,,ii  ,cal5d> ,no4 #cg  #aac? ,,congress
  #a/ ,session  ,s4 #fhi  ,,9 ,,!       
,,s5ate ,,( ,,! ,,unit$ ,,/ates  ,april 
#i1 #bjac ,mr4 ,h>k9 7= himself1 ,mr4   
,alex&]1 ,mr4 ,frank51 ,mr4 ,enzi1 ,mr4 
,b5net1 ,ms4 ,murk[ski1 ,ms4 ,baldw91   
,mr4 ,rob]ts1 ,mrs4 ,hagan1 ,mr4        
,isakson1 ,mr4 ,murphy1 & ,mr4 ,kirk7   
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,april #aa1 #bjac ,report$ by ,mr4      
,h>k91 ) an am5dm5t ,/rike out all aft] 
! enact+ clause & ins]t ! "p pr9t$ 9    
italic  ,a ,,bill  ,to reau?orize &     
improve programs relat$ to m5tal heal? &
 sub/ance use disord]s4  #a4 ,%ort title
 ,?is ,act may be cit$ z ! ,m5tal ,heal?
 ,aw>5ess & ,improvem5t ,act ( #bjac4   
,i ,education programs  #aja4 ,%ort     
title ,?is title may be cit$ z !        
,a*ievem5t ,?r\gh ,prev5tion ,act4      
#ajb4 ,purpose ,! purpose ( ?is title is
 to exp& ! use ( positive behavioral    
int]v5tions & supports & e>ly int]v5+   

s]vices 9 s*ools 9 ord] to improve /ud5t
 academic a*ievem5t1 r$uce              
ov]id5tification ( individuals )        
disabilities1 & r$uce discipl9>y        
problems 9 s*ools4  #ajc4 ,am5dm5ts to !
 ,elem5t>y & ,second>y ,education ,act (
 #aife  7a7 ,title ,i ,/ate plans       
,section #aaaa7;b7 ( ! ,elem5t>y &      
,second>y ,education ,act ( #aife 7#bj  
,u4,s4,c4 #fcaa7;b77 is am5d$ by add+ at
 ! end ! foll[+3  7#aa7 ,positive       
behavioral int]v5tions & supports ,9 !  
case ( a ,/ate t proposes to use funds  
"u ?is "p to support positive behavioral
 int]v5tions & supports1 ! ,/ate plan   
%all describe h[ ! ,/ate educational    
ag5cy w--  7,a7 assi/ local educational 
ag5cies 9 implem5t+ positive behavioral 
int]v5tions & supports 9 s*ools s]v$ by 
! local educational ag5cy on a          
:ole-s*ool basis2  7,b7 provide te*nical
 assi/ance & tra9+ to local educational 
ag5cies to improve & support !          
developm5t1 implem5tation1 & coord9ation
 ( compreh5sive positive behavioral     

int]v5tions & supports c>ri$ out "u ?is 
,act ) activities c>ri$ out "u !        
,individuals ) ,disabilities ,education 
,act2 &  7,c7 evaluate ! effects (      
provid+ positive behavioral int]v5tions 
& supports = all /ud5ts1 includ+        
improvem5t ( ! le>n+ environm5t1        
academic a*ievem5t1 discipl9>y problems 
su* z incid5ts ( susp5sions1 expulsions1
 ref]rals to law en=cem5t1 & o!r actions
 t remove /ud5ts f in/ruction1 & any o!r
 effects ! ,/ate *ooses to evaluate4    
7#ab7 ,e>ly int]v5+ s]vices ,9 ! case ( 
a ,/ate t proposes to use funds "u ?is  
"p to support e>ly int]v5+ s]vices1 !   
,/ate plan %all describe h[ ! ,/ate     
educational ag5cy w--  7,a7 assi/ local 
educational ag5cies 9 implem5t+ e>ly    
int]v5+ s]vices 9 s*ools s]v$ by ! local
 educational ag5cy to r$uce ! ne$ to    
label *ildr5 z *ildr5 ) disabilities 9  
ord] to address ! le>n+ & behavioral    
ne$s ( su* *ildr52  7,b7 provide        
te*nical assi/ance & tra9+ to local     
educational ag5cies to improve          

coord9ation ( e>ly int]v5+ s]vices      
provid$ "u ?is ,act ) e>ly int]v5+      
s]vices c>ri$ out "u ! ,individuals )   
,disabilities ,education ,act2 &  7,c7  
evaluate ! effects ( provid+ e>ly       
int]v5+ s]vices4  7#ac7 ,crisis         
managem5t plans ,9 ! case ( a ,/ate t   
proposes to use funds "u ?is "p to assi/
 local educational ag5cies 9 ! ,/ate 9  
p]iodically updat+ ! crisis managem5t   
plans1 z describ$ 9 section             
#daad7;d77#g77;,d71 ( su* local         
educational ag5cies1 ! ,/ate plan %all  
describe h[ ! ,/ate educational ag5cy w 
assi/ local educational ag5cies 9 updat+
 su* crisis managem5t plans4  4  7b7    
,title ,i ,/ate reports ,section        
#aaaa7;h77#a77;,c7 ( ! ,elem5t>y &      
,second>y ,education ,act ( #aife 7#bj  
,u4,s4,c4 #fcaa7;h77#a77;,c77 is am5d$--
  7#a7 9 clause 7vii71 by /rik+ & aft] !
 semicolon2  7#b7 9 clause 7viii71 by   
/rik+ ! p]iod & ins]t+ a semicolon2 &   
7#c7 by add+ at ! end ! foll[+3  7ix7 ! 
numb] ( local educational ag5cies 9 !   

,/ate t implem5t positive behavioral    
int]v5tions & supports2  7x7 ! numb] (  
/ud5ts--  7,i7 :o are s]v$ ?r\gh ! use (
 e>ly int]v5+ s]vices2 &  7,,ii7 :o1 9 !
 prec$+ #b-ye> p]iod1 receiv$ e>ly      
int]v5+ s]vices & :o1 aft] receiv+ su*  
s]vices1 h be5 id5tifi$ z eligible =1 & 
receive1 special education & relat$     
s]vices "u "p ,b ( ! ,individuals )     
,disabilities ,education ,act2 &  7xi7 !
 numb] ( local educational ag5cies 9 !  
,/ate t implem5t s*ool-bas$ m5tal heal? 
programs4  4  7c7 ,title ,i local       
educational ag5cy plans ,section        
#aaab7;b77#a7 ( ! ,elem5t>y & ,second>y 
,education ,act ( #aife 7#bj ,u4,s4,c4  
#fcab7;b77#a77 is am5d$--  7#a7 9       
subp>agraph 7,p71 by /rik+ & aft] !     
semicolon2  7#b7 9 subp>agraph 7,q71 by 
/rik+ ! p]iod & ins]t+ a semicolon2 &   
7#c7 by add+ at ! end ! foll[+3  7,r7 if
 ! local educational ag5cy proposes to  
use subgrant funds "u ?is "p = positive 
behavioral int]v5tions & supports1 a    
description ( ! actions ! local         

educational ag5cy w take to provide     
positive behavioral int]v5tions &       
supports & coord9ate ^? activities )    
activities c>ri$ out "u ! ,individuals )
 ,disabilities ,education ,act2  7,s7 if
 ! local educational ag5cy proposes to  
use subgrant funds "u ?is "p = e>ly     
int]v5+ s]vices1 a description ( !      
actions ! local educational ag5cy w take
 to provide e>ly int]v5+ s]vices &      
coord9ate ^? s]vices ) e>ly int]v5+     
s]vices c>ri$ out "u ! ,individuals )   
,disabilities ,education ,act2  7,t7 if 
! local educational ag5cy proposes to   
use subgrant funds "u ?is "p =          
s*ool-bas$ m5tal heal? programs1 a      
description ( ! actions ! local         
educational ag5cy w take to provide     
s*ool-bas$ m5tal heal? programs &       
coord9ate ^? activities ) activities    
c>ri$ out "u ! ,individuals )           
,disabilities ,education ,act2 &  7,u7  
if ! local educational ag5cy proposes to
 use subgrant funds "u ?is "p =         
p]iodically updat+ ! crisis managem5t   

plan ( ! local educational ag5cy1 z     
describ$ 9 section #daad7;d77#g77;,d71 a
 description ( ! actions ! local        
educational ag5cy w take to develop &   
implem5t an updat$ crisis managem5t     
plan4  4  7d7 ,title ,i s*oolwide       
programs  7#a7 ,s*oolwide programs      
,section #aaad7;b77#a77;,b77iii77,i7 ( !
 ,elem5t>y & ,second>y ,education ,act (
 #aife 7#bj ,u4,s4,c4                   
#fcad7;b77#a77;,b77iii77,i77 is am5d$-- 
7,a7 9 item 7aa71 by ins]t+ & s*ool-bas$
 m5tal heal? programs aft] s]vices2     
7,b7 by r$esignat+ items 7bb7 & 7cc7 z  
items 7dd7 & 7ee71 respectively2 &  7,c7
 by ins]t+ aft] item 7aa7 ! foll[+3     
7bb7 implem5tation ( s*oolwide positive 
behavioral int]v5tions & supports1      
includ+ ?r\gh coord9ation ) activities  
c>ri$ out "u ! ,individuals )           
,disabilities ,education ,act1 9 ord] to
 improve academic outcomes = /ud5ts &   
r$uce ! ne$ = susp5sions1 expulsions1 & 
o!r actions t remove /ud5ts f           
in/ruction2  7cc7 implem5tation ( e>ly  

int]v5+ s]vices1 includ+ ?r\gh          
coord9ation ) e>ly int]v5+ s]vices c>ri$
 out "u ! ,individuals ) ,disabilities  
,education ,act2  4  7#b7 ,te*nical     
assi/ance ,section #aaaf7;b77#d77;,b7 ( 
! ,elem5t>y & ,second>y ,education ,act 
( #aife 7#bj ,u4,s4,c4                  
#fcaf7;b77#d77;,b77 is am5d$--  7,a7 by 
r$esignat+ clauses 7iii7 & 7iv7 z       
clauses 7iv7 & 7v71 respectively2 &     
7,b7 by ins]t+ aft] clause 7ii7 !       
foll[+3  7iii7 %all include assi/ance 9 
! implem5tation ( s*oolwide positive    
behavior supports1 s*ool-bas$ m5tal     
heal? programs1 & o!r approa*es )       
evid5ce ( effectiv5ess = improv+ ! le>n+
 environm5t 9 ! s*ool & r$uc+ ! ne$ =   
susp5sions1 expulsions1 & o!r actions t 
remove /ud5ts f in/ruction1 includ+     
effective /rategies = improv+           
coord9ation ( community res\rces2  4    
7e7 ,title ,i assessm5ts & s*ool        
improvem5t  7#a7 ,s*ool improvem5t plan 
,section #aaaf7;b77#c77;,a7 ( !         
,elem5t>y & ,second>y ,education ,act ( 

