,i #aafth ,,congress #ast ,session ,h4 ,r4 #edfi ,,in ,,the ,,house ,,of ,,representatives ,december #ag1 #bjai,mrs4 ,watson ,coleman 7for herself1 ,mr4 ,hastings1 ,ms4 ,norton1 ,mr4 ,cleaver1 ,ms4 ,omar1 ,mr4 ,danny ,k4 ,davis of ,illinois1 ,ms4 ,adams1 ,mrs4 ,hayes1 ,mr4 ,horsford1 and ,ms4 ,lee of ,california7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce ,a ,,bill ,to address mental health issues for youth1 particularly youth of color1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,pursuing ,equity in ,mental ,health ,act of #bjai4 #b4 ,table of contents ,the table of contents for this ,act is as follows3 ,sec4 #a4 ,short title4 ,sec4 #b4 ,table of contents4 ,title ,i--,mental ,health of ,students ,sec4 #aja4 ,amendments to the ,public ,health ,service ,act4 ,title ,,ii--,health ,equity and ,accountability ,sec4 #bja4 ,integrated ,health ,care ,demonstration ,program4 ,sec4 #bjb4 ,addressing racial and ethnic minority mental health disparities research gaps4 ,sec4 #bjc4 ,health professions competencies to address racial and ethnic minority mental health disparities4 ,sec4 #bjd4 ,racial and ethnic minority behavioral and mental health outreach and education strategy4 ,sec4 #bje4 ,additional funds for ,national ,institutes of ,health4 ,sec4 #bjf4 ,additional funds for ,national ,institute on ,minority ,health and ,health ,disparities4 ,title ,,iii--,other provisions ,sec4 #cja4 ,reauthorization of ,minority ,fellowship ,program4 ,sec4 #cjb4 ,commission on the ,effects of ,smartphone and ,social ,media ,use on ,adolescents4 ,sec4 #cjc4 ,no ,federal funds for conversion therapy4 ,i ,mental ,health of ,students #aja4 ,amendments to the ,public ,health ,service ,act 7a7 ,technical amendments ,the second part ,g 7relating to services provided through religious organizations7 of title ,v of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bijkk et seq47 is amended-- 7#a7 by redesignating such part as part ,j2 and 7#b7 by redesignating sections #eha through #ehd as sections #eif through #eif;,c1 respectively4 7b7 ,school-,based mental health and children ,section #eha of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;hh7 7relating to children and violence7 is amended to read as follows3 #eha4 ,school-based mental health2 children and adolescents 7a7 ,in general ,the ,secretary1 in collaboration with the ,secretary of ,education1 shall1 directly or through grants1 contracts1 or cooperative agreements awarded to eligible entities described in subsection 7c71 assist local communities and schools 7including schools funded by the ,bureau of ,indian ,education7 in applying a public health approach to mental health services both in schools and in the community4 ,such approach shall provide comprehensive developmentally appropriate services and supports that are linguistically and culturally appropriate and trauma-informed1 and incorporate developmentally appropriate strategies of positive behavioral interventions and supports4 ,a comprehensive school-based mental health program funded under this section shall assist children in dealing with traumatic experiences1 grief1 bereavement1 risk of suicide1 and violence4 7b7 ,activities ,under the program under subsection 7a71 the ,secretary may-- 7#a7 provide financial support to enable local communities to implement a comprehensive culturally and linguistically appropriate1 trauma-informed1 and developmentally appropriate1 school-based mental health program that-- 7,a7 builds awareness of individual trauma and the intergenerational1 continuum of impacts of trauma on populations2 7,b7 trains appropriate staff to identify1 and screen for1 signs of trauma exposure1 mental health disorders1 or risk of suicide2 and 7,c7 incorporates positive behavioral interventions1 family engagement1 student treatment1 and multigenerational supports to foster the health and development of children1 prevent mental health disorders1 and ameliorate the impact of trauma2 7#b7 provide technical assistance to local communities with respect to the development of programs described in paragraph 7#a72 7#c7 provide assistance to local communities in the development of policies to address child and adolescent trauma and mental health issues and violence when and if it occurs2 7#d7 facilitate community partnerships among families1 students1 law enforcement agencies1 education agencies1 mental health and substance use disorder service systems1 family-based mental health service systems1 child welfare agencies1 health care providers 7including primary care physicians1 mental health professionals1 and other professionals who specialize in children's mental health such as child and adolescent psychiatrists71 institutions of higher education1 faith-based programs1 trauma networks1 and other community-based systems2 and 7#e7 establish mechanisms