,,ii #aadth ,,congress #b;d ,session ,s4 #bfhj ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,march #ae1 #bjaf ,mr4 ,alexander 7for himself1 ,mrs4 ,murray1 ,mr4 ,cassidy1 and ,mr4 ,murphy7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to amend the ,public ,health ,service ,act to provide comprehensive mental health reform1 and for other purposes4 #a4 ,short title2 table of contents 7a7 ,short title ,this ,act may be cited as the ,mental ,health ,reform ,act of #bjaf4 7b7 ,table of contents ,the table of contents for this ,act is as follows3 ,sec4 #a4 ,short title2 table of contents4 ,,title ,i--,strengthening leadership and accountability ,sec4 #aja4 ,improving oversight of mental and substance use disorder programs4 ,sec4 #ajb4 ,strengthening leadership of the ,substance ,abuse and ,mental ,health ,services ,administration4 ,sec4 #ajc4 ,chief ,medical ,officer4 ,sec4 #ajd4 ,strategic plan4 ,sec4 #aje4 ,biennial report concerning activities and progress4 ,sec4 #ajf4 ,authorities of centers for mental health services4 ,sec4 #ajg4 ,advisory councils4 ,sec4 #ajh4 ,peer review4 ,sec4 #aji4 ,inter-,departmental ,serious ,mental ,illness ,coordinating ,committee4 ,,title ,,ii--,ensuring mental and substance use disorder prevention1 treatment1 and recovery programs keep pace with science ,sec4 #bja4 ,encouraging innovation and evidence-based programs4 ,sec4 #bjb4 ,promoting access to information on evidence-based programs and practices4 ,sec4 #bjc4 ,priority mental health needs of regional and national significance4 ,,title ,,iii--,supporting ,state ,responses to ,mental ,health and ,substance ,use ,disorder ,needs ,sec4 #cja4 ,community ,mental ,health ,services ,block ,grant4 ,sec4 #cjb4 ,additional provisions related to the block grants4 ,sec4 #cjc4 ,study of distribution of funds under the ,substance ,abuse ,prevention and ,treatment ,block ,grant and the ,community ,mental ,health ,services ,block ,grant4 ,,title ,,iv--,promoting access to mental health and substance use disorder care ,sec4 #dja4 ,grants for treatment and recovery for homeless individuals4 ,sec4 #djb4 ,grants for jail diversion programs4 ,sec4 #djc4 ,promoting integration of primary and behavioral health care4 ,sec4 #djd4 ,projects for assistance in transition from homelessness4 ,sec4 #dje4 ,national ,suicide ,prevention ,lifeline program4 ,sec4 #djf4 ,connecting individuals and families with care4 ,sec4 #djg4 ,streamlining mental and behavioral health workforce programs4 ,sec4 #djh4 ,reports4 ,sec4 #dji4 ,centers and program repeals4 ,,title ,v--,strengthening mental and substance use disorder care for children and adolescents ,sec4 #eja4 ,programs for children with serious emotional disturbances4 ,sec4 #ejb4 ,telehealth child psychiatry access grants4 ,sec4 #ejc4 ,substance use disorder treatment and early intervention services for children and adolescents4 ,sec4 #ejd4 ,residential treatment programs for pregnant and parenting women4 ,,title ,,vi--,improving patient care and access to mental and substance use disorder benefits ,sec4 #fja4 ,,hipaa clarification4 ,sec4 #fjb4 ,identification of model training programs4 ,sec4 #fjc4 ,confidentiality of records4 ,sec4 #fjd4 ,enhanced compliance with mental health and substance use disorder coverage requirements4 ,sec4 #fje4 ,action plan for enhanced enforcement of mental health and substance use disorder coverage4 ,sec4 #fjf4 ,report on investigations regarding parity in mental health and substance use disorder benefits4 ,sec4 #fjg4 ,,gao study on coverage limitations for individuals with serious mental illness and substance use disorders4 ,sec4 #fjh4 ,clarification of existing parity rules4 ,i ,strengthening leadership and accountability #aja4 ,improving oversight of mental and substance use disorder programs 7a7 ,in general ,the ,secretary of ,health and ,human ,services1 acting through the ,assistant ,secretary for ,planning and ,evaluation 7referred to in this section as the ,assistant ,secretary71 shall ensure efficient and effective planning and evaluation of mental and substance use disorder programs and related activities4 7b7 ,activities ,in carrying out subsection 7a71 the ,assistant ,secretary shall-- 7#a7 evaluate programs related to mental and substance use disorders1 including co-occurring disorders1 across agencies and other organizations1 as appropriate1 including programs related to-- 7,a7 prevention1 intervention1 treatment1 and recovery support services1 including such services for individuals with a serious mental illness or serious emotional disturbance2 7,b7 the reduction of homelessness and incarceration among individuals with a mental or substance use disorder2 and 7,c7 public health and health services2 and 7#b7 consult1 as appropriate1 with the ,administrator of the ,substance ,abuse and ,mental ,health ,services ,administration1 the ,chief ,medical ,officer of the ,substance ,abuse and ,mental ,health ,services ,administration1 established under section #eja7;g7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;aa7g77 as amended by section #ajc1 other agencies within the ,department of ,health and ,human ,services1 and other relevant ,federal departments4 7c7 ,recommendations ,the ,assistant ,secretary shall evaluate and provide recommendations to the ,substance ,abuse and ,mental ,health ,services ,administration and other relevant agencies within the ,department of ,health and ,human ,services on improving programs and activities based on the evaluation described in subsection 7b77#a74 #ajb4 ,strengthening leadership of the ,substance ,abuse and ,mental ,health ,services ,administration ,section #eja of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;aa7 is amended-- 7#a7 in subsection 7b7-- 7,a7 by striking the heading and inserting ,centers2 and 7,b7 in the matter preceding paragraph 7#a71 by striking entities and inserting ,centers2 and 7#b7 in subsection 7d7-- 7,a7 in paragraph 7#a7-- 7i7 by striking agencies each place the term appears and inserting ,centers2 and 7ii7 by striking such agency and inserting such ,center2 7,b7 in paragraph 7#b7-- 7i7 by striking agencies and inserting ,centers2 7ii7 by striking with respect to substance abuse and inserting with respect to substance use disorders2 and 7iii7 by striking and individuals who are substance abusers and inserting and individuals with substance use disorders2 7,c7 in paragraph 7#e71 by striking substance abuse and inserting substance use disorder2 7,d7 in paragraph 7#f7-- 7i7 by striking the ,centers for ,disease ,control and inserting the ,centers for ,disease ,control and ,prevention12 7ii7 by striking ,,hiv or tuberculosis among substance abusers and individuals with mental illness and inserting ,,hiv1 hepatitis ,c1 tuberculosis1 and other communicable diseases among individuals with mental illness or substance use disorders12 and 7iii7 by inserting or disorders before the semicolon2 7,e7 in paragraph 7#g71 by striking abuse utilizing anti-addiction medications1 including methadone and inserting use disorders1 including services that utilize drugs or devices approved by the ,food and ,drug ,administration for substance use disorders2 7,f7 in paragraph 7#h7-- 7i7 by striking ,agency for ,health ,care ,policy ,research and inserting ,agency for ,healthcare ,research and ,quality2 and 7ii7 by striking treatment and prevention and inserting prevention and treatment2 7,g7 in paragraph 7#i7-- 7i7 by inserting and maintenance after development2 7ii7 by striking ,agency for ,health ,care ,policy ,research and inserting ,agency for ,healthcare ,research and ,quality2 and 7iii7 by striking treatment and prevention and inserting prevention and treatment and appropriately incorporated into programs carried out by the ,administration2 7,h7 in paragraph 7#aj71 by striking abuse and inserting use disorder2 7,i7 by striking paragraph 7#aa7 and inserting the following3 7#aa7 work with relevant agencies of the ,department of ,health and ,human ,services on integrating mental health promotion and substance use disorder prevention with general health promotion and disease prevention and integrating mental and substance use disorder treatment services with physical health treatment services2 2 7,j7 in paragraph 7#ac7-- 7i7 in the matter preceding subparagraph 7,a71 by striking this title1 assure that and inserting this title1 or part ,b of title ,,xix1 or grant programs otherwise funded by the ,administration2 7ii7 in subparagraph 7,a7-- 7,i7 by inserting require that before all grants2 and 7,,ii7 by striking and at the end2 7iii7 by redesignating subparagraph 7,b7 as subparagraph 7,c72 7iv7 by inserting after subparagraph 7,a7 the following3 7,b7 ensure that the director of each ,center of the ,administration consistently documents the application of criteria when awarding grants and the ongoing oversight of grantees after such grants are awarded2 2 7v7 in subparagraph 7,c71 as so redesignated-- 7,i7 by inserting require that before all grants2 and 7,,ii7 by inserting and after the semicolon at the end2 and 7vi7 by adding at the end the following3 7,d7 inform a ,state when any funds are awarded through such a grant to any entity within such ,state2 2 7,k7 in paragraph 7#af7-- 7i7 by striking abuse and mental health information and inserting use disorder1 including evidence-based and promising best practices for prevention1 treatment1 and recovery support services for individuals with mental and substance use disorders12 7,l7 in paragraph 7#ag7-- 7i7 by striking substance abuse and inserting mental and substance use disorder2 and 7ii7 by striking and at the end2 7,m7 in paragraph 7#ah71 by striking the period and inserting a semicolon2 and 7,n7 by adding at the end the following3 7#ai7 consult with ,state1 local1 and tribal governments1 nongovernmental entities1 and individuals with mental illness1 particularly individuals with a serious mental illness and children and adolescents with a serious emotional disturbance1 and their family members1 with respect to improving community-based and other mental health services2 7#bj7 collaborate with the ,secretary of ,defense and the ,secretary of ,veterans ,affairs to improve the provision of mental and substance use disorder services provided by the ,department of ,defense and the ,department of ,veterans ,affairs to veterans1 including through the provision of services using the telehealth capabilities of the ,department of ,veterans ,affairs2 7#ba7 collaborate with the heads of ,federal departments and programs that are members of the ,united ,states ,interagency ,council on ,homelessness1 particularly the ,secretary of ,housing and ,urban ,development1 the ,secretary of ,labor1 and the ,secretary of ,veterans ,affairs1 and with the heads of other agencies within the ,department of ,health and ,human ,services1 particularly the ,administrator of the ,health ,resources and ,services ,administration1 the ,assistant ,secretary for the ,administration for ,children and ,families1 and the ,administrator of the ,centers for ,medicare ,medicaid ,services1 to design national strategies for providing services in supportive housing to assist in ending chronic homelessness and to implement programs that address chronic homelessness2 and 7#bb7 work with ,states and other stakeholders to develop and support activities to recruit and retain a workforce addressing mental and substance use disorders4 4 #ajc4 ,chief ,medical ,officer ,section #eja of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;aa71 as amended by section #ajb1 is further amended-- 7#a7 by redesignating subsections 7g7 through 7j7 and subsections 7k7 through 7o7 as subsections 7h7 through 7k7 and subsections 7m7 through 7q71 respectively2 7#b7 in subsection 7e77#c77;,c71 by striking subsection 7k7 and inserting subsection 7m72 7#c7 in subsection 7f77#b77;,c77iii71 by striking subsection 7k7 and inserting subsection 7m72 and 7#d7 by inserting after subsection 7f7 the following3 7g7 ,chief medical officer 7#a7 ,in general ,the ,administrator1 with the approval of the ,secretary1 shall appoint a ,chief ,medical ,officer within the ,administration4 7#b7 ,eligible candidates ,the ,administrator shall select the ,chief ,medical ,officer from among individuals who-- 7,a7 have a doctoral degree in medicine or osteopathic medicine2 7,b7 have experience in the provision of mental or substance use disorder services2 7,c7 have experience working with mental or substance use disorder programs2 and 7,d7 have an understanding of biological1 psychosocial1 and pharmaceutical treatments of mental or substance use disorders4 7#c7 ,duties ,the ,chief ,medical ,officer shall-- 7,a7 serve as a liaison between the ,administration and providers of mental and substance use disorder prevention1 treatment1 and recovery services2 7,b7 assist the ,administrator in the evaluation1 organization1 integration1 and coordination of programs operated by the ,administration2 7,c7 promote evidence-based and promising best practices1 including culturally and linguistically appropriate practices1 as appropriate1 for the prevention1 treatment1 and recovery of substance use disorders and mental illness1 including serious mental illness and serious emotional disturbance2 and 7,d7 participate in regular strategic planning for the ,administration4 4 #ajd4 ,strategic plan ,section #eja of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;aa71 as amended by section #ajc1 is further amended by inserting after subsection 7k71 as redesignated in section #ajc1 the following3 7l7 ,strategic plan 7#a7 ,in general ,not later than ,december #a1 #bjag1 and every #d years thereafter1 the ,administrator shall develop and carry out a strategic plan in accordance with this subsection for the planning and operation of programs and grants carried out by the ,administration4 7#b7 ,coordination ,in developing and carrying out the strategic plan under this section1 the ,administrator shall take into consideration the findings and recommendations of the ,assistant ,secretary for ,planning and ,evaluation under section #aja of the ,mental ,health ,reform ,act of #bjaf and the report of the ,inter-,departmental ,serious ,mental ,illness ,coordinating ,committee under section #aji of such ,act4 7#c7 ,publication of plan ,not later than ,december #a1 #bjag1 and every #d years thereafter1 the ,administrator shall-- 7,a7 submit the strategic plan developed under paragraph 7#a7 to the appropriate committees of ,congress2 and 7,b7 post such plan on the ,internet website of the ,administration4 7#d7 ,contents ,the strategic plan developed under paragraph 7#a7 shall-- 7,a7 identify strategic priorities1 goals1 and measurable objectives for mental and substance use disorder activities and programs operated and supported by the ,administration2 7,b7 identify ways to improve services for individuals with a mental or substance use disorder1 including services related to the prevention of1 diagnosis of1 intervention in1 treatment of1 and recovery from1 mental or substance use disorders1 including serious mental illness or serious emotional disturbance1 and access to services and supports for individuals with a serious mental illness or serious emotional disturbance2 7,c7 ensure that programs provide1 as appropriate1 access to effective and evidence-based diagnosis1 prevention1 intervention1 treatment1 and recovery services1 including culturally and linguistically appropriate services1 as appropriate1 for individuals with a mental or substance use disorder2 7,d7 identify opportunities to collaborate with the ,health ,resources and ,services ,administration to develop or improve-- 7i7 initiatives to encourage individuals to pursue careers 7especially in rural and underserved areas and populations7 as psychiatrists1 psychologists1 psychiatric nurse practitioners1 physician assistants1 clinical social workers1 certified peer support specialists1 or other licensed or certified mental health professionals1 including such professionals specializing in the diagnosis1 evaluation1 or treatment of individuals with a serious mental illness or serious emotional disturbance2 and 7ii7 a strategy to improve the recruitment1 training1 and retention of a workforce for the treatment of individuals with mental or substance use disorders1 or co-occurring disorders2 and 7,e7 disseminate evidenced-based and promising best practices related to prevention1 early intervention1 treatment1 and recovery services related to mental illness1 particularly for individuals with a serious mental illness and children and adolescents with a serious emotional disturbance1 and substance use disorders4 4 #aje4 ,biennial report concerning activities and progress 7a7 ,in general ,section #eja of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;aa71 as amended by section #ajd1 is further amended by amending subsection 7m71 as redesignated by section #ajc1 to read as follows3 7m7 ,biennial report concerning activities and progress ,not later than ,december of #bjai1 and every #b years thereafter1 the ,administrator shall prepare and submit to the ,committee on ,energy and ,commerce and the ,committee on ,appropriations of the ,house of ,representatives and the ,committee on ,health1 ,education1 ,labor1 and ,pensions and the ,committee on ,appropriations of the ,senate1 and post on the ,internet website of the ,administration1 a report containing at a minimum-- 7#a7 a review of activities conducted or supported by the ,administration1 including progress toward strategic priorities1 goals1 and objectives identified in the strategic plan developed under subsection 7l72 7#b7 an assessment of programs and activities carried out by the ,administrator1 including the extent to which programs and activities under this title and part ,b of title ,,xix meet identified goals and performance measures developed for the respective programs and activities2 7#c7 a description of the progress made in addressing gaps in mental and substance use disorder prevention1 treatment1 and recovery services and improving outcomes by the ,administration1 including with respect to co-occurring disorders2 7#d7 a description of the manner in which the ,administration coordinates and partners with other ,federal agencies and departments related to mental and substance use disorders1 including activities related to-- 7,a7 the translation of research findings into improved programs1 including with respect to how advances in serious mental illness and serious emotional disturbance research have been incorporated into programs2 7,b7 the recruitment1 training1 and retention of a mental and substance use disorder workforce2 7,c7 the integration of mental or substance use disorder services and physical health services2 7,d7 homelessness2 and 7,e7 veterans2 7#e7 a description of the manner in which the ,administration promotes coordination by grantees under this title1 and part ,b of title ,,xix1 with ,state or local agencies2 and 7#f7 a description of the activities carried out by the ,office of ,policy1 ,planning1 and ,innovation under section #eja;,a with respect to mental and substance use disorders1 including-- 7,a7 the number and a description of grants awarded2 7,b7 the total amount of funding for grants awarded2 7,c7 a description of the activities supported through such grants1 including outcomes of programs supported2 and 7,d7 information on how the ,office of ,policy1 ,planning1 and ,innovation is consulting with the ,assistant ,secretary for ,planning and ,evaluation1 and collaborating with the ,center of ,substance ,abuse ,treatment1 the ,center of ,substance ,abuse ,prevention1 and the ,center for ,mental ,health ,services to carry out such activities2 and 7#g7 recommendations made by the ,assistant ,secretary for ,planning and ,evaluation to improve programs within the ,administration4 4 7b7 ,conforming amendment ,section #ejh7p7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#a7 is amended by striking section #eja7k7 and inserting section #eja7m74 #ajf4 ,authorities of centers for mental health services ,section #ebj7;b7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#ca7;b77 is amended-- 7#a7 by redesignating paragraphs 7#c7 through 7#ae7 as paragraphs 7#d7 through 7#af71 respectively2 7#b7 by inserting after paragraph 7#b7 the following3 7#c7 collaborate with the ,director of the ,national ,institute of ,mental ,health and the ,chief ,medical ,officer1 appointed under section #eja7;g71 to ensure that1 as appropriate1 programs related to the prevention of mental illness and the promotion of mental health are carried out in a manner that reflects the best available science and evidence-based practices1 including culturally and linguistically appropriate services1 as appropriate2 2 7#c7 in paragraph 7#e71 as so redesignated1 by inserting through programs that reduce risk and promote resiliency before the semicolon2 7#d7 in paragraph 7#f71 as so redesignated1 by inserting in collaboration with the ,director of the ,national ,institute of ,mental ,health1 before develop2 7#e7 in paragraph 7#h71 as so redesignated1 by inserting 1 increase meaningful participation of individuals with mental illness1 before and protect the legal2 7#f7 in paragraph 7#aj71 as so redesignated1 by striking professional and paraprofessional personnel pursuant to section #cjc and inserting paraprofessional personnel and health professionals2 7#g7 in paragraph 7#aa71 as so redesignated1 by inserting and tele-mental health1 after rural mental health12 7#h7 in paragraph 7#ab71 as so redesignated1 by striking establish a clearinghouse for mental health information to assure the widespread dissemination of such information and inserting disseminate mental health information1 including evidenced-based practices12 7#i7 in paragraph 7#ae71 as so redesignated1 by striking and at the end2 7#aj7 in paragraph 7#af71 as so redesignated1 by striking the period and inserting 2 and2 and 7#aa7 by adding at the end the following3 7#ag7 ensure the consistent documentation of the application of criteria when awarding grants and the ongoing oversight of grantees after such grants are awarded4 4 #ajg4 ,advisory councils ,section #ejb of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;aa-#a7 is amended-- 7#a7 in subsection 7a77#a71 in the matter following subparagraph 7,d71 by adding at the end the following3 ,each such advisory council may also recommend subjects for evaluation under section #aja of the ,mental ,health ,reform ,act of #bjaf to the ,assistant ,secretary for ,planning and ,evaluation2 and 7#b7 in subsection 7b7-- 7,a7 in paragraph 7#b7-- 7i7 in subparagraph 7,e71 by striking and after the semicolon2 7ii7 by redesignating subparagraph 7,f7 as subparagraph 7,j72 and 7iii7 by inserting after subparagraph 7,e71 the following3 7,f7 the ,chief ,medical ,officer1 appointed under section #eja7;g72 7,g7 the ,director of the ,national ,institute of ,mental ,health for the advisory councils appointed under subsections 7a77#a77;,a7 and 7a77#a77;,d72 7,h7 the ,director of the ,national ,institute on ,drug ,abuse for the advisory councils appointed under subsections 7a77#a77;,a71 7a77#a77;,b71 and 7a77#a77;,c72 7,i7 the ,director of the ,national ,institute on ,alcohol ,abuse and ,alcoholism for the advisory councils appointed under subsections 7a77#a77;,a71 7a77#a77;,b71 and 7a77#a77;,c72 and 2 and 7,b7 in paragraph 7#c71 by adding at the end the following3 7,c7 ,not less than half of the members of the advisory council appointed under subsection 7a77#a77;,d7-- 7i7 shall have-- 7,i7 a medical degree2 7,,ii7 a doctoral degree in psychology2 or 7,,iii7 an advanced degree in nursing or social work from an accredited graduate school or be a certified physician assistant2 and 7ii7 shall specialize in the mental health field4 4 #ajh4 ,peer review ,section #ejd7;b7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;aa-#c7;b77 is amended by adding at the end the following3 ,in the case of any such peer review group that is reviewing a grant1 cooperative agreement1 or contract related to mental illness1 not less than half of the members of such peer review group shall be licensed and experienced professionals in the prevention1 diagnosis1 treatment1 and recovery of mental illness or substance use disorders and have a medical degree1 a doctoral degree in psychology1 or an advanced degree in nursing or social work from an accredited program44 #aji4 ,inter-,departmental ,serious ,mental ,illness ,coordinating ,committee 7a7 ,establishment 7#a7 ,in general ,not later than #c months after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services1 or the designee of the ,secretary1 shall establish a committee to be known as the ,inter-,departmental ,serious ,mental ,illness ,coordinating ,committee 7in this section referred to as the ,committee74 7#b7 ,federal ,advisory ,committee ,act ,except as provided in this section1 the provisions of the ,federal ,advisory ,committee ,act 7#e ,u4,s4,c4 ,app47 shall apply to the ,committee4 7b7 ,meetings ,the ,committee shall meet not fewer than #b times each year4 7c7 ,responsibilities ,not later than #a year after the date of enactment of this ,act1 and #e years after such date of enactment1 the ,committee shall submit to ,congress a report including-- 7#a7 a summary of advances in serious mental illness research related to the prevention of1 diagnosis of1 intervention in1 and treatment and recovery of1 serious mental illnesses1 and advances in access to services and support for individuals with a serious mental illness2 7#b7 an evaluation of the impact on public health of ,federal programs related to serious mental illness1 including measurements of public health outcomes including-- 7,a7 rates of suicide1 suicide attempts1 prevalence of serious mental illness and substance use disorders1 overdose1 overdose deaths1 emergency hospitalizations1 emergency room boarding1 preventable emergency room visits1 incarceration1 crime1 arrest1 homelessness1 and unemployment2 7,b7 increased rates of employment and enrollment in educational and vocational programs2 7,c7 quality of mental and substance use disorder treatment services2 or 7,d7 any other criteria as may be determined by the ,secretary2 and 7#c7 specific recommendations for actions that agencies can take to better coordinate the administration of mental health services for people with serious mental illness4 7d7 ,committee extension ,upon the submission of the second report under subsection 7c71 the ,secretary shall submit a recommendation to ,congress on whether to extend the operation of the ,committee4 7e7 ,membership 7#a7 ,federal members ,the ,committee shall be composed of the following ,federal representatives1 or their designee-- 7,a7 the ,secretary of ,health and ,human ,services1 who shall serve as the ,chair of the ,committee2 7,b7 the ,administrator of the ,substance ,abuse and ,mental ,health ,services ,administration2 7,c7 the ,attorney ,general of the ,united ,states2 7,d7 the ,secretary of ,veterans ,affairs2 7,e7 the ,secretary of ,defense2 7,f7 the ,secretary of ,housing and ,urban ,development2 7,g7 the ,secretary of ,education2 7,h7 the ,secretary of ,labor2 and 7,i7 the ,commissioner of ,social ,security4 7#b7 ,non-,federal members ,the ,committee shall also include not less than #ad non-,federal public members appointed by the ,secretary of ,health and ,human ,services1 of which-- 7,a7 at least #a member shall be an individual who has received treatment for a diagnosis of a serious mental illness2 7,b7 at least #a member shall be a parent or legal guardian of an individual with a history of serious mental illness2 7,c7 at least #a member shall be a representative of a leading research1 advocacy1 or service organization for individuals with serious mental illnesses2 7,d7 at least #b members shall be-- 7i7 a licensed psychiatrist with experience treating serious mental illness2 7ii7 a licensed psychologist with experience treating serious mental illness2 7iii7 a licensed clinical social worker2 or 7iv7 a licensed psychiatric nurse1 nurse practitioner1 or physician assistant with experience treating serious mental illness2 7,e7 at least #a member shall be a licensed mental health professional with a specialty in treating children and adolescents2 7,f7 at least #a member shall be a mental health professional who has research or clinical mental health experience working with minorities2 7,g7 at least #a member shall be a mental health professional who has research or clinical mental health experience working with medically underserved populations2 7,h7 at least #a member shall be a ,state certified mental health peer specialist2 7,i7 at least #a member shall be a judge with experience adjudicating cases related to criminal justice or serious mental illness2 and 7,j7 at least #a member shall be a law enforcement officer or corrections officer with extensive experience in interfacing with individuals with serious mental illness or in mental health crisis4 7#c7 ,terms ,a member of the ,committee appointed under subsection 7e77#b7 shall serve for a term of #c years1 and may be reappointed for one or more additional #c-year terms4 ,any member appointed to fill a vacancy for an unexpired term shall be appointed for the remainder of such term4 ,a member may serve after the expiration of the member's term until a successor has been appointed4 7f7 ,working groups ,in carrying out its functions1 the ,committee may establish working groups4 ,such working groups shall be composed of ,committee members1 or their