#aagth ,,congress #b;d ,session ,h4 ,r4 #gfff ,,an ,,act ,to amend the ,public ,health ,service ,act to reauthorize certain programs relating to mental health and substance use disorders1 and for other purposes4 #a4 ,short title2 table of contents 7a7 ,short title ,this ,act may be cited as the ,restoring ,hope for ,mental ,health and ,well-,being ,act of #bjbb4 7b7 ,table of contents ,the table of contents for this ,act is as follows3 ,sec4 #a4 ,short title2 table of contents4 ,title ,i--,mental ,health and ,crisis ,care ,needs ,subtitle ,a--,crisis ,care ,services and #i-h-h ,implementation ,sec4 #aja4 ,behavioral ,health ,crisis ,coordinating ,office4 ,sec4 #ajb4 ,crisis response continuum of care4 ,sec4 #ajc4 ,suicide ,prevention ,lifeline ,improvement4 ,subtitle ,b--,into the ,light for ,maternal ,mental ,health and ,substance ,use ,disorders ,sec4 #aaa4 ,screening and treatment for maternal mental health and substance use disorders4 ,sec4 #aab4 ,maternal mental health hotline4 ,sec4 #aac4 ,task force on maternal mental health4 ,subtitle ,c--,reaching ,improved ,mental ,health ,outcomes for ,patients ,sec4 #aba4 ,innovation for mental health4 ,sec4 #abb4 ,crisis care coordination4 ,sec4 #abc4 ,treatment of serious mental illness4 ,sec4 #abd4 ,study on the costs of serious mental illness4 ,subtitle ,d--,anna ,westin ,legacy ,sec4 #aca4 ,maintaining education and training on eating disorders4 ,subtitle ,e--,community ,mental ,health ,services ,block ,grant ,reauthorization ,sec4 #ada4 ,reauthorization of block grants for community mental health services4 ,subtitle ,f--,peer-,supported ,mental ,health ,services ,sec4 #aea4 ,peer-supported mental health services4 ,subtitle ,g--,military ,suicide ,prevention in the #bast ,century ,sec4 #afa4 ,pilot program on pre-programming of suicide prevention resources into smart devices issued to members of the ,armed ,forces4 ,title ,,ii--,substance ,use ,disorder ,prevention1 ,treatment1 and ,recovery ,services ,subtitle ,a--,native ,behavioral ,health ,access ,improvement ,sec4 #bja4 ,behavioral health and substance use disorder services for ,native ,americans4 ,subtitle ,b--,summer ,barrow ,prevention1 ,treatment1 and ,recovery ,sec4 #baa4 ,grants for the benefit of homeless individuals4 ,sec4 #bab4 ,priority substance abuse treatment needs of regional and national significance4 ,sec4 #bac4 ,evidence-based prescription opioid and heroin treatment and interventions demonstration4 ,sec4 #bad4 ,priority substance use disorder prevention needs of regional and national significance4 ,sec4 #bae4 ,sober ,truth on ,preventing 7,,stop7 ,underage ,drinking ,reauthorization4 ,sec4 #baf4 ,grants for jail diversion programs4 ,sec4 #bag4 ,formula grants to ,states4 ,sec4 #bah4 ,projects for ,assistance in ,transition ,from ,homelessness4 ,sec4 #bai4 ,grants for reducing overdose deaths4 ,sec4 #bbj4 ,opioid overdose reversal medication access and education grant programs4 ,sec4 #bba4 ,state demonstration grants for comprehensive opioid abuse response4 ,sec4 #bbb4 ,emergency department alternatives to opioids4 ,subtitle ,c--,excellence in ,recovery ,housing ,sec4 #bca4 ,clarifying the role of ,,samhsa in promoting the availability of high-quality recovery housing4 ,sec4 #bcb4 ,developing guidelines for ,states to promote the availability of high-quality recovery housing4 ,sec4 #bcc4 ,coordination of ,federal activities to promote the availability of recovery housing4 ,sec4 #bcd4 ,,nas study and report4 ,sec4 #bce4 ,grants for ,states to promote the availability of recovery housing and services4 ,sec4 #bcf4 ,funding4 ,sec4 #bcg4 ,technical correction4 ,subtitle ,d--,substance ,use ,prevention1 ,treatment1 and ,recovery ,services ,block ,grant ,sec4 #bda4 ,eliminating stigmatizing language relating to substance use4 ,sec4 #bdb4 ,authorized activities4 ,sec4 #bdc4 ,requirements relating to certain infectious diseases and human immunodeficiency virus4 ,sec4 #bdd4 ,state plan requirements4 ,sec4 #bde4 ,updating certain language relating to ,tribes4 ,sec4 #bdf4 ,block grants for substance use prevention1 treatment1 and recovery services4 ,sec4 #bdg4 ,requirement of reports and audits by ,states4 ,sec4 #bdh4 ,study on assessment for use in distribution of limited ,state resources4 ,subtitle ,e--,timely ,treatment for ,opioid ,use ,disorder ,sec4 #bea4 ,study on exemptions for treatment of opioid use disorder through opioid treatment programs during the ,,covid-#ai public health emergency4 ,sec4 #beb4 ,changes to ,federal opioid treatment standards4 ,subtitle ,f--,additional ,provisions ,relating to ,addiction ,treatment ,sec4 #bfa4 ,prohibition4 ,sec4 #bfb4 ,eliminating additional requirements for dispensing narcotic drugs in schedule ,,iii1 ,,iv1 and ,v for maintenance or detoxification treatment4 ,sec4 #bfc4 ,requiring prescribers of controlled substances to complete training4 ,sec4 #bfd4 ,increase in number of days before which certain controlled substances must be administered4 ,sec4 #bfe4 ,block1 report1 and suspend suspicious shipments4 ,subtitle ,g--,opioid ,epidemic ,response ,sec4 #bga4 ,opioid prescription verification4 ,sec4 #bgb4 ,synthetic ,opioid ,danger ,awareness4 ,sec4 #bgc4 ,grant program for ,state and ,tribal response to opioid and stimulant use and misuse4 ,title ,,iii--,access to ,mental ,health ,care and ,coverage ,subtitle ,a--,collaborate in an ,orderly and ,cohesive ,manner ,sec4 #cja4 ,increasing uptake of the collaborative care model4 ,subtitle ,b--,helping ,enable ,access to ,lifesaving ,services ,sec4 #caa4 ,reauthorization and provision of certain programs to strengthen the health care workforce4 ,sec4 #cab4 ,reauthorization of minority fellowship program4 ,subtitle ,c--,eliminating the ,opt-,out for ,nonfederal ,governmental ,health ,plans ,sec4 #cba4 ,eliminating the opt-out for nonfederal governmental health plans4 ,subtitle ,d--,mental health and substance use disorder parity implementation ,sec4 #cca4 ,grants to support mental health and substance use disorder parity implementation4 ,subtitle ,e--,improving ,emergency ,department ,mental ,health ,access1 ,services1 and ,responders ,sec4 #cda4 ,helping emergency responders overcome4 ,subtitle ,f--,other ,provisions ,sec4 #cea4 ,report on ,law ,enforcement ,mental ,health and ,wellness4 ,title ,,iv--,children and ,youth ,subtitle ,a--,supporting ,children's ,mental ,health ,care ,access ,sec4 #dja4 ,pediatric mental health care access grants4 ,sec4 #djb4 ,infant and early childhood mental health promotion1 intervention1 and treatment4 ,sec4 #djc4 ,school-based mental health2 children and adolescents4 ,sec4 #djd4 ,co-occurring chronic conditions and mental health in youth study4 ,sec4 #dje4 ,best practices for behavioral intervention teams4 ,subtitle ,b--,continuing ,systems of ,care for ,children ,sec4 #daa4 ,comprehensive ,community ,mental ,health ,services for ,children with ,serious ,emotional ,disturbances4 ,sec4 #dab4 ,substance ,use ,disorder ,treatment and ,early ,intervention ,services for ,children and ,adolescents4 ,subtitle ,c--,garrett ,lee ,smith ,memorial ,reauthorization ,sec4 #dba4 ,suicide prevention technical assistance center4 ,sec4 #dbb4 ,youth suicide early intervention and prevention strategies4 ,sec4 #dbc4 ,mental health and substance use disorder services for students in higher education4 ,sec4 #dbd4 ,mental and behavioral health outreach and education at institutions of higher education4 ,subtitle ,d--,media and ,mental ,health ,sec4 #dca4 ,study on the effects of smartphone and social media use on adolescents4 ,sec4 #dcb4 ,research on the health and development effects of media on infants1 children1 and adolescents4 ,title ,v--,medicaid and ,,chip ,sec4 #eja4 ,medicaid and ,,chip requirements for health screenings and referrals for eligible juveniles in public institutions4 ,sec4 #ejb4 ,guidance on reducing administrative barriers to providing health care services in schools4 ,sec4 #ejc4 ,guidance to ,states on supporting pediatric behavioral health services under ,medicaid and ,,chip4 ,sec4 #ejd4 ,ensuring children receive timely access to care4 ,sec4 #eje4 ,strategies to increase access to telehealth under ,medicaid and ,,chip4 ,sec4 #ejf4 ,removal of limitations on ,federal financial participation for inmates who are eligible juveniles pending disposition of charges4 ,title ,,vi--,miscellaneous ,provisions ,sec4 #fja4 ,determination of budgetary effects4 ,sec4 #fjb4 ,oversight of pharmacy benefit manager services4 ,sec4 #fjc4 ,medicare ,improvement ,fund4 ,sec4 #fjd4 ,limitations on authority4 ,i ,mental ,health and ,crisis ,care ,needs ,a ,crisis ,care ,services and #i-h-h ,implementation #aja4 ,behavioral ,health ,crisis ,coordinating ,office ,part ,a of title ,v of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;aa et seq47 is amended by adding at the end the following3 #ejf;,b4 ,behavioral ,health ,crisis ,coordinating ,office 7a7 ,in general ,the ,secretary shall establish1 within the ,substance ,abuse and ,mental ,health ,services ,administration1 an office to coordinate work relating to behavioral health crisis care across the operating divisions and agencies of the ,department of ,health and ,human ,services1 including the ,substance ,abuse and ,mental ,health ,services ,administration1 the ,centers for ,medicare ,medicaid ,services1 and the ,health ,resources and ,services ,administration1 and external stakeholders4 7b7 ,duty ,the office established under subsection 7a7 shall-- 7#a7 convene ,federal1 ,state1 ,tribal1 local1 and private partners2 7#b7 launch and manage ,federal workgroups charged with making recommendations regarding behavioral health crisis issues1 including with respect to health care best practices1 workforce development1 mental health disparities1 data collection1 technology1 program oversight1 public awareness1 and engagement2 and 7#c7 support technical assistance1 data analysis1 and evaluation functions in order to assist ,states1 localities1 ,territories1 ,tribes1 and ,tribal communities to develop crisis care systems and establish nationwide best practices with the objective of expanding the capacity of1 and access to1 local crisis call centers1 mobile crisis care1 crisis stabilization1 psychiatric emergency services1 and rapid post-crisis follow-up care provided by-- 7,a7 the ,national ,suicide ,prevention and ,mental ,health ,crisis ,hotline and ,response ,system2 7,b7 the ,veterans ,crisis ,line2 7,c7 community mental health centers 7as defined in section #ahfa7;ff77#c77;,b7 of the ,social ,security ,act72 7,d7 certified community behavioral health clinics1 as described in section #bbc of the ,protecting ,access to ,medicare ,act of #bjad2 and 7,e7 other community mental health and substance use disorder providers4 7c7 ,authorization of appropriations ,there is authorized to be appropriated to carry out this section #e1jjj1jjj for each of fiscal years #bjbc through #bjbg4 4 #ajb4 ,crisis response continuum of care ,subpart #c of part ,b of title ,v of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#ca et seq47 is amended by adding at the end the following3 #ebj,n4 ,crisis response continuum of care 7a7 ,in general ,the ,secretary shall publish best practices for a crisis response continuum of care for use by health care providers1 crisis services administrators1 and crisis services providers in responding to individuals 7including children and adolescents7 experiencing mental health crises1 substance-related crises1 and crises arising from co-occurring disorders4 7b7 ,best practices 7#a7 ,scope of best practices ,the best practices published under subsection 7a7 shall define-- 7,a7 a minimum set of core crisis response services1 as determined by the ,secretary1 for each entity that furnishes such services1 that-- 7i7 do not require prior authorization from an insurance provider or group health plan nor a referral from a health care provider prior to the delivery of services2 7ii7 provide for serving all individuals regardless of age or ability to pay2 7iii7 provide for operating #bd hours a day1 #g days a week2 and 7iv7 provide for care and support through resources described in paragraph 7#b77;,a7 until the individual has been stabilized or transferred to the next level of crisis care2 and 7,b7 psychiatric stabilization1 including the point at which a case may be closed for-- 7i7 individuals screened over the phone2 and 7ii7 individuals stabilized on the scene by mobile teams4 7#b7 ,identification of essential functions ,the best practices published under subsection 7a7 shall identify the essential functions of each service in the crisis response continuum1 which shall include at least the following3 7,a7 ,identification of resources for referral and enrollment in continuing mental health1 substance use1 or other human services relevant for the individual in crisis where necessary4 7,b7 ,delineation of access and entry points to services within the crisis response continuum4 7,c7 ,development of protocols and agreements for the transfer and receipt of individuals to and from other segments of the crisis response continuum segments as needed1 and from outside referrals including health care providers1 first responders including law enforcement1 paramedics1 and firefighters1 education institutions1 and community-based organizations4 7,d7 ,description of the qualifications of crisis services staff1 including roles for physicians1 licensed clinicians1 case managers1 and peers 7in accordance with ,state licensing requirements or requirements applicable to ,tribal health professionals74 7,e7 ,the convening of collaborative meetings of crisis response service providers1 first responders including law enforcement1 paramedics1 and firefighters1 and community partners 7including ,national ,suicide ,prevention ,lifeline or #i-h-h call centers1 #i-a-a public service answering points1 and local mental health and substance use disorder treatment providers7 operating in a common region for the discussion of case management1 best practices1 and general performance improvement4 7#c7 ,service capacity and quality best practices ,the best practices under subsection 7a7 shall include recommendations on-- 7,a7 adequate volume of services to meet population need2 7,b7 appropriate timely response2 and 7,c7 capacity to meet the needs of different patient populations that may experience a mental health or substance use crisis1 including children1 families1 and all age groups1 cultural and linguistic minorities1 veterans1 individuals with co-occurring mental health and substance use disorders1 individuals with cognitive disabilities1 individuals with developmental delays1 and individuals with chronic medical conditions and physical disabilities4 7#d7 ,implementation timeframe ,the ,secretary shall-- 7,a7 not later than #a year after the date of enactment of this section1 publish and maintain the best practices required by subsection 7a72 and 7,b7 every two years thereafter1 publish updates4 7#e7 ,data collection and evaluations ,the ,secretary1 directly or through grants1 contracts1 or interagency agreements1 shall collect data and conduct evaluations with respect to the provision of services and programs offered on the crisis response continuum for purposes of assessing the extent to which the provision of such services and programs meet certain objectives and outcomes measures as determined by the ,secretary4 ,such objectives shall include-- 7,a7 a reduction in reliance on law enforcement response1 as appropriate1 to individuals in crisis who would be more appropriately served by a mobile crisis team capable of responding to mental health and substance-related crises2 7,b7 a reduction in boarding or extended holding of patients in emergency room facilities who require further psychiatric care1 including care for substance use disorders2 7,c7 evidence of adequate access to crisis care centers and crisis bed services2 and 7,d7 evidence of adequate linkage to appropriate post-crisis care and longitudinal treatment for mental health or substance use disorder when relevant4 4 #ajc4 ,suicide ,prevention ,lifeline ,improvement 7a7 ,suicide ,prevention ,lifeline 7#a7 ,plan ,section #ebj;,e-#c of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#cf;c7 is amended-- 7,a7 by redesignating subsection 7c7 as subsection 7e72 and 7,b7 by inserting after subsection 7b7 the following3 7c7 ,plan 7#a7 ,in general ,for purposes of maintaining the suicide prevention hotline under subsection 7b77#b71 the ,secretary shall develop and implement a plan to ensure the provision of high-quality service4 7#b7 ,contents ,the plan required by paragraph 7#a7 shall include the following3 7,a7 ,quality assurance provisions1 including-- 7i7 clearly defined and measurable performance indicators and objectives to improve the responsiveness and performance of the hotline1 including at backup call centers2 and 7ii7 quantifiable timeframes to track the progress of the hotline in meeting such performance indicators and objectives4 7,b7 ,standards that crisis centers and backup centers must meet-- 7i7 to participate in the network under subsection 7b77#a72 and 7ii7 to ensure that each telephone call1 online chat message1 and other communication received by the hotline1 including at backup call centers1 is answered in a timely manner by a person1 consistent with the guidance established by the ,american ,association of ,suicidology or other guidance determined by the ,secretary to be appropriate4 7,c7 ,guidelines for crisis centers and backup centers to implement evidence-based practices including with respect to followup and referral to other health and social services resources4 7,d7 ,guidelines to ensure that resources are available and distributed to individuals using the hotline who are not personally in a time of crisis but know of someone who is4 7,e7 ,guidelines to carry out periodic testing of the hotline1 including at crisis centers and backup centers1 during each fiscal year to identify and correct any problems in a timely manner4 7,f7 ,guidelines to operate in consultation with the ,state department of health1 local governments1 ,indian tribes1 and tribal organizations4 7#c7 ,initial plan2 updates ,the ,secretary shall-- 7,a7 not later than #f months after the date of enactment of the ,restoring ,hope for ,mental ,health and ,well-,being ,act of #bjbb1 complete development of the initial version of the plan required by paragraph 7#a71 begin implementation of such plan1 and make such plan publicly available2 and 7,b7 periodically thereafter1 update such plan and make the updated plan publicly available4 4 7#b7 ,transmission of data to ,,cdc ,section #ebj;,e-#c of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#cf;c7 is amended by inserting after subsection 7c7 of such section1 as added by paragraph 7#a71 the following3 7d7 ,transmission of data to ,,cdc ,the ,secretary shall formalize and strengthen agreements between the ,national ,suicide ,prevention ,lifeline program and the ,centers for ,disease ,control and ,prevention to transmit any necessary epidemiological data from the program to the ,centers1 including local call center data1 to assist the ,centers in suicide prevention efforts4 4 7#c7 ,authorization of appropriations ,subsection 7e7 of section #ebj;,e-#c of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#cf;c7 is amended to read as follows3 7e7 ,authorization of appropriations 7#a7 ,in general ,to carry out this section1 there are authorized to be appropriated #aja1fba1jjj for each of fiscal years #bjbc through #bjbg4 7#b7 ,allocation ,of the amount authorized to be appropriated by paragraph 7#a7 for each of fiscal years #bjbc through #bjbg-- 7,a7 at least #hj percent shall be made available to crisis centers2 and 7,b7 not more than #aj percent may be used for carrying out the pilot program in section #ajc7;b77#a7 of the ,restoring ,hope for ,mental ,health and ,well-,being ,act of #bjbb4 4 7b7 ,pilot program on innovative technologies 7#a7 ,in general ,the ,secretary of ,health and ,human ,services1 acting through the ,assistant ,secretary for ,mental ,health and ,substance ,use1 shall carry out a pilot program to research1 analyze1 and employ various technologies and platforms of communication 7including social media platforms1 texting platforms1 and email platforms7 for suicide prevention in addition to the telephone and online chat service provided by the ,suicide ,prevention ,lifeline4 7#b7 ,report ,not later than #bd months after the date on which the pilot program under paragraph 7#a7 commences1 the ,secretary of ,health and ,human ,services1 acting through the ,assistant ,secretary for ,mental ,health and ,substance ,use1 shall submit to the ,congress a report on the pilot program4 ,with respect to each platform of communication employed pursuant to the pilot program1 the report shall include-- 7,a7 a full description of the program2 7,b7 the number of individuals served by the program2 7,c7 the average wait time for each individual to receive a response2 7,d7 the cost of the program1 including the cost per individual served2 and 7,e7 any other information the ,secretary determines appropriate4 7c7 ,,hhs study and report ,not later than #bd months after the ,secretary of ,health and ,human ,services begins implementation of the plan required by section #ebj;,e-#c7;c7 of the ,public ,health ,service ,act1 as added by subsection 7a77#a77;,b71 the ,secretary shall-- 7#a7 complete a study on-- 7,a7 the implementation of such plan1 including the progress towards meeting the objectives identified pursuant to paragraph 7#b77;,a77i7 of such section #ebj;,e-#c7;c7 by the timeframes identified pursuant to paragraph 7#b77;,a77ii7 of such section #ebj;,e-#c7;c72 and 7,b7 in consultation with the ,director of the ,centers for ,disease ,control and ,prevention1 options to expand data gathering from calls to the ,suicide ,prevention ,lifeline in order to better track aspects of usage such as repeat calls1 consistent with applicable ,federal and ,state privacy laws2 and 7#b7 submit a report to the ,congress on the results of such study1 including recommendations on whether additional legislation or appropriations are needed4 7d7 ,,gao study and report 7#a7 ,in general ,not later than #bd months after the ,secretary of ,health and ,human ,services begins implementation of the plan required by section #ebj;,e-#c7;c7 of the ,public ,health ,service ,act1 as added by subsection 7a77#a77;,b71 the ,comptroller ,general of the ,united ,states shall-- 7,a7 complete a study on the ,suicide ,prevention ,lifeline2 and 7,b7 submit a report to the ,congress on the results of such study4 7#b7 ,issues ,to be studied ,the study required by paragraph 7#a7 shall address-- 7,a7 the feasibility of geolocating callers to direct calls to the nearest crisis center2 7,b7 operation shortcomings of the ,suicide ,prevention ,lifeline2 7,c7 geographic coverage of each crisis call center2 7,d7 the call answer rate of each crisis call center2 7,e7 the call wait time of each crisis call center2 7,f7 the hours of operation of each crisis call center2 7,g7 funding avenues of each crisis call center2 7,h7 the implementation of the plan under section #ebj;,e-#c7;c7 of the ,public ,health ,service ,act1 as added by subsection 7a77#a77;,b71 including the progress towards meeting the objectives identified pursuant to paragraph 7#b77;,a77i7 of such section #ebj;,e-#c7;c7 by the timeframes identified pursuant to paragraph 7#b77;,a77ii7 of such section #ebj;,e-#c7;c72 and 7,i7 service to individuals requesting a foreign language speaker1 including-- 7i7 the number of calls or chats the ,lifeline receives from individuals speaking a foreign language2 7ii7 the capacity of the ,lifeline to handle these calls or chats2 and 7iii7 the number of crisis centers with the capacity to serve foreign language speakers1 in house4 7#c7 ,recommendations ,the report required by paragraph 7#a7 shall include recommendations for improving the ,suicide ,prevention ,lifeline1 including recommendations for legislative and administrative actions4 7e7 ,definition ,in this section1 the term ,suicide ,prevention ,lifeline means the suicide prevention hotline maintained pursuant to section #ebj;,e-#c of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#cf;c74 ,b ,into the ,light for ,maternal ,mental ,health and ,substance ,use ,disorders #aaa4 ,screening and treatment for maternal mental health and substance use disorders 7a7 ,in general ,section #cag,l-#a of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdg;b-#ac;a7 is amended-- 7#a7 in the section heading1 by striking maternal depression and inserting maternal mental health and substance use disorders2 and 7#b7 in subsection 7a7-- 7,a7 by inserting 1 ,indian ,tribes and ,tribal organizations 7as such terms are defined in section #d of the ,indian ,self-,determination and ,education ,assistance ,act71 and ,urban ,indian organizations 7as such term is defined under the ,federally ,recognized ,indian ,tribe ,list ,act of #aiid7 after ,states2 and 7,b7 by striking for women who are pregnant1 or who have given birth within the preceding #ab months1 for maternal depression and inserting for women who are postpartum1 pregnant1 or have given birth within the preceding #ab months1 for maternal mental health and substance use disorders4 7b7 ,application ,subsection 7b7 of section #cag,l-#a of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdg;b-#ac;a7 is amended-- 7#a7 by striking a ,state shall submit and inserting an entity listed in subsection 7a7 shall submit2 and 7#b7 in paragraphs 7#a7 and 7#b71 by striking maternal depression each place it appears and inserting maternal mental health and substance use disorders4 7c7 ,priority ,subsection 7c7 of section #cag,l-#a of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdg;b-#ac;a7 is amended-- 7#a7 by striking may give priority to ,states proposing to improve or enhance access to screening and inserting the following3 shall give priority to entities listed in subsection 7a7 that-- 7#a7 are proposing to create1 improve1 or enhance screening1 prevention1 and treatment 2 7#b7 by striking maternal depression and inserting maternal mental health and substance use disorders2 7#c7 by striking the period at the end of paragraph 7#a71 as so designated1 and inserting a semicolon2 and 7#d7 by inserting after such paragraph 7#a7 the following3 7#b7 are currently partnered with1 or will partner with1 a community-based organization to address maternal mental health and substance use disorders2 7#c7 are located in an area with high rates of adverse maternal health outcomes or significant health1 economic1 racial1 or ethnic disparities in maternal health and substance use disorder outcomes2 and 7#d7 operate in a health professional shortage area designated under section #ccb4 4 7d7 ,use of funds ,subsection 7d7 of section #cag,l-#a of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdg;b-#ac;a7 is amended-- 7#a7 in paragraph 7#a7-- 7,a7 in subparagraph 7,a71 by striking to health care providers2 and and inserting on maternal mental health and substance use disorder screening1 brief intervention1 treatment 7as applicable for health care providers71 and referrals for treatment to health care providers in the primary care setting and nonclinical perinatal support workers22 7,b7 in subparagraph 7,b71 by striking to health care providers1 including information on maternal depression screening1 treatment1 and followup support services1 and linkages to community-based resources2 and and inserting on maternal mental health and substance use disorder screening1 brief intervention1 treatment 7as applicable for health care providers7 and referrals for treatment1 follow-up support services1 and linkages to community-based resources to health care providers in the primary care setting and clinical perinatal support workers2 and2 and 7,c7 by adding at the end the following3 7,c7 enabling health care providers 7such as obstetrician-gynecologists1 nurse practitioners1 nurse midwives1 pediatricians1 psychiatrists1 mental and other behavioral health care providers1 and adult primary care clinicians7 to provide or receive real-time psychiatric consultation 7in-person or remotely71 including through the use of technology-enabled collaborative learning and capacity building models 7as defined in section #ccj,n71 to aid in the treatment of pregnant and postpartum women2 and 2 and 7#b7 in paragraph 7#b7-- 7,a7 by striking subparagraph 7,a7 and redesignating subparagraphs 7,b7 and 7,c7 as subparagraphs 7,a7 and 7,b71 respectively2 7,b7 in subparagraph 7,a71 as redesignated1 by striking and at the end2 7,c7 in subparagraph 7,b71 as redesignated-- 7i7 by inserting 1 including before for rural areas2 and 7ii7 by striking the period at the end and inserting a semicolon2 and 7,d7 by inserting after subparagraph 7,b71 as redesignated1 the following3 7,c7 providing assistance to pregnant and postpartum women to receive maternal mental health and substance use disorder treatment1 including patient consultation1 care coordination1 and navigation for such treatment2 7,d7 coordinating with maternal and child health programs of the ,federal ,government and ,state1 local1 and ,tribal governments1 including child psychiatric access programs2 7,e7 conducting public outreach and awareness regarding grants under subsection 7a72 7,f7 creating multistate consortia to carry out the activities required or authorized under this subsection2 and 7,g7 training health care providers in the primary care setting and nonclinical perinatal support workers on trauma-informed care1 culturally and linguistically appropriate services1 and best practices related to training to improve the provision of maternal mental health and substance use disorder care for racial and ethnic minority populations1 including with respect to perceptions and biases that may affect the approach to1 and provision of1 care4 4 7e7 ,additional provisions ,section #cag,l-#a of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdg;b-#ac;a7 is amended-- 7#a7 by redesignating subsection 7e7 as subsection 7h72 and 7#b7 by inserting after subsection 7d7 the following3 7e7 ,technical assistance ,the ,secretary shall provide technical assistance to grantees and entities listed in subsection 7a7 for carrying out activities pursuant to this section4 7f7 ,dissemination of best practices ,the ,secretary1 based on evaluation of the activities funded pursuant to this section1 shall identify and disseminate evidence-based or evidence-informed best practices for screening1 assessment1 and treatment services for maternal mental health and substance use disorders1 including culturally and linguistically appropriate services1 for women during pregnancy and #ab months following pregnancy4 7g7 ,matching requirement ,the ,federal share of the cost of the activities for which a grant is made to an entity under subsection 7a7 shall not exceed #ij percent of the total cost of such activities4 4 7f7 ,authorization of appropriations ,subsection 7h7 of section #cag,l-#a 7#db ,u4,s4,c4 #bdg;b-#ac;a7 of the ,public ,health ,service ,act1 as redesignated1 is further amended-- 7#a7 by striking #e1jjj1jjj and inserting #bd1jjj1jjj2 and 7#b7 by striking #bjah through #bjbb and inserting #bjbc through #bjbg4 #aab4 ,maternal mental health hotline ,part ,p of title ,,iii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;g et seq47 is amended by adding at the end the following3 #cii,v-#g4 ,maternal mental health hotline 7a7 ,in general ,the ,secretary shall maintain1 directly or by grant or contract1 a national hotline to provide emotional support1 information1 brief intervention1 and mental health and substance use disorder resources to pregnant and postpartum women at risk of1 or affected by1 maternal mental health and substance use disorders1 and to their families or household members4 7b7 ,requirements for hotline ,the hotline under subsection 7a7 shall-- 7#a7 be a #bd_/g real-time hotline2 7#b7 provide voice and text support2 7#c7 be staffed by certified peer specialists1 licensed health care professionals1 or licensed mental health professionals who are trained on-- 7,a7 maternal mental health and substance use disorder prevention1 identification1 and intervention2 and 7,b7 providing culturally and linguistically appropriate support2 and 7#d7 provide maternal mental health and substance use disorder assistance and referral services to meet the needs of underserved populations1 individuals with disabilities1 and family and household members of pregnant or postpartum women at risk of experiencing maternal mental health and substance use disorders4 7c7 ,additional requirements ,in maintaining the hotline under subsection 7a71 the ,secretary shall-- 7#a7 consult with the ,domestic ,violence ,hotline1 ,national ,suicide ,prevention ,lifeline1 and ,veterans ,crisis ,line to ensure that pregnant and postpartum women are connected in real-time to the appropriate specialized hotline service1 when applicable2 7#b7 conduct a public awareness campaign for the hotline2 7#c7 consult with ,federal departments and agencies1 including the ,centers of ,excellence of the ,substance ,abuse and ,mental ,health ,services ,administration and the ,department of ,veterans ,affairs1 to increase awareness regarding the hotline2 and 7#d7 consult with appropriate ,state1 local1 and ,tribal public health officials1 including officials that administer programs that serve low-income pregnant and postpartum individuals4 7d7 ,annual report ,the ,secretary shall submit an annual report to the ,congress on the hotline under subsection 7a7 and implementation of this section1 including-- 7#a7 an evaluation of the effectiveness of activities conducted or supported under subsection 7a72 7#b7 a directory of entities or organizations to which staff maintaining the hotline funded under this section may make referrals2 and 7#c7 such additional information as the ,secretary determines appropriate4 7e7 ,authorization of appropriations ,to carry out this section1 there are authorized to be appropriated #aj1jjj1jjj for each of fiscal years #bjbc through #bjbg4 4 #aac4 ,task force on maternal mental health ,part ,b of title ,,iii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdc et seq47 is amended by inserting after section #cag,l-#a 7#db ,u4,s4,c4 #bdg;b-#ac;a7 the following3 #cag,l-#b4 ,task force on maternal mental health 7a7 ,establishment ,not later than #ahj days after the date of enactment of the ,restoring ,hope for the ,mental ,health and ,well-,being ,act of #bjbb1 the ,secretary1 for purposes of identifying1 evaluating1 and making recommendations to coordinate and improve ,federal responses to maternal mental health conditions1 shall-- 7#a7 establish a task force to be known as the ,task ,force on ,maternal ,mental ,health 7in this section referred to as the ,task ,force72 or 7#b7 incorporate the duties1 public meetings1 and reports specified in subsections 7c7 through 7f7 into existing ,federal policy forums1 including the ,maternal ,health ,interagency ,policy ,committee and the ,maternal ,health ,working ,group1 as appropriate4 7b7 ,membership 7#a7 ,composition ,the ,task ,force shall be composed of-- 7,a7 the ,federal members under paragraph 7#b72 and 7,b7 the non-,federal members under paragraph 7#c74 7#b7 ,federal members ,the ,federal members of the ,task ,force shall consist of the following heads of ,federal departments and agencies 7or their designees73 7,a7 ,the ,assistant ,secretary for ,health of the ,department of ,health and ,human ,services1 who shall serve as ,chair4 7,b7 ,the ,assistant ,secretary for ,planning and ,evaluation of the ,department of ,health and ,human ,services4 7,c7 ,the ,assistant ,secretary of the ,administration for ,children and ,families4 7,d7 ,the ,director of the ,centers for ,disease ,control and ,prevention4 7,e7 ,the ,administrator of the ,centers for ,medicare ,medicaid ,services4 7,f7 ,the ,administrator of the ,health ,resources and ,services ,administration4 7,g7 ,the ,director of the ,indian ,health ,service4 7,h7 ,the ,assistant ,secretary for ,mental ,health and ,substance ,use4 7,i7 ,such other ,federal departments and agencies as the ,secretary determines appropriate that serve individuals with maternal mental health conditions4 7#c7 ,non-,federal members ,the non-,federal members of the ,task ,force shall-- 7,a7 compose not more than one-half1 and not less than one-third1 of the total membership of the ,task ,force2 7,b7 be appointed by the ,secretary2 and 7,c7 include-- 7i7 representatives of medical societies with expertise in maternal or mental health2 7ii7 representatives of nonprofit organizations with expertise in maternal or mental health2 7iii7 relevant industry representatives2 and 7iv7 other representatives1 as appropriate4 7#d7 ,deadline for designating designees ,if the ,assistant ,secretary for ,health1 or the head of a ,federal department or agency serving as a member of the ,task ,force under paragraph 7#b71 chooses to be represented on the ,task ,force by a designee1 the ,assistant ,secretary or department or agency head shall designate such designee not later than #ij days after the date of the enactment of this section4 7c7 ,duties ,the ,task ,force shall-- 7#a7 prepare and regularly update a report that analyzes and evaluates the state of national maternal mental health policy and programs at the ,federal1 ,state1 and local levels1 and identifies best practices with respect to maternal mental health policy1 including-- 7,a7 a set of evidence-based1 evidence-informed1 and promising practices with respect to-- 7i7 prevention strategies for individuals at risk of experiencing a maternal mental health condition1 including strategies and recommendations to address health inequities2 7ii7 the identification1 screening1 diagnosis1 intervention1 and treatment of individuals and families affected by a maternal mental health condition2 7iii7 the expeditious referral to1 and implementation of1 practices and supports that prevent and mitigate the effects of a maternal mental health condition1 including strategies and recommendations to eliminate the racial and ethnic disparities that exist in maternal mental health2 and 7iv7 community-based or multigenerational practices that support individuals and families affected by a maternal mental health condition2 and 7,b7 ,federal and ,state programs and activities to prevent1 screen1 diagnose1 intervene1 and treat maternal mental health conditions2 7#b7 develop and regularly update a national strategy for maternal mental health1 taking into consideration the findings of the report under paragraph 7#a71 on how the ,task ,force and ,federal departments and agencies represented on the ,task ,force may prioritize options for1 and may implement a coordinated approach to1 addressing maternal mental health conditions1 including by-- 7,a7 increasing prevention1 screening1 diagnosis1 intervention1 treatment1 and access to care1 including clinical and nonclinical care such as peer-support and community health workers1 through the public and private sectors2 7,b7 providing support for pregnant or postpartum individuals who are at risk for or experiencing a maternal mental health condition1 and their families1 as appropriate2 7,c7 reducing racial1 ethnic1 geographic1 and other health disparities for prevention1 diagnosis1 intervention1 treatment1 and access to care2 7,d7 identifying options for modifying1 strengthening1 and coordinating ,federal programs and activities1 such as the ,medicaid program under title ,,xix of the ,social ,security ,act and the ,state ,children's ,health ,insurance ,program under title ,,xxi of such ,act1 including existing infant and maternity programs1 in order to increase research1 prevention1 identification1 intervention1 and treatment with respect to maternal mental health2 and 7,e7 planning1 data sharing1 and communication within and across ,federal departments1 agencies1 offices1 and programs2 7#c7 solicit public comments from stakeholders for the report under paragraph 7#a7 and the national strategy under paragraph 7#b71 including comments from frontline service providers1 mental health professionals1 researchers1 experts in maternal mental health1 institutions of higher education1 public health agencies 7including maternal and