#aife 7#bj ,u4,s4,c4 #fcaf7;b77#c77;,a77
 is am5d$--  7,a7 9 clause 7ix71 by     
/rik+ & aft] ! semicolon2  7,b7 9 clause
 7x71 by /rik+ ! p]iod & ins]t+ a       
semicolon2 &  7,c7 by add+ at ! end !   
foll[+3  7xi7 specify :e!r ! local      
educational ag5cy or ! s*ool w adopt &  
implem5t policies or practices to       
implem5t or improve positive behavioral 
int]v5tions & supports & enhance        
coord9ation ) activities c>ri$ out "u ! 
,individuals ) ,disabilities ,education 
,act2  7xii7 specify :e!r ! local       
educational ag5cy or ! s*ool w adopt &  
implem5t policies or practices to       
implem5t or improve e>ly int]v5+ s]vices
 & coord9ate ) e>ly int]v5+ s]vices     
c>ri$ out "u su* ,act2 &  7xiii7 specify
 :e!r ! local educational ag5cy or s*ool
 w adopt & implem5t s*ool-bas$ m5tal    
heal? programs & coord9ate ) programs   
c>ri$ out "u su* ,act4  4  7#b7 ,local  
educational ag5cy improvem5t plans      
,section #aaaf7;c77#aj7 ( ! ,elem5t>y & 
,second>y ,education ,act ( #aife 7#bj  

,u4,s4,c4 #fcaf7;c77#aj77 is am5d$--    
7,a7 9 subp>agraph 7,b71 by /rik+       
subp>agraph 7,e7 & ins]t+ subp>agraph   
7,f72  7,b7 by r$esignat+ subp>agraphs  
7,d7 ?r\gh 7,f7 z subp>agraphs 7,e7     
?r\gh 7,g71 respectively2 &  7,c7 by    
ins]t+ aft] subp>agraph 7,c7 ! foll[+3  
7,d7 ,additional activities ,9 addition 
to c>ry+ out #a or m ( ! corrective     
actions requir$ "u subp>agraph 7,c7 = a 
local educational ag5cy1 ! ,/ate        
educational ag5cy may also c>ry out #a  
or m ( ! foll[+ activities3  7i7        
,improv+ or exp&+ positive behavioral   
int]v5tions & supports & enhanc+        
coord9ation ) activities "u !           
,individuals ) ,disabilities ,education 
,act4  7ii7 ,improv+ or exp&+ e>ly      
int]v5+ s]vices & coord9at+ su* s]vices 
) e>ly int]v5+ s]vices c>ri$ out "u !   
,individuals ) ,disabilities ,education 
,act4  4  7f7 ,title ,i s*ool support & 
recognition  7#a7 ,regional c5t]s       
,section #aaag7;a77#c7 ( ! ,elem5t>y &  
,second>y ,education ,act ( #aife 7#bj  

,u4,s4,c4 #fcag7;a77#c77 is am5d$--     
7,a7 by /rik+ ( #bjjb & compreh5sive &  
ins]t+ ( #bjjb1 compreh5sive2  7,b7 by  
/rik+ & ! compreh5sive & ins]t+ 1 !     
compreh5sive2 &  7,c7 by ins]t+ & any   
te*nical assi/ance c5t] on s*oolwide    
positive behavioral int]v5tions &       
supports fund$ "u section #ffe7;b7 ( !  
,individuals ) ,disabilities ,education 
,act1 aft] #bjjb714  7#b7 ,/atewide     
sy/ems = support ,section               
#aaag7;a77#e77;,b7 ( ! ,elem5t>y &      
,second>y ,education ,act ( #aife 7#bj  
,u4,s4,c4 #fcag7;a77#e77;,b77 is am5d$--
  7,a7 9 clause 7i71 by /rik+ !         
semicolon at ! end & ins]t+ ! foll[+3 81
 includ+ by improv+ or exp&+ ! use (    
positive behavioral int]v5tions &       
supports align$ ) activities c>ri$ out  
"u ! ,individuals ) ,disabilities       
,education ,act202  7,b7 9 clause 7iii71
 by /rik+ & aft] ! semicolon2  7,c7 9   
clause 7iv71 by /rik+ ! p]iod & ins]t+ a
 semicolon2 &  7,d7 by add+ at ! end !  
foll[+3  7v7 review & analyze ! s*ool's 

ef=ts to id5tify & assi/ /ud5ts ) poor  
academic a*ievem5t & /ud5ts :o are      
*ildr5 ) disabilities1 & assi/ ! s*ool 9
 develop+ or improv+ e>ly int]v5+       
s]vices t are coord9at$ ) activities    
c>ri$ out "u ! ,individuals )           
,disabilities ,education ,act2  7vi7    
review & analyze ! s*ool's ef=ts to     
address behavioral or discipl9>y        
problems1 & assi/ ! s*ool 9 develop+ or 
improv+ s*oolwide positive behavioral   
int]v5tions & supports t are coord9at$ )
 activities c>ri$ out "u ! ,individuals 
) ,disabilities ,education ,act2  7vii7 
review ! numb] ( discipl9e incid5ts 9 ! 
s*ool & use t in=mation to assi/ ! s*ool
 to implem5t s*oolwide positive         
behavioral int]v5tions & supports or o!r
 e>ly int]v5+ s]vices1 or bo?2 &  7viii7
 review & analyze ! s*ool's ef=ts to    
address m5tal heal? ne$s among /ud5ts & 
assi/ ! s*ool 9 develop+ or improv+     
s*ool-bas$ m5tal heal? programs t are   
coord9at$ ) activities c>ri$ out "u !   
,individuals ) ,disabilities ,education 

,act4  4  7g7 ,title ,i p>5tal          
involvem5t ,section #aaah7;e7 ( !       
,elem5t>y & ,second>y ,education ,act ( 
#aife 7#bj ,u4,s4,c4 #fcah7;e77 is      
am5d$--  7#a7 by r$esignat+ p>agraphs   
7#f7 ?r\gh 7#ad7 z p>agraphs 7#g7 ?r\gh 
7#ae71 respectively2 &  7#b7 by ins]t+  
aft] p>agraph 7#e7 ! foll[+3  7#f7 %all 
provide in=mation to s*ool p]sonnel1    
/ud5ts1 & p>5ts ab\t ! s*ool's use (    
positive behavioral int]v5tions &       
supports1 s*ool-bas$ m5tal heal?        
programs1 & ! expectations ( s*ool      
p]sonnel1 /ud5ts1 & p>5ts 9 support+ a  
safe le>n+ environm5t = all /ud5ts2  4  
7h7 ,prev5tion & int]v5tion programs    
,section #adad7;c77#h7 ( ! ,elem5t>y &  
,second>y ,education ,act ( #aife 7#bj  
,u4,s4,c4 #fdcd7;c77#h77 is am5d$ by    
ins]t+ 81 includ+ coord9at+ ! use (     
positive behavioral int]v5tions &       
supports1 e>ly int]v5+ s]vices1 &       
s*ool-bas$ m5tal heal? programs to      
improve academic a*ievem5t & r$uce      
discipl9>y actions0 be=e ! semicolon at 

! end4  7i7 ,te*nical assi/ance ,section
 #adai ( ! ,elem5t>y & ,second>y        
,education ,act ( #aife 7#bj ,u4,s4,c4  
#fdci7 is am5d$--  7#a7 9 p>agraph 7#a71
 by /rik+ & aft] ! semicolon2  7#b7 9   
p>agraph 7#b71 by /rik+ ! p]iod & ins]t+
 2 &2 &  7#c7 by add+ at ! end ! foll[+3
  7#c7 to provide te*nical assi/ance 9  
implem5t+ positive behavior int]v5tions 
& supports1 e>ly int]v5+ s]vices1 &     
s*ool-bas$ m5tal heal? programs 9 ord]  
to improve academic a*ievem5t & r$uce   
discipl9>y actions4  4  7j7 ,title ,,ii 
m5tal heal? pr(essional developm5t      
,section #babc ( ! ,elem5t>y & ,second>y
 ,education ,act ( #aife 7#bj ,u4,s4,c4 
#fbbc7 is am5d$--  7#a7 9 subsection    
7a71 by ins]t+ aft] p>agraph 7#h7 !     
foll[+3  7#i7 ,c>ry+ out 9-s]vice tra9+ 
= s*ool p]sonnel 9--  7,a7 ! te*niques &
 supports ne$$ to id5tify *ildr5 )      
trauma hi/ories1 & *ildr5 )1 or at risk 
(1 m5tal illness1 e>ly2  7,b7 ! use (   
ref]ral me*anisms t effectively l9k su* 
*ildr5 to appropriate treatm5t &        

