,i #aad? ,,congress #a/ ,session ,h4 ,r4 #bfdf ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,june #d1 #bjae ,mr4 ,murphy ( ,p5nsylvania 7= himself1 ,ms4 ,eddie ,b]nice ,johnson ( ,texas1 ,mr4 ,bu*anan1 ,mr4 ,diaz-,bal>t1 ,mr4 ,bilirakis1 ,mr4 ,dold1 ,mr4 ,gu9ta1 ,mrs4 ,mimi ,walt]s ( ,cali=nia1 ,mr4 ,br5dan ,f4 ,boyle ( ,p5nsylvania1 ,mrs4 ,ellm]s ( ,nor? ,c>ol9a1 ,mr4 ,d5ham1 ,mr4 ,v>gas1 ,mrs4 ,mill] ( ,mi*igan1 ,mr4 ,ha/+s1 ,mr4 ,calv]t1 ,mr4 ,nunes1 ,mr4 ,hunt]1 ,mr4 ,blum5au]1 & ,ms4 ,s9ema7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce1 & 9 addition to ! ,committees on ,ways & ,means & ,education & ! ,work=ce1 = a p]iod to be subsequ5tly det]m9$ by ! ,speak]1 9 ea* case = consid]ation ( su* provisions z fall )9 ! jurisdiction ( ! committee conc]n$ ,a ,,bill ,to make available ne$$ psy*iatric1 psy*ological1 & supportive s]vices = individuals ) m5tal illness & families 9 m5tal heal? crisis1 & = o!r purposes4 #a4 ,%ort title2 table ( cont5ts 7a7 ,%ort title ,?is ,act may be cit$ z ! ,help+ ,families 9 ,m5tal ,heal? ,crisis ,act ( #bjae4 7b7 ,table ( cont5ts ,! table ( cont5ts = ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title2 table ( cont5ts4 ,sec4 #b4 ,def9itions4 ,title ,i--,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s ,sec4 #aja4 ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s4 ,sec4 #ajb4 ,transf] ( ,,samhsa au?orities4 ,sec4 #ajc4 ,reports4 ,sec4 #ajd4 ,advisory ,c\ncil on ,graduate ,m$ical ,education4 ,title ,,ii--,grant re=m & re/ructur+ ,sec4 #bja4 ,national m5tal heal? policy laboratory4 ,sec4 #bjb4 ,innovation grants4 ,sec4 #bjc4 ,demon/ration grants4 ,sec4 #bjd4 ,e>ly *ildhood int]v5tion & treatm5t4 ,sec4 #bje4 ,ext5sion ( assi/$ outpati5t treatm5t grant program = individuals ) s]i\s m5tal illness4 ,sec4 #bjf4 ,block grants4 ,sec4 #bjg4 ,work=ce developm5t4 ,sec4 #bjh4 ,au?oriz$ grants & programs4 ,title ,,iii--,int]ag5cy ,s]i\s ,m5tal ,illness ,coord9at+ ,committee ,sec4 #cja4 ,int]ag5cy ,s]i\s ,m5tal ,illness ,coord9at+ ,committee4 ,title ,,iv--,,hipaa & ,,f]pa c>egiv]s ,sec4 #dja4 ,promot+ appropriate treatm5t = m5tally ill individuals by treat+ _! c>egiv]s z p]sonal repres5tatives = purposes ( ,,hipaa privacy regulations4 ,sec4 #djb4 ,c>egiv]s p]mitt$ access to c]ta9 education records "u ,,f]pa4 ,sec4 #djc4 ,confid5tiality ( records4 ,title ,v--,m$ic>e & ,m$icaid re=ms ,sec4 #eja4 ,enhanc$ ,m$icaid cov]age relat+ to c]ta9 m5tal heal? s]vices4 ,sec4 #ejb4 ,access to m5tal heal? prescription drugs "u ,m$ic>e & ,m$icaid4 ,sec4 #ejc4 ,elim9ation ( #aij-;day lifetime limit on cov]age ( inpati5t psy*iatric hospital s]vices "u ,m$ic>e4 ,sec4 #ejd4 ,modifications to ,m$ic>e dis*>ge plann+ requirem5ts4 ,sec4 #eje4 ,demon/ration programs to improve community m5tal heal? s]vices4 ,title ,,vi--,rese>* by ,national ,in/itute ( ,m5tal ,heal? ,sec4 #fja4 ,increase 9 fund+ = c]ta9 rese>*4 ,title ,,vii--,behavioral heal? in=mation te*nology ,sec4 #gja4 ,ext5sion ( heal? in=mation te*nology assi/ance = behavioral & m5tal heal? & sub/ance abuse4 ,sec4 #gjb4 ,ext5sion ( eligibility = ,m$ic>e & ,m$icaid heal? in=mation te*nology implem5tation assi/ance4 ,title ,,viii--,,samhsa ,reau?orization & ,re=ms ,subtitle ,a--,organization & g5]al au?orities ,sec4 #hja4 ,9 g5]al4 ,sec4 #hjb4 ,advisory c\ncils4 ,sec4 #hjc4 ,pe] review4 ,subtitle ,b--,protection & advocacy = individuals ) m5tal illness ,sec4 #haa4 ,prohibition aga9/ lobby+ by sy/ems accept+ ,f$]al funds to protect & advocate ! rights ( individuals ) m5tal illness4 ,sec4 #hab4 ,ensur+ t c>egiv]s ( individuals ) s]i\s m5tal illness h access to ! protect$ heal? in=mation ( su* individuals4 ,sec4 #hac4 ,protection & advocacy activities to focus exclusively on safegu>d+ rights to be free f abuse & neglect4 ,sec4 #had4 ,report+4 ,sec4 #hae4 ,grievance proc$ure4 ,sec4 #haf4 ,evid5ce-bas$ treatm5t = individuals ) s]i\s m5tal illness4 ,title ,,ix--,report+ ,sec4 #ija4 ,,gao /udy on prev5t+ discrim9atory cov]age limitations = individuals ) s]i\s m5tal illness & sub/ance use disord]s4 #b4 ,def9itions ,9 ?is ,act3 7#a7 ,except z inconsi/5t ) ! provisions ( ?is ,act1 ! t]m ,assi/ant ,secret>y means ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s4 7#b7 ,! t]m evid5ce-bas$ means ! consci5ti\s1 sy/ematic1 explicit1 & judici\s appraisal & use ( ext]nal1 curr5t1 reliable1 & valid rese>* f9d+s z ! basis = mak+ decisions ab\t ! effectiv5ess & efficacy ( a program1 int]v5tion1 or treatm5t4 ,i ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s #aja4 ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s 7a7 ,9 g5]al ,!re %all be 9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices an (ficial to be kn[n z ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s1 :o %all-- 7#a7 report directly to ! ,secret>y2 7#b7 be appo9t$ by ! ,secret>y ( ,heal? & ,human ,s]vices1 by & ) ! advice & cons5t ( ! ,s5ate2 & 7#c7 be select$ f among individuals :o-- 7,a7 7i7 h a doctoral degree 9 m$ic9e or o/eopa?ic m$ic9e & cl9ical & rese>* exp]i5ce 9 psy*iatry2 7ii7 graduat$ f an ,accr$itation ,c\ncil = ,graduate ,m$ical ,education-accr$it$ psy*iatric resid5cy program2 & 7iii7 h an und]/&+ ( biological1 psy*osocial1 & ph>maceutical treatm5ts ( m5tal illness & sub/ance use disord]s2 or 7,b7 h a doctoral degree 9 psy*ology )-- 7i7 cl9ical & rese>* exp]i5ce reg>d+ m5tal illness & sub/ance use disord]s2 & 7ii7 an und]/&+ ( biological1 psy*osocial1 & ph>maceutical treatm5ts ( m5tal illness & sub/ance use disord]s4 7b7 ,duties ,! ,assi/ant ,secret>y %all-- 7#a7 promote1 evaluate1 organize1 integrate1 & coord9ate rese>*1 treatm5t1 & s]vices across dep>tm5ts1 ag5cies1 organizations1 & individuals ) respect to ! problems ( individuals suff]+ f sub/ance use disord]s or m5tal illness2 7#b7 c>ry out any functions )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices-- 7,a7 to improve ! treatm5t (1 & relat$ s]vices to1 individuals ) respect to sub/ance use disord]s or m5tal illness2 7,b7 to improve second>y prev5tion or t]ti>y prev5tion s]vices = su* individuals2 7,c7 to ensure access to effective1 evid5ce-bas$ treatm5t = individuals ) m5tal illnesses & individuals ) a sub/ance use disord]2 7,d7 to ensure t grant programs ( ! ,dep>tm5t adh]e to sci5tific /&>ds ) an emphasis on second>y prev5tion & t]ti>y prev5tion = individuals ) s]i\s m5tal illness or sub/ance use disord]s2 & 7,e7 to develop & implem5t initiatives to enc\rage individuals to pursue c>e]s 7especially 9 und]s]v$ areas & populations7 z psy*iatri/s1 psy*ologi/s1 psy*iatric nurse practition]s1 cl9ical social work]s1 & o!r lic5s$ m5tal heal? pr(essionals specializ+ 9 ! diagnosis1 evaluation1 & treatm5t ( individuals ) sev]e m5tal illness1 includ+ individuals-- 7i7 :o are vuln]able to crises1 psy*otic episodes1 or suicidal rum9ation2 7ii7 ^: det]ioration c be rapid2 or 7iii7 :o require m frequ5t contact or integration ( a v>iety ( s]vices by ! treat+ m5tal heal? pr(essional2 7#c7 c>ry out ! adm9i/rative & f9ancial managem5t1 policy developm5t & plann+1 evaluation1 k dissem9ation1 & public in=mation functions t are requir$ = ! implem5tation ( m5tal heal? programs1 includ+ block grants1 treatm5ts1 & data collection2 7#d7 conduct & coord9ate demon/ration projects1 evaluations1 & s]vice sy/em assessm5ts & o!r activities necess>y to improve ! availability & quality ( treatm5t1 prev5tion1 & relat$ s]vices relat$ to sub/ance use disord]s & m5tal illness2 7#e7 )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 ov]see & coord9ate all programs & activities relat+ to-- 7,a7 ! prev5tion (1 or treatm5t or rehabilitation =1 m5tal heal? or sub/ance use disord]s2 7,b7 p>ity 9 heal? insurance b5efits & conditions relat+ to m5tal heal? & sub/ance use disord]2 or 7,c7 ! r$uction ( homelessness among individuals ) m5tal illness2 7#f7 across ! ,f$]al ,gov]nm5t1 9 conjunction ) ! ,int]ag5cy ,s]i\s ,m5tal ,illness ,coord9at+ ,committee "u section #eja;,a-- 7,a7 review all programs & activities relat+ to ! prev5tion (1 or treatm5t or rehabilitation =1 m5tal illness or sub/ance use disord]s2 7,b7 id5tify any su* programs & activities t are duplicative2 7,c7 id5tify any su* programs & activities t are n evid5ce-bas$1 effective1 or effici5t2 & 7,d7 =mulate recomm5dations = exp&+1 coord9at+1 elim9at+1 & improv+ programs & activities id5tifi$ pursuant to subp>agraph 7,b7 or 7,c7 & m]g+ su* programs & activities into o!r1 successful programs & activities2 7#g7 id5tify evid5ce-bas$ be/ practices across ! ,f$]al ,gov]nm5t = treatm5t & s]vices = ^? ) m5tal heal? & sub/ance use disord]s by review+ practices = effici5cy1 effectiv5ess1 quality1 coord9ation1 & co/ effectiv5ess2 7#h7 be ! head ( & sup]vise ! ,national ,m5tal ,heal? ,policy ,laboratory2 & 7#i7 n lat] ?an "o ye> aft] ! date ( enactm5t ( ! ,help+ ,families 9 ,m5tal ,heal? ,crisis ,act ( #bjae1 submit to ! ,congress a report conta9+ a nationwide /rategy to increase ! psy*iatric work=ce & recruit m$ical pr(essionals = ! treatm5t ( individuals ) s]i\s m5tal illness & sub/ance use disord]s4 7c7 ,nationwide /rategy ,! ,assi/ant ,secret>y %all ensure t ! nationwide /rategy 9 ! report "u subsection 7b77#i7 is design$-- 7#a7 to enc\rage & inc5tivize /ud5ts enroll$ 9 an accr$it$ m$ical or o/eopa?ic m$ical s*ool to ent] ! specialty ( psy*iatry2 7#b7 to promote great] rese>*-ori5t$ psy*iatri/ resid5cy tra9+ on evid5ce-bas$ s]vice deliv]y models = individuals ) s]i\s m5tal illness or sub/ance use disord]s2 7#c7 to promote appropriate ,f$]al adm9i/rative & fiscal me*anisms t support-- 7,a7 evid5ce-bas$ collaborative c>e models2 & 7,b7 ! necess>y psy*iatric work=ce capacity = ^! models1 includ+ psy*iatri/s 7includ+ *ild & adolesc5t psy*iatri/s71 psy*ologi/s1 psy*iatric nurse practition]s1 cl9ical social work]s1 & m5tal heal?1 pe]-support speciali/s2 7#d7 to increase access to *ild & adolesc5t psy*iatric s]vices 9 ord] to promote e>ly int]v5tion = prev5tion & mitigation ( m5tal illness2 & 7#e7 to id5tify populations & locations t are ! mo/ und]s]v$ by m5tal heal? pr(essionals & ! mo/ 9 ne$ ( psy*iatri/s 7includ+ *ild & adolesc5t psy*iatri/s71 psy*ologi/s1 psy*iatric nurse practition]s1 cl9ical social work]s1 & m5tal heal?1 pe]-support speciali/s4 7d7 ,prioritization ( integration ( s]vices1 e>ly diagnosis1 int]v5tion1 & work=ce developm5t ,9 c>ry+ out ! duties describ$ 9 subsection 7b71 ! ,assi/ant ,secret>y %all prioritize-- 7#a7 ! integration ( m5tal heal?1 sub/ance use1 & physical heal? s]vices = ! purpose ( diagnos+1 prev5t+1 treat+1 or provid+ rehabilitation = m5tal illness or sub/ance use disord]s1 includ+ any su* s]vices provid$ ?r\gh ! ju/ice sy/em 7includ+ dep>tm5ts ( correction7 or o!r entities o!r ?an ! ,dep>tm5t ( ,heal? & ,human ,s]vices2 7#b7 crisis int]v5tion =1 e>ly diagnosis & int]v5tion s]vices = ! prev5tion (1 & treatm5t & rehabilitation =1 s]i\s m5tal illness or sub/ance use disord]s2 & 7#c7 work=ce developm5t =-- 7,a7 appropriate treatm5t ( s]i\s m5tal illness or sub/ance use disord]s2 & 7,b7 rese>* activities t advance sci5tific & cl9ical und]/&+s ( ^! disord]s1 includ+ ! developm5t & implem5tation ( a cont9u+ nationwide /rategy to increase ! psy*iatric work=ce ) psy*iatri/s1 *ild & adolesc5t psy*iatri/s1 psy*ologi/s1 psy*iatric nurse practition]s1 cl9ical social work]s1 & m5tal heal? pe] support speciali/s4 7e7 ,requirem5ts & re/rictions on au?ority ,to aw>d grants ,9 aw>d+ any grant or f9ancial assi/ance1 ! ,assi/ant ,secret>y1 & any ag5cy or (ficial )9 ! ,(fice ( ! ,assi/ant ,secret>y1 %all comply ) ! foll[+3 7#a7 ,! grant or f9ancial assi/ance %all be = activities consi/+ (1 or bas$ ^u1 appli$ sci5tific rese>*4 7#b7 ,any program to be fund$ %all be demon/rat$-- 7,a7 9 ! case ( an ongo+ program1 to be effective2 & 7,b7 9 ! case ( a new program1 to h ! prospect ( be+ effective4 7#c7 ,! programs & activities to be fund$ %all use evid5ce-bas$ be/ practices or em]g+ evid5ce-bas$ be/ practices t are translational & c be exp&$ or replicat$ to o!r ,/ates1 local communities1 ag5cies1 or ?r\gh ! ,m$icaid program "u title ,,xix ( ! ,social ,security ,act4 7#d7 ,an application = ! grant or f9ancial assi/ance %all include1 z applicable1 a sci5tific ju/ification bas$ on previ\sly demon/rat$ models1 ! numb] ( individuals to be s]v$1 ! population to be t>get$1 :at objective outcomes measures w be us$1 & details on h[ ! program or activity to be fund$ c be replicat$ & by :om4 7#e7 ,applicants %all be evaluat$ & select$ ?r\gh a bl9d1 pe]-review process by exp]t m5tal heal? c>e provid]s ) pr(essional exp]i5ce 9 m5tal heal? rese>* or treatm5t & :]e appropriate or necess>y pr(essional exp]i5ce relat$ to sub/ance abuse & o!r areas ( exp]tise appropriate to ! grant or o!r f9ancial assi/ance4 7#f7 ,no memb] ( a pe]-review gr\p conduct+ a bl9d1 pe]-review process1 z requir$ by p>agraph 7#e71 may be relat$ to anyone :o may be apply+ = ! type ( aw>d be+ review$1 may be a curr5t grant applicant1 or may h a f9ancial or employm5t int]e/$ 9 select+ :om to receive ! aw>d4 7#g7 ,aw>d recipi5ts may be p]iodically review$ & audit$ at ! discretion ( ! ,inspector ,g5]al ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices or ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates to ensure t-- 7,a7 ! be/ sci5tific me?od = bo? s]vices & data collection is be+ foll[$2 & 7,b7 ,f$]al funds are be+ us$ z requir$ by ! conditions ( ! aw>d & by applicable guidel9es ( ! ,,nmhpl4 7#h7 ,aw>d recipi5ts t fail an audit or fail to provide in=mation pursuant to an audit %all h _! aw>ds t]m9at$4 7f7 ,def9itions ,9 ?is section3 7#a7 ,! t]m second>y prev5tion means prev5tion t is design$ to prev5t a disease or condition f occurr+ among individuals or a subpopulation det]m9$ to be at risk = ! disease or condition4 7#b7 ,! t]m t]ti>y prev5tion means prev5tion t is design$ to r$uce or m9imize ! consequ5ces ( a disease or condition among individuals %[+ symptoms ( ! disease or condition4 #ajb4 ,transf] ( ,,samhsa au?orities 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices %all delegate to ! ,assi/ant ,secret>y all duties & au?orities t-- 7#a7 z ( ! day be=e ! date ( enactm5t ( ?is ,act1 7 ve/$ 9 ! ,adm9i/rator ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration2 & 7#b7 are n t]m9at$ by ?is ,act4 7b7 ,transition ,?is section & ! am5dm5ts made by ?is section apply beg9n+ on ! day t is #f mon?s aft] ! date ( enactm5t ( ?is ,act4 ,z ( su* day1 ! ,secret>y ( ,heal? & ,human ,s]vices %all provide = ! transf] ( ! p]sonnel1 assets1 & obligations ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration to ! ,(fice ( ! ,assi/ant ,secret>y4 7c7 ,con=m+ am5dm5ts ,title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa et seq47 is am5d$-- 7#a7 9 ! title head+1 by /rik+ ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration & ins]t+ ,m5tal ,heal? & ,sub/ance ,use ,disord]s2 7#b7 by am5d+ section #eja7;a7 to read z foll[s3 7a7 ,assi/ant ,secret>y ,! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s %all h ! duties & au?orities ve/$ 9 ! ,assi/ant ,secret>y by ?is title 9 addition to ! duties & au?orities ve/$ 9 ! ,assi/ant ,secret>y by section #eja ( ! ,help+ ,families 9 ,m5tal ,heal? ,crisis ,act ( #bjae & o!r provisions ( law4 2 7#c7 by am5d+ section #eja7;c7 to read z foll[s3 7c7 ,deputy ,assi/ant ,secret>y ,! ,assi/ant ,secret>y1 ) ! approval ( ! ,secret>y1 may appo9t a ,deputy ,assi/ant ,secret>y & may employ & prescribe ! functions ( su* (fic]s & employees1 includ+ attorneys1 z are necess>y to adm9i/] ! activities to be c>ri$ out "u ?is title4 2 7#d7 by /rik+ subsection 7o7 7relat+ to au?orization ( appropriations72 7#e7 by /rik+ ,adm9i/rator ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration ea* place x appe>s & ins]t+ ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s2 7#f7 by /rik+ ,adm9i/rator ea* place x appe>s & ins]t+ ,assi/ant ,secret>y1 except :]e ! t]m ,adm9i/rator appe>s )9 ! t]m-- 7,a7 ,associate ,adm9i/rator2 7,b7 ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration2 7,c7 ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices2 or 7,d7 ,adm9i/rator ( ! ,(fice ( ,juv5ile ,ju/ice & ,del9qu5cy ,prev5tion2 7#g7 by /rik+ ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration ea* place x appe>s & ins]t+ ,(fice ( ! ,assi/ant ,secret>y2 7#h7 9 section #ejb1 by /rik+ ,adm9i/ration or ,c5t] ea* place x appe>s & ins]t+ ,(fice or ,c5t]2 7#i7 9 section #ejb1 by /rik+ ,adm9i/ration's & ins]t+ ,(fice ( ! ,assi/ant ,secret>y's2 & 7#aj7 by /rik+ ! t]m ,adm9i/ration ea* place x appe>s & ins]t+ ,(fice ( ! ,assi/ant ,secret>y1 except 9 ! head+ ( section #ebj;,g7b7 & :]e ! t]m ,adm9i/ration appe>s ) ! t]m-- 7,a7 ,heal? ,res\rces & ,s]vices ,adm9i/ration2 or 7,b7 ,national ,highway ,traffic ,safety ,adm9i/ration4 7d7 ,ref]5ces ,aft] execut+ subsection 7a71 subsection 7b71 & ! am5dm5ts made by subsection 7c7-- 7#a7 any ref]5ce 9 /atute1 regulation1 or guidance to ! ,adm9i/rator ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration %all be con/ru$ to be a ref]5ce to ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s2 & 7#b7 any ref]5ce 9 /atute1 regulation1 or guidance to ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration %all be con/ru$ to be a ref]5ce to ! ,(fice ( ! ,assi/ant ,secret>y4 #ajc4 ,reports 7a7 ,report on inve/igations reg>d+ p>ity 9 m5tal heal? & sub/ance use disord] b5efits 7#a7 ,9 g5]al ,n lat] ?an #ahj days aft] ! enactm5t ( ?is ,act1 & annually !reaft]1 ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 9 collaboration ) ! ,assi/ant ,secret>y ( ,labor ( ! ,employee ,b5efits ,security ,adm9i/ration & ! ,secret>y ( ! ,treasury1 & 9 consultation ) ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s1 %all submit to ! ,congress a report-- 7,a7 id5tify+ ,f$]al inve/igations conduct$ or complet$ dur+ ! prec$+ #ab-mon? p]iod reg>d+ compliance ) p>ity 9 m5tal heal? & sub/ance use disord] b5efits1 includ+ b5efits provid$ to p]sons ) s]i\s m5tal illness & sub/ance use disord]s1 "u ! ,paul ,well/one & ,pete ,dom5ici ,m5tal ,heal? ,p>ity & ,addiction ,equity ,act ( #bjjh 7subtitle ,b ( title ,v ( division ,c ( ,public ,law #aaj-cdc72 & 7,b7 summ>iz+ ! results ( su* inve/igations4 7#b7 ,cont5ts ,subject to p>agraph 7#c71 ea* report "u p>agraph 7#a7 %all include ! foll[+ in=mation3 7,a7 ,! numb] ( inve/igations op5$ & clos$ dur+ ! cov]$ report+ p]iod4 7,b7 ,! b5efit classification or classifications exam9$ by ea* inve/igation4 7,c7 ,! subject matt] or subject matt]s ( ea* inve/igation1 includ+ quantitative & nonquantitative treatm5t limitations4 7,d7 ,a summ>y ( ! basis ( ! f9al decision r5d]$ = ea* inve/igation4 7#c7 ,limitation ,individually id5tifiable in=mation %all be exclud$ f reports "u p>agraph 7#a7 consi/5t ) ,f$]al privacy protections4 7b7 ,report on be/ practices = pe]-,support speciali/ programs1 tra9+1 & c]tification 7#a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 & biannually !reaft]1 ! ,assi/ant ,secret>y %all submit to ! ,congress & make publicly available a report on be/ practices & pr(essional /&>ds 9 ,/ates =-- 7,a7 e/abli%+ & op]at+ heal? c>e programs us+ pe]-support speciali/s2 & 7,b7 tra9+ & c]tify+ pe]-support speciali/s4 7#b7 ,pe]-support speciali/ def9$ ,9 ?is subsection1 ! t]m pe]-support speciali/ means an individual :o-- 7,a7 uses 8 or h] liv$ exp]i5ce ( recov]y f m5tal illness or sub/ance abuse1 plus skills le>n$ 9 =mal tra9+1 to facilitate support gr\ps1 & to "w