking mental health agencies and programs that have established clinical and basic research and inserting universities1 hospitals1 mental health agencies1 and other programs that have established clinical expertise and research2 7#c7 by redesignating subsections 7c7 through 7g7 as subsections 7g7 through 7k71 respectively2 7#d7 by inserting after subsection 7b71 the following3 7c7 ,child outcome data ,the ,,nctsi coordinating center shall collect1 analyze1 and report ,,nctsi-wide child treatment process and outcome data regarding the early identification and delivery of evidence-based treatment and services for children and families served by the ,,nctsi grantees4 7d7 ,training ,the ,,nctsi coordinating center shall facilitate the coordination of training initiatives in evidence-based and trauma-informed treatments1 interventions1 and practices offered to ,,nctsi grantees1 providers1 and partners4 7e7 ,dissemination ,the ,,nctsi coordinating center shall1 as appropriate1 collaborate with the ,secretary in the dissemination of evidence-based and trauma-informed interventions1 treatments1 products and other resources to appropriate stakeholders4 7f7 ,review ,the ,secretary shall1 consistent with the peer review process1 ensure that ,,nctsi applications are reviewed by appropriate experts in the field as part of a consensus review process4 ,the ,secretary shall include review criteria related to expertise and experience in child trauma and evidence-based practices4 2 7#e7 in subsection 7g7 7as so redesignated71 by striking with respect to centers of excellence are distributed equitably among the regions of the country and inserting are distributed equitably among the regions of the ,united ,states2 7#f7 in subsection 7i7 7as so redesignated71 by striking recipient may not exceed #e years and inserting recipient shall not be less than #d years1 but shall not exceed #e years2 and 7#g7 in subsection 7j7 7as so redesignated71 by striking #ej1jjj1jjj and all that follows through #bjjf and inserting #de1gac1jjj for each of fiscal years #bjad through #bjah4 #bjd4 ,assessing barriers to behavioral health integration 7a7 ,in general ,not later than #b years after the date of enactment of this ,act1 the ,comptroller ,general of the ,united ,states shall submit a report to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,energy and ,commerce of the ,house of ,representatives concerning ,federal requirements that impact access to treatment of mental health and substance use disorders related to integration with primary care1 administrative and regulatory issues1 quality measurement and accountability1 and data sharing4 7b7 ,contents ,the report submitted under subsection 7a7 shall include the following3 7#a7 ,an evaluation of the administrative or regulatory burden on behavioral healthcare providers4 7#b7 ,the identification of outcome and quality measures relevant to integrated health care1 evaluation of the data collection burden on behavioral healthcare providers1 and any alternative methods for evaluation4 7#c7 ,an analysis of the degree to which electronic data standards1 including interoperability and meaningful use includes behavioral health measures1 and an analysis of strategies to address barriers to health information exchange posed by part #b of title #db1 ,code of ,federal ,regulations4 7#d7 ,an analysis of the degree to which ,federal rules and regulations for behavioral and physical health care are aligned1 including recommendations to address any identified barriers4 #bje4 ,increasing education and awareness of treatments for opioid use disorders 7a7 ,in general ,in order to improve the quality of care delivery and treatment outcomes among patients with opioid use disorders1 the ,secretary of ,health and ,human ,services 7referred to in this section as the ,secretary71 acting through the ,administrator for the ,substance ,abuse and ,mental ,health ,services ,administration1 may advance1 through existing programs as appropriate1 the education and awareness of providers1 patients1 and other appropriate stakeholders regarding all products approved by the ,food and ,drug ,administration to treat opioid use disorders4 7b7 ,activities ,the activities described in subsection 7a7 may include-- 7#a7 disseminating evidence-based practices for the treatment of opioid use disorders2 7#b7 facilitating continuing education programs for health professionals involved in treating opioid use disorders2 7#c7 increasing awareness among relevant stakeholders of the treatment of opioid use disorders2 7#d7 assessing current barriers to the treatment of opioid use disorders for patients and providers and development and implementation of strategies to mitigate such barriers2 and 7#e7 continuing innovative approaches to the treatment of opioid use disorders in various treatment settings1 such as prisons1 community mental health centers1 primary care1 and hospitals4 7c7 ,report ,not later than #a year after the date of enactment of this ,act1 if the ,secretary carries out the activities under this section1 the ,secretary shall submit to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,energy and ,commerce of the ,house of ,representatives a report that examines-- 7#a7 the activities the ,substance ,abuse and ,mental ,health ,services ,administration conducts under this section1 including any potential impacts on health care costs associated with such activities2 7#b7 the role of adherence in the treatment of opioid use disorders and methods to reduce opioid use disorders2 and 7#c7 recommendations on priorities and strategies to address co-occurring substance use disorders and mental illnesses4 #bjf4 ,examining mental health care for children 7a7 ,in general ,not later than #a year after the date of enactment of this ,act1 the ,comptroller ,general of the ,united ,states shall conduct an independent evaluation1 and submit to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,energy and ,commerce of the ,house of ,representatives1 a report concerning the utilization of mental health services for children1 including the usage of psychotropic medications4 7b7 ,content ,the report submitted under subsection 7a7 shall review and assess-- 7#a7 the ways in which children access mental health care1 including information on whether children are treated by primary care or specialty providers1 what types of referrals for additional care are recommended1 and any barriers to accessing this care2 7#b7 the extent to which children are prescribed psychotropic medications in the ,united ,states including the frequency of concurrent medication usage2 and 7#c7 the tools1 assessments1 and medications that are available and used to diagnose and treat children with mental health disorders4 #bjg4 ,evidence based practices for older adults ,section #ebj;,a7e7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#cb7;e77 is amended by adding at the end the following3 7#c7 ,geriatric mental health disorders ,the ,secretary shall1 as appropriate1 provide technical assistance to grantees regarding evidence-based practices for the prevention and treatment of geriatric mental health disorders and co-occurring mental health and substance use disorders among geriatric populations1 as well as disseminate information about such evidence-based practices to ,states and nongrantees throughout the ,united ,states4 4 #bjh4 ,national violent death reporting system ,the ,secretary of ,health and ,human ,services1 acting through the ,director of the ,centers for ,disease ,control and ,prevention1 is encouraged to improve1 particularly through the inclusion of additional ,states1 the ,national ,violent ,death ,reporting ,system as authorized by title ,,iii of the ,public ,health ,service ,act4 ,participation in the system by the ,states shall be voluntary4 #bji4 ,,gao study on ,virginia ,tech recommendations 7a7 ,in general ,not later than #a year after the date of enactment of this ,act1 the ,comptroller ,general of the ,united ,states shall conduct an independent evaluation1 and submit to the appropriate committees of ,congress a report concerning the status of implementation of recommendations made in the report to the ,president1 ,on ,issues ,raised by the ,virginia ,tech ,tragedy1 by the ,secretaries of ,health and ,human ,services and ,education and the ,attorney ,general of the ,united ,states1 submitted to the ,president on ,june #ac1 #bjjg4 7b7 ,content ,the report submitted to the committees of ,congress under subsection 7a7 shall review and assess-- 7#a7 the extent to which the recommendations in the report that include participation by the ,department of ,health and ,human ,services were implemented2 7#b7 whether there are any barriers to implementation of such recommendations2 and 7#c7 identification of any additional actions the ,federal government can take to support ,states and local communities and ensure that the ,federal government and ,federal law are not obstacles to addressing at the community level-- 7,a7 school violence2 and 7,b7 mental illness4 ,april #aa1 #bjac ,reported with an amendment