,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #cihh  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,june #ag1 #bjba,mr4  
,deut* 7= himself1 ,mr4 ,wilson ( ,s\?  
,c>ol9a1 ,ms4 ,titus1 ,mr4 ,mc,govern1  
,ms4 ,jacobs ( ,cali=nia1 ,mr4 ,sires1  
,mr4 ,ca/ro ( ,texas1 ,mr4 ,m\lton1 ,ms4
 ,bass1 & ,mr4 ,fitzpatrick7 introduc$ !
 foll[+ bill2 :i* 0 ref]r$ to !         
,committee on ,=eign ,affairs  ,a ,,bill
  ,to enhance m5tal heal? & psy*osocial 
support )9 ,unit$ ,/ates =eign assi/ance
 programs4  #a4 ,%ort title ,?is ,act   
may be cit$ z ! ,m5tal ,heal? 9         
,int]national ,developm5t & ,humanit>ian
 ,sett+s ,act or ! ,,m9ds ,act4  #b4    
,f9d+s2 s5se ( congress  7a7 ,f9d+s     
,congress f9ds ! foll[+3 7#a7 ,accord+  
to ! #bjaf ,global ,burd5 ( ,disease    
,/udy1 an e/imat$ #a1jjj1jjj1jjj        
individuals worldwide h a m5tal heal? or
 sub/ance use disord]4 ,m5tal disord]s  
are major contributors to ! global burd5
 ( disease1 & depression is among !     
prim>y causes ( illness & disability 9  

adolesc5ts4  7#b7 ,an individual's m5tal
 heal? is a complex int]action betwe5   
g5etic1 neuropsy*ological1 &            
environm5tal factors1 & environm5tal &  
social factors1 f ! e>ly ye>s ?r\gh     
*ildhood & adolesc5ce1 c h long-t]m     
impacts on m5tal heal?4  7#c7 ,accord+  
to a ,lancet ,commission report1        
allocations = m5tal heal? h nev] ris5   
above #a p]c5t ( heal?-relat$ global    
developm5t assi/ance4 ,e/imates indicate
 t *ild & adolesc5t m5tal heal? receives
 j #j4a p]c5t ( heal?-relat$ global     
developm5t assi/ance4  7#d7 ,! ,national
 ,alliance on ,m5tal ,illness e/imates t
 depression & anxiety disord]s co/ !    
global economy #a1jjj1jjj1jjj1jjj 9 lo/ 
productivity ea* ye>4 ,accord+ to       
,lancet1 m5tal heal? disord]s are       
project$ to co/ ! global economy        
#af1jjj1jjj1jjj1jjj betwe5 #bjaj &      
#bjcj1 9 "p due to ! e>ly age ( onset4  
7#e7 ,accord+ to ! ,_w ,heal?           
,organization 7,,:o71 half ( m5tal heal?
 disord]s em]ge by age #ad1 & #ad p]c5t 

( *ildr5 & adolesc5ts worldwide exp]i5ce
 m5tal heal? conditions1 ! majority (   
:om d n seek c>e1 receive c>e1 or h     
access to c>e4  7#f7 ,exposure to       
viol5ce & e>ly *ildhood adv]sity1       
includ+ trauma1 has be5 l9k$ to         
negative1 la/+ effects on physical &    
m5tal heal?4 ,e>ly *ildhood adv]sity c  
impact bra9 developm5t1 n]v\s & immune  
sy/em function+1 ! onset ( m5tal heal?  
conditions1 & future behaviors4 ,!      
,unit$ ,nations ass]ts t widespread     
s*ool closures due to ,,covid-#ai1 :i* h
 affect$ r\ghly #a1ejj1jjj1jjj s*ool-ag$
 *ildr51 h plac$ _m *ildr5 at high] risk
 ( exposure to traumas1 su* z h\sehold  
viol5ce1 abuse1 neglect1 & food         
insecurity4  7#g7 ,accord+ to ! ,unit$  
,nations1 m ?an #a out ( e #e           
individuals 9 conflict-affect$ areas has
 a m5tal heal? disord]4 ,r\ghly         
#a1ejj1jjj1jjj1 or #b out ( e #c ( !    
_w's *ildr5 "u #ah ye>s ( age live 9    
c\ntries affect$ by conflict1 & m ?an #a
 out ( e #f *ildr5 live 9 conflict      