int]v5tion s]vices 9 ! s*ool & 9 !      
community :]e appropriate2 &  7,c7 =m+  
p>tn]%ips betwe5 s*ool-bas$ m5tal heal? 
programs & public or private m5tal heal?
 organizations4  2  7#b7 by r$esignat+  
subsection 7b7 z subsection 7c72 &  7#c7
 by ins]t+ aft] subsection 7a7 ! foll[+3
  7b7 ,liability protection = s*ool     
p]sonnel ,section #bcff %all apply to   
s*ool p]sonnel :o receiv$ 9-s]vice tra9+
 "u subsection 7a77#i71 & :o are c>ry+  
out activities relat$ to su* tra9+1 9 ! 
same mann] z su* section applies to     
tea*]s4  4  7k7 ,s*ool-bas$ m5tal heal? 
s]vices p>tn]%ip programs ,section #daba
 ( ! ,elem5t>y & ,second>y ,education   
,act ( #aife 7#bj ,u4,s4,c4 #gaca7 is   
am5d$--  7#a7 9 subsection 7a7--  7,a7 9
 ! matt] prec$+ p>agraph 7#a71 by ins]t+
 1 heal? 7includ+ m5tal heal?71 aft]    
promote safety2  7,b7 by r$esignat+     
p>agraphs 7#c7 ?r\gh 7#h7 & 7#i7 z      
p>agraphs 7#d7 ?r\gh 7#i7 & 7#aa71      
respectively2  7,c7 by ins]t+ aft]      
p>agraph 7#b7 ! foll[+3  7#c7 !         

developm5t & implem5tation ( s*ool-bas$ 
m5tal heal? s]vices p>tn]%ip programs "u
 subsection 7c72  2  7,d7 by /rik+      
p>agraph 7#g71 z r$esignat$ by          
subp>agraph 7,b71 & ins]t+ ! foll[+3    
7#g7 7,a7 assi/ance to s*ool sy/ems t h 
p>ticul>ly sev]e drug & viol5ce problems
 or assi/ance to support appropriate    
response ef=ts to crisis situations1    
includ+--  7i7 hir+ drug prev5tion &    
s*ool safety coord9ators2 &  7ii7 mak+  
available to /ud5ts m5tal heal? s]vices1
 conflict resolution programs1 & o!r    
s*ool-bas$ viol5ce prev5tion /rategies2 
2  7,e7 9 p>agraph 7#i71 z r$esignat$ by
 subp>agraph 7,b71 by /rik+ & aft] !    
semicolon2 &  7,f7 by ins]t+ aft] su*   
p>agraph 7#i7 ! foll[+3  7#aj7 assi/ance
 to ,/ates to help local educational    
ag5cies develop & implem5t compreh5sive 
em]g5cy managem5t plans2 &  2 &  7#b7 by
 add+ at ! end ! foll[+3  7c7           
,s*ool-bas$ m5tal heal? s]vices p>tn]%ip
 programs  7#a7 ,9 g5]al ,ea* grant1    
contract1 or coop]ative agreem5t aw>d$  

or ent]$ into "u subsection 7a77#c7 %all
 meet ! requirem5ts ( ?is subsection4   
7#b7 ,eligibility  7,a7 ,9 g5]al ,to be 
eligible to receive a grant1 contract1  
or coop]ative agreem5t "u ?is           
subsection1 a local educational ag5cy   
%all ent] into a s*ool-bas$ m5tal heal? 
p>tn]%ip t--  7i7 %all include a public 
or private m5tal heal? entity or heal?  
c>e entity2 &  7ii7 may include a *ild  
welf>e ag5cy1 family-bas$ m5tal heal?   
entity1 family organization1 trauma     
network1 or o!r community-bas$ entity4  
7,b7 ,flexibility = c]ta9 local         
educational ag5cies ,not)/&+ subp>agraph
 7,a71 a local educational ag5cy t is   
eligible = s]vices "u subp>t #a or #b ( 
"p ,b ( title ,,vi1 z det]m9$ by !      
,secret>y1 & t is unable to p>tn] ) a   
public or private m5tal heal? entity or 
heal? c>e entity %all be eligible = a   
grant "u ?is subsection if ! local      
educational ag5cy c demon/rate to !     
,secret>y1 9 its application = a grant  
"u ?is subsection1 t ! local educational

 ag5cy c o!rwise build ! capacity to    
c>ry out ! requirem5ts ( ?is subsection4
  7#c7 ,application ,a local educational
 ag5cy t desires a grant1 contract1 or  
coop]ative agreem5t "u ?is subsection   
%all include1 9 ! application requir$ by
 ! ,secret>y1 a description ( h[ ! local
 educational ag5cy w--  7,a7 assi/      
s*ools s]v$ by ! local educational ag5cy
 to provide1 ?r\gh ! s*ool-bas$ m5tal   
heal? s]vices p>tn]%ip program1         
compreh5sive s*ool-bas$ m5tal heal?     
s]vices & supports & compreh5sive /aff  
developm5t = s*ool & community s]vice   
p]sonnel work+ 9 ! s*ool2  7,b7 provide 
te*nical assi/ance & tra9+ to improve & 
support ! developm5t1 implem5tation1 &  
coord9ation ( s*ool-bas$ m5tal heal?    
programs & ensure su* programs are      
coord9at$ ) activities c>ri$ out "u !   
,individuals ) ,disabilities ,education 
,act2 &  7,c7 evaluate ! effects (      
provid+ s*ool-bas$ m5tal heal? programs4
  7#d7 ,use ( funds ,a local educational
 ag5cy receiv+ a grant1 contract1 or    

coop]ative agreem5t "u ?is subsection   
%all use funds provid$ "u su* grant1    
contract1 or coop]ative agreem5t to     
provide s*ool-bas$ m5tal heal? s]vices &
 supports t--  7,a7 may include--  7i7 !
 e>ly id5tification ( social1 emotional1
 or behavioral problems1 or sub/ance use
 disord]s1 & ! provision ( e>ly int]v5+ 
s]vices2  7ii7 n )/&+ section #daed1 !  
treatm5t or ref]ral = treatm5t ( /ud5ts 
) social1 emotional1 or behavioral heal?
 problems1 or sub/ance use disord]s2    
7iii7 ! developm5t & implem5tation (    
programs to assi/ *ildr5 9 deal+ )      
trauma & viol5ce2 &  7iv7 ! developm5t (
 me*anisms1 bas$ on be/ practices1 =    
*ildr5 to report incid5ts ( viol5ce or  
plans by o!r *ildr5 or adults to commit 
viol5ce2  7,b7 are bas$ on trauma-in=m$ 
& evid5ce-bas$ practices2  7,c7 are     
coord9at$1 :]e appropriate1 ) e>ly      
int]v5+ s]vices c>ri$ out "u !          
,individuals ) ,disabilities ,education 
,act2 &  7,d7 are provid$ by qualifi$   
m5tal & behavioral heal? pr(essionals :o

 are c]tifi$ or lic5s$ by ! ,/ate       
involv$ & practic+ )9 _! area (         
exp]tise4  7#e7 ,g5]al requirem5ts  7,a7
 ,p>5tal cons5t  7i7 ,9 g5]al ,ea* local
 educational ag5cy receiv+ a grant1     
contract1 or coop]ative agreem5t "u ?is 
subsection %all obta9 prior writt51     
in=m$ cons5t f ! p>5t ( ea* *ild :o is  
"u #ah ye>s ( age to p>ticipate 9 any   
assessm5t s]vice1 program1 activity1 or 
treatm5t t is--  7,i7 fund$ "u ?is      
subsection2 &  7,,ii7 conduct$ 9        
connection ) an elem5t>y s*ool or       
second>y s*ool "u ! grant1 contract1 or 
coop]ative agreem5t4  7ii7 ,exception   
,not)/&+ clause 7i71 ! writt51 in=m$    
cons5t describ$ 9 su* clause %all n be  
requir$ 9--  7,i7 an em]g5cy1 :]e x is  
necess>y to protect ! imm$iate heal? &  
safety ( ! /ud5t1 o!r /ud5ts1 or s*ool  
p]sonnel2 or  7,,ii7 o!r in/ances :]e   
p>5tal cons5t _c reasonably be obta9$1 z
 def9$ by ! ,secret>y4  7,b7            
,prohibition on m&atory m$ication ,no   
*ild %all be requir$ to obta9 a         

prescription = a sub/ance cov]$ by !    
,controll$ ,sub/ances ,act 7#ba         
,u4,s4,c4 #hja et seq47 z a condition ( 
receiv+ an evaluation "u ?is subsection1
 receiv+ s]vices "u ?is subsection1 or  
att5d+ a s*ool receiv+ assi/ance "u ?is 
subsection4  7,c7 ,privacy ,ea* eligible
 entity receiv+ a grant "u ?is          
subsection %all ensure t /ud5t m5tal    
heal? records are accord$ ! privacy     
protections provid$ "u ! regulations    
promulgat$ "u section #bfd7;c7 ( !      
,heal? ,insurance ,portability &        
,acc\ntability ,act ( #aiif 7,public    
,law #ajd-aia2 #aaj ,/at4 #bjcc7 &      
section #ddd ( ! ,g5]al ,education      
,provisions ,act 7#bj ,u4,s4,c4 #abcb;g7
 7commonly ref]r$ to z ! ,f$]al         
,educational ,rights & ,privacy ,act (  
#aigd74  7#f7 ,liability protection =   
s*ool p]sonnel ,section #bcff %all apply
 to s*ool p]sonnel provid+ s]vices "u a 
grant1 contract1 or coop]ative agreem5t 
"u ?is subsection 9 ! same mann] z su*  
section applies to tea*]s4  7#g7        

