,i  #aag? ,,congress  #b;d ,session  ,h4
 ,r4 #gdhc  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,april #g1 #bjbb,mr4  
,res*5?al] 7= himself & ,mr4 ,trone7    
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce  ,a  
,,bill  ,to direct ! ,secret>y ( ,heal? 
& ,human ,s]vices to conduct a /udy on !
 direct & indirect co/s ( s]i\s m5tal   
illness = nongov]nm5tal entities1 !     
,f$]al ,gov]nm5t1 & ,/ate1 local1 &     
,tribal gov]nm5ts1 & = o!r purposes4    
#a4 ,%ort title ,?is ,act may be cit$ z 
,co/ ( ,m5tal ,illness ,act ( #bjbb4    
#b4 ,/udy on ! co/s ( s]i\s m5tal       
illness  7a7 ,9 g5]al ,n lat] ?an #ahj  
days aft] ! date ( ! enactm5t ( ?is     
,act1 ! ,secret>y ( ,heal? & ,human     
,s]vices1 9 consultation ) ! ,assi/ant  
,secret>y = ,plann+ & ,evaluation1 !    
,attorney ,g5]al ( ! ,unit$ ,/ates1 !   
,secret>y ( ,labor1 & ! ,secret>y (     
,h\s+ & ,urban ,developm5t1 %all conduct
 a /udy on ! direct & indirect co/s (   
s]i\s m5tal illness ) respect to--  7#a7

 nongov]nm5tal entities2 &  7#b7 !      
,f$]al ,gov]nm5t & ,/ate1 local1 &      
,tribal gov]nm5ts4  7b7 ,cont5t ,! /udy 
"u subsection 7a7 %all consid] ea* ( !  
foll[+3 7#a7 ,! co/s ( ! heal? c>e sy/em
 = all facilities & heal? s]vices1      
includ+--  7,a7 public & private        
inpati5t hospitals1 outpati5t heal? c>e1
 & home heal? c>e2  7,b7 (fice-bas$     
physician visits2  7,c7 prescription    
drugs & digital !rapeutics2  7,d7       
em]g5cy room visits2  7,e7 sub/ance use 
treatm5t2  7,f7 skill$ nurs+ & long-t]m 
c>e facilities = resid5tial1 cu/odial1 &
 g5]al heal? c>e2  7,g7 ) respect to !  
co/s describ$ 9 subp>agraphs 7,a7 ?r\gh 
7,f71 out-(-pocket co/s & co/s = diff]5t
 types ( behavioral heal? & psy*iatric  
illness2 &  7,h7 o!r pr(essional heal?  
s]vices4  7#b7 ,! co/s ( homelessness1  
includ+-- 7,a7 homeless %elt]s2  7,b7   
/reet outrea* activities2  7,c7 crisis  
response c5t] visits2 &  7,d7 o!r       
supportive s]vices4  7#c7 ,! co/s (     
/ructur$ resid5tial facilities & o!r    

supportive h\s+ = resid5tial & cu/odial 
c>e s]vices4  7#d7 ,! co/s ( law        
en=cem5t enc\nt]s & enc\nt]s ) ! crim9al
 ju/ice sy/em1 includ+-- 7,a7 enc\nt]s t
 d & d n result 9 an arre/2  7,b7       
inve/igat+ a crime & judicial proce$+s1 
includ+ ! process ( s5t5c+2  7,c7       
s]vices provid$ by police (fic]s1 %]iff 
deputies1 police dep>tm5ts & %]iff      
(fices1 & judicial /aff 7includ+ public 
def5d]s1 prosecutors1 & private         
attorneys72  7,d7 s]vices provid$ by    
public in/itutions 7includ+ local &     
c\nty jails1 ,/ate prisons1 & paid legal
 gu>dians72  7,e7 public safety co/s to 
transport an individual ) a s]i\s m5tal 
illness to receive m5tal heal? or       
sub/ance use treatm5t s]vices or be     
inc>c]at$ 7includ+ vehicle miles &      
p]sonnel exp5ses72  7,f7 ) respect to   
inmates ) a s]i\s m5tal illness1        
inc>c]ation co/s 9 ,f$]al prison1 ,/ate 
prison1 & local jails 7includ+          
resid5tial1 cu/odial1 & on-site &       
(f-site heal? c>e72 &  7,g7 solit>y     

conf9em5t1 security1 & o!r simil> co/s4 
7#e7 ,! co/s ( address+ s]i\s m5tal     
illness z a disability 9 ! workplace1   
includ+-- 7,a7 r$uc$ wages = individuals
 ) a s]i\s m5tal illness :o are employ$2
 &  7,b7 ! e/imat$ co/s attributable    
to-- 7i7 ! nationwide unemploym5t rate =
 individuals ) a s]i\s m5tal illness2   
7ii7 b5efits payable on ! basis (       
disability to individuals ) a s]i\s     
m5tal illness-- 7,i7 "u title ,,ii or   
,,xvi ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #dja et seq41 #acha et seq472 
or  7,,ii7 f a ,/ate or o!r gov]nm5tal  
entity2 or  7iii7 to ! ext5t feasible1  
lo/ lifetime productivity due to        
disability4  7#f7 ,) respect to family  
memb]s & c>egiv]s1 ! co/s ( c>+ = an    
individual ) a s]i\s m5tal illness1     
includ+-- 7,a7 ! co/ ( unpaid labor2    
7,b7 additional heal? c>e co/s associat$
 ) provid+ ongo+ c>e = an individual ) a
 s]i\s m5tal illness1 includ+ high]     
heal? c>e co/s result+ f /ress &        
anxiety2  7,c7 tak+ leave f "w2 &  7,d7 

