,i  #aag? ,,congress  #b;d ,session  ,h4
 ,r4 #gbcf  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,m>* #bh1 #bjbb,ms4   
,e%oo 7= h]self1 ,mr4 ,fitzpatrick1 &   
,ms4 ,blunt ,ro*e/]7 introduc$ ! foll[+ 
bill2 :i* 0 ref]r$ to ! ,committee on   
,en]gy & ,comm]ce  ,a ,,bill  ,to am5d  
title ,,xix ( ! ,social ,security ,act  
to exp& ! availability ( m5tal1         
emotional1 & behavioral heal? s]vices "u
 ! ,m$icaid program1 & = o!r purposes4  
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,/r5g!n ,kids' ,m5tal ,heal? ,n[ ,act 
( #bjbb4  #b4 ,table ( cont5ts ,! table 
( cont5ts = ?is ,act is z foll[s3 ,sec4 
#a4 ,%ort title4,sec4 #b4 ,table (      
cont5ts4,sec4 #c4 ,paym5t p>ity =       
p$iatric behavioral heal? s]vices4,sec4 
#d4 ,guidance to ,/ates on support+     
m5tal1 emotional1 & behavioral heal?    
s]vices1 & on ! availability ( teleheal?
 "u ,m$icaid4,sec4 #e4 ,ensur+ *ildr5   
receive timely access to c>e4,sec4 #f4  
,programs to support p$iatric behavioral
 heal? c>e4,sec4 #g4 ,increas+ ,f$]al   

inve/m5t 9 p$iatric behavioral heal?    
s]vices4  #c4 ,paym5t p>ity = p$iatric  
behavioral heal? s]vices  7a7 ,paym5t   
p>ity = p$iatric behavioral heal?       
s]vices ,section #aijb ( ! ,social      
,security ,act 7#db ,u4,s4,c4 #acif;a7  
is am5d$-- 7#a7 9 subsection 7a77#ac7-- 
7,a7 9 subp>agraph 7,b71 by /rik+ & at !
 end2  7,b7 9 subp>agraph 7,c71 by add+ 
& at ! end2 &  7,c7 by add+ at ! end !  
foll[+ new subp>agraph3  7,d7 = paym5t =
 p$iatric m5tal1 emotional1 & behavioral
 heal? s]vices 7z def9$ 9 subsection    
7tt77 furni%$ on or aft] ! date t is    
#ahj days aft] ! date ( enactm5t ( ?is  
subp>agraph & be=e ,octob] #a1 #bjbg1 at
 a rate n less ?an #ajj p]c5t ( ! paym5t
 rate t applies to su* provid]s "u "p ,a
 or ,b 7z applicable7 ( title ,,xviii2  
2 &  7#b7 by add+ at ! end ! foll[+ new 
subsection3  7tt7 ,p$iatric m5tal1      
emotional1 & behavioral heal? s]vices   
def9$ ,= purposes ( subsection          
7a77#ac77;,d71 ! t]m p$iatric m5tal1    
emotional1 & behavioral heal? s]vices   

means ! foll[+ s]vices furni%$ by a     
heal? c>e provid]1 includ+ hospitals1   
physicians1 & o!r provid]s det]m9$ by ! 
,secret>y1 = ! purposes ( scre5+ =1     
diagnos+1 or treat+ a m5tal1 emotional1 
or behavioral heal? condition1 :e!r     
furni%$ 9-p]son or via teleheal?3 7#a7  
,m5tal heal? & sub/ance use disord]     
scre5+s4  7#b7 ,m5tal heal? developm5t  
assessm5ts4  7#c7 ,m5tal heal? behavior 
assessm5ts & int]v5tions4  7#d7         
,psy*ological & neuropsy*ological te/+ &
 assessm5t4  7#e7 ,m5tal heal? prim>y   
prev5tion s]vices4  7#f7 ,m5tal heal? & 
sub/ance use disord] case managem5t     
s]vices4  7#g7 ,s*ool-bas$ m5tal heal? &
 sub/ance use disord] prev5tion1        
id5tification1 & treatm5t s]vices4  7#h7
 ,*ild & adolesc5t psy*iatry & psy*ology
 s]vices4  7#i7 ,p>tial hospitalization 
s]vices4  7#aj7 ,day program s]vices4   
7#aa7 ,int5sive outpati5t s]vices4      
7#ab7 ,eat+ disord] treatm5t s]vices4   
7#ac7 ,outpati5t s]vices4  7#ad7 ,crisis
 resid5tial s]vices4  7#ae7 ,crisis     