,prohibition aga9/ ,f$]al m&ates1       
direction1 or control or ,f$]al         
regulation ,9 addition to ! prohibition 
( ,f$]al ,gov]nm5t control ( a ,/ate1   
local educational ag5cy1 or s*ool's     
curriculum or program ( in/ruction t is 
provid$ "u section #iebg7;a71 no?+ 9 ?is
 subsection %all be con/ru$ to au?orize 
an (fic] or employee ( ! ,f$]al         
,gov]nm5t to m&ate1 direct1 or control a
 ,/ate1 local educational ag5cy1 or     
s*ool's specific in/ructional cont5t or 
academic a*ievem5t /&>ds & assessm5ts4  
4  7l7 ,def9ition ,section #iaja ( !    
,elem5t>y & ,second>y ,education ,act ( 
#aife 7#bj ,u4,s4,c4 #ghja7 is am5d$--  
7#a7 by r$esignat+ p>agraphs 7#ag7 ?r\gh
 7#dc7 z p>agraphs 7#ah7 ?r\gh 7#dd71   
respectively2 &  7#b7 by ins]t+ aft]    
p>agraph 7#af7 ! foll[+3  7#ag7 ,e>ly   
int]v5+ s]vices ,! t]m e>ly int]v5+     
s]vices means e>ly int]v5+ s]vices      
describ$ 9 section #fac7;f77#a7 ( !     
,individuals ) ,disabilities ,education 
,act4  4  #ajd4 ,con=m+ am5dm5ts  7a7   

,am]ica ,,competes ,reau?orization ,act 
( #bjaj ,section #eec7;d77#f7 ( !       
,am]ica ,,competes ,reau?orization ,act 
( #bjaj 7#bj ,u4,s4,c4 #iijc7 is am5d$  
by /rik+ section #iaja7bc7 & ins]t+     
section #iaja7bd74  7b7 ,high]          
,education ,act ( #aife ,section #bee7k7
 ( ! ,high] ,education ,act ( #aife is  
am5d$--  7#a7 9 p>agraph 7#a71 by /rik+ 
section #iaja7bc77;,b77ii7 & ins]t+     
section #iaja7bd77;,b77ii72 &  7#b7 9   
p>agraph 7#c71 by /rik+ section         
#iaja7bc7 & ins]t+ section #iaja7bd74   
7c7 ,individuals ) ,disabilities        
,education ,act ,section #fjb7aj7 ( !   
,individuals ) ,disabilities ,education 
,act 7#bj ,u4,s4,c4 #adja7aj77 is       
am5d$--  7#a7 9 subp>agraph 7,c77ii71 by
 /rik+ section #iaja7bc7 & ins]t+       
section #iaja7bd72 &  7#b7 9 ea* (      
clauses 7ii7 & 7iii7 ( subp>agraph 7,d71
 by /rik+ section #iaja7bc77;,c77ii7 &  
ins]t+ section #iaja7bd77;,c77ii74  ,,ii
 ,heal? programs  #bja4 ,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 #bjad ?r\gh #bjah4  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 #bjad ?r\gh #bjah4  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 #bjad ?r\gh #bjah44   
#bjb4 ,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+ & o!r categories ( individuals1 z
 det]m9$ by ! ,secret>y1 aft] em]g5cy   
s]vices p]sonnel2  7,c7 9 p>agraph      
7#e7--  7i7 9 ! matt] prec$+ subp>agraph
 7#e71 by /rik+ to & ins]t+ =           
evid5ce-bas$ 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,d7 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  #bjc4   
,*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$71 by /rik+ #ej1jjj1jjj & all 
t foll[s ?r\gh #bjjf & ins]t+           
#de1gac1jjj = ea* ( fiscal ye>s #bjad   
?r\gh #bjah4  #bjd4 ,assess+ b>ri]s to  
behavioral heal? integration  7a7 ,9    
g5]al ,n lat] ?an #b ye>s aft] ! date ( 
enactm5t ( ?is ,act1 ! ,comptroll]      
,g5]al ( ! ,unit$ ,/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  #bje4     
,increas+ education & aw>5ess (         
treatm5ts = opioid use disord]s  7a7 ,9 
g5]al ,9 ord] to improve ! quality ( c>e
 deliv]y & treatm5t outcomes among      
pati5ts ) opioid use disord]s1 !        
,secret>y ( ,heal? & ,human ,s]vices    
7ref]r$ to 9 ?is section z ! ,secret>y71
 act+ ?r\gh ! ,adm9i/rator = ! ,sub/ance
 ,abuse & ,m5tal ,heal? ,s]vices        
,adm9i/ration1 may advance1 ?r\gh exi/+ 
programs z appropriate1 ! education &   
aw>5ess ( provid]s1 pati5ts1 & o!r      
appropriate /akehold]s reg>d+ all       
products approv$ by ! ,food & ,drug     
,adm9i/ration to treat opioid use       
disord]s4  7b7 ,activities ,! activities
 describ$ 9 subsection 7a7 may include--
  7#a7 dissem9at+ evid5ce-bas$ practices
 = ! treatm5t ( opioid use disord]s2    
7#b7 facilitat+ cont9u+ education       
programs = heal? pr(essionals involv$ 9 
treat+ opioid use disord]s2  7#c7       
increas+ aw>5ess among relevant         
/akehold]s ( ! treatm5t ( opioid use    

disord]s2  7#d7 assess+ curr5t b>ri]s to
 ! treatm5t ( opioid use disord]s =     
pati5ts & provid]s & developm5t &       
implem5tation ( /rategies to mitigate   
su* b>ri]s2 &  7#e7 cont9u+ innovative  
approa*es to ! treatm5t ( opioid use    
disord]s 9 v>i\s treatm5t sett+s1 su* z 
prisons1 community m5tal heal? c5t]s1   
prim>y c>e1 & hospitals4  7c7 ,report ,n
 lat] ?an #a ye> aft] ! date ( enactm5t 
( ?is ,act1 if ! ,secret>y c>ries out ! 
activities "u ?is section1 ! ,secret>y  
%all submit to ! ,committee on ,heal?1  
,education1 ,labor1 & ,p5sions ( !      
,s5ate & ! ,committee on ,en]gy &       
,comm]ce ( ! ,h\se ( ,repres5tatives a  
report t exam9es--  7#a7 ! activities ! 
,sub/ance ,abuse & ,m5tal ,heal?        
,s]vices ,adm9i/ration conducts "u ?is  
section1 includ+ any pot5tial impacts on
 heal? c>e co/s associat$ ) su*         
activities2  7#b7 ! role ( adh]5ce 9 !  
treatm5t ( opioid use disord]s & me?ods 
to r$uce opioid use disord]s2 &  7#c7   
recomm5dations on priorities & /rategies

 to address co-occurr+ sub/ance use     
disord]s & m5tal illnesses4  #bjf4      
,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 treat$ by  
prim>y c>e or specialty provid]s1 :at   
types ( ref]rals = additional c>e are   
recomm5d$1 & any b>ri]s to access+ ?is  
c>e2  7#b7 ! ext5t to :i* *ildr5 are    
prescrib$ psy*otropic m$ications 9 !    
,unit$ ,/ates includ+ ! frequ5cy (      
concurr5t m$ication usage2 &  7#c7 !    

tools1 assessm5ts1 & m$ications t are   
available & us$ to diagnose & treat     
*ildr5 ) m5tal heal? disord]s4  #bjg4   
,evid5ce bas$ practices = old] adults   
7a7 ,g]iatric sub/ance use disord]s     
treatm5t ,section #eji7;e7 ( ! ,public  
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bij;bb-#b7;e77 is am5d$--  7#a7 by     
/rik+ ,! ,secret>y %all e/abli% &       
ins]t+3  7#a7 ,9 g5]al ,! ,secret>y %all
 e/abli%  2 &  7#b7 by add+ at ! end !  
foll[+3  7#b7 ,g]iatric sub/ance use    
disord]s treatm5t ,! ,secret>y %all1 z  
appropriate1 provide te*nical assi/ance 
to grantees reg>d+ evid5ce-bas$         
practices = ! treatm5t ( g]iatric       
sub/ance use disord]s1 z well z         
dissem9ate in=mation ab\t su*           
evid5ce-bas$ practices to ,/ates &      
nongrantees ?r\gh\t ! ,unit$ ,/ates4  4 
7b7 ,g]iatric sub/ance use disord]s     
prev5tion ,section #eaf7;e7 ( ! ,public 
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bij;bb-#bb7;e77 is am5d$--  7#a7 by    
/rik+ ,! ,secret>y %all e/abli% &       

ins]t+3  7#a7 ,9 g5]al ,! ,secret>y %all
 e/abli%  2 &  7#b7 by add+ at ! end !  
foll[+3  7#b7 ,g]iatric sub/ance use    
disord]s prev5tion ,! ,secret>y %all1 z 
appropriate1 provide te*nical assi/ance 
to grantees reg>d+ evid5ce-bas$         
practices = ! prev5tion ( g]iatric      
sub/ance use disord]s1 z well z         
dissem9ate in=mation ab\t su*           
evid5ce-bas$ practices to ,/ates &      
nongrantees ?r\gh\t ! ,unit$ ,/ates4  4 
7c7 ,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 
#bjh4 ,national viol5t dea? report+     

sy/em ,! ,secret>y ( ,heal? & ,human    
,s]vices1 act+ ?r\gh ! ,director ( !    
,c5t]s = ,disease ,control & ,prev5tion1
 is enc\rag$ to improve1 p>ticul>ly     
?r\gh ! inclusion ( additional ,/ates1 !
 ,national ,viol5t ,dea? ,report+ ,sy/em
 z au?oriz$ by title ,,iii ( ! ,public  
,heal? ,s]vice ,act4 ,p>ticipation 9 !  
sy/em by ! ,/ates %all be volunt>y4     
#bji4 ,,gao /udy on ,virg9ia ,te*       
recomm5dations  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 ! appropriate   
committees ( ,congress a report conc]n+ 
! /atus ( implem5tation ( recomm5dations
 made 9 ! report to ! ,presid5t1 ,on    
,issues ,rais$ by ! ,virg9ia ,te*       
,trag$y1 by ! ,secret>ies ( ,heal? &    
,human ,s]vices & ,education & !        
,attorney ,g5]al ( ! ,unit$ ,/ates1     
submitt$ to ! ,presid5t on ,june #ac1   
#bjjg4  7b7 ,cont5t ,! report submitt$  
to ! committees ( ,congress "u          