out-(-pocket co/s incurr$ :ile c>+ = su*
 individual4  7#g7 ,co/s ) respect to   
fund+ = grants or coop]ative agreem5ts =
 programs or s]vices = basic1           
translational1 & appli$ rese>* =        
individuals ) a s]i\s m5tal illness4    
7#h7 ,! co/s ( work=ce developm5t &     
tra9+ = p]sonnel t int]act ) individuals
 ) a s]i\s m5tal illness1 & insurance = 
su* developm5t & tra9+1 includ+ heal?   
c>e work]s1 social s]vice employees1 law
 en=cem5t1 & fir/ respond]s4  7#i7 ,o!r 
co/s = programs & s]vices adm9i/]$ by ! 
,f$]al ,gov]nm5t or ,/ate1 ,tribal1 or  
local gov]nm5ts4  7c7 ,data             
disaggregation ,9 conduct+ ! /udy "u    
subsection 7a71 ! ,secret>y %all 7to !  
ext5t feasible7-- 7#a7 disaggregate data
 by--  7,a7 co/s to nongov]nm5tal       
entities1 ! ,f$]al ,gov]nm5t1 & ,/ate1  
local1 & ,tribal gov]nm5ts2  7,b7 types 
( s]i\s m5tal illnesses & m$ical *ronic 
diseases common 9 pati5ts ) a s]i\s     
m5tal illness2 &  7,c7 demographic      
*>act]i/ics1 includ+ race1 e?nicity1    

sex1 age 7includ+ p$iatric subgr\ps71 & 
o!r *>act]i/ics det]m9$ by ! ,secret>y2 
&  7#b7 include an e/imate (--  7,a7 !  
total numb] ( individuals ) a s]i\s     
m5tal illness 9 ! ,unit$ ,/ates1 includ+
 9 traditional & nontraditional h\s+2 & 
7,b7 tak+ into acc\nt ! in=mation       
collect$ pursuant to section #c7;b77#c71
 ! p]c5tage ( su* individuals 9--  7i7  
homeless %elt]s2  7ii7 p5al facilities1 
includ+ ,f$]al prisons1 ,/ate prisons1 &
 c\nty & municipal jails2 &  7iii7 nurs+
 facilities4  7d7 ,report ,n lat] ?an #b
 ye>s aft] ! date ( ! enactm5t ( ?is    
,act1 ! ,secret>y %all--  7#a7 submit to
 ! ,congress a report conta9+ ! results 
( ! /udy conduct$ "u ?is section2 &     
7#b7 make su* report publicly available4
  7e7 ,def9itions ,9 ?is section3 7#a7  
,secret>y ,! t]m ,secret>y means !      
,secret>y ( ,heal? & ,human ,s]vices4   
7#b7 ,s]i\s m5tal illness ,! t]m s]i\s  
m5tal illness means a m5tal1 behavioral1
 or emotional disord] result+ 9 a s]i\s 
functional impairm5t t sub/antially     

int]f]es ) or limits "o or m major life 
activities1 includ+ ! foll[+3 7,a7      
,s*izophr5ia1 includ+ s*izoaffective    
disord] & o!r relat$ psy*osis4  7,b7    
,s*izoaffective disord]4  7,c7 ,p]si/5t 
mood disord]1 includ+ bipol> disord] ,i 
& ,,ii4  7,d7 ,major depressive disord]4
  7,e7 ,any o!r su* m5tal1 behavioral1  
or emotional disord]1 z det]m9$ by !    
,secret>y4  7f7 ,au?orization (         
appropriations ,!re is au?oriz$ to be   
appropriat$ to ! ,secret>y to c>ry out  
?is section #c1ejj1jjj = ea* ( fiscal   
ye>s #bjbc & #bjbd4  #c4 ,s*izophr5ia   
surveillance survey  7a7 ,9 g5]al ,!    
,secret>y ( ,heal? & ,human ,s]vices 79 
?is section ref]r$ to z ! ,secret>y71   
act+ ?r\gh ! ,assi/ant ,secret>y =      
,m5tal ,heal? & ,sub/ance ,use1 & 9     
coord9ation ) ! ,director ( ! ,c5t]s =  
,disease ,control & ,prev5tion & !      
,director ( ! ,national ,in/itute (     
,m5tal ,heal?1 %all--  7#a7 conduct a   
surveillance survey to collect !        
in=mation describ$ 9 subsection 7b7 ab\t

