,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #edfi  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,decemb] #ag1         
#bjai,mrs4 ,watson ,coleman 7= h]self1  
,mr4 ,ha/+s1 ,ms4 ,norton1 ,mr4 ,cleav]1
 ,ms4 ,om>1 ,mr4 ,danny ,k4 ,davis (    
,ill9ois1 ,ms4 ,adams1 ,mrs4 ,hayes1    
,mr4 ,hors=d1 & ,ms4 ,lee ( ,cali=nia7  
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce  ,a  
,,bill  ,to address m5tal heal? issues =
 y\?1 p>ticul>ly y\? ( color1 & = o!r   
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,pursu+ ,equity 9 ,m5tal   
,heal? ,act ( #bjai4  #b4 ,table (      
cont5ts ,! table ( cont5ts = ?is ,act is
 z foll[s3  ,sec4 #a4 ,%ort title4 ,sec4
 #b4 ,table ( cont5ts4 ,title ,i--,m5tal
 ,heal? ( ,/ud5ts ,sec4 #aja4 ,am5dm5ts 
to ! ,public ,heal? ,s]vice ,act4 ,title
 ,,ii--,heal? ,equity & ,acc\ntability  
,sec4 #bja4 ,integrat$ ,heal? ,c>e      
,demon/ration ,program4 ,sec4 #bjb4     
,address+ racial & e?nic m9ority m5tal  
heal? disp>ities rese>* gaps4 ,sec4     

#bjc4 ,heal? pr(essions compet5cies to  
address racial & e?nic m9ority m5tal    
heal? disp>ities4 ,sec4 #bjd4 ,racial & 
e?nic m9ority behavioral & m5tal heal?  
outrea* & education /rategy4 ,sec4 #bje4
 ,additional funds = ,national          
,in/itutes ( ,heal?4 ,sec4 #bjf4        
,additional funds = ,national ,in/itute 
on ,m9ority ,heal? & ,heal? ,disp>ities4
 ,title ,,iii--,o!r provisions ,sec4    
#cja4 ,reau?orization ( ,m9ority        
,fell[%ip ,program4 ,sec4 #cjb4         
,commission on ! ,effects ( ,sm>tphone &
 ,social ,m$ia ,use on ,adolesc5ts4     
,sec4 #cjc4 ,no ,f$]al funds = conv]sion
 !rapy4  ,i ,m5tal ,heal? ( ,/ud5ts     
#aja4 ,am5dm5ts to ! ,public ,heal?     
,s]vice ,act  7a7 ,te*nical am5dm5ts ,! 
second "p ,g 7relat+ to s]vices provid$ 
?r\gh religi\s organizations7 ( title ,v
 ( ! ,public ,heal? ,s]vice ,act 7#db   
,u4,s4,c4 #bijkk et seq47 is am5d$--    
7#a7 by r$esignat+ su* "p z "p ,j2 &    
7#b7 by r$esignat+ sections #eha ?r\gh  
#ehd z sections #eif ?r\gh #eif;,c1     

respectively4  7b7 ,s*ool-,bas$ m5tal   
heal? & *ildr5 ,section #eha ( ! ,public
 ,heal? ,s]vice ,act 7#db ,u4,s4,c4     
#bij;hh7 7relat+ to *ildr5 & viol5ce7 is
 am5d$ to read z foll[s3  #eha4         
,s*ool-bas$ m5tal heal?2 *ildr5 &       
adolesc5ts  7a7 ,9 g5]al ,! ,secret>y1 9
 collaboration ) ! ,secret>y (          
,education1 %all1 directly or ?r\gh     
grants1 contracts1 or coop]ative        
agreem5ts aw>d$ to eligible entities    
describ$ 9 subsection 7c71 assi/ local  
communities & s*ools 7includ+ s*ools    
fund$ by ! ,bureau ( ,indian ,education7
 9 apply+ a public heal? approa* to     
m5tal heal? s]vices bo? 9 s*ools & 9 !  
community4 ,su* approa* %all provide    
compreh5sive developm5tally appropriate 
s]vices & supports t are l+ui/ically &  
culturally appropriate & trauma-in=m$1 &
 incorporate developm5tally appropriate 
/rategies ( positive behavioral         
int]v5tions & supports4 ,a compreh5sive 
s*ool-bas$ m5tal heal? program fund$ "u 
?is section %all assi/ *ildr5 9 deal+ ) 

traumatic exp]i5ces1 grief1 b]eavem5t1  
risk ( suicide1 & viol5ce4  7b7         
,activities ,"u ! program "u subsection 
7a71 ! ,secret>y may-- 7#a7 provide     
f9ancial support to enable local        
communities to implem5t a compreh5sive  
culturally & l+ui/ically appropriate1   
trauma-in=m$1 & developm5tally          
appropriate1 s*ool-bas$ m5tal heal?     
program t--  7,a7 builds aw>5ess (      
individual trauma & ! int]g5]ational1   
cont9uum ( impacts ( trauma on          
populations2  7,b7 tra9s appropriate    
/aff to id5tify1 & scre5 =1 signs (     
trauma exposure1 m5tal heal? disord]s1  
or risk ( suicide2 &  7,c7 incorporates 
positive behavioral int]v5tions1 family 
engagem5t1 /ud5t treatm5t1 &            
multig5]ational supports to fo/] ! heal?
 & developm5t ( *ildr51 prev5t m5tal    
heal? disord]s1 & ameliorate ! impact ( 
trauma2  7#b7 provide te*nical assi/ance
 to local communities ) respect to !    
developm5t ( programs describ$ 9        
p>agraph 7#a72  7#c7 provide assi/ance  