zones4 ,a great] numb] ( *ildr5 live 9  
areas affect$ by arm$ conflict & w> n[  
?an at any o!r po9t ?is c5tury4 ,! m5tal
 heal? burd5 9 conflict-affect$ contexts
 is twice ! global av]age4  7#h7 ,g5d]1 
age1 disability /atus1 race & e?nicity1 
& o!r id5tity *>act]i/ics contribute to 
diff]5t risks & ne$s = m5tal heal? &    
psy*osocial support4 ,rese>* has %[n t  
h>mful g5d] norms contribute to high]   
preval5ce ( depression & anxiety        
disord]s 9 wom5 & girls1 :ile           
socialization ( boys & m5 contributes to
 high] preval5ce ( sub/ance use         
disord]s4  7#i7 ,risks & exp]i5ces (    
g5d]-bas$ viol5ce1 p>ticul>ly sexual    
viol5ce1 are a key driv] ( m5tal heal? &
 psy*osocial support ne$s = *ildr54     
,girls acc\nt = #ih p]c5t ( v]ifi$      
incid5ts ( conflict-relat$ sexual       
viol5ce4 ,accord+ to ! ,_w ,heal?       
,organization1 #ce p]c5t ( wom5 globally
 face sexual &_/or intimate p>tn]       
viol5ce 9 _! lifetime & ^! survivors c1 
accord+ to ! ,c5t]s = ,disease ,control 

& ,prev5tion1 exp]i5ce m5tal heal?      
problems su* z depression & po/traumatic
 /ress disord] 7,,ptsd7 symptoms1       
signify+ ! urg5t ne$ = age &            
g5d]-responsive m5tal heal? &           
psy*osocial support s]vices4  7#aj7     
,accord+ to ! ,_w ,heal? ,organization1 
risk factors t increase susceptibility  
to m5tal heal? disord]s include pov]ty &
 hung]1 *ronic heal? conditions1 trauma 
or maltreatm5t1 social exclusion &      
discrim9ation1 & exposure to &          
displacem5t by w> or conflict4 ,^! risk 
factors1 along ) demographic risk       
factors1 manife/ at all /ages 9 life4   
,prelim9>y rese>* already illu/rates t !
 ,,covid-#ai p&emic has increas$        
communities'1 families'1 & individuals' 
risk factors = multiple types ( adv]sity
 & comp\nd$ preexi/+ conditions &       
vuln]abilities4  7#aa7 ,crisis          
situations put p>5ts & c>egiv]s "u m5tal
 & psy*osocial duress1 :i* c prev5t !m f
 provid+ ! protection1 /ability &       
nurtur+ c>e _! *ildr5 ne$ dur+ & aft] an

 em]g5cy4 ,! ,lancet ,commission        
e/imates t betwe5 #ae & #bc p]c5t (     
*ildr5 globally live ) a p>5t ) a m5tal 
disord]1 & p>5tal ill heal? c impact !  
emotional & physical developm5t ( *ildr5
 & pr$ispose ^! *ildr5 to m5tal heal?   
problems4 ,num]\s & comp\nd+ /ressors & 
unc]ta9ty caus$ by ,,covid-#ai h        
exac]bat$ di/ress & fur!r imp$e         
c>egiv]s' ability to provide responsive 
c>e to _! *ildr54  7#ab7 ,inve/m5ts 9 ! 
m5tal heal?1 resili5ce1 & well-be+ ( !  
*ildr5 9 a c\ntry to ensure t !y cont9ue
 to ?rive into adul?ood & contribute to 
_! societies c help break cycles (      
pov]ty1 viol5ce1 & trauma & fur!r !     
c\ntry's future pot5tial4  7#ac7        
,inve/m5ts 9 protect+ & improv+ m5tal   
heal? 9 a c\ntry across ! life c\rse mu/
 take into acc\nt ! ne$ to t>get        
vuln]able populations & address social1 
environm5tal1 & o!r risk factors 9      
conjunction ) o!r sectors & local       
p>tn]s4  7b7 ,s5se ( ,congress ,x is !  
s5se ( ,congress t-- 7#a7 ensur+ t      