for children and adolescents to report incidents of violence or plans by other children1 adolescents1 or adults to commit violence4 7c7 ,requirements 7#a7 ,in general ,to be eligible for a grant1 contract1 or cooperative agreement under subsection 7a71 an entity shall-- 7,a7 be a partnership that includes-- 7i7 a ,state educational agency1 as defined in section #haja of the ,elementary and ,secondary ,education ,act of #aife1 in coordination with one or more local educational agencies1 as defined in section #haja of the ,elementary and ,secondary ,education ,act of #aife1 or a consortium of any entities described in subparagraph 7,b71 7,c71 7,d71 or 7,e7 of section #haja7cj7 of such ,act2 and 7ii7 in accordance with paragraph 7#b77;,a77i71 appropriate public or private entities that employ interventions that are evidence-based1 as defined in section #haja of the ,elementary and ,secondary ,education ,act of #aife2 and 7,b7 submit an application1 that is endorsed by all members of the partnership1 that-- 7i7 specifies which member will serve as the lead partner2 and 7ii7 contains the assurances described in paragraph 7#b74 7#b7 ,required assurances ,an application under paragraph 7#a7 shall contain assurances as follows3 7,a7 ,the eligible entity will ensure that1 in carrying out activities under this section1 the eligible entity will enter into a memorandum of understanding-- 7i7 with at least #a community-based mental health provider1 including a public or private mental health entity1 health care entity1 family-based mental health entity1 trauma network1 or other community-based entity1 as determined by the ,secretary 7and which may include additional entities such as a human services agency1 law enforcement or juvenile justice entity1 child welfare agency1 agency1 an institution of higher education1 or another entity1 as determined by the ,secretary72 and 7ii7 that clearly states-- 7,i7 the responsibilities of each partner with respect to the activities to be carried out1 including how family engagement will be incorporated in the activities2 7,,ii7 how school-employed and school-based or community-based mental health professionals will be utilized for carrying out such responsibilities2 7,,iii7 how each such partner will be accountable for carrying out such responsibilities2 and 7,,iv7 the amount of non-,federal funding or in-kind contributions that each such partner will contribute in order to sustain the program4 7,b7 ,the comprehensive school-based mental health program carried out under this section supports the flexible use of funds to address-- 7i7 universal prevention1 through the promotion of the social1 emotional1 mental1 and behavioral health of all students in an environment that is conducive to learning2 7ii7 selective prevention1 through the reduction in the likelihood of at risk students developing social1 emotional1 mental1 behavioral health problems1 suicide1 or substance use disorders2 7iii7 the screening for1 and early identification of1 social1 emotional1 mental1 behavioral problems1 suicide risk1 or substance use disorders and the provision of early intervention services2 7iv7 the treatment or referral for treatment of students with existing social1 emotional1 mental1 behavioral health problems1 or substance use disorders2 7v7 the development and implementation of evidence-based programs to assist children who are experiencing or have been exposed to trauma and violence1 including program curricula1 school supports1 and after-school programs2 and 7vi7 the development and implementation of evidence-based programs to assist children who are grieving1 which may include training for school personnel on the impact of trauma and bereavement on children1 and services to provide support to grieving children4 7,c7 ,the comprehensive school-based mental health program carried out under this section will provide for in-service training of all school personnel1 including ancillary staff and volunteers1 in-- 7i7 the techniques and supports needed to promote early identification of children with trauma histories1 children who are grieving1 and children with a mental health disorder or at risk of developing a mental health disorder1 or who are at risk of suicide2 7ii7 the use of referral mechanisms that effectively link such children to appropriate prevention1 treatment1 and intervention services in the school and in the community and to follow-up when services are not available2 7iii7 strategies that promote a school-wide positive environment1 including strategies to prevent bullying1 which includes cyber-bullying2 7iv7 strategies for promoting the social1 emotional1 mental1 and behavioral health of all students2 and 7v7 strategies to increase the knowledge and skills of school and community leaders about the impact of trauma and violence and on the application