int]v5tion & /abilization4  7#af7       
,inpati5t psy*iatric & psy*ological     
s]vices4  7#ag7 ,individual !rapy4      
7#ah7 ,family !rapy4  7#ai7 ,gr\p !rapy 
s]vices4  7#bj7 ,int5sive 9-home        
s]vices4  7#ba7 ,pe] support s]vices4   
7#bb7 ,provid]-to-provid] consultation  
s]vices involv+ prim>y c>e practition]s 
s& m5tal heal? c>e speciali/s1 includ+  
*ild & adolesc5t speciali/s4  7#bc7     
,sub/ance use disord] scre5+1 includ+   
,,sbirt1 & treatm5t4  7#bd7 ,m$ication  
managem5t4  7#be7 ,any o!r p$iatric     
m5tal1 emotional1 or behavioral heal?   
s]vice det]m9$ appropriate by !         
,secret>y4  4  7b7 ,"u m$icaid manag$   
c>e plans ,section #aicb7;f7 ( su* ,act 
7#db ,u4,s4,c4 #acifu-#b7;f77 is am5d$--
 7#a7 9 ! head]1 by ins]t+ & p$iatric   
m5tal1 emotional1 & behavioral heal?    
be=e ,s]vices2  7#b7 by ins]t+ &        
p$iatric m5tal1 emotional1 & behavioral 
heal? s]vices describ$ 9 section        
#aijb7;a77#ac77;,d7 aft] section        
#aijb7;a77#ac77;,c72 &  7#c7 by /rik+   

su* section & ins]t+ section            
#aijb7;a77#ac74  7c7 ,increase 9 paym5t 
us+ increas$ ,,fmap ,section #aije ( !  
,social ,security ,act 7#db ,u4,s4,c4   
#acif;d7 is am5d$ by add+ at ! end !    
foll[+ new subsection3  7jj7 ,increas$  
,,fmap = additional exp5ditures =       
p$iatric m5tal1 emotional1 & behavioral 
heal? s]vices ,not)/&+ subsection 7b71 )
 respect to ! portion ( ! am\nts exp5d$ 
= m$ical assi/ance = s]vices describ$ 9 
section #aijb7;a77#ac77;,d7 furni%$ on  
or aft] ! date t is #ahj days aft] date 
( enactm5t ( ?is subsection & be=e      
,octob] #a1 #bjbg1 & t is attributable  
to ! am\nt by :i* ! m9imum paym5t rate  
requir$ "u su* section 7or1 by          
application1 section #aicb7;f77 exce$s !
 paym5t rate applicable to su* s]vices  
"u ! ,/ate plan z ( ! day be=e ! date ( 
! enactm5t ( ?is subsection1 ! ,f$]al   
m$ical assi/ance p]c5tage = a ,/ate t is
 "o ( ! #ej ,/ates or ! ,di/rict (      
,columbia %all be equal to #ajj p]c5t4  
,! prec$+ s5t5ce does n prohibit !      

paym5t ( ,f$]al f9ancial p>ticipation   
bas$ on ! ,f$]al m$ical assi/ance       
p]c5tage = am\nts 9 excess ( ^? specifi$
 9 su* s5t5ce4  4  #d4 ,guidance to     
,/ates on support+ m5tal1 emotional1 &  
behavioral heal? s]vices1 & on !        
availability ( teleheal? "u ,m$icaid    
7a7 ,m5tal1 emotional1 & behavioral     
heal? s]vices ,n lat] ?an #ahj days aft]
 date ( enactm5t ( ?is ,act1 ! ,secret>y
 ( ,heal? & ,human ,s]vices %all issue  
guidance to ,/ates on h[ to exp& !      
provision ( m5tal1 emotional1 &         
behavioral heal? s]vices cov]$ by ,/ate 
plans 7or waiv]s ( su* plans7 "u title  
,,xix ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #acif et seq471 includ+ a     
description ( be/ practices = effective 
programs1 s]vice provision = und]s]v$   
communities1 & recruitm5t & ret5tion (  
provid]s4  7b7 ,teleheal? s]vices ,n    
lat] ?an #a ye> aft] date ( enactm5t (  
?is ,act1 ! ,secret>y ( ,heal? & ,human 
,s]vices %all issue guidance to ,/ates  
on be/ practices to su/a9 & enhance !   