to local communities 9 ! developm5t (   
policies to address *ild & adolesc5t    
trauma & m5tal heal? issues & viol5ce :5
 & if x occurs2  7#d7 facilitate        
community p>tn]%ips among families1     
/ud5ts1 law en=cem5t ag5cies1 education 
ag5cies1 m5tal heal? & sub/ance use     
disord] s]vice sy/ems1 family-bas$ m5tal
 heal? s]vice sy/ems1 *ild welf>e       
ag5cies1 heal? c>e provid]s 7includ+    
prim>y c>e physicians1 m5tal heal?      
pr(essionals1 & o!r pr(essionals :o     
specialize 9 *ildr5's m5tal heal? su* z 
*ild & adolesc5t psy*iatri/s71          
in/itutions ( high] education1 fai?-bas$
 programs1 trauma networks1 & o!r       
community-bas$ sy/ems2 &  7#e7 e/abli%  
me*anisms = *ildr5 & adolesc5ts to      
report incid5ts ( viol5ce or plans by   
o!r *ildr51 adolesc5ts1 or adults to    
commit viol5ce4  7c7 ,requirem5ts  7#a7 
,9 g5]al ,to be eligible = a grant1     
contract1 or coop]ative agreem5t "u     
subsection 7a71 an entity %all--  7,a7  
be a p>tn]%ip t includes-- 7i7 a ,/ate  

educational ag5cy1 z def9$ 9 section    
#haja ( ! ,elem5t>y & ,second>y         
,education ,act ( #aife1 9 coord9ation )
 "o or m local educational ag5cies1 z   
def9$ 9 section #haja ( ! ,elem5t>y &   
,second>y ,education ,act ( #aife1 or a 
consortium ( any entities describ$ 9    
subp>agraph 7,b71 7,c71 7,d71 or 7,e7 ( 
section #haja7cj7 ( su* ,act2 &  7ii7 9 
accordance ) p>agraph 7#b77;,a77i71     
appropriate public or private entities t
 employ int]v5tions t are evid5ce-bas$1 
z def9$ 9 section #haja ( ! ,elem5t>y & 
,second>y ,education ,act ( #aife2 &    
7,b7 submit an application1 t is endors$
 by all memb]s ( ! p>tn]%ip1 t-- 7i7    
specifies :i* memb] w s]ve z ! lead     
p>tn]2 &  7ii7 conta9s ! assurances     
describ$ 9 p>agraph 7#b74  7#b7 ,requir$
 assurances ,an application "u p>agraph 
7#a7 %all conta9 assurances z foll[s3   
7,a7 ,! eligible entity w ensure t1 9   
c>ry+ out activities "u ?is section1 !  
eligible entity w ent] into a memor&um (
 und]/&+--  7i7 ) at lea/ #a            

community-bas$ m5tal heal? provid]1     
includ+ a public or private m5tal heal? 
entity1 heal? c>e entity1 family-bas$   
m5tal heal? entity1 trauma network1 or  
o!r community-bas$ entity1 z det]m9$ by 
! ,secret>y 7& :i* may include          
additional entities su* z a human       
s]vices ag5cy1 law en=cem5t or juv5ile  
ju/ice entity1 *ild welf>e ag5cy1 ag5cy1
 an in/itution ( high] education1 or    
ano!r entity1 z det]m9$ by ! ,secret>y72
 &  7ii7 t cle>ly /ates-- 7,i7 !        
responsibilities ( ea* p>tn] ) respect  
to ! activities to be c>ri$ out1 includ+
 h[ family engagem5t w be incorporat$ 9 
! activities2  7,,ii7 h[ s*ool-employ$ &
 s*ool-bas$ or community-bas$ m5tal     
heal? pr(essionals w be utiliz$ = c>ry+ 
out su* responsibilities2  7,,iii7 h[   
ea* su* p>tn] w be acc\ntable = c>ry+   
out su* responsibilities2 &  7,,iv7 !   
am\nt ( non-,f$]al fund+ or 9-k9d       
contributions t ea* su* p>tn] w         
contribute 9 ord] to su/a9 ! program4   
7,b7 ,! compreh5sive s*ool-bas$ m5tal   

heal? program c>ri$ out "u ?is section  
supports ! flexible use ( funds to      
address--  7i7 univ]sal prev5tion1 ?r\gh
 ! promotion ( ! social1 emotional1     
m5tal1 & behavioral heal? ( all /ud5ts 9
 an environm5t t is conducive to le>n+2 
7ii7 selective prev5tion1 ?r\gh !       
r$uction 9 ! likelihood ( at risk /ud5ts
 develop+ social1 emotional1 m5tal1     
behavioral heal? problems1 suicide1 or  
sub/ance use disord]s2  7iii7 ! scre5+  
=1 & e>ly id5tification (1 social1      
emotional1 m5tal1 behavioral problems1  
suicide risk1 or sub/ance use disord]s &
 ! provision ( e>ly int]v5tion s]vices2 
7iv7 ! treatm5t or ref]ral = treatm5t ( 
/ud5ts ) exi/+ social1 emotional1 m5tal1
 behavioral heal? problems1 or sub/ance 
use disord]s2  7v7 ! developm5t &       
implem5tation ( evid5ce-bas$ programs to
 assi/ *ildr5 :o are exp]i5c+ or h be5  
expos$ to trauma & viol5ce1 includ+     
program curricula1 s*ool supports1 &    
aft]-s*ool programs2 &  7vi7 !          
developm5t & implem5tation (            