child health programs71 and industry representatives1 in order to inform the activities and reports of the ,task ,force2 and 7#d7 disaggregate any data collected under this section by race1 ethnicity1 geographical location1 age1 marital status1 socioeconomic level1 and other factors1 as the ,secretary determines appropriate4 7d7 ,meetings ,the ,task ,force shall-- 7#a7 meet not less than two times each year2 and 7#b7 convene public meetings1 as appropriate1 to fulfill its duties under this section4 7e7 ,reports to ,public and ,federal ,leaders ,the ,task ,force shall make publicly available and submit to the heads of relevant ,federal departments and agencies1 the ,committee on ,energy and ,commerce of the ,house of ,representatives1 the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate1 and other relevant congressional committees1 the following3 7#a7 ,not later than #a year after the first meeting of the ,task ,force1 an initial report under subsection 7c77#a74 7#b7 ,not later than #b years after the first meeting of the ,task ,force1 an initial national strategy under subsection 7c77#b74 7#c7 ,each year thereafter-- 7,a7 an updated report under subsection 7c77#a72 7,b7 an updated national strategy under subsection 7c77#b72 or 7,c7 if no update is made under subsection 7c77#a7 or 7c77#b71 a report summarizing the activities of the ,task ,force4 7f7 ,reports to ,governors ,upon finalizing the initial national strategy under subsection 7c77#b71 and upon making relevant updates to such strategy1 the ,task ,force shall submit a report to the ,governors of all ,states describing opportunities for local- and ,state-level partnerships identified under subsection 7c77#b77;,d74 7g7 ,sunset ,the ,task ,force shall terminate on ,september #cj1 #bjbg4 7h7 ,nonduplication of ,federal efforts ,the ,secretary may relieve the ,task ,force1 in carrying out subsections 7c7 through 7f71 from responsibility for carrying out such activities as may be specified by the ,secretary as duplicative with other activities carried out by the ,department of ,health and ,human ,services4 4 ,c ,reaching ,improved ,mental ,health ,outcomes for ,patients #aba4 ,innovation for mental health 7a7 ,national ,mental ,health and ,substance ,use ,policy ,laboratory ,section #eja;,a of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;aa-#j7 is amended-- 7#a7 in subsection 7e77#a71 by striking ,indian tribes or tribal organizations and inserting ,indian ,tribes or ,tribal organizations2 7#b7 by striking subsection 7e77#c72 and 7#c7 by adding at the end the following3 7f7 ,authorization of appropriations ,to carry out this section1 there is authorized to be appropriated #aj1jjj1jjj for each of fiscal years #bjbc through #bjbg4 4 7b7 ,interdepartmental serious mental illness coordinating committee 7#a7 ,in general ,part ,a of title ,v of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;aa et seq47 is amended by inserting after section #eja;,a 7#db ,u4,s4,c4 #bij;aa-#j7 the following3 #eja;,b4 ,interdepartmental serious mental illness coordinating committee 7a7 ,establishment 7#a7 ,in general ,the ,secretary of ,health and ,human ,services1 or the designee of the ,secretary1 shall establish a committee to be known as the ,interdepartmental ,serious ,mental ,illness ,coordinating ,committee 7in this section referred to as the ,committee74 7#b7 ,federal advisory committee act ,except as provided in this section1 the provisions of the ,federal ,advisory ,committee ,act 7#e ,u4,s4,c4 ,app47 shall apply to the ,committee4 7b7 ,meetings ,the ,committee shall meet not fewer than #b times each year4 7c7 ,responsibilities ,the ,committee shall submit1 on a biannual basis1 to ,congress and any other relevant ,federal department or agency a report including-- 7#a7 a summary of advances in serious mental illness and serious emotional disturbance research related to the prevention of1 diagnosis of1 intervention in1 and treatment and recovery of serious mental illnesses1 serious emotional disturbances1 and advances in access to services and support for adults with a serious mental illness or children with a serious emotional disturbance2 7#b7 an evaluation of the effect ,federal programs related to serious mental illness have on public health1 including public health outcomes such as-- 7,a7 rates of suicide1 suicide attempts1 incidence and prevalence of serious mental illnesses1 serious emotional disturbances1 and substance use disorders1 overdose1 overdose deaths1 emergency hospitalizations1 emergency room boarding1 preventable emergency room visits1 interaction with the criminal justice system1 homelessness1 and unemployment2 7,b7 increased rates of employment and enrollment in educational and vocational programs2 7,c7 quality of mental and substance use disorders treatment services2 or 7,d7 any other criteria as may be determined by the ,secretary2 and 7#c7 specific recommendations for actions that agencies can take to better coordinate the administration of mental health services for adults with a serious mental illness or children with a serious emotional disturbance4 7d7 ,membership 7#a7 ,federal members ,the ,committee shall be composed of the following ,federal representatives1 or the designees of such representatives-- 7,a7 the ,secretary of ,health and ,human ,services1 who shall serve as the ,chair of the ,committee2 7,b7 the ,assistant ,secretary for ,mental ,health and ,substance ,use2 7,c7 the ,attorney ,general2 7,d7 the ,secretary of ,veterans ,affairs2 7,e7 the ,secretary of ,defense2 7,f7 the ,secretary of ,housing and ,urban ,development2 7,g7 the ,secretary of ,education2 7,h7 the ,secretary of ,labor2 7,i7 the ,administrator of the ,centers for ,medicare ,medicaid ,services2 and 7,j7 the ,commissioner of ,social ,security4 7#b7 ,non-federal members ,the ,committee shall also include not less than #ad non-,federal public members appointed by the ,secretary of ,health and ,human ,services1 of which-- 7,a7 at least #b members shall be an individual who has received treatment for a diagnosis of a serious mental illness2 7,b7 at least #a member shall be a parent or legal guardian of an adult with a history of a serious mental illness or a child with a history of a serious emotional disturbance2 7,c7 at least #a member shall be a representative of a leading research1 advocacy1 or service organization for adults with a serious mental illness2 7,d7 at least #b members shall be-- 7i7 a licensed psychiatrist with experience in treating serious mental illnesses2 7ii7 a licensed psychologist with experience in treating serious mental illnesses or serious emotional disturbances2 7iii7 a licensed clinical social worker with experience treating serious mental illnesses or serious emotional disturbances2 or 7iv7 a licensed psychiatric nurse1 nurse practitioner1 or physician assistant with experience in treating serious mental illnesses or serious emotional disturbances2 7,e7 at least #a member shall be a licensed mental health professional with a specialty in treating children and adolescents with a serious emotional disturbance2 7,f7 at least #a member shall be a mental health professional who has research or clinical mental health experience in working with minorities2 7,g7 at least #a member shall be a mental health professional who has research or clinical mental health experience in working with medically underserved populations2 7,h7 at least #a member shall be a ,state certified mental health peer support specialist2 7,i7 at least #a member shall be a judge with experience in adjudicating cases related to criminal justice or serious mental illness2 7,j7 at least #a member shall be a law enforcement officer or corrections officer with extensive experience in interfacing with adults with a serious mental illness1 children with a serious emotional disturbance1 or individuals in a mental health crisis2 and 7,k7 at least #a member shall have experience providing services for homeless individuals and working with adults with a serious mental illness1 children with a serious emotional disturbance1 or individuals in a mental health crisis4 7#c7 ,terms ,a member of the ,committee appointed under paragraph 7#b7 shall serve for a term of #c years1 and may be reappointed for #a or more additional #c-year terms4 ,any member appointed to fill a vacancy for an unexpired term shall be appointed for the remainder of such term4 ,a member may serve after the expiration of the member's term until a successor has been appointed4 7e7 ,working groups ,in carrying out its functions1 the ,committee may establish working groups4 ,such working groups shall be composed of ,committee members1 or their designees1 and may hold such meetings as are necessary4 7f7 ,sunset ,the ,committee shall terminate on ,september #cj1 #bjbg4 4 7#b7 ,conforming amendments 7,a7 ,section #eja7l77#b7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;aa7l77#b77 is amended by striking section #fjca of such ,act and inserting section #eja;,b of this ,act4 7,b7 ,section #fjca of the ,helping ,families in ,mental ,health ,crisis ,reform ,act of #bjaf 7,division ,b of ,public ,law #aad-bee7 is repealed 7and by conforming the item relating to such section in the table of contents in section #a7;b774 7c7 ,priority mental health needs of regional and national significance ,section #ebj;,a of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#cb7 is amended-- 7#a7 in subsection 7a71 by striking ,indian tribes or tribal organizations and inserting ,indian ,tribes or ,tribal organizations2 and 7#b7 in subsection 7f71 by striking #cid1eej1jjj for each of fiscal years #bjah through #bjbb and inserting #eii1jcf1jjj for each of fiscal years #bjbc through #bjbg4 #abb4 ,crisis care coordination 7a7 ,strengthening community crisis response systems ,section #ebj;,f of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#cg7 is amended to read as follows3 #ebj;,f4 ,mental health crisis response partnership pilot program 7a7 ,in general ,the ,secretary shall establish a pilot program under which the ,secretary will award competitive grants to ,states1 localities1 territories1 ,indian ,tribes1 and ,tribal organizations to establish new1 or enhance existing1 mobile crisis response teams that divert the response for mental health and substance use crises from law enforcement to mobile crisis teams1 as described in subsection 7b74 7b7 ,mobile crisis teams described ,a mobile crisis team described in this subsection is a team of individuals-- 7#a7 that is available to respond to individuals in crisis and provide immediate stabilization1 referrals to community-based mental health and substance use disorder services and supports1 and triage to a higher level of care if medically necessary2 7#b7 which may include licensed counselors1 clinical social workers1 physicians1 paramedics1 crisis workers1 peer support specialists1 or other qualified individuals2 and 7#c7 which may provide support to divert behavioral health crisis calls from the #i-a-a system to the #i-h-h system4 7c7 ,priority ,in awarding grants under this section1 the ,secretary shall prioritize applications which account for the specific needs of the communities to be served1 including children and families1 veterans1 rural and underserved populations1 and other groups at increased risk of death from suicide or overdose4 7d7 ,report 7#a7 ,initial report ,not later than ,september #cj1 #bjbd1 the ,secretary shall submit to ,congress a report on steps taken by the entities specified in subsection 7a7 as of such date of enactment to strengthen the partnerships among mental health providers1 substance use disorder treatment providers1 primary care physicians1 mental health and substance use crisis teams1 paramedics1 law enforcement officers1 and other first responders4 7#b7 ,progress reports ,not later than one year after the date on which the first grant is awarded to carry out this section1 and for each year thereafter1 the ,secretary shall submit to ,congress a report on the grants made during the year covered by the report1 which shall include-- 7,a7 impact data on the teams and people served by such programs1 including demographic information of individuals served1 volume1 and types of service utilization2 7,b7 outcomes of the number of linkages to community-based resources1 short-term crisis receiving and stabilization facilities1 and diversion from law enforcement or hospital emergency department settings2 7,c7 data consistent with the ,state block grant requirements for continuous evaluation and quality improvement1 and other relevant data as determined by the ,secretary2 and 7,d7 the ,secretary's recommendations and best practices for-- 7i7 ,states and localities providing mobile crisis response and stabilization services for youth and adults2 and 7ii7 improvements to the program established under this section4 7e7 ,authorization of appropriations ,there are authorized to be appropriated to carry out this section1 #aj1jjj1jjj for each of fiscal years #bjbc through #bjbg4 4 7b7 ,mental health awareness training grants 7#a7 ,in general ,section #ebj;,j7b7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#da7;b77 is amended-- 7,a7 in paragraph 7#a71 by striking ,indian tribes1 tribal organizations and inserting ,indian ,tribes1 ,tribal organizations2 7,b7 in paragraph 7#d71 by striking ,indian tribe1 tribal organization and inserting ,indian ,tribe1 ,tribal organization2 7,c7 in paragraph 7#e7-- 7i7 by striking ,indian tribe1 tribal organization and inserting ,indian ,tribe1 ,tribal organization2 7ii7 in subparagraph 7,a71 by striking and at the end2 7iii7 in subparagraph 7,b77ii71 by striking the period at the end and inserting 2 and2 and 7iv7 by adding at the end the following3 7,c7 suicide intervention and prevention1 including recognizing warning signs and how to refer someone for help4 2 7,d7 in paragraph 7#f71 by striking ,indian tribe1 tribal organization and inserting ,indian ,tribe1 ,tribal organization2 and 7,e7 in paragraph 7#g71 by striking #ad1fic1jjj for each of fiscal years #bjah through #bjbb and inserting #bd1ifc1jjj for each of fiscal years #bjbc through #bjbg4 7#b7 ,technical corrections ,section #ebj;,j7b7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#da7;b77 is amended-- 7,a7 in the heading of paragraph 7#b71 by striking ,emergency ,services ,personnel and inserting ,emergency services personnel2 and 7,b7 in the heading of paragraph 7#c71 by striking ,distribution of ,awards and inserting ,distribution of awards4 7c7 ,adult suicide prevention ,section #ebj,l of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#dc7 is amended-- 7#a7 in subsection 7a7-- 7,a7 in paragraph 7#b7-- 7i7 by striking ,indian tribe each place it appears and inserting ,indian ,tribe2 and 7ii7 by striking tribal organization each place it appears and inserting ,tribal organization2 and 7,b7 by amending paragraph 7#c77;,c7 to read as follows3 7,c7 ,raising awareness of suicide prevention resources1 promoting help seeking among those at risk for suicide4 2 and 7#b7 in subsection 7d71 by striking #cj1jjj1jjj for the period of fiscal years #bjah through #bjbb and inserting #cj1jjj1jjj for each of fiscal years #bjbc through #bjbg4 #abc4 ,treatment of serious mental illness 7a7 ,assertive community treatment grant program 7#a7 ,technical amendment ,section #ebj,m7b7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#dd7;b77 is amended by striking ,indian tribe or tribal organization and inserting ,indian ,tribe or ,tribal organization4 7#b7 ,report to ,congress ,section #ebj,m7d77#a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#dd7;d77#a77 is amended by striking not later than the end of fiscal year #bjba and inserting not later than the end of fiscal year #bjbf4 7#c7 ,authorization of appropriations ,section #ebj,m7e77#a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#dd7;d77#a77 is amended by striking #e1jjj1jjj for the period of fiscal years #bjah through #bjbb and inserting #i1jjj1jjj for each of fiscal years #bjbc through #bjbg4 7b7 ,assisted outpatient treatment ,section #bbd of the ,protecting ,access to ,medicare ,act of #bjad 7#db ,u4,s4,c4 #bij;aa note7 is amended to read as follows3 #bbd4 ,assisted outpatient treatment grant program for individuals with serious mental illness 7a7 ,in general ,the ,secretary shall carry out a program to award grants to eligible entities for assisted outpatient treatment programs for individuals with serious mental illness4 7b7 ,consultation ,the ,secretary shall carry out this section in consultation with the ,director of the ,national ,institute of ,mental ,health1 the ,attorney ,general of the ,united ,states1 the ,administrator of the ,administration for ,community ,living1 and the ,assistant ,secretary for ,mental ,health and ,substance ,use4 7c7 ,selecting among applicants ,in awarding grants under this section1 the ,secretary-- 7#a7 may give preference to applicants that have not previously implemented an assisted outpatient treatment program2 and 7#b7 shall evaluate applicants based on their potential to reduce hospitalization1 homelessness1 incarceration1 and interaction with the criminal justice system while improving the health and social outcomes of the patient4 7d7 ,program requirements ,an assisted outpatient treatment program funded with a grant awarded under this section shall include-- 7#a7 evaluating the medical and social needs of the patients who are participating in the program2 7#b7 preparing and executing treatment plans for such patients that-- 7,a7 include criteria for completion of court-ordered treatment if applicable2 and 7,b7 provide for monitoring of the patient's compliance with the treatment plan1 including compliance with medication and other treatment regimens2 7#c7 providing for case management services that support the treatment plan2 7#d7 ensuring appropriate referrals to medical and social services providers2 7#e7 evaluating the process for implementing the program to ensure consistency with the patient's needs and ,state law2 and 7#f7 measuring treatment outcomes1 including health and social outcomes such as rates of incarceration1 health care utilization1 and homelessness4 7e7 ,report ,not later than the end of fiscal year #bjbg1 the ,secretary shall submit a report to the appropriate congressional committees on the grant program under this section4 ,such report shall include an evaluation of the following3 7#a7 ,cost savings and public health outcomes such as mortality1 suicide1 substance abuse1 hospitalization1 and use of services4 7#b7 ,rates of incarceration of patients4 7#c7 ,rates of homelessness of patients4 7#d7 ,patient and family satisfaction with program participation4 7#e7 ,demographic information regarding participation of those served by the grant compared to demographic information in the population of the grant recipient4 7f7 ,definitions ,in this section3 7#a7 ,the term assisted outpatient treatment means medically prescribed mental health treatment that a patient receives while living in a community under the terms of a law authorizing a ,state or local civil court to order such treatment4 7#b7 ,the term eligible entity means a county1 city1 mental health system1 mental health court1 or any other entity with authority under the law of the ,state in which the entity is located to implement1 monitor1 and oversee an assisted outpatient treatment program4 7g7 ,funding 7#a7 ,amount of grants 7,a7 ,maximum amount ,the amount of a grant under this section shall not exceed #a1jjj1jjj for any fiscal year4 7,b7 ,determination ,subject to subparagraph 7,a71 the ,secretary shall determine the amount of each grant under this section based on the population of the area to be served through the grant and an estimate of the number of patients to be served4 7#b7 ,authorization of appropriations ,there is authorized to be appropriated to carry out this section #bb1jjj1jjj for each of fiscal years #bjbc through #bjbg4 4 #abd4 ,study on the costs of serious mental illness 7a7 ,in general ,the ,secretary of ,health and ,human ,services1 in consultation with the ,assistant ,secretary for ,mental ,health and ,substance ,use1 the ,assistant ,secretary