,,ii #aad? ,,congress #b;d ,session ,h4 ,r4 #bfdf ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,july #g1 #bjaf,receiv$ ,,an ,,act ,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 ( #bjaf4 7b7 ,table ( cont5ts ,! table ( cont5ts = ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title2 table ( cont5ts4 ,title ,i--,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,sec4 #aja4 ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use4 ,sec4 #ajb4 ,improv+ ov]sight ( m5tal heal? & sub/ance use programs4 ,sec4 #ajc4 ,national ,m5tal ,heal? & ,sub/ance ,use ,policy ,laboratory4 ,sec4 #ajd4 ,pe]-support speciali/ programs4 ,sec4 #aje4 ,prohibition aga9/ lobby+ us+ ,f$]al funds by sy/ems accept+ ,f$]al funds to protect & advocate ! rights ( individuals ) m5tal illness4 ,sec4 #ajf4 ,report+ = protection & advocacy organizations4 ,sec4 #ajg4 ,grievance proc$ure4 ,sec4 #ajh4 ,c5t] = ,behavioral ,heal? ,/ati/ics & ,quality4 ,sec4 #aji4 ,/rategic plan4 ,sec4 #aaj4 ,au?orities ( c5t]s = m5tal heal? s]vices & sub/ance abuse treatm5t4 ,sec4 #aaa4 ,advisory c\ncils4 ,sec4 #aab4 ,pe] review4 ,title ,,ii--,m$icaid ,m5tal ,heal? ,cov]age ,sec4 #bja4 ,rule ( con/ruction relat$ to ,m$icaid cov]age ( m5tal heal? s]vices & prim>y c>e s]vices furni%$ on ! same day4 ,sec4 #bjb4 ,optional limit$ cov]age ( inpati5t s]vices furni%$ 9 in/itutions = m5tal diseases4 ,sec4 #bjc4 ,/udy & report relat$ to ,m$icaid manag$ c>e regulation4 ,sec4 #bjd4 ,guidance on opportunities = innovation4 ,sec4 #bje4 ,/udy & report on ,m$icaid em]g5cy psy*iatric demon/ration project4 ,sec4 #bjf4 ,provid+ ,,epsdt s]vices to *ildr5 9 ,i,m,ds4 ,sec4 #bjg4 ,electronic visit v]ification sy/em requir$ = p]sonal c>e s]vices & home heal? c>e s]vices "u ,m$icaid4 ,title ,,iii--,int]dep>tm5tal ,s]i\s ,m5tal ,illness ,coord9at+ ,committee ,sec4 #cja4 ,int]dep>tm5tal ,s]i\s ,m5tal ,illness ,coord9at+ ,committee4 ,title ,,iv--,compassionate ,communication on ,,hipaa ,sec4 #dja4 ,s5se ( ,congress4 ,sec4 #djb4 ,confid5tiality ( records4 ,sec4 #djc4 ,cl>ification ( circum/ances "u :i* disclosure ( protect$ heal? in=mation is p]mitt$4 ,sec4 #djd4 ,developm5t & dissem9ation ( model tra9+ programs4 ,title ,v--,increas+ ,access to ,treatm5t = ,s]i\s ,m5tal ,illness ,sec4 #eja4 ,ass]tive community treatm5t grant program = individuals ) s]i\s m5tal illness4 ,sec4 #ejb4 ,/r5g!n+ community crisis response sy/ems4 ,sec4 #ejc4 ,increas$ & ext5d$ fund+ = assi/$ outpati5t grant program = individuals ) s]i\s m5tal illness4 ,sec4 #ejd4 ,liability protections = heal? pr(essional volunte]s at community heal? c5t]s4 ,title ,,vi--,support+ ,innovative & ,evid5ce-,bas$ ,programs ,subtitle ,a--,enc\rag+ ! ,advancem5t1 ,incorporation1 & ,developm5t ( ,evid5ce-,bas$ ,practices ,sec4 #fja4 ,enc\rag+ innovation & evid5ce-bas$ programs4 ,sec4 #fjb4 ,promot+ access to in=mation on evid5ce-bas$ programs & practices4 ,sec4 #fjc4 ,s5se ( ,congress4 ,subtitle ,b--,support+ ! ,/ate ,response to ,m5tal ,heal? ,ne$s ,sec4 #faa4 ,community ,m5tal ,heal? ,s]vices ,block ,grant4 ,subtitle ,c--,/r5g!n+ ,m5tal ,heal? ,c>e = ,*ildr5 & ,adolesc5ts ,sec4 #fba4 ,tele-m5tal heal? c>e access grants4 ,sec4 #fbb4 ,infant & e>ly *ildhood m5tal heal? promotion1 int]v5tion1 & treatm5t4 ,sec4 #fbc4 ,national ,*ild ,traumatic ,/ress ,initiative4 ,title ,,vii--,grant programs & program reau?orization ,subtitle ,a--,g>rett ,lee ,smi? ,memorial ,act reau?orization ,sec4 #gja4 ,y\? int]ag5cy rese>*1 tra9+1 & te*nical assi/ance c5t]s4 ,sec4 #gjb4 ,y\? suicide e>ly int]v5tion & prev5tion /rategies4 ,sec4 #gjc4 ,m5tal heal? & sub/ance use disord] s]vices on campus4 ,subtitle ,b--,o!r provisions ,sec4 #gaa4 ,national ,suicide ,prev5tion ,lifel9e ,program4 ,sec4 #gab4 ,work=ce developm5t /udies & reports4 ,sec4 #gac4 ,m9ority ,fell[%ip ,program4 ,sec4 #gad4 ,c5t] & program repeals4 ,sec4 #gae4 ,national viol5t dea? report+ sy/em4 ,sec4 #gaf4 ,s5se ( ,congress on prioritiz+ ,native ,am]ican y\? & suicide prev5tion programs4 ,sec4 #gag4 ,pe] pr(essional work=ce developm5t grant program4 ,sec4 #gah4 ,national ,heal? ,s]vice ,corps4 ,sec4 #gai4 ,adult suicide prev5tion4 ,sec4 #gbj4 ,crisis int]v5tion grants = police (fic]s & fir/ respond]s4 ,sec4 #gba4 ,demon/ration grant program to tra9 heal? s]vice psy*ologi/s 9 community-bas$ m5tal heal?4 ,sec4 #gbb4 ,inve/m5t 9 tomorr['s p$iatric heal? c>e work=ce4 ,sec4 #gbc4 ,,cutgo compliance4 ,title ,,viii--,m5tal ,heal? ,p>ity ,sec4 #hja4 ,enhanc$ compliance ) m5tal heal? & sub/ance use disord] cov]age requirem5ts4 ,sec4 #hjb4 ,action plan = enhanc$ en=cem5t ( m5tal heal? & sub/ance use disord] cov]age4 ,sec4 #hjc4 ,report on inve/igations reg>d+ p>ity 9 m5tal heal? & sub/ance use disord] b5efits4 ,sec4 #hjd4 ,,gao /udy on p>ity 9 m5tal heal? & sub/ance use disord] b5efits4 ,sec4 #hje4 ,in=mation & aw>5ess on eat+ disord]s4 ,sec4 #hjf4 ,education & tra9+ on eat+ disord]s4 ,sec4 #hjg4 ,,gao /udy on prev5t+ discrim9atory cov]age limitations = individuals ) s]i\s m5tal illness & sub/ance use disord]s4 ,sec4 #hjh4 ,cl>ification ( exi/+ p>ity rules4 ,i ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use #aja4 ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use 7a7 ,assi/ant ,secret>y ,section #eja7;c7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa7 is am5d$ to read z foll[s3 7c7 ,assi/ant ,secret>y & ,deputy ,assi/ant ,secret>y 7#a7 ,assi/ant ,secret>y 7,a7 ,appo9tm5t ,! ,adm9i/ration %all be head$ by an (ficial to be kn[n z ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use 7h]e9aft] 9 ?is title ref]r$ to z ! ,assi/ant ,secret>y7 :o %all be appo9t$ by ! ,presid5t1 by & ) ! advice & cons5t ( ! ,s5ate4 7,b7 ,qualifications ,9 select+ ! ,assi/ant ,secret>y1 ! ,presid5t %all give pref]5ce to individuals :o h-- 7i7 a doctoral degree 9 m$ic9e1 o/eopa?ic m$ic9e1 or psy*ology2 7ii7 cl9ical & rese>* exp]i5ce reg>d+ m5tal heal? & sub/ance use disord]s2 & 7iii7 an und]/&+ ( biological1 psy*osocial1 & ph>maceutical treatm5ts ( m5tal illness & sub/ance use disord]s4 7#b7 ,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 ?r\gh ! ,adm9i/ration4 4 7b7 ,transf] ( au?orities ,! ,secret>y ( ,heal? & ,human ,s]vices %all delegate to ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use 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 7c7 ,evaluation ,section #eja7;d7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa7d77 is am5d$-- 7#a7 9 p>agraph 7#ag71 by /rik+ & at ! end2 7#b7 9 p>agraph 7#ah71 by /rik+ ! p]iod at ! end & ins]t+ a semicolon2 & 7#c7 by add+ at ! end ! foll[+3 7#ai7 evaluate1 9 consultation ) ! ,assi/ant ,secret>y = ,f9ancial ,res\rces1 ! in=mation us$ = ov]sight ( grants "u programs relat$ to m5tal illness & sub/ance use disord]s1 includ+ co-occurr+ illness or disord]s1 adm9i/]$ by ! ,c5t] = ,m5tal ,heal? ,s]vices2 7#bj7 p]iodically review ,f$]al programs & activities relat+ to ! diagnosis or prev5tion (1 or treatm5t or rehabilitation =1 m5tal illness & sub/ance use disord]s to id5tify any su* programs or activities t h prov5 to be effective or effici5t 9 improv+ outcomes or increas+ access to evid5ce-bas$ programs2 7#ba7 e/abli% /&>ds = ! appo9tm5t ( pe]-review panels to evaluate grant applications & recomm5d /&>ds = m5tal heal? grant programs2 & 4 7d7 ,/&>ds = grant programs ,section #eja7;d7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa7d771 z am5d$ by subsection 7c71 is fur!r am5d$ by add+ at ! end ! foll[+3 7#bb7 9 consultation ) ! ,national ,m5tal ,heal? & ,sub/ance ,use ,policy ,laboratory1 & aft] provid+ an opportunity = public input1 set /&>ds = grant programs "u ?is title = m5tal heal? & sub/ance use s]vices1 :i* may address-- 7,a7 ! capacity ( ! grantee to implem5t ! aw>d2 7,b7 requirem5ts = ! description ( ! program implem5tation approa*2 7,c7 ! ext5t to :i* ! grant plan submitt$ by ! grantee z "p ( its application mu/ expla9 h[ ! grantee w rea* ! population ( focus & provide a /atem5t ( ne$1 includ+ to :at ext5t ! grantee w increase ! numb] ( cli5ts s]v$ & ! e/imat$ p]c5tage ( cli5ts receiv+ s]vices :o report positive function+ aft] #f mon?s or no pa/-mon? sub/ance use1 z applicable2 7,d7 ! ext5t to :i* ! grantee mu/ collect & report on requir$ p]=mance measures2 & 7,e7 ! ext5t to :i* ! grantee is propos+ evid5ce-bas$ practices & ! ext5t to :i*-- 7i7 ^? evid5ce-bas$ practices mu/ be us$ ) respect to a population simil> to ! population = :i* ! evid5ce-bas$ practices 7 %[n to be effective2 or 7ii7 if no evid5ce-bas$ practice exi/s = a population ( focus1 ! way 9 :i* ! grantee w implem5t adaptations ( evid5ce-bas$ practices1 promis+ practices1 or cultural practices4 4 7e7 ,em]g5cy response ,section #eja7m7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa7m77 is am5d$ by add+ at ! end ! foll[+3 7#d7 ,availability ( funds ?r\gh foll[+ fiscal ye> ,am\nts made available = c>ry+ out ?is subsection %all rema9 available ?r\gh ! end ( ! fiscal ye> foll[+ ! fiscal ye> = :i* su* am\nts are appropriat$4 4 7f7 ,memb] ( ,c\ncil on ,graduate ,m$ical ,education ,section #gfb ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bijo7 is am5d$-- 7#a7 9 subsection 7b7-- 7,a7 by r$esignat+ p>agraphs 7#d71 7#e71 & 7#f7 z p>agraphs 7#e71 7#f71 & 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 ,use2 2 & 7#b7 9 subsection 7c71 by /rik+ 7#d71 7#e71 & 7#f7 ea* place x appe>s & ins]t+ 7#e71 7#f71 & 7#g74 7g7 ,con=m+ am5dm5ts ,title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa et seq471 z am5d$ by ! previ\s provisions ( ?is section1 is fur!r am5d$-- 7#a7 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 ,use2 & 7#b7 by /rik+ ,adm9i/rator ea* place x appe>s 7includ+ 9 any head+s7 & ins]t+ ,assi/ant ,secret>y1 except :]e ! t]m ,adm9i/rator appe>s-- 7,a7 9 ea* ( subsections 7e7 & 7f7 ( section #eja ( su* ,act 7#db ,u4,s4,c4 #bij;aa71 includ+ ! head+s ( su* subsections1 )9 ! t]m ,associate ,adm9i/rator2 7,b7 9 section #ejg7;b77#f7 ( su* ,act 7#db ,u4,s4,c4 #bij;bb7b77#f771 )9 ! t]m ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration2 7,c7 9 section #ejg7;b77#f7 ( su* ,act 7#db ,u4,s4,c4 #bij;bb7b77#f771 )9 ! t]m ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices2 7,d7 9 section #eai;,b7c77#a77;,b7 ( su* ,act 7#db ,u4,s4,c4 #bij;bb-#be;b7c77#a77;,b771 )9 ! t]m ,adm9i/rator ( ! ,national ,highway ,traffic ,safety ,adm9i/ration2 or 7,e7 9 ea* ( sections #eai;,b7c77#a77;,b71 #ebj;,c7a71 & #ebj;,d7a7 ( su* ,act 7#db ,u4,s4,c4 #bij;bb-#be;b7c77#a77;,b71 #bij;bb-#cd7;a71 #bij;bb-#ce7;a771 )9 ! t]m ,adm9i/rator ( ! ,(fice ( ,juv5ile ,ju/ice & ,del9qu5cy ,prev5tion4 7h7 ,ref]5ces ,aft] execut+ subsections 7a71 7b71 & 7f71 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 ,use4 #ajb4 ,improv+ ov]sight ( m5tal heal? & sub/ance use programs ,title ,v ( ! ,public ,heal? ,s]vice ,act is am5d$ by ins]t+ aft] section #eja ( su* ,act 7#db ,u4,s4,c4 #bij;aa7 ! foll[+3 #eja;,a4 ,improv+ ov]sight ( m5tal heal? & sub/ance use programs 7a7 ,activities ,= ! purpose ( ensur+ effici5t & effective plann+ & evaluation ( m5tal illness & sub/ance use disord] programs & relat$ activities1 ! ,assi/ant ,secret>y = ,plann+ & ,evaluation1 9 consultation ) ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 %all-- 7#a7 collect & organize relevant data on homelessness1 involvem5t ) ! crim9al ju/ice sy/em1 hospitalizations1 mortality outcomes1 & o!r measures ! ,secret>y deems appropriate f across ,f$]al dep>tm5ts & ag5cies2 7#b7 evaluate programs relat$ to m5tal illness & sub/ance use disord]s1 includ+ co-occurr+ illness or disord]s1 across ,f$]al dep>tm5ts & ag5cies1 z appropriate1 includ+ programs relat$ to-- 7,a7 prev5tion1 int]v5tion1 treatm5t1 & recov]y support s]vices1 includ+ su* s]vices = individuals ) a s]i\s m5tal illness or s]i\s emotional di/urbance2 7,b7 ! r$uction ( homelessness & involvem5t ) ! crim9al ju/ice sy/em among individuals ) a m5tal illness or sub/ance use disord]2 & 7,c7 public heal? & heal? s]vices2 & 7#c7 consult1 z appropriate1 ) ! ,assi/ant ,secret>y1 ! ,behavioral ,heal? ,coord9at+ ,c\ncil ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 o!r ag5cies )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 & o!r relevant ,f$]al dep>tm5ts4 7b7 ,recomm5dations ,! ,assi/ant ,secret>y = ,plann+ & ,evaluation %all develop an evaluation /rategy t id5tifies priority programs to be evaluat$ by ! ,assi/ant ,secret>y & priority programs to be evaluat$ by o!r relevant ag5cies )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 ,! ,assi/ant ,secret>y = ,plann+ & ,evaluation %all provide recomm5dations on improv+ programs & activities bas$ on ! evaluation describ$ 9 subsection 7a77#b7 z ne$+ improvem5t4 4 #ajc4 ,national ,m5tal ,heal? & ,sub/ance ,use ,policy ,laboratory ,title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa et seq47 is am5d$ by ins]t+ aft] section #eja;,a1 z add$ by section #ajb ( ?is ,act1 ! foll[+3 #eja;,b4 ,national ,m5tal ,heal? & ,sub/ance ,use ,policy ,laboratory 7a7 ,9 g5]al ,!re %all be e/abli%$ )9 ! ,adm9i/ration a ,national ,m5tal ,heal? & ,sub/ance ,use ,policy ,laboratory 7ref]r$ to 9 ?is section z ! ,laboratory74 7b7 ,responsibilities ,! ,laboratory %all-- 7#a7 cont9ue to c>ry out ! au?orities & activities t 7 9 effect = ! ,(fice ( ,policy1 ,plann+1 & ,innovation z su* ,(fice exi/$ prior to ! date ( enactm5t ( ! ,help+ ,families 9 ,m5tal ,heal? ,crisis ,act ( #bjaf2 7#b7 id5tify1 coord9ate1 & facilitate ! implem5tation ( policy *anges likely to h a significant effect on m5tal heal?1 m5tal illness1 & ! prev5tion & treatm5t ( sub/ance use disord] s]vices2 7#c7 collect1 z appropriate1 in=mation f grantees "u programs op]at$ by ! ,adm9i/ration 9 ord] to evaluate & dissem9ate in=mation on evid5ce-bas$ practices1 includ+ culturally & l+ui/ically appropriate s]vices1 z appropriate1 & s]vice deliv]y models2 7#d7 provide lead]%ip 9 id5tify+ & coord9at+ policies & programs1 includ+ evid5ce-bas$ programs1 relat$ to m5tal illness & sub/ance use disord]s2 7#e7 recomm5d ways 9 :i* pay]s may implem5t program & policy f9d+s ( ! ,adm9i/ration & ! ,laboratory to improve outcomes & r$uce p] capita program co/s2 7#f7 9 consultation ) ! ,assi/ant ,secret>y = ,plann+ & ,evaluation1 z appropriate1 p]iodically review ,f$]al programs & activities relat+ to ! diagnosis or prev5tion (1 or treatm5t or rehabilitation =1 m5tal illness & sub/ance use disord]s1 includ+ by-- 7,a7 id5tify+ any su* programs or activities t are duplicative2 7,b7 id5tify+ any su* programs or activities t are n evid5ce-bas$1 effective1 or effici5t2 & 7,c7 =mulat+ recomm5dations = coord9at+1 elim9at+1 or improv+ programs or activities id5tifi$ "u subp>agraph 7,a7 or 7,b7 & m]g+ su* programs or activities into o!r successful programs or activities2 & 7#g7 c>ry out o!r activities z deem$ necess>y to cont9ue to enc\rage innovation & dissem9ate evid5ce-bas$ programs & practices1 includ+ programs & practices ) sci5tific m]it4 7c7 ,evid5ce-,bas$ practices & s]vice deliv]y models 7#a7 ,9 g5]al ,9 select+ evid5ce-bas$ be/ practices & s]vice deliv]y models = evaluation & dissem9ation1 ! ,laboratory-- 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 illness or s]i\s emotional di/urbance1 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#b7 ,deadl9e = beg9n+ implem5tation ,! ,laboratory %all beg9 implem5tation ( ! duties describ$ 9 ?is section n lat] ?an ,janu>y #a1 #bjah4 7#c7 ,consultation ,9 c>ry+ out ! duties "u ?is section1 ! ,laboratory %all consult )-- 7,a7 repres5tatives ( ! ,national ,in/itute ( ,m5tal ,heal?1 ! ,national ,in/itute on ,drug ,abuse1 & ! ,national ,in/itute on ,alcohol ,abuse & ,alcoholism1 on an ongo+ basis2 7,b7 o!r appropriate ,f$]al ag5cies2 7,c7 cl9ical & analytical exp]ts ) exp]tise 9 psy*iatric m$ical c>e & cl9ical psy*ological c>e1 heal? c>e managem5t1 education1 corrections heal? c>e1 & m5tal heal? c\rt sy/ems1 z appropriate2 & 7,d7 o!r individuals & ag5cies z det]m9$ appropriate by ! ,assi/ant ,secret>y4 4 #ajd4 ,pe]-support speciali/ programs 7a7 ,9 g5]al ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all conduct a /udy on pe]-support speciali/ programs 9 up to #aj ,/ates 7to be select$ by ! ,comptroll] ,g5]al7 t receive fund+ f ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration & submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives a report conta9+ ! results ( su* /udy4 7b7 ,cont5ts ( /udy ,9 conduct+ ! /udy "u subsection 7a71 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all exam9e & id5tify be/ practices 9 ! select$ ,/ates relat$ to tra9+ & cr$5tial requirem5ts = pe]-support speciali/ programs1 su* z-- 7#a7 h\rs ( =mal "w or volunte] exp]i5ce relat$ to m5tal illness & sub/ance use disord]s conduct$ ?r\gh su* programs2 7#b7 types ( pe]-support speciali/ exams requir$ = su* programs 9 ! ,/ates2 7#c7 codes ( e?ics us$ by su* programs 9 ! ,/ates2 7#d7 requir$ or recomm5d$ skill sets ( su* programs 9 ! ,/ate2 & 7#e7 requirem5ts = cont9u+ education4 #aje4 ,prohibition aga9/ lobby+ us+ ,f$]al funds 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+ 2 &2 & 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 us+ ,f$]al funds to pay ! sal>y or exp5ses ( any grant or contract recipi5t1 or ag5t act+ = su* recipi5t1 relat$ to any activity design$ to