evid5ce-bas$ programs to assi/ *ildr5 :o
 are griev+1 :i* may include tra9+ =    
s*ool p]sonnel on ! impact ( trauma &   
b]eavem5t on *ildr51 & s]vices to       
provide support to griev+ *ildr54  7,c7 
,! compreh5sive s*ool-bas$ m5tal heal?  
program c>ri$ out "u ?is section w      
provide = 9-s]vice tra9+ ( all s*ool    
p]sonnel1 includ+ ancill>y /aff &       
volunte]s1 9--  7i7 ! te*niques &       
supports ne$$ to promote e>ly           
id5tification ( *ildr5 ) trauma         
hi/ories1 *ildr5 :o are griev+1 & *ildr5
 ) a m5tal heal? disord] or at risk (   
develop+ a m5tal heal? disord]1 or :o   
are at risk ( suicide2  7ii7 ! use (    
ref]ral me*anisms t effectively l9k su* 
*ildr5 to appropriate prev5tion1        
treatm5t1 & int]v5tion s]vices 9 ! s*ool
 & 9 ! community & to foll[-up :5       
s]vices are n available2  7iii7         
/rategies t promote a s*ool-wide        
positive environm5t1 includ+ /rategies  
to prev5t bully+1 :i* includes          
cyb]-bully+2  7iv7 /rategies = promot+ !

 social1 emotional1 m5tal1 & behavioral 
heal? ( all /ud5ts2 &  7v7 /rategies to 
increase ! k & skills ( s*ool &         
community lead]s ab\t ! impact ( trauma 
& viol5ce & on ! application ( a public 
heal? approa* to compreh5sive s*ool-bas$
 m5tal heal? programs4  7,d7 ,!         
compreh5sive s*ool-bas$ m5tal heal?     
program c>ri$ out "u ?is section w      
include compreh5sive tra9+ = p>5ts or   
gu>dians1 sibl+s1 & o!r family memb]s ( 
*ildr5 ) m5tal heal? disord]s1 & =      
conc]n$ memb]s ( ! community 9--  7i7 ! 
te*niques & supports ne$$ to promote    
e>ly id5tification ( *ildr5 ) trauma    
hi/ories1 *ildr5 :o are griev+1 *ildr5 )
 a m5tal heal? disord] or at risk (     
develop+ a m5tal heal? disord]1 & *ildr5
 :o are at risk ( suicide2  7ii7 ! use (
 ref]ral me*anisms t effectively l9k su*
 *ildr5 to appropriate prev5tion1       
treatm5t1 & int]v5tion s]vices 9 ! s*ool
 & 9 ! community & foll[-up :5 su*      
s]vices are n available2 &  7iii7       
/rategies t promote a s*ool-wide        

positive environm5t1 includ+ /rategies  
to prev5t bully+1 includ+ cyb]-bully+4  
7,e7 ,! compreh5sive s*ool-bas$ m5tal   
heal? program c>ri$ out "u ?is section w
 demon/rate ! measures to be tak5 to    
su/a9 ! program 7:i* may include seek+  
fund+ = ! program "u a ,/ate ,m$icaid   
plan "u title ,,xix ( ! ,social         
,security ,act or a waiv] ( su* a plan1 
or "u a ,/ate plan "u subp>t #a ( "p ,b 
or "p ,e ( title ,,iv ( ! ,social       
,security ,act74  7,f7 ,! eligible      
entity is support$ by ! ,/ate ag5cy )   
prim>y responsibility = behavioral heal?
 to ensure t ! compreh5sive s*ool-bas$  
m5tal heal? program c>ri$ out "u ?is    
section w be su/a9able aft] fund+ "u ?is
 section t]m9ates4  7,g7 ,! compreh5sive
 s*ool-bas$ m5tal heal? program c>ri$   
out "u ?is section w be coord9at$ ) e>ly
 int]v5+ activities c>ri$ out "u !      
,individuals ) ,disabilities ,education 
,act or activities fund$ "u "p ,a (     
title ,,iv ( ! ,elem5t>y & ,second>y    
,education ,act ( #aife4  7,h7 ,!       

compreh5sive s*ool-bas$ m5tal heal?     
program c>ri$ out "u ?is section w be   
trauma-in=m$1 evid5ce-bas$1 &           
developm5tally1 culturally1 &           
l+ui/ically appropriate4  7,i7 ,!       
compreh5sive s*ool-bas$ m5tal heal?     
program c>ri$ out "u ?is section w      
include a broad ne$s assessm5t ( y\? :o 
drop out ( s*ool due to policies ( z]o  
tol]ance ) respect to drugs1 alcohol1 or
 weapons & an inability to obta9        
appropriate s]vices4  7,j7 ,! m5tal     
heal? s]vices provid$ ?r\gh !           
compreh5sive s*ool-bas$ m5tal heal?     
program c>ri$ out "u ?is section w be   
provid$ by qualifi$ m5tal & behavioral  
heal? pr(essionals :o are c]tifi$1      
cr$5tial$1 or lic5s$ 9 compliance )     
applicable ,f$]al & ,/ate law &         
regulations by ! ,/ate involv$ & :o are 
practic+ )9 _! area ( exp]tise4  7,k7   
,/ud5ts w be p]mitt$ to self-ref] to !  
m5tal heal? program = m5tal heal? c>e & 
self-cons5t = m5tal heal? crisis c>e to 
! ext5t p]mitt$ by ,/ate or o!r         