for ,planning and ,evaluation1 the ,attorney ,general of the ,united ,states1 the ,secretary of ,labor1 and the ,secretary of ,housing and ,urban ,development1 shall conduct a study on the direct and indirect costs of serious mental illness with respect to-- 7#a7 nongovernmental entities2 and 7#b7 the ,federal ,government and ,state1 local1 and ,tribal governments4 7b7 ,content ,the study under subsection 7a7 shall consider each of the following3 7#a7 ,the costs to the health care system for health services1 including with respect to-- 7,a7 office-based physician visits2 7,b7 residential and inpatient treatment programs2 7,c7 outpatient treatment programs2 7,d7 emergency room visits2 7,e7 crisis stabilization programs2 7,f7 home health care2 7,g7 skilled nursing and long-term care facilities2 7,h7 prescription drugs and digital therapeutics2 and 7,i7 any other relevant health services4 7#b7 ,the costs of homelessness1 including with respect to-- 7,a7 homeless shelters2 7,b7 street outreach activities2 7,c7 crisis response center visits2 and 7,d7 other supportive services4 7#c7 ,the costs of structured residential facilities and other supportive housing for residential and custodial care services4 7#d7 ,the costs of law enforcement encounters and encounters with the criminal justice system1 including with respect to-- 7,a7 encounters that do and do not result in an arrest2 7,b7 criminal and judicial proceedings2 7,c7 services provided by law enforcement and judicial staff 7including public defenders1 prosecutors1 and private attorneys72 and 7,d7 incarceration4 7#e7 ,the costs of serious mental illness on employment4 7#f7 ,with respect to family members and caregivers1 the costs of caring for an individual with a serious mental illness4 7#g7 ,any other relevant costs for programs and services administered by the ,federal ,government or ,state1 ,tribal1 or local governments4 7c7 ,data disaggregation ,in conducting the study under subsection 7a71 the ,secretary of ,health and ,human ,services shall 7to the extent feasible7-- 7#a7 disaggregate data by-- 7,a7 costs to nongovernmental entities1 the ,federal ,government1 and ,state1 local1 and ,tribal governments2 7,b7 types of serious mental illnesses and medical chronic diseases common in patients with a serious mental illness2 and 7,c7 demographic characteristics1 including race1 ethnicity1 sex1 age 7including pediatric subgroups71 and other characteristics determined by the ,secretary2 and 7#b7 include an estimate of-- 7,a7 the total number of individuals with a serious mental illness in the ,united ,states1 including in traditional and nontraditional housing2 and 7,b7 the percentage of such individuals in-- 7i7 homeless shelters2 7ii7 penal facilities1 including ,federal prisons1 ,state prisons1 and county and municipal jails2 and 7iii7 nursing facilities4 7d7 ,report ,not later than #b years after the date of the enactment of this ,act1 the ,secretary of ,health and ,human ,services shall-- 7#a7 submit to the ,congress a report containing the results of the study conducted under this section2 and 7#b7 make such report publicly available4 ,d ,anna ,westin ,legacy #aca4 ,maintaining education and training on eating disorders ,subpart #c of part ,b of title ,v of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#ca et seq471 as amended by section #ajb1 is further amended by adding at the end the following3 #ebj,o4 ,center of ,excellence for ,eating ,disorders for education and training on eating disorders 7a7 ,in general ,the ,secretary1 acting through the ,assistant ,secretary1 shall maintain1 by competitive grant or contract1 a ,center of ,excellence for ,eating ,disorders 7referred to in this section as the ,center7 to improve the identification of1 interventions for1 and treatment of eating disorders in a manner that is developmentally1 culturally1 and linguistically appropriate4 7b7 ,subgrants and subcontracts ,the ,center shall coordinate and implement the activities under subsection 7c71 in whole or in part1 by awarding competitive subgrants or subcontracts-- 7#a7 across geographical regions2 and 7#b7 in a manner that is not duplicative4 7c7 ,activities ,the ,center-- 7#a7 shall-- 7,a7 provide training and technical assistance for-- 7i7 primary care and behavioral health care providers to carry out screening1 brief intervention1 and referral to treatment for individuals experiencing1 or at risk for1 eating disorders2 and 7ii7 nonclinical community support workers to identify and support individuals with1 or at disproportionate risk for1 eating disorders2 7,b7 develop and provide training materials to health care providers1 including primary care and behavioral health care providers1 in the effective treatment and ongoing support of individuals with eating disorders1 including children and marginalized populations at disproportionate risk for eating disorders2 7,c7 provide collaboration and coordination to other centers of excellence1 technical assistance centers1 and psychiatric consultation lines of the ,substance ,abuse and ,mental ,health ,services ,administration and the ,health ,resources and ,services ,administration on the identification1 effective treatment1 and ongoing support of individuals with eating disorders2 and 7,d7 coordinate with the ,director of the ,centers for ,disease ,control and ,prevention and the ,administrator of the ,health ,resources and ,services ,administration to disseminate training to primary care and behavioral health care providers2 and 7#b7 may-- 7,a7 coordinate with electronic health record systems for the integration of protocols pertaining to screening1 brief intervention1 and referral to treatment for individuals experiencing1 or at risk for1 eating disorders2 7,b7 develop and provide training materials to health care providers1 including primary care and behavioral health care providers1 in the effective treatment and ongoing support for members of the ,armed ,forces and veterans experiencing1 or at risk for1 eating disorders2 and 7,c7 consult with the ,secretary of ,defense and the ,secretary of ,veterans ,affairs on prevention1 identification1 intervention for1 and treatment of eating disorders4 7d7 ,authorization of appropriations ,to carry out this section1 there is authorized to be appropriated #a1jjj1jjj for each of fiscal years #bjbc through #bjbg4 4 ,e ,community ,mental ,health ,services ,block ,grant ,reauthorization #ada4 ,reauthorization of block grants for community mental health services 7a7 ,funding ,section #aibj7;a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#i7;a77 is amended by striking #ecb1ega1jjj for each of fiscal years #bjah through #bjbb and inserting #heg1ega1jjj for each of fiscal years #bjbc through #bjbg4 7b7 ,set-,aside for evidence-based crisis care services ,section #aibj of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#i7 is amended by adding at the end the following3 7d7 ,crisis care 7#a7 ,in general ,except as provided in paragraph 7#c71 a ,state shall expend at least #e percent of the amount the ,state receives pursuant to section #aiaa for each fiscal year to support evidenced-based programs that address the crisis care needs of-- 7,a7 individuals1 including children and adolescents1 experiencing mental health crises1 substance-related crises1 or crises arising from co-occurring disorders2 and 7,b7 persons with intellectual and developmental disabilities4 7#b7 ,core elements ,at the discretion of the single ,state agency responsible for the administration of the program of the ,state under a grant under section #aiaa1 funds expended pursuant to paragraph 7#a7 may be used to fund some or all of the core crisis care service components1 delivered according to evidence-based principles1 including the following3 7,a7 ,crisis call centers4 7,b7 #bd_/g mobile crisis services4 7,c7 ,crisis stabilization programs offering acute care or subacute care in a hospital or appropriately licensed facility1 as determined by the ,substance ,abuse and ,mental ,health ,services ,administration1 with referrals to inpatient or outpatient care4 7#c7 ,state flexibility ,in lieu of expending #e percent of the amount the ,state receives pursuant to section #aiaa for a fiscal year to support evidence-based programs as required by paragraph 7#a71 a ,state may elect to expend not less than #aj percent of such amount to support such programs by the end of two consecutive fiscal years4 7#d7 ,rule of construction ,with respect to funds expended pursuant to the set-aside in paragraph 7#a71 section #aiab7;b77#a77;,a77vi7 shall not apply4 4 7c7 ,early intervention 7#a7 ,state plan option ,section #aiab7;b77#a77;,a77vii7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#a7;b77#a77;,a77vii77 is amended-- 7,a7 in subclause 7,,iii71 by striking and at the end2 7,b7 in subclause 7,,iv71 by striking the period at the end and inserting 2 and2 and 7,c7 by adding at the end the following3 7,v7 a description of any evidence-based early intervention strategies and programs the ,state provides to prevent1 delay1 or reduce the severity and onset of mental illness and behavioral problems1 including for children and adolescents1 irrespective of experiencing a serious mental illness or serious emotional disturbance1 as defined under subsection 7c77#a74 4 7#b7 ,allocation allowance2 reports ,section #aibj of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#i71 as amended by subsection 7c71 is further amended by adding at the end the following3 7e7 ,early intervention services ,in the case of a ,state with a ,state plan that provides for strategies and programs specified in section #aiab7;b77#a77;,a77vii77,,vi71 such ,state may expend not more than #e percent of the amount of the allotment of the ,state pursuant to a funding agreement under section #aiaa for each fiscal year to support such strategies and programs4 7f7 ,reports to ,congress ,not later than ,september #cj1 #bjbe1 and biennially thereafter1 the ,secretary shall provide a report to the ,congress on the crisis care and early intervention strategies and programs pursued by ,states pursuant to subsections 7d7 and 7e74 ,each such report shall include-- 7#a7 a description of the each ,state's crisis care and early intervention activities2 7#b7 the population served1 including information on demographics1 including age2 7#c7 the outcomes of such activities1 including-- 7,a7 how such activities reduced hospitalizations and hospital stays2 7,b7 how such activities reduced incidents of suicidal ideation and behaviors2 and 7,c7 how such activities reduced the severity of onset of serious mental illness and serious emotional disturbance2 and 7#d7 any other relevant information the ,secretary deems necessary4 4 ,f ,peer-,supported ,mental ,health ,services #aea4 ,peer-supported mental health services ,subpart #c of part ,b of title ,v of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb--#ca et seq47 is amended by inserting after section #ebj;,g 7#db ,u4,s4,c4 #bij;bb--#ch7 the following3 #ebj;,h4 ,peer-,supported mental health services 7a7 ,grants authorized ,the ,secretary1 acting through the ,director of the ,center for ,mental ,health ,services1 shall award grants to eligible entities to enable such entities to develop1 expand1 and enhance access to mental health peer-delivered services4 7b7 ,use of funds ,grants awarded under subsection 7a7 shall be used to develop1 expand1 and enhance national1 statewide1 or community-focused programs1 including virtual peer-support services and infrastructure1 including by-- 7#a7 carrying out workforce development1 recruitment1 and retention activities1 to train1 recruit1 and retain peer-support providers2 7#b7 building connections between mental health treatment programs1 including between community organizations and peer-support networks1 including virtual peer-support networks1 and with other mental health support services2 7#c7 reducing stigma associated with mental health disorders2 7#d7 expanding and improving virtual peer mental health support services1 including adoption of technologies to expand access to virtual peer mental health support services1 including by acquiring-- 7,a7 appropriate physical hardware for such virtual services2 7,b7 software and programs to efficiently run peer-support services virtually2 and 7,c7 other technology for establishing virtual waiting rooms and virtual video platforms for meetings2 and 7#e7 conducting research on issues relating to mental illness and the impact peer-support has on resiliency1 including identifying-- 7,a7 the signs of mental illness2 7,b7 the resources available to individuals with mental illness and to their families2 and 7,c7 the resources available to help support individuals living with mental illness4 7c7 ,special consideration ,in carrying out this section1 the ,secretary shall give special consideration to the unique needs of rural areas4 7d7 ,definition ,in this section1 the term eligible entity means-- 7#a7 a nonprofit consumer-run organization that-- 7,a7 is principally governed by people living with a mental health condition2 and 7,b7 mobilizes resources within and outside of the mental health community1 which may include through peer-support networks1 to increase the prevalence and quality of long-term wellness of individuals living with a mental health condition1 including those with a co-occurring substance use disorder2 or 7#b7 a ,federally recognized ,tribe1 ,tribal organization1 ,urban ,indian organization1 or consortium of ,tribes or ,tribal organizations4 7e7 ,authorization of appropriations ,there is authorized to be appropriated to carry out this section #ac1jjj1jjj for each of fiscal years #bjbc through #bjbg4 4 ,g ,military ,suicide ,prevention in the #bast ,century #afa4 ,pilot program on pre-programming of suicide prevention resources into smart devices issued to members of the ,armed ,forces 7a7 ,in general ,commencing not later than #abj days after the date of the enactment of this ,act1 the ,secretary of ,defense shall carry out a pilot program under which the ,secretary-- 7#a7 pre-downloads the ,virtual ,hope ,box application of the ,defense ,health ,agency1 or such successor application1 on smart devices individually issued to members of the ,armed ,forces2 7#b7 pre-programs the ,national ,suicide ,hotline number and ,veterans ,crisis ,line number into the contacts for such devices2 and 7#c7 provides training1 as part of training on suicide awareness and prevention conducted throughout the ,department of ,defense1 on the preventative resources described in paragraphs 7#a7 and 7#b74 7b7 ,duration ,the ,secretary shall carry out the pilot program under this section for a two-year period4 7c7 ,scope ,the ,secretary shall determine the appropriate scope of individuals participating in the pilot program under this section to best represent each ,armed ,force and to ensure a relevant sample size4 7d7 ,identification of other resources ,in carrying out the pilot program under this section1 the ,secretary shall coordinate with the ,director of the ,defense ,health ,agency and the ,secretary of ,veterans ,affairs to identify other useful technology-related resources for use in the pilot program4 7e7 ,report ,not later than #cj days after completing the pilot program under this section1 the ,secretary shall submit to the ,committee on ,armed ,services of the ,senate and the ,committee on ,armed ,services of the ,house of ,representatives a report on the pilot program4 7f7 ,veterans ,crisis ,line defined ,in this section1 the term ,veterans ,crisis ,line means the toll-free hotline for veterans established under section #agbj;,f7h7 of title #ch1 ,united ,states ,code4 ,,ii ,substance ,use ,disorder ,prevention1 ,treatment1 and ,recovery ,services ,a ,native ,behavioral ,health ,access ,improvement #bja4 ,behavioral health and substance use disorder services for ,native ,americans ,section #ejf;,a of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;aa-#e;a7 is amended to read as follows3 #ejf;,a4 ,behavioral health and substance use disorder services for ,native ,americans 7a7 ,definitions ,in this section3 7#a7 ,the term eligible entity means an ,indian ,tribe1 a ,tribal organization1 an ,urban ,indian organization1 and a ,native ,hawaiian health organization4 7#b7 ,the terms ,indian ,tribe1 ,tribal organization1 and ,urban ,indian organization have the meanings given to the terms ,indian tribe1 tribal organization1 and ,urban ,indian organization in section #d of the ,indian ,health ,care ,improvement ,act4 7#c7 ,the term ,native ,hawaiian health organization means ,papa ,ola ,lokahi as defined in section #ab of the ,native ,hawaiian ,health ,care ,improvement ,act4 7b7 ,formula funds 7#a7 ,in general ,the ,secretary1 in consultation with the ,director of the ,indian ,health ,service1 as appropriate1 shall award funds to eligible entities1 in amounts determined pursuant to the formula described in paragraph 7#b71 to be used by the eligible entity to provide culturally appropriate mental health and substance use disorder prevention1 treatment1 and recovery services to ,american ,indians1 ,alaska ,natives1 and ,native ,hawaiians4 7#b7 ,formula ,the ,secretary1 using the process described in subsection 7d71 shall develop a formula to determine the amount of an award under paragraph 7#a74 ,such formula shall take into account the populations of eligible entities whose rates of overdose deaths or suicide are substantially higher relative to the populations of other ,indian ,tribes1 ,tribal organizations1 ,urban ,indian organizations1 or ,native ,hawaiian health organizations1 as applicable4 7c7 ,technical assistance and program evaluation 7#a7 ,in general ,the ,secretary shall-- 7,a7 provide technical assistance to applicants and awardees under this section2 and 7,b7 collect and evaluate information on the program carried out under this section4 7#b7 ,consultation on evaluation measures1 and data submission and reporting requirements ,the ,secretary shall1 using the process described in subsection 7d71 develop evaluation measures and data submission and reporting requirements for purposes of the collection and evaluation of information4 7#c7 ,data submission and reporting ,as a condition on receipt of funds under this section1 an applicant shall agree to submit data and reports in a timely manner consistent with the evaluation measures and data submission and reporting requirements developed under subsection 7d74 7d7 ,regulations 7#a7 ,promulgation ,not later than #ahj days after the date of enactment of the ,restoring ,hope for ,mental ,health and ,well-,being ,act of #bjbb1 the ,secretary shall initiate procedures under subchapter ,,iii of chapter #e of title #e1 ,united ,states ,code1 to negotiate and promulgate such regulations as are necessary to carry out this section1 including development of the funding formula described in subsection 7b7 and the program evaluation and reporting requirements under subsection 7c74 7#b7 ,publication ,not later than #ah months after the date of enactment of the ,restoring ,hope for ,mental ,health and ,well-,being ,act of #bjbb1 the ,secretary shall publish in the ,federal ,register proposed regulations to implement this section4 7#c7 ,committee ,a negotiated rulemaking committee established pursuant to section #efe of title #e1 ,united ,states ,code1 to carry out this subsection shall have as its members only representatives of the ,federal ,government1 ,tribal ,governments1 and ,urban ,indian organizations4 ,for purposes of such rulemaking1 the ,indian ,health ,service shall be the lead agency for the ,department4 7#d7 ,adaptation of procedures ,in carrying out this subsection1 the ,secretary shall adapt any negotiated rulemaking procedures to the unique context of the government-to-government relationship between the ,united ,states and ,indian ,tribes4 7#e7 ,effect ,the lack of promulgated regulations under this subsection shall not limit the effect or implementation of this section4 7e7 ,application ,an entity desiring an award under subsection 7b7 shall submit an application to the ,secretary at such time1 in such manner1 and accompanied by such information as the ,secretary