subsection 7a7 %all review & assess--   
7#a7 ! ext5t to :i* ! recomm5dations 9 !
 report t include p>ticipation by !     
,dep>tm5t ( ,heal? & ,human ,s]vices 7  
implem5t$2  7#b7 :e!r !re are any b>ri]s
 to implem5tation ( su* recomm5dations2 
&  7#c7 id5tification ( any additional  
actions ! ,f$]al gov]nm5t c take to     
support ,/ates & local communities &    
ensure t ! ,f$]al gov]nm5t & ,f$]al law 
are n ob/acles to address+ at !         
community level--  7,a7 s*ool viol5ce2 &
  7,b7 m5tal illness4  #a4 ,%ort title  
,?is ,act may be cit$ z ! ,m5tal ,heal? 
,aw>5ess & ,improvem5t ,act ( #bjac4  ,i
 ,education programs  #aja4 ,%ort title 
,?is title may be cit$ z ! ,a*ievem5t   
,?r\gh ,prev5tion ,act4  #ajb4 ,purpose 
,! purpose ( ?is title is to exp& ! use 
( positive behavioral int]v5tions &     
supports & e>ly int]v5+ s]vices 9 s*ools
 9 ord] to improve /ud5t academic       
a*ievem5t1 r$uce ov]id5tification (     
individuals ) disabilities1 & r$uce     
discipl9>y problems 9 s*ools4  #ajc4    

,am5dm5ts to ! ,elem5t>y & ,second>y    
,education ,act ( #aife  7a7 ,title ,i  
,/ate plans ,section #aaaa7;b7 ( !      
,elem5t>y & ,second>y ,education ,act ( 
#aife 7#bj ,u4,s4,c4 #fcaa7;b77 is am5d$
 by add+ at ! end ! foll[+3  7#aa7      
,positive behavioral int]v5tions &      
supports ,9 ! case ( a ,/ate t proposes 
to use funds "u ?is "p to support       
positive behavioral int]v5tions &       
supports1 ! ,/ate plan %all describe h[ 
! ,/ate educational ag5cy w--  7,a7     
assi/ local educational ag5cies 9       
implem5t+ positive behavioral           
int]v5tions & supports 9 s*ools s]v$ by 
! local educational ag5cy on a          
:ole-s*ool basis2  7,b7 provide te*nical
 assi/ance & tra9+ to local educational 
ag5cies to improve & support !          
developm5t1 implem5tation1 & coord9ation
 ( compreh5sive positive behavioral     
int]v5tions & supports c>ri$ out "u ?is 
,act ) activities c>ri$ out "u !        
,individuals ) ,disabilities ,education 
,act2 &  7,c7 evaluate ! effects (      

provid+ positive behavioral int]v5tions 
& supports = all /ud5ts1 includ+        
improvem5t ( ! le>n+ environm5t1        
academic a*ievem5t1 discipl9>y problems 
su* z incid5ts ( susp5sions1 expulsions1
 ref]rals to law en=cem5t1 & o!r actions
 t remove /ud5ts f in/ruction1 & any o!r
 effects ! ,/ate *ooses to evaluate4    
7#ab7 ,e>ly int]v5+ s]vices ,9 ! case ( 
a ,/ate t proposes to use funds "u ?is  
"p to support e>ly int]v5+ s]vices1 !   
,/ate plan %all describe h[ ! ,/ate     
educational ag5cy w--  7,a7 assi/ local 
educational ag5cies 9 implem5t+ e>ly    
int]v5+ s]vices 9 s*ools s]v$ by ! local
 educational ag5cy to r$uce ! ne$ to    
label *ildr5 z *ildr5 ) disabilities 9  
ord] to address ! le>n+ & behavioral    
ne$s ( su* *ildr52  7,b7 provide        
te*nical assi/ance & tra9+ to local     
educational ag5cies to improve          
coord9ation ( e>ly int]v5+ s]vices      
provid$ "u ?is ,act ) e>ly int]v5+      
s]vices c>ri$ out "u ! ,individuals )   
,disabilities ,education ,act2 &  7,c7  

evaluate ! effects ( provid+ e>ly       
int]v5+ s]vices4  7#ac7 ,crisis         
managem5t plans ,9 ! case ( a ,/ate t   
proposes to use funds "u ?is "p to assi/
 local educational ag5cies 9 ! ,/ate 9  
p]iodically updat+ ! crisis managem5t   
plans1 z describ$ 9 section             
#daad7;d77#g77;,d71 ( su* local         
educational ag5cies1 ! ,/ate plan %all  
describe h[ ! ,/ate educational ag5cy w 
assi/ local educational ag5cies 9 updat+
 su* crisis managem5t plans4  4  7b7    
,title ,i ,/ate reports ,section        
#aaaa7;h77#a77;,c7 ( ! ,elem5t>y &      
,second>y ,education ,act ( #aife 7#bj  
,u4,s4,c4 #fcaa7;h77#a77;,c77 is am5d$--
  7#a7 9 clause 7vii71 by /rik+ & aft] !
 semicolon2  7#b7 9 clause 7viii71 by   
/rik+ ! p]iod & ins]t+ a semicolon2 &   
7#c7 by add+ at ! end ! foll[+3  7ix7 ! 
numb] ( local educational ag5cies 9 !   
,/ate t implem5t positive behavioral    
int]v5tions & supports2  7x7 ! numb] (  
/ud5ts--  7,i7 :o are s]v$ ?r\gh ! use (
 e>ly int]v5+ s]vices2 &  7,,ii7 :o1 9 !

 prec$+ #b-ye> p]iod1 receiv$ e>ly      
int]v5+ s]vices & :o1 aft] receiv+ su*  
s]vices1 h be5 id5tifi$ z eligible =1 & 
receive1 special education & relat$     
s]vices "u "p ,b ( ! ,individuals )     
,disabilities ,education ,act2 &  7xi7 !
 numb] ( local educational ag5cies 9 !  
,/ate t implem5t s*ool-bas$ m5tal heal? 
programs4  4  7c7 ,title ,i local       
educational ag5cy plans ,section        
#aaab7;b77#a7 ( ! ,elem5t>y & ,second>y 
,education ,act ( #aife 7#bj ,u4,s4,c4  
#fcab7;b77#a77 is am5d$--  7#a7 9       
subp>agraph 7,p71 by /rik+ & aft] !     
semicolon2  7#b7 9 subp>agraph 7,q71 by 
/rik+ ! p]iod & ins]t+ a semicolon2 &   
7#c7 by add+ at ! end ! foll[+3  7,r7 if
 ! local educational ag5cy proposes to  
use subgrant funds "u ?is "p = positive 
behavioral int]v5tions & supports1 a    
description ( ! actions ! local         
educational ag5cy w take to provide     
positive behavioral int]v5tions &       
supports & coord9ate ^? activities )    
activities c>ri$ out "u ! ,individuals )

 ,disabilities ,education ,act2  7,s7 if
 ! local educational ag5cy proposes to  
use subgrant funds "u ?is "p = e>ly     
int]v5+ s]vices1 a description ( !      
actions ! local educational ag5cy w take
 to provide e>ly int]v5+ s]vices &      
coord9ate ^? s]vices ) e>ly int]v5+     
s]vices c>ri$ out "u ! ,individuals )   
,disabilities ,education ,act2  7,t7 if 
! local educational ag5cy proposes to   
use subgrant funds "u ?is "p =          
s*ool-bas$ m5tal heal? programs1 a      
description ( ! actions ! local         
educational ag5cy w take to provide     
s*ool-bas$ m5tal heal? programs &       
coord9ate ^? activities ) activities    
c>ri$ out "u ! ,individuals )           
,disabilities ,education ,act2 &  7,u7  
if ! local educational ag5cy proposes to
 use subgrant funds "u ?is "p =         
p]iodically updat+ ! crisis managem5t   
plan ( ! local educational ag5cy1 z     
describ$ 9 section #daad7;d77#g77;,d71 a
 description ( ! actions ! local        
educational ag5cy w take to develop &   

implem5t an updat$ crisis managem5t     
plan4  4  7d7 ,title ,i s*oolwide       
programs  7#a7 ,s*oolwide programs      
,section #aaad7;b77#a77;,b77iii77,i7 ( !
 ,elem5t>y & ,second>y ,education ,act (
 #aife 7#bj ,u4,s4,c4                   
#fcad7;b77#a77;,b77iii77,i77 is am5d$-- 
7,a7 9 item 7aa71 by /rik+ & m5tor+     
s]vices & ins]t+ m5tor+ s]vices1 &      
s*ool-bas$ m5tal heal? programs2  7,b7  
by r$esignat+ items 7bb7 & 7cc7 z items 
7dd7 & 7ee71 respectively2 &  7,c7 by   
ins]t+ aft] item 7aa7 ! foll[+3  7bb7   
implem5tation ( s*oolwide positive      
behavioral int]v5tions & supports1      
includ+ ?r\gh coord9ation ) activities  
c>ri$ out "u ! ,individuals )           
,disabilities ,education ,act1 9 ord] to
 improve academic outcomes = /ud5ts &   
r$uce ! ne$ = susp5sions1 expulsions1 & 
o!r actions t remove /ud5ts f           
in/ruction2  7cc7 implem5tation ( e>ly  
int]v5+ s]vices1 includ+ ?r\gh          
coord9ation ) e>ly int]v5+ s]vices c>ri$
 out "u ! ,individuals ) ,disabilities  

