,,ii #aad? ,,congress #b;d ,session ,s4 #bfhj ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,m>* #ae1 #bjaf ,mr4 ,alex&] 7= himself1 ,mrs4 ,murray1 ,mr4 ,cassidy1 & ,mr4 ,murphy7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,a ,,bill ,to am5d ! ,public ,heal? ,s]vice ,act to provide compreh5sive m5tal heal? re=m1 & = o!r purposes4 #a4 ,%ort title2 table ( cont5ts 7a7 ,%ort title ,?is ,act may be cit$ z ! ,m5tal ,heal? ,re=m ,act ( #bjaf4 7b7 ,table ( cont5ts ,! table ( cont5ts = ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title2 table ( cont5ts4 ,,title ,i--,/r5g!n+ lead]%ip & acc\ntability ,sec4 #aja4 ,improv+ ov]sight ( m5tal & sub/ance use disord] programs4 ,sec4 #ajb4 ,/r5g!n+ lead]%ip ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration4 ,sec4 #ajc4 ,*ief ,m$ical ,(fic]4 ,sec4 #ajd4 ,/rategic plan4 ,sec4 #aje4 ,bi5nial report conc]n+ activities & progress4 ,sec4 #ajf4 ,au?orities ( c5t]s = m5tal heal? s]vices4 ,sec4 #ajg4 ,advisory c\ncils4 ,sec4 #ajh4 ,pe] review4 ,sec4 #aji4 ,int]-,dep>tm5tal ,s]i\s ,m5tal ,illness ,coord9at+ ,committee4 ,,title ,,ii--,ensur+ m5tal & sub/ance use disord] prev5tion1 treatm5t1 & recov]y programs keep pace ) sci5ce ,sec4 #bja4 ,enc\rag+ innovation & evid5ce-bas$ programs4 ,sec4 #bjb4 ,promot+ access to in=mation on evid5ce-bas$ programs & practices4 ,sec4 #bjc4 ,priority m5tal heal? ne$s ( regional & national significance4 ,,title ,,iii--,support+ ,/ate ,responses to ,m5tal ,heal? & ,sub/ance ,use ,disord] ,ne$s ,sec4 #cja4 ,community ,m5tal ,heal? ,s]vices ,block ,grant4 ,sec4 #cjb4 ,additional provisions relat$ to ! block grants4 ,sec4 #cjc4 ,/udy ( di/ribution ( funds "u ! ,sub/ance ,abuse ,prev5tion & ,treatm5t ,block ,grant & ! ,community ,m5tal ,heal? ,s]vices ,block ,grant4 ,,title ,,iv--,promot+ access to m5tal heal? & sub/ance use disord] c>e ,sec4 #dja4 ,grants = treatm5t & recov]y = homeless individuals4 ,sec4 #djb4 ,grants = jail div]sion programs4 ,sec4 #djc4 ,promot+ integration ( prim>y & behavioral heal? c>e4 ,sec4 #djd4 ,projects = assi/ance 9 transition f homelessness4 ,sec4 #dje4 ,national ,suicide ,prev5tion ,lifel9e program4 ,sec4 #djf4 ,connect+ individuals & families ) c>e4 ,sec4 #djg4 ,/reaml9+ m5tal & behavioral heal? work=ce programs4 ,sec4 #djh4 ,reports4 ,sec4 #dji4 ,c5t]s & program repeals4 ,,title ,v--,/r5g!n+ m5tal & sub/ance use disord] c>e = *ildr5 & adolesc5ts ,sec4 #eja4 ,programs = *ildr5 ) s]i\s emotional di/urbances4 ,sec4 #ejb4 ,teleheal? *ild psy*iatry access grants4 ,sec4 #ejc4 ,sub/ance use disord] treatm5t & e>ly int]v5tion s]vices = *ildr5 & adolesc5ts4 ,sec4 #ejd4 ,resid5tial treatm5t programs = pregnant & p>5t+ wom54 ,,title ,,vi--,improv+ pati5t c>e & access to m5tal & sub/ance use disord] b5efits ,sec4 #fja4 ,,hipaa cl>ification4 ,sec4 #fjb4 ,id5tification ( model tra9+ programs4 ,sec4 #fjc4 ,confid5tiality ( records4 ,sec4 #fjd4 ,enhanc$ compliance ) m5tal heal? & sub/ance use disord] cov]age requirem5ts4 ,sec4 #fje4 ,action plan = enhanc$ en=cem5t ( m5tal heal? & sub/ance use disord] cov]age4 ,sec4 #fjf4 ,report on inve/igations reg>d+ p>ity 9 m5tal heal? & sub/ance use disord] b5efits4 ,sec4 #fjg4 ,,gao /udy on cov]age limitations = individuals ) s]i\s m5tal illness & sub/ance use disord]s4 ,sec4 #fjh4 ,cl>ification ( exi/+ p>ity rules4 ,i ,/r5g!n+ lead]%ip & acc\ntability #aja4 ,improv+ ov]sight ( m5tal & sub/ance use disord] programs 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,assi/ant ,secret>y = ,plann+ & ,evaluation 7ref]r$ to 9 ?is section z ! ,assi/ant ,secret>y71 %all ensure effici5t & effective plann+ & evaluation ( m5tal & sub/ance use disord] programs & relat$ activities4 7b7 ,activities ,9 c>ry+ out subsection 7a71 ! ,assi/ant ,secret>y %all-- 7#a7 evaluate programs relat$ to m5tal & sub/ance use disord]s1 includ+ co-occurr+ disord]s1 across ag5cies & o!r organizations1 z appropriate1 includ+ programs relat$ to-- 7,a7 prev5tion1 int]v5tion1 treatm5t1 & recov]y support s]vices1 includ+ su* s]vices = individuals ) a s]i\s m5tal illness or s]i\s emotional di/urbance2 7,b7 ! r$uction ( homelessness & inc>c]ation among individuals ) a m5tal or sub/ance use disord]2 & 7,c7 public heal? & heal? s]vices2 & 7#b7 consult1 z appropriate1 ) ! ,adm9i/rator ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 ! ,*ief ,m$ical ,(fic] ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 e/abli%$ "u section #eja7;g7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa7g77 z am5d$ by section #ajc1 o!r ag5cies )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 & o!r relevant ,f$]al dep>tm5ts4 7c7 ,recomm5dations ,! ,assi/ant ,secret>y %all evaluate & provide recomm5dations to ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration & o!r relevant ag5cies )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices on improv+ programs & activities bas$ on ! evaluation describ$ 9 subsection 7b77#a74 #ajb4 ,/r5g!n+ lead]%ip ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration ,section #eja ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa7 is am5d$-- 7#a7 9 subsection 7b7-- 7,a7 by /rik+ ! head+ & ins]t+ ,c5t]s2 & 7,b7 9 ! matt] prec$+ p>agraph 7#a71 by /rik+ entities & ins]t+ ,c5t]s2 & 7#b7 9 subsection 7d7-- 7,a7 9 p>agraph 7#a7-- 7i7 by /rik+ ag5cies ea* place ! t]m appe>s & ins]t+ ,c5t]s2 & 7ii7 by /rik+ su* ag5cy & ins]t+ su* ,c5t]2 7,b7 9 p>agraph 7#b7-- 7i7 by /rik+ ag5cies & ins]t+ ,c5t]s2 7ii7 by /rik+ ) respect to sub/ance abuse & ins]t+ ) respect to sub/ance use disord]s2 & 7iii7 by /rik+ & individuals :o are sub/ance abus]s & ins]t+ & individuals ) sub/ance use disord]s2 7,c7 9 p>agraph 7#e71 by /rik+ sub/ance abuse & ins]t+ sub/ance use disord]2 7,d7 9 p>agraph 7#f7-- 7i7 by /rik+ ! ,c5t]s = ,disease ,control & ins]t+ ! ,c5t]s = ,disease ,control & ,prev5tion12 7ii7 by /rik+ ,,hiv or tub]culosis among sub/ance abus]s & individuals ) m5tal illness & ins]t+ ,,hiv1 hepatitis ,c1 tub]culosis1 & o!r communicable diseases among individuals ) m5tal illness or sub/ance use disord]s12 & 7iii7 by ins]t+ or disord]s be=e ! semicolon2 7,e7 9 p>agraph 7#g71 by /rik+ abuse utiliz+ anti-addiction m$ications1 includ+ me?adone & ins]t+ use disord]s1 includ+ s]vices t utilize drugs or devices approv$ by ! ,food & ,drug ,adm9i/ration = sub/ance use disord]s2 7,f7 9 p>agraph 7#h7-- 7i7 by /rik+ ,ag5cy = ,heal? ,c>e ,policy ,rese>* & ins]t+ ,ag5cy = ,heal?c>e ,rese>* & ,quality2 & 7ii7 by /rik+ treatm5t & prev5tion & ins]t+ prev5tion & treatm5t2 7,g7 9 p>agraph 7#i7-- 7i7 by ins]t+ & ma9t5ance aft] developm5t2 7ii7 by /rik+ ,ag5cy = ,heal? ,c>e ,policy ,rese>* & ins]t+ ,ag5cy = ,heal?c>e ,rese>* & ,quality2 & 7iii7 by /rik+ treatm5t & prev5tion & ins]t+ prev5tion & treatm5t & appropriately incorporat$ into programs c>ri$ out by ! ,adm9i/ration2 7,h7 9 p>agraph 7#aj71 by /rik+ abuse & ins]t+ use disord]2 7,i7 by /rik+ p>agraph 7#aa7 & ins]t+ ! foll[+3 7#aa7 "w ) relevant ag5cies ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices on integrat+ m5tal heal? promotion & sub/ance use disord] prev5tion ) g5]al heal? promotion & disease prev5tion & integrat+ m5tal & sub/ance use disord] treatm5t s]vices ) physical heal? treatm5t s]vices2 2 7,j7 9 p>agraph 7#ac7-- 7i7 9 ! matt] prec$+ subp>agraph 7,a71 by /rik+ ?is title1 assure t & ins]t+ ?is title1 or "p ,b ( title ,,xix1 or grant programs o!rwise fund$ by ! ,adm9i/ration2 7ii7 9 subp>agraph 7,a7-- 7,i7 by ins]t+ require t be=e all grants2 & 7,,ii7 by /rik+ & at ! end2 7iii7 by r$esignat+ subp>agraph 7,b7 z subp>agraph 7,c72 7iv7 by ins]t+ aft] subp>agraph 7,a7 ! foll[+3 7,b7 ensure t ! director ( ea* ,c5t] ( ! ,adm9i/ration consi/5tly docum5ts ! application ( crit]ia :5 aw>d+ grants & ! ongo+ ov]sight ( grantees aft] su* grants are aw>d$2 2 7v7 9 subp>agraph 7,c71 z s r$esignat$-- 7,i7 by ins]t+ require t be=e all grants2 & 7,,ii7 by ins]t+ & aft] ! semicolon at ! end2 & 7vi7 by add+ at ! end ! foll[+3 7,d7 in=m a ,/ate :5 any funds are aw>d$ ?r\gh su* a grant to any entity )9 su* ,/ate2 2 7,k7 9 p>agraph 7#af7-- 7i7 by /rik+ abuse & m5tal heal? in=mation & ins]t+ use disord]1 includ+ evid5ce-bas$ & promis+ be/ practices = prev5tion1 treatm5t1 & recov]y support s]vices = individuals ) m5tal & sub/ance use disord]s12 7,l7 9 p>agraph 7#ag7-- 7i7 by /rik+ sub/ance abuse & ins]t+ m5tal & sub/ance use disord]2 & 7ii7 by /rik+ & at ! end2 7,m7 9 p>agraph 7#ah71 by /rik+ ! p]iod & ins]t+ a semicolon2 & 7,n7 by add+ at ! end ! foll[+3 7#ai7 consult ) ,/ate1 local1 & tribal gov]nm5ts1 nongov]nm5tal entities1 & individuals ) m5tal illness1 p>ticul>ly individuals ) a s]i\s m5tal illness & *ildr5 & adolesc5ts ) a s]i\s emotional di/urbance1 & _! family memb]s1 ) respect to improv+ community-bas$ & o!r m5tal heal? s]vices2 7#bj7 collaborate ) ! ,secret>y ( ,def5se & ! ,secret>y ( ,vet]ans ,affairs to improve ! provision ( m5tal & sub/ance use disord] s]vices provid$ by ! ,dep>tm5t ( ,def5se & ! ,dep>tm5t ( ,vet]ans ,affairs to vet]ans1 includ+ ?r\gh ! provision ( s]vices us+ ! teleheal? capabilities ( ! ,dep>tm5t ( ,vet]ans ,affairs2 7#ba7 collaborate ) ! heads ( ,f$]al dep>tm5ts & programs t are memb]s ( ! ,unit$ ,/ates ,int]ag5cy ,c\ncil on ,homelessness1 p>ticul>ly ! ,secret>y ( ,h\s+ & ,urban ,developm5t1 ! ,secret>y ( ,labor1 & ! ,secret>y ( ,vet]ans ,affairs1 & ) ! heads ( o!r ag5cies )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 p>ticul>ly ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 ! ,assi/ant ,secret>y = ! ,adm9i/ration = ,*ildr5 & ,families1 & ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 to design national /rategies = provid+ s]vices 9 supportive h\s+ to assi/ 9 end+ *ronic homelessness & to implem5t programs t address *ronic homelessness2 & 7#bb7 "w ) ,/ates & o!r /akehold]s to develop & support activities to recruit & reta9 a work=ce address+ m5tal & sub/ance use disord]s4 4 #ajc4 ,*ief ,m$ical ,(fic] ,section #eja ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa71 z am5d$ by section #ajb1 is fur!r am5d$-- 7#a7 by r$esignat+ subsections 7g7 ?r\gh 7j7 & subsections 7k7 ?r\gh 7o7 z subsections 7h7 ?r\gh 7k7 & subsections 7m7 ?r\gh 7q71 respectively2 7#b7 9 subsection 7e77#c77;,c71 by /rik+ subsection 7k7 & ins]t+ subsection 7m72 7#c7 9 subsection 7f77#b77;,c77iii71 by /rik+ subsection 7k7 & ins]t+ subsection 7m72 & 7#d7 by ins]t+ aft] subsection 7f7 ! foll[+3 7g7 ,*ief m$ical (fic] 7#a7 ,9 g5]al ,! ,adm9i/rator1 ) ! approval ( ! ,secret>y1 %all appo9t a ,*ief ,m$ical ,(fic] )9 ! ,adm9i/ration4 7#b7 ,eligible c&idates ,! ,adm9i/rator %all select ! ,*ief ,m$ical ,(fic] f among individuals :o-- 7,a7 h a doctoral degree 9 m$ic9e or o/eopa?ic m$ic9e2 7,b7 h exp]i5ce 9 ! provision ( m5tal or sub/ance use disord] s]vices2 7,c7 h exp]i5ce work+ ) m5tal or sub/ance use disord] programs2 & 7,d7 h an und]/&+ ( biological1 psy*osocial1 & ph>maceutical treatm5ts ( m5tal or sub/ance use disord]s4 7#c7 ,duties ,! ,*ief ,m$ical ,(fic] %all-- 7,a7 s]ve z a liaison betwe5 ! ,adm9i/ration & provid]s ( m5tal & sub/ance use disord] prev5tion1 treatm5t1 & recov]y s]vices2 7,b7 assi/ ! ,adm9i/rator 9 ! evaluation1 organization1 integration1 & coord9ation ( programs op]at$ by ! ,adm9i/ration2 7,c7 promote evid5ce-bas$ & promis+ be/ practices1 includ+ culturally & l+ui/ically appropriate practices1 z appropriate1 = ! prev5tion1 treatm5t1 & recov]y ( sub/ance use disord]s & m5tal illness1 includ+ s]i\s m5tal illness & s]i\s emotional di/urbance2 & 7,d7 p>ticipate 9 regul> /rategic plann+ = ! ,adm9i/ration4 4 #ajd4 ,/rategic plan ,section #eja ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa71 z am5d$ by section #ajc1 is fur!r am5d$ by ins]t+ aft] subsection 7k71 z r$esignat$ 9 section #ajc1 ! foll[+3 7l7 ,/rategic plan 7#a7 ,9 g5]al ,n lat] ?an ,decemb] #a1 #bjag1 & e #d ye>s !reaft]1 ! ,adm9i/rator %all develop & c>ry out a /rategic plan 9 accordance ) ?is subsection = ! plann+ & op]ation ( programs & grants c>ri$ out by ! ,adm9i/ration4 7#b7 ,coord9ation ,9 develop+ & c>ry+ out ! /rategic plan "u ?is section1 ! ,adm9i/rator %all take into consid]ation ! f9d+s & recomm5dations ( ! ,assi/ant ,secret>y = ,plann+ & ,evaluation "u section #aja ( ! ,m5tal ,heal? ,re=m ,act ( #bjaf & ! report ( ! ,int]-,dep>tm5tal ,s]i\s ,m5tal ,illness ,coord9at+ ,committee "u section #aji ( su* ,act4 7#c7 ,publication ( plan ,n lat] ?an ,decemb] #a1 #bjag1 & e #d ye>s !reaft]1 ! ,adm9i/rator %all-- 7,a7 submit ! /rategic plan develop$ "u p>agraph 7#a7 to ! appropriate committees ( ,congress2 & 7,b7 po/ su* plan on ! ,int]net website ( ! ,adm9i/ration4 7#d7 ,cont5ts ,! /rategic plan develop$ "u p>agraph 7#a7 %all-- 7,a7 id5tify /rategic priorities1 goals1 & measurable objectives = m5tal & sub/ance use disord] activities & programs op]at$ & support$ by ! ,adm9i/ration2 7,b7 id5tify ways to improve s]vices = individuals ) a m5tal or sub/ance use disord]1 includ+ s]vices relat$ to ! prev5tion (1 diagnosis (1 int]v5tion 91 treatm5t (1 & recov]y f1 m5tal or sub/ance use disord]s1 includ+ s]i\s m5tal illness or s]i\s emotional di/urbance1 & access to s]vices & supports = individuals ) a s]i\s m5tal illness or s]i\s emotional di/urbance2 7,c7 ensure t programs provide1 z appropriate1 access to effective & evid5ce-bas$ diagnosis1 prev5tion1 int]v5tion1 treatm5t1 & recov]y s]vices1 includ+ culturally & l+ui/ically appropriate s]vices1 z appropriate1 = individuals ) a m5tal or sub/ance use disord]2 7,d7 id5tify opportunities to collaborate ) ! ,heal? ,res\rces & ,s]vices ,adm9i/ration to develop or improve-- 7i7 initiatives to enc\rage individuals to pursue c>e]s 7especially 9 rural & und]s]v$ areas & populations7 z psy*iatri/s1 psy*ologi/s1 psy*iatric nurse practition]s1 physician assi/ants1 cl9ical social work]s1 c]tifi$ pe] support speciali/s1 or o!r lic5s$ or c]tifi$ m5tal heal? pr(essionals1 includ+ su* pr(essionals specializ+ 9 ! diagnosis1 evaluation1 or treatm5t ( individuals ) a s]i\s m5tal illness or s]i\s emotional di/urbance2 & 7ii7 a /rategy to improve ! recruitm5t1 tra9+1 & ret5tion ( a work=ce = ! treatm5t ( individuals ) m5tal or sub/ance use disord]s1 or co-occurr+ disord]s2 & 7,e7 dissem9ate evid5c$-bas$ & promis+ be/ practices relat$ to prev5tion1 e>ly int]v5tion1 treatm5t1 & recov]y s]vices relat$ to m5tal illness1 p>ticul>ly = individuals ) a s]i\s m5tal illness & *ildr5 & adolesc5ts ) a s]i\s emotional di/urbance1 & sub/ance use disord]s4 4 #aje4 ,bi5nial report conc]n+ activities & progress 7a7 ,9 g5]al ,section #eja ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa71 z am5d$ by section #ajd1 is fur!r am5d$ by am5d+ subsection 7m71 z r$esignat$ by section #ajc1 to read z foll[s3 7m7 ,bi5nial report conc]n+ activities & progress ,n lat] ?an ,decemb] ( #bjai1 & e #b ye>s !reaft]1 ! ,adm9i/rator %all prep>e & submit to ! ,committee on ,en]gy & ,comm]ce & ! ,committee on ,appropriations ( ! ,h\se ( ,repres5tatives & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions & ! ,committee on ,appropriations ( ! ,s5ate1 & po/ on ! ,int]net website ( ! ,adm9i/ration1 a report conta9+ at a m9imum-- 7#a7 a review ( activities conduct$ or support$ by ! ,adm9i/ration1 includ+ progress t[>d /rategic priorities1 goals1 & objectives id5tifi$ 9 ! /rategic plan develop$ "u subsection 7l72 7#b7 an assessm5t ( programs & activities c>ri$ out by ! ,adm9i/rator1 includ+ ! ext5t to :i* programs & activities "u ?is title & "p ,b ( title ,,xix meet id5tifi$ goals & p]=mance measures develop$ = ! respective programs & activities2 7#c7 a description ( ! progress made 9 address+ gaps 9 m5tal & sub/ance use disord] prev5tion1 treatm5t1 & recov]y s]vices & improv+ outcomes by ! ,adm9i/ration1 includ+ ) respect to co-occurr+ disord]s2 7#d7 a description ( ! mann] 9 :i* ! ,adm9i/ration coord9ates & p>tn]s ) o!r ,f$]al ag5cies & dep>tm5ts relat$ to m5tal & sub/ance use disord]s1 includ+ activities relat$ to-- 7,a7 ! translation ( rese>* f9d+s into improv$ programs1 includ+ ) respect to h[ advances 9 s]i\s m5tal illness & s]i\s emotional di/urbance rese>* h be5 incorporat$ into programs2 7,b7 ! recruitm5t1 tra9+1 & ret5tion ( a m5tal & sub/ance use disord] work=ce2 7,c7 ! integration ( m5tal or sub/ance use disord] s]vices & physical heal? s]vices2 7,d7 homelessness2 & 7,e7 vet]ans2 7#e7 a description ( ! mann] 9 :i* ! ,adm9i/ration promotes coord9ation by grantees "u ?is title1 & "p ,b ( title ,,xix1 ) ,/ate or local ag5cies2 & 7#f7 a description ( ! activities c>ri$ out by ! ,(fice ( ,policy1 ,plann+1 & ,innovation "u section #eja;,a ) respect to m5tal & sub/ance use disord]s1 includ+-- 7,a7 ! numb] & a description ( grants aw>d$2 7,b7 ! total am\nt ( fund+ = grants aw>d$2 7,c7 a description ( ! activities support$ ?r\gh su* grants1 includ+ outcomes ( programs support$2 & 7,d7 in=mation on h[ ! ,(fice ( ,policy1 ,plann+1 & ,innovation is consult+ ) ! ,assi/ant ,secret>y = ,plann+ & ,evaluation1 & collaborat+ ) ! ,c5t] ( ,sub/ance ,abuse ,treatm5t1 ! ,c5t] ( ,sub/ance ,abuse ,prev5tion1 & ! ,c5t] = ,m5tal ,heal? ,s]vices to c>ry out su* activities2 & 7#g7 recomm5dations made by ! ,assi/ant ,secret>y = ,plann+ & ,evaluation to improve programs )9 ! ,adm9i/ration4 4 7b7 ,con=m+ am5dm5t ,section #ejh7p7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#a7 is am5d$ by /rik+ section #eja7k7 & ins]t+ section #eja7m74 #ajf4 ,au?orities ( c5t]s = m5tal heal? s]vices ,section #ebj7;b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#ca7;b77 is am5d$-- 7#a7 by r$esignat+ p>agraphs 7#c7 ?r\gh 7#ae7 z p>agraphs 7#d7 ?r\gh 7#af71 respectively2 7#b7 by ins]t+ aft] p>agraph 7#b7 ! foll[+3 7#c7 collaborate ) ! ,director ( ! ,national ,in/itute ( ,m5tal ,heal? & ! ,*ief ,m$ical ,(fic]1 appo9t$ "u section #eja7;g71 to ensure t1 z appropriate1 programs relat$ to ! prev5tion ( m5tal illness & ! promotion ( m5tal heal? are c>ri$ out 9 a mann] t reflects ! be/ available sci5ce & evid5ce-bas$ practices1 includ+ culturally & l+ui/ically appropriate s]vices1 z appropriate2 2 7#c7 9 p>agraph 7#e71 z s r$esignat$1 by ins]t+ ?r\gh programs t r$uce risk & promote resili5cy be=e ! semicolon2 7#d7 9 p>agraph 7#f71 z s r$esignat$1 by ins]t+ 9 collaboration ) ! ,director ( ! ,national ,in/itute ( ,m5tal ,heal?1 be=e develop2 7#e7 9 p>agraph 7#h71 z s r$esignat$1 by ins]t+ 1 increase mean+ful p>ticipation ( individuals ) m5tal illness1 be=e & protect ! legal2 7#f7 9 p>agraph 7#aj71 z s r$esignat$1 by /rik+ pr(essional & p>apr(essional p]sonnel pursuant to section #cjc & ins]t+ p>apr(essional p]sonnel & heal? pr(essionals2 7#g7 9 p>agraph 7#aa71 z s r$esignat$1 by ins]t+ & tele-m5tal heal?1 aft] rural m5tal heal?12 7#h7 9 p>agraph 7#ab71 z s r$esignat$1 by /rik+ e/abli% a cle>+h\se = m5tal heal? in=mation to assure ! widespread dissem9ation ( su* in=mation & ins]t+ dissem9ate m5tal heal? in=mation1 includ+ evid5c$-bas$ practices12 7#i7 9 p>agraph 7#ae71 z s r$esignat$1 by /rik+ & at ! end2 7#aj7 9 p>agraph 7#af71 z s r$esignat$1 by /rik+ ! p]iod & ins]t+ 2 &2 & 7#aa7 by add+ at ! end ! foll[+3 7#ag7 ensure ! consi/5t docum5tation ( ! application ( crit]ia :5 aw>d+ grants & ! ongo+ ov]sight ( grantees aft] su* grants are aw>d$4 4 #ajg4 ,advisory c\ncils ,section #ejb ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa-#a7 is am5d$-- 7#a7 9 subsection 7a77#a71 9 ! matt] foll[+ subp>agraph 7,d71 by add+ at ! end ! foll[+3 ,ea* su* advisory c\ncil may also recomm5d subjects = evaluation "u section #aja ( ! ,m5tal ,heal? ,re=m ,act ( #bjaf to ! ,assi/ant ,secret>y = ,plann+ & ,evaluation2 & 7#b7 9 subsection 7b7-- 7,a7 9 p>agraph 7#b7-- 7i7 9 subp>agraph 7,e71 by /rik+ & aft] ! semicolon2 7ii7 by r$esignat+ subp>agraph 7,f7 z subp>agraph 7,j72 & 7iii7 by ins]t+ aft] subp>agraph 7,e71 ! foll[+3 7,f7 ! ,*ief ,m$ical ,(fic]1 appo9t$ "u section #eja7;g72 7,g7 ! ,director ( ! ,national ,in/itute ( ,m5tal ,heal? = ! advisory c\ncils appo9t$ "u subsections 7a77#a77;,a7 & 7a77#a77;,d72 7,h7 ! ,director ( ! ,national ,in/itute on ,drug ,abuse = ! advisory c\ncils appo9t$ "u subsections 7a77#a77;,a71 7a77#a77;,b71 & 7a77#a77;,c72 7,i7 ! ,director ( ! ,national ,in/itute on ,alcohol ,abuse & ,alcoholism = ! advisory c\ncils appo9t$ "u subsections 7a77#a77;,a71 7a77#a77;,b71 & 7a77#a77;,c72 & 2 & 7,b7 9 p>agraph 7#c71 by add+ at ! end ! foll[+3 7,c7 ,n less ?an half ( ! memb]s ( ! advisory c\ncil appo9t$ "u subsection 7a77#a77;,d7-- 7i7 %all h-- 7,i7 a m$ical degree2 7,,ii7 a doctoral degree 9 psy*ology2 or 7,,iii7 an advanc$ degree 9 nurs+ or social "w f an accr$it$ graduate s*ool or be a c]tifi$ physician assi/ant2 & 7ii7 %all specialize 9 ! m5tal heal? field4 4 #ajh4 ,pe] review ,section #ejd7;b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa-#c7;b77 is am5d$ by add+ at ! end ! foll[+3 ,9 ! case ( any su* pe] review gr\p t is review+ a grant1 coop]ative agreem5t1 or contract relat$ to m5tal illness1 n less ?an half ( ! memb]s ( su* pe] review gr\p %all be lic5s$ & exp]i5c$ pr(essionals 9 ! prev5tion1 diagnosis1 treatm5t1 & recov]y ( m5tal illness or sub/ance use disord]s & h a m$ical degree1 a doctoral degree 9 psy*ology1 or an advanc$ degree 9 nurs+ or social "w f an accr$it$ program44 #aji4 ,int]-,dep>tm5tal ,s]i\s ,m5tal ,illness ,coord9at+ ,committee 7a7 ,e/abli%m5t 7#a7 ,9 g5]al ,n lat] ?an #c mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices1 or ! designee ( ! ,secret>y1 %all e/abli% a committee to be kn[n z ! ,int]-,dep>tm5tal ,s]i\s ,m5tal ,illness ,coord9at+ ,committee 79 ?is section ref]r$ to z ! ,committee74 7#b7 ,f$]al ,advisory ,committee ,act ,except z provid$ 9 ?is section1 ! provisions ( ! ,f$]al ,advisory ,committee ,act 7#e ,u4,s4,c4 ,app47 %all apply to ! ,committee4 7b7 ,meet+s ,! ,committee %all meet n few] ?an #b times ea* ye>4 7c7 ,responsibilities ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 & #e ye>s aft] su* date ( enactm5t1 ! ,committee %all submit to ,congress a report includ+-- 7#a7 a summ>y ( advances 9 s]i\s m5tal illness rese>* relat$ to ! prev5tion (1 diagnosis (1 int]v5tion 91 & treatm5t & recov]y (1 s]i\s m5tal illnesses1 & advances 9 access to s]vices & support = individuals ) a s]i\s m5tal illness2 7#b7 an evaluation ( ! impact on public heal? ( ,f$]al programs relat$ to s]i\s m5tal illness1 includ+ measurem5ts ( public heal? outcomes includ+-- 7,a7 rates ( suicide1 suicide attempts1 preval5ce ( s]i\s m5tal illness & sub/ance use disord]s1 ov]dose1 ov]dose dea?s1 em]g5cy hospitalizations1 em]g5cy room bo>d+1 prev5table em]g5cy room visits1 inc>c]ation1 crime1 arre/1 homelessness1 & unemploym5t2 7,b7 increas$ rates ( employm5t & enrollm5t 9 educational & vocational programs2 7,c7 quality ( m5tal & sub/ance use disord] treatm5t s]vices2 or 7,d7 any o!r crit]ia z may be det]m9$ by ! ,secret>y2 & 7#c7 specific recomm5dations = actions t ag5cies c take to bett] coord9ate ! adm9i/ration ( m5tal heal? s]vices = p ) s]i\s m5tal illness4 7d7 ,committee ext5sion ,^u ! submission ( ! second report "u subsection 7c71 ! ,secret>y %all submit a recomm5dation to ,congress on :e!r to ext5d ! op]ation ( ! ,committee4 7e7 ,memb]%ip 7#a7 ,f$]al memb]s ,! ,committee %all be compos$ ( ! foll[+ ,f$]al repres5tatives1 or _! designee-- 7,a7 ! ,secret>y ( ,heal? & ,human ,s]vices1 :o %all s]ve z ! ,*air ( ! ,committee2 7,b7 ! ,adm9i/rator ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration2 7,c7 ! ,attorney ,g5]al ( ! ,unit$ ,/ates2 7,d7 ! ,secret>y ( ,vet]ans ,affairs2 7,e7 ! ,secret>y ( ,def5se2 7,f7 ! ,secret>y ( ,h\s+ & ,urban ,developm5t2 7,g7 ! ,secret>y ( ,education2 7,h7 ! ,secret>y ( ,labor2 & 7,i7 ! ,commission] ( ,social ,security4 7#b7 ,non-,f$]al memb]s ,! ,committee %all also include n less ?an #ad non-,f$]al public memb]s appo9t$ by ! ,secret>y ( ,heal? & ,human ,s]vices1 ( :i*-- 7,a7 at lea/ #a memb] %all be an individual :o has receiv$ treatm5t = a diagnosis ( a s]i\s m5tal illness2 7,b7 at lea/ #a memb] %all be a p>5t or legal gu>dian ( an individual ) a hi/ory ( s]i\s m5tal illness2 7,c7 at lea/ #a memb] %all be a repres5tative ( a lead+ rese>*1 advocacy1 or s]vice organization = individuals ) s]i\s m5tal illnesses2 7,d7 at lea/ #b memb]s %all be-- 7i7 a lic5s$ psy*iatri/ ) exp]i5ce treat+ s]i\s m5tal illness2 7ii7 a lic5s$ psy*ologi/ ) exp]i5ce treat+ s]i\s m5tal illness2 7iii7 a lic5s$ cl9ical social work]2 or 7iv7 a lic5s$ psy*iatric nurse1 nurse practition]1 or physician assi/ant ) exp]i5ce treat+ s]i\s m5tal illness2 7,e7 at lea/ #a memb] %all be a lic5s$ m5tal heal? pr(essional ) a specialty 9 treat+ *ildr5 & adolesc5ts2 7,f7 at lea/ #a memb] %all be a m5tal heal? pr(essional :o has rese>* or cl9ical m5tal heal? exp]i5ce work+ ) m9orities2 7,g7 at lea/ #a memb] %all be a m5tal heal? pr(essional :o has rese>* or cl9ical m5tal heal? exp]i5ce work+ ) m$ically und]s]v$ populations2 7,h7 at lea/ #a memb] %all be a ,/ate c]tifi$ m5tal heal? pe] speciali/2 7,i7 at lea/ #a memb] %all be a judge ) exp]i5ce adjudicat+ cases relat$ to crim9al ju/ice or s]i\s m5tal illness2 & 7,j7 at lea/ #a memb] %all be a law en=cem5t (fic] or corrections (fic] ) ext5sive exp]i5ce 9 int]fac+ ) individuals ) s]i\s m5tal illness or 9 m5tal heal? crisis4 7#c7 ,t]ms ,a memb] ( ! ,committee appo9t$ "u subsection 7e77#b7 %all s]ve = a t]m ( #c ye>s1 & may be reappo9t$ = "o or m additional #c-ye> t]ms4 ,any memb] appo9t$ to fill a vacancy = an unexpir$ t]m %all be appo9t$ = ! rema9d] ( su* t]m4 ,a memb] may s]ve aft] ! expiration ( ! memb]'s t]m until a successor has be5 appo9t$4 7f7 ,work+ gr\ps ,9 c>ry+ out its functions1 ! ,committee may e/abli% work+ gr\ps4 ,su* work+ gr\ps %all be compos$ ( ,committee memb]s1 or _! designees1 & may hold su* meet+s z are necess>y4 7g7 ,sunset ,! ,committee %all t]m9ate on ! date t is #f ye>s aft] ! date on :i* ! ,committee is e/abli%$ "u subsection 7a77#a74 ,,ii ,ensur+ m5tal & sub/ance use disord] prev5tion1 treatm5t1 & recov]y programs keep pace ) sci5ce #bja4 ,enc\rag+ innovation & evid5ce-bas$ programs ,title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa et seq471 z am5d$ by title ,i1 is fur!r am5d$ by ins]t+ aft] section #eja 7#db ,u4,s4,c4 #bij;aa7 ! foll[+3 #eja;,a4 ,(fice ( ,policy1 ,plann+1 & ,innovation 7a7 ,9 g5]al ,!re %all be e/abli%$ )9 ! ,adm9i/ration an ,(fice ( ,policy1 ,plann+1 & ,innovation 7ref]r$ to 9 ?is section z ! ,(fice74 7b7 ,responsibilities ,! ,(fice %all-- 7#a7 cont9ue to c>ry out ! au?orities t 7 9 effect = ! ,(fice ( ,policy1 ,plann+1 & ,innovation z su* ,(fice exi/$ prior to ! date ( enactm5t ( ! ,m5tal ,heal? ,re=m ,act ( #bjaf2 7#b7 id5tify1 coord9ate1 & facilitate ! implem5tation ( policy *anges likely to h a significant impact on m5tal & sub/ance use disord] s]vices2 7#c7 collect1 z appropriate1 in=mation f grantees "u programs op]at$ by ! ,adm9i/ration 9 ord] to evaluate & dissem9ate in=mation on evid5ce-bas$ practices & s]vice deliv]y models2 7#d7 provide lead]%ip 9 id5tify+ & coord9at+ policies & programs relat$ to m5tal heal? & sub/ance use disord]s2 7#e7 9 consultation ) ! ,assi/ant ,secret>y = ,plann+ & ,evaluation1 z appropriate1 p]iodically review programs & activities relat+ to ! diagnosis or prev5tion (1 or treatm5t or rehabilitation =1 m5tal illness & sub/ance use disord]s1 includ+ by-- 7,a7 id5tify+ any su* programs or activities t are duplicative2 7,b7 id5tify+ any su* programs or activities t are n evid5ce-bas$1 effective1 or effici5t2 7,c7 id5tify+ any su* programs or activities t h prov5 to be effective or effici5t 9 improv+ outcomes or increas+ access to evid5ce-bas$ programs2 & 7,d7 =mulat+ recomm5dations = coord9at+1 elim9at+1 or improv+ programs or activities id5tifi$ "u subp>agraph 7,a71 7,b71 or 7,c71 & m]g+ su* programs or activities into o!r successful programs or activities2 & 7#f7 c>ry out o!r activities z deem$ necess>y to cont9ue to enc\rage innovation & dissem9ate evid5ce-bas$ programs & practices4 7c7 ,promot+ innovation 7#a7 ,9 g5]al ,! ,adm9i/rator1 9 coord9ation ) ! ,(fice1 may aw>d grants to ,/ates1 local gov]nm5ts1 ,indian tribes or tribal organizations 7z su* t]ms are def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #dej;b771 educational in/itutions1 & nonpr(it organizations to develop evid5ce-bas$ int]v5tions1 includ+ culturally & l+ui/ically appropriate s]vices1 z appropriate1 =-- 7,a7 evaluat+ a model t has be5 sci5tifically demon/rat$ to %[ promise1 b w\ld b5efit f fur!r appli$ developm5t1 =-- 7i7 enhanc+ ! prev5tion1 diagnosis1 int]v5tion1 treatm5t1 & recov]y ( m5tal illness1 s]i\s emotional di/urbance1 sub/ance use disord]s1 & co-occurr+ disord]s2 or 7ii7 integrat+ or coord9at+ physical heal? s]vices & m5tal & sub/ance use disord] s]vices2 & 7,b7 exp&+1 replicat+1 or scal+ evid5ce-bas$ programs across a wid] area to enhance effective scre5+1 e>ly diagnosis1 int]v5tion1 & treatm5t ) respect to m5tal illness1 s]i\s m5tal illness1 & s]i\s emotional di/urbance1 prim>ily by-- 7i7 apply+ deliv]y ( c>e1 includ+ tra9+ /aff 9 effective evid5ce-bas$ treatm5t2 or 7ii7 integrat+ models ( c>e across specialties & jurisdictions4 7#b7 ,consultation ,9 aw>d+ grants "u ?is p>agraph1 ! ,adm9i/rator %all1 z appropriate1 consult ) ! ,*ief ,m$ical ,(fic]1 ! advisory c\ncils describ$ 9 section #ejb1 ! ,national ,in/itute ( ,m5tal ,heal?1 ! ,national ,in/itute on ,drug ,abuse1 & ! ,national ,in/itute on ,alcohol ,abuse & ,alcoholism4 7d7 ,au?orization ( appropriations ,to c>ry out ! activities "u subsection 7c71 !re are au?oriz$ to be appropriat$ su* sums z may be necess>y = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 4 #bjb4 ,promot+ access to in=mation on evid5ce-bas$ programs & practices 7a7 ,9 g5]al ,! ,adm9i/rator ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration 7ref]r$ to 9 ?is section z ! ,adm9i/rator7 may improve access to reliable & valid in=mation on evid5ce-bas$ programs & practices1 includ+ in=mation on ! /r5g? ( evid5ce associat$ ) su* programs & practices1 relat$ to m5tal & sub/ance use disord]s = ,/ates1 local communities1 nonpr(it entities1 & o!r /akehold]s by po/+ on ! website ( ! ,adm9i/ration in=mation on evid5ce-bas$ programs & practices t h be5 review$ by ! ,adm9i/rator pursuant to ! requirem5ts ( ?is section4 7b7 ,notice ,9 c>ry+ out subsection 7a71 ! ,adm9i/rator may e/abli% a p]iod = ! submission ( applications = evid5ce-bas$ programs & practices to be po/$ publicly 9 accordance ) subsection 7a74 ,9 e/abli%+ su* application p]iod1 ! ,adm9i/rator %all provide = ! public notice ( su* application p]iod 9 ! ,f$]al ,regi/]4 ,su* notice may solicit applications = evid5ce-bas$ practices & programs to address gaps id5tifi$ by ! ,assi/ant ,secret>y = ,plann+ & ,evaluation ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices 9 ! evaluation & recomm5dations "u section #aja or priorities id5tifi$ 9 ! /rategic plan e/abli%$ "u section #eja7l7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa74 7c7 ,requirem5ts ,! ,adm9i/rator may e/abli% m9imum requirem5ts = applications ref]r$ to "u ?is section1 includ+ applications relat$ to ! submission ( rese>* & evaluation4 7d7 ,review & rat+ ,! ,adm9i/rator %all review applications prior to public po/+1 & may prioritize ! review ( applications = evid5c$-bas$ practices & programs t are relat$ to topics includ$ 9 ! notice e/abli%$ "u subsection 7b74 ,! ,adm9i/rator may utilize a rat+ & review sy/em1 :i* may include in=mation on ! /r5g? ( evid5ce associat$ ) su* programs & practices & a rat+ ( ! me?odological rigor ( ! rese>* support+ ! application4 #bjc4 ,priority m5tal heal? ne$s ( regional & national significance ,section #ebj;,a ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cb7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 9 p>agraph 7#d71 by ins]t+ be=e ! p]iod 1 t may include te*nical assi/ance c5t]s2 & 7,b7 9 ! flu% s5t5ce foll[+ p>agraph 7#d7-- 7i7 by ins]t+ 1 contracts1 be=e or coop]ative agreem5ts2 & 7ii7 by /rik+ ,indian tribes & tribal organizations & ins]t+ t]ritories1 ,indian tribes or tribal organizations 7z su* t]ms are def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act71 heal? facilities1 or programs op]at$ by or pursuant to a contract or grant ) ! ,indian ,heal? ,s]vice1 or2 & 7#b7 9 subsection 7f7-- 7,a7 9 p>agraph 7#a7 by /rik+ ! p>agraph head+2 7,b7 by /rik+ #cjj1jjj1jjj & all t foll[s ?r\gh #bjjc & ins]t+ su* sums z may be necess>y = ea* ( fiscal ye>s #bjag ?r\gh #bjba2 & 7,c7 by /rik+ p>agraph 7#b74 ,,iii ,support+ ,/ate ,responses to ,m5tal ,heal? & ,sub/ance ,use ,disord] ,ne$s #cja4 ,community ,m5tal ,heal? ,s]vices ,block ,grant 7a7 ,=mula grants ,section #aiaa7;b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx7b77 is am5d$-- 7#a7 by r$esignat+ p>agraphs 7#a7 ?r\gh 7#c7 z p>agraphs 7#b7 ?r\gh 7#d71 respectively2 & 7#b7 by ins]t+ be=e p>agraph 7#b7 7z s r$esignat$71 ! foll[+3 7#a7 provid+ community m5tal heal? s]vices = adults ) s]i\s m5tal illness & *ildr5 ) s]i\s emotional di/urbances z def9$ 9 accordance ) section #aiab7;c72 4 7b7 ,/ate plan ,section #aiab7;b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#a7;b77 is am5d$-- 7#a7 9 p>agraph 7#c71 by r$esignat+ subp>agraphs 7,a7 ?r\gh 7,c7 z clauses 7i7 ?r\gh 7iii71 respectively1 & realign+ ! m>g9s accord+ly2 7#b7 by r$esignat+ p>agraphs 7#a7 ?r\gh 7#e7 z subp>agraphs 7,a7 ?r\gh 7,e71 respectively1 & realign+ ! m>g9s accord+ly2 7#c7 by /rik+ ! matt] prec$+ subp>agraph 7,a7 7z s r$esignat$71 & ins]t+ ! foll[+3 7b7 ,crit]ia = plan ,9 accordance ) subsection 7a71 a ,/ate %all submit to ! ,secret>y a plan t1 at a m9imum1 includes ! foll[+3 7#a7 ,sy/em ( c>e ,a description ( ! ,/ate's sy/em ( c>e t conta9s ! foll[+3 2 7#d7 by /rik+ subp>agraph 7,a7 7z s r$esignat$71 & ins]t+ ! foll[+3 7,a7 ,compreh5sive community-bas$ heal? sy/ems ,! plan %all-- 7i7 id5tify ! s+le ,/ate ag5cy to be responsible = ! adm9i/ration ( ! program "u ! grant1 includ+ any ?ird p>ty :o adm9i/]s m5tal heal? s]vices & is responsible = comply+ ) ! requirem5ts ( ?is "p ) respect to ! grant2 7ii7 provide = an organiz$ community-bas$ sy/em ( c>e = individuals ) m5tal illness & describe available s]vices & res\rces 9 a compreh5sive sy/em ( c>e1 includ+ s]vices = individuals ) co-occurr+ disord]s2 7iii7 include a description ( ! mann] 9 :i* ! ,/ate & local entities w coord9ate s]vices to maximize ! effici5cy1 effectiv5ess1 quality1 & co/ effectiv5ess ( s]vices & programs to produce ! be/ possible outcomes 7includ+ heal? s]vices1 rehabilitation s]vices1 employm5t s]vices1 h\s+ s]vices1 educational s]vices1 sub/ance use disord] s]vices1 legal s]vices1 law en=cem5t s]vices1 social s]vices1 *ild welf>e s]vices1 m$ical & d5tal c>e s]vices1 & o!r support s]vices to be provid$ ) ,f$]al1 ,/ate1 & local public & private res\rces7 ) o!r ag5cies to enable individuals receiv+ s]vices to function outside ( inpati5t or resid5tial in/itutions1 to ! maximum ext5t ( _! capabilities1 includ+ s]vices to be provid$ by local s*ool sy/ems "u ! ,individuals ) ,disabilities ,education ,act2 7iv7 include a description ( h[ ! ,/ate promotes evid5ce-bas$ practices1 includ+ ^? evid5ce-bas$ programs t address ! ne$s ( individuals ) e>ly s]i\s m5tal illness reg>dless ( ! age ( ! individual at onset2 7v7 include a description ( case managem5t s]vices2 7vi7 include a description ( activities lead+ to r$uction ( hospitalization1 arre/1 inc>c]ation1 or suicide1 includ+ ?r\gh promot+ compreh5sive1 individualiz$ treatm5t2 7vii7 include a description ( activities t seek to engage individuals ) s]i\s m5tal illness 9 mak+ heal? c>e decisions1 includ+ activities t enhance communication betwe5 individuals1 families1 & treatm5t provid]s2 7viii7 include a description ( h[ ! ,/ate integrates m5tal heal? & prim>y heal? c>e1 :i* may include provid+1 9 ! case ( individuals ) co-occurr+ m5tal & sub/ance use disord]s1 bo? m5tal & sub/ance use disord] s]vices 9 prim>y c>e sett+s or arrangem5ts to provide prim>y & specialty c>e s]vices 9 community-bas$ m5tal & sub/ance use disord] s]vice sett+s2 & 7ix7 include a description ( h[ ! ,/ate ensures a smoo? transition = *ildr5 ) s]i\s emotion di/urbances f ! *ildr5's s]vice sy/em to ! adult s]vice sy/em4 2 7#e7 9 subp>agraph 7,b7 7z s r$esignat$71 by /rik+ to be a*iev$ 9 ! implem5tation ( ! sy/em describ$ 9 p>agraph 7#a7 & ins]t+ & outcome measures = programs & s]vices provid$ "u ?is subp>t2 7#f7 9 subp>agraph 7,c7 7z s r$esignat$7-- 7,a7 by /rik+ di/urbance 9 ! matt] prec$+ clause 7i7 7z s r$esignat$7 & all t foll[s ?r\gh sub/ance abuse s]vices 9 clause 7i7 7z s r$esignat$7 & ins]t+ ! foll[+3 di/urbance 7z def9$ pursuant to subsection 7c771 ! plan %all provide = a sy/em ( integrat$ social s]vices1 educational s]vices1 *ild welf>e s]vices1 juv5ile ju/ice s]vices1 law en=cem5t s]vices1 & sub/ance use disord] s]vices2 7,b7 by /rik+ ,education ,act2 & ins]t+ ,education ,act42 & 7,c7 by /rik+ clauses 7ii7 & 7iii7 7z s r$esignat$72 7#g7 9 subp>agraph 7,d7 7z s r$esignat$71 by /rik+ plan describ$ & ins]t+ plan %all describe2 7#h7 9 subp>agraph 7,e7 7z s r$esignat$7-- 7,a7 9 ! subp>agraph head+ by /rik+ sy/ems & ins]t+ s]vices2 7,b7 by /rik+ plan describes & all t foll[s ?r\gh & provides = & ins]t+ plan %all describe ! f9ancial res\rces available1 ! exi/+ m5tal heal? work=ce1 & work=ce tra9$ 9 treat+ individuals ) co-occurr+ m5tal & sub/ance use disord]s1 & provides =2 & 7,c7 by ins]t+ be=e ! p]iod ! foll[+3 1 & ! mann] 9 :i* ! ,/ate int5ds to comply ) ea* ( ! fund+ agreem5ts 9 ?is subp>t & subp>t ,,iii2 7#i7 by /rik+ ! flu% matt] at ! end2 & 7#aj7 by add+ at ! end ! foll[+3 7#b7 ,goals & objectives ,! e/abli%m5t ( goals & objectives = ! p]iod ( ! plan1 includ+ t>gets & mile/ones t are int5d$ to be met1 & ! activities t w be und]tak5 to a*ieve ^? t>gets4 4 7c7 ,be/ practices 9 cl9ical c>e models ,section #aibj ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#i7 is am5d$ by add+ at ! end ! foll[+3 7c7 ,be/ practices 9 cl9ical c>e models 7#a7 ,9 g5]al ,except z provid$ 9 p>agraph 7#b71 a ,/ate %all exp5d n less ?an #e p]c5t ( ! am\nt ! ,/ate receives = c>ry+ out ?is section 9 ea* fiscal ye> to support evid5ce-bas$ programs t address ! ne$s ( individuals ) e>ly s]i\s m5tal illness1 includ+ psy*otic disord]s1 reg>dless ( ! age ( ! individual at onset4 7#b7 ,/ate flexibility ,9 lieu ( exp5d+ #e p]c5t ( ! am\nt ! ,/ate receives "u ?is section 9 a fiscal ye> z requir$ "u p>agraph 7#a71 a ,/ate may elect to exp5d n less ?an #aj p]c5t ( su* am\nt 9 ! succe$+ fiscal ye>4 4 7d7 ,additional provisions ,section #aiae7;b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#d7;b77 is am5d$-- 7#a7 by r$esignat+ p>agraph 7#a7 z subp>agraph 7,a71 & realign+ ! m>g9 accord+ly2 7#b7 by ins]t+ aft] ! subsection head+ ! foll[+3 7#a7 ,requirem5t 2 7#c7 by ins]t+ aft] subp>agraph 7,a7 7z s r$esignat$71 ! foll[+3 7,b7 ,condition ,a ,/ate %all be deem$ to be 9 compliance ) subp>agraph 7,a7 = a fiscal ye> if ,/ate exp5ditures ( ! type describ$ 9 su* subp>agraph = su* fiscal ye> are at lea/ #ig p]c5t ( ! av]age ( su* ,/ate exp5ditures = ! prec$+ #b-;fiscal-ye> p]iod4 2 7#d7 by r$esignat+ p>agraphs 7#b7 ?r\gh 7#d7 z p>agraphs 7#c7 ?r\gh 7#e71 respectively2 7#e7 by ins]t+ aft] p>agraph 7#a71 ! foll[+3 7#b7 ,future fiscal ye>s ,det]m9ations ( :e!r a ,/ate has compli$ ) p>agraph 7#a7 = ea* fiscal ye> %all be bas$ on ! ,/ate fund+ level = ! prec$+ #b-;fiscal-ye> p]iod1 z requir$ "u p>agraph 7#a77;,a71 )\t reg>d to r$uctions 9 ! actual am\nt ( ,/ate exp5ditures z p]mitt$ "u p>agraph 7#a77;,b7 or "u a waiv] "u p>agraph 7#d74 2 7#f7 9 p>agraph 7#c7 7z s r$esignat$71 by /rik+ subsection 7a7 & ins]t+ p>agraph 7#a72 7#g7 9 p>agraph 7#d7 7z s r$esignat$7-- 7,a7 by /rik+ ,! ,secret>y & ins]t+ ! foll[+3 7,a7 ,9 g5]al ,! ,secret>y 2 7,b7 by /rik+ p>agraph 7#a7 if ! ,secret>y & ins]t+ ! foll[+3 8p>agraph 7#a7 9 :ole or 9 "p1 if-- 7i7 ! ,secret>y 2 7,c7 by /rik+ ,/ate ju/ify ! waiv]4 & ins]t+ ,/ate 9 ! fiscal ye> involv$ or 9 ! previ\s fiscal ye> ju/ify ! waiv]2 or2 & 7,d7 by add+ at ! end ! foll[+3 7ii7 ! ,/ate1 or any "p ( ! ,/ate1 has exp]i5c$ a natural disa/] t has receiv$ a ,presid5tial ,disa/] ,decl>ation "u section #ajb ( ! ,rob]t ,t4 ,/af=d ,disa/] ,relief ,em]g5cy ,assi/ance ,act4 7,b7 ,date c]ta9 = action ^u reque/ ,! ,secret>y %all approve or d5y a reque/ = a waiv] "u subp>agraph 7,a7 n lat] ?an #abj days aft] ! date on :i* ! reque/ is made4 7,c7 ,applicability ( waiv] ,a waiv] provid$ by ! ,secret>y "u subp>agraph 7,a7 %all be applicable only to ! fiscal ye> involv$4 2 & 7#h7 9 p>agraph 7#e7 7z s r$esignat$7-- 7,a7 9 subp>agraph 7,a7-- 7i7 by ins]t+ aft] ! subp>agraph designation ! foll[+3 ,9 g5]al2 & 7ii7 by /rik+ ma9ta9$ mat]ial compliance & ins]t compli$2 & 7,b7 9 subp>agraph 7,b71 by ins]t+ aft] ! subp>agraph designation ! foll[+3 ,submission ( in=mation to ! secret>y4 7e7 ,application = grant ,section #aiag7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#f7;a77 is am5d$-- 7#a7 9 p>agraph 7#a71 by /rik+ #aida & ins]t+ #aidb7;a72 & 7#b7 9 p>agraph 7#e71 by /rik+ #aiae7;b77#c77;,b7 & ins]t+ #aiae7;b74 7f7 ,fund+ ,section #aibj7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#i7;a77 is am5d$ by /rik+ #dej1jjj1jjj & all t foll[s & ins]t+ su* sums z may be necess>y = ea* ( fiscal ye>s #bjag ?r\gh #bjba44 #cjb4 ,additional provisions relat$ to ! block grants ,subp>t ,,iii ( "p ,b ( title ,,xix ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#ea et seq47 is am5d$-- 7#a7 9 section #aiec7;b7 7#db ,u4,s4,c4 #cjjx-#fc7;b771 by /rik+ sub/ance abuse & ins]t+ sub/ance use disord]2 & 7#b7 by add+ at ! end ! foll[+3 #aieg4 ,public heal? em]g5cies ,9 ! case ( a public heal? em]g5cy 7z def9$ 9 section #cai71 ! ,adm9i/rator1 on a ,/ate-by-,/ate basis1 may grant an ext5sion or waive application deadl9es & compliance ) any o!r requirem5ts ( sections #eba1 #aiaa1 & #aiba1 & ,public ,law #ii-cai 7#db ,u4,s4,c4 #ajhja et seq47 z ! circum/ances ( su* em]g5cy reasonably require & = ! p]iod ( su* public heal? em]g5cy4 #aieh4 ,jo9t applications ,! ,secret>y1 act+ ?r\gh ! ,adm9i/rator1 %all p]mit a jo9t application to be submitt$ = grants "u subp>t ,i & subp>t ,,ii ^u ! reque/ ( a ,/ate4 ,su* application may be jo9tly review$ & approv$ by ! ,secret>y ) respect to su* subp>ts1 consi/5t ) ! purposes & au?oriz$ activities ( ea* su* grant program4 ,a ,/ate submitt+ su* a jo9t application %all o!rwise meet ! requirem5ts ) respect to ea* su* subp>t4 4 #cjc4 ,/udy ( di/ribution ( funds "u ! ,sub/ance ,abuse ,prev5tion & ,treatm5t ,block ,grant & ! ,community ,m5tal ,heal? ,s]vices ,block ,grant 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,adm9i/rator ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 %all1 directly or ?r\gh a grant or contract1 conduct a /udy to exam9e :e!r ! funds "u ! sub/ance abuse prev5tion & treatm5t block grant & ! community m5tal heal? s]vices block grant "u title ,,xix ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjw et seq47 are be+ di/ribut$ to ,/ates & t]ritories accord+ to ne$1 & to recomm5d *anges 9 su* di/ribution if necess>y4 ,su* /udy %all include-- 7#a7 an analysis ( :e!r ! di/ributions "u su* block grants accurately reflect ! ne$ = ! s]vices "u ! grants 9 su* ,/ates & t]ritories2 7#b7 an exam9ation ( :e!r ! indices us$ "u ! =mulas = di/ribution ( funds "u su* block grants are appropriate1 & if n1 alt]natives recomm5d$ by ! ,secret>y2 7#c7 :]e recomm5dations are includ$ "u p>agraph 7#b7 = ! use ( diff]5t indices1 a description ( ! v>iables & data s\rces t %\ld be us$ to det]m9e ! indices2 7#d7 an evaluation ( ! v>iables & data s\rces t are be+ us$ = ea* ( ! indices involv$1 & :e!r su* v>iables & data s\rces accurately repres5t ! ne$ = s]vices1 ! co/ ( provid+ s]vices1 & ! ability ( ! ,/ates to pay = su* s]vices2 7#e7 ! impact t ! m9imum allotm5t provisions "u ea* su* block grant h on ea* ,/ate's f9al allotm5t & its effect1 if any1 on ea* ,/ate's =mula-bas$ allotm5t2 7#f7 recomm5dations = modifications to ! m9imum allotm5t provisions to ensure an appropriate di/ribution ( funds2 & 7#g7 any o!r in=mation t ! ,secret>y det]m9es appropriate4 7b7 ,report ,n lat] ?an #bd mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives1 a report conta9+ ! f9d+s & recomm5dations ( ! /udy conduct$ "u subsection 7a74 ,,iv ,promot+ access to m5tal heal? & sub/ance use disord] c>e #dja4 ,grants = treatm5t & recov]y = homeless individuals ,section #ejf ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa-#e7 is am5d$-- 7#a7 9 subsections 7a71 by /rik+ sub/ance abuse & ins]t+ sub/ance use disord]2 7#b7 9 subsection 7b7-- 7,a7 9 p>agraphs 7#a7 & 7#c71 by /rik+ sub/ance abuse ea* place ! t]m appe>s & ins]t+ sub/ance use disord]2 & 7,b7 9 p>agraph 7#d71 by /rik+ sub/ance abuse & ins]t+ a sub/ance use disord]2 7#c7 9 subsection 7c7-- 7,a7 9 p>agraph 7#a71 by /rik+ sub/ance abuse disord] & ins]t+ sub/ance use disord]2 & 7,b7 9 p>agraph 7#b7-- 7i7 9 subp>agraph 7,a71 by /rik+ sub/ance abuse & ins]t+ a sub/ance use disord]2 & 7ii7 9 subp>agraph 7,b71 by /rik+ sub/ance abuse & ins]t+ sub/ance use disord]2 & 7#d7 9 subsection 7e71 by /rik+ 1 #ej1jjj1jjj = fiscal ye> #bjja1 & su* sums z may be necess>y = ea* ( ! fiscal ye>s #bjjb & #bjjc & ins]t+ su* sums z may be necess>y = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 #djb4 ,grants = jail div]sion programs ,section #ebj;,g ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#ch7 is am5d$-- 7#a7 by /rik+ sub/ance abuse ea* place su* t]m appe>s & ins]t+ sub/ance use disord]2 7#b7 9 subsection 7a7-- 7,a7 by /rik+ ,indian tribes1 & tribal organizations & ins]t+ & ,indian tribes & tribal organizations 7z su* t]ms are def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #dej;b772 & 7,b7 by ins]t+ or a heal? facility or program op]at$ by or pursuant to a contract or grant ) ! ,indian ,heal? ,s]vice1 aft] entities12 7#c7 9 subsection 7c77#b77;,a77i71 by /rik+ ! be/ kn[n & ins]t+ evid5ce-bas$2 & 7#d7 9 subsection 7i71 by /rik+ #aj1jjj1jjj = fiscal ye> #bjja1 & su* sums z may be necess>y = fiscal ye>s #bjjb ?r\gh #bjjc & ins]t+ su* sums z may be necess>y = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 #djc4 ,promot+ integration ( prim>y & behavioral heal? c>e ,section #ebj,k ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#db7 is am5d$ to read z foll[s3 #ebj,k4 ,integration inc5tive grants 7a7 ,def9itions ,9 ?is section3 7#a7 ,eligible entity ,! t]m eligible entity means a ,/ate1 or o!r appropriate ,/ate ag5cy1 9 collaboration ) "o or m qualifi$ community programs z describ$ 9 section #aiac7;b77#a74 7#b7 ,integrat$ c>e ,! t]m integrat$ c>e means collaboration 9 m]g$ or trans=m$ practices (f]+ m5tal & physical heal? s]vices )9 ! same %>$ practice space 9 ! same facility4 7#c7 ,special population ,! t]m special population means-- 7,a7 adults ) m5tal illnesses :o h co-occurr+ prim>y c>e conditions or *ronic diseases2 7,b7 adults ) s]i\s m5tal illnesses :o h co-occurr+ prim>y c>e conditions or *ronic diseases2 7,c7 *ildr5 & adolesc5ts ) s]i\s emotional di/urbance ) co-occurr+ prim>y c>e conditions or *ronic diseases2 or 7,d7 individuals ) sub/ance use disord]s4 7b7 ,grants 7#a7 ,9 g5]al ,! ,secret>y may aw>d grants & coop]ative agreem5ts to eligible entities to support ! improvem5t ( integrat$ c>e = prim>y c>e & behavioral heal? c>e 9 accordance ) p>agraph 7#b74 7#b7 ,purposes ,grants & coop]ative agreem5ts aw>d$ "u ?is section %all be design$ to-- 7,a7 promote full collaboration 9 cl9ical practices betwe5 prim>y & behavioral heal? c>e2 7,b7 support ! improvem5t ( integrat$ c>e models = prim>y c>e & behavioral heal? c>e to improve ! ov]all wellness & physical heal? /atus ( individuals ) s]i\s m5tal illness or s]i\s emotional di/urbance2 & 7,c7 promote integrat$ c>e s]vices relat$ to scre5+1 diagnosis1 & treatm5t ( m5tal illness & co-occurr+ prim>y c>e conditions & *ronic diseases4 7c7 ,applications 7#a7 ,9 g5]al ,an eligible entity desir+ a grant or coop]ative agreem5t "u ?is section %all submit an application to ! ,secret>y at su* "t1 9 su* mann]1 & accompani$ by su* in=mation z ! ,secret>y may require1 includ+ ! cont5ts describ$ 9 p>agraph 7#b74 7#b7 ,cont5ts ,! cont5ts describ$ 9 ?is p>agraph are-- 7,a7 a description ( a plan to a*ieve fully collaborative agreem5ts to provide s]vices to special populations2 7,b7 a docum5t t summ>izes ! policies1 if any1 t s]ve z b>ri]s to ! provision ( integrat$ c>e1 & ! specific /eps1 if applicable1 t w be tak5 to address su* b>ri]s2 7,c7 a description ( p>tn]%ips or o!r arrangem5ts ) local heal? c>e provid]s to provide s]vices to special populations2 7,d7 an agreem5t & plan to report p]=mance measures necess>y to evaluate pati5t outcomes & to facilitate evaluations across p>ticipat+ projects to ! ,secret>y2 & 7,e7 a plan = su/a9ability beyond ! grant or coop]ative agreem5t p]iod "u subsection 7e74 7d7 ,grant am\nts ,! maximum am\nt t an eligible entity may receive = a ye> ?r\gh a grant or coop]ative agreem5t "u ?is section %all be #b1jjj1jjj4 ,9 ! case ( a recipi5t ( fund+ "u ?is section t is a ,/ate1 n m ?an #aj p]c5t ( funds aw>d$ "u ?is section may be allocat$ to ,/ate adm9i/rative functions1 & ! rema9+ am\nts %all be allocat$ to heal? facilities t provide integrat$ c>e4 7e7 ,duration ,a grant or coop]ative agreem5t "u ?is section %all be = a p]iod n to exce$ #e ye>s4 7f7 ,report on program outcomes ,an eligible entity receiv+ a grant or coop]ative agreem5t "u ?is section %all submit an annual report to ! ,secret>y t includes-- 7#a7 ! progress to r$uce b>ri]s to integrat$ c>e z describ$ 9 ! entity's application "u subsection 7c72 & 7#b7 a description ( functional outcomes ( special populations1 includ+-- 7,a7 ) respect to individuals ) s]i\s m5tal illness1 p>ticipation 9 supportive h\s+ or indep5d5t liv+ programs1 att5dance 9 social & rehabilitative programs1 p>ticipation 9 job tra9+ opportunities1 satisfactory p]=mance 9 "w sett+s1 att5dance at s*$ul$ m$ical & m5tal heal? appo9tm5ts1 & compliance ) prescrib$ m$ication regimes2 7,b7 ) respect to individuals ) co-occurr+ m5tal illness & prim>y c>e conditions & *ronic diseases1 att5dance at s*$ul$ m$ical & m5tal heal? appo9tm5ts1 compliance ) prescrib$ m$ication regimes1 & p>ticipation 9 le>n+ opportunities relat$ to improv$ heal? & life/yle practices2 & 7,c7 ) respect to *ildr5 & adolesc5ts ) s]i\s emotional disord]s :o h co-occurr+ prim>y c>e conditions & *ronic diseases1 att5dance at s*$ul$ m$ical & m5tal heal? appo9tm5ts1 compliance ) prescrib$ m$ication regimes1 & p>ticipation 9 le>n+ opportunities at s*ool & extracurricul> activities4 7g7 ,te*nical assi/ance = prim>y-,behavioral heal? c>e integration 7#a7 ,9 g5]al ,! ,secret>y may provide appropriate in=mation1 tra9+1 & te*nical assi/ance to eligible entities t receive a grant or coop]ative agreem5t "u ?is section1 9 ord] to help su* entities meet ! requirem5ts ( ?is section1 includ+ assi/ance )-- 7,a7 developm5t & selection ( integrat$ c>e models2 7,b7 dissem9ation ( evid5ce-bas$ int]v5tions 9 integrat$ c>e2 7,c7 e/abli%m5t ( organizational practices to support op]ational & adm9i/rative success2 & 7,d7 o!r activities1 z ! ,secret>y det]m9es appropriate4 7#b7 ,additional dissem9ation ( te*nical in=mation ,! in=mation & res\rces