may reasonably require4 7f7 ,report ,not later than #c years after the date of the enactment of the ,restoring ,hope for ,mental ,health and ,well-,being ,act of #bjbb1 and annually thereafter1 the ,secretary shall prepare and submit1 to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate1 and the ,committee on ,energy and ,commerce of the ,house of ,representatives1 a report describing the services provided pursuant to this section4 7g7 ,authorization of appropriations ,there are authorized to be appropriated to carry out this section1 #dj1jjj1jjj for each of fiscal years #bjbc through #bjbg4 4 ,b ,summer ,barrow ,prevention1 ,treatment1 and ,recovery #baa4 ,grants for the benefit of homeless individuals ,section #ejf7;e7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;aa-#e7;e77 is amended by striking #bjah through #bjbb and inserting #bjbc through #bjbg4 #bab4 ,priority substance abuse treatment needs of regional and national significance ,section #eji of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#b7 is amended-- 7#a7 in the section heading1 by striking ,abuse and inserting ,use ,disorder2 7#b7 in subsection 7a7-- 7,a7 by striking tribes and tribal organizations 7as the terms ,indian tribes and tribal organizations are defined and inserting ,tribes and ,tribal organizations 7as such terms are defined2 and 7,b7 in paragraph 7#c71 by striking in substance abuse2 7#c7 in subsection 7b71 in the subsection heading1 by striking ,abuse and inserting ,use ,disorder2 and 7#d7 in subsection 7f71 by striking #ccc1hjf1jjj for each of fiscal years #bjah through #bjbb and inserting #eba1eag1jjj for each of fiscal years #bjbc through #bjbg4 #bac4 ,evidence-based prescription opioid and heroin treatment and interventions demonstration ,section #ead;,b of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#aj7 is amended-- 7#a7 in subsection 7a77#a7-- 7,a7 by striking substance abuse and inserting substance use disorder2 7,b7 by striking tribes and tribal organizations and inserting ,tribes and ,tribal organizations2 and 7,c7 by striking addiction and inserting substance use disorders2 7#b7 in subsection 7e77#c71 by striking tribes and tribal organizations and inserting ,tribes and ,tribal organizations2 and 7#c7 in subsection 7f71 by striking #bjag through #bjba and inserting #bjbc through #bjbg4 #bad4 ,priority substance use disorder prevention needs of regional and national significance ,section #eaf of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#bb7 is amended-- 7#a7 in subsection 7a7-- 7,a7 in paragraph 7#c71 by striking abuse and inserting use2 and 7,b7 in the matter following paragraph 7#c71 by striking tribes or tribal organizations and inserting ,tribes or ,tribal organizations2 7#b7 in subsection 7b71 in the subsection heading1 by striking ,abuse and inserting ,use ,disorder2 and 7#c7 in subsection 7f71 by striking #baa1adh1jjj for each of fiscal years #bjah through #bjbb and inserting #bah1bai1jjj for each of fiscal years #bjbc through #bjbg4 #bae4 ,sober ,truth on ,preventing 7,,stop7 ,underage ,drinking ,reauthorization ,section #eai;,b of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#be;b7 is amended-- 7#a7 by amending subsection 7a7 to read as follows3 7a7 ,definitions ,for purposes of this section3 7#a7 ,the term alcohol beverage industry means the brewers1 vintners1 distillers1 importers1 distributors1 and retail or online outlets that sell or serve beer1 wine1 and distilled spirits4 7#b7 ,the term school-based prevention means programs1 which are institutionalized1 and run by staff members or school-designated persons or organizations in any grade of school1 kindergarten through #abth grade4 7#c7 ,the term youth means persons under the age of #ba4 2 and 7#b7 by striking subsections 7c7 through 7g7 and inserting the following3 7c7 ,interagency coordinating committee2 annual report on ,state underage drinking prevention and enforcement activities 7#a7 ,interagency coordinating committee on the prevention of underage drinking 7,a7 ,in general ,the ,secretary1 in collaboration with the ,federal officials specified in subparagraph 7,b71 shall continue to support and enhance the efforts of the interagency coordinating committee1 that began operating in #bjjd1 focusing on underage drinking 7referred to in this subsection as the ,committee74 7,b7 ,other agencies ,the officials referred to in subparagraph 7,a7 are the ,secretary of ,education1 the ,attorney ,general1 the ,secretary of ,transportation1 the ,secretary of the ,treasury1 the ,secretary of ,defense1 the ,surgeon ,general1 the ,director of the ,centers for ,disease ,control and ,prevention1 the ,director of the ,national ,institute on ,alcohol ,abuse and ,alcoholism1 the ,assistant ,secretary for ,mental ,health and ,substance ,use1 the ,director of the ,national ,institute on ,drug ,abuse1 the ,assistant ,secretary for ,children and ,families1 the ,director of the ,office of ,national ,drug ,control ,policy1 the ,administrator of the ,national ,highway ,traffic ,safety ,administration1 the ,administrator of the ,office of ,juvenile ,justice and ,delinquency ,prevention1 the ,chairman of the ,federal ,trade ,commission1 and such other ,federal officials as the ,secretary of ,health and ,human ,services determines to be appropriate4 7,c7 ,chair ,the ,secretary of ,health and ,human ,services shall serve as the chair of the ,committee4 7,d7 ,duties ,the ,committee shall guide policy and program development across the ,federal ,government with respect to underage drinking1 provided1 however1 that nothing in this section shall be construed as transferring regulatory or program authority from an ,agency to the ,coordinating ,committee4 7,e7 ,consultations ,the ,committee shall actively seek the input of and shall consult with all appropriate and interested parties1 including ,states1 public health research and interest groups1 foundations1 and alcohol beverage industry trade associations and companies4 7,f7 ,annual report 7i7 ,in general ,the ,secretary1 on behalf of the ,committee1 shall annually submit to the ,congress a report that summarizes-- 7,i7 all programs and policies of ,federal agencies designed to prevent and reduce underage drinking1 focusing particularly on programs and policies that support the adoption and enforcement of ,state policies designed to prevent and reduce underage drinking as specified in paragraph 7#b72 7,,ii7 the extent of progress in preventing and reducing underage drinking at ,state and national levels2 7,,iii7 data that the ,secretary shall collect with respect to the information specified in clause 7ii72 and 7,,iv7 such other information regarding underage drinking as the ,secretary determines to be appropriate4 7ii7 ,certain information ,the report under clause 7i7 shall include information on the following3 7,i7 ,patterns and consequences of underage drinking as reported in research and surveys such as1 but not limited to1 ,monitoring the ,future1 ,youth ,risk ,behavior ,surveillance ,system1 the ,national ,survey on ,drug ,use and ,health1 and the ,fatality ,analysis ,reporting ,system4 7,,ii7 ,measures of the availability of alcohol from commercial and non-commercial sources to underage populations4 7,,iii7 ,measures of the exposure of underage populations to messages regarding alcohol in advertising1 social media1 and the entertainment media4 7,,iv7 ,surveillance data1 including information on the onset and prevalence of underage drinking1 consumption patterns1 beverage preferences1 prevalence of drinking among students at institutions of higher education1 correlations between adult and youth drinking1 and the means of underage access1 including trends over time for these surveillance data4 ,the ,secretary shall develop a plan to improve the collection1 measurement1 and consistency of reporting ,federal underage alcohol data4 7,v7 ,any additional findings resulting from research conducted or supported under subsection 7f74 7,,vi7 ,evidence-based best practices to prevent and reduce underage drinking including a review of the research literature related to ,state laws1 regulations1 and policies designed to prevent and reduce underage drinking1 as described in paragraph 7#b77;,b77i74 7#b7 ,annual report on ,state underage drinking prevention and enforcement activities 7,a7 ,in general ,the ,secretary shall1 with input and collaboration from other appropriate ,federal agencies1 ,states1 ,indian ,tribes1 territories1 and public health1 consumer1 and alcohol beverage industry groups1 annually issue a report on each ,state's performance in enacting1 enforcing1 and creating laws1 regulations1 and policies to prevent or reduce underage drinking based on an assessment of best practices developed pursuant to paragraph 7#a77;,f77ii77,,vi7 and subparagraph 7,b77i74 ,for purposes of this paragraph1 each such report1 with respect to a year1 shall be referred to as the ,state ,report4 ,each ,state ,report shall be designed as a resource tool for ,federal agencies assisting ,states in the their underage drinking prevention efforts1 ,state public health and law enforcement agencies1 ,state and local policymakers1 and underage drinking prevention coalitions including those receiving grants pursuant to subsection 7e74 7,b7 ,state performance measures 7i7 ,in general ,the ,secretary shall develop1 in consultation with the ,committee1 a set of measures to be used in preparing the ,state ,report on best practices as they relate to ,state laws1 regulations1 policies1 and enforcement practices4 7ii7 ,state report content ,the ,state ,report shall include updates on ,state laws1 regulations1 and policies included in previous reports to ,congress1 including with respect to the following3 7,i7 ,whether or not the ,state has comprehensive anti-underage drinking laws such as for the illegal sale1 purchase1 attempt to purchase1 consumption1 or possession of alcohol2 illegal use of fraudulent ,,id2 illegal furnishing or obtaining of alcohol for an individual under #ba years2 the degree of strictness of the penalties for such offenses2 and the prevalence of the enforcement of each of these infractions4 7,,ii7 ,whether or not the ,state has comprehensive liability statutes pertaining to underage access to alcohol such as dram shop1 social host1 and house party laws1 and the prevalence of enforcement of each of these laws4 7,,iii7 ,whether or not the ,state encourages and conducts comprehensive enforcement efforts to prevent underage access to alcohol at retail outlets1 such as random compliance checks and shoulder tap programs1 and the number of compliance checks within alcohol retail outlets measured against the number of total alcohol retail outlets in each ,state1 and the result of such checks4 7,,iv7 ,whether or not the ,state encourages training on the proper selling and serving of alcohol for all sellers and servers of alcohol as a condition of employment4 7,v7 ,whether or not the ,state has policies and regulations with regard to direct sales to consumers and home delivery of alcoholic beverages4 7,,vi7 ,whether or not the ,state has programs or laws to deter adults from purchasing alcohol for minors2 and the number of adults targeted by these programs4 7,,vii7 ,whether or not the ,state has enacted graduated drivers licenses and the extent of those provisions4 7iii7 ,additional categories ,in addition to the updates on ,state laws1 regulations1 and policies listed in clause 7ii71 the ,secretary shall consider the following3 7,i7 ,whether or not ,states have adopted laws1 regulations1 and policies that deter underage alcohol use1 as described in ,the ,surgeon ,general's ,call to ,action to ,prevent and ,reduce ,underage ,drinking issued in #bjjg and ,facing ,addiction in ,america3 ,the ,surgeon ,general's ,report on ,alcohol1 ,drugs and ,health issued in #bjaf1 including restrictions on low-price1 high-volume drink specials1 and wholesaler pricing provisions4 7,,ii7 ,whether or not ,states have adopted laws1 regulations1 and policies designed to reduce alcohol advertising messages attractive to youth and youth exposure to alcohol advertising and marketing in measured and unmeasured media and digital and social media4 7,,iii7 ,whether or not ,states have laws and policies that promote underage drinking prevention policy development by local jurisdictions4 7,,iv7 ,whether or not ,states have adopted laws1 regulations1 and policies to restrict youth access to alcoholic beverages that may pose special risks to youth1 including but not limited to alcoholic mists1 gelatins1 freezer pops1 premixed caffeinated alcoholic beverages1 and flavored malt beverages4 7,v7 ,whether or not ,states have adopted uniform best practices protocols for conducting compliance checks and shoulder tap programs4 7,,vi7 ,whether or not ,states have adopted uniform best practices penalty protocols for violations of laws prohibiting retail licensees from selling or furnishing of alcohol to minors4 7iv7 ,uniform data system ,for performance measures related to enforcement of underage drinking laws as specified in clauses 7ii7 and 7iii71 the ,secretary shall develop and test a uniform data system for reporting ,state enforcement data1 including the development of a pilot program for this purpose4 ,the pilot program shall include procedures for collecting enforcement data from both ,state and local law enforcement jurisdictions4 7#c7 ,authorization of appropriations ,there is authorized to be appropriated to carry out this subsection #a1jjj1jjj for each of fiscal years #bjbc through #bjbg4 7d7 ,national media campaign ,to prevent underage drinking 7#a7 ,in general ,the ,secretary1 in consultation with the ,national ,highway ,traffic ,safety ,administration1 shall develop an intensive1 multifaceted1 adult-oriented national media campaign to reduce underage drinking by influencing attitudes regarding underage drinking1 increasing the willingness of adults to take actions to reduce underage drinking1 and encouraging public policy changes known to decrease underage drinking rates4 7#b7 ,purpose ,the purpose of the national media campaign described in this section shall be to achieve the following objectives3 7,a7 ,instill a broad societal commitment to reduce underage drinking4 7,b7 ,increase specific actions by adults that are meant to discourage or inhibit underage drinking4 7,c7 ,decrease adult conduct that tends to facilitate or condone underage drinking4 7#c7 ,components ,when implementing the national media campaign described in this section1 the ,secretary shall-- 7,a7 educate the public about the public health and safety benefits of evidence-based policies to reduce underage drinking1 including minimum legal drinking age laws1 and build public and parental support for and cooperation with enforcement of such policies2 7,b7 educate the public about the negative consequences of underage drinking2 7,c7 promote specific actions by adults that are meant to discourage or inhibit underage drinking1 including positive behavior modeling1 general parental monitoring1 and consistent and appropriate discipline2 7,d7 discourage adult conduct that tends to facilitate underage drinking1 including the hosting of underage parties with alcohol and the purchasing of alcoholic beverages on behalf of underage youth2 7,e7 establish collaborative relationships with local and national organizations and institutions to further the goals of the campaign and assure that the messages of the campaign are disseminated from a variety of sources2 7,f7 conduct the campaign through multi-media sources2 and 7,g7 conduct the campaign with regard to changing demographics and cultural and linguistic factors4 7#d7 ,consultation requirement ,in developing and implementing the national media campaign described in this section1 the ,secretary shall consult recommendations for reducing underage drinking published by the ,national ,academy of ,sciences and the ,surgeon ,general4 ,the ,secretary shall also consult with interested parties including medical1 public health1 and consumer and parent groups1 law enforcement1 institutions of higher education1 community organizations and coalitions1 and other stakeholders supportive of the goals of the campaign4 7#e7 ,annual report ,the ,secretary shall produce an annual report on the progress of the development or implementation of the media campaign described in this subsection1 including expenses and projected costs1 and1 as such information is available1 report on the effectiveness of such campaign in affecting adult attitudes toward underage drinking and adult willingness to take actions to decrease underage drinking4 7#f7 ,research on youth-oriented campaign ,the ,secretary may1 based on the availability of funds1 conduct research on the potential success of a youth-oriented national media campaign to reduce underage drinking4 ,the ,secretary shall report any such results to ,congress with policy recommendations on establishing such a campaign4 7#g7 ,administration ,the ,secretary may enter into a subcontract with another ,federal agency to delegate the authority for execution and administration of the adult-oriented national media campaign4 7#h7 ,authorization of appropriations ,there is authorized to be appropriated to carry out this section #b1ejj1jjj for each of fiscal years #bjbc through #bjbg4 7e7 ,community-,based coalition enhancement grants ,to prevent underage drinking 7#a7 ,authorization of program ,the ,assistant ,secretary for ,mental ,health and ,substance ,use1 in consultation with the ,director of the ,office of ,national ,drug ,control ,policy1 shall award enhancement grants to eligible entities to design1 implement1 evaluate1 and disseminate comprehensive strategies to maximize the effectiveness of community-wide approaches to preventing and reducing underage drinking4 ,this subsection is subject to the availability of appropriations4 7#b7 ,purposes ,the purposes of this subsection are to-- 7,a7 prevent and reduce alcohol use among youth in communities throughout the ,united ,states2 7,b7 strengthen collaboration among communities1 the ,federal ,government1 ,tribal ,governments1 and ,state and local governments2 7,c7 enhance intergovernmental cooperation and coordination on the issue of alcohol use among youth2 7,d7 serve as a catalyst for increased citizen participation and greater collaboration among all sectors and organizations of a community that first demonstrates a long-term commitment to reducing alcohol use among youth2 7,e7 implement state-of-the-art science-based strategies to prevent and reduce underage drinking by changing local conditions in communities2 and 7,f7 enhance1 not supplant1 effective local community initiatives for preventing and reducing alcohol use among youth4 7#c7 ,application ,an eligible entity desiring an enhancement grant under this subsection shall submit an application to the ,assistant ,secretary at such time1 and in such manner1 and accompanied by such information and assurances1 as the ,assistant ,secretary may require4 ,each application shall include-- 7,a7 a complete description of the entity's current underage alcohol use prevention initiatives and how the grant will appropriately enhance the focus on underage drinking issues2 or 7,b7 a complete description of the entity's current initiatives1 and how it will use this grant to enhance those initiatives by adding a focus on underage drinking prevention4 7#d7 ,uses of funds ,each eligible entity that receives a grant under this subsection shall use the grant funds to carry out the activities described in such entity's application submitted pursuant to paragraph 7#c7 and obtain specialized training and technical assistance by the entity funded under section #d of ,public ,law #ajg-hb1 as amended 7#ba ,u4,s4,c4 #aeba note74 ,grants under this subsection shall not exceed #fj1jjj per year and may not exceed four years4 7#e7 ,supplement not supplant ,grant funds provided under this subsection shall be used to supplement1 not supplant1 ,federal and non-,federal funds available for carrying out the activities described in this subsection4 7#f7 ,evaluation ,grants under this subsection shall be subject to the same evaluation