,i #aad? ,,congress #b;d ,session ,h4 ,r4 #ddce ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,febru>y #b1 #bjaf ,mr4 ,g5e ,gre5 ( ,texas 7= himself1 ,ms4 ,de,gette1 ,mr4 ,k5n$y1 ,ms4 ,matsui1 ,mr4 ,tonko1 & ,mr4 ,loebsack7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce1 & 9 addition to ! ,committees on ! ,judici>y1 ,ways & ,means1 ,education & ! ,work=ce1 & ,natural ,res\rces1 = a p]iod to be subsequ5tly det]m9$ by ! ,speak]1 9 ea* case = consid]ation ( su* provisions z fall )9 ! jurisdiction ( ! committee conc]n$ ,a ,,bill ,to improve access to m5tal heal? & sub/ance use disord] prev5tion1 treatm5t1 crisis1 & recov]y s]vices4 #a4 ,%ort title2 table ( cont5ts 7a7 ,%ort title ,?is ,act may be cit$ z ! ,compreh5sive ,behavioral ,heal? ,re=m & ,recov]y ,act ( #bjaf4 7b7 ,table ( cont5ts ,! table ( cont5ts = ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title2 table ( cont5ts4 ,title ,i--,/r5g!n+ & ,inve/+ 9 ,,samhsa ,programs ,sec4 #aja4 ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s4 ,sec4 #ajb4 ,(fice ( ,*ief ,m$ical ,(fic]4 ,sec4 #ajc4 ,indep5d5t audit ( ,,samhsa4 ,sec4 #ajd4 ,c5t] = ,behavioral ,heal? ,/ati/ics & ,quality4 ,sec4 #aje4 ,innovation grants4 ,sec4 #ajf4 ,demon/ration grants4 ,sec4 #ajg4 ,e>ly int]v5tion & treatm5t 9 *ildhood4 ,sec4 #ajh4 ,block grants4 ,sec4 #aji4 ,*ildr5's recov]y f trauma4 ,sec4 #aaj4 ,g>rett ,lee ,smi? ,memorial ,act reau?orization4 ,sec4 #aaa4 ,national ,suicide ,prev5tion ,lifel9e ,program4 ,sec4 #aab4 ,adult suicide prev5tion4 ,sec4 #aac4 ,pe] review & advisory c\ncils4 ,sec4 #aad4 ,adult trauma4 ,sec4 #aae4 ,r$uc+ ! /igma ( s]i\s m5tal illness4 ,sec4 #aaf4 ,report on m5tal heal? & sub/ance abuse treatm5t 9 ! ,/ates4 ,sec4 #aag4 ,m5tal heal? fir/ aid tra9+ grants4 ,sec4 #aah4 ,acute c>e b$ regi/ry grant = ,/ates4 ,sec4 #aai4 ,old] adult m5tal heal? grants4 ,title ,,ii--,int]ag5cy ,s]i\s ,m5tal ,illness ,coord9at+ ,committee ,sec4 #bja4 ,int]ag5cy ,s]i\s ,m5tal ,illness ,coord9at+ ,committee4 ,title ,,iii--,communications betwe5 individuals1 families1 & provid]s ,sec4 #cja4 ,cl>ification ( circum/ances "u :i* disclosure ( protect$ heal? in=mation ( m5tal illness pati5ts is p]mitt$4 ,sec4 #cjb4 ,developm5t & dissem9ation ( model tra9+ programs4 ,sec4 #cjc4 ,mod]niz+ privacy protections4 ,sec4 #cjd4 ,improv+ communication ) individuals1 families1 & provid]s4 ,title ,,iv--,improv+ ,m$icaid & ,m$ic>e ,m5tal ,heal? ,s]vices ,subtitle ,a--,m$icaid ,provisions ,sec4 #dja4 ,enhanc$ ,m$icaid cov]age relat+ to c]ta9 m5tal heal? s]vices4 ,sec4 #djb4 ,ext5sion & expansion ( demon/ration programs to improve community m5tal heal? s]vices4 ,sec4 #djc4 ,t]ms = ext5sion & expansion ( ,m$icaid em]g5cy psy*iatric demon/ration project4 ,sec4 #djd4 ,community-bas$ m5tal heal? s]vices ,m$icaid option = *ildr5 9 or at risk ( psy*iatric resid5tial treatm5t4 ,sec4 #dje4 ,expansion ( ,,cmmi au?ority to support major m5tal illness projects 9 ,m$icaid4 ,sec4 #djf4 ,m$icaid data & report+4 ,sec4 #djg4 ,at-risk y\? ,m$icaid protection4 ,subtitle ,b--,m$ic>e ,provisions ,sec4 #daa4 ,elim9ation ( #aij-;day lifetime limit on cov]age ( inpati5t psy*iatric hospital s]vices "u ,m$ic>e4 ,sec4 #dab4 ,modifications to ,m$ic>e dis*>ge plann+ requirem5ts4 ,subtitle ,c--,provisions ,relat$ to ,m$icaid & ,m$ic>e ,sec4 #dba4 ,reports on ,m$icaid & ,m$ic>e "p ,d =mul>y & appeals practices ) respect to cov]age ( m5tal heal? drugs4 ,title ,v--,/r5g!n+ ! ,behavioral ,heal? ,work=ce & ,improv+ ,access to ,c>e ,sec4 #eja4 ,nationwide work=ce /rategy4 ,sec4 #ejb4 ,report on be/ practices = pe]-support speciali/ programs1 tra9+1 & c]tification4 ,sec4 #ejc4 ,advisory ,c\ncil on ,graduate ,m$ical ,education4 ,sec4 #ejd4 ,telepsy*iatry & prim>y c>e provid] tra9+ grant program4 ,sec4 #eje4 ,liability protections = heal? c>e pr(essional volunte]s at community heal? c5t]s & f$]ally qualifi$ community behavioral heal? cl9ics4 ,sec4 #ejf4 ,m9ority ,fell[%ip ,program4 ,sec4 #ejg4 ,national ,heal? ,s]vice ,corps4 ,sec4 #ejh4 ,,samhsa grant program = developm5t & implem5tation ( curricula = cont9u+ education on s]i\s m5tal illness4 ,sec4 #eji4 ,pe] pr(essional work=ce developm5t grant program4 ,sec4 #eaj4 ,demon/ration grant program to recruit1 tra91 & pr(essionally support psy*iatric physicians 9 ,indian heal? programs4 ,sec4 #eaa4 ,education & tra9+ on eat+ disord]s = heal? pr(essionals4 ,sec4 #eab4 ,prim>y & behavioral heal? c>e integration grant programs4 ,sec4 #eac4 ,heal? pr(essions compet5cies to address racial1 e?nic1 sexual1 & g5d] m9ority behavioral heal? disp>ities4 ,sec4 #ead4 ,behavioral heal? crisis sy/ems4 ,sec4 #eae4 ,m5tal heal? 9 s*ools4 ,sec4 #eaf4 ,exam9+ m5tal heal? c>e = *ildr54 ,sec4 #eag4 ,report+ compliance /udy4 ,sec4 #eah4 ,/r5g!n+ connections to community c>e demon/ration grant program4 ,sec4 #eai4 ,ass]tive community treatm5t grant program = individuals ) s]i\s m5tal illness4 ,sec4 #ebj4 ,improv+ m5tal & behavioral heal? on college campuses4 ,sec4 #eba4 ,inclusion ( occupational !rapi/s 9 ,national ,heal? ,s]vice ,corps program4 ,title ,,vi--,improv+ ,m5tal ,heal? ,rese>* & ,coord9ation ,sec4 #fja4 ,increase 9 fund+ = c]ta9 rese>*4 ,title ,,vii--,behavioral ,heal? ,in=mation ,te*nology ,sec4 #gja4 ,ext5sion ( heal? in=mation te*nology assi/ance = behavioral & m5tal heal? & sub/ance abuse4 ,sec4 #gjb4 ,ext5sion ( eligibility = ,m$ic>e & ,m$icaid heal? in=mation te*nology implem5tation assi/ance4 ,title ,,viii--,mak+ ,p>ity ,"w ,sec4 #hja4 ,/r5g!n+ p>ity 9 m5tal heal? & sub/ance use disord] b5efits4 ,sec4 #hjb4 ,report on inve/igations reg>d+ p>ity 9 m5tal heal? & sub/ance use disord] b5efits4 ,sec4 #hjc4 ,,gao /udy on prev5t+ discrim9atory cov]age limitations = individuals ) s]i\s m5tal illness & sub/ance use disord]s4 ,sec4 #hjd4 ,report to ,congress on ,f$]al assi/ance to ,/ate insurance regulators reg>d+ m5tal heal? p>ity en=cem5t4 ,title ,,ix--,sub/ance abuse ,subtitle ,a--,prev5tion ,sec4 #ija4 ,practition] education4 ,sec4 #ijb4 ,co-prescrib+ opioid ov]dose rev]sal drugs grant program4 ,sec4 #ijc4 ,opioid ov]dose rev]sal co-prescrib+ guidel9es4 ,sec4 #ijd4 ,surveillance capacity build+4 ,subtitle ,b--,crisis ,sec4 #iba4 ,grants to support syr+e ex*ange programs4 ,sec4 #ibb4 ,grant program to r$uce drug ov]dose dea?s4 ,subtitle ,c--,treatm5t ,sec4 #ica4 ,expansion ( pati5t limits "u waiv]4 ,sec4 #icb4 ,def9itions4 ,sec4 #icc4 ,evaluation by assi/ant ,secret>y = plann+ & evaluation4 ,sec4 #icd4 ,reau?orization ( resid5tial treatm5t programs = pregnant & po/p>tum wom54 ,sec4 #ice4 ,pilot program grants = ,/ate sub/ance abuse ag5cies4 ,sec4 #icf4 ,evid5ce-bas$ opioid & h]o9 treatm5t & int]v5tions demon/ration4 ,sec4 #icg4 ,adolesc5t treatm5t & recov]y s]vices demon/ration grant program4 ,sec4 #ich4 ,/udy on treatm5t infra/ructure4 ,sec4 #ici4 ,sub/ance use disord] pr(essional loan repaym5t program4 ,subtitle ,d--,recov]y ,sec4 #iea4 ,national y\? recov]y initiative4 ,sec4 #ieb4 ,grants to enhance & exp& recov]y support s]vices4 ,i ,/r5g!n+ & ,inve/+ 9 ,,samhsa ,programs #aja4 ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s 7a7 ,9 g5]al ,section #eja ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa7 is am5d$-- 7#a7 9 subsection 7c77#a71 by add+ at ! end ! foll[+3 ,! ,adm9i/rator %all be select$ f individuals :o h appropriate education & exp]i5ce4 ,! ,adm9i/rator %all also be ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,abuse42 7#b7 9 subsection 7d7-- 7,a7 by /rik+ ,! ,secret>y & all t foll[s ?r\gh 7#a7 sup]vise ! functions & ins]t+ ! foll[+3 7#a7 ,secret>y's au?orities ,! ,secret>y1 act+ ?r\gh ! ,adm9i/rator1 %all-- 7,a7 sup]vise ! functions 2 7,b7 by mov+ ! ind5tation ( ea* ( p>agraphs 7#b7 ?r\gh 7#ah7 #b ems to ! "r & r$esignat+ su* p>agraphs z subp>agraphs 7,b7 ?r\gh 7,r71 respectively2 & 7#c7 by add+ at ! end ! foll[+3 7#b7 ,assi/ant ,secret>y's au?orities ,! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,abuse %all-- 7,a7 s]ve z ! effective & visible advocate = individuals )1 or at risk =1 m5tal illness & sub/ance use disord]s )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices & ) o!r dep>tm5ts1 ag5cies1 & in/rum5talities ( ! ,f$]al ,gov]nm5t2 7,b7 assi/ ! ,secret>y 9 all matt]s p]ta9+ to issues t impact ! prev5tion1 treatm5t1 & recov]y ( individuals ) m5tal illness or sub/ance use disord]s2 7,c7 coord9ate ,f$]al programs & activities relat$ to promot+ m5tal heal? & prev5t+ sub/ance abuse2 7,d7 coord9ate activities ) ,f$]al entities to implem5t & build aw>5ess ( programs provid+ b5efits affect+ individuals ) m5tal illness or sub/ance use disord]s2 7,e7 promote & coord9ate rese>*1 treatm5t1 & s]vices across dep>tm5ts1 ag5cies1 organizations1 & individuals ) respect to prev5tion1 treatm5t1 & recov]y support rese>* & programs = individuals )1 or at risk =1 sub/ance use disord]s or m5tal illness2 7,f7 coord9ate functions )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices-- 7i7 to improve ! treatm5t (1 & relat$ s]vices to1 individuals ) sub/ance use disord]s or m5tal illness2 7ii7 to improve sub/ance misuse & abuse prev5tion & m5tal heal? promotion s]vices2 7iii7 to ensure access to effective1 evid5ce-bas$ treatm5t = individuals ) m5tal illnesses & individuals ) a sub/ance use disord]2 7iv7 to ensure t grant programs ( ! ,dep>tm5t adh]e to sci5tific /&>ds = individuals ) m5tal illness or sub/ance use disord]s2 & 7v7 to support ! developm5t & implem5tation ( initiatives to enc\rage individuals to pursue c>e]s 7especially 9 und]s]v$ areas & populations7 z psy*iatri/s1 psy*ologi/s1 psy*iatric nurse practition]s1 cl9ical social work]s1 physician assi/ants1 pe] support speciali/s1 & o!r lic5s$ or c]tifi$ m5tal heal? & sub/ance abuse pr(essionals2 7,g7 )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 coord9ate all programs & activities relat+ to-- 7i7 ! prev5tion (1 & treatm5t & recov]y =1 m5tal heal? or sub/ance use disord]s2 or 7ii7 ! r$uction ( homelessness among individuals ) m5tal illness or sub/ance use disord]s2 7,h7 across ! ,f$]al ,gov]nm5t1 9 conjunction ) ! ,int]ag5cy ,s]i\s ,m5tal ,illness ,coord9at+ ,committee "u section #eja;,a-- 7i7 review all programs & activities relat+ to ! prev5tion (1 or treatm5t or rehabilitation =1 m5tal illness or sub/ance use disord]s2 7ii7 id5tify any su* programs & activities t are duplicative2 7iii7 id5tify any su* programs & activities t are n evid5ce-bas$1 effective1 or effici5t2 & 7iv7 =mulate recomm5dations = exp&+1 coord9at+1 elim9at+1 & improv+ programs & activities id5tifi$ pursuant to subp>agraph 7,b7 or 7,c7 & m]g+ su* programs & activities into o!r1 successful programs & activities2 & 7,i7 id5tify evid5ce-bas$ be/ practices across ! ,f$]al ,gov]nm5t = treatm5t & s]vices = ^? ) m5tal heal? & sub/ance use disord]s by review+ practices = effici5cy1 effectiv5ess1 quality1 coord9ation1 & co/ effectiv5ess4 4 7b7 ,prioritization ( integration ( s]vices1 e>ly diagnosis1 int]v5tion1 & work=ce developm5t ,9 c>ry+ out ! duties describ$ 9 section #eja7;d77#b7 ( ! ,public ,heal? ,s]vice ,act1 z add$ by subsection 7a71 ! ,assi/ant ,secret>y %all prioritize-- 7#a7 ! integration ( m5tal heal?1 sub/ance use1 & physical heal? s]vices = ! purpose ( diagnos+1 prev5t+1 treat+1 or provid+ rehabilitation = m5tal illness or sub/ance use disord]s1 includ+ any su* s]vices provid$ ?r\gh ! ju/ice sy/em 7includ+ dep>tm5ts ( correction7 or o!r entities o!r ?an ! ,dep>tm5t ( ,heal? & ,human ,s]vices2 7#b7 crisis int]v5tion =1 e>ly diagnosis & int]v5tion s]vices = ! prev5tion (1 & treatm5t & rehabilitation =1 s]i\s m5tal illness1 s]i\s emotional di/urbance1 or sub/ance use disord]s2 & 7#c7 work=ce developm5t =-- 7,a7 appropriate treatm5t ( s]i\s m5tal illness1 s]i\s emotional di/urbance1 or sub/ance use disord]s2 & 7,b7 rese>* activities t advance sci5tific & cl9ical und]/&+s ( ^! disord]s1 includ+ ! developm5t & implem5tation ( a cont9u+ nationwide /rategy to increase ! psy*iatric work=ce ) psy*iatri/s1 *ild & adolesc5t psy*iatri/s1 psy*ologi/s1 psy*iatric nurse practition]s1 cl9ical social work]s1 pe] support speciali/s1 & o!r lic5s$ or c]tifi$ m5tal heal? or sub/ance abuse pr(essionals4 7c7 ,requirem5ts & re/rictions on au?ority ,to aw>d grants ,9 aw>d+ any grant or f9ancial assi/ance1 ! ,adm9i/rator ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 & any ag5cy or (ficial )9 su* ,adm9i/ration1 %all comply ) ! foll[+3 7#a7 ,any program to be fund$ %all be demon/rat$-- 7,a7 9 ! case ( an ongo+ program1 to be effective2 & 7,b7 9 ! case ( a new program1 to h ! prospect ( be+ effective4 7#b7 ,! programs & activities to be fund$ %all1 z appropriate1 use evid5ce-bas$ be/ practices or em]g+ evid5ce-bas$ practices t are translational & c be exp&$ or replicat$ to o!r ,/ates1 local communities1 ag5cies1 tribes1 or ?r\gh ! ,m$icaid program "u title ,,xix ( ! ,social ,security ,act4 7#c7 ,an application = ! grant or f9ancial assi/ance %all include1 z applicable1 a sci5tific ju/ification bas$ on previ\sly demon/rat$ models1 ! numb] ( individuals to be s]v$1 ! population to be t>get$1 :at objective outcomes measures w be us$1 & details on h[ ! program or activity to be fund$ c be replicat$ & by :om4 7#d7 ,applicants %all be evaluat$ & select$ ?r\gh a bl9d1 pe]-review process by individuals ) exp]tise appropriate to ! grant or o!r f9ancial assi/ance1 su* z heal? c>e provid]s ) pr(essional exp]i5ce 9 m5tal heal? or sub/ance abuse rese>* or treatm5t4 7#e7 ,! ,secret>y %all adopt a policy t ensures t any memb] ( a pe] review gr\p does n h a conflict ( int]e/ ) respect to any program or grant to be review$4 7#f7 ,aw>d recipi5ts may be p]iodically review$ & audit$ at ! discretion ( ! ,inspector ,g5]al ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices or ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates to ensure t-- 7,a7 ! be/ sci5tific me?od = bo? s]vices & data collection is be+ foll[$2 & 7,b7 ,f$]al funds are be+ us$ z requir$ by ! conditions ( ! aw>d4 7#g7 ,aw>d recipi5ts t fail an audit or fail to provide in=mation pursuant to an audit %all h _! aw>ds t]m9at$ or %all be plac$ on a corrective action plan to address ! issues rais$ 9 ! audit f9d+s4 7d7 ,def9ition ,9 ?is ,act1 except z inconsi/5t ) ! provisions ( ?is ,act1 ! t]m ,assi/ant ,secret>y means ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s4 #ajb4 ,(fice ( ,*ief ,m$ical ,(fic] 7a7 ,9 g5]al ,section #eja ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa7 is am5d$-- 7#a7 by r$esignat+ subsections 7g7 ?r\gh 7o7 z subsections 7h7 ?r\gh 7p71 respectively2 & 7#b7 by ins]t+ aft] subsection 7f7 ! foll[+3 7g7 ,*ief ,m$ical ,(fice ,! ,adm9i/rator %all e/abli% )9 ! ,adm9i/ration a ,*ief ,m$ical ,(fice1 to be head$ by a ,*ief ,m$ical ,(fic]1 :o %all be a psy*iatri/4 ,! ,*ief ,m$ical ,(fice %all be /aff$ by m5tal heal? & sub/ance abuse provid]s4 4 7b7 ,con=m+ *anges ,title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa et seq47 is am5d$-- 7#a7 9 subsections 7e77#c77;,c7 & 7f77#b77;,c77iii7 ( section #eja1 by /rik+ subsection 7k7 & ins]t+ subsection 7l72 & 7#b7 9 section #ejh7p71 by /rik+ #eja7k7 & ins]t+ #eja7l74 #ajc4 ,indep5d5t audit ( ,,samhsa 7a7 ,9 g5]al ,! ,secret>y %all ent] into an contract or coop]ative agreem5t ) an ext]nal1 indep5d5t entity to conduct a full assessm5t & review ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration 79 ?is section ref]r$ to z ,,samhsa74 7b7 ,report ,! contract or coop]ative agreem5t "u subsection 7a7 %all require t1 n lat] ?an #ah mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ext]nal1 indep5d5t entity w submit to ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate a report on ! f9d+s & conclusion ( ! assessm5t & review4 7c7 ,topics ,! assessm5t & review conduct$ pursuant to subsection 7a71 & ! report submitt$ pursuant to subsection 7b71 %all address ea* ( ! foll[+3 7#a7 ,:e!r ! mission ( ,,samhsa is appropriate4 7#b7 ,:e!r ! program au?ority ( ,,samhsa is appropriate4 7#c7 ,:e!r ,,samhsa has adequate /aff+1 includ+ te*nical exp]tise1 to fulfill its mission4 7#d7 ,:e!r ,,samhsa is fund$ appropriately4 7#e7 ,! efficacy ( ! programs fund$ by ,,samhsa4 7#f7 ,:e!r fund+ is be+ sp5t 9 a way t effectively supports & promotes ! au?orities ve/$ by section #eja7;d7 ( ! ,public ,heal? ,s]vice ,act1 z am5d$ by section #aja ( ?is ,act4 7#g7 ,:e!r ,,samhsa's focus on recov]y is appropriate4 7#h7 ,additional /eps ,,samhsa c take to fulfill its *>ge ( lead+ public heal? ef=ts to advance ! behavioral heal? ( ! ,nation & r$uce ! impact ( sub/ance abuse & m5tal illness on ! ,nation's communities4 7#i7 ,:e!r /&>ds = ,,samhsa's grant programs are effective4 7#aj7 ,:e!r /&>ds = ,,samhsa's appo9tm5t ( pe]-review panels to evaluate grant applications is appropriate4 7#aa7 ,h[ ,,samhsa s]ves individuals ) m5tal illness1 s]i\s m5tal illness1 s]i\s emotional di/urbance1 or sub/ance use disord]s1 & individuals ) co-occurr+ conditions4 #ajd4 ,c5t] = ,behavioral ,heal? ,/ati/ics & ,quality ,title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa et seq47 is am5d$-- 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 & 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 ma9ta9 op]ation ( ! ,national ,regi/ry ( ,evid5ce-,bas$ ,programs & ,practices to provide = ! evaluation & dissem9ation to ! ,adm9i/ration ( ! evid5ce-bas$ practices & s]vices deliv]y models ( grantees & o!r int]e/$ p>ties2 7#c7 recomm5d a core set ( measurem5t /&>ds = grant programs adm9i/]$ by ! ,adm9i/ration2 & 7#d7 lead 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 ( sub/ance use & m5tal 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 & sub/ance use disord]s su* z-- 7#a7 pr(essionals ) cl9ical & rese>* exp]tise 9 ! prev5tion & treatm5t (1 & recov]y f1 sub/ance use & m5tal 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 to & ent] into contracts & coop]ative agreem5ts ) 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$s become available4 4 #aje4 ,innovation grants 7a7 ,9 g5]al ,! ,assi/ant ,secret>y1 act+ ?r\gh ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 %all aw>d grants to ,/ate & local gov]nm5ts1 tribes & tribal organizations1 educational in/itutions1 & nonpr(it organizations = exp&+ a model t has be5 sci5tifically demon/rat$ to %[ promise1 b w\ld b5efit f fur!r appli$ rese>*1 =-- 7#a7 enhanc+ ! scre5+1 diagnosis1 & treatm5t ( m5tal illness & s]i\s m5tal illness2 or 7#b7 integrat+ or coord9at+ physical1 m5tal heal?1 & sub/ance use s]vices4 7b7 ,duration ,a grant "u ?is section %all be = a p]iod ( n less ?an #c ye>s & n m ?an #e ye>s4 7c7 ,limitations ,( ! am\nts made available = c>ry+ out ?is section = a fiscal ye>1 n less ?an "o-?ird %all be aw>d$ = scre5+1 diagnosis1 treatm5t1 or s]vices1 z describ$ 9 subsection 7a71 = individuals 7or subpopulations ( individuals7 :o are bel[ ! age ( #ah :5 activities fund$ ?r\gh ! grant aw>d are initiat$4 7d7 ,guidel9es ,z a condition on receipt ( an aw>d "u ?is section1 an applicant %all agree to adh]e to any requirem5ts or guidel9es issu$ by ! ,secret>y on rese>* designs & data collection4 7e7 ,t]m9ation ,! ,secret>y may t]m9ate any aw>d "u ?is section ^u a det]m9ation t-- 7#a7 ! recipi5t is n provid+ in=mation reque/$ by ! ,secret>y 9 connection ) ! aw>d2 or 7#b7 !re is a cle> failure 9 ! effectiv5ess ( ! recipi5t's programs or activities fund$ ?r\gh ! aw>d4 7f7 ,report+ ,z a condition on receipt ( an aw>d "u ?is section1 an applicant %all agree-- 7#a7 to report to ! ,secret>y ! results ( programs & activities fund$ ?r\gh ! aw>d2 & 7#b7 to include 9 su* report+ any relevant data reque/$ by ! ,secret>y4 7g7 ,au?orization ( appropriations ,= ! purpose ( provid+ grants "u ?is section1 !re is au?oriz$ to be appropriat$ #dj1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 #ajf4 ,demon/ration grants 7a7 ,grants ,! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is section ref]r$ to z ! ,secret>y71 act+ ?r\gh ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 %all aw>d grants to ,/ates1 c\nties1 local gov]nm5ts1 tribes & tribal organizations1 educational in/itutions1 & private nonpr(it organizations = ! expansion1 replication1 or scal+ ( evid5ce-bas$ programs across a wid] area to enhance effective scre5+1 e>ly diagnosis1 int]v5tion1 & treatm5t ) respect to m5tal illness1 s]i\s m5tal illness1 & s]i\s emotional di/urbance1 prim>ily by-- 7#a7 appli$ deliv]y ( c>e1 includ+ tra9+ /aff 9 effective evid5ce-bas$ treatm5t2 & 7#b7 integrat+ models ( c>e across specialties & jurisdictions4 7b7 ,duration ,a grant "u ?is section %all be = a p]iod ( n less ?an #c ye>s & n m ?an #e ye>s4 7c7 ,limitations ,( ! am\nts made available = c>ry+ out ?is section = a fiscal ye>-- 7#a7 n less ?an half %all be aw>d$ = scre5+1 diagnosis1 int]v5tion1 & treatm5t1 z describ$ 9 subsection 7a71 = individuals 7or subpopulations ( individuals7 :o are bel[ ! age ( #bf :5 activities fund$ ?r\gh ! grant aw>d are initiat$2 7#b7 no am\nts %all be made available = any program or project t is n evid5ce-bas$2 7#c7 no am\nts %all be made available = prim>y prev5tion2 & 7#d7 no am\nts %all be made available solely = ! purpose ( exp&+ facilities or increas+ /aff at an exi/+ program1 al?\gh funds may be s us$ by an exi/+ program if su* an expansion or increase is ne$$ to support ! implem5tation ( a new program "u ?is section4 7d7 ,t]m9ation ,! ,secret>y may t]m9ate any aw>d "u ?is section ^u a det]m9ation t-- 7#a7 ! recipi5t is n provid+ in=mation reque/$ by ! ,secret>y 9 connection ) ! aw>d2 or 7#b7 !re is a cle> failure 9 ! effectiv5ess ( ! recipi5t's programs or activities fund$ ?r\gh ! aw>d4 7e7 ,report+ ,z a condition on receipt ( an aw>d "u ?is section1 an applicant %all agree-- 7#a7 to report to ! ,secret>y ! results ( programs & activities fund$ ?r\gh ! aw>d2 & 7#b7 to include 9 su* report+ any relevant data reque/$ by ! ,secret>y4 7f7 ,au?orization ( appropriations ,= ! purpose ( provid+ grants "u ?is section1 !re is au?oriz$ to be appropriat$ #hj1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 #ajg4 ,e>ly int]v5tion & treatm5t 9 *ildhood 7a7 ,grants ,! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is ,act ref]r$ to z ! ,secret>y71 act+ ?r\gh ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 %all-- 7#a7 aw>d grants to eligible entities to initiate & und]take1 = eligible *ildr51 e>ly *ildhood int]v5tion & treatm5t programs1 & specializ$ pres*ool & elem5t>y s*ool programs1 ) ! goal ( prev5t+ *ronic & s]i\s m5tal illness & s]i\s emotional di/urbance2 7#b7 aw>d grants to n m ?an #c eligible entities = /udy+ ! longitud9al outcomes ( programs fund$ "u p>agraph 7#a7 on eligible *ildr5 :o 7 treat$ #e or m ye>s prior to ! enactm5t ( ?is ,act2 & 7#c7 ensure t programs & activities fund$ ?r\gh grants "u ?is subsection are bas$ on a s\nd sci5tific model t %[s evid5ce & promise & c be replicat$ 9 o!r sett+s4 7b7 ,eligible entities & *ildr5 ,9 ?is section3 7#a7 ,eligible entity ,! t]m eligible entity means a nonpr(it in/itution t-- 7,a7 is accr$it$ by ,/ate m5tal heal?1 education1 or human s]vices ag5cies1 z applicable1 = ! treatm5t or education ( *ildr5 f #j to #ab ye>s ( age2 & 7,b7 provides s]vices t include e>ly *ildhood int]v5tion & specializ$ pres*ool & elem5t>y s*ool programs focus$ on *ildr5 ^: prim>y ne$ is a social or emotional disability 79 addition to any le>n+ disability74 7#b7 ,eligible *ild ,! t]m eligible *ild means a *ild :o is at lea/ #j ye>s old & n m ?an #ab ye>s old-- 7,a7 ^: prim>y ne$ is a social & emotional disability 79 addition to any le>n+ disability72 7,b7 :o is at risk ( develop+ s]i\s m5tal illness &_/or may %[ e>ly signs ( m5tal illness2 & 7,c7 :o c\ld b5efit f e>ly *ildhood int]v5tion & specializ$ pres*ool or elem5t>y s*ool programs ) ! goal ( prev5t+ or treat+ *ronic & s]i\s m5tal illness4 7c7 ,application ,an eligible entity seek+ a grant "u subsection 7a7 %all submit to ! ,secret>y an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7d7 ,use ( funds = e>ly *ildhood int]v5tion & treatm5t programs ,an eligible entity %all use am\nts aw>d$ "u a grant "u subsection 7a77#a7 to c>ry out ! foll[+ activities3 7#a7 ,deliv] 7or facilitate7 = eligible *ildr5 treatm5t & education1 e>ly *ildhood int]v5tion1 & specializ$ pres*ool & elem5t>y s*ool programs1 includ+ ! provision ( m$ically bas$ *ild c>e & e>ly education s]vices4 7#b7 ,treat & educate eligible *ildr51 includ+ />tup1 curricula developm5t1 op]at+ & capital ne$s1 /aff & equipm5t1 assessm5t & int]v5tion s]vices1 adm9i/ration & m$ication requirem5ts1 enrollm5t co/s1 collaboration ) prim>y c>e provid]s & psy*iatri/s1 o!r relat$ s]vices to meet em]g5cy ne$s ( *ildr51 & communication ) families & m$ical pr(essionals conc]n+ ! *ildr54 7#c7 ,develop & implem5t o!r /rategies to address id5tifi$ treatm5t & educational ne$s ( eligible *ildr5 t h reliable & valid evaluation modalities built into assess outcomes bas$ on s\nd sci5tific metrics4 7e7 ,use ( funds = longitud9al /udy ,9 conduct+ a /udy on longitud9al outcomes ?r\gh a grant "u subsection 7a77#b71 an eligible entity %all include an analysis (-- 7#a7 ! individuals treat$ & educat$2 7#b7 ! success ( su* treatm5t & education 9-- 7,a7 avoid+ ! onset ( s]i\s emotional di/urbance & s]i\s m5tal illness2 or 7,b7 ! prep>ation ( su* *ildr5 = ! c>e & managem5t ( s]i\s emotional di/urbance & s]i\s m5tal illness2 7#c7 any evid5ce-bas$ be/ practices g5]ally applicable z a result ( su* treatm5t & educational te*niques us$ ) su* *ildr52 & 7#d7 ! ability ( programs to be replicat$ z a be/ practice model ( int]v5tion4 7f7 ,requirem5ts ,9 c>ry+ out ?is section1 ! ,secret>y %all ensure t ea* entity receiv+ a grant "u subsection 7a7 ma9ta9s a writt5 agreem5t ) ! ,secret>y1 & provides regul> writt5 reports1 z requir$ by ! ,secret>y1 reg>d+ ! quality1 effici5cy1 & effectiv5ess ( int]v5tion & treatm5t = eligible *ildr5 prev5t+ or treat+ ! developm5t & onset ( s]i\s m5tal illness or s]i\s emotional di/urbance4 7g7 ,am\nt ( aw>ds 7#a7 ,am\nts = e>ly *ildhood int]v5tion & treatm5t programs ,! am\nt ( an aw>d to an eligible entity "u subsection 7a77#a7 %all be n m ?an #fjj1jjj p] fiscal ye>4 7#b7 ,am\nts = longitud9al /udy ,! total am\nt ( an aw>d to an eligible entity "u subsection 7a77#b7 7= "o or m fiscal ye>s7 %all be n less ?an #a1jjj1jjj & n great] ?an #b1jjj1jjj4 7h7 ,project t]ms ,! p]iod ( a grant-- 7#a7 = aw>ds "u subsection 7a77#a71 %all be n less ?an #c fiscal ye>s & n m ?an #e fiscal ye>s2 & 7#b7 = aw>ds "u subsection 7a77#b71 %all be n m ?an #e fiscal ye>s4 7i7 ,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 subp>agraph 7,d71 to make available non-,f$]al contributions 79 ca% or 9 k9d7 t[>d su* co/s 9 an am\nt equal to n less ?an #aj p]c5t ( ,f$]al funds provid$ 9 ! grant4 7j7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ #e1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 #ajh4 ,block grants 7a7 ,be/ practices 9 cl9ical c>e models ,section #aibj ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#i7 is am5d$ by add+ at ! end ! foll[+3 7c7 ,be/ practices 9 cl9ical c>e models ,! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 act+ 9 collaboration ) ! ,director ( ! ,national ,in/itute ( ,m5tal ,heal?1 %all require ,/ates to obligate at lea/ #e p]c5t ( ! am\nts appropriat$ = a fiscal ye> "u subsection 7a7 to support evid5ce-bas$ programs t address ! ne$s ( individuals ) e>ly s]i\s m5tal illness or s]i\s emotional di/urbance1 includ+ psy*otic disord]s1 reg>dless ( ! age ( individual onset4 ,su* models %all translate evid5ce-bas$ int]v5tions & be/ available sci5ce into sy/ems ( c>e1 su* z ?r\gh models su* z-- 7#a7 ! ,recov]y ,aft] an ,initial ,s*izophr5ia ,episode rese>* project ( ! ,national ,in/itute ( ,m5tal ,heal?2 & 7#b7 ! ,nor? ,am]ican ,prodrome ,longitud9al ,/udy4 4 7b7 ,additional program requirem5ts 7#a7 ,integrat$ s]vices ,subsection 7b77#a7 ( section #aiab ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#a7;b77#a77 is am5d$-- 7,a7 by /rik+ ,! plan provides & ins]t+3 7,a7 ,! plan provides 2 7,b7 9 subp>agraph 7,a71 z ins]t$ by p>agraph 7#a71 9 ! second s5t5ce1 by /rik+ heal? & m5tal heal? s]vices & ins]t+ integrat$ physical & m5tal heal? s]vices2 7,c7 9 su* subp>agraph 7,a71 by /rik+ ,! plan %all include ?r\gh ! p]iod at ! end & ins]t+ ,! plan %all integrate & coord9ate s]vices to maximize ! effici5cy1 effectiv5ess1 quality1 coord9ation1 & co/ effectiv5ess ( ^? s]vices & programs to produce ! be/ possible outcomes = ^? ) s]i\s m5tal illness or s]i\s emotional di/urbance42 & 7,d7 by add+ at ! end ! foll[+ new subp>agraph3 7,b7 ,! plan %all include a sep>ate description ( case managem5t s]vices & provide = activities lead+ to improv$ outcomes1 su* z r$uction ( rates ( suicides1 suicide attempts1 sub/ance abuse1 ov]dose dea?s1 em]g5cy hospitalizations1 inc>c]ation1 crimes1 arre/1 victimization1 homelessness1 joblessness1 m$ication nonadh]5ce1 & education & vocational programs drop outs4 ,! plan mu/ also include a detail$ li/ ( s]vices available = individuals ) s]i\s m5tal illness or s]i\s emotional di/urbance 9 ea* c\nty or c\nty equival5t4 7,c7 ,! plan %all include a sep>ate description ( active programs t seek to engage individuals ) s]i\s m5tal illness 9 proactively mak+ _! own heal? c>e decisions & enhanc+ communication among !mselves1 _! families1 & _! treatm5t provid]s by all[+ = e>ly int]v5tion by r$uc+ legal proce$+s relat$ to involunt>y treatm5t4 ,su* programs may include s]vices t help develop psy*iatric advanc$ directives4 4 7#b7 ,data collection sy/em ,subsection 7b77#b7 ( section #aiab ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#a7;b77#b77 is am5d$-- 7,a7 by /rik+ ,! plan conta9s an e/imate ( & ins]t+ ! foll[+3 ,! plan conta9s-- 7,a7 an e/imate ( 2 7,b7 9 subp>agraph 7,a71 z ins]t$ by p>agraph 7#a71 by ins]t+ 1 su* z r$uctions 9 homelessness1 em]g5cy hospitalization1 inc>c]ation1 & unemploym5t aft] t>gets2 7,c7 9 su* subp>agraph1 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7,d7 by add+ at ! end ! foll[+ new subp>agraph3 7,b7 an agreem5t by ! ,/ate to report to ! ,secret>y su* data z may be requir$ by ! ,secret>y conc]n+-- 7i7 compreh5sive community m5tal heal? s]vices 9 ! ,/ate2 & 7ii7 public heal? outcomes = p]sons ) s]i\s m5tal illness or s]i\s emotional di/urbance 9 ! ,/ate1 su* z rates ( suicides1 suicide attempts1 sub/ance abuse1 ov]dose dea?s1 em]g5cy hospitalizations1 inc>c]ation1 crimes1 arre/1 victimization1 homelessness1 joblessness1 m$ication nonadh]5ce1 & education & vocational programs drop outs4 4 7#c7 ,implem5tation ( plan ,subsection 7d77#a7 ( section #aiab ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#a7;d77#a77 is am5d$-- 7,a7 by /rik+ ,except z provid$ & ins]t+3 7,a7 ,except z provid$ 2 & 7,b7 by add+ at ! end ! foll[+ new subp>agraph3 7,b7 ,= individuals receiv+ treatm5t ?r\gh funds aw>d$ "u a grant "u section #aiaa1 a ,/ate %all include 9 ! ,/ate plan = ! fir/ ye> beg9n+ aft] ! date ( ! enactm5t ( ?is subp>agraph & ea* subsequ5t ye>1 a de-individualiz$ report1 conta9+ in=mation t is de-id5tifi$1 on ! s]vices provid$ to ^? individuals1 includ+-- 7i7 outcomes & ! ov]all co/ ( su* treatm5t provid$2 & 7ii7 c\nty or c\nty equival5t level data on su* population1 su* z ov]all co/s & raw numb] data on rates ( involunt>y commitm5t ord]s1 suicides1 suicide attempts1 sub/ance abuse1 ov]dose dea?s1 em]g5cy hospitalizations1 inc>c]ation1 crimes1 arre/1 victimization1 homelessness1 joblessness1 m$ication nonadh]5ce1 & education & vocational programs drop outs4 4 7c7 ,inc5tives = ,/ate-,bas$ outcome measures ,section #aibj ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#i7 is am5d$ by add+ at ! end ! foll[+3 7c7 ,inc5tives = /ate-,bas$ outcome measures 7#a7 ,9 g5]al ,9 addition to ! am\nts made available "u subsection 7a7 = ea* fiscal ye>1 ! ,secret>y %all provide to ea* ,/ate t meets ! conditions "u p>agraph 7#b7 by ! end ( ! fir/ qu>t] ( ! subsequ5t fiscal ye>1 an equally divid$ %>e ( ! fund+ "u p>agraph 7#c74 7#b7 ,conditions ,! ,secret>y %all def9e ! conditions "u :i* a ,/ate is eligible to receive ! additional am\nt "u p>agraph 7#a74 7#c7 ,au?orization ( ,appropriations ,= purposes ( ?is subsection1 !re is au?oriz$ to be appropriat$ #be1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 ,any am\nts made available "u p>agraph 7#a7 %all be 9 addition to ! ,/ate's block grant allocation4 4 7d7 ,evid5ce-,bas$ s]vices deliv]y models ,section #aiab ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#a7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7e7 ,expansion ( models 7#a7 ,9 g5]al ,tak+ into acc\nt ! results ( evaluations ( block grant programs1 ! ,secret>y may1 z "p ( ! program ( block grants "u ?is subp>t1 provide = exp&$ use across ! ,nation ( evid5ce-bas$ s]vice deliv]y models by provid]s fund$ "u su* block grants1 s long z-- 7,a7 ! ,secret>y det]m9es t su* expansion w-- 7i7 result 9 m effective use ( funds "u su* block grants )\t r$uc+ ! quality ( c>e2 or 7ii7 improve ! quality ( pati5t c>e )\t significantly increas+ sp5d+2 7,b7 ! ,secret>y det]m9es t su* expansion w\ld improve ! quality ( pati5t c>e2 & 7,c7 ! ,secret>y det]m9es t ! *ange w-- 7i7 significantly r$uce sev]ity & duration ( symptoms ( m5tal illness2 7ii7 r$uce rates ( suicide1 suicide attempts1 sub/ance abuse1 ov]dose1 em]g5cy hospitalizations1 em]g5cy room bo>d+1 inc>c]ation1 crime1 arre/1 victimization1 homelessness1 or joblessness2 or 7iii7 significantly improve ! quality ( pati5t c>e & m5tal heal? crisis outcomes )\t significantly increas+ sp5d+4 7#b7 ,def9ition ,9 ?is subsection1 ! t]m em]g5cy room bo>d+ means ! practice ( admitt+ pati5ts to an em]g5cy dep>tm5t & hold+ !m 9 ! dep>tm5t until inpati5t psy*iatric b$s become available4 4 7e7 ,p]iod = exp5diture ( grant funds ,section #aiac ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#b71 z am5d$1 is fur!r am5d$ by add+ at ! end ! foll[+3 7d7 ,p]iod = exp5diture ( grant funds ,9 implem5t+ a plan submitt$ "u section #aiab7;a71 a ,/ate receiv+ grant funds "u section #aiaa may make su* funds available to provid]s ( s]vices describ$ 9 subsection 7b7 = ! provision ( s]vices )\t fiscal ye> limitation1 s long z any c>ryov] is sp5t )9 #c ye>s ( ! ye> 9 :i* ! fund+ 0 provid$4 4 7f7 ,active outrea* & engagem5t ,section #aiae ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#d7 is am5d$ by add+ at ! end ( ! foll[+3 7c7 ,active ,outrea* & ,engagem5t to ,p]sons ) ,s]i\s ,m5tal ,illness 7#a7 ,9 g5]al ,a fund+ agreem5t = a grant "u section #aiaa is t ! ,/ate involv$ has 9 effect active programs t seek to engage individuals ) s]i\s m5tal illness 9 compreh5sive s]vices 9 ord] to av]t relapse1 repeat$ hospitalizations1 arre/1 inc>c]ation1 suicide1 & to provide ! individuals ) ! opportunity to live 9 ! lea/ re/rictive sett+1 ?r\gh a compreh5sive program ( evid5ce-bas$ & culturally relevant ass]tive outrea* & engagem5t s]vices focus+ on individuals :o are homeless1 h co-occurr+ disord]s1 are at risk = inc>c]ation or re-inc>c]ation1 or h a hi/ory ( treatm5t failure1 includ+ repeat$ hospitalizations or em]g5cy room usage4 7#b7 ,evid5ce-bas$ ass]tive outrea* & engagem5t s]vices 7,a7 ,,samhsa ,! ,adm9i/rator ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 9 coop]ation ) ! ,director ( ! ,national ,in/itute ( ,m5tal ,heal?1 %all develop-- 7i7 a li/ ( evid5ce-bas$ culturally & l+ui/ically relevant ass]tive outrea* & engagem5t s]vices2 & 7ii7 crit]ia to be us$ to assess ! scope & effectiv5ess ( ! approa*es tak5 by su* s]vices1 su* z ! ability to provide same-day appo9tm5ts = em]g5t situations4 7,b7 ,types ( ass]tive outrea* & engagem5t s]vices ,= purposes ( p>agraph 7#a71 appropriate programs ( evid5ce-bas$ ass]tive outrea* & engagem5t s]vices may include pe] support programs2 ! ,wellness ,recov]y ,action ,plan1 ,ass]tive ,community ,treatm5t1 & ,=5sic ,ass]tive ,community ,treatm5t ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration2 appropriate supportive h\s+ programs incorporat+ a ,h\s+ ,fir/ model2 & int5sive1 evid5ce-bas$ approa*es to e>ly int]v5tion 9 psy*osis1 su* z ! ,recov]y ,aft] an ,initial ,s*izophr5ia ,episode model ( ! ,national ,in/itute ( ,m5tal ,heal? & ! ,specializ$ ,treatm5t ,e>ly 9 ,psy*osis program4 4 #aji4 ,*ildr5's recov]y f trauma ,section #ehb ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;hh-#a7 is am5d$-- 7#a7 9 subsection 7a71 by /rik+ develop+ programs & all t foll[s ?r\gh ! p]iod at ! end & ins]t+ 8develop+ & ma9ta9+ programs t provide =-- 7#a7 ! cont9u$ op]ation ( ! ,national ,*ild ,traumatic ,/ress ,initiative 7ref]r$ to 9 ?is section z ! ,,nctsi71 :i* includes a coord9at+ c5t]1 t focuses on ! m5tal1 behavioral1 & biological aspects ( psy*ological trauma response1 prev5tion ( ! long-t]m consequ5ces ( *ild trauma1 & e>ly int]v5tion s]vices & treatm5t to address ! long-t]m consequ5ces ( *ild trauma2 & 7#b7 ! developm5t ( k ) reg>d to evid5ce-bas$ practices = id5tify+ & treat+ m5tal1 behavioral1 & biological disord]s ( *ildr5 & y\? result+ f witness+ or exp]i5c+ a traumatic ev5t4 2 7#b7 9 subsection 7b7-- 7,a7 by /rik+ subsection 7a7 relat$ & ins]t+ subsection 7a77#b7 7relat$2 7,b7 by /rik+ treat+ disord]s associat$ ) psy*ological trauma & ins]t+ treat+ m5tal1 behavioral1 & biological disord]s associat$ ) psy*ological trauma72 & 7,c7 by /rik+ m5tal heal? ag5cies & programs t h e/abli%$ cl9ical & basic rese>* & ins]t+ univ]sities1 hospitals1 m5tal heal? ag5cies1 & o!r programs t h e/abli%$ cl9ical exp]tise & rese>*2 7#c7 by r$esignat+ subsections 7c7 ?r\gh 7g7 z subsections 7g7 ?r\gh 7k71 respectively2 7#d7 by ins]t+ aft] subsection 7b71 ! foll[+3 7c7 ,*ild outcome data ,! ,,nctsi coord9at+ c5t] %all collect1 analyze1 & report ,,nctsi-wide *ild treatm5t process & outcome data reg>d+ ! e>ly id5tification & deliv]y ( evid5ce-bas$ treatm5t & s]vices = *ildr5 & families s]v$ by ! ,,nctsi grantees4 7d7 ,tra9+ ,! ,,nctsi coord9at+ c5t] %all facilitate ! coord9ation ( tra9+ initiatives 9 evid5ce-bas$ & trauma-in=m$ treatm5ts1 int]v5tions1 & practices (f]$ to ,,nctsi grantees1 provid]s1 & p>tn]s4 7e7 ,dissem9ation & collaboration ,! ,,nctsi coord9at+ c5t] %all1 z appropriate1 collaborate )-- 7#a7 ! ,secret>y1 9 ! dissem9ation ( evid5ce-bas$ & trauma-in=m$ int]v5tions1 treatm5ts1 products1 & o!r res\rces to appropriate /akehold]s2 & 7#b7 appropriate ag5cies t conduct or fund rese>* )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 = purposes ( %>+ ,,nctsi exp]tise1 evaluation data1 & o!r activities1 z appropriate4 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+ #dg1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 #aaj4 ,g>rett ,lee ,smi? ,memorial ,act reau?orization 7a7 ,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 9 subsection 7d7-- 7,a7 9 p>agraph 7#a71 by /rik+ y\? suicide e>ly int]v5tion & prev5tion /rategies & ins]t+ suicide e>ly int]v5tion & prev5tion /rategies = all ages1 p>ticul>ly = y\?2 7,b7 9 p>agraph 7#b71 by /rik+ y\? suicide e>ly int]v5tion & prev5tion /rategies & ins]t+ suicide e>ly int]v5tion & prev5tion /rategies = all ages1 p>ticul>ly = y\?2 7,c7 9 p>agraph 7#c7-- 7i7 by /rik+ y\?2 & 7ii7 by ins]t+ be=e ! semicolon ! foll[+3 = all ages1 p>ticul>ly = y\?2 7,d7 9 p>agraph 7#d71 by /rik+ y\? suicide & ins]t+ suicide = all ages1 p>ticul>ly among y\?2 7,e7 9 p>agraph 7#e71 by /rik+ y\? suicide e>ly int]v5tion te*niques & te*nology & ins]t+ suicide e>ly int]v5tion te*niques & te*nology = all ages1 p>ticul>ly = y\?2 7,f7 9 p>agraph 7#g7-- 7i7 by /rik+ y\?2 & 7ii7 by ins]t+ = all ages1 p>ticul>ly = y\?1 aft] /rategies2 & 7,g7 9 p>agraph 7#h7-- 7i7 by /rik+ y\? suicide ea* place t su* appe>s & ins]t+ suicide2 & 7ii7 by /rik+ 9 y\? & ins]t+ among all ages1 p>ticul>ly among y\?2 & 7#b7 by am5d+ subsection 7e7 to read z foll[s3 7e7 ,au?orization ( appropriations ,= ! purpose ( c>ry+ out ?is section1 !re is au?oriz$ to be appropriat$ #e1ihh1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 4 7b7 ,y\? suicide e>ly int]v5tion & prev5tion /rategies ,section #ebj;,e ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cf7 is am5d$-- 7#a7 9 subsection 7b71 by /rik+ p>agraph 7#b7 & ins]t+ ! foll[+3 7#b7 ,limitation ,9 c>ry+ out ?is section1 ! ,secret>y %all ensure t a ,/ate does n receive m ?an "o grant or coop]ative agreem5t "u ?is section at any "o "t4 ,= purposes ( ! prec$+ s5t5ces1 a ,/ate %all be consid]$ to h receiv$ a grant or coop]ative agreem5t if ! eligible entity involv$ is ! ,/ate or an entity designat$ by ! ,/ate "u p>agraph 7#a77;,b74 ,no?+ 9 ?is p>agraph %all be con/ru$ to apply to entities describ$ 9 p>agraph 7#a77;,c74 2 & 7#b7 by /rik+ subsection 7m7 & ins]t+ ! foll[+3 7m7 ,au?orization ( appropriations ,= ! purpose ( c>ry+ out ?is section1 !re is au?oriz$ to be appropriat$ #ce1dbg1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 4 7c7 ,m5tal & behavioral heal? s]vices on campus ,section #ebj;,e-#b7;h7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cf;b7h77 is am5d$ by /rik+ #e1jjj1jjj = fiscal ye> #bjje & all t foll[s ?r\gh ! p]iod & ins]t+ #f1dhh1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba44 #aaa4 ,national ,suicide ,prev5tion ,lifel9e ,program ,subp>t #c ( "p ,b ( title ,v ( ! ,public ,heal? ,s]vice ,act is am5d$ by ins]t+ aft] section #ebj;,e-#b ( su* ,act 7#db ,u4,s4,c4 #bij;bb-#cf;b71 z am5d$1 ! foll[+3 #ebj;,e-#c4 ,national ,suicide ,prev5tion ,lifel9e ,program 7a7 ,9 g5]al ,! ,secret>y %all ma9ta9 ! ,national ,suicide ,prev5tion ,lifel9e program1 includ+ by-- 7#a7 coord9at+ a network ( crisis c5t]s across ! ,unit$ ,/ates = provid+ suicide prev5tion & crisis int]v5tion s]vices to individuals seek+ help at any "t1 day or night2 7#b7 ma9ta9+ a suicide prev5tion hotl9e to l9k call]s to local em]g5cy1 m5tal heal?1 & social s]vices res\rces2 & 7#c7 consult+ ) ! ,secret>y ( ,vet]ans ,affairs to ensure t vet]ans call+ ! suicide prev5tion hotl9e h access to a specializ$ vet]ans' suicide prev5tion hotl9e4 7b7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re are au?oriz$ to be appropriat$ #h1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 4 #aab4 ,adult suicide prev5tion 7a7 ,grants 7#a7 ,au?ority ,! ,adm9i/rator ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration 7ref]r$ to 9 ?is section z ! ,adm9i/rator7 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 ! ,adm9i/rator 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 dialog ab\t suicide prev5tion4 7b7 ,additional activities ,! ,adm9i/rator %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 ! ,adm9i/rator 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 ! ,adm9i/rator 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 #ae1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 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 ! ,adm9i/rator = purposes ( c>ry+ out subsection 7b74 #aac4 ,pe] review & advisory c\ncils 7a7 ,9 g5]al ,section #eja ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa7 is am5d$-- 7#a7 9 subsection 7i71 z r$esignat$ by section #ajb1 by ins]t+ at ! end ! foll[+3 ,= any su* pe]-review gr\p review+ a proposal or grant relat$ to ! treatm5t ( m5tal illness1 no few] ?an half ( ! memb]s ( ! gr\p %all be exp]i5c$ m5tal heal? provid]s42 & 7#b7 9 subsection 7m71 z r$esignat$ by section #ajb-- 7,a7 9 p>agraph 7#b71 by /rik+ & at ! end2 & 7,b7 9 p>agraph 7#c71 by /rik+ ! p]iod at ! end & ins]t+ 2 &4 7b7 ,advisory c\ncils ,p>agraph 7#c7 ( section #ejb7;b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa-#a7;b77 is am5d$ by add+ at ! end ! foll[+3 7,c7 ,no few] ?an "o-?ird ( ! memb]s ( an advisory c\ncil = ! ,c5t] = ,m5tal ,heal? ,s]vices %all be m5tal heal? c>e provid]s )-- 7i7 exp]i5ce 9 m5tal heal? rese>* or treatm5t2 & 7ii7 exp]tise 9 ! fields on :i* !y are advis+4 7,d7 ,! ,secret>y %all adopt a policy t ensures memb]s ( advisory c\ncils d n h conflicts ( int]e/ ) any program or grant ab\t :i* ! memb]s are to advise4 4 7c7 ,pe] review ,section #ejd ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa-#c7 is am5d$-- 7#a7 by add+ at ! end ( subsection 7b7 ! foll[+3 ,at lea/ half ( ! memb]s ( any pe]-review gr\p e/abli%$ "u subsection 7a7 t p]ta9s to ! treatm5t ( m5tal illness %all be lic5s$ & exp]i5c$ m5tal heal? pr(essionals42 & 7#b7 by add+ at ! end ! foll[+3 7e7 ,sci5tific controls & /&>ds ,pe] review "u ?is section %all ensure t any rese>* conc]n+ an int]v5tion is bas$ on sci5tific evid5ce indicat+ :e!r ! int]v5tion r$uces symptoms1 improves m$ical or behavioral outcomes1 or improves social function+4 4 #aad4 ,adult trauma 7a7 ,grants 7#a7 ,au?ority ,! ,adm9i/rator ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration 7ref]r$ to 9 ?is section z ! ,adm9i/rator7 may aw>d grants to eligible entities 9 ord] to implem5t trauma-in=m$ c>e 9 prim>y c>e & public heal? sett+s4 7#b7 ,purpose ,! grant program "u ?is section %all be design$ to facilitate & evaluate ! impact ( appropriate trauma scre5+ & responses 9 prim>y c>e sett+s 9 ord] to fur!r advance ! ,nation's und]/&+ ( ! ne$ = address+ trauma 9 nonbehavioral heal? sett+s4 7#c7 ,recipi5ts ,to be eligible to receive a grant "u ?is section1 an entity %all be a community-bas$1 prim>y c>e sett+1 an academic rese>* sett+ 9 conjunction ) prim>y c>e sett+s1 or any o!r entity ! ,adm9i/rator deems appropriate4 7#d7 ,nature ( activities ,! grants aw>d$ "u p>agraph 7#a7 %all be us$ to implem5t programs t-- 7,a7 scre5 = trauma 9 adults1 provide int]v5tion & ref]ral to treatm5t1 & provide foll[-up s]vices1 z appropriate2 & 7,b7 engage & involve trauma survivors1 p receiv+ s]vices1 & family memb]s receiv+ s]vices 9 program design4 7#e7 ,practition]s ,z a condition on receipt ( a grant "u p>agraph 7#a71 an entity %all agree t practition]s us$ to c>ry out any program ?r\gh ! grant w be tra9$ 9 int]v5tions t1 z describ$ 9 ,,samhsa's ,concept ( ,trauma & ,guidance = a ,trauma-,in=m$ ,approa*1 are-- 7,a7 bas$ on ! be/ available empirical evid5ce & sci5ce2 7,b7 culturally appropriate2 & 7,c7 reflect+ pr9ciples ( a trauma-in=m$ approa*4 7b7 ,additional activities ,! ,director %all-- 7#a7 evaluate ! activities support$ by grants aw>d$ "u subsection 7a7 9 ord] to fur!r ! ,nation's und]/&+ ( ! ne$ =1 & complexity (1 address+ trauma 9 nonbehavioral heal? sett+s2 7#b7 dissem9ate ! f9d+s f ! evaluation z ! ,adm9i/rator 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 ( culturally appropriate1 evid5ce-bas$ int]v5tions t reflect ! pr9ciples ( trauma-in=m$ approa*2 7,b7 incorporat+ pr9ciples ( pe] support & trauma-in=m$ c>e 9 hir+1 sup]vision1 & /aff evaluation2 7,c7 e/abli%m5t ( organizational practices & policies to support trauma-in=m$ approa*es to c>e2 & 7,d7 o!r activities z ! ,adm9i/rator 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 #c1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 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 ! ,director = purposes ( c>ry+ out subsection 7b74 #aae4 ,r$uc+ ! /igma ( s]i\s m5tal illness 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices & ! ,secret>y ( ,education %all organize a national aw>5ess campaign involv+ public heal? organizations1 advocacy gr\ps = p]sons ) s]i\s m5tal illness or s]i\s emotional di/urbance1 & social m$ia companies to assi/ second>y s*ool /ud5ts & po/second>y /ud5ts 9-- 7#a7 r$uc+ ! /igma associat$ ) s]i\s m5tal illness & s]i\s emotional di/urbance2 7#b7 und]/&+ h[ to assi/ an individual :o is demon/rat+ signs ( a s]i\s m5tal illness or s]i\s emotional di/urbance2 & 7#c7 und]/&+ ! importance ( seek+ treatm5t f a physician1 cl9ical psy*ologi/1 psy*iatric nurse practition]1 or lic5s$ m5tal heal? pr(essional :5 a /ud5t believes ! /ud5t may be suff]+ f a s]i\s m5tal illness1 s]i\s emotional di/urbance1 or behavioral heal? disord]4 7b7 ,data collection ,! ,secret>y ( ,heal? & ,human ,s]vices %all evaluate ! program "u subsection 7a7 on public heal? to det]m9e :e!r ! program has made an impact on public heal?1 su* z r$uc+ mortality rates ( p]sons ) s]i\s m5tal illness or s]i\s emotional di/urbance1 ! preval5ce ( s]i\s m5tal illness & s]i\s emotional di/urbance1 physician & cl9ical psy*ological visits1 & em]g5cy room visits = psy*iatric s]vices4 7c7 ,second>y s*ool def9$ ,= purposes ( ?is section1 ! t]m second>y s*ool has ! mean+ giv5 ! t]m 9 section #iaja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #ghja74 7d7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ #a1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 #aaf4 ,report on m5tal heal? & sub/ance abuse treatm5t 9 ! ,/ates 7a7 ,9 g5]al ,n lat] ?an #ah mon?s aft] ! date ( enactm5t ( ?is ,act1 & n less ?an e #b ye>s !reaft]1 ! ,secret>y ( ,heal? & ,human ,s]vices %all submit to ! ,congress & make available to ! public a report on m5tal heal? & sub/ance use treatm5t 9 ! ,/ates1 includ+ ! foll[+3 7#a7 ,a detail$ report on h[ ,f$]al m5tal heal? & sub/ance use treatm5t funds are us$ 9 ea* ,/ate includ+3 7,a7 ,! numb]s ( individuals ) m5tal illness1 s]i\s m5tal illness1 s]i\s emotional di/urbance1 sub/ance use disord]s1 or co-occurr+ disord]s :o are s]v$ ) ,f$]al funds4 7,b7 ,! types ( programs made available to individuals ) m5tal illness1 s]i\s m5tal illness1 sub/ance use disord]s1 or co-occurr+ disord]s4 7#b7 ,a summ>y ( be/ practice models 9 ! ,/ates highlight+ programs t are co/ effective1 provide evid5ce-bas$ c>e1 increase access to c>e1 integrate physical1 psy*iatric1 psy*ological1 & behavioral m$ic9e1 & improve outcomes = individuals ) m5tal illness or sub/ance use disord]s4 7#c7 ,a /ati/ical report ( outcome measures 9 ea* ,/ate1 = individuals ) m5tal illness1 s]i\s m5tal illness1 sub/ance use disord]s1 & co-occurr+ disord]s1 su* z-- 7,a7 rates ( suicide1 suicide attempts1 sub/ance abuse1 ov]dose1 ov]dose dea?s1 heal? outcomes1 em]g5cy psy*iatric hospitalizations1 & em]g5cy room bo>d+2 & 7,b7 arre/s1 inc>c]ations1 victimization1 homelessness1 joblessness1 employm5t1 & enrollm5t 9 educational or vocational programs4 7b7 ,def9ition ,9 ?is subsection1 ! t]m em]g5cy room bo>d+ means ! practice ( admitt+ pati5ts to an em]g5cy dep>tm5t & hold+ !m 9 ! dep>tm5t until inpati5t psy*iatric b$s become available4 #aag4 ,m5tal heal? fir/ aid tra9+ grants ,section #ebj;,j ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#da7 is am5d$ to read z foll[s3 #ebj;,j4 ,m5tal heal? fir/ aid tra9+ grants 7a7 ,grants ,! ,secret>y1 act+ ?r\gh ! ,adm9i/rator1 %all aw>d grants to ,/ates1 political subdivisions ( ,/ates1 ,indian tribes1 tribal organizations1 & nonpr(it private entities to initiate & su/a9 m5tal heal? fir/ aid tra9+ programs4 7b7 ,program requirem5ts 7#a7 ,9 g5]al ,to be eligible = fund+ "u subsection 7a71 a m5tal heal? fir/ aid tra9+ program %all-- 7,a7 be design$ to tra9 individuals 9 ! categories li/$ 9 p>agraph 7#b7 to accompli% ! objectives describ$ 9 p>agraph 7#c72 7,b7 ensure t tra9+ is conduct$ by tra9]s t are prop]ly lic5s$ & cr$5tial$ by nonpr(it entities z designat$ by ! ,secret>y2 & 7,c7 include-- 7i7 at a m9imum-- 7,i7 a core live tra9+ c\rse = individuals 9 ! categories li/$ 9 p>agraph 7#b7 on ! skills1 res\rces1 & k to assi/ individuals 9 crisis to connect ) appropriate local m5tal heal? c>e s]vices2 7,,ii7 tra9+ on m5tal heal? res\rces1 includ+ ! location ( community m5tal heal? c5t]s describ$ 9 section #aiac7;c71 9 ! ,/ate & local community2 & 7,,iii7 tra9+ on action plans & protocols = ref]ral to su* res\rces2 & 7ii7 :]e feasible1 cont9u+ education & updat$ tra9+ = individuals 9 ! categories li/$ 9 p>agraph 7#b74 7#b7 ,categories ( individuals to be tra9$ ,! categories ( individuals li/$ 9 ?is p>agraph are ! foll[+3 7,a7 ,em]g5cy s]vices p]sonnel & o!r fir/ respond]s4 7,b7 ,police (fic]s & o!r law en=cem5t p]sonnel4 7,c7 ,tea*]s & s*ool adm9i/rators4 7,d7 ,human res\rces pr(essionals4 7,e7 ,fai? community lead]s4 7,f7 ,nurses & o!r prim>y c>e p]sonnel4 7,g7 ,/ud5ts enroll$ 9 an elem5t>y s*ool1 a second>y s*ool1 or an in/itution ( high] education4 7,h7 ,! p>5ts ( /ud5ts describ$ 9 subp>agraph 7,g74 7,i7 ,vet]ans4 7,j7 ,o!r individuals1 audi5ces or tra9+ populations z det]m9$ appropriate by ! ,secret>y4 7#c7 ,objectives ( tra9+ ,to be eligible = fund+ "u subsection 7a71 a m5tal heal? fir/ aid tra9+ program %all be design$ to tra9 individuals 9 ! categories li/$ 9 p>agraph 7#b7 to accompli% ea* ( ! foll[+ objectives 7z appropriate = ! individuals to be tra9$1 tak+ into consid]ation _! age73 7,a7 ,safe de-escalation ( crisis situations4 7,b7 ,recognition ( ! signs & symptoms ( m5tal illness1 includ+ su* common psy*iatric conditions z s*izophr5ia1 bipol> disord]1 major cl9ical depression1 & anxiety disord]s4 7,c7 ,timely ref]ral to m5tal heal? s]vices 9 ! e>ly /ages ( develop+ m5tal disord]s 9 ord] to-- 7i7 avoid m co/ly subsequ5t behavioral heal? c>e2 & 7ii7 enhance ! effectiv5ess ( m5tal heal? s]vices4 7c7 ,di/ribution ( ,aw>ds ,9 aw>d+ grants "u ?is section1 ! ,secret>y %all-- 7#a7 ensure t grants are equitably di/ribut$ among ! geographical regions ( ! ,unit$ ,/ates2 & 7#b7 pay p>ticul> att5tion to ! m5tal heal? tra9+ ne$s ( populations & t>get audi5ces resid+ 9 rural areas4 7d7 ,application ,a ,/ate1 political subdivision ( a ,/ate1 ,indian tribe1 tribal organization1 or nonpr(it private entity t desires 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 7e7 ,evaluation ,a ,/ate1 political subdivision ( a ,/ate1 ,indian tribe1 tribal organization1 or nonpr(it private entity t receives a grant "u ?is section %all prep>e & submit an evaluation to ! ,secret>y at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may reasonably require1 includ+ an evaluation ( activities c>ri$ out ) funds receiv$ "u su* grant & a process & outcome evaluation4 7f7 ,au?orization ( ,appropriations ,to c>ry out ?is section1 !re are au?oriz$ to be appropriat$ #bj1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 4 #aah4 ,acute c>e b$ regi/ry grant = ,/ates 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,adm9i/rator ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 %all aw>d grants to ,/ate m5tal heal? ag5cies to develop & adm9i/]1 or ma9ta9 an exi/+1 real-"t ,int]net-bas$ b$ regi/ry describ$ 9 subsection 7b71 to collect1 aggregate1 & display in=mation ab\t available b$s 9 public & private inpati5t psy*iatric facilities & public & private resid5tial crisis /abilization units1 & resid5tial community m5tal heal? & resid5tial sub/ance abuse treatm5t facilities to facilitate ! id5tification & designation ( facilities = ! tempor>y treatm5t ( individuals 9 psy*iatric or sub/ance abuse crisis4 7b7 ,regi/ry requirem5ts ,a b$ regi/ry describ$ 9 ?is subsection is a regi/ry t-- 7#a7 includes descriptive in=mation = e public & private inpati5t psy*iatric facility1 e public & private resid5tial crisis /abilization unit1 & resid5tial community m5tal heal? & resid5tial sub/ance abuse facility 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 psy*iatric or sub/ance abuse crisis2 & 7#c7 all[s employees & designees ( community m5tal heal? & sub/ance abuse s]vice provid]s1 employees ( inpati5t psy*iatric facilities1 public & private resid5tial crisis /abilization units1 or resid5tial sub/ance abuse treatm5t facilities1 & heal? c>e provid]s work+ 9 an em]g5cy room ( a hospital or cl9ic or o!r facility r5d]+ em]g5cy m$ical c>e to p]=m se>*es ( ! regi/ry to id5tify available b$s t are appropriate = ! treatm5t ( individuals 9 psy*iatric crisis or sub/ance abuse crisis4 7c7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re are au?oriz$ to be appropriat$ #ae1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 #aai4 ,old] adult m5tal heal? grants 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,director ( ! ,c5t] = ,m5tal ,heal? ,s]vices1 %all aw>d grants1 contracts1 or coop]ative agreem5ts to public & private nonpr(it entities = projects t address ! m5tal heal? ne$s ( old] adults1 includ+ programs to-- 7#a7 support ! e/abli%m5t & ma9t5ance ( int]discipl9>y g]iatric m5tal heal? speciali/ outrea* teams 9 community sett+s :]e old] adults reside or receive social s]vices1 9 ord] to provide scre5+1 ref]rals1 & evid5ce-bas$ int]v5tion & treatm5t s]vices1 includ+ s]vices provid$ by lic5s$ m5tal heal? pr(essionals2 7#b7 develop & implem5t old] adult suicide e>ly int]v5tion & prev5tion /rategies 9 #a or m sett+s t s]ve s5iors1 & collect & analyze data on old] adult suicide e>ly int]v5tion & prev5tion s]vices = purposes ( monitor+1 rese>*1 & policy developm5t2 & 7#c7 o!rwise improve ! m5tal heal? ( old] adults1 z det]m9$ by ! ,secret>y4 7b7 ,consid]ations 9 aw>d+ grants ,9 aw>d+ grants "u ?is section1 ! ,secret>y1 to ! ext5t feasible1 %all ensure t-- 7#a7 projects are fund$ 9 a v>iety ( geographic areas1 includ+ urban & rural areas2 7#b7 a v>iety ( populations1 includ+ racial & e?nic m9orities & l[-income populations1 are s]v$ by projects fund$ "u ?is section2 & 7#c7 old] adult suicide int]v5tion & prev5tion programs are t>get$ t[>ds areas ) high old] adult suicide rates4 7c7 ,application ,to be eligible to receive a grant "u ?is section1 a public or private nonpr(it entity %all-- 7#a7 submit an application to ! ,secret>y 79 su* =m1 conta9+ su* in=mation1 & at su* "t z ! ,secret>y may specify72 7#b7 agree to report to ! ,secret>y /&>diz$ cl9ical & behavioral data or o!r p]=mance data necess>y to evaluate pati5t or program outcomes & to facilitate evaluations across p>ticipat+ projects2 & 7#c7 demon/rate h[ su* applicant w collaborate ) o!r ,/ate & local public & private nonpr(it organizations4 7d7 ,duration ,a project may receive fund+ "u a grant "u ?is section = a p]iod ( up to #c ye>s1 & su* fund+ may be ext5d$ = a p]iod ( #b additional ye>s1 at ! discretion ( ! ,secret>y4 7e7 ,supplem5t1 n supplant ,funds made available "u ?is section %all be us$ to supplem5t1 & n supplant1 o!r ,f$]al1 ,/ate1 or local funds available to an entity to c>ry out activities describ$ 9 ?is section4 7f7 ,report ,grantees "u ?is section %all1 beg9n+ ) ! end ( ! second ye> ( ! grant1 submit ye>ly reports to ! ,secret>y on ! activities ( ! grantee 9 support ( ! grant & ! late/ p]=mance data4 ,su* reports %all conta9 recomm5dations z h[ to replicate ! project fund$ ?r\gh ! grant4 7g7 ,def9itions ,9 ?is section1 ! t]m old] adult has ! mean+ giv5 ! t]m old] individual 9 section #ajb ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjjb74 7h7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section1 #e1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 ,,ii ,int]ag5cy ,s]i\s ,m5tal ,illness ,coord9at+ ,committee #bja4 ,int]ag5cy ,s]i\s ,m5tal ,illness ,coord9at+ ,committee ,title ,v ( ! ,public ,heal? ,s]vice ,act1 z am5d$ by section #aja1 is fur!r am5d$ by ins]t+ aft] section #eja ( su* ,act ! foll[+3 #eja;,a4 ,int]ag5cy ,s]i\s ,m5tal ,illness ,coord9at+ ,committee 7a7 ,e/abli%m5t ,! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s 79 ?is section ref]r$ to z ! ,assi/ant ,secret>y7 %all e/abli% a committee1 to be kn[n z ! ,int]ag5cy ,s]i\s ,m5tal ,illness ,coord9at+ ,committee 79 ?is section ref]r$ to z ! ,committee71 to assi/ ! ,assi/ant ,secret>y 9 c>ry+ out ! ,assi/ant ,secret>y's duties4 7b7 ,responsibilities ,! ,committee1 9 coord9ation ) ! ,assi/ant ,secret>y1 %all-- 7#a7 develop & annually update a summ>y ( advances 9 s]i\s m5tal illness rese>* relat$ to causes1 prev5tion1 treatm5t1 e>ly scre5+1 diagnosis or rule out1 int]v5tion1 & access to s]vices & supports = individuals ) s]i\s m5tal illness2 7#b7 monitor ,f$]al activities ) respect to s]i\s m5tal illness2 7#c7 make recomm5dations to ! ,assi/ant ,secret>y reg>d+ any appropriate *anges to su* activities1 includ+ recomm5dations ) respect to ! /rategic plan develop$ "u p>agraph 7#e72 7#d7 make recomm5dations to ! ,assi/ant ,secret>y reg>d+ public p>ticipation 9 decisions relat+ to s]i\s m5tal illness2 7#e7 develop & update e #e ye>s a /rategic plan = ! conduct & support ( programs & s]vices to assi/ individuals ) s]i\s m5tal illness1 includ+-- 7,a7 a summ>y ( ! advances 9 s]i\s m5tal illness rese>* develop$ "u p>agraph 7#a72 7,b7 a li/ ( ! ,f$]al programs & activities id5tifi$ "u p>agraph 7#b72 7,c7 an analysis ( ! effici5cy1 effectiv5ess1 quality1 coord9ation1 & co/-effectiv5ess ( ,f$]al programs & activities relat+ to ! prev5tion1 diagnosis1 treatm5t1 or rehabilitation ( s]i\s m5tal illness1 includ+ an acc\nt+ ( ! co/s ( su* programs & activities ) adm9i/rative co/s disaggregat$ f ! co/s ( s]vices & c>e2 & 7,d7 a plan ) recomm5dations-- 7i7 = ! coord9ation & improvem5t ( ,f$]al programs & activities relat$ to s]i\s m5tal illness1 includ+ budget>y requirem5ts2 7ii7 = improv+ outcomes = individuals ) a s]i\s m5tal illness includ+ appropriate b5*m>ks to measure progress on a*iev+ improvem5ts2 7iii7 = ! m5tal heal? work=ce2 7iv7 to dissem9ate relevant in=mation develop$ by ! coord9at+ committee to ! public1 heal? c>e provid]s1 social s]vice provid]s1 public heal? (ficials1 c\rts1 law en=cem5t1 & o!r relevant gr\ps2 7v7 to id5tify rese>* ne$s1 includ+ longitud9al /udies ( p$iatric populations2 & 7vi7 = vuln]able & und]s]v$ populations1 includ+ p$iatric populations1 g]iatric populations1 & racial1 e?nic1 sexual1 & g5d] m9orities2 & 7#f7 submit to ! ,congress su* /rategic plan & any updates to su* plan4 7c7 ,memb]%ip 7#a7 ,9 g5]al ,! ,committee %all be compos$ (-- 7,a7 ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s 7or ! ,assi/ant ,secret>y's designee71 :o %all s]ve z ! ,*air ( ! ,committee2 7,b7 ! ,director ( ! ,national ,in/itute ( ,m5tal ,heal? 7or ! ,director's designee72 7,c7 ! ,attorney ,g5]al ( ! ,unit$ ,/ates 7or ! ,attorney ,g5]al's designee72 7,d7 ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion 7or ! ,director's designee72 7,e7 ! ,director ( ! ,national ,in/itutes ( ,heal? 7or ! ,director's designee72 7,f7 ! ,director ( ! ,indian ,heal? ,s]vice2 7,g7 a memb] ( ! ,unit$ ,/ates ,int]ag5cy ,c\ncil on ,homelessness2 7,h7 ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vice 7or ! ,adm9i/rator's designee72 7,i7 ! ,secret>y ( ,def5se 7or ! ,secret>y's designee72 7,j7 ! ,secret>y ( ,education 7or ! ,secret>y's designee72 7,k7 ! ,secret>y ( ,labor 7or ! ,secret>y's designee72 7,l7 ! ,secret>y ( ,vet]ans ,affairs 7or ! ,secret>y's designee72 7,m7 ! ,commission] ( ! ,social ,security ,adm9i/ration 7or ! ,commission]'s designee72 & 7,n7 ! additional memb]s appo9t$ "u p>agraph 7#b74 7#b7 ,additional memb]s ,n few] ?an #bj memb]s ( ! ,committee1 or #a_/c ( ! total memb]%ip ( ! ,committee1 :i*ev] is great]1 %all be compos$ ( non-,f$]al public memb]s to be appo9t$ by ! ,assi/ant ,secret>y1 ( :i*-- 7,a7 at lea/ five su* memb]s %all be an individual 9 recov]y f a diagnosis ( s]i\s m5tal illness :o has b5efit$ f m$ical treatm5t "u ! c>e ( a lic5s$ m5tal heal? pr(essional2 7,b7 at lea/ ?ree su* memb]s %all be a p>5t or legal gu>dian ( an individual ) a hi/ory ( s]i\s m5tal illness1 includ+ at lea/ "o ( :om is ! p>5t or legal gu>dian ( a *ild :o has ei!r attempt$ suicide or is inc>c]at$ = a crime committ$ :ile exp]i5c+ a s]i\s m5tal illness or s]i\s emotional di/urbance2 7,c7 at lea/ "o su* memb] %all be a repres5tative ( a lead+ rese>*1 advocacy1 & s]vice organization = individuals ) s]i\s m5tal illness2 7,d7 at lea/ "o su* memb] %all be-- 7i7 a lic5s$ psy*iatri/ ) exp]i5ce treat+ s]i\s m5tal illness2 or 7ii7 a lic5s$ cl9ical psy*ologi/ ) exp]i5ce treat+ s]i\s m5tal illness2 7,e7 at lea/ "o memb] %all be a lic5s$ m5tal heal? c\nselor or psy*o!rapi/2 7,f7 at lea/ "o memb] %all be a lic5s$ cl9ical social work]2 7,g7 at lea/ "o memb] %all be a lic5s$ psy*iatric nurse or nurse practition]2 7,h7 at lea/ "o memb] %all be a m5tal heal? pr(essional ) a significant focus 9 8 or h] practice work+ ) *ildr5 & adolesc5ts2 7,i7 at lea/ "o memb] %all be a m5tal heal? pr(essional :o sp5ds a significant conc5tration ( 8 or h] pr(essional "t or lead]%ip practic+ community m5tal heal?2 7,j7 at lea/ "o memb] %all be a m5tal heal? pr(essional ) sub/antial exp]i5ce work+ ) m5tally ill individuals :o h a hi/ory ( viol5ce or suicide2 7,k7 at lea/ "o su* memb] %all be a ,/ate c]tifi$ m5tal heal? pe] speciali/2 7,l7 at lea/ "o memb] %all be a judge ) exp]i5ce adjudicat+ cases relat$ to crim9al ju/ice & s]i\s m5tal illness2 7,m7 at lea/ "o memb] %all be a law en=cem5t (fic] ) ext5sive exp]i5ce 9 int]fac+ ) psy*iatric & psy*ological disord]s or individuals 9 m5tal heal? crisis2 & 7,n7 at lea/ "o memb] %all be a corrections (fic] ) ext5sive exp]i5ce 9 int]fac+ ) psy*iatric & psy*ological disord]s or individuals 9 m5tal heal? crisis4 7d7 ,reports to ,congress ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 & e #c ye>s !reaft]1 ! ,committee %all submit a report to ! ,congress-- 7#a7 evaluat+ ! impact ( projects address+ priority m5tal heal? ne$s ( regional & national significance "u sections #eja1 #eji1 #eaf1 & #ebj;,a includ+ measurem5t ( public heal? outcomes su* z-- 7,a7 r$uc$ rates ( suicide1 suicide attempts1 sub/ance abuse1 ov]dose1 ov]dose dea?s1 em]g5cy hospitalizations1 em]g5cy room bo>d+1 inc>c]ation1 crime1 arre/1 victimization1 homelessness1 & joblessness2 7,b7 increas$ rates ( employm5t & enrollm5t 9 educational & vocational programs2 & 7,c7 su* o!r crit]ia z may be det]m9$ by ! ,assi/ant ,secret>y2 7#b7 =mulat+ recomm5dations = ! coord9ation & improvem5t ( ,f$]al programs & activities t affect individuals ) s]i\s m5tal illness2 7#c7 id5tify+ any su* programs & activities t are duplicative2 & 7#d7 summ>iz+ all recomm5dations made1 activities c>ri$ out1 & results a*iev$ pursuant to ! work=ce developm5t /rategy "u section #eja4 7e7 ,adm9i/rative support2 t]ms ( s]vice2 o!r provisions ,! foll[+ provisions %all apply ) respect to ! ,committee3 7#a7 ,! ,assi/ant ,secret>y %all provide su* adm9i/rative support to ! ,committee z may be necess>y = ! ,committee to c>ry out its responsibilities4 7#b7 ,memb]s ( ! ,committee appo9t$ "u subsection 7c77#b7 %all s]ve = a t]m ( #d ye>s1 & may be reappo9t$ = "o or m additional #d-ye> t]ms4 ,any memb] appo9t$ to fill a vacancy = an unexpir$ t]m %all be appo9t$ = ! rema9d] ( su* t]m4 ,a memb] may s]ve aft] ! expiration ( ! memb]'s t]m until a successor has tak5 (fice4 7#c7 ,! ,committee %all meet at ! call ( ! *air or ^u ! reque/ ( ! ,assi/ant ,secret>y4 ,! ,committee %all meet n few] ?an #b times ea* ye>4 7#d7 ,all meet+s ( ! ,committee %all be public & %all include appropriate "t p]iods = que/ions & pres5tations by ! public4 7f7 ,subcommittees2 e/abli%m5t & memb]%ip ,9 c>ry+ out its functions1 ! ,committee may e/abli% subcommittees & conv5e work%ops & conf]5ces4 ,su* subcommittees %all be compos$ ( ,committee memb]s & may hold su* meet+s z are necess>y to enable ! subcommittees to c>ry out _! duties4 7g7 ,au?orization ( ,appropriations ,!re is au?oriz$ to be appropriat$ #a1jjj1jjj to c>ry out ! /aff+ functions "u subsection 7e77#a7 = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 4 ,,iii ,communications betwe5 individuals1 families1 & provid]s #cja4 ,cl>ification ( circum/ances "u :i* disclosure ( protect$ heal? in=mation ( m5tal illness pati5ts is p]mitt$ ,! ,,hite* ,act 7title ,,xiii ( division ,a ( ,public ,law #aaa-e7 is am5d$ by add+ at ! end ( subtitle ,d ( su* ,act 7#db ,u4,s4,c4 #agiba et seq47 ! foll[+3 #c ,improv$ privacy & security provisions = m5tal illness pati5ts #acdca4 ,cl>ification ( circum/ances "u :i* disclosure ( protect$ heal? in=mation is p]mitt$ 7a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( enactm5t ( ?is section1 ! ,secret>y %all promulgate f9al regulations cl>ify+ ! circum/ances "u :i*1 consi/5t ) ! /&>ds gov]n+ ! privacy & security ( individually id5tifiable heal? in=mation promulgat$ by ! ,secret>y "u sections #bfb7;a7 & #bfd ( ! ,heal? ,insurance ,portability & ,acc\ntability ,act ( #aiif1 heal? c>e provid]s & cov]$ entities may disclose ! protect$ heal? in=mation ( pati5ts ) a m5tal illness1 includ+ = purposes (-- 7#a7 communicat+ ) a pati5t's family1 c>egiv]s1 fri5ds1 or o!rs involv$ 9 ! pati5t's c>e1 includ+ communication ab\t treatm5ts1 side effects1 risk factors1 & ! availability ( community res\rces2 7#b7 communicat+ ) family or c>egiv]s :5 ! pati5t is an adult2 7#c7 communicat+ ) ! p>5t or c>egiv] ( a pati5t :o is a m9or2 7#d7 consid]+ ! pati5t's capacity to agree or object to ! %>+ ( _! in=mation2 7#e7 communicat+ & %>+ in=mation ) a pati5t's family or c>egiv]s :5-- 7,a7 ! pati5t cons5ts2 or 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#f7 involv+ a pati5t's family memb]s1 fri5ds1 or c>egiv]s1 or o!rs involv$ 9 ! pati5t's c>e 9 ! pati5t's c>e plan1 includ+ 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 f family memb]s or c>egiv]s ab\t _! lov$ ones receiv+ m5tal illness treatm5t2 7#h7 communicat+ ) family memb]s1 c>egiv]s1 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 or c>egiv]s ab\t ! admission ( a 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 %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 %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 4 #cjb4 ,developm5t & dissem9ation ( model tra9+ programs 7a7 ,initial programs & mat]ials ,n lat] ?an "o ye> aft] promulgat+ f9al regulations "u section #acdca ( ! ,,hite* ,act1 z add$ by section #cja1 ! ,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 sections #bfb7;a7 & #bfd ( ! ,heal? ,insurance ,portability & ,acc\ntability ,act ( #aiif1 ! 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 ! ,adm9i/rator ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 ! ,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 is au?oriz$ to be appropriat$ to c>ry out ?is section #e1jjj1jjj = fiscal ye> #bjag & #be1jjj1jjj = ! p]iod ( fiscal ye>s #bjah ?r\gh #bjbc4 #cjc4 ,mod]niz+ privacy protections ,n lat] ?an two ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all issue a f9al rule mod]niz+ ! privacy protections "u section #edc ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;dd-#b74 #cjd4 ,improv+ communication ) individuals1 families1 & provid]s 7a7 ,grants 7#a7 ,au?ority ,! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,adm9i/rator ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 %all aw>d grants to eligible entities = ! implem5tation ( pilot programs design$ to enhance c>e & promote recov]y by support+ communication betwe5 individuals 9 treatm5t1 _! families1 provid]s1 & o!r individuals involv$ 9 _! c>e4 7#b7 ,recipi5ts ,to be eligible to receive a grant "u ?is section1 an entity %all be a ,/ate1 c\nty1 city1 tribe1 tribal organization1 in/itutions ( high] education1 public organization1 or private nonpr(it organizations4 7#c7 ,nature ( activities ,! grants aw>d$ "u p>agraph 7#a7 %all be us$ to implem5t evid5ce-bas$ or innovative programs1 su* z ,adapt$ or ,op5 ,dialogue1 t enhance c>e & promote recov]y by support+ communities betwe5 individuals & ^? involv$ 9 _! treatm5t1 c>e1 & support4 7b7 ,additional ,activities ,! ,secret>y %all-- 7#a7 evaluate ! activities support$ by grants aw>d$ "u subsection 7a7 9 ord] to fur!r ! ,nation's und]/&+ ( effective communication /rategies betwe5 individuals ) m5tal illness & _! families & heal? c>e provid]s2 7#b7 dissem9ate ! f9d+s f ! evaluation z ! ,secret>y consid]s appropriate2 7#c7 make recomm5dations = scal+ up successful models across ! c\ntry1 includ+ 9 publicly fund$ programs2 & 7#d7 o!r activities z ! ,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 #b1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 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 ! ,secret>y = ! purposes ( c>ry+ out subsection 7b74 ,,iv ,improv+ ,m$icaid & ,m$ic>e ,m5tal ,heal? ,s]vices ,a ,m$icaid ,provisions #dja4 ,enhanc$ ,m$icaid cov]age relat+ to c]ta9 m5tal heal? s]vices 7a7 ,m$icaid cov]age ( m5tal heal? s]vices & prim>y c>e s]vices furni%$ on ! same day ,section #aijb ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7 is am5d$-- 7#a7 9 subsection 7a71 by ins]t+ aft] p>agraph 7#gg7 ! foll[+ new p>agraph3 7#gh7 9 ! case ( a ,/ate t does n h 9 effect 7z ( ! date ( ! enactm5t ( ?is p>agraph7 "u its ,/ate plan a paym5t me?odology t all[s = full reimbursem5t ( all same-day qualify+ s]vices ?r\gh a s+le paym5t1 n prohibit paym5t "u ! plan = a m5tal heal? s]vice or prim>y c>e s]vice furni%$ to an individual at a community m5tal heal? c5t] meet+ ! crit]ia specifi$ 9 section #aiac7;c7 ( ! ,public ,heal? ,s]vice ,act or a f$]ally qualifi$ heal? c5t] 7z def9$ 9 section #ahfa7;aa77#c77 = :i* paym5t w\ld o!rwise be payable "u ! plan1 ) respect to su* individual1 if su* s]vice 7 n a same-day qualify+ s]vice 7z def9$ 9 subsection 7ll772 2 & 7#b7 by add+ at ! end ! foll[+ new subsection3 7ll7 ,same-,day qualify+ s]vices def9$ ,= purposes ( subsection 7a77#gh71 ! t]m same-day qualify+ s]vice means-- 7#a7 a prim>y c>e s]vice furni%$ to an individual by a provid] at a facility on ! same day a m5tal heal? s]vice is furni%$ to su* individual by su* provid] 7or ano!r provid]7 at ! facility2 & 7#b7 a m5tal heal? s]vice furni%$ to an individual by a provid] at a facility on ! same day a prim>y c>e s]vice is furni%$ to su* individual by su* provid] 7or ano!r provid]7 at ! facility4 4 7b7 ,provid+ full-,range ( ,,epsdt s]vices to *ildr5 9 ,i,m,ds ,section #aije7;h7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7h77 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#c7 ,su* t]m includes ! full-range ( e>ly & p]iodic scre5+1 diagno/ic1 & treatm5t s]vices 7z def9$ 9 subsection 7r774 4 7c7 ,optional limit$ cov]age ( inpati5t s]vices furni%$ 9 in/itutions = m5tal diseases ,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;a71 beg9n+ on ! date ( ! enactm5t ( ?is subp>agraph1 a ,/ate may provide1 z "p ( ! mon?ly capitat$ paym5t made by ! ,/ate "u ?is title to 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 = paym5t = limit$ inpati5t psy*iatric hospital s]vices provid$ by su* organization or heal? plan1 at ! option ( ! individual receiv+ su* s]vices1 9 lieu ( s]vices cov]$ "u ! ,/ate plan dur+ ! mon? = :i* ! paym5t is made4 7ii7 ,9 ?is subp>agraph1 ! t]m limit$ inpati5t psy*iatric hospital s]vices means ! s]vices describ$ 9 subp>agraphs 7,a7 & 7,b7 ( section #aije7;h77#a7-- 7,i7 t are furni%$ to individuals ov] #ba ye>s ( age & "u #fe ye>s ( age 9 an in/itution = m5tal diseases 7z def9$ 9 section #aije7;i77 t is an inpati5t hospital facility or a sub-acute c>e facility provid+ crisis resid5tial s]vices 7z def9$ by ! ,secret>y72 & 7,,ii7 = :i* ! l5g? ( /ay 9 su* an in/itution is = a %ort-t]m /ay ( n m ?an #ae days dur+ ! mon? = :i* ! capitat$ paym5t ref]r$ to 9 clause 7i7 is made4 4 7d7 ,effective date 7#a7 ,9 g5]al ,subject to p>agraph 7#b71 ! am5dm5ts made by subsections 7a7 & 7b7 %all apply to items & s]vices furni%$ aft] ! date ( ! enactm5t ( ?is section4 7#b7 ,exception = ,/ate legislation ,9 ! case ( a ,/ate plan "u title ,,xix ( ! ,social ,security ,act1 :i* ! ,secret>y ( ,heal? & ,human ,s]vices det]m9es requires ,/ate legislation 9 ord] = ! respective plan to meet any requirem5t impos$ by am5dm5ts made by subsections 7a7 & 7b71 ! respective plan %all n be reg>d$ z fail+ to comply ) ! requirem5ts ( su* title solely on ! basis ( its failure to meet su* an additional requirem5t be=e ! fir/ day ( ! fir/ cal5d> qu>t] beg9n+ aft] ! close ( ! fir/ regul> session ( ! ,/ate legislature t beg9s aft] ! date ( enactm5t ( ?is ,act4 ,= purposes ( ! previ\s s5t5ce1 9 ! case ( a ,/ate t has a #b-ye> legislative session1 ea* ye> ( ! session %all be consid]$ to be a sep>ate regul> session ( ! ,/ate legislature4 #djb4 ,ext5sion & expansion ( demon/ration programs to improve community m5tal heal? ,s]vices ,p>agraph 7#c7 ( section #bbc7;d7 ( ! ,protect+ ,access to ,m$ic>e ,act ( #bjad 7,public ,law #aac-ic2 #abh ,/at4 #ajgg7 is am5d$ to read z foll[s3 7#c7 ,numb] & l5g? ( demon/ration programs 7,a7 ,9 g5]al ,except z provid$ 9 subp>agraphs 7,b7 & 7,c71 n m ?an #h ,/ates %all be select$ = #b-ye> demon/ration programs "u ?is subsection4 7,b7 ,?ree-ye> ext5sion ,a ,/ate select$ to p>ticipate 9 ! demon/ration project "u ?is subsection %all1 ^u ! reque/ ( ! ,/ate1 be p]mitt$ to cont9ue to p>ticipate 9 ! demon/ration project = an additional #c-ye> p]iod1 if ! ,secret>y makes ! det]m9ation specifi$ 9 subp>agraph 7,d7 ) respect to ! ,/ate4 ,! ,secret>y %all provide ea* su* ,/ate ) notice ( t det]m9ation4 7,c7 ,expansion to additional ,/ates 7i7 ,9 g5]al ,! ,secret>y may exp& ! numb] ( eligible ,/ates p>ticipat+ 9 ! demon/ration project1 if1 ) respect to any su* ,/ate1 ! ,secret>y makes ! det]m9ation specifi$ 9 subp>agraph 7,d74 ,! p]iod ( ! p>ticipation ( any su* eligible ,/ate 9 ! demon/ration project %all end on ,decemb] #ca1 #bjbb1 reg>dless ( ! date on :i* ! ,/ate beg9s p>ticipat+ 9 ! demon/ration project4 7ii7 ,notification ,! ,secret>y %all provide ea* ,/ate t applies to be add$ to ! demon/ration project "u ?is subsection ) notice ( ! det]m9ation "u subp>agraph 7,d7 & ! /&>ds us$ to make su* det]m9ation4 7,d7 ,det]m9ation ,! det]m9ation specifi$ 9 ?is subp>agraph is t ! ,secret>y det]m9es t1 9 ! case ( a reque/ "u subp>agraph 7,b7 or an expansion ( ! demon/ration project "u subp>agraph 7,c7-- 7i7 ! cont9u$ p>ticipation ( a ,/ate 9 ! demon/ration project "u ?is subsection or an expansion ( ! project to any additional ,/ate 7z applicable7 w measurably improve access to1 & p>ticipation 91 s]vices describ$ 9 subsection 7a77#b77;,d7 by individuals eligible = m$ical assi/ance "u ! ,/ate ,m$icaid program2 & 7ii7 any su* ,/ate is 9 full compliance ) ! report+ requirem5ts "u p>agraph 7#g7 & any quality report+ requirem5ts e/abli%$ by ! ,secret>y4 4 #djc4 ,t]ms = ext5sion & expansion ( ,m$icaid em]g5cy psy*iatric demon/ration project ,section #bgjg7;f77#d7 ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7#db ,u4,s4,c4 #acif;a note2 ,public ,law #aaa-adh71 z am5d$ by section #b7;c7 ( ! ,improv+ ,access to ,em]g5cy ,psy*iatric ,c>e ,act 7,public ,law #aad-ig71 is am5d$ by /rik+ subp>agraph 7,c74 #djd4 ,community-bas$ m5tal heal? s]vices ,m$icaid option = *ildr5 9 or at risk ( psy*iatric resid5tial treatm5t ,section #aiae7;c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifn7c77 is am5d$-- 7#a7 9 p>agraph 7#a7-- 7,a7 9 ! fir/ s5t5ce1 by /rik+ or a nurs+ facility or int]m$iate c>e facility = ! m5tally ret>d$ & ins]t+ 1 nurs+ facility1 int]m$iate c>e facility = ! m5tally ret>d$1 or psy*iatric resid5tial treatm5t facility2 & 7,b7 9 ! second s5t5ce1 by /rik+ or int]m$iate c>e facility = ! m5tally ret>d$ & ins]t+ int]m$iate c>e facility = ! m5tally ret>d$1 or psy*iatric resid5tial treatm5t facility2 7#b7 9 p>agraph 7#b7-- 7,a7 9 subp>agraph 7,b7-- 7i7 9 clause 7i71 by /rik+ or s]vices 9 an int]m$iate c>e facility = ! m5tally ret>d$ & ins]t+ s]vices 9 an int]m$iate c>e facility = ! m5tally ret>d$1 or s]vices 9 a psy*iatric resid5tial treatm5t facility2 & 7ii7 9 ! matt] foll[+ clause 7iii71 by /rik+ or s]vices 9 an int]m$iate c>e facility = ! m5tally ret>d$ & ins]t+ s]vices 9 an int]m$iate c>e facility = ! m5tally ret>d$1 or s]vices 9 a psy*iatric resid5tial treatm5t facility2 & 7,b7 9 subp>agraph 7,c7-- 7i7 by /rik+ or int]m$iate c>e facility = ! m5tally ret>d$ & ins]t+ int]m$iate c>e facility = ! m5tally ret>d$1 or psy*iatric resid5tial treatm5t facility2 & 7ii7 by /rik+ or s]vices 9 an int]m$iate c>e facility = ! m5tally ret>d$ & ins]t+ s]vices 9 an int]m$iate c>e facility = ! m5tally ret>d$1 or s]vices 9 a psy*iatric resid5tial treatm5t facility2 7#c7 9 p>agraph 7#g77;,a71 by /rik+ or int]m$iate c>e facilities = ! m5tally ret>d$ & ins]t+ int]m$iate c>e facilities = ! m5tally ret>d$1 or psy*iatric resid5tial treatm5t facilities2 & 7#d7 by add+ at ! end ! foll[+ new p>agraph3 7#aa7 ,= purposes ( ?is subsection1 ! t]m psy*iatric resid5tial treatm5t facility has ! mean+ giv5 su* t]m 9 section #dhc4ceb ( title #db1 ,code ( ,f$]al ,regulations 7or any successor regulation74 4 #dje4 ,expansion ( ,,cmmi au?ority to support major m5tal illness projects 9 ,m$icaid ,section #aaae;,a7b77#b77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acae;a7b77#b77;,b77 is am5d$ by add+ at ! end ! foll[+ new clause3 7xxv7 ,focus+ prim>ily on title ,,xix1 prev5t+ major m5tal illness & sub/ance use disord]s & r$uc+ ! impact ( long-t]m m5tal illness & sub/ance use disord]s among *ildr51 adolesc5ts1 pregnant wom51 & adults ?r\gh multi-level treatm5t includ+ b n limit$ to outrea*1 cl9ical assessm5t & m5tal heal? s]vices1 & support$ education & employm5t4 4 #djf4 ,m$icaid data & report+ 7a7 ,guidance on report+ ,m$icaid m5tal heal? scre5+ & treatm5t = y\? ,! ,secret>y ( ,heal? & ,human ,s]vices %all develop guidance = ! annual report+ by ,/ates ( m5tal heal? scre5+ provid$ to *ildr5 eligible = m$ical assi/ance = e>ly & p]iodic scre5+1 diagno/ic1 & treatm5t s]vices "u title ,,xix ( ! ,social ,security ,act4 ,su* guidance %all be provid$ 9 ! =m ( a modification ( ! ,,cms #daf ,annual ,,epsdt ,p>ticipation ,report 9 a mann] s t ! report includes in=mation on ! numb] ( *ildr5 "u #ab ye>s ( age1 & ! numb] ( individuals :o are at lea/ #ab ye>s ( age b n old] ?an #ba ye>s ( age1 :o receive m5tal heal? scre5+ s]vices1 ! numb] ( su* *ildr5 & individuals :o are ref]r$ = m5tal heal? treatm5t1 & ! numb] ( su* *ildr5 & individuals :o are receive treatm5t = m5tal heal? conditions "u su* title4 7b7 ,,macpac ,section #aijj7;b77#f7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif7;b77#f77 is am5d$-- 7#a7 by /rik+ ,,macpac %all consult & ins]t+ ! foll[+3 7,a7 ,9 g5]al ,,macpac %all consult 2 & 7#b7 by add+ at ! end ! foll[+ new subp>agraph3 7,b7 ,review & reports reg>d+ behavioral heal? provid] reimbursem5t 7i7 ,9 g5]al ,,macpac %all survey select$ ,/ate ,m$icaid programs' behavioral heal? provid] reimbursem5t rates & b5efici>y utilization ( behavioral heal? s]vices & %all submit an annual report to ,congress reg>d+ su* review4 7ii7 ,requir$ report in=mation ,ea* su* report reg>d+ behavioral heal? s]vices %all include select$ data relat+ to-- 7,i7 b5efici>y behavioral heal? s]vice enc\nt]s2 & 7,,ii7 ! am\nt ( ,m$icaid behavioral heal? provid] reimbursem5t rates & ! s\rces = su* rates4 7iii7 ,data ,not)/&+ any o!r provision ( law1 ! ,secret>y regul>ly %all provide ,,macpac )-- 7,i7 ! mo/ rec5t ,/ate reports & mo/ rec5t indep5d5t c]tifi$ audits submitt$ "u section #aibc7;j72 7,,ii7 co/ reports submitt$ "u title ,,xviii2 & 7,,iii7 su* o!r data z ,,macpac may reque/1 = purposes ( conduct+ ! reviews & prep>+ & submitt+ ! annual reports requir$ "u ?is subp>agraph4 4 #djg4 ,at-risk y\? ,m$icaid protection 7a7 ,9 g5]al ,section #aijb ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a71 z am5d$ by section #dja1 is fur!r am5d$-- 7#a7 9 subsection 7a7-- 7,a7 by /rik+ & at ! end ( p>agraph 7#hj72 7,b7 by /rik+ ! p]iod at ! end ( p>agraph 7#ha7 & ins]t+ 2 &2 & 7,c7 by ins]t+ aft] p>agraph 7#ha7 ! foll[+ new p>agraph3 7#hb7 provide t-- 7,a7 ! ,/ate %all n t]m9ate 7b may susp5d7 eligibility = m$ical assi/ance "u a ,/ate plan = an individual :o is an eligible juv5ile 7z def9$ 9 subsection 7mm77#b77 because ! juv5ile is an inmate ( a public in/itution 7z def9$ 9 subsection 7mm77#c772 7,b7 ! ,/ate %all automatically re/ore eligibility = su* m$ical assi/ance to su* an individual ^u ! individual's release f any su* public in/itution1 unless 7& until su* date z7 !re is a det]m9ation t ! individual no long] meets ! eligibility requirem5ts = su* m$ical assi/ance2 & 7,c7 ! ,/ate %all process any application = m$ical assi/ance submitt$ by1 or on behalf (1 a juv5ile :o is an inmate ( a public in/itution not)/&+ t ! juv5ile is su* an inmate4 2 & 7#b7 by add+ at ! end ! foll[+ new subsection3 7mm7 ,juv5ile2 eligible juv5ile2 public in/itution ,= purposes ( subsection 7a77#hb7 & ?is subsection3 7#a7 ,juv5ile ,! t]m juv5ile means an individual :o is-- 7,a7 "u #ai ye>s ( age 7or su* high] age z ! ,/ate has elect$ "u section #dge7h77;,b77iii772 or 7,b7 is describ$ 9 subsection 7a77#aj77;,a77i77,,ix74 7#b7 ,eligible juv5ile ,! t]m eligible juv5ile means a juv5ile :o is an inmate ( a public in/itution & 0 eligible = m$ical assi/ance "u ! ,/ate plan imm$iately be=e becom+ an inmate ( su* a public in/itution or :o becomes eligible = su* m$ical assi/ance :ile an inmate ( a public in/itution4 7#c7 ,inmate ( a public in/itution ,! t]m inmate ( a public in/itution has ! mean+ giv5 su* t]m = purposes ( apply+ ! subdivision 7,a7 foll[+ p>agraph 7#bi7 ( section #aije7;a71 tak+ into acc\nt ! exception 9 su* subdivision = a pati5t ( a m$ical in/itution4 4 7b7 ,no *ange 9 exclusion f m$ical assi/ance = inmates ( public in/itutions ,no?+ 9 ?is section %all be con/ru$ z *ang+ ! exclusion f m$ical assi/ance "u ! subdivision 7,a7 foll[+ p>agraph 7#bi7 ( section #aije7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7a771 includ+ any applicable re/rictions on a ,/ate submitt+ claims = ,f$]al f9ancial p>ticipation "u title ,,xix ( su* ,act = su* assi/ance4 7c7 ,effective date 7#a7 ,9 g5]al ,except z provid$ 9 p>agraph 7#b71 ! am5dm5ts made by subsection 7a7 %all apply to eligibility ( juv5iles :o become inmates ( public in/itutions on or aft] ! date t is #a ye> aft] ! date ( ! enactm5t ( ?is ,act4 7#b7 ,rule = *anges requir+ /ate legislation ,9 ! case ( a ,/ate plan = m$ical assi/ance "u title ,,xix ( ! ,social ,security ,act :i* ! ,secret>y ( ,heal? & ,human ,s]vices det]m9es requires ,/ate legislation 7o!r ?an legislation appropriat+ funds7 9 ord] = ! plan to meet ! additional requirem5ts impos$ by ! am5dm5ts made by subsection 7a71 ! ,/ate plan %all n be reg>d$ z fail+ to comply ) ! requirem5ts ( su* title solely on ! basis ( its failure to meet ^! additional requirem5ts be=e ! fir/ day ( ! fir/ cal5d> qu>t] beg9n+ aft] ! close ( ! fir/ regul> session ( ! ,/ate legislature t beg9s aft] ! date ( ! enactm5t ( ?is ,act4 ,= purposes ( ! previ\s s5t5ce1 9 ! case ( a ,/ate t has a #b-ye> legislative session1 ea* ye> ( su* session %all be deem$ to be a sep>ate regul> session ( ! ,/ate legislature4 ,b ,m$ic>e ,provisions #daa4 ,elim9ation ( #aij-;day lifetime limit on cov]age ( inpati5t psy*iatric hospital s]vices "u ,m$ic>e ,section #ahab ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;d7 is am5d$-- 7#a7 9 subsection 7b7-- 7,a7 9 p>agraph 7#a71 by add+ or at ! end2 7,b7 9 p>agraph 7#b71 by /rik+ 2 or at ! end & ins]t+ a p]iod2 & 7,c7 by /rik+ p>agraph 7#c72 & 7#b7 9 subsection 7c71 by /rik+ or 9 det]m9+ ! #aij-;day limit "u subsection 7b77#c74 #dab4 ,modifications to ,m$ic>e dis*>ge plann+ requirem5ts ,section #ahfa7;ee7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7ee77 is am5d$-- 7#a7 9 p>agraph 7#a71 by ins]t+ &1 9 ! case ( a psy*iatric hospital or a psy*iatric unit 7z describ$ 9 ! matt] foll[+ clause 7v7 ( section #ahhf7;d77#a77;,b771 if x also meets ! guidel9es & /&>ds e/abli%$ by ! ,secret>y "u p>agraph 7#d7 be=e ! p]iod at ! end2 & 7#b7 by add+ at ! end ! foll[+ new p>agraph3 7#d7 ,! ,secret>y %all develop guidel9es & /&>ds1 9 addition to ^? develop$ "u p>agraph 7#b71 = ! dis*>ge plann+ process ( a psy*iatric hospital or a psy*iatric unit 7z describ$ 9 ! matt] foll[+ clause 7v7 ( section #ahhf7;d77#a77;,b77 9 ord] to ensure a timely & smoo? transition to ! mo/ appropriate type ( & sett+ = po/hospital or rehabilitative c>e1 tak+ into acc\nt v>iations 9 po/hospital c>e access1 includ+ m5tal heal? pr(essional %ortage areas designat$ by ! ,heal? ,res\rces & ,s]vices ,adm9i/ration4 ,! ,secret>y %all issue f9al regulations implem5t+ su* guidel9es & /&>ds n lat] ?an #bd mon?s aft] ! date ( ! enactm5t ( ?is p>agraph4 ,! guidel9es & /&>ds %all include ! foll[+3 7,a7 ,! hospital or unit mu/ id5tify ! types ( s]vices ne$$ ^u dis*>ge = ! pati5ts be+ treat$ by ! hospital or unit4 7,b7 ,! hospital or unit mu/-- 7i7 id5tify organizations t (f] community s]vices to ! community t is s]v$ by ! hospital or unit & ! types ( s]vices provid$ by ! organizations2 & 7ii7 make demon/rat$ ef=ts to e/abli% connections1 relation%ips1 & p>tn]%ips ) su* organizations4 7,c7 ,! hospital or unit mu/ arrange 7) ! p>ticipation ( ! pati5t & ( any o!r individuals select$ by ! pati5t = su* purpose7 = ! developm5t & implem5tation ( a dis*>ge plan = ! pati5t z "p ( ! pati5t's ov]all treatm5t plan f admission to dis*>ge4 ,su* dis*>ge plan %all meet ! requirem5ts describ$ 9 subp>agraphs 7,g7 & 7,h7 ( p>agraph 7#b74 7,d7 ,! hospital or unit %all coord9ate ) ! pati5t 7or assi/ ! pati5t )7 ! ref]ral = po/hospital or rehabilitative c>e & z "p ( t ref]ral ! hospital or unit %all include transmitt+ to ! receiv+ organization1 9 a timely mann]1 appropriate in=mation ab\t ! c>e furni%$ to ! pati5t by ! hospital or unit & recomm5dations = po/hospital or rehabilitative c>e to be furni%$ to ! pati5t by ! organization4 4 ,c ,provisions ,relat$ to ,m$icaid & ,m$ic>e #dba4 ,reports on ,m$icaid & ,m$ic>e "p ,d =mul>y & appeals practices ) respect to cov]age ( m5tal heal? drugs 7a7 ,m$icaid 7#a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ,congress a report t1 ) respect to m5tal heal? drugs1 describes ! practices ( ! ,/ate ) respect to ! foll[+ 7= bo? su* drugs furni%$ on a fee-=-s]vice basis & ?r\gh ,m$icaid manag$ c>e organizations73 7,a7 ,! e/abli%m5t ( =mul>ies & pref]r$ drugs li/s4 7,b7 ,! appeal ( any cov]age det]m9ation4 7#b7 ,m5tal heal? drug def9$ ,9 ?is section1 ! t]m m5tal heal? drug means a cov]$ outpati5t drug 7z def9$ 9 section #aibg7k7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifr-#h7k777 t-- 7,a7 is approv$ or lic5s$ "u section #eje ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cee7 or section #cea ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bfb7 to be us$ = ! treatm5t ( a m5tal heal? disord]1 includ+ major depression1 bipol> 7manic-depressive7 disord]1 panic disord]1 obsessive-compulsive disord]1 s*izophr5ia1 & s*izoaffective disord]2 & 7,b7 is cov]$ "u ! ,/ate plan "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 7or "u a waiv] ( su* plan74 7b7 ,m$ic>e 7#a7 ,/udy 7,a7 ,9 g5]al ,! ,inspector ,g5]al ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices %all conduct a /udy t exam9es1 ) respect to ! ,m$ic>e program e/abli%$ "u title ,,xviii ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie et seq471 ! ext5t to :i* ,m$ic>e "p ,d appeals-relat$ processes are transp>5t1 fair1 effective1 & 9 compliance ) exi/+ /atutory & regulatory requirem5ts4 7,b7 ,includ$ elem5ts ( /udy ,! /udy requir$ "u p>agraph 7#a7 %all include-- 7i7 an id5tification1 ) respect to a two-ye> p]iod beg9n+ n e>li] ?an ,janu>y #a1 #bjaj1 (-- 7,i7 ! numb] ( grievances1 reconsid]ations1 & indep5d5t reviews & appeals pursuant to ,m$ic>e "p ,d appeals-relat$ processes t 7 lodg$1 reque/$1 or o!rwise fil$ dur+ su* p]iod by "p ,d eligible individuals :o 7 enroll$ 9 prescription drug plans (f]$ by ,,pdp sponsors "u "p ,d ( title ,,xviii ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie et seq472 & 7,,ii7 ) respect to su* grievances1 reconsid]ations1 & indep5d5t reviews & appeals t 7 s lodg$1 reque/$1 or o!rwise fil$ dur+ su* p]iod by su* individuals1 ! numb] ( su* grievances1 reconsid]ations1 & indep5d5t reviews & appeals t 7 decid$ 9 favor ( su* individuals2 & 7ii7 an exam9ation ( ! ext5t to :i* ,m$ic>e "p ,d appeals-relat$ processes1 ) respect to grievances1 reconsid]ations1 & indep5d5t reviews & appeals t relate to b5efits = psy*iatric m$ications "u su* "p1 are transp>5t1 fair1 effective1 & 9 compliance ) exi/+ /atutory & regulatory requirem5ts4 7#b7 ,report ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 su* ,inspector ,g5]al %all submit to ,congress a report on ! results ( ! /udy describ$ 9 subsection 7a71 includ+ ! recomm5dations ( su* ,inspector ,g5]al1 if any1 = improvem5ts t c be made to ,m$ic>e "p ,d appeals-relat$ processes4 7#c7 ,def9itions ,= purposes ( ?is section3 7,a7 ,m$ic>e "p ,d appeals-relat$ processes ,! t]m ,m$ic>e "p ,d appeals-relat$ processes means-- 7i7 grievance proc$ures provid$ by ,,pdp sponsors pursuant to subsection 7f7 ( section #ahfj;,d-#d ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#ajd72 7ii7 reconsid]ations provid$ by ,,pdp sponsors pursuant to subsection 7g7 ( su* section2 & 7iii7 indep5d5t reviews & appeals to :i* "p ,d eligible individuals are entitl$ "u subsection 7h7 ( su* section4 7,b7 ,"p ,d t]ms ,! t]ms "p ,d eligible individual1 prescription drug plan1 & ,,pdp sponsor h ! mean+s giv5 su* t]ms by section #ahdj;,d-#da ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#aea74 7c7 ,access to treatm5ts = resi/ant depression 9 ! ,m$ic>e & ,m$icaid programs ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ,congress a report t reviews-- 7#a7 access ( available treatm5ts = resi/ant depression "u ! ,m$ic>e program "u title ,,xviii ( ! ,social ,security ,act & ! ,m$icaid program "u title ,,xix ( su* ,act2 & 7#b7 ! l5g? ( "t to adopt1 & processes = ! adoption (1 newly available treatm5t = resi/ant depression = individuals entitl$ to b5efits "u "p ,a ( su* title ,,xviii or enroll$ "u "p ,b ( su* title & = individuals enroll$ "u a ,/ate plan "u su* title ,,xix4 ,v ,/r5g!n+ ! ,behavioral ,heal? ,work=ce & ,improv+ ,access to ,c>e #eja4 ,nationwide work=ce /rategy 7a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,sub/ance ,abuse ,m5tal ,heal? & ,s]vices ,adm9i/ration %all1 submit to ! ,congress a report conta9+ a nationwide /rategy to increase ! culturally aw>e behavioral heal? work=ce & recruit pr(essionals = ! treatm5t ( individuals ) m5tal illness & sub/ance use disord]s4 7b7 ,design ,! nationwide /rategy %all be design$-- 7#a7 to enc\rage & inc5tivize /ud5ts enroll$ 9 accr$it$ m$ical or o/eopa?ic m$ical s*ool to ent] ! specialty ( psy*iatry2 7#b7 to promote great] rese>*-ori5t$ psy*iatri/ resid5cy tra9+ on evid5ce-bas$ s]vice deliv]y models = individuals ) s]i\s m5tal illness or sub/ance use disord]s2 7#c7 to promote appropriate ,f$]al adm9i/rative & fiscal me*anisms t support-- 7,a7 evid5ce-bas$ collaborative c>e models2 & 7,b7 ! necess>y tra9$ & culturally aw>e prev5tioni/s1 heal? c>e practition]s1 p>apr(essionals1 & pe]s2 7#d7 to increase access to *ild & adolesc5t psy*iatric s]vices 9 ord] to promote e>ly int]v5tion = prev5tion & mitigation ( m5tal illness2 & 7#e7 to id5tify populations & locations t are mo/ und]s]v$ by m5tal heal? & sub/ance use pr(essionals & ! mo/ 9 ne$ ( psy*iatri/s 7includ+ *ild & adolesc5t psy*iatri/s71 psy*ologi/s1 psy*iatric nurse practition]s1 physician assi/ants1 cl9ical social work]s1 m5tal heal? c\nselors1 sub/ance abuse c\nselors1 pe]-support speciali/s1 recov]y coa*es1 & o!r m5tal heal? & sub/ance use disord] pr(essionals4 #ejb4 ,report on be/ practices = pe]-support speciali/ programs1 tra9+1 & c]tification 7a7 ,9 g5]al ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all submit to ! ,congress & make publicly available a report on be/ practices & pr(essional /&>ds 9 ,/ates =-- 7#a7 e/abli%+ & op]at+ heal? c>e programs us+ pe]-support speciali/s2 & 7#b7 tra9+ & c]tify+ pe]-support speciali/s4 7b7 ,pe]-,support speciali/ def9$ ,9 ?is subsection1 ! t]m pe]-support speciali/ means an individual :o-- 7#a7 uses 8 or h] liv$ exp]i5ce ( recov]y f m5tal illness or sub/ance abuse1 plus skills le>n$ 9 =mal tra9+1 to facilitate support gr\ps1 & to "w on a "o-on-"o basis1 ) individuals ) a s]i\s m5tal illness or a sub/ance use disord]2 7#b7 has b5efit$ or is b5efit+ f m5tal heal? or sub/ance use treatm5t s]vices or supports2 7#c7 provides non-m$ical s]vices2 & 7#d7 p]=ms s]vices only )9 8 or h] area ( tra9+1 exp]tise1 compet5ce1 or scope ( practice4 7c7 ,cont5ts ,! report "u ?is section %all include in=mation on be/ practices & /&>ds ) reg>d to ! foll[+3 7#a7 ,h\rs ( =mal "w or volunte] exp]i5ce relat$ to m5tal heal? & sub/ance use issues4 7#b7 ,types ( pe] support speciali/s us$ by diff]5t heal? c>e programs4 7#c7 ,types ( pe] speciali/ exams requir$4 7#d7 ,code ( e?ics4 7#e7 ,additional tra9+ requir$ prior to c]tification1 includ+ 9 areas su* z-- 7,a7 e?ics2 7,b7 scope ( practice2 7,c7 crisis int]v5tion2 7,d7 ,/ate confid5tiality laws2 7,e7 ,f$]al privacy protections1 includ+ "u ! ,heal? ,insurance ,portability & ,acc\ntability ,act ( #aiif2 & 7,f7 o!r areas z det]m9$ by ! ,secret>y4 7#f7 ,requirem5ts to expla9 :at1 :]e1 :51 & h[ to accurately complete all requir$ docum5tation activities4 7#g7 ,requir$ or recomm5d$ skill sets1 su* z k (-- 7,a7 risk indicators1 includ+ individual /ressors1 trigg]s1 & indicators ( escalat+ symptoms2 7,b7 basic de-escalation te*niques2 7,c7 basic suicide prev5tion concepts & te*niques2 7,d7 indicators t ! consum] may be exp]i5c+ abuse or neglect2 7,e7 /ages ( *ange or recov]y2 7,f7 ! typical process t %\ld be foll[$ to access or p>ticipate 9 community m5tal heal? & relat$ s]vices2 & 7,g7 circum/ances :5 x is appropriate to reque/ assi/ance f o!r pr(essionals to help meet ! consum]'s recov]y goals4 7#h7 ,requirem5ts = cont9u+ education4 #ejc4 ,advisory ,c\ncil on ,graduate ,m$ical ,education ,section #gfb7;b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bido7b77 is am5d$-- 7#a7 by r$esignat+ p>agraphs 7#d7 ?r\gh 7#f7 z p>agraphs 7#e7 ?r\gh 7#g71 respectively2 & 7#b7 by ins]t+ aft] p>agraph 7#c7 ! foll[+3 7#d7 ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s2 4 #ejd4 ,telepsy*iatry & prim>y c>e provid] tra9+ grant program 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices %all e/abli% a grant program 79 ?is subsection ref]r$ to z ! grant program7 "u :i* ! ,secret>y %all aw>d to #aj eligible ,/ates 7z describ$ 9 subsection 7e77 grants = c>ry+ out all ( ! purposes describ$ 9 subsections 7b71 7c71 & 7d74 7b7 ,tra9+ program = c]ta9 prim>y c>e provid]s ,= purposes ( subsection 7a71 ! purpose describ$ 9 ?is p>agraph1 ) respect to a grant aw>d$ to a ,/ate "u ! grant program1 is = ! ,/ate to e/abli% a tra9+ program to tra9 prim>y c>e provid]s 9-- 7#a7 valid & reliable behavioral-heal? scre5+ tools = viol5ce & suicide risk1 e>ly signs ( s]i\s m5tal illness1 & untreat$ sub/ance abuse1 includ+ any /&>diz$ behavioral-heal? scre5+ tools t are det]m9$ appropriate by ! ,secret>y2 7#b7 implem5t+ ! use ( behavioral-heal? scre5+ tools 9 _! practices2 7#c7 e/abli%m5t ( recomm5d$ int]v5tion & treatm5t protocols = individuals 9 m5tal heal? crisis1 especially = individuals ^: illness makes !m less receptive to m5tal heal? s]vices2 & 7#d7 implem5t+ ! evid5ce-bas$ collaborative c>e model ( integrat$ m$ical-behavioral heal? c>e 9 _! practices4 7c7 ,paym5ts = m5tal heal? s]vices provid$ by c]ta9 prim>y c>e provid]s 7#a7 ,9 g5]al ,= purposes ( subsection 7a71 ! purpose describ$ 9 ?is p>agraph1 ) respect to a grant aw>d$ to a ,/ate "u ! grant program1 is = ! ,/ate to provide1 9 accordance ) ?is p>agraph1 9 ! case ( a prim>y c>e physician :o p>ticipates 9 ! tra9+ program ( ! ,/ate e/abli% pursuant to subsection 7b71 paym5ts to ! prim>y c>e provid]s = s]vices furni%$ by ! prim>y c>e provid]s4 7#b7 ,consid]ations ,! ,secret>y1 9 det]m9+ ! /ructure1 quality1 & =m ( paym5t "u p>agraph 7#a7 %all seek to f9d innovative paym5t sy/ems :i* may take into acc\nt-- 7,a7 ! nature & quality ( s]vices r5d]$2 7,b7 ! pati5ts' heal? outcome2 7,c7 ! geographical location :]e s]vices 7 provid$2 7,d7 ! acut5ess ( ! pati5t's m$ical condition2 7,e7 ! duration ( s]vices provid$2 7,f7 ! feasibility ( replicat+ ! paym5t model 9 o!r locations nationwide2 & 7,g7 prop] triage & endur+ l9kage to appropriate treatm5t provid] = subspecialty c>e 9 *ild or =5sic issues2 family crisis int]v5tion2 drug or alcohol rehabilitation2 managem5t ( suicidal or viol5t behavior risk1 & treatm5t = s]i\s m5tal illness4 7d7 ,teleheal? s]vices = m5tal heal? disord]s 7#a7 ,9 g5]al ,= purposes ( subsection 7a71 ! purpose describ$ 9 ?is p>agraph1 ) respect to a grant aw>d$ to a ,/ate "u ! grant program1 is = ! ,/ate to provide1 9 ! case ( an individual furni%$ items & s]vices by a prim>y c>e physician dur+ an (fice visit1 = paym5t = a consultation provid$ by a psy*iatri/ or psy*ologi/ to su* prim>y c>e provid] ) respect to su* individual ?r\gh ! use ( qualifi$ teleheal? te*nology = ! id5tification1 diagnosis1 mitigation1 or treatm5t ( a m5tal heal? disord] if su* consultation occurs n lat] ?an ! fir/ bus9ess day t foll[s su* visit4 7#b7 ,qualifi$ teleheal? te*nology ,= purposes ( p>agraph 7#a71 ! t]m qualifi$ teleheal? te*nology1 ) respect to ! provision ( items & s]vices to a pati5t by a heal? c>e provid]1 includes ! use ( int]active audio1 audio-only telephone conv]sation1 video1 or o!r telecommunications te*nology by a heal? c>e provid] to deliv] heal? c>e s]vices )9 ! scope ( ! provid]'s practice includ+ ! use ( electronic m$ia = consultation relat+ to ! heal? c>e diagnosis or treatm5t ( ! pati5t4 7e7 ,eligible ,/ate 7#a7 ,9 g5]al ,= purposes ( ?is subsection1 an eligible ,/ate is a ,/ate t has submitt$ to ! ,secret>y an application "u p>agraph 7#b7 & has be5 select$ "u p>agraph 7#d74 7#b7 ,application ,a ,/ate seek+ to p>ticipate 9 ! grant program "u ?is subsection %all submit to ! ,secret>y1 at su* "t & 9 su* =mat z ! ,secret>y requires1 an application t includes su* in=mation1 provisions1 & assurances z ! ,secret>y may require4 7#c7 ,mat*+ requirem5t ,! ,secret>y may n make a grant "u ! grant program unless ! ,/ate involv$ agrees1 ) respect to ! co/s to be incurr$ by ! ,/ate 9 c>ry+ out ! purposes describ$ 9 ?is subsection1 to make available non-,f$]al contributions 79 ca% or 9 k9d7 t[>d su* co/s 9 an am\nt equal to n less ?an #bj p]c5t ( ,f$]al funds provid$ 9 ! grant4 7#d7 ,selection ,a ,/ate %all be det]m9$ eligible = ! grant program by ! ,secret>y on a competitive basis among ,/ates ) applications meet+ ! requirem5ts ( p>agraphs 7#b7 & 7#c74 ,9 select+ ,/ate applications = ! grant program1 ! ,secret>y %all seek to a*ieve an appropriate national balance 9 ! geographic di/ribution ( grants aw>d$ "u ! grant program4 7f7 ,t>get population ,9 seek+ a grant "u ?is subsection1 a ,/ate %all demon/rate h[ ! grant w improve c>e = individuals ) co-occurr+ behavioral heal? & physical heal? conditions1 vuln]able populations1 socially isolat$ populations1 rural populations1 & o!r populations :o h limit$ access to qualifi$ m5tal heal? provid]s4 7g7 ,l5g? ( grant program ,! grant program "u ?is subsection %all be conduct$ = a p]iod ( #c consecutive ye>s4 7h7 ,public availability ( f9d+s & conclusions ,subject to ,f$]al privacy protections ) respect to individually id5tifiable in=mation1 ! ,secret>y %all make ! f9d+s & conclusions result+ f ! grant program "u ?is subsection available to ! public4 7i7 ,au?orization ( appropriations ,out ( any funds 9 ! ,treasury n o!rwise appropriat$1 !re is au?oriz$ to be appropriat$ to c>ry out ?is subsection1 #c1jjj1jjj = ea* ( ! fiscal ye>s #bjag ?r\gh #bjba4 7j7 ,reports 7#a7 ,reports ,= ea* fiscal ye> t grants are aw>d$ "u ?is subsection1 ! ,secret>y %all conduct a /udy on ! results ( ! grants & submit to ! ,congress a report on su* results t includes ! foll[+3 7,a7 ,an evaluation ( ! grant program outcomes1 includ+ a summ>y ( activities c>ri$ out ) ! grant & ! results a*iev$ ?r\gh ^? activities4 7,b7 ,recomm5dations on h[ to improve access to m5tal heal? s]vices at grantee locations4 7,c7 ,an assessm5t ( access to m5tal heal? s]vices "u ! program4 7,d7 ,an assessm5t ( ! impact ( ! demon/ration project on ! co/s ( ! full range ( m5tal heal? s]vices 7includ+ inpati5t1 em]g5cy & ambulatory c>e74 7,e7 ,recomm5dations on congressional action to improve ! grant4 7,f7 ,recomm5dations to improve tra9+ ( prim>y c>e provid]s4 7#b7 ,report ,n lat] ?an ,decemb] #ca1 #bjah1 ! ,secret>y %all submit to ,congress & make available to ! public a report on ! f9d+s ( ! evaluation "u subp>agraph 7,a7 & also a policy outl9e on h[ ,congress c exp& ! grant program to ! national level4 #eje4 ,liability protections = heal? c>e pr(essional volunte]s at community heal? c5t]s & f$]ally qualifi$ community behavioral heal? cl9ics ,section #bbd ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bcc7 is am5d$ by add+ at ! end ! foll[+3 7q7 7#a7 ,9 ?is subsection1 ! t]m f$]ally qualifi$ community behavioral heal? cl9ic means-- 7,a7 a f$]ally qualifi$ community behavioral heal? cl9ic ) a c]tification 9 effect "u section #bbc ( ! ,protect+ ,access to ,m$ic>e ,act ( #bjad2 or 7,b7 a community m5tal heal? c5t] meet+ ! crit]ia specifi$ 9 section #aiac7;c7 ( ?is ,act4 7#b7 ,= purposes ( ?is section1 a heal? c>e pr(essional volunte] at an entity describ$ 9 subsection 7g77#d7 or a f$]ally qualifi$ community behavioral heal? cl9ic %all1 9 provid+ heal? c>e s]vices eligible = fund+ "u section #ccj or subp>t ,i ( "p ,b ( title ,,xix to an individual1 be deem$ to be an employee ( ! ,public ,heal? ,s]vice = a cal5d> ye> t beg9s dur+ a fiscal ye> = :i* a transf] 0 made "u p>agraph 7#e77;,c74 ,! prec$+ s5t5ce is subject to ! provisions ( ?is subsection4 7#c7 ,9 provid+ a heal? c>e s]vice to an individual1 a heal? c>e pr(essional %all = purposes ( ?is subsection be consid]$ to be a heal? pr(essional volunte] at an entity describ$ 9 subsection 7g77#d7 or at a f$]ally qualifi$ community behavioral heal? cl9ic if ! foll[+ conditions are met3 7,a7 ,! s]vice is provid$ to ! individual at ! facilities ( an entity describ$ 9 subsection 7g77#d71 at a f$]ally qualifi$ community behavioral heal? cl9ic1 or ?r\gh (fsite programs or ev5ts c>ri$ out by ! c5t]4 7,b7 ,! c5t] or entity is sponsor+ ! heal? c>e pr(essional volunte] pursuant to p>agraph 7#d77;,b74 7,c7 ,! heal? c>e pr(essional does n receive any comp5sation = ! s]vice f ! individual or f any ?ird-p>ty pay] 7includ+ reimbursem5t "u any insurance policy or heal? plan1 or "u any ,f$]al or ,/ate heal? b5efits program71 except t ! heal? c>e pr(essional may receive repaym5t f ! entity describ$ 9 subsection 7g77#d7 or ! c5t] = reasonable exp5ses incurr$ by ! heal? c>e pr(essional 9 ! provision ( ! s]vice to ! individual4 7,d7 ,be=e ! s]vice is provid$1 ! heal? c>e pr(essional or ! c5t] or entity describ$ 9 subsection 7g77#d7 po/s a cle> & conspicu\s notice at ! site :]e ! s]vice is provid$ ( ! ext5t to :i* ! legal liability ( ! heal? c>e pr(essional is limit$ pursuant to ?is subsection4 7,e7 ,at ! "t ! s]vice is provid$1 ! heal? c>e pr(essional is lic5s$ or c]tifi$ 9 accordance ) applicable law reg>d+ ! provision ( ! s]vice4 7#d7 ,subsection 7g7 7o!r ?an p>agraphs 7#c7 & 7#e77 & subsections 7h71 7i71 & 7l7 apply to a heal? c>e pr(essional = purposes ( ?is subsection to ! same ext5t & 9 ! same mann] z su* subsections apply to an (fic]1 gov]n+ bo>d memb]1 employee1 or contractor ( an entity describ$ 9 subsection 7g77#d71 subject to p>agraph 7#e7 & subject to ! foll[+3 7,a7 ,! fir/ s5t5ce ( p>agraph 7#b7 applies 9 lieu ( ! fir/ s5t5ce ( subsection 7g77#a77;,a74 7,b7 ,) respect to an entity describ$ 9 subsection 7g77#d7 or a f$]ally qualifi$ community behavioral heal? cl9ic1 a heal? c>e pr(essional is n a heal? pr(essional volunte] at su* c5t] unless ! c5t] sponsors ! heal? c>e pr(essional4 ,= purposes ( ?is subsection1 ! c5t] %all be consid]$ to be sponsor+ ! heal? c>e pr(essional if-- 7i7 ) respect to ! heal? c>e pr(essional1 ! c5t] submits to ! ,secret>y an application meet+ ! requirem5ts ( subsection 7g77#a77;,d72 & 7ii7 ! ,secret>y1 pursuant to subsection 7g77#a77;,e71 det]m9es t ! heal? c>e pr(essional is deem$ to be an employee ( ! ,public ,heal? ,s]vice4 7,c7 ,9 ! case ( a heal? c>e pr(essional :o is det]m9$ by ! ,secret>y pursuant to subsection 7g77#a77;,e7 to be a heal? pr(essional volunte] at su* c5t]1 ?is subsection applies to ! heal? c>e pr(essional 7) respect to s]vices describ$ 9 p>agraph 7#b77 = any cause ( action aris+ f an act or omission ( ! heal? c>e pr(essional occurr+ on or aft] ! date on :i* ! ,secret>y makes su* det]m9ation4 7,d7 ,subsection 7g77#a77;,f7 applies to a heal? pr(essional volunte] = purposes ( ?is subsection only to ! ext5t t1 9 provid+ heal? s]vices to an individual1 ea* ( ! conditions specifi$ 9 p>agraph 7#c7 is met4 7#e7 7,a7 ,am\nts 9 ! fund e/abli%$ "u subsection 7k77#b7 %all be available = transf] "u subp>agraph 7,c7 = purposes ( c>ry+ out ?is subsection = heal? pr(essional volunte]s at entities describ$ 9 subsection 7g77#d74 7,b7 ,n lat] ?an ,may #a ( ea* fiscal ye>1 ! ,attorney ,g5]al1 9 consultation ) ! ,secret>y1 %all submit to ! ,congress a report provid+ an e/imate ( ! am\nt ( claims 7toge!r ) relat$ fees & exp5ses ( witnesses7 t1 by reason ( ! acts or omissions ( heal? c>e pr(essional volunte]s1 w be paid pursuant to ?is subsection dur+ ! cal5d> ye> t beg9s 9 ! foll[+ fiscal ye>4 ,subsection 7k77#a77;,b7 applies to ! e/imate "u ! prec$+ s5t5ce reg>d+ heal? c>e pr(essional volunte]s to ! same ext5t & 9 ! same mann] z su* subsection applies to ! e/imate "u su* subsection reg>d+ (fic]s1 gov]n+ bo>d memb]s1 employees1 & contractors ( entities describ$ 9 subsection 7g77#d74 7,c7 ,n lat] ?an ,decemb] #ca ( ea* fiscal ye>1 ! ,secret>y %all transf] f ! fund "u subsection 7k77#b7 to ! appropriate acc\nts 9 ! ,treasury an am\nt equal to ! e/imate made "u subp>agraph 7,b7 = ! cal5d> ye> beg9n+ 9 su* fiscal ye>1 subject to ! ext5t ( am\nts 9 ! fund4 7#f7 7,a7 ,?is subsection takes effect on ,octob] #a1 #bjag1 except z provid$ 9 subp>agraph 7,b74 7,b7 ,effective on ! date ( ! enactm5t ( ?is subsection-- 7i7 ! ,secret>y may issue regulations = c>ry+ out ?is subsection1 & ! ,secret>y may accept & consid] applications submitt$ pursuant to p>agraph 7#d77;,b72 & 7ii7 reports "u p>agraph 7#e77;,b7 may be submitt$ to ! ,congress4 4 #ejf4 ,m9ority ,fell[%ip ,program ,title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa et seq471 z am5d$1 is fur!r am5d$ by add+ at ! end ! foll[+3 ,k ,m9ority ,fell[%ip ,program #eig4 ,fell[%ips 7a7 ,9 g5]al ,! ,secret>y %all ma9ta9 a program1 to be kn[n z ! ,m9ority ,fell[%ip ,program1 "u :i* ! ,secret>y aw>ds fell[%ips1 :i* may include /ip5ds1 = ! purposes (-- 7#a7 increas+ behavioral heal? practition]s' k ( issues relat$ to prev5tion1 treatm5t1 & recov]y support = m5tal & sub/ance use disord]s among racial & e?nic m9ority populations2 7#b7 improv+ ! quality ( m5tal & sub/ance use disord] prev5tion & treatm5t deliv]$ to e?nic m9orities2 & 7#c7 increas+ ! numb] ( culturally compet5t behavioral heal? pr(essionals :o tea*1 adm9i/]1 conduct s]vices rese>*1 & provide direct m5tal heal? or sub/ance use s]vices to und]s]v$ m9ority populations4 7b7 ,tra9+ cov]$ ,! fell[%ips "u subsection 7a7 %all be = po/baccalaureate tra9+ 7includ+ = ma/]'s & doctoral degrees7 = m5tal heal? pr(essionals1 includ+ 9 ! fields ( psy*iatry1 nurs+1 social "w1 psy*ology1 m>riage & family !rapy1 pr(essional 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$ #aa1jjj1jjj = fiscal ye> #bjag1 #ad1jjj1jjj = fiscal ye> #bjah1 #af1jjj1jjj = fiscal ye> #bjai1 #ah1jjj1jjj = fiscal ye> #bjbj1 & #bj1jjj1jjj = fiscal ye> #bjba4 4 #ejg4 ,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 #ejh4 ,,samhsa grant program = developm5t & implem5tation ( curricula = cont9u+ education on s]i\s m5tal illness ,title ,v ( ! ,public ,heal? ,s]vice ,act is am5d$ by ins]t+ aft] section #ebj;,i 7#db ,u4,s4,c4 #bij;bb-#dj7 ! foll[+3 #ebj;,i-#a4 ,curricula = cont9u+ education on s]i\s m5tal illness 7a7 ,grants ,! ,secret>y may aw>d grants to eligible entities = ! developm5t & implem5tation ( curricula = provid+ cont9u+ education & tra9+ to heal? c>e pr(essionals on id5tify+1 ref]r+1 & treat+ individuals ) s]i\s m5tal illness or s]i\s emotional di/urbance4 7b7 ,eligible entities ,to be eligible to seek a grant "u ?is section1 an entity %all be a public or nonpr(it entity t-- 7#a7 provides cont9u+ education or tra9+ to heal? c>e pr(essionals2 or 7#b7 applies = ! grant 9 p>tn]%ip ) ano!r entity t provides su* education & tra9+4 7c7 ,pref]5ce ,9 aw>d+ grants "u ?is section1 ! ,secret>y %all give pref]5ce to eligible entities propos+ to develop & implem5t curricula = provid+ cont9u+ education & tra9+ to-- 7#a7 heal? c>e pr(essionals 9 prim>y c>e specialties2 or 7#b7 heal? c>e pr(essionals :o are requir$1 z a condition ( ,/ate lic5sure1 to p>ticipate 9 cont9u+ education or tra9+ specific to m5tal heal?4 7d7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re are au?oriz$ to be appropriat$ #a1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 4 #eji4 ,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$ to c>ry out ?is section #e1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 #eaj4 ,demon/ration grant program to recruit1 tra91 & pr(essionally support psy*iatric physicians 9 ,indian heal? programs 7a7 ,e/abli%m5t ,! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is section ref]r$ to z ! ,secret>y71 9 consultation ) ! ,director ( ! ,indian ,heal? ,s]vice & demon/ration programs e/abli%$ "u section #abc ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afafp71 %all aw>d "o #e-ye> grant to "o eligible entity to c>ry out a demon/ration program 79 ?is ,act ref]r$ to z ! ,program7 "u :i* ! eligible entity %all c>ry out ! activities describ$ 9 subsection 7b74 7b7 ,activities ,to be c>ri$ out by recipi5t ( grant "u ,program ,"u ! ,program1 ! grant recipi5t %all-- 7#a7 create a nationally replicable work=ce model t id5tifies & incorporates be/ practices = recruit+1 tra9+1 deploy+1 & pr(essionally support+ ,native ,am]ican & non-,native ,am]ican psy*iatric physicians to be fully integrat$ into m$ical1 m5tal1 & behavioral heal? sy/ems 9 ,indian heal? programs2 7#b7 recruit to p>ticipate 9 ! ,program ,native ,am]ican & non-,native ,am]ican psy*iatric physicians :o demon/rate int]e/ 9 provid+ specialty heal? c>e s]vices 7z def9$ 9 section #cac7;a77#c7 ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afch;g7a77#c777 & prim>y c>e s]vices to ,am]ican ,indians & ,alaska ,natives2 7#c7 provide su* psy*iatric physicians p>ticipat+ 9 ! ,program ) n m ?an #a ye> ( supplem5tal cl9ical & cultural compet5cy tra9+ to enable su* physicians to provide su* specialty heal? c>e s]vices & prim>y c>e s]vices 9 ,indian heal? programs2 7#d7 ) respect to su* psy*iatric physicians :o are p>ticipat+ 9 ! ,program & tra9$ "u p>agraph 7#c71 deploy su* physicians to practice specialty c>e or prim>y c>e 9 ,indian heal? programs = a p]iod ( n less ?an #b ye>s & pr(essionally support su* physicians = su* p]iod ) respect to practic+ su* c>e 9 su* programs2 & 7#e7 n lat] ?an #a ye> aft] ! la/ day ( ! #e-ye> p]iod = :i* ! grant is aw>d$ "u subsection 7a71 submit to ! ,secret>y & to ! appropriate committees ( ,congress a report t %all include-- 7,a7 ! work=ce model creat$ "u p>agraph 7#a72 7,b7 /rategies = dissem9at+ ! work=ce model to o!r entities ) ! capability ( adopt+ x2 & 7,c7 recomm5dations = ! ,secret>y & ,congress ) respect to support+ an effective & /able psy*iatric & m5tal heal? work=ce t s]ves ,am]ican ,indians & ,alaska ,natives4 7c7 ,eligible entities 7#a7 ,requirem5ts ,to be eligible to receive ! grant "u ?is section1 an entity %all-- 7,a7 submit to ! ,secret>y an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require2 7,b7 be a dep>tm5t ( psy*iatry )9 a m$ical s*ool 9 ! ,unit$ ,/ates t is accr$it$ by ! ,liaison ,committee on ,m$ical ,education or a public or private nonpr(it entity affiliat$ ) a m$ical s*ool 9 ! ,unit$ ,/ates t is accr$it$ by ! ,liaison ,committee on ,m$ical ,education2 & 7,c7 h 9 exi/5ce1 z ( ! "t ( submission ( ! application "u subp>agraph 7,a71 a relation%ip ) ,indian heal? programs 9 at lea/ two ,/ates ) a demon/rat$ ne$ = psy*iatric physicians & provide assurances t ! grant w be us$ to s]ve rural & non-rural ,am]ican ,indian & ,alaska ,native populations 9 at lea/ two ,/ates4 7#b7 ,priority 9 select+ grant recipi5t ,9 aw>d+ ! grant "u ?is section1 ! ,secret>y %all give priority to an eligible entity t satisfies ea* ( ! foll[+3 7,a7 ,demon/rates suffici5t infra/ructure 9 size1 scope1 & capacity to und]take ! supplem5tal cl9ical & cultural compet5cy tra9+ ( a m9imum ( #e psy*iatric physicians1 & to provide ongo+ pr(essional support to psy*iatric physicians dur+ ! deploym5t p]iod to an ,indian heal? program4 7,b7 ,demon/rates a record 9 successfully recruit+1 tra9+1 & deploy+ physicians :o are ,am]ican ,indians & ,alaska ,natives4 7,c7 ,demon/rates ! ability to e/abli% a program advisory bo>d1 :i* may be prim>ily compos$ ( repres5tatives ( f$]ally recogniz$ tribes1 ,alaska ,natives1 & ,indian heal? programs to be s]v$ by ! ,program4 7d7 ,eligibility ( psy*iatric physicians ,to p>ticipate 9 ! ,program 7#a7 ,9 g5]al ,to be eligible to p>ticipate 9 ! ,program1 z describ$ 9 subsection 7b71 a psy*iatric physician %all-- 7,a7 be lic5s$ or eligible = lic5sure to practice 9 ! ,/ate to :i* ! physician is to be deploy$ "u subsection 7b77#d72 & 7,b7 demon/rate a commitm5t beyond ! "o ye> ( tra9+ describ$ 9 subsection 7b77#c7 & two ye>s ( deploym5t describ$ 9 subsection 7b77#d7 to a c>e] z a specialty c>e physician or prim>y c>e physician provid+ m5tal heal? s]vices 9 ,indian heal? programs4 7#b7 ,pref]5ce ,9 select+ physicians to p>ticipate "u ! ,program1 z describ$ 9 subsection 7b77#b71 ! grant recipi5t %all give pref]5ce to physicians :o are ,am]ican ,indians & ,alaska ,natives4 7e7 ,loan =giv5ess ,"u ! ,program1 any psy*iatric physician accept$ to p>ticipate 9 ! ,program %all1 not)/&+ ! provisions ( subsection 7b7 ( section #ajh ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afaf;a7 & ^u acceptance into ! ,program1 be deem$ eligible & enroll$ to p>ticipate 9 ! ,indian ,heal? ,s]vice ,loan ,repaym5t ,program "u su* section #ajh4 ,"u su* ,loan ,repaym5t ,program1 ! ,secret>y %all pay on behalf ( ! physician = ea* ye> ( deploym5t "u ! ,program "u ?is section up to #ce1jjj = loans describ$ 9 subsection 7g77#a7 ( su* section #ajh4 7f7 ,def]ral ( c]ta9 s]vice ,! />t+ date ( requir$ s]vice ( individuals 9 ! ,national ,heal? ,s]vice ,corps ,s]vice ,program "u title ,,ii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bjb et seq47 :o are psy*iatric physicians p>ticipat+ "u ! ,program "u ?is section %all be def]r$ until ! date t is #cj days aft] ! date ( completion ( ! p>ticipation ( su* a physician 9 ! ,program "u ?is section4 7g7 ,def9itions ,= purposes ( ?is section3 7#a7 ,am]ican ,indians & ,alaska ,natives ,! t]m ,am]ican ,indians & ,alaska ,natives has ! mean+ giv5 ! t]m ,indian 9 section #ddg4ej7;b77#a7 ( title #db1 ,code ( ,f$]al ,regulations1 z 9 exi/5ce z ( ! date ( ! enactm5t ( ?is ,act4 7#b7 ,indian heal? program ,! t]m ,indian heal? program has ! mean+ giv5 su* t]m 9 section #ajd7ab7 ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afjc7ab774 7#c7 ,pr(essionally support ,! t]m pr(essionally support means1 ) respect to psy*iatric physicians p>ticipat+ 9 ! ,program & deploy$ to practice specialty c>e or prim>y c>e 9 ,indian heal? programs1 ! provision ( comp5sation to su* physicians = ! provision ( su* c>e dur+ su* deploym5t & may include ! provision1 dissem9ation1 or %>+ ( be/ practices1 field tra9+1 & o!r activities deem$ appropriate by ! recipi5t ( ! grant "u ?is section4 7#d7 ,psy*iatric physician ,! t]m psy*iatric physician means a m$ical doctor or doctor ( o/eopa?y 9 good /&+ :o has successfully complet$ f\r-ye> psy*iatric resid5cy tra9+ or :o is enroll$ 9 f\r-ye> psy*iatric resid5cy