applicable law4  7#c7 ,coord9ator ,any  
entity t is a memb] ( a p>tn]%ip        
describ$ 9 p>agraph 7#a77;,a7 may s]ve z
 ! coord9ator ( fund+ & activities "u ! 
grant if all memb]s ( ! p>tn]%ip agree4 
7#d7 ,compliance ) ,,hipaa ,a grantee "u
 ?is section %all be deem$ to be a cov]$
 entity = purposes ( compliance ) !     
regulations promulgat$ "u section       
#bfd7;c7 ( ! ,heal? ,insurance          
,portability & ,acc\ntability ,act (    
#aiif ) respect to any pati5t records   
develop$ ?r\gh activities "u ! grant4   
7#e7 ,compliance ) ,,f]pa ,section #ddd 
( ! ,g5]al ,education ,provisions ,act  
7commonly kn[n z ! ,family ,educational 
,rights & ,privacy ,act ( #aigd7 %all   
apply to any entity t is a memb] ( !    
p>tn]%ip 9 ! same mann] t su* section   
applies to an educational ag5cy or      
in/itution 7z t t]m is def9$ 9 su*      
section74  7d7 ,priority = s*ools ) high
 pov]ty levels ,9 aw>d+ grants1         
contracts1 & coop]ative agreem5ts "u ?is
 section1 ! ,secret>y %all give highe/  

priority to eligible entities t are     
p>tn]%ips includ+ "o or m public        
elem5t>y or second>y s*ools 9 :i* #ej4a 
p]c5t or m ( ! /ud5ts are eligible = a  
free or r$uc$ price lun* "u ! ,ri*>d ,b4
 ,russell ,national ,s*ool ,lun* ,act4  
7e7 ,geographical di/ribution ,!        
,secret>y %all ensure t grants1         
contracts1 or coop]ative agreem5ts "u   
subsection 7a7 w be di/ribut$ equitably 
among ! regions ( ! c\ntry & among urban
 & rural areas4  7f7 ,duration ( aw>ds  
,) respect to a grant1 contract1 or     
coop]ative agreem5t "u subsection 7a71 !
 p]iod dur+ :i* paym5ts "u su* an aw>d w
 be made to ! recipi5t %all be #e ye>s1 
) options = r5ewal4  7g7 ,evaluation &  
measures ( outcomes  7#a7 ,developm5t ( 
process ,! ,assi/ant ,secret>y %all     
develop a fiscally appropriate process =
 evaluat+ activities c>ri$ out "u ?is   
section4 ,su* process %all include--    
7,a7 ! developm5t ( guidel9es = !       
submission ( program data by grant1     
contract1 or coop]ative agreem5t        

recipi5ts2  7,b7 ! developm5t ( measures
 ( outcomes 79 accordance ) p>agraph    
7#b77 to be appli$ by su* recipi5ts 9   
evaluat+ programs c>ri$ out "u ?is      
section2 &  7,c7 ! submission ( annual  
reports by su* recipi5ts conc]n+ !      
effectiv5ess ( programs c>ri$ out "u ?is
 section4  7#b7 ,measures ( outcomes    
7,a7 ,9 g5]al ,! ,assi/ant ,secret>y    
%all develop measures ( outcomes to be  
appli$ by recipi5ts ( assi/ance "u ?is  
section1 & ! ,assi/ant ,secret>y1 9     
evaluat+ ! effectiv5ess ( programs c>ri$
 out "u ?is section4 ,su* measures %all 
include /ud5t & family measures z       
provid$ = 9 subp>agraph 7,b7 & local    
educational measures z provid$ = "u     
subp>agraph 7,c74  7,b7 ,/ud5t & family 
measures ( outcomes ,! measures =       
outcomes develop$ "u p>agraph 7#a77;,b7 
relat+ to /ud5ts & families %all1 )     
respect to activities c>ri$ out "u a    
program "u ?is section1 at a m9imum     
include provisions to evaluate :e!r !   
program is effective 9--  7i7 increas+  

social & emotional compet5cy2  7ii7     
improv+ academic outcomes1 includ+ z    
measur$ by pr(ici5cy on ! annual        
assessm5ts "u section #aaaa7;b77#b7 ( ! 
,elem5t>y & ,second>y ,education ,act ( 
#aife2  7iii7 r$uc+ disruptive &        
aggressive behaviors2  7iv7 improv+ *ild
 function+2  7v7 r$uc+ sub/ance use     
disord]s2  7vi7 r$uc+ rates ( suicide2  
7vii7 r$uc+ susp5sions1 truancy1        
expulsions1 & viol5ce2  7viii7 increas+ 
high s*ool graduation rates1 calculat$  
us+ ! f\r-ye> adju/$ cohort graduation  
rate or ! ext5d$-ye> adju/$ cohort      
graduation rate 7z su* t]ms are def9$ 9 
section #haja ( ! ,elem5t>y & ,second>y 
,education ,act ( #aife72  7ix7 improv+ 
att5dance rates & rates ( *ronic        
abs5teeism2  7x7 improv+ access to c>e =
 m5tal heal? disord]s1 includ+ access to
 m5tal heal? s]vices t are trauma-in=m$1
 & developm5tally1 l+ui/ically1 &       
culturally appropriate2  7xi7 improv+   
heal? outcomes2 &  7xii7 decreas+       
disp>ities among vuln]able & protect$   