requirements and procedures as the evaluation requirements and procedures imposed on recipients of drug-free community grants4 7#g7 ,definitions ,for purposes of this subsection1 the term eligible entity means an organization that is currently receiving or has received grant funds under the ,drug-,free ,communities ,act of #aiig4 7#h7 ,administrative expenses ,not more than #f percent of a grant under this subsection may be expended for administrative expenses4 7#i7 ,authorization of appropriations ,there is authorized to be appropriated to carry out this subsection #aa1ejj1jjj for each of fiscal years #bjbc through #bjbg4 7f7 ,grants to professional pediatric provider organizations ,to reduce underage drinking through screening and brief interventions 7#a7 ,in general ,the ,secretary1 acting through the ,assistant ,secretary for ,mental ,health and ,substance ,use1 shall make one or more grants to professional pediatric provider organizations to increase among the members of such organizations effective practices to reduce the prevalence of alcohol use among individuals under the age of #ba1 including college students4 7#b7 ,purposes ,grants under this subsection shall be made to promote the practices of-- 7,a7 screening adolescents for alcohol use2 7,b7 offering brief interventions to adolescents to discourage such use2 7,c7 educating parents about the dangers of and methods of discouraging such use2 7,d7 diagnosing and treating alcohol use disorders2 and 7,e7 referring patients1 when necessary1 to other appropriate care4 7#c7 ,use of funds ,a professional pediatric provider organization receiving a grant under this section may use the grant funding to promote the practices specified in paragraph 7#b7 among its members by-- 7,a7 providing training to health care providers2 7,b7 disseminating best practices1 including culturally and linguistically appropriate best practices1 and developing1 printing1 and distributing materials2 and 7,c7 supporting other activities approved by the ,assistant ,secretary4 7#d7 ,application ,to be eligible to receive a grant under this subsection1 a professional pediatric provider organization shall submit an application to the ,assistant ,secretary at such time1 and in such manner1 and accompanied by such information and assurances as the ,secretary may require4 ,each application shall include-- 7,a7 a description of the pediatric provider organization2 7,b7 a description of the activities to be completed that will promote the practices specified in paragraph 7#b72 7,c7 a description of the organization's qualifications for performing such practices2 and 7,d7 a timeline for the completion of such activities4 7#e7 ,definitions ,for the purpose of this subsection3 7,a7 ,brief intervention ,the term brief intervention means1 after screening a patient1 providing the patient with brief advice and other brief motivational enhancement techniques designed to increase the insight of the patient regarding the patient's alcohol use1 and any realized or potential consequences of such use to effect the desired related behavioral change4 7,b7 ,adolescents ,the term adolescents means individuals under #ba years of age4 7,c7 ,professional pediatric provider organization ,the term professional pediatric provider organization means an organization or association that-- 7i7 consists of or represents pediatric health care providers2 and 7ii7 is qualified to promote the practices specified in paragraph 7#b74 7,d7 ,screening ,the term screening means using validated patient interview techniques to identify and assess the existence and extent of alcohol use in a patient4 7#f7 ,authorization of appropriations ,there is authorized to be appropriated to carry out this subsection #c1jjj1jjj for each of fiscal years #bjbc through #bjbg4 7g7 ,data collection and research 7#a7 ,additional research on underage drinking 7,a7 ,in general ,the ,secretary shall1 subject to the availability of appropriations1 collect data1 and conduct or support research that is not duplicative of research currently being conducted or supported by the ,department of ,health and ,human ,services1 on underage drinking1 with respect to the following3 7i7 ,improve data collection in support of evaluation of the effectiveness of comprehensive community-based programs or strategies and statewide systems to prevent and reduce underage drinking1 across the underage years from early childhood to age #ba1 such as programs funded and implemented by governmental entities1 public health interest groups and foundations1 and alcohol beverage companies and trade associations1 through the development of models of ,state-level epidemiological surveillance of underage drinking by funding in ,states or large metropolitan areas new epidemiologists focused on excessive drinking including underage alcohol use4 7ii7 ,obtain and report more precise information than is currently collected on the scope of the underage drinking problem and patterns of underage alcohol consumption1 including improved knowledge about the problem and progress in preventing1 reducing1 and treating underage drinking1 as well as information on the rate of exposure of youth to advertising and other media messages encouraging and discouraging alcohol consumption4 7iii7 ,synthesize1 expand on1 and widely disseminate existing research on effective strategies for reducing underage drinking1 including translational research1 and make this research easily accessible to the general public4 7iv7 ,improve and conduct public health surveillance on alcohol use and alcohol-related conditions in ,states by increasing the use of surveys1 such as the ,behavioral ,risk ,factor ,surveillance ,system1 to monitor binge and excessive drinking and related harms among individuals who are at least #ah years of age1 but not more than #bj years of age1 including harm caused to self or others as a result of alcohol use that is not duplicative of research currently being conducted or supported by the ,department of ,health and ,human ,services4 7,b7 ,authorization of appropriations ,there is authorized to be appropriated to carry out this paragraph #e1jjj1jjj for each of fiscal years #bjbc through #bjbg4 7#b7 ,national ,academy of ,sciences study 7,a7 ,in general ,not later than #ab months after the enactment of the ,restoring ,hope for ,mental ,health and ,well-,being ,act of #bjbb1 the ,secretary shall-- 7i7 contract with the ,national ,academy of ,sciences to study developments in research on underage drinking and the public policy implications of these developments2 and 7ii7 report to the ,congress on the results of such review4 7,b7 ,authorization of appropriations ,there is authorized to be appropriated to carry out this paragraph #ejj1jjj for fiscal year #bjbc4 4 #baf4 ,grants for jail diversion programs ,section #ebj;,g of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#ch7 is amended-- 7#a7 in subsection 7a7-- 7,a7 by striking up to #abe2 and 7,b7 by striking tribes and tribal organizations and inserting ,tribes and ,tribal organizations2 7#b7 in subsection 7b77#b71 by striking tribes1 and tribal organizations and inserting ,tribes1 and ,tribal organizations2 7#c7 in subsection 7c7-- 7,a7 in paragraph 7#a71 by striking tribe or tribal organization and inserting ,tribe or ,tribal organization1 health facility or program described in subsection 7a71 or public or nonprofit entity referred to in subsection 7a72 and 7,b7 in paragraph 7#b77;,a77iii71 by striking tribe1 or tribal organization and inserting ,tribe1 or ,tribal organization2 7#d7 in subsection 7e7-- 7,a7 in the matter preceding paragraph 7#a71 by striking tribe1 or tribal organization and inserting ,tribe1 or ,tribal organization2 and 7,b7 in paragraph 7#e71 by striking or arrest and inserting 1 arrest1 or release2 7#e7 in subsection 7f71 by striking tribe1 or tribal organization each place it appears and inserting ,tribe1 or ,tribal organization2 7#f7 in subsection 7h71 by striking tribe1 or tribal organization and inserting ,tribe1 or ,tribal organization2 and 7#g7 in subsection 7j71 by striking #d1bfi1jjj for each of fiscal years #bjah through #bjbb and inserting #ad1jjj1jjj for each of fiscal years #bjbc through #bjbg4 #bag4 ,formula grants to ,states ,section #eba of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;cc-#ba7 is amended by striking #bjah through #bjbb and inserting #bjbc through #bjbg4 #bah4 ,projects for ,assistance in ,transition ,from ,homelessness ,section #ece7;a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;cc-#ce7;a77 is amended by striking #bjah through #bjbb and inserting #bjbc through #bjbg4 #bai4 ,grants for reducing overdose deaths 7a7 ,grants 7#a7 ,repeal of maximum grant amount ,paragraph 7#b7 of section #edd7;a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;dd-#c7;a77 is hereby repealed4 7#b7 ,eligible entity2 subgrants ,section #edd7;a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;dd-#c7;a77 is amended by striking paragraph 7#c7 and inserting the following3 7#b7 ,eligible entity ,for purposes of this section1 the term eligible entity means a ,state1 ,territory1 locality1 ,indian ,tribe 7as defined in the ,federally ,recognized ,indian ,tribe ,list ,act of #aiid71 ,tribal organization1 or ,urban ,indian organization 7as those terms are defined in section #d of the ,indian ,health ,care ,improvement ,act74 7#c7 ,subgrants ,for the purposes for which a grant is awarded under this section1 the eligible entity receiving the grant may award subgrants to a ,federally qualified health center 7as defined in section #ahfa7;aa7 of the ,social ,security ,act71 an opioid treatment program 7as defined in section #h4b of title #db1 ,code of ,federal ,regulations 7or any successor regulations771 any practitioner dispensing narcotic drugs pursuant to section #cjc7;g7 of the ,controlled ,substances ,act1 or any nonprofit organization that the ,secretary deems appropriate4 4 7#c7 ,prescribing ,section #edd7;a77#d7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;dd-#c7;a77#d77 is amended-- 7,a7 in subparagraph 7,a71 by inserting 1 including patients prescribed with both an opioid and a benzodiazepine before the semicolon at the end2 and 7,b7 in subparagraph 7,d71 by striking drug overdose and inserting substance overdose4 7#d7 ,use of funds ,paragraph 7#e7 of section #edd7;c7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;dd-#c7;c77 is amended to read as follows3 7#e7 ,to establish protocols to connect patients who have experienced an overdose with appropriate treatment1 including overdose reversal medications1 medication assisted treatment1 and appropriate counseling and behavioral therapies4 4 7#e7 ,improving access to overdose treatment ,section #edd of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;dd-#c7 is amended-- 7,a7 by redesignating subsections 7d7 through 7f7 as subsections 7e7 through 7g71 respectively2 7,b7 in subsection 7f71 as so redesignated1 by striking subsection 7d7 and inserting subsection 7e72 and 7,c7 by inserting after subsection 7c7 the following3 7d7 ,improving access to overdose treatment 7#a7 ,information on best practices 7,a7 ,health and ,human ,services ,the ,secretary of ,health and ,human ,services may provide information to ,states1 localities1 ,indian ,tribes1 ,tribal organizations1 and ,urban ,indian organizations on best practices for prescribing or co-prescribing a drug or device approved1 cleared1 or otherwise authorized under the ,federal ,food1 ,drug1 and ,cosmetic ,act for emergency treatment of known or suspected opioid overdose1 including for patients receiving chronic opioid therapy and patients being treated for opioid use disorders4 7,b7 ,defense ,the ,secretary of ,defense may provide information to prescribers within ,department of ,defense medical facilities on best practices for prescribing or co-prescribing a drug or device approved1 cleared1 or otherwise authorized under the ,federal ,food1 ,drug1 and ,cosmetic ,act for emergency treatment of known or suspected opioid overdose1 including for patients receiving chronic opioid therapy and patients being treated for opioid use disorders4 7,c7 ,veterans ,affairs ,the ,secretary of ,veterans ,affairs may provide information to prescribers within ,department of ,veterans ,affairs medical facilities on best practices for prescribing or co-prescribing a drug or device approved1 cleared1 or otherwise authorized under the ,federal ,food1 ,drug1 and ,cosmetic ,act for emergency treatment of known or suspected opioid overdose1 including for patients receiving chronic opioid therapy and patients being treated for opioid use disorders4 7#b7 ,rule of construction ,nothing in this subsection shall be construed as establishing or contributing to a medical standard of care4 4 7#f7 ,authorization of appropriations ,section #edd7;g7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;dd-#c71 as redesignated1 is amended by striking fiscal years #bjag through #bjba and inserting fiscal years #bjbc through #bjbg4 7#g7 ,technical amendments 7,a7 ,section #edd of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;dd-#c71 as amended1 is further amended by striking approved or cleared each place it appears and inserting approved1 cleared1 or otherwise authorized4 7,b7 ,section #ajg of the ,comprehensive ,addiction and ,recovery ,act of #bjaf 7,public ,law #aad-aih7 is amended by striking subsection 7b74 #bbj4 ,opioid overdose reversal medication access and education grant programs 7a7 ,grants ,section #ede of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;ee7 is amended-- 7#a7 in the section heading1 by striking access and education grant programs and inserting access1 education1 and co-prescribing grant programs2 7#b7 in the heading of subsection 7a71 by striking ,grants to ,states and inserting ,grants2 7#c7 in subsection 7a71 by striking shall make grants to ,states and inserting shall make grants to ,states1 localities1 ,indian ,tribes 7as defined by the ,federally ,recognized ,indian ,tribe ,list ,act of #aiid71 ,tribal organizations1 and ,urban ,indian organizations 7as those terms are defined in section #d of the ,indian ,health ,care ,improvement ,act72 7#d7 in subsection 7a77#a71 by striking implement strategies for pharmacists to dispense a drug or device and inserting implement strategies that increase access to drugs or devices2 7#e7 by redesignating paragraphs 7#c7 and 7#d7 as paragraphs 7#d7 and 7#e71 respectively2 and 7#f7 by inserting after paragraph 7#b7 the following3 7#c7 encourage health care providers to co-prescribe1 as appropriate1 drugs or devices approved1 cleared1 or otherwise authorized under the ,federal ,food1 ,drug1 and ,cosmetic ,act for emergency treatment of known or suspected opioid overdose2 4 7b7 ,grant period ,section #ede7;d77#b7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;ee7d77#b77 is amended by striking #c years and inserting #e years4 7c7 ,limitation ,paragraph 7#c7 of section #ede7;d7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;ee7d77 is amended to read as follows3 7#c7 ,limitations ,a ,state may-- 7,a7 use not more than #aj percent of a grant under this section for educating the public pursuant to subsection 7a77#e72 and 7,b7 use not less than #bj percent of a grant under this section to offset cost-sharing for distribution and dispensing of drugs or devices approved1 cleared1 or otherwise authorized under the ,federal ,food1 ,drug1 and ,cosmetic ,act for emergency treatment of known or suspected opioid overdose4 4 7d7 ,authorization of appropriations ,section #ede7;h77#a7 of the ,public ,health ,service ,act1 is amended by striking fiscal years #bjag through #bjai and inserting fiscal years #bjbc through #bjbg4 7e7 ,technical amendment ,section #ede of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;ee71 as amended1 is further amended by striking approved or cleared each place it appears and inserting approved1 cleared1 or otherwise authorized4 #bba4 ,state demonstration grants for comprehensive opioid abuse response ,section #edh of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;ee-#c7 is amended-- 7#a7 in the section heading1 by striking ,abuse and inserting ,use ,disorder2 7#b7 in subsection 7b7-- 7,a7 in the subsection heading1 by striking ,abuse and inserting ,use ,disorder2 7,b7 in paragraph 7#a71 by striking abuse and inserting use disorder2 7,c7 in paragraph 7#b7-- 7i7 in the matter preceding subparagraph 7,a71 by striking abuse and inserting use disorder2 7ii7 in subparagraph 7,a71 by striking opioid use1 treatment1 and addiction recovery and inserting opioid use disorders1 and treatment for1 and recovery from opioid use disorders2 7iii7 in subparagraph 7,c71 by striking addiction each place it appears and inserting use disorder2 7iv7 by amending subparagraph 7,d7 to read as follows3 7,d7 developing1 implementing1 and expanding efforts to prevent overdose death from opioid or other prescription medication use disorders2 and 2 and 7v7 in subparagraph 7,e71 by striking abuse and inserting use disorders2 and 7,d7 in paragraph 7#d71 by striking abuse each place it appears and inserting use disorders2 and 7#c7 by striking #bjag through #bjba and inserting #bjbc through #bjbg4 #bbb4 ,emergency department alternatives to opioids ,section #gjia of the ,,support for ,patients and ,communities ,act 7,public ,law #aae-bga7 is amended-- 7#a7 in the section heading1 by striking ,demonstration 7and by conforming the item relating to such section in the table of contents in section #a7;b772 7#b7 in subsection 7a7-- 7,a7 by amending the subsection heading to read as follows3 ,grant program2 and 7,b7 in paragraph 7#a71 by striking demonstration2 7#c7 in subsection 7b71 in the subsection heading1 by striking demonstration2 7#d7 in subsection 7d77#d71 by striking tribal and inserting ,tribal2 7#e7 in subsection 7f71 by striking ,not later than #a year after completion of the demonstration program under this section1 the ,secretary shall submit a report to the ,congress on the results of the demonstration program and inserting ,not later than the end of each of fiscal years #bjbd and #bjbg1 the ,secretary shall submit to the ,congress a report on the results of the program2 and 7#f7 in subsection 7g71 by striking #bjai through #bjba and inserting #bjbc through #bjbg4 ,c ,excellence in ,recovery ,housing #bca4 ,clarifying the role of ,,samhsa in promoting the availability of high-quality recovery housing ,section #eja7;d7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;aa7 is amended-- 7#a7 in paragraph 7#bd77;,e71 by striking and at the end2 7#b7 in paragraph 7#be71 by striking the period at the end and inserting 2 and2 and 7#c7 by adding at the end the following3 7#bf7 collaborate with national accrediting entities1 reputable providers1 organizations or individuals with established expertise in delivery of recovery housing services1 ,states1 ,federal agencies 7including the ,department of ,health and ,human ,services1 the ,department of ,housing and ,urban ,development1 and the agencies listed in section #eej7;e77#b77;,b771 and other relevant stakeholders1 to promote the availability of high-quality recovery housing and services for individuals with a substance use disorder4 4 #bcb4 ,developing guidelines for ,states to promote the availability of high-quality recovery housing ,section #eej7;a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;ee-#e7;a77 7relating to national recovery housing best practices7 is amended-- 7#a7 by amending paragraph 7#a7 to read as follows3 7#a7 ,in general ,the ,secretary1 in consultation with the individuals and entities specified in paragraph 7#b71 shall build on existing best practices and previously developed guidelines to develop and periodically update consensus-based best practices1 which may include model laws for implementing suggested minimum standards for operating1 and promoting the availability of1 high-quality recovery housing4 2 7#b7 in paragraph 7#b7-- 7,a7 by striking subparagraphs 7,a7 and 7,b7 and inserting the following3 7,a7 ,officials representing the agencies described in subsection 7e77#b74 2 and 7,b7 by redesignating subparagraphs 7,c7 through 7,g7 as