on a "o-on-"o basis1 ) individuals ) a s]i\s m5tal illness or a sub/ance use disord]1 9 consultation ) & "u ! sup]vision ( a lic5s$ m5tal heal? or sub/ance use treatm5t pr(essional2 7,b7 has be5 an active p>ticipant 9 m5tal heal? or sub/ance use treatm5t = at lea/ ! prec$+ #b ye>s2 7,c7 does n provide direct m$ical s]vices2 & 7,d7 does n p]=m s]vices outside ( 8 or h] area ( tra9+1 exp]tise1 compet5ce1 or scope ( practice4 7#c7 ,cont5ts ,ea* report "u ?is subsection %all include in=mation on be/ practices & /&>ds ) reg>d to ! foll[+3 7,a7 ,h\rs ( =mal "w or volunte] exp]i5ce relat$ to m5tal heal? & sub/ance use issues4 7,b7 ,types ( pe] speciali/ exams requir$4 7,c7 ,code ( e?ics4 7,d7 ,additional tra9+ requir$ prior to c]tification1 includ+ 9 areas su* z-- 7i7 psy*oph>macology2 7ii7 integrat+ physical m$ic9e & m5tal heal? supportive s]vices2 7iii7 e?ics2 7iv7 scope ( practice2 7v7 crisis int]v5tion2 7vi7 id5tification & treatm5t ( m5tal heal? disord]s2 7vii7 ,/ate confid5tiality laws2 7viii7 ,f$]al privacy protections1 includ+ "u ! ,heal? ,insurance ,portability & ,acc\ntability ,act ( #aiif2 & 7ix7 o!r areas z det]m9$ by ! ,assi/ant ,secret>y4 7,e7 ,requirem5ts to expla9 :at1 :]e1 :51 & h[ to accurately complete all requir$ docum5tation activities4 7,f7 ,requir$ or recomm5d$ skill sets1 includ+-- 7i7 id5tify+ consum] risk indicators1 includ+ individual /ressors1 trigg]s1 & indicators ( escalat+ symptoms2 7ii7 expla9+ basic de-escalation te*niques2 7iii7 expla9+ basic suicide prev5tion concepts & te*niques2 7iv7 id5tify+ indicators t ! consum] may be exp]i5c+ abuse or neglect2 7v7 id5tify+ & respond+ appropriately to p]sonal /ressors1 trigg]s1 & indicators2 7vi7 id5tify+ ! consum]'s curr5t /age ( *ange or recov]y2 7vii7 expla9+ ! typical process t %\ld be foll[$ to access or p>ticipate 9 community m5tal heal? & relat$ s]vices2 & 7viii7 id5tify+ circum/ances :5 x is appropriate to reque/ assi/ance f o!r pr(essionals to help meet ! consum]'s recov]y goals4 7,g7 ,requirem5ts = cont9u+ education cr$its annually4 7c7 ,report on ! /ate ( ! ,/ates 9 m5tal heal? & sub/ance use treatm5t 7#a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 & n less ?an e #b ye>s !reaft]1 ! ,assi/ant ,secret>y %all submit to ! ,congress & make available to ! public a report on ! /ate ( ! ,/ates 9 m5tal heal? & sub/ance use treatm5t1 includ+ ! foll[+3 7,a7 ,a detail$ report on h[ ,f$]al m5tal heal? & sub/ance use treatm5t funds are us$ 9 ea* ,/ate includ+3 7i7 ,! numb]s ( individuals ) s]i\s m5tal illness or sub/ance use disord]s :o are s]v$ ) ,f$]al funds4 7ii7 ,! types ( programs made available to individuals ) s]i\s m5tal illness or sub/ance use disord]s4 7,b7 ,a summ>y ( be/ practice models 9 ! ,/ates highlight+ programs t are co/ effective1 provide evid5ce-bas$ c>e1 increase access to c>e1 integrate physical1 psy*iatric1 psy*ological1 & behavioral m$ic9e1 & improve outcomes = individuals ) m5tal illness or sub/ance use disord]s4 7,c7 ,a /ati/ical report ( outcome measures 9 ea* ,/ate1 includ+-- 7i7 rates ( suicide1 suicide attempts1 sub/ance abuse1 ov]dose1 ov]dose dea?s1 em]g5cy psy*iatric hospitalizations1 & em]g5cy room bo>d+2 & 7ii7 = ^? ) m5tal illness1 arre/s1 inc>c]ations1 victimization1 homelessness1 joblessness1 employm5t1 & enrollm5t 9 educational or vocational programs4 7,d7 ,outcome measures on ,/ate-assi/$ outpati5t treatm5t programs1 includ+-- 7i7 rates ( keep+ treatm5t appo9tm5ts & compliance ) prescrib$ m$ications2 7ii7 p>ticipants' p]ceiv$ effectiv5ess ( ! program2 7iii7 rates ( ! programs help+ ^? ) s]i\s m5tal illness ga9 control ov] _! lives2 7iv7 alcohol & drug abuse rates2 7v7 inc>c]ation & arre/ rates2 7vi7 viol5ce aga9/ p]sons or prop]ty2 7vii7 homelessness2 & 7viii7 total treatm5t co/s = compliance ) ! program4 7,e7 ,/ate & c\nties ) assi/$ outpati5t treatm5t programs ,= ,/ates & c\nties ) assi/$ outpati5t treatm5t programs1 ! in=mation report$ "u ?is subsection %all include a comp>ison ( ! outcomes ( individuals ) s]i\s m5tal illness :o p>ticipat$ 9 ! programs v]sus ! outcomes ( individuals :o did n p>ticipate b 7 eligible to d s by nature ( _! hi/ory4 7,f7 ,/ates & c\nties )\t ,,aot programs ,= ,/ates & c\nties )\t assi/$ outpati5t treatm5t programs1 ! in=mation report$ "u ?is subsection %all include data on individuals ) m5tal illness :o-- 7i7 h a hi/ory ( viol5ce1 inc>c]ation1 & arre/s2 7ii7 h a hi/ory ( em]g5cy psy*iatric hospitalizations2 7iii7 are sub/antially unlikely to p>ticipate 9 treatm5t on _! own2 7iv7 may be unable = reasons o!r ?an indig5ce1 to provide = any ( _! basic ne$s su* z food1 clo?+1 %elt]1 heal? or safety2 7v7 h a hi/ory ( m5tal illness or condition t is likely to sub/antially det]iorate if ! individual is n provid$ ) timely treatm5t2 & 7vi7 due to _! m5tal illness1 h a lack ( capacity to fully und]/& or lack judgm5t1 or dim9i%$ capacity to make in=m$ decisions1 reg>d+ _! ne$ = treatm5t1 c>e1 or sup]vision4 7#b7 ,def9ition ,9 ?is subsection1 ! t]m em]g5cy room bo>d+ means ! practice ( admitt+ pati5ts to an em]g5cy dep>tm5t & hold+ !m 9 ! dep>tm5t until inpati5t psy*iatric b$s become available4 7d7 ,report+ compliance /udy 7#a7 ,9 g5]al ,! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s %all ent] into an arrangem5t ) ! ,in/itute ( ,m$ic9e ( ! ,national ,academies 7or1 if ! ,in/itute decl9es1 ano!r appropriate entity7 "u :i*1 n lat] ?an #ab mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,in/itute w submit to ! appropriate committees ( ,congress a report t evaluates ! comb9$ pap]work burd5 (-- 7,a7 community m5tal heal? c5t]s meet+ ! crit]ia specifi$ 9 section #aiac7;c7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#b71 includ+ su* c5t]s meet+ su* crit]ia z 9 effect on ! day be=e ! date ( enactm5t ( ?is ,act2 & 7,b7 f$]ally qualifi$ community m5tal heal? cl9ics c]tifi$ pursuant to section #bbc ( ! ,protect+ ,access to ,m$ic>e ,act ( #bjad 7,public ,law #aac-ic71 z am5d$ by section #eje4 7#b7 ,scope ,9 prep>+ ! report "u subsection 7a71 ! ,in/itute ( ,m$ic9e 7or1 if applicable1 o!r appropriate entity7 %all exam9e lic5s+1 c]tification1 s]vice def9itions1 claims paym5t1 bill+ codes1 & f9ancial audit+ requirem5ts us$ by ! ,(fice ( ,managem5t & ,budget1 ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 ! ,(fice ( ! ,inspector ,g5]al ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 ,/ate ,m$icaid ag5cies1 ,/ate dep>tm5ts ( heal?1 ,/ate dep>tm5ts ( education1 & ,/ate & local juv5ile ju/ice & social s]vice ag5cies to-- 7,a7 e/abli% an e/imate ( ! comb9$ nationwide co/ ( comply+ ) su* requirem5ts1 9 t]ms ( bo? adm9i/rative fund+ & /aff "t2 7,b7 e/abli% an e/imate ( ! p] capita co/ to ea* c5t] or cl9ic describ$ 9 subp>agraph 7,a7 or 7,b7 ( p>agraph 7#a7 to comply ) su* requirem5ts1 9 t]ms ( bo? adm9i/rative fund+ & /aff "t2 & 7,c7 make adm9i/rative & /atutory recomm5dations to ,congress 7:i* recomm5dations may include a uni=m me?odology7 to r$uce ! pap]work burd5 exp]i5c$ by c5t]s & cl9ics describ$ 9 subp>agraph 7,a7 or 7,b7 ( p>agraph 7#a74 #ajd4 ,advisory ,c\ncil on ,graduate ,m$ical ,education ,section #gfb7;b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bido7b77 is am5d$-- 7#a7 by r$esignat+ p>agraphs 7#d7 ?r\gh 7#f7 z p>agraphs 7#e7 ?r\gh 7#g71 respectively2 & 7#b7 by ins]t+ aft] p>agraph 7#c7 ! foll[+3 7#d7 ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s2 4 ,,ii ,grant re=m & re/ructur+ #bja4 ,national m5tal heal? policy laboratory 7a7 ,9 g5]al 7#a7 ,e/abli%m5t ,! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s %all e/abli%1 )9 ! ,(fice ( ! ,assi/ant ,secret>y1 ! ,national ,m5tal ,heal? ,policy ,laboratory 79 ?is section ref]r$ to z ! ,,nmhpl71 to be head$ by a ,director4 7#b7 ,duties ,! ,director ( ! ,,nmhpl %all-- 7,a7 id5tify1 coord9ate1 & implem5t policy *anges & o!r tr5ds likely to h ! mo/ significant impact on m5tal heal? s]vices & monitor _! impact2 7,b7 collect in=mation f grantees "u programs e/abli%$ or am5d$ by ?is ,act & "u o!r m5tal heal? programs "u ! ,public ,heal? ,s]vice ,act1 includ+ grantees t are ,/ates receiv+ funds "u a block grant "u "p ,b ( title ,,xix ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx et seq472 7,c7 evaluate & dissem9ate to su* grantees evid5ce-bas$ practices & s]vices deliv]y models us+ ! be/ available sci5ce %[n to be co/-effective :ile enhanc+ ! quality ( c>e furni%$ to individuals2 7,d7 e/abli% /&>ds = ! appo9tm5t ( sci5tific pe]-review panels to evaluate grant applications2 & 7,e7 e/abli% /&>ds = grant programs "u subsection 7b74 7#c7 ,evid5ce-bas$ practices & s]vice deliv]y models ,9 select+ evid5ce-bas$ be/ practices & s]vice deliv]y models = evaluation & dissem9ation "u p>agraph 7#b77;,c71 ! ,director ( ! ,,nmhpl-- 7,a7 %all give pref]5ce to models t improve-- 7i7 ! coord9ation betwe5 m5tal heal? & physical heal? provid]s2 7ii7 ! coord9ation among su* provid]s & ! ju/ice & corrections sy/em2 & 7iii7 ! co/ effectiv5ess1 quality1 effectiv5ess1 & effici5cy ( heal? c>e s]vices furni%$ to individuals ) s]i\s m5tal illness1 9 m5tal heal? crisis1 or at risk to !mselves1 _! families1 & ! g5]al public2 & 7,b7 may include cl9ical protocols & practices us$ 9 ! ,recov]y ,aft] ,initial ,s*izophr5ia ,episode 7,,raise7 project & ! ,nor? ,am]ican ,prodrome ,longitud9al ,/udy 7,,napls7 ( ! ,national ,in/itute ( ,m5tal ,heal?4 7#d7 ,deadl9e = beg9n+ implem5tation ,! ,director ( ! ,,nmhpl %all beg9 implem5tation ( ! duties describ$ 9 ?is subsection n lat] ?an ,janu>y #a1 #bjah4 7#e7 ,consultation ,9 c>ry+ out ! duties "u ?is subsection1 ! ,director ( ! ,,nmhpl %all consult )-- 7,a7 repres5tatives ( ! ,national ,in/itute ( ,m5tal ,heal? on organization1 hir+ decisions1 & op]ations1 initially & on an ongo+ basis2 7,b7 o!r appropriate ,f$]al ag5cies2 7,c7 cl9ical & analytical exp]ts ) exp]tise 9 m$ic9e1 psy*iatric & cl9ical psy*ological c>e1 heal? c>e managem5t1 education1 corrections heal? c>e1 & m5tal heal? c\rt sy/ems2 & 7,d7 o!r individuals & ag5cies z det]m9$ appropriate by ! ,assi/ant ,secret>y4 7b7 ,/&>ds = grant programs 7#a7 ,9 g5]al ,! ,director ( ! ,,nmhpl %all set /&>ds = grant programs adm9i/]$ by ! ,assi/ant ,secret>y1 & ! ,assi/ant ,secret>y %all comply ) su* /&>ds1 includ+ /&>ds =-- 7,a7 ! ext5t to :i* ! grantee mu/ h ! capacity to implem5t ! aw>d2 7,b7 ! ext5t to :i* ! grant plan submitt$ by ! grantee z "p ( its application mu/ expla9 h[ ! grantee w help to provide compreh5sive community m5tal heal? or sub/ance use s]vices to adults ) s]i\s m5tal illness & *ildr5 ) s]i\s emotional di/urbances2 7,c7 ! ext5t to :i* ! grantee mu/ id5tify priorities1 z well z /rategies & p]=mance indicators to address ^? priorities = ! duration ( ! grant2 7,d7 ! ext5t to :i* ! grantee mu/ submit /atem5ts on ! ext5t to :i* ! grantee is meet+ annual program priorities ) quantifiable1 objective1 & sci5tific t>gets1 measures1 & outcomes2 7,e7 ! ext5t to :i* grantees are expect$ to collaborate ) o!r *ild-s]v+ sy/ems su* z *ild welf>e1 education1 juv5ile ju/ice1 & prim>y c>e sy/ems2 7,f7 ! ext5t to :i* ! grantee mu/ collect & report data2 7,g7 ! ext5t to :i* ! grantee mu/ use evid5ce-bas$ practices & ! ext5t to :i* ^? evid5ce-bas$ practices mu/ be us$ ) respect to a population simil> to ! population = :i* ! evid5ce-bas$ practices 7 %[n to be effective2 & 7,h7 ! ext5t to :i* a grantee1 :5 possible1 mu/ h a control gr\p4 7#b7 ,public disclosure ( results ,! ,director ( ! ,,nmhpl-- 7,a7 %all make ! /&>ds "u p>agraph 7#a71 & ! ,director's f9d+s on compliance by ! ,assi/ant ,secret>y & grantees ) su* /&>ds1 available to ! public 9 a timely fa%ion2 & 7,b7 may e/abli% requirem5ts = ,/ates & o!r entities receiv+ funds ?r\gh grants "u programs e/abli%$ or am5d$ by ?is ,act & "u o!r m5tal heal? programs "u ! ,public ,heal? ,s]vice ,act1 includ+ "u a block grant "u "p ,b ( title ,,xix ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx et seq471 to collect in=mation on evid5ce-bas$ be/ practices & s]vices deliv]y models select$ "u section #aja7;c77#b71 z ! ,assi/ant ,secret>y det]m9es necess>y to monitor & evaluate su* models4 7c7 ,/aff+ 7#a7 ,composition ,9 select+ ! /aff ( ! ,,nmhpl1 ! ,director ( ! ,,nmhpl1 9 consultation ) ! ,director ( ! ,national ,in/itute ( ,m5tal ,heal?1 %all ensure ! foll[+3 7,a7 ,at lea/ #bj p]c5t ( ! /aff %all-- 7i7 h a doctoral degree 9 m$ic9e or o/eopa?ic m$ic9e & cl9ical & rese>* exp]i5ce 9 psy*iatry2 7ii7 h graduat$ f an ,accr$itation ,c\ncil = ,graduate ,m$ical ,education-accr$it$ psy*iatric resid5cy program2 & 7iii7 h an und]/&+ ( biological1 psy*osocial1 & ph>maceutical treatm5ts ( m5tal illness & sub/ance use disord]s4 7,b7 ,at lea/ #bj p]c5t ( ! /aff %all h a doctoral degree 9 psy*ology )-- 7i7 cl9ical & rese>* exp]i5ce reg>d+ m5tal illness & sub/ance use disord]s2 & 7ii7 an und]/&+ ( biological1 psy*osocial1 & ph>maceutical treatm5ts ( m5tal illness & sub/ance use disord]s4 7,c7 ,at lea/ #bj p]c5t ( ! /aff %all be pr(essionals or academics ) cl9ical or rese>* exp]tise 9 sub/ance use disord]s & treatm5t4 7,d7 ,at lea/ #bj p]c5t ( ! /aff %all be pr(essionals or academics ) exp]tise 9 rese>* design & me?odologies4 7#b7 ,congressional appo9tm5ts ,at lea/ #bj p]c5t1 or two1 :i*ev] is great]1 ( ! memb]s ( ! /aff ( ! ,,nmhpl %all be appo9t$ by ,congress4 7d7 ,report on quality ( c>e ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 & e #b ye>s !reaft]1 ! ,director ( ! ,,nmhpl %all submit to ! ,congress a report on ! quality ( c>e furni%$ ?r\gh grant programs adm9i/]$ by ! ,assi/ant ,secret>y "u ! respective s]vices deliv]y models1 includ+ measurem5t ( pati5t-level outcomes & public heal? outcomes su* z-- 7#a7 r$uc$ rates ( suicide1 suicide attempts1 sub/ance abuse1 ov]dose1 ov]dose dea?s1 em]g5cy psy*iatric hospitalizations1 em]g5cy room bo>d+1 inc>c]ation1 crime1 arre/1 victimization1 homelessness1 & joblessness2 7#b7 rates ( employm5t & enrollm5t 9 educational & vocational programs2 & 7#c7 su* o!r crit]ia z ! ,director may det]m9e4 7e7 ,def9ition ,9 ?is section1 ! t]m em]g5cy room bo>d+ means ! practice ( admitt+ pati5ts to an em]g5cy dep>tm5t & hold+ !m 9 ! dep>tm5t until inpati5t psy*iatric b$s become available4 #bjb4 ,innovation grants 7a7 ,9 g5]al ,! ,assi/ant ,secret>y %all aw>d grants to ,/ate & local gov]nm5ts1 educational in/itutions1 & nonpr(it organizations = exp&+ a model t has be5 sci5tifically demon/rat$ to %[ promise1 b w\ld b5efit f fur!r appli$ rese>*1 =-- 7#a7 enhanc+ ! scre5+1 diagnosis1 & treatm5t ( m5tal illness & s]i\s m5tal illness2 or 7#b7 integrat+ or coord9at+ physical1 m5tal heal?1 & sub/ance use s]vices4 7b7 ,duration ,a grant "u ?is section %all be = a p]iod ( n m ?an #b ye>s4 7c7 ,limitations ,( ! am\nts made available = c>ry+ out ?is section = a fiscal ye>-- 7#a7 n m ?an "o-?ird %all be aw>d$ = use = prim>y prev5tion2 & 7#b7 n less ?an "o-?ird %all be aw>d$ = scre5+1 diagnosis1 treatm5t1 or s]vices1 z describ$ 9 subsection 7a71 = individuals 7or subpopulations ( individuals7 :o are bel[ ! age ( #ah :5 activities fund$ ?r\gh ! grant aw>d are initiat$4 7d7 ,guidel9es ,z a condition on receipt ( an aw>d "u ?is section1 an applicant %all agree to adh]e to guidel9es issu$ by ! ,national ,m5tal ,heal? ,policy ,laboratory on rese>* designs & data collection4 7e7 ,t]m9ation ,! ,assi/ant ,secret>y may t]m9ate any aw>d "u ?is section ^u a det]m9ation t-- 7#a7 ! recipi5t is n provid+ in=mation reque/$ by ! ,national ,m5tal ,heal? ,policy ,laboratory or ! ,assi/ant ,secret>y 9 connection ) ! aw>d2 or 7#b7 !re is a cle> failure 9 ! effectiv5ess ( ! recipi5t's programs or activities fund$ ?r\gh ! aw>d4 7f7 ,report+ ,z a condition on receipt ( an aw>d "u ?is section1 an applicant %all agree-- 7#a7 to report to ! ,national ,m5tal ,heal? ,policy ,laboratory & ! ,assi/ant ,secret>y ! results ( programs & activities fund$ ?r\gh ! aw>d2 & 7#b7 to include 9 su* report+ any relevant data reque/$ by ! ,national ,m5tal ,heal? ,policy ,laboratory & ! ,assi/ant ,secret>y4 7g7 ,def9ition ,9 ?is section1 ! t]m prim>y prev5tion means prev5tion t is design$ to prev5t a disease or condition f occurr+ among ! g5]al population )\t reg>d to id5tify+ ! pres5ce ( risk factors or symptoms 9 ! population4 7h7 ,fund+ ,( ! am\nts made available to c>ry out sections #eja1 #eji1 #eaf1 & #ebj;,a ( ! ,public ,heal? ,s]vice ,act = a fiscal ye>1 #e p]c5t ( su* am\nts are au?oriz$ to be us$ to c>ry out ?is section4 #bjc4 ,demon/ration grants 7a7 ,grants ,! ,assi/ant ,secret>y %all aw>d grants to ,/ates1 c\nties1 local gov]nm5ts1 educational in/itutions1 & private nonpr(it organizations = ! expansion1 replication1 or scal+ ( evid5ce-bas$ programs across a wid] area to enhance effective scre5+1 e>ly diagnosis1 int]v5tion1 & treatm5t ) respect to m5tal illness & s]i\s m5tal illness1 prim>ily by-- 7#a7 appli$ deliv]y ( c>e1 includ+ tra9+ /aff 9 effective evid5ce-bas$ treatm5t2 & 7#b7 integrat+ models ( c>e across specialties & jurisdictions4 7b7 ,duration ,a grant "u ?is section %all be = a p]iod ( n less ?an #b ye>s & n m ?an #e ye>s4 7c7 ,limitations ,( ! am\nts made available = c>ry+ out ?is section = a fiscal ye>-- 7#a7 n less ?an half %all be aw>d$ = scre5+1 diagnosis1 int]v5tion1 & treatm5t1 z describ$ 9 subsection 7a71 = individuals 7or subpopulations ( individuals7 :o are bel[ ! age ( #bf :5 activities fund$ ?r\gh ! grant aw>d are initiat$2 7#b7 no am\nts %all be made available = any program or project t is n evid5ce-bas$2 7#c7 no am\nts %all be made available = prim>y prev5tion2 & 7#d7 no am\nts %all be made available solely = ! purpose ( exp&+ facilities or increas+ /aff at an exi/+ program4 7d7 ,guidel9es ,z a condition on receipt ( an aw>d "u ?is section1 an applicant %all agree to adh]e to guidel9es issu$ by ! ,national ,m5tal ,heal? ,policy ,laboratory on rese>* designs & data collection4 7e7 ,t]m9ation ,! ,assi/ant ,secret>y may t]m9ate any aw>d "u ?is section ^u a det]m9ation t-- 7#a7 ! recipi5t is n provid+ in=mation reque/$ by ! ,national ,m5tal ,heal? ,policy ,laboratory or ! ,assi/ant ,secret>y 9 connection ) ! aw>d2 or 7#b7 !re is a cle> failure 9 ! effectiv5ess ( ! recipi5t's programs or activities fund$ ?r\gh ! aw>d4 7f7 ,report+ ,z a condition on receipt ( an aw>d "u ?is section1 an applicant %all agree-- 7#a7 to report to ! ,national ,m5tal ,heal? ,policy ,laboratory & ! ,assi/ant ,secret>y ! results ( programs & activities fund$ ?r\gh ! aw>d2 & 7#b7 to include 9 su* report+ any relevant data reque/$ by ! ,national ,m5tal ,heal? ,policy ,laboratory & ! ,assi/ant ,secret>y4 7g7 ,fund+ ,( ! am\nts made available to c>ry out sections #eja1 #eji1 #eaf1 & #ebj;,a ( ! ,public ,heal? ,s]vice ,act = a fiscal ye>1 #aj p]c5t ( su* am\nts are au?oriz$ to be us$ to c>ry out ?is section4 #bjd4 ,e>ly *ildhood int]v5tion & treatm5t 7a7 ,grants ,! ,director ( ! ,national ,m5tal ,heal? ,policy ,laboratory 79 ?is section ref]r$ to z ! ,,nmhpl7 %all aw>d-- 7#a7 grants to eligible entities to initiate & und]take1 = eligible *ildr51 e>ly *ildhood int]v5tion & treatm5t programs1 & specializ$ pres*ool & elem5t>y s*ool programs1 ) ! goal ( prev5t+ *ronic & s]i\s m5tal illness2 7#b7 grants to n m ?an #c eligible entities = /udy+ ! longitud9al outcomes ( programs fund$ "u p>agraph 7#a7 on eligible *ildr5 :o 7 treat$ #e or m ye>s prior to ! enactm5t ( ?is ,act2 & 7#c7 ensure t programs & activities fund$ ?r\gh grants "u ?is subsection are bas$ on a s\nd sci5tific model t %[s evid5ce & promise & c be replicat$ 9 o!r sett+s4 7b7 ,eligible entities & *ildr5 ,9 ?is section3 7#a7 ,eligible entity ,! t]m eligible entity means a nonpr(it in/itution t-- 7,a7 is duly accr$it$ by ,/ate m5tal heal? & education ag5cies1 z applicable1 = ! treatm5t & education ( *ildr5 f #a to #aj ye>s ( age2 & 7,b7 provides s]vices t include e>ly *ildhood int]v5tion & specializ$ pres*ool & elem5t>y s*ool programs focus$ on *ildr5 ^: prim>y ne$ is a social or emotional disability 79 addition to any le>n+ disability74 7#b7 ,eligible *ild ,! t]m eligible *ild means a *ild :o is at lea/ #j ye>s old & n m ?an #ab ye>s old-- 7,a7 ^: prim>y ne$ is a social & emotional disability 79 addition to any le>n+ disability72 7,b7 :o is at risk ( develop+ s]i\s m5tal illness &_/or may %[ e>ly signs ( m5tal illness2 & 7,c7 :o c\ld b5efit f e>ly *ildhood int]v5tion & specializ$ pres*ool or elem5t>y s*ool programs ) ! goal ( prev5t+ or treat+ *ronic & s]i\s m5tal illness4 7c7 ,application ,an eligible entity seek+ a grant "u subsection 7a7 %all submit to ! ,secret>y an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7d7 ,use ( funds = e>ly *ildhood int]v5tion & treatm5t programs ,an eligible entity %all use am\nts aw>d$ "u a grant "u subsection 7a77#a7 to c>ry out ! foll[+ activities3 7#a7 ,deliv] 7or facilitate7 = eligible *ildr5 treatm5t & education1 e>ly *ildhood int]v5tion1 & specializ$ pres*ool & elem5t>y s*ool programs1 includ+ ! provision ( m$ically bas$ *ild c>e & e>ly education s]vices4 7#b7 ,treat & educate eligible *ildr51 includ+ />tup1 curricula developm5t1 op]at+ & capital ne$s1 /aff & equipm5t1 assessm5t & int]v5tion s]vices1 adm9i/ration & m$ication requirem5ts1 enrollm5t co/s1 collaboration ) prim>y c>e physicians & psy*iatri/s1 o!r relat$ s]vices to meet em]g5cy ne$s ( *ildr51 & communication ) families & m$ical pr(essionals conc]n+ ! *ildr54 7#c7 ,develop & implem5t o!r /rategies to address id5tifi$ treatm5t & educational ne$s ( eligible *ildr5 t h reliable & valid evaluation modalities built into assess outcomes bas$ on s\nd sci5tific metrics z det]m9$ by ! ,,nmhpl4 7e7 ,use ( funds = longitud9al /udy ,9 conduct+ a /udy on longitud9al outcomes ?r\gh a grant "u subsection 7a77#b71 an eligible entity %all include an analysis (-- 7#a7 ! individuals treat$ & educat$2 7#b7 ! success ( su* treatm5t & education 9 avoid+ ! onset ( s]i\s m5tal illness or ! prep>ation ( su* *ildr5 = ! c>e & managem5t ( s]i\s m5tal illness2 7#c7 any evid5ce-bas$ be/ practices g5]ally applicable z a result ( su* treatm5t & educational te*niques us$ ) su* *ildr52 & 7#d7 ! ability ( programs to be replicat$ z a be/ practice model ( int]v5tion4 7f7 ,requirem5ts ,9 c>ry+ out ?is section1 ! ,secret>y %all ensure t ea* entity receiv+ a grant "u subsection 7a7 ma9ta9s a writt5 agreem5t ) ! ,secret>y1 & provides regul> writt5 reports1 z requir$ by ! ,secret>y1 reg>d+ ! quality1 effici5cy1 & effectiv5ess ( int]v5tion & treatm5t = eligible *ildr5 prev5t+ or treat+ ! developm5t & onset ( s]i\s m5tal illness4 7g7 ,am\nt ( aw>ds 7#a7 ,am\nts = e>ly *ildhood int]v5tion & treatm5t programs ,! am\nt ( an aw>d to an eligible entity "u subsection 7a77#a7 %all be n m ?an #fjj1jjj p] fiscal ye>4 7#b7 ,am\nts = longitud9al /udy ,! total am\nt ( an aw>d to an eligible entity "u subsection 7a77#b7 7= "o or m fiscal ye>s7 %all be n less ?an #a1jjj1jjj & n great] ?an #b1jjj1jjj4 7h7 ,project t]ms ,! p]iod ( a grant-- 7#a7 = aw>ds "u subsection 7a77#a71 %all be n less ?an #c fiscal ye>s & n m ?an #aj fiscal ye>s2 & 7#b7 = aw>ds "u subsection 7a77#b71 %all be n m ?an #e fiscal ye>s4 7i7 ,mat*+ funds ,! ,director ( ! ,,nmhpl may n aw>d a grant "u ?is section to an eligible entity unless ! eligible entity agrees1 ) respect to ! co/s to be incurr$ by ! eligible entity 9 c>ry+ out ! activities describ$ 9 subp>agraph 7,d71 to make available non-,f$]al contributions 79 ca% or 9 k9d7 t[>d su* co/s 9 an am\nt equal to n less ?an #aj p]c5t ( ,f$]al funds provid$ 9 ! grant4 7j7 ,def9itions ,9 ?is section3 7#a7 ,! t]m em]g5cy room bo>d+ means ! practice ( admitt+ pati5ts to an em]g5cy dep>tm5t & hold+ !m 9 ! dep>tm5t until inpati5t psy*iatric b$s become available4 7#b7 ,! t]m prim>y prev5tion means prev5tion t is design$ to prev5t a disease or condition f occurr+ among ! g5]al population )\t reg>d to id5tify+ ! pres5ce ( risk factors or symptoms 9 ! population4 7k7 ,fund+ ,( ! am\nts made available to c>ry out "p ,e ( title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ff et seq47 = ea* ( fiscal ye>s #bjaf ?r\gh #bjba1 n m ?an #e p]c5t ( su* am\nts are au?oriz$ to be appropriat$ to c>ry out ?is section4 #bje4 ,ext5sion ( assi/$ outpati5t treatm5t grant program = individuals ) s]i\s m5tal illness ,section #bbd ( ! ,protect+ ,access to ,m$ic>e ,act ( #bjad 7#db ,u4,s4,c4 #bij;aa note7 is am5d$-- 7#a7 9 subsection 7e71 by /rik+ & #bjah & ins]t+ #bjah1 #bjai1 & #bjbj2 & 7#b7 9 subsection 7g7-- 7,a7 9 p>agraph 7#a71 by /rik+ #bjah & ins]t+ #bjbj2 7,b7 9 p>agraph 7#b7-- 7i7 by /rik+ #ae1jjj1jjj & ins]t+ #bj1jjj1jjj2 & 7ii7 by /rik+ #bjah & ins]t+ #bjbj2 & 7,c7 by add+ at ! end ! foll[+3 7#c7 ,allocation ,( ! funds made available to c>ry out ?is section = a fiscal ye>1 ! ,secret>y %all allocate-- 7,a7 #bj p]c5t ( su* funds = exi/+ assi/$ outpati5t treatm5t programs2 & 7,b7 #hj p]c5t ( su* funds = new assi/$ outpati5t treatm5t programs4 4 #bjf4 ,block grants 7a7 ,be/ practices 9 cl9ical c>e models ,section #aibj ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#i7 is am5d$ by add+ at ! end ! foll[+3 7c7 ,be/ practices 9 cl9ical c>e models ,! ,secret>y1 act+ ?r\gh ! ,director ( ! ,national ,in/itute ( ,m5tal ,heal?1 %all obligate #e p]c5t ( ! am\nts appropriat$ = a fiscal ye> "u subsection 7a7 = translat+ evid5ce-bas$ 7z def9$ 9 section #b ( ! ,help+ ,families 9 ,m5tal ,heal? ,crisis ,act ( #bjae7 int]v5tions & be/ available sci5ce into sy/ems ( c>e1 su* z ?r\gh models includ+-- 7#a7 ! ,recov]y ,aft] an ,initial ,s*izophr5ia ,episode rese>* project ( ! ,national ,in/itute ( ,m5tal ,heal?2 & 7#b7 ! ,nor? ,am]ican ,prodrome ,longitud9al ,/udy4 4 7b7 ,adm9i/ration ( block grants by ,assi/ant ,secret>y ,section #aiaa7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx7 is am5d$ by /rik+ act+ ?r\gh ! ,director ( ! ,c5t] = ,m5tal ,heal? ,s]vices & ins]t+ act+ ?r\gh ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s4 7c7 ,additional program requirem5ts 7#a7 ,integrat$ s]vices ,subsection 7b77#a7 ( section #aiab ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#a7;b77#a77 is am5d$-- 7,a7 by /rik+ ,! plan provides & ins]t+3 7,a7 ,! plan provides 2 7,b7 9 ! subp>agraph 7,a7 ins]t$ by p>agraph 7#a71 9 ! second s5t5ce1 by /rik+ heal? & m5tal heal? s]vices & ins]t+ integrat$ physical & m5tal heal? s]vices2 7,c7 9 su* subp>agraph 7,a71 by /rik+ ,! plan %all include ?r\gh ! p]iod at ! end & ins]t+ ,! plan %all integrate & coord9ate s]vices to maximize ! effici5cy1 effectiv5ess1 quality1 coord9ation1 & co/ effectiv5ess ( ^? s]vices & programs to produce ! be/ possible outcomes = ^? ) s]i\s m5tal illness42 & 7,d7 by add+ at ! end ! foll[+ new subp>agraph3 7,b7 ,! plan %all include a sep>ate description ( case managem5t s]vices & provide = activities lead+ to r$uction ( rates ( suicides1 suicide attempts1 sub/ance abuse1 ov]dose dea?s1 em]g5cy hospitalizations1 inc>c]ation1 crimes1 arre/1 victimization1 homelessness1 joblessness1 m$ication nonadh]5ce1 & education & vocational programs drop outs4 ,! plan mu/ also include a detail$ li/ ( s]vices available = eligible pati5ts 7z def9$ 9 subsection 7d77#c77 9 ea* c\nty or c\nty equival5t1 includ+ assi/$ outpati5t treatm5t4 4 7#b7 ,data collection sy/em ,subsection 7b77#b7 ( section #aiab ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#a7;b77#b77 is am5d$-- 7,a7 by /rik+ ,! plan conta9s an e/imate ( & ins]t+ ! foll[+3 ,! plan conta9s-- 7,a7 an e/imate ( 2 7,b7 9 subp>agraph 7,a71 z ins]t$ by p>agraph 7#a71 by ins]t+ 1 includ+ r$uctions 9 homelessness1 em]g5cy hospitalization1 inc>c]ation1 & unemploym5t = eligible pati5ts 7z def9$ 9 subsection 7d77#c771 aft] t>gets2 7,c7 9 su* subp>agraph1 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7,d7 by add+ at ! end ! foll[+ new subp>agraph3 7,b7 an agreem5t by ! ,/ate to report to ! ,national ,m5tal ,heal? ,policy ,laboratory su* data z may be requir$ by ! ,secret>y conc]n+-- 7i7 compreh5sive community m5tal heal? s]vices 9 ! ,/ate2 & 7ii7 public heal? outcomes = p]sons ) s]i\s m5tal illness 9 ! ,/ate1 includ+ rates ( suicides1 suicide attempts1 sub/ance abuse1 ov]dose dea?s1 em]g5cy hospitalizations1 inc>c]ation1 crimes1 arre/1 victimization1 homelessness1 joblessness1 m$ication non-adh]5ce1 & education & vocational programs drop outs4 4 7#c7 ,implem5tation ( plan ,subsection 7d7 ( section #aiab ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#a7;d77 is am5d$-- 7,a7 9 p>agraph 7#a7-- 7i7 by /rik+ ,except z provid$ & ins]t+3 7,a7 ,except z provid$ 2 & 7ii7 by add+ at ! end ! foll[+ new subp>agraph3 7,b7 ,= eligible pati5ts receiv+ treatm5t ?r\gh funds aw>d$ "u a grant "u section #aiaa1 a ,/ate %all include 9 ! ,/ate plan = ! fir/ ye> beg9n+ aft] ! date ( ! enactm5t ( ?is subp>agraph & ea* subsequ5t ye>1 a de-individualiz$ report1 conta9+ in=mation t is op5 s\rce & de-id5tifi$1 on ! s]vices provid$ to ^? individuals1 includ+-- 7i7 outcomes & ! ov]all co/ ( su* treatm5t provid$2 & 7ii7 c\nty or c\nty equival5t level data on su* pati5t population1 includ+ ov]all co/s & raw numb] data on rates ( involunt>y inpati5t & outpati5t commitm5t ord]s1 suicides1 suicide attempts1 sub/ance abuse1 ov]dose dea?s1 em]g5cy hospitalizations1 inc>c]ation1 crimes1 arre/1 victimization1 homelessness1 joblessness1 m$ication non-adh]5ce1 & education & vocational programs drop outs4 2 & 7,b7 by add+ at ! end ! foll[+ new p>agraph3 7#c7 ,def9ition ,9 ?is subsection1 ! t]m eligible pati5t means an adult m5tally ill p]son :o-- 7,a7 may h a hi/ory ( viol5ce1 inc>c]ation1 or m$ically unnecess>y hospitalizations2 7,b7 )\t sup]vision & treatm5t1 may be a dang] to self or o!rs 9 ! community2 7,c7 is sub/antially unlikely to volunt>ily p>ticipate 9 treatm5t2 7,d7 may be unable1 = reasons o!r ?an indig5ce1 to provide = any ( ! basic ne$s ( su* p]son1 su* z food1 clo?+1 %elt]1 heal?1 or safety2 7,e7 ) a hi/ory ( m5tal illness or condition t is likely to sub/antially det]iorate if ! p]son is n provid$ ) timely treatm5t2 7,f7 due to m5tal illness1 lacks capacity to fully und]/& or lacks judgm5t to make in=m$ decisions reg>d+ 8 or h] ne$ = treatm5t1 c>e1 or sup]vision2 & 7,g7 is likely to improve 9 m5tal heal? & r$uce ! symptoms ( s]i\s m5tal illness :5 9 treatm5t4 4 7#d7 ,treatm5t "u ,/ate law 7,a7 ,9 g5]al ,section #aiab ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#a7 is am5d$ by add+ at ! end ! foll[+ new subsections3 7e7 ,assi/$ outpati5t treatm5t "u ,/ate law 7#a7 ,9 g5]al ,a fund+ agreem5t = a grant "u section #aiaa is t ! ,/ate involv$ has 9 effect a law "u :i* a ,/ate c\rt may ord] a treatm5t plan = an eligible pati5t t-- 7,a7 requires su* pati5t to obta9 outpati5t m5tal heal? treatm5t :ile ! pati5t is liv+ 9 a community2 & 7,b7 is design$ to improve access & adh]5ce by su* pati5t to int5sive behavioral heal? s]vices 9 ord] to-- 7i7 av]t relapse1 repeat$ hospitalizations1 arre/1 inc>c]ation1 suicide1 prop]ty de/ruction1 & viol5t behavior2 & 7ii7 provide su* pati5t ) ! opportunity to live 9 a less re/rictive alt]native to inc>c]ation or involunt>y hospitalization4 7#b7 ,c]tification ( ,/ate compliance ,a fund+ agreem5t describ$ 9 p>agraph 7#a7 is effective only if ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s reviews ! ,/ate law & c]tifies t x satisfies ! crit]ia specifi$ 9 su* p>agraph4 7f7 ,treatm5t /&>d "u ,/ate law 7#a7 ,9 g5]al ,a fund+ agreem5t = a grant "u section #aiaa is t-- 7,a7 ! ,/ate involv$ has 9 effect a law "u :i*1 if a ,/ate c\rt f9ds by cle> & conv9c+ evid5ce t an individual1 z a result ( m5tal illness1 is a dang] to self1 is a dang] to o!rs1 is p]si/5tly or acutely disabl$1 or is gravely disabl$ & 9 ne$ ( treatm5t1 & is ei!r unwill+ or unable to accept volunt>y treatm5t1 ! c\rt mu/ ord] ! individual to und]go inpati5t or outpati5t treatm5t2 or 7,b7 ! ,/ate involv$ has 9 effect a law "u :i* a ,/ate c\rt mu/ ord] an individual ) a m5tal illness to und]go inpati5t or outpati5t treatm5t1 ! law 0 9 effect on ! date ( enactm5t ( ! ,help+ ,families 9 ,m5tal ,heal? ,crisis ,act ( #bjae1 & ! ,secret>y f9ds t ! law requires a ,/ate c\rt to ord] su* treatm5t across all or a suffici5t range ( ! type ( circum/ances describ$ 9 subp>agraph 7,a74 7#b7 ,def9ition ,= purposes ( p>agraph 7#a71 ! t]m p]si/5tly or acutely disabl$ ref]s to a s]i\s m5tal illness t meets all ! foll[+ crit]ia3 7,a7 ,if n treat$1 ! illness has a sub/antial probability ( caus+ ! individual to suff] or cont9ue to suff] sev]e & abnormal m5tal1 emotional1 or physical h>m t significantly impairs judgm5t1 reason1 behavior1 or capacity to recognize reality4 7,b7 ,! illness sub/antially impairs ! individual's capacity to make an in=m$ decision reg>d+ treatm5t1 & ?is impairm5t causes ! individual to be incapable ( und]/&+ & express+ an und]/&+ ( ! advantages & disadvantages ( accept+ treatm5t & und]/&+ & express+ an und]/&+ ( ! alt]natives to ! p>ticul> treatm5t (f]$ aft] ! advantages1 disadvantages1 & alt]natives are expla9$ to t individual4 7,c7 ,! illness has a reasonable prospect ( be+ treatable by outpati5t1 inpati5t1 or comb9$ inpati5t & outpati5t treatm5t4 4 7,b7 ,fund+ increase ,section #aiah ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#g7 is am5d$-- 7i7 9 subsection 7a77#a71 by /rik+ subsection 7b7 & ins]t+ subsections 7b7 & 7d72 & 7ii7 by add+ at ! end ! foll[+ new subsection3 7d7 ,increase = c]ta9 ,/ates ,) respect to fiscal ye> #bjaf & ea* subsequ5t fiscal ye>1 9 ! case ( a ,/ate t has 9 effect a law describ$ 9 subsection 7e77#a7 or subp>agraph 7,a7 or 7,b7 ( subsection 7f77#a71 ! am\nt ( ! allotm5t ( a ,/ate "u section #aiaa %all be = su* fiscal ye> ! am\nt t w\ld o!rwise be det]m9$1 )\t application ( ?is subsection1 = su* ,/ate = su* fiscal ye>1 increas$ by #b p]c5t4 4 7#e7 ,evid5ce-bas$ s]vices deliv]y models ,section #aiab ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#a71 z am5d$ by p>agraph 7#d71 is fur!r am5d$ by add+ at ! end ! foll[+ new subsection3 7g7 ,expansion ( models 7#a7 ,9 g5]al ,tak+ into acc\nt ! results ( evaluations "u section #bja7;a77#b77;,c7 ( ! ,help+ ,families 9 ,m5tal ,heal? ,crisis ,act ( #bjae1 ! ,assi/ant ,secret>y may1 by rule1 z "p ( ! program ( block grants "u ?is subp>t1 provide = exp&$ use across ! ,nation ( evid5ce-bas$ s]vice deliv]y models by provid]s fund$ "u su* block grants1 s long z-- 7,a7 ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s 79 ?is subsection ref]r$ to z ! ,assi/ant ,secret>y7 det]m9es t su* expansion w-- 7i7 result 9 m effective use ( funds "u su* block grants )\t r$uc+ ! quality ( c>e2 or 7ii7 improve ! quality ( pati5t c>e )\t significantly increas+ sp5d+2 7,b7 ! ,director ( ! ,national ,in/itute ( ,m5tal ,heal? det]m9es t su* expansion w\ld improve ! quality ( pati5t c>e2 & 7,c7 ! ,assi/ant ,secret>y det]m9es t ! *ange w-- 7i7 significantly r$uce sev]ity & duration ( symptoms ( m5tal illness2 7ii7 r$uce rates ( suicide1 suicide attempts1 sub/ance abuse1 ov]dose1 em]g5cy hospitalizations1 em]g5cy room bo>d+1 inc>c]ation1 crime1 arre/1 victimization1 homelessness1 or joblessness2 or 7iii7 significantly improve ! quality ( pati5t c>e & m5tal heal? crisis outcomes )\t significantly increas+ sp5d+4 7#b7 ,congressional review ,any rule promulgat$ pursuant to p>agraph 7#a7 is deem$ to be a major rule subject to congressional review & disapproval "u *apt] #h ( title #e1 ,unit$ ,/ates ,code4 7#c7 ,def9ition ,9 ?is subsection1 ! t]m em]g5cy room bo>d+ means ! practice ( admitt+ pati5ts to an em]g5cy dep>tm5t & hold+ !m 9 ! dep>tm5t until inpati5t psy*iatric b$s become available4 4 7d7 ,p]iod = exp5diture ( grant funds ,section #aiac ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#b71 z am5d$1 is fur!r am5d$ by add+ at ! end ! foll[+3 7d7 ,p]iod = exp5diture ( grant funds ,9 implem5t+ a plan submitt$ "u section #aiab7;a71 a ,/ate receiv+ grant funds "u section #aiaa may make su* funds available to provid]s ( s]vices describ$ 9 subsection 7b7 = ! provision ( s]vices )\t fiscal ye> limitation4 4 7e7 ,active outrea* & engagem5t ,section #aiae ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#d7 is am5d$ by add+ at ! end ( ! foll[+3 7c7 ,active ,outrea* & ,engagem5t to ,p]sons ) ,s]i\s ,m5tal ,illness ,a fund+ agreem5t = a grant "u section #aiaa is t ! ,/ate involv$ has 9 effect active programs1 includ+ assi/$ outpati5t treatm5t1 to engage p]sons ) s]i\s m5tal illness :o are sub/antially unlikely to volunt>ily seek treatm5t1 9 compreh5sive s]vices 9 ord] to av]t relapse1 repeat$ hospitalizations1 arre/1 inc>c]ation1 & suicide to provide ! pati5t ) ! opportunity to live 9 ! community ?r\gh evid5ce-bas$ 7z def9$ 9 section #b ( ! ,help+ ,families 9 ,m5tal ,heal? ,crisis ,act ( #bjae7 ass]tive outrea* & engagem5t s]vices t>get+ individuals t are homeless1 h co-occurr+ disord]s1 or h a hi/ory ( treatm5t failure4 ,! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s %all "w ) ! ,director ( ! ,national ,in/itute ( ,m5tal ,heal? to develop a li/ ( su* evid5ce-bas$ 7z def9$ 9 section #b ( ! ,help+ ,families 9 ,m5tal ,heal? ,crisis ,act ( #bjae7 ass]tive outrea* & engagem5t s]vices1 z well z crit]ia to be us$ to assess ! scope & effectiv5ess ( su* approa*es4 ,^! programs may include assi/ant outpati5t treatm5t programs "u ,/ate law :]e ,/ate c\rts may ord] a treatm5t plan = an eligible pati5t t requires-- 7#a7 su* pati5t to obta9 outpati5t m5tal heal? treatm5t :ile ! pati5t is liv+ 9 ! community2 & 7#b7 a design to improve access & adh]5ce by su* pati5t to int5sive m5tal heal? s]vices4 4 #bjg4 ,work=ce developm5t 7a7 ,telepsy*iatry & prim>y c>e physician tra9+ grant program 7#a7 ,9 g5]al ,! ,assi/ant ,secret>y ( ,m5tal ,heal? & ,sub/ance ,use ,disord]s 79 ?is subsection ref]r$ to z ! ,assi/ant ,secret>y7 %all e/abli% a grant program 79 ?is subsection ref]r$ to z ! grant program7 "u :i* ! ,assi/ant ,secret>y %all aw>d to #aj eligible ,/ates 7z describ$ 9 p>agraph 7#e77 grants = c>ry+ out all ( ! purposes describ$ 9 p>agraphs 7#b71 7#c71 & 7#d74 7#b7 ,tra9+ program = c]ta9 prim>y c>e physicians ,= purposes ( p>agraph 7#a71 ! purpose describ$ 9 ?is p>agraph1 ) respect to a grant aw>d$ to a ,/ate "u ! grant program1 is = ! ,/ate to e/abli% a tra9+ program to tra9 prim>y c>e physicians 9-- 7,a7 valid & reliable behavioral-heal? scre5+ tools = viol5ce & suicide risk1 e>ly signs ( s]i\s m5tal illness1 & untreat$ sub/ance abuse1 includ+ any /&>diz$ behavioral-heal? scre5+ tools t are det]m9$ appropriate by ! ,assi/ant ,secret>y2 7,b7 implem5t+ ! use ( behavioral-heal? scre5+ tools 9 _! practices2 7,c7 e/abli%m5t ( recomm5d$ int]v5tion & treatm5t protocols = individuals 9 m5tal heal? crisis1 especially = individuals ^: illness makes !m less receptive to m5tal heal? s]vices2 & 7,d7 implem5t+ ! evid5ce-bas$ collaborative c>e model ( integrat$ m$ical-behavioral heal? c>e 9 _! practices4 7#c7 ,paym5ts = m5tal heal? s]vices provid$ by c]ta9 prim>y c>e physicians 7,a7 ,9 g5]al ,= purposes ( p>agraph 7#a71 ! purpose describ$ 9 ?is p>agraph1 ) respect to a grant aw>d$ to a ,/ate "u ! grant program1 is = ! ,/ate to provide1 9 accordance ) ?is p>agraph1 9 ! case ( a prim>y c>e physician :o p>ticipates 9 ! tra9+ program ( ! ,/ate e/abli% pursuant to p>agraph 7#b71 paym5ts to ! prim>y c>e physician = s]vices furni%$ by ! prim>y c>e physician4 7,b7 ,consid]ations ,! ,assi/ant ,secret>y1 9 det]m9+ ! /ructure1 quality1 & =m ( paym5t "u subp>agraph 7,a7 %all seek to f9d innovative paym5t sy/ems :i* may take into acc\nt-- 7i7 ! nature & quality ( s]vices r5d]$2 7ii7 ! pati5ts' heal? outcome2 7iii7 ! geographical location :]e s]vices 7 provid$2 7iv7 ! acut5ess ( ! pati5t's m$ical condition2 7v7 ! duration ( s]vices provid$2 7vi7 ! feasibility ( replicat+ ! paym5t model 9 o!r locations nationwide2 & 7vii7 prop] triage & endur+ l9kage to appropriate treatm5t provid] = subspecialty c>e 9 *ild or =5sic issues2 family crisis int]v5tion2 drug or alcohol rehabilitation2 managem5t ( suicidal or viol5t behavior risk1 & treatm5t = s]i\s m5tal illness4 7#d7 ,teleheal? s]vices = m5tal heal? disord]s 7,a7 ,9 g5]al ,= purposes ( p>agraph 7#a71 ! purpose describ$ 9 ?is p>agraph1 ) respect to a grant aw>d$ to a ,/ate "u ! grant program1 is = ! ,/ate to provide1 9 ! case ( an individual furni%$ items & s]vices by a prim>y c>e physician dur+ an (fice visit1 = paym5t = a consultation provid$ by a psy*iatri/ or psy*ologi/ to su* physician ) respect to su* individual ?r\gh ! use ( qualifi$ teleheal? te*nology = ! id5tification1 diagnosis1 mitigation1 or treatm5t ( a m5tal heal? disord] if su* consultation occurs n lat] ?an ! fir/ bus9ess day t foll[s su* visit4 7,b7 ,qualifi$ teleheal? te*nology ,= purposes ( subp>agraph 7,a71 ! t]m qualifi$ teleheal? te*nology1 ) respect to ! provision ( items & s]vices to a pati5t by a heal? c>e provid]1 includes ! use ( int]active audio1 audio-only telephone conv]sation1 video1 or o!r telecommunications te*nology by a heal? c>e provid] to deliv] heal? c>e s]vices )9 ! scope ( ! provid]'s practice at a site o!r ?an ! site :]e ! pati5t is locat$1 includ+ ! use ( electronic m$ia = consultation relat+ to ! heal? c>e diagnosis or treatm5t ( ! pati5t4 7#e7 ,eligible ,/ate 7,a7 ,9 g5]al ,= purposes ( ?is subsection1 an eligible ,/ate is a ,/ate t has submitt$ to ! ,assi/ant ,secret>y an application "u subp>agraph 7,b7 & has be5 select$ "u subp>agraph 7,d74 7,b7 ,application ,a ,/ate seek+ to p>ticipate 9 ! grant program "u ?is subsection %all submit to ! ,assi/ant ,secret>y1 at su* "t & 9 su* =mat z ! ,assi/ant ,secret>y requires1 an application t includes su* in=mation1 provisions1 & assurances z ! ,assi/ant ,secret>y may require4 7,c7 ,mat*+ requirem5t ,! ,assi/ant ,secret>y may n make a grant "u ! grant program unless ! ,/ate involv$ agrees1 ) respect to ! co/s to be incurr$ by ! ,/ate 9 c>ry+ out ! purposes describ$ 9 ?is subsection1 to make available non-,f$]al contributions 79 ca% or 9 k9d7 t[>d su* co/s 9 an am\nt equal to n less ?an #bj p]c5t ( ,f$]al funds provid$ 9 ! grant4 7,d7 ,selection ,a ,/ate %all be det]m9$ eligible = ! grant program by ! ,assi/ant ,secret>y on a competitive basis among ,/ates ) applications meet+ ! requirem5ts ( subp>agraphs 7,b7 & 7,c74 ,9 select+ ,/ate applications = ! grant program1 ! ,secret>y %all seek to a*ieve an appropriate national balance 9 ! geographic di/ribution ( grants aw>d$ "u ! grant program4 7#f7 ,t>get population ,9 seek+ a grant "u ?is subsection1 a ,/ate %all demon/rate h[ ! grant w improve c>e = individuals ) co-occurr+ behavioral heal? & physical heal? conditions1 vuln]able populations1 socially isolat$ populations1 rural populations1 & o!r populations :o h limit$ access to qualifi$ m5tal heal? provid]s4 7#g7 ,l5g? ( grant program ,! grant program "u ?is subsection %all be conduct$ = a p]iod ( #c consecutive ye>s4 7#h7 ,public availability ( f9d+s & conclusions ,subject to ,f$]al privacy protections ) respect to individually id5tifiable in=mation1 ! ,assi/ant ,secret>y %all make ! f9d+s & conclusions result+ f ! grant program "u ?is subsection available to ! public4 7#i7 ,au?orization ( appropriations ,out ( any funds 9 ! ,treasury n o!rwise appropriat$1 !re is au?oriz$ to be appropriat$ to c>ry out ?is subsection1 #c1jjj1jjj = ea* ( ! fiscal ye>s #bjaf ?r\gh #bjbj4 7#aj7 ,reports 7,a7 ,reports ,= ea* fiscal ye> t grants are aw>d$ "u ?is subsection1 ! ,assi/ant ,secret>y & ! ,national ,m5tal ,heal? ,policy ,laboratory %all conduct a /udy on ! results ( ! grants & submit to ! ,congress a report on su* results t includes ! foll[+3 7i7 ,an evaluation ( ! grant program outcomes1 includ+ a summ>y ( activities c>ri$ out ) ! grant & ! results a*iev$ ?r\gh ^? activities4 7ii7 ,recomm5dations on h[ to improve access to m5tal heal? s]vices at grantee locations4 7iii7 ,an assessm5t ( access to m5tal heal? s]vices "u ! program4 7iv7 ,an assessm5t ( ! impact ( ! demon/ration project on ! co/s ( ! full range ( m5tal heal? s]vices 7includ+ inpati5t1 em]g5cy & ambulatory c>e74 7v7 ,recomm5dations on congressional action to improve ! grant4 7vi7 ,recomm5dations to improve tra9+ ( prim>y c>e physicians4 7,b7 ,report ,n lat] ?an ,decemb] #ca1 #bjah1 ! ,assi/ant ,secret>y & ! ,national ,m5tal ,heal? ,policy ,laboratory %all submit to ,congress & make available to ! public a report on ! f9d+s ( ! evaluation "u subp>agraph 7,a7 & also a policy outl9e on h[ ,congress c exp& ! grant program to ! national level4 7b7 ,liability protections = heal? c>e pr(essional volunte]s at community heal? c5t]s & f$]ally qualifi$ community behavioral heal? cl9ics ,section #bbd ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bcc7 is am5d$ by add+ at ! end ! foll[+3 7q7 7#a7 ,9 ?is subsection1 ! t]m f$]ally qualifi$ community behavioral heal? cl9ic means-- 7,a7 a f$]ally qualifi$ community behavioral heal? cl9ic ) a c]tification 9 effect "u section #bbc ( ! ,protect+ ,access to ,m$ic>e ,act ( #bjad2 or 7,b7 a community m5tal heal? c5t] meet+ ! crit]ia specifi$ 9 section #aiac7;c7 ( ?is ,act4 7#b7 ,= purposes ( ?is section1 a heal? c>e pr(essional volunte] at an entity describ$ 9 subsection 7g77#d7 or a f$]ally qualifi$ community behavioral heal? cl9ic %all1 9 provid+ heal? c>e s]vices eligible = fund+ "u section #ccj or subp>t ,i ( "p ,b ( title ,,xix to an individual1 be deem$ to be an employee ( ! ,public ,heal? ,s]vice = a cal5d> ye> t beg9s dur+ a fiscal ye> = :i* a transf] 0 made "u p>agraph 7#e77;,c74 ,! prec$+ s5t5ce is subject to ! provisions ( ?is subsection4 7#c7 ,9 provid+ a heal? c>e s]vice to an individual1 a heal? c>e pr(essional %all = purposes ( ?is subsection be consid]$ to be a heal? pr(essional volunte] at an entity describ$ 9 subsection 7g77#d7 or at a f$]ally qualifi$ community behavioral heal? cl9ic if ! foll[+ conditions are met3 7,a7 ,! s]vice is provid$ to ! individual at ! facilities ( an entity describ$ 9 subsection 7g77#d71 at a f$]ally qualifi$ community behavioral heal? cl9ic1 or ?r\gh (fsite programs or ev5ts c>ri$ out by ! c5t]4 7,b7 ,! c5t] or entity is sponsor+ ! heal? c>e pr(essional volunte] pursuant to p>agraph 7#d77;,b74 7,c7 ,! heal? c>e pr(essional does n receive any comp5sation = ! s]vice f ! individual or f any ?ird-p>ty pay] 7includ+ reimbursem5t "u any insurance policy or heal? plan1 or "u any ,f$]al or ,/ate heal? b5efits program71 except t ! heal? c>e pr(essional may receive repaym5t f ! entity describ$ 9 subsection 7g77#d7 or ! c5t] = reasonable exp5ses incurr$ by ! heal? c>e pr(essional 9 ! provision ( ! s]vice to ! individual4 7,d7 ,be=e ! s]vice is provid$1 ! heal? c>e pr(essional or ! c5t] or entity describ$ 9 subsection 7g77#d7 po/s a cle> & conspicu\s notice at ! site :]e ! s]vice is provid$ ( ! ext5t to :i* ! legal liability ( ! heal? c>e pr(essional is limit$ pursuant to ?is subsection4 7,e7 ,at ! "t ! s]vice is provid$1 ! heal? c>e pr(essional is lic5s$ or c]tifi$ 9 accordance ) applicable law reg>d+ ! provision ( ! s]vice4 7#d7 ,subsection 7g7 7o!r ?an p>agraphs 7#c7 & 7#e77 & subsections 7h71 7i71 & 7l7 apply to a heal? c>e pr(essional = purposes ( ?is subsection to ! same ext5t & 9 ! same mann] z su* subsections apply to an (fic]1 gov]n+ bo>d memb]1 employee1 or contractor ( an entity describ$ 9 subsection 7g77#d71 subject to p>agraph 7#e7 & subject to ! foll[+3 7,a7 ,! fir/ s5t5ce ( p>agraph 7#b7 applies 9 lieu ( ! fir/ s5t5ce ( subsection 7g77#a77;,a74 7,b7 ,) respect to an entity describ$ 9 subsection 7g77#d7 or a f$]ally qualifi$ community behavioral heal? cl9ic1 a heal? c>e pr(essional is n a heal? pr(essional volunte] at su* c5t] unless ! c5t] sponsors ! heal? c>e pr(essional4 ,= purposes ( ?is subsection1 ! c5t] %all be consid]$ to be sponsor+ ! heal? c>e pr(essional if-- 7i7 ) respect to ! heal? c>e pr(essional1 ! c5t] submits to ! ,secret>y an application meet+ ! requirem5ts ( subsection 7g77#a77;,d72 & 7ii7 ! ,secret>y1 pursuant to subsection 7g77#a77;,e71 det]m9es t ! heal? c>e pr(essional is deem$ to be an employee ( ! ,public ,heal? ,s]vice4 7,c7 ,9 ! case ( a heal? c>e pr(essional :o is det]m9$ by ! ,secret>y pursuant to subsection 7g77#a77;,e7 to be a heal? pr(essional volunte] at su* c5t]1 ?is subsection applies to ! heal? c>e pr(essional 7) respect to s]vices describ$ 9 p>agraph 7#b77 = any cause ( action aris+ f an act or omission ( ! heal? c>e pr(essional occurr+ on or aft] ! date on :i* ! ,secret>y makes su* det]m9ation4 7,d7 ,subsection 7g77#a77;,f7 applies to a heal? pr(essional volunte] = purposes ( ?is subsection only to ! ext5t t1 9 provid+ heal? s]vices to an individual1 ea* ( ! conditions specifi$ 9 p>agraph 7#c7 is met4 7#e7 7,a7 ,am\nts 9 ! fund e/abli%$ "u subsection 7k77#b7 %all be available = transf] "u subp>agraph 7,c7 = purposes ( c>ry+ out ?is subsection = heal? pr(essional volunte]s at entities describ$ 9 subsection 7g77#d74 7,b7 ,n lat] ?an ,may #a ( ea* fiscal ye>1 ! ,attorney ,g5]al1 9 consultation ) ! ,secret>y1 %all submit to ! ,congress a report provid+ an e/imate ( ! am\nt ( claims 7toge!r ) relat$ fees & exp5ses ( witnesses7 t1 by reason ( ! acts or omissions ( heal? c>e pr(essional volunte]s1 w be paid pursuant to ?is subsection dur+ ! cal5d> ye> t beg9s 9 ! foll[+ fiscal ye>4 ,subsection 7k77#a77;,b7 applies to ! e/imate "u ! prec$+ s5t5ce reg>d+ heal? c>e pr(essional volunte]s to ! same ext5t & 9 ! same mann] z su* subsection applies to ! e/imate "u su* subsection reg>d+ (fic]s1 gov]n+ bo>d memb]s1 employees1 & contractors ( entities describ$ 9 subsection 7g77#d74 7,c7 ,n lat] ?an ,decemb] #ca ( ea* fiscal ye>1 ! ,secret>y %all transf] f ! fund "u subsection 7k77#b7 to ! appropriate acc\nts 9 ! ,treasury an am\nt equal to ! e/imate made "u subp>agraph 7,b7 = ! cal5d> ye> beg9n+ 9 su* fiscal ye>1 subject to ! ext5t ( am\nts 9 ! fund4 7#f7 7,a7 ,?is subsection takes effect on ,octob] #a1 #bjag1 except z provid$ 9 subp>agraph 7,b74 7,b7 ,effective on ! date ( ! enactm5t ( ?is subsection-- 7i7 ! ,secret>y may issue regulations = c>ry+ out ?is subsection1 & ! ,secret>y may accept & consid] applications submitt$ pursuant to p>agraph 7#d77;,b72 & 7ii7 reports "u p>agraph 7#e77;,b7 may be submitt$ to ! ,congress4 4 7c7 ,m9ority ,fell[%ip ,program ,title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa et seq471 z am5d$1 is fur!r am5d$ by add+ at ! end ! foll[+3 ,k ,m9ority ,fell[%ip ,program #eig4 ,fell[%ips 7a7 ,9 g5]al ,! ,secret>y %all ma9ta9 a program1 to be kn[n z ! ,m9ority ,fell[%ip ,program1 "u :i* ! ,secret>y aw>ds fell[%ips1 :i* may include /ip5ds1 = ! purposes (-- 7#a7 increas+ behavioral heal? practition]s' k ( issues relat$ to prev5tion1 treatm5t1 & recov]y support = m5tal & sub/ance use disord]s among racial & e?nic m9ority populations2 7#b7 improv+ ! quality ( m5tal & sub/ance use disord] prev5tion & treatm5t deliv]$ to e?nic m9orities2 & 7#c7 increas+ ! numb] ( culturally compet5t behavioral heal? pr(essionals :o tea*1 adm9i/]1 conduct s]vices rese>*1 & provide direct m5tal heal? or sub/ance use s]vices to und]s]v$ m9ority populations4 7b7 ,tra9+ cov]$ ,! fell[%ips "u subsection 7a7 %all be = po/baccalaureate tra9+ 7includ+ = ma/]'s & doctoral degrees7 = m5tal heal? pr(essionals1 includ+ 9 ! fields ( psy*iatry1 nurs+1 social "w1 psy*ology1 m>riage & family !rapy1 & sub/ance use & addiction c\nsel+4 7c7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re are au?oriz$ to be appropriat$ #f1jjj1jjj = ea* ( fiscal ye>s #bjaf ?r\gh #bjbj4 4 7d7 ,national ,heal? ,s]vice ,corps 7#a7 ,def9itions 7,a7 ,prim>y heal? s]vices ,section #cca7;a77#c77;,d7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;d7a77#c77 is am5d$ by ins]t+ 7includ+ p$iatric m5tal heal? subspecialty s]vices7 aft] p$iatrics4 7,b7 ,behavioral & m5tal heal? pr(essionals ,clause 7i7 ( section #cca7;a77#c77;,e77i7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;d7a77#c77;,e77i77 is am5d$ by ins]t+ 7& p$iatric subspeciali/s !re(7 be=e ! p]iod at ! end4 7,c7 ,heal? pr(essional %ortage area ,section #ccb7;a77#a7 ( ! ,public ,heal? ,s]vice ,act is am5d$ by ins]t+ 7includ+ *ildr5 & adolesc5ts7 aft] population gr\p4 7,d7 ,m$ical facility ,section #ccb7;a77#b77;,a7 ( ! ,public ,heal? ,s]vice ,act is am5d$ by ins]t+ m$ical resid5cy or fell[%ip tra9+ site = tra9+ 9 *ild & adolesc5t psy*iatry1 be=e facility op]at$ by a city or c\nty heal? dep>tm5t14 7#b7 ,eligibility ,to p>ticipate 9 loan repaym5t program ,section #cch;,a7b77#a77;,b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bedl-#a7;b77#a77;,b77 is am5d$ by ins]t+ 1 includ+ any physician *ild & adolesc5t psy*iatry resid5cy or fell[%ip tra9+ program aft] be enroll$ 9 an approv$ graduate tra9+ program 9 m$ic9e1 o/eopa?ic m$ic9e1 d5ti/ry1 behavioral & m5tal heal?1 or o!r heal? pr(ession4 7e7 ,crisis ,int]v5tion ,grants = ,police ,(fic]s & ,fir/ ,respond]s 7#a7 ,grants ,! ,assi/ant ,secret>y may aw>d grants to provide specializ$ tra9+ to law en=cem5t (fic]s1 corrections (fic]s1 p>am$ics1 em]g5cy m$ical s]vices work]s1 & o!r fir/ respond]s 7includ+ village public safety (fic]s 7z def9$ 9 section #bdg ( ! ,indian ,arts & ,crafts ,am5dm5ts ,act ( #bjaj 7#db ,u4,s4,c4 #cgif;dd note777-- 7,a7 to recognize individuals :o h m5tal illness & h[ to prop]ly int]v5e ) individuals ) m5tal illness2 & 7,b7 to e/abli% programs t enhance ! ability ( law en=cem5t ag5cies to address ! m5tal heal?1 behavioral1 & sub/ance use problems ( individuals enc\nt]$ 9 ! l9e ( duty4 7#b7 ,fund+ ,( ! am\nts made available to c>ry out sections #eja1 #eji1 #eaf1 & #ebj;,a ( ! ,public ,heal? ,s]vice ,act = a fiscal ye>1 #e p]c5t ( su* am\nts are au?oriz$ to be us$ to c>ry out ?is subsection4 #bjh4 ,au?oriz$ grants & programs 7a7 ,*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+ ! foll[+3 develop+ & 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$ 7z def9$ 9 section #b ( ! ,help+ ,families 9 ,m5tal ,heal? ,crisis ,act ( #bjae7 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$ 7z def9$ 9 section #b ( ! ,help+ ,families 9 ,m5tal ,heal? ,crisis ,act ( #bjae7 treatm5t & s]vices = *ildr5 & families s]v$ by ! ,,nctsi grantees4 7d7 ,tra9+ ,! ,,nctsi coord9at+ c5t] %all facilitate ! coord9ation ( tra9+ initiatives 9 evid5ce-bas$ 7z def9$ 9 section #b ( ! ,help+ ,families 9 ,m5tal ,heal? ,crisis ,act ( #bjae7 & 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 products1 & 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$ 7z def9$ 9 section #b ( ! ,help+ ,families 9 ,m5tal ,heal? ,crisis ,act ( #bjae7 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 7b7 ,r$uc+ ! /igma ( s]i\s m5tal illness 7#a7 ,9 g5]al ,! ,secret>y ( ,education1 along ) ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s1 %all organize a national aw>5ess campaign involv+ public heal? organizations1 advocacy gr\ps = p]sons ) s]i\s m5tal illness1 & social m$ia companies to assi/ second>y s*ool /ud5ts & po/second>y /ud5ts 9-- 7,a7 r$uc+ ! /igma associat$ ) s]i\s m5tal illness2 7,b7 und]/&+ h[ to assi/ an individual :o is demon/rat+ signs ( a s]i\s m5tal illness2 & 7,c7 und]/&+ ! importance ( seek+ treatm5t f a physician1 cl9ical psy*ologi/1 or lic5s$ m5tal heal? pr(essional :5 a /ud5t believes ! /ud5t may be suff]+ f a s]i\s m5tal illness or behavioral heal? disord]4 7#b7 ,data collection ,! ,secret>y ( ,education %all-- 7,a7 evaluate ! program "u subsection 7a7 on public heal? to det]m9e :e!r ! program has made an impact on public heal?1 includ+ mortality rates ( p]sons ) s]i\s m5tal illness1 preval5ce ( s]i\s m5tal illness1 physician & cl9ical psy*ological visits1 em]g5cy room visits2 & 7,b7 submit a report on ! evaluation to ! ,national ,m5tal ,heal? ,policy ,laboratory creat$ by title ,i ( ?is ,act4 7#c7 ,second>y s*ool def9$ ,= purposes ( ?is section1 ! t]m second>y s*ool has ! mean+ giv5 ! t]m 9 section #iaja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #ghja74 7c7 ,g>rett ,lee ,smi? ,reau?orization 7#a7 ,suicide prev5tion te*nical assi/ance c5t] ,section #ebj;,c ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cd7 is am5d$ to read z foll[s3 #ebj;,c4 ,suicide prev5tion te*nical assi/ance c5t] 7a7 ,program au?oriz$ ,! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s %all aw>d a grant = ! op]ation & ma9t5ance ( a rese>*1 tra9+1 & te*nical assi/ance res\rce c5t] to provide appropriate in=mation1 tra9+1 & te*nical assi/ance to ,/ates1 political subdivisions ( ,/ates1 f$]ally recogniz$ ,indian tribes1 tribal organizations1 in/itutions ( high] education1 public organizations1 or private nonpr(it organizations conc]n+ ! prev5tion ( suicide among all ages1 p>ticul>ly among gr\ps t are at high risk = suicide4 7b7 ,responsibilities ( ! c5t] ,! c5t] op]at$ & ma9ta9$ "u subsection 7a7 %all-- 7#a7 assi/ 9 ! developm5t or cont9uation ( /atewide & tribal suicide e>ly int]v5tion & prev5tion /rategies = all ages1 p>ticul>ly among gr\ps t are at high risk = suicide2 7#b7 ensure ! surveillance ( suicide e>ly int]v5tion & prev5tion /rategies = all ages1 p>ticul>ly among gr\ps t are at high risk = suicide2 7#c7 /udy ! co/s & effectiv5ess ( /atewide & tribal suicide e>ly int]v5tion & prev5tion /rategies 9 ord] to provide in=mation conc]n+ relevant issues ( importance to ,/ate1 tribal1 & national policymak]s2 7#d7 fur!r id5tify & und]/& causes & associat$ risk factors = suicide = all ages1 p>ticul>ly among gr\ps t are at high risk = suicide2 7#e7 analyze ! efficacy ( new & exi/+ suicide e>ly int]v5tion & prev5tion te*niques & te*nology = all ages1 p>ticul>ly among gr\ps t are at high risk = suicide2 7#f7 ensure ! surveillance ( suicidal behaviors & nonfatal suicidal attempts2 7#g7 /udy ! effectiv5ess ( ,/ate-sponsor$ /atewide & tribal suicide e>ly int]v5tion & prev5tion /rategies = all ages p>ticul>ly among gr\ps t are at high risk = suicide on ! ov]all wellness & heal? promotion /rategies relat$ to suicide attempts2 7#h7 promote ! %>+ ( data reg>d+ suicide ) ,f$]al ag5cies involv$ ) suicide e>ly int]v5tion & prev5tion1 & ,/ate-sponsor$ /atewide & tribal suicide e>ly int]v5tion & prev5tion /rategies = ! purpose ( id5tify+ previ\sly unkn[n m5tal heal? causes & associat$ risk factors = suicide among all ages p>ticul>ly among gr\ps t are at high risk = suicide2 7#i7 evaluate & dissem9ate outcomes & be/ practices ( m5tal heal? & sub/ance use disord] s]vices at in/itutions ( high] education2 & 7#aj7 conduct o!r activities det]m9$ appropriate by ! ,secret>y4 7c7 ,au?orization ( appropriations ,= ! purpose ( c>ry+ out ?is section1 !re are au?oriz$ to be appropriat$ #d1ieg1jjj = ea* ( ! fiscal ye>s #bjaf ?r\gh #bjbj4 4 7#b7 ,y\? suicide int]v5tion & prev5tion /rategies ,section #ebj;,e ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cf7 is am5d$ to read z foll[s3 #ebj;,e4 ,y\? suicide e>ly int]v5tion & prev5tion /rategies 7a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,assi/ant ,secret>y1 %all aw>d grants or coop]ative agreem5ts to eligible entities to-- 7#a7 develop & implem5t ,/ate-sponsor$ /atewide or tribal y\? suicide e>ly int]v5tion & prev5tion /rategies 9 s*ools1 educational in/itutions1 juv5ile ju/ice sy/ems1 sub/ance use disord] programs1 m5tal heal? programs1 fo/] c>e sy/ems1 & o!r *ild & y\? support organizations2 7#b7 support public organizations & private nonpr(it organizations actively involv$ 9 ,/ate-sponsor$ /atewide or tribal y\? suicide e>ly int]v5tion & prev5tion /rategies & 9 ! developm5t & cont9uation ( ,/ate-sponsor$ /atewide y\? suicide e>ly int]v5tion & prev5tion /rategies2 7#c7 provide grants to in/itutions ( high] education to coord9ate ! implem5tation ( ,/ate-sponsor$ or tribal y\? suicide e>ly int]v5tion & prev5tion /rategies2 7#d7 collect & analyze data on ,/ate-sponsor$ /atewide or tribal y\? suicide e>ly int]v5tion & prev5tion s]vices t c be us$ to monitor ! effectiv5ess ( su* s]vices & = rese>*1 te*nical assi/ance1 & policy developm5t2 & 7#e7 assi/ eligible entities1 ?r\gh ,/ate-sponsor$ /atewide or tribal y\? suicide e>ly int]v5tion & prev5tion /rategies1 9 a*iev+ t>gets = y\? suicide r$uctions "u title ,v ( ! ,social ,security ,act4 7b7 ,eligible entity 7#a7 ,def9ition ,9 ?is section1 ! t]m eligible entity means-- 7,a7 a ,/ate2 7,b7 a public organization or private nonpr(it organization designat$ by a ,/ate to develop or direct ! ,/ate-sponsor$ /atewide y\? suicide e>ly int]v5tion & prev5tion /rategy2 or 7,c7 a f$]ally recogniz$ ,indian tribe or tribal organization 7z def9$ 9 ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act7 or an urban ,indian organization 7z def9$ 9 ! ,indian ,heal? ,c>e ,improvem5t ,act7 t is actively involv$ 9 ! developm5t & cont9uation ( a tribal y\? suicide e>ly int]v5tion & prev5tion /rategy4 7#b7 ,limitation ,9 c>ry+ out ?is section1 ! ,secret>y %all ensure t a ,/ate does n receive m ?an "o grant or coop]ative agreem5t "u ?is section at any "o "t4 ,= purposes ( ! prec$+ s5t5ce1 a ,/ate %all be consid]$ to h receiv$ a grant or coop]ative agreem5t if ! eligible entity involv$ is ! ,/ate or an entity designat$ by ! ,/ate "u p>agraph 7#a77;,b74 ,no?+ 9 ?is p>agraph %all be con/ru$ to apply to entities describ$ 9 p>agraph 7#a77;,c74 7c7 ,pref]5ce ,9 provid+ assi/ance "u a grant or coop]ative agreem5t "u ?is section1 an eligible entity %all give pref]5ce to public organizations1 private nonpr(it organizations1 political subdivisions1 in/itutions ( high] education1 & tribal organizations actively involv$ ) ! ,/ate-sponsor$ /atewide or tribal y\? suicide e>ly int]v5tion & prev5tion /rategy t-- 7#a7 provide e>ly int]v5tion & assessm5t s]vices1 includ+ scre5+ programs1 to y\? :o are at risk = m5tal or emotional disord]s t may lead to a suicide attempt1 & t are integrat$ ) s*ool sy/ems1 educational in/itutions1 juv5ile ju/ice sy/ems1 sub/ance use disord] programs1 m5tal heal? programs1 fo/] c>e sy/ems1 & o!r *ild & y\? support organizations2 7#b7 demon/rate collaboration among e>ly int]v5tion & prev5tion s]vices or c]tify t entities w engage 9 future collaboration2 7#c7 employ or include 9 _! applications a commitm5t to evaluate y\? suicide e>ly int]v5tion & prev5tion practices & /rategies adapt$ to ! local community2 7#d7 provide timely ref]rals = appropriate community-bas$ m5tal heal? c>e & treatm5t ( y\? :o are at risk = suicide 9 *ild-s]v+ sett+s & ag5cies2 7#e7 provide imm$iate support & in=mation res\rces to families ( y\? :o are at risk = suicide2 7#f7 (f] access to s]vices & c>e to y\? ) div]se l+ui/ic & cultural backgr\nds2 7#g7 (f] appropriate po/suicide int]v5tion s]vices1 c>e1 & in=mation to families1 fri5ds1 s*ools1 educational in/itutions1 juv5ile ju/ice sy/ems1 sub/ance use disord] programs1 m5tal heal? programs1 fo/] c>e sy/ems1 & o!r *ild & y\? support organizations ( y\? :o rec5tly complet$ suicide2 7#h7 (f] cont9u\s & up-to-date in=mation & aw>5ess campaigns t t>get p>5ts1 family memb]s1 *ild c>e pr(essionals1 community c>e provid]s1 & ! g5]al public & highlight ! risk factors associat$ ) y\? suicide & ! life-sav+ help & c>e available f e>ly int]v5tion & prev5tion s]vices2 7#i7 ensure t in=mation & aw>5ess campaigns on y\? suicide risk factors1 & e>ly int]v5tion & prev5tion s]vices1 use effective communication me*anisms t are t>get$ to & rea* y\?1 families1 s*ools1 educational in/itutions1 & y\? organizations2 7#aj7 provide a timely response sy/em to ensure t *ild-s]v+ pr(essionals & provid]s are prop]ly tra9$ 9 y\? suicide e>ly int]v5tion & prev5tion /rategies & t *ild-s]v+ pr(essionals & provid]s involv$ 9 e>ly int]v5tion & prev5tion s]vices are prop]ly tra9$ 9 effectively id5tify+ y\? :o are at risk = suicide2 7#aa7 provide cont9u\s tra9+ activities = *ild c>e pr(essionals & community c>e provid]s on ! late/ y\? suicide e>ly int]v5tion & prev5tion s]vices practices & /rategies2 7#ab7 conduct annual self-evaluations ( outcomes & activities1 includ+ consult+ ) int]e/$ families & advocacy organizations2 7#ac7 provide s]vices 9 areas or regions ) rates ( y\? suicide t exce$ ! national av]age z det]m9$ by ! ,c5t]s = ,disease ,control & ,prev5tion2 & 7#ad7 obta9 in=m$ writt5 cons5t f a p>5t or legal gu>dian ( an at-risk *ild be=e involv+ ! *ild 9 a y\? suicide e>ly int]v5tion & prev5tion program4 7d7 ,requirem5t = direct s]vices ,n less ?an #he p]c5t ( grant funds receiv$ "u ?is section %all be us$ to provide direct s]vices1 ( :i* n less ?an #e p]c5t %all be us$ = activities au?oriz$ "u subsection 7a77#c74 7e7 ,consultation & policy developm5t 7#a7 ,9 g5]al ,9 c>ry+ out ?is section1 ! ,secret>y %all collaborate ) ! ,secret>y ( ,education & relevant ,f$]al ag5cies & suicide work+ gr\ps responsible = e>ly int]v5tion & prev5tion s]vices relat+ to y\? suicide4 7#b7 ,consultation ,9 c>ry+ out ?is section1 ! ,secret>y %all consult )-- 7,a7 ,/ate & local ag5cies1 includ+ ag5cies responsible = e>ly int]v5tion & prev5tion s]vices "u title ,,xix ( ! ,social ,security ,act1 ! ,/ate ,*ildr5's ,heal? ,insurance ,program "u title ,,xxi ( ! ,social ,security ,act1 & programs fund$ by grants "u title ,v ( ! ,social ,security ,act2 7,b7 local & national organizations t s]ve y\? at risk = suicide & _! families2 7,c7 relevant national m$ical & o!r heal? & education specialty organizations2 7,d7 y\? :o are at risk = suicide1 :o h surviv$ suicide attempts1 or :o are curr5tly receiv+ c>e f e>ly int]v5tion s]vices2 7,e7 families & fri5ds ( y\? :o are at risk = suicide1 :o h surviv$ suicide attempts1 :o are curr5tly receiv+ c>e f e>ly int]v5tion & prev5tion s]vices1 or :o h complet$ suicide2 7,f7 qualifi$ pr(essionals :o possess ! specializ$ k1 skills1 exp]i5ce1 & relevant attributes ne$$ to s]ve y\? at risk = suicide & _! families2 & 7,g7 ?ird-p>ty pay]s1 manag$ c>e organizations1 & relat$ comm]cial indu/ries4 7#c7 ,policy developm5t ,9 c>ry+ out ?is section1 ! ,secret>y %all-- 7,a7 coord9ate & collaborate on policy developm5t at ! ,f$]al level ) ! relevant ,dep>tm5t ( ,heal? & ,human ,s]vices ag5cies & suicide work+ gr\ps2 & 7,b7 consult on policy developm5t at ! ,f$]al level ) ! private sector1 includ+ consum]1 m$ical1 suicide prev5tion advocacy gr\ps1 & o!r heal? & education pr(essional-bas$ organizations1 ) respect to ,/ate-sponsor$ /atewide or tribal y\? suicide e>ly int]v5tion & prev5tion /rategies4 7f7 ,rule ( con/ruction2 religi\s & moral accommodation ,no?+ 9 ?is section %all be con/ru$ to require suicide assessm5t1 e>ly int]v5tion1 or treatm5t s]vices = y\? ^: p>5ts or legal gu>dians object bas$ on ! p>5ts' or legal gu>dians' religi\s beliefs or moral objections4 7g7 ,evaluations & report 7#a7 ,evaluations by eligible entities ,n lat] ?an #ah mon?s aft] receiv+ a grant or coop]ative agreem5t "u ?is section1 an eligible entity %all submit to ! ,secret>y ! results ( an evaluation to be conduct$ by ! entity conc]n+ ! effectiv5ess ( ! activities c>ri$ out "u ! grant or agreem5t4 7#b7 ,report ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is section1 ! ,secret>y %all submit to ! appropriate committees ( ,congress a report conc]n+ ! results (-- 7,a7 ! evaluations conduct$ "u p>agraph 7#a72 & 7,b7 an evaluation conduct$ by ! ,secret>y to analyze ! effectiv5ess & efficacy ( ! activities conduct$ ) grants1 collaborations1 & consultations "u ?is section4 7h7 ,rule ( con/ruction2 /ud5t m$ication ,no?+ 9 ?is section %all be con/ru$ to all[ s*ool p]sonnel to require t a /ud5t obta9 any m$ication z a condition ( att5d+ s*ool or receiv+ s]vices4 7i7 ,prohibition ,funds appropriat$ to c>ry out ?is section1 section #ebg1 or section #ebi %all n be us$ to pay = or ref] = abortion4 7j7 ,p>5tal cons5t ,/ates & entities receiv+ fund+ "u ?is section %all obta9 prior writt51 in=m$ cons5t f ! *ild's p>5t or legal gu>dian = assessm5t s]vices1 s*ool-sponsor$ programs1 & treatm5t involv+ m$ication relat$ to y\? suicide conduct$ 9 elem5t>y & second>y s*ools4 ,! requirem5t ( ! prec$+ s5t5ce does n apply 9 ! foll[+ cases3 7#a7 ,9 an em]g5cy1 :]e x is necess>y to protect ! imm$iate heal? & safety ( ! /ud5t or o!r /ud5ts4 7#b7 ,o!r in/ances1 z def9$ by ! ,/ate1 :]e p>5tal cons5t _c reasonably be obta9$4 7k7 ,relation to education provisions ,no?+ 9 ?is section %all be con/ru$ to sup]s$e section #ddd ( ! ,g5]al ,education ,provisions ,act1 includ+ ! requirem5t ( prior p>5tal cons5t = ! disclosure ( any education records4 ,no?+ 9 ?is section %all be con/ru$ to modify or affect p>5tal notification requirem5ts = programs au?oriz$ "u ! ,elem5t>y & ,second>y ,education ,act ( #aife 7z am5d$ by ! ,no ,*ild ,left ,beh9d ,act ( #bjja2 ,public ,law #ajg-aaj74 7l7 ,def9itions ,9 ?is section3 7#a7 ,e>ly int]v5tion ,! t]m e>ly int]v5tion means a /rategy or approa* t is int5d$ to prev5t an outcome or to alt] ! c\rse ( an exi/+ condition4 7#b7 ,educational in/itution2 in/itution ( high] education2 s*ool ,! t]m-- 7,a7 educational in/itution means a s*ool or in/itution ( high] education2 7,b7 in/itution ( high] education has ! mean+ giv5 su* t]m 9 section #aja ( ! ,high] ,education ,act ( #aife2 & 7,c7 s*ool means an elem5t>y or second>y s*ool 7z su* t]ms are def9$ 9 section #iaja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife74 7#c7 ,prev5tion ,! t]m prev5tion means a /rategy or approa* t r$uces ! likelihood or risk ( onset1 or delays ! onset1 ( adv]se heal? problems t h be5 kn[n to lead to suicide4 7#d7 ,y\? ,! t]m y\? means individuals :o are betwe5 #aj & #bf ye>s ( age4 7m7 ,au?orization ( appropriations ,= ! purpose ( c>ry+ out ?is section1 !re are au?oriz$ to be appropriat$ #bi1gch1jjj = ea* ( ! fiscal ye>s #bjaf ?r\gh #bjbj4 4 7#c7 ,suicide prev5tion = y\? ,section #ebj;,e-#a ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cf;a7 is am5d$-- 7,a7 by am5d+ ! section head+ to read z foll[s3 ,suicide prev5tion = y\?2 & 7,b7 by /rik+ subsection 7n7 & ins]t+ ! foll[+3 7n7 ,au?orization ( appropriations ,= ! purpose ( c>ry+ out ?is section1 !re is au?oriz$ to be appropriat$ su* sums z may be necess>y = ea* ( fiscal ye>s #bjaf ?r\gh #bjbj4 4 7#d7 ,m5tal heal? & sub/ance use disord]s s]vices & outrea* on campus ,section #ebj;,e-#b ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cf;b7 is am5d$ to read z foll[s3 #ebj;,e-#b4 ,m5tal heal? & sub/ance use disord]s s]vices on campus 7a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,director ( ! ,c5t] = ,m5tal ,heal? ,s]vices & 9 consultation ) ! ,secret>y ( ,education1 %all aw>d grants on a competitive basis to in/itutions ( high] education to enhance s]vices = /ud5ts ) m5tal heal? or sub/ance use disord]s & to develop be/ practices = ! deliv]y ( su* s]vices4 7b7 ,uses ( funds ,am\nts receiv$ "u a grant "u ?is section %all be us$ = #a or m ( ! foll[+ activities3 7#a7 ,! provision ( m5tal heal? & sub/ance use disord] s]vices to /ud5ts1 includ+ prev5tion1 promotion ( m5tal heal?1 volunt>y scre5+1 e>ly int]v5tion1 volunt>y assessm5t1 treatm5t1 & managem5t ( m5tal heal? & sub/ance use disord] issues4 7#b7 ,! provision ( outrea* s]vices to notify /ud5ts ab\t ! exi/5ce ( m5tal heal? & sub/ance use disord] s]vices4 7#c7 ,educat+ /ud5ts1 families1 faculty1 /aff1 & communities to increase aw>5ess ( m5tal heal? & sub/ance use disord]s4 7#d7 ,! employm5t ( appropriately tra9$ /aff1 includ+ adm9i/rative /aff4 7#e7 ,! provision ( tra9+ to /ud5ts1 faculty1 & /aff to respond effectively to /ud5ts ) m5tal heal? & sub/ance use disord]s4 7#f7 ,! creation ( a network+ infra/ructure to l9k colleges & univ]sities ) provid]s :o c treat m5tal heal? & sub/ance use disord]s4 7#g7 ,develop+1 support+1 evaluat+1 & dissem9at+ evid5ce-bas$ & em]g+ be/ practices4 7c7 ,implem5tation ( activities us+ grant funds ,an in/itution ( high] education t receives a grant "u ?is section may c>ry out activities "u ! grant ?r\gh-- 7#a7 college c\nsel+ c5t]s2 7#b7 college & univ]sity psy*ological s]vice c5t]s2 7#c7 m5tal heal? c5t]s2 7#d7 psy*ology tra9+ cl9ics2 7#e7 in/itution ( high] education support$1 evid5ce-bas$1 m5tal heal? & sub/ance use disord] programs2 or 7#f7 any o!r entity t provides m5tal heal? & sub/ance use disord] s]vices at an in/itution ( high] education4 7d7 ,application ,to be eligible to receive a grant "u ?is section1 an in/itution ( high] education %all prep>e & submit to ! ,secret>y an application at su* "t & 9 su* mann] z ! ,secret>y may require4 ,at a m9imum1 su* application %all include ! foll[+3 7#a7 ,a description ( id5tifi$ m5tal heal? & sub/ance use disord] ne$s ( /ud5ts at ! in/itution ( high] education4 7#b7 ,a description ( ,f$]al1 ,/ate1 local1 private1 & in/itutional res\rces curr5tly available to address ! ne$s describ$ 9 p>agraph 7#a7 at ! in/itution ( high] education4 7#c7 ,a description ( ! outrea* /rategies ( ! in/itution ( high] education = promot+ access to s]vices1 includ+ a propos$ plan = rea*+ ^? /ud5ts mo/ 9 ne$ ( m5tal heal? s]vices4 7#d7 ,a plan1 :5 applicable1 to meet ! specific m5tal heal? & sub/ance use disord] ne$s ( vet]ans att5d+ in/itutions ( high] education4 7#e7 ,a plan to seek input f community m5tal heal? provid]s1 :5 available1 community gr\ps & o!r public & private entities 9 c>ry+ out ! program "u ! grant4 7#f7 ,a plan to evaluate program outcomes1 includ+ a description ( ! propos$ use ( funds1 ! program objectives1 & h[ ! objectives w be met4 7#g7 ,an assurance t ! in/itution w submit a report to ! ,secret>y ea* fiscal ye> conc]n+ ! activities c>ri$ out ) ! grant & ! results a*iev$ ?r\gh ^? activities4 7e7 ,special consid]ations ,9 aw>d+ grants "u ?is section1 ! ,secret>y %all give special consid]ation to applications t describe programs to be c>ri$ out "u ! grant t-- 7#a7 demon/rate ! greate/ ne$ = new or additional m5tal & sub/ance use disord] s]vices1 9 "p by provid+ in=mation on curr5t ratios ( /ud5ts to m5tal heal? & sub/ance use disord] heal? pr(essionals2 & 7#b7 demon/rate ! greate/ pot5tial = replication4 7f7 ,requirem5t ( mat*+ funds 7#a7 ,9 g5]al ,! ,secret>y may make a grant "u ?is section to an in/itution ( high] education only if ! in/itution agrees to make available 7directly or ?r\gh donations f public or private entities7 non-,f$]al contributions 9 an am\nt t is n less ?an #a = ea* #a ( ,f$]al funds provid$ "u ! grant1 t[>d ! co/s ( activities c>ri$ out ) ! grant 7z describ$ 9 subsection 7b77 & o!r activities by ! in/itution to r$uce /ud5t m5tal heal? & sub/ance use disord]s4 7#b7 ,det]m9ation ( am\nt contribut$ ,non-,f$]al contributions requir$ "u p>agraph 7#a7 may be 9 ca% or 9 k9d4 ,am\nts provid$ by ! ,f$]al ,gov]nm5t1 or s]vices assi/$ or subsidiz$ to any significant ext5t by ! ,f$]al ,gov]nm5t1 may n be includ$ 9 det]m9+ ! am\nt ( su* non-,f$]al contributions4 7#c7 ,waiv] ,! ,secret>y may waive ! application ( p>agraph 7#a7 ) respect to an in/itution ( high] education if ! ,secret>y det]m9es t extraord9>y ne$ at ! in/itution ju/ifies ! waiv]4 7g7 ,reports ,= ea* fiscal ye> t grants are aw>d$ "u ?is section1 ! ,secret>y %all conduct a /udy on ! results ( ! grants & submit to ! ,congress a report on su* results t includes ! foll[+3 7#a7 ,an evaluation ( ! grant program outcomes1 includ+ a summ>y ( activities c>ri$ out ) ! grant & ! results a*iev$ ?r\gh ^? activities4 7#b7 ,recomm5dations on h[ to improve access to m5tal heal? & sub/ance use disord] s]vices at in/itutions ( high] education1 includ+ ef=ts to r$uce ! incid5ce ( suicide & sub/ance use disord]s4 7h7 ,def9itions ,9 ?is section3 7#a7 ,! t]m evid5ce-bas$ has ! mean+ giv5 to su* t]m 9 section #b ( ! ,help+ ,families 9 ,m5tal ,heal? ,crisis ,act ( #bjae4 7#b7 ,! t]m in/itution ( high] education has ! mean+ giv5 su* t]m 9 section #aja ( ! ,high] ,education ,act ( #aife4 7i7 ,au?orization ( appropriations ,= ! purpose ( c>ry+ out ?is section1 !re are au?oriz$ to be appropriat$ #d1ige1jjj = ea* ( fiscal ye>s #bjaf ?r\gh #bjbj4 4 7#e7 ,suicide lifel9e ,subp>t #c ( "p ,b ( title ,v ( ! ,public ,heal? ,s]vice ,act is am5d$ by ins]t+ aft] section #ebj;,e-#b ( su* ,act 7#db ,u4,s4,c4 #bij;bb-#cf;b71 z am5d$1 ! foll[+3 #ebj;,e-#c4 ,national ,suicide ,prev5tion ,lifel9e ,program 7a7 ,9 g5]al ,! ,secret>y %all ma9ta9 ! ,national ,suicide ,prev5tion ,lifel9e program1 includ+ by-- 7#a7 coord9at+ a network ( crisis c5t]s across ! ,unit$ ,/ates = provid+ suicide prev5tion & crisis int]v5tion s]vices to individuals seek+ help at any "t1 day or night2 7#b7 ma9ta9+ a suicide prev5tion hotl9e to l9k call]s to local em]g5cy1 m5tal heal?1 & social s]vices res\rces2 & 7#c7 consult+ ) ! ,secret>y ( ,vet]ans ,affairs to ensure t vet]ans call+ ! suicide prev5tion hotl9e h access to a specializ$ vet]ans' suicide prev5tion hotl9e4 7b7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re are au?oriz$ to be appropriat$ #h1jjj1jjj = ea* ( fiscal ye>s #bjaf ?r\gh #bjbj4 4 ,,iii ,int]ag5cy ,s]i\s ,m5tal ,illness ,coord9at+ ,committee #cja4 ,int]ag5cy ,s]i\s ,m5tal ,illness ,coord9at+ ,committee ,title ,v ( ! ,public ,heal? ,s]vice ,act1 z am5d$ by section #aja1 is fur!r am5d$ by ins]t+ aft] section #eja ( su* ,act ! foll[+3 #eja;,a4 ,int]ag5cy ,s]i\s ,m5tal ,illness ,coord9at+ ,committee 7a7 ,e/abli%m5t ,! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s 79 ?is section ref]r$ to z ! ,assi/ant ,secret>y7 %all e/abli% a committee1 to be kn[n z ! ,int]ag5cy ,s]i\s ,m5tal ,illness ,coord9at+ ,committee 79 ?is section ref]r$ to z ! ,committee71 to assi/ ! ,assi/ant ,secret>y 9 c>ry+ out ! ,assi/ant ,secret>y's duties4 7b7 ,responsibilities ,! ,committee %all-- 7#a7 develop & annually update a summ>y ( advances 9 s]i\s m5tal illness rese>* relat$ to causes1 prev5tion1 treatm5t1 e>ly scre5+1 diagnosis or rule out1 int]v5tion1 & access to s]vices & supports = individuals ) s]i\s m5tal illness2 7#b7 monitor ,f$]al activities ) respect to s]i\s m5tal illness2 7#c7 make recomm5dations to ! ,assi/ant ,secret>y reg>d+ any appropriate *anges to su* activities1 includ+ recomm5dations to ! ,director ( ,,nih ) respect to ! /rategic plan develop$ "u p>agraph 7#e72 7#d7 make recomm5dations to ! ,assi/ant ,secret>y reg>d+ public p>ticipation 9 decisions relat+ to s]i\s m5tal illness2 7#e7 develop & annually update a /rategic plan = advanc+-- 7,a7 public utilization ( effective m5tal heal? s]vices2 & 7,b7 compliance ) treatm5t2 7#f7 develop & annually update a /rategic plan = ! conduct (1 & support =1 s]i\s m5tal illness rese>*1 includ+ propos$ budget>y requirem5ts2 & 7#g7 submit to ! ,congress su* /rategic plan & any updates to su* plan4 7c7 ,memb]%ip 7#a7 ,9 g5]al ,! ,committee %all be compos$ (-- 7,a7 ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s 7or ! ,assi/ant ,secret>y's designee71 :o %all s]ve z ! ,*air ( ! ,committee2 7,b7 ! ,director ( ! ,national ,in/itute ( ,m5tal ,heal? 7or ! ,director's designee72 7,c7 ! ,attorney ,g5]al ( ! ,unit$ ,/ates 7or ! ,attorney ,g5]al's designee72 7,d7 ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion 7or ! ,director's designee72 7,e7 ! ,director ( ! ,national ,in/itutes ( ,heal? 7or ! ,director's designee72 7,f7 ! directors ( su* national rese>* in/itutes ( ! ,national ,in/itutes ( ,heal? z ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s det]m9es appropriate 7or _! designees72 7,g7 a memb] ( ! ,unit$ ,/ates ,int]ag5cy ,c\ncil on ,homelessness2 7,h7 repres5tatives1 appo9t$ by ! ,assi/ant ,secret>y1 ( ,f$]al ag5cies t are outside ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices & s]ve individuals ) s]i\s m5tal illness1 includ+ repres5tatives ( ! ,bureau ( ,indian ,affairs1 ! ,dep>tm5t ( ,def5se1 ! ,dep>tm5t ( ,education1 ! ,dep>tm5t ( ,h\s+ & ,urban ,developm5t1 ! ,dep>tm5t ( ,labor1 ! ,dep>tm5t ( ,vet]ans ,affairs1 & ! ,social ,security ,adm9i/ration2 7,i7 #d memb]s1 ( :i*-- 7i7 #a %all be appo9t$ by ! ,speak] ( ! ,h\se ( ,repres5tatives2 7ii7 #a %all be appo9t$ by ! m9ority lead] ( ! ,h\se ( ,repres5tatives2 7iii7 #a %all be appo9t$ by ! majority lead] ( ! ,s5ate2 & 7iv7 #a %all be appo9t$ by ! m9ority lead] ( ! ,s5ate2 & 7,j7 ! additional memb]s appo9t$ "u p>agraph 7#b74 7#b7 ,additional memb]s ,n few] ?an #ad memb]s ( ! ,committee1 or #a_/c ( ! total memb]%ip ( ! ,committee1 :i*ev] is great]1 %all be compos$ ( non-,f$]al public memb]s to be appo9t$ by ! ,assi/ant ,secret>y1 ( :i*-- 7,a7 at lea/ "o su* memb] %all be an individual 9 recov]y f a diagnosis ( s]i\s m5tal illness :o has b5efitt$ f & is receiv+ m$ical treatm5t "u ! c>e ( a lic5s$ m5tal heal? pr(essional2 7,b7 at lea/ "o su* memb] %all be a p>5t or legal gu>dian ( an individual ) a hi/ory ( s]i\s m5tal illness :o has ei!r attempt$ suicide or is inc>c]at$ = viol5ce committ$ :ile exp]i5c+ a s]i\s m5tal illness2 7,c7 at lea/ "o su* memb] %all be a repres5tative ( a lead+ rese>*1 advocacy1 & s]vice organization = individuals ) s]i\s m5tal illness2 7,d7 at lea/ "o su* memb] %all be-- 7i7 a lic5s$ psy*iatri/ ) exp]i5ce treat+ s]i\s m5tal illness2 or 7ii7 a lic5s$ cl9ical psy*ologi/ ) exp]i5ce treat+ s]i\s m5tal illness2 7,e7 at lea/ "o memb] %all be a lic5s$ m5tal heal? c\nselor or psy*o!rapi/2 7,f7 at lea/ "o memb] %all be a lic5s$ cl9ical social work]2 7,g7 at lea/ "o memb] %all be a lic5s$ psy*iatric nurse or nurse practition]2 7,h7 at lea/ "o memb] %all be a m5tal heal? pr(essional ) a significant focus 9 8 or h] practice work+ ) *ildr5 & adolesc5ts2 7,i7 at lea/ "o memb] %all be a m5tal heal? pr(essional :o sp5ds a significant conc5tration ( 8 or h] pr(essional "t or lead]%ip practic+ community m5tal heal?2 7,j7 at lea/ "o memb] %all be a m5tal heal? pr(essional ) sub/antial exp]i5ce work+ ) m5tally ill individuals :o h a hi/ory ( viol5ce or suicide2 7,k7 at lea/ "o su* memb] %all be a ,/ate c]tifi$ m5tal heal? pe] speciali/2 7,l7 at lea/ "o memb] %all be a judge ) exp]i5ces apply+ assi/$ outpati5t treatm5t2 7,m7 at lea/ "o memb] %all be a law en=cem5t (fic] ) ext5sive exp]i5ce 9 int]fac+ ) psy*iatric & psy*ological disord]s or individuals 9 m5tal heal? crisis2 & 7,n7 at lea/ "o memb] %all be a corrections (fic]4 7d7 ,reports to ,congress ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 & e #b ye>s !reaft]1 ! ,committee %all submit a report to ! ,congress-- 7#a7 analyz+ ! effici5cy1 effectiv5ess1 quality1 coord9ation1 & co/ effectiv5ess ( ,f$]al programs & activities relat+ to ! prev5tion (1 or treatm5t or rehabilitation =1 m5tal heal? or sub/ance use disord]s1 includ+ an acc\nt+ ( ! co/s ( su* programs & activities1 ) adm9i/rative co/s disaggregat$ f ! co/s ( s]vices & c>e provid$2 7#b7 evaluat+ ! impact on public heal? ( projects address+ priority m5tal heal? ne$s ( regional & national significance "u sections #eja1 #eji1 #eaf1 & #ebj;,a includ+ measurem5t ( public heal? outcomes su* z-- 7,a7 r$uc$ rates ( suicide1 suicide attempts1 sub/ance abuse1 ov]dose1 ov]dose dea?s1 em]g5cy hospitalizations1 em]g5cy room bo>d+1 inc>c]ation1 crime1 arre/1 victimization1 homelessness1 & joblessness2 7,b7 increas$ rates ( employm5t & enrollm5t 9 educational & vocational programs2 & 7,c7 su* o!r crit]ia z may be det]m9$ by ! ,assi/ant ,secret>y2 7#c7 =mulat+ recomm5dations = ! coord9ation & improvem5t ( ,f$]al programs & activities describ$ 9 p>agraph 7#b72 7#d7 id5tify+ any su* programs & activities t are duplicative2 & 7#e7 summ>iz+ all recomm5dations made1 activities c>ri$ out1 & results a*iev$ pursuant to ! work=ce developm5t /rategy "u section #eja7;b77#i7 ( ! ,public ,heal? ,s]vice ,act1 z am5d$ by section #aja4 7e7 ,adm9i/rative support2 t]ms ( s]vice2 o!r provisions ,! foll[+ provisions %all apply ) respect to ! ,committee3 7#a7 ,! ,assi/ant ,secret>y %all provide su* adm9i/rative support to ! ,committee z may be necess>y = ! ,committee to c>ry out its responsibilities4 7#b7 ,memb]s ( ! ,committee appo9t$ "u subsection 7c77#b7 %all s]ve = a t]m ( #d ye>s1 & may be reappo9t$ = "o or m additional #d-ye> t]ms4 ,any memb] appo9t$ to fill a vacancy = an unexpir$ t]m %all be appo9t$ = ! rema9d] ( su* t]m4 ,a memb] may s]ve aft] ! expiration ( ! memb]'s t]m until a successor has tak5 (fice4 7#c7 ,! ,committee %all meet at ! call ( ! *air or ^u ! reque/ ( ! ,assi/ant ,secret>y4 ,! ,committee %all meet n few] ?an #b times ea* ye>4 7#d7 ,all meet+s ( ! ,committee %all be public & %all include appropriate "t p]iods = que/ions & pres5tations by ! public4 7f7 ,subcommittees2 e/abli%m5t & memb]%ip ,9 c>ry+ out its functions1 ! ,committee may e/abli% subcommittees & conv5e work%ops & conf]5ces4 ,su* subcommittees %all be compos$ ( ,committee memb]s & may hold su* meet+s z are necess>y to enable ! subcommittees to c>ry out _! duties4 4 ,,iv ,,hipaa & ,,f]pa c>egiv]s #dja4 ,promot+ appropriate treatm5t = m5tally ill individuals by treat+ _! c>egiv]s z p]sonal repres5tatives = purposes ( ,,hipaa privacy regulations 7a7 ,c>egiv] access to in=mation ,9 apply+ section #afd4ejb7;g7 ( title #de1 ,code ( ,f$]al ,regulations1 to an individual ) s]i\s m5tal illness an exception = disclosure ( specific limit$ protect$ heal? in=mation %all be provid$ if all ( ! foll[+ crit]ia are met = ! disclosure by a physician 7z def9$ 9 p>agraphs 7#a7 & 7#b7 ( section #ahfa7r7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7r777 or o!r lic5s$ m5tal heal? or heal? c>e pr(essional to an id5tifi$ responsible c>egiv]3 7#a7 ,su* disclosure is = in=mation limit$ to ! diagnoses1 treatm5t plans1 appo9tm5t s*$ul+1 m$ications1 & m$ication-relat$ in/ructions1 b n includ+ any p]sonal psy*o!rapy notes4 7#b7 ,su* disclosure is necess>y to protect ! heal?1 safety1 or welf>e ( ! individual or g5]al public4 7#c7 ,! in=mation to be disclos$ w be b5eficial to ! treatm5t ( ! individual if t individual has a co-occurr+ acute or *ronic m$ical illness4 7#d7 ,! in=mation to be disclos$ is necess>y = ! cont9uity ( treatm5t ( ! m$ical condition or m5tal illness ( ! individual4 7#e7 ,! abs5ce ( su* in=mation or treatm5t w contribute to a wors5+ prognosis or an acute m$ical condition4 7#f7 ,! individual by nature ( ! sev]e m5tal illness has or has _h a dim9i%$ capacity to fully und]/& or foll[ a treatm5t plan = _! m$ical condition or may become gravely disabl$ 9 abs5ce ( treatm5t4 7b7 ,tra9+ ,9 apply+ section #afd4ecj ( title #de1 ,code ( ,f$]al ,regulations1 ! tra9+ describ$ 9 p>agraph 7b77#a7 ( su* section %all include tra9+ ) respect to ! disclosure ( in=mation to a c>egiv] ( an individual pursuant to subsection 7a74 7c7 ,age ( majority ,9 apply+ section #afd4ejb7;g7 ( title #de1 ,code ( ,f$]al ,regulations1 not)/&+ any o!r provision ( law1 an unemancipat$ m9or %all be an individual "u ! age ( #ah ye>s4 7d7 ,provid] access to in=mation ,heal? c>e provid]s may li/5 to in=mation or review m$ical hi/ory provid$ by family memb]s or o!r c>egiv]s :o may h conc]ns ab\t ! heal? & well-be+ ( ! pati5t1 s ! heal? c>e provid] c factor t in=mation into ! pati5t's c>e4 7e7 ,def9itions ,= purposes ( ?is section3 7#a7 ,cov]$ entity ,! t]m cov]$ entity has ! mean+ giv5 su* t]m 9 section #ajf4ajc ( title #de1 ,code ( ,f$]al ,regulations4 7#b7 ,protect$ heal? in=mation ,! t]m protect$ heal? in=mation has ! mean+ giv5 su* t]m 9 section #ajf4ajc ( title #de1 ,code ( ,f$]al ,regulations4 7#c7 ,c>egiv] ,! t]m c>egiv] means1 ) respect to an individual ) a s]i\s m5tal illness-- 7,a7 an imm$iate family memb] ( su* individual2 7,b7 an individual :o assumes prim>y responsibility = provid+ a basic ne$ ( su* individual2 7,c7 a p]sonal repres5tative ( ! individual z det]m9$ by ! law ( ! ,/ate 9 :i* su* individual resides2 7,d7 c e/abli% a long/&+ involvem5t & is responsible ) ! individual ) a s]i\s m5tal illness & ! heal? c>e ( ! individual2 & 7,e7 excludes an individual ) a docum5t$ hi/ory ( abuse4 7#d7 ,individual ) a s]i\s m5tal illness ,! t]m individual ) a s]i\s m5tal illness means1 ) respect to ! disclosure to a c>egiv] ( protect$ heal? in=mation ( an individual1 an individual :o-- 7,a7 is #ah ye>s ( age or old]2 & 7,b7 has1 )9 "o ye> be=e ! date ( ! disclosure1 be5 evaluat$1 diagnos$1 or treat$ = a m5tal1 behavioral1 or emotional disord] t-- 7i7 is det]m9$ by a physician to be ( suffici5t duration to meet diagno/ic crit]ia specifi$ )9 ! ,diagno/ic & ,/ati/ical ,manual ( ,m5tal ,disord]s2 & 7ii7 results 9 functional impairm5t ( ! individual t sub/antially int]f]es ) or limits "o or m major life activities ( ! individual4 ,su* t]m includes an individual ) autism spectrum disord] or o!r developm5tal disability if su* individual has a co-occurr+ m5tal illness4 #djb4 ,c>egiv]s p]mitt$ access to c]ta9 education records "u ,,f]pa ,section #ddd ( ! ,g5]al ,education ,provisions ,act 7#bj ,u4,s4,c4 #abcb;g7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7k7 ,disclosures to c>egiv]s 7#a7 ,9 g5]al ,) respect to a /ud5t :o is #ah ye>s ( age or old]1 an educational ag5cy or in/itution may disclose to ! c>egiv] ( ! /ud5t1 )\t reg>d to :e!r ! /ud5t has explicitly provid$ cons5t to ! ag5cy or in/itution = ! disclosure ( ! /ud5t's education record1 ! education record ( su* /ud5t if a physician 7z def9$ 9 p>agraphs 7#a7 & 7#b7 ( section #ahfa7r7 ( ! ,social ,security ,act71 psy*ologi/1 or o!r recogniz$ m5tal heal? pr(essional or p>apr(essional act+ 9 8 or h] pr(essional or p>apr(essional capacity1 or assi/+ 9 t capacity reasonably believes su* disclosure to ! c>egiv] is necess>y to protect ! heal?1 safety1 or welf>e ( su* /ud5t or ! safety ( "o or m o!r individuals4 7#b7 ,def9itions ,9 ?is subsection3 7,a7 ,c>egiv] ,! t]m c>egiv] means1 ) respect to a /ud5t1 a family memb] or imm$iate pa/ legal gu>dian :o assumes a prim>y responsibility = provid+ a basic ne$ ( su* /ud5t 7su* z a family memb] or pa/ legal gu>dian ( ! /ud5t :o has assum$ ! responsibility ( co-sign+ a loan ) ! /ud5t74 7,b7 ,education record ,not)/&+ subsection 7a77#d77;,b71 ! t]m education record %all include a record describ$ 9 clause 7iv7 ( su* subsection4 4 #djc4 ,confid5tiality ( records ,section #edc7;e7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;dd-#b7;e77 is am5d$-- 7#a7 9 p>agraph 7#a71 by /rik+ 2 or & ins]t+ a semicolon2 7#b7 9 p>agraph 7#b71 by /rik+ ! p]iod & ins]t+ 2 or2 & 7#c7 aft] p>agraph 7#b71 by ins]t+ ! foll[+3 7#c7 )9 acc\ntable c>e organizations describ$ 9 section #ahii ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;jjj71 heal? in=mation ex*anges 7z def9$ = purposes ( section #cjac71 heal? homes 7z def9$ 9 section #aide7;h77#c7 ( su* ,act #db ,u4,s4,c4 #acifw-#d7;h77#c771 or o!r integrat$ c>e arrangem5ts 79 exi/5ce be=e1 on1 or aft] ! date ( ! enactm5t ( ?is p>agraph7 involv+ ! int]*ange ( electronic heal? records 7z def9$ 9 section #acdjj ( division ,a ( ,public ,law #aaa-e7 7#db ,u4,s4,c4 #agiba7e77 conta9+ in=mation describ$ 9 subsection 7a7 = purposes ( atta9+ int]op]ability1 improv+ c>e coord9ation1 r$uc+ heal? c>e co/s1 & secur+ or provid+ pati5t safety4 4 ,v ,m$ic>e & ,m$icaid re=ms #eja4 ,enhanc$ ,m$icaid cov]age relat+ to c]ta9 m5tal heal? s]vices 7a7 ,m$icaid cov]age ( m5tal heal? s]vices & prim>y c>e s]vices furni%$ on ! same day 7#a7 ,9 g5]al ,section #aijb7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7a77 is am5d$ by ins]t+ aft] p>agraph 7#gg7 ! foll[+ new p>agraph3 7#gh7 n prohibit paym5t "u ! plan = a m5tal heal? s]vice or prim>y c>e s]vice furni%$ to an individual at a community m5tal heal? c5t] meet+ ! crit]ia specifi$ 9 section #aiac7;c7 ( ! ,public ,heal? ,s]vice ,act or a f$]ally qualifi$ heal? c5t] 7z def9$ 9 section #ahfa7;aa77#c77 = :i* paym5t w\ld o!rwise be payable "u ! plan1 ) respect to su* individual1 if su* s]vice 7 n a same-day qualify+ s]vice 7z def9$ 9 subsection 7ll772 4 7#b7 ,same-day qualify+ s]vices def9$ ,section #aijb ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7ll7 ,same-,day qualify+ s]vices def9$ ,= purposes ( subsection 7a77#gh71 ! t]m same-day qualify+ s]vice means-- 7#a7 a prim>y c>e s]vice furni%$ to an individual by a provid] at a facility on ! same day a m5tal heal? s]vice is furni%$ to su* individual by su* provid] 7or ano!r provid]7 at ! facility2 & 7#b7 a m5tal heal? s]vice furni%$ to an individual by a provid] at a facility on ! same day a prim>y c>e s]vice is furni%$ to su* individual by su* provid] 7or ano!r provid]7 at ! facility4 4 7b7 ,/ate option ,to provide m$ical assi/ance = c]ta9 inpati5t psy*iatric s]vices to noneld]ly adults ,section #aije ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 9 p>agraph 7#af7-- 7i7 by /rik+ effective & ins]t+ 7,a7 effective2 & 7ii7 by ins]t+ be=e ! semicolon at ! end ! foll[+3 1 7,b7 qualifi$ inpati5t psy*iatric hospital s]vices 7z def9$ 9 subsection 7h77#c77 = individuals ov] #ba ye>s ( age & "u #fe ye>s ( age1 & 7,c7 psy*iatric resid5tial treatm5t facility s]vices 7z def9$ 9 subsection 7h77#d77 = individuals ov] #ba ye>s ( age & "u #fe ye>s ( age2 & 7,b7 9 ! subdivision 7,b7 t foll[s p>agraph 7#bi71 by ins]t+ 7o!r ?an s]vices describ$ 9 subp>agraphs 7,b7 & 7,c7 ( p>agraph 7#af7 = individuals describ$ 9 su* subp>agraphs7 aft] pati5t 9 an in/itution = m5tal diseases2 & 7#b7 9 subsection 7h71 by add+ at ! end ! foll[+ new p>agraphs3 7#c7 ,= purposes ( subsection 7a77#af77;,b71 ! t]m qualifi$ inpati5t psy*iatric hospital s]vices means1 ) respect to individuals describ$ 9 su* subsection1 s]vices describ$ 9 subp>agraphs 7,a7 & 7,b7 ( p>agraph 7#a7 t are furni%$ 9 an acute c>e psy*iatric unit 9 a ,/ate-op]at$ psy*iatric hospital or a psy*iatric hospital 7z def9$ section #ahfa7;f77 if su* unit or hospital1 z applicable1 has a facilitywide av]age 7det]m9$ on an annual basis7 l5g? ( /ay ( less ?an #cj days4 7#d7 ,= purposes ( subsection 7a77#af77;,c71 ! t]m psy*iatric resid5tial treatm5t facility s]vices means1 ) respect to individuals describ$ 9 su* subsection1 s]vices describ$ 9 subp>agraphs 7,a7 & 7,b7 ( p>agraph 7#a7 t are furni%$ 9 a psy*iatric resid5tial treatm5t facility 7z def9$ 9 section #dhd4cec ( title #db1 ,code ( ,f$]al ,regulations1 z 9 effect on ,decemb] #i1 #bjac74 4 7c7 ,report 7#a7 ,9 g5]al ,! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s %all report on ! impact ( ! am5dm5ts made by subsection 7b7 on ! funds made available by ,/ates = inpati5t psy*iatric hospital c>e & = community-bas$ m5tal heal? s]vices4 ,su* /udy %all include an assessm5t ( ea* ( ! foll[+3 7,a7 ,! am\nt ( funds exp5d$ annually by ,/ates on %ort-t]m1 acute inpati5t psy*iatric hospital c>e4 7,b7 ,! am\nt ( funds exp5d$ annually on %ort-t]m1 acute inpati5t psy*iatric hospital c>e ?r\gh disproportionate %>e hospital paym5ts "u section #aibc ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifr-#d74 7,c7 ,! r$uction 9 ! am\nt ( funds describ$ 9 subp>agraph 7,a7 t is attributable to ! am5dm5ts made by subsection 7b74 7,d7 ,! r$uction 9 ! am\nt ( funds describ$ 9 subp>agraph 7,b7 t is attributable to ! am5dm5t made by su* subsection4 7,e7 ,! total am\nt ( ! r$uctions describ$ 9 subp>agraphs 7,c7 & 7,d74 7#b7 ,def9ition ( %ort-t]m1 acute inpati5t psy*iatric hospital c>e ,= purposes ( p>agraph 7#a71 ! t]m %ort-t]m1 acute inpati5t psy*iatric hospital c>e means c>e t is provid$ 9 ei!r-- 7,a7 an acute-c>e psy*iatric unit ) an av]age annual l5g? ( /ay ( few] ?an #cj days t is op]at$ )9 a psy*iatric hospital op]at$ by a ,/ate2 or 7,b7 a psy*iatric hospital ) an av]age annual l5g? ( /ay ( few] ?an #cj days4 7#c7 ,report ,n lat] ?an two ye>s aft] ! date ( ! enactm5t ( ?is ,act1 su* ,assi/ant ,secret>y %all submit a report to ,congress on ! results ( ! /udy describ$ 9 p>agraph 7#a71 includ+ recomm5dations ) respect to /rategies t c be us$ to re9ve/ 9 community-bas$ m5tal heal? s]vices funds equal to ! total am\nt ( ! r$uctions describ$ 9 p>agraph 7#a77;,e74 7d7 ,effective date 7#a7 ,9 g5]al ,subject to p>agraphs 7#b7 & 7#c71 ! am5dm5ts made by ?is section %all apply to items & s]vices furni%$ aft] ! fir/ day ( ! fir/ cal5d> ye> t beg9s aft] ! date ( ! enactm5t ( ?is section4 7#b7 ,c]tification ( no increas$ sp5d+ ,! am5dm5ts made by ?is section %all n be effective unless ! ,*ief ,actu>y ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices c]tifies t ! inclusion ( qualifi$ inpati5t psy*iatric hospital s]vices & psy*iatric resid5tial treatm5t facility s]vices 7z ^? t]ms are def9$ 9 section #aije7;h7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7h777 furni%$ to noneld]ly adults z m$ical assi/ance "u section #aije7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7a771 z am5d$ by subsection 7a71 w\ld n result 9 any increase 9 net program sp5d+ "u title ,,xix ( su* ,act4 7#c7 ,exception = ,/ate legislation ,9 ! case ( a ,/ate plan "u title ,,xix ( ! ,social ,security ,act1 :i* ! ,secret>y ( ,heal? & ,human ,s]vices det]m9es requires ,/ate legislation 9 ord] = ! respective plan to meet any requirem5t impos$ by am5dm5ts made by ?is section1 ! respective plan %all n be reg>d$ z fail+ to comply ) ! requirem5ts ( su* title solely on ! basis ( its failure to meet su* an additional requirem5t be=e ! fir/ day ( ! fir/ cal5d> qu>t] beg9n+ aft] ! close ( ! fir/ regul> session ( ! ,/ate legislature t beg9s aft] ! date ( enactm5t ( ?is section4 ,= purposes ( ! previ\s s5t5ce1 9 ! case ( a ,/ate t has a #b-ye> legislative session1 ea* ye> ( ! session %all be consid]$ to be a sep>ate regul> session ( ! ,/ate legislature4 #ejb4 ,access to m5tal heal? prescription drugs "u ,m$ic>e & ,m$icaid 7a7 ,cov]age ( prescription drugs us$ ,to treat m5tal heal? disord]s "u ,m$ic>e ,section #ahfj;,d-#d7;b77#c77;,g7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#ajd7;b77#c77;,g77 is am5d$-- 7#a7 9 clause 7i77,i71 by /rik+ 9 ! categories & ins]t+ 9 ! categories & classes ( drugs specifi$ 9 subclauses 7,,ii7 & 7,,iv7 ( clause 7iv7 & 9 o!r categories2 7#b7 9 clause 7i77,,ii71 by ins]t+ 1 = categories & classes ( drugs o!r ?an ! categories & classes ( drugs specifi$ 9 subclauses 7,,ii7 & 7,,iv7 ( clause 7iv71 be=e exceptions2 7#c7 9 clause 7ii77,i71 by ins]t+ at ! end ! foll[+ new s5t5ce3 ,= purposes ( ! previ\s s5t5ce1 ! categories & classes ( drugs specifi$ 9 subclauses 7,,ii7 & 7,,iv7 ( clause 7iv7 %all be deem$ to be ( cl9ical conc]n42 & 7#d7 9 clause 7iv71 9 ! matt] prec$+ subclause 7,i71 by ins]t+ 7& 9 ! case ( categories & classes ( drugs specifi$ 9 subclauses 7,,ii7 & 7,,iv71 be=e1 on1 & aft] ! ,secret>y e/abli%es su* crit]ia7 aft] clause 7ii77,,ii74 7b7 ,cov]age ( prescription drugs us$ ,to treat m5tal heal? disord]s "u ,m$icaid 7#a7 ,9 g5]al ,section #aibg7;d7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifr-#h7;d77 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#h7 ,access to m5tal heal? drugs ,) respect to cov]$ outpati5t drugs us$ = ! treatm5t ( a m5tal heal? disord]1 includ+ major depression1 bipol> 7manic-depressive7 disord]1 panic disord]1 obsessive-compulsive disord]1 s*izophr5ia1 & s*izoaffective disord]1 a ,/ate %all n exclude f cov]age or o!rwise re/rict access to su* drugs o!r ?an pursuant to a prior au?orization program t is consi/5t ) p>agraph 7#e74 4 7#b7 ,m$icaid manag$ c>e organizations ,section #aicb7;b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifu-#b7;b77 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#i7 ,cov]age ( prescription drugs us$ to treat m5tal heal? disord]s ,ea* contract ) a manag$ c>e entity "u section #aijc7m7 or "u section #aije7t77#c7 %all require cov]age ( all cov]$ outpati5t drugs us$ = ! treatm5t ( a m5tal heal? disord]1 9 accordance ) section #aibg7;d77#h74 4 #ejc4 ,elim9ation ( #aij-;day lifetime limit on cov]age ( inpati5t psy*iatric hospital s]vices "u ,m$ic>e 7a7 ,9 g5]al ,section #ahab ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;d7 is am5d$-- 7#a7 9 subsection 7b7-- 7,a7 9 p>agraph 7#a71 by add+ or at ! end2 7,b7 9 p>agraph 7#b71 by /rik+ 2 or at ! end & ins]t+ a p]iod2 & 7,c7 by /rik+ p>agraph 7#c72 & 7#b7 9 subsection 7c71 by /rik+ or 9 det]m9+ ! #aij-;day limit "u subsection 7b77#c74 7b7 ,effective date2 c]tification ( no increas$ sp5d+ 7#a7 ,9 g5]al ,subject to p>agraph 7#b71 ! am5dm5ts made by subsection 7a7 %all apply to items & s]vices furni%$ on or aft] ,janu>y #a1 #bjaf4 7#b7 ,c]tification ( no increas$ sp5d+ ,! am5dm5ts made by subsection 7a7 %all n be effective unless ! ,*ief ,actu>y ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices c]tifies t su* am5dm5ts w n result 9 any increase 9 net ,f$]al exp5ditures "u title ,,xviii ( ! ,social ,security ,act4 #ejd4 ,modifications to ,m$ic>e dis*>ge plann+ requirem5ts ,section #ahfa7;ee7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7ee77 is am5d$-- 7#a7 9 p>agraph 7#a71 by ins]t+ &1 9 ! case ( a psy*iatric hospital or a psy*iatric unit 7z describ$ 9 ! matt] foll[+ clause 7v7 ( section #ahhf7;d77#a77;,b771 if x also meets ! guidel9es & /&>ds e/abli%$ by ! ,secret>y "u p>agraph 7#c7 be=e ! p]iod at ! end2 & 7#b7 by add+ at ! end ! foll[+ new p>agraph3 7#c7 ,! ,secret>y %all develop guidel9es & /&>ds1 9 addition to ^? develop$ "u p>agraph 7#b71 = ! dis*>ge plann+ process ( a psy*iatric hospital or a psy*iatric unit 7z describ$ 9 ! matt] foll[+ clause 7v7 ( section #ahhf7;d77#a77;,b77 9 ord] to ensure a timely & smoo? transition to ! mo/ appropriate type ( & sett+ = po/hospital or rehabilitative c>e4 ,! ,secret>y %all issue f9al regulations implem5t+ su* guidel9es & /&>ds n lat] ?an #bd mon?s aft] ! date ( ! enactm5t ( ?is p>agraph4 ,! guidel9es & /&>ds %all include ! foll[+3 7,a7 ,! hospital or unit mu/ id5tify ! types ( s]vices ne$$ ^u dis*>ge = ! pati5ts be+ treat$ by ! hospital or unit4 7,b7 ,! hospital or unit mu/-- 7i7 id5tify organizations t (f] community s]vices to ! community t is s]v$ by ! hospital or unit & ! types ( s]vices provid$ by ! organizations2 & 7ii7 mu/ make demon/rat$ ef=ts to e/abli% connections1 relation%ips1 & p>tn]%ips ) su* organizations4 7,c7 ,! hospital or unit mu/ arrange 7) ! p>ticipation ( ! pati5t & ( any o!r individuals select$ by ! pati5t = su* purpose7 = ! developm5t & implem5tation ( a dis*>ge plan = ! pati5t z "p ( ! pati5t's ov]all treatm5t plan f admission to dis*>ge4 ,su* dis*>ge plan %all meet ! requirem5ts describ$ 9 subp>agraphs 7,g7 & 7,h7 ( p>agraph 7#b74 7,d7 ,! hospital or unit %all coord9ate ) ! pati5t 7or assi/ ! pati5t )7 ! ref]ral = po/hospital or rehabilitative c>e & z "p ( t ref]ral ! hospital or unit %all include transmitt+ to ! receiv+ organization1 9 a timely mann]1 appropriate in=mation ab\t ! c>e furni%$ to ! pati5t by ! hospital or unit & recomm5dations = po/hospital or rehabilitative c>e to be furni%$ to ! pati5t by ! organization4 4 #eje4 ,demon/ration programs to improve community m5tal heal? s]vices ,section #bbc ( ! ,protect+ ,access to ,m$ic>e ,act ( #bjad 7,public ,law #aac-ic2 #abh ,/at4 #ajgg7 is am5d$ to read z foll[s3 #bbc4 ,demon/ration programs to improve community m5tal heal? s]vices 7a7 ,crit]ia = c]tifi$ community behavioral heal? cl9ics ,to p>ticipate 9 demon/ration programs 7#a7 ,publication ,n lat] ?an ,septemb] #a1 #bjae1 ! ,secret>y %all publi% crit]ia = a cl9ic to be c]tifi$ by a ,/ate z a c]tifi$ community behavioral heal? cl9ic = purposes ( p>ticipat+ 9 a demon/ration program conduct$ "u subsection 7d74 7#b7 ,requirem5ts ,! crit]ia publi%$ "u ?is subsection %all include crit]ia ) respect to ! foll[+3 7,a7 ,/aff+ ,/aff+ requirem5ts1 includ+ crit]ia t /aff h div]se discipl9>y backgr\nds1 h necess>y ,/ate-requir$ lic5se & accr$itation1 & are culturally & l+ui/ically tra9$ to s]ve ! ne$s ( ! cl9ic's pati5t population4 7,b7 ,availability & accessibility ( s]vices ,availability & accessibility ( s]vices1 includ+ crisis managem5t s]vices t are available & accessible #bd h\rs a day1 ! use ( a slid+ scale = paym5t1 & no rejection = s]vices or limit+ ( s]vices on ! basis ( a pati5t's ability to pay or a place ( resid5ce4 7,c7 ,c>e coord9ation ,c>e coord9ation1 includ+ requirem5ts to coord9ate c>e across sett+s & provid]s to ensure seamless transitions = pati5ts across ! full spectrum ( heal? s]vices includ+ acute1 *ronic1 & behavioral heal? ne$s4 ,c>e coord9ation requirem5ts %all include p>tn]%ips or =mal contracts ) ! foll[+3 7i7 ,f$]ally-qualifi$ heal? c5t]s 7& z applicable1 rural heal? cl9ics7 to provide ,f$]ally-qualifi$ heal? c5t] s]vices 7& z applicable1 rural heal? cl9ic s]vices7 to ! ext5t su* s]vices are n provid$ directly ?r\gh ! c]tifi$ community behavioral heal? cl9ic4 7ii7 ,inpati5t psy*iatric facilities & sub/ance use detoxification1 po/-detoxification /ep-d[n s]vices1 & resid5tial programs4 7iii7 ,o!r community or regional s]vices1 supports1 & provid]s1 includ+ s*ools1 *ild welf>e ag5cies1 juv5ile & crim9al ju/ice ag5cies & facilities1 ,indian ,heal? ,s]vice y\? regional treatm5t c5t]s1 ,/ate-lic5s$ & nationally accr$it$ *ild plac+ ag5cies = !rapeutic fo/] c>e s]vice1 & o!r social & human s]vices4 7iv7 ,dep>tm5t ( ,vet]ans ,affairs m$ical c5t]s1 indep5d5t outpati5t cl9ics1 drop-9 c5t]s1 & o!r facilities ( ! ,dep>tm5t z def9$ 9 section #ahja ( title #ch1 ,unit$ ,/ates ,code4 7v7 ,inpati5t acute c>e hospitals & hospital outpati5t cl9ics4 7,d7 ,scope ( s]vices ,provision 79 a mann] reflect+ p]son-c5t]$ c>e7 ( ! foll[+ s]vices :i*1 if n available directly ?r\gh ! c]tifi$ community behavioral heal? cl9ic1 are provid$ or ref]r$ ?r\gh =mal relation%ips ) o!r provid]s3 7i7 ,crisis m5tal heal? s]vices1 includ+ #bd-;h\r mobile crisis teams1 em]g5cy crisis int]v5tion s]vices1 & crisis /abilization4 7ii7 ,scre5+1 assessm5t1 & diagnosis1 includ+ risk assessm5t4 7iii7 ,pati5t-c5t]$ treatm5t plann+ or simil> processes1 includ+ risk assessm5t & crisis plann+4 7iv7 ,outpati5t m5tal heal? & sub/ance use s]vices4 7v7 ,outpati5t cl9ic prim>y c>e scre5+ & monitor+ ( key heal? indicators & heal? risk4 7vi7 ,t>get$ case managem5t4 7vii7 ,psy*iatric rehabilitation s]vices4 7viii7 ,pe] support & c\nselor s]vices & family supports4 7ix7 ,int5sive1 community-bas$ m5tal heal? c>e = memb]s ( ! ,arm$ ,=ces & vet]ans1 p>ticul>ly ^? memb]s & vet]ans locat$ 9 rural areas1 provid$ ! c>e is consi/5t ) m9imum cl9ical m5tal heal? guidel9es promulgat$ by ! ,vet]ans ,heal? ,adm9i/ration includ+ cl9ical guidel9es conta9$ 9 ! ,uni=m ,m5tal ,heal? ,s]vices ,h&book ( su* ,adm9i/ration4 7,e7 ,quality & o!r report+ ,report+ ( enc\nt] data1 cl9ical outcomes data1 quality data1 & su* o!r data z ! ,secret>y requires4 7,f7 ,organizational au?ority ,crit]ia t a cl9ic be a non-pr(it or "p ( a local gov]nm5t behavioral heal? au?ority or op]at$ "u ! au?ority ( ! ,indian ,heal? ,s]vice1 an ,indian tribe or tribal organization pursuant to a contract1 grant1 coop]ative agreem5t1 or compact ) ! ,indian ,heal? ,s]vice pursuant to ! ,indian ,self-,det]m9ation ,act 7#be ,u4,s4,c4 #dej et seq471 or an urban ,indian organization pursuant to a grant or contract ) ! ,indian ,heal? ,s]vice "u title ,v ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afja et seq474 7b7 ,guidance on developm5t ( prospective paym5t sy/em = te/+ "u demon/ration programs 7#a7 ,9 g5]al ,n lat] ?an ,septemb] #a1 #bjae1 ! ,secret>y1 ?r\gh ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 %all issue guidance = ! e/abli%m5t ( a prospective paym5t sy/em t %all only apply to m$ical assi/ance = m5tal heal? s]vices furni%$ by a c]tifi$ community behavioral heal? cl9ic p>ticipat+ 9 a demon/ration program "u subsection 7d74 7#b7 ,requirem5ts ,! guidance issu$ by ! ,secret>y "u p>agraph 7#a7 %all provide t-- 7,a7 no paym5t %all be made = inpati5t c>e1 resid5tial treatm5t1 room & bo>d exp5ses1 or any o!r nonambulatory s]vices1 z det]m9$ by ! ,secret>y2 & 7,b7 no paym5t %all be made to satellite facilities ( c]tifi$ community behavioral heal? cl9ics if su* facilities are e/abli%$ aft] ! date ( enactm5t ( ?is ,act4 7c7 ,plann+ grants 7#a7 ,9 g5]al ,n lat] ?an ,janu>y #a1 #bjaf1 ! ,secret>y %all aw>d plann+ grants to ,/ates = ! purpose ( develop+ proposals to p>ticipate 9 "t-limit$ demon/ration programs describ$ 9 subsection 7d74 7#b7 ,use ( funds ,a ,/ate aw>d$ a plann+ grant "u ?is subsection %all-- 7,a7 solicit input ) respect to ! developm5t ( su* a demon/ration program f pati5ts1 provid]s1 & o!r /akehold]s2 7,b7 c]tify cl9ics z c]tifi$ community behavioral heal? cl9ics = purposes ( p>ticipat+ 9 a demon/ration program conduct$ "u subsection 7d72 & 7,c7 e/abli% a prospective paym5t sy/em = m5tal heal? s]vices furni%$ by a c]tifi$ community behavioral heal? cl9ic p>ticipat+ 9 a demon/ration program "u subsection 7d7 9 accordance ) ! guidance issu$ "u subsection 7b74 7d7 ,demon/ration programs 7#a7 ,9 g5]al ,n lat] ?an ,septemb] #a1 #bjag1 ! ,secret>y %all select ,/ates to p>ticipate 9 demon/ration programs t are develop$ ?r\gh plann+ grants aw>d$ "u subsection 7c71 meet ! requirem5ts ( ?is subsection1 & repres5t a div]se selection ( geographic areas1 includ+ rural & und]s]v$ areas4 7#b7 ,application requirem5ts 7,a7 ,9 g5]al ,! ,secret>y %all solicit applications to p>ticipate 9 demon/ration programs "u ?is subsection solely f ,/ates aw>d$ plann+ grants "u subsection 7c74 7,b7 ,requir$ in=mation ,an application = a demon/ration program "u ?is subsection %all include ! foll[+3 7i7 ,! t>get ,m$icaid population to be s]v$ "u ! demon/ration program4 7ii7 ,a li/ ( p>ticipat+ c]tifi$ community behavioral heal? cl9ics4 7iii7 ,v]ification t ! ,/ate has c]tifi$ a p>ticipat+ cl9ic z a c]tifi$ community behavioral heal? cl9ic 9 accordance ) ! requirem5ts ( subsection 7b74 7iv7 ,a description ( ! scope ( ! m5tal heal? s]vices available "u ! ,/ate ,m$icaid program t w be paid = "u ! prospective paym5t sy/em te/$ 9 ! demon/ration program4 7v7 ,v]ification t ! ,/ate has agre$ to pay = su* s]vices at ! rate e/abli%$ "u ! prospective paym5t sy/em4 7vi7 ,su* o!r in=mation z ! ,secret>y may require relat+ to ! demon/ration program includ+ ) respect to det]m9+ ! s\ndness ( ! propos$ prospective paym5t sy/em4 7#c7 ,numb] & l5g? ( demon/ration programs ,n m ?an #aj ,/ates %all be select$ = #d-ye> demon/ration programs "u ?is subsection4 7#d7 ,requirem5ts = select+ demon/ration programs 7,a7 ,9 g5]al ,! ,secret>y %all give pref]5ce to select+ demon/ration programs :]e p>ticipat+ c]tifi$ community behavioral heal? cl9ics-- 7i7 provide ! mo/ complete scope ( s]vices describ$ 9 subsection 7a77#b77;,d7 to individuals eligible = m$ical assi/ance "u ! ,/ate ,m$icaid program2 7ii7 w improve availability (1 access to1 & p>ticipation 91 s]vices describ$ 9 subsection 7a77#b77;,d7 to individuals eligible = m$ical assi/ance "u ! ,/ate ,m$icaid program2 7iii7 w improve availability (1 access to1 & p>ticipation 9 assi/$ outpati5t m5tal heal? treatm5t 9 ! ,/ate2 or 7iv7 demon/rate ! pot5tial to exp& available m5tal heal? s]vices 9 a demon/ration area & increase ! quality ( su* s]vices )\t increas+ net ,f$]al sp5d+4 7#e7 ,paym5t = m$ical assi/ance = m5tal heal? s]vices provid$ by c]tifi$ community behavioral heal? cl9ics 7,a7 ,9 g5]al ,! ,secret>y %all pay a ,/ate p>ticipat+ 9 a demon/ration program "u ?is subsection ! ,f$]al mat*+ p]c5tage specifi$ 9 subp>agraph 7,b7 = am\nts exp5d$ by ! ,/ate to provide m$ical assi/ance = m5tal heal? s]vices describ$ 9 ! demon/ration program application 9 accordance ) p>agraph 7#b77;,b77iv7 t are provid$ by c]tifi$ community behavioral heal? cl9ics to individuals :o are enroll$ 9 ! ,/ate ,m$icaid program4 ,paym5ts to ,/ates made "u ?is p>agraph %all be consid]$ to h be5 "u1 & are subject to ! requirem5ts (1 section #aijc ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;b74 7,b7 ,f$]al mat*+ p]c5tage ,! ,f$]al mat*+ p]c5tage specifi$ 9 ?is subp>agraph is ) respect to m$ical assi/ance describ$ 9 subp>agraph 7,a7 t is furni%$-- 7i7 to a newly eligible individual describ$ 9 p>agraph 7#b7 ( section #aije7y7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7y771 ! mat*+ rate applicable "u p>agraph 7#a7 ( t section2 & 7ii7 to an individual :o is n a newly eligible individual 7z s describ$7 b :o is eligible = m$ical assi/ance "u ! ,/ate ,m$icaid program1 ! enhanc$ ,,fmap applicable to ! ,/ate4 7,c7 ,limitations 7i7 ,9 g5]al ,paym5ts %all be made "u ?is p>agraph to a ,/ate only = m5tal heal? s]vices-- 7,i7 t are describ$ 9 ! demon/ration program application 9 accordance ) p>agraph 7#b77;,b77iv72 7,,ii7 = :i* paym5t is available "u ! ,/ate ,m$icaid program2 & 7,,iii7 t are provid$ to an individual :o is eligible = m$ical assi/ance "u ! ,/ate ,m$icaid program4 7ii7 ,prohibit$ paym5ts ,no paym5t %all be made "u ?is p>agraph-- 7,i7 = inpati5t c>e1 resid5tial treatm5t1 room & bo>d exp5ses1 or any o!r nonambulatory s]vices1 z det]m9$ by ! ,secret>y2 or 7,,ii7 ) respect to paym5ts made to satellite facilities ( c]tifi$ community behavioral heal? cl9ics if su* facilities are e/abli%$ aft] ! date ( enactm5t ( ?is ,act4 7#f7 ,waiv] ( /atewid5ess requirem5t ,! ,secret>y %all waive section #aijb7;a77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7a77#a77 7relat+ to /atewid5ess7 z may be necess>y to conduct demon/ration programs 9 accordance ) ! requirem5ts ( ?is subsection4 7#g7 ,annual reports 7,a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date on :i* ! fir/ ,/ate is select$ = a demon/ration program "u ?is subsection1 & annually !reaft]1 ! ,secret>y %all submit to ,congress an annual report on ! use ( funds provid$ "u all demon/ration programs conduct$ "u ?is subsection4 ,ea* su* report %all include-- 7i7 an assessm5t ( access to community-bas$ m5tal heal? s]vices "u ! ,m$icaid program 9 ! area or areas ( a ,/ate t>get$ by a demon/ration program comp>$ to o!r areas ( ! ,/ate2 7ii7 an assessm5t ( ! quality & scope ( s]vices provid$ by c]tifi$ community behavioral heal? cl9ics comp>$ to community-bas$ m5tal heal? s]vices provid$ 9 ,/ates n p>ticipat+ 9 a demon/ration program "u ?is subsection & 9 areas ( a demon/ration ,/ate t are n p>ticipat+ 9 ! demon/ration program2 & 7iii7 an assessm5t ( ! impact ( ! demon/ration programs on ! ,f$]al & ,/ate co/s ( a full range ( m5tal heal? s]vices 7includ+ inpati5t1 em]g5cy & ambulatory s]vices74 7,b7 ,recomm5dations ,n lat] ?an ,decemb] #ca1 #bjba1 ! ,secret>y %all submit to ,congress recomm5dations conc]n+ :e!r ! demon/ration programs "u ?is section %\ld be cont9u$1 exp&$1 modifi$1 or t]m9at$4 7e7 ,def9itions ,9 ?is section3 7#a7 ,f$]ally-qualifi$ heal? c5t] s]vices2 ,f$]ally-qualifi$ heal? c5t]2 rural heal? cl9ic s]vices2 rural heal? cl9ic ,! t]ms ,f$]ally-qualifi$ heal? c5t] s]vices1 ,f$]ally-qualifi$ heal? c5t]1 rural heal? cl9ic s]vices1 & rural heal? cl9ic h ! mean+s giv5 ^? t]ms 9 section #aije7l7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7l774 7#b7 ,enhanc$ ,,fmap ,! t]m enhanc$ ,,fmap has ! mean+ giv5 t t]m 9 section #baje7;b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;dd7b77 b )\t reg>d to ! second & ?ird s5t5ces ( t section4 7#c7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices4 7#d7 ,/ate ,! t]m ,/ate has ! mean+ giv5 su* t]m = purposes ( title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq474 7f7 ,fund+ 7#a7 ,9 g5]al ,out ( any funds 9 ! ,treasury n o!rwise appropriat$1 !re is appropriat$ to ! ,secret>y-- 7,a7 = purposes ( c>ry+ out subsections 7a71 7b71 & 7d77#g71 #b1jjj1jjj = fiscal ye> #bjad2 & 7,b7 = purposes ( aw>d+ plann+ grants "u subsection 7c71 #be1jjj1jjj = fiscal ye> #bjaf4 7#b7 ,availability ,funds appropriat$ "u p>agraph 7#a7 %all rema9 available until exp5d$4 4 ,,vi ,rese>* by ,national ,in/itute ( ,m5tal ,heal? #fja4 ,increase 9 fund+ = c]ta9 rese>* ,section #djb;,a7a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhb;a7a77 is am5d$ by add+ at ! end ! foll[+3 7#c7 ,fund+ = ! bra9 initiative at ! ,national ,in/itute ( ,m5tal ,heal? 7,a7 ,fund+ ,9 addition to am\nts made available pursuant to p>agraphs 7#a7 & 7#b71 !re are au?oriz$ to be appropriat$ to ! ,national ,in/itute ( ,m5tal ,heal? = ! purpose describ$ 9 subp>agraph 7,b77ii7 #dj1jjj1jjj = ea* ( fiscal ye>s #bjaf ?r\gh #bjbj4 7,b7 ,purposes ,am\nts appropriat$ pursuant to subp>agraph 7,a7 %all be us$ exclusively = ! purpose ( conduct+ or support+-- 7i7 rese>* on ! det]m9ants ( self- & o!r direct$-viol5ce 9 m5tal illness1 includ+ /udies direct$ at r$uc+ ! risk ( self h>m1 suicide1 & int]p]sonal viol5ce2 or 7ii7 bra9 rese>* ?r\gh ! ,bra9 ,rese>* ?r\gh ,advanc+ ,innovative ,neurote*nologies ,initiative4 4 ,,vii ,behavioral heal? in=mation te*nology #gja4 ,ext5sion ( heal? in=mation te*nology assi/ance = behavioral & m5tal heal? & sub/ance abuse ,section #cjjj7c7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;jj7#c77 is am5d$ by ins]t+ be=e & any o!r category ! foll[+3 behavioral & m5tal heal? pr(essionals 7z def9$ 9 section #cca7;a77#c77;,e77i771 a sub/ance abuse pr(essional1 a psy*iatric hospital 7z def9$ 9 section #ahfa7;f7 ( ! ,social ,security ,act71 a community m5tal heal? c5t] meet+ ! crit]ia specifi$ 9 section #aiac7;c71 a resid5tial or outpati5t m5tal heal? or sub/ance use treatm5t facility14 #gjb4 ,ext5sion ( eligibility = ,m$ic>e & ,m$icaid heal? in=mation te*nology implem5tation assi/ance 7a7 ,paym5t inc5tives = eligible pr(essionals "u ,m$ic>e ,section #ahdh ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#d7 is am5d$-- 7#a7 9 subsection 7a77#g7-- 7,a7 9 