 individuals ) s*izophr5ia 9 ! ,unit$   
,/ates2 &  7#b7 n less ?an e #e ye>s1   
update su* survey4  7b7 ,cont5t ,9 c>ry+
 out subsection 7a71 ! ,secret>y %all   
collect-- 7#a7 to ! ext5t practicable1  
in=mation relat+ to individuals )       
s*izophr5ia1 su* z--  7,a7 demographics1
 su* z age1 race1 e?nicity1 sex1        
geographic location1 family hi/ory1 &   
o!r in=mation z appropriate2  7,b7 risk 
factors t may be associat$ ) s*izophr5ia
 su* z environm5tal risk factors & o!r  
in=mation z appropriate2 &  7,c7 av]age 
age at ! "t ( initial diagnosis & "t    
lapses1 if any1 betwe5 ! initial        
diagnosis & ! initiation ( m5tal heal?  
c>e2  7#b7 to ! ext5t practicable1      
in=mation on ! heal? /atus ( individuals
 ) s*izophr5ia1 includ+--  7,a7         
mortality & morbidity rates2  7,b7      
incid5ces ( comorbid *ronic diseases1   
includ+ diabetes1 c>diac conditions1    
emphysema1 cirrhosis1 ,,hiv_/,,aids1 &  
hepatitis ,c2 &  7,c7 ! frequ5cy (      
hospital em]g5cy dep>tm5t utilization2 &

  7#c7 ! p]c5tage ( individuals )       
s*izophr5ia 9--  7,a7 homeless %elt]s2  
7,b7 p5al facilities1 includ+ ,f$]al    
prisons1 ,/ate prisons1 & c\nty &       
municipal jails2  7,c7 nurs+ facilities2
 &  7,d7 inpati5t hospitals4  7c7       
,consultation ,9 c>ry+ out ?is section1 
! ,secret>y %all consult ) individuals )
 appropriate exp]tise1 :i* may include--
 7#a7 epidemiologi/s ) exp]i5ce 9 m5tal 
heal? conditions surveillance2 &  7#b7  
repres5tatives ( national volunt>y heal?
 association & nonpr(it citiz5s         
organizations t-- 7,a7 focus on         
s*izophr5ia & relat$ psy*otic           
conditions2 &  7,b7 h exp]i5ce 9 rese>*1
 c>e1 & pati5t s]vices4  7d7            
,coord9ation ,9 c>ry+ out ?is section1 !
 ,secret>y %all--  7#a7 coord9ate ) !   
,national ,neurological ,conditions     
,surveillance ,sy/em "u section         
#cii,s-#a ( ! ,public ,heal? ,s]vice    
,act 7#db ,u4,s4,c4 #bhj;g-#g;a7 to     
det]m9e any ov]lap betwe5-- 7,a7        
individuals ) s*izophr5ia c\nt$ =       

purposes ( ! survey "u ?is section2 &   
7,b7 individuals ) neurological         
conditions id5tifi$ by ! ,director ( !  
,c5t]s = ,disease ,control & ,prev5tion 
= purposes ( ! ,national ,neurological  
,conditions ,surveillance ,sy/em2 &     
7#b7 coord9ate ) o!r ,f$]al ag5cies1    
includ+ ! ,social ,security             
,adm9i/ration1 ! ,dep>tm5t ( !          
,treasury1 & ! ,dep>tm5t ( ,labor1 to   
use adm9i/rative data1 to ! ext5t       
feasible1 to provide in=mation = !      
survey au?oriz$ by subsection 7a74  7e7 
,grants ,! ,secret>y may aw>d grants to1
 or ent] into contracts or coop]ative   
agreem5ts )1 public or private nonpr(it 
entities to c>ry out activities 9       
fur!rance ( ! surveillance survey "u ?is
 section1 includ+ ! conv5+ ( /akehold]  
meet+s4  7f7 ,report+  7#a7 ,9 g5]al ,! 
,secret>y %all submit to ! ,committee on
 ,en]gy & ,comm]ce ( ! ,h\se (          
,repres5tatives & ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions (
 ! ,s5ate--  7,a7 n lat] ?an #b ye>s    

aft] ! date ( enactm5t ( ?is ,act1 a    
report conta9+ f9d+s ( ! surveillance   
survey "u ?is section1 includ+ aggregate
 in=mation collect$ & epidemiological   
analyses1 z appropriate2 &  7,b7 n less 
?an e #e ye>s :5 an updat$ survey is    
conduct$ pursuant to subsection 7a77#b71
 an updat$ report4  7#b7 ,po/+ ,!       
,secret>y %all po/ ! report "u p>agraph 
7#a7 & ea* update "u p>agraph 7#b7 on ! 
public website ( ! ,dep>tm5t ( ,heal? & 
,human ,s]vices4  7g7 ,au?orization (   
appropriations ,to c>ry out ?is section1
 !re is au?oriz$ to be appropriat$      
#ej1jjj1jjj = ! p]iod ( fiscal ye>s     
#bjbc ?r\gh #bjbg4