,,ii  #aaeth ,,congress  #b;d ,session  
,s4 #bfbf  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,march #bb1    
#bjah,mr4 ,young 7for himself and ,mr4  
,cassidy7 introduced the following bill2
 which was read twice and referred to   
the ,committee on ,health1 ,education1  
,labor1 and ,pensions  ,a ,,bill  ,to   
clarify the requirements for receiving  
certain grants through the ,national    
,mental ,health and ,substance ,use     
,policy ,laboratory4  #a4 ,short title  
,this ,act may be cited as the ,testing1
 ,evaluating1 and ,strengthening        
,treatments ,act or the ,,test ,act4    
#b4 ,national ,mental ,health and       
,substance ,use ,policy ,laboratory     
,grant ,program ,section #eja;,a7e7 of  
the ,public ,health ,service ,act 7#db  
,u4,s4,c4 #bij;aa-#j7;e77 is amended--  
7#a7 in paragraph 7#a7--  7,a7 in the   
matter preceding subparagraph 7,a7-- 7i7
 by striking organizations to develop   
and inserting or private organizations  
to create1 develop1 implement1          

replicate1 or take to scale promising2  
and  7ii7 by striking for-- and         
inserting to--2  7,b7 by striking       
subparagraphs 7,a7 and 7,b7 and         
inserting the following3  7,a7 enhance  
the prevention1 diagnosis1 intervention1
 and treatment of1 and recovery from1   
mental illness1 serious emotional       
disturbances1 substance use disorders1  
and co-occurring illness or disorders2  
or  7,b7 integrate or coordinate        
physical health services and mental and 
substance use disorder services4  2     
7#b7 by redesignating paragraphs 7#b7   
and 7#c7 as paragraphs 7#d7 and 7#g71   
respectively2  7#c7 by inserting after  
paragraph 7#a7 the following3  7#b7     
,description of grants ,the grants      
described in paragraph 7#a7 shall       
include--  7,a7 early-phase grants to   
fund the development1 implementation1   
and feasibility testing of an           
intervention1 which prior research      
suggests has promise2  7,b7 mid-phase   
grants to fund implementation and a     

rigorous evaluation of an intervention  
that has been successfully implemented  
under an early-phase grant described in 
subparagraph 7,a7 or other effort       
meeting similar criteria1 for the       
purpose of measuring the intervention's 
impact on important outcomes1 such as   
addiction and mental illness1 as well as
 its cost effectiveness1 if feasible1   
using existing administrative data2 and 
7,c7 expansion grants to fund           
implementation and a rigorous           
replication evaluation of an            
intervention that has been found to     
produce statistically significant1      
sizable1 and important impacts under a  
mid-phase grant described in            
subparagraph 7,b7 or other effort       
meeting similar criteria1 for the       
purposes of--  7i7 determining whether  
such impacts can be successfully        
reproduced and sustained over time2 and 
7ii7 identifying the conditions under   
which the intervention is most          
effective4  7#c7 ,criteria ,in awarding 

grants under this subsection1 the       
,assistant ,secretary shall employ broad
 eligibility criteria regarding the     
content or approach of the proposed     
interventions1 and use the promise of   
the prior research or evidence as the   
main factor in selecting interventions  
for award4  2  7#d7 by inserting after  
paragraph 7#d71 as so redesignated1 the 
following3  7#e7 ,evaluation ,each      
recipient of a mid-phase grant described
 in paragraph 7#b77;,b7 or an expansion 
grant described in paragraph 7#b77;,c7  
shall conduct a rigorous1 third-party   
evaluation that employs experimental    
designs using random assignment1 when   
feasible1 and other research            
methodologies that allow for the        
strongest possible causal inferences    
when random assignment is not feasible1 
to determine the effectiveness of the   
intervention carried out under such     
grant4  7#f7 ,matching funds ,in order  
to receive a grant under this           
subsection1 an eligible entity shall    

demonstrate that the eligible entity    
will provide matching funds1 in cash or 
through in-kind contributions1 from     
,federal1 ,state1 local1 or private     
sources in an amount equal to #aj       
percent of the funds provided under such
 grant1 except that the ,assistant      
,secretary may waive the matching funds 
requirement1 on a case-by-case basis1   
upon a showing of exceptional           
circumstances1 such as--  7,a7          
difficulty of raising matching funds for
 a program to serve a rural area2 or    
7,b7 difficulty of raising funds on     
tribal land4  2 and  7#e7 in paragraph  
7#g71 as so redesignated1 by striking   
,there are authorized to be             
appropriated-- and all that follows     
through the period at the end and       
inserting ,to carry out this section1   
there are authorized to be appropriated 
#ad1jjj1jjj for the period of fiscal    
years #bjah through #bjbb44