,education ,act2  4  7#b7 ,te*nical     
assi/ance ,section #aaaf7;b77#d77;,b7 ( 
! ,elem5t>y & ,second>y ,education ,act 
( #aife 7#bj ,u4,s4,c4                  
#fcaf7;b77#d77;,b77 is am5d$--  7,a7 by 
r$esignat+ clauses 7iii7 & 7iv7 z       
clauses 7iv7 & 7v71 respectively2 &     
7,b7 by ins]t+ aft] clause 7ii7 !       
foll[+3  7iii7 %all include assi/ance 9 
! implem5tation ( s*oolwide positive    
behavioral int]v5tions & supports1      
s*ool-bas$ m5tal heal? programs1 & o!r  
approa*es ) evid5ce ( effectiv5ess =    
improv+ ! le>n+ environm5t 9 ! s*ool &  
r$uc+ ! ne$ = susp5sions1 expulsions1 & 
o!r actions t remove /ud5ts f           
in/ruction1 includ+ effective /rategies 
= improv+ coord9ation ( community       
res\rces2  4  7e7 ,title ,i assessm5ts &
 s*ool improvem5t  7#a7 ,s*ool          
improvem5t plan ,section                
#aaaf7;b77#c77;,a7 ( ! ,elem5t>y &      
,second>y ,education ,act ( #aife 7#bj  
,u4,s4,c4 #fcaf7;b77#c77;,a77 is am5d$--
  7,a7 9 clause 7ix71 by /rik+ & aft] ! 

semicolon2  7,b7 9 clause 7x71 by /rik+ 
! p]iod & ins]t+ a semicolon2 &  7,c7 by
 add+ at ! end ! foll[+3  7xi7 specify  
:e!r ! local educational ag5cy or !     
s*ool w adopt & implem5t policies or    
practices to implem5t or improve        
positive behavioral int]v5tions &       
supports & enhance coord9ation )        
activities c>ri$ out "u ! ,individuals )
 ,disabilities ,education ,act2  7xii7  
specify :e!r ! local educational ag5cy  
or ! s*ool w adopt & implem5t policies  
or practices to implem5t or improve e>ly
 int]v5+ s]vices & coord9ate ) e>ly     
int]v5+ s]vices c>ri$ out "u su* ,act2 &
  7xiii7 specify :e!r ! local           
educational ag5cy or s*ool w adopt &    
implem5t s*ool-bas$ m5tal heal? programs
 & coord9ate ) programs c>ri$ out "u su*
 ,act4  4  7#b7 ,local educational ag5cy
 improvem5t plans ,section              
#aaaf7;c77#aj7 ( ! ,elem5t>y & ,second>y
 ,education ,act ( #aife 7#bj ,u4,s4,c4 
#fcaf7;c77#aj77 is am5d$--  7,a7 9      
subp>agraph 7,b71 by /rik+ subp>agraph  

7,e7 & ins]t+ subp>agraph 7,f72  7,b7 by
 r$esignat+ subp>agraphs 7,d7 ?r\gh 7,f7
 z subp>agraphs 7,e7 ?r\gh 7,g71        
respectively2 &  7,c7 by ins]t+ aft]    
subp>agraph 7,c7 ! foll[+3  7,d7        
,additional activities ,9 addition to   
c>ry+ out #a or m ( ! corrective actions
 requir$ "u subp>agraph 7,c7 = a local  
educational ag5cy1 ! ,/ate educational  
ag5cy may also c>ry out #a or m ( !     
foll[+ activities3  7i7 ,improv+ or     
exp&+ positive behavioral int]v5tions & 
supports & enhanc+ coord9ation )        
activities "u ! ,individuals )          
,disabilities ,education ,act4  7ii7    
,improv+ or exp&+ e>ly int]v5+ s]vices &
 coord9at+ su* s]vices ) e>ly int]v5+   
s]vices c>ri$ out "u ! ,individuals )   
,disabilities ,education ,act4  4  7f7  
,title ,i s*ool support & recognition   
7#a7 ,regional c5t]s ,section           
#aaag7;a77#c7 ( ! ,elem5t>y & ,second>y 
,education ,act ( #aife 7#bj ,u4,s4,c4  
#fcag7;a77#c77 is am5d$--  7,a7 by /rik+
 ( #bjjb & compreh5sive & ins]t+ (      

#bjjb1 compreh5sive2  7,b7 by /rik+ & ! 
compreh5sive & ins]t+ 1 ! compreh5sive2 
&  7,c7 by ins]t+ & any te*nical        
assi/ance c5t] on s*oolwide positive    
behavioral int]v5tions & supports fund$ 
"u section #ffe7;b7 ( ! ,individuals )  
,disabilities ,education ,act1 aft]     
#bjjb714  7#b7 ,/atewide sy/ems =       
support ,section #aaag7;a77#e77;,b7 ( ! 
,elem5t>y & ,second>y ,education ,act ( 
#aife 7#bj ,u4,s4,c4 #fcag7;a77#e77;,b77
 is am5d$--  7,a7 9 clause 7i71 by /rik+
 ! semicolon at ! end & ins]t+ ! foll[+3
 81 includ+ by improv+ or exp&+ ! use ( 
positive behavioral int]v5tions &       
supports align$ ) activities c>ri$ out  
"u ! ,individuals ) ,disabilities       
,education ,act202  7,b7 9 clause 7iii71
 by /rik+ & aft] ! semicolon2  7,c7 9   
clause 7iv71 by /rik+ ! p]iod & ins]t+ a
 semicolon2 &  7,d7 by add+ at ! end !  
foll[+3  7v7 review & analyze ! s*ool's 
ef=ts to id5tify & assi/ /ud5ts ) poor  
academic a*ievem5t & /ud5ts :o are      
*ildr5 ) disabilities1 & assi/ ! s*ool 9

 develop+ or improv+ e>ly int]v5+       
s]vices t are coord9at$ ) activities    
c>ri$ out "u ! ,individuals )           
,disabilities ,education ,act2  7vi7    
review & analyze ! s*ool's ef=ts to     
address behavioral or discipl9>y        
problems1 & assi/ ! s*ool 9 develop+ or 
improv+ s*oolwide positive behavioral   
int]v5tions & supports t are coord9at$ )
 activities c>ri$ out "u ! ,individuals 
) ,disabilities ,education ,act2  7vii7 
review ! numb] ( discipl9e incid5ts 9 ! 
s*ool & use t in=mation to assi/ ! s*ool
 to implem5t s*oolwide positive         
behavioral int]v5tions & supports or o!r
 e>ly int]v5+ s]vices1 or bo?2 &  7viii7
 review & analyze ! s*ool's ef=ts to    
address m5tal heal? ne$s among /ud5ts & 
assi/ ! s*ool 9 develop+ or improv+     
s*ool-bas$ m5tal heal? programs t are   
coord9at$ ) activities c>ri$ out "u !   
,individuals ) ,disabilities ,education 
,act4  4  7g7 ,title ,i p>5tal          
involvem5t ,section #aaah7;e7 ( !       
,elem5t>y & ,second>y ,education ,act ( 

#aife 7#bj ,u4,s4,c4 #fcah7;e77 is      
am5d$--  7#a7 by r$esignat+ p>agraphs   
7#f7 ?r\gh 7#ad7 z p>agraphs 7#g7 ?r\gh 
7#ae71 respectively2 &  7#b7 by ins]t+  
aft] p>agraph 7#e7 ! foll[+3  7#f7 %all 
provide in=mation to s*ool p]sonnel1    
/ud5ts1 & p>5ts ab\t ! s*ool's use (    
positive behavioral int]v5tions &       
supports1 s*ool-bas$ m5tal heal?        
programs1 & ! expectations ( s*ool      
p]sonnel1 /ud5ts1 & p>5ts 9 support+ a  
safe le>n+ environm5t = all /ud5ts2  4  
7h7 ,prev5tion & int]v5tion programs    
,section #adad7;c77#h7 ( ! ,elem5t>y &  
,second>y ,education ,act ( #aife 7#bj  
,u4,s4,c4 #fdcd7;c77#h77 is am5d$ by    
ins]t+ 81 includ+ coord9at+ ! use (     
positive behavioral int]v5tions &       
supports1 e>ly int]v5+ s]vices1 &       
s*ool-bas$ m5tal heal? programs to      
improve academic a*ievem5t & r$uce      
discipl9>y actions0 be=e ! semicolon at 
! end4  7i7 ,te*nical assi/ance ,section
 #adai ( ! ,elem5t>y & ,second>y        
,education ,act ( #aife 7#bj ,u4,s4,c4  