availability ( teleheal? s]vices cov]$  
by ,/ate plans 7or waiv]s ( su* plans7  
"u title ,,xix ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acif et seq474  #e4
 ,ensur+ *ildr5 receive timely access to
 c>e  7a7 ,guidance to ,/ates on        
flexibilities ,to ensure provid]        
capacity ,to provide p$iatric m5tal1    
emotional1 & behavioral crisis c>e ,n   
lat] ?an #fj days aft] ! date ( enactm5t
 ( ?is ,act1 ! ,secret>y ( ,heal? &     
,human ,s]vices %all provide guidance to
 ,/ates on exi/+ flexibilities =        
hospitals & o!r provid]s "u applicable  
laws1 regulations1 & guidance to support
 *ildr5 9 crisis or 9 ne$ ( int5sive    
m5tal1 emotional or behavioral heal?    
s]vices4  7b7 ,m&at$ report to ,congress
 reg>d+ b>ri]s to repurpos+ ( b$s1      
space1 & /aff ,to address p$iatric      
behavioral heal? ne$s  7#a7 ,9 g5]al ,n 
lat] ?an #abj days aft] ! date (        
enactm5t ( ?is ,act1 ! ,secret>y (      
,heal? & ,human ,s]vices %all submit to 
! ,congress a report ) respect to       

regulatory & legal b>ri]s to c>e across 
! crisis cont9uum t id5tifies solutions 
to facilitate flexibility = *ildr5's    
hospitals & o!r provid]s ( m5tal1       
emotional1 or behavioral heal? s]vices4 
7#b7 ,requirem5ts ,9 prep>+ a report "u 
?is subsection1 ! ,secret>y ( ,heal? &  
,human ,s]vices %all include 9 su*      
report-- 7,a7 a compreh5sive li/ ( laws1
 regulations1 & guidance impact+        
*ildr5's hospitals' & o!r provid]s'     
ability to repurpose imm$iately b$s1    
space1 & /aff = *ildr5 9 ne$ ( m5tal1   
emotional1 or behavioral heal? s]vices1 
includ+ a description ( ! rationale =   
ea* policy & correspond+ actions requir$
 to repurpose su* b$s1 space1 & /aff2 & 
7,b7 recomm5dations on h[ *ildr5's      
hospitals & o!r provid]s c imm$iately   
exp& access to m5tal1 emotional1 &      
behavioral heal? s]vices :ile also      
ensur+ high quality & safety4  7c7      
,ensur+ consi/5t review & ,/ate         
implem5tation ( e>ly & p]iodic scre5+1  
diagno/ic1 & treatm5t s]vices ,section  

#aije7r7 ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #acif;d7r77 is am5d$ by add+ 
at ! end ! foll[+3 ,! ,secret>y %all1 n 
lat] ?an ,july #a1 #bjbb1 & n lat] ?an  
,janu>y #a ea* ye> !reaft]1 review      
implem5tation ( ! requirem5ts ( ?is     
subsection by ,/ates z !y p]ta9 to      
behavioral heal? s]vices = *ildr51      
includ+ s]vices provid$ by a manag$ c>e 
entity1 id5tify & dissem9ate be/        
practices = ensur+ compreh5sive cov]age 
( s]vices1 id5tify gaps & defici5cies 9 
meet+ ,f$]al requirem5ts1 & provide     
guidance to ,/ates on address+ id5tifi$ 
gaps & disp>ities & meet+ ,f$]al cov]age
 requirem5ts 9 ord] to ensure *ildr51   
includ+ *ildr5 )\t a m5tal heal?        
diagnosis1 h access to behavioral heal? 
s]vices44  #f4 ,programs to support     
p$iatric behavioral heal? c>e ,subp>t ,v
 ( "p ,d ( title ,,iii ( ! ,public      
,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bef 
et seq47 is am5d$ by add+ at ! end !    
foll[+3  #cdj;,a-#a4 ,program to support
 p$iatric behavioral heal? c>e          