tra9+ 9 a resid5cy program accr$it$ by ! ,accr$itation ,c\ncil = ,graduate ,m$ical ,education4 7h7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #a1jjj1jjj = ea* ( ! fiscal ye>s #bjag ?r\gh #bjba4 #eaa4 ,education & tra9+ on eat+ disord]s = heal? pr(essionals 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,adm9i/rator ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 %all aw>d grants to eligible entities to integrate tra9+ into exi/+ curricula = prim>y c>e physicians1 o!r lic5s$ or c]tifi$ heal? & m5tal heal? pr(essionals1 & public heal? pr(essionals t may include-- 7#a7 e>ly int]v5tion & id5tification ( eat+ disord]s2 7#b7 types ( treatm5t 7includ+ family-bas$ treatm5t1 inpati5t1 resid5tial1 p>tial hospitalization programm+1 int5sive outpati5t & outpati5t72 7#c7 h[ to prop]ly ref] pati5ts to treatm5t2 7#d7 /eps to aid 9 ! prev5tion ( ! developm5t ( eat+ disord]$ behaviors2 & 7#e7 h[ to treat individuals ) eat+ disord]s4 7b7 ,application ,an entity t desires a grant "u ?is section %all submit to ! ,secret>y an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require1 includ+ a plan = ! use ( funds t may be aw>d$ & an evaluation ( ! tra9+ t w be provid$4 7c7 ,use ( funds ,an entity t receives a grant "u ?is section %all use ! funds made available ?r\gh su* grant to-- 7#a7 use a tra9+ program conta9+ evid5ce-bas$ f9d+s1 promis+ em]g+ be/ practices1 or recomm5dations t p]ta9 to ! id5tification1 e>ly int]v5tion1 prev5tion ( ! developm5t ( eat+ disord]$ behaviors1 & treatm5t ( eat+ disord]s to conduct educational tra9+ & conf]5ces1 includ+ ,int]net-bas$ c\rses & teleconf]5ces1 on-- 7,a7 h[ to help prev5t ! developm5t ( eat+ disord]$ behaviors1 id5tify1 int]v5e e>ly1 & appropriately & adequately treat eat+ disord]$ pati5ts2 7,b7 h[ to id5tify individuals ) eat+ disord]s1 & ^? :o are at risk = suff]+ f eat+ disord]s &1 !re=e1 at risk = relat$ sev]e m$ical & m5tal heal? conditions2 7,c7 h[ to conduct a compreh5sive assessm5t ( individual & familial heal? risk factors2 & 7,d7 h[ to conduct a compreh5sive assessm5t ( a treatm5t plan2 & 7#b7 evaluate & report to ! ,secret>y on ! effectiv5ess ( ! tra9+ provid$ by su* entity 9 increas+ k & *ang+ attitudes & behaviors ( tra9ees4 7d7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #a1jjj1jjj = ea* ( ! fiscal ye>s #bjag ?r\gh #bjba4 #eab4 ,prim>y & behavioral heal? c>e integration grant programs ,section #ebj,k ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#db7 is am5d$ to read z foll[s3 #ebj,k4 ,integration inc5tive grants 7a7 ,9 g5]al ,! ,secret>y %all e/abli% a prim>y & behavioral heal? c>e integration grant program4 ,! ,secret>y may aw>d grants & coop]ative agreem5ts to eligible entities to exp5d funds = improvem5ts 9 integrat$ sett+s ) integrat$ practices4 7b7 ,def9itions ,9 ?is section3 7#a7 ,integrat$ c>e ,! t]m integrat$ c>e means full collaboration 9 m]g$ or trans=m$ practices (f]+ behavioral & physical heal? s]vices )9 ! same %>$ practice space 9 ! same facility1 :]e ! entity-- 7,a7 provides s]vices 9 a %>$ space t ensures s]vices w be available & accessible promptly & 9 a mann] :i* pres]ves human dignity & assures cont9uity ( c>e2 7,b7 ensures communication among ! integrat$ c>e team t is consi/5t & team-bas$2 7,c7 ensures %>$ decisionmak+ betwe5 behavioral heal? & prim>y c>e provid]s2 7,d7 provides evid5ce-bas$ s]vices 9 a mode ( s]vice deliv]y appropriate = ! t>get population2 7,e7 employs /aff :o are multidiscipl9>y & culturally & l+ui/ically compet5t2 7,f7 provides integrat$ s]vices relat$ to scre5+1 diagnosis1 & treatm5t ( m5tal illness & sub/ance use disord] & co-occurr+ prim>y c>e conditions & *ronic diseases2 & 7,g7 provides t>get$ case managem5t1 includ+ s]vices to assi/ individuals ga9+ access to ne$$ m$ical1 social1 educational1 & o!r s]vices & apply+ = income security1 h\s+1 employm5t1 & o!r b5efits to :i* !y may be entitl$4 7#b7 ,integrat$ c>e team ,! t]m integrat$ c>e team means a team t includes-- 7,a7 allopa?ic or o/eopa?ic m$ical doctors1 su* z a prim>y c>e physician & a psy*iatri/2 7,b7 lic5s$ cl9ical behavioral heal? pr(essionals1 su* z psy*ologi/s or social work]s2 7,c7 a case manag]2 & 7,d7 o!r memb]s1 su* z psy*iatric advanc$ practice nurses1 physician assi/ants1 pe]-support speciali/s or o!r alli$ heal? pr(essionals1 su* z m5tal heal? c\nselors4 7#c7 ,special population ,! t]m special population means-- 7,a7 adults ) m5tal illnesses :o h co-occurr+ prim>y c>e conditions ) *ronic diseases2 7,b7 adults ) s]i\s m5tal illnesses :o h co-occurr+ prim>y c>e conditions ) *ronic diseases2 7,c7 *ildr5 & adolesc5ts ) s]i\s emotional di/urbances ) co-occurr+ prim>y c>e conditions & *ronic diseases2 7,d7 old] adults ) m5tal illness :o h co-occurr+ prim>y c>e conditions ) *ronic conditions2 7,e7 individuals ) sub/ance use disord]2 or 7,f7 individuals f populations = :i* !re is a significant disp>ity 9 ! quality1 outcomes1 co/1 or use ( m5tal heal? or sub/ance use disord] s]vices or a significant disp>ity 9 access to su* s]vices1 z comp>$ to ! g5]al population1 su* z racial & e?nic m9orities & rural populations4 7c7 ,purpose ,! grant program "u ?is section %all be design$ to lead to full collaboration betwe5 prim>y & behavioral heal? 9 an integrat$ practice model to ensure t-- 7#a7 ! ov]all wellness & physical heal? /atus ( individuals ) s]i\s m5tal illness or s]i\s emotional di/urbance & co-occurr+ sub/ance use disord]s is support$ ?r\gh integration ( prim>y c>e into community m5tal heal? c5t]s meet+ ! crit]ia specifi$ 9 section #aiac7;c7 ( ! ,social ,security ,act or c]tifi$ community behavioral heal? cl9ics describ$ 9 section #bbc ( ! ,protect+ ,access to ,m$ic>e ,act ( #bjad2 or 7#b7 ! m5tal heal? /atus ( individuals ) significant co-occurr+ psy*iatric & physical conditions w be support$ ?r\gh integration ( behavioral heal? into prim>y c>e sett+s4 7d7 ,eligible entities ,to be eligible to receive a grant or coop]ative agreem5t "u ?is section1 an entity %all be a ,/ate dep>tm5t ( heal?1 ,/ate m5tal heal? or addiction ag5cy1 ,/ate ,m$icaid ag5cy1 or lic5s$ heal? c>e provid] or in/itution4 ,! ,adm9i/rator may give pref]5ce to ,/ates t h exi/+ integrat$ c>e models1 su* z ^? au?oriz$ by section #aide ( ! ,social ,security ,act4 7e7 ,application ,an eligible entity desir+ a grant or coop]ative agreem5t "u ?is section %all submit an application to ! ,adm9i/rator at su* "t1 9 su* mann]1 & accompani$ by su* in=mation z ! ,adm9i/rator may require1 includ+ a description ( a plan to a*ieve fully collaborative agreem5ts to provide s]vices to special populations &-- 7#a7 a docum5t t summ>izes ! ,/ate-specific policies t inhibit ! provision ( integrat$ c>e1 & ! specific /eps t w be tak5 to address su* b>ri]s1 su* z ?r\gh lic5s+ & bill+ proc$ures2 & 7#b7 a plan to develop & %>e a de-id5tifi$ pati5t regi/ry to track treatm5t implem5tation & cl9ical outcomes to in=m cl9ical int]v5tions1 pati5t education1 & engagem5t ) m]g$ or trans=m$ integrat$ practices 9 compliance ) applicable national & ,/ate heal? in=mation privacy laws4 7f7 ,grant am\nts ,! maximum annual grant am\nt "u ?is section %all be #b1jjj1jjj1 ( :i* n m ?an #aj p]c5t may be allocat$ to ,/ate adm9i/rative functions1 & ! rema9+ am\nts %all be allocat$ to heal? facilities t provide integrat$ c>e4 7g7 ,duration ,a grant "u ?is section %all be = a p]iod ( #e ye>s4 7h7 ,report on program outcomes ,an entity receiv+ a grant or coop]ative agreem5t "u ?is section %all submit an annual report to ! ,adm9i/rator t includes-- 7#a7 ! progress to r$uce b>ri]s to integrat$ c>e1 includ+ regulatory & bill+ b>ri]s1 z describ$ 9 ! entity's application "u subsection 7d72 & 7#b7 a description ( functional outcomes ( special populations1 su* z-- 7,a7 ) respect to individuals ) s]i\s m5tal illness1 p>ticipation 9 supportive h\s+ or indep5d5t liv+ programs1 engagem5t 9 social or education activities1 p>ticipation 9 job tra9+ or employm5t opportunities1 att5dance at s*$ul$ m$ical & m5tal heal? appo9tm5ts1 & compliance ) treatm5t plans2 7,b7 ) respect to individuals ) co-occurr+ m5tal illness & prim>y c>e conditions & *ronic diseases1 att5dance at s*$ul$ m$ical & m5tal heal? appo9tm5ts1 compliance ) treatm5t plans1 & p>ticipation 9 le>n+ opportunities relat$ to improv$ heal? & life/yle practice2 & 7,c7 ) respect to *ildr5 & adolesc5ts ) s]i\s emotional disord]s :o h co-occurr+ prim>y c>e conditions & *ronic diseases1 att5dance at s*$ul$ m$ical & m5tal heal? appo9tm5ts1 compliance ) treatm5t plans1 & p>ticipation 9 le>n+ opportunities at s*ool & extracurricul> activities4 7i7 ,te*nical assi/ance c5t] = prim>y-,behavioral heal? c>e integration 7#a7 ,9 g5]al ,! ,secret>y %all e/abli% a program ?r\gh :i* su* ,secret>y %all provide appropriate in=mation1 tra9+1 & te*nical assi/ance to eligible entities t receive a grant or coop]ative agreem5t "u ?is section1 9 ord] to help su* entities to meet ! requirem5ts ( ?is section1 includ+ assi/ance )-- 7,a7 developm5t & selection ( integrat$ c>e models2 7,b7 dissem9ation ( evid5ce-bas$ int]v5tions 9 integrat$ c>e2 7,c7 e/abli%m5t ( organizational practices to support op]ational & adm9i/rative success2 & 7,d7 o!r activities1 z ! ,secret>y det]m9es appropriate4 7#b7 ,additional dissem9ation ( te*nical in=mation ,! in=mation & res\rces provid$ by ! te*nical assi/ance program e/abli%$ "u p>agraph 7#a7 %all be made available to ,/ates1 political subdivisions ( a ,/ate1 ,indian tribes or tribal organizations 7z def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act71 outpati5t m5tal heal? & addiction treatm5t c5t]s1 community m5tal heal? c5t]s t meet ! crit]ia "u section #aiac7;c71 c]tifi$ community behavioral heal? cl9ics describ$ 9 section #bbc ( ! ,protect+ ,access to ,m$ic>e ,act ( #bjad1 prim>y c>e organizations su* z ,f$]ally qualifi$ heal? c5t]s or rural heal? c5t]s1 o!r community-bas$ organizations1 or o!r entities engag+ 9 integrat$ c>e activities1 z ! ,secret>y det]m9es appropriate4 7j7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re are au?oriz$ to be appropriat$ #ej1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba1 ( :i* #b1jjj1jjj %all be available to ! te*nical assi/ance program "u subsection 7i74 4 #eac4 ,heal? pr(essions compet5cies to address racial1 e?nic1 sexual1 & g5d] m9ority behavioral heal? disp>ities 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices %all aw>d grants to national organizations = ! purpose ( develop+1 & dissem9at+ to heal? pr(essional educational programs1 curricula or core compet5cies address+ behavioral heal? disp>ities among racial1 e?nic1 sexual1 & g5d] m9ority gr\ps4 7b7 ,use ( funds ,organizations receiv+ funds "u subsection 7a7 %all use ! funds to develop & dissem9ate curricula or core compet5cies1 z describ$ 9 su* subsection1 = use 9 ! tra9+ ( /ud5ts 9 ! pr(essions ( social "w1 psy*ology1 psy*iatry1 nurs+1 physician assi/ants1 m>riage & family !rapy1 m5tal heal? c\nsel+1 sub/ance abuse c\nsel+1 or o!r m5tal heal? & sub/ance use disord] provid]s t ! ,secret>y deems appropriate4 7c7 ,all[able activities ,organizations receiv+ funds "u subsection 7a7 may use ! funds to engage 9 ! foll[+ activities relat$ to ! developm5t & dissem9ation ( curricula or core compet5cies3 7#a7 ,=mation ( committees or work+ gr\ps compris$ ( exp]ts f accr$it$ heal? pr(essions s*ools to id5tify core compet5cies relat+ to m5tal heal? disp>ities among racial & e?nic m9ority gr\ps4 7#b7 ,plann+ ( work%ops 9 national =a to all[ = public input into ! educational ne$s associat$ ) m5tal heal? disp>ities among racial & e?nic m9ority gr\ps4 7#c7 ,dissem9ation & promotion ( ! use ( curricula or core compet5cies 9 und]graduate & graduate heal? pr(essions tra9+ programs nationwide4 7d7 ,def9itions ,9 ?is section1 ! t]m racial & e?nic m9ority gr\p has ! mean+ giv5 to su* t]m 9 section #agjg7;g7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjju-#f7;g774 7e7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is section #a1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 #ead4 ,behavioral heal? crisis sy/ems 7a7 ,def9itions ,= purposes ( ?is section1 ! foll[+ def9itions %all apply3 7#a7 ,eligible ,entity ,! t]m eligible entity means a ,/ate1 political subdivision ( a ,/ate1 or nonpr(it private entity4 7#b7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices4 7#c7 ,/ate ,! t]m ,/ate means ea* ,/ate ( ! ,unit$ ,/ates1 ! ,di/rict ( ,columbia1 ea* commonweal?1 t]ritory or possession ( ! ,unit$ ,/ates1 & ea* f$]ally recogniz$ ,indian tribe4 7b7 ,e/abli%m5t ( ,grant ,program 7#a7 ,e/abli%m5t ,! ,secret>y %all e/abli% a program to aw>d grants to eligible entities to e/abli% & implem5t a sy/em = prev5t+ & de-escalat+ behavioral heal? crises4 7#b7 ,use ( ,funds 7,a7 ,9 ,g5]al ,grants "u ?is section may be us$ to c>ry out programs t-- 7i7 exp& e>ly int]v5tion & treatm5t s]vices to improve access to behavioral heal? crisis assi/ance & address unmet behavioral heal? c>e ne$s2 7ii7 exp& ! cont9uum ( s]vices to address crisis prev5tion1 crisis int]v5tion1 & crisis /abilization2 & 7iii7 r$uce unnecess>y hospitalizations by appropriately utiliz+ community-bas$ s]vices & improv+ access to timely behavioral heal? crisis assi/ance4 7,b7 ,au?oriz$ ,activities ,! programs describ$ 9 subp>agraph 7,a7 may include activities su* z3 7i7 ,mobile support or crisis support c5t]s t provide field-bas$ behavioral heal? assi/ance to individuals ) m5tal heal? or sub/ance use disord]s & l9ks su* individuals 9 crisis to appropriate s]vices4 7ii7 ,s*ool & community-bas$ e>ly int]v5tion & prev5tion programs t provide mobile response1 scre5+ & assessm5t1 tra9+ & education1 & pe]-bas$ & family s]vices4 7iii7 ,m5tal heal? crisis int]v5tion & response tra9+ = law en=cem5t (fic]s to increase (fic]s' und]/&+ & recognition ( m5tal illnesses z well z increase _! aw>5ess ( heal? c>e s]vices available to individuals 9 crisis4 7#c7 ,application ,to be consid]$ = a grant "u ?is section1 an eligible entity %all submit an application to ! ,secret>y at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 ,at m9imum1 su* application %all include a description (-- 7,a7 ! activities to be fund$ ) ! grant2 7,b7 community ne$s2 7,c7 ! population to be s]v$2 & 7,d7 ! int]action betwe5 ! activities describ$ 9 subp>agraph 7,a7 & public sy/ems ( heal? & m5tal heal? c>e1 law en=cem5t1 social s]vices1 & relat$ assi/ance programs4 7#d7 ,select+ among applicants 7,a7 ,9 ,g5]al ,grants %all be aw>d$ to eligible entities on a competitive basis4 7,b7 ,selection ,crit]ia ,! ,secret>y %all evaluate applicants bas$ on su* crit]ia z ! ,secret>y det]m9es to be appropriate1 includ+ ! ability ( an applicant to c>ry out ! activities describ$ 9 p>agraph 7#b74 7#e7 ,reports 7,a7 ,annual ,reports 7i7 ,eligible ,entities ,z a condition ( receiv+ a grant "u ?is section1 an eligible entity %all agree to submit a report to ! ,secret>y1 on an annual basis1 describ+ ! activities c>ri$ out ) ! grant & assess+ ! effectiv5ess ( su* activities4 7ii7 ,secret>y ,! ,secret>y %all1 on an annual basis1 & us+ ! reports receiv$ "u clause 7i71 report to ,congress on ! ov]all impact & effectiv5ess ( ! grant program "u ?is section4 7,b7 ,f9al ,report ,n lat] ?an ,janu>y #ae1 #bjba1 ! ,secret>y %all submit to ,congress a f9al report t includes recomm5dations ) respect to ! feasibility & advisability ( ext5d+ or exp&+ ! grant program4 ,! report %all also provide an assessm5t ( :i* sy/ems & sy/em elem5ts prov$ mo/ effective4 7#f7 ,collection ( data ,! ,secret>y %all collect data on ! grant program to det]m9e its effectiv5ess 9 r$uc+ ! social impact ( m5tal heal? crises & ! feasibility & advisability ( ext5d+ ! grant program4 7c7 ,au?orization ( ,appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #aj1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 #eae4 ,m5tal heal? 9 s*ools 7a7 ,te*nical am5dm5ts ,! second "p ,g 7relat+ to s]vices provid$ ?r\gh religi\s organizations7 ( title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bijkk et seq47 is am5d$-- 7#a7 by r$esignat+ su* "p z "p ,j2 & 7#b7 by r$esignat+ sections #eha ?r\gh #ehd z sections #eif ?r\gh #eif;,c1 respectively4 7b7 ,s*ool-,bas$ m5tal heal? & *ildr5 & viol5ce ,section #eha ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;hh7 is am5d$ to read z foll[s3 #eha4 ,s*ool-bas$ m5tal heal? & *ildr5 & viol5ce 7a7 ,9 g5]al ,! ,secret>y1 9 collaboration ) ! ,secret>y ( ,education & 9 consultation ) ! ,attorney ,g5]al1 %all1 directly or ?r\gh grants1 contracts1 or coop]ative agreem5ts aw>d$ to public entities & local education ag5cies1 assi/ local communities & s*ools 9 apply+ a public heal? approa* to m5tal heal? s]vices bo? 9 s*ools & 9 ! community4 ,su* approa* %\ld provide compreh5sive age appropriate s]vices & supports1 be l+ui/ically & culturally appropriate1 be trauma-in=m$1 & incorporate age appropriate /rategies ( positive behavioral int]v5tions & supports4 ,a compreh5sive s*ool m5tal heal? program fund$ "u ?is section %all assi/ *ildr5 9 deal+ ) trauma & viol5ce4 7b7 ,activities ,"u ! program "u subsection 7a71 ! ,secret>y may-- 7#a7 provide f9ancial support to enable local communities to implem5t a compreh5sive culturally & l+ui/ically appropriate1 trauma-in=m$1 & age-appropriate1 s*ool m5tal heal? program t incorporates positive behavioral int]v5tions1 cli5t treatm5t1 & supports to fo/] ! heal? & developm5t ( *ildr52 7#b7 provide te*nical assi/ance to local communities ) respect to ! developm5t ( programs describ$ 9 p>agraph 7#a72 7#c7 provide assi/ance to local communities 9 ! developm5t ( policies to address *ild & adolesc5t trauma & m5tal heal? issues & viol5ce :5 & if x occurs2 7#d7 facilitate community p>tn]%ips among families1 /ud5ts1 law en=cem5t ag5cies1 education sy/ems1 m5tal heal? & sub/ance use disord] s]vice sy/ems1 family-bas$ m5tal heal? s]vice sy/ems1 welf>e ag5cies1 heal? c>e s]vice sy/ems 7includ+ physicians71 fai?-bas$ programs1 trauma networks1 & o!r community-bas$ sy/ems2 & 7#e7 e/abli% me*anisms = *ildr5 & adolesc5ts to report incid5ts ( viol5ce or plans by o!r *ildr51 adolesc5ts1 or adults to commit viol5ce4 7c7 ,requirem5ts 7#a7 ,9 g5]al ,to be eligible = a grant1 contract1 or coop]ative agreem5t "u subsection 7a71 an entity %all-- 7,a7 be a p>tn]%ip betwe5 a local education ag5cy & at lea/ "o community program or ag5cy t is involv$ 9 m5tal heal?2 & 7,b7 submit an application1 t is endors$ by all memb]s ( ! p>tn]%ip1 t conta9s ! assurances describ$ 9 p>agraph 7#b74 7#b7 ,requir$ assurances ,an application "u p>agraph 7#a7 %all conta9 assurances z foll[s3 7,a7 ,t ! applicant w ensure t1 9 c>ry+ out activities "u ?is section1 ! local educational ag5cy involv$ w ent] into a memor&um ( und]/&+-- 7i7 )1 at lea/ "o1 public or private m5tal heal? entity1 heal? c>e entity1 law en=cem5t or juv5ile ju/ice entity1 *ild welf>e ag5cy1 family-bas$ m5tal heal? entity1 family or family organization1 trauma network1 or o!r community-bas$ entity2 & 7ii7 t cle>ly /ates-- 7,i7 ! responsibilities ( ea* p>tn] ) respect to ! activities to be c>ri$ out2 7,,ii7 h[ ea* su* p>tn] w be acc\ntable = c>ry+ out su* responsibilities2 & 7,,iii7 ! am\nt ( non-,f$]al fund+ or 9-k9d contributions t ea* su* p>tn] w contribute 9 ord] to su/a9 ! program4 7,b7 ,t ! compreh5sive s*ool-bas$ m5tal heal? program c>ri$ out "u ?is section supports ! flexible use ( funds to address-- 7i7 ! promotion ( ! social1 emotional1 & behavioral heal? ( all /ud5ts 9 an environm5t t is conducive to le>n+2 7ii7 ! r$uction 9 ! likelihood ( at risk /ud5ts develop+ social1 emotional1 behavioral heal? problems1 or sub/ance use disord]s2 7iii7 ! e>ly id5tification ( social1 emotional1 behavioral problems1 or sub/ance use disord]s & ! provision ( e>ly int]v5tion s]vices2 7iv7 ! treatm5t or ref]ral = treatm5t ( /ud5ts ) exi/+ social1 emotional1 behavioral heal? problems1 or sub/ance use disord]s2 & 7v7 ! developm5t & implem5tation ( programs to assi/ *ildr5 9 deal+ ) trauma & viol5ce4 7,c7 ,t ! compreh5sive s*ool-bas$ m5tal heal? program c>ri$ out "u ?is section w provide = 9-s]vice tra9+ ( all s*ool p]sonnel1 includ+ ancill>y /aff & volunte]s1 9-- 7i7 ! te*niques & supports ne$$ to id5tify e>ly *ildr5 ) trauma hi/ories & *ildr5 )1 or at risk (1 m5tal illness2 7ii7 ! use ( ref]ral me*anisms t effectively l9k su* *ildr5 to appropriate treatm5t & int]v5tion s]vices 9 ! s*ool & 9 ! community & to foll[-up :5 s]vices are n available2 7iii7 /rategies t promote a s*ool-wide positive environm5t2 7iv7 /rategies = promot+ ! social1 emotional1 m5tal1 & behavioral heal? ( all /ud5ts2 & 7v7 /rategies to increase ! k & skills ( s*ool & community lead]s ab\t ! impact ( trauma & viol5ce & on ! application ( a public heal? approa* to compreh5sive s*ool-bas$ m5tal heal? programs4 7,d7 ,t ! compreh5sive s*ool-bas$ m5tal heal? program c>ri$ out "u ?is section w include compreh5sive tra9+ = p>5ts1 sibl+s1 & o!r family memb]s ( *ildr5 ) m5tal heal? disord]s1 & = conc]n$ memb]s ( ! community 9-- 7i7 ! te*niques & supports ne$$ to id5tify e>ly *ildr5 ) trauma hi/ories1 & *ildr5 )1 or at risk (1 m5tal illness2 7ii7 ! use ( ref]ral me*anisms t effectively l9k su* *ildr5 to appropriate treatm5t & int]v5tion s]vices 9 ! s*ool & 9 ! community & foll[-up :5 su* s]vices are n available2 & 7iii7 /rategies t promote a s*ool-wide positive environm5t4 7,e7 ,t ! compreh5sive s*ool-bas$ m5tal heal? program c>ri$ out "u ?is section w demon/rate ! measures to be tak5 to su/a9 ! program aft] fund+ "u ?is section t]m9ates4 7,f7 ,t ! local education ag5cy p>tn]%ip involv$ is support$ by ! ,/ate educational & m5tal heal? sy/em to ensure t ! su/a9ability ( ! programs is e/abli%$ aft] fund+ "u ?is section t]m9ates4 7,g7 ,t ! compreh5sive s*ool-bas$ m5tal heal? program c>ri$ out "u ?is section w be bas$ on trauma-in=m$ & evid5ce-bas$ practices4 7,h7 ,t ! compreh5sive s*ool-bas$ m5tal heal? program c>ri$ out "u ?is section w be coord9at$ ) e>ly int]v5+ activities c>ri$ out "u ! ,individuals ) ,disabilities ,education ,act4 7,i7 ,t ! compreh5sive s*ool-bas$ m5tal heal? program c>ri$ out "u ?is section w be trauma-in=m$ & culturally & l+ui/ically appropriate4 7,j7 ,t ! compreh5sive s*ool-bas$ m5tal heal? program c>ri$ out "u ?is section w include a broad ne$s assessm5t ( y\? :o drop out ( s*ool due to policies ( z]o tol]ance ) respect to drugs1 alcohol1 or weapons & an inability to obta9 appropriate s]vices4 7,k7 ,t ! m5tal heal? s]vices provid$ ?r\gh ! compreh5sive s*ool-bas$ m5tal heal? program c>ri$ out "u ?is section w be provid$ by qualifi$ m5tal & behavioral heal? pr(essionals :o are c]tifi$ or lic5s$ by ! ,/ate involv$ & practic+ )9 _! area ( exp]tise4 7#c7 ,coord9ator ,any entity t is a memb] ( a p>tn]%ip describ$ 9 p>agraph 7#a77;,a7 may s]ve z ! coord9ator ( fund+ & activities "u ! grant if all memb]s ( ! p>tn]%ip agree4 7#d7 ,compliance ) ,,hipaa ,a grantee "u ?is section %all be deem$ to be a cov]$ entity = purposes ( compliance ) ! regulations promulgat$ "u section #bfd7;c7 ( ! ,heal? ,insurance ,portability & ,acc\ntability ,act ( #aiif ) respect to any pati5t records develop$ ?r\gh activities "u ! grant4 7d7 ,geographical di/ribution ,! ,secret>y %all ensure t grants1 contracts1 or coop]ative agreem5ts "u subsection 7a7 w be di/ribut$ equitably among ! regions ( ! c\ntry & among urban & rural areas4 7e7 ,duration ( aw>ds ,) respect to a grant1 contract1 or coop]ative agreem5t "u subsection 7a71 ! p]iod dur+ :i* paym5ts "u su* an aw>d w be made to ! recipi5t %all be #e ye>s4 ,an entity may receive only "o aw>d "u ?is section1 except t an entity t is provid+ s]vices & supports on a regional basis may receive additional fund+ aft] ! expiration ( ! prec$+ grant p]iod4 7f7 ,evaluation & measures ( outcomes 7#a7 ,developm5t ( process ,! ,adm9i/rator %all develop a fiscally appropriate process = evaluat+ activities c>ri$ out "u ?is section4 ,su* process %all include-- 7,a7 ! developm5t ( guidel9es = ! submission ( program data by grant1 contract1 or coop]ative agreem5t recipi5ts2 7,b7 ! developm5t ( measures ( outcomes 79 accordance ) p>agraph 7#b77 to be appli$ by su* recipi5ts 9 evaluat+ programs c>ri$ out "u ?is section2 & 7,c7 ! submission ( annual reports by su* recipi5ts conc]n+ ! effectiv5ess ( programs c>ri$ out "u ?is section4 7#b7 ,measures ( outcomes 7,a7 ,9 g5]al ,! ,adm9i/rator %all develop measures ( outcomes to be appli$ by recipi5ts ( assi/ance "u ?is section1 & ! ,adm9i/rator1 9 evaluat+ ! effectiv5ess ( programs c>ri$ out "u ?is section4 ,su* measures %all include /ud5t & family measures z provid$ = 9 subp>agraph 7,b7 & local educational measures z provid$ = "u subp>agraph 7,c74 7,b7 ,/ud5t & family measures ( outcomes ,! measures ( outcomes develop$ "u p>agraph 7#a77;,b7 relat+ to /ud5ts & families %all1 ) respect to activities c>ri$ out "u a program "u ?is section1 at a m9imum include provisions to evaluate :e!r ! program is effective 9-- 7i7 increas+ social & emotional compet5cy2 7ii7 increas+ academic compet5cy 7z def9$ by ! ,secret>y72 7iii7 r$uc+ disruptive & aggressive behaviors2 7iv7 improv+ *ild function+2 7v7 r$uc+ sub/ance use disord]s2 7vi7 r$uc+ susp5sions1 truancy1 expulsions & viol5ce2 7vii7 increas+ graduation rates 7z def9$ 9 section #aaaa7;b77#b77;,c77vi7 ( ! ,elem5t>y & ,second>y ,education ,act ( #aife72 & 7viii7 improv+ access to c>e = m5tal heal? disord]s4 7,c7 ,local educational outcomes ,! outcome measures develop$ "u p>agraph 7#a77;,b7 relat+ to local educational sy/ems %all1 ) respect to activities c>ri$ out "u a program "u ?is section1 at a m9imum include provisions to evaluate-- 7i7 ! effectiv5ess ( compreh5sive s*ool m5tal heal? programs e/abli%$ "u ?is section2 7ii7 ! effectiv5ess ( =mal p>tn]%ip l9kages among *ild & family s]v+ in/itutions1 community support sy/ems1 & ! educational sy/em2 7iii7 ! progress made 9 su/a9+ ! program once fund+ "u ! grant has expir$2 7iv7 ! effectiv5ess ( tra9+ & pr(essional developm5t programs = all s*ool p]sonnel t incorporate indicators t measure cultural & l+ui/ic compet5cies "u ! program 9 a mann] t incorporates appropriate cultural & l+ui/ic tra9+2 7v7 ! improvem5t 9 p]ception ( a safe & supportive le>n+ environm5t among s*ool /aff1 /ud5ts1 & p>5ts2 7vi7 ! improvem5t 9 case-f9d+ ( /ud5ts 9 ne$ ( m int5sive s]vices & ref]ral ( id5tifi$ /ud5ts to e>ly int]v5tion & cl9ical s]vices2 7vii7 ! improvem5t 9 ! imm$iate availability ( cl9ical assessm5t & treatm5t s]vices )9 ! context ( ! local community to /ud5ts pos+ a dang] to !mselves or o!rs2 7viii7 ! increas$ successful matriculation to po/second>y s*ool2 & 7ix7 r$uc$ ref]rals to juv5ile ju/ice4 7#c7 ,submission ( annual data ,an entity t receives a grant1 contract1 or coop]ative agreem5t "u ?is section %all annually submit to ! ,adm9i/rator a report t includes data to evaluate ! success ( ! program c>ri$ out by ! entity bas$ on :e!r su* program is a*iev+ ! purposes ( ! program4 ,su* reports %all utilize ! measures ( outcomes "u p>agraph 7#b7 9 a reasonable mann] to demon/rate ! progress ( ! program 9 a*iev+ su* purposes4 7#d7 ,evaluation by ,adm9i/rator ,bas$ on ! data submitt$ "u p>agraph 7#c71 ! ,adm9i/rator %all annually submit to ,congress a report conc]n+ ! results & effectiv5ess ( ! programs c>ri$ out ) assi/ance receiv$ "u ?is section4 7#e7 ,limitation ,a grantee %all use n to exce$ #aj p]c5t ( am\nts receiv$ "u a grant "u ?is section to c>ry out evaluation activities "u ?is subsection4 7g7 ,in=mation & education ,! ,secret>y %all e/abli% compreh5sive in=mation & education programs to dissem9ate ! f9d+s ( ! k developm5t & application "u ?is section to ! g5]al public & to heal? c>e pr(essionals4 7h7 ,am\nt ( grants & au?orization ( appropriations 7#a7 ,am\nt ( grants ,a grant "u ?is section %all be 9 an am\nt t is n m ?an #a1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 ,! ,secret>y %all det]m9e ! am\nt ( ea* su* grant bas$ on ! population ( *ildr5 up to age #ba ( ! area to be s]v$ "u ! grant4 7#b7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section1 #bj1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 4 7c7 ,con=m+ am5dm5t ,"p ,g ( title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;hh et seq471 z am5d$ by ?is section1 is fur!r am5d$ by /rik+ ! "p head+ & ins]t+ ! foll[+3 ,g ,s*ool-bas$ m5tal heal? 4 #eaf4 ,exam9+ m5tal heal? c>e = *ildr5 7a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all conduct an indep5d5t evaluation1 & submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives1 a report conc]n+ ! utilization ( m5tal heal? s]vices = *ildr51 includ+ ! usage ( psy*otropic m$ications4 7b7 ,cont5t ,! report submitt$ "u subsection 7a7 %all review & assess-- 7#a7 ! ways 9 :i* *ildr5 access m5tal heal? c>e1 includ+ in=mation on :e!r *ildr5 are scre5$ & treat$ by prim>y c>e or specialty physicians or o!r heal? c>e provid]s1 :at types ( ref]rals = additional c>e are recomm5d$1 & any b>ri]s to access+ ?is c>e2 7#b7 ! ext5t to :i* *ildr5 prescrib$ psy*otropic m$ications 9 ! ,unit$ ,/ates face b>ri]s to m compreh5sive or o!r m5tal heal? s]vices1 int]v5tions1 & treatm5ts2 7#c7 ! ext5t to :i* *ildr5 are prescrib$ psy*otropic m$ications 9 ! ,unit$ ,/ates includ+ ! frequ5cy ( concurr5t m$ication usage2 & 7#d7 ! tools1 assessm5ts1 & m$ications t are available & us$ to diagnose & treat *ildr5 ) m5tal heal? disord]s4 #eag4 ,report+ compliance /udy 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices %all ent] into an arrangem5t ) ! ,in/itute ( ,m$ic9e ( ! ,national ,academies 7or1 if ! ,in/itute decl9es1 ano!r appropriate entity7 "u :i*1 n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,in/itute w submit to ! appropriate committees ( ,congress a report t evaluates ! comb9$ pap]work burd5 (-- 7#a7 community m5tal heal? c5t]s