#fdci7 is am5d$--  7#a7 9 p>agraph 7#a71
 by /rik+ & aft] ! semicolon2  7#b7 9   
p>agraph 7#b71 by /rik+ ! p]iod & ins]t+
 2 &2 &  7#c7 by add+ at ! end ! foll[+3
  7#c7 to provide te*nical assi/ance 9  
implem5t+ positive behavioral           
int]v5tions & supports1 e>ly int]v5+    
s]vices1 & s*ool-bas$ m5tal heal?       
programs 9 ord] to improve academic     
a*ievem5t & r$uce discipl9>y actions4  4
  7j7 ,title ,,ii m5tal heal?           
pr(essional developm5t ,section #babc ( 
! ,elem5t>y & ,second>y ,education ,act 
( #aife 7#bj ,u4,s4,c4 #ffbc7 is am5d$--
  7#a7 9 subsection 7a71 by ins]t+ aft] 
p>agraph 7#h7 ! foll[+3  7#i7 ,c>ry+ out
 9-s]vice tra9+ = s*ool p]sonnel 9--    
7,a7 ! te*niques & supports ne$$ to     
id5tify *ildr5 ) trauma hi/ories1 &     
*ildr5 )1 or at risk (1 m5tal illness1  
e>ly2  7,b7 ! use ( ref]ral me*anisms t 
effectively l9k su* *ildr5 to           
appropriate treatm5t & int]v5tion       
s]vices 9 ! s*ool & 9 ! community :]e   
appropriate2 &  7,c7 =m+ p>tn]%ips      

betwe5 s*ool-bas$ m5tal heal? programs &
 public or private m5tal heal?          
organizations4  2  7#b7 by r$esignat+   
subsection 7b7 z subsection 7c72 &  7#c7
 by ins]t+ aft] subsection 7a7 ! foll[+3
  7b7 ,liability protection = s*ool     
p]sonnel ,section #bcff %all apply to   
s*ool p]sonnel :o receiv$ 9-s]vice tra9+
 "u subsection 7a77#i71 & :o are c>ry+  
out activities relat$ to su* tra9+1 9 ! 
same mann] z su* section applies to     
tea*]s4  4  7k7 ,s*ool-bas$ m5tal heal? 
s]vices p>tn]%ip programs ,section #daba
 ( ! ,elem5t>y & ,second>y ,education   
,act ( #aife 7#bj ,u4,s4,c4 #gaca7 is   
am5d$--  7#a7 9 subsection 7a7--  7,a7 9
 ! matt] prec$+ p>agraph 7#a71 by ins]t+
 1 heal? 7includ+ m5tal heal?71 aft]    
promote safety2  7,b7 by r$esignat+     
p>agraphs 7#c7 ?r\gh 7#h7 & 7#i7 z      
p>agraphs 7#d7 ?r\gh 7#i7 & 7#aa71      
respectively2  7,c7 by ins]t+ aft]      
p>agraph 7#b7 ! foll[+3  7#c7 !         
developm5t & implem5tation ( s*ool-bas$ 
m5tal heal? s]vices p>tn]%ip programs "u

 subsection 7c72  2  7,d7 by /rik+      
p>agraph 7#g71 z r$esignat$ by          
subp>agraph 7,b71 & ins]t+ ! foll[+3    
7#g7 assi/ance to s*ool sy/ems t h      
p>ticul>ly sev]e drug & viol5ce problems
 or assi/ance to support appropriate    
response ef=ts to crisis situations1    
includ+--  7,a7 hir+ drug prev5tion &   
s*ool safety coord9ators2 &  7,b7 mak+  
available to /ud5ts m5tal heal? s]vices1
 conflict resolution programs1 & o!r    
s*ool-bas$ viol5ce prev5tion /rategies2 
2  7,e7 9 p>agraph 7#i71 z r$esignat$ by
 subp>agraph 7,b71 by /rik+ & aft] !    
semicolon2 &  7,f7 by ins]t+ aft] su*   
p>agraph 7#i7 ! foll[+3  7#aj7 assi/ance
 to ,/ates to help local educational    
ag5cies develop & implem5t compreh5sive 
em]g5cy managem5t plans2 &  2 &  7#b7 by
 add+ at ! end ! foll[+3  7c7           
,s*ool-bas$ m5tal heal? s]vices p>tn]%ip
 programs  7#a7 ,9 g5]al ,ea* grant1    
contract1 or coop]ative agreem5t aw>d$  
or ent]$ into "u subsection 7a77#c7 %all
 meet ! requirem5ts ( ?is subsection4   

7#b7 ,eligibility  7,a7 ,9 g5]al ,to be 
eligible to receive a grant1 contract1  
or coop]ative agreem5t "u ?is           
subsection1 a local educational ag5cy   
%all ent] into a s*ool-bas$ m5tal heal? 
p>tn]%ip t--  7i7 %all include a public 
or private m5tal heal? entity or heal?  
c>e entity2 &  7ii7 may include a *ild  
welf>e ag5cy1 family-bas$ m5tal heal?   
entity1 family organization1 trauma     
network1 or o!r community-bas$ entity4  
7,b7 ,flexibility = c]ta9 local         
educational ag5cies ,not)/&+ subp>agraph
 7,a71 a local educational ag5cy t is   
eligible = s]vices "u subp>t #a or #b ( 
"p ,b ( title ,,vi1 z det]m9$ by !      
,secret>y1 & t is unable to p>tn] ) a   
public or private m5tal heal? entity or 
heal? c>e entity %all be eligible = a   
grant "u ?is subsection if ! local      
educational ag5cy c demon/rate to !     
,secret>y1 9 its application = a grant  
"u ?is subsection1 t ! local educational
 ag5cy c o!rwise build ! capacity to    
c>ry out ! requirem5ts ( ?is subsection4

  7#c7 ,application ,a local educational
 ag5cy t desires a grant1 contract1 or  
coop]ative agreem5t "u ?is subsection   
%all include1 9 ! application requir$ by
 ! ,secret>y1 a description ( h[ ! local
 educational ag5cy w--  7,a7 assi/      
s*ools s]v$ by ! local educational ag5cy
 to provide1 ?r\gh ! s*ool-bas$ m5tal   
heal? s]vices p>tn]%ip program1         
compreh5sive s*ool-bas$ m5tal heal?     
s]vices & supports & compreh5sive /aff  
developm5t = s*ool & community s]vice   
p]sonnel work+ 9 ! s*ool2  7,b7 provide 
te*nical assi/ance & tra9+ to improve & 
support ! developm5t1 implem5tation1 &  
coord9ation ( s*ool-bas$ m5tal heal?    
programs & ensure su* programs are      
coord9at$ ) activities c>ri$ out "u !   
,individuals ) ,disabilities ,education 
,act2 &  7,c7 evaluate ! effects (      
provid+ s*ool-bas$ m5tal heal? programs4
  7#d7 ,use ( funds ,a local educational
 ag5cy receiv+ a grant1 contract1 or    
coop]ative agreem5t "u ?is subsection   
%all use funds provid$ "u su* grant1    

contract1 or coop]ative agreem5t to     
provide s*ool-bas$ m5tal heal? s]vices &
 supports t--  7,a7 may include--  7i7 !
 e>ly id5tification ( social1 emotional1
 or behavioral problems1 or sub/ance use
 disord]s1 & ! provision ( e>ly int]v5+ 
s]vices2  7ii7 n )/&+ section #daed1 !  
treatm5t or ref]ral = treatm5t ( /ud5ts 
) social1 emotional1 or behavioral heal?
 problems1 or sub/ance use disord]s2    
7iii7 ! developm5t & implem5tation (    
programs to assi/ *ildr5 9 deal+ )      
trauma & viol5ce2 &  7iv7 ! developm5t (
 me*anisms1 bas$ on be/ practices1 =    
*ildr5 to report incid5ts ( viol5ce or  
plans by o!r *ildr5 or adults to commit 
viol5ce2  7,b7 are bas$ on trauma-in=m$ 
& evid5ce-bas$ practices2  7,c7 are     
coord9at$1 :]e appropriate1 ) e>ly      
int]v5+ s]vices c>ri$ out "u !          
,individuals ) ,disabilities ,education 
,act2 &  7,d7 are provid$ by qualifi$   
m5tal & behavioral heal? pr(essionals :o
 are c]tifi$ or lic5s$ by ! ,/ate       
involv$ & practic+ )9 _! area (         

exp]tise4  7#e7 ,g5]al requirem5ts  7,a7
 ,p>5tal cons5t  7i7 ,9 g5]al ,ea* local
 educational ag5cy receiv+ a grant1     
contract1 or coop]ative agreem5t "u ?is 
subsection %all obta9 prior writt51     
in=m$ cons5t f ! p>5t ( ea* *ild :o is  
"u #ah ye>s ( age to p>ticipate 9 any   
assessm5t s]vice1 program1 activity1 or 
treatm5t t is--  7,i7 fund$ "u ?is      
subsection2 &  7,,ii7 conduct$ 9        
connection ) an elem5t>y s*ool or       
second>y s*ool "u ! grant1 contract1 or 
coop]ative agreem5t4  7ii7 ,exception   
,not)/&+ clause 7i71 ! writt51 in=m$    
cons5t describ$ 9 su* clause %all n be  
requir$ 9--  7,i7 an em]g5cy1 :]e x is  
necess>y to protect ! imm$iate heal? &  
safety ( ! /ud5t1 o!r /ud5ts1 or s*ool  
p]sonnel2 or  7,,ii7 o!r in/ances :]e   
p>5tal cons5t _c reasonably be obta9$1 z
 def9$ by ! ,secret>y4  7,b7            
,prohibition on m&atory m$ication ,no   
*ild %all be requir$ to obta9 a         
prescription = a sub/ance cov]$ by !    
,controll$ ,sub/ances ,act 7#ba         