integration & coord9ation  7a7 ,9 g5]al 
,! ,secret>y1 act+ ?r\gh ! ,adm9i/rator 
( ! ,heal? ,res\rces & ,s]vices         
,adm9i/ration1 %all aw>d grants1        
contracts1 or coop]ative agreem5ts to   
eligible entities = ! purpose ( support+
 p$iatric behavioral heal? c>e          
integration & coord9ation )9 communities
 to meet local community ne$s4  7b7     
,eligible entities ,entities eligible = 
grants "u subsection 7a7 include-- 7#a7 
heal? c>e provid]s1 includ+ family      
physicians1 p$iatric m$ical             
sub-speciali/s1 & surgical speciali/s2  
7#b7 *ildr5's hospitals2  7#c7          
facilities t are eligible to receive    
funds "u section #cdj;,e or #cdj;,h2    
7#d7 nonpr(it m$ical facilities t       
pr$om9antly treat individuals "u ! age (
 #ba2  7#e7 rural heal? cl9ics &        
,f$]ally qualifi$ heal? c5t]s 7z su*    
t]ms are def9$ 9 section #ahfa7;aa7 ( ! 
,social ,security ,act72  7#f7 p$iatric 
m5tal heal? & sub/ance use disord]      
provid]s1 su* z *ild & adolesc5t        

psy*iatri/s1 psy*ologi/s1 developm5tal &
 behavioral p$iatricians1 g5]al         
p$iatricians1 advanc$ practice nurses1  
social work]s1 lic5s$ pr(essional       
c\nselors1 & o!r lic5s$ pr(essionals t  
provide m5tal heal? & sub/ance use      
disord] s]vices to pati5ts "u #ba ye>s (
 age2  7#g7 *ild advocacy c5t]s describ$
 9 section #bad7;c77#b77;,b7 ( !        
,victims ( ,*ild ,abuse ,act ( #aiij2   
7#h7 s*ool-bas$ heal? c5t]s2 &  7#i7 o!r
 entities z det]m9$ appropriate by !    
,secret>y4  7c7 ,prioritization ,9 mak+ 
aw>ds "u subsection 7a71 ! ,secret>y    
%all prioritize-- 7#a7 applicants t     
provide *ildr5 & adolesc5ts f high ne$1 
rural1 or "u-res\rc$ communities )      
s]vices across ! cont9uum ( *ildr5's    
m5tal heal? & sub/ance use disord] c>e2 
&  7#b7 applicants t pr$om9antly provide
 c>e to *ildr5 & adolesc5ts t demon/rate
 plans to utilize funds to exp&         
provision ( c>e to *ildr51 adolesc5ts1 &
 y\? "u age #ba4  7d7 ,use ( funds      
,activities t may be fund$ ?r\gh an aw>d

 "u subsection 7a7 include-- 7#a7       
increas+ ! capacity ( p$iatric          
practices1 family m$ic9e practices1 &   
s*ool-bas$ heal? c5t]s to integrate     
p$iatric m5tal1 emotional1 & behavioral 
heal? s]vices into _! practices includ+ 
?r\gh co-location ( m5tal1 emotional1 & 
behavioral heal? provid]s2  7#b7 tra9+ =
 non-cl9ical p$iatric heal? c>e work]s1 
includ+ c>e coord9ators & navigators1 on
 *ild & adolesc5t m5tal heal? & sub/ance
 use disord]1 trauma-in=m$ c>e1 & local 
res\rces to support *ildr5 & c>egiv]s2  
7#c7 exp&+ evid5ce-bas$1 integrat$      
models ( c>e = p$iatric m5tal heal? &   
sub/ance use disord] s]vices2  7#d7     
p$iatric practice integration = !       
provision ( p$iatric m5tal heal? &      
sub/ance use disord] s]vices2  7#e7     
address+ surge capacity = p$iatric m5tal
 heal? & sub/ance use disord] ne$s2     
7#f7 provid+ p$iatric m5tal1 emotional1 
& behavioral heal? s]vices to *ildr5 z  
deliv]$ by m5tal heal? & sub/ance use   
disord] pr(essionals utiliz+ teleheal?  

s]vices2  7#g7 e/abli%+ or ma9ta9+      
initiatives to all[ m *ildr5 to access  
c>e outside ( em]g5cy dep>tm5ts1 includ+
 p>tial hospitalization1 /ep d[n        
resid5cy programs1 & int5sive outpati5t 
programs2  7#h7 support+1 enhanc+1 or   
exp&+ p$iatric m5tal heal? & sub/ance   
use disord] prev5tive & crisis          
int]v5tion s]vices2  7#i7 e/abli%+ or   
ma9ta9+ p$iatric m5tal heal? & sub/ance 
use disord] urg5t c>e or walk-9 cl9ics2 
7#aj7 e/abli%+ or ma9ta9+ community-bas$
 p$iatric m5tal heal? & sub/ance use    
disord] initiatives1 su* z p>tn]%ips )  
s*ools & e>ly *ildhood education        
programs2  7#aa7 address+ o!r access &  
coord9ation gaps to p$iatric m5tal heal?
 & sub/ance use disord] s]vices 9 !     
community = *ildr52 &  7#ab7 support+ ! 
collection ( data on *ildr5 &           
adolesc5ts' m5tal heal? ne$s1 s]vice    
utilization & availability1 &           
demographic data1 to capture community  
ne$s & id5tify gaps & b>ri]s 9 *ildr5's 
access to c>e1 9 a mann] t protects     