of a public health approach to comprehensive school-based mental health programs4 7,d7 ,the comprehensive school-based mental health program carried out under this section will include comprehensive training for parents or guardians1 siblings1 and other family members of children with mental health disorders1 and for concerned members of the community in-- 7i7 the techniques and supports needed to promote early identification of children with trauma histories1 children who are grieving1 children with a mental health disorder or at risk of developing a mental health disorder1 and children who are at risk of suicide2 7ii7 the use of referral mechanisms that effectively link such children to appropriate prevention1 treatment1 and intervention services in the school and in the community and follow-up when such services are not available2 and 7iii7 strategies that promote a school-wide positive environment1 including strategies to prevent bullying1 including cyber-bullying4 7,e7 ,the comprehensive school-based mental health program carried out under this section will demonstrate the measures to be taken to sustain the program 7which may include seeking funding for the program under a ,state ,medicaid plan under title ,,xix of the ,social ,security ,act or a waiver of such a plan1 or under a ,state plan under subpart #a of part ,b or part ,e of title ,,iv of the ,social ,security ,act74 7,f7 ,the eligible entity is supported by the ,state agency with primary responsibility for behavioral health to ensure that the comprehensive school-based mental health program carried out under this section will be sustainable after funding under this section terminates4 7,g7 ,the comprehensive school-based mental health program carried out under this section will be coordinated with early intervening activities carried out under the ,individuals with ,disabilities ,education ,act or activities funded under part ,a of title ,,iv of the ,elementary and ,secondary ,education ,act of #aife4 7,h7 ,the comprehensive school-based mental health program carried out under this section will be trauma-informed1 evidence-based1 and developmentally1 culturally1 and linguistically appropriate4 7,i7 ,the comprehensive school-based mental health program carried out under this section will include a broad needs assessment of youth who drop out of school due to policies of zero tolerance with respect to drugs1 alcohol1 or weapons and an inability to obtain appropriate services4 7,j7 ,the mental health services provided through the comprehensive school-based mental health program carried out under this section will be provided by qualified mental and behavioral health professionals who are certified1 credentialed1 or licensed in compliance with applicable ,federal and ,state law and regulations by the ,state involved and who are practicing within their area of expertise4 7,k7 ,students will be permitted to self-refer to the mental health program for mental health care and self-consent for mental health crisis care to the extent permitted by ,state or other applicable law4 7#c7 ,coordinator ,any entity that is a member of a partnership described in paragraph 7#a77;,a7 may serve as the coordinator of funding and activities under the grant if all members of the partnership agree4 7#d7 ,compliance with ,,hipaa ,a grantee under this section shall be deemed to be a covered entity for purposes of compliance with the regulations promulgated under section #bfd7;c7 of the ,health ,insurance ,portability and ,accountability ,act of #aiif with respect to any patient records developed through activities under the grant4 7#e7 ,compliance with ,,ferpa ,section #ddd of the ,general ,education ,provisions ,act 7commonly known as the ,family ,educational ,rights and ,privacy ,act of #aigd7 shall apply to any entity that is a member of the partnership in the same manner that such section applies to an educational agency or institution 7as that term is defined in such section74 7d7 ,priority for schools with high poverty levels ,in awarding grants1 contracts1 and cooperative agreements under this section1 the ,secretary shall give highest priority to eligible entities that are partnerships including one or more public elementary or secondary schools in which #ej4a percent or more of the students are eligible for a free or reduced price lunch under the ,richard ,b4 ,russell ,national ,school ,lunch ,act4 7e7 ,geographical distribution ,the ,secretary shall ensure that grants1 contracts1 or cooperative agreements under subsection 7a7 will be distributed equitably among the regions of the country and among urban and rural areas4 7f7 ,duration of awards ,with respect to a grant1 contract1 or cooperative agreement under subsection 7a71 the period during which payments under such an award will be made to the recipient shall be #e years1 with options for renewal4 7g7 ,evaluation and measures of outcomes 7#a7 ,development of process ,the ,assistant ,secretary shall develop a fiscally appropriate process for evaluating activities carried out under this section4 ,such process shall include-- 7,a7 the development of guidelines for the submission of program data by grant1 contract1 or cooperative agreement recipients2 7,b7 the development of measures of outcomes 7in accordance with paragraph 7#b77 to be applied by such recipients in evaluating programs carried out under this section2 and 7,c7 the submission of annual reports by such recipients concerning the effectiveness of programs carried out under this section4 7#b7 ,measures of outcomes 7,a7 ,in general ,the ,assistant ,secretary shall develop measures of outcomes to be applied by recipients of assistance under this section1 and the ,assistant ,secretary1 in evaluating the effectiveness of programs carried out under this section4 ,such measures shall include student and family measures as provided for in subparagraph 7,b7 and local educational measures as provided for under subparagraph 7,c74 7,b7 ,student and family measures of outcomes ,the measures for outcomes developed under paragraph 7#a77;,b7 relating to students and families shall1 with respect to activities carried out under a program under this section1 at a minimum include provisions to evaluate whether the program is effective in-- 7i7 increasing social and emotional competency2 7ii7 improving academic outcomes1 including as measured by proficiency on the annual assessments under section #aaaa7;b77#b7 of the ,elementary and ,secondary ,education ,act of #aife2 7iii7 reducing disruptive and aggressive behaviors2 7iv7 improving child functioning2 7v7 reducing substance use disorders2 7vi7 reducing rates of suicide2 7vii7 reducing suspensions1 truancy1 expulsions1 and violence2 7viii7 increasing high school graduation rates1 calculated using the four-year adjusted cohort graduation rate or the extended-year adjusted cohort graduation rate 7as such terms are defined in section #haja of the ,elementary and ,secondary ,education ,act of #aife72 7ix7 improving attendance rates and rates of chronic absenteeism2 7x7 improving access to care for mental health disorders1 including access to mental health services that are trauma-informed1 and developmentally1 linguistically1 and culturally appropriate2 7xi7 improving health outcomes2 and 7xii7 decreasing disparities among vulnerable and protected populations in outcomes described in clauses 7i7 through 7viii74 7,c7 ,local educational outcomes ,the outcome measures developed under paragraph 7#a77;,b7 relating to local educational systems shall1 with respect to activities carried out under a program under this section1 at a minimum include provisions to evaluate-- 7i7 the effectiveness of comprehensive school mental health programs established under this section2 7ii7 the effectiveness of formal partnership linkages among child and family serving institutions1 community support systems1 and the educational system2 7iii7 the progress made in sustaining the program once funding under the grant has expired2 7iv7 the effectiveness of training and professional development programs for all school personnel that incorporate indicators that measure cultural and linguistic competencies under the program in a manner that incorporates appropriate cultural and linguistic training2 7v7 the improvement in perception of a safe and supportive learning environment among school staff1 students1 and parents2 7vi7 the improvement in case-finding of students in need of more intensive services and referral of identified students to prevention1 early intervention1 and clinical services2 7vii7 the improvement in the immediate availability of clinical assessment and treatment services within the context of the local community to students posing a danger to themselves or others2 7viii7 the increased successful matriculation to postsecondary school2 7ix7 reduced suicide rates2 7x7 reduced referrals to juvenile justice2 and 7xi7 increased educational equity4 7#c7 ,submission of annual data ,an eligible entity described in subsection 7c7 that receives a grant1 contract1 or cooperative agreement under this section shall annually submit to the ,assistant ,secretary a report that includes data to evaluate the success of the program carried out by the entity based on whether such program is achieving the purposes of the program4 ,such reports shall utilize the measures of outcomes under paragraph 7#b7 in a reasonable manner to demonstrate the progress of the program in achieving such purposes4 7#d7 ,evaluation by ,assistant ,secretary ,based on the data submitted under paragraph 7#c71 the ,assistant ,secretary shall annually submit to ,congress a report concerning the