individuals h ! opportunity to ?rive &  
rea* _! fulle/ pot5tial is a critical   
compon5t ( su/a9able int]national       
developm5t1 & ! global public good      
b5efits f inve/m5t 9 *ild & adolesc5t   
m5tal heal?2  7#b7 m5tal heal? is       
integral & ess5tial to ov]all heal?     
outcomes & o!r developm5t objectives2   
7#c7 m5tal heal? is an issue ( critical 
& gr[+ importance = ,unit$ ,/ates =eign 
assi/ance t requires a coord9at$ /rategy
 to ensure t programm+ fund$ by ! ,unit$
 ,/ates ,gov]nm5t is evid5ce-bas$1      
culturally compet5t1 & trauma-in=m$2    
7#d7 ! ,unit$ ,/ates ,gov]nm5t =eign    
assi/ance /rategy %\ld include a m5tal  
heal? & psy*osocial support compon5t2   
7#e7 ! r$esign ( ! ,unit$ ,/ates ,ag5cy 
= ,int]national ,developm5t 7ref]r$ to 9
 ?is ,act z ,,usaid7 reflects ! nexus   
betwe5 humanit>ian & developm5t         
int]v5tions & %\ld be appli$ to all     
m5tal heal? & psy*osocial support ef=ts 
( ,unit$ ,/ates =eign assi/ance         
programs2 &  7#f7 ongo+ ef=ts to improve

 social s]vice work=ce developm5t &     
local capacity build+ are ess5tial to   
exp&+ m5tal heal? & psy*osocial support 
activities across all ,unit$ ,/ates     
=eign assi/ance programs4  #c4          
,coord9ator = m5tal heal? & psy*osocial 
support ,section #ace ( ! ,=eign        
,assi/ance ,act ( #aifa 7#bb ,u4,s4,c4  
#baeb;f7 is am5d$-- 7#a7 by r$esignat+  
subsection 7f7 z subsection 7g72 &  7#b7
 by ins]t+ aft] subsection 7e7 ! foll[+3
  7f7 ,coord9ator = m5tal heal? &       
psy*osocial support  7#a7 ,appo9tm5t ,! 
,adm9i/rator ( ! ,unit$ ,/ates ,ag5cy = 
,int]national ,developm5t1 9            
consultation ) ! ,secret>y ( ,/ate1 is  
au?oriz$ to appo9t a ,m5tal ,heal? &    
,psy*osocial ,support ,coord9ator       
7ref]r$ to 9 ?is section z ! ,,mhpss    
,coord9ator74  7#b7 ,specific duties ,! 
duties ( ! ,,mhpss ,coord9ator %all     
include-- 7,a7 e/abli%+ & *air+ ! ,m5tal
 ,heal? & ,psy*osocial ,support ,work+  
,gr\p au?oriz$ "u section #d ( ! ,m5tal 
,heal? 9 ,int]national ,developm5t &    

,humanit>ian ,sett+s ,act2  7,b7 guid+1 
ov]see+1 & direct+ m5tal heal? &        
psy*osocial support programm+ &         
integration across ,unit$ ,/ates =eign  
assi/ance programm+2  7,c7 s]v+ z ! ma9 
po9t ( contact on m5tal heal? &         
psy*osocial support 9 ! ,bureau =       
,global ,heal?1 ,bureau = ,humanit>ian  
,assi/ance1 regional bureaus1 ! ,(fice (
 ,education1 ! ,inclusive ,developm5t   
,hub 9 ! ,bureau ( ,developm5t1         
,democracy1 & ,innovation1 ! ,presid5t's
 ,em]g5cy ,plan = ,,aids ,relief1 & o!r 
int]ag5cy or presid5tial initiatives2   
7,d7 promot+ be/ practices1 coord9ation 
& report+ 9 m5tal heal? & psy*osocial   
support programm+ across bo? developm5t 
& humanit>ian =eign assi/ance programs2 
7,e7 provid+ direction1 guidance1 &     
ov]sight on ! integration ( m5tal heal? 
& psy*osocial support 9 bo? developm5t &
 humanit>ian =eign assi/ance programs2 &
  7,f7 p>ticipat+ 9 ! ,advanc+          
,protection & ,c>e = ,*ildr5 9 ,adv]sity
 ,int]ag5cy ,work+ ,gr\p4  7#c7 ,focus  