designees1 and may hold such meetings as are necessary4 7g7 ,sunset ,the ,committee shall terminate on the date that is #f years after the date on which the ,committee is established under subsection 7a77#a74 ,,ii ,ensuring mental and substance use disorder prevention1 treatment1 and recovery programs keep pace with science #bja4 ,encouraging innovation and evidence-based programs ,title ,v of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;aa et seq471 as amended by title ,i1 is further amended by inserting after section #eja 7#db ,u4,s4,c4 #bij;aa7 the following3 #eja;,a4 ,office of ,policy1 ,planning1 and ,innovation 7a7 ,in general ,there shall be established within the ,administration an ,office of ,policy1 ,planning1 and ,innovation 7referred to in this section as the ,office74 7b7 ,responsibilities ,the ,office shall-- 7#a7 continue to carry out the authorities that were in effect for the ,office of ,policy1 ,planning1 and ,innovation as such ,office existed prior to the date of enactment of the ,mental ,health ,reform ,act of #bjaf2 7#b7 identify1 coordinate1 and facilitate the implementation of policy changes likely to have a significant impact on mental and substance use disorder services2 7#c7 collect1 as appropriate1 information from grantees under programs operated by the ,administration in order to evaluate and disseminate information on evidence-based practices and service delivery models2 7#d7 provide leadership in identifying and coordinating policies and programs related to mental health and substance use disorders2 7#e7 in consultation with the ,assistant ,secretary for ,planning and ,evaluation1 as appropriate1 periodically review programs and activities relating to the diagnosis or prevention of1 or treatment or rehabilitation for1 mental illness and substance use disorders1 including by-- 7,a7 identifying any such programs or activities that are duplicative2 7,b7 identifying any such programs or activities that are not evidence-based1 effective1 or efficient2 7,c7 identifying any such programs or activities that have proven to be effective or efficient in improving outcomes or increasing access to evidence-based programs2 and 7,d7 formulating recommendations for coordinating1 eliminating1 or improving programs or activities identified under subparagraph 7,a71 7,b71 or 7,c71 and merging such programs or activities into other successful programs or activities2 and 7#f7 carry out other activities as deemed necessary to continue to encourage innovation and disseminate evidence-based programs and practices4 7c7 ,promoting innovation 7#a7 ,in general ,the ,administrator1 in coordination with the ,office1 may award grants to ,states1 local governments1 ,indian tribes or tribal organizations 7as such terms are defined in section #d of the ,indian ,self-,determination and ,education ,assistance ,act 7#be ,u4,s4,c4 #dej;b771 educational institutions1 and nonprofit organizations to develop evidence-based interventions1 including culturally and linguistically appropriate services1 as appropriate1 for-- 7,a7 evaluating a model that has been scientifically demonstrated to show promise1 but would benefit from further applied development1 for-- 7i7 enhancing the prevention1 diagnosis1 intervention1 treatment1 and recovery of mental illness1 serious emotional disturbance1 substance use disorders1 and co-occurring disorders2 or 7ii7 integrating or coordinating physical health services and mental and substance use disorder services2 and 7,b7 expanding1 replicating1 or scaling evidence-based programs across a wider area to enhance effective screening1 early diagnosis1 intervention1 and treatment with respect to mental illness1 serious mental illness1 and serious emotional disturbance1 primarily by-- 7i7 applying delivery of care1 including training staff in effective evidence-based treatment2 or 7ii7 integrating models of care across specialties and jurisdictions4 7#b7 ,consultation ,in awarding grants under this paragraph1 the ,administrator shall1 as appropriate1 consult with the ,chief ,medical ,officer1 the advisory councils described in section #ejb1 the ,national ,institute of ,mental ,health1 the ,national ,institute on ,drug ,abuse1 and the ,national ,institute on ,alcohol ,abuse and ,alcoholism4 7d7 ,authorization of appropriations ,to carry out the activities under subsection 7c71 there are authorized to be appropriated such sums as may be necessary for each of fiscal years #bjag through #bjba4 4 #bjb4 ,promoting access to information on evidence-based programs and practices 7a7 ,in general ,the ,administrator of the ,substance ,abuse and ,mental ,health ,services ,administration 7referred to in this section as the ,administrator7 may improve access to reliable and valid information on evidence-based programs and practices1 including information on the strength of evidence associated with such programs and practices1 related to mental and substance use disorders for ,states1 local communities1 nonprofit entities1 and other stakeholders by posting on the website of the ,administration information on evidence-based programs and practices that have been reviewed by the ,administrator pursuant to the requirements of this section4 7b7 ,notice ,in carrying out subsection 7a71 the ,administrator may establish a period for the submission of applications for evidence-based programs and practices to be posted publicly in accordance with subsection 7a74 ,in establishing such application period1 the ,administrator shall provide for the public notice of such application period in the ,federal ,register4 ,such notice may solicit applications for evidence-based practices and programs to address gaps identified by the ,assistant ,secretary for ,planning and ,evaluation of the ,department of ,health and ,human ,services in the evaluation and recommendations under section #aja or priorities identified in the strategic plan established under section #eja7l7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;aa74 7c7 ,requirements ,the ,administrator may establish minimum requirements for applications referred to under this section1 including applications related to the submission of research and evaluation4 7d7 ,review and rating ,the ,administrator shall review applications prior to public posting1 and may prioritize the review of applications for evidenced-based practices and programs that are related to topics included in the notice established under subsection 7b74 ,the ,administrator may utilize a rating and review system1 which may include information on the strength of evidence associated with such programs and practices and a rating of the methodological rigor of the research supporting the application4 #bjc4 ,priority mental health needs of regional and national significance ,section #ebj;,a of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#cb7 is amended-- 7#a7 in subsection 7a7-- 7,a7 in paragraph 7#d71 by inserting before the period 1 that may include technical assistance centers2 and 7,b7 in the flush sentence following paragraph 7#d7-- 7i7 by inserting 1 contracts1 before or cooperative agreements2 and 7ii7 by striking ,indian tribes and tribal organizations and inserting territories1 ,indian tribes or tribal organizations 7as such terms are defined in section #d of the ,indian ,self-,determination and ,education ,assistance ,act71 health facilities1 or programs operated by or pursuant to a contract or grant with the ,indian ,health ,service1 or2 and 7#b7 in subsection 7f7-- 7,a7 in paragraph 7#a7 by striking the paragraph heading2 7,b7 by striking #cjj1jjj1jjj and all that follows through #bjjc and inserting such sums as may be necessary for each of fiscal years #bjag through #bjba2 and 7,c7 by striking paragraph 7#b74 ,,iii ,supporting ,state ,responses to ,mental ,health and ,substance ,use ,disorder ,needs #cja4 ,community ,mental ,health ,services ,block ,grant 7a7 ,formula grants ,section #aiaa7;b7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx7b77 is amended-- 7#a7 by redesignating paragraphs 7#a7 through 7#c7 as paragraphs 7#b7 through 7#d71 respectively2 and 7#b7 by inserting before paragraph 7#b7 7as so redesignated71 the following3 7#a7 providing community mental health services for adults with serious mental illness and children with serious emotional disturbances as defined in accordance with section #aiab7;c72 4 7b7 ,state plan ,section #aiab7;b7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#a7;b77 is amended-- 7#a7 in paragraph 7#c71 by redesignating subparagraphs 7,a7 through 7,c7 as clauses 7i7 through 7iii71 respectively1 and realigning the margins accordingly2 7#b7 by redesignating paragraphs 7#a7 through 7#e7 as subparagraphs 7,a7 through 7,e71 respectively1 and realigning the margins accordingly2 7#c7 by striking the matter preceding subparagraph 7,a7 7as so redesignated71 and inserting the following3 7b7 ,criteria for plan ,in accordance with subsection 7a71 a ,state shall submit to the ,secretary a plan that1 at a minimum1 includes the following3 7#a7 ,system of care ,a description of the ,state's system of care that contains the following3 2 7#d7 by striking subparagraph 7,a7 7as so redesignated71 and inserting the following3 7,a7 ,comprehensive community-based health systems ,the plan shall-- 7i7 identify the single ,state agency to be responsible for the administration of the program under the grant1 including any third party who administers mental health services and is responsible for complying with the requirements of this part with respect to the grant2 7ii7 provide for an organized community-based system of care for individuals with mental illness and describe available services and resources in a comprehensive system of care1 including services for individuals with co-occurring disorders2 7iii7 include a description of the manner in which the ,state and local entities will coordinate services to maximize the efficiency1 effectiveness1 quality1 and cost effectiveness of services and programs to produce the best possible outcomes 7including health services1 rehabilitation services1 employment services1 housing services1 educational services1 substance use disorder services1 legal services1 law enforcement services1 social services1 child welfare services1 medical and dental care services1 and other support services to be provided with ,federal1 ,state1 and local public and private resources7 with other agencies to enable individuals receiving services to function outside of inpatient or residential institutions1 to the maximum extent of their capabilities1 including services to be provided by local school systems under the ,individuals with ,disabilities ,education ,act2 7iv7 include a description of how the ,state promotes evidence-based practices1 including those evidence-based programs that address the needs of individuals with early serious mental illness regardless of the age of the individual at onset2 7v7 include a description of case management services2 7vi7 include a description of activities leading to reduction of hospitalization1 arrest1 incarceration1 or suicide1 including through promoting comprehensive1 individualized treatment2 7vii7 include a description of activities that seek to engage individuals with serious mental illness in making health care decisions1 including activities that enhance communication between individuals1 families1 and treatment providers2 7viii7 include a description of how the ,state integrates mental health and primary health care1 which may include providing1 in the case of individuals with co-occurring mental and substance use disorders1 both mental and substance use disorder services in primary care settings or arrangements to provide primary and specialty care services in community-based mental and substance use disorder service settings2 and 7ix7 include a description of how the ,state ensures a smooth transition for children with serious emotion disturbances from the children's service system to the adult service system4 2 7#e7 in subparagraph 7,b7 7as so redesignated71 by striking to be achieved in the implementation of the system described in paragraph 7#a7 and inserting and outcome measures for programs and services provided under this subpart2 7#f7 in subparagraph 7,c7 7as so redesignated7-- 7,a7 by striking disturbance in the matter preceding clause 7i7 7as so redesignated7 and all that follows through substance abuse services in clause 7i7 7as so redesignated7 and inserting the following3 disturbance 7as defined pursuant to subsection 7c771 the plan shall provide for a system of integrated social services1 educational services1 child welfare services1 juvenile justice services1 law enforcement services1 and substance use disorder services2 7,b7 by striking ,education ,act2 and inserting ,education ,act42 and 7,c7 by striking clauses 7ii7 and 7iii7 7as so redesignated72 7#g7 in subparagraph 7,d7 7as so redesignated71 by striking plan described and inserting plan shall describe2 7#h7 in subparagraph 7,e7 7as so redesignated7-- 7,a7 in the subparagraph heading by striking systems and inserting services2 7,b7 by striking plan describes and all that follows through and provides for and inserting plan shall describe the financial resources available1 the existing mental health workforce1 and workforce trained in treating individuals with co-occurring mental and substance use disorders1 and provides for2 and 7,c7 by inserting before the period the following3 1 and the manner in which the ,state intends to comply with each of the funding agreements in this subpart and subpart ,,iii2 7#i7 by striking the flush matter at the end2 and 7#aj7 by adding at the end the following3 7#b7 ,goals and objectives ,the establishment of goals and objectives for the period of the plan1 including targets and milestones that are intended to be met1 and the activities that will be undertaken to achieve those targets4 4 7c7 ,best practices in clinical care models ,section #aibj of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#i7 is amended by adding at the end the following3 7c7 ,best practices in clinical care models 7#a7 ,in general ,except as provided in paragraph 7#b71 a ,state shall expend not less than #e percent of the amount the ,state receives for carrying out this section in each fiscal year to support evidence-based programs that address the needs of individuals with early serious mental illness1 including psychotic disorders1 regardless of the age of the individual at onset4 7#b7 ,state flexibility ,in lieu of expending #e percent of the amount the ,state receives under this section in a fiscal year as required under paragraph 7#a71 a ,state may elect to expend not less than #aj percent of such amount in the succeeding fiscal year4 4 7d7 ,additional provisions ,section #aiae7;b7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#d7;b77 is amended-- 7#a7 by redesignating paragraph 7#a7 as subparagraph 7,a71 and realigning the margin accordingly2 7#b7 by inserting after the subsection heading the following3 7#a7 ,requirement 2 7#c7 by inserting after subparagraph 7,a7 7as so redesignated71 the following3 7,b7 ,condition ,a ,state shall be deemed to be in compliance with subparagraph 7,a7 for a fiscal year if ,state expenditures of the type described in such subparagraph for such fiscal year are at least #ig percent of the average of such ,state expenditures for the preceding #b-;fiscal-year period4 2 7#d7 by redesignating paragraphs 7#b7 through 7#d7 as paragraphs 7#c7 through 7#e71 respectively2 7#e7 by inserting after paragraph 7#a71 the following3 7#b7 ,future fiscal years ,determinations of whether a ,state has complied with paragraph 7#a7 for each fiscal year shall be based on the ,state funding level for the preceding #b-;fiscal-year period1 as required under paragraph 7#a77;,a71 without regard to reductions in the actual amount of ,state expenditures as permitted under paragraph 7#a77;,b7 or under a waiver under paragraph 7#d74 2 7#f7 in paragraph 7#c7 7as so redesignated71 by striking subsection 7a7 and inserting paragraph 7#a72 7#g7 in paragraph 7#d7 7as so redesignated7-- 7,a7 by striking ,the ,secretary and inserting the following3 7,a7 ,in general ,the ,secretary 2 7,b7 by striking paragraph 7#a7 if the ,secretary and inserting the following3 8paragraph 7#a7 in whole or in part1 if-- 7i7 the ,secretary 2 7,c7 by striking ,state justify the waiver4 and inserting ,state in the fiscal year involved or in the previous fiscal year justify the waiver2 or2 and 7,d7 by adding at the end the following3 7ii7 the ,state1 or any part of the ,state1 has experienced a natural disaster that has received a ,presidential ,disaster ,declaration under section #ajb of the ,robert ,t4 ,stafford ,disaster ,relief ,emergency ,assistance ,act4 7,b7 ,date certain for action upon request ,the ,secretary shall approve or deny a request for a waiver under subparagraph 7,a7 not later than #abj days after the date on which the request is made4 7,c7 ,applicability of waiver ,a waiver provided by the ,secretary under subparagraph 7,a7 shall be applicable only to the fiscal year involved4 2 and 7#h7 in paragraph 7#e7 7as so redesignated7-- 7,a7 in subparagraph 7,a7-- 7i7 by inserting after the subparagraph designation the following3 ,in general2 and 7ii7 by striking maintained material compliance and insert complied2 and 7,b7 in subparagraph 7,b71 by inserting after the subparagraph designation the following3 ,submission of information to the secretary4 7e7 ,application for grant ,section #aiag7;a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#f7;a77 is amended-- 7#a7 in paragraph 7#a71 by striking #aida and inserting #aidb7;a72 and 7#b7 in paragraph 7#e71 by striking #aiae7;b77#c77;,b7 and inserting #aiae7;b74 7f7 ,funding ,section #aibj7;a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#i7;a77 is amended by striking #dej1jjj1jjj and all that follows and inserting such sums as may be necessary for each of fiscal years #bjag through #bjba44 #cjb4 ,additional provisions related to the block grants ,subpart ,,iii of part ,b of title ,,xix of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#ea et seq47 is amended-- 7#a7 in section #aiec7;b7 7#db ,u4,s4,c4 #cjjx-#fc7;b771 by striking substance abuse and inserting substance use disorder2 and 7#b7 by adding at the end the following3 #aieg4 ,public health emergencies ,in the case of a public health emergency 7as defined in section #cai71 the ,administrator1 on a ,state-by-,state basis1 may grant an extension or waive application deadlines and compliance with any other requirements of sections #eba1 #aiaa1 and #aiba1 and ,public ,law #ii-cai 7#db ,u4,s4,c4 #ajhja et seq47 as the circumstances of such emergency reasonably require and for the period of such public health emergency4 #aieh4 ,joint applications ,the ,secretary1 acting through the ,administrator1 shall permit a joint application to be submitted for grants under subpart ,i and subpart ,,ii upon the request of a ,state4 ,such application may be jointly reviewed and approved by the ,secretary with respect to such subparts1 consistent with the purposes and authorized activities of each such grant program4 ,a ,state submitting such a joint application shall otherwise meet the requirements with respect to each such subpart4 4 #cjc4 ,study of distribution of funds under the ,substance ,abuse ,prevention and ,treatment ,block ,grant and the ,community ,mental ,health ,services ,block ,grant 7a7 ,in general ,the ,secretary of ,health and ,human ,services1 acting through the ,administrator of the ,substance ,abuse and ,mental ,health ,services ,administration1 shall1 directly or through a grant or contract1 conduct a study to examine whether the funds under the substance abuse prevention and treatment block grant and the community mental health services block grant under title ,,xix of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjw et seq47 are being distributed to ,states and territories according to need1 and to recommend changes in such distribution if necessary4 ,such study shall include-- 7#a7 an analysis of whether the distributions under such block grants accurately reflect the need for the services under the grants in such ,states and territories2 7#b7 an examination of whether the indices used under the formulas for distribution of funds under such block grants are appropriate1 and if not1 alternatives recommended by the ,secretary2 7#c7 where recommendations are included under paragraph 7#b7 for the use of different indices1 a description of the variables and data sources that should be used to determine the indices2 7#d7 an evaluation of the variables and data sources that are being used for each of the indices involved1 and whether such variables and data sources accurately represent the need for services1 the cost of providing services1 and the ability of the ,states to pay for such services2 7#e7 the impact that the minimum allotment provisions under each such block grant have on each ,state's final allotment and its effect1 if any1 on each ,state's formula-based allotment2 7#f7 recommendations for modifications to the minimum allotment provisions to ensure an appropriate distribution of funds2 and 7#g7 any other information that the ,secretary determines appropriate4 7b7 ,report ,not later than #bd months after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services shall submit to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,energy and ,commerce of the ,house of ,representatives1 a report containing the findings and recommendations of the study conducted under subsection 7a74 ,,iv ,promoting access to mental health and substance use disorder care #dja4 ,grants for treatment and recovery for homeless individuals ,section #ejf of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;aa-#e7 is amended-- 7#a7 in subsections 7a71 by striking substance abuse and inserting substance use disorder2 7#b7 in subsection 7b7-- 7,a7 in paragraphs 7#a7 and 7#c71 by striking substance abuse each place the term appears and inserting substance use disorder2 and 7,b7 in paragraph 7#d71 by striking substance abuse and inserting a substance use disorder2 7#c7 in subsection 7c7-- 7,a7 in paragraph 7#a71 by striking substance abuse disorder and inserting substance use disorder2 and 7,b7 in paragraph 7#b7-- 7i7 in subparagraph 7,a71 by striking substance abuse and inserting a substance use disorder2 and 7ii7 in subparagraph 7,b71 by striking substance abuse and inserting substance use disorder2 and 7#d7 in subsection 7e71 by striking 1 #ej1jjj1jjj for fiscal year #bjja1 and such sums as may be necessary for each of the fiscal years #bjjb and #bjjc and inserting such sums as may be necessary for each of fiscal years #bjag through #bjba4 #djb4 ,grants for jail diversion programs ,section #ebj;,g of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#ch7 is amended-- 7#a7 by striking substance abuse each place such term appears and inserting substance use disorder2 7#b7 in subsection 7a7-- 7,a7 by striking ,indian tribes1 and tribal organizations and inserting and ,indian tribes and tribal organizations 7as such terms are defined in section #d of the ,indian ,self-,determination and ,education ,assistance ,act 7#be ,u4,s4,c4 #dej;b772 and 7,b7 by inserting or a health facility or program operated by or pursuant to a contract or grant with the ,indian ,health ,service1 after entities12 7#c7 in subsection 7c77#b77;,a77i71 by striking the best known and inserting evidence-based2 and 7#d7 in subsection 7i71 by striking #aj1jjj1jjj for fiscal year #bjja1 and such sums as may be necessary for fiscal years #bjjb through #bjjc and inserting such sums as may be necessary for each of fiscal years #bjag through #bjba4 #djc4 ,promoting integration of primary and behavioral health care ,section #ebj,k of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#db7 is amended to read as follows3 #ebj,k4 ,integration incentive grants 7a7 ,definitions ,in this section3 7#a7 ,eligible entity ,the term eligible entity means a ,state1 or other appropriate ,state agency1 in collaboration with one or more qualified community programs as described in section #aiac7;b77#a74 7#b7 ,integrated care ,the term integrated care means collaboration in merged or transformed practices offering mental and physical health services within the same shared practice space in the same facility4 7#c7 ,special population ,the term special population means-- 7,a7 adults with mental illnesses who have co-occurring primary care conditions or chronic diseases2 7,b7 adults with serious mental illnesses who have co-occurring primary care conditions or chronic diseases2 7,c7 children and adolescents with serious emotional disturbance with co-occurring primary care conditions or chronic diseases2 or 7,d7 individuals with substance use disorders4 7b7 ,grants 7#a7 ,in general ,the ,secretary may award grants and cooperative agreements to eligible entities to support the improvement of integrated care for primary care and behavioral health care in accordance with paragraph 7#b74 7#b7 ,purposes ,grants and cooperative agreements awarded under this section shall be designed to-- 7,a7 promote full collaboration in clinical practices between primary and behavioral health care2 7,b7 support the improvement of integrated care models for primary care and behavioral health care to improve the overall wellness and physical health status of individuals with serious mental illness or serious emotional disturbance2 and 7,c7 promote integrated care services related to screening1 diagnosis1 and treatment of mental illness and co-occurring primary care conditions and chronic diseases4 7c7 ,applications 7#a7 ,in general ,an eligible entity desiring a grant or cooperative agreement under this section shall submit an application to the ,secretary at such time1 in such manner1 and accompanied by such information as the ,secretary may require1 including the contents described in paragraph 7#b74 7#b7 ,contents ,the contents described in this paragraph are-- 7,a7 a description of a plan to achieve fully collaborative agreements to provide services to special populations2 7,b7 a document that summarizes the policies1 if any1 that serve as barriers to the provision of integrated care1 and the specific steps1 if applicable1 that will be taken to address such barriers2 7,c7 a description of partnerships or other arrangements with local health care providers to provide services to special populations2 7,d7 an agreement and plan to report performance measures necessary to evaluate patient outcomes and to facilitate evaluations across participating projects to the ,secretary2 and 7,e7 a plan for sustainability beyond the grant or cooperative agreement period under subsection 7e74 7d7 ,grant amounts ,the maximum amount that an eligible entity may receive for a year through a grant or cooperative agreement under this section shall be #b1jjj1jjj4 ,in the case of a recipient of funding under this section that is a ,state1 not more than #aj percent of funds awarded under this section may be allocated to ,state administrative functions1 and the remaining amounts shall be allocated to health facilities that provide integrated care4 7e7 ,duration ,a grant or cooperative agreement under this section shall be for a period not to exceed #e years4 7f7 ,report on program outcomes ,an eligible entity receiving a grant or cooperative agreement under this section shall submit an annual report to the ,secretary that includes-- 7#a7 the progress to reduce barriers to integrated care as described in the entity's application under subsection 7c72 and 7#b7 a description of functional outcomes of special populations1 including-- 7,a7 with respect to individuals with serious mental illness1 participation in supportive housing or independent living programs1 attendance in social and rehabilitative programs1 participation in job training opportunities1 satisfactory performance in work settings1 attendance at scheduled medical and mental health appointments1 and compliance with prescribed medication regimes2 7,b7 with respect to individuals with co-occurring mental illness and primary care conditions and chronic diseases1 attendance at scheduled medical and mental health appointments1 compliance with prescribed medication regimes1 and participation in learning opportunities related to improved health and lifestyle practices2 and 7,c7 with respect to children and adolescents with serious emotional disorders who have co-occurring primary care conditions and chronic diseases1 attendance at scheduled medical and mental health appointments1 compliance with prescribed medication regimes1 and participation in learning opportunities at school and extracurricular activities4 7g7 ,technical assistance for primary-,behavioral health care integration 7#a7 ,in general ,the ,secretary may provide appropriate information1 training1 and technical assistance to eligible entities that receive a grant or cooperative agreement under this section1 in order to help such entities meet the requirements of this section1 including assistance with-- 7,a7 development and selection of integrated care models2 7,b7 dissemination of evidence-based interventions in integrated care2 7,c7 establishment of organizational practices to support operational and administrative success2 and 7,d7 other activities1 as the ,secretary determines appropriate4 7#b7 ,additional dissemination of technical information ,the information and resources provided by the ,secretary under