influ5ce ! enactm5t ( legislation1 appropriations1 regulation1 adm9i/rative action1 or ,executive ord] propos$ or p5d+ be=e ! ,congress or any ,/ate or local gov]nm5t1 includ+ any legislative body1 o!r ?an = normal & recogniz$ executive-legislative relation%ips or p>ticipation by an ag5cy or (fic] ( a ,/ate1 local1 or tribal gov]nm5t 9 policymak+ & adm9i/rative processes )9 ! executive bran* ( t gov]nm5t4 4 #ajf4 ,report+ = protection & advocacy organizations 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;a77 is 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 us+ data f ! exi/+ requir$ annual program progress reports submitt$ by ea* sy/em fund$ "u ?is title1 a detail$ acc\nt+ = ea* su* sy/em ( 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 #ajg4 ,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 ,! ,secret>y %all e/abli% an indep5d5t grievance proc$ure = p]sons describ$ 9 subsection 7a77#i74 4 #ajh4 ,c5t] = ,behavioral ,heal? ,/ati/ics & ,quality ,title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa et seq47 is am5d$-- 7#a7 9 section #eja7;b7 7#db ,u4,s4,c4 #bij;aa7b771 by add+ at ! end ! foll[+3 7#d7 ,! ,c5t] = ,behavioral ,heal? ,/ati/ics & ,quality4 2 7#b7 9 section #ejb7;a77#a7 7#db ,u4,s4,c4 #bij;aa-#a7;a77#a77-- 7,a7 9 subp>agraph 7,c71 by /rik+ & at ! end2 7,b7 9 subp>agraph 7,d71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7,c7 by ins]t+ aft] subp>agraph 7,d7 ! foll[+3 7,e7 ! ,c5t] = ,behavioral ,heal? ,/ati/ics & ,quality4 2 & 7#c7 9 "p ,b 7#db ,u4,s4,c4 #bij;bb et seq47 by add+ at ! end ! foll[+ new subp>t3 #d ,c5t] = ,behavioral ,heal? ,/ati/ics & ,quality #ebj,l4 ,c5t] = ,behavioral ,heal? ,/ati/ics & ,quality 7a7 ,e/abli%m5t ,!re is e/abli%$ 9 ! ,adm9i/ration a ,c5t] = ,behavioral ,heal? ,/ati/ics & ,quality 79 ?is section ref]r$ to z ! ,c5t]74 ,! ,c5t] %all be head$ by a ,director 79 ?is section ref]r$ to z ! ,director7 appo9t$ by ! ,secret>y f among individuals ) ext5sive exp]i5ce & academic qualifications 9 rese>* & analysis 9 behavioral heal? c>e or relat$ fields4 7b7 ,duties ,! ,director ( ! ,c5t] %all-- 7#a7 coord9ate ! ,adm9i/ration's integrat$ data /rategy by coord9at+-- 7,a7 surveillance & data collection 7includ+ t au?oriz$ by section #eje72 7,b7 evaluation2 7,c7 /ati/ical & analytic support2 7,d7 s]vice sy/ems rese>*2 & 7,e7 p]=mance & quality in=mation sy/ems2 7#b7 recomm5d a core set ( measurem5t /&>ds = grant programs adm9i/]$ by ! ,adm9i/ration2 & 7#c7 coord9ate evaluation ef=ts = ! grant programs1 contracts1 & collaborative agreem5ts ( ! ,adm9i/ration4 7c7 ,biannual report to ,congress ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is section1 & e #b ye>s !reaft]1 ! ,director ( ! ,c5t] %all submit to ,congress a report on ! quality ( s]vices furni%$ ?r\gh grant programs ( ! ,adm9i/ration1 includ+ applicable measures ( outcomes = individuals & public outcomes su* z-- 7#a7 ! numb] ( pati5ts scre5$ positive = unheal?y alcohol use :o receive brief c\nsel+ z appropriate2 ! numb] ( pati5ts scre5$ positive = tobacco use & receiv+ smok+ cessation int]v5tions2 ! numb] ( pati5ts ) a new diagnosis ( major depressive episode :o are assess$ = suicide risk2 ! numb] ( pati5ts scre5$ positive = cl9ical depression ) a docum5t$ foll[up plan2 & ! numb] ( pati5ts ) a docum5t$ pa9 assessm5t t h a foll[up treatm5t plan :5 pa9 is pres5t2 & satisfaction ) c>e2 7#b7 ! incid5ce & preval5ce ( m5tal illness & sub/ance use disord]s2 ! numb] ( suicide attempts & suicide completions2 ov]doses se5 9 em]g5cy rooms result+ f alcohol & drug use2 em]g5cy room bo>d+2 ov]dose dea?s2 em]g5cy psy*iatric hospitalizations2 new crim9al ju/ice involvem5t :ile 9 treatm5t2 /able h\s+2 & rates ( involvem5t 9 employm5t1 education1 & tra9+2 & 7#c7 su* o!r measures = outcomes ( s]vices z ! ,director may det]m9e4 7d7 ,/aff+ ,composition ,! /aff ( ! ,c5t] may include individuals ) advanc$ degrees & field exp]tise z well z cl9ical & rese>* exp]i5ce 9 m5tal illness & sub/ance use disord]s su* z-- 7#a7 pr(essionals ) cl9ical & rese>* exp]tise 9 ! prev5tion & treatm5t (1 & recov]y f1 m5tal illness & sub/ance use disord]s2 7#b7 pr(essionals ) tra9+ & exp]tise 9 /ati/ics or rese>* & survey design & me?odologies2 & 7#c7 o!r relat$ fields 9 ! social & behavioral sci5ces1 z specifi$ by relevant position descriptions4 7e7 ,grants & contracts ,9 c>ry+ out ! duties e/abli%$ 9 subsection 7b71 ! ,director may make grants to1 & ent] into contracts & coop]ative agreem5ts )1 public & nonpr(it private entities4 7f7 ,def9ition ,9 ?is section1 ! t]m em]g5cy room bo>d+ means ! practice ( admitt+ pati5ts to an em]g5cy dep>tm5t & hold+ su* pati5ts 9 ! dep>tm5t until inpati5t psy*iatric b$s become available4 4 #aji4 ,/rategic plan ,section #eja ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa7 is fur!r am5d$-- 7#a7 by r$esignat+ subsections 7l7 ?r\gh 7o7 z subsections 7m7 ?r\gh 7p71 respectively2 & 7#b7 by ins]t+ aft] subsection 7k7 ! foll[+3 7l7 ,/rategic plan 7#a7 ,9 g5]al ,n lat] ?an ,decemb] #a1 #bjag1 & e #e ye>s !reaft]1 ! ,assi/ant ,secret>y %all develop & c>ry out a /rategic plan 9 accordance ) ?is subsection = ! plann+ & op]ation ( evid5ce-bas$ programs & grants c>ri$ out by ! ,adm9i/ration4 7#b7 ,coord9ation ,9 develop+ & c>ry+ out ! /rategic plan "u ?is section1 ! ,assi/ant ,secret>y %all take into consid]ation ! report ( ! ,int]dep>tm5tal ,s]i\s ,m5tal ,illness ,coord9at+ ,committee "u section #cja ( ! ,help+ ,families 9 ,m5tal ,heal? ,crisis ,act ( #bjaf4 7#c7 ,publication ( plan ,n lat] ?an ,decemb] #a1 #bjag1 & e #e ye>s !reaft]1 ! ,assi/ant ,secret>y %all-- 7,a7 submit ! /rategic plan develop$ "u p>agraph 7#a7 to ! appropriate committees ( ,congress2 & 7,b7 po/ su* plan on ! ,int]net website ( ! ,adm9i/ration4 7#d7 ,cont5ts ,! /rategic plan develop$ "u p>agraph 7#a7 %all-- 7,a7 id5tify /rategic priorities1 goals1 & measurable objectives = m5tal illness & sub/ance use disord] activities & programs op]at$ & support$ by ! ,adm9i/ration1 includ+ priorities to prev5t or elim9ate ! burd5 ( m5tal illness & sub/ance use disord]s2 7,b7 id5tify ways to improve s]vices = individuals ) a m5tal illness or sub/ance use disord]1 includ+ s]vices relat$ to ! prev5tion (1 diagnosis (1 int]v5tion 91 treatm5t (1 & recov]y f1 m5tal illness or sub/ance use disord]s1 includ+ s]i\s m5tal illness or s]i\s emotional di/urbance1 & access to s]vices & supports = individuals ) a s]i\s m5tal illness or s]i\s emotional di/urbance2 7,c7 ensure t programs provide1 z appropriate1 access to effective & evid5ce-bas$ prev5tion1 diagnosis1 int]v5tion1 treatm5t1 & recov]y s]vices1 includ+ culturally & l+ui/ically appropriate s]vices1 z appropriate1 = individuals ) a m5tal illness or sub/ance use disord]2 7,d7 id5tify opportunities to collaborate ) ! ,heal? ,res\rces & ,s]vices ,adm9i/ration to develop or improve-- 7i7 initiatives to enc\rage individuals to pursue c>e]s 7especially 9 rural & und]s]v$ areas & populations7 z psy*iatri/s1 psy*ologi/s1 psy*iatric nurse practition]s1 physician assi/ants1 occupational !rapi/s1 cl9ical social work]s1 c]tifi$ pe]-support speciali/s1 lic5s$ pr(essional c\nselors1 or o!r lic5s$ or c]tifi$ m5tal heal? pr(essionals1 includ+ su* pr(essionals specializ+ 9 ! diagnosis1 evaluation1 or treatm5t ( individuals ) a s]i\s m5tal illness or s]i\s emotional di/urbance2 & 7ii7 a /rategy to improve ! recruitm5t1 tra9+1 & ret5tion ( a work=ce = ! treatm5t ( individuals ) m5tal illness or sub/ance use disord]s1 or co-occurr+ illness or disord]s2 7,e7 id5tify opportunities to improve collaboration ) ,/ates1 local gov]nm5ts1 communities1 & ,indian tribes & tribal organizations 7z su* t]ms are def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #dej;b772 & 7,f7 specify a /rategy to dissem9ate evid5c$-bas$ & promis+ be/ practices relat$ to prev5tion1 diagnosis1 e>ly int]v5tion1 treatm5t1 & recov]y s]vices relat$ to m5tal illness1 p>ticul>ly = individuals ) a s]i\s m5tal illness & *ildr5 & adolesc5ts ) a s]i\s emotional di/urbance1 & sub/ance use disord]s4 4 #aaj4 ,au?orities ( c5t]s = m5tal heal? s]vices & sub/ance abuse treatm5t 7a7 ,c5t] = m5tal heal? s]vices ,section #ebj7;b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#ca7;b77 is am5d$-- 7#a7 by r$esignat+ p>agraphs 7#c7 ?r\gh 7#ae7 z p>agraphs 7#d7 ?r\gh 7#af71 respectively2 7#b7 by ins]t+ aft] p>agraph 7#b7 ! foll[+3 7#c7 collaborate ) ! ,director ( ! ,national ,in/itute ( ,m5tal ,heal? to ensure t1 z appropriate1 programs relat$ to ! prev5tion & treatm5t ( m5tal illness & ! promotion ( m5tal heal? are c>ri$ out 9 a mann] t reflects ! be/ available sci5ce & evid5ce-bas$ practices1 includ+ culturally & l+ui/ically appropriate s]vices2 2 7#c7 9 p>agraph 7#e71 z s r$esignat$1 by ins]t+ ?r\gh policies & programs t r$uce risk & promote resili5cy be=e ! semicolon2 7#d7 9 p>agraph 7#f71 z s r$esignat$1 by ins]t+ 9 collaboration ) ! ,director ( ! ,national ,in/itute ( ,m5tal ,heal?1 be=e develop2 7#e7 9 p>agraph 7#h71 z s r$esignat$1 by ins]t+ 1 increase mean+ful p>ticipation ( individuals ) m5tal illness 9 programs & activities ( ! ,adm9i/ration1 be=e & protect ! legal2 7#f7 9 p>agraph 7#aj71 z s r$esignat$1 by /rik+ pr(essional & p>apr(essional p]sonnel pursuant to section #cjc & ins]t+ p>apr(essional p]sonnel & heal? pr(essionals2 7#g7 9 p>agraph 7#aa71 z s r$esignat$1 by ins]t+ & telem5tal heal?1 aft] rural m5tal heal?12 7#h7 9 p>agraph 7#ab71 z s r$esignat$1 by /rik+ e/abli% a cle>+h\se = m5tal heal? in=mation to assure ! widespread dissem9ation ( su* in=mation & ins]t+ dissem9ate m5tal heal? in=mation1 includ+ evid5c$-bas$ practices12 7#i7 9 p>agraph 7#ae71 z s r$esignat$1 by /rik+ & at ! end2 7#aj7 9 p>agraph 7#af71 z s r$esignat$1 by /rik+ ! p]iod & ins]t+ 2 &2 & 7#aa7 by add+ at ! end ! foll[+3 7#ag7 consult ) o!r ag5cies & (fices ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices to ensure1 ) respect to ea* grant aw>d$ by ! ,c5t] = ,m5tal ,heal? ,s]vices1 ! consi/5t docum5tation ( ! application ( crit]ia :5 aw>d+ grants & ! ongo+ ov]sight ( grantees aft] su* grants are aw>d$4 4 7b7 ,director ( ! c5t] = sub/ance abuse treatm5t ,section #ejg ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 by /rik+ treatm5t ( sub/ance abuse & ins]t+ treatm5t ( sub/ance use disord]s2 & 7,b7 by /rik+ abuse treatm5t sy/ems & ins]t+ use disord] treatm5t sy/ems2 & 7#b7 9 subsection 7b7-- 7,a7 9 p>agraph 7#c71 by /rik+ abuse & ins]t+ use disord]2 7,b7 9 p>agraph 7#d71 by /rik+ individuals :o abuse drugs & ins]t+ individuals :o use drugs2 7,c7 9 p>agraph 7#i71 by /rik+ c>ri$ out by ! ,director2 7,d7 by /rik+ p>agraph 7#aj72 7,e7 by r$esignat+ p>agraphs 7#aa7 ?r\gh 7#ad7 z p>agraphs 7#aj7 ?r\gh 7#ac71 respectively2 7,f7 9 p>agraph 7#ab71 z s r$esignat$1 by /rik+ 2 & & ins]t+ a semicolon2 & 7,g7 by /rik+ p>agraph 7#ac71 z s r$esignat$1 & ins]t+ ! foll[+3 7#ac7 ensure ! consi/5t docum5tation ( ! application ( crit]ia :5 aw>d+ grants & ! ongo+ ov]sight ( grantees aft] su* grants are aw>d$2 & 7#ad7 "w ) ,/ates1 provid]s1 & individuals 9 recov]y1 & _! families1 to promote ! expansion ( recov]y support s]vices & sy/ems ( c>e ori5t$ t[>ds recov]y4 4 #aaa4 ,advisory c\ncils ,section #ejb7;b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa-#a7;b77 is am5d$-- 7#a7 9 p>agraph 7#b7-- 7,a7 9 subp>agraph 7,e71 by /rik+ & aft] ! semicolon2 7,b7 by r$esignat+ subp>agraph 7,f7 z subp>agraph 7,i72 & 7,c7 by ins]t+ aft] subp>agraph 7,e71 ! foll[+3 7,f7 = ! advisory c\ncils appo9t$ "u subsections 7a77#a77;,a7 & 7a77#a77;,d71 ! ,director ( ! ,national ,in/itute ( ,m5tal ,heal?2 7,g7 = ! advisory c\ncils appo9t$ "u subsections 7a77#a77;,a71 7a77#a77;,b71 & 7a77#a77;,c71 ! ,director ( ! ,national ,in/itute on ,drug ,abuse2 7,h7 = ! advisory c\ncils appo9t$ "u subsections 7a77#a77;,a71 7a77#a77;,b71 & 7a77#a77;,c71 ! ,director ( ! ,national ,in/itute on ,alcohol ,abuse & ,alcoholism2 & 2 & 7#b7 9 p>agraph 7#c71 by add+ at ! end ! foll[+3 7,c7 ,n less ?an half ( ! memb]s ( ! advisory c\ncil appo9t$ "u subsection 7a77#a77;,d7-- 7i7 %all h-- 7,i7 a m$ical degree2 7,,ii7 a doctoral degree 9 psy*ology2 or 7,,iii7 an advanc$ degree 9 nurs+ or social "w f an accr$it$ graduate s*ool or be a c]tifi$ physician assi/ant2 & 7ii7 %all specialize 9 ! m5tal heal? field4 4 #aab4 ,pe] review ,section #ejd7;b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa-#c7;b77 is am5d$ by add+ at ! end ! foll[+3 ,9 ! case ( any su* pe] review gr\p t is review+ a grant1 coop]ative agreem5t1 or contract relat$ to m5tal illness treatm5t1 n less ?an half ( ! memb]s ( su* pe] review gr\p %all be lic5s$ & exp]i5c$ pr(essionals 9 ! prev5tion1 diagnosis1 or treatm5t (1 or recov]y f1 m5tal illness or sub/ance use disord]s & h a m$ical degree1 a doctoral degree 9 psy*ology1 or an advanc$ degree 9 nurs+ or social "w f an accr$it$ program44 ,,ii ,m$icaid ,m5tal ,heal? ,cov]age #bja4 ,rule ( con/ruction relat$ to ,m$icaid cov]age ( m5tal heal? s]vices & prim>y c>e s]vices furni%$ on ! same day ,no?+ 9 title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 %all be con/ru$ z prohibit+ sep>ate paym5t "u ! ,/ate plan "u su* title 7or "u a waiv] ( ! plan7 = ! provision ( a m5tal heal? s]vice or prim>y c>e s]vice "u su* plan1 ) respect to an individual1 because su* s]vice is-- 7#a7 a prim>y c>e s]vice furni%$ to ! 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 or 7#b7 a m5tal heal? s]vice furni%$ to ! 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 #bjb4 ,optional limit$ cov]age ( inpati5t s]vices furni%$ 9 in/itutions = m5tal diseases 7a7 ,9 g5]al ,section #aijc7m77#b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;b7m77#b77 is am5d$ by add+ at ! end ! foll[+ new subp>agraph3 7,i7 7i7 ,not)/&+ ! limitation specifi$ 9 ! subdivision 7,b7 foll[+ p>agraph 7#bi7 ( section #aije7;a7 & subject to clause 7ii71 a ,/ate may1 "u a risk contract ent]$ into by ! ,/ate "u ?is title 7or "u section #aaae7 ) a m$icaid manag$ c>e organization or a prepaid inpati5t heal? plan 7z def9$ 9 section #dch4b ( title #db1 ,code ( ,f$]al ,regulations 7or any successor regulation771 make a mon?ly capitation paym5t to su* organization or plan = enrollees ) ! organization or plan :o are ov] #ba ye>s ( age & "u #fe ye>s ( age & are receiv+ inpati5t treatm5t 9 an in/itution = m5tal diseases 7z def9$ 9 section #aije7;i771 s long z ea* ( ! foll[+ conditions is met3 7,i7 ,! in/itution is a hospital provid+ inpati5t psy*iatric or sub/ance use disord] s]vices or a sub-acute facility provid+ psy*iatric or sub/ance use disord] crisis resid5tial s]vices4 7,,ii7 ,! l5g? ( /ay 9 su* an in/itution = su* treatm5t is = a %ort-t]m /ay ( no m ?an #ae days dur+ ! p]iod ( ! mon?ly capitation paym5t4 7,,iii7 ,! provision ( su* treatm5t meets ! foll[+ crit]ia = consid]ation z s]vices or sett+s t are provid$ 9 lieu ( s]vices or sett+s cov]$ "u ! ,/ate plan3 7aa7 ,! ,/ate det]m9es t ! alt]native s]vice or sett+ is a m$ically appropriate & co/-effective sub/itute = ! s]vice or sett+ cov]$ "u ! ,/ate plan4 7bb7 ,! enrollee is n requir$ by ! manag$ c>e organization or prepaid inpati5t heal? plan to use ! alt]native s]vice or sett+4 7cc7 ,su* treatm5t is au?oriz$ & id5tifi$ 9 su* contract1 & w be (f]$ to su* enrollees at ! option ( ! manag$ c>e organization or prepaid inpati5t heal? plan4 7ii7 ,= purposes ( sett+ ! am\nt ( su* a mon?ly capitation paym5t1 a ,/ate may use ! utilization ( s]vices provid$ to an individual "u ?is subp>agraph :5 develop+ ! inpati5t psy*iatric or sub/ance use disord] compon5t ( su* paym5t1 b ! am\nt ( su* paym5t = su* s]vices may n exce$ ! co/ ( ! same s]vices furni%$ ?r\gh provid]s includ$ "u ! ,/ate plan4 4 7b7 ,effective date ,! am5dm5t made by subsection 7a7 %all apply beg9n+ on ,july #e1 #bjaf1 or ! date ( ! enactm5t ( ?is ,act1 :i*ev] is lat]4 #bjc4 ,/udy & report relat$ to ,m$icaid manag$ c>e regulation 7a7 ,/udy ,! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 %all conduct a /udy on cov]age "u ! ,m$icaid program "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 ( s]vices provid$ ?r\gh a m$icaid manag$ c>e organization 7z def9$ 9 section #aijc7m7 ( su* ,act 7#db ,u4,s4,c4 #acif;b7m77 or a prepaid inpati5t heal? plan 7z def9$ 9 section #dch4b ( title #db1 ,code ( ,f$]al ,regulations 7or any successor regulation77 ) respect to individuals ov] ! age ( #ba & "u ! age ( #fe = ! treatm5t ( a m5tal heal? disord] 9 in/itutions = m5tal diseases 7z def9$ 9 section #aije7;i7 ( su* ,act 7#db ,u4,s4,c4 #acif;d7i7774 ,su* /udy %all include in=mation on ! foll[+3 7#a7 ,! ext5t to :i* ,/ates1 includ+ ! ,di/rict ( ,columbia & ea* t]ritory or possession ( ! ,unit$ ,/ates1 are provid+ capitat$ paym5ts to su* organizations or plans = enrollees :o are receiv+ s]vices 9 in/itutions = m5tal diseases4 7#b7 ,! numb] ( individuals receiv+ m$ical assi/ance "u a ,/ate plan "u su* title ,,xix1 or a waiv] ( su* plan1 :o receive s]vices 9 in/itutions = m5tal diseases ?r\gh su* organizations & plans4 7#c7 ,! range ( & av]age numb] ( mon?s1 & ! l5g? ( /ay dur+ su* mon?s1 t su* individuals are receiv+ su* s]vices 9 su* in/itutions4 7#d7 ,h[ su* organizations or plans det]m9e :5 to provide = ! furni%+ ( su* s]vices ?r\gh an in/itution = m5tal diseases 9 lieu ( o!r b5efits 7includ+ ! full range ( community-bas$ s]vices7 "u _! contract ) ! ,/ate ag5cy adm9i/]+ ! ,/ate plan "u su* title ,,xix1 or a waiv] ( su* plan1 to address psy*iatric or sub/ance use disord] treatm5t4 7#e7 ,! ext5t to :i* ! provision ( s]vices )9 su* in/itutions has affect$ ! capitat$ paym5ts = su* organizations or plans4 7b7 ,report ,n lat] ?an #c ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all submit to ,congress a report on ! /udy conduct$ "u subsection 7a74 #bjd4 ,guidance on opportunities = innovation ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices %all issue a ,/ate ,m$icaid ,director lett] reg>d+ opportunities to design innovative s]vice deliv]y sy/ems1 includ+ sy/ems = provid+ community-bas$ s]vices1 = individuals ) s]i\s m5tal illness or s]i\s emotional di/urbance :o are receiv+ m$ical assi/ance "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq474 ,! lett] %all include opportunities = demon/ration projects "u section #aaae ( su* ,act 7#db ,u4,s4,c4 #acae71 to improve c>e = su* individuals4 #bje4 ,/udy & report on ,m$icaid em]g5cy psy*iatric demon/ration project 7a7 ,collection ( in=mation ,! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 %all1 ) respect to ea* ,/ate t has p>ticipat$ 9 ! demon/ration project e/abli%$ "u section #bgjg ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7#db ,u4,s4,c4 #acif;a note71 collect f ea* su* ,/ate in=mation on ! foll[+3 7#a7 ,! numb] ( in/itutions = m5tal diseases 7z def9$ 9 section #aije7;i7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7i777 & b$s 9 su* in/itutions t receiv$ paym5t = ! provision ( s]vices to individuals :o receive m$ical assi/ance "u a ,/ate plan "u ! ,m$icaid program "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 7or "u a waiv] ( su* plan7 ?r\gh ! demon/ration project 9 ea* su* ,/ate z comp>$ to ! total numb] ( in/itutions = m5tal diseases & b$s 9 ! ,/ate4 7#b7 ,! ext5t to :i* !re is a r$uction 9 exp5ditures "u ! ,m$icaid program "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 or o!r sp5d+ on ! full cont9uum ( physical or m5tal heal? c>e = individuals :o receive treatm5t 9 an in/itution = m5tal diseases "u ! demon/ration project1 includ+ outpati5t1 inpati5t1 em]g5cy1 & ambulatory c>e1 t is attributable to su* individuals receiv+ treatm5t 9 in/itutions = m5tal diseases "u ! demon/ration project4 7#c7 ,! numb] ( =5sic psy*iatric hospitals1 ! numb] ( b$s 9 su* hospitals1 & ! numb] ( =5sic psy*iatric b$s 9 o!r hospitals 9 su* ,/ate1 bas$ on ! mo/ rec5t data available1 to ! ext5t practical1 z det]m9$ by su* ,adm9i/rator4 7#d7 ,! am\nt ( any disproportionate %>e hospital paym5ts "u section #aibc ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifr-#d7 t in/itutions = m5tal diseases 9 ! ,/ate receiv$ dur+ ! p]iod beg9n+ on ,july #a1 #bjab1 & end+ on ,june #cj1 #bjae1 & ! ext5t to :i* ! demon/ration project r$uc$ ! am\nt ( su* paym5ts4 7#e7 ,! mo/ rec5t data reg>d+ all facilities or sites 9 ! ,/ate 9 :i* any individuals ) s]i\s m5tal illness :o are receiv+ m$ical assi/ance "u a ,/ate plan "u ! ,m$icaid program "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 7or "u a waiv] ( su* plan7 are treat$ dur+ ! p]iod ref]r$ to 9 p>agraph 7#d71 to ! ext5t practical1 z det]m9$ by ! ,adm9i/rator1 includ+-- 7,a7 ! types ( su* facilities or sites 7su* z an in/itution = m5tal diseases1 a hospital em]g5cy dep>tm5t1 or o!r inpati5t hospital72 7,b7 ! av]age l5g? ( /ay 9 su* a facility or site by su* an individual1 disaggregat$ by facility type2 & 7,c7 ! paym5t rate "u ! ,/ate plan 7or a waiv]s ( su* plan7 = s]vices furni%$ to su* an individual = t treatm5t1 disaggregat$ by facility type1 dur+ ! p]iod 9 :i* ! demon/ration project is 9 op]ation4 7#f7 ,! ext5t to :i* ! utilization ( hospital em]g5cy dep>tm5ts dur+ ! p]iod 9 :i* ! demon/ration project 0 is 9 op]ation diff]$1 ) respect to individuals :o are receiv+ m$ical assi/ance "u a ,/ate plan "u ! ,m$icaid program "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 7or "u a waiv] ( su* plan71 betwe5-- 7,a7 ^? individuals :o receiv$ treatm5t 9 an in/itution = m5tal diseases "u ! demon/ration project2 7,b7 ^? individuals :o met ! eligibility requirem5ts = ! demon/ration project b :o did n receive treatm5t 9 an in/itution = m5tal diseases "u ! demon/ration project2 & 7,c7 ^? individuals ) s]i\s m5tal illness :o did n meet su* eligibility requirem5ts & did n receive treatm5t = su* illness 9 an in/itution = m5tal diseases4 7b7 ,report ,n lat] ?an #b ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all submit to ,congress a report t summ>izes & analyzes ! in=mation collect$ "u subsection 7a74 ,su* report may be submitt$ z "p ( ! report requir$ "u section #bgjg7;f7 ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7#db ,u4,s4,c4 #acif;a note7 or sep>ately4 #bjf4 ,provid+ ,,epsdt s]vices to *ildr5 9 ,i,m,ds 7a7 ,9 g5]al ,section #aije7;a77#af7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7a77#af77 is am5d$-- 7#a7 by /rik+ effective ,janu>y #a1 #aigc & ins]t+ 7,a7 effective ,janu>y #a1 #aigc2 & 7#b7 by ins]t+ be=e ! semicolon at ! end ! foll[+3 1 &1 7,b7 = individuals receiv+ s]vices describ$ 9 subp>agraph 7,a71 e>ly & p]iodic scre5+1 diagno/ic1 & treatm5t s]vices 7z def9$ 9 subsection 7r771 :e!r or n su* scre5+1 diagno/ic1 & treatm5t s]vices are furni%$ by ! provid] ( ! s]vices describ$ 9 su* subp>agraph4 7b7 ,effective date ,! am5dm5t made by subsection 7a7 %all apply ) respect to items & s]vices furni%$ 9 cal5d> qu>t]s beg9n+ on or aft] ,janu>y #a1 #bjai4 #bjg4 ,electronic visit v]ification sy/em requir$ = p]sonal c>e s]vices & home heal? c>e s]vices "u ,m$icaid 7a7 ,9 g5]al ,section #aijc ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;b7 is am5d$ by ins]t+ aft] subsection 7k7 ! foll[+ new subsection3 7l7 7#a7 ,subject to p>agraphs 7#c7 & 7#d71 ) respect to any am\nt exp5d$ = p]sonal c>e s]vices or home heal? c>e s]vices requir+ an 9-home visit by a provid] t are provid$ "u a ,/ate plan "u ?is title 7or "u a waiv] ( ! plan7 & furni%$ 9 a cal5d> qu>t] beg9n+ on or aft] ,janu>y #a1 #bjai 7or1 9 ! case ( home heal? c>e s]vices1 on or aft] ,janu>y #a1 #bjbc71 unless a ,/ate requires ! use ( an electronic visit v]ification sy/em = su* s]vices furni%$ 9 su* qu>t] "u ! plan or su* waiv]1 ! ,f$]al m$ical assi/ance p]c5tage %all be r$uc$-- 7,a7 9 ! case ( p]sonal c>e s]vices-- 7i7 = cal5d> qu>t]s 9 #bjai & #bjbj1 by 4#be p]c5tage po9ts2 7ii7 = cal5d> qu>t]s 9 #bjba1 by 4#e p]c5tage po9ts2 7iii7 = cal5d> qu>t]s 9 #bjbb1 by 4#ge p]c5tage po9ts2 & 7iv7 = cal5d> qu>t]s 9 #bjbc & ea* ye> !reaft]1 by #a p]c5tage po9t2 & 7,b7 9 ! case ( home heal? c>e s]vices-- 7i7 = cal5d> qu>t]s 9 #bjbc & #bjbd1 by 4#be p]c5tage po9ts2 7ii7 = cal5d> qu>t]s 9 #bjbe1 by 4#e p]c5tage po9ts2 7iii7 = cal5d> qu>t]s 9 #bjbf1 by 4#ge p]c5tage po9ts2 & 7iv7 = cal5d> qu>t]s 9 #bjbg & ea* ye> !reaft]1 by #a p]c5tage po9t4 7#b7 ,subject to p>agraphs 7#c7 & 7#d71 9 implem5t+ ! requirem5t = ! use ( an electronic visit v]ification sy/em "u p>agraph 7#a71 a ,/ate %all-- 7,a7 consult ) ag5cies & entities t provide p]sonal c>e s]vices1 home heal? c>e s]vices1 or bo? "u ! ,/ate plan 7or "u a waiv] ( ! plan7 to ensure t su* sy/em-- 7i7 is m9imally burd5some2 7ii7 takes into acc\nt exi/+ be/ practices & electronic visit v]ification sy/ems 9 use 9 ! ,/ate2 & 7iii7 is conduct$ 9 accordance ) ! requirem5ts ( ,,hipaa privacy & security law 7z def9$ 9 section #cjji ( ! ,public ,heal? ,s]vice ,act72 7,b7 take into acc\nt a /akehold] process t includes input f b5efici>ies1 family c>egiv]s1 individuals :o furni% p]sonal c>e s]vices or home heal? c>e s]vices1 & o!r /akehold]s1 z det]m9$ by ! ,/ate 9 accordance ) guidance f ! ,secret>y2 & 7,c7 ensure t individuals :o furni% p]sonal c>e s]vices1 home heal? c>e s]vices1 or bo? "u ! ,/ate plan 7or "u a waiv] ( ! plan7 are provid$ ! opportunity = tra9+ on ! use ( su* sy/em4 7#c7 ,p>agraphs 7#a7 & 7#b7 %all n apply 9 ! case ( a ,/ate t1 z ( ! date ( ! enactm5t ( ?is subsection1 requires ! use ( any sy/em = ! electronic v]ification ( visits conduct$ z "p ( bo? p]sonal c>e s]vices & home heal? c>e s]vices1 s long z ! ,/ate cont9ues to require ! use ( su* sy/em ) respect to ! electronic v]ification ( su* visits4 7#d7 7,a7 ,9 ! case ( a ,/ate describ$ 9 subp>agraph 7,b71 ! r$uction "u p>agraph 7#a7 %all n apply-- 7i7 9 ! case ( p]sonal c>e s]vices1 = cal5d> qu>t]s 9 #bjai2 & 7ii7 9 ! case ( home heal? c>e s]vices1 = cal5d> qu>t]s 9 #bjbc4 7,b7 ,= purposes ( subp>agraph 7,a71 a ,/ate describ$ 9 ?is subp>agraph is a ,/ate t demon/rates to ! ,secret>y t ! ,/ate-- 7i7 has made a good fai? ef=t to comply ) ! requirem5ts ( p>agraphs 7#a7 & 7#b7 7includ+ by tak+ /eps to adopt ! te*nology us$ = an electronic visit v]ification sy/em72 or 7ii7 9 implem5t+ su* a sy/em1 has enc\nt]$ unavoidable sy/em delays4 7#e7 ,9 ?is subsection3 7,a7 ,! t]m electronic visit v]ification sy/em means1 ) respect to p]sonal c>e s]vices or home heal? c>e s]vices1 a sy/em "u :i* visits conduct$ z "p ( su* s]vices are electronically v]ifi$ ) respect to-- 7i7 ! type ( s]vice p]=m$2 7ii7 ! individual receiv+ ! s]vice2 7iii7 ! date ( ! s]vice2 7iv7 ! location ( s]vice deliv]y2 7v7 ! individual provid+ ! s]vice2 & 7vi7 ! "t ! s]vice beg9s & ends4 7,b7 ,! t]m home heal? c>e s]vices means s]vices describ$ 9 section #aije7;a77#g7 provid$ "u a ,/ate plan "u ?is title 7or "u a waiv] ( ! plan74 7,c7 ,! t]m p]sonal c>e s]vices means p]sonal c>e s]vices provid$ "u a ,/ate plan "u ?is title 7or "u a waiv] ( ! plan71 includ+ s]vices provid$ "u section #aije7;a77#bd71 #aiae7;c71 #aiae7;i71 #aiae7;j71 or #aiae7k7 or "u a wavi] "u section #aaae4 7#f7 7,a7 ,9 ! case 9 :i* a ,/ate requires p]sonal c>e s]vice & home heal? c>e s]vice provid]s to utilize an electronic visit v]ification sy/em op]at$ by ! ,/ate or a contractor on behalf ( ! ,/ate1 ! ,secret>y %all pay to ! ,/ate1 = ea* qu>t]1 an am\nt equal to #ij p] c5tum ( s mu* ( ! sums exp5d$ dur+ su* qu>t] z are attributable to ! design1 developm5t1 or in/allation ( su* sy/em1 & #ge p] c5tum ( s mu* ( ! sums = ! op]ation & ma9t5ance ( su* sy/em4 7,b7 ,subp>agraph 7,a7 %all n apply 9 ! case 9 :i* a ,/ate requires p]sonal c>e s]vice & home heal? c>e s]vice provid]s to utilize an electronic visit v]ification sy/em t is n op]at$ by ! ,/ate or a contractor on behalf ( ! ,/ate4 4 7b7 ,collection & dissem9ation ( be/ practices ,n lat] ?an ,janu>y #a1 #bjah1 ! ,secret>y ( ,heal? & ,human ,s]vices %all1 ) respect to electronic visit v]ification sy/ems 7z def9$ 9 subsection 7l77#e7 ( section #aijc ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;b71 z ins]t$ by subsection 7a771 collect & dissem9ate be/ practices to ,/ate ,m$icaid ,directors ) respect to-- 7#a7 tra9+ individuals :o furni% p]sonal c>e s]vices1 home heal? c>e s]vices1 or bo? "u ! ,/ate plan "u title ,,xix ( su* ,act 7or "u a waiv] ( ! plan7 on su* sy/ems & ! op]ation ( su* sy/ems & ! prev5tion ( fraud ) respect to ! provision ( p]sonal c>e s]vices or home heal? c>e s]vices 7z def9$ 9 su* subsection 7l77#e772 & 7#b7 ! provision ( notice & educational mat]ials to family c>egiv]s & b5efici>ies ) respect to ! use ( su* electronic visit v]ification sy/ems & o!r means to prev5t su* fraud4 7c7 ,rules ( con/ruction 7#a7 ,no employ]-employee relation%ip e/abli%$ ,no?+ 9 ! am5dm5t made by ?is section may be con/ru$ z e/abli%+ an employ]-employee relation%ip betwe5 ! ag5cy or entity t provides = p]sonal c>e s]vices or home heal? c>e s]vices & ! individuals :o1 "u a contract ) su* an ag5cy or entity1 furni% su* s]vices = purposes ( "p #eeb ( title #bi1 ,code ( ,f$]al ,regulations 7or any successor regulations74 7#b7 ,no p>ticul> or uni=m electronic visit v]ification sy/em requir$ ,no?+ 9 ! am5dm5t made by ?is section %all be con/ru$ to require ! use ( a p>ticul> or uni=m electronic visit v]ification sy/em 7z def9$ 9 subsection 7l77#e7 ( section #aijc ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;b71 z ins]t$ by subsection 7a77 by all ag5cies or entities t provide p]sonal c>e s]vices or home heal? c>e "u a ,/ate plan "u title ,,xix ( ! ,social ,security ,act 7or "u a waiv] ( ! plan7 7#db ,u4,s4,c4 #acif et seq474 7#c7 ,no limits on provision ( c>e ,no?+ 9 ! am5dm5t made by ?is section may be con/ru$ to limit1 ) respect to p]sonal c>e s]vices or home heal? c>e s]vices provid$ "u a ,/ate plan "u title ,,xix ( ! ,social ,security ,act 7or "u a waiv] ( ! plan7 7#db ,u4,s4,c4 #acif et seq471 provid] selection1 con/ra9 b5efici>ies' selection ( a c>egiv]1 or imp$e ! mann] 9 :i* c>e is deliv]$4 7#d7 ,no prohibition on ,/ate quality measures requirem5ts ,no?+ 9 ! am5dm5t made by ?is section %all be con/ru$ z prohibit+ a ,/ate1 9 implem5t+ an electronic visit v]ification sy/em 7z def9$ 9 subsection 7l77#e7 ( section #aijc ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;b71 z ins]t$ by subsection 7a771 f e/abli%+ requirem5ts relat$ to quality measures = su* sy/em4 ,,iii ,int]dep>tm5tal ,s]i\s ,m5tal ,illness ,coord9at+ ,committee #cja4 ,int]dep>tm5tal ,s]i\s ,m5tal ,illness ,coord9at+ ,committee 7a7 ,e/abli%m5t 7#a7 ,9 g5]al ,n lat] ?an #c mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices1 or ! designee ( ! ,secret>y1 %all e/abli% a committee to be kn[n z ! ,int]dep>tm5tal ,s]i\s ,m5tal ,illness ,coord9at+ ,committee 79 ?is section ref]r$ to z ! ,committee74 7#b7 ,f$]al ,advisory ,committee ,act ,except z provid$ 9 ?is section1 ! provisions ( ! ,f$]al ,advisory ,committee ,act 7#e ,u4,s4,c4 ,app47 %all apply to ! ,committee4 7b7 ,meet+s ,! ,committee %all meet n few] ?an two times ea* ye>4 7c7 ,responsibilities ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 & #e ye>s aft] su* date ( enactm5t1 ! ,committee %all submit to ,congress a report includ+-- 7#a7 a summ>y ( advances 9 s]i\s m5tal illness & s]i\s emotional di/urbance rese>* relat$ to ! prev5tion (1 diagnosis (1 int]v5tion 91 & treatm5t & recov]y (1 s]i\s m5tal illnesses1 s]i\s emotional di/urbances1 & advances 9 access to s]vices & support = individuals ) a s]i\s m5tal illness or s]i\s emotional di/urbance2 7#b7 an evaluation ( ! effect on public heal? ( ,f$]al programs relat$ to s]i\s m5tal illness or s]i\s emotional di/urbance1 includ+ measurem5ts ( public heal? outcomes su* z-- 7,a7 rates ( suicide1 suicide attempts1 preval5ce ( s]i\s m5tal illness1 s]i\s emotional di/urbances1 & sub/ance use disord]s1 ov]dose1 ov]dose dea?s1 em]g5cy hospitalizations1 em]g5cy room bo>d+1 prev5table em]g5cy room visits1 involvem5t ) ! crim9al ju/ice sy/em1 crime1 homelessness1 & unemploym5t2 7,b7 increas$ rates ( employm5t & enrollm5t 9 educational & vocational programs2 7,c7 quality ( m5tal illness & sub/ance use disord] treatm5t s]vices2 & 7,d7 any o!r crit]ia z may be det]m9$ by ! ,secret>y2 7#c7 a plan to improve outcomes = individuals ) s]i\s m5tal illness or s]i\s emotional di/urbances1 includ+ r$uc+ inc>c]ation = su* individuals1 r$uc+ homelessness1 & increas+ employm5t2 & 7#d7 specific recomm5dations = actions t ag5cies c take to bett] coord9ate ! adm9i/ration ( m5tal heal? s]vices = p ) s]i\s m5tal illness or s]i\s emotional di/urbances4 7d7 ,committee ext5sion ,^u ! submission ( ! second report "u subsection 7c71 ! ,secret>y %all submit a recomm5dation to ,congress on :e!r to ext5d ! op]ation ( ! ,committee4 7e7 ,memb]%ip 7#a7 ,f$]al memb]s ,! ,committee %all be compos$ ( ! foll[+ ,f$]al repres5tatives1 or _! designees3 7,a7 ,! ,secret>y ( ,heal? & ,human ,s]vices1 :o %all s]ve z ! ,*air ( ! ,committee4 7,b7 ,! ,director ( ! ,national ,in/itutes ( ,heal?4 7,c7 ,! ,assi/ant ,secret>y = ,heal? ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 7,d7 ,! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use4 7,e7 ,! ,attorney ,g5]al ( ! ,unit$ ,/ates4 7,f7 ,! ,secret>y ( ,vet]ans ,affairs4 7,g7 ,! ,secret>y ( ,def5se4 7,h7 ,! ,secret>y ( ,h\s+ & ,urban ,developm5t4 7,i7 ,! ,secret>y ( ,education4 7,j7 ,! ,secret>y ( ,labor4 7,k7 ,! ,commission] ( ,social ,security4 7,l7 ,! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices4 7#b7 ,non-,f$]al memb]s ,! ,committee %all also include n less ?an #ad non-,f$]al public memb]s appo9t$ by ! ,secret>y ( ,heal? & ,human ,s]vices1 ( :i*-- 7,a7 at lea/ two memb]s %all be individuals ) liv$ exp]i5ce ) s]i\s m5tal illness or s]i\s emotional di/urbance2 7,b7 at lea/ "o memb] %all be a p>5t or legal gu>dian ( an individual ) a hi/ory ( a s]i\s m5tal illness or s]i\s emotional di/urbance2 7,c7 at lea/ "o memb] %all be a repres5tative ( a lead+ rese>*1 advocacy1 or s]vice organization = individuals ) s]i\s m5tal illness or s]i\s emotional di/urbance2 7,d7 at lea/ two memb]s %all be-- 7i7 a lic5s$ psy*iatri/ ) exp]i5ce treat+ s]i\s m5tal illnesses or s]i\s emotional di/urbances2 7ii7 a lic5s$ psy*ologi/ ) exp]i5ce treat+ s]i\s m5tal illnesses or s]i\s emotional di/urbances2 7iii7 a lic5s$ cl9ical social work] ) exp]i5ce treat+ s]i\s m5tal illness or s]i\s emotional di/urbances2 or 7iv7 a lic5s$ psy*iatric nurse1 nurse practition]1 or physician assi/ant ) exp]i5ce treat+ s]i\s m5tal illnesses or s]i\s emotional di/urbances2 7,e7 at lea/ "o memb] %all be a lic5s$ m5tal heal? pr(essional ) a specialty 9 treat+ *ildr5 & adolesc5ts ) s]i\s emotional di/urbances2 7,f7 at lea/ "o memb] %all be a m5tal heal? pr(essional :o has rese>* or cl9ical m5tal heal? exp]i5ce work+ ) m9orities2 7,g7 at lea/ "o memb] %all be a m5tal heal? pr(essional :o has rese>* or cl9ical m5tal heal? exp]i5ce work+ ) m$ically und]s]v$ populations2 7,h7 at lea/ "o memb] %all be a ,/ate c]tifi$ m5tal heal? pe]-support speciali/2 7,i7 at lea/ "o memb] %all be a judge ) exp]i5ce adjudicat+ cases )9 a m5tal heal? c\rt2 7,j7 at lea/ "o memb] %all be a law en=cem5t (fic] or corrections (fic] ) ext5sive exp]i5ce 9 int]fac+ ) individuals ) a s]i\s m5tal illness or s]i\s emotional di/urbance1 or 9 a m5tal heal? crisis2 & 7,k7 at lea/ "o memb] %all be a homeless s]vices provid] ) exp]i5ce work+ ) individuals ) s]i\s m5tal illness1 ) s]i\s emotional di/urbance1 or hav+ m5tal heal? crisis4 7#c7 ,t]ms ,a memb] ( ! ,committee appo9t$ "u p>agraph 7#b7 %all s]ve = a t]m ( #c ye>s1 & may be reappo9t$ = "o or m additional #c-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 be5 appo9t$4 7f7 ,work+ gr\ps ,9 c>ry+ out its functions1 ! ,committee may e/abli% work+ gr\ps4 ,su* work+ gr\ps %all be compos$ ( ,committee memb]s1 or _! designees1 & may hold su* meet+s z are necess>y4 7g7 ,sunset ,! ,committee %all t]m9ate on ! date t is #f ye>s aft] ! date on :i* ! ,committee is e/abli%$ "u subsection 7a77#a74 ,,iv ,compassionate ,communication on ,,hipaa #dja4 ,s5se ( ,congress 7a7 ,f9d+s ,congress f9ds ! foll[+3 7#a7 ,! va/ majority ( individuals ) m5tal illness are capable ( und]/&+ _! illness & c>+ = !mselves4 7#b7 ,p]sons ) s]i\s m5tal illness 79 ?is section ref]r$ to z ,,smi71 includ+ s*izophr5ia spectrum1 bipol> disord]s1 & major depressive disord]1 may be significantly impair$ 9 _! ability to und]/& or make s\nd decisions = _! c>e & ne$s4 ,by nature ( _! illness1 cognitive impairm5ts 9 reason+ & judgm5t1 z well z ! pres5ce ( halluc9ations1 delusions1 & sev]e emotional di/ortions1 !y may lack ! aw>5ess !y ev5 h a m5tal illness 7a condition kn[n z anosognosia71 & ?us may be unable to make s\nd decisions reg>d+ _! c>e1 nor foll[ ?r\gh consi/5tly & effectively on _! c>e ne$s4 7#c7 ,p]sons ) m5tal illness or ,,smi may require & b5efit f m5tal heal? treatm5t 9 ord] to recov] to ! fulle/ ext5t ( _! ability2 ^! b5eficial int]v5tions may include psy*iatric c>e1 psy*ological c>e1 m$ication1 pe] support1 educational support1 employm5t support1 & h\s+ support4 7#d7 ,p]sons ) ,,smi :o are provid$ ) pr(essional & supportive s]vices may /ill exp]i5ce times :5 _! symptoms may greatly impair _! abilities to make s\nd decisions = _! p]sonal c>e or may discont9ue _! c>e z a result ( ?is impair$ decisionmak+ result+ 9 a fur!r det]ioration ( _! condition4 ,!y may exp]i5ce a tempor>y or prolong$ impairm5t z a result ( _! dim9i%$ capacity to c>e = !mselves4 7#e7 ,episodes ( psy*iatric crises among ^? ) ,,smi c result 9 neurological h>m to ! individual's bra94 7#f7 ,p]sons ) ,,smi-- 7,a7 are at high risk = o!r *ronic physical illnesses1 ) approximately #ej p]c5t hav+ two or m co-occurr+ *ronic physical illnesses su* z c>diac1 pulmon>y1 canc]1 & endocr9e disord]s2 & 7,b7 h ?ree times ! odds ( hav+ *ronic bron*itis1 five times ! odds ( hav+ emphysema1 & f\r times ! odds ( hav+ ,,copd1 are m ?an f\r times z likely to h fluid & electrolyte disord]s1 & are ne>ly ?ree times z likely to be nicot9e dep5d5t4 7#g7 ,"s psy*otropic m$ications1 su* z second g5]ation antipsy*otics1 significantly increase risk = *ronic illnesses su* z diabetes & c>diovascul> disease4 7#h7 ,:5 ! individual fails to seek or ma9ta9 treatm5t = ^! physical conditions ov] a long t]m1 x c result 9 ! individual becom+ gravely disabl$1 or develop+ life-?reat5+ illnesses4 ,e>ly & consi/5t treatm5t c ameliorate or r$uce symptoms or cure ! disease4 7#i7 ,p]sons ) ,,smi die #g to #bd ye>s e>li] ?an _! age cohorts prim>ily because ( complications f _! *ronic physical illness & failure to seek or ma9ta9 treatm5t result+ f emotional & cognitive impairm5ts f _! ,,smi4 7#aj7 ,x is b5eficial to ! p]son ) ,,smi & *ronic illness to seek & ma9ta9 cont9uity ( m$ical c>e & treatm5t = _! m5tal illness to prev5t fur!r det]ioration & h>m to _! own safety4 7#aa7 ,:5 ! individual ) ,,smi is significantly dim9i%$ 9 _! capacity to c>e = !mselves long t]m or acutely1 o!r supportive int]v5tions to assi/ _! c>e may be necess>y to protect _! heal? & safety4 7#ab7 ,prognosis = ! physical & psy*iatric heal? ( ^? ) ,,smi may improve :5 responsible c>egiv]s facilitate & p>ticipate 9 c>e4 7#ac7 ,:5 an individual ) ,,smi is *ronically incapacitat$ 9 _! ability to c>e = !mselves1 c>egiv]s c pursue legal gu>dian%ip to facilitate c>e 9 appropriate areas :ile be+ m9dful to all[ ! individual to make decisions = !mselves 9 areas :]e !y are capable4 7#ad7 ,individuals ) ,,smi :o h prolong$ p]iods ( be+ significantly functional c1 dur+ su* p]iods1 design & sign an advanc$ directive to pr$ef9e & *oose m$ications1 provid]s1 treatm5t plans1 & hospitals1 & provide c>egiv]s ) gu>dian%ip ! ability to help 9 ^? times :5 a pati5t's psy*iatric symptoms wors5 to ! po9t ( mak+ !m incapacitat$ or leav+ !m ) a sev]ely dim9i%$ capacity to make in=m$ decisions ab\t _! c>e :i* may result 9 h>m to _! physical & m5tal heal?4 7#ae7 ,all pr(essional & support ef=ts %\ld be made to help ! individual ) ,,smi & acute or *ronic physical illnesses to und]/& & foll[ ?r\gh on treatm5t4 7#af7 ,:5 individuals ) ,,smi1 ev5 aft] ef=ts to help !m und]/&1 h fail$ to c>e = !mselves1 !re exi/s confusion 9 ! heal? c>e community ar\nd :at is curr5tly p]missible "u ,,hipaa rules4 ,?is confusion may h9d] communication ) responsible c>egiv]s :o may be able to facilitate c>e = ! pati5t ) ,,smi 9 in/ances :5 ! individual does n give p]mission = disclosure4 7b7 ,s5se ( ,congress ,x is ! s5se ( ! ,congress t1 = ! sake ( ! heal? & safety ( p]sons ) s]i\s m5tal illness1 m cl>ity is ne$$ surr\nd+ ! exi/+ ,,hipaa privacy rule promulgat$ pursuant to section #bfd7;c7 ( ! ,heal? ,insurance ,portability & ,acc\ntability ,act 7#db ,u4,s4,c4 #acbj;d-#b note7 to p]mit heal? c>e pr(essionals to communicate1 :5 necess>y1 ) responsible kn[n c>egiv]s ( su* p]sons1 ! limit$1 appropriate protect$ heal? in=mation ( su* p]sons 9 ord] to facilitate treatm5t1 b n includ+ psy*o!rapy notes4 #djb4 ,confid5tiality ( records ,n lat] ?an #a ye> aft] ! date on :i* ! ,secret>y ( ,heal? & ,human ,s]vices fir/ f9alizes regulations updat+ "p #b ( title #db1 ,code ( ,f$]al ,regulations 7relat+ to confid5tiality ( alcohol & drug abuse pati5t records7 aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all conv5e relevant /akehold]s to det]m9e ! effect ( su* regulations on pati5t c>e1 heal? outcomes1 & pati5t privacy4 ,! ,secret>y %all submit to ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate1 & make publicly available1 a report on ! f9d+s ( su* /akehold]s4 #djc4 ,cl>ification ( circum/ances "u :i* disclosure ( protect$ heal? in=mation is p]mitt$ 7a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is section1 ! ,secret>y ( ,heal? & ,human ,s]vices %all promulgate f9al regulations cl>ify+ ! circum/ances "u :i*1 consi/5t ) ! provisions ( subp>t ,c ( title ,,xi ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;d et seq47 & regulations promulgat$ pursuant to section #bfd7;c7 ( ! ,heal? ,insurance ,portability & ,acc\ntability ,act ( #aiif 7#db ,u4,s4,c4 #acbj;d-#b note71 a heal? c>e provid] or cov]$ entity may disclose ! protect$ heal? in=mation ( a pati5t ) a m5tal illness1 includ+ = purposes (-- 7#a7 communicat+ 7includ+ ) respect to treatm5t1 side effects1 risk factors1 & ! availability ( community res\rces7 ) a family memb] ( su* pati5t1 c>egiv] ( su* pati5t1 or o!r individual to ! ext5t t su* family memb]1 c>egiv]1 or individual is involv$ 9 ! c>e ( ! pati5t2 7#b7 communicat+ ) a family memb] ( ! pati5t1 c>egiv] ( su* pati5t1 or o!r individual involv$ 9 ! c>e ( ! pati5t 9 ! case t ! pati5t is an adult2 7#c7 communicat+ ) ! p>5t or c>egiv] ( a pati5t 9 ! case t ! pati5t is a m9or2 7#d7 consid]+ ! pati5t's capacity to agree or object to ! %>+ ( ! protect$ heal? in=mation ( ! pati5t2 7#e7 communicat+ & %>+ in=mation ) ! family or c>egiv]s ( ! pati5t :5-- 7,a7 ! pati5t cons5ts2 7,b7 ! pati5t does n cons5t1 b ! pati5t lacks ! capacity to agree or object & ! communication or %>+ ( in=mation is 9 ! pati5t's be/ int]e/2 7,c7 ! pati5t does n cons5t & ! pati5t is n incapacitat$ or 9 an em]g5cy circum/ance1 b ! ability ( ! pati5t to make rational heal? c>e decisions is significantly dim9i%$ by reason ( ! physical or m5tal heal? condition ( ! pati5t2 & 7,d7 ! pati5t does n cons5t1 b su* communication & %>+ ( in=mation is necess>y to prev5t imp5d+ & s]i\s det]ioration ( ! pati5t's m5tal or physical heal?2 7#f7 involv+ a pati5t's family memb]s1 c>egiv]s1 or o!rs involv$ 9 ! pati5t's c>e or c>e plan1 includ+ facilitat+ treatm5t & m$ication adh]5ce1 9 deal+ ) pati5t failures to adh]e to m$ication or o!r !rapy2 7#g7 li/5+ to or receiv+ in=mation ) respect to ! pati5t f ! family or c>egiv] ( su* pati5t receiv+ m5tal illness treatm5t2 7#h7 communicat+ ) family memb]s ( ! pati5t1 c>egiv]s ( ! pati5t1 law en=cem5t1 or o!rs :5 ! pati5t pres5ts a s]i\s & imm95t ?reat ( h>m to self or o!rs2 & 7#i7 communicat+ to law en=cem5t & family memb]s ( ! pati5t or c>egiv]s ( ! pati5t ab\t ! admission ( ! pati5t to receive c>e at a facility or ! release ( a pati5t :o 0 admitt$ to a facility = an em]g5cy psy*iatric hold or involunt>y treatm5t4 7b7 ,coord9ation ,! ,secret>y ( ,heal? & ,human ,s]vices %all c>ry out ?is section 9 coord9ation ) ! ,director ( ! ,(fice = ,civil ,rights )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 7c7 ,consi/5cy ) guidance ,! ,secret>y ( ,heal? & ,human ,s]vices %all ensure t ! regulations "u ?is section are consi/5t ) ! guidance entitl$ ,,hipaa ,privacy ,rule & ,%>+ ,in=mation ,relat$ to ,m5tal ,heal?1 issu$ by ! ,dep>tm5t ( ,heal? & ,human ,s]vices on ,febru>y #bj1 #bjad4 #djd4 ,developm5t & dissem9ation ( model tra9+ programs 7a7 ,initial programs & mat]ials ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is section ref]r$ to z ! ,secret>y7 %all develop & dissem9ate-- 7#a7 a model program & mat]ials = tra9+ heal? c>e provid]s 7includ+ physicians1 em]g5cy m$ical p]sonnel1 psy*ologi/s1 c\nselors1 !rapi/s1 behavioral heal? facilities & cl9ics1 c>e manag]s1 & hospitals7 reg>d+ ! circum/ances "u :i*1 consi/5t ) ! /&>ds gov]n+ ! privacy & security ( individually id5tifiable heal? in=mation promulgat$ by ! ,secret>y "u subp>t ,c ( title ,,xi ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;d et seq47 & regulations promulgat$ pursuant to section #bfd7;c7 ( ! ,heal? ,insurance ,portability & ,acc\ntability ,act ( #aiif 7#db ,u4,s4,c4 #acbj;d-#b note71 ! protect$ heal? in=mation ( pati5ts ) a m5tal illness may be disclos$ ) & )\t pati5t cons5t2 7#b7 a model program & mat]ials = tra9+ lawy]s & o!rs 9 ! legal pr(ession on su* circum/ances2 & 7#c7 a model program & mat]ials = tra9+ pati5ts & _! families reg>d+ _! rights to protect & obta9 in=mation "u ! /&>ds specifi$ 9 p>agraph 7#a74 7b7 ,p]iodic updates ,! ,secret>y %all-- 7#a7 p]iodically review & update ! model programs & mat]ials develop$ "u subsection 7a72 & 7#b7 dissem9ate ! updat$ model programs & mat]ials4 7c7 ,cont5ts ,! programs & mat]ials develop$ "u subsection 7a7 %all address ! guidance entitl$ ,,hipaa ,privacy ,rule & ,%>+ ,in=mation ,relat$ to ,m5tal ,heal?1 issu$ by ! ,dep>tm5t ( ,heal? & ,human ,s]vices on ,febru>y #bj1 #bjad4 7d7 ,coord9ation ,! ,secret>y %all c>ry out ?is section 9 coord9ation ) ! ,director ( ! ,(fice = ,civil ,rights )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 & ! heads ( o!r relevant ag5cies )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 7e7 ,input ( c]ta9 entities ,9 develop+ ! model programs & mat]ials requir$ by subsections 7a7 & 7b71 ! ,secret>y %all solicit ! input ( relevant national1 ,/ate1 & local associations1 m$ical societies1 & lic5s+ bo>ds4 7f7 ,fund+ ,!re are au?oriz$ to be appropriat$ to c>ry out ?is section #d1jjj1jjj = fiscal ye> #bjah1 #b1jjj1jjj = ea* ( fiscal ye>s #bjai & #bjbj1 & #a1jjj1jjj = ea* ( fiscal ye>s #bjba & #bjbb4 ,v ,increas+ ,access to ,treatm5t = ,s]i\s ,m5tal ,illness #eja4 ,ass]tive community treatm5t grant program = individuals ) s]i\s m5tal illness ,"p ,b ( title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb et seq47 is am5d$ by ins]t+ aft] section #ebj,l ! foll[+3 #ebj,m4 ,ass]tive community treatm5t grant program = individuals ) s]i\s m5tal illness 7a7 ,9 g5]al ,! ,assi/ant ,secret>y %all aw>d grants to eligible entities-- 7#a7 to e/abli% ass]tive community treatm5t programs = individuals ) s]i\s m5tal illness2 or 7#b7 to ma9ta9 or exp& su* programs4 7b7 ,eligible entities ,to be eligible to receive a grant "u ?is section1 an entity %all be a ,/ate1 c\nty1 city1 tribe1 tribal organization1 m5tal heal? sy/em1 heal? c>e facility1 or any o!r entity ! ,assi/ant ,secret>y deems appropriate4 7c7 ,special ,consid]ation ,9 select+ among applicants = a grant "u ?is section1 ! ,assi/ant ,secret>y may give special consid]ation to ! pot5tial ( ! applicant's program to r$uce hospitalization1 homelessness1 & involvem5t ) ! crim9al ju/ice sy/em :ile improv+ ! heal? & social outcomes ( ! pati5t4 7d7 ,additional ,activities ,! ,assi/ant ,secret>y %all-- 7#a7 n lat] ?an ! end ( fiscal ye> #bjba1 submit a report to ! appropriate congressional committees on ! grant program "u ?is section1 includ+ an evaluation (-- 7,a7 co/ sav+s & public heal? outcomes su* z mortality1 suicide1 sub/ance abuse1 hospitalization1 & use ( s]vices2 7,b7 rates ( involvem5t ) ! crim9al ju/ice sy/em ( pati5ts2 7,c7 rates ( homelessness among pati5ts2 & 7,d7 pati5t & family satisfaction ) program p>ticipation2 & 7#b7 provide appropriate in=mation1 tra9+1 & te*nical assi/ance to grant recipi5ts "u ?is section to help su* recipi5ts to e/abli%1 ma9ta91 or exp& _! ass]tive community treatm5t programs4 7e7 ,au?orization ( appropriations 7#a7 ,9 g5]al ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ #e1jjj1jjj = ! p]iod ( fiscal ye>s #bjah ?r\gh #bjbb4 7#b7 ,use ( ,c]ta9 ,funds ,( ! funds appropriat$ to c>ry out ?is section 9 any fiscal ye>1 no m ?an #e p]c5t %all be available to ! ,assi/ant ,secret>y = c>ry+ out subsection 7d74 4 #ejb4 ,/r5g!n+ community crisis response sy/ems ,section #ebj;,f ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cg7 is am5d$ to read z foll[s3 #ebj;,f4 ,/r5g!n+ community crisis response sy/ems 7a7 ,9 g5]al ,! ,secret>y %all aw>d competitive grants-- 7#a7 to ,/ate & local gov]nm5ts & ,indian tribes & tribal organizations to enhance community-bas$ crisis response sy/ems2 or 7#b7 to ,/ates to develop1 ma9ta91 or enhance a database ( b$s at inpati5t psy*iatric facilities1 crisis /abilization units1 & resid5tial community m5tal heal? & resid5tial sub/ance use disord] treatm5t facilities1 = individuals ) s]i\s m5tal illness1 s]i\s emotional di/urbance1 or sub/ance use disord]s4 7b7 ,application 7#a7 ,9 g5]al ,to receive a grant or coop]ative agreem5t "u subsection 7a71 an entity %all submit to ! ,secret>y an application1 at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7#b7 ,community-bas$ crisis response plan ,an application = a grant "u subsection 7a77#a7 %all include a plan =-- 7,a7 promot+ integration & coord9ation betwe5 local public & private entities engag$ 9 crisis response1 includ+ fir/ respond]s1 em]g5cy heal? c>e provid]s1 prim>y c>e provid]s1 law en=cem5t1 c\rt sy/ems1 heal? c>e pay]s1 social s]vice provid]s1 & behavioral heal? provid]s2 7,b7 develop+ a plan = ent]+ into memor&a ( und]/&+ ) public & private entities to implem5t crisis response s]vices2 7,c7 exp&+ ! cont9uum ( community-bas$ s]vices to address crisis int]v5tion & prev5tion2 & 7,d7 develop+ models = m9imiz+ hospital readmissions1 includ+ ?r\gh appropriate dis*>ge plann+4 7#c7 ,b$s database plan ,an application = a grant "u subsection 7a77#b7 %all include a plan = develop+1 ma9ta9+1 or enhanc+ a real-"t ,int]net-bas$ b$ database to collect1 aggregate1 & display in=mation ab\t b$s 9 inpati5t psy*iatric facilities & crisis /abilization units1 & resid5tial community m5tal heal? & resid5tial sub/ance use disord] treatm5t facilities1 to facilitate ! id5tification & designation ( facilities = ! tempor>y treatm5t ( individuals 9 m5tal or sub/ance use disord] crisis4 7c7 ,database requirem5ts ,a b$ database describ$ 9 ?is section is a database t-- 7#a7 includes in=mation on inpati5t psy*iatric facilities1 crisis /abilization units1 & resid5tial community m5tal heal? & resid5tial sub/ance use disord] facilities 9 ! ,/ate involv$1 includ+ contact in=mation = ! facility or unit2 7#b7 provides real-"t in=mation ab\t ! numb] ( b$s available at ea* facility or unit &1 = ea* available b$1 ! type ( pati5t t may be admitt$1 ! level ( security provid$1 & any o!r in=mation t may be necess>y to all[ = ! prop] id5tification ( appropriate facilities = treatm5t ( individuals 9 m5tal or sub/ance use disord] crisis2 & 7#c7 enables se>*es ( ! database to id5tify available b$s t are appropriate = ! treatm5t ( individuals 9 m5tal or sub/ance use disord] crisis4 7d7 ,evaluation ,an entity receiv+ a grant "u subsection 7a77#a7 %all submit to ! ,secret>y1 at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may