populations 9 outcomes describ$ 9       
clauses 7i7 ?r\gh 7viii74  7,c7 ,local  
educational outcomes ,! outcome measures
 develop$ "u p>agraph 7#a77;,b7 relat+  
to local educational sy/ems %all1 )     
respect to activities c>ri$ out "u a    
program "u ?is section1 at a m9imum     
include provisions to evaluate--  7i7 ! 
effectiv5ess ( compreh5sive s*ool m5tal 
heal? programs e/abli%$ "u ?is section2 
7ii7 ! effectiv5ess ( =mal p>tn]%ip     
l9kages among *ild & family s]v+        
in/itutions1 community support sy/ems1 &
 ! educational sy/em2  7iii7 ! progress 
made 9 su/a9+ ! program once fund+ "u ! 
grant has expir$2  7iv7 ! effectiv5ess (
 tra9+ & pr(essional developm5t programs
 = all s*ool p]sonnel t incorporate     
indicators t measure cultural & l+ui/ic 
compet5cies "u ! program 9 a mann] t    
incorporates appropriate cultural &     
l+ui/ic tra9+2  7v7 ! improvem5t 9      
p]ception ( a safe & supportive le>n+   
environm5t among s*ool /aff1 /ud5ts1 &  
p>5ts2  7vi7 ! improvem5t 9 case-f9d+ ( 

/ud5ts 9 ne$ ( m int5sive s]vices &     
ref]ral ( id5tifi$ /ud5ts to prev5tion1 
e>ly int]v5tion1 & cl9ical s]vices2     
7vii7 ! improvem5t 9 ! imm$iate         
availability ( cl9ical assessm5t &      
treatm5t s]vices )9 ! context ( ! local 
community to /ud5ts pos+ a dang] to     
!mselves or o!rs2  7viii7 ! increas$    
successful matriculation to po/second>y 
s*ool2  7ix7 r$uc$ suicide rates2  7x7  
r$uc$ ref]rals to juv5ile ju/ice2 &     
7xi7 increas$ educational equity4  7#c7 
,submission ( annual data ,an eligible  
entity describ$ 9 subsection 7c7 t      
receives a grant1 contract1 or          
coop]ative agreem5t "u ?is section %all 
annually submit to ! ,assi/ant ,secret>y
 a report t includes data to evaluate ! 
success ( ! program c>ri$ out by !      
entity bas$ on :e!r su* program is      
a*iev+ ! purposes ( ! program4 ,su*     
reports %all utilize ! measures (       
outcomes "u p>agraph 7#b7 9 a reasonable
 mann] to demon/rate ! progress ( !     
program 9 a*iev+ su* purposes4  7#d7    

,evaluation by ,assi/ant ,secret>y ,bas$
 on ! data submitt$ "u p>agraph 7#c71 ! 
,assi/ant ,secret>y %all annually submit
 to ,congress a report conc]n+ ! results
 & effectiv5ess ( ! programs c>ri$ out )
 assi/ance receiv$ "u ?is section4  7#e7
 ,limitation ,an eligible entity %all   
use n m ?an #bj p]c5t ( am\nts receiv$  
"u a grant "u ?is section to c>ry out   
evaluation activities "u ?is subsection4
  7h7 ,in=mation & education ,!         
,secret>y %all e/abli% compreh5sive     
in=mation & education programs to       
dissem9ate ! f9d+s ( ! k developm5t &   
application "u ?is section to ! g5]al   
public & to heal? c>e pr(essionals4  7i7
 ,am\nt ( grants & au?orization (       
appropriations  7#a7 ,am\nt ( grants ,a 
grant "u ?is section %all be 9 an am\nt 
t is n m ?an #b1jjj1jjj = ea* ( ! fir/  
#e fiscal ye>s foll[+ ! date ( enactm5t 
( ! ,pursu+ ,equity 9 ,m5tal ,heal? ,act
 ( #bjai4 ,! ,secret>y %all det]m9e !   
am\nt ( ea* su* grant bas$ on !         
population ( *ildr5 up to age #ba ( !   

area to be s]v$ "u ! grant4  7#b7       
,au?orization ( appropriations ,!re is  
au?oriz$ to be appropriat$ to c>ry out  
?is section1 #bej1jjj1jjj = ea* ( ! fir/
 #e fiscal ye>s foll[+ ! date ( enactm5t
 ( ! ,pursu+ ,equity 9 ,m5tal ,heal?    
,act ( #bjai4  4  7c7 ,con=m+ am5dm5t   
,"p ,g ( title ,v ( ! ,public ,heal?    
,s]vice ,act 7#db ,u4,s4,c4 #bij;hh et  
seq471 z am5d$ by subsection 7b71 is    
fur!r am5d$ by /rik+ ! "p designation & 
head+ & ins]t+ ! foll[+3  ,g ,s*ool-bas$
 m5tal heal?  4  ,,ii ,heal? ,equity &  
,acc\ntability  #bja4 ,integrat$ ,heal? 
,c>e ,demon/ration ,program ,"p ,d (    
title ,v ( ! ,public ,heal? ,s]vice ,act
 7#db ,u4,s4,c4 #bij;dd et seq47 is     
am5d$ by add+ at ! end ! foll[+3  #eej4 
,int]pr(essional heal? c>e teams =      
provision ( behavioral heal? c>e 9      
prim>y c>e sett+s  7a7 ,grants ,!       
,secret>y1 act+ ?r\gh ! ,assi/ant       
,secret>y = ,m5tal ,heal? & ,sub/ance   
,abuse1 %all aw>d grants to eligible    
entities = ! purpose ( e/abli%+         