meet+ ! crit]ia specifi$ 9 section #aiac7;c7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#b71 includ+ su* c5t]s meet+ su* crit]ia z 9 effect on ! day be=e ! date ( enactm5t ( ?is ,act2 & 7#b7 f$]ally qualifi$ community m5tal heal? cl9ics c]tifi$ pursuant to section #bbc ( ! ,protect+ ,access to ,m$ic>e ,act ( #bjad 7,public ,law #aac-ic71 z am5d$ by section #eje4 7b7 ,scope ,9 prep>+ ! report "u subsection 7a71 ! ,in/itute ( ,m$ic9e 7or1 if applicable1 o!r appropriate entity7 %all exam9e lic5s+1 c]tification1 s]vice def9itions1 claims paym5t1 bill+ codes1 & f9ancial audit+ requirem5ts us$ by ! ,(fice ( ,managem5t & ,budget1 ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 ! ,(fice ( ! ,inspector ,g5]al ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 ,/ate ,m$icaid ag5cies1 ,/ate dep>tm5ts ( heal?1 ,/ate dep>tm5ts ( education1 & ,/ate & local juv5ile ju/ice1 social s]vice ag5cies1 & private insur]s to-- 7#a7 e/abli% an e/imate ( ! comb9$ nationwide co/ ( comply+ ) su* requirem5ts1 9 t]ms ( bo? adm9i/rative fund+ & /aff "t2 7#b7 e/abli% an e/imate ( ! p] capita co/ to ea* c5t] or cl9ic describ$ 9 subp>agraph 7,a7 or 7,b7 ( p>agraph 7#a7 to comply ) su* requirem5ts1 9 t]ms ( bo? adm9i/rative fund+ & /aff "t2 & 7#c7 make adm9i/rative & /atutory recomm5dations to ,congress 7:i* recomm5dations may include a uni=m me?odology7 to r$uce ! pap]work burd5 exp]i5c$ by c5t]s & cl9ics describ$ 9 subp>agraph 7,a7 or 7,b7 ( p>agraph 7#a74 #eah4 ,/r5g!n+ connections to community c>e demon/ration grant program 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 %all e/abli% a demon/ration grant program to aw>d grants to eligible entities to help to connect inc>c]at$ & rec5tly releas$ individuals ) m5tal illness or sub/ance use disord]s ) community-bas$ treatm5t provid]s & cov]age opportunities ^u release f a corrections facility4 7b7 ,design ,! demon/ration grant program "u ?is section %all be design$ to ensure t inc>c]at$ & rec5tly releas$ individuals ) m5tal illness or sub/ance use disord]s h ! in=mation & help !y ne$ to connect to community-bas$ c>e & cov]age ^u release f a corrections facility4 7c7 ,recipi5ts ,to be eligible to receive a grant "u ?is section1 an entity %all be a ,/ate ,m$icaid ag5cy1 ,/ate m5tal heal? ag5cy1 ,/ate sub/ance abuse ag5cy1 c\nty1 city1 nonpr(it community-bas$ organization1 or any o!r entity ! ,secret>y deems appropriate4 7d7 ,application requirem5t ,to seek an aw>d "u ?is section1 an applicant %all provide a plan detail+ ! applicant's /rategy = c>ry+ out ! program to be fund$ ?r\gh ! aw>d4 7e7 ,special consid]ations ,9 aw>d+ grants "u ?is section1 ! ,secret>y may consid]-- 7#a7 ! numb] ( individuals or correctional facilities propos$ to be s]v$2 & 7#b7 ! pot5tial = replicability ( ! model propos$4 7f7 ,reports 7#a7 ,annual reports ,z a condition ( receiv+ a grant "u ?is section1 an eligible entity %all agree to submit a report to ! ,secret>y1 on an annual basis1 describ+ ! activities c>ri$ out ) ! grant & assess+ ! effectiv5ess ( su* activities4 ,su* in=mation %all include-- 7,a7 ! numb] ( individuals s]v$ ) m5tal illness1 s]i\s m5tal illness1 sub/ance use disord]s1 or co-occurr+ m5tal heal? & sub/ance use disord]s2 7,b7 ! numb] ( connections complet$ betwe5 individuals & community-bas$ provid]s2 7,c7 ! numb] ( connections complet$ betwe5 individuals & community-bas$ cov]age2 & 7,d7 any o!r in=mation requir$ by ! ,secret>y4 7#b7 ,secret>y ,! ,secret>y %all1 on an annual basis1 & us+ ! reports receiv$ "u p>agraph 7#a71 report to ,congress on ! ov]all impact & effectiv5ess ( ! grant program "u ?is section4 7#c7 ,f9al ,report ,n lat] ?an ,janu>y #ae1 #bjbj1 ! ,secret>y %all submit to ,congress a f9al report t includes recomm5dations ) respect to ! feasibility & advisability ( ext5d+ or exp&+ ! grant program "u ?is section4 ,! report %all also provide an assessm5t ( :i* programs & program elem5ts prov$ mo/ effective4 7g7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ to c>ry out ?is section #e1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 #eai4 ,ass]tive community treatm5t grant program = individuals ) s]i\s m5tal illness 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 %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 tribes1 tribal organizations1 m5tal heal? sy/em1 heal? c>e facility1 or any o!r entity ! ,secret>y deems appropriate4 7c7 ,special ,consid]ation ,9 select+ among applicants = a grant "u ?is section1 ! ,secret>y may give special consid]ation to ! pot5tial ( ! applicant's program to r$uce hospitalization1 homelessness1 inc>c]ation1 & int]action ) ! crim9al ju/ice sy/em :ile improv+ ! heal? & social outcomes ( ! pati5t4 7d7 ,additional ,activities ,! ,secret>y %all-- 7#a7 at ! conclusion ( ea* fiscal ye>1 submit a report to ! appropriate congressional committees on ! grant program "u ?is section1 includ+ an evaluation (-- 7,a7 co/ sav+s & public heal? outcomes su* z mortality1 suicide1 sub/ance abuse1 hospitalization1 & use ( s]vices2 7,b7 rates ( inc>c]ation ( pati5ts2 7,c7 rates ( homelessness among pati5ts2 & 7,d7 pati5t & family satisfaction ) program p>ticipation2 & 7#b7 provide appropriate in=mation1 tra9+1 & te*nical assi/ance to grant recipi5ts "u ?is section to help su* recipi5ts to e/abli%1 ma9ta91 or exp& _! ass]tive community treatm5t programs4 7e7 ,au?orization ( appropriations 7#a7 ,9 g5]al ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ #bj1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 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 ! ,secret>y = c>ry+ out subsection 7d74 #ebj4 ,improv+ m5tal & behavioral heal? on college campuses ,title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa et seq47 is am5d$ by ins]t+ aft] section #ebj;,e-#c1 z add$ by section #aaa ( ?is ,act1 ! foll[+3 #ebj;,e-#d4 ,grants to improve m5tal & behavioral heal? on college campuses 7a7 ,purpose ,x is ! purpose ( ?is section1 ) respect to college & univ]sity sett+s1 to-- 7#a7 increase access to m5tal & behavioral heal? s]vices2 7#b7 fo/] & improve ! prev5tion ( m5tal & behavioral heal? disord]s1 & ! promotion ( m5tal heal? wellness2 7#c7 improve ! id5tification & treatm5t = /ud5ts at risk2 7#d7 improve collaboration & ! developm5t ( appropriate levels ( m5tal & behavioral heal? c>e2 7#e7 r$uce ! /igma = /ud5ts ) m5tal heal? disord]s & enhance _! access to m5tal heal? s]vices2 & 7#f7 improve ! efficacy ( outrea* ef=ts4 7b7 ,grants ,! ,secret>y1 act+ ?r\gh ! ,adm9i/rator & 9 consultation ) ! ,secret>y ( ,education1 %all aw>d competitive grants to eligible entities to improve m5tal & behavioral heal? s]vices & outrea* on college & univ]sity campuses4 7c7 ,eligibility ,to be eligible to receive a grant "u subsection 7b71 an entity %all-- 7#a7 be an in/itution ( high] education 7z def9$ 9 section #aja ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajja772 & 7#b7 submit to ! ,secret>y an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require1 includ+ ! in=mation requir$ "u subsection 7d74 7d7 ,application ,an application = a grant "u ?is section %all include-- 7#a7 a description ( ! population to be t>get$ by ! program c>ri$ out "u ! grant1 ! p>ticul> m5tal & behavioral heal? ne$s ( ! /ud5ts involv$2 7#b7 a description ( ! ,f$]al1 ,/ate1 local1 private1 & in/itutional res\rces available = meet+ ! ne$s ( su* /ud5ts at ! "t ! application is submitt$2 7#c7 an outl9e ( ! objectives ( ! program c>ri$ out "u ! grant2 7#d7 a description ( activities1 s]vices1 & tra9+ to be provid$ "u ! program1 includ+ plann$ outrea* /rategies to rea* /ud5ts n curr5tly seek+ s]vices2 7#e7 a plan to seek input f community m5tal heal? provid]s1 :5 available1 community gr\ps1 & o!r public & private entities 9 c>ry+ out ! program2 7#f7 a plan1 :5 applicable1 to meet ! specific m5tal & behavioral heal? ne$s ( vet]ans att5d+ in/itutions ( high] education2 7#g7 a description ( ! me?ods to be us$ to evaluate ! outcomes & effectiv5ess ( ! program2 & 7#h7 an assurance t grant funds w be us$ to supplem5t1 & n supplant1 any o!r ,f$]al1 ,/ate1 or local funds available to c>ry out activities ( ! type c>ri$ out "u ! grant4 7e7 ,special consid]ations ,9 aw>d+ grants "u ?is section1 ! ,secret>y %all give special consid]ation to applications t describe programs to be c>ri$ out "u ! grant t-- 7#a7 demon/rate ! greate/ ne$ = new or additional m5tal & behavioral heal? s]vices1 9 "p by provid+ in=mation on curr5t ratios ( /ud5ts to m5tal & behavioral heal? pr(essionals2 7#b7 propose effective approa*es = initiat+ or exp&+ campus s]vices & supports us+ evid5ce-bas$ practices2 7#c7 t>get traditionally und]s]v$ populations & populations mo/ at risk2 7#d7 :]e possible1 demon/rate an aw>5ess (1 & a will+ness to1 coord9ate ) a community m5tal heal? c5t] or o!r m5tal heal? res\rce 9 ! community1 to support scre5+ & ref]ral ( /ud5ts requir+ int5sive s]vices2 7#e7 id5tify h[ ! college or univ]sity w address psy*iatric em]g5cies1 includ+ h[ in=mation w be communicat$ ) families or o!r appropriate p>ties2 7#f7 propose innovative practices t w improve effici5cies 9 cl9ical c>e1 broad5 collaborations ) prim>y c>e1 or improve prev5tion programs2 & 7#g7 demon/rate ! greate/ pot5tial = replication & dissem9ation4 7f7 ,use ( funds ,am\nts receiv$ "u a grant "u ?is section may be us$ to-- 7#a7 provide m5tal & behavioral heal? s]vices to /ud5ts1 includ+ prev5tion1 promotion ( m5tal heal?1 volunt>y scre5+1 e>ly int]v5tion1 volunt>y assessm5t1 volunt>y treatm5t1 managem5t1 & education s]vices relat+ to ! m5tal & behavioral heal? ( /ud5ts2 7#b7 conduct rese>* ?r\gh a c\nsel+ or heal? c5t] at ! in/itution ( high] education involv$ reg>d+ improv+ ! m5tal & behavioral heal? ( college & univ]sity /ud5ts ?r\gh cl9ical s]vices1 outrea*1 prev5tion1 or academic success2 7#c7 provide outrea* s]vices to notify /ud5ts ab\t ! exi/5ce ( m5tal & behavioral heal? s]vices2 7#d7 educate /ud5ts1 families1 faculty1 /aff1 & communities to increase aw>5ess ( m5tal heal? issues2 7#e7 support /ud5t gr\ps on campus t engage 9 activities to educate /ud5ts1 includ+ activities to r$uce /igma surr\nd+ m5tal & behavioral disord]s1 & promote m5tal heal? wellness2 7#f7 employ appropriately tra9$ /aff2 7#g7 provide tra9+ to /ud5ts1 faculty1 & /aff to respond effectively to /ud5ts ) m5tal & behavioral heal? issues2 7#h7 exp& m5tal heal? tra9+ ?r\gh int]n%ip1 po/-doctorate1 & resid5cy programs2 7#i7 develop & support evid5ce-bas$ & em]g+ be/ practices1 includ+ a focus on culturally & l+ui/ically appropriate be/ practices2 & 7#aj7 evaluate & dissem9ate be/ practices to o!r colleges & univ]sities4 7g7 ,duration ( grants ,a grant "u ?is section %all be aw>d$ = a p]iod n to exce$ #c ye>s4 7h7 ,evaluation & report+ 7#a7 ,evaluation ,n lat] ?an #ah mon?s aft] ! date on :i* a grant is receiv$ "u ?is section1 ! eligible entity involv$ %all submit to ! ,secret>y ! results ( an evaluation to be conduct$ by ! entity 7or by ano!r p>ty "u contract ) ! entity7 conc]n+ ! effectiv5ess ( ! activities c>ri$ out "u ! grant & plans = ! su/a9ability ( su* ef=ts4 7#b7 ,report ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is section1 ! ,secret>y %all submit to ! appropriate committees ( ,congress a report conc]n+ ! results (-- 7,a7 ! evaluations conduct$ "u p>agraph 7#a72 & 7,b7 an evaluation conduct$ by ! ,secret>y to analyze ! effectiv5ess & efficacy ( ! activities conduct$ ) grants "u ?is section4 7i7 ,te*nical assi/ance ,! ,secret>y may provide te*nical assi/ance to grantees 9 c>ry+ out ?is section4 7j7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ #ae1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 4 #eba4 ,inclusion ( occupational !rapi/s 9 ,national ,heal? ,s]vice ,corps program 7a7 ,inclusion ( occupational !rapi/s ,section #cca7;a77#c77;,e77i7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;d7a77#c77;,e77i77 is am5d$ by ins]t+ subject to section #eba7;b77#b7 ( ! ,compreh5sive ,behavioral ,heal? ,re=m & ,recov]y ,act ( #bjaf1 occupational !rapi/s1 aft] psy*iatric nurse speciali/s14 7b7 ,effective date2 cont+5t implem5tation 7#a7 ,effective date ,subject to p>agraph 7#b71 ! am5dm5t made by subsection 7a7 %all apply beg9n+ on ,octob] #a1 #bjaf4 7#b7 ,cont+5t implem5tation ,! am5dm5t made by subsection 7a7 %all apply ) respect to obligations ent]$ into = a fiscal ye> aft] fiscal ye> #bjaf only if ! total am\nt made available = ! purpose ( c>ry+ out subp>ts ,,ii & ,,iii ( "p ,d ( title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;d et seq47 = su* fiscal ye> is great] ?an ! total am\nt made available = su* purpose = fiscal ye> #bjaf4 ,,vi ,improv+ ,m5tal ,heal? ,rese>* & ,coord9ation #fja4 ,increase 9 fund+ = c]ta9 rese>* ,section #djb;,a7a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhb;a7a77 is am5d$ by add+ at ! end ! foll[+3 7#c7 ,fund+ = ! bra9 initiative at ! ,national ,in/itute ( ,m5tal ,heal? 7,a7 ,fund+ ,9 addition to am\nts made available pursuant to p>agraphs 7#a7 & 7#b71 !re are au?oriz$ to be appropriat$ to ! ,national ,in/itute ( ,m5tal ,heal? = ! purpose describ$ 9 subp>agraph 7,b77ii7 #dj1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 7,b7 ,purposes ,am\nts appropriat$ pursuant to subp>agraph 7,a7 %all be us$ exclusively = ! purpose ( conduct+ or support+-- 7i7 rese>* on ! det]m9ants ( self- & o!r direct$-viol5ce 9 m5tal illness1 includ+ /udies direct$ at ! causes ( su* viol5ce & at int]v5tion to r$uce ! risk ( self h>m1 suicide1 & int]p]sonal viol5ce2 or 7ii7 bra9 rese>* ?r\gh ! ,bra9 ,rese>* ?r\gh ,advanc+ ,innovative ,neurote*nologies ,initiative4 4 ,,vii ,behavioral ,heal? ,in=mation ,te*nology #gja4 ,ext5sion ( heal? in=mation te*nology assi/ance = behavioral & m5tal heal? & sub/ance abuse ,section #cjjj7c7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;jj7#c77 is am5d$ by ins]t+ be=e & any o!r category ! foll[+3 behavioral & m5tal heal? pr(essionals 7z def9$ 9 section #cca7;a77#c77;,e77i771 a sub/ance abuse pr(essional1 a psy*iatric hospital 7z def9$ 9 section #ahfa7;f7 ( ! ,social ,security ,act71 a community m5tal heal? c5t] meet+ ! crit]ia specifi$ 9 section #aiac7;c71 a resid5tial or outpati5t m5tal heal? or sub/ance use treatm5t facility14 #gjb4 ,ext5sion ( eligibility = ,m$ic>e & ,m$icaid heal? in=mation te*nology implem5tation assi/ance 7a7 ,paym5t inc5tives = eligible pr(essionals "u ,m$ic>e ,section #ahdh ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#d7 is am5d$-- 7#a7 9 subsection 7a77#g7-- 7,a7 9 subp>agraph 7,e71 by add+ at ! end ! foll[+ new clause3 7iv7 ,additional eligible pr(essional ,! t]m additional eligible pr(essional means a cl9ical psy*ologi/ provid+ qualifi$ psy*ologi/ s]vices 7z def9$ 9 section #ahfa7;ii774 2 & 7,b7 by add+ at ! end ! foll[+ new subp>agraph3 7,f7 ,application to additional eligible pr(essionals ,! ,secret>y %all apply ! provisions ( ?is p>agraph ) respect to an additional eligible pr(essional 9 ! same mann] z su* provisions apply to an eligible pr(essional1 except 9 apply+ subp>agraph 7,a7-- 7i7 9 clause 7i71 ! ref]5ce to #bjae %all be deem$ a ref]5ce to #bjbj2 7ii7 9 clause 7ii71 ! ref]5ces to #bjae1 #bjaf1 & #bjag %all be deem$ ref]5ces to #bjbj1 #bjba1 & #bjbb1 respectively2 & 7iii7 9 clause 7iii71 ! ref]5ce to #bjah %all be deem$ a ref]5ce to #bjbc4 2 & 7#b7 9 subsection 7o7-- 7,a7 9 p>agraph 7#e71 by add+ at ! end ! foll[+ new subp>agraph3 7,d7 ,additional eligible pr(essional ,! t]m additional eligible pr(essional means a cl9ical psy*ologi/ provid+ qualifi$ psy*ologi/ s]vices 7z def9$ 9 section #ahfa7;ii774 2 & 7,b7 by add+ at ! end ! foll[+ new p>agraph3 7#f7 ,application to additional eligible pr(essionals ,! ,secret>y %all apply ! provisions ( ?is subsection ) respect to an additional eligible pr(essional 9 ! same mann] z su* provisions apply to an eligible pr(essional1 except 9 apply+-- 7,a7 p>agraph 7#a77;,a77ii71 ! ref]5ce to #bjaf %all be deem$ a ref]5ce to #bjba2 7,b7 p>agraph 7#a77;,b77ii71 ! ref]5ces to #bjaa & #bjab %all be deem$ ref]5ces to #bjaf & #bjag1 respectively2 7,c7 p>agraph 7#a77;,b77iii71 ! ref]5ces to #bjac %all be deem$ ref]5ces to #bjah2 7,d7 p>agraph 7#a77;,b77v71 ! ref]5ces to #bjad %all be deem$ ref]5ces to #bjai2 & 7,e7 p>agraph 7#a77;,e71 ! ref]5ce to #bjaa %all be deem$ a ref]5ce to #bjaf4 4 7b7 ,eligible hospitals ,section #ahhf ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acieww7 is am5d$-- 7#a7 9 subsection 7b77#c77;,b77ix71 by add+ at ! end ! foll[+ new subclause3 7,v7 ,! ,secret>y %all apply ! provisions ( ?is subsection ) respect to an additional eligible hospital 7z def9$ 9 subsection 7n77#f77;,c77 9 ! same mann] z su* provisions apply to an eligible hospital1 except 9 apply+-- 7aa7 subclause 7,i71 ! ref]5ces to #bjae1 #bjaf1 & #bjag %all be deem$ ref]5ces to #bjbj1 #bjba1 & #bjbb1 respectively2 & 7bb7 subclause 7,,iii71 ! ref]5ce to #bjae %all be deem$ a ref]5ce to #bjbj4 2 & 7#b7 9 subsection 7n7-- 7,a7 9 p>agraph 7#f71 by add+ at ! end ! foll[+ new subp>agraph3 7,c7 ,additional eligible hospital ,! t]m additional eligible hospital means an inpati5t hospital t is a psy*iatric hospital 7z def9$ 9 section #ahfa7;f774 2 & 7,b7 by add+ at ! end ! foll[+ new p>agraph3 7#g7 ,application to additional eligible hospitals ,! ,secret>y %all apply ! provisions ( ?is subsection ) respect to an additional eligible hospital 9 ! same mann] z su* provisions apply to an eligible hospital1 except 9 apply+-- 7,a7 p>agraph 7#b77;,e77ii71 ! ref]5ces to #bjac & #bjae %all be deem$ ref]5ces to #bjah & #bjbj1 respectively2 & 7,b7 p>agraph 7#b77;,g77i71 ! ref]5ce to #bjaa %all be deem$ a ref]5ce to #bjaf4 4 7c7 ,m$icaid provid]s ,section #aijc7t7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;b7t77 is am5d$-- 7#a7 9 p>agraph 7#b77;,b7-- 7,a7 9 clause 7i71 by /rik+ 1 or at ! end & ins]t+ a semicolon2 7,b7 9 clause 7ii71 by /rik+ ! p]iod at ! end & ins]t+ a semicolon2 & 7,c7 by ins]t+ aft] clause 7ii7 ! foll[+ new clauses3 7iii7 a public hospital t is pr9cipally a psy*iatric hospital 7z def9$ 9 section #ahfa7;f772 7iv7 a private hospital t is pr9cipally a psy*iatric hospital 7z def9$ 9 section #ahfa7;f77 & t has at lea/ #aj p]c5t ( its pati5t volume 7z e/imat$ 9 accordance ) a me?odology e/abli%$ by ! ,secret>y7 attributable to individuals receiv+ m$ical assi/ance "u ?is title2 7v7 a community m5tal heal? c5t] meet+ ! crit]ia specifi$ 9 section #aiac7;c7 ( ! ,public ,heal? ,s]vice ,act2 or 7vi7 a resid5tial or outpati5t m5tal heal? or sub/ance use treatm5t facility t-- 7,i7 is accr$it$ by ! ,jo9t ,commission on ,accr$itation ( ,heal?c>e ,organizations1 ! ,commission on ,accr$itation ( ,rehabilitation ,facilities1 ! ,c\ncil on ,accr$itation1 or any o!r national accr$it+ ag5cy recogniz$ by ! ,secret>y2 & 7,,ii7 has at lea/ #aj p]c5t ( its pati5t volume 7z e/imat$ 9 accordance ) a me?odology e/abli%$ by ! ,secret>y7 attributable to individuals receiv+ m$ical assi/ance "u ?is title4 2 & 7#b7 9 p>agraph 7#c77;,b7-- 7,a7 9 clause 7iv71 by /rik+ 2 & at ! end & ins]t+ a semicolon2 7,b7 9 clause 7v71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7,c7 by add+ at ! end ! foll[+ new clause3 7vi7 cl9ical psy*ologi/ provid+ qualifi$ psy*ologi/ s]vices 7z def9$ 9 section #ahfa7;ii771 if su* cl9ical psy*ologi/ is practic+ 9 an outpati5t cl9ic t-- 7,i7 is l$ by a cl9ical psy*ologi/2 & 7,,ii7 is n o!rwise receiv+ paym5t "u p>agraph 7#a7 z a ,m$icaid provid] describ$ 9 p>agraph 7#b77;,b74 4 7d7 ,m$ic>e ,advantage organizations ,section #ahec ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#bc7 is am5d$-- 7#a7 9 subsection 7l7-- 7,a7 9 p>agraph 7#a7-- 7i7 by ins]t+ or additional eligible pr(essionals 7z describ$ 9 p>agraph 7#i77 aft] p>agraph 7#b72 & 7ii7 by ins]t+ & additional eligible pr(essionals be=e "u su* sections2 7,b7 9 p>agraph 7#c77;,b7-- 7i7 9 clause 7i7 9 ! matt] prec$+ subclause 7,i71 by ins]t+ or an additional eligible pr(essional describ$ 9 p>agraph 7#i7 aft] p>agraph 7#b72 & 7ii7 9 clause 7ii7-- 7,i7 9 ! matt] prec$+ subclause 7,i71 by ins]t+ or an additional eligible pr(essional describ$ 9 p>agraph 7#i7 aft] p>agraph 7#b72 & 7,,ii7 9 subclause 7,i71 by ins]t+ or an additional eligible pr(essional1 respectively1 aft] eligible pr(essional2 7,c7 9 p>agraph 7#c77;,c71 by ins]t+ & additional eligible pr(essionals aft] all eligible pr(essionals2 7,d7 9 p>agraph 7#d77;,d71 by add+ at ! end ! foll[+ new s5t5ce3 ,9 ! case t a qualify+ ,,ma organization atte/s t n all additional eligible pr(essionals ( ! organization are mean+ful ,,ehr us]s ) respect to an applicable ye>1 ! ,secret>y %all apply ! paym5t adju/m5t "u ?is p>agraph bas$ on ! proportion ( all su* additional eligible pr(essionals ( ! organization t are n mean+ful ,,ehr us]s = su* ye>42 7,e7 9 p>agraph 7#f77;,a71 by ins]t+ &1 z applicable1 ea* additional eligible pr(essional describ$ 9 p>agraph 7#i7 aft] p>agraph 7#b72 7,f7 9 p>agraph 7#f77;,b71 by ins]t+ &1 z applicable1 ea* additional eligible hospital describ$ 9 p>agraph 7#i7 aft] subsection 7m77#a72 7,g7 9 p>agraph 7#g77;,a71 by ins]t+ &1 z applicable1 additional eligible pr(essionals aft] eligible pr(essionals2 7,h7 9 p>agraph 7#g77;,b71 by ins]t+ &1 z applicable1 additional eligible pr(essionals aft] eligible pr(essionals2 7,i7 9 p>agraph 7#h77;,b71 by ins]t+ & additional eligible pr(essionals describ$ 9 p>agraph 7#i7 aft] p>agraph 7#b72 & 7,j7 by add+ at ! end ! foll[+ new p>agraph3 7#i7 ,additional eligible pr(essional describ$ ,) respect to a qualify+ ,,ma organization1 an additional eligible pr(essional describ$ 9 ?is p>agraph is an additional eligible pr(essional 7z def9$ = purposes ( section #ahdh7o77 :o-- 7,a7 7i7 is employ$ by ! organization2 or 7ii7 7,i7 is employ$ by1 or is a p>tn] (1 an entity t ?r\gh contract ) ! organization furni%es at lea/ #hj p]c5t ( ! entity's ,m$ic>e pati5t c>e s]vices to enrollees ( su* organization2 & 7,,ii7 furni%es at lea/ #hj p]c5t ( ! pr(essional s]vices ( ! additional eligible pr(essional cov]$ "u ?is title to enrollees ( ! organization2 & 7,b7 furni%es1 on av]age1 at lea/ #bj h\rs p] week ( pati5t c>e s]vices4 2 & 7#b7 9 subsection 7m7-- 7,a7 9 p>agraph 7#a7-- 7i7 by ins]t+ or additional eligible hospitals 7z describ$ 9 p>agraph 7#g77 aft] p>agraph 7#b72 & 7ii7 by ins]t+ & additional eligible hospitals be=e "u su* sections2 7,b7 9 p>agraph 7#c77;,a77i71 by ins]t+ or additional eligible hospital aft] eligible hospital2 7,c7 9 p>agraph 7#c77;,a77ii71 by ins]t+ or an additional eligible hospital aft] eligible hospital 9 ea* place x occurs2 7,d7 9 p>agraph 7#c77;,b7-- 7i7 9 clause 7i71 by ins]t+ or an additional eligible hospital describ$ 9 p>agraph 7#g7 aft] p>agraph 7#b72 & 7ii7 9 clause 7ii7-- 7,i7 9 ! matt] prec$+ subclause 7,i71 by ins]t+ or an additional eligible hospital describ$ 9 p>agraph 7#g7 aft] p>agraph 7#b72 & 7,,ii7 9 subclause 7,i71 by ins]t+ or an additional eligible hospital1 respectively1 aft] eligible hospital2 7,e7 9 p>agraph 7#d77;,a71 by ins]t+ or "o or m additional eligible hospitals 7z def9$ 9 section #ahhf7n771 z appropriate1 aft] section #ahhf7n77#f77;,a772 7,f7 9 p>agraph 7#d77;,d71 by add+ at ! end ! foll[+ new s5t5ce3 ,9 ! case t a qualify+ ,,ma organization atte/s t n all additional eligible hospitals ( ! organization are mean+ful ,,ehr us]s ) respect to an applicable p]iod1 ! ,secret>y %all apply ! paym5t adju/m5t "u ?is p>agraph bas$ on ! me?odology specifi$ by ! ,secret>y1 tak+ into acc\nt ! proportion ( su* additional eligible hospitals1 or dis*>ges f su* hospitals1 t are n mean+ful ,,ehr us]s = su* p]iod42 7,g7 9 p>agraph 7#e77;,a71 by ins]t+ &1 z applicable1 ea* additional eligible hospital describ$ 9 p>agraph 7#g7 aft] p>agraph 7#b72 7,h7 9 p>agraph 7#e77;,b71 by ins]t+ & additional eligible hospitals1 z applicable1 aft] eligible hospitals2 7,i7 9 p>agraph 7#f77;,b71 by ins]t+ & additional eligible hospitals describ$ 9 p>agraph 7#g7 aft] p>agraph 7#b72 & 7,j7 by add+ at ! end ! foll[+ new p>agraph3 7#g7 ,additional eligible hospital describ$ ,) respect to a qualify+ ,,ma organization1 an additional eligible hospital describ$ 9 ?is p>agraph is an additional eligible hospital 7z def9$ 9 section #ahhf7n77#f77;,c77 t is "u common corporate gov]nance ) su* organization & s]ves individuals enroll$ "u an ,,ma plan (f]$ by su* organization4 4 ,,viii ,mak+ ,p>ity ,"w #hja4 ,/r5g!n+ p>ity 9 m5tal heal? & sub/ance use disord] b5efits 7a7 ,public ,heal? ,s]vice ,act ,section #bgbf7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#bf7;a77 is am5d$ by add+ at ! end ! foll[+ new p>agraphs3 7#f7 ,disclosure & en=cem5t requirem5ts 7,a7 ,disclosure requirem5ts 7i7 ,regulations ,n lat] ?an ,decemb] #ca1 #bjaf1 ! ,secret>y1 9 coop]ation ) ! ,secret>ies ( ,labor & ! ,treasury1 z appropriate1 %all issue additional regulations = c>ry+ out ?is section1 includ+ an explanation ( docum5ts t mu/ be disclos$ by plans & issu]s1 ! process gov]n+ su* disclosures by plans & issu]s1 & analyses t mu/ be conduct$ by plans & issu]s by a gr\p heal? plan or heal? insurance issu] (f]+ heal? insurance cov]age 9 ! gr\p or individual m>ket 9 ord] = su* plan or issu] to demon/rate compliance ) ! provisions ( ?is section4 7ii7 ,disclosure requirem5ts ,docum5ts requir$ to be disclos$ by a gr\p heal? plan or heal? insurance issu] (f]+ heal? insurance cov]age 9 ! gr\p or individual m>ket "u clause 7i7 %all include an annual report t details ! specific analyses p]=m$ to ensure compliance ( su* plan or cov]age ) ! law & regulations4 ,at a m9imum1 ) respect to ! application ( non-quantitative treatm5t limitations 79 ?is p>agraph ref]r$ to z ,n,q,t,ls7 to b5efits "u ! plan or cov]age1 su* report %all-- 7,i7 id5tify ! specific factors ! plan or cov]age us$ 9 p]=m+ its ,,nqtl analysis2 7,,ii7 id5tify & def9e ! specific evid5ti>y /&>ds reli$ on to evaluate ! factors2 7,,iii7 describe h[ ! evid5ti>y /&>ds are appli$ to ea* s]vice category = m5tal heal?1 sub/ance use disord]s1 m$ical b5efits1 & surgical b5efits2 7,,iv7 disclose ! results ( ! analyses ( ! specific evid5ti>y /&>ds 9 ea* s]vice category2 & 7,v7 disclose ! specific f9d+s ( ! plan or cov]age 9 ea* s]vice category & ! conclusions rea*$ ) respect to :e!r ! processes1 /rategies1 evid5ti>y /&>ds1 or o!r factors us$ 9 apply+ ! ,,nqtl to m5tal heal? or sub/ance use disord] b5efits are comp>able to1 & appli$ no m /r+5tly ?an1 ! processes1 /rategies1 evid5ti>y /&>ds1 or o!r factors us$ 9 apply+ ! limitation ) respect to m$ical & surgical b5efits 9 ! same classification4 7iii7 ,guidance ,! ,secret>y1 9 coop]ation ) ! ,secret>ies ( ,labor & ! ,treasury1 z appropriate1 %all issue guidance to gr\p heal? plans & heal? insurance issu]s (f]+ heal? insurance cov]age 9 ! gr\p or individual m>kets on h[ to satisfy ! requirem5ts ( ?is section ) respect to mak+ in=mation available to curr5t & pot5tial p>ticipants & b5efici>ies4 ,su* in=mation %all include c]tificate ( cov]age docum5ts & in/rum5ts "u :i* ! plan or cov]age involv$ is adm9i/]$ & op]at$ t specify1 include1 or ref] to proc$ures1 =mulas1 & me?odologies appli$ to det]m9e a p>ticipant or b5efici>y's b5efit "u ! plan or cov]age1 reg>dless ( :e!r su* in=mation is conta9$ 9 a docum5t designat$ z ! plan docum5t4 ,su* guidance %all include a disclosure ( h[ ! plan or cov]age involv$ has provid$ t processes1 /rategies1 evid5ti>y /&>ds1 & o!r factors us$ 9 apply+ ! ,,nqtl to m5tal heal? or sub/ance use disord] b5efits are comp>able to1 & appli$ no m /r+5tly ?an1 ! processes1 /rategies1 evid5ti>y /&>ds1 or o!r factors us$ 9 apply+ ! limitation ) respect to m$ical & surgical b5efits 9 ! same classification4 7iv7 ,def9itions ,9 ?is p>agraph & p>agraph 7#g71 ! t]ms non-quantitative treatm5t limitations1 comp>able to1 & appli$ no m /r+5tly ?an h ! mean+s giv5 su* t]ms 9 sections #adf & #adg ( title #de1 ,code ( ,f$]al ,regulations 7or any successor regulation74 7,b7 ,en=cem5t 7i7 ,process = compla9ts ,! ,secret>y1 9 coop]ation ) ! ,secret>ies ( ,labor & ! ,treasury1 z appropriate1 %all1 ) respect to gr\p heal? plans & heal? insurance issu]s (f]+ heal? insurance cov]age 9 ! gr\p or individual m>ket1 issue guidance to cl>ify ! process & timel9e = curr5t & pot5tial p>ticipants & b5efici>ies 7& au?oriz$ repres5tatives & heal? c>e provid]s ( su* p>ticipants & b5efici>ies7 ) respect to su* plans & cov]age to file =mal compla9ts ( su* plans or issu]s be+ 9 violation ( ?is section1 includ+ guidance1 by plan type1 on ! relevant ,/ate1 regional1 & national (fices ) :i* su* compla9ts %\ld be fil$4 7ii7 ,au?ority = public en=cem5t ,! ,secret>y1 9 consultation ) ! ,secret>ies ( ,labor & ! ,treasury1 %all make available to ! public on ! ,consum] ,p>ity ,portal website e/abli%$ "u p>agraph 7#g7 de-id5tifi$ in=mation on audits & inve/igations ( gr\p heal? plans & heal? insurance issu]s conduct$ "u ?is section4 7iii7 ,audits 7,i7 ,r&omiz$ audits ,! ,secret>y 9 coop]ation ) ! ,secret>ies ( ,labor & ! ,treasury1 is au?oriz$ to conduct r&omiz$ audits ( gr\p heal? plans & heal? insurance issu]s (f]+ heal? insurance cov]age 9 ! gr\p or individual m>ket to det]m9e compliance ) ?is section4 ,su* audits %all be conduct$ on no few] ?an twelve plans & issu]s p] plan ye>4 ,in=mation f su* audits %all be made pla9ly available on ! ,consum] ,p>ity ,portal website e/abli%$ "u p>agraph 7#g74 7,,ii7 ,additional audits ,9 ! case ( a gr\p heal? plan or heal? insurance issu] (f]+ heal? insurance cov]age 9 ! gr\p or individual m>ket ) respect to :i* any claim has be5 fil$ dur+ a plan ye>1 ! ,secret>y may audit ! books & records ( su* plan or issu] to det]m9e compliance ) ?is section4 ,in=mation detail+ ! results ( ! audit %all be made available on ! ,consum] ,p>ity ,portal website e/abli%$ "u p>agraph 7#g74 7iv7 ,d5ial rates ,! ,secret>y %all collect