populations ,along ) a g5]al focus on   
m5tal heal? & psy*osocial support1 !    
,,mhpss ,coord9ator %\ld pay special    
att5tion to m5tal heal? & psy*osocial   
support 9 ! context ( family & *ildr51  
includ+-- 7,a7 meet+ ! ne$s ( adult     
c>etak]s & *ildr51 includ+ families &   
adults :o are long-t]m c>etak]s2  7,b7  
*ildr5 & o!rs :o are sep>at$ f a family 
unit2 &  7,c7 o!r specific populations 9
 ne$ ( m5tal heal? & psy*osocial        
support1 su* z crisis affect$           
communities1 displac$ populations1      
g5d]-bas$ viol5ce survivors1 &          
individuals & h\seholds cop+ ) !        
consequ5ces ( diseases1 su* z ,ebola1   
,,hiv_/,,aids1 & ,,covid-#ai4  4  #d4   
,m5tal ,heal? & ,psy*osocial ,support   
,work+ ,gr\p  7a7 ,e/abli%m5t ,!        
,adm9i/rator ( ! ,unit$ ,/ates ,ag5cy = 
,int]national ,developm5t 7ref]r$ to 9  
?is ,act z ! ,,usaid ,adm9i/rator71 9   
coop]ation ) ! ,m5tal ,heal? &          
,psy*osocial ,support ,coord9ator1 %all 
e/abli% ! ,m5tal ,heal? & ,psy*osocial  

,support ,work+ ,gr\p1 :i* %all include 
repres5tatives f e ,unit$ ,/ates ,ag5cy 
= ,int]national ,developm5t bureau & f !
 ,dep>tm5t ( ,/ate1 to ensure cont9uity 
& su/a9ability ( m5tal heal? &          
psy*osocial support across =eign        
assi/ance programs4  7b7 ,requirem5ts ,!
 ,m5tal ,heal? & ,psy*osocial ,support  
,work+ ,gr\p-- 7#a7 %\ld include        
repres5tation at ! ,deputy ,assi/ant    
,adm9i/rator level f e ,unit$ ,/ates    
,ag5cy = ,int]national ,developm5t      
bureau2  7#b7 %all promote & enc\rage   
dialogue across ! int]ag5cy on m5tal    
heal? & psy*osocial support program     
developm5t & be/ practices2 &  7#c7 %all
 coord9ate ! implem5tation & cont9uity (
 m5tal heal? & psy*osocial support      
programs-- 7,a7 )9 ,,usaid2  7,b7 betwe5
 ! ,,usaid & ! ,bureau ( ,population1   
,refugees1 & ,migration ( ! ,dep>tm5t ( 
,/ate2 &  7,c7 9 consultation ) ! ,c5t]s
 = ,disease ,control & ,prev5tion & !   
,national ,in/itutes ( ,m5tal ,heal?1 z 
appropriate4  #e4 ,integration ( m5tal  

heal? & psy*osocial support  7a7        
,/atem5t ( policy ,x is ! policy ( !    
,unit$ ,/ates to integrate m5tal heal? &
 psy*osocial support across all =eign   
assi/ance programs fund$ by ! ,unit$    
,/ates ,gov]nm5t4  7b7 ,implem5tation ( 
policy ,! ,,usaid ,adm9i/rator & !      
,secret>y ( ,/ate %all-- 7#a7 require   
all ,,usaid & ,dep>tm5t ( ,/ate regional
 bureaus & missions to utilize su*      
policy = local capacity build+1 z       
appropriate1 = m5tal heal? & psy*osocial
 support programm+2  7#b7 ensure t all  
,,usaid & ,dep>tm5t ( ,/ate m5tal heal? 
& psy*osocial support programm+-- 7,a7  
is evid5ce-bas$ & culturally compet5t2  
7,b7 responds to all types ( *ildhood   
adv]sity2 &  7,c7 includes              
trauma-specific int]v5tions 9 accordance
 ) ! recogniz$ pr9ciples ( a            
trauma-in=m$ approa*1 :5ev] applicable2 
&  7#c7 integrate ! ,advanc+ ,protection
 & ,c>e = ,*ildr5 9 ,adv]sity ,/rategy  
into its (ficial policy4  #f4 ,brief+   
requirem5ts  7a7 ,,usaid brief+ ,n lat] 