p]sonal privacy1 consi/5t ) applicable  
,f$]al & ,/ate privacy laws4  7e7       
,au?orization ( appropriations ,to c>ry 
out ?is section1 !re is au?oriz$ to be  
appropriat$ #ejj1jjj1jjj = ea* ( fiscal 
ye>s #bjbc ?r\gh #bjbg4  #cdj;,a-#b4    
,p$iatric behavioral heal? work=ce tra9+
 program  7a7 ,9 g5]al ,! ,secret>y1    
act+ ?r\gh ! ,adm9i/rator ( ! ,heal?    
,res\rces & ,s]vices ,adm9i/ration1 %all
 aw>d grants1 contracts1 or coop]ative  
agreem5ts to eligible entities = !      
purpose ( support+ evid5ce-bas$ p$iatric
 m5tal heal? & sub/ance use disord]     
work=ce tra9+4  7b7 ,eligible entities  
,entities eligible = grants "u          
subsection 7a7 include-- 7#a7 *ildr5's  
hospitals2  7#b7 facilities t are       
eligible to receive funds "u section    
#cdj;,e or #cdj;,h2  7#c7 nonpr(it      
m$ical facilities t pr$om9antly treat   
individuals "u ! age ( #ba2  7#d7 rural 
heal? cl9ics & ,f$]ally qualifi$ heal?  
c5t]s 7z su* t]ms are def9$ 9 section   
#ahfa7;aa7 ( ! ,social ,security ,act72 

7#e7 entities t employ m5tal heal? &    
sub/ance use disord] pr(essionals1 su* z
 *ild & adolesc5t psy*iatri/s1          
psy*ologi/s1 developm5tal & behavioral  
p$iatricians1 g5]al p$iatricians1       
advanc$ practice nurses1 social work]s1 
lic5s$ pr(essional c\nselors1 or o!r    
lic5s$ pr(essionals t provide m5tal     
heal? or sub/ance use disord] s]vices to
 pati5ts "u #ba ye>s ( age2 &  7#f7 o!r 
p$iatric heal? c>e provid]s z det]m9$   
appropriate by ! ,secret>y4  7c7 ,use ( 
funds ,activities t may be support$     
?r\gh an aw>d "u subsection 7a7 include 
! foll[+3 7#a7 ,tra9+ to enhance !      
capabilities ( ! exi/+ p$iatric work=ce1
 includ+ p$iatricians1 prim>y c>e       
physicians1 advanc$ practice regi/]$    
nurses1 & o!r p$iatric heal? c>e        
provid]s1 includ+ exp&$ tra9+ 9 p$iatric
 m5tal heal? & sub/ance use disord]s1 & 
culturally & developm5tally appropriate 
c>e = *ildr5 ) m5tal heal? conditions4  
7#b7 ,tra9+ to support multi-discipl9>y 
teams to provide p$iatric m5tal heal? & 

sub/ance use disord] treatm5t1 includ+  
?r\gh integrat$ c>e models4  7#c7       
,initiatives to accel]ate ! "t to       
lic5sure )9 ! p$iatric m5tal heal? or   
sub/ance use disord] work=ce4  7#d7     
,activities to exp& recruitm5t &        
ret5tion1 increase work=ce div]sity1 or 
enhance work=ce tra9+ = critical        
p$iatric m5tal heal? pr(essions1        
includ+-- 7,a7 *ild & adolesc5t         
psy*iatri/s2  7,b7 psy*iatric nurses2   
7,c7 psy*ologi/s2  7,d7 family !rapi/s2 
7,e7 social work]s2  7,f7 m5tal heal?   
c\nselors2  7,g7 developm5tal &         
behavioral p$iatricians2  7,h7 p$iatric 
sub/ance use disord] speciali/s2 &  7,i7
 o!r m5tal heal? c>e provid]s z det]m9$ 
appropriate by ! ,secret>y4  7d7        
,au?orization ( appropriations ,to c>ry 
out ?is section1 !re is au?oriz$ to be  
appropriat$ #ajj1jjj1jjj = ea* ( fiscal 
ye>s #bjbc ?r\gh #bjbg4  4  #g4         
,increas+ ,f$]al inve/m5t 9 p$iatric    
behavioral heal? s]vices ,! ,public     
,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bja 