in=mation on ! rates ( & reasons = d5ial by gr\p heal? plans & heal? insurance issu]s (f]+ heal? insurance cov]age 9 ! gr\p or individual m>ket ( claims = outpati5t & inpati5t m5tal heal? & sub/ance use disord] s]vices comp>$ to ! rates ( & reasons = d5ial ( claims = m$ical & surgical s]vices4 ,= ! fir/ plan ye> beg9n+ at lea/ two ye>s aft] ! date ( ! enactm5t ( ?is p>agraph & ea* subsequ5t plan ye>1 ! ,secret>y %all submit to ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate1 & make pla9ly available on ! ,consum] ,p>ity ,portal website "u p>agraph 7#g71 ! in=mation collect$ "u ! previ\s s5t5ce ) respect to ! previ\s plan ye>4 7#g7 ,consum] ,p>ity ,portal website ,! ,secret>y1 9 consultation ) ! ,secret>ies ( ,labor & ! ,treasury1 %all e/abli% a "o-/op ,int]net website portal =-- 7,a7 submitt+ compla9ts & violations relat+ to ?is section1 section #gab ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd1 & section #ihab ( ! ,int]nal ,rev5ue ,code ( #aihf2 & 7,b7 = ea* ( su* ,secret>ies to submit in=mation 9 ord] to provide su* in=mation to heal? c>e consum]s pursuant to p>agraph 7#f71 section #gab7;a77#f7 ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd1 & section #ihab7;a77#f7 ( ! ,int]nal ,rev5ue ,code ( #aihf4 ,su* portal %all h ! ability to take basic in=mation relat$ to ! compla9t1 includ+ "n1 contact in=mation1 & brief n>rative1 & transmit su* in=mation 9 a timely fa%ion to ! appropriate ,/ate or ,f$]al en=cem5t ag5cy4 ,once ! consum] in=mation is submitt$1 su* portal %all provide ! consum] ) contact in=mation = ! appropriate en=cem5t ag5cy to foll[-up on ! compla9t4 4 7b7 ,employee ,retirem5t ,income ,security ,act ( #aigd ,section #gab7;a7 ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd 7#bi ,u4,s4,c4 #aahe;a7a77 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#f7 ,disclosure & en=cem5t requirem5ts 7,a7 ,disclosure requirem5ts 7i7 ,regulations ,n lat] ?an ,decemb] #ca1 #bjaf1 ! ,secret>y1 9 coop]ation ) ! ,secret>ies ( ,heal? & ,human ,s]vices & ! ,treasury1 z appropriate1 %all issue additional regulations = c>ry+ out ?is section1 includ+ an explanation ( docum5ts t mu/ be disclos$ by plans & issu]s1 ! process gov]n+ su* disclosures by plans & issu]s1 & analyses t mu/ be conduct$ by plans & issu]s by a gr\p heal? plan 7or heal? insurance cov]age (f]$ 9 connection ) su* a plan7 9 ord] = su* plan or issu] to demon/rate compliance ) ! provisions ( ?is section4 7ii7 ,disclosure requirem5ts ,docum5ts requir$ to be disclos$ by a gr\p heal? plan 7or heal? insurance cov]age (f]$ 9 connection ) su* a plan7 "u clause 7i7 %all include an annual report t details ! specific analyses p]=m$ to ensure compliance ( su* plan or cov]age ) ! law or regulations4 ,at a m9imum1 ) respect to ! application ( non-quantitative treatm5t limitations 79 ?is p>agraph ref]r$ to z ,n,q,t,ls7 to b5efits "u ! plan or cov]age1 su* report %all-- 7,i7 id5tify ! specific factors ! plan or cov]age us$ 9 p]=m+ its ,,nqtl analysis2 7,,ii7 id5tify & def9e ! specific evid5ti>y /&>ds reli$ on to evaluate ! factors2 7,,iii7 describe h[ ! evid5ti>y /&>ds are appli$ to ea* s]vice category = m5tal heal?1 sub/ance use disord]s1 m$ical b5efits1 & surgical b5efits2 7,,iv7 disclose ! results ( ! analyses ( ! specific evid5ti>y /&>ds 9 ea* s]vice category2 & 7,v7 disclose ! specific f9d+s ( ! plan or cov]age 9 ea* s]vice category & ! conclusions rea*$ ) respect to :e!r ! processes1 /rategies1 evid5ti>y /&>ds1 or o!r factors us$ 9 apply+ ! ,,nqtl to m5tal heal? or sub/ance use disord] b5efits are comp>able to1 & appli$ no m /r+5tly ?an1 ! processes1 /rategies1 evid5ti>y /&>ds1 or o!r factors us$ 9 apply+ ! limitation ) respect to m$ical & surgical b5efits 9 ! same classification4 7iii7 ,guidance ,! ,secret>y1 9 coop]ation ) ! ,secret>ies ( ,heal? & ,human ,s]vices & ! ,treasury1 z appropriate1 %all issue guidance to gr\p heal? plans 7& heal? insurance cov]age (f]$ 9 connection ) su* a plan7 on h[ to satisfy ! requirem5ts ( ?is section ) respect to mak+ in=mation available to curr5t & pot5tial p>ticipants & b5efici>ies4 ,su* in=mation %all include c]tificate ( cov]age docum5ts & in/rum5ts "u :i* ! plan or cov]age involv$ is adm9i/]$ & op]at$ t specify1 include1 or ref] to proc$ures1 =mulas1 & me?odologies appli$ to det]m9e a p>ticipant or b5efici>y's b5efit "u ! plan or cov]age1 reg>dless ( :e!r su* in=mation is conta9$ 9 a docum5t designat$ z ! plan docum5t4 ,su* guidance %all include a disclosure ( h[ ! plan or cov]age involv$ has provid$ t processes1 /rategies1 evid5ti>y /&>ds1 & o!r factors us$ 9 apply+ ! ,,nqtl to m5tal heal? or sub/ance use disord] b5efits are comp>able to1 & appli$ no m /r+5tly ?an1 ! processes1 /rategies1 evid5ti>y /&>ds1 or o!r factors us$ 9 apply+ ! limitation ) respect to m$ical & surgical b5efits 9 ! same classification4 7iv7 ,def9itions ,9 ?is p>agraph1 ! t]ms non-quantitative treatm5t limitations1 comp>able to1 & appli$ no m /r+5tly ?an h ! mean+s giv5 su* t]ms 9 sections #adf & #adg ( title #de1 ,code ( ,f$]al ,regulations 7or any successor regulation74 7,b7 ,en=cem5t 7i7 ,process = compla9ts ,! ,secret>y1 9 coop]ation ) ! ,secret>ies ( ,heal? & ,human ,s]vices & ! ,treasury1 z appropriate1 %all1 ) respect to gr\p heal? plans 7& heal? insurance cov]age (f]$ 9 connection ) su* a plan71 issue guidance to cl>ify ! process & timel9e = curr5t & pot5tial p>ticipants & b5efici>ies 7& au?oriz$ repres5tatives & heal? c>e provid]s ( su* p>ticipants & b5efici>ies7 ) respect to su* plans 7& cov]age7 to file =mal compla9ts ( su* plans 7or cov]age7 be+ 9 violation ( ?is section1 includ+ guidance1 by plan type1 on ! relevant ,/ate1 regional1 & national (fices ) :i* su* compla9ts %\ld be fil$4 7ii7 ,au?ority = public en=cem5t ,! ,secret>y1 9 consultation ) ! ,secret>ies ( ,labor & ! ,treasury1 %all make available to ! public on ! ,consum] ,p>ity ,portal website e/abli%$ "u section #bgbf7;a77#g7 ( ! ,public ,heal? ,s]vice ,act de-id5tifi$ in=mation on audits & inve/igations ( gr\p heal? plans 7& heal? insurance cov]age (f]$ 9 connection ) su* a plan7 conduct$ "u ?is section4 7iii7 ,audits 7,i7 ,r&omiz$ audits ,! ,secret>y 9 coop]ation ) ! ,secret>ies ( ,heal? & ,human ,s]vices & ! ,treasury1 is au?oriz$ to conduct r&omiz$ audits ( gr\p heal? plans 7& heal? insurance cov]age (f]$ 9 connection ) su* a plan7 to det]m9e compliance ) ?is section4 ,su* audits %all be conduct$ on no few] ?an twelve plans & cov]age p] plan ye>4 ,in=mation f su* audits %all be made pla9ly available on ! ,consum] ,p>ity ,portal website e/abli%$ "u section #bgbf7;a77#g7 ( ! ,public ,heal? ,s]vice ,act4 7,,ii7 ,additional audits ,9 ! case ( a gr\p heal? plan 7or heal? insurance cov]age (f]$ 9 connection ) su* a plan7 ) respect to :i* any claim has be5 fil$ dur+ a plan ye>1 ! ,secret>y may audit ! books & records ( su* plan 7or cov]age7 to det]m9e compliance ) ?is section4 ,in=mation detail+ ! results ( ! audit %all be made available on ! ,consum] ,p>ity ,portal website e/abli%$ "u section #bgbf7;a77#g7 ( ! ,public ,heal? ,s]vice ,act4 7iv7 ,d5ial rates ,! ,secret>y %all collect in=mation on ! rates ( & reasons = d5ial by gr\p heal? plans 7& heal? insurance cov]age (f]$ 9 connection ) su* a plan7 ( claims = outpati5t & inpati5t m5tal heal? & sub/ance use disord] s]vices comp>$ to ! rates ( & reasons = d5ial ( claims = m$ical & surgical s]vices4 ,= ! fir/ plan ye> beg9n+ at lea/ two ye>s aft] ! date ( ! enactm5t ( ?is p>agraph & ea* subsequ5t plan ye>1 ! ,secret>y %all submit to ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate1 & make pla9ly available on ! ,consum] ,p>ity ,portal website "u section #bgbf7;a77#g7 ( ! ,public ,heal? ,s]vice ,act1 ! in=mation collect$ "u ! previ\s s5t5ce ) respect to ! previ\s plan ye>4 4 7c7 ,int]nal ,rev5ue ,code ( #aihf ,section #ihab7;a7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#f7 ,disclosure & en=cem5t requirem5ts 7,a7 ,disclosure requirem5ts 7i7 ,regulations ,n lat] ?an ,decemb] #ca1 #bjaf1 ! ,secret>y1 9 coop]ation ) ! ,secret>ies ( ,heal? & ,human ,s]vices & ,labor1 z appropriate1 %all issue additional regulations = c>ry+ out ?is section1 includ+ an explanation ( docum5ts t mu/ be disclos$ by plans & issu]s1 ! process gov]n+ su* disclosures by plans & issu]s1 & analyses t mu/ be conduct$ by plans & issu]s by a gr\p heal? plan 9 ord] = su* plan to demon/rate compliance ) ! provisions ( ?is section4 7ii7 ,disclosure requirem5ts ,docum5ts requir$ to be disclos$ by a gr\p heal? plan "u clause 7i7 %all include an annual report t details ! specific analyses p]=m$ to ensure compliance ( su* plan ) ! law & regulations4 ,at a m9imum1 ) respect to ! application ( non-quantitative treatm5t limitations 79 ?is p>agraph ref]r$ to z ,n,q,t,ls7 to b5efits "u ! plan or cov]age1 su* report %all-- 7,i7 id5tify ! specific factors ! plan or cov]age us$ 9 p]=m+ its ,,nqtl analysis2 7,,ii7 id5tify & def9e ! specific evid5ti>y /&>ds reli$ on to evaluate ! factors2 7,,iii7 describe h[ ! evid5ti>y /&>ds are appli$ to ea* s]vice category = m5tal heal?1 sub/ance use disord]s1 m$ical b5efits1 & surgical b5efits2 7,,iv7 disclose ! results ( ! analyses ( ! specific evid5ti>y /&>ds 9 ea* s]vice category2 & 7,v7 disclose ! specific f9d+s ( ! plan 9 ea* s]vice category & ! conclusions rea*$ ) respect to :e!r ! processes1 /rategies1 evid5ti>y /&>ds1 or o!r factors us$ 9 apply+ ! ,,nqtl to m5tal heal? or sub/ance use disord] b5efits are comp>able to1 & appli$ no m /r+5tly ?an1 ! processes1 /rategies1 evid5ti>y /&>ds1 or o!r factors us$ 9 apply+ ! limitation ) respect to m$ical & surgical b5efits 9 ! same classification4 7iii7 ,guidance ,! ,secret>y1 9 coop]ation ) ! ,secret>ies ( ,heal? & ,human ,s]vices & ,labor1 z appropriate1 %all issue guidance to gr\p heal? plans on h[ to satisfy ! requirem5ts ( ?is section ) respect to mak+ in=mation available to curr5t & pot5tial p>ticipants & b5efici>ies4 ,su* in=mation %all include c]tificate ( cov]age docum5ts & in/rum5ts "u :i* ! plan involv$ is adm9i/]$ & op]at$ t specify1 include1 or ref] to proc$ures1 =mulas1 & me?odologies appli$ to det]m9e a p>ticipant or b5efici>y's b5efit "u ! plan1 reg>dless ( :e!r su* in=mation is conta9$ 9 a docum5t designat$ z ! plan docum5t4 ,su* guidance %all include a disclosure ( h[ ! plan involv$ has provid$ t processes1 /rategies1 evid5ti>y /&>ds1 & o!r factors us$ 9 apply+ ! ,,nqtl to m5tal heal? or sub/ance use disord] b5efits are comp>able to1 & appli$ no m /r+5tly ?an1 ! processes1 /rategies1 evid5ti>y /&>ds1 or o!r factors us$ 9 apply+ ! limitation ) respect to m$ical & surgical b5efits 9 ! same classification4 7iv7 ,def9itions ,9 ?is p>agraph1 ! t]ms non-quantitative treatm5t limitations1 comp>able to1 & appli$ no m /r+5tly ?an h ! mean+s giv5 su* t]ms 9 sections #adf & #adg ( title #de1 ,code ( ,f$]al ,regulations 7or any successor regulation74 7,b7 ,en=cem5t 7i7 ,process = compla9ts ,! ,secret>y1 9 coop]ation ) ! ,secret>ies ( ,heal? & ,human ,s]vices & ,labor1 z appropriate1 %all1 ) respect to gr\p heal? plans1 issue guidance to cl>ify ! process & timel9e = curr5t & pot5tial p>ticipants & b5efici>ies 7& au?oriz$ repres5tatives & heal? c>e provid]s ( su* p>ticipants & b5efici>ies7 ) respect to su* plans 7& cov]age7 to file =mal compla9ts ( su* plans be+ 9 violation ( ?is section1 includ+ guidance1 by plan type1 on ! relevant ,/ate1 regional1 & national (fices ) :i* su* compla9ts %\ld be fil$4 7ii7 ,au?ority = public en=cem5t ,! ,secret>y1 9 consultation ) ! ,secret>ies ( ,labor & ! ,treasury1 %all make available to ! public on ! ,consum] ,p>ity ,portal website e/abli%$ "u section #bgbf7;a77#g7 ( ! ,public ,heal? ,s]vice ,act de-id5tifi$ in=mation on audits & inve/igations ( gr\p heal? plans conduct$ "u ?is section4 7iii7 ,audits 7,i7 ,r&omiz$ audits ,! ,secret>y 9 coop]ation ) ! ,secret>ies ( ,heal? & ,human ,s]vices & ,labor1 is au?oriz$ to conduct r&omiz$ audits ( gr\p heal? plans to det]m9e compliance ) ?is section4 ,su* audits %all be conduct$ on no few] ?an twelve plans p] plan ye>4 ,in=mation f su* audits %all be made pla9ly available on ! ,consum] ,p>ity ,portal website e/abli%$ "u section #bgbf7;a77#g7 ( ! ,public ,heal? ,s]vice ,act4 7,,ii7 ,additional audits ,9 ! case ( a gr\p heal? plan ) respect to :i* any claim has be5 fil$ dur+ a plan ye>1 ! ,secret>y may audit ! books & records ( su* plan to det]m9e compliance ) ?is section4 ,in=mation detail+ ! results ( ! audit %all be made available on ! ,consum] ,p>ity ,portal website e/abli%$ "u section #bgbf7;a77#g7 ( ! ,public ,heal? ,s]vice ,act4 7iv7 ,d5ial rates ,! ,secret>y %all collect in=mation on ! rates ( & reasons = d5ial by gr\p heal? plans ( claims = outpati5t & inpati5t m5tal heal? & sub/ance use disord] s]vices comp>$ to ! rates ( & reasons = d5ial ( claims = m$ical & surgical s]vices4 ,= ! fir/ plan ye> beg9n+ at lea/ two ye>s aft] ! date ( ! enactm5t ( ?is p>agraph & ea* subsequ5t plan ye>1 ! ,secret>y %all submit to ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate1 & make pla9ly available on ! ,consum] ,p>ity ,portal website "u section #bgbf7;a77#g7 ( ! ,public ,heal? ,s]vice ,act1 ! in=mation collect$ "u ! previ\s s5t5ce ) respect to ! previ\s plan ye>4 4 7d7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ #b1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba to c>ry out ?is section1 includ+ ! am5dm5ts made by ?is section4 #hjb4 ,report on inve/igations reg>d+ p>ity 9 m5tal heal? & sub/ance use disord] b5efits 7a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 & annually !reaft]1 ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 9 collaboration ) ! ,assi/ant ,secret>y ( ,labor ( ! ,employee ,b5efits ,security ,adm9i/ration & ! ,secret>y ( ! ,treasury %all submit to ! ,congress a report-- 7#a7 id5tify+ ,f$]al inve/igations conduct$ or complet$ dur+ ! prec$+ #ab-mon? p]iod reg>d+ compliance ) p>ity 9 m5tal heal?1 sub/ance use disord] b5efits1 includ+ b5efits provid$ to p]sons ) m5tal illness1 includ+ s]i\s m5tal illness1 & sub/ance use disord]s "u ! ,paul ,well/one & ,pete ,dom5ici ,m5tal ,heal? ,p>ity & ,addiction ,equity ,act ( #bjjh 7subtitle ,b ( title ,v ( division ,c ( ,public ,law #aaj-cdc72 & 7#b7 summ>iz+ ! results ( su* inve/igations4 7b7 ,cont5ts ,subject to p>agraph 7#c71 ea* report "u p>agraph 7#a7 %all include ! foll[+ in=mation3 7#a7 ,! numb] ( inve/igations op5$ & clos$ dur+ ! cov]$ report+ p]iod4 7#b7 ,! b5efit classification or classifications exam9$ by ea* inve/igation4 7#c7 ,! subject matt] or subject matt]s ( ea* inve/igation1 includ+ quantitative & nonquantitative treatm5t limitations4 7#d7 ,a summ>y ( ! basis ( ! f9al decision r5d]$ = ea* inve/igation4 7c7 ,limitation ,individually id5tifiable in=mation %all be exclud$ f reports "u p>agraph 7#a7 consi/5t ) ,f$]al privacy protections4 #hjc4 ,,gao /udy on prev5t+ discrim9atory cov]age limitations = individuals ) s]i\s m5tal illness & sub/ance use disord]s ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ,congress a report describ+ ! evid5ce reg>d+ ! ext5t to :i* private heal? insurance plans h nonquantitative treatm5t limits = m5tal heal?1 sub/ance use disord]1 & o!r heal? s]vices4 ,! report %all also assess ! ,dep>tm5ts ( ,heal? & ,human ,s]vices1 ,labor1 & ! ,treasury's ov]sight ( private heal? insurance plans & ,m$icaid manag$ c>e plans "u section #aijc ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;b71 compliance ) ! ,paul ,well/one & ,pete ,dom5ici ,m5tal ,heal? ,p>ity & ,addiction ,equity ,act ( #bjjh 7subtitle ,b ( title ,v ( division ,c ( ,public ,law #aaj-cdc7 7z am5d$ by ,public ,law #aaa-adh7 79 ?is section ref]r$ to z ! law71 includ+-- 7#a7 h[ ! responsible ,f$]al dep>tm5ts & ag5cies ensure t plans comply ) ! law1 includ+ h[ ! plans apply nonquantitative treatm5t limitations & m$ical necessity crit]ia to behavioral heal? s]vices comp>$ to m$ical or surgical s]vices2 & 7#b7 h[ prop] en=cem5t1 education1 & coord9ation activities )9 responsible ,f$]al dep>tm5ts & ag5cies c be us$ to ensure full compliance ) ! law1 includ+ educational activities direct$ to ,/ate insurance commission]s4 #hjd4 ,report to ,congress on ,f$]al assi/ance to ,/ate insurance regulators reg>d+ m5tal heal? p>ity en=cem5t ,n lat] ?an "o ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all submit to ,congress a report detail+-- 7#a7 ! ways 9 :i* ,/ate gov]nm5ts & ,/ate insurance regulators are ei!r emp[]$ or requir$ to en=ce ! ,paul ,well/one & ,pete ,dom5ici ,m5tal ,heal? ,p>ity & ,addiction ,equity ,act ( #bjjh 7subtitle ,b ( title ,v ( division ,c ( ,public ,law #aaj-cdc72 7#b7 _! capability to c>ry out ^! en=cem5t p[]s or requirem5ts2 & 7#c7 any te*nical assi/ance to ,/ate gov]nm5t & ,/ate insurance regulators t has be5 communicat$ by ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 ,,ix ,sub/ance abuse ,a ,prev5tion #ija4 ,practition] education 7a7 ,education requirem5ts 7#a7 ,regi/ration consid]ation ,section #cjc7;f7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7;f77 is am5d$ by ins]t+ aft] p>agraph 7#e7 ! foll[+3 7#f7 ,! applicant's compliance ) ! tra9+ requirem5ts describ$ 9 subsection 7g77#c7 dur+ any previ\s p]iod 9 :i* ! applicant has be5 subject to su* tra9+ requirem5ts4 4 7#b7 ,tra9+ requirem5ts ,section #cjc7;g7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7;g77 is am5d$ by add+ at ! end ! foll[+3 7#c7 7,a7 ,to be regi/]$ to prescribe or o!rwise disp5se opioids = ! treatm5t ( pa91 or pa9 managem5t1 a practition] describ$ 9 p>agraph 7#a7 %all comply ) ! #ab-;h\r tra9+ requirem5t ( subp>agraph 7,b7 at lea/ once dur+ ea* #c-ye> p]iod4 7,b7 ,! tra9+ requirem5t ( ?is subp>agraph is t ! practition] has complet$ n less ?an #ab h\rs ( tra9+ 7?r\gh classroom situations1 sem9>s at pr(essional society meet+s1 electronic communications1 or o!rwise7 ) respect to-- 7i7 ! treatm5t & managem5t ( opioid-dep5d5t pati5ts2 7ii7 pa9 managem5t treatm5t guidel9es2 & 7iii7 e>ly detection ( opioid addiction1 includ+ ?r\gh su* me?ods z ,scre5+1 ,brief ,int]v5tion1 & ,ref]ral to ,treatm5t 7,,sbirt71 t is provid$ by ! ,am]ican ,society ( ,addiction ,m$ic9e1 ! ,am]ican ,academy ( ,addiction ,psy*iatry1 ! ,am]ican ,m$ical ,association1 ! ,am]ican ,o/eopa?ic ,association1 ! ,am]ican ,psy*iatric ,association1 ! ,am]ican ,academy ( ,pa9 ,managem5t1 ! ,am]ican ,pa9 ,society1 ! ,am]ican ,academy ( ,pa9 ,m$ic9e1 ! ,am]ican ,bo>d ( ,pa9 ,m$ic9e1 ! ,am]ican ,society ( ,int]v5tional ,pa9 ,physicians1 or any o!r organization t ! ,secret>y det]m9es is appropriate = purposes ( ?is subp>agraph4 4 7b7 ,fund+ ,! ,drug ,en=cem5t ,adm9i/ration %all fund ! en=cem5t ( ! requirem5ts specifi$ 9 section #cjc7;g77#c7 ( ! ,controll$ ,sub/ances ,act 7z add$ by subsection 7a77 ?r\gh ! use ( a portion ( ! lic5s+ fees paid by controll$ sub/ance prescrib]s "u ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hja et seq474 7c7 ,au?orization ( ,appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #a1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 #ijb4 ,co-prescrib+ opioid ov]dose rev]sal drugs grant program 7a7 ,e/abli%m5t 7#a7 ,9 g5]al ,n lat] ?an six mon?s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all e/abli%1 9 accordance ) ?is section1 a f\r-ye> co-prescrib+ opioid ov]dose rev]sal drugs grant program 79 ?is title ref]r$ to z ! grant program7 "u :i* ! ,secret>y %all provide n m ?an a total ( #ab grants to eligible entities to c>ry out ! activities describ$ 9 subsection 7c74 7#b7 ,eligible entity ,= purposes ( ?is section1 ! t]m eligible entity means a f$]ally qualifi$ heal? c5t] 7z def9$ 9 section #ahfa7;aa7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7aa7771 an opioid treatm5t program "u "p #h ( title #db1 ,code ( ,f$]al ,regulations1 or section #cjc7;g7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7;g771 a program approv$ by a ,/ate sub/ance abuse ag5cy1 or any o!r entity t ! ,secret>y deems appropriate4 7#c7 ,co-prescrib+ ,= purposes ( ?is title1 ! t]m co-prescrib+ means1 ) respect to an opioid ov]dose rev]sal drug1 ! practice ( prescrib+ su* drug 9 conjunction ) an opioid prescription = pati5ts at an elevat$ risk ( ov]dose1 or 9 conjunction ) an opioid agoni/ approv$ "u section #eje ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cee7 = ! treatm5t ( opioid abuse disord]s1 or 9 o!r circum/ances 9 :i* a provid] id5tifies a pati5t at an elevat$ risk = an int5tional or un9t5tional drug ov]dose f h]o9 or prescription opioid !rapies4 ,= purposes ( ! previ\s s5t5ce1 a pati5t may be at an elevat$ risk ( ov]dose if ! pati5t meets ! crit]ia "u ! exi/+ co-prescrib+ guidel9es t ! ,secret>y deems appropriate1 su* z ! crit]ia provid$ 9 ! ,opioid ,ov]dose ,toolkit publi%$ by ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration4 7b7 ,application ,to be eligible to receive a grant "u ?is section1 an eligible entity %all submit to ! ,secret>y ( ,heal? & ,human ,s]vices1 9 su* =m & mann] z specifi$ by ! ,secret>y1 an application t describes-- 7#a7 ! ext5t to :i* ! area to :i* ! entity w furni% s]vices ?r\gh use ( ! grant is exp]i5c+ significant morbidity & mortality caus$ by opioid abuse2 7#b7 ! crit]ia t w be us$ to id5tify eligible pati5ts to p>ticipate 9 su* program2 & 7#c7 h[ su* program w "w to try to id5tify ,/ate1 local1 or private fund+ to cont9ue ! program aft] expiration ( ! grant4 7c7 ,use ( funds ,an eligible entity receiv+ a grant "u ?is section may use ! grant = any ( ! foll[+ activities3 7#a7 ,to e/abli% a program = co-prescrib+ opioid ov]dose rev]sal drugs1 su* z naloxone4 7#b7 ,to tra9 & provide res\rces = heal? c>e provid]s & ph>maci/s on ! co-prescrib+ ( opioid ov]dose rev]sal drugs4 7#c7 ,to e/abli% me*anisms & processes1 consi/5t ) applicable ,f$]al & ,/ate privacy rules1 = track+ pati5ts p>ticipat+ 9 ! program describ$ 9 p>agraph 7#a7 & ! heal? outcomes ( su* pati5ts4 7#d7 ,to pur*ase opioid ov]dose rev]sal drugs = di/ribution "u ! program describ$ 9 p>agraph 7#a74 7#e7 ,to (fset ! co-pays & o!r co/ %>+ associat$ ) opioid ov]dose rev]sal drugs to ensure t co/ is n a limit+ factor = eligible pati5ts4 7#f7 ,to conduct community outrea*1 9 conjunction ) community-bas$ organizations1 design$ to raise aw>5ess ( co-prescrib+ practices1 & ! availability ( opioid ov]dose rev]sal drugs4 7#g7 ,to e/abli% protocols to connect pati5ts :o h exp]i5c$ a drug ov]dose ) appropriate treatm5t1 includ+ m$ication assi/$ treatm5t & appropriate c\nsel+ & behavioral !rapies4 7d7 ,evaluations by recipi5ts ,z a condition ( receipt ( a grant "u ?is section1 an eligible entity %all1 = ea* ye> = :i* ! grant is receiv$1 submit to ! ,secret>y ( ,heal? & ,human ,s]vices in=mation on appropriate outcome measures specifi$ by ! ,secret>y to assess ! outcomes ( ! program fund$ by ! grant1 includ+-- 7#a7 ! numb] ( prescrib]s tra9$2 7#b7 ! numb] ( prescrib]s :o h co-prescrib$ an opioid ov]dose rev]sal drugs to at lea/ "o pati5t2 7#c7 ! total numb] ( prescriptions writt5 = opioid ov]dose rev]sal drugs2 7#d7 ! p]c5tage ( pati5ts at elevat$ risk :o receiv$ a prescription = an opioid ov]dose rev]sal drug2 7#e7 ! numb] ( pati5ts report+ use ( an opioid ov]dose rev]sal drug2 & 7#f7 any o!r outcome measures t ! ,secret>y deems appropriate4 7e7 ,reports by ,secret>y ,= ea* ye> ( ! grant program "u ?is section1 ! ,secret>y ( ,heal? & ,human ,s]vices %all submit to ! appropriate committees ( ! ,h\se ( ,repres5tatives & ( ! ,s5ate a report aggregat+ ! in=mation receiv$ f ! grant recipi5ts = su* ye> "u subsection 7d7 & evaluat+ ! outcomes a*iev$ by ! programs fund$ by grants made "u ?is section4 7f7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section & section #ijc #d1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 #ijc4 ,opioid ov]dose rev]sal co-prescrib+ guidel9es 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices %all e/abli% a grant program "u :i* ! ,secret>y %all aw>d grants to eligible ,/ate entities to develop opioid ov]dose rev]sal co-prescrib+ guidel9es4 7b7 ,eligible ,/ate entities ,= purposes ( subsection 7a71 eligible ,/ate entities are ,/ate dep>tm5ts ( heal? 9 conjunction ) ,/ate m$ical bo>ds2 city1 c\nty1 & local heal? dep>tm5ts2 & community /akehold] gr\ps involv$ 9 r$uc+ opioid ov]dose dea?s4 7c7 ,adm9i/rative provisions 7#a7 ,grant am\nts ,a grant made "u ?is section may n be = m ?an #bjj1jjj p] grant4 7#b7 ,prioritization ,9 aw>d+ grants "u ?is section1 ! ,secret>y %all give priority to eligible ,/ate entities :i* propose to base _! guidel9es on exi/+ guidel9es on co-prescrib+ to spe$ enactm5t1 includ+ guidel9es (-- 7,a7 ! ,dep>tm5t ( ,vet]ans ,affairs2 7,b7 nationwide m$ical societies1 su* z ! ,am]ican ,society ( ,addiction ,m$ic9e or ,am]ican ,m$ical ,association2 & 7,c7 ! ,c5t]s = ,disease ,control & ,prev5tion4 #ijd4 ,surveillance capacity build+ 7a7 ,program au?oriz$ ,! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 %all aw>d coop]ative agreem5ts or grants to eligible entities to improve fatal & nonfatal drug ov]dose surveillance & report+ capabilities1 includ+-- 7#a7 provid+ tra9+ to improve id5tification ( drug ov]dose z ! cause ( dea? by coron]s & m$ical exam9]s2 7#b7 e/abli%+1 9 coop]ation ) ! ,national ,poison ,data ,sy/em1 coron]s1 & m$ical exam9]s1 a compreh5sive national program = surveillance (1 & report+ to an electronic database on1 drug ov]dose dea?s 9 ! ,unit$ ,/ates2 & 7#c7 e/abli%+1 9 coop]ation ) ! ,national ,poison ,data ,sy/em1 a compreh5sive national program = surveillance (1 & report+ to an electronic database on1 fatal & nonfatal drug ov]dose occurr5ces1 includ+ epidemiological & toxicologic analysis & tr5ds4 7b7 ,eligible entity ,to be eligible to receive a grant or coop]ative agreem5t "u ?is section1 an entity %all be-- 7#a7 a ,/ate1 local1 or tribal gov]nm5t2 or 7#b7 ! ,national ,poison ,data ,sy/em work+ 9 conjunction ) a ,/ate1 local1 or tribal gov]nm5t4 7c7 ,application 7#a7 ,9 g5]al ,an eligible entity desir+ a grant or coop]ative agreem5t "u ?is section %all submit to ! ,secret>y an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7#b7 ,cont5ts ,an application describ$ 9 p>agraph 7#a7 %all include-- 7,a7 a description ( ! activities to be fund$ ?r\gh ! grant or coop]ative agreem5t2 & 7,b7 evid5ce t ! eligible entity has ! capacity to c>ry out su* activities4 7d7 ,report ,z a condition ( receipt ( a grant or coop]ative agreem5t "u ?is section1 an eligible entity %all agree to prep>e & submit1 n lat] ?an #ij days aft] ! end ( ! grant or coop]ative agreem5t p]iod1 a report to ! ,secret>y describ+ ! results ( ! activities support$ ?r\gh ! grant or coop]ative agreem5t4 7e7 ,national poison data sy/em ,9 ?is section1 ! t]m ,national ,poison ,data ,sy/em means ! sy/em op]at$ by ! ,am]ican ,association ( ,poison ,control ,c5t]s1 9 p>tn]%ip ) ! ,c5t]s = ,disease ,control & ,prev5tion1 = real-"t local1 ,/ate1 & national electronic report+1 & ! correspond+ database network4 7f7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #e1jjj1jjj = ea* ( ! fiscal ye>s #bjag ?r\gh #bjba4 ,b ,crisis #iba4 ,grants to support syr+e ex*ange programs 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices may aw>d grants to ,/ate1 local1 & tribal gov]nm5ts & community organizations to support syr+e ex*ange programs4 7b7 ,use ( funds ,grants "u subsection 7a7 may be us$ to support c>ry+ out syr+e ex*ange programs1 includ+ ?r\gh-- 7#a7 provid+ outrea*1 c\nsel+1 heal? education1 case managem5t1 syr+e disposal1 & o!r s]vices z det]m9$ appropriate by ! ,secret>y ( ,heal? & ,human ,s]vices2 & 7#b7 provid+ te*nical assi/ance1 includ+ tra9+ & capacity build+1 to assi/ ! developm5t & implem5tation ( syr+e ex*ange programs4 7c7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ #ae1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba to c>ry out ?is section1 ( :i*-- 7#a7 at lea/ #ae p]c5t %all be = syr+e ex*ange programs t h be5 9 op]ation = less ?an #c ye>s2 & 7#b7 #e p]c5t %all be = te*nical assi/ance "u subsection 7b77#b74 #ibb4 ,grant program to r$uce drug ov]dose dea?s 7a7 ,program au?oriz$ ,! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,adm9i/rator ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 %all aw>d grants or ent] into coop]ative agreem5ts ) eligible entities to enable ! eligible entities to r$uce dea?s occurr+ f ov]doses ( drugs4 7b7 ,eligible entities ,to be eligible to receive a grant or coop]ative agreem5t "u ?is section1 an entity %all be a p>tn]%ip betwe5 any ( ! foll[+3 a ,/ate1 local1 or tribal gov]nm5t1 a correctional in/itution1 a law en=cem5t ag5cy1 a community ag5cy1 a pr(essional organization 9 ! field ( poison control & surveillance1 or a private nonpr(it organization4 7c7 ,application 7#a7 ,9 g5]al ,an eligible entity desir+ a grant or coop]ative agreem5t "u ?is section %all submit to ! ,secret>y ( ,heal? & ,human ,s]vices an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7#b7 ,cont5ts ,an application "u p>agraph 7#a7 %all include-- 7,a7 a description ( ! activities to be fund$ ?r\gh ! grant or coop]ative agreem5t2 & 7,b7 evid5ce t ! eligible entity has ! capacity to c>ry out su* activities4 7d7 ,priority ,9 ent]+ into grants & coop]ative agreem5ts "u subsection 7a71 ! ,secret>y ( ,heal? & ,human ,s]vices %all give priority to eligible entities t-- 7#a7 include a public heal? ag5cy or community-bas$ organization2 & 7#b7 h exp]tise 9 prev5t+ dea?s occurr+ f ov]doses ( drugs 9 populations at high risk ( su* dea?s4 7e7 ,eligible activities ,z a condition ( receipt ( a grant or coop]ative agreem5t "u ?is section1 an eligible entity %all agree to use ! grant or coop]ative agreem5t to d ea* ( ! foll[+3 7#a7 ,pur*ase & di/ribute ! drug naloxone or a simil>ly effective m$ication4 7#b7 ,c>ry out "o or m ( ! foll[+ activities3 7,a7 ,educat+ prescrib]s & ph>maci/s ab\t ov]dose prev5tion & naloxone prescription1 or prescriptions ( a simil>ly effective m$ication4 7,b7 ,tra9+ fir/ respond]s1 o!r individuals 9 a position to respond to an ov]dose1 & law en=cem5t & corrections (ficials on ! effective response to individuals :o h ov]dos$ on drugs4 ,tra9+ pursuant to ?is subp>agraph may include any activity t is educational1 in/ructional1 or consultative 9 nature1 & may include volunte] tra9+1 aw>5ess build+ ex]cises1 outrea* to individuals :o are at risk ( a drug ov]dose1 & di/ribution ( educational mat]ials4 7,c7 ,implem5t+ & enhanc+ programs to provide ov]dose prev5tion1 recognition1 treatm5t1 & response to individuals 9 ne$ ( su* s]vices4 7,d7 ,educat+ ! public & provid+ outrea* to ! public ab\t ov]dose prev5tion & naloxone prescriptions1 or prescriptions ( o!r simil>ly effective m$ications4 7f7 ,coord9at+ c5t] 7#a7 ,e/abli%m5t ,! ,secret>y ( ,heal? & ,human ,s]vices %all e/abli% & provide = ! op]ation ( a coord9at+ c5t] responsible =-- 7,a7 collect+1 compil+1 & dissem9at+ data on ! programs & activities "u ?is section1 includ+ track+ & evaluat+ ! di/ribution & use ( naloxone & o!r simil>ly effective m$ication2 7,b7 evaluat+ su* data &1 bas$ on su* evaluation1 develop+ be/ practices = prev5t+ dea?s occurr+ f drug ov]doses2 7,c7 mak+ su* be/ practices specific to ! type ( community involv$2 7,d7 coord9at+ & h>moniz+ data collection measures2 7,e7 evaluat+ ! effects ( ! program on ov]dose rates2 & 7,f7 education & outrea* to ! public ab\t ov]dose prev5tion & prescription ( naloxone & o!r simil>ly effective m$ication4 7#b7 ,reports to c5t] ,z a condition on receipt ( a grant or coop]ative agreem5t "u ?is section1 an eligible entity %all agree to prep>e & submit1 n lat] ?an #ij days aft] ! end ( ! aw>d p]iod1 a report to su* coord9at+ c5t] & ! ,secret>y ( ,heal? & ,human ,s]vices describ+ ! results ( ! activities support$ ?r\gh ! grant or coop]ative agreem5t4 7g7 ,duration ,! p]iod ( a grant or coop]ative agreem5t "u ?is section %all be #d ye>s4 7h7 ,def9ition ,9 ?is "p1 ! t]m drug-- 7#a7 means a drug1 z def9$ 9 section #bja ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cba72 & 7#b7 includes controll$ sub/ances1 z def9$ 9 section #ajb ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hjb74 7i7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ #bj1jjj1jjj to c>ry out ?is section = ea* ( ! fiscal ye>s #bjag ?r\gh #bjba4 ,c ,treatm5t #ica4 ,expansion ( pati5t limits "u waiv] ,section #cjc7;g77#b77;,b7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7;g77#b77;,b77 is am5d$-- 7#a7 9 clause 7i71 by /rik+ physician & ins]t+ practition]2 7#b7 9 clause 7iii7-- 7,a7 by /rik+ #cj & ins]t+ #ajj2 & 7,b7 by /rik+ 1 unless1 n soon] & all t foll[s ?r\gh ! end & ins]t+ a p]iod2 & 7#c7 by ins]t+ at ! end ! foll[+ new clause3 7iv7 ,n e>li] ?an #a ye> aft] ! date on :i* a qualify+ practition] obta9$ an initial waiv] pursuant to clause 7iii71 ! qualify+ practition] may submit a second notification to ! ,secret>y ( ! ne$ & int5t ( ! qualify+ practition] to treat an unlimit$ numb] ( pati5ts1 if ! qualify+ practition]-- 7,i7 7aa7 satisfies ! requirem5ts ( item 7aa71 7bb71 7cc71 or 7dd7 ( subp>agraph 7,g77ii77,i72 & 7bb7 agrees to fully p>ticipate 9 ! ,prescription ,drug ,monitor+ ,program ( ! ,/ate 9 :i* ! qualify+ practition] is lic5s$1 pursuant to applicable ,/ate guidel9es2 or 7,,ii7 7aa7 satisfies ! requirem5ts ( item 7ee71 7ff71 or 7gg7 ( subp>agraph 7,g77ii77,i72 7bb7 agrees to fully p>ticipate 9 ! ,prescription ,drug ,monitor+ ,program ( ! ,/ate 9 :i* ! qualify+ practition] is lic5s$1 pursuant to applicable ,/ate guidel9es2 7cc7 practices 9 a qualifi$ practice sett+2 & 7dd7 has complet$ n less ?an #bd h\rs ( tra9+ 7?r\gh classroom situations1 sem9>s at pr(essional society meet+s1 electronic communications1 or o!rwise7 ) respect to ! treatm5t & managem5t ( opiate-dep5d5t pati5ts = sub/ance use disord]s provid$ by ! ,am]ican ,society ( ,addiction ,m$ic9e1 ! ,am]ican ,academy ( ,addiction ,psy*iatry1 ! ,am]ican ,m$ical ,association1 ! ,am]ican ,o/eopa?ic ,association1 ! ,am]ican ,psy*iatric ,association1 or any o!r organization t ! ,secret>y det]m9es is appropriate = purposes ( ?is subclause4 4 #icb4 ,def9itions ,section #cjc7;g77#b77;,g7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7;g77#b77;,g77 is am5d$-- 7#a7 by /rik+ clause 7ii7 & ins]t+ ! foll[+3 7ii7 ,! t]m qualify+ practition] means ! foll[+3 7,i7 ,a physician :o is lic5s$ "u ,/ate law & :o meets #a or m ( ! foll[+ conditions3 7aa7 ,! physician holds a bo>d c]tification 9 addiction psy*iatry f ! ,am]ican ,bo>d ( ,m$ical ,specialties4 7bb7 ,! physician holds an addiction c]tification f ! ,am]ican ,society ( ,addiction ,m$ic9e4 7cc7 ,! physician holds a bo>d c]tification 9 addiction m$ic9e f ! ,am]ican ,o/eopa?ic ,association4 7dd7 ,! physician holds a bo>d c]tification f ! ,am]ican ,bo>d ( ,addiction ,m$ic9e4 7ee7 ,! physician has complet$ n less ?an #h h\rs ( tra9+ 7?r\gh classroom situations1 sem9> at pr(essional society meet+s1 electronic communications1 or o!rwise7 ) respect to ! treatm5t & managem5t ( opiate-dep5d5t pati5ts = sub/ance use disord]s provid$ by ! ,am]ican ,society ( ,addiction ,m$ic9e1 ! ,am]ican ,academy ( ,addiction ,psy*iatry1 ! ,am]ican ,m$ical ,association1 ! ,am]ican ,o/eopa?ic ,association1 ! ,am]ican ,psy*iatric ,association1 or any o!r organization t ! ,secret>y det]m9es is appropriate = purposes ( ?is subclause4 7ff7 ,! physician has p>ticipat$ z an inve/igator 9 #a or m cl9ical trials lead+ to ! approval ( a n>cotic drug 9 s*$ule ,,iii1 ,,iv1 or ,v = ma9t5ance or detoxification treatm5t1 z demon/rat$ by a /atem5t submitt$ to ! ,secret>y by ?is sponsor ( su* approv$ drug4 7gg7 ,! physician has su* o!r tra9+ or exp]i5ce z ! ,secret>y det]m9es w demon/rate ! ability ( ! physician to treat & manage opiate-dep5d5t pati5ts4 7,,ii7 ,a nurse practition] or physician assi/ant :o is lic5s$ "u ,/ate law & meets all ( ! foll[+ conditions3 7aa7 ,! nurse practition] or physician assi/ant is lic5s$ "u ,/ate law to prescribe s*$ule ,,iii1 ,,iv1 or ,v m$ications = pa94 7bb7 ,! nurse practition] or physician assi/ant satisfies #a or m ( ! foll[+3 7,,aa7 ,has complet$ n few] ?an #bd h\rs ( tra9+ 7?r\gh classroom situations1 sem9> at pr(essional society meet+s1 electronic communications1 or o!rwise7 ) respect to ! treatm5t & managem5t ( opiate-dep5d5t pati5ts = sub/ance use disord]s provid$ by ! ,am]ican ,society ( ,addiction ,m$ic9e1 ! ,am]ican ,academy ( ,addiction ,psy*iatry1 ! ,am]ican ,m$ical ,association1 ! ,am]ican ,o/eopa?ic ,association1 ! ,am]ican ,psy*iatric ,association1 or any o!r organization t ! ,secret>y det]m9es is appropriate = purposes ( ?is subclause4 7,,bb7 ,has su* o!r tra9+ or exp]i5ce z ! ,secret>y det]m9es w demon/rate ! ability ( ! nurse practition] or physician assi/ant to treat & manage opiate-dep5d5t pati5ts4 7cc7 ,! nurse practition] or physician assi/ant practices )9 ! scope ( _! ,/ate lic5se1 includ+ compliance ) any sup]vision or collaboration requirem5ts "u ,/ate law4 7dd7 ,! nurse practition] or physician assi/ant practice 9 a qualifi$ practice sett+4 2 & 7#b7 by add+ at ! end ! foll[+3 7iii7 ,! t]m qualifi$ practice sett+ means #a or m ( ! foll[+ treatm5t sett+s3 7,i7 ,a ,national ,committee = ,quality ,assurance-recogniz$ ,pati5t-,c5t]$ ,m$ical ,home or ,pati5t-,c5t]$ ,specialty ,practice4 7,,ii7 ,a ,c5t]s = ,m$icaid ,m$ic>e ,s]vices-recogniz$ ,acc\ntable ,c>e ,organization4 7,,iii7 ,a cl9ical facility adm9i/]$ by ! ,dep>tm5t ( ,vet]ans ,affairs1 ,dep>tm5t ( ,def5se1 or ,indian ,heal? ,s]vice4 7,,iv7 ,a ,behavioral ,heal? ,home accr$it$ by ! ,jo9t ,commission4 7,v7 ,a ,f$]ally-qualifi$ heal? c5t] 7z def9$ 9 section #aije7l77#b77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7l77#b77;,b777 or a ,f$]ally-qualifi$ heal? c5t] look-alike4 7,,vi7 ,a ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices-c]tifi$ ,opioid ,treatm5t ,program4 7,,vii7 ,a cl9ical program ( a ,/ate or ,f$]al jail1 prison1 or o!r facility :]e individuals are inc>c]at$4 7,,viii7 ,a cl9ic t demon/rates compliance ) ! ,model ,policy on ,,data #bjjj & ,treatm5t ( ,opioid ,addiction 9 ! ,m$ical ,(fice issu$ by ! ,f$]ation ( ,/ate ,m$ical ,bo>ds4 7,,ix7 ,a treatm5t sett+ t is "p ( an ,accr$itation ,c\ncil = ,graduate ,m$ical ,education1 ,am]ican ,association ( ,colleges ( ,o/eopa?ic ,m$ic9e1 or ,am]ican ,o/eopa?ic ,association-accr$it$ resid5cy or fell[%ip tra9+ program4 7,x7 ,any o!r practice sett+ approv$ by a ,/ate regulatory bo>d1 ,/ate sub/ance abuse ag5cy1 or ,/ate ,m$icaid ,plan to provide addiction treatm5t s]vices4 7,,xi7 ,any o!r practice sett+ approv$ by ! ,secret>y4 4 #icc4 ,evaluation by assi/ant ,secret>y = plann+ & evaluation ,two ye>s aft] ! date on :i* ! fir/ notification "u clause 7iv7 ( section #cjc7;g77#b77;,b7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7;g77#b77;,b771 z add$ by section #ica1 is receiv$ by ! ,secret>y ( ,heal? & ,human ,s]vices1 ! ,assi/ant ,secret>y = ,plann+ & ,evaluation %all initiate an evaluation ( ! effectiv5ess ( ! am5dm5ts made by sections #cja & #cjb1 :i* %all include an evaluation (-- 7#a7 any *anges 9 ! availability & use ( m$ication-assi/$ treatm5t = opioid addiction2 7#b7 ! quality ( m$ication-assi/$ treatm5t programs2 7#c7 ! integration ( m$ication-assi/$ treatm5t ) r\t9e heal?c>e s]vices2 7#d7 div]sion ( opioid addiction treatm5t m$ication2 7#e7 *anges 9 ,/ate or local policies & legislation relat+ to opioid addiction treatm5t2 7#f7 ! use ( nurse practition]s & physician assi/ants :o prescribe opioid addiction m$ication2 7#g7 ! use ( ,prescription ,drug ,monitor+ ,programs by waiv$ practition]s to maximize safety ( pati5t c>e & prev5t div]sion ( opioid addiction m$ication2 7#h7 ! f9d+s ( ! ,drug ,en=cem5t ,adm9i/ration inspections ( waiv$ practition]s1 includ+ ! frequ5cy ) :i* ! ,drug ,en=cem5t ,adm9i/ration f9ds no docum5tation ( access to behavioral heal? s]vices2 & 7#i7 ! effectiv5ess ( cross-ag5cy collaboration betwe5 ! ,dep>tm5t ( ,heal? & ,human ,s]vices & ! ,drug ,en=cem5t ,adm9i/ration = exp&+ effective opioid addiction treatm5t4 #icd4 ,reau?orization ( resid5tial treatm5t programs = pregnant & po/p>tum wom5 ,section #ejh ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#a7 is am5d$-- 7#a7 9 subsection 7p71 by ins]t+ 7o!r ?an subsection 7r77 aft] section2 & 7#b7 9 subsection 7r71 by /rik+ su* sums & all t foll[s ?r\gh #bjjc & ins]t+ #dj1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 #ice4 ,pilot program grants = ,/ate sub/ance abuse ag5cies 7a7 ,9 g5]al ,section #ejh ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#a7 is am5d$-- 7#a7 by r$esignat+ subsection 7r71 z am5d$ by section #icd1 z subsection 7s72 & 7#b7 by ins]t+ aft] subsection 7q7 ! foll[+ new subsection3 7r7 ,pilot program = ,/ate sub/ance abuse ag5cies 7#a7 ,9 g5]al ,f am\nts made available "u subsection 7s71 ! ,director ( ! ,c5t] = ,sub/ance ,abuse ,treatm5t %all c>ry out a pilot program "u :i* competitive grants are made by ! ,director to ,/ate sub/ance abuse ag5cies to-- 7,a7 enhance flexibility 9 ! use ( funds design$ to support family-bas$ s]vices = pregnant & po/p>tum wom5 ) a prim>y diagnosis ( a sub/ance use disord]1 includ+ opioid use disord]s2 7,b7 help ,/ate sub/ance abuse ag5cies address id5tifi$ gaps 9 s]vices furni%$ to su* wom5 along ! cont9uum ( c>e1 includ+ s]vices provid$ to wom5 9 non-resid5tial bas$ sett+s2 & 7,c7 promote a coord9at$1 effective1 & effici5t ,/ate sy/em manag$ by ,/ate sub/ance abuse ag5cies by enc\rag+ new approa*es & models ( s]vice deliv]y4 7#b7 ,requirem5ts ,9 c>ry+ out ! pilot program "u ?is subsection1 ! ,director %all-- 7,a7 require ,/ate sub/ance abuse ag5cies to submit to ! ,director applications1 9 su* =m & mann] & conta9+ su* in=mation z specifi$ by ! ,director1 to be eligible to receive a grant "u ! program2 7,b7 id5tify1 bas$ on su* submitt$ applications1 ,/ate sub/ance abuse ag5cies t are eligible = su* grants2 7,c7 require s]vices propos$ to be furni%$ ?r\gh su* a grant to support family bas$ treatm5t & o!r s]vices = pregnant & po/p>tum wom5 ) a prim>y diagnosis ( a sub/ance use disord]1 includ+ opioid use disord]s2 7,d7 n require t s]vices furni%$ ?r\gh su* a grant be provid$ solely to wom5 t reside 9 facilities2 7,e7 n require t grant recipi5ts "u ! program make available ?r\gh use ( ! grant all s]vices describ$ 9 subsection 7d72 & 7,f7 consid] n apply+ requirem5ts describ$ 9 p>agraphs 7#a7 & 7#b7 ( subsection 7f7 to applicants1 dep5d+ on ! circum/ances ( ! applicant4 7#c7 ,requir$ s]vices 7,a7 ,9 g5]al ,! ,director %all specify a m9imum set ( s]vices requir$ to be made available to eligible wom5 ?r\gh a grant aw>d$ "u ! pilot program "u ?is subsection4 ,su* m9imum set-- 7i7 %all include requirem5ts describ$ 9 subsection 7c7 & be bas$ on ! recomm5dations submitt$ "u subp>agraph 7,b72 & 7ii7 may be select$ f among ! s]vices describ$ 9 subsection 7d7 & include o!r s]vices z appropriate4 7,b7 ,/akehold] input ,! ,director %all conv5e & solicit recomm5dations f /akehold]s1 includ+ ,/ate sub/ance abuse ag5cies1 heal? c>e provid]s1 p]sons 9 recov]y f sub/ance abuse1 & o!r appropriate individuals1 = ! m9imum set ( s]vices describ$ 9 subp>agraph 7,a74 7#d7 ,duration ,! pilot program "u ?is subsection %all n exce$ #e ye>s4 7#e7 ,evaluation & ,report to ,congress ,! ,director ( ! ,c5t] = ,behavioral ,heal? ,/ati/ics & ,quality %all fund an evaluation ( ! pilot program at ! conclusion ( ! fir/ grant cycle fund$ by ! pilot program4 ,! ,director ( ! ,c5t] = ,behavioral ,heal? ,/ati/ics & ,quality1 9 coord9ation ) ! ,director ( ! ,c5t] = ,sub/ance ,abuse ,treatm5t %all submit to ! relevant ,committees ( jurisdiction ( ! ,h\se ( ,repres5tatives & ! ,s5ate a report on su* evaluation4 ,! report %all include at a m9imum outcomes in=mation f ! pilot program1 includ+ any result+ r$uctions 9 ! use ( alcohol & o!r drugs2 engagem5t 9 treatm5t s]vices2 ret5tion 9 ! appropriate level & duration ( s]vices2 increas$ access to ! use ( m$ications approv$ by ! ,food & ,drug ,adm9i/ration = ! treatm5t ( sub/ance use disord]s 9 comb9ation ) c\nsel+2 & o!r appropriate measures4 7#f7 ,/ate sub/ance abuse ag5cies def9$ ,= purposes ( ?is subsection1 ! t]m ,/ate sub/ance abuse ag5cy means1 ) respect to a ,/ate1 ! ag5cy 9 su* ,/ate t manages ! ,sub/ance ,abuse ,prev5tion & ,treatm5t ,block ,grant "u "p ,b ( title ,,xix4 4 7b7 ,fund+ ,subsection 7s7 ( section #ejh ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#a71 z am5d$ by section #icd & r$esignat$ by subsection 7a71 is fur!r am5d$ by add+ at ! end ! foll[+ new s5t5ce3 ,( ! am\nts made available = a ye> pursuant to ! previ\s s5t5ce to c>ry out ?is section1 n m ?an #be p]c5t ( su* am\nts %all be made available = su* ye> to c>ry out subsection 7r71 o!r ?an p>agraph 7#e7 ( su* subsection44 #icf4 ,evid5ce-bas$ opioid & h]o9 treatm5t & int]v5tions demon/ration ,subp>t #a ( "p ,b ( title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb et seq47 is am5d$-- 7#a7 by r$esignat+ section #ead 7#db ,u4,s4,c4 #bij;bb-#i71 z add$ by section #cfcb ( ! ,me?amphetam9e ,anti-,prolif]ation ,act ( #bjjj 7,public ,law #ajf-caj2 #aad ,/at4 #abcf71 z section #ead;,b2 & 7#b7 by add+ at ! end ! foll[+3 #ead;,c4 ,evid5ce-bas$ opioid & h]o9 treatm5t & int]v5tions demon/ration 7a7 ,grants 7#a7 ,au?ority to make grants ,! ,director ( ! ,c5t] = ,sub/ance ,abuse ,treatm5t 7ref]r$ to 9 ?is section z ! ,director7 %all aw>d grants to ,/ate sub/ance abuse ag5cies1 units ( local gov]nm5t1 nonpr(it organizations1 & ,indian tribes or tribal organizations 7z def9$ 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afjc77 t h a high rate1 or h _h a rapid increase1 9 ! use ( h]o9 or o!r opioids1 9 ord] to p]mit su* entities to exp& activities1 includ+ an expansion 9 ! availability ( m$ication assi/$ treatm5t1 evid5ce-bas$ c\nsel+1 or behavioral !rapies ) respect to ! treatm5t ( addiction 9 ! specific geographical areas ( su* entities :]e !re is a rate or rapid increase 9 ! use ( h]o9 or o!r opioids4 7#b7 ,recipi5ts ,! entities receiv+ grants "u p>agraph 7#a7 %all be select$ by ! ,director4 7#c7 ,nature ( activities ,! grant funds aw>d$ "u p>agraph 7#a7 %all be us$ = activities t are bas$ on reliable sci5tific evid5ce ( efficacy 9 ! treatm5t ( problems relat$ to h]o9 or o!r opioids4 7b7 ,geographic di/ribution ,! ,director %all ensure t grants aw>d$ "u subsection 7a7 are di/ribut$ equitably among ! v>i\s regions ( ! ,nation & among rural1 urban1 & suburban areas t are affect$ by ! use ( h]o9 or o!r opioids4 7c7 ,additional activities ,! ,director %all-- 7#a7 evaluate ! activities support$ by grants aw>d$ "u subsection 7a72 7#b7 dissem9ate widely su* significant in=mation d]iv$ f ! evaluation z ! ,director consid]s appropriate2 7#c7 provide ,/ates1 ,indian tribes & tribal organizations1 & provid]s ) te*nical assi/ance 9 connection ) ! provision ( treatm5t ( problems relat$ to h]o9 & o!r opioids2 & 7#d7 fund only ^? applications t specifically support recov]y s]vices z a critical compon5t ( ! grant program4 7d7 ,def9ition ,! t]m m$ication assi/$ treatm5t means ! use1 = problems relat+ to h]o9 & o!r opioids1 ( m$ications approv$ by ! ,food & ,drug ,adm9i/ration 9 comb9ation ) c\nsel+ & behavioral !rapies4 7e7 ,au?orization ( appropriations 7#a7 ,9 g5]al ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #cjj1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 7#b7 ,use ( c]ta9 funds ,( ! funds appropriat$ to c>ry out ?is section 9 any fiscal ye>1 n m ?an #e p]c5t ( su* funds %all be available to ! ,director = purposes ( c>ry+ out subsection 7c74 4 #icg4 ,adolesc5t treatm5t & recov]y s]vices demon/ration grant program ,subp>t #a ( "p ,b ( title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb et seq471 z am5d$ by section #icf1 is fur!r am5d$ by add+ at ! end ! foll[+3 #ead;,d4 ,grants to improve access to treatm5t & recov]y = adolesc5ts 7a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,director ( ! ,c5t] = ,sub/ance ,abuse ,treatm5t1 %all aw>d grants1 contracts1 or coop]ative agreem5ts to eligible ,/ate sub/ance abuse ag5cies & o!r entities det]m9$ appropriate by ! ,director = ! purpose ( increas+ ! capacity ( sub/ance use disord] treatm5t & recov]y s]vices = adolesc5ts4 7b7 ,eligibility ,to be eligible to receive a grant1 contract1 or coop]ative agreem5t "u subsection 7a7 an entity %all-- 7#a7 prep>e & submit to ! ,director an application at su* "t1 9 su* mann]1 & conta9 su* in=mation z ! ,director may require1 includ+ a plan = ! evaluation ( any activities c>ri$ out ) ! funds provid$ "u ?is section2 7#b7 ensure t all entities receiv+ support "u ! grant1 contract1 or coop]ative agreem5t comply ) all applicable ,/ate lic5sure or c]tification requirem5ts reg>d+ ! provision ( ! s]vices involv$2 & 7#c7 provide ! ,director ) p]iodic evaluations ( ! progress ( ! activities fund$ "u ?is section & an evaluation at ! completion ( su* activities1 z ! ,director det]m9es to be appropriate4 7c7 ,priority ,9 aw>d+ grants1 contracts1 & coop]ative agreem5ts "u subsection 7a71 ! ,director %all give priority to applicants :o propose to fill a demon/rat$ geographic ne$ = adolesc5t specific resid5tial treatm5t s]vices4 7d7 ,use ( funds ,am\nts aw>d$ "u grants1 contracts1 or coop]ative agreem5ts "u ?is section may be us$ to enable heal? c>e provid]s or facilities t provide treatm5t & recov]y assi/ance = adolesc5ts ) a sub/ance use disord] to provide ! foll[+ s]vices3 7#a7 ,individualiz$ pati5t c5t]$ c>e t is specific to circum/ances ( ! individual pati5t4 7#b7 ,cl9ically appropriate1 trauma-in=m$1 g5d]-specific & age appropriate treatm5t s]vices t are bas$ on reliable sci5tific evid5ce ( efficacy 9 ! treatm5t ( problems relat$ to sub/ance use disord]s4 7#c7 ,cl9ically appropriate c>e to address treatm5t = sub/ance use & any co-occurr+ physical & m5tal heal? disord]s at ! same location1 & ?r\gh access to prim>y c>e s]vices4 7#d7 ,coord9ation ( treatm5t s]vices ) recov]y & o!r social support1 includ+ educational1 vocational tra9+1 assi/ance ) ! juv5ile ju/ice sy/em1 *ild welf>e1 & m5tal heal? ag5cies4 7#e7 ,aft]c>e & long-t]m recov]y support1 includ+ pe] support s]vices4 7e7 ,duration ( assi/ance ,grants1 contracts1 & coop]ative agreem5ts aw>d$ "u subsection 7a7 %all be = a p]iod n to exce$ #e ye>s4 7f7 ,additional activities ,! ,director %all-- 7#a7 collect & evaluate ! activities c>ri$ out ) am\nt receiv$ "u subsection 7a72 7#b7 dissem9ate widely su* significant in=mation d]iv$ f ! evaluation z ! ,secret>y consid]s appropriate2 & 7#c7 provide ,/ates1 ,indian tribes & tribal organizations1 & provid]s ) te*nical assi/ance 9 connection ) ! provision ( treatm5t & recov]y s]vices fund$ ?r\gh ?is section to adolesc5ts relat$ to ! abuse ( h]o9 & o!r opioids4 7g7 ,au?orization ( appropriations 7#a7 ,9 g5]al ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section1 #be1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 7#b7 ,use ( c]ta9 funds ,( ! funds appropriat$ to c>ry out ?is section 9 any fiscal ye>1 n m ?an #e p]c5t ( su* funds %all be available to ! ,director = purposes ( c>ry+ out subsection 7f74 4 #ich4 ,/udy on treatm5t infra/ructure ,n lat] ?an #bd mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all initiate an evaluation1 & submit to ,congress a report1 ( ! inpati5t & outpati5t treatm5t capacity1 availability1 & ne$s ( ! ,unit$ ,/ates1 :i* %all include1 to ! ext5t data is available-- 7#a7 ! capacity ( acute resid5tial or inpati5t detoxification programs2 7#b7 ! capacity ( inpati5t cl9ical /abilization programs1 transitional resid5tial support s]vices1 & resid5tial rehabilitation programs2 7#c7 ! capacity ( demographic specific resid5tial or inpati5t treatm5t programs1 su* z ^? design$ = pregnant wom5 or adolesc5ts2 7#d7 geographical diff]5ces ( ! availability ( resid5tial & outpati5t treatm5t & recov]y options = sub/ance use disord]s across ! cont9uum ( c>e2 7#e7 ! availability ( resid5tial & outpati5t treatm5t programs t (f] treatm5t options bas$ on reliable sci5tific evid5ce ( efficacy = ! treatm5t ( sub/ance use disord]s1 includ+ ! use ( ,food & ,drug ,adm9i/ration-approv$ m$ic9es & evid5ce-bas$ nonph>macological !rapies2 7#f7 ! numb] ( pati5ts 9 resid5tial & specialty outpati5t treatm5t s]vices = sub/ance use disord]s2 & 7#g7 an assessm5t ( ! ne$ = resid5tial & outpati5t treatm5t = sub/ance use disord]s across ! cont9uum ( c>e4 #ici4 ,sub/ance use disord] pr(essional loan repaym5t program ,subp>t #c ( "p ,e ( title ,,vii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bie;f et seq47 is am5d$ by add+ at ! end ! foll[+3 #ggi4 ,sub/ance use disord] pr(essional loan repaym5t program 7a7 ,e/abli%m5t ,! ,secret>y %all e/abli% & c>ry out a sub/ance use disord] heal? pr(essional loan repaym5t program "u :i* qualifi$ heal? pr(essionals agree to be employ$ full "t = a specifi$ p]iod 7:i* %all be n less ?an #b ye>s7 9 provid+ sub/ance use disord] prev5tion & treatm5t s]vices4 7b7 ,program adm9i/ration ,?r\gh ! program e/abli%$ "u ?is section1 ! ,secret>y %all ent] into contracts ) qualifi$ heal? pr(essionals "u :i*-- 7#a7 a qualifi$ heal? pr(essional agrees to provide sub/ance use disord] prev5tion & treatm5t s]vices ) respect to an area or population t 7z det]m9$ by ! ,secret>y7-- 7,a7 has a %ortage ( su* s]vices 7z def9$ by ! ,secret>y72 & 7,b7 has a suffici5t population ( individuals ) a sub/ance use disord] to support ! provision ( su* s]vices2 & 7#b7 ! ,secret>y agrees to make paym5ts on ! pr9cipal & int]e/ ( und]graduate1 or graduate education loans ( ! qualifi$ heal? pr(essional-- 7,a7 ( n m ?an #ce1jjj = ea* ye> ( s]vice describ$ 9 p>agraph 7#a72 & 7,b7 = n m ?an #c ye>s4 7c7 ,qualifi$ heal? pr(essional def9$ ,9 ?is section1 ! t]m qualifi$ heal? pr(essional means an individual :o is 7or w be ^u ! completion ( ! individual's graduate education7 a psy*iatri/1 psy*ologi/1 nurse practition]1 physician assi/ant1 cl9ical social work]1 sub/ance abuse c\nselor1 or o!r sub/ance use disord] heal? pr(essional4 7d7 ,priority ,9 ent]+ into agreem5ts "u ?is section1 ! ,secret>y %all give priority to applicants :o-- 7#a7 h famili>ity ) evid5ce-bas$ me?ods & culturally & l+ui/ically compet5t heal? c>e s]vices2 & 7#b7 demon/rate f9ancial ne$4 7e7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ #bj1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba to c>ry out ?is section4 4 ,d ,recov]y #iea4 ,national y\? recov]y initiative 7a7 ,def9itions ,9 ?is section3 7#a7 ,eligible entity ,! t]m eligible entity means-- 7,a7 a high s*ool t has be5 accr$it$ z a recov]y high s*ool by ! ,association ( ,recov]y ,s*ools2 7,b7 an accr$it$ high s*ool t is seek+ to e/abli% or exp& recov]y support s]vices2 7,c7 an in/itution ( high] education2 7,d7 a recov]y program at a nonpr(it collegiate in/itution2 or 7,e7 a nonpr(it organization4 7#b7 ,in/itution ( high] education ,! t]m in/itution ( high] education has ! mean+ giv5 ! t]m 9 section #aja ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajja74 7#c7 ,recov]y program ,! t]m recov]y program-- 7,a7 means a program to help individuals :o are recov]+ f sub/ance use disord]s to initiate1 /abilize1 & ma9ta9 heal?y & productive lives 9 ! community2 & 7,b7 includes pe]-to-pe] support & communal activities to build recov]y skills & supportive social networks4 7b7 ,grants au?oriz$ ,! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 9 consultation ) ! ,secret>y ( ,education1 may aw>d grants to eligible entities to enable ! entities to-- 7#a7 provide sub/ance use recov]y support s]vices to "y p 9 high s*ool & enroll$ 9 in/itutions ( high] education2 7#b7 help build communities ( support = "y p 9 recov]y ?r\gh a spectrum ( activities su* z c\nsel+ & heal?y & wellness-ori5t$ social activities2 & 7#c7 enc\rage initiatives design$ to help "y p a*ieve & su/a9 recov]y f sub/ance use disord]s4 7c7 ,use ( funds ,grants aw>d$ "u subsection 7b7 may be us$ = activities to develop1 support1 & ma9ta9 y\? recov]y support s]vices1 includ+-- 7#a7 ! developm5t & ma9t5ance ( a d$icat$ physical space = recov]y programs2 7#b7 d$icat$ /aff = ! provision ( recov]y programs2 7#c7 heal?y & wellness-ori5t$ social activities & community engagem5t2 7#d7 e/abli%m5t ( recov]y high s*ools2 7#e7 coord9ation ( recov]y programs )-- 7,a7 sub/ance use disord] treatm5t programs & sy/ems2 7,b7 provid]s ( m5tal heal? s]vices2 7,c7 prim>y c>e provid]s2 7,d7 ! crim9al ju/ice sy/em1 includ+ ! juv5ile ju/ice sy/em2 7,e7 employ]s2 7,f7 h\s+ s]vices2 7,g7 *ild welf>e s]vices2 7,h7 in/itutions ( second>y high] education & in/itutions ( high] education2 & 7,i7 o!r programs or s]vices relat$ to ! welf>e ( an individual 9 recov]y f a sub/ance use disord]2 7#f7 ! developm5t ( pe]-to-pe] support programs or s]vices2 & 7#g7 additional activities t help y\?s & "y adults to a*ieve recov]y f sub/ance use disord]s4 7d7 ,te*nical support ,! ,secret>y ( ,heal? & ,human ,s]vices %all provide te*nical support to recipi5ts ( grants "u ?is section4 7e7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #cj1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 #ieb4 ,grants to enhance & exp& recov]y support s]vices ,subp>t #a ( "p ,b ( title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb et seq471 z am5d$ by sections #cjf & #cjg1 is fur!r am5d$ by add+ at ! end ! foll[+3 #ead;,e4 ,grants to enhance & exp& recov]y support s]vices 7a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,adm9i/rator ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 %all aw>d grants to ,/ate sub/ance abuse ag5cies & nonpr(it organizations to develop1 exp&1 & enhance recov]y support s]vices = individuals ) sub/ance use disord]s4 7b7 ,eligible entities ,9 ! case ( an applicant t is n a ,/ate sub/ance abuse ag5cy1 to be eligible to receive a grant "u ?is section1 ! entity %all-- 7#a7 prep>e & submit to ! ,secret>y an application at su* "t1 9 su* mann]1 & conta9 su* in=mation z ! ,secret>y may require1 includ+ a plan = ! evaluation ( any activities c>ri$ out ) ! funds provid$ "u ?is section2 7#b7 demon/rate ! inclusion ( individuals 9 recov]y f a sub/ance use disord] 9 lead]%ip levels or gov]n+ bodies ( ! entity2 7#c7 h z a prim>y mission ! provision ( long-t]m recov]y support = sub/ance use disord]s2 & 7#d7 be accr$it$ by ! ,c\ncil on ! ,accr$itation ( ,pe] ,recov]y ,support ,s]vices or meet any applicable ,/ate c]tification requirem5ts reg>d+ ! provision ( ! recov]y s]vices involv$4 7c7 ,use ( funds ,am\nts aw>d$ "u a grant "u ?is section %all be us$ to provide = ! foll[+ activities3 7#a7 ,educat+ & m5tor+ t assi/s individuals & families ) sub/ance use disord]s 9 navigat+ sy/ems ( c>e4 7#b7 ,pe] recov]y support s]vices :i* include pe] coa*+ & m5tor+4 7#c7 ,recov]y-focus$ community education & outrea* programs1 includ+ tra9+ on ! use ( all =ms ( opioid ov]dose antagoni/s us$ to c\nt] ! effects ( an ov]dose4 7#d7 ,tra9+1 m5tor+1 & education to develop & enhance pe] m5tor+ & coa*+4 7#e7 ,programs aim$ at id5tify+ & r$uc+ /igma & discrim9atory practices t s]ve z b>ri]s to sub/ance use disord] recov]y & treatm5t ( ^! disord]s4 7#f7 ,develop+ p>tn]%ips betwe5 networks t support recov]y & o!r community organizations & s]vices1 includ+-- 7,a7 public & private sub/ance use disord] treatm5t programs & sy/ems2 7,b7 heal? c>e provid]s2 7,c7 recov]y-focus$ addiction & recov]y pr(essionals2 7,d7 fai?-bas$ organizations2 7,e7 organizations focus$ on crim9al ju/ice re=m2 7,f7 s*ools2 & 7,g7 social s]vice ag5cies 9 ! community1 includ+ educational1 juv5ile ju/ice1 *ild welf>e1 h\s+1 & m5tal heal? ag5cies4 7d7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section1 #ajj1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 4