?an #ahj days aft] ! date ( ! enactm5t (
 ?is ,act1 ! ,,usaid ,adm9i/rator & !   
,secret>y ( ,/ate %all brief !          
,committee on ,=eign ,relations ( !     
,s5ate & ! ,committee on ,=eign ,affairs
 ( ! ,h\se ( ,repres5tatives reg>d+--   
7#a7 ! progress made 9 c>ry+ out section
 #e7;b72 &  7#b7 any b>ri]s prev5t+ !   
full integration ( ! /rategy ref]r$ to 9
 section #e7;b77#c74  7b7 ,brief+ on    
sp5d+ ,! ,,usaid ,adm9i/rator1 9        
consultation ) ! ,director ( ! ,(fice ( 
,managem5t & ,budget1 z necess>y &      
appropriate1 %all annually brief !      
,committee on ,appropriations ( ! ,s5ate
 & ! ,committee on ,appropriations ( !  
,h\se ( ,repres5tatives dur+ ea* ( !    
fiscal ye>s #bjbb ?r\gh #bjbf reg>d+ !  
am\nt ( ,unit$ ,/ates =eign assi/ance   
sp5t dur+ ! mo/ rec5tly conclud$ fiscal 
ye> on *ild m5tal heal? & psy*osocial   
support programm+4  7c7 ,,usaid &       
,dep>tm5t ( ,/ate brief+s ,n lat] ?an   
#ahj days aft] ! date ( ! enactm5t ( ?is
 ,act1 annually !reaft] = ! foll[+ #e   

fiscal ye>s1 & subsequ5tly1 z reque/$1 !
 ,,usaid ,adm9i/rator & ! ,secret>y (   
,/ate1 9 consultation ) ! ,m5tal ,heal? 
& ,psy*osocial ,support ,coord9ator     
appo9t$ pursuant to section #ace7;f7 ( !
 ,=eign ,assi/ance ,act ( #aifa1 z add$ 
by section #c1 %all brief ! ,committee  
on ,=eign ,relations ( ! ,s5ate & !     
,committee on ,=eign ,affairs ( ! ,h\se 
( ,repres5tatives reg>d+-- 7#a7 h[      
,,usaid & ! ,dep>tm5t ( ,/ate h         
integrat$ m5tal heal? & psy*osocial     
programm+1 includ+ *ild-specific        
programm+1 into _! developm5t &         
humanit>ian assi/ance programs across   
heal?1 education1 nutrition1 & *ild     
protection sectors2  7#b7 ! metrics (   
success ( ! ,advanc+ ,protection & ,c>e 
= ,*ildr5 9 ,adv]sity ,/rategy2  7#c7 ! 
m5tal heal? outcomes p]ta9+ to !        
evid5ce-bas$ /rategic objectives ^u :i* 
su* /rategy is built2  7#d7 :]e         
trauma-specific /rategies are be+       
implem5t$1 & h[ be/ practices =         
trauma-in=m$ programm+ are be+ %>$      

across programs2  7#e7 b>ri]s prev5t+   
full integration ( *ild m5tal heal? &   
psy*osocial support into programs =     
*ildr5 & y\? & recomm5dations = its     
expansion2  7#f7 any unique b>ri]s to ! 
expansion ( m5tal heal? & psy*osocial   
support programm+ 9 conflict &          
humanit>ian sett+s & h[ su* b>ri]s are  
be+ address$2  7#g7 ! impact ( !        
,,covid-#ai p&emic on m5tal heal? &     
psy*osocial support programm+2 &  7#h7  
fund+ data1 includ+ a li/ ( programs to 
:i* ,,usaid & ! ,dep>tm5t ( ,/ate h     
obligat$ funds dur+ ! mo/ rec5tly       
conclud$ fiscal ye> to improve access   
to1 & ! quality (1 m5tal heal? &        
psy*osocial support programm+ 9         
developm5t & humanit>ian contexts4