results and effectiveness of the programs carried out with assistance received under this section4 7#e7 ,limitation ,an eligible entity shall use not more than #bj percent of amounts received under a grant under this section to carry out evaluation activities under this subsection4 7h7 ,information and education ,the ,secretary shall establish comprehensive information and education programs to disseminate the findings of the knowledge development and application under this section to the general public and to health care professionals4 7i7 ,amount of grants and authorization of appropriations 7#a7 ,amount of grants ,a grant under this section shall be in an amount that is not more than #b1jjj1jjj for each of the first #e fiscal years following the date of enactment of the ,pursuing ,equity in ,mental ,health ,act of #bjai4 ,the ,secretary shall determine the amount of each such grant based on the population of children up to age #ba of the area to be served under the grant4 7#b7 ,authorization of appropriations ,there is authorized to be appropriated to carry out this section1 #bej1jjj1jjj for each of the first #e fiscal years following the date of enactment of the ,pursuing ,equity in ,mental ,health ,act of #bjai4 4 7c7 ,conforming amendment ,part ,g of title ,v of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;hh et seq471 as amended by subsection 7b71 is further amended by striking the part designation and heading and inserting the following3 ,g ,school-based mental health 4 ,,ii ,health ,equity and ,accountability #bja4 ,integrated ,health ,care ,demonstration ,program ,part ,d of title ,v of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;dd et seq47 is amended by adding at the end the following3 #eej4 ,interprofessional health care teams for provision of behavioral health care in primary care settings 7a7 ,grants ,the ,secretary1 acting through the ,assistant ,secretary for ,mental ,health and ,substance ,abuse1 shall award grants to eligible entities for the purpose of establishing interprofessional health care teams that provide behavioral health care4 7b7 ,eligible entities ,to be eligible to receive a grant under this section1 an entity shall be a ,federally qualified health center 7as defined in section #ahfa7;aa7 of the ,social ,security ,act71 rural health clinic1 or behavioral health program1 serving a high proportion of individuals from racial and ethnic minority groups 7as defined in section #agjg7;g774 7c7 ,scientifically based ,integrated health care funded through this section shall be scientifically based1 taking into consideration the results of the most recent peer-reviewed research available4 7d7 ,authorization of appropriations ,to carry out this section1 there is authorized to be appropriated #bj1jjj1jjj for each of the first #e fiscal years following the date of enactment of the ,pursuing ,equity in ,mental ,health ,act of #bjai4 4 #bjb4 ,addressing racial and ethnic minority mental health disparities research gaps ,not later than #f months after the date of the enactment of this ,act1 the ,director of the ,national ,institute on ,minority ,health and ,health ,disparities shall enter into an arrangement with the ,national ,academy of ,sciences 7or1 if the ,national ,academy of ,sciences declines to enter into such an arrangement1 an arrangement with the ,institute of ,medicine1 the ,patient ,centered ,outcomes ,research ,institute1 the ,agency for ,healthcare ,quality1 or another appropriate entity7-- 7#a7 to conduct a study with respect to mental health disparities in racial and ethnic minority groups 7as defined in section #agjg7;g7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjju-#f7;g7772 and 7#b7 to submit to the ,congress a report on the results of such study1 including-- 7,a7 a compilation of information on the dynamics of mental disorders in such racial and ethnic minority groups2 and 7,b7 a compilation of information on the impact of exposure to community violence1 adverse childhood experiences1 and other psychological traumas on mental disorders in such racial and minority groups4 #bjc4 ,health professions competencies to address racial and ethnic minority mental health disparities 7a7 ,in general ,the ,secretary of ,health and ,human ,services1 acting through the ,assistant ,secretary for ,mental ,health and ,substance ,use1 shall award grants to qualified national organizations for the purposes of-- 7#a7 developing1 and disseminating to health professional educational programs curricula or core competencies addressing mental health disparities among racial and ethnic minority groups for use in the training of students in the professions of social work1 psychology1 psychiatry1 marriage and family therapy1 mental health counseling1 and substance abuse counseling2 and 7#b7 certifying community health workers and