reasonably require1 a report1 includ+ an evaluation ( ! effect ( su* grant on-- 7#a7 local crisis response s]vices & measures ( individuals receiv+ crisis plann+ & e>ly int]v5tion supports2 7#b7 individuals report+ improv$ functional outcomes2 & 7#c7 individuals receiv+ regul> foll[up c>e foll[+ a crisis4 7e7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section1 #e1jjj1jjj = ! p]iod ( fiscal ye>s #bjah ?r\gh #bjbb4 4 #ejc4 ,increas$ & ext5d$ fund+ = assi/$ outpati5t grant program = individuals ) s]i\s m5tal illness ,section #bbd7;g7 ( ! ,protect+ ,access to ,m$ic>e ,act ( #bjad 7#db ,u4,s4,c4 #bij;aa note7 is am5d$-- 7#a7 9 p>agraph 7#a71 by /rik+ #bjah & ins]t+ #bjbb2 & 7#b7 9 p>agraph 7#b71 by /rik+ is au?oriz$ to be appropriat$ to c>ry out ?is section #ae1jjj1jjj = ea* ( fiscal ye>s #bjae ?r\gh #bjah & ins]t+ are au?oriz$ to be appropriat$ to c>ry out ?is section #ae1jjj1jjj = ea* ( fiscal ye>s #bjae ?r\gh #bjag1 #bj1jjj1jjj = fiscal ye> #bjah1 #ai1jjj1jjj = ea* ( fiscal ye>s #bjai & #bjbj1 & #ah1jjj1jjj = ea* ( fiscal ye>s #bjba & #bjbb4 #ejd4 ,liability protections = heal? pr(essional volunte]s at community heal? c5t]s ,section #bbd ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bcc7 is am5d$ by add+ at ! end ! foll[+3 7q7 7#a7 ,= purposes ( ?is section1 a heal? pr(essional volunte] at an entity describ$ 9 subsection 7g77#d7 %all1 9 provid+ a heal? pr(essional s]vice eligible = fund+ "u section #ccj 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#d77;,c74 ,! prec$+ s5t5ce is subject to ! provisions ( ?is subsection4 7#b7 ,9 provid+ a heal? s]vice to an individual1 a heal? c>e practition] %all = purposes ( ?is subsection be consid]$ to be a heal? pr(essional volunte] at an entity describ$ 9 subsection 7g77#d7 if ! foll[+ conditions are met3 7,a7 ,! s]vice is provid$ to ! individual at ! facilities ( an entity describ$ 9 subsection 7g77#d71 or ?r\gh (fsite programs or ev5ts c>ri$ out by ! entity4 7,b7 ,! entity is sponsor+ ! heal? c>e practition] pursuant to p>agraph 7#c77;,b74 7,c7 ,! heal? c>e practition] 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$]al or ,/ate heal? b5efits program71 except t ! heal? c>e practition] may receive repaym5t f ! entity describ$ 9 subsection 7g77#d7 = reasonable exp5ses incurr$ by ! heal? c>e practition] 9 ! provision ( ! s]vice to ! individual4 7,d7 ,be=e ! s]vice is provid$1 ! heal? c>e practition] or ! entity describ$ 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 practition] is limit$ pursuant to ?is subsection4 7,e7 ,at ! "t ! s]vice is provid$1 ! heal? c>e practition] is lic5s$ or c]tifi$ 9 accordance ) applicable law reg>d+ ! provision ( ! s]vice4 7#c7 ,subsection 7g7 7o!r ?an p>agraphs 7#c7 & 7#e77 & subsections 7h71 7i71 & 7l7 apply to a heal? c>e practition] = 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#d7 & subject to ! foll[+3 7,a7 ,! fir/ s5t5ce ( p>agraph 7#a7 applies 9 lieu ( ! fir/ s5t5ce ( subsection 7g77#a77;,a74 7,b7 ,) respect to an entity describ$ 9 subsection 7g77#d71 a heal? c>e practition] is n a heal? pr(essional volunte] at su* entity unless ! entity sponsors ! heal? c>e practition]4 ,= purposes ( ?is subsection1 ! entity %all be consid]$ to be sponsor+ ! heal? c>e practition] if-- 7i7 ) respect to ! heal? c>e practition]1 ! entity 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 practition] is deem$ to be an employee ( ! ,public ,heal? ,s]vice4 7,c7 ,9 ! case ( a heal? c>e practition] :o is det]m9$ by ! ,secret>y pursuant to subsection 7g77#a77;,e7 to be a heal? pr(essional volunte] at su* entity1 ?is subsection applies to ! heal? c>e practition] 7) respect to s]vices p]=m$ on behalf ( ! entity sponsor+ ! heal? c>e practition] pursuant to subp>agraph 7,b77 = any cause ( action aris+ f an act or omission ( ! heal? c>e practition] occurr+ on or aft] ! date on :i* ! ,secret>y makes su* det]m9ation4 7,d7 ,subsection 7g77#a77;,f7 applies to a heal? c>e practition] = purposes ( ?is subsection only to ! ext5t t1 9 provid+ heal? s]vices to an individual1 ea* ( ! conditions specifi$ 9 p>agraph 7#b7 is met4 7#d7 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 subsection4 7,b7 ,n lat] ,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? pr(essional volunte]s1 w be paid pursuant to ?is section dur+ ! cal5d> ye> t beg9s 9 ! foll[+ fiscal ye>4 ,subsection 7k77#a77;,b7 applies to ! e/imate "u ! prec$+ s5t5ce reg>d+ heal? pr(essional volunte]s to ! same ext5t & 9 ! same mann] z su* subsection applies to ! e/imate "u su* subsection reg>d+ (fic]s1 gov]n+ bo>d memb]s1 employees1 & contractors ( entities describ$ 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#e7 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#c77;,b72 & 7ii7 reports "u p>agraph 7#d77;,b7 may be submitt$ to ! ,congress4 4 ,,vi ,support+ ,innovative & ,evid5ce-,bas$ ,programs ,a ,enc\rag+ ! ,advancem5t1 ,incorporation1 & ,developm5t ( ,evid5ce-,bas$ ,practices #fja4 ,enc\rag+ innovation & evid5ce-bas$ programs ,section #eja;,b ( ! ,public ,heal? ,s]vice ,act1 z ins]t$ by section #ajc1 is fur!r am5d$1 by ins]t+ aft] subsection 7c7 ! foll[+ new subsection3 7d7 ,promot+ innovation 7#a7 ,9 g5]al ,! ,assi/ant ,secret>y1 9 coord9ation ) ! ,laboratory1 may aw>d grants to ,/ates1 local gov]nm5ts1 ,indian tribes or tribal organizations 7z su* t]ms are def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act71 educational in/itutions1 & nonpr(it organizations to develop evid5ce-bas$ int]v5tions1 includ+ culturally & l+ui/ically appropriate s]vices1 z appropriate1 =-- 7,a7 evaluat+ a model t has be5 sci5tifically demon/rat$ to %[ promise1 b w\ld b5efit f fur!r appli$ developm5t1 =-- 7i7 enhanc+ ! prev5tion1 diagnosis1 int]v5tion1 treatm5t1 & recov]y ( m5tal illness1 s]i\s emotional di/urbance1 sub/ance use disord]s1 & co-occurr+ illness or disord]s2 or 7ii7 integrat+ or coord9at+ physical heal? s]vices & m5tal illness & sub/ance use disord] s]vices2 & 7,b7 exp&+1 replicat+1 or scal+ evid5ce-bas$ programs across a wid] area to enhance effective scre5+1 e>ly diagnosis1 int]v5tion1 & treatm5t ) respect to m5tal illness1 s]i\s m5tal illness1 & s]i\s emotional di/urbance1 prim>ily by-- 7i7 apply+ deliv]y ( c>e1 includ+ tra9+ /aff 9 effective evid5ce-bas$ treatm5t2 or 7ii7 integrat+ models ( c>e across specialties & jurisdictions4 7#b7 ,consultation ,9 aw>d+ grants "u ?is p>agraph1 ! ,assi/ant ,secret>y %all1 z appropriate1 consult ) ! advisory c\ncils describ$ 9 section #ejb1 ! ,national ,in/itute ( ,m5tal ,heal?1 ! ,national ,in/itute on ,drug ,abuse1 & ! ,national ,in/itute on ,alcohol ,abuse & ,alcoholism1 z appropriate4 7#c7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$-- 7,a7 to c>ry out p>agraph 7#a77;,a71 #g1jjj1jjj = ! p]iod ( fiscal ye>s #bjah ?r\gh #bjbj2 & 7,b7 to c>ry out p>agraph 7#a77;,b71 #g1jjj1jjj = ! p]iod ( fiscal ye>s #bjah ?r\gh #bjbj4 4 #fjb4 ,promot+ access to in=mation on evid5ce-bas$ programs & practices ,"p ,d ( title ,v ( ! ,public ,heal? ,s]vice ,act is am5d$ by ins]t+ aft] section #edc ( su* ,act 7#db ,u4,s4,c4 #bij;dd-#b 7 ! foll[+3 #edd4 ,promot+ access to in=mation on evid5ce-bas$ programs & practices 7a7 ,9 g5]al ,! ,assi/ant ,secret>y %all improve access to reliable & valid in=mation on evid5ce-bas$ programs & practices1 includ+ in=mation on ! /r5g? ( evid5ce associat$ ) su* programs & practices1 relat$ to m5tal illness & sub/ance use disord]s = ,/ates1 local communities1 nonpr(it entities1 & o!r /akehold]s by po/+ on ! website ( ! ,national ,regi/ry ( ,evid5ce-,bas$ ,programs & ,practices evid5ce-bas$ programs & practices t h be5 review$ by ! ,assi/ant ,secret>y pursuant to ! requirem5ts ( ?is section4 7b7 ,notice 7#a7 ,p]iods ,9 c>ry+ out subsection 7a71 ! ,assi/ant ,secret>y may e/abli% an initial p]iod = ! submission ( applications = evid5ce-bas$ programs & practices to be po/$ publicly 9 accordance ) subsection 7a7 7& may e/abli% subsequ5t su* p]iods74 ,! ,assi/ant ,secret>y %all publi% notice ( su* application p]iods 9 ! ,f$]al ,regi/]4 7#b7 ,address+ gaps ,su* notice may solicit applications = evid5ce-bas$ practices & programs to address gaps 9 in=mation id5tifi$ by ! ,assi/ant ,secret>y1 ! ,assi/ant ,secret>y = ,plann+ & ,evaluation1 ! ,assi/ant ,secret>y = ,f9ancial ,res\rces1 or ! ,national ,m5tal ,heal? & ,sub/ance ,use ,policy ,laboratory1 includ+ pursuant to priorities id5tifi$ 9 ! /rategic plan e/abli%$ "u section #eja7l74 7c7 ,requirem5ts ,! ,assi/ant ,secret>y %all e/abli% m9imum requirem5ts = applications ref]r$ to 9 ?is section1 includ+ applications relat$ to ! submission ( rese>* & evaluation4 7d7 ,review & rat+ ,! ,assi/ant ,secret>y %all review applications prior to public po/+1 & may prioritize ! review ( applications = evid5ce-bas$ practices & programs t are relat$ to topics includ$ 9 ! notice e/abli%$ "u subsection 7b74 ,! ,assi/ant ,secret>y %all utilize a rat+ & review sy/em1 :i* %all include in=mation on ! /r5g? ( evid5ce associat$ ) su* programs & practices & a rat+ ( ! me?odological rigor ( ! rese>* support+ ! application4 ,! ,assi/ant ,secret>y %all make ! metrics us$ to evaluate applications & ! result+ rat+s publicly available4 4 #fjc4 ,s5se ( ,congress ,x is ! s5se ( ! ,congress t ! ,national ,in/itute ( ,m5tal ,heal? %\ld conduct or support rese>* on ! det]m9ants ( self-direct$ & o!r viol5ce connect$ to m5tal illness4 ,b ,support+ ! ,/ate ,response to ,m5tal ,heal? ,ne$s #faa4 ,community ,m5tal ,heal? ,s]vices ,block ,grant 7a7 ,=mula grants ,section #aiaa7;b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx7b77 is am5d$-- 7#a7 by r$esignat+ p>agraphs 7#a7 ?r\gh 7#c7 z p>agraphs 7#b7 ?r\gh 7#d71 respectively2 & 7#b7 by ins]t+ be=e p>agraph 7#b7 7z s r$esignat$71 ! foll[+3 7#a7 provid+ community m5tal heal? s]vices = adults ) a s]i\s m5tal illness & *ildr5 ) a s]i\s emotional di/urbance z def9$ 9 accordance ) section #aiab7;c72 4 7b7 ,/ate plan ,subsection 7b7 ( section #aiab ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#a7 is am5d$ to read z foll[s3 7b7 ,crit]ia = ,plan ,! crit]ia specifi$ 9 ?is subsection are z foll[s3 7#a7 ,sy/em ( c>e ,! plan provides a description ( ! sy/em ( c>e ( ! ,/ate1 includ+ z foll[s3 7,a7 ,compreh5sive community-bas$ heal? sy/ems ,! plan %all-- 7i7 id5tify ! s+le ,/ate ag5cy to be responsible = ! adm9i/ration ( ! program "u ! grant & any ?ird p>ty ) :om ! ag5cy w contract 7subject to su* ?ird p>ty comply+ ) ! requirem5ts ( ?is "p7 = adm9i/]+ m5tal heal? s]vices ?r\gh su* program2 7ii7 provide = an organiz$ community-bas$ sy/em ( c>e = individuals ) m5tal illness1 & describe available s]vices & res\rces 9 a compreh5sive sy/em ( c>e1 includ+ s]vices = individuals ) m5tal heal? & behavioral heal? co-occurr+ illness or disord]s2 7iii7 include a description ( ! mann] 9 :i* ! ,/ate & local entities w coord9ate s]vices to maximize ! effici5cy1 effectiv5ess1 quality1 & co/ effectiv5ess ( s]vices & programs to produce ! be/ possible outcomes 7includ+ heal? s]vices1 rehabilitation s]vices1 employm5t s]vices1 h\s+ s]vices1 educational s]vices1 sub/ance use disord] s]vices1 legal s]vices1 law en=cem5t s]vices1 social s]vices1 *ild welf>e s]vices1 m$ical & d5tal c>e s]vices1 & o!r support s]vices to be provid$ ) ,f$]al1 ,/ate1 & local public & private res\rces7 ) o!r ag5cies to enable individuals receiv+ s]vices to function outside ( inpati5t or resid5tial in/itutions1 to ! maximum ext5t ( _! capabilities1 includ+ s]vices to be provid$ by local s*ool sy/ems "u ! ,individuals ) ,disabilities ,education ,act2 7iv7 include a description ( h[ ! ,/ate-- 7,i7 promotes evid5ce-bas$ practices1 includ+ ^? evid5ce-bas$ programs t address ! ne$s ( individuals ) e>ly s]i\s m5tal illness reg>dless ( ! age ( ! individual at onset2 7,,ii7 provides compreh5sive individualiz$ treatm5t2 or 7,,iii7 integrates m5tal & physical heal? s]vices2 7v7 include a description ( case managem5t s]vices 9 ! ,/ate2 7vi7 include a description ( activities t seek to engage individuals ) s]i\s m5tal illness or s]i\s emotional di/urbance & _! c>egiv]s :]e appropriate 9 mak+ heal? c>e decisions1 includ+ activities t enhance communication betwe5 individuals1 families1 c>egiv]s1 & treatm5t provid]s2 & 7vii7 z appropriate to & reflective ( ! uses ! ,/ate proposes = ! block grant monies-- 7,i7 a description ( ! activities int5d$ to r$uce hospitalizations & hospital /ays us+ ! block grant monies2 7,,ii7 a description ( ! activities int5d$ to r$uce incid5ts ( suicide us+ ! block grant monies2 & 7,,iii7 a description ( h[ ! ,/ate integrates m5tal heal? & prim>y c>e us+ ! block grant monies4 7,b7 ,m5tal heal? sy/em data & epidemiology ,! plan %all conta9 an e/imate ( ! incid5ce & preval5ce 9 ! ,/ate ( s]i\s m5tal illness among adults & s]i\s emotional di/urbance among *ildr5 & pres5ts quantitative t>gets & outcome measures = programs & s]vices provid$ "u ?is subp>t4 7,c7 ,*ildr5's s]vices ,9 ! case ( *ildr5 ) s]i\s emotional di/urbance 7z def9$ 9 accordance ) subsection 7c771 ! plan %all provide = a sy/em ( integrat$ social s]vices1 educational s]vices1 *ild welf>e s]vices1 juv5ile ju/ice s]vices1 law en=cem5t s]vices1 & sub/ance use disord] s]vices t1 toge!r ) heal? & m5tal heal? s]vices1 w be provid$ 9 ord] = su* *ildr5 to receive c>e appropriate = _! multiple ne$s 7su* sy/em to include s]vices provid$ "u ! ,individuals ) ,disabilities ,education ,act74 7,d7 ,t>get$ s]vices to rural & homeless populations ,! plan %all describe ! ,/ate's outrea* to & s]vices = individuals :o are homeless & h[ community-bas$ s]vices w be provid$ to individuals resid+ 9 rural areas4 7,e7 ,managem5t s]vices ,! plan %all-- 7i7 describe ! f9ancial res\rces available1 ! exi/+ m5tal heal? work=ce1 & ! work=ce tra9$ 9 treat+ individuals ) co-occurr+ m5tal illness & sub/ance use disord]s2 7ii7 provide = ! tra9+ ( provid]s ( em]g5cy heal? s]vices reg>d+ m5tal heal?2 7iii7 describe ! mann] 9 :i* ! ,/ate int5ds to exp5d ! grant "u section #aiaa = ! fiscal ye> involv$2 & 7iv7 describe ! mann] 9 :i* ! ,/ate int5ds to comply ) ea* ( ! fund+ agreem5ts 9 ?is subp>t & subp>t ,,iii4 7#b7 ,goals & objectives ,! plan e/abli%es goals & objectives = ! p]iod ( ! plan1 includ+ t>gets & mile/ones t are int5d$ to be met1 & ! activities t w be und]tak5 to a*ieve ^? goals & objectives4 4 7c7 ,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 ,a ,/ate %all exp5d n less ?an #aj p]c5t ( ! am\nt ! ,/ate receives = c>ry+ out ?is subp>t 9 ea* fiscal ye> to support evid5ce-bas$ programs t address ! ne$s ( individuals ) e>ly s]i\s m5tal illness1 includ+ psy*otic disord]s1 reg>dless ( ! age ( ! individual at ! onset ( su* illness4 4 7d7 ,additional provisions ,section #aiae7;b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#d7;b77 is am5d$-- 7#a7 by am5d+ p>agraph 7#a7 to read z foll[s3 7#a7 ,9 g5]al ,a fund+ agreem5t = a grant "u section #aiaa is t ! ,/ate involv$ w ma9ta9 ,/ate exp5ditures = community m5tal heal? s]vices at a level t is n less ?an ! av]age ( ! am\nts prescrib$ by ?is p>agraph 7prior to any waiv] "u p>agraph 7#c77 = su* exp5ditures by su* ,/ate = ea* ( ! #b fiscal ye>s imm$iately prec$+ ! fiscal ye> = :i* ! ,/ate is apply+ = ! grant4 2 7#b7 9 p>agraph 7#b7-- 7,a7 by /rik+ "u subsection 7a7 & ins]t+ specifi$ 9 p>agraph 7#a72 & 7,b7 by /rik+ pr9ciple & ins]t+ pr9cipal2 7#c7 by am5d+ p>agraph 7#c7 to read z foll[s3 7#c7 ,waiv] 7,a7 ,9 g5]al ,! ,secret>y may1 ^u ! reque/ ( a ,/ate1 waive ! requirem5t e/abli%$ 9 p>agraph 7#a7 9 :ole or 9 "p1 if ! ,secret>y det]m9es t extraord9>y economic conditions 9 ! ,/ate 9 ! fiscal ye> involv$ or 9 ! previ\s fiscal ye> ju/ify ! waiv]4 7,b7 ,date c]ta9 = action ^u reque/ ,! ,secret>y %all approve or d5y a reque/ = a waiv] "u ?is p>agraph n lat] ?an #abj days aft] ! date on :i* ! reque/ is made4 7,c7 ,applicability ( waiv] ,a waiv] provid$ by ! ,secret>y "u ?is p>agraph %all be applicable only to ! fiscal ye> involv$4 2 & 7#d7 9 p>agraph 7#d7-- 7,a7 by am5d+ subp>agraph 7,a7 to read z foll[s3 7,a7 ,9 g5]al 7i7 ,det]m9ation & r$uction ,! ,secret>y %all det]m9e1 9 ! case ( ea* ,/ate1 & = ea* fiscal ye>1 :e!r ! ,/ate ma9ta9$ mat]ial compliance ) ! agreem5t made "u p>agraph 7#a74 ,if ! ,secret>y det]m9es t a ,/ate has fail$ to ma9ta9 su* compliance = a fiscal ye>1 ! ,secret>y %all r$uce ! am\nt ( ! allotm5t "u section #aiaa = ! ,/ate1 = ! fir/ fiscal ye> beg9n+ aft] su* det]m9ation is f9al1 by an am\nt equal to ! am\nt con/itut+ su* failure = ! previ\s fiscal ye> ab\t :i* ! det]m9ation 0 made4 7ii7 ,alt]native sanction ,! ,secret>y may by regulation provide = an alt]native me?od ( impos+ a sanction = a failure by a ,/ate to ma9ta9 mat]ial compliance ) ! agreem5t "u p>agraph 7#a7 if ! ,secret>y det]m9es t su* alt]native me?od w\ld be m equitable & w\ld be a m effective inc5tive = ,/ates to ma9ta9 su* mat]ial compliance4 2 & 7,b7 9 subp>agraph 7,b7-- 7i7 by ins]t+ aft] ! subp>agraph designation ! foll[+3 ,submission ( in=mation to ! secret>y4--2 & 7ii7 by /rik+ subp>agraph 7,a7 & ins]t+ subp>agraph 7,a77i74 7e7 ,application = grant ,section #aiag7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#f7;a77 is am5d$-- 7#a7 9 p>agraph 7#a71 by /rik+ #aida & ins]t+ #aidb7;a72 & 7#b7 9 p>agraph 7#e71 by /rik+ #aiae7;b77#c77;,b7 & ins]t+ #aiae7;b74 ,c ,/r5g!n+ ,m5tal ,heal? ,c>e = ,*ildr5 & ,adolesc5ts #fba4 ,tele-m5tal heal? c>e access grants ,title ,,iii ( ! ,public ,heal? ,s]vice ,act is am5d$ by ins]t+ aft] section #ccj,l ( su* ,act 7#db ,u4,s4,c4 #bed;c-#ah7 ! foll[+ new section3 #ccj,m4 ,tele-m5tal heal? c>e access grants 7a7 ,9 ,g5]al ,! ,secret>y1 act+ ?r\gh ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration & 9 coord9ation ) o!r relevant ,f$]al ag5cies1 %all aw>d grants to ,/ates1 political subdivisions ( ,/ates1 ,indian tribes1 & tribal organizations 7= purposes ( ?is section1 z su* t]ms are def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #dej;b77 to promote behavioral heal? integration 9 p$iatric prim>y c>e by-- 7#a7 support+ ! developm5t ( /atewide *ild m5tal heal? c>e access programs2 & 7#b7 support+ ! improvem5t ( exi/+ /atewide *ild m5tal heal? c>e access programs4 7b7 ,program ,requirem5ts 7#a7 ,9 g5]al ,a *ild m5tal heal? c>e access program ref]r$ to 9 subsection 7a71 ) respect to :i* a grant "u su* subsection may be us$1 %all-- 7,a7 be a /atewide network ( p$iatric m5tal heal? teams t provide support to p$iatric prim>y c>e sites z an integrat$ team2 7,b7 support & fur!r develop organiz$ ,/ate networks ( *ild & adolesc5t psy*iatri/s & psy*ologi/s to provide consultative support to p$iatric prim>y c>e sites2 7,c7 conduct an assessm5t ( critical behavioral consultation ne$s among p$iatric provid]s & su* provid]s' pref]r$ me*anisms = receiv+ consultation & tra9+ & te*nical assi/ance2 7,d7 develop an onl9e database & communication me*anisms1 includ+ teleheal?1 to facilitate consultation support to p$iatric practices2 7,e7 provide rapid /atewide cl9ical telephone or teleheal? consultations :5 reque/$ betwe5 ! p$iatric m5tal heal? teams & p$iatric prim>y c>e provid]s2 7,f7 conduct tra9+ & provide te*nical assi/ance to p$iatric prim>y c>e provid]s to support ! e>ly id5tification1 diagnosis1 treatm5t1 & ref]ral ( *ildr5 ) behavioral heal? conditions or co-occurr+ intellectual & o!r developm5tal disabilities2 7,g7 provide in=mation to p$iatric provid]s ab\t1 & assi/ p$iatric provid]s 9 access+1 *ild psy*iatry & psy*ology consultations & 9 s*$ul+ & conduct+ te*nical assi/ance2 7,h7 assi/ ) ref]rals to specialty c>e & community or behavioral heal? res\rces2 & 7,i7 e/abli% me*anisms = measur+ & monitor+ increas$ access to *ild & adolesc5t psy*iatric & psy*ology s]vices by p$iatric prim>y c>e provid]s & exp&$ capacity ( p$iatric prim>y c>e provid]s to id5tify1 treat1 & ref] *ildr5 ) m5tal heal? problems4 7#b7 ,p$iatric m5tal heal? teams ,9 ?is subsection1 ! t]m p$iatric m5tal heal? team means a team ( case coord9ators1 *ild & adolesc5t psy*iatri/s1 & lic5s$ cl9ical m5tal heal? pr(essionals1 su* z a psy*ologi/1 social work]1 or m5tal heal? c\nselor4 7c7 ,application ,a ,/ate1 political subdivision ( a ,/ate1 ,indian tribe1 or tribal organization seek+ a grant "u ?is section %all submit an application to ! ,secret>y at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require1 includ+ a plan = ! rigor\s evaluation ( activities t are c>ri$ out ) funds receiv$ "u su* grant4 7d7 ,evaluation ,a ,/ate1 political subdivision ( a ,/ate1 ,indian tribe1 or tribal organization t receives a grant "u ?is section %all prep>e & submit an evaluation ( activities c>ri$ out ) funds receiv$ "u su* grant to ! ,secret>y at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may reasonably require1 includ+ a process & outcome evaluation4 7e7 ,mat*+ ,requirem5t ,! ,secret>y may n aw>d a grant "u ?is section unless ! ,/ate1 political subdivision ( a ,/ate1 ,indian tribe1 or tribal organization involv$ agrees1 ) respect to ! co/s to be incurr$ by ! ,/ate1 political subdivision ( a ,/ate1 ,indian tribe1 or tribal organization 9 c>ry+ out ! purpose describ$ 9 ?is section1 to make available non-,f$]al contributions 79 ca% or 9 k9d7 t[>d su* co/s 9 an am\nt t is n less ?an #bj p]c5t ( ,f$]al funds provid$ 9 ! grant4 7f7 ,au?orization ( appropriations ,to c>ry ?is section1 !re are au?oriz$ to be appropriat$ #i1jjj1jjj = ! p]iod ( fiscal ye>s #bjah ?r\gh #bjbj4 4 #fbb4 ,infant & e>ly *ildhood m5tal heal? promotion1 int]v5tion1 & treatm5t ,"p ,q ( title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;h et seq47 is am5d$ by add+ at ! end ! foll[+3 #cii,z-#b4 ,infant & e>ly *ildhood m5tal heal? promotion1 int]v5tion1 & treatm5t 7a7 ,grants ,! ,secret>y %all-- 7#a7 aw>d grants to eligible entities1 includ+ human s]vices ag5cies1 to develop1 ma9ta91 or enhance infant & e>ly *ildhood m5tal heal? promotion1 int]v5tion1 & treatm5t programs1 includ+-- 7,a7 programs = infants & *ildr5 at significant risk ( develop+1 %[+ e>ly signs (1 or hav+ be5 diagnos$ ) m5tal illness includ+ s]i\s emotional di/urbance2 & 7,b7 multig5]ational !rapy & o!r s]vices t support ! c>egiv+ relation%ip2 & 7#b7 ensure t programs fund$ ?r\gh grants "u ?is section are evid5ce-in=m$ or evid5ce-bas$ models1 practices1 & me?ods t are1 z appropriate1 culturally & l+ui/ically appropriate1 & c be replicat$ 9 o!r appropriate sett+s4 7b7 ,eligible *ildr5 & entities ,9 ?is section3 7#a7 ,eligible *ild ,! t]m eligible *ild means a *ild f bir? to n m ?an #e ye>s ( age :o-- 7,a7 is at risk =1 %[s e>ly signs (1 or has be5 diagnos$ ) a m5tal illness1 includ+ s]i\s emotional di/urbance2 & 7,b7 may b5efit f infant & e>ly *ildhood int]v5tion or treatm5t programs or specializ$ pres*ool or elem5t>y s*ool programs t are evid5ce-bas$ or t h be5 sci5tifically demon/rat$ to %[ promise b w\ld b5efit f fur!r appli$ developm5t4 7#b7 ,eligible entity ,! t]m eligible entity means a nonpr(it in/itution t-- 7,a7 is accr$it$ or approv$ by a ,/ate m5tal heal? or education ag5cy1 z applicable1 to provide = *ildr5 f infancy to #e ye>s ( age m5tal heal? promotion1 int]v5tion1 or treatm5t s]vices t are evid5ce-bas$ or t h be5 sci5tifically demon/rat$ to %[ promise b w\ld b5efit f fur!r appli$ developm5t2 & 7,b7 provides programs describ$ 9 subsection 7a7 t are evid5ce-bas$ or t h be5 sci5tifically demon/rat$ to %[ promise b w\ld b5efit f fur!r appli$ developm5t4 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 int]v5tion & treatm5t programs ,an eligible entity may use am\nts aw>d$ "u a grant "u subsection 7a77#a7 to c>ry out ! foll[+3 7#a7 ,provide age-appropriate m5tal heal? promotion & e>ly int]v5tion s]vices or m5tal illness treatm5t s]vices1 :i* may include specializ$ programs1 = eligible *ildr5 at significant risk ( develop+1 %[+ e>ly signs (1 or hav+ be5 diagnos$ ) a m5tal illness1 includ+ s]i\s emotional di/urbance4 ,su* s]vices may include social & behavioral s]vices z well z multig5]ational !rapy & o!r s]vices t support ! c>egiv+ relation%ip4 7#b7 ,provide tra9+ = heal? c>e pr(essionals ) exp]tise 9 infant & e>ly *ildhood m5tal heal? c>e ) respect to appropriate & relevant integration ) o!r discipl9es su* z prim>y c>e cl9icians1 e>ly int]v5tion speciali/s1 *ild welf>e /aff1 home visitors1 e>ly c>e & education provid]s1 & o!rs :o "w ) "y *ildr5 & families4 7#c7 ,provide m5tal heal? consultation to p]sonnel ( e>ly c>e & education programs 7includ+ lic5s$ or regulat$ c5t]-bas$ & home-bas$ *ild c>e1 home visit+1 pres*ool special education1 & e>ly int]v5tion programs7 :o "w ) *ildr5 & families4 7#d7 ,provide tra9+ = m5tal heal? cl9icians 9 infant & e>ly *ildhood 9 promis+ & evid5ce-bas$ practices & models = infant & e>ly *ildhood m5tal heal? treatm5t & e>ly int]v5tion1 includ+ ) reg>d to practices = id5tify+ & treat+ m5tal illness & behavioral disord]s ( infants & *ildr5 result+ f exposure or repeat$ exposure to adv]se *ildhood exp]i5ces or *ildhood trauma4 7#e7 ,provide age-appropriate assessm5t1 diagno/ic1 & int]v5tion s]vices = eligible *ildr51 includ+ e>ly m5tal heal? promotion1 int]v5tion1 & treatm5t s]vices4 7e7 ,mat*+ funds ,! ,secret>y 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 subsection 7d71 to make available non-,f$]al contributions 79 ca% or 9 k9d7 t[>d su* co/s 9 an am\nt t is n less ?an #aj p]c5t ( ! total am\nt ( ,f$]al funds provid$ 9 ! grant4 7f7 ,au?orization ( appropriations ,to c>ry ?is section1 !re are au?oriz$ to be appropriat$ #bj1jjj1jjj = ! p]iod ( fiscal ye>s #bjah ?r\gh #bjbb4 4 #fbc4 ,national ,*ild ,traumatic ,/ress ,initiative ,section #ehb ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;hh-#a2 relat+ to grants to address ! problems ( p]sons :o exp]i5ce viol5ce relat$ /ress7 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] t focuses on ! m5tal1 behavioral1 & biological aspects ( psy*ological trauma response2 & 7#b7 ! developm5t ( k ) reg>d to evid5ce-bas$ practices = id5tify+ & treat+ m5tal illness1 behavioral disord]s1 & physical heal? conditions ( *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+ m5tal illness & behavioral & 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$esignat+ subsections 7c7 ?r\gh 7g7 z subsections 7g7 ?r\gh 7k71 respectively2 7#d7 by ins]t+ aft] subsection 7b71 ! foll[+3 7c7 ,*ild outcome data ,! ,,nctsi coord9at+ c5t] %all collect1 analyze1 report1 & make publicly available ,,nctsi-wide *ild treatm5t process & outcome data reg>d+ ! e>ly id5tification & deliv]y ( evid5ce-bas$ treatm5t & s]vices = *ildr5 & families s]v$ by ! ,,nctsi grantees4 7d7 ,tra9+ ,! ,,nctsi coord9at+ c5t] %all facilitate ! coord9ation ( tra9+ initiatives 9 evid5ce-bas$ & trauma-in=m$ treatm5ts1 int]v5tions1 & practices (f]$ to ,,nctsi grantees1 provid]s1 & p>tn]s4 7e7 ,dissem9ation ,! ,,nctsi coord9at+ c5t] %all1 z appropriate1 collaborate ) ! ,secret>y 9 ! dissem9ation ( evid5ce-bas$ & trauma-in=m$ int]v5tions1 treatm5ts1 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$ 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$71 by /rik+ #ej1jjj1jjj & all t foll[s ?r\gh #bjjf & ins]t+ #df1hhg1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 ,,vii ,grant programs & program reau?orization ,a ,g>rett ,lee ,smi? ,memorial ,act reau?orization #gja4 ,y\? int]ag5cy rese>*1 tra9+1 & te*nical assi/ance c5t]s ,section #ebj;,c ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cd7 is am5d$-- 7#a7 by /rik+ ! section head+ & ins]t+ ,suicide prev5tion te*nical assi/ance c5t]42 7#b7 9 subsection 7a71 by /rik+ & 9 consultation ) & all t foll[s ?r\gh ! p]iod at ! end ( p>agraph 7#b7 & ins]t+ %all e/abli% a rese>*1 tra9+1 & te*nical assi/ance res\rce c5t] to provide appropriate in=mation1 tra9+1 & te*nical assi/ance to ,/ates1 political subdivisions ( ,/ates1 f$]ally recogniz$ ,indian tribes1 tribal organizations1 in/itutions ( high] education1 public organizations1 or private nonpr(it organizations reg>d+ ! prev5tion ( suicide among all ages1 p>ticul>ly among gr\ps t are at high risk = suicide42 7#c7 by /rik+ subsections 7b7 & 7c72 7#d7 by r$esignat+ subsection 7d7 z subsection 7b72 7#e7 9 subsection 7b71 z s r$esignat$-- 7,a7 by /rik+ ! subsection head+ & ins]t+ ,responsibilities ( ! c5t]4--2 7,b7 9 ! matt] prec$+ p>agraph 7#a71 by /rik+ ,! additional rese>* & all t foll[s ?r\gh nonpr(it organizations = & ins]t+ ,! c5t] e/abli%$ "u subsection 7a7 %all conduct activities = ! purpose (2 7,c7 by /rik+ y\? suicide ea* place su* t]m appe>s & ins]t+ suicide2 7,d7 9 p>agraph 7#a7-- 7i7 by /rik+ ! developm5t or cont9uation ( & ins]t+ develop+ & cont9u+2 & 7ii7 by ins]t+ = all ages1 p>ticul>ly among gr\ps t are at high risk = suicide be=e ! semicolon at ! end2 7,e7 9 p>agraph 7#b71 by ins]t+ = all ages1 p>ticul>ly among gr\ps t are at high risk = suicide be=e ! semicolon at ! end2 7,f7 9 p>agraph 7#c71 by ins]t+ & tribal aft] /atewide2 7,g7 9 p>agraph 7#e71 by ins]t+ & prev5tion aft] int]v5tion2 7,h7 9 p>agraph 7#h71 by /rik+ 9 y\?2 7,i7 9 p>agraph 7#i71 by /rik+ & behavioral heal? & ins]t+ heal? & sub/ance use disord]2 & 7,j7 9 p>agraph 7#aj71 by ins]t+ conduct+ be=e o!r2 & 7#f7 by /rik+ subsection 7e7 & ins]t+ ! foll[+3 7c7 ,au?orization ( appropriations ,= ! purpose ( c>ry+ out ?is section1 !re are au?oriz$ to be appropriat$ #e1ihh1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 7d7 ,report ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ! ,help+ ,families 9 ,m5tal ,heal? ,crisis ,act ( #bjaf1 ! ,secret>y %all submit to ,congress a report on ! activities c>ri$ out by ! c5t] e/abli%$ "u subsection 7a7 dur+ ! ye> involv$1 includ+ ! pot5tial effects ( su* activities1 & ! ,/ates1 organizations1 & in/itutions t h work$ ) ! c5t]4 4 #gjb4 ,y\? suicide e>ly int]v5tion & prev5tion /rategies ,section #ebj;,e ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cf7 is am5d$-- 7#a7 9 p>agraph 7#a7 ( subsection 7a7 & 9 subsection 7c71 by /rik+ sub/ance abuse ea* place su* t]m appe>s & ins]t+ sub/ance use disord]2 7#b7 9 subsection 7b77#b7-- 7,a7 by /rik+ ea* ,/ate is aw>d$ only #a grant or coop]ative agreem5t "u ?is section & ins]t+ a ,/ate does n receive m ?an "o grant or coop]ative agreem5t "u ?is section at any "o "t2 & 7,b7 by /rik+ be5 aw>d$ & ins]t+ receiv$2 & 7#c7 by /rik+ subsection 7m7 & ins]t+ ! foll[+3 7m7 ,au?orization ( appropriations ,= ! purpose ( c>ry+ out ?is section1 !re are au?oriz$ to be appropriat$ #ce1dbg1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 4 #gjc4 ,m5tal heal? & sub/ance use disord] s]vices on campus ,section #ebj;,e-#b ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cf;b7 is am5d$-- 7#a7 9 ! section head+1 by /rik+ & behavioral heal? & ins]t+ heal? & sub/ance use disord]2 7#b7 9 subsection 7a7-- 7,a7 by /rik+ ,s]vices1 & ins]t+ ,s]vices &2 7,b7 by /rik+ & behavioral heal? problems & ins]t+ heal? or sub/ance use disord]s2 & 7,c7 by /rik+ sub/ance abuse & ins]t+ sub/ance use disord]s2 7#c7 9 subsection 7b7-- 7,a7 9 ! matt] prec$+ p>agraph 7#a71 by /rik+ =-- & ins]t+ = "o or m ( ! foll[+32 & 7,b7 by /rik+ p>agraphs 7#a7 ?r\gh 7#f7 & ins]t+ ! foll[+3 7#a7 ,educat+ /ud5ts1 families1 faculty1 & /aff to increase aw>5ess ( m5tal heal? & sub/ance use disord]s4 7#b7 ,! op]ation ( hotl9es4 7#c7 ,prep>+ in=mational mat]ial4 7#d7 ,provid+ outrea* s]vices to notify /ud5ts ab\t available m5tal heal? & sub/ance use disord] s]vices4 7#e7 ,adm9i/]+ volunt>y m5tal heal? & sub/ance use disord] scre5+s & assessm5ts4 7#f7 ,support+ ! tra9+ ( /ud5ts1 faculty1 & /aff to respond effectively to /ud5ts ) m5tal heal? & sub/ance use disord]s4 7#g7 ,creat+ a network infra/ructure to l9k colleges & univ]sities ) heal? c>e provid]s :o treat m5tal heal? & sub/ance use disord]s4 2 7#d7 9 subsection 7c77#e71 by /rik+ sub/ance abuse & ins]t+ sub/ance use disord]2 7#e7 9 subsection 7d7-- 7,a7 9 ! matt] prec$+ p>agraph 7#a71 by /rik+ ,an in/itution ( high] education desir+ a grant "u ?is section & ins]t+ ,to be eligible to receive a grant "u ?is section1 an in/itution ( high] education2 7,b7 9 p>agraph 7#a7-- 7i7 by /rik+ & behavioral heal? & ins]t+ heal? & sub/ance use disord]2 & 7ii7 by ins]t+ 1 includ+ vet]ans :5ev] possible & appropriate1 aft] /ud5ts2 & 7,c7 9 p>agraph 7#b71 by ins]t+ 1 :i* may include1 z appropriate & 9 accordance ) subsection 7b77#g71 a plan to seek input f relevant /akehold]s 9 ! community1 includ+ appropriate public & private entities1 9 ord] to c>ry out ! program "u ! grant be=e ! p]iod at ! end2 7#f7 9 subsection 7e77#a71 by /rik+ & behavioral heal? problems & ins]t+ heal? & sub/ance use disord]s2 7#g7 9 subsection 7f77#b7-- 7,a7 by /rik+ & behavioral heal? & ins]t+ heal? & sub/ance use disord]2 & 7,b7 by /rik+ suicide & sub/ance abuse & ins]t+ suicide & sub/ance use disord]s2 & 7#h7 9 subsection 7h71 by /rik+ #e1jjj1jjj = fiscal ye> #bjje & all t foll[s ?r\gh ! p]iod at ! end & ins]t+ #f1dhh1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba44 ,b ,o!r provisions #gaa4 ,national ,suicide ,prev5tion ,lifel9e ,program ,subp>t #c ( "p ,b ( title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#ca et seq47 is am5d$ by ins]t+ aft] section #ebj;,e-#b 7#db ,u4,s4,c4 #bij;bb-#cf;b7 ! foll[+3 #ebj;,e-#c4 ,national ,suicide ,prev5tion ,lifel9e ,program 7a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,assi/ant ,secret>y1 %all ma9ta9 ! ,national ,suicide ,prev5tion ,lifel9e ,program 7ref]r$ to 9 ?is section z ! ,program71 au?oriz$ "u section #ebj;,a & 9 effect prior to ! date ( enactm5t ( ! ,help+ ,families 9 ,m5tal ,heal? ,crisis ,act ( #bjaf4 7b7 ,activities ,9 ma9ta9+ ! ,program1 ! activities ( ! ,secret>y %all include-- 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 7c7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re are au?oriz$ to be appropriat$ #g1aih1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 4 #gab4 ,work=ce developm5t /udies & reports 7a7 ,9 g5]al ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 9 consultation ) ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 %all conduct a /udy1 & publicly po/ on ! appropriate ,int]net website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices a report1 on ! m5tal heal? & sub/ance use disord] work=ce 9 ord] to in=m ,f$]al1 ,/ate1 & local ef=ts relat$ to work=ce enhancem5t4 7b7 ,cont5ts ,! report "u ?is section %all conta9-- 7#a7 national & ,/ate-level projections ( ! supply & dem& ( m5tal heal? & sub/ance use disord] heal? work]s1 includ+ ! numb] ( individuals practic+ 9 fields deem$ relevant by ! ,secret>y2 7#b7 an assessm5t ( ! m5tal heal? & sub/ance use disord] work=ce capacity1 /r5g?s1 & weaknesses z ( ! date ( ! report1 includ+ ! capacity ( prim>y c>e to prev5t1 scre51 treat1 or ref] = m5tal heal? & sub/ance use disord]s2 7#c7 in=mation on tr5ds )9 ! m5tal heal? & sub/ance use disord] provid] work=ce1 includ+ ! numb] ( individuals ent]+ ! m5tal heal? work=ce ov] ! next #e ye>s2 7#d7 in=mation on ! gaps 9 work=ce developm5t = m5tal heal? provid]s & pr(essionals1 includ+ ^? :o s]ve p$iatric1 adult1 & g]iatric pati5ts2 & 7#e7 any additional in=mation det]m9$ by ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 9 consultation ) ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 to be relevant to ! m5tal heal? & sub/ance use disord] provid] work=ce4 #gac4 ,m9ority ,fell[%ip ,program ,title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa et seq47 is 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 illness & sub/ance use disord]s among racial & e?nic m9ority populations2 7#b7 improv+ ! quality ( m5tal illness & sub/ance use disord] prev5tion & treatm5t deliv]$ to racial & e?nic m9orities2 & 7#c7 increas+ ! numb] ( culturally compet5t behavioral heal? pr(essionals & s*ool p]sonnel :o tea*1 adm9i/]1 conduct s]vices rese>*1 & provide direct m5tal heal? or sub/ance use s]vices to racial & e?nic 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 m5tal heal? c\nsel+1 & sub/ance use & addiction c\nsel+4 7c7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re are au?oriz$ to be appropriat$ #ab1ffi1jjj = ea* ( fiscal ye>s #bjag1 #bjah1 & #bjai & #ac1ffi1jjj = ea* ( fiscal ye>s #bjbj & #bjba4 4 #gad4 ,c5t] & program repeals ,"p ,b ( title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb et seq47 is am5d$ by /rik+ ! second section #ead 7#db ,u4,s4,c4 #bij;bb-#i71 relat+ to me?amphetam9e & amphetam9e treatm5t initiatives1 & sections #ead;,a1 #eag1 #eai;,a1 #eai;,c1 #eai;,e1 #ebj;,d1 & #ebj;,h 7#db ,u4,s4,c4 #bij;bb-#h1 #bij;bb-#bc1 #bij;bb-#be;a1 #bij;bb-#be;c1 #bij;bb-#be;e1 #bij;bb-#ce1 & #bij;bb-#ci74 #gae4 ,national viol5t dea? report+ sy/em ,! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 is enc\rag$ to improve1 p>ticul>ly ?r\gh ! inclusion ( additional ,/ates1 ! ,national ,viol5t ,dea? ,report+ ,sy/em z au?oriz$ by title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bda et seq474 ,p>ticipation 9 ! sy/em by ! ,/ates %all be volunt>y4 #gaf4 ,s5se ( ,congress on prioritiz+ ,native ,am]ican y\? & suicide prev5tion programs 7a7 ,f9d+s ,! ,congress f9ds z foll[s3 7#a7 ,suicide is ! eigh? lead+ cause ( dea? among ,am]ican ,indians & ,alaska ,natives across all ages4 7#b7 ,among ,am]ican ,indians & ,alaska ,natives :o are #aj to #cd ye>s ( age1 suicide is ! second lead+ cause ( dea?4 7#c7 ,! suicide rate among ,am]ican ,indian & ,alaska ,native adolesc5ts & "y adults ages #ae to #cd 7#ai4e p] #ajj1jjj7 is #a4e times high] ?an ! national av]age = t age gr\p 7#ab4i p] #ajj1jjj74 7b7 ,s5se ( ,congress ,x is ! s5se ( ,congress t ! ,secret>y ( ,heal? & ,human ,s]vices1 9 c>ry+ out programs = ,native ,am]ican y\? & suicide prev5tion programs = y\? suicide int]v5tion1 %\ld prioritize programs & activities = individuals :o h a high risk or disproportional burd5 ( suicide1 su* z ,native ,am]icans4 #gag4 ,pe] pr(essional work=ce developm5t grant program 7a7 ,9 g5]al ,= ! purposes describ$ 9 subsection 7b71 ! ,secret>y ( ,heal? & ,human ,s]vices %all aw>d grants to develop & su/a9 behavioral heal? p>apr(essional tra9+ & education programs1 includ+ ?r\gh tuition support4 7b7 ,purposes ,! purposes ( grants "u ?is section are-- 7#a7 to increase ! numb] ( behavioral heal? p>apr(essionals1 includ+ tra9$ pe]s1 recov]y coa*es1 m5tal heal? & addiction speciali/s1 prev5tion speciali/s1 & pre-ma/]s-level addiction c\nselors2 & 7#b7 to help communities develop ! infra/ructure to tra9 & c]tify pe]s z behavioral heal? p>apr(essionals4 7c7 ,eligible entities ,to be eligible to receive a grant "u ?is section1 an entity %all be a community college or o!r entity ! ,secret>y deems appropriate4 7d7 ,geographic di/ribution ,9 aw>d+ grants "u ?is section1 ! ,secret>y %all seek to a*ieve an appropriate national balance 9 ! geographic di/ribution ( su* aw>ds4 7e7 ,special consid]ation ,9 aw>d+ grants "u ?is section1 ! ,secret>y may give special consid]ation to propos$ & exi/+ programs t>get+ pe] pr(essionals s]v+ y\? ages #af to #be4 7f7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ #aj1jjj1jjj = ! p]iod ( fiscal ye>s #bjah ?r\gh #bjbb4 #gah4 ,national ,heal? ,s]vice ,corps 7a7 ,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;,e7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;d7a77#c77;,e77 is am5d$ by ins]t+ 7& p$iatric subspeciali/s !re(7 be=e ! p]iod at ! end4 7b7 ,eligibility ,to p>ticipate 9 loan repaym5t program ,section #cch;,b7b77#a77;,b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bedl-#a7;b77#a77;,b77 is am5d$ 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 #gai4 ,adult suicide prev5tion 7a7 ,grants 7#a7 ,au?ority ,! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use 7ref]r$ to 9 ?is section z ! ,assi/ant ,secret>y7 may aw>d grants to eligible entities 9 ord] to implem5t suicide prev5tion ef=ts among/ adults #be & old]4 7#b7 ,purpose ,! grant program "u ?is section %all be design$ to raise suicide aw>5ess1 e/abli% ref]ral processes1 & improve cl9ical c>e practice /&>ds = treat+ suicide ideation1 plans1 & attempts among adults4 7#c7 ,recipi5ts ,to be eligible to receive a grant "u ?is section1 an entity %all be a community-bas$ prim>y c>e or behavioral heal? c>e sett+1 an em]g5cy dep>tm5t1 a ,/ate m5tal heal? ag5cy1 an ,indian tribe1 a tribal organization1 or any o!r entity ! ,assi/ant ,secret>y deems appropriate4 7#d7 ,nature ( activities ,! grants aw>d$ "u p>agraph 7#a7 %all be us$ to implem5t programs t-- 7,a7 scre5 = suicide risk 9 adults & provide int]v5tion & ref]ral to treatm5t2 7,b7 implem5t evid5ce-bas$ practices to treat individuals :o are at suicide risk1 includ+ appropriate foll[up s]vices2 & 7,c7 raise aw>5ess1 r$uce /igma1 & fo/] op5 dialogue ab\t suicide prev5tion4 7b7 ,additional activities ,! ,assi/ant ,secret>y %all-- 7#a7 evaluate ! activities support$ by grants aw>d$ "u subsection 7a7 9 ord] to fur!r ! ,nation's und]/&+ ( effective int]v5tions to prev5t suicide 9 adults2 7#b7 dissem9ate ! f9d+s f ! evaluation z ! ,assi/ant ,secret>y consid]s appropriate2 & 7#c7 provide appropriate in=mation1 tra9+1 & te*nical assi/ance to eligible entities t receive a grant "u ?is section1 9 ord] to help su* entities to meet ! requirem5ts ( ?is section1 includ+ assi/ance )-- 7,a7 selection & implem5tation ( evid5ce-bas$ int]v5tions & frameworks to prev5t suicide1 su* z ! ,z]o ,suicide framework2 & 7,b7 o!r activities z ! ,assi/ant ,secret>y det]m9es appropriate4 7c7 ,duration ,a grant "u ?is section %all be = a p]iod ( n m ?an #e ye>s4 7d7 ,au?orization ( appropriations 7#a7 ,9 g5]al ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #cj1jjj1jjj = ! p]iod ( fiscal ye>s #bjah ?r\gh #bjbb4 7#b7 ,use ( c]ta9 funds ,( ! funds appropriat$ to c>ry out ?is section 9 any fiscal ye>1 ! less] ( #e p]c5t ( su* funds or #ejj1jjj %all be available to ! ,assi/ant ,secret>y = purposes ( c>ry+ out subsection 7b74 #gbj4 ,crisis int]v5tion grants = police (fic]s & fir/ respond]s 7a7 ,9 g5]al ,! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use may aw>d grants to entities su* z law en=cem5t ag5cies & fir/ respond]s-- 7#a7 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 ( duty2 & 7#b7 to e/abli% collaborative law en=cem5t & m5tal heal? programs1 includ+ behavioral heal? response teams & m5tal heal? crisis int]v5tion teams compris$ ( m5tal heal? pr(essionals1 law en=cem5t (fic]s1 & o!r fir/ respond]s1 z appropriate1 to provide on-site1 face-to-face1 m5tal & behavioral heal? c>e s]vices dur+ a m5tal heal? crisis1 & to connect ! individual 9 crisis to appropriate community-bas$ treatm5t s]vices 9 lieu ( unnecess>y hospitalization or fur!r involvem5t ) ! crim9al ju/ice sy/em4 7b7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is section #i1jjj1jjj = ! p]iod ( fiscal ye>s #bjah ?r\gh #bjbj4 #gba4 ,demon/ration grant program to tra9 heal? s]vice psy*ologi/s 9 community-bas$ m5tal heal? 7a7 ,e/abli%m5t ,! ,secret>y ( ,heal? & ,human ,s]vices %all e/abli% a grant program "u :i* ! ,assi/ant ,secret>y ( ,m5tal ,heal? & ,sub/ance ,use ,disord]s may aw>d grants to eligible in/itutions to support ! recruitm5t1 education1 & cl9ical tra9+ exp]i5ces ( heal? s]vices psy*ology /ud5ts1 int]ns1 & po/doctoral resid5ts = education & cl9ical exp]i5ce 9 community m5tal heal? sett+s4 7b7 ,eligible in/itutions ,= purposes ( ?is section1 ! t]m eligible in/itutions includes ,am]ican ,psy*ological ,association-accr$it$ doctoral1 int]n%ip1 & po/doctoral resid5cy s*ools or programs 9 heal? s]vice psy*ology t-- 7#a7 are focus$ on ! developm5t & implem5tation ( int]discipl9>y tra9+ ( psy*ology graduate /ud5ts & po/doctoral fell[s 9 provid+ m5tal & behavioral heal? s]vices to address sub/ance use disord]s1 s]i\s emotional di/urbance1 & s]i\s illness1 z well z develop+ faculty & implem5t+ curriculum to prep>e psy*ologi/s to "w ) und]s]v$ populations2 & 7#b7 demon/rate an ability to tra9 heal? s]vice psy*ologi/s 9 psy*iatric hospitals1 =5sic hospitals1 community m5tal heal? c5t]s1 community heal? c5t]s1 f$]ally qualifi$ heal? c5t]s1 or adult & juv5ile correctional facilities4 7c7 ,priorities ,9 select+ grant recipi5ts "u ?is section1 ! ,secret>y %all give priority to eligible in/itutions 9 :i* tra9+ focuses on ! ne$s ( individuals ) s]i\s m5tal illness1 s]i\s emotional di/urbance1 ju/ice-involv$ y\?1 & individuals ) or at high risk = sub/ance use disord]s4 7d7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #ab1jjj1jjj = ! p]iod ( fiscal ye>s #bjah ?r\gh #bjbb4 #gbb4 ,inve/m5t 9 tomorr['s p$iatric heal? c>e work=ce ,section #gge7;e7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bie;f7e77 is am5d$ to read z foll[s3 7e7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ #ab1jjj1jjj = ! p]iod ( fiscal ye>s #bjah ?r\gh #bjbb4 4 #gbc4 ,,cutgo compliance ,section #cai;,d7f7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d-#d7;f77 is am5d$ by /rik+ #ach1cjj1jjj = ea* ( fiscal ye>s #bjad ?r\gh #bjah & ins]t+ #ach1cjj1jjj = ea* ( fiscal ye>s #bjad ?r\gh #bjaf & #eh1jjj1jjj = ea* ( fiscal ye>s #bjag & #bjah4 ,,viii ,m5tal ,heal? ,p>ity #hja4 ,enhanc$ compliance ) m5tal heal? & sub/ance use disord] cov]age requirem5ts 7a7 ,compliance program guidance docum5t ,section #bgbf7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#bf7;a77 is am5d$ by add+ at ! end ! foll[+3 7#f7 ,compliance program guidance docum5t 7,a7 ,9 g5]al ,n lat] ?an #ab mon?s aft] ! date ( enactm5t ( ! ,help+ ,families 9 ,m5tal ,heal? ,crisis ,act ( #bjaf1 ! ,secret>y1 ! ,secret>y ( ,labor1 & ! ,secret>y ( ! ,treasury1 9 consultation ) ! ,inspector ,g5]al ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 %all issue a compliance program guidance docum5t to help improve compliance ) ?is section1 section #gab ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd1 & section #ihab ( ! ,int]nal ,rev5ue ,code ( #aihf1 z applicable4 7,b7 ,examples illu/rat+ compliance & noncompliance 7i7 ,9 g5]al ,! compliance program guidance docum5t requir$ "u ?is p>agraph %all provide illu/rative1 de-id5tifi$ examples 7t d n disclose any protect$ heal? in=mation or individually id5tifiable in=mation7 ( previ\s f9d+s ( compliance & noncompliance ) ?is section1 section #gab ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd1 or section #ihab ( ! ,int]nal ,rev5ue ,code ( #aihf1 z applicable1 bas$ on inve/igations ( violations ( su* sections1 includ+-- 7,i7 examples illu/rat+ requirem5ts = in=mation disclosures & nonquantitative treatm5t limitations2 & 7,,ii7 descriptions ( ! violations uncov]$ dur+ ! c\rse ( su* inve/igations4 7ii7 ,nonquantitative treatm5t limitations ,to ! ext5t t any example describ$ 9 clause 7i7 involves a f9d+ ( compliance or noncompliance ) reg>d to any requirem5t = nonquantitative treatm5t limitations1 ! example %all provide suffici5t detail to fully expla9 su* f9d+1 includ+ a full description ( ! crit]ia involv$ = m$ical & surgical b5efits & ! crit]ia involv$ = m5tal heal? & sub/ance use disord] b5efits4 7iii7 ,access to additional in=mation reg>d+ compliance ,9 develop+ & issu+ ! compliance program guidance docum5t requir$ "u ?is p>agraph1 ! ,secret>ies specifi$ 9 subp>agraph 7,a7-- 7,i7 %all ent] into int]ag5cy agreem5ts ) ! ,inspector ,g5]al ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 ! ,inspector ,g5]al ( ! ,dep>tm5t ( ,labor1 & ! ,inspector ,g5]al ( ! ,dep>tm5t ( ! ,treasury to %>e f9d+s ( compliance & noncompliance ) ?is section1 section #gab ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd1 or section #ihab ( ! ,int]nal ,rev5ue ,code ( #aihf1 z applicable2 & 7,,ii7 %all seek to ent] into an agreem5t ) a ,/ate to %>e in=mation on f9d+s ( compliance & noncompliance ) ?is section1 section #gab ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd1 or section #ihab ( ! ,int]nal ,rev5ue ,code ( #aihf1 z applicable4 7,c7 ,recomm5dations ,! compliance program guidance docum5t %all include recomm5dations to comply ) ?is section1 section #gab ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd1 or section #ihab ( ! ,int]nal ,rev5ue ,code ( #aihf1 z applicable1 & enc\rage ! developm5t & use ( int]nal controls to monitor adh]5ce to applicable /atutes1 regulations1 & program requirem5ts4 ,su* int]nal controls may include a compliance *eckli/ ) illu/rative examples ( nonquantitative treatm5t limitations on m5tal heal? & sub/ance use disord] b5efits1 :i* may fail to comply ) ?is section1 section #gab ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd1 or section #ihab ( ! ,int]nal ,rev5ue ,code ( #aihf1 z applicable1 9 relation to nonquantitative treatm5t limitations on m$ical & surgical b5efits4 7,d7 ,updat+ ! compliance program guidance docum5t ,! compliance program guidance docum5t %all be updat$ e #b ye>s to include illu/rative1 de-id5tifi$ examples 7t d n disclose any protect$ heal? in=mation or individually id5tifiable in=mation7 ( previ\s f9d+s ( compliance & noncompliance ) ?is section1 section #gab ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd1 or section #ihab ( ! ,int]nal ,rev5ue ,code ( #aihf1 z applicable4 4 7b7 ,additional guidance ,section #bgbf7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#bf7;a771 z am5d$ by subsection 7a71 is fur!r am5d$ by add+ at ! end ! foll[+3 7#g7 ,additional guidance 7,a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ! ,help+ ,families 9 ,m5tal ,heal? ,crisis ,act ( #bjaf1 ! ,secret>y1 9 coord9ation ) ! ,secret>y ( ,labor & ! ,secret>y ( ! ,treasury1 %all issue guidance to gr\p heal? plans & heal? insurance issu]s (f]+ gr\p or individual heal? insurance cov]age to assi/ su* plans & issu]s 9 satisfy+ ! requirem5ts ( ?is section1 section #gab ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd1 or section #ihab ( ! ,int]nal ,rev5ue ,code ( #aihf1 z applicable14 7,b7 ,disclosure 7i7 ,guidance = plans & issu]s ,! guidance issu$ "u ?is p>agraph %all include cl>ify+ in=mation & illu/rative examples ( me?ods t gr\p heal? plans & heal? insurance issu]s (f]+ gr\p or individual heal? insurance cov]age may use = disclos+ in=mation to ensure compliance ) ! requirem5ts "u ?is section1 section #gab ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd1 or section #ihab ( ! ,int]nal ,rev5ue ,code ( #aihf1 z applicable1 7& any regulations promulgat$ pursuant to su* sections1 z applicable74 7ii7 ,docum5ts = p>ticipants1 b5efici>ies1 contract+ provid]s1 or au?oriz$ repres5tatives ,! guidance issu$ "u ?is p>agraph %all include cl>ify+ in=mation & illu/rative examples ( me?ods t gr\p heal? plans & heal? insurance issu]s (f]+ gr\p or individual heal? insurance cov]age may use to provide any p>ticipant1 b5efici>y1 contract+ provid]1 or au?oriz$ repres5tative1 z applicable1 ) docum5ts conta9+ in=mation t ! heal? plans or issu]s are requir$ to disclose to p>ticipants1 b5efici>ies1 contract+ provid]s1 or au?oriz$ repres5tatives to ensure compliance ) ?is section1 section #gab ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd1 or section #ihab ( ! ,int]nal ,rev5ue ,code ( #aihf1 z applicable2 any regulation issu$ pursuant to su* respective section1 or any o!r applicable law or regulation1 includ+ in=mation t is comp>ative 9 nature ) respect to-- 7,i7 nonquantitative treatm5t limitations = bo? m$ical & surgical b5efits & m5tal heal? & sub/ance use disord] b5efits2 7,,ii7 ! processes1 /rategies1 evid5ti>y /&>ds1 & o!r factors us$ to apply ! limitations describ$ 9 subclause 7,i72 & 7,,iii7 ! application ( ! limitations describ$ 9 subclause 7,i7 to ensure t su* limitations are appli$ 9 p>ity ) respect to bo? m$ical & surgical b5efits & m5tal heal? & sub/ance use disord] b5efits4 7,c7 ,nonquantitative treatm5t limitations ,! guidance issu$ "u ?is p>agraph %all include cl>ify+ in=mation & illu/rative examples ( me?ods1 processes1 /rategies1 evid5ti>y /&>ds1 & o!r factors t gr\p heal? plans & heal? insurance issu]s (f]+ gr\p or individual heal? insurance cov]age may use reg>d+ ! developm5t & application ( nonquantitative treatm5t limitations to ensure compliance ) ?is section1 section #gab ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd1 or section #ihab ( ! ,int]nal ,rev5ue ,code ( #aihf1 z applicable1 7& any regulations promulgat$ pursuant to su* respective section71 includ+-- 7i7 examples ( me?ods ( det]m9+ appropriate types ( nonquantitative treatm5t limitations ) respect to bo? m$ical & surgical b5efits & m5tal heal? & sub/ance use disord] b5efits1 includ+ nonquantitative treatm5t limitations p]ta9+ to-- 7,i7 m$ical managem5t /&>ds bas$ on m$ical necessity or appropriat5ess1 or :e!r a treatm5t is exp]im5tal or inve/igative2 7,,ii7 limitations ) respect to prescription drug =mul>y design2 & 7,,iii7 use ( fail-fir/ or /ep !rapy protocols2 7ii7 examples ( me?ods ( det]m9+-- 7,i7 network admission /&>ds 7su* z cr$5tial+72 & 7,,ii7 factors us$ 9 provid] reimbursem5t me?odologies 7su* z s]vice type1 geographic m>ket1 dem& = s]vices1 & provid] supply1 practice size1 tra9+1 exp]i5ce1 & lic5sure7 z su* factors apply to network adequacy2 7iii7 examples ( s\rces ( in=mation t may s]ve z evid5ti>y /&>ds = ! purposes ( mak+ det]m9ations reg>d+ ! developm5t & application ( nonquantitative treatm5t limitations2 7iv7 examples ( specific factors1 & ! evid5ti>y /&>ds us$ to evaluate su* factors1 us$ by su* plans or issu]s 9 p]=m+ a nonquantitative treatm5t limitation analysis2 7v7 examples ( h[ specific evid5ti>y /&>ds may be us$ to det]m9e :e!r treatm5ts are consid]$ exp]im5tal or inve/igative2 7vi7 examples ( h[ specific evid5ti>y /&>ds may be appli$ to ea* s]vice category or classification ( b5efits2 7vii7 examples ( me?ods ( rea*+ appropriate cov]age det]m9ations = new m5tal heal? or sub/ance use disord] treatm5ts1 su* z evid5ce-bas$ e>ly int]v5tion programs = individuals ) a s]i\s m5tal illness & types ( m$ical managem5t te*niques2 7viii7 examples ( me?ods ( rea*+ appropriate cov]age det]m9ations = :i* !re is an indirect relation%ip betwe5 ! cov]$ m5tal heal? or sub/ance use disord] b5efit & a traditional cov]$ m$ical & surgical b5efit1 su* z resid5tial treatm5t or hospitalizations involv+ volunt>y or involunt>y commitm5t2 & 7ix7 additional illu/rative examples ( me?ods1 processes1 /rategies1 evid5ti>y /&>ds1 & o!r factors = :i* ! ,secret>y det]m9es t additional guidance is necess>y to improve compliance ) ?is section1 section #gab ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd1 or section #ihab ( ! ,int]nal ,rev5ue ,code ( #aihf1 z applicable4 7,d7 ,public comm5t ,prior to issu+ any f9al guidance "u ?is p>agraph1 ! ,secret>y %all provide a public comm5t p]iod ( n less ?an #fj days dur+ :i* any memb] ( ! public may provide comm5ts on a draft ( ! guidance4 4 7c7 ,availability ( plan in=mation 7#a7 ,,phsa am5dm5t ,p>agraph 7#d7 ( section #bgbf7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#bf7;a77 is am5d$ to read z foll[s3 7#d7 ,availability ( plan in=mation ,! crit]ia = m$ical necessity det]m9ations made "u ! plan or heal? insurance cov]age ) respect to m5tal heal? or sub/ance use disord] b5efits or m$ical or surgical b5efits1 ! reason = d5ial ( any su* b5efits1 & any o!r in=mation appropriate to demon/rate compliance "u ?is section 7includ+ any su* m$ical & surgical in=mation7 %all be made available by ! plan adm9i/rator 7or ! heal? insurance issu] (f]+ su* cov]age7 9 accordance ) applicable regulations to ! curr5t or pot5tial p>ticipant1 b5efici>y1 or contract+ provid] involv$ ^u reque/4 ,! ,secret>y may promulgate any su* regulations1 includ+ int]im f9al regulations or tempor>y regulations1 z may be appropriate to c>ry out ?is p>agraph4 4 7#b7 ,,erisa am5dm5t ,p>agraph 7#d7 ( section #gab7;a7 ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd 7#bi ,u4,s4,c4 #aahe;a7a77 is am5d$ to read z foll[s3 7#d7 ,availability ( plan in=mation ,! crit]ia = m$ical necessity det]m9ations made "u ! plan ) respect to m5tal heal? or sub/ance use disord] b5efits or m$ical or surgical b5efits 7or ! heal? insurance cov]age (f]$ 9 connection ) ! plan ) respect to su* b5efits71 ! reason = d5ial ( any su* b5efits1 & any o!r in=mation appropriate to demon/rate compliance "u ?is section 7includ+ any su* m$ical & surgical in=mation7 %all be made available by ! plan adm9i/rator 7or ! heal? insurance issu] (f]+ su* cov]age7 9 accordance ) applicable regulations to ! curr5t or pot5tial p>ticipant1 b5efici>y1 or contract+ provid] involv$ ^u reque/4 ,! ,secret>y may promulgate any su* regulations1 includ+ int]im f9al regulations or tempor>y regulations1 z may be appropriate to c>ry out ?is p>agraph4 4 7#c7 ,,irc am5dm5t ,p>agraph 7#d7 ( section #ihab7;a7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ to read z foll[s3 7#d7 ,availability ( plan in=mation ,! crit]ia = m$ical necessity det]m9ations made "u ! plan ) respect to m5tal heal? or sub/ance use disord] b5efits or m$ical or surgical b5efits1 ! reason = d5ial ( any su* b5efits1 & any o!r in=mation appropriate to demon/rate compliance "u ?is section 7includ+ any su* m$ical & surgical in=mation7 %all be made available by ! plan adm9i/rator 9 accordance ) applicable regulations to ! curr5t or pot5tial p>ticipant1 b5efici>y1 or contract+ provid] involv$ ^u reque/4 ,! ,secret>y may promulgate any su* regulations1 includ+ int]im f9al regulations or tempor>y regulations1 z may be appropriate to c>ry out ?is p>agraph4 4 7d7 ,improv+ compliance 7#a7 ,9 g5]al ,9 ! case t ! ,secret>y ( ,heal? & ,human ,s]vices1 ! ,secret>y ( ,labor1 or ! ,secret>y ( ! ,treasury det]m9es t a gr\p heal? plan or heal? insurance issu] (f]+ gr\p or individual heal? insurance cov]age has violat$1 at lea/ five times1 section #bgbf ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#bf71 section #gab ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd 7#bi ,u4,s4,c4 #aahe;a71 or section #ihab ( ! ,int]nal ,rev5ue ,code ( #aihf1 respectively1 ! appropriate ,secret>y %all audit plan docum5ts = su* heal? plan or issu] 9 ! plan ye> foll[+ ! ,secret>y's det]m9ation 9 ord] to help improve compliance ) su* section4 7#b7 ,rule ( con/ruction ,no?+ 9 ?is subsection %all be con/ru$ to limit ! au?ority1 z 9 effect on ! day be=e ! date ( enactm5t ( ?is ,act1 ( ! ,secret>y ( ,heal? & ,human ,s]vices1 ! ,secret>y ( ,labor1 or ! ,secret>y ( ! ,treasury to audit docum5ts ( heal? plans or heal? insurance issu]s4 #hjb4 ,action plan = enhanc$ en=cem5t ( m5tal heal? & sub/ance use disord] cov]age 7a7 ,public meet+ 7#a7 ,9 g5]al ,n lat] ?an #f mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all conv5e a public meet+ ( /akehold]s describ$ 9 p>agraph 7#b7 to produce an action plan = improv$ ,f$]al & ,/ate coord9ation relat$ to ! en=cem5t ( section #bgbf ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#bf71 section #gab ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd 7#bi ,u4,s4,c4 #aahe;a71 & section #ihab ( ! ,int]nal ,rev5ue ,code ( #aihf1 & any comp>able provisions ( ,/ate law 79 ?is section collectively ref]r$ to z m5tal heal? p>ity & addiction equity requirem5ts74 7#b7 ,/akehold]s ,! /akehold]s describ$ 9 ?is p>agraph %all include ea* ( ! foll[+3 7,a7 ,! ,f$]al ,gov]nm5t1 includ+ repres5tatives f-- 7i7 ! ,dep>tm5t ( ,heal? & ,human ,s]vices2 7ii7 ! ,dep>tm5t ( ! ,treasury2 7iii7 ! ,dep>tm5t ( ,labor2 & 7iv7 ! ,dep>tm5t ( ,ju/ice4 7,b7 ,/ate gov]nm5ts1 includ+-- 7i7 ,/ate heal? insurance commission]s2 7ii7 appropriate ,/ate ag5cies1 includ+ ag5cies on public heal? or m5tal heal?2 & 7iii7 ,/ate attorneys g5]al or o!r repres5tatives ( ,/ate entities involv$ 9 ! en=cem5t ( m5tal heal? p>ity & addiction equity requirem5ts4 7,c7 ,repres5tatives f key /akehold] gr\ps1 includ+-- 7i7 ! ,national ,association ( ,insurance ,commission]s2 7ii7 heal? insurance provid]s2 7iii7 provid]s ( m5tal heal? & sub/ance use disord] treatm5t2 7iv7 employ]s2 & 7v7 pati5ts or _! advocates4 7b7 ,action plan ,n lat] ?an #f mon?s aft] ! conclusion ( ! public meet+ "u subsection 7a71 ! ,secret>y ( ,heal? & ,human ,s]vices %all f9alize ! action plan describ$ 9 su* subsection & make x pla9ly available on ! ,int]net website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 7c7 ,cont5t ,! action plan "u ?is section %all-- 7#a7 reflect ! input ( ! /akehold]s p>ticipat+ 9 ! public meet+ "u subsection 7a72 7#b7 id5tify specific /rategic objectives reg>d+ h[ ! v>i\s ,f$]al & ,/ate ag5cies *>g$ ) en=cem5t ( m5tal heal? p>ity & addiction equity requirem5ts w collaborate to improve en=cem5t ( su* requirem5ts2 7#c7 provide a timel9e = implem5t+ ! action plan2 & 7#d7 provide specific examples ( h[ su* objectives may be met1 :i* may include-- 7,a7 provid+ common educational in=mation & docum5ts to pati5ts ab\t _! rights "u m5tal heal? p>ity & addiction equity requirem5ts2 7,b7 facilitat+ ! c5traliz$ collection (1 monitor+ (1 & response to pati5t compla9ts or inquiries relat+ to m5tal heal? p>ity & addiction equity requirem5ts1 :i* may be ?r\gh ! developm5t & adm9i/ration ( a s+le1 toll-free telephone numb] & an ,int]net website portal2 7,c7 ,f$]al & ,/ate law en=cem5t ag5cies ent]+ into memor&a ( und]/&+ to bett] coord9ate en=cem5t responsibilities & in=mation %>+1 includ+ :e!r su* ag5cies %\ld make ! results ( en=cem5t actions relat$ to m5tal heal? p>ity & addiction equity requirem5ts publicly available2 & 7,d7 recomm5dations to ! ,congress reg>d+ ! ne$ = additional legal au?ority to improve en=cem5t ( m5tal heal? p>ity & addiction equity requirem5ts1 includ+ ! ne$ = additional legal au?ority to ensure t nonquantitative treatm5t limitations are appli$1 & ! ext5t & frequ5cy ( ! applications ( su* limitations1 bo? to m$ical & surgical b5efits & to m5tal heal? & sub/ance use disord] b5efits 9 a comp>able mann]4 #hjc4 ,report on inve/igations reg>d+ p>ity 9 m5tal heal? & sub/ance use disord] b5efits 7a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 & annually !reaft] = ! subsequ5t #e ye>s1 ! ,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 %all submit to ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate a report summ>iz+ ! results ( all clos$ ,f$]al inve/igations complet$ dur+ ! prec$+ #ab-mon? p]iod ) f9d+s ( any s]i\s violation reg>d+ compliance ) m5tal heal? & sub/ance use disord] cov]age requirem5ts "u section #bgbf ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#bf71 section #gab ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd 7#bi ,u4,s4,c4 #aahe;a71 & section #ihab ( ! ,int]nal ,rev5ue ,code ( #aihf4 7b7 ,cont5ts ,subject to subsection 7c71 a report "u subsection 7a7 %all1 ) respect to inve/igations describ$ 9 su* subsection1 include ea* ( ! foll[+3 7#a7 ,! numb] ( clos$ ,f$]al inve/igations conduct$ dur+ ! cov]$ report+ p]iod4 7#b7 ,ea* b5efit classification exam9$ by any su* inve/igation conduct$ dur+ ! cov]$ report+ p]iod4 7#c7 ,ea* subject matt]1 includ+ compliance ) requirem5ts = quantitative & nonquantitative treatm5t limitations1 ( any su* inve/igation conduct$ dur+ ! cov]$ report+ p]iod4 7#d7 ,a summ>y ( ! basis ( ! f9al decision r5d]$ = ea* clos$ inve/igation conduct$ dur+ ! cov]$ report+ p]iod t result$ 9 a f9d+ ( a s]i\s violation4 7c7 ,limitation ,any individually id5tifiable in=mation %all be exclud$ f reports "u subsection 7a7 consi/5t ) protections "u ! heal? privacy & security rules promulgat$ "u section #bfd7;c7 ( ! ,heal? ,insurance ,portability & ,acc\ntability ,act ( #aiif 7#db ,u4,s4,c4 #acbj;d-#b note74 #hjd4 ,,gao /udy on p>ity 9 m5tal heal? & sub/ance use disord] b5efits ,n lat] ?an #c ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates1 9 consultation ) ! ,secret>y ( ,heal? & ,human ,s]vices1 ! ,secret>y ( ,labor1 & ! ,secret>y ( ! ,treasury1 %all submit to ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate a report detail+ ! ext5t to :i* gr\p heal? plans or heal? insurance issu]s (f]+ gr\p or individual heal? insurance cov]age t provides bo? m$ical & surgical b5efits & m5tal heal? or sub/ance use disord] b5efits1 m$icaid manag$ c>e organizations ) a contract "u section #aijc7m7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;b7m771 & heal? plans provid$ "u ! ,/ate ,*ildr5's ,heal? ,insurance ,program "u title ,,xxi ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;aa et seq47 comply ) section #bgbf ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#bf71 section #gab ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd 7#bi ,u4,s4,c4 #aahe;a71 & section #ihab ( ! ,int]nal ,rev5ue ,code ( #aihf1 includ+-- 7#a7 h[ nonquantitative treatm5t limitations1 includ+ m$ical necessity crit]ia1 ( su* plans or issu]s comply ) su* sections2 7#b7 h[ ! responsible ,f$]al dep>tm5ts & ag5cies ensure t su* plans or issu]s comply ) su* sections1 includ+ an assessm5t ( h[ ! ,secret>y ( ,heal? & ,human ,s]vices has us$ its au?ority to conduct audits ( su* plans to ensure compliance2 7#c7 a review ( h[ ! v>i\s ,f$]al & ,/ate ag5cies responsible = en=c+ m5tal heal? p>ity requirem5ts h improv$ en=cem5t ( su* requirem5ts 9 accordance ) ! objectives & timel9e describ$ 9 ! action plan "u section #hjb2 & 7#d7 recomm5dations = h[ additional en=cem5t1 education1 & coord9ation activities by responsible ,f$]al & ,/ate dep>tm5ts & ag5cies c\ld bett] ensure compliance ) su* sections1 includ+ recomm5dations reg>d+ ! ne$ = additional legal au?ority4 #hje4 ,in=mation & aw>5ess on eat+ disord]s 7a7 ,in=mation ,! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is section ref]r$ to z ! ,secret>y7 may-- 7#a7 update in=mation1 relat$ fact %eets1 & res\rce li/s relat$ to eat+ disord]s t are available on ! public ,int]net website ( ! ,national ,wom5's ,heal? ,in=mation ,c5t] sponsor$ by ! ,(fice on ,wom5's ,heal?1 to include-- 7,a7 updat$ f9d+s & curr5t rese>* relat$ to eat+ disord]s1 z appropriate2 & 7,b7 in=mation ab\t eat+ disord]s1 includ+ in=mation relat$ to males & females2 7#b7 incorporate1 z appropriate1 & 9 coord9ation ) ! ,secret>y ( ,education1 in=mation f publicly available res\rces into appropriate obesity prev5tion programs develop$ by ! ,(fice on ,wom5's ,heal?2 & 7#c7 make publicly available 7?r\gh a public ,int]net website or o!r me?od7 in=mation1 relat$ fact %eets & res\rce li/s1 z updat$ "u p>agraph 7#a71 & ! in=mation incorporat$ into appropriate obesity prev5tion programs1 z updat$ "u p>agraph 7#b74 7b7 ,aw>5ess ,! ,secret>y may advance public aw>5ess on-- 7#a7 ! types ( eat+ disord]s2 7#b7 ! s]i\sness ( eat+ disord]s1 includ+ preval5ce1 comorbidities1 & physical & m5tal heal? consequ5ces2 7#c7 me?ods to id5tify1 int]v5e1 ref] = treatm5t1 & prev5t behaviors t may lead to ! developm5t ( eat+ disord]s2 7#d7 discrim9ation & bully+ bas$ on body size2 7#e7 ! effects ( m$ia on self-e/eem & body image2 & 7#f7 ! signs & symptoms ( eat+ disord]s4 #hjf4 ,education & tra9+ on eat+ disord]s ,! ,secret>y ( ,heal? & ,human ,s]vices may facilitate ! id5tification ( programs to educate & tra9 heal? pr(essionals & s*ool p]sonnel 9 effective /rategies to-- 7#a7 id5tify individuals ) eat+ disord]s2 7#b7 provide e>ly int]v5tion s]vices = individuals ) eat+ disord]s2 7#c7 ref] pati5ts ) eat+ disord]s = appropriate treatm5t2 7#d7 prev5t ! developm5t ( eat+ disord]s2 or 7#e7 provide appropriate treatm5t s]vices = individuals ) eat+ disord]s4 #hjg4 ,,gao /udy on prev5t+ discrim9atory cov]age limitations = individuals ) s]i\s m5tal illness & sub/ance use disord]s ,n lat] ?an #b ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ,congress & make publicly available a report detail+ ,f$]al ov]sight ( gr\p heal? plans & heal? insurance cov]age (f]$ 9 ! individual or gr\p m>ket 7z su* t]ms are def9$ 9 section #bgia ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#ia771 includ+ ,m$icaid manag$ c>e plans "u section #aijc ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;b71 to ensure compliance ( su* plans & cov]age ) sections #bgbf ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#bf71 #gab ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd 7#bi ,u4,s4,c4 #aahe;a71 & #ihab ( ! ,int]nal ,rev5ue ,code ( #aihf 79 ?is section collectively ref]r$ to z ! p>ity law71 includ+-- 7#a7 a description ( h[ ,f$]al regulations & guidance consid] nonquantitative treatm5t limitations1 includ+ m$ical necessity crit]ia & application ( su* crit]ia to m$ical1 surgical1 & prim>y c>e1 ( su* plans & cov]age 9 ensur+ compliance by su* plans & cov]age ) ! p>ity law2 7#b7 a description ( actions t ,f$]al dep>tm5ts & ag5cies are tak+ to ensure t su* plans & cov]age comply ) ! p>ity law2 & 7#c7 ! id5tification ( en=cem5t1 education1 & coord9ation activities )9 ,f$]al dep>tm5ts & ag5cies1 includ+ educational activities direct$ to ,/ate insurance commission]s1 & a description ( h[ su* prop] activities c be us$ to ensure full compliance ) ! p>ity law4 #hjh4 ,cl>ification ( exi/+ p>ity rules ,if a gr\p heal? plan or a heal? insurance issu] (f]+ gr\p or individual heal? insurance cov]age provides cov]age = eat+ disord] b5efits1 includ+ resid5tial treatm5t1 su* gr\p heal? plan or heal? insurance issu] %all provide su* b5efits consi/5t ) ! requirem5ts ( section #bgbf ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#bf71 section #gab ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd 7#bi ,u4,s4,c4 #aahe;a71 & section #ihab ( ! ,int]nal ,rev5ue ,code ( #aihf4 ,pass$ ! ,h\se ( ,repres5tatives ,july #f1 #bjaf4,k>5 ,l4 ,haas1,cl]k