paragraph 7#a7 shall1 as appropriate1 be made available to ,states1 political subdivisions of ,states1 ,indian tribes or tribal organizations 7as defined in section #d of the ,indian ,self-,determination and ,education ,assistance ,act71 outpatient mental health and addiction treatment centers1 community mental health centers that meet the criteria under section #aiac7;c71 certified community behavioral health clinics described in section #bbc of the ,protecting ,access to ,medicare ,act of #bjad 7#db ,u4,s4,c4 #acif;a note71 primary care organizations such as ,federally qualified health centers or rural health clinics as defined in section #ahfa7;aa7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciex7aa771 other community-based organizations1 or other entities engaging in integrated care activities1 as the ,secretary determines appropriate4 7h7 ,authorization of appropriations ,to carry out this section1 there are authorized to be appropriated such sums as may be necessary for each of fiscal years #bjag through #bjba4 4 #djd4 ,projects for assistance in transition from homelessness 7a7 ,formula grants to ,states ,section #eba of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;cc-#ba7 is amended by striking each of the fiscal years #aiia through #aiid and inserting fiscal year #bjag and each subsequent fiscal year4 7b7 ,purpose of grants ,section #ebb of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;cc-#bb7 is amended-- 7#a7 in subsection 7a77#a77;,b71 by striking substance abuse and inserting a substance use disorder2 7#b7 in subsection 7b77#f71 by striking substance abuse and inserting substance use disorder2 7#c7 in subsection 7c71 by striking substance abuse and inserting a substance use disorder2 7#d7 in subsection 7e7-- 7,a7 in paragraph 7#a71 by striking substance abuse and inserting a substance use disorder2 and 7,b7 in paragraph 7#b71 by striking substance abuse and inserting substance use disorder2 and 7#e7 in subsection 7h71 by striking substance abuse each place such term appears and inserting substance use disorder4 7c7 ,description of intended expenditures of grant ,section #ebg of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;cc-#bg7 is amended by striking substance abuse each place such term appears and inserting substance use disorder4 7d7 ,technical assistance ,section #ecj of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;cc-#cj7 is amended by striking through the ,national ,institute of ,mental ,health1 the ,national ,institute of ,alcohol ,abuse and ,alcoholism1 and the ,national ,institute on ,drug ,abuse and inserting acting through the ,administrator4 7e7 ,definitions ,section #ecd7d7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;cc-#cd7d77 is amended to read as follows3 7#d7 ,substance use disorder services ,the term substance use disorder services has the meaning given the term substance abuse services in section #ccj7;h77#e77;,c74 4 7f7 ,funding ,section #ece7;a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;cc-#ce7;a77 is amended by striking #ge1jjj1jjj for each of the fiscal years #bjja through #bjjc and inserting such sums as may be necessary for each of fiscal years #bjag through #bjba4 7g7 ,study concerning formula 7#a7 ,in general ,not later than #a year after the date of enactment of this ,act1 the ,administrator of the ,substance ,abuse and ,mental ,health ,services ,administration 7referred to in this section as the ,administrator7 shall conduct a study concerning the formula used under section #ebd7;a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;cc-#bd7;a77 for making allotments to ,states under section #eba of such ,act 7#db ,u4,s4,c4 #bij;cc-#ba74 ,such study shall include an evaluation of quality indicators of need for purposes of revising the formula for determining the amount of each allotment for the fiscal years following the submission of the study4 7#b7 ,report ,the ,administrator shall submit to the appropriate committees of ,congress a report concerning the results of the study conducted under paragraph 7#a74 #dje4 ,national suicide prevention lifeline program ,subpart #c of part ,b of title ,v of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#ca et seq47 is amended by inserting after section #ebj;,e-#b 7#db ,u4,s4,c4 #bij;bb-#cf7 the following3 #ebj;,e-#c4 ,national ,suicide ,prevention ,lifeline program 7a7 ,in general ,the ,secretary1 acting through the ,administrator1 shall maintain the ,national ,suicide ,prevention ,lifeline program 7referred to in this section as the program71 authorized under section #ebj;,a and in effect prior to the date of enactment of the ,mental ,health ,reform ,act of #bjaf4 7b7 ,activities ,in maintaining the program1 the activities of the ,secretary shall include-- 7#a7 coordinating a network of crisis centers across the ,united ,states for providing suicide prevention and crisis intervention services to individuals seeking help at any time1 day or night2 7#b7 maintaining a suicide prevention hotline to link callers to local emergency1 mental health1 and social services resources2 and 7#c7 consulting with the ,secretary of ,veterans ,affairs to ensure that veterans calling the suicide prevention hotline have access to a specialized veterans' suicide prevention hotline4 7c7 ,authorization of appropriations ,to carry out this section1 there are authorized to be appropriated such sums as may be necessary for each of fiscal years #bjag through #bjba4 4 #djf4 ,connecting individuals and families with care ,subpart #c of part ,b of title ,v of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#ca et seq471 as amended by section #dje1 is further amended by inserting after section #ebj;,e-#c1 the following3 #ebj;,e-#d4 ,treatment referral routing service 7a7 ,in general ,the ,secretary1 acting through the ,administrator1 shall maintain the ,national ,treatment ,referral ,routing ,service 7referred to in this section as the ,routing ,service7 to assist individuals and families in locating mental and substance use disorder treatment providers4 7b7 ,activities of the ,secretary ,to maintain the ,routing ,service1 the activities of the ,secretary shall include administering-- 7#a7 a nationwide1 telephone number providing year-round access to information that is updated on a regular basis regarding local behavioral health providers and community-based organizations in a manner that is confidential1 without requiring individuals to identify themselves1 is in languages that include at least ,english and ,spanish1 and is at no cost to the individual using the ,routing ,service2 and 7#b7 an ,internet website to provide a searchable1 online treatment services locator that includes information on the name1 location1 contact information1 and basic services provided for behavioral health treatment providers and community-based organizations4 7c7 ,rule of construction ,nothing in this section shall be construed to prevent the ,administrator from using any unobligated amounts otherwise made available to the ,substance ,abuse and ,mental ,health ,services ,administration to maintain the ,routing ,service4 4 #djg4 ,streamlining mental and behavioral health workforce programs 7a7 ,in general ,part ,d of title ,,vii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bid et seq47 is amended-- 7#a7 by striking sections #gee 7#db ,u4,s4,c4 #bid;e7 and #gef 7#db ,u4,s4,c4 #bid;e-#a72 7#b7 by redesignating sections #geg and #gei as sections #gef and #geg1 respectively2 and 7#c7 by inserting after section #ged the following3 #gee4 ,mental and behavioral health education and training grants 7a7 ,grants authorized ,the ,secretary may award grants to eligible institutions of higher education to support the recruitment of students for1 and education and clinical experience of the students in-- 7#a7 accredited institutions of higher education or accredited professional training programs that are establishing or expanding internships or other field placement programs in mental health in psychiatry1 psychology1 school psychology1 behavioral pediatrics1 psychiatric nursing1 social work1 school social work1 substance use disorder prevention and treatment1 marriage and family therapy1 occupational therapy1 school counseling1 or professional counseling1 including such internships or programs with a focus on child and adolescent mental health and transitional-age youth2 7#b7 accredited doctoral1 internship1 and post-doctoral residency programs of health service psychology1 including clinical psychology1 counseling1 and school psychology1 for the development and implementation of interdisciplinary training of psychology graduate students for providing behavioral and mental health services1 including substance use disorder prevention and treatment services1 and the development of faculty in health service psychology2 7#c7 accredited master's and doctoral degree programs of social work for the development and implementation of interdisciplinary training of social work graduate students for providing behavioral and mental health services1 including substance use disorder prevention and treatment services1 and the development of faculty in social work2 or 7#d7 ,state-licensed mental health nonprofit and for-profit organizations to enable such organizations to pay for programs for preservice or in-service training in a behavioral health-related paraprofessional field with preference for preservice or in-service training of paraprofessional child and adolescent mental health workers4 7b7 ,eligibility requirements ,to be eligible for a grant under this section1 an institution of higher education shall demonstrate-- 7#a7 an ability to recruit and place the students described in subsection 7a7 in areas with a high need and high demand population2 7#b7 that individuals and groups from different racial1 ethnic1 cultural1 geographic1 religious1 linguistic1 and class backgrounds1 and different genders and sexual orientations1 participate in the programs of the institution2 7#c7 knowledge and understanding of the concerns of the individuals and groups described in paragraph 7#b71 especially individuals with mental health symptoms or diagnoses1 particularly children and adolescents1 and transitional-age youth2 7#d7 that any internship or other field placement program assisted through the grant will prioritize cultural and linguistic competency2 and 7#e7 that the institution of higher education will provide to the ,secretary such data1 assurances1 and information as the ,secretary may require4 7c7 ,institutional requirement ,for grants awarded under paragraphs 7#b7 and 7#c7 of subsection 7a71 at least #d of the grant recipients shall be historically black colleges or universities or other minority-serving institutions4 7d7 ,priority ,in selecting grant recipients1 the ,secretary shall give priority to-- 7#a7 for grants awarded under paragraphs 7#a71 7#b71 and 7#c7 of subsection 7a71 programs that have demonstrated the ability to train psychology and social work professionals to work in integrated care settings2 and 7#b7 for a grant under subsection 7a77#d71 programs for paraprofessionals that emphasize the role of the family and the lived experience of the consumer and family-paraprofessional partnerships4 7e7 ,report to ,congress ,not later than #b years after the date of enactment of the ,mental ,health ,reform ,act of #bjaf1 and annually thereafter1 the ,secretary shall submit to ,congress a report on the effectiveness of the grants under this section in-- 7#a7 providing graduate students support for experiential training 7internship or field placement72 7#b7 recruiting of students interested in behavioral health practice2 7#c7 developing and implementing interprofessional training and integration within primary care2 7#d7 developing and implementing accredited field placements and internships2 and 7#e7 collecting data on the number of students trained in mental health and the number of available accredited internships and field placements4 7f7 ,authorization of appropriation ,there are authorized to be appropriated to carry out this section such sums as may be necessary for each of fiscal years #bjag through #bjba4 4 7b7 ,conforming amendments ,the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bja et seq471 as amended by subsection 7a71 is further amended-- 7#a7 in section #cch;,a7d77#b77;,a7 7#db ,u4,s4,c4 #bedl7d77#b77;,a771 by striking or under section #geh2 7#b7 in section #gef7;b77#b7 7#db ,u4,s4,c4 #gid;f7b77#b771 as redesignated by subsection 7a71 by striking #gec7;b71 and #gee7;b7 and inserting and #gec7;b72 and 7#c7 in section #gfa 7#db ,u4,s4,c4 #bidn7-- 7,a7 in subsection 7b77#b77;,e71 by striking #geg7;d77#c7 and inserting #gef7;d77#c72 7,b7 in subsection 7d77#b77;,b71 by striking #geg7;d77#c7 and inserting #gef7;d77#c72 and 7,c7 in subsection 7d77#c71 by striking #geg7;d77#d7 and inserting #gef7;d77#d74 #djh4 ,reports 7a7 ,report on mental health and substance use treatment in ,states 7#a7 ,in general ,not later than #ah months after the date of enactment of this ,act1 and not less than every #b years thereafter1 the ,assistant ,secretary for ,planning and ,evaluation of the ,department of ,health and ,human ,services1 in collaboration with the ,administrator of the ,substance ,abuse and ,mental ,health ,services ,administration1 the ,director of the ,agency for ,healthcare ,research and ,quality1 and the ,director of the ,national ,institutes of ,health1 shall submit to ,congress and make available on the ,internet website of the ,department a report on mental and substance use disorder treatment in the ,states1 including each of the following3 7,a7 ,a detailed description on how ,federal mental and substance use disorder treatment funds are used in each ,state1 including-- 7i7 the numbers of individuals with mental illness1 serious mental illness1 serious emotional disturbance1 substance use disorders1 or co-occurring disorders who are served using ,federal funds2 and 7ii7 the types of ,federal programs made available to individuals with mental illness1 serious mental illness1 serious emotional disturbance1 substance use disorders1 or co-occurring disorders4 7,b7 ,a summary of best practices or evidence-based models in the ,states1 including programs that are cost-effective1 provide evidence-based care1 increase access to care1 integrate physical1 psychiatric1 psychological1 and behavioral medicine1 and improve outcomes for individuals with serious mental illness1 serious emotional disturbance1 or substance use disorders4 7,c7 ,an analysis of outcome measures in each ,state for individuals with mental illness1 serious mental illness1 serious emotional disturbance1 substance use disorders1 or co-occurring disorders1 including rates of suicide1 suicide attempts1 