int]pr(essional heal? c>e teams t       
provide behavioral heal? c>e4  7b7      
,eligible entities ,to be eligible to   
receive a grant "u ?is section1 an      
entity %all be a ,f$]ally qualifi$ heal?
 c5t] 7z def9$ 9 section #ahfa7;aa7 ( ! 
,social ,security ,act71 rural heal?    
cl9ic1 or behavioral heal? program1 s]v+
 a high proportion ( individuals f      
racial & e?nic m9ority gr\ps 7z def9$ 9 
section #agjg7;g774  7c7 ,sci5tifically 
bas$ ,integrat$ heal? c>e fund$ ?r\gh   
?is section %all be sci5tifically bas$1 
tak+ into consid]ation ! results ( ! mo/
 rec5t pe]-review$ rese>* available4    
7d7 ,au?orization ( appropriations ,to  
c>ry out ?is section1 !re is au?oriz$ to
 be appropriat$ #bj1jjj1jjj = ea* ( !   
fir/ #e fiscal ye>s foll[+ ! date (     
enactm5t ( ! ,pursu+ ,equity 9 ,m5tal   
,heal? ,act ( #bjai4  4  #bjb4 ,address+
 racial & e?nic m9ority m5tal heal?     
disp>ities rese>* gaps ,n lat] ?an #f   
mon?s aft] ! date ( ! enactm5t ( ?is    
,act1 ! ,director ( ! ,national         

,in/itute on ,m9ority ,heal? & ,heal?   
,disp>ities %all ent] into an arrangem5t
 ) ! ,national ,academy ( ,sci5ces 7or1 
if ! ,national ,academy ( ,sci5ces      
decl9es to ent] into su* an arrangem5t1 
an arrangem5t ) ! ,in/itute ( ,m$ic9e1 !
 ,pati5t ,c5t]$ ,outcomes ,rese>*       
,in/itute1 ! ,ag5cy = ,heal?c>e         
,quality1 or ano!r appropriate entity7--
  7#a7 to conduct a /udy ) respect to   
m5tal heal? disp>ities 9 racial & e?nic 
m9ority gr\ps 7z def9$ 9 section        
#agjg7;g7 ( ! ,public ,heal? ,s]vice    
,act 7#db ,u4,s4,c4 #cjju-#f7;g7772 &   
7#b7 to submit to ! ,congress a report  
on ! results ( su* /udy1 includ+-- 7,a7 
a compilation ( in=mation on ! dynamics 
( m5tal disord]s 9 su* racial & e?nic   
m9ority gr\ps2 &  7,b7 a compilation (  
in=mation on ! impact ( exposure to     
community viol5ce1 adv]se *ildhood      
exp]i5ces1 & o!r psy*ological traumas on
 m5tal disord]s 9 su* racial & m9ority  
gr\ps4  #bjc4 ,heal? pr(essions         
compet5cies to address racial & e?nic   

m9ority m5tal heal? disp>ities  7a7 ,9  
g5]al ,! ,secret>y ( ,heal? & ,human    
,s]vices1 act+ ?r\gh ! ,assi/ant        
,secret>y = ,m5tal ,heal? & ,sub/ance   
,use1 %all aw>d grants to qualifi$      
national organizations = ! purposes (-- 
7#a7 develop+1 & dissem9at+ to heal?    
pr(essional educational programs        
curricula or core compet5cies address+  
m5tal heal? disp>ities among racial &   
e?nic m9ority gr\ps = use 9 ! tra9+ (   
/ud5ts 9 ! pr(essions ( social "w1      
psy*ology1 psy*iatry1 m>riage & family  
!rapy1 m5tal heal? c\nsel+1 & sub/ance  
abuse c\nsel+2 &  7#b7 c]tify+ community
 heal? work]s & pe] wellness speciali/s 
) respect to su* curricula & core       
compet5cies & integrat+ & exp&+ ! use ( 
su* work]s & speciali/s into heal? c>e  
to address m5tal heal? disp>ities among 
racial & e?nic m9ority gr\ps4  7b7      
,curricula2 core compet5cies            
,organizations receiv+ funds "u         
subsection 7a7 may use ! funds to engage
 9 ! foll[+ activities relat$ to !      

developm5t & dissem9ation ( curricula or
 core compet5cies describ$ 9 subsection 
7a77#a73  7#a7 ,=mation ( committees or 
work+ gr\ps compris$ ( exp]ts f accr$it$
 heal? pr(essions s*ools to id5tify core
 compet5cies relat+ to m5tal heal?      
disp>ities among racial & e?nic m9ority 
gr\ps4  7#b7 ,plann+ ( work%ops 9       
national =a to all[ = public input into 
! educational ne$s associat$ ) m5tal    
heal? disp>ities among racial & e?nic   
m9ority gr\ps4  7#c7 ,dissem9ation &    
promotion ( ! use ( curricula or core   
compet5cies 9 und]graduate & graduate   
heal? pr(essions tra9+ programs         
nationwide4  7#d7 ,e/abli%+ ext]nal     
/akehold] advisory bo>ds to provide     
mean+ful input into policy & program    
developm5t & be/ practices to r$uce     
m5tal heal? disp>ities among racial &   
e?nic m9ority gr\ps4  7c7 ,def9itions ,9
 ?is section3 7#a7 ,qualifi$ national   
organization ,! t]m qualifi$ national   
organization means a national           
organization t focuses on ! education ( 