provid$ by ! ,secret>y "u p>agraph 7#a7 %all1 z appropriate1 be made available to ,/ates1 political subdivisions ( ,/ates1 ,indian tribes or tribal organizations 7z def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act71 outpati5t m5tal heal? & addiction treatm5t c5t]s1 community m5tal heal? c5t]s t meet ! crit]ia "u section #aiac7;c71 c]tifi$ community behavioral heal? cl9ics describ$ 9 section #bbc ( ! ,protect+ ,access to ,m$ic>e ,act ( #bjad 7#db ,u4,s4,c4 #acif;a note71 prim>y c>e organizations su* z ,f$]ally qualifi$ heal? c5t]s or rural heal? cl9ics z def9$ 9 section #ahfa7;aa7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7aa771 o!r community-bas$ organizations1 or o!r entities engag+ 9 integrat$ c>e activities1 z ! ,secret>y det]m9es appropriate4 7h7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re are au?oriz$ to be appropriat$ su* sums z may be necess>y = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 4 #djd4 ,projects = assi/ance 9 transition f homelessness 7a7 ,=mula grants to ,/ates ,section #eba ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;cc-#ba7 is am5d$ by /rik+ ea* ( ! fiscal ye>s #aiia ?r\gh #aiid & ins]t+ fiscal ye> #bjag & ea* subsequ5t fiscal ye>4 7b7 ,purpose ( grants ,section #ebb ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;cc-#bb7 is am5d$-- 7#a7 9 subsection 7a77#a77;,b71 by /rik+ sub/ance abuse & ins]t+ a sub/ance use disord]2 7#b7 9 subsection 7b77#f71 by /rik+ sub/ance abuse & ins]t+ sub/ance use disord]2 7#c7 9 subsection 7c71 by /rik+ sub/ance abuse & ins]t+ a sub/ance use disord]2 7#d7 9 subsection 7e7-- 7,a7 9 p>agraph 7#a71 by /rik+ sub/ance abuse & ins]t+ a sub/ance use disord]2 & 7,b7 9 p>agraph 7#b71 by /rik+ sub/ance abuse & ins]t+ sub/ance use disord]2 & 7#e7 9 subsection 7h71 by /rik+ sub/ance abuse ea* place su* t]m appe>s & ins]t+ sub/ance use disord]4 7c7 ,description ( int5d$ exp5ditures ( grant ,section #ebg ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;cc-#bg7 is am5d$ by /rik+ sub/ance abuse ea* place su* t]m appe>s & ins]t+ sub/ance use disord]4 7d7 ,te*nical assi/ance ,section #ecj ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;cc-#cj7 is am5d$ by /rik+ ?r\gh ! ,national ,in/itute ( ,m5tal ,heal?1 ! ,national ,in/itute ( ,alcohol ,abuse & ,alcoholism1 & ! ,national ,in/itute on ,drug ,abuse & ins]t+ act+ ?r\gh ! ,adm9i/rator4 7e7 ,def9itions ,section #ecd7d7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;cc-#cd7d77 is am5d$ to read z foll[s3 7#d7 ,sub/ance use disord] s]vices ,! t]m sub/ance use disord] s]vices has ! mean+ giv5 ! t]m sub/ance abuse s]vices 9 section #ccj7;h77#e77;,c74 4 7f7 ,fund+ ,section #ece7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;cc-#ce7;a77 is am5d$ by /rik+ #ge1jjj1jjj = ea* ( ! fiscal ye>s #bjja ?r\gh #bjjc & ins]t+ su* sums z may be necess>y = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 7g7 ,/udy conc]n+ =mula 7#a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,adm9i/rator ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration 7ref]r$ to 9 ?is section z ! ,adm9i/rator7 %all conduct a /udy conc]n+ ! =mula us$ "u section #ebd7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;cc-#bd7;a77 = mak+ allotm5ts to ,/ates "u section #eba ( su* ,act 7#db ,u4,s4,c4 #bij;cc-#ba74 ,su* /udy %all include an evaluation ( quality indicators ( ne$ = purposes ( revis+ ! =mula = det]m9+ ! am\nt ( ea* allotm5t = ! fiscal ye>s foll[+ ! submission ( ! /udy4 7#b7 ,report ,! ,adm9i/rator %all submit to ! appropriate committees ( ,congress a report conc]n+ ! results ( ! /udy conduct$ "u p>agraph 7#a74 #dje4 ,national suicide prev5tion lifel9e program ,subp>t #c ( "p ,b ( title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#ca et seq47 is am5d$ by ins]t+ aft] section #ebj;,e-#b 7#db ,u4,s4,c4 #bij;bb-#cf7 ! foll[+3 #ebj;,e-#c4 ,national ,suicide ,prev5tion ,lifel9e program 7a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,adm9i/rator1 %all ma9ta9 ! ,national ,suicide ,prev5tion ,lifel9e program 7ref]r$ to 9 ?is section z ! program71 au?oriz$ "u section #ebj;,a & 9 effect prior to ! date ( enactm5t ( ! ,m5tal ,heal? ,re=m ,act ( #bjaf4 7b7 ,activities ,9 ma9ta9+ ! program1 ! activities ( ! ,secret>y %all include-- 7#a7 coord9at+ a network ( crisis c5t]s across ! ,unit$ ,/ates = provid+ suicide prev5tion & crisis int]v5tion s]vices to individuals seek+ help at any "t1 day or night2 7#b7 ma9ta9+ a suicide prev5tion hotl9e to l9k call]s to local em]g5cy1 m5tal heal?1 & social s]vices res\rces2 & 7#c7 consult+ ) ! ,secret>y ( ,vet]ans ,affairs to ensure t vet]ans call+ ! suicide prev5tion hotl9e h access to a specializ$ vet]ans' suicide prev5tion hotl9e4 7c7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re are au?oriz$ to be appropriat$ su* sums z may be necess>y = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 4 #djf4 ,connect+ individuals & families ) c>e ,subp>t #c ( "p ,b ( title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#ca et seq471 z am5d$ by section #dje1 is fur!r am5d$ by ins]t+ aft] section #ebj;,e-#c1 ! foll[+3 #ebj;,e-#d4 ,treatm5t ref]ral r\t+ s]vice 7a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,adm9i/rator1 %all ma9ta9 ! ,national ,treatm5t ,ref]ral ,r\t+ ,s]vice 7ref]r$ to 9 ?is section z ! ,r\t+ ,s]vice7 to assi/ individuals & families 9 locat+ m5tal & sub/ance use disord] treatm5t provid]s4 7b7 ,activities ( ! ,secret>y ,to ma9ta9 ! ,r\t+ ,s]vice1 ! activities ( ! ,secret>y %all include adm9i/]+-- 7#a7 a nationwide1 telephone numb] provid+ ye>-r\nd access to in=mation t is updat$ on a regul> basis reg>d+ local behavioral heal? provid]s & community-bas$ organizations 9 a mann] t is confid5tial1 )\t requir+ individuals to id5tify !mselves1 is 9 languages t include at lea/ ,engli% & ,spani%1 & is at no co/ to ! individual us+ ! ,r\t+ ,s]vice2 & 7#b7 an ,int]net website to provide a se>*able1 onl9e treatm5t s]vices locator t includes in=mation on ! "n1 location1 contact in=mation1 & basic s]vices provid$ = behavioral heal? treatm5t provid]s & community-bas$ organizations4 7c7 ,rule ( con/ruction ,no?+ 9 ?is section %all be con/ru$ to prev5t ! ,adm9i/rator f us+ any unobligat$ am\nts o!rwise made available to ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration to ma9ta9 ! ,r\t+ ,s]vice4 4 #djg4 ,/reaml9+ m5tal & behavioral heal? work=ce programs 7a7 ,9 g5]al ,"p ,d ( title ,,vii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bid et seq47 is am5d$-- 7#a7 by /rik+ sections #gee 7#db ,u4,s4,c4 #bid;e7 & #gef 7#db ,u4,s4,c4 #bid;e-#a72 7#b7 by r$esignat+ sections #geg & #gei z sections #gef & #geg1 respectively2 & 7#c7 by ins]t+ aft] section #ged ! foll[+3 #gee4 ,m5tal & behavioral heal? education & tra9+ grants 7a7 ,grants au?oriz$ ,! ,secret>y may aw>d grants to eligible in/itutions ( high] education to support ! recruitm5t ( /ud5ts =1 & education & cl9ical exp]i5ce ( ! /ud5ts 9-- 7#a7 accr$it$ in/itutions ( high] education or accr$it$ pr(essional tra9+ programs t are e/abli%+ or exp&+ int]n%ips or o!r field placem5t programs 9 m5tal heal? 9 psy*iatry1 psy*ology1 s*ool psy*ology1 behavioral p$iatrics1 psy*iatric nurs+1 social "w1 s*ool social "w1 sub/ance use disord] prev5tion & treatm5t1 m>riage & family !rapy1 occupational !rapy1 s*ool c\nsel+1 or pr(essional c\nsel+1 includ+ su* int]n%ips or programs ) a focus on *ild & adolesc5t m5tal heal? & transitional-age y\?2 7#b7 accr$it$ doctoral1 int]n%ip1 & po/-doctoral resid5cy programs ( heal? s]vice psy*ology1 includ+ cl9ical psy*ology1 c\nsel+1 & s*ool psy*ology1 = ! developm5t & implem5tation ( int]discipl9>y tra9+ ( psy*ology graduate /ud5ts = provid+ behavioral & m5tal heal? s]vices1 includ+ sub/ance use disord] prev5tion & treatm5t s]vices1 & ! developm5t ( faculty 9 heal? s]vice psy*ology2 7#c7 accr$it$ ma/]'s & doctoral degree programs ( social "w = ! developm5t & implem5tation ( int]discipl9>y tra9+ ( social "w graduate /ud5ts = provid+ behavioral & m5tal heal? s]vices1 includ+ sub/ance use disord] prev5tion & treatm5t s]vices1 & ! developm5t ( faculty 9 social "w2 or 7#d7 ,/ate-lic5s$ m5tal heal? nonpr(it & =-pr(it organizations to enable su* organizations to pay = programs = pres]vice or 9-s]vice tra9+ 9 a behavioral heal?-relat$ p>apr(essional field ) pref]5ce = pres]vice or 9-s]vice tra9+ ( p>apr(essional *ild & adolesc5t m5tal heal? work]s4 7b7 ,eligibility requirem5ts ,to be eligible = a grant "u ?is section1 an in/itution ( high] education %all demon/rate-- 7#a7 an ability to recruit & place ! /ud5ts describ$ 9 subsection 7a7 9 areas ) a high ne$ & high dem& population2 7#b7 t individuals & gr\ps f diff]5t racial1 e?nic1 cultural1 geographic1 religi\s1 l+ui/ic1 & class backgr\nds1 & diff]5t g5d]s & sexual ori5tations1 p>ticipate 9 ! programs ( ! in/itution2 7#c7 k & und]/&+ ( ! conc]ns ( ! individuals & gr\ps describ$ 9 p>agraph 7#b71 especially individuals ) m5tal heal? symptoms or diagnoses1 p>ticul>ly *ildr5 & adolesc5ts1 & transitional-age y\?2 7#d7 t any int]n%ip or o!r field placem5t program assi/$ ?r\gh ! grant w prioritize cultural & l+ui/ic compet5cy2 & 7#e7 t ! in/itution ( high] education w provide to ! ,secret>y su* data1 assurances1 & in=mation z ! ,secret>y may require4 7c7 ,in/itutional requirem5t ,= grants aw>d$ "u p>agraphs 7#b7 & 7#c7 ( subsection 7a71 at lea/ #d ( ! grant recipi5ts %all be hi/orically black colleges or univ]sities or o!r m9ority-s]v+ in/itutions4 7d7 ,priority ,9 select+ grant recipi5ts1 ! ,secret>y %all give priority to-- 7#a7 = grants aw>d$ "u p>agraphs 7#a71 7#b71 & 7#c7 ( subsection 7a71 programs t h demon/rat$ ! ability to tra9 psy*ology & social "w pr(essionals to "w 9 integrat$ c>e sett+s2 & 7#b7 = a grant "u subsection 7a77#d71 programs = p>apr(essionals t emphasize ! role ( ! family & ! liv$ exp]i5ce ( ! consum] & family-p>apr(essional p>tn]%ips4 7e7 ,report to ,congress ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ! ,m5tal ,heal? ,re=m ,act ( #bjaf1 & annually !reaft]1 ! ,secret>y %all submit to ,congress a report on ! effectiv5ess ( ! grants "u ?is section 9-- 7#a7 provid+ graduate /ud5ts support = exp]i5tial tra9+ 7int]n%ip or field placem5t72 7#b7 recruit+ ( /ud5ts int]e/$ 9 behavioral heal? practice2 7#c7 develop+ & implem5t+ int]pr(essional tra9+ & integration )9 prim>y c>e2 7#d7 develop+ & implem5t+ accr$it$ field placem5ts & int]n%ips2 & 7#e7 collect+ data on ! numb] ( /ud5ts tra9$ 9 m5tal heal? & ! numb] ( available accr$it$ int]n%ips & field placem5ts4 7f7 ,au?orization ( appropriation ,!re are au?oriz$ to be appropriat$ to c>ry out ?is section su* sums z may be necess>y = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 4 7b7 ,con=m+ am5dm5ts ,! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bja et seq471 z am5d$ by subsection 7a71 is fur!r am5d$-- 7#a7 9 section #cch;,a7d77#b77;,a7 7#db ,u4,s4,c4 #bedl7d77#b77;,a771 by /rik+ or "u section #geh2 7#b7 9 section #gef7;b77#b7 7#db ,u4,s4,c4 #gid;f7b77#b771 z r$esignat$ by subsection 7a71 by /rik+ #gec7;b71 & #gee7;b7 & ins]t+ & #gec7;b72 & 7#c7 9 section #gfa 7#db ,u4,s4,c4 #bidn7-- 7,a7 9 subsection 7b77#b77;,e71 by /rik+ #geg7;d77#c7 & ins]t+ #gef7;d77#c72 7,b7 9 subsection 7d77#b77;,b71 by /rik+ #geg7;d77#c7 & ins]t+ #gef7;d77#c72 & 7,c7 9 subsection 7d77#c71 by /rik+ #geg7;d77#d7 & ins]t+ #gef7;d77#d74 #djh4 ,reports 7a7 ,report on m5tal heal? & sub/ance use treatm5t 9 ,/ates 7#a7 ,9 g5]al ,n lat] ?an #ah mon?s aft] ! date ( enactm5t ( ?is ,act1 & n less ?an e #b ye>s !reaft]1 ! ,assi/ant ,secret>y = ,plann+ & ,evaluation ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 9 collaboration ) ! ,adm9i/rator ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 ! ,director ( ! ,ag5cy = ,heal?c>e ,rese>* & ,quality1 & ! ,director ( ! ,national ,in/itutes ( ,heal?1 %all submit to ,congress & make available on ! ,int]net website ( ! ,dep>tm5t a report on m5tal & sub/ance use disord] treatm5t 9 ! ,/ates1 includ+ ea* ( ! foll[+3 7,a7 ,a detail$ description on h[ ,f$]al m5tal & sub/ance use disord] treatm5t funds are us$ 9 ea* ,/ate1 includ+-- 7i7 ! numb]s ( individuals ) m5tal illness1 s]i\s m5tal illness1 s]i\s emotional di/urbance1 sub/ance use disord]s1 or co-occurr+ disord]s :o are s]v$ us+ ,f$]al funds2 & 7ii7 ! types ( ,f$]al programs made available to individuals ) m5tal illness1 s]i\s m5tal illness1 s]i\s emotional di/urbance1 sub/ance use disord]s1 or co-occurr+ disord]s4 7,b7 ,a summ>y ( be/ practices or evid5ce-bas$ models 9 ! ,/ates1 includ+ programs t are co/-effective1 provide evid5ce-bas$ c>e1 increase access to c>e1 integrate physical1 psy*iatric1 psy*ological1 & behavioral m$ic9e1 & improve outcomes = individuals ) s]i\s m5tal illness1 s]i\s emotional di/urbance1 or sub/ance use disord]s4 7,c7 ,an analysis ( outcome measures 9 ea* ,/ate = individuals ) m5tal illness1 s]i\s m5tal illness1 s]i\s emotional di/urbance1 sub/ance use disord]s1 or co-occurr+ disord]s1 includ+ rates ( suicide1 suicide attempts1 sub/ance abuse1 ov]dose1 ov]dose dea?s1 positive heal? outcomes1 em]g5cy psy*iatric hospitalizations & em]g5cy room bo>d+1 arre/s1 inc>c]ations1 homelessness1 joblessness1 employm5t1 & enrollm5t 9 educational or vocational programs4 7,d7 ,an analysis ( outcomes = diff]5t models ( outpati5t treatm5t programs = individuals ) a s]i\s m5tal illness or s]i\s emotional di/urbance1 includ+-- 7i7 rates ( keep+ treatm5t appo9tm5ts & adh]5ce to treatm5t plans2 7ii7 p>ticipants' p]ceiv$ effectiv5ess ( ! program2 7iii7 alcohol & drug abuse rates2 7iv7 inc>c]ation & arre/ rates2 7v7 viol5ce aga9/ p]sons or prop]ty2 7vi7 homelessness2 7vii7 total treatm5t co/s = compliance ) ! program2 & 7viii7 heal? outcomes4 7#b7 ,def9ition ,9 ?is subsection1 ! t]m em]g5cy room bo>d+ means ! practice ( admitt+ pati5ts to an em]g5cy dep>tm5t & hold+ su* pati5ts 9 ! em]g5cy dep>tm5t until inpati5t psy*iatric b$s become available4 7b7 ,report+ compliance /udy = community m5tal heal? c5t]s 7#a7 ,9 g5]al ,! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all conduct a review & submit to ! appropriate committees ( ,congress a report evaluat+ ! comb9$ pap]work burd5 (-- 7,a7 community m5tal heal? c5t]s meet+ ! crit]ia specifi$ 9 section #aiac7;c7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#b7;c771 includ+ su* c5t]s meet+ su* crit]ia z 9 effect on ! day be=e ! date ( enactm5t ( ?is ,act2 & 7,b7 community m5tal heal? c5t]s1 z def9$ 9 section #ahfa7;ff77#c77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7ff77#c77;,b774 7#b7 ,scope ,9 prep>+ ! report "u p>agraph 7#a71 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all exam9e requirem5ts = lic5s+1 c]tification1 s]vice def9itions1 claims paym5ts1 bill+ codes1 & f9ancial audit+ t are-- 7,a7 us$ by ! ,(fice ( ,managem5t & ,budget1 ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 ! ,(fice ( ! ,inspector ,g5]al ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 & ,/ate ,m$icaid ag5cies2 & 7,b7 requir$ by ! ,f$]al ,gov]nm5t = ,/ate ag5cies to utilize 9 ord] to make adm9i/rative & /atutory recomm5dations to ,congress 7:i* recomm5dations may include a uni=m me?odology7 to r$uce ! pap]work burd5 exp]i5c$ by ! c5t]s describ$ 9 p>agraph 7#a74 7c7 ,work=ce developm5t report 7#a7 ,public report 7,a7 ,9 g5]al ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,adm9i/rator ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 9 consultation ) ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 %all conduct a /udy & publicly po/ on ! appropriate ,int]net website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices a report on ! m5tal heal? & sub/ance use disord] work=ce 9 ord] to in=m ,f$]al1 ,/ate1 & local ef=ts relat$ to work=ce enhancem5t4 7,b7 ,cont5ts ,! report "u ?is p>agraph %all conta9-- 7i7 national & ,/ate-level projections ( ! supply & dem& ( m5tal heal? & sub/ance use disord] heal? work]s2 7ii7 an assessm5t ( ! m5tal heal? & sub/ance use disord] work=ce capacity1 /r5g?s1 & weaknesses z ( ! date ( ! report2 7iii7 in=mation on tr5ds )9 ! m5tal heal? & sub/ance use disord] provid] work=ce2 & 7iv7 any additional in=mation det]m9$ by ! ,adm9i/rator ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 9 consultation ) ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 to be relevant to ! m5tal heal? & sub/ance use disord] provid] work=ce4 7#b7 ,report to congress 7,a7 ,9 g5]al ,n lat] ?an #c ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,adm9i/rator ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 9 consultation ) ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 %all evaluate & report to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives on ! programs )9 su* ,adm9i/rations to support ! developm5t ( ! m5tal heal? & sub/ance use disord] work=ce4 7,b7 ,cont5ts ,! report "u ?is p>agraph %all include-- 7i7 an evaluation ( ! outcomes ( ea* program describ$ 9 subp>agraph 7,a71 includ+ :e!r ! program met id5tifi$ goals & p]=mance measures develop$ = ! respective program & activities c>ri$ out by ! program2 7ii7 an evaluation ( h[ ea* program1 & ! programs toge!r1 t>get any work=ce weaknesses id5tifi$ by ! report "u p>agraph 7#a72 & 7iii7 recomm5dations = improv+ coord9ation among programs1 & address+ gaps & ov]lap )9 programs1 includ+ recomm5dations = ,congress1 z appropriate4 7d7 ,pe]-,support speciali/ programs 7#a7 ,9 g5]al ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all conduct a /udy on pe]-support speciali/ programs 9 select$ ,/ates t receive fund+ f ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration & report to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives4 7#b7 ,cont5ts ( /udy ,9 conduct+ ! /udy "u p>agraph 7#a71 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all exam9e & id5tify be/ practices 9 ! select$ ,/ates relat$ to tra9+ & cr$5tial requirem5ts = pe]-speciali/ programs1 su* z-- 7,a7 h\rs ( =mal "w or volunte] exp]i5ce relat$ to m5tal & sub/ance use disord]s conduct$ ?r\gh su* programs2 7,b7 types ( pe] support speciali/ exams requir$ = su* programs 9 ! ,/ates2 7,c7 codes ( e?ics us$ by su* programs 9 ! ,/ates2 7,d7 requir$ or recomm5d$ skill sets ( su* programs 9 ! ,/ate2 & 7,e7 requirem5ts = cont9u+ education4 #dji4 ,c5t]s & program repeals ,"p ,b ( title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb et seq47 is am5d$ by /rik+ ! second section #ead 7#db ,u4,s4,c4 #bij;bb-#i71 relat+ to me?amphetam9e & amphetam9e treatm5t initiatives1 & sections #ead;,a1 #eag1 #eai;,a1 #eai;,c1 #eai;,e1 #ebj;,d1 & #ebj;,h 7#db ,u4,s4,c4 #bij;bb-#h1 #bij;bb-#bc1 #bij;bb-#be;a1 #bij;bb-#be;c1 #bij;bb-#be;e1 #bij;bb-#ce1 & #bij;bb-#ci74 ,v ,/r5g!n+ m5tal & sub/ance use disord] c>e = *ildr5 & adolesc5ts #eja4 ,programs = *ildr5 ) s]i\s emotional di/urbances 7a7 ,compreh5sive community m5tal heal? s]vices = *ildr5 ) s]i\s emotional di/urbances ,section #efa7;a77#a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ff7a77#a77 is am5d$ by ins]t+ 1 :i* may include ef=ts to id5tify & s]ve *ildr5 at risk be=e ! p]iod4 7b7 ,requirem5ts ) respect to c>ry+ out purpose ( grants ,section #efb7;b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ff-#a7;b77 is am5d$ by /rik+ w n provide an individual ) access to ! sy/em if ! individual is m ?an #ba ye>s ( age & ins]t+ w provide an individual ) access to ! sy/em ?r\gh ! age ( #ba ye>s4 7c7 ,additional provisions ,section #efd7;f7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ff-#c7;f77 is am5d$ by ins]t+ 7& provide a copy to ! ,/ate involv$7 aft] to ! ,secret>y4 7d7 ,g5]al provisions ,section #efe ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ff-#d7 is am5d$-- 7#a7 9 subsection 7b77#a7-- 7,a7 9 ! matt] prec$+ subp>agraph 7,a71 by /rik+ receiv+ a grant "u section #efa7;a7 & ins]t+ 1 reg>dless ( :e!r su* public entity is receiv+ a grant "u section #efa7;a72 & 7,b7 9 subp>agraph 7,b71 by /rik+ pursuant to & ins]t+ describ$ 92 7#b7 9 subsection 7d77#a71 by /rik+ n m ?an #ba ye>s ( age & ins]t+ ?r\gh ! age ( #ba ye>s2 & 7#c7 9 subsection 7f77#a71 by /rik+ #ajj1jjj1jjj = fiscal ye> #bjja1 & su* sums z may be necess>y = ea* ( ! fiscal ye>s #bjjb & #bjjc & ins]t+ su* sums z may be necess>y = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 #ejb4 ,teleheal? *ild psy*iatry access grants 7a7 ,def9itions ,9 ?is subsection3 7#a7 ,eligible entity ,! t]m eligible entity means a ,/ate1 political subdivision ( a ,/ate1 ,indian tribe1 or tribal organization4 7#b7 ,indian tribe2 tribal organization ,! t]ms ,indian tribe & tribal organization h ! mean+s giv5 su* t]ms 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #dej;b74 7#c7 ,p$iatric m5tal heal? teams ,! t]m p$iatric m5tal heal? team means a team ( case coord9ators1 *ild & adolesc5t psy*iatri/s1 & a lic5s$ cl9ical m5tal heal? pr(essional1 su* z a psy*ologi/1 social work]1 or m5tal heal? c\nselor4 ,su* a team may be regionally bas$1 provid$ !re is access to a p$iatric m5tal heal? team across ! ,/ate4 7#d7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices4 7b7 ,grants ,! ,secret>y1 act+ ?r\gh ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 may aw>d grants to eligible entities t satisfy all requirem5ts "u ?is section to promote behavioral heal? integration 9 p$iatric prim>y c>e by-- 7#a7 support+ ! developm5t ( /atewide or regional *ild psy*iatry access programs2 & 7#b7 support+ ! improvem5t ( /atewide or regional *ild psy*iatry access programs 9 exi/5ce on ! day be=e ! date ( enactm5t ( ?is ,act4 7c7 ,*ild psy*iatry access program requirem5ts ,to be eligible = support "u subsection 7b71 a *ild psy*iatry access program %all-- 7#a7 be a /atewide or regional network ( p$iatric m5tal heal? teams t provide support to p$iatric prim>y c>e sites z an integrat$ team2 7#b7 support & fur!r develop organiz$ ,/ate networks ( *ild & adolesc5t psy*iatri/s to provide consultative support to p$iatric prim>y c>e sites2 7#c7 conduct an assessm5t ( critical behavioral consultation ne$s among p$iatric provid]s & su* provid]s' pref]r$ me*anisms = receiv+ consultation1 tra9+1 & te*nical assi/ance2 7#d7 develop an onl9e database & communication me*anisms1 includ+ ?r\gh teleheal? s]vices1 to facilitate consultation support to p$iatric practices2 7#e7 provide rapid /atewide or regional cl9ical telephone consultations :5 reque/$ betwe5 ! p$iatric m5tal heal? teams & p$iatric prim>y c>e provid]s2 7#f7 conduct tra9+ & provide te*nical assi/ance to p$iatric prim>y c>e provid]s to support ! e>ly id5tification1 diagnosis1 treatm5t1 & ref]ral ( *ildr5 ) behavioral heal? conditions2 7#g7 in=m & assi/ p$iatric provid]s 9 access+ *ild psy*iatry consultations & 9 s*$ul+ & conduct+ te*nical assi/ance2 7#h7 assi/ ) ref]rals to specialty c>e & community & behavioral heal? res\rces2 & 7#i7 e/abli% me*anisms = measur+ & monitor+ increas$ access to *ild & adolesc5t psy*iatric s]vices by p$iatric prim>y c>e provid]s & exp&$ capacity ( p$iatric prim>y c>e provid]s to id5tify1 treat1 & ref] *ildr5 ) m5tal heal? problems4 7d7 ,application ,an eligible entity t desires a grant "u ?is section %all submit an application to ! ,secret>y at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require1 includ+ a plan = ! compreh5sive evaluation & ! p]=mance & outcome evaluation describ$ 9 subsection 7e74 7e7 ,evaluation ,an eligible entity t receives a grant "u ?is section %all prep>e & submit an evaluation to ! ,secret>y at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may reasonably require1 includ+ a compreh5sive evaluation ( activities c>ri$ out ) funds receiv$ ?r\gh su* grant & a p]=mance & outcome evaluation ( su* activities4 7f7 ,fund+ 7#a7 ,f$]al funds ,9 addition to ! fund+ provid$ ?r\gh contributions "u p>agraph 7#b71 ! ,secret>y %all fund ! grant program "u ?is section us+ su* sums z may be necess>y out ( any unobligat$ am\nts made available to c>ry out section #ccj;,i1 #ccj,k1 or #ccj,l ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;c-#ad1 #bed;c-#af1 #bed;c-#ah74 7#b7 ,mat*+ requirem5t ,! ,secret>y may n aw>d a grant "u ?is section unless ! eligible entity desir+ ! grant agrees1 ) respect to ! co/s to be incurr$ by ! eligible entity 9 c>ry+ out ! purpose ( ! grant describ$ 9 subsection 7b71 to make available non-,f$]al contributions 79 ca% or 9 k9d7 t[>d su* co/s 9 an am\nt t is n less ?an #bj p]c5t ( ,f$]al funds provid$ ?r\gh ! grant4 #ejc4 ,sub/ance use disord] treatm5t & e>ly int]v5tion s]vices = *ildr5 & adolesc5ts ,! fir/ section #ead ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#g71 relat+ to sub/ance abuse treatm5t s]vices = *ildr5 & adolesc5ts1 is am5d$-- 7#a7 9 ! head+1 by /rik+ abuse treatm5t & ins]t+ use disord] treatm5t & e>ly int]v5tion2 7#b7 by /rik+ subsection 7a7 & ins]t+ ! foll[+3 7a7 ,9 g5]al ,! ,secret>y %all aw>d grants1 contracts1 or coop]ative agreem5ts to public & private nonpr(it entities1 includ+ ,indian tribes or tribal organizations 7z su* t]ms are def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #dej;b771 or heal? facilities or programs op]at$ by or pursuant to a contract or grant ) ! ,indian ,heal? ,s]vice1 = ! purpose (-- 7#a7 provid+ e>ly id5tification & s]vices to meet ! ne$s ( *ildr5 & adolesc5ts :o are at risk ( sub/ance use disord]s2 & 7#b7 provid+ sub/ance use disord] treatm5t s]vices = *ildr51 includ+ *ildr5 & adolesc5ts ) co-occurr+ m5tal illness & sub/ance use disord]s4 2 7#c7 9 subsection 7b7-- 7,a7 by /rik+ p>agraph 7#a7 & ins]t+ ! foll[+3 7#a7 apply evid5ce-bas$ & co/-effective me?ods 2 7,b7 9 p>agraph 7#b7-- 7i7 by /rik+ treatm5t2 & 7ii7 by ins]t+ sub/ance abuse1 aft] *ild