substance abuse1 overdose1 overdose deaths1 positive health outcomes1 emergency psychiatric hospitalizations and emergency room boarding1 arrests1 incarcerations1 homelessness1 joblessness1 employment1 and enrollment in educational or vocational programs4 7,d7 ,an analysis of outcomes for different models of outpatient treatment programs for individuals with a serious mental illness or serious emotional disturbance1 including-- 7i7 rates of keeping treatment appointments and adherence to treatment plans2 7ii7 participants' perceived effectiveness of the program2 7iii7 alcohol and drug abuse rates2 7iv7 incarceration and arrest rates2 7v7 violence against persons or property2 7vi7 homelessness2 7vii7 total treatment costs for compliance with the program2 and 7viii7 health outcomes4 7#b7 ,definition ,in this subsection1 the term emergency room boarding means the practice of admitting patients to an emergency department and holding such patients in the emergency department until inpatient psychiatric beds become available4 7b7 ,reporting compliance study for community mental health centers 7#a7 ,in general ,the ,comptroller ,general of the ,united ,states shall conduct a review and submit to the appropriate committees of ,congress a report evaluating the combined paperwork burden of-- 7,a7 community mental health centers meeting the criteria specified in section #aiac7;c7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#b7;c771 including such centers meeting such criteria as in effect on the day before the date of enactment of this ,act2 and 7,b7 community mental health centers1 as defined in section #ahfa7;ff77#c77;,b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciex7ff77#c77;,b774 7#b7 ,scope ,in preparing the report under paragraph 7#a71 the ,comptroller ,general of the ,united ,states shall examine requirements for licensing1 certification1 service definitions1 claims payments1 billing codes1 and financial auditing that are-- 7,a7 used by the ,office of ,management and ,budget1 the ,centers for ,medicare ,medicaid ,services1 the ,health ,resources and ,services ,administration1 the ,substance ,abuse and ,mental ,health ,services ,administration1 the ,office of the ,inspector ,general of the ,department of ,health and ,human ,services1 and ,state ,medicaid agencies2 and 7,b7 required by the ,federal ,government for ,state agencies to utilize in order to make administrative and statutory recommendations to ,congress 7which recommendations may include a uniform methodology7 to reduce the paperwork burden experienced by the centers described in paragraph 7#a74 7c7 ,workforce development report 7#a7 ,public report 7,a7 ,in general ,not later than #b years after the date of enactment of this ,act1 the ,administrator of the ,substance ,abuse and ,mental ,health ,services ,administration1 in consultation with the ,administrator of the ,health ,resources and ,services ,administration1 shall conduct a study and publicly post on the appropriate ,internet website of the ,department of ,health and ,human ,services a report on the mental health and substance use disorder workforce in order to inform ,federal1 ,state1 and local efforts related to workforce enhancement4 7,b7 ,contents ,the report under this paragraph shall contain-- 7i7 national and ,state-level projections of the supply and demand of mental health and substance use disorder health workers2 7ii7 an assessment of the mental health and substance use disorder workforce capacity1 strengths1 and weaknesses as of the date of the report2 7iii7 information on trends within the mental health and substance use disorder provider workforce2 and 7iv7 any additional information determined by the ,administrator of the ,substance ,abuse and ,mental ,health ,services ,administration1 in consultation with the ,administrator of the ,health ,resources and ,services ,administration1 to be relevant to the mental health and substance use disorder provider workforce4 7#b7 ,report to congress 7,a7 ,in general ,not later than #c years after the date of enactment of this ,act1 the ,administrator of the ,substance ,abuse and ,mental ,health ,services ,administration1 in consultation with the ,administrator of the ,health ,resources and ,services ,administration1 shall evaluate and report to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,energy and ,commerce of the ,house of ,representatives on the programs within such ,administrations to support the development of the mental health and substance use disorder workforce4 7,b7 ,contents ,the report under this paragraph shall include-- 7i7 an evaluation of the outcomes of each program described in subparagraph 7,a71 including whether the program met identified goals and performance measures developed for the respective program and activities carried out by the program2 7ii7 an evaluation of how each program1 and the programs together1 target any workforce weaknesses identified by the report under paragraph 7#a72 and 7iii7 recommendations for improving coordination among programs1 and addressing gaps and overlap within programs1 including recommendations for ,congress1 as appropriate4 7d7 ,peer-,support specialist programs 7#a7 ,in general ,not later than #b years after the date of enactment of this ,act1 the ,comptroller ,general of the ,united ,states shall conduct a study on peer-support specialist programs in selected ,states that receive funding from the ,substance ,abuse and ,mental ,health ,services ,administration and report to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,energy and ,commerce of the ,house of ,representatives4 7#b7 ,contents of study ,in conducting the study under paragraph 7#a71 the ,comptroller ,general of the ,united ,states shall examine and identify best practices in the selected ,states related to training and credential requirements for peer-specialist programs1 such as-- 7,a7 hours of formal work or volunteer experience related to mental and substance use disorders conducted through such programs2 7,b7 types of peer support specialist exams required for such programs in the ,states2 7,c7 codes of ethics used by such programs in the ,states2 7,d7 required or recommended skill sets of such programs in the ,state2 and 7,e7 requirements for continuing education4 #dji4 ,centers and program repeals ,part ,b of title ,v of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb et seq47 is amended by striking the second section #ead 7#db ,u4,s4,c4 #bij;bb-#i71 relating to methamphetamine and amphetamine treatment initiatives1 and sections #ead;,a1 #eag1 #eai;,a1 #eai;,c1 #eai;,e1 #ebj;,d1 and #ebj;,h 7#db ,u4,s4,c4 #bij;bb-#h1 #bij;bb-#bc1 #bij;bb-#be;a1 #bij;bb-#be;c1 #bij;bb-#be;e1 #bij;bb-#ce1 and #bij;bb-#ci74 ,v ,strengthening mental and substance use disorder care for children and adolescents #eja4 ,programs for children with serious emotional disturbances 7a7 ,comprehensive community mental health services for children with serious emotional disturbances ,section #efa7;a77#a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;ff7a77#a77 is amended by inserting 1 which may include efforts to identify and serve children at risk before the period4 7b7 ,requirements with respect to carrying out purpose of grants ,section #efb7;b7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;ff-#a7;b77 is amended by striking will not provide an individual with access to the system if the individual is more than #ba years of age and inserting will provide an individual with access to the system through the age of #ba years4 7c7 ,additional provisions ,section #efd7;f7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;ff-#c7;f77 is amended by inserting 7and provide a copy to the ,state involved7 after to the ,secretary4 7d7 ,general provisions ,section #efe of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;ff-#d7 is amended-- 7#a7 in subsection 7b77#a7-- 7,a7 in the matter preceding subparagraph 7,a71 by striking receiving a grant under section #efa7;a7 and inserting 1 regardless of whether such public entity is receiving a grant under section #efa7;a72 and 7,b7 in subparagraph 7,b71 by striking pursuant to and inserting described in2 7#b7 in subsection 7d77#a71 by striking not more than #ba years of age and inserting through the age of #ba years2 and 7#c7 in subsection 7f77#a71 by striking #ajj1jjj1jjj for fiscal year #bjja1 and such sums as may be necessary for each of the fiscal years #bjjb and #bjjc and inserting such sums as may be necessary for each of fiscal years #bjag through #bjba4 #ejb4 ,telehealth child psychiatry access grants 7a7 ,definitions ,in this subsection3 7#a7 ,eligible entity ,the term eligible entity means a ,state1 political subdivision of a ,state1 ,indian tribe1 or tribal organization4 7#b7 ,indian tribe2 tribal organization ,the terms ,indian tribe and tribal organization have the meanings given such terms in section #d of the ,indian ,self-,determination and ,education ,assistance ,act 7#be ,u4,s4,c4 #dej;b74 7#c7 ,pediatric mental health teams ,the term pediatric mental health team means a team of case coordinators1 child and adolescent psychiatrists1 and a licensed clinical mental health professional1 such as a psychologist1 social worker1 or mental health counselor4 ,such a team may be regionally based1 provided there is access to a pediatric mental health team across the ,state4 7#d7 ,secretary ,the term ,secretary means the ,secretary of ,health and ,human ,services4 7b7 ,grants ,the ,secretary1 acting through the ,administrator of the ,health ,resources and ,services ,administration1 may award grants to eligible entities that satisfy all requirements under this section to promote behavioral health integration in pediatric primary care by-- 7#a7 supporting the development of statewide or regional child psychiatry access programs2 and 7#b7 supporting the improvement of statewide or regional child psychiatry access programs in existence on the day before the date of enactment of this ,act4 7c7 ,child psychiatry access program requirements ,to be eligible for support under subsection 7b71 a child psychiatry access program shall-- 7#a7 be a statewide or regional network of pediatric mental health teams that provide support to pediatric primary care sites as an integrated team2 7#b7 support and further develop organized ,state networks of child and adolescent psychiatrists to provide consultative support to pediatric primary care sites2 7#c7 conduct an assessment of critical behavioral consultation needs among pediatric providers and such providers' preferred mechanisms for receiving consultation1 training1 and technical assistance2 7#d7 develop an online database and communication mechanisms1 including through telehealth services1 to facilitate consultation support to pediatric practices2 7#e7 provide rapid statewide or regional clinical telephone consultations when requested between the pediatric mental health teams and pediatric primary care providers2 7#f7 conduct training and provide technical assistance to pediatric primary care providers to support the early identification1 diagnosis1 treatment1 and referral of children with behavioral health conditions2 7#g7 inform and assist pediatric providers in accessing child psychiatry consultations and in scheduling and conducting technical assistance2 7#h7 assist with referrals to specialty care and community and behavioral health resources2 and 7#i7 establish mechanisms for measuring and monitoring increased access to child and adolescent psychiatric services by pediatric primary care providers and expanded capacity of pediatric primary care providers to identify1 treat1 and refer children with mental health problems4 7d7 ,application ,an eligible entity that desires a grant under this section shall submit an application to the ,secretary at such time1 in such manner1 and containing such information as the ,secretary may require1 including a plan for the comprehensive evaluation and the performance and outcome evaluation described in subsection 7e74 7e7 ,evaluation ,an eligible entity that receives a grant under this section shall prepare and submit an evaluation to the ,secretary at such time1 in such manner1 and containing such information as the ,secretary may reasonably require1 including a comprehensive evaluation of activities carried out with funds received through such grant and a performance and outcome evaluation of such activities4 7f7 ,funding 7#a7 ,federal funds ,in addition to the funding provided through contributions under paragraph 7#b71 the ,secretary shall fund the grant program under this section using such sums as may be necessary out of any unobligated amounts made available to carry out section #ccj;,i1 #ccj,k1 or #ccj,l of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bed;c-#ad1 #bed;c-#af1 #bed;c-#ah74 7#b7 ,matching requirement ,the ,secretary may not award a grant under this section unless the eligible entity desiring the grant agrees1 with respect to the costs to be incurred by the eligible entity in carrying out the purpose of the grant described in subsection 7b71 to make available non-,federal contributions 7in cash or in kind7 toward such costs in an amount that is not less than #bj percent of ,federal funds provided through the grant4 #ejc4 ,substance use disorder treatment and early intervention services for children and adolescents ,the first section #ead of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#g71 relating to substance abuse treatment services for children and adolescents1 is amended-- 7#a7 in the heading1 by striking abuse treatment and inserting use disorder treatment and early intervention2 7#b7 by striking subsection 7a7 and inserting the following3 7a7 ,in general ,the ,secretary shall award grants1 contracts1 or cooperative agreements to public and private nonprofit entities1 including ,indian tribes or tribal organizations 7as such terms are defined in section #d of the ,indian ,self-,determination and ,education ,assistance ,act 7#be ,u4,s4,c4 #dej;b771 or health facilities or programs operated by or pursuant to a contract or grant with the ,indian ,health ,service1 for the purpose of-- 7#a7 providing early identification and services to meet the needs of children and adolescents who are at risk of substance use disorders2 and 7#b7 providing substance use disorder treatment services for children1 including children and adolescents with co-occurring mental illness and substance use disorders4 2 7#c7 in subsection 7b7-- 7,a7 by striking paragraph 7#a7 and inserting the following3 7#a7 apply evidence-based and cost-effective methods 2 7,b7 in paragraph 7#b7-- 7i7 by striking treatment2 and 7ii7 by inserting substance abuse1 after child welfare12 7,c7 in paragraph 7#c71 by striking substance abuse disorders