,u4,s4,c4 #hja et seq47 z a condition ( 
receiv+ an evaluation "u ?is subsection1
 receiv+ s]vices "u ?is subsection1 or  
att5d+ a s*ool receiv+ assi/ance "u ?is 
subsection4  7,c7 ,privacy ,ea* local   
educational ag5cy receiv+ a grant1      
contract1 or coop]ative agreem5t "u ?is 
subsection %all ensure t /ud5t m5tal    
heal? records are accord$ ! privacy     
protections provid$ "u ! regulations    
promulgat$ "u section #bfd7;c7 ( !      
,heal? ,insurance ,portability &        
,acc\ntability ,act ( #aiif 7,public    
,law #ajd-aia2 #aaj ,/at4 #bjcc7 &      
section #ddd ( ! ,g5]al ,education      
,provisions ,act 7#bj ,u4,s4,c4 #abcb;g7
 7commonly ref]r$ to z ! ,family        
,educational ,rights & ,privacy ,act (  
#aigd74  7#f7 ,liability protection =   
s*ool p]sonnel ,section #bcff %all apply
 to s*ool p]sonnel provid+ s]vices "u a 
grant1 contract1 or coop]ative agreem5t 
"u ?is subsection 9 ! same mann] z su*  
section applies to tea*]s4  7#g7        
,prohibition aga9/ ,f$]al m&ates1       

direction1 or control or ,f$]al         
regulation ,9 addition to ! prohibition 
( ,f$]al ,gov]nm5t control ( a ,/ate1   
local educational ag5cy1 or s*ool's     
curriculum or program ( in/ruction t is 
provid$ "u section #iebg7;a71 no?+ 9 ?is
 subsection %all be con/ru$ to au?orize 
an (fic] or employee ( ! ,f$]al         
,gov]nm5t to m&ate1 direct1 or control a
 ,/ate1 local educational ag5cy1 or     
s*ool's specific in/ructional cont5t or 
academic a*ievem5t /&>ds & assessm5ts4  
4  7l7 ,def9ition ,section #iaja ( !    
,elem5t>y & ,second>y ,education ,act ( 
#aife 7#bj ,u4,s4,c4 #ghja7 is am5d$--  
7#a7 by r$esignat+ p>agraphs 7#ag7 ?r\gh
 7#dc7 z p>agraphs 7#ah7 ?r\gh 7#dd71   
respectively2 &  7#b7 by ins]t+ aft]    
p>agraph 7#af7 ! foll[+3  7#ag7 ,e>ly   
int]v5+ s]vices ,! t]m e>ly int]v5+     
s]vices means e>ly int]v5+ s]vices      
describ$ 9 section #fac7;f77#a7 ( !     
,individuals ) ,disabilities ,education 
,act4  4  #ajd4 ,con=m+ am5dm5ts  7a7   
,am]ica ,,competes ,reau?orization ,act 

( #bjaj ,section #eec7;d77#f7 ( !       
,am]ica ,,competes ,reau?orization ,act 
( #bjaj 7#bj ,u4,s4,c4 #iijc7;d77#f77 is
 am5d$ by /rik+ section #iaja7bc7 &     
ins]t+ section #iaja7bd74  7b7 ,high]   
,education ,act ( #aife ,section #bee7k7
 ( ! ,high] ,education ,act ( #aife is  
am5d$--  7#a7 9 p>agraph 7#a71 by /rik+ 
section #iaja7bc77;,b77ii7 & ins]t+     
section #iaja7bd77;,b77ii72 &  7#b7 9   
p>agraph 7#c71 by /rik+ section         
#iaja7bc7 & ins]t+ section #iaja7bd74   
7c7 ,individuals ) ,disabilities        
,education ,act ,section #fjb7aj7 ( !   
,individuals ) ,disabilities ,education 
,act 7#bj ,u4,s4,c4 #adja7aj77 is       
am5d$--  7#a7 9 subp>agraph 7,c77ii71 by
 /rik+ section #iaja7bc7 & ins]t+       
section #iaja7bd72 &  7#b7 9 ea* (      
clauses 7ii7 & 7iii7 ( subp>agraph 7,d71
 by /rik+ section #iaja7bc77;,c77ii7 &  
ins]t+ section #iaja7bd77;,c77ii74  ,,ii
 ,heal? programs  #bja4 ,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 #bjad ?r\gh #bjah4  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 #bjad ?r\gh #bjah4  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 #bjad ?r\gh #bjah44   
#bjb4 ,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+ & o!r categories ( individuals1 z

 det]m9$ by ! ,secret>y1 aft] em]g5cy   
s]vices p]sonnel2  7,c7 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,d7 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  #bjc4   
,*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$71 by /rik+ #ej1jjj1jjj & all 
t foll[s ?r\gh #bjjf & ins]t+           
#de1gac1jjj = ea* ( fiscal ye>s #bjad   
?r\gh #bjah4  #bjd4 ,assess+ b>ri]s to  
behavioral heal? integration  7a7 ,9    
g5]al ,n lat] ?an #b ye>s aft] ! date ( 
enactm5t ( ?is ,act1 ! ,comptroll]      
,g5]al ( ! ,unit$ ,/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  #bje4     

,increas+ education & aw>5ess (         
treatm5ts = opioid use disord]s  7a7 ,9 
g5]al ,9 ord] to improve ! quality ( c>e
 deliv]y & treatm5t outcomes among      
pati5ts ) opioid use disord]s1 !        
,secret>y ( ,heal? & ,human ,s]vices    
7ref]r$ to 9 ?is section z ! ,secret>y71
 act+ ?r\gh ! ,adm9i/rator = ! ,sub/ance
 ,abuse & ,m5tal ,heal? ,s]vices        
,adm9i/ration1 may advance1 ?r\gh exi/+ 
programs z appropriate1 ! education &   
aw>5ess ( provid]s1 pati5ts1 & o!r      
appropriate /akehold]s reg>d+ all       
products approv$ by ! ,food & ,drug     
,adm9i/ration to treat opioid use       
disord]s4  7b7 ,activities ,! activities
 describ$ 9 subsection 7a7 may include--
  7#a7 dissem9at+ evid5ce-bas$ practices
 = ! treatm5t ( opioid use disord]s2    
7#b7 facilitat+ cont9u+ education       
programs = heal? pr(essionals involv$ 9 
treat+ opioid use disord]s2  7#c7       
increas+ aw>5ess among relevant         
/akehold]s ( ! treatm5t ( opioid use    
disord]s2  7#d7 assess+ curr5t b>ri]s to

 ! treatm5t ( opioid use disord]s =     
pati5ts & provid]s & developm5t &       
implem5tation ( /rategies to mitigate   
su* b>ri]s2 &  7#e7 cont9u+ innovative  
approa*es to ! treatm5t ( opioid use    
disord]s 9 v>i\s treatm5t sett+s1 su* z 
prisons1 community m5tal heal? c5t]s1   
prim>y c>e1 & hospitals4  7c7 ,report ,n
 lat] ?an #a ye> aft] ! date ( enactm5t 
( ?is ,act1 if ! ,secret>y c>ries out ! 
activities "u ?is section1 ! ,secret>y  
%all submit to ! ,committee on ,heal?1  
,education1 ,labor1 & ,p5sions ( !      
,s5ate & ! ,committee on ,en]gy &       
,comm]ce ( ! ,h\se ( ,repres5tatives a  
report t exam9es--  7#a7 ! activities ! 
,sub/ance ,abuse & ,m5tal ,heal?        
,s]vices ,adm9i/ration conducts "u ?is  
section1 includ+ any pot5tial impacts on
 heal? c>e co/s associat$ ) su*         
activities2  7#b7 ! role ( adh]5ce 9 !  
treatm5t ( opioid use disord]s & me?ods 
to r$uce opioid use disord]s2 &  7#c7   
recomm5dations on priorities & /rategies
 to address co-occurr+ sub/ance use     

disord]s & m5tal illnesses4  #bjf4      
,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 treat$ by  
prim>y c>e or specialty provid]s1 :at   
types ( ref]rals = additional c>e are   
recomm5d$1 & any b>ri]s to access+ ?is  
c>e2  7#b7 ! ext5t to :i* *ildr5 are    
prescrib$ psy*otropic m$ications 9 !    
,unit$ ,/ates includ+ ! frequ5cy (      
concurr5t m$ication usage2 &  7#c7 !    
tools1 assessm5ts1 & m$ications t are   

available & us$ to diagnose & treat     
*ildr5 ) m5tal heal? disord]s4  #bjg4   
,evid5ce bas$ practices = old] adults   
,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]s &         
co-occurr+ m5tal heal? & sub/ance use   
disord]s among g]iatric populations1 z  
well z dissem9ate in=mation ab\t su*    
evid5ce-bas$ practices to ,/ates &      
nongrantees ?r\gh\t ! ,unit$ ,/ates4  4 
#bjh4 ,national viol5t dea? report+     
sy/em ,! ,secret>y ( ,heal? & ,human    
,s]vices1 act+ ?r\gh ! ,director ( !    
,c5t]s = ,disease ,control & ,prev5tion1
 is enc\rag$ to improve1 p>ticul>ly     
?r\gh ! inclusion ( additional ,/ates1 !
 ,national ,viol5t ,dea? ,report+ ,sy/em
 z au?oriz$ by title ,,iii ( ! ,public  

,heal? ,s]vice ,act4 ,p>ticipation 9 !  
sy/em by ! ,/ates %all be volunt>y4     
#bji4 ,,gao /udy on ,virg9ia ,te*       
recomm5dations  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 ! appropriate   
committees ( ,congress a report conc]n+ 
! /atus ( implem5tation ( recomm5dations
 made 9 ! report to ! ,presid5t1 ,on    
,issues ,rais$ by ! ,virg9ia ,te*       
,trag$y1 by ! ,secret>ies ( ,heal? &    
,human ,s]vices & ,education & !        
,attorney ,g5]al ( ! ,unit$ ,/ates1     
submitt$ to ! ,presid5t on ,june #ac1   
#bjjg4  7b7 ,cont5t ,! report submitt$  
to ! committees ( ,congress "u          
subsection 7a7 %all review & assess--   
7#a7 ! ext5t to :i* ! recomm5dations 9 !
 report t include p>ticipation by !     
,dep>tm5t ( ,heal? & ,human ,s]vices 7  
implem5t$2  7#b7 :e!r !re are any b>ri]s
 to implem5tation ( su* recomm5dations2 
&  7#c7 id5tification ( any additional  

actions ! ,f$]al gov]nm5t c take to     
support ,/ates & local communities &    
ensure t ! ,f$]al gov]nm5t & ,f$]al law 
are n ob/acles to address+ at !         
community level--  7,a7 s*ool viol5ce2 &
  7,b7 m5tal illness4  ,april #aa1 #bjac
 ,report$ ) an am5dm5t