welf>e12 7,c7 9 p>agraph 7#c71 by /rik+ sub/ance abuse disord]s & ins]t+ sub/ance use disord]s1 includ+ *ildr5 & adolesc5ts ) co-occurr+ m5tal illness & sub/ance use disord]s12 7,d7 9 p>agraph 7#e71 by /rik+ treatm5t2 & ins]t+ s]vices2 &2 7,e7 9 p>agraph 7#f71 by /rik+ sub/ance abuse treatm5t2 & & ins]t+ treatm5t42 & 7,f7 by /rik+ p>agraph 7#g72 & 7#d7 9 subsection 7f71 by /rik+ #dj1jjj1jjj & all t foll[s ?r\gh ! p]iod & ins]t+ su* sums z may be necess>y = ea* ( fiscal ye>s #bjag ?r\gh #bjba44 #ejd4 ,resid5tial treatm5t programs = pregnant & p>5t+ wom5 ,section #ejh ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#a7 is am5d$-- 7#a7 9 ! section head+1 by /rik+ po/p>tum & ins]t+ p>5t+2 7#b7 9 subsection 7a7-- 7,a7 9 ! matt] prec$+ p>agraph 7#a7-- 7i7 by ins]t+ 7ref]r$ to 9 ?is section z ! ,director7 aft] ,treatm5t2 7ii7 by /rik+ grants1 & ins]t+ grants1 includ+ ! grants "u subsection 7r712 7iii7 by /rik+ po/p>tum & ins]t+ p>5t+2 & 7iv7 by /rik+ = sub/ance abuse & ins]t+ = sub/ance use disord]s2 & 7,b7 9 p>agraph 7#a71 by ins]t+ or receive outpati5t treatm5t s]vices f aft] reside 92 7#c7 9 subsection 7b77#b71 by /rik+ ! s]vices w be made available to ea* woman & ins]t+ s]vices w be made available to ea* woman & *ild2 7#d7 9 subsection 7c7-- 7,a7 9 p>agraph 7#a71 by /rik+ to ! woman ( ! s]vices & ins]t+ ( s]vices = ! woman & h] *ild2 & 7,b7 9 p>agraph 7#b7-- 7i7 9 subp>agraph 7,a71 by /rik+ sub/ance abuse & ins]t+ sub/ance use disord]s2 & 7ii7 9 subp>agraph 7,b71 by /rik+ su* abuse & ins]t+ su* a disord]2 7#e7 9 subsection 7d7-- 7,a7 9 p>agraph 7#c77;,a71 by /rik+ mat]nal sub/ance abuse & ins]t+ a mat]nal sub/ance use disord]2 7,b7 by am5d+ p>agraph 7#d7 to read z foll[s3 7#d7 ,provid+ !rapeutic1 compreh5sive *ild c>e = *ildr5 dur+ ! p]iods 9 :i* ! woman is engag$ 9 !rapy or 9 o!r necess>y heal? & rehabilitative activities4 2 7,c7 9 p>agraphs 7#i71 7#aj71 & 7#aa71 by /rik+ wom5 ea* place su* t]m appe>s & ins]t+ woman2 7,d7 9 p>agraph 7#i71 by /rik+ units & ins]t+ unit2 & 7,e7 9 p>agraph 7#aa7-- 7i7 9 subp>agraph 7,a71 by /rik+ _! *ildr5 & ins]t+ any *ild ( su* woman2 7ii7 9 subp>agraph 7,b71 by /rik+ 2 & & ins]t+ a semicolon2 7iii7 9 subp>agraph 7,c71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7iv7 by add+ at ! end ! foll[+3 7,d7 family reunification ) *ildr5 9 k9%ip or fo/] c>e arrangem5ts1 :]e safe & appropriate4 2 7#f7 9 subsection 7e7-- 7,a7 9 p>agraph 7#a7-- 7i7 9 ! matt] prec$+ subp>agraph 7,a71 by /rik+ sub/ance abuse & ins]t+ sub/ance use disord]s2 & 7ii7 9 subp>agraph 7,b71 by /rik+ sub/ance abuse & ins]t+ sub/ance abuse disord]s2 & 7,b7 9 p>agraph 7#b7-- 7i7 by /rik+ 7,a7 ,subject & ins]t+ ! foll[+3 7,a7 ,9 g5]al ,subject 2 7ii7 9 subp>agraph 7,b7-- 7,i7 by /rik+ 7,b77i7 ,9 ! case & ins]t+ ! foll[+3 7,b7 ,waiv] ( p>ticipation agreem5ts 7i7 ,9 g5]al ,9 ! case 2 & 7,,ii7 by /rik+ 7ii7 ,a det]m9ation & ins]t+ ! foll[+3 7ii7 ,donations ,a det]m9ation 2 & 7iii7 by /rik+ 7,c7 ,) respect & ins]t+ ! foll[+3 7,c7 ,nonapplication ( c]ta9 requirem5ts ,) respect 2 7#g7 9 subsection 7g7-- 7,a7 by /rik+ :o are engag+ 9 sub/ance abuse & ins]t+ :o h a sub/ance use disord]2 & 7,b7 by /rik+ su* abuse & ins]t+ su* disord]2 7#h7 9 subsection 7h77#a71 by /rik+ po/p>tum & ins]t+ p>5t+2 7#i7 9 subsection 7j7-- 7,a7 9 ! matt] prec$+ p>agraph 7#a71 by /rik+ to on & ins]t+ to or on2 & 7,b7 9 p>agraph 7#c71 by /rik+ ,(fice = & ins]t+ ,(fice (2 7#aj7 by am5d+ subsection 7m7 to read z foll[s3 7m7 ,allocation ( aw>ds ,9 mak+ aw>ds "u subsection 7a71 ! ,director %all give priority to an applicant t agrees to use ! aw>d = a program s]v+ an area t is a rural area1 an area designat$ "u section #ccb by ! ,secret>y z a heal? pr(essional %ortage area1 or an area det]m9$ by ! ,director to h a %ortage ( family-bas$ sub/ance use disord] treatm5t options4 2 7#aa7 9 subsection 7q7-- 7,a7 9 p>agraph 7#c71 by /rik+ fund+ agreem5t "u subsection 7a7 & ins]t+ fund+ agreem5t2 & 7,b7 9 p>agraph 7#d71 by /rik+ sub/ance abuse & ins]t+ a sub/ance use disord]2 7#ab7 by r$esignat+ subsection 7r7 z subsection 7s72 7#ac7 by ins]t+ aft] subsection 7q7 ! foll[+3 7r7 ,pilot program = ,/ate sub/ance abuse ag5cies 7#a7 ,9 g5]al ,f am\nts made available "u subsection 7s71 ! ,director may c>ry out a pilot program "u :i* ! ,director makes competitive grants to ,/ate sub/ance abuse ag5cies to-- 7,a7 enhance flexibility 9 ! use ( funds design$ to support family-bas$ s]vices = pregnant & p>5t+ wom5 ) a prim>y diagnosis ( a sub/ance use disord]1 includ+ an opioid use disord]2 7,b7 help ,/ate sub/ance abuse ag5cies address id5tifi$ gaps 9 s]vices provid$ to su* wom5 along ! cont9uum ( c>e1 includ+ s]vices provid$ to wom5 9 nonresid5tial bas$ sett+s2 & 7,c7 promote a coord9at$1 effective1 & effici5t ,/ate sy/em manag$ by ,/ate sub/ance abuse ag5cies by enc\rag+ new approa*es & models ( s]vice deliv]y t are evid5ce-bas$4 7#b7 ,requirem5ts ,not)/&+ any o!r provisions ( ?is section1 9 c>ry+ out ! pilot program "u ?is subsection1 ! ,director-- 7,a7 %all require a ,/ate sub/ance abuse ag5cy to submit to ! ,director an application1 9 su* =m & mann] & conta9+ su* in=mation z specifi$ by ! ,director1 to be eligible to receive a grant "u ! program2 7,b7 %all id5tify1 bas$ on applications submitt$ "u subp>agraph 7,a71 ,/ate sub/ance abuse ag5cies t are eligible = su* grants2 7,c7 %all require s]vices propos$ to be furni%$ ?r\gh su* a grant to support family-bas$ treatm5t & o!r s]vices = pregnant & p>5t+ wom5 ) a prim>y diagnosis ( a sub/ance use disord]1 includ+ an opioid use disord]2 7,d7 %all n require t s]vices furni%$ ?r\gh su* a grant be provid$ solely to wom5 t reside 9 facilities2 7,e7 %all n require t grant recipi5ts "u ! program make available all s]vices describ$ 9 subsection 7d72 & 7,f7 may waive ! requirem5ts ( subsection 7f71 dep5d+ on ! circum/ances ( ! grantee4 7#c7 ,requir$ s]vices 7,a7 ,9 g5]al ,! ,director %all specify m9imum s]vices requir$ to be made available to eligible wom5 ?r\gh a grant aw>d$ "u ! pilot program "u ?is subsection4 ,not)/&+ any o!r provision ( ?is section1 su* m9imum s]vices-- 7i7 %all include ! requirem5ts describ$ 9 subsection 7c72 7ii7 may include any ( ! s]vices describ$ 9 subsection 7d72 7iii7 may include o!r s]vices1 z appropriate2 & 7iv7 %all be bas$ on ! recomm5dations submitt$ "u subp>agraph 7,b74 7,b7 ,/akehold] input ,! ,director %all consid] recomm5dations f /akehold]s1 includ+ ,/ate sub/ance abuse ag5cies1 heal? c>e provid]s1 p]sons 9 recov]y f sub/ance a sub/ance use disord]1 & o!r appropriate individuals1 = ! m9imum s]vices describ$ 9 subp>agraph 7,a74 7#d7 ,evaluation & report to ,congress 7,a7 ,evaluations ,out ( am\nts made available to ! ,c5t] = ,behavioral ,heal? ,/ati/ics & ,quality1 ! ,director ( ! ,c5t] = ,behavioral ,heal? ,/ati/ics & ,quality1 9 coop]ation ) ! ,director ( ! ,c5t] = ,sub/ance ,abuse ,treatm5t & ! recipi5ts ( grants "u ?is subsection1 %all conduct an evaluation ( ! pilot program1 beg9n+ "o ye> aft] ! date on :i* a grant is fir/ aw>d$ "u ?is subsection4 7,b7 ,reports 7i7 ,9 g5]al ,n lat] ?an #abj days aft] ! completion ( ! evaluation "u subp>agraph 7,a71 ! ,director ( ! ,c5t] = ,behavioral ,heal? ,/ati/ics & ,quality1 9 coord9ation ) ! ,director ( ! ,c5t] = ,sub/ance ,abuse ,treatm5t1 %all submit to ! relevant ,committees ( ! ,s5ate & ! ,h\se ( ,repres5tatives a report on su* evaluation4 7ii7 ,cont5ts ,! report to ,congress "u clause 7i7 %all include1 at a m9imum1 outcomes in=mation f ! pilot program "u ?is section1 includ+ any result+ r$uctions 9 ! use ( alcohol & o!r drugs1 engagem5t 9 treatm5t s]vices1 ret5tion 9 ! appropriate level & duration ( s]vices1 increas$ access to ! use ( drugs approv$ by ! ,food & ,drug ,adm9i/ration = ! treatm5t ( sub/ance use disord]s 9 comb9ation ) c\nsel+1 & o!r appropriate measures4 7#e7 ,/ate sub/ance abuse ag5cies def9$ ,= purposes ( ?is subsection1 ! t]m ,/ate sub/ance abuse ag5cy means1 ) respect to a ,/ate1 ! ag5cy 9 su* ,/ate t manages ! block grant = prev5tion & treatm5t ( sub/ance use disord]s "u subp>t ,,ii ( "p ,b ( title ,,xix ) respect to ! ,/ate4 2 & 7#ad7 9 subsection 7s71 z s r$esignat$1 by /rik+ su* sums z may be necess>y to fiscal ye>s #bjja ?r\gh #bjjc4 & ins]t+ su* sums z may be necess>y = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 ,( ! am\nts made available = a fiscal ye> pursuant to ! previ\s s5t5ce1 n m ?an #be p]c5t ( su* am\nts %all be made available = su* fiscal ye> to c>ry out subsection 7r744 ,,vi ,improv+ pati5t c>e & access to m5tal & sub/ance use disord] b5efits #fja4 ,,hipaa cl>ification 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,director ( ! ,(fice = ,civil ,rights1 %all ensure t provid]s1 pr(essionals1 pati5ts & _! families1 & o!rs involv$ 9 m5tal or sub/ance use disord] treatm5t or c>e h adequate1 accessible1 & easily compreh5sible res\rces relat+ to appropriate uses & disclosures ( protect$ heal? in=mation "u ! regulations promulgat$ "u section #bfd7;c7 ( ! ,heal? ,insurance ,portability & ,acc\ntability ,act ( #aiif 7#db ,u4,s4,c4 #acbj;d-#b note71 includ+ res\rces to cl>ify p]mitt$ uses & disclosures ( su* in=mation t-- 7#a7 require ! pati5t's cons5t2 7#b7 require provid+ ! pati5t ) an opportunity to object2 7#c7 are bas$ on ! ex]cise ( pr(essional judgm5t reg>d+ :e!r ! pati5t w\ld object :5 ! opportunity to object _c practicably be provid$ because ( ! pati5t's incapacity or an em]g5cy treatm5t circum/ance2 & 7#d7 are det]m9$1 bas$ on ! ex]cise ( pr(essional judgm5t1 to be 9 ! be/ int]e/ ( ! pati5t :5 ! pati5t is n pres5t or o!rwise incapacitat$4 7b7 ,consid]ations ,9 c>ry+ out subsection 7a71 ! ,secret>y ( ,heal? & ,human ,s]vices %all consid] actual & p]ceiv$ b>ri]s to ! ability ( family memb]s to assi/ 9 ! treatm5t ( pati5ts ) a s]i\s m5tal illness4 #fjb4 ,id5tification ( model tra9+ programs 7a7 ,programs & mat]ials ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is section ref]r$ to z ! ,secret>y71 9 consultation ) appropriate exp]ts1 %all id5tify or1 9 ! case t none exi/1 recognize private or public entities to develop-- 7#a7 model programs & mat]ials = tra9+ heal? c>e provid]s 7includ+ physicians1 em]g5cy m$ical p]sonnel1 psy*iatri/s1 psy*ologi/s1 c\nselors1 !rapi/s1 behavioral heal? facilities & cl9ics1 c>e manag]s1 & hospitals1 includ+ individuals su* z a g5]al c\nsel or regulatory compliance /aff :o are responsible = e/abli%+ provid] privacy policies7 reg>d+ ! p]mitt$ uses & disclosures1 consi/5t ) ! /&>ds gov]n+ ! privacy & security ( individually id5tifiable heal? in=mation pursuant to regulations promulgat$ by ! ,secret>y "u section #bfd7;c7 ( ! ,heal? ,insurance ,portability & ,acc\ntability ,act ( #aiif 7#db ,u4,s4,c4 #acbj;d-#b note7 & "p ,c ( title ,,xi ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;d et seq471 ( ! protect$ heal? in=mation ( pati5ts seek+ or und]go+ m5tal heal? or sub/ance use disord] treatm5t or c>e2 & 7#b7 model programs & mat]ials = tra9+ pati5ts & _! families reg>d+ _! rights to protect & obta9 in=mation "u ! /&>ds describ$ 9 p>agraph 7#a74 7b7 ,p]iodic updates ,! ,secret>y %all-- 7#a7 p]iodically review1 evaluate1 & update ! model programs & mat]ials id5tifi$ "u subsection 7a72 & 7#b7 dissem9ate ! updat$ model programs & mat]ials4 7c7 ,coord9ation ,! ,secret>y %all c>ry out ?is section 9 coord9ation ) ! ,director ( ! ,(fice = ,civil ,rights1 ! ,assi/ant ,secret>y = ,plann+ & ,evaluation1 ! ,adm9i/rator ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 & ! heads ( o!r relevant ag5cies )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 7d7 ,input ( c]ta9 entities ,9 id5tify+ ! model programs & mat]ials "u subsections 7a7 & 7b71 ! ,secret>y %all solicit input f key /akehold]s1 includ+ relevant national1 ,/ate1 & local associations1 m$ical societies lic5s+ bo>ds1 provid]s ( m5tal & sub/ance use disord] treatm5t & c>e1 & organizations repres5t+ pati5ts & consum]s4 #fjc4 ,confid5tiality ( records ,n lat] ?an #a ye> aft] ! date on :i* ! ,secret>y ( ,heal? & ,human ,s]vices fir/ f9alizes ! regulations updat+ "p #b ( title #db1 ,code ( ,f$]al ,regulations 7relat+ to confid5tiality ( alcohol & drug abuse pati5t records71 aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all conv5e relevant /akehold]s to det]m9e ! impact ( su* regulations on pati5t c>e1 heal? outcomes1 & pati5t privacy4 #fjd4 ,enhanc$ compliance ) m5tal heal? & sub/ance use disord] cov]age requirem5ts 7a7 ,guidance ,section #bgbf7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#bf7;a77 is am5d$ by add+ at ! end ! foll[+3 7#f7 ,additional guidance 7,a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ! ,m5tal ,heal? ,re=m ,act ( #bjaf1 ! ,secret>y1 9 coord9ation ) ! ,secret>y ( ,labor & ! ,secret>y ( ! ,treasury1 %all issue guidance to gr\p heal? plans & heal? insurance