and inserting substance use disorders1 including children and adolescents with co-occurring mental illness and substance use disorders12 7,d7 in paragraph 7#e71 by striking treatment2 and inserting services2 and2 7,e7 in paragraph 7#f71 by striking substance abuse treatment2 and and inserting treatment42 and 7,f7 by striking paragraph 7#g72 and 7#d7 in subsection 7f71 by striking #dj1jjj1jjj and all that follows through the period and inserting such sums as may be necessary for each of fiscal years #bjag through #bjba44 #ejd4 ,residential treatment programs for pregnant and parenting women ,section #ejh of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#a7 is amended-- 7#a7 in the section heading1 by striking postpartum and inserting parenting2 7#b7 in subsection 7a7-- 7,a7 in the matter preceding paragraph 7#a7-- 7i7 by inserting 7referred to in this section as the ,director7 after ,treatment2 7ii7 by striking grants1 and inserting grants1 including the grants under subsection 7r712 7iii7 by striking postpartum and inserting parenting2 and 7iv7 by striking for substance abuse and inserting for substance use disorders2 and 7,b7 in paragraph 7#a71 by inserting or receive outpatient treatment services from after reside in2 7#c7 in subsection 7b77#b71 by striking the services will be made available to each woman and inserting services will be made available to each woman and child2 7#d7 in subsection 7c7-- 7,a7 in paragraph 7#a71 by striking to the woman of the services and inserting of services for the woman and her child2 and 7,b7 in paragraph 7#b7-- 7i7 in subparagraph 7,a71 by striking substance abuse and inserting substance use disorders2 and 7ii7 in subparagraph 7,b71 by striking such abuse and inserting such a disorder2 7#e7 in subsection 7d7-- 7,a7 in paragraph 7#c77;,a71 by striking maternal substance abuse and inserting a maternal substance use disorder2 7,b7 by amending paragraph 7#d7 to read as follows3 7#d7 ,providing therapeutic1 comprehensive child care for children during the periods in which the woman is engaged in therapy or in other necessary health and rehabilitative activities4 2 7,c7 in paragraphs 7#i71 7#aj71 and 7#aa71 by striking women each place such term appears and inserting woman2 7,d7 in paragraph 7#i71 by striking units and inserting unit2 and 7,e7 in paragraph 7#aa7-- 7i7 in subparagraph 7,a71 by striking their children and inserting any child of such woman2 7ii7 in subparagraph 7,b71 by striking 2 and and inserting a semicolon2 7iii7 in subparagraph 7,c71 by striking the period and inserting 2 and2 and 7iv7 by adding at the end the following3 7,d7 family reunification with children in kinship or foster care arrangements1 where safe and appropriate4 2 7#f7 in subsection 7e7-- 7,a7 in paragraph 7#a7-- 7i7 in the matter preceding subparagraph 7,a71 by striking substance abuse and inserting substance use disorders2 and 7ii7 in subparagraph 7,b71 by striking substance abuse and inserting substance abuse disorders2 and 7,b7 in paragraph 7#b7-- 7i7 by striking 7,a7 ,subject and inserting the following3 7,a7 ,in general ,subject 2 7ii7 in subparagraph 7,b7-- 7,i7 by striking 7,b77i7 ,in the case and inserting the following3 7,b7 ,waiver of participation agreements 7i7 ,in general ,in the case 2 and 7,,ii7 by striking 7ii7 ,a determination and inserting the following3 7ii7 ,donations ,a determination 2 and 7iii7 by striking 7,c7 ,with respect and inserting the following3 7,c7 ,nonapplication of certain requirements ,with respect 2 7#g7 in subsection 7g7-- 7,a7 by striking who are engaging in substance abuse and inserting who have a substance use disorder2 and 7,b7 by striking such abuse and inserting such disorder2 7#h7 in subsection 7h77#a71 by striking postpartum and inserting parenting2 7#i7 in subsection 7j7-- 7,a7 in the matter preceding paragraph 7#a71 by striking to on and inserting to or on2 and 7,b7 in paragraph 7#c71 by striking ,office for and inserting ,office of2 7#aj7 by amending subsection 7m7 to read as follows3 7m7 ,allocation of awards ,in making awards under subsection 7a71 the ,director shall give priority to an applicant that agrees to use the award for a program serving an area that is a rural area1 an area designated under section #ccb by the ,secretary as a health professional shortage area1 or an area determined by the ,director to have a shortage of family-based substance use disorder treatment options4 2 7#aa7 in subsection 7q7-- 7,a7 in paragraph 7#c71 by striking funding agreement under subsection 7a7 and inserting funding agreement2 and 7,b7 in paragraph 7#d71 by striking substance abuse and inserting a substance use disorder2 7#ab7 by redesignating subsection 7r7 as subsection 7s72 7#ac7 by inserting after subsection 7q7 the following3 7r7 ,pilot program for ,state substance abuse agencies 7#a7 ,in general ,from amounts made available under subsection 7s71 the ,director may carry out a pilot program under which the ,director makes competitive grants to ,state substance abuse agencies to-- 7,a7 enhance flexibility in the use of funds designed to support family-based services for pregnant and parenting women with a primary diagnosis of a substance use disorder1 including an opioid use disorder2 7,b7 help ,state substance abuse agencies address identified gaps in services provided to such women along the continuum of care1 including services provided to women in nonresidential based settings2 and 7,c7 promote a coordinated1 effective1 and efficient ,state system managed by ,state substance abuse agencies by encouraging new approaches and models of service delivery that are evidence-based4 7#b7 ,requirements ,notwithstanding any other provisions of this section1 in carrying out the pilot program under this subsection1 the ,director-- 7,a7 shall require a ,state substance abuse agency to submit to the ,director an application1 in such form and manner and containing such information as specified by the ,director1 to be eligible to receive a grant under the program2 7,b7 shall identify1 based on applications submitted under subparagraph 7,a71 ,state substance abuse agencies that are eligible for such grants2 7,c7 shall require services proposed to be furnished through such a grant to support family-based treatment and other services for pregnant and parenting women with a primary diagnosis of a substance use disorder1 including an opioid use disorder2 7,d7 shall not require that services furnished through such a grant be provided solely to women that reside in facilities2 7,e7 shall not require that grant recipients under the program make available all services described in subsection 7d72 and 7,f7 may waive the requirements of subsection 7f71 depending on the circumstances of the grantee4 7#c7 ,required services 7,a7 ,in general ,the ,director shall specify minimum services required to be made available to eligible women through a grant awarded under the pilot program under this subsection4 ,notwithstanding any other provision of this section1 such minimum services-- 7i7 shall include the requirements described in subsection 7c72 7ii7 may include any of the services described in subsection 7d72 7iii7 may include other services1 as appropriate2 and 7iv7 shall be based on the recommendations submitted under subparagraph 7,b74 7,b7 ,stakeholder input ,the ,director shall consider recommendations from stakeholders1 including ,state substance abuse agencies1 health care providers1 persons in recovery from substance a substance use disorder1 and other appropriate individuals1 for the minimum services described in subparagraph 7,a74 7#d7 ,evaluation and report to ,congress 7,a7 ,evaluations ,out of amounts made available to the ,center for ,behavioral ,health ,statistics and ,quality1 the ,director of the ,center for ,behavioral ,health ,statistics and ,quality1 in cooperation with the ,director of the ,center for ,substance ,abuse ,treatment and the recipients of grants under this subsection1 shall conduct an evaluation of the pilot program1 beginning one year after the date on which a grant is first awarded under this subsection4 7,b7 ,reports 7i7 ,in general ,not later than #abj days after the completion of the evaluation under subparagraph 7,a71 the ,director of the ,center for ,behavioral ,health ,statistics and ,quality1 in coordination with the ,director of the ,center for ,substance ,abuse ,treatment1 shall submit to the relevant ,committees of the ,senate and the ,house of ,representatives a report on such evaluation4 7ii7 ,contents ,the report to ,congress under clause 7i7 shall include1 at a minimum1 outcomes information from the pilot program under this section1 including any resulting reductions in the use of alcohol and other drugs1 engagement in treatment services1 retention in the appropriate level and duration of services1 increased access to the use of drugs approved by the ,food and ,drug ,administration for the treatment of substance use disorders in combination with counseling1 and other appropriate measures4 7#e7 ,state substance abuse agencies defined ,for purposes of this subsection1 the term ,state substance abuse agency means1 with respect to a ,state1 the agency in such ,state that manages the block grant for prevention and treatment of substance use disorders under subpart ,,ii of part ,b of title ,,xix with respect to the ,state4 2 and 7#ad7 in subsection 7s71 as so redesignated1 by striking such sums as may be necessary to fiscal years #bjja through #bjjc4 and inserting such sums as may be necessary for each of fiscal years #bjag through #bjba4 ,of the amounts made available for a fiscal year pursuant to the previous sentence1 not more than #be percent of such amounts shall be made available for such fiscal year to carry out subsection 7r744 ,,vi ,improving patient care and access to mental and substance use disorder benefits #fja4 ,,hipaa clarification 7a7 ,in general ,the ,secretary of ,health and ,human ,services1 acting through the ,director of the ,office for ,civil ,rights1 shall ensure that providers1 professionals1 patients and their families1 and others involved in mental or substance use disorder treatment or care have adequate1 accessible1 and easily comprehensible resources relating to appropriate uses and disclosures of protected health information under the regulations promulgated under section #bfd7;c7 of the ,health ,insurance ,portability and ,accountability ,act of #aiif 7#db ,u4,s4,c4 #acbj;d-#b note71 including resources to clarify permitted uses and disclosures of such information that-- 7#a7 require the patient's consent2 7#b7 require providing the patient with an opportunity to object2 7#c7 are based on the exercise of professional judgment regarding whether the patient would object when the opportunity to object cannot practicably be provided because of the patient's incapacity or an emergency treatment circumstance2 and 7#d7 are determined1 based on the exercise of professional judgment1 to be in the best interest of the patient when the patient is not present or otherwise incapacitated4 7b7 ,considerations ,in carrying out subsection 7a71 the ,secretary of ,health and ,human ,services shall consider actual and perceived barriers to the ability of family members to assist in the treatment of patients with a serious mental illness4 #fjb4 ,identification of model training programs 7a7 ,programs and materials ,not later than #a year after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services 7in this section referred to as the ,secretary71 in consultation with appropriate experts1 shall identify or1 in the case that none exist1 recognize private or public entities to develop-- 7#a7 model programs and materials for training health care providers 7including physicians1 emergency medical personnel1 psychiatrists1 psychologists1 counselors1 therapists1 behavioral health facilities and clinics1 care managers1 and hospitals1 including individuals such as a general counsel or regulatory compliance staff who are responsible for establishing provider privacy policies7 regarding the permitted uses and disclosures1 consistent with the standards governing the privacy and security of individually identifiable health information pursuant to regulations promulgated by the ,secretary under section #bfd7;c7 of the ,health ,insurance ,portability and ,accountability ,act of #aiif 7#db ,u4,s4,c4 #acbj;d-#b note7 and part ,c of title ,,xi of the ,social ,security ,act 7#db ,u4,s4,c4 #acbj;d et seq471 of the protected health information of patients seeking or undergoing mental health or substance use disorder treatment or care2 and 7#b7 model programs and materials for training patients and their families regarding their rights to protect and obtain information under the standards described in paragraph 7#a74 7b7 ,periodic updates ,the ,secretary shall-- 7#a7 periodically review1 evaluate1 and update the model programs and materials identified under subsection 7a72 and 7#b7 disseminate the updated model programs and materials4 7c7 ,coordination ,the ,secretary shall carry out this section in coordination with the ,director of the ,office for ,civil ,rights1 the ,assistant ,secretary for ,planning and ,evaluation1 the ,administrator of the ,substance ,abuse and ,mental ,health ,services ,administration1 the ,administrator of the ,health ,resources and ,services ,administration1 and the heads of other relevant agencies within the ,department of ,health and ,human ,services4 7d7 ,input of certain entities ,in identifying the model programs and materials under subsections 7a7 and 7b71 the ,secretary shall solicit input from key stakeholders1 including relevant national1 ,state1 and local associations1 medical societies licensing boards1 providers of mental and substance use disorder treatment and care1 and organizations representing patients and consumers4 #fjc4 ,confidentiality of records ,not later than #a year after the date on which the ,secretary of ,health and ,human ,services first finalizes the regulations updating part #b of title #db1 ,code of ,federal ,regulations 7relating to confidentiality of alcohol and drug abuse patient records71 after the date of enactment of this ,act1 the ,secretary shall convene relevant stakeholders to determine the impact of such regulations on patient care1 health outcomes1 and patient privacy4 #fjd4 ,enhanced compliance with mental health and substance use disorder coverage requirements 7a7 ,guidance ,section #bgbf7;a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;gg-#bf7;a77 is amended by adding at the end the following3 7#f7 ,additional guidance 7,a7 ,in general ,not later than #a year after the date of enactment of the ,mental ,health ,reform ,act of #bjaf1 the ,secretary1 in coordination with the ,secretary of ,labor and the ,secretary of