peer wellness specialists with respect to such curricula and core competencies and integrating and expanding the use of such workers and specialists into health care to address mental health disparities among racial and ethnic minority groups4 7b7 ,curricula2 core competencies ,organizations receiving funds under subsection 7a7 may use the funds to engage in the following activities related to the development and dissemination of curricula or core competencies described in subsection 7a77#a73 7#a7 ,formation of committees or working groups comprised of experts from accredited health professions schools to identify core competencies relating to mental health disparities among racial and ethnic minority groups4 7#b7 ,planning of workshops in national fora to allow for public input into the educational needs associated with mental health disparities among racial and ethnic minority groups4 7#c7 ,dissemination and promotion of the use of curricula or core competencies in undergraduate and graduate health professions training programs nationwide4 7#d7 ,establishing external stakeholder advisory boards to provide meaningful input into policy and program development and best practices to reduce mental health disparities among racial and ethnic minority groups4 7c7 ,definitions ,in this section3 7#a7 ,qualified national organization ,the term qualified national organization means a national organization that focuses on the education of students in programs of social work1 psychology1 psychiatry1 and marriage and family therapy4 7#b7 ,racial and ethnic minority group ,the term racial and ethnic minority group has the meaning given to such term in section #agjg7;g7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjju-#f7;g774 7d7 ,authorization of appropriations ,there are authorized to be appropriated to carry out this section such sums as may be necessary for each of the first #e fiscal years following the date of enactment of this ,act4 #bjd4 ,racial and ethnic minority behavioral and mental health outreach and education strategy ,part ,d of title ,v of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;dd et seq47 is amended by adding at the end the following new section3 #eec4 ,behavioral and mental health outreach and education strategy 7a7 ,in general ,the ,secretary1 acting through the ,assistant ,secretary1 shall1 in coordination with advocacy and behavioral and mental health organizations serving racial and ethnic minority groups1 develop and implement an outreach and education strategy to promote behavioral and mental health and reduce stigma associated with mental health conditions and substance abuse among racial and ethnic minority groups4 ,such strategy shall-- 7#a7 be designed to-- 7,a7 meet the diverse cultural and language needs of the various racial and ethnic minority groups2 and 7,b7 be developmentally and age-appropriate2 7#b7 increase awareness of symptoms of mental illnesses common among such groups1 taking into account differences within subgroups1 such as gender1 gender identity1 age1 or sexual orientation1 of such groups2 7#c7 provide information on evidence-based1 culturally and linguistically appropriate and adapted interventions and treatments2 7#d7 ensure full participation of1 and engage1 both consumers and community members in the development and implementation of materials2 and 7#e7 seek to broaden the perspective among both individuals in these groups and stakeholders serving these groups to use a comprehensive public health approach to promoting behavioral health that addresses a holistic view of health by focusing on the intersection between behavioral and physical health4 7b7 ,reports ,beginning not later than #a year after the date of the enactment of this section and annually thereafter1 the ,secretary1 acting through the ,assistant ,secretary1 shall submit to ,congress1 and make publicly available1 a report on the extent to which the strategy developed and implemented under subsection 7a7 increased behavioral and mental health outcomes associated with mental health conditions and substance abuse among racial and ethnic minority groups4 7c7 ,definition ,in this section1 the term racial and ethnic minority group has the meaning given to that term in section #agjg7;g74 7d7 ,authorization of appropriations ,there is authorized to be appropriated to carry out this section #aj1jjj1jjj for the first fiscal year following the date of enactment of the ,pursuing ,equity in ,mental ,health ,act of #bjai4 4 #bje4 ,additional funds for ,national ,institutes of ,health 7a7 ,in general ,in addition to amounts otherwise authorized to be appropriated to the ,national ,institutes of ,health1 there is authorized to be appropriated to such ,institutes #ajj1jjj1jjj for each of the first #e fiscal years following the date of enactment of this ,act to