,,ii #aaf? ,,congress #a/ ,session ,s4 #aabb ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,april #aj1 #bjai,ms4 ,smi? 7= h]self1 ,ms4 ,hassan1 ,mr4 ,murphy1 ,mr4 ,:iteh\se1 & ,mr4 ,wyd57 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 revise & ext5d projects relat+ to *ildr5 & to provide access to s*ool-bas$ compreh5sive m5tal heal? programs4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,m5tal ,heal? ,s]vices = ,/ud5ts ,act ( #bjai4 #b4 ,purposes ,! purposes ( ?is ,act are to-- 7#a7 revise1 increase fund+ =1 & exp& ! scope ( ! ,project ,,aw>e ,/ate ,educational ,ag5cy ,grant ,program c>ri$ out by ! ,secret>y ( ,heal? & ,human ,s]vices1 9 ord] to provide access to m compreh5sive s*ool-bas$ m5tal heal? s]vices & supports2 7#b7 provide = compreh5sive /aff developm5t = s*ool & community s]vice p]sonnel work+ 9 ! s*ool2 7#c7 provide = compreh5sive tra9+ to improve heal? & academic outcomes = *ildr5 )1 or at risk =1 m5tal heal? disord]s1 = p>5ts or gu>dians1 sibl+s1 & o!r family memb]s ( su* *ildr51 & = conc]n$ memb]s ( ! community2 7#d7 provide = compreh5sive1 univ]sal1 evid5ce-bas$ scre5+ to id5tify *ildr5 & adolesc5ts ) pot5tial m5tal heal? disord]s or unmet emotional heal? ne$s2 7#e7 recognize be/ practices = ! deliv]y ( m5tal heal? c>e 9 s*ool-bas$ sett+s1 includ+ s*ool-bas$ heal? c5t]s2 7#f7 provide = compreh5sive tra9+ = p>5ts or gu>dians1 sibl+s1 o!r family memb]s1 & conc]n$ memb]s ( ! community on behalf ( *ildr5 & adolesc5ts exp]i5c+ m5tal heal? trauma1 disord]1 or disability2 & 7#g7 e/abli% =mal work+ relation%ips betwe5 heal?1 human s]vice1 & educational entities t support ! m5tal & emotional heal? ( *ildr5 & adolesc5ts 9 ! s*ool sett+4 #c4 ,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 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 ,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 7e7 ,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 7f7 ,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 7g7 ,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 7h7 ,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 ( ! ,m5tal ,heal? ,s]vices = ,/ud5ts ,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 #bjj1jjj1jjj = ea* ( ! fir/ #e fiscal ye>s foll[+ ! date ( enactm5t ( ! ,m5tal ,heal? ,s]vices = ,/ud5ts ,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