/ud5ts 9 programs ( social "w1          
psy*ology1 psy*iatry1 & m>riage & family
 !rapy4  7#b7 ,racial & e?nic m9ority   
gr\p ,! t]m racial & e?nic m9ority gr\p 
has ! mean+ giv5 to su* t]m 9 section   
#agjg7;g7 ( ! ,public ,heal? ,s]vice    
,act 7#db ,u4,s4,c4 #cjju-#f7;g774  7d7 
,au?orization ( appropriations ,!re are 
au?oriz$ to be appropriat$ to c>ry out  
?is section su* sums z may be necess>y =
 ea* ( ! fir/ #e fiscal ye>s foll[+ !   
date ( enactm5t ( ?is ,act4  #bjd4      
,racial & e?nic m9ority behavioral &    
m5tal heal? outrea* & education /rategy 
,"p ,d ( title ,v ( ! ,public ,heal?    
,s]vice ,act 7#db ,u4,s4,c4 #bij;dd et  
seq47 is am5d$ by add+ at ! end ! foll[+
 new section3  #eec4 ,behavioral & m5tal
 heal? outrea* & education /rategy  7a7 
,9 g5]al ,! ,secret>y1 act+ ?r\gh !     
,assi/ant ,secret>y1 %all1 9 coord9ation
 ) advocacy & behavioral & m5tal heal?  
organizations s]v+ racial & e?nic       
m9ority gr\ps1 develop & implem5t an    
outrea* & education /rategy to promote  

behavioral & m5tal heal? & r$uce /igma  
associat$ ) m5tal heal? conditions &    
sub/ance abuse among racial & e?nic     
m9ority gr\ps4 ,su* /rategy %all--  7#a7
 be design$ to-- 7,a7 meet ! div]se     
cultural & language ne$s ( ! v>i\s      
racial & e?nic m9ority gr\ps2 &  7,b7 be
 developm5tally & age-appropriate2  7#b7
 increase aw>5ess ( symptoms ( m5tal    
illnesses common among su* gr\ps1 tak+  
into acc\nt diff]5ces )9 subgr\ps1 su* z
 g5d]1 g5d] id5tity1 age1 or sexual     
ori5tation1 ( su* gr\ps2  7#c7 provide  
in=mation on evid5ce-bas$1 culturally & 
l+ui/ically appropriate & adapt$        
int]v5tions & treatm5ts2  7#d7 ensure   
full p>ticipation (1 & engage1 bo?      
consum]s & community memb]s 9 !         
developm5t & implem5tation ( mat]ials2 &
  7#e7 seek to broad5 ! p]spective among
 bo? individuals 9 ^! gr\ps & /akehold]s
 s]v+ ^! gr\ps to use a compreh5sive    
public heal? approa* to promot+         
behavioral heal? t addresses a holi/ic  
view ( heal? by focus+ on ! int]section 

betwe5 behavioral & physical heal?4  7b7
 ,reports ,beg9n+ n lat] ?an #a ye> aft]
 ! date ( ! enactm5t ( ?is section &    
annually !reaft]1 ! ,secret>y1 act+     
?r\gh ! ,assi/ant ,secret>y1 %all submit
 to ,congress1 & make publicly          
available1 a report on ! ext5t to :i* ! 
/rategy develop$ & implem5t$ "u         
subsection 7a7 increas$ behavioral &    
m5tal heal? outcomes associat$ ) m5tal  
heal? conditions & sub/ance abuse among 
racial & e?nic m9ority gr\ps4  7c7      
,def9ition ,9 ?is section1 ! t]m racial 
& e?nic m9ority gr\p has ! mean+ giv5 to
 t t]m 9 section #agjg7;g74  7d7        
,au?orization ( appropriations ,!re is  
au?oriz$ to be appropriat$ to c>ry out  
?is section #aj1jjj1jjj = ! fir/ fiscal 
ye> foll[+ ! date ( enactm5t ( ! ,pursu+
 ,equity 9 ,m5tal ,heal? ,act ( #bjai4  
4  #bje4 ,additional funds = ,national  
,in/itutes ( ,heal?  7a7 ,9 g5]al ,9    
addition to am\nts o!rwise au?oriz$ to  
be appropriat$ to ! ,national ,in/itutes
 ( ,heal?1 !re is au?oriz$ to be        

appropriat$ to su* ,in/itutes           
#ajj1jjj1jjj = ea* ( ! fir/ #e fiscal   
ye>s foll[+ ! date ( enactm5t ( ?is ,act
 to build relations ) communities &     
conduct or support cl9ical rese>*1      
includ+ cl9ical rese>* on racial or     
e?nic disp>ities 9 physical & m5tal     
heal?4  7b7 ,def9ition ,9 ?is section1 !
 t]m cl9ical rese>* has ! mean+ giv5 to 
su* t]m 9 section #dji ( ! ,public      
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bhd;d74  #bjf4 ,additional funds =     
,national ,in/itute on ,m9ority ,heal? &
 ,heal? ,disp>ities ,9 addition to      
am\nts o!rwise au?oriz$ to be           
appropriat$ to ! ,national ,in/itute on 
,m9ority ,heal? & ,heal? ,disp>ities1   
!re is au?oriz$ to be appropriat$ to su*
 ,in/itute #fej1jjj1jjj = ea* ( ! fir/  
#e fiscal ye>s foll[+ ! date ( enactm5t 
( ?is ,act4  ,,iii ,o!r provisions      
#cja4 ,reau?orization ( ,m9ority        
,fell[%ip ,program ,section #eig7;c7 ( !
 ,public ,heal? ,s]vice ,act 7#db       
,u4,s4,c4 #bigll7c77 is am5d$ by /rik+  