subparagraphs 7,b7 through 7,f71 respectively2 and 7#c7 by adding at the end the following3 7#c7 ,availability ,the best practices referred to in paragraph 7#a7 shall be-- 7,a7 made publicly available2 and 7,b7 published on the public website of the ,substance ,abuse and ,mental ,health ,services ,administration4 7#d7 ,exclusion of guideline on treatment services ,in developing the guidelines under paragraph 7#a71 the ,secretary may not include any guidelines with respect to substance use disorder treatment services4 4 #bcc4 ,coordination of ,federal activities to promote the availability of recovery housing ,section #eej of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;ee-#e7 7relating to national recovery housing best practices7 is amended-- 7#a7 by redesignating subsections 7e71 7f71 and 7g7 as subsections 7g71 7h71 and 7i71 respectively2 and 7#b7 by inserting after subsection 7d7 the following3 7e7 ,coordination of ,federal activities ,to promote the availability of housing for individuals experiencing homelessness1 individuals with a mental illness1 and individuals with a substance use disorder 7#a7 ,in general ,the ,secretary1 acting through the ,assistant ,secretary1 and the ,secretary of ,housing and ,urban ,development shall convene an interagency working group for the following purposes3 7,a7 ,to increase collaboration1 cooperation1 and consultation among the ,department of ,health and ,human ,services1 the ,department of ,housing and ,urban ,development1 and the ,federal agencies listed in paragraph 7#b77;,b71 with respect to promoting the availability of housing1 including recovery housing1 for individuals experiencing homelessness1 individuals with mental illnesses1 and individuals with substance use disorder4 7,b7 ,to align the efforts of such agencies and avoid duplication of such efforts by such agencies4 7,c7 ,to develop objectives1 priorities1 and a long-term plan for supporting ,state1 ,tribal1 and local efforts with respect to the operation of recovery housing that is consistent with the best practices developed under this section4 7,d7 ,to coordinate enforcement of fair housing practices1 as appropriate1 among ,federal and ,state agencies4 7,e7 ,to coordinate data collection on the quality of recovery housing4 7#b7 ,composition ,the interagency working group under paragraph 7#a7 shall be composed of-- 7,a7 the ,secretary1 acting through the ,assistant ,secretary1 and the ,secretary of ,housing and ,urban ,development1 who shall serve as the co-chairs2 and 7,b7 representatives of each of the following ,federal agencies3 7i7 ,the ,centers for ,medicare ,medicaid ,services4 7ii7 ,the ,substance ,abuse and ,mental ,health ,services ,administration4 7iii7 ,the ,health ,resources and ,services ,administration4 7iv7 ,the ,office of ,inspector ,general4 7v7 ,the ,indian ,health ,service4 7vi7 ,the ,department of ,agriculture4 7vii7 ,the ,department of ,justice4 7viii7 ,the ,office of ,national ,drug ,control ,policy4 7ix7 ,the ,bureau of ,indian ,affairs4 7x7 ,the ,department of ,labor4 7xi7 ,the ,department of ,veterans ,affairs4 7xii7 ,any other ,federal agency as the co-chairs determine appropriate4 7#c7 ,meetings ,the working group shall meet on a quarterly basis4 7#d7 ,reports to ,congress ,not later than #d years after the date of the enactment of this section1 the working group shall submit to the ,committee on ,energy and ,commerce1 the ,committee on ,ways and ,means1 the ,committee on ,agriculture1 and the ,committee on ,financial ,services of the ,house of ,representatives and the ,committee on ,health1 ,education1 ,labor1 and ,pensions1 the ,committee on ,agriculture1 ,nutrition1 and ,forestry1 and the ,committee on ,finance of the ,senate a report describing the work of the working group and any recommendations of the working group to improve ,federal1 ,state1 and local coordination with respect to recovery housing and other housing resources and operations for individuals experiencing homelessness1 individuals with a mental illness1 and individuals with a substance use disorder4 4 #bcd4 ,,nas study and report 7a7 ,in general ,not later than #fj days after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services1 acting through the ,assistant ,secretary for ,mental ,health and ,substance ,use shall-- 7#a7 contract with the ,national ,academies of ,sciences1 ,engineering1 and ,medicine-- 7,a7 to study the quality and effectiveness of recovery housing in the ,united ,states and whether the availability of such housing meets demand2 and 7,b7 to identify recommendations to promote the availability of high-quality recovery housing2 and 7#b7 report to the ,congress on the results of such review4 7b7 ,authorization of appropriations ,to carry out this section there is authorized to be appropriated #a1ejj1jjj for fiscal year #bjbc4 #bce4 ,grants for ,states to promote the availability of recovery housing and services ,section #eej of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;ee-#e7 7relating to national recovery housing best practices71 as amended by sections #bcb and #bcc1 is further amended by inserting after subsection 7e7 7as inserted by section #bcc7 the following3 7f7 ,grants for implementing national recovery housing best practices 7#a7 ,in general ,the ,secretary shall award grants to ,states 7and political subdivisions thereof71 ,tribes1 and territories-- 7,a7 for the provision of technical assistance to implement the guidelines and recommendations developed under subsection 7a72 and 7,b7 to promote-- 7i7 the availability of recovery housing for individuals with a substance use disorder2 and 7ii7 the maintenance of recovery housing in accordance with best practices developed under this section4 7#b7 ,state promotion plans ,not later than #ij days after receipt of a grant under paragraph 7#a71 and every #b years thereafter1 each ,state 7or political subdivisions thereof17 ,tribe1 or territory receiving a grant under paragraph 7#a7 shall submit to the ,secretary1 and publish on a publicly accessible internet website of the ,state 7or political subdivisions thereof71 ,tribe1 or territory-- 7,a7 the plan of the ,state 7or political subdivisions thereof71 ,tribe1 or territory1 with respect to the promotion of recovery housing for individuals with a substance use disorder located within the jurisdiction of such ,state 7or political subdivisions thereof71 ,tribe1 or territory2 and 7,b7 a description of how such plan is consistent with the best practices developed under this section4 4 #bcf4 ,funding ,subsection 7i7 of section #eej of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;ee-#e7 7relating to national recovery housing best practices71 as redesignated by section #bcc1 is amended by striking #c1jjj1jjj for the period of fiscal years #bjai through #bjba and inserting #e1jjj1jjj for the period of fiscal years #bjbc through #bjbg4 #bcg4 ,technical correction ,title ,v of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;aa et seq47 is amended-- 7#a7 by redesignating section #eej 7relating to ,sobriety ,treatment and ,recovery ,teams7 7#db ,u4,s4,c4 #bij;ee-#aj71 as added by section #hbad of ,public ,law #aae-bga1 as section #eej;,a2 and 7#b7 by moving such section so it appears after section #eej 7relating to national recovery housing best practices74 ,d ,substance ,use ,prevention1 ,treatment1 and ,recovery ,services ,block ,grant #bda4 ,eliminating stigmatizing language relating to substance use 7a7 ,block ,grants for ,prevention and ,treatment of ,substance ,use ,part ,b of title ,,xix of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx et seq47 is amended-- 7#a7 in the part heading1 by striking ,substance ,abuse and inserting ,substance ,use2 7#b7 in subpart ,,ii1 by amending the subpart heading to read as follows3 ,block grants for substance use prevention1 treatment1 and recovery services2 7#c7 in section #aibb7;a7 7#db ,u4,s4,c4 #cjjx-#bb7;a77-- 7,a7 in paragraph 7#a71 in the matter preceding subparagraph 7,a71 by striking substance abuse and inserting substance use disorders2 and 7,b7 by striking such abuse each place it appears in paragraphs 7#a7 and 7#b7 and inserting such disorders2 7#d7 in section #aibc 7#db ,u4,s4,c4 #cjjx-#bc7-- 7,a7 in the section heading1 by striking ,substance ,abuse and inserting ,substance ,use2 and 7,b7 in subsection 7a71 by striking drug abuse and inserting substance use disorders2 7#e7 in section #aibe7;a77#a7 7#db ,u4,s4,c4 #cjjx-#be7;a77#a771 by striking alcohol or drug abuse and inserting alcohol or other substance use disorders2 7#f7 in section #aibf7;b77#b77;,b7 7#db ,u4,s4,c4 #cjjx-#bf7;b77#b77;,b771 by striking substance abuse2 7#g7 in section #aica7;b77#b7 7#db ,u4,s4,c4 #cjjx-#ca7;b77#b771 by striking substance abuse and inserting substance use disorders2 7#h7 in section #aicc7;d77#a7 7#db ,u4,s4,c4 #cjjx-#cc7;d771 in the matter following subparagraph 7,b71 by striking abuse of alcohol and other drugs and inserting use of substances2 7#i7 by amending paragraph 7#d7 of section #aicd 7#db ,u4,s4,c4 #cjjx-#cd7 to read as follows3 7#d7 ,the term substance use disorder means the recurrent use of alcohol or other drugs that causes clinically significant impairment4 2 7#aj7 in section #aice 7#db ,u4,s4,c4 #cjjx-#ce7-- 7,a7 in subsection 7a71 by striking substance abuse and inserting substance use disorders2 and 7,b7 in subsection 7b77#a71 by striking substance abuse each place it appears and inserting substance use disorders2 7#aa7 in section #aidi 7#db ,u4,s4,c4 #cjjx-#ei71 by striking substance abuse each place it appears in subsections 7a7 and 7d7 and inserting substance use disorders2 7#ab7 in section #aied7;b77#d7 7#db ,u4,s4,c4 #cjjx-#fd7;b77#d77-- 7,a7 by striking substance abuse and inserting substance use disorders2 and 7,b7 by striking such abuse and inserting such disorders2 7#ac7 in section #aiee 7#db ,u4,s4,c4 #cjjx-#fe71 by striking substance abuse each place it appears and inserting substance use disorder2 and 7#ad7 in section #aief 7#db ,u4,s4,c4 #cjjx-#ff71 by striking substance abuse and inserting substance use disorders4 7b7 ,certain programs regarding mental health and substance abuse ,part ,c of title ,,xix of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjy et seq47 is amended-- 7#a7 in the part heading1 by striking ,substance ,abuse and inserting ,substance ,use2 7#b7 in section #aiga 7#db ,u4,s4,c4 #cjjy71 by striking substance abuse each place it appears in subsections 7a71 7b71 and 7f7 and inserting substance use2 and 7#c7 in section #aigf 7#db ,u4,s4,c4 #cjjy-#aa71 by striking intravenous abuse each place it appears and inserting intravenous use4 #bdb4 ,authorized activities ,section #aiba7;b7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#ba7;b77 is amended by striking prevent and treat substance use disorders and inserting prevent1 treat1 and provide recovery support services for substance use disorders4 #bdc4 ,requirements relating to certain infectious diseases and human immunodeficiency virus ,section #aibd of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#bd7 is amended-- 7#a7 in the section heading1 by striking ,tuberculosis and ,human ,immunodeficiency ,virus and inserting ,tuberculosis1 ,viral ,hepatitis1 and ,human ,immunodeficiency ,virus2 7#b7 by amending subsection 7a77#b7 to read as follows3 7#b7 ,designated ,states 7,a7 ,fiscal years through fiscal year #bjbd ,for purposes of this subsection1 through ,september #cj1 #bjbd1 a ,state described in this paragraph is any ,state whose rate of cases of acquired immune deficiency syndrome is #aj or more such cases per #ajj1jjj individuals 7as indicated by the number of such cases reported to and confirmed by the ,director of the ,centers for ,disease ,control and ,prevention for the most recent calendar year for which such data are available74 7,b7 ,fiscal year #bjbe and succeeding fiscal years 7i7 ,in general ,beginning with fiscal year #bjbe1 for purposes of this subsection1 a ,state described in this paragraph is any ,state whose rate of cases of human immunodeficiency virus is #aj or more such cases per #ajj1jjj individuals 7as indicated by the number of such cases newly reported to and confirmed by the ,director of the ,centers for ,disease ,control and ,prevention for the most recent calendar year for which such data are available74 7ii7 ,continuation of designated ,state status ,in the case of a ,state whose rate of cases of human immunodeficiency virus falls below the threshold specified in clause 7i7 for a calendar year1 such ,state shall1 notwithstanding clause 7i71 continue to be described in this paragraph unless the rate of cases falls below such threshold for three consecutive calendar years4 4 7#c7 by redesignating subsections 7c7 and 7d7 as subsections 7d7 and 7e71 respectively2 and 7#d7 by inserting after subsection 7b7 the following3 7c7 ,viral hepatitis 7#a7 ,in general ,a funding agreement for a grant under section #aiba is that the ,state involved will require that any entity receiving amounts from the grant for operating a program of treatment for substance use disorders-- 7,a7 will1 directly or through arrangements with other public or nonprofit private entities1 routinely make available viral hepatitis services to each individual receiving treatment for such disorders2 and 7,b7 in the case of an individual in need of such treatment who is denied admission to the program on the basis of the lack of the capacity of the program to admit the individual1 will refer the individual to another provider of viral hepatitis services4 7#b7 ,viral hepatitis services ,for purposes of paragraph 7#a71 the term viral hepatitis services1 with respect to an individual1 means-- 7,a7 screening the individual for viral hepatitis2 and 7,b7 referring the individual to a provider whose practice includes viral hepatitis vaccination and treatment4 4 #bdd4 ,state plan requirements ,section #aicb7;b77#a77;,a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#cb7;b77#a77;,a77 is amended-- 7#a7 by redesignating clauses 7vi7 through 7ix7 as clauses 7vii7 through 7x71 respectively2 and 7#b7 by inserting after clause 7v7 the following3 7vi7 provides a description of-- 7,i7 the ,state's comprehensive statewide recovery support services activities1 including the number of individuals being served1 target populations1 and priority needs2 and 7,,ii7 the amount of funds received under this subpart expended on recovery support services1 disaggregated by the amount expended for type of service activity2 4 #bde4 ,updating certain language relating to ,tribes ,section #aicc7;d7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#cc7;d77 is amended-- 7#a7 in paragraph 7#a7-- 7,a7 in subparagraph 7,a7-- 7i7 by striking of an ,indian tribe or tribal organization and inserting of an ,indian ,tribe or ,tribal organization2 and 7ii7 by striking such tribe and inserting such ,tribe2 7,b7 in subparagraph 7,b7-- 7i7 by striking tribe or tribal organization and inserting ,tribe or ,tribal organization2 and 7ii7 by striking ,secretary under this and inserting ,secretary under this subpart2 and 7,c7 in the matter following subparagraph 7,b71 by striking tribe or tribal organization and inserting ,tribe or ,tribal organization2 7#b7 by amending paragraph 7#b7 to read as follows3 7#b7 ,indian ,tribe or ,tribal organization as grantee ,the amount reserved by the ,secretary on the basis of a determination under this subsection shall be granted to the ,indian ,tribe or ,tribal organization serving the individuals for whom such a determination has been made4 2 7#c7 in paragraph 7#c71 by striking tribe or tribal organization and inserting ,tribe or ,tribal organization2 and 7#d7 in paragraph 7#d7-- 7,a7 in the paragraph heading1 by striking ,definition and inserting ,definitions2 and 7,b7 by striking ,the terms and all that follows through given such terms and inserting the following3 ,the terms ,indian ,tribe and ,tribal organization have the meanings given the terms ,indian tribe and tribal organization4 #bdf4 ,block grants for substance use prevention1 treatment1 and recovery services 7a7 ,in general ,section #aice7;a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#ce7;a771 as amended by section #bda1 is further amended by striking appropriated and all that follows through #bjbb44 and inserting the following3 appropriated #a1ijh1jgi1jjj for each of fiscal years #bjbc through #bjbg44 7b7 ,technical corrections ,section #aice7;b77#a77;,b7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#ce7;b77#a77;,b77 is amended by striking the collection of data in this paragraph is4 #bdg4 ,requirement of reports and audits by ,states ,section #aidb7;a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#eb7;a77 is amended-- 7#a7 in paragraph 7#a71 by striking and at the end2 7#b7 in paragraph 7#b71 by striking the period at the end and inserting 2 and2 and 7#c7 by adding at the end the following3 7#c7 the amount provided to each recipient in the previous fiscal year4 4 #bdh4 ,study on assessment for use in distribution of limited ,state resources 7a7 ,in general ,the ,secretary of ,health and ,human ,services1 acting through the ,assistant ,secretary for ,mental ,health and ,substance ,use 7in this section referred to as the ,secretary71 shall1 in consultation with ,states and other local entities providing prevention1 treatment1 or recovery support services related to substance use1 conduct a study to develop a model needs assessment process for ,states to consider to help determine how best to allocate block grant funding received under subpart ,,ii of part ,b of title ,,xix of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#ba7 to provide services to substance use disorder prevention1 treatment1 and recovery support4 ,the study shall include cost estimates with each model needs assessment process4 7b7 ,report ,not later than #b years after the date of the enactment of this ,act1 the ,secretary shall submit to the ,committee on ,energy and ,commerce of the ,house of ,representatives and the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate a report on the results of the study conducted under paragraph 7#a74 ,e ,timely ,treatment for ,opioid ,use ,disorder #bea4 ,study on exemptions for treatment of opioid use disorder through opioid treatment programs during the ,,covid-#ai public health emergency 7a7 ,study ,the ,assistant ,secretary for ,mental ,health and ,substance ,use shall conduct a study1 in consultation with patients and other stakeholders1 on activities carried out pursuant to exemptions granted-- 7#a7 to a ,state 7including the ,district of ,columbia or any territory of the ,united ,states7 or an opioid treatment program2 7#b7 pursuant to section #h4aa7;h7 of title #db1 ,code of ,federal ,regulations2 and 7#c7 during the period-- 7,a7 beginning on the declaration of the public health emergency for the ,,covid-#ai pandemic under section #cai of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdg;d72 and 7,b7 ending on the earlier of-- 7i7 the termination of such public health emergency1 including extensions thereof pursuant to such section #cai2 and 7ii7 the end of calendar year #bjbb4 7b7 ,privacy ,the section does not authorize the disclosure by the ,department of ,health and ,human ,services of individually identifiable information about patients4 7c7 ,feedback ,in conducting the study under subsection 7a71 the ,assistant ,secretary for ,mental ,health and ,substance ,use shall gather feedback from the ,states and opioid treatment programs on their experiences in implementing exemptions described in subsection 7a74 7d7 ,report ,not later than #ahj days after the end of the period described in subsection 7a77#c77;,b71 and subject to subsection 7c71 the ,assistant ,secretary for ,mental ,health and ,substance ,use shall publish a report on the results of the study under this section4 #beb4 ,changes to ,federal opioid treatment standards 7a7 ,mobile medication units ,section #cjb7;e7 of the ,controlled ,substances ,act 7#ba ,u4,s4,c4 #hbb7;e77 is amended by adding at the end the following3 7#c7 ,notwithstanding paragraph 7#a71 a registrant that is dispensing pursuant to section #cjc7;g7 narcotic drugs to