build relations with communities and conduct or support clinical research1 including clinical research on racial or ethnic disparities in physical and mental health4 7b7 ,definition ,in this section1 the term clinical research has the meaning given to such term in section #dji of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhd;d74 #bjf4 ,additional funds for ,national ,institute on ,minority ,health and ,health ,disparities ,in addition to amounts otherwise authorized to be appropriated to the ,national ,institute on ,minority ,health and ,health ,disparities1 there is authorized to be appropriated to such ,institute #fej1jjj1jjj for each of the first #e fiscal years following the date of enactment of this ,act4 ,,iii ,other provisions #cja4 ,reauthorization of ,minority ,fellowship ,program ,section #eig7;c7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bigll7c77 is amended by striking #ab1ffi1jjj for each of fiscal years #bjah through #bjbb and inserting #be1jjj1jjj for each of the first #e fiscal years following the date of enactment of the ,pursuing ,equity in ,mental ,health ,act of #bjai4 #cjb4 ,commission on the ,effects of ,smartphone and ,social ,media ,use on ,adolescents 7a7 ,in general ,not later than #f months after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services shall establish a commission1 to be known as the ,commission on the ,effects of ,smartphone and ,social ,media ,usage on ,adolescents1 to examine-- 7#a7 the extent of smartphone and social media use in schools2 and 7#b7 the effects of such use on-- 7,a7 the emotional and physical health of students2 and 7,b7 the academic performance of students4 7b7 ,membership 7#a7 ,number ,the ,commission shall consist of #ae members appointed by the ,secretary4 7#b7 ,composition ,the members of the ,commission-- 7,a7 shall not include any government officials or employees2 and 7,b7 shall include representatives of academia1 technology companies1 and advocacy groups4 7c7 ,guidelines ,the ,secretary shall authorize the ,commission to establish guidelines for its operation4 7d7 ,report ,not later than #a year after its establishment1 the ,commission shall submit to the ,congress1 and make publicly available1 a report on the findings and conclusions of the ,commission4 7e7 ,definitions ,in this section3 7#a7 ,the term ,commission means the ,commission on the ,effects of ,smartphone and ,social ,media ,usage on ,adolescents established under subsection 7a74 7#b7 ,the term ,secretary means the ,secretary of ,health and ,human ,services4 7f7 ,sunset ,not later than #f months after the ,commission submits the report required by subsection 7c71 the ,secretary shall terminate the ,commission4 #cjc4 ,no ,federal funds for conversion therapy 7a7 ,in general ,no ,federal funds may be used for conversion therapy4 7b7 ,discouraging ,states from funding conversion therapy ,beginning on the date that is #ahj days after the date of enactment of this ,act1 any ,state that funds conversion therapy shall be ineligible to be awarded a grant or other financial assistance under any program of the ,substance ,abuse and ,mental ,health ,services ,administration1 including any program under title ,v of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;aa et seq474 7c7 ,definitions ,for purposes of this section3 7#a7 ,conversion therapy ,the term conversion therapy-- 7,a7 means any practice or treatment by any person that seeks to change another individual's sexual orientation or gender identity1 including efforts to change behaviors or gender expressions1 or to eliminate or reduce sexual or romantic attractions or feelings toward individuals of the same gender1 if such person receives monetary compensation in exchange for any such practice or treatment2 and 7,b7 does not include any practice or treatment1 which does not seek to change sexual orientation or gender identity1 that-- 7i7 provides assistance to an individual undergoing a gender transition2 or 7ii7 provides acceptance1 support1 and understanding of a client or facilitation of a client's coping1 social support1 and identity exploration and development1 including sexual orientation-neutral interventions to prevent or address unlawful conduct or unsafe sexual practices4 7#b7 ,gender identity ,the term gender identity means the gender-related identity1 appearance1 mannerisms1 or other gender-related characteristics of an individual1 regardless of the individual's designated sex at birth4 7#c7 ,person ,the term person means any individual1 partnership1 corporation1 cooperative1 association1 or any other entity4 7#d7 ,sexual orientation ,the term sexual orientation means homosexuality1 heterosexuality1 or bisexuality4 7#e7 ,state ,the term ,state has the meaning given to such term in section #b of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bja74