subp>agraph 7,e71 by add+ at ! end ! foll[+ new clause3 7iv7 ,additional eligible pr(essional ,! t]m additional eligible pr(essional means a cl9ical psy*ologi/ provid+ qualifi$ psy*ologi/ s]vices 7z def9$ 9 section #ahfa7;ii774 2 & 7,b7 by add+ at ! end ! foll[+ new subp>agraph3 7,f7 ,application to additional eligible pr(essionals ,! ,secret>y %all apply ! provisions ( ?is p>agraph ) respect to an additional eligible pr(essional 9 ! same mann] z su* provisions apply to an eligible pr(essional1 except 9 apply+ subp>agraph 7,a7-- 7i7 9 clause 7i71 ! ref]5ce to #bjae %all be deem$ a ref]5ce to #bjbj2 7ii7 9 clause 7ii71 ! ref]5ces to #bjae1 #bjaf1 & #bjag %all be deem$ ref]5ces to #bjbj1 #bjba1 & #bjbb1 respectively2 & 7iii7 9 clause 7iii71 ! ref]5ce to #bjah %all be deem$ a ref]5ce to #bjbc4 2 & 7#b7 9 subsection 7o7-- 7,a7 9 p>agraph 7#e71 by add+ at ! end ! foll[+ new subp>agraph3 7,d7 ,additional eligible pr(essional ,! t]m additional eligible pr(essional means a cl9ical psy*ologi/ provid+ qualifi$ psy*ologi/ s]vices 7z def9$ 9 section #ahfa7;ii774 2 & 7,b7 by add+ at ! end ! foll[+ new p>agraph3 7#f7 ,application to additional eligible pr(essionals ,! ,secret>y %all apply ! provisions ( ?is subsection ) respect to an additional eligible pr(essional 9 ! same mann] z su* provisions apply to an eligible pr(essional1 except 9 apply+-- 7,a7 p>agraph 7#a77;,a77ii71 ! ref]5ce to #bjaf %all be deem$ a ref]5ce to #bjba2 7,b7 p>agraph 7#a77;,b77ii71 ! ref]5ces to #bjaa & #bjab %all be deem$ ref]5ces to #bjaf & #bjag1 respectively2 7,c7 p>agraph 7#a77;,b77iii71 ! ref]5ces to #bjac %all be deem$ ref]5ces to #bjah2 7,d7 p>agraph 7#a77;,b77v71 ! ref]5ces to #bjad %all be deem$ ref]5ces to #bjai2 & 7,e7 p>agraph 7#a77;,e71 ! ref]5ce to #bjaa %all be deem$ a ref]5ce to #bjaf4 4 7b7 ,eligible hospitals ,section #ahhf ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acieww7 is am5d$-- 7#a7 9 subsection 7b77#c77;,b77ix71 by add+ at ! end ! foll[+ new subclause3 7,v7 ,! ,secret>y %all apply ! provisions ( ?is subsection ) respect to an additional eligible hospital 7z def9$ 9 subsection 7n77#f77;,c77 9 ! same mann] z su* provisions apply to an eligible hospital1 except 9 apply+-- 7aa7 subclause 7,i71 ! ref]5ces to #bjae1 #bjaf1 & #bjag %all be deem$ ref]5ces to #bjbj1 #bjba1 & #bjbb1 respectively2 & 7bb7 subclause 7,,iii71 ! ref]5ce to #bjae %all be deem$ a ref]5ce to #bjbj4 2 & 7#b7 9 subsection 7n7-- 7,a7 9 p>agraph 7#f71 by add+ at ! end ! foll[+ new subp>agraph3 7,c7 ,additional eligible hospital ,! t]m additional eligible hospital means an inpati5t hospital t is a psy*iatric hospital 7z def9$ 9 section #ahfa7;f774 2 & 7,b7 by add+ at ! end ! foll[+ new p>agraph3 7#g7 ,application to additional eligible hospitals ,! ,secret>y %all apply ! provisions ( ?is subsection ) respect to an additional eligible hospital 9 ! same mann] z su* provisions apply to an eligible hospital1 except 9 apply+-- 7,a7 p>agraph 7#b77;,e77ii71 ! ref]5ces to #bjac & #bjae %all be deem$ ref]5ces to #bjah & #bjbj1 respectively2 & 7,b7 p>agraph 7#b77;,g77i71 ! ref]5ce to #bjaa %all be deem$ a ref]5ce to #bjaf4 4 7c7 ,m$icaid provid]s ,section #aijc7t7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;b7t77 is am5d$-- 7#a7 9 p>agraph 7#b77;,b7-- 7,a7 9 clause 7i71 by /rik+ 1 or at ! end & ins]t+ a semicolon2 7,b7 9 clause 7ii71 by /rik+ ! p]iod at ! end & ins]t+ a semicolon2 & 7,c7 by ins]t+ aft] clause 7ii7 ! foll[+ new clauses3 7iii7 a public hospital t is pr9cipally a psy*iatric hospital 7z def9$ 9 section #ahfa7;f772 7iv7 a private hospital t is pr9cipally a psy*iatric hospital 7z def9$ 9 section #ahfa7;f77 & t has at lea/ #aj p]c5t ( its pati5t volume 7z e/imat$ 9 accordance ) a me?odology e/abli%$ by ! ,secret>y7 attributable to individuals receiv+ m$ical assi/ance "u ?is title2 7v7 a community m5tal heal? c5t] meet+ ! crit]ia specifi$ 9 section #aiac7;c7 ( ! ,public ,heal? ,s]vice ,act2 or 7vi7 a resid5tial or outpati5t m5tal heal? or sub/ance use treatm5t facility t-- 7,i7 is accr$it$ by ! ,jo9t ,commission on ,accr$itation ( ,heal?c>e ,organizations1 ! ,commission on ,accr$itation ( ,rehabilitation ,facilities1 ! ,c\ncil on ,accr$itation1 or any o!r national accr$it+ ag5cy recogniz$ by ! ,secret>y2 & 7,,ii7 has at lea/ #aj p]c5t ( its pati5t volume 7z e/imat$ 9 accordance ) a me?odology e/abli%$ by ! ,secret>y7 attributable to individuals receiv+ m$ical assi/ance "u ?is title4 2 & 7#b7 9 p>agraph 7#c77;,b7-- 7,a7 9 clause 7iv71 by /rik+ 2 & at ! end & ins]t+ a semicolon2 7,b7 9 clause 7v71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7,c7 by add+ at ! end ! foll[+ new clause3 7vi7 cl9ical psy*ologi/ provid+ qualifi$ psy*ologi/ s]vices 7z def9$ 9 section #ahfa7;ii771 if su* cl9ical psy*ologi/ is practic+ 9 an outpati5t cl9ic t-- 7,i7 is l$ by a cl9ical psy*ologi/2 & 7,,ii7 is n o!rwise receiv+ paym5t "u p>agraph 7#a7 z a ,m$icaid provid] describ$ 9 p>agraph 7#b77;,b74 4 7d7 ,m$ic>e ,advantage organizations ,section #ahec ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#bc7 is am5d$-- 7#a7 9 subsection 7l7-- 7,a7 9 p>agraph 7#a7-- 7i7 by ins]t+ or additional eligible pr(essionals 7z describ$ 9 p>agraph 7#i77 aft] p>agraph 7#b72 & 7ii7 by ins]t+ & additional eligible pr(essionals be=e "u su* sections2 7,b7 9 p>agraph 7#c77;,b7-- 7i7 9 clause 7i7 9 ! matt] prec$+ subclause 7,i71 by ins]t+ or an additional eligible pr(essional describ$ 9 p>agraph 7#i7 aft] p>agraph 7#b72 & 7ii7 9 clause 7ii7-- 7,i7 9 ! matt] prec$+ subclause 7,i71 by ins]t+ or an additional eligible pr(essional describ$ 9 p>agraph 7#i7 aft] p>agraph 7#b72 & 7,,ii7 9 subclause 7,i71 by ins]t+ or an additional eligible pr(essional1 respectively1 aft] eligible pr(essional2 7,c7 9 p>agraph 7#c77;,c71 by ins]t+ & additional eligible pr(essionals aft] all eligible pr(essionals2 7,d7 9 p>agraph 7#d77;,d71 by add+ at ! end ! foll[+ new s5t5ce3 ,9 ! case t a qualify+ ,,ma organization atte/s t n all additional eligible pr(essionals ( ! organization are mean+ful ,,ehr us]s ) respect to an applicable ye>1 ! ,secret>y %all apply ! paym5t adju/m5t "u ?is p>agraph bas$ on ! proportion ( all su* additional eligible pr(essionals ( ! organization t are n mean+ful ,,ehr us]s = su* ye>42 7,e7 9 p>agraph 7#f77;,a71 by ins]t+ &1 z applicable1 ea* additional eligible pr(essional describ$ 9 p>agraph 7#i7 aft] p>agraph 7#b72 7,f7 9 p>agraph 7#f77;,b71 by ins]t+ &1 z applicable1 ea* additional eligible hospital describ$ 9 p>agraph 7#i7 aft] subsection 7m77#a72 7,g7 9 p>agraph 7#g77;,a71 by ins]t+ &1 z applicable1 additional eligible pr(essionals aft] eligible pr(essionals2 7,h7 9 p>agraph 7#g77;,b71 by ins]t+ &1 z applicable1 additional eligible pr(essionals aft] eligible pr(essionals2 7,i7 9 p>agraph 7#h77;,b71 by ins]t+ & additional eligible pr(essionals describ$ 9 p>agraph 7#i7 aft] p>agraph 7#b72 & 7,j7 by add+ at ! end ! foll[+ new p>agraph3 7#i7 ,additional eligible pr(essional describ$ ,) respect to a qualify+ ,,ma organization1 an additional eligible pr(essional describ$ 9 ?is p>agraph is an additional eligible pr(essional 7z def9$ = purposes ( section #ahdh7o77 :o-- 7,a7 7i7 is employ$ by ! organization2 or 7ii7 7,i7 is employ$ by1 or is a p>tn] (1 an entity t ?r\gh contract ) ! organization furni%es at lea/ #hj p]c5t ( ! entity's ,m$ic>e pati5t c>e s]vices to enrollees ( su* organization2 & 7,,ii7 furni%es at lea/ #hj p]c5t ( ! pr(essional s]vices ( ! additional eligible pr(essional cov]$ "u ?is title to enrollees ( ! organization2 & 7,b7 furni%es1 on av]age1 at lea/ #bj h\rs p] week ( pati5t c>e s]vices4 2 & 7#b7 9 subsection 7m7-- 7,a7 9 p>agraph 7#a7-- 7i7 by ins]t+ or additional eligible hospitals 7z describ$ 9 p>agraph 7#g77 aft] p>agraph 7#b72 & 7ii7 by ins]t+ & additional eligible hospitals be=e "u su* sections2 7,b7 9 p>agraph 7#c77;,a77i71 by ins]t+ or additional eligible hospital aft] eligible hospital2 7,c7 9 p>agraph 7#c77;,a77ii71 by ins]t+ or an additional eligible hospital aft] eligible hospital 9 ea* place x occurs2 7,d7 9 p>agraph 7#c77;,b7-- 7i7 9 clause 7i71 by ins]t+ or an additional eligible hospital describ$ 9 p>agraph 7#g7 aft] p>agraph 7#b72 & 7ii7 9 clause 7ii7-- 7,i7 9 ! matt] prec$+ subclause 7,i71 by ins]t+ or an additional eligible hospital describ$ 9 p>agraph 7#g7 aft] p>agraph 7#b72 & 7,,ii7 9 subclause 7,i71 by ins]t+ or an additional eligible hospital1 respectively1 aft] eligible hospital2 7,e7 9 p>agraph 7#d77;,a71 by ins]t+ or "o or m additional eligible hospitals 7z def9$ 9 section #ahhf7n771 z appropriate1 aft] section #ahhf7n77#f77;,a772 7,f7 9 p>agraph 7#d77;,d71 by add+ at ! end ! foll[+ new s5t5ce3 ,9 ! case t a qualify+ ,,ma organization atte/s t n all additional eligible hospitals ( ! organization are mean+ful ,,ehr us]s ) respect to an applicable p]iod1 ! ,secret>y %all apply ! paym5t adju/m5t "u ?is p>agraph bas$ on ! me?odology specifi$ by ! ,secret>y1 tak+ into acc\nt ! proportion ( su* additional eligible hospitals1 or dis*>ges f su* hospitals1 t are n mean+ful ,,ehr us]s = su* p]iod42 7,g7 9 p>agraph 7#e77;,a71 by ins]t+ &1 z applicable1 ea* additional eligible hospital describ$ 9 p>agraph 7#g7 aft] p>agraph 7#b72 7,h7 9 p>agraph 7#e77;,b71 by ins]t+ & additional eligible hospitals1 z applicable1 aft] eligible hospitals2 7,i7 9 p>agraph 7#f77;,b71 by ins]t+ & additional eligible hospitals describ$ 9 p>agraph 7#g7 aft] p>agraph 7#b72 & 7,j7 by add+ at ! end ! foll[+ new p>agraph3 7#g7 ,additional eligible hospital describ$ ,) respect to a qualify+ ,,ma organization1 an additional eligible hospital describ$ 9 ?is p>agraph is an additional eligible hospital 7z def9$ 9 section #ahhf7n77#f77;,c77 t is "u common corporate gov]nance ) su* organization & s]ves individuals enroll$ "u an ,,ma plan (f]$ by su* organization4 4 ,,viii ,,samhsa ,reau?orization & ,re=ms ,a ,organization & g5]al au?orities #hja4 ,9 g5]al ,section #eja ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa7 is am5d$-- 7#a7 9 subsection 7h71 by ins]t+ at ! end ! foll[+3 ,= any su* pe]-review gr\p review+ a proposal or grant relat$ to m5tal illness1 no few] ?an half ( ! memb]s ( ! gr\p %all h a m$ical degree1 or a correspond+ doctoral degree 9 psy*ology & cl9ical exp]i5ce42 & 7#b7 9 subsection 7l7-- 7,a7 9 p>agraph 7#b71 by /rik+ & at ! end2 7,b7 9 p>agraph 7#c71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7,c7 by add+ at ! end ! foll[+3 7#d7 ,at lea/ #fj days be=e aw>d+ a grant1 coop]ative agreem5t1 or contract1 ! ,assi/ant ,secret>y %all give writt5 notice ( ! aw>d to ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate4 4 #hjb4 ,advisory c\ncils ,p>agraph 7#c7 ( section #ejb7;b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa-#a7;b77 is am5d$ by add+ at ! end ! foll[+3 7,c7 ,no few] ?an half ( ! memb]s ( an advisory c\ncil %all be m5tal heal? c>e provid]s )-- 7i7 exp]i5ce 9 m5tal heal? rese>* or treatm5t2 & 7ii7 exp]tise 9 ! fields on :i* !y are advis+4 7,d7 ,none ( ! appo9t$ memb]s may h at any po9t be5 a recipi5t ( any grant1 or p>ticipat$ 9 any program1 ab\t :i* ! memb]s are to advise4 7,e7 ,none ( ! appo9t$ memb]s may be relat$ to anyone :o has be5 a recipi5t ( any grant1 or p>ticipat$ 9 any program1 ab\t :i* ! memb]s are to advise4 7,f7 ,none ( ! appo9t$ memb]s may h a f9ancial int]e/ 9 any grant or program ) respect to :i* !y advise1 or receive fund+ sep>ately ?r\gh ! ,(fice ( ,assi/ant ,secret>y4 7,g7 ,ea* advisory committee mu/ include at lea/ "o memb] ( ! ,national ,in/itute ( ,m5tal ,heal? & "o memb] f any ,f$]al ag5cy t has a program s]v+ a simil> population4 4 #hjc4 ,pe] review ,section #ejd ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa-#c7 is am5d$-- 7#a7 by add+ at ! end ( subsection 7b7 ! foll[+3 ,at lea/ half ( ! memb]s ( any pe]-review gr\p e/abli%$ "u subsection 7a7 %all h a degree 9 m$ic9e1 or a correspond+ doctoral degree 9 psy*ology1 or be a lic5s$ m5tal heal? pr(essional4 ,be=e aw>d+ a grant1 coop]ative agreem5t1 or contract1 ! ,secret>y %all provide a li/ ( ! memb]s ( ! pe]-review gr\p responsible = review+ ! aw>d to ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate42 & 7#b7 by add+ at ! end ! foll[+3 7e7 ,sci5tific controls & /&>ds ,pe] review "u ?is section %all ensure t any rese>* conc]n+ an int]v5tion is bas$ on sci5tific controls & /&>ds indicat+ :e!r ! int]v5tion r$uces symptoms1 improves m$ical or behavioral outcomes1 & improves social function+4 4 ,b ,protection & advocacy = individuals ) m5tal illness #haa4 ,prohibition aga9/ lobby+ by sy/ems accept+ ,f$]al funds to protect & advocate ! rights ( individuals ) m5tal illness ,section #aje7;a7 ( ! ,protection & ,advocacy = ,individuals ) ,m5tal ,illness ,act 7#db ,u4,s4,c4 #ajhje7;a77 is am5d$-- 7#a7 9 p>agraph 7#i71 by /rik+ & at ! end2 7#b7 9 p>agraph 7#aj71 by /rik+ ! p]iod at ! end & ins]t+ a semicolon2 & 7#c7 by add+ at ! end ! foll[+3 7#aa7 agree to refra91 dur+ any p]iod = :i* fund+ is provid$ to ! sy/em "u ?is "p1 f-- 7,a7 lobby+ or reta9+ a lobbyi/ = ! purpose ( influ5c+ a ,f$]al1 ,/ate1 or local gov]nm5tal entity or (fic]2 & 7,b7 c\nsel+ an individual ) a s]i\s m5tal illness :o lacks insight into _! condition on refus+ m$ical treatm5t or act+ aga9/ ! wi%es ( su* individual's c>egiv]2 4 #hab4 ,ensur+ t c>egiv]s ( individuals ) s]i\s m5tal illness h access to ! protect$ heal? in=mation ( su* individuals ,section #aje7;a7 ( ! ,protection & ,advocacy = ,individuals ) ,m5tal ,illness ,act 7#db ,u4,s4,c4 #ajhje7;a771 z am5d$ by section #haa1 is fur!r am5d$ by add+ at ! end ! foll[+3 7#ab7 ensure t c>egiv]s 7z def9$ 9 section #bja ( ! ,help+ ,families 9 ,m5tal ,heal? ,crisis ,act ( #bjae7 ( individuals ) s]i\s m5tal illness 7z def9$ 9 su* section #bja7 h access to ! protect$ heal? in=mation ( su* individuals consi/5t ) su* section #bja2 4 #hac4 ,protection & advocacy activities to focus exclusively on safegu>d+ rights to be free f abuse & neglect 7a7 ,purposes ,section #aja7;b7 ( ! ,protection & ,advocacy = ,individuals ) ,m5tal ,illness ,act 7#db ,u4,s4,c4 #ajhja7;b77 is am5d$-- 7#a7 9 p>agraph 7#a71 by ins]t+ to be free f abuse & neglect be=e are protect$2 & 7#b7 9 p>agraph 7#b77;,a71 by ins]t+ to be free f abuse & neglect be=e ?r\gh activities to ensure4 7b7 ,allotm5ts ,section #ajc7b77;,a7 ( ! ,protection & ,advocacy = ,individuals ) ,m5tal ,illness ,act 7#db ,u4,s4,c4 #ajhjc7b77;,a77 is am5d$ by ins]t+ to be free f abuse & neglect be=e ! semicolon4 7c7 ,use ( allotm5ts ,section #ajd7;a77#a7 ( ! ,protection & ,advocacy = ,individuals ) ,m5tal ,illness ,act 7#db ,u4,s4,c4 #ajhjd7;a77#a77 is am5d$-- 7#a7 9 subp>agraph 7,a71 by /rik+ & at ! end2 7#b7 9 subp>agraph 7,b71 by /rik+ ! semicolon at ! end & ins]t+ to be free f abuse & neglect2 &2 & 7#c7 by add+ at ! end ! foll[+3 7,c7 ! protection & advocacy activities ( su* an ag5cy or organization %all be exclusively focus$ on safegu>d+ ! rights ( individuals ) m5tal illness to be free f abuse & neglect4 4 7d7 ,sy/em requirem5ts ,section #aje ( ! ,protection & ,advocacy = ,individuals ) ,m5tal ,illness ,act 7#db ,u4,s4,c4 #ajhje71 z am5d$ by sections #haa & #hab1 is fur!r am5d$-- 7#a7 9 subsection 7a7-- 7,a7 9 ! matt] be=e p>agraph 7#a71 by ins]t+ to be free f abuse & neglect be=e %all2 7,b7 9 p>agraph 7#f77;,a71 by ins]t+ to be free f abuse & neglect be=e ! semicolon2 & 7,c7 by add+ at ! end ! foll[+3 7#ac7 be exclusively focus$ on safegu>d+ ! rights ( individuals ) m5tal illness to be free f abuse & neglect2 & 2 & 7#b7 9 subsection 7c77#a77;,a71 by ins]t+ to be free f abuse & neglect be=e %all h a gov]n+ au?ority4 7e7 ,applications ,section #aaa7;a7 ( ! ,protection & ,advocacy = ,individuals ) ,m5tal ,illness ,act 7#db ,u4,s4,c4 #ajhba7;a77 is am5d$-- 7#a7 9 p>agraph 7#a71 by ins]t+ to be free f abuse & neglect be=e ! semicolon2 7#b7 9 p>agraph 7#c71 by /rik+ & at ! end2 7#c7 by r$esignat+ p>agraph 7#d7 z p>agraph 7#e72 & 7#d7 by ins]t+ aft] p>agraph 7#c7 ! foll[+3 7#d7 assurances t su* sy/em1 & any ,/ate ag5cy or nonpr(it organization ) :i* su* sy/em may ent] into a contract "u section #ajhjd7;a71 w be exclusively focus$ on safegu>d+ ! rights ( individuals ) m5tal illness to be free f abuse & neglect2 & 4 7f7 ,reports by ,secret>y ,section #aad7;a7 ( ! ,protection & ,advocacy = ,individuals ) ,m5tal ,illness ,act 7#db ,u4,s4,c4 #ajhbd7;a77 is am5d$-- 7#a7 9 p>agraph 7#a7 9 ! matt] be=e subp>agraph 7,a71 by ins]t+ to be free f abuse & neglect be=e support$ ) paym5ts2 7#b7 9 p>agraph 7#b77;,a71 by ins]t+ to be free f abuse & neglect be=e support$ ) paym5ts2 & 7#c7 9 p>agraph 7#d71 by ins]t+ to be free f abuse & neglect be=e & a description4 #had4 ,report+ 7a7 ,public availability ( reports ,section #aje7;a77#g7 ( ! ,protection & ,advocacy = ,individuals ) ,m5tal ,illness ,act 7#db ,u4,s4,c4 #ajhje7;a77#g77 is am5d$ by /rik+ is locat$ a report & ins]t+ is locat$1 & make publicly available1 a report4 7b7 ,detail$ acc\nt+ ,section #aad7;a7 ( ! ,protection & ,advocacy = ,individuals ) ,m5tal ,illness ,act 7#db ,u4,s4,c4 #ajhbd7;a771 z am5d$1 is fur!r am5d$-- 7#a7 9 p>agraph 7#c71 by /rik+ & at ! end2 7#b7 9 p>agraph 7#d71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+3 7#e7 a detail$ acc\nt+1 = ea* sy/em fund$ "u ?is title1 ( h[ funds are sp5t1 disaggregat$ accord+ to :e!r ! funds 7 receiv$ f ! ,f$]al ,gov]nm5t1 ! ,/ate gov]nm5t1 a local gov]nm5t1 or a private entity4 4 #hae4 ,grievance proc$ure ,section #aje ( ! ,protection & ,advocacy = ,individuals ) ,m5tal ,illness ,act 7#db ,u4,s4,c4 #ajhje71 z am5d$1 is fur!r am5d$ by add+ at ! end ! foll[+3 7d7 ,grievance proc$ure ,! ,assi/ant ,secret>y %all e/abli% an indep5d5t grievance proc$ure = ! types ( claims to be adjudicat$1 at ! reque/ ( p]sons describ$ 9 subsection 7a77#i71 ?r\gh a sy/em's grievance proc$ure e/abli%$ "u su* subsection4 4 #haf4 ,evid5ce-bas$ treatm5t = individuals ) s]i\s m5tal illness ,section #aje7;a7 ( ! ,protection & ,advocacy = ,individuals ) ,m5tal ,illness ,act 7#db ,u4,s4,c4 #ajhje7;a771 z am5d$ by sections #haa1 #hab1 & #hac1 is fur!r am5d$ by add+ at ! end ! foll[+3 7#ad7 ensure t individuals ) s]i\s m5tal illness h access to & c obta9 evid5ce-bas$ treatm5t = _! s]i\s m5tal illness4 4 ,,ix ,report+ #ija4 ,,gao /udy on prev5t+ discrim9atory cov]age limitations = individuals ) s]i\s m5tal illness & sub/ance use disord]s ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates1 9 consultation ) ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s1 ! ,secret>y ( ,heal? & ,human ,s]vices1 ! ,secret>y ( ,labor1 & ! ,secret>y ( ! ,treasury1 %all submit to ,congress a report detail+ ! ext5t to :i* cov]$ gr\p heal? plans 7or heal? insurance cov]age (f]$ 9 connection ) su* plans71 includ+ ,m$icaid manag$ c>e plans "u section #aijc ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;b71 comply ) ! ,paul ,well/one & ,pete ,dom5ici ,m5tal ,heal? ,p>ity & ,addiction ,equity ,act ( #bjjh 7subtitle ,b ( title ,v ( division ,c ( ,public ,law #aaj-cdc7 79 ?is section ref]r$ to z ! law71 includ+-- 7#a7 h[ nonquantitative treatm5t limitations1 includ+ m$ical necessity crit]ia1 ( cov]$ gr\p heal? plans comply ) ! law2 7#b7 h[ ! responsible ,f$]al dep>tm5ts & ag5cies ensure t plans comply ) ! law2 & 7#c7 h[ prop] en=cem5t1 education1 & coord9ation activities )9 responsible ,f$]al dep>tm5ts & ag5cies c be us$ to ensure full compliance ) ! law1 includ+ educational activities direct$ to ,/ate insurance commission]s4