et seq47 is am5d$ by add+ at ! end !    
foll[+3  ,,xxxiv ,assi/ance =           
,con/ruction & ,mod]nization ( ,*ildr5's
 ,m5tal ,heal? & ,sub/ance ,use ,disord]
 ,infra/ructure  #cdja4 ,increas+ ,f$]al
 inve/m5t 9 p$iatric behavioral heal?   
s]vices  7a7 ,9 g5]al ,! ,secret>y1 act+
 ?r\gh ! ,adm9i/rator ( ! ,heal?        
,res\rces & ,s]vices ,adm9i/ration1 %all
 aw>d grants1 contracts1 or coop]ative  
agreem5ts to eligible entities = !      
purpose ( improv+ _! ability to provide 
p$iatric behavioral heal? s]vices1      
includ+ by-- 7#a7 con/ruct+ or mod]niz+ 
sites ( c>e = p$iatric behavioral heal? 
s]vices2  7#b7 exp&+ capacity to provide
 p$iatric behavioral heal? s]vices1     
includ+ enhancem5ts to digital          
infra/ructure1 teleheal? capabilities1  
or o!r improvem5ts to pati5t c>e        
infra/ructure2  7#c7 support+ !         
reallocation ( exi/+ res\rces to        
accommodate p$iatric behavioral heal?   
pati5ts1 includ+ by conv]t+ or add+ a   
suffici5t numb] ( b$s to e/abli% or     

increase ! hospital's inv5tory ( lic5s$ 
& op]ational1 %ort-t]m psy*iatric &     
sub/ance use inpati5t b$s2 &  7#d7      
address+ gaps 9 ! cont9uum ( c>e =      
*ildr51 by exp&+ capacity to provide    
int]m$iate levels ( c>e1 su* z int5sive 
outpati5t s]vices1 p>tial               
hospitalization programs1 & day programs
 t c prev5t hospitalizations & support  
*ildr5 z !y transition back to _! homes 
& communities4  7b7 ,eligibility ,to be 
eligible to seek an aw>d "u ?is section1
 an entity %all be a hospital or rural  
heal? cl9ic t pr$om9antly treats        
individuals "u ! age ( #ba1 includ+ any 
hospital t receives funds "u section    
#cdj;,e4  7c7 ,au?orization (           
appropriations ,to c>ry out ?is section1
 !re is au?oriz$ to be appropriat$      
#b1jjj1jjj1jjj = ea* ( fiscal ye>s #bjbc
 ?r\gh #bjbg4  7d7 ,supplem5t1 n        
supplant ,funds provid$ "u ?is section  
%all be us$ to supplem5t1 n supplant    
,f$]al & non-,f$]al funds available =   
c>ry+ out ! activities describ$ 9 ?is   

section4  7e7 ,report+  7#a7 ,reports f 
aw>d recipi5ts ,n lat] ?an #ahj days    
aft] ! completion ( activities fund$ by 
an aw>d "u ?is section1 ! entity t      
receiv$ su* aw>d %all submit a report to
 ! ,secret>y on ! activities conduct$   
us+ funds f su* aw>d1 & o!r in=mation z 
! ,secret>y may require4  7#b7 ,reports 
to ,congress ,n lat] ?an "o ye>1 !      
,secret>y %all submit to ! ,committee on
 ,en]gy & ,comm]ce ( ! ,h\se (          
,repres5tatives & ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions (
 ! ,s5ate a report on ! projects &      
activities conduct$ ) funds aw>d$ "u ?is
 section1 & ! outcome ( su* projects &  
activities4 ,su* report %all include--  
7,a7 ! numb] ( projects support$ by     
aw>ds made "u ?is section2  7,b7 an     
ov]view ( ! impact1 if any1 ( su*       
projects on p$iatric heal? c>e          
infra/ructure1 includ+ any impact on    
access to p$iatric m5tal heal? &        
sub/ance use disord] s]vices2  7,c7     
recomm5dations = improv+ ! inve/m5t     

program "u ?is section2 &  7,d7 any o!r 
consid]ations z ! ,secret>y det]m9es    
appropriate4  4