#ab1ffi1jjj = ea* ( fiscal ye>s #bjah   
?r\gh #bjbb & ins]t+ #be1jjj1jjj = ea* (
 ! fir/ #e fiscal ye>s foll[+ ! date (  
enactm5t ( ! ,pursu+ ,equity 9 ,m5tal   
,heal? ,act ( #bjai4  #cjb4 ,commission 
on ! ,effects ( ,sm>tphone & ,social    
,m$ia ,use on ,adolesc5ts  7a7 ,9 g5]al 
,n lat] ?an #f mon?s aft] ! date (      
enactm5t ( ?is ,act1 ! ,secret>y (      
,heal? & ,human ,s]vices %all e/abli% a 
commission1 to be kn[n z ! ,commission  
on ! ,effects ( ,sm>tphone & ,social    
,m$ia ,usage on ,adolesc5ts1 to exam9e--
  7#a7 ! ext5t ( sm>tphone & social m$ia
 use 9 s*ools2 &  7#b7 ! effects ( su*  
use on--  7,a7 ! emotional & physical   
heal? ( /ud5ts2 &  7,b7 ! academic      
p]=mance ( /ud5ts4  7b7 ,memb]%ip  7#a7 
,numb] ,! ,commission %all consi/ ( #ae 
memb]s appo9t$ by ! ,secret>y4  7#b7    
,composition ,! memb]s ( ! ,commission--
  7,a7 %all n include any gov]nm5t      
(ficials or employees2 &  7,b7 %all     
include repres5tatives ( academia1      
te*nology companies1 & advocacy gr\ps4  

7c7 ,guidel9es ,! ,secret>y %all        
au?orize ! ,commission to e/abli%       
guidel9es = its op]ation4  7d7 ,report  
,n lat] ?an #a ye> aft] its e/abli%m5t1 
! ,commission %all submit to !          
,congress1 & make publicly available1 a 
report on ! f9d+s & conclusions ( !     
,commission4  7e7 ,def9itions ,9 ?is    
section3 7#a7 ,! t]m ,commission means !
 ,commission on ! ,effects ( ,sm>tphone 
& ,social ,m$ia ,usage on ,adolesc5ts   
e/abli%$ "u subsection 7a74  7#b7 ,! t]m
 ,secret>y means ! ,secret>y ( ,heal? & 
,human ,s]vices4  7f7 ,sunset ,n lat]   
?an #f mon?s aft] ! ,commission submits 
! report requir$ by subsection 7c71 !   
,secret>y %all t]m9ate ! ,commission4   
#cjc4 ,no ,f$]al funds = conv]sion !rapy
  7a7 ,9 g5]al ,no ,f$]al funds may be  
us$ = conv]sion !rapy4  7b7 ,disc\rag+  
,/ates f fund+ conv]sion !rapy ,beg9n+  
on ! date t is #ahj days aft] ! date (  
enactm5t ( ?is ,act1 any ,/ate t funds  
conv]sion !rapy %all be ineligible to be
 aw>d$ a grant or o!r f9ancial assi/ance

 "u any program ( ! ,sub/ance ,abuse &  
,m5tal ,heal? ,s]vices ,adm9i/ration1   
includ+ any program "u title ,v ( !     
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bij;aa et seq474  7c7        
,def9itions ,= purposes ( ?is section3  
7#a7 ,conv]sion !rapy ,! t]m conv]sion  
!rapy--  7,a7 means any practice or     
treatm5t by any p]son t seeks to *ange  
ano!r individual's sexual ori5tation or 
g5d] id5tity1 includ+ ef=ts to *ange    
behaviors or g5d] expressions1 or to    
elim9ate or r$uce sexual or romantic    
attractions or feel+s t[>d individuals (
 ! same g5d]1 if su* p]son receives     
monet>y comp5sation 9 ex*ange = any su* 
practice or treatm5t2 &  7,b7 does n    
include any practice or treatm5t1 :i*   
does n seek to *ange sexual ori5tation  
or g5d] id5tity1 t--  7i7 provides      
assi/ance to an individual und]go+ a    
g5d] transition2 or  7ii7 provides      
acceptance1 support1 & und]/&+ ( a cli5t
 or facilitation ( a cli5t's cop+1      
social support1 & id5tity exploration & 

developm5t1 includ+ sexual              
ori5tation-neutral int]v5tions to prev5t
 or address unlawful conduct or unsafe  
sexual practices4  7#b7 ,g5d] id5tity ,!
 t]m g5d] id5tity means ! g5d]-relat$   
id5tity1 appe>ance1 mann]isms1 or o!r   
g5d]-relat$ *>act]i/ics ( an individual1
 reg>dless ( ! individual's designat$   
sex at bir?4  7#c7 ,p]son ,! t]m p]son  
means any individual1 p>tn]%ip1         
corporation1 coop]ative1 association1 or
 any o!r entity4  7#d7 ,sexual          
ori5tation ,! t]m sexual ori5tation     
means homosexuality1 het]osexuality1 or 
bisexuality4  7#e7 ,/ate ,! t]m ,/ate   
has ! mean+ giv5 to su* t]m 9 section #b
 ( ! ,public ,heal? ,s]vice ,act 7#db   
,u4,s4,c4 #bja74