the ,treasury1 shall issue guidance to group health plans and health insurance issuers offering group or individual health insurance coverage to assist such plans and issuers in satisfying the requirements of this section4 7,b7 ,disclosure 7i7 ,guidance for plans and issuers ,the guidance issued under this paragraph shall include specific examples of methods that group health plans and health insurance issuers offering group or individual health insurance coverage may use for disclosing information to demonstrate compliance with the requirements under this section 7and any regulations promulgated pursuant to this section71 including methods for complying with requirements for nonquantitative treatment limitations4 7ii7 ,documents for participants1 beneficiaries1 or contracting providers ,the guidance issued under this paragraph may include examples of standardized methods that group health plans and health insurance issuers offering group or individual health insurance coverage may use to provide any participant1 beneficiary1 or contracting provider1 upon request1 with documents containing coverage information that the health plans or issuers are required1 by this section or any other provision of law1 to disclose to such participants1 beneficiaries1 or contracting providers1 including-- 7,i7 information1 including information that is comparative in nature1 on nonquantitative treatment limitations for both medical and surgical benefits and mental health and substance use disorder benefits2 7,,ii7 information1 including information that is comparative in nature1 about the processes1 strategies1 evidentiary standards1 and other factors used to apply nonquantitative treatment limitations for both medical and surgical benefits and mental health and substance use disorder benefits1 including how such limitations are applied to mental health or substance use disorder benefits2 and 7,,iii7 information1 including information that is comparative in nature1 about how nonquantitative treatment limitations are applied to medical and surgical benefits relative to how such limitations are applied to mental health or substance use disorder benefits4 7,c7 ,nonquantitative treatment limitations ,the guidance issued under this paragraph shall include information that group health plans and health insurance issuers offering group or individual health insurance coverage may use to comply with requirements for nonquantitative treatment limitations under this section1 including-- 7i7 examples of appropriate types of nonquantitative treatment limitations on mental health and substance use disorder benefits that comply or do not comply with this section1 including-- 7,i7 medical management standards that limit or exclude benefits based on medical necessity1 medical appropriateness1 or whether a treatment is experimental or investigative2 7,,ii7 limitations with respect to prescription drug formulary design2 and 7,,iii7 use of fail-first or step therapy protocols2 7ii7 examples of network admission standards and individual provider reimbursement rates1 as such standards and rates apply to network adequacy1 that comply or do not comply with this section2 7iii7 examples of sources of information that may serve as evidentiary standards for the purpose of determining compliance or noncompliance with applicable nonquantitative treatment limitation requirements2 7iv7 examples of specific factors that may be used by such plans or issuers in performing a nonquantitative treatment limitation analysis2 7v7 examples of specific evidentiary standards that may be used by such plans or issuers to evaluate the specific factors described in clause 7iv72 7vi7 examples of how a lack of clinical evidence may be taken into consideration by such plans or issuers in the case of experimental treatment exclusions2 7vii7 examples of how specific evidentiary standards may be applied to each service category or classification of benefits2 7viii7 examples of new mental health or substance use disorder treatments that comply or do not comply with this section1 such as evidence-based early intervention programs for individuals with a serious mental illness and types of medical management techniques that have been determined to meet or fail to meet requirements for nonquantitative treatment limitations2 7ix7 examples of coverage determinations that comply or do not comply with this section and for which there is an indirect relationship between the covered mental health or substance use disorder benefit and a traditional covered medical and surgical benefit1 such as residential treatment or hospitalizations involving involuntary commitment2 7x7 examples of how nonquantitative treatment limitations and their application1 determinations that treatments are no longer medically necessary1 and efforts to terminate or reduce care may be resolved in a manner that is least burdensome to the patient and provides for continuity of patient care2 and 7xi7 additional examples of coverage of mental health and substance use disorder benefits that comply or do not comply with this section1 including cases in which restrictions based on geographic locations1 facility type1 provider specialty1 or other criteria limit the scope or duration of benefits4 7,d7 ,public comment ,prior to issuing any final guidance under this section1 the ,secretary shall provide a public comment period of not less than #fj days during which any member of the public may provide comments on a draft of the guidance4 4 7b7 ,improving compliance 7#a7 ,in general ,in the case of a group health plan or health insurance issuer offering health insurance coverage in the group or individual market with respect to which there are at least #e findings of noncompliance with section #bgbf of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;gg-#bf71 section #gab of the ,employee ,retirement ,income ,security ,act of #aigd 7#bi ,u4,s4,c4 #aahe;a71 or section #ihab of the ,internal ,revenue ,code1 the appropriate ,secretary shall audit plan documents for such health plan or issuer in the following plan year in order to help improve compliance with such section4 7#b7 ,rule of construction ,nothing in this subsection shall be construed to limit the authority1 as in effect on the day before the date of enactment of this ,act1 of the ,secretary of ,health and ,human ,services1 the ,secretary of ,labor1 or the ,secretary of the ,treasury to audit documents of health plans or health insurance issuers4 #fje4 ,action plan for enhanced enforcement of mental health and substance use disorder coverage 7a7 ,public meeting 7#a7 ,in general ,not later than #f months after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services shall convene a public meeting of stakeholders described in paragraph 7#b7 to produce an action plan for improved ,federal and ,state coordination related to the enforcement of mental health parity and addiction equity requirements4 7#b7 ,stakeholders ,the stakeholders described in this paragraph shall include each of the following3 7,a7 ,the ,federal ,government1 including representatives from-- 7i7 the ,department of ,health and ,human ,services2 7ii7 the ,department of the ,treasury2 7iii7 the ,department of ,labor2 and 7iv7 the ,department of ,justice4 7,b7 ,state governments1 including-- 7i7 ,state health insurance commissioners2 7ii7 appropriate ,state agencies1 including agencies on public health or mental health2 and 7iii7 ,state attorneys general or other representatives of ,state entities involved in the enforcement of mental health parity laws4 7,c7 ,representatives from key stakeholder groups1 including-- 7i7 the ,national ,association of ,insurance ,commissioners2 7ii7 health insurance providers2 7iii7 providers of mental health and substance use disorder treatment2 7iv7 employers2 and 7v7 patients or their advocates4 7b7 ,action plan ,not later than #f months after the public meeting under subsection 7a71 the ,secretary of ,health and ,human ,services shall finalize the action plan described in such subsection and make it plainly available on the ,internet website of the ,department of ,health and ,human ,services4 7c7 ,content ,the action plan under this section shall-- 7#a7 reflect the input of the stakeholders invited to the public meeting under subsection 7a72 7#b7 identify specific strategic objectives regarding how the various ,federal and ,state agencies charged with enforcement of mental health parity and addiction equity requirements will collaborate to improve enforcement of such requirements2 7#c7 provide a timeline for when such objectives shall be met2 and 7#d7 provide specific examples of how such objectives may be met1 which may include-- 7,a7 providing common educational information and documents to patients about their rights under ,federal or ,state mental health parity and addiction equity requirements2 7,b7 facilitating the centralized collection of1 monitoring of1 and response to patient complaints or inquiries relating to ,federal or ,state mental health parity and addiction equity requirements1 which may be through the development and administration of a single1 toll-free telephone number and an ,internet website portal2 7,c7 ,federal and ,state law enforcement agencies entering into memoranda of understanding to better coordinate enforcement responsibilities and information sharing1 including whether such agencies should make the results of enforcement actions related to mental health parity and addiction equity requirements publicly available2 and 7,d7 recommendations to the ,secretary and ,congress regarding the need for additional legal authority to improve enforcement of mental health parity and addiction equity requirements1 including requirements for nonquantitative treatment limitations and the extent and frequency of how such limitations are applied both to medical and surgical benefits and to mental health and substance use disorder benefits4 #fjf4 ,report on investigations regarding parity in mental health and substance use disorder benefits 7a7 ,in general ,not later than #a year after the date of enactment of this ,act1 and annually thereafter for the subsequent #e years1 the ,administrator of the ,centers for ,medicare ,medicaid ,services1 in collaboration with the ,assistant ,secretary of ,labor of the ,employee ,benefits ,security ,administration and the ,secretary of the ,treasury1 shall submit to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate a report summarizing the results of all closed ,federal investigations completed during the preceding #ab-month period with findings of any serious violation regarding compliance with parity in mental health and substance use disorder benefits1 including benefits provided to persons with a serious mental illness or a substance use disorder1 under section #bgbf of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;gg-#bf71 section #gab of the ,employee ,retirement ,income ,security ,act of #aigd 7#bi ,u4,s4,c4 #aahe;a71 and section #ihab of the ,internal ,revenue ,code of #aihf4 7b7 ,contents ,subject to subsection 7c71 a report under subsection 7a7 shall1 with respect to investigations described in such subsection1 include each of the following3 7#a7 ,the number of open or closed ,federal investigations conducted during the covered reporting period4 7#b7 ,each benefit classification examined by any such investigation conducted during the covered reporting period4 7#c7 ,each subject matter1 including compliance with requirements for quantitative and nonquantitative treatment limitations1 of any such investigation conducted during the covered reporting period4 7#d7 ,a summary of the basis of the final decision rendered for each closed investigation conducted during the covered reporting period that resulted in a finding of a serious violation4 7c7 ,limitation ,any individually identifiable information shall be excluded from reports under subsection 7a7 consistent with protections under the health privacy and security rules promulgated under section #bfd7;c7 of the ,health ,insurance ,portability and ,accountability ,act of #aiif 7#db ,u4,s4,c4 #acbj;d-#b note74 #fjg4 ,,gao study on coverage limitations for individuals with serious mental illness and substance use disorders ,not later than #c years after the date of enactment of this ,act1 the ,comptroller ,general of the ,united ,states1 in consultation with the ,secretary of ,health and ,human ,services1 the ,secretary of ,labor1 and the ,secretary of the ,treasury1 shall submit to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate a report detailing the extent to which group health plans or health insurance issuers offering group or individual health insurance coverage that provides both medical and surgical benefits and mental health or substance use disorder benefits1 and medicaid managed care organizations with a contract under section #aijc7m7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;b7m771 comply with section #bgbf of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;gg-#bf71 section #gab of the ,employee ,retirement ,income ,security ,act of #aigd 7#bi ,u4,s4,c4 #aahe;a71 and section #ihab of the ,internal ,revenue ,code of #aihf1 including-- 7#a7 how nonquantitative treatment limitations1 including medical necessity criteria1 of such plans or issuers comply with such sections2 7#b7 how the responsible ,federal departments and agencies ensure that such plans or issuers comply with such sections1 including an assessment of how the ,secretary of ,health and ,human ,services has used its authority to conduct audits of such plans to ensure compliance2 7#c7 a review of how the various ,federal and ,state agencies responsible for enforcing mental health parity requirements have improved enforcement of such requirements in accordance with the objectives and timeline described in the action plan under section #fje2 and 7#d7 recommendations for how additional enforcement1 education1 and coordination activities by responsible ,federal and ,state departments and agencies could better ensure compliance with such sections1 including recommendations regarding the need for additional legal authority4 #fjh4 ,clarification of existing parity rules ,if a group health plan or a health insurance issuer offering group or individual health insurance coverage provides coverage for eating disorder benefits including1 but not limited to1 residential treatment1 such group health plan or health insurance issuer shall provide such benefits consistent with the requirements of section #bgbf of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;gg-#bf71 section #gab of the ,employee ,retirement ,income ,security ,act of #aigd 7#bi ,u4,s4,c4 #aahe;a71 and section #ihab of the ,internal ,revenue ,code of #aihf4