issu]s (f]+ gr\p or individual heal? insurance cov]age to assi/ su* plans & issu]s 9 satisfy+ ! requirem5ts ( ?is section4 7,b7 ,disclosure 7i7 ,guidance = plans & issu]s ,! guidance issu$ "u ?is p>agraph %all include specific examples ( me?ods t gr\p heal? plans & heal? insurance issu]s (f]+ gr\p or individual heal? insurance cov]age may use = disclos+ in=mation to demon/rate compliance ) ! requirem5ts "u ?is section 7& any regulations promulgat$ pursuant to ?is section71 includ+ me?ods = comply+ ) requirem5ts = nonquantitative treatm5t limitations4 7ii7 ,docum5ts = p>ticipants1 b5efici>ies1 or contract+ provid]s ,! guidance issu$ "u ?is p>agraph may include examples ( /&>diz$ me?ods t gr\p heal? plans & heal? insurance issu]s (f]+ gr\p or individual heal? insurance cov]age may use to provide any p>ticipant1 b5efici>y1 or contract+ provid]1 ^u reque/1 ) docum5ts conta9+ cov]age in=mation t ! heal? plans or issu]s are requir$1 by ?is section or any o!r provision ( law1 to disclose to su* p>ticipants1 b5efici>ies1 or contract+ provid]s1 includ+-- 7,i7 in=mation1 includ+ in=mation t is comp>ative 9 nature1 on nonquantitative treatm5t limitations = bo? m$ical & surgical b5efits & m5tal heal? & sub/ance use disord] b5efits2 7,,ii7 in=mation1 includ+ in=mation t is comp>ative 9 nature1 ab\t ! processes1 /rategies1 evid5ti>y /&>ds1 & o!r factors us$ to apply nonquantitative treatm5t limitations = bo? m$ical & surgical b5efits & m5tal heal? & sub/ance use disord] b5efits1 includ+ h[ su* limitations are appli$ to m5tal heal? or sub/ance use disord] b5efits2 & 7,,iii7 in=mation1 includ+ in=mation t is comp>ative 9 nature1 ab\t h[ nonquantitative treatm5t limitations are appli$ to m$ical & surgical b5efits relative to h[ su* limitations are appli$ to m5tal heal? or sub/ance use disord] b5efits4 7,c7 ,nonquantitative treatm5t limitations ,! guidance issu$ "u ?is p>agraph %all include in=mation t gr\p heal? plans & heal? insurance issu]s (f]+ gr\p or individual heal? insurance cov]age may use to comply ) requirem5ts = nonquantitative treatm5t limitations "u ?is section1 includ+-- 7i7 examples ( appropriate types ( nonquantitative treatm5t limitations on m5tal heal? & sub/ance use disord] b5efits t comply or d n comply ) ?is section1 includ+-- 7,i7 m$ical managem5t /&>ds t limit or exclude b5efits bas$ on m$ical necessity1 m$ical appropriat5ess1 or :e!r a treatm5t is exp]im5tal or inve/igative2 7,,ii7 limitations ) respect to prescription drug =mul>y design2 & 7,,iii7 use ( fail-fir/ or /ep !rapy protocols2 7ii7 examples ( network admission /&>ds & individual provid] reimbursem5t rates1 z su* /&>ds & rates apply to network adequacy1 t comply or d n comply ) ?is section2 7iii7 examples ( s\rces ( in=mation t may s]ve z evid5ti>y /&>ds = ! purpose ( det]m9+ compliance or noncompliance ) applicable nonquantitative treatm5t limitation requirem5ts2 7iv7 examples ( specific factors t may be us$ by su* plans or issu]s 9 p]=m+ a nonquantitative treatm5t limitation analysis2 7v7 examples ( specific evid5ti>y /&>ds t may be us$ by su* plans or issu]s to evaluate ! specific factors describ$ 9 clause 7iv72 7vi7 examples ( h[ a lack ( cl9ical evid5ce may be tak5 into consid]ation by su* plans or issu]s 9 ! case ( exp]im5tal treatm5t exclusions2 7vii7 examples ( h[ specific evid5ti>y /&>ds may be appli$ to ea* s]vice category or classification ( b5efits2 7viii7 examples ( new m5tal heal? or sub/ance use disord] treatm5ts t comply or d n comply ) ?is section1 su* z evid5ce-bas$ e>ly int]v5tion programs = individuals ) a s]i\s m5tal illness & types ( m$ical managem5t te*niques t h be5 det]m9$ to meet or fail to meet requirem5ts = nonquantitative treatm5t limitations2 7ix7 examples ( cov]age det]m9ations t comply or d n comply ) ?is section & = :i* !re is an indirect relation%ip betwe5 ! cov]$ m5tal heal? or sub/ance use disord] b5efit & a traditional cov]$ m$ical & surgical b5efit1 su* z resid5tial treatm5t or hospitalizations involv+ involunt>y commitm5t2 7x7 examples ( h[ nonquantitative treatm5t limitations & _! application1 det]m9ations t treatm5ts are no long] m$ically necess>y1 & ef=ts to t]m9ate or r$uce c>e may be resolv$ 9 a mann] t is lea/ burd5some to ! pati5t & provides = cont9uity ( pati5t c>e2 & 7xi7 additional examples ( cov]age ( m5tal heal? & sub/ance use disord] b5efits t comply or d n comply ) ?is section1 includ+ cases 9 :i* re/rictions bas$ on geographic locations1 facility type1 provid] specialty1 or o!r crit]ia limit ! scope or duration ( b5efits4 7,d7 ,public comm5t ,prior to issu+ any f9al guidance "u ?is section1 ! ,secret>y %all provide a public comm5t p]iod ( n less ?an #fj days dur+ :i* any memb] ( ! public may provide comm5ts on a draft ( ! guidance4 4 7b7 ,improv+ compliance 7#a7 ,9 g5]al ,9 ! case ( a gr\p heal? plan or heal? insurance issu] (f]+ heal? insurance cov]age 9 ! gr\p or individual m>ket ) respect to :i* !re are at lea/ #e f9d+s ( noncompliance ) section #bgbf ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#bf71 section #gab ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd 7#bi ,u4,s4,c4 #aahe;a71 or section #ihab ( ! ,int]nal ,rev5ue ,code1 ! appropriate ,secret>y %all audit plan docum5ts = su* heal? plan or issu] 9 ! foll[+ plan ye> 9 ord] to help improve compliance ) su* section4 7#b7 ,rule ( con/ruction ,no?+ 9 ?is subsection %all be con/ru$ to limit ! au?ority1 z 9 effect on ! day be=e ! date ( enactm5t ( ?is ,act1 ( ! ,secret>y ( ,heal? & ,human ,s]vices1 ! ,secret>y ( ,labor1 or ! ,secret>y ( ! ,treasury to audit docum5ts ( heal? plans or heal? insurance issu]s4 #fje4 ,action plan = enhanc$ en=cem5t ( m5tal heal? & sub/ance use disord] cov]age 7a7 ,public meet+ 7#a7 ,9 g5]al ,n lat] ?an #f mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all conv5e a public meet+ ( /akehold]s describ$ 9 p>agraph 7#b7 to produce an action plan = improv$ ,f$]al & ,/ate coord9ation relat$ to ! en=cem5t ( m5tal heal? p>ity & addiction equity requirem5ts4 7#b7 ,/akehold]s ,! /akehold]s describ$ 9 ?is p>agraph %all include ea* ( ! foll[+3 7,a7 ,! ,f$]al ,gov]nm5t1 includ+ repres5tatives f-- 7i7 ! ,dep>tm5t ( ,heal? & ,human ,s]vices2 7ii7 ! ,dep>tm5t ( ! ,treasury2 7iii7 ! ,dep>tm5t ( ,labor2 & 7iv7 ! ,dep>tm5t ( ,ju/ice4 7,b7 ,/ate gov]nm5ts1 includ+-- 7i7 ,/ate heal? insurance commission]s2 7ii7 appropriate ,/ate ag5cies1 includ+ ag5cies on public heal? or m5tal heal?2 & 7iii7 ,/ate attorneys g5]al or o!r repres5tatives ( ,/ate entities involv$ 9 ! en=cem5t ( m5tal heal? p>ity laws4 7,c7 ,repres5tatives f key /akehold] gr\ps1 includ+-- 7i7 ! ,national ,association ( ,insurance ,commission]s2 7ii7 heal? insurance provid]s2 7iii7 provid]s ( m5tal heal? & sub/ance use disord] treatm5t2 7iv7 employ]s2 & 7v7 pati5ts or _! advocates4 7b7 ,action plan ,n lat] ?an #f mon?s aft] ! public meet+ "u subsection 7a71 ! ,secret>y ( ,heal? & ,human ,s]vices %all f9alize ! action plan describ$ 9 su* subsection & make x pla9ly available on ! ,int]net website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 7c7 ,cont5t ,! action plan "u ?is section %all-- 7#a7 reflect ! input ( ! /akehold]s invit$ to ! public meet+ "u subsection 7a72 7#b7 id5tify specific /rategic objectives reg>d+ h[ ! v>i\s ,f$]al & ,/ate ag5cies *>g$ ) en=cem5t ( m5tal heal? p>ity & addiction equity requirem5ts w collaborate to improve en=cem5t ( su* requirem5ts2 7#c7 provide a timel9e = :5 su* objectives %all be met2 & 7#d7 provide specific examples ( h[ su* objectives may be met1 :i* may include-- 7,a7 provid+ common educational in=mation & docum5ts to pati5ts ab\t _! rights "u ,f$]al or ,/ate m5tal heal? p>ity & addiction equity requirem5ts2 7,b7 facilitat+ ! c5traliz$ collection (1 monitor+ (1 & response to pati5t compla9ts or inquiries relat+ to ,f$]al or ,/ate m5tal heal? p>ity & addiction equity requirem5ts1 :i* may be ?r\gh ! developm5t & adm9i/ration ( a s+le1 toll-free telephone numb] & an ,int]net website portal2 7,c7 ,f$]al & ,/ate law en=cem5t ag5cies ent]+ into memor&a ( und]/&+ to bett] coord9ate en=cem5t responsibilities & in=mation %>+1 includ+ :e!r su* ag5cies %\ld make ! results ( en=cem5t actions relat$ to m5tal heal? p>ity & addiction equity requirem5ts publicly available2 & 7,d7 recomm5dations to ! ,secret>y & ,congress reg>d+ ! ne$ = additional legal au?ority to improve en=cem5t ( m5tal heal? p>ity & addiction equity requirem5ts1 includ+ requirem5ts = nonquantitative treatm5t limitations & ! ext5t & frequ5cy ( h[ su* limitations are appli$ bo? to m$ical & surgical b5efits & to m5tal heal? & sub/ance use disord] b5efits4 #fjf4 ,report on inve/igations reg>d+ p>ity 9 m5tal heal? & sub/ance use disord] b5efits 7a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 & annually !reaft] = ! subsequ5t #e ye>s1 ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 9 collaboration ) ! ,assi/ant ,secret>y ( ,labor ( ! ,employee ,b5efits ,security ,adm9i/ration & ! ,secret>y ( ! ,treasury1 %all submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate a report summ>iz+ ! results ( all clos$ ,f$]al inve/igations complet$ dur+ ! prec$+ #ab-mon? p]iod ) f9d+s ( any s]i\s violation reg>d+ compliance ) p>ity 9 m5tal heal? & sub/ance use disord] b5efits1 includ+ b5efits provid$ to p]sons ) a s]i\s m5tal illness or a sub/ance use disord]1 "u section #bgbf ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#bf71 section #gab ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd 7#bi ,u4,s4,c4 #aahe;a71 & section #ihab ( ! ,int]nal ,rev5ue ,code ( #aihf4 7b7 ,cont5ts ,subject to subsection 7c71 a report "u subsection 7a7 %all1 ) respect to inve/igations describ$ 9 su* subsection1 include ea* ( ! foll[+3 7#a7 ,! numb] ( op5 or clos$ ,f$]al inve/igations conduct$ dur+ ! cov]$ report+ p]iod4 7#b7 ,ea* b5efit classification exam9$ by any su* inve/igation conduct$ dur+ ! cov]$ report+ p]iod4 7#c7 ,ea* subject matt]1 includ+ compliance ) requirem5ts = quantitative & nonquantitative treatm5t limitations1 ( any su* inve/igation conduct$ dur+ ! cov]$ report+ p]iod4 7#d7 ,a summ>y ( ! basis ( ! f9al decision r5d]$ = ea* clos$ inve/igation conduct$ dur+ ! cov]$ report+ p]iod t result$ 9 a f9d+ ( a s]i\s violation4 7c7 ,limitation ,any individually id5tifiable in=mation %all be exclud$ f reports "u subsection 7a7 consi/5t ) protections "u ! heal? privacy & security rules promulgat$ "u section #bfd7;c7 ( ! ,heal? ,insurance ,portability & ,acc\ntability ,act ( #aiif 7#db ,u4,s4,c4 #acbj;d-#b note74 #fjg4 ,,gao /udy on cov]age limitations = individuals ) s]i\s m5tal illness & sub/ance use disord]s ,n lat] ?an #c ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates1 9 consultation ) ! ,secret>y ( ,heal? & ,human ,s]vices1 ! ,secret>y ( ,labor1 & ! ,secret>y ( ! ,treasury1 %all submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate a report detail+ ! ext5t to :i* gr\p heal? plans or heal? insurance issu]s (f]+ gr\p or individual heal? insurance cov]age t provides bo? m$ical & surgical b5efits & m5tal heal? or sub/ance use disord] b5efits1 & m$icaid manag$ c>e organizations ) a contract "u section #aijc7m7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;b7m771 comply ) section #bgbf ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#bf71 section #gab ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd 7#bi ,u4,s4,c4 #aahe;a71 & section #ihab ( ! ,int]nal ,rev5ue ,code ( #aihf1 includ+-- 7#a7 h[ nonquantitative treatm5t limitations1 includ+ m$ical necessity crit]ia1 ( su* plans or issu]s comply ) su* sections2 7#b7 h[ ! responsible ,f$]al dep>tm5ts & ag5cies ensure t su* plans or issu]s comply ) su* sections1 includ+ an assessm5t ( h[ ! ,secret>y ( ,heal? & ,human ,s]vices has us$ its au?ority to conduct audits ( su* plans to ensure compliance2 7#c7 a review ( h[ ! v>i\s ,f$]al & ,/ate ag5cies responsible = en=c+ m5tal heal? p>ity requirem5ts h improv$ en=cem5t ( su* requirem5ts 9 accordance ) ! objectives & timel9e describ$ 9 ! action plan "u section #fje2 & 7#d7 recomm5dations = h[ additional en=cem5t1 education1 & coord9ation activities by responsible ,f$]al & ,/ate dep>tm5ts & ag5cies c\ld bett] ensure compliance ) su* sections1 includ+ recomm5dations reg>d+ ! ne$ = additional legal au?ority4 #fjh4 ,cl>ification ( exi/+ p>ity rules ,if a gr\p heal? plan or a heal? insurance issu] (f]+ gr\p or individual heal? insurance cov]age provides cov]age = eat+ disord] b5efits includ+1 b n limit$ to1 resid5tial treatm5t1 su* gr\p heal? plan or heal? insurance issu] %all provide su* b5efits consi/5t ) ! requirem5ts ( section #bgbf ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#bf71 section #gab ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd 7#bi ,u4,s4,c4 #aahe;a71 & section #ihab ( ! ,int]nal ,rev5ue ,code ( #aihf4