individuals for maintenance treatment or detoxification treatment shall not be required to have a separate registration to incorporate one or more mobile medication units into the registrant's practice to dispense such narcotics at locations other than the registrant's principal place of business or professional practice described in paragraph 7#a71 so long as the registrant meets such standards for operation of a mobile medication unit as the ,attorney ,general may establish4 4 7b7 ,revise opioid treatment program admission criteria to eliminate requirement that patients have an opioid use disorder for at least #a year ,not later than #ah months after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services shall revise section #h4ab7;e77#a7 of title #db1 ,code of ,federal ,regulations 7or successor regulations71 to eliminate the requirement that an opioid treatment program only admit an individual for treatment under the program if the individual has been addicted to opioids for at least #a year before being so admitted for treatment4 7c7 ,final regulation on periods for take-,home supply requirements 7#a7 ,in general ,not later than #ah months after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services shall promulgate a final regulation amending paragraphs 7i77#c77;i7 through 7i77#c77vi7 of section #h4ab of title #db1 ,code of ,federal ,regulations1 as appropriate based on the findings of the study under section #bea of this ,act4 7#b7 ,criteria ,the regulation under paragraph 7#a7 shall establish relevant criteria for the medical director or an appropriately licensed practitioner of an opioid treatment program1 to determine whether a patient is stable and may qualify for unsupervised use1 which criteria may allow for consideration of each of the following3 7,a7 ,whether the benefits of providing unsupervised doses to a patient outweigh the risks4 7,b7 ,the patient's demonstrated adherence to their treatment plan4 7,c7 ,the patient's history of negative toxicology tests4 7,d7 ,whether there is an absence of serious behavioral problems4 7,e7 ,the patient's stability in living arrangements and social relationships4 7,f7 ,whether there is an absence of substance misuse-related behaviors4 7,g7 ,whether there is an absence of recent diversion activity4 7,h7 ,whether there is an assurance that the medication can be safely stored by the patient4 7,i7 ,any other criterion the ,secretary of ,health and ,human ,services determines appropriate4 7#c7 ,prohibited sole consideration ,the regulation under paragraph 7#a7 shall prohibit the medical director of an opioid treatment program from considering1 as the sole consideration in determining whether a patient is sufficiently responsible in handling opioid drugs for unsupervised use1 whether the patient has an absence of recent misuse of drugs 7whether narcotic or nonnarcotic71 including alcohol4 ,f ,additional ,provisions ,relating to ,addiction ,treatment #bfa4 ,prohibition ,notwithstanding any provision of this ,act and the amendments made by this ,act1 no funds made available to carry out this ,act or any amendment made by this ,act shall be used to purchase1 procure1 or distribute pipes or cylindrical objects intended to be used to smoke or inhale illegal scheduled substances4 #bfb4 ,eliminating additional requirements for dispensing narcotic drugs in schedule ,,iii1 ,,iv1 and ,v for maintenance or detoxification treatment 7a7 ,in general ,section #cjc7;g7 of the ,controlled ,substances ,act 7#ba ,u4,s4,c4 #hbc7;g77 is amended-- 7#a7 by striking paragraph 7#b72 7#b7 by striking 7g77#a7 ,except as provided in paragraph 7#b71 practitioners who dispense narcotic drugs to individuals for maintenance treatment or detoxification treatment and inserting 7g7 ,practitioners who dispense narcotic drugs 7other than narcotic drugs in schedule ,,iii1 ,,iv1 or ,v7 to individuals for maintenance treatment or detoxification treatment2 7#c7 by redesignating subparagraphs 7,a71 7,b71 and 7,c7 as paragraphs 7#a71 7#b71 and 7#c71 respectively2 and 7#d7 in paragraph 7#b71 as so redesignated-- 7,a7 by striking 7i7 security of stocks and inserting 7,a7 security of stocks2 and 7,b7 by striking 7ii7 the maintenance of records and inserting 7,b7 the maintenance of records4 7b7 ,conforming changes 7#a7 ,subsections 7a7 and 7d77#a7 of section #cjd of the ,controlled ,substances ,act 7#ba ,u4,s4,c4 #hbd7 are each amended by striking #cjc7;g77#a7 each place it appears and inserting #cjc7;g74 7#b7 ,section #cji;,a7a77#b7 of the ,controlled ,substances ,act 7#ba ,u4,s4,c4 #hbi;a7 is amended-- 7,a7 in the matter preceding subparagraph 7,a71 by striking the controlled substance is to be administered for the purpose of maintenance or detoxification treatment under section #cjc7;g77#b7 and inserting the controlled substance is a narcotic drug in schedule ,,iii1 ,,iv1 or ,v to be administered for the purpose of maintenance or detoxification treatment2 and 7,b7 by striking and-- and all that follows through is to be administered by injection or implantation2 and inserting and is to be administered by injection or implantation24 7#c7 ,section #ebj;,e-#d7;c7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#cf;d7c77 is amended by striking information on any qualified practitioner that is certified to prescribe medication for opioid dependency under section #cjc7;g77#b77;,b7 of the ,controlled ,substances ,act and inserting information on any practitioner who prescribes narcotic drugs in schedule ,,iii1 ,,iv1 or ,v of section #bjb of the ,controlled ,substances ,act for the purpose of maintenance or detoxification treatment4 7#d7 ,section #edd7;a77#c7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;dd-#c71 as added by section #bai7;a77#b71 is amended by striking any practitioner dispensing narcotic drugs pursuant to section #cjc7;g7 of the ,controlled ,substances ,act and inserting any practitioner dispensing narcotic drugs for the purpose of maintenance or detoxification treatment4 7#e7 ,section #ahcc7;bb77#c77;,b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciel7bb77#c77;,b77 is amended by striking first receives a waiver under section #cjc7;g7 of the ,controlled ,substances ,act on or after ,january #a1 #bjai and inserting first begins prescribing narcotic drugs in schedule ,,iii1 ,,iv1 or ,v of section #bjb of the ,controlled ,substances ,act for the purpose of maintenance or detoxification treatment on or after ,january #a1 #bjba4 7#f7 ,section #ahcd7o77#c77;,c77ii7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciem7o77#c77;,c77ii77 is amended by striking first receives a waiver under section #cjc7;g7 of the ,controlled ,substances ,act on or after ,january #a1 #bjai and inserting first begins prescribing narcotic drugs in schedule ,,iii1 ,,iv1 or ,v of section #bjb of the ,controlled ,substances ,act for the purpose of maintenance or detoxification treatment on or after ,january #a1 #bjba4 7#g7 ,section #ahff;,f7c77#c7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acie;cc-#f7;c77#c77 is amended-- 7,a7 in subparagraph 7,a71 by adding and at the end2 7,b7 in subparagraph 7,b71 by striking 2 and and inserting a period2 and 7,c7 by striking subparagraph 7,c74 7#h7 ,section #aijc7;aa77#b77;,c7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;b7aa77#b77;,c77 is amended-- 7,a7 in clause 7i71 by adding and at the end2 7,b7 by striking clause 7ii72 and 7,c7 by redesignating clause 7iii7 as clause 7ii74 #bfc4 ,requiring prescribers of controlled substances to complete training ,section #cjc of the ,controlled ,substances ,act 7#ba ,u4,s4,c4 #hbc7 is amended by adding at the end the following3 7l7 ,required training for prescribers 7#a7 ,training required ,as a condition on registration under this section to dispense controlled substances in schedule ,,ii1 ,,iii1 ,,iv1 or ,v1 the ,attorney ,general shall require any qualified practitioner1 beginning with the first applicable registration for the practitioner1 to meet the following3 7,a7 ,if the practitioner is a physician 7as defined under section #ahfa7r7 of the ,social ,security ,act71 the practitioner meets one or more of the following conditions3 7i7 ,the physician holds a board certification in addiction psychiatry or addiction medicine from the ,american ,board of ,medical ,specialties4 7ii7 ,the physician holds a board certification from the ,american ,board of ,addiction ,medicine4 7iii7 ,the physician holds a board certification in addiction medicine from the ,american ,osteopathic ,association4 7iv7 ,the physician has1 with respect to the treatment and management of patients with opioid or other substance use disorders1 or the safe pharmacological management of dental pain and screening1 brief intervention1 and referral for appropriate treatment of patients with or at risk of developing opioid or other substance use disorders1 completed not less than #h hours of training 7through classroom situations1 seminars at professional society meetings1 electronic communications1 or otherwise7 that is provided by-- 7,i7 the ,american ,society of ,addiction ,medicine1 the ,american ,academy of ,addiction ,psychiatry1 the ,american ,medical ,association1 the ,american ,osteopathic ,association1 the ,american ,dental ,association1 the ,american ,association of ,oral and ,maxillofacial ,surgeons1 the ,american ,psychiatric ,association1 or any other organization accredited by the ,accreditation ,council for ,continuing ,medical ,education 7commonly known as the ,,accme7 or the ,commission on ,dental ,accreditation2 7,,ii7 any organization accredited by a ,state medical society accreditor that is recognized by the ,,accme or the ,commission on ,dental ,accreditation2 7,,iii7 any organization accredited by the ,american ,osteopathic ,association to provide continuing medical education2 or 7,,iv7 any organization approved by the ,assistant ,secretary for ,mental ,health and ,substance ,abuse1 the ,,accme1 or the ,commission on ,dental ,accreditation4 7v7 ,the physician graduated in good standing from an accredited school of allopathic medicine1 osteopathic medicine1 dental surgery1 or dental medicine in the ,united ,states during the #e-year period immediately preceding the date on which the physician first registers or renews under this section and has successfully completed a comprehensive allopathic or osteopathic medicine curriculum or accredited medical residency or dental surgery or dental medicine curriculum that included not less than #h hours of training on-- 7,i7 treating and managing patients with opioid and other substance use disorders1 including the appropriate clinical use of all drugs approved by the ,food and ,drug ,administration for the treatment of a substance use disorder2 or 7,,ii7 the safe pharmacological management of dental pain and screening1 brief intervention1 and referral for appropriate treatment of patients with or at risk of developing opioid and other substance use disorders4 7,b7 ,if the practitioner is not a physician 7as defined under section #ahfa7r7 of the ,social ,security ,act71 the practitioner meets one or more of the following conditions3 7i7 ,the practitioner has completed not fewer than #h hours of training with respect to the treatment and management of patients with opioid or other substance use disorders 7through classroom situations1 seminars at professional society meetings1 electronic communications1 or otherwise7 provided by the ,american ,society of ,addiction ,medicine1 the ,american ,academy of ,addiction ,psychiatry1 the ,american ,medical ,association1 the ,american ,osteopathic ,association1 the ,american ,nurses ,credentialing ,center1 the ,american ,psychiatric ,association1 the ,american ,association of ,nurse ,practitioners1 the ,american ,academy of ,physician ,associates1 or any other organization approved or accredited by the ,assistant ,secretary for ,mental ,health and ,substance ,abuse or the ,accreditation ,council for ,continuing ,medical ,education4 7ii7 ,the practitioner has graduated in good standing from an accredited physician assistant school or accredited school of advanced practice nursing in the ,united ,states during the #e-year period immediately preceding the date on which the practitioner first registers or renews under this section and has successfully completed a comprehensive physician assistant or advanced practice nursing curriculum that included not fewer than #h hours of training on treating and managing patients with opioid and other substance use disorders1 including the appropriate clinical use of all drugs approved by the ,food and ,drug ,administration for the treatment of a substance use disorder4 7#b7 ,one-time training 7,a7 ,in general ,the ,attorney ,general shall not require any qualified practitioner to complete the training described in clause 7iv7 or 7v7 of paragraph 7#a77;,a7 or clause 7i7 or 7ii7 of paragraph 7#a77;,b7 more than once4 7,b7 ,notification ,not later than #ij days after the date of the enactment of the ,restoring ,hope for ,mental ,health and ,well-,being ,act of #bjbb1 the ,attorney ,general shall provide to qualified practitioners a single written1 electronic notification of the training described in clauses 7iv7 and 7v7 of paragraph 7#a77;,a7 or clauses 7i7 and 7ii7 of paragraph 7#a77;,b74 7#c7 ,rule of construction ,nothing in this subsection shall be construed to preclude the use1 by a qualified practitioner1 of training received pursuant to this subsection to satisfy registration requirements of a ,state or for some other lawful purpose4 7#d7 ,definitions ,in this section3 7,a7 ,first applicable registration ,the term first applicable registration means the first registration or renewal of registration by a qualified practitioner under this section that occurs on or after the date that is #ahj days after the date of enactment of the ,restoring ,hope for ,mental ,health and ,well-,being ,act of #bjbb4 7,b7 ,qualified practitioner ,in this subsection1 the term qualified practitioner means a practitioner who-- 7i7 is licensed under ,state law to prescribe controlled substances2 and 7ii7 is not solely a veterinarian4 4 #bfd4 ,increase in number of days before which certain controlled substances must be administered ,section #cji;,a7a77#e7 of the ,controlled ,substances ,act 7#ba ,u4,s4,c4 #hbi;a7a77#e77 is amended by striking #ad days and inserting #fj days4 #bfe4 ,block1 report1 and suspend suspicious shipments 7a7 ,clarification of process for registrants to exercise due diligence upon discovering a suspicious order ,paragraph 7#c7 of section #cab7;a7 of the ,controlled ,substances ,act 7#ba ,u4,s4,c4 #hcb7;a77 is amended to read as follows3 7#c7 upon discovering a suspicious order or series of orders1 and in a manner consistent with the other requirements of this section-- 7,a7 exercise due diligence as appropriate2 7,b7 establish and maintain 7for not less than a period to be determined by the ,administrator of the ,drug ,enforcement ,administration7 a record of the due diligence that was performed2 7,c7 decline to fill the order or series of orders if the due diligence fails to dispel all of the indicators that give rise to the suspicion that1 if the order or series of orders is filled1 the drugs that are the subject of the order or series of orders are likely to be diverted2 and 7,d7 notify the ,administrator of the ,drug ,enforcement ,administration and the ,special ,agent in ,charge of the ,division ,office of the ,drug ,enforcement ,administration for the area in which the registrant is located or conducts business of-- 7i7 each suspicious order or series of orders discovered by the registrant2 and 7ii7 the indicators giving rise to the suspicion that1 if the order or series of orders is filled1 the drugs that are the subject of the order or series of orders are likely to be diverted4 4 7b7 ,resolution of suspicious indicators ,section #cab of the ,controlled ,substances ,act 7#ba ,u4,s4,c4 #hcb7 is amended-- 7#a7 by redesignating subsection 7b7 and 7c7 as subsections 7c7 and 7d71 respectively2 and 7#b7 by inserting after subsection 7a7 the following3 7b7 ,resolution of suspicious indicators ,if a registrant resolves all of the indicators giving rise to suspicion about an order or series of orders under subsection 7a77#c7-- 7#a7 notwithstanding subsection 7a77#c77;,c71 the registrant may choose to fill the order or series of orders2 and 7#b7 notwithstanding subsection 7a77#c77;,d71 the registrant may choose not to make the notification otherwise required by such subsection4 4 7c7 ,regulations ,not later than #a year after the date of enactment of this ,act1 for purposes of subsections 7a77#c7 and 7b7 of section #cab of the ,controlled ,substances ,act1 as amended or inserted by subsection 7a71 the ,attorney ,general of the ,united ,states shall promulgate a final regulation specifying the indicators that give rise to a suspicion that1 if an order or series of orders is filled1 the drugs that are the subject of the order or series of orders are likely to be diverted4 7d7 ,applicability ,subsections 7a77#c7 and 7b7 of section #cab of the ,controlled ,substances ,act1 as amended or inserted by subsection 7a71 shall apply beginning on the day that is #a year after the date of enactment of this ,act4 ,until such day1 section #cab7;a77#c7 of the ,controlled ,substances ,act shall apply as such section #cab7;a77#c7 was in effect on the day before the date of enactment of this ,act4 ,g ,opioid ,epidemic ,response #bga4 ,opioid prescription verification 7a7 ,materials for training pharmacists on certain circumstances under which a pharmacist may decline to fill a prescription 7#a7 ,updates to materials ,section #cbab7;a7 of the ,,support for ,patients and ,communities ,act 7#ba ,u4,s4,c4 #hbi note7 is amended by striking ,not later than #a year after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services1 in consultation with the ,administrator of the ,drug ,enforcement ,administration1 ,commissioner of ,food and ,drugs1 ,director of the ,centers for ,disease ,control and ,prevention1 and ,assistant ,secretary for ,mental ,health and ,substance ,use1 shall develop and disseminate and inserting ,the ,secretary of ,health and ,human ,services1 in consultation with the ,administrator of the ,drug ,enforcement ,administration1 ,commissioner of ,food and ,drugs1 ,director of the ,centers for ,disease ,control and ,prevention1 and ,assistant ,secretary for ,mental ,health and ,substance ,use1 shall develop and disseminate not later than #a year after the date of enactment of this ,act1 and update periodically thereafter4 7#b7 ,materials included ,section #cbab7;b7 of the ,,support for ,patients and ,communities ,act 7#ba ,u4,s4,c4 #hbi note7 is amended-- 7,a7 by redesignating paragraphs 7#a7 and 7#b7 as paragraphs 7#b7 and 7#c71 respectively2 and 7,b7 by inserting before paragraph 7#b71 as so redesignated1 the following new paragraph3 7#a7 pharmacists on how to verify the identity of the patient2 4 7#c7 ,materials for training on patient verification ,section #cbab of the ,,support for ,patients and ,communities ,act 7#ba ,u4,s4,c4 #hbi note7 is amended by adding at the end the following new subsection3 7d7 ,materials for training on verification of identity ,not later than #a year after the date of enactment of this subsection1 the ,secretary of ,health and ,human ,services1 after seeking stakeholder input in accordance with subsection 7c71 shall-- 7#a7 update the materials developed under subsection 7a7 to include information for pharmacists on how to verify the identity the patient2 and 7#b7 disseminate1 as appropriate1 the updated materials4 4 7b7 ,incentivizing ,states ,to facilitate responsible1 informed dispensing of controlled substances 7#a7 ,in general ,section #cib;,a of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;b-#a7 is amended-- 7,a7 by redesignating subsections 7c7 and 7d7 as subsections 7d7 and 7e71 respectively2 and 7,b7 by inserting after subsection 7b7 the following new subsection3 7c7 ,preference ,in determining the amounts of grants awarded to ,states under subsections 7a7 and 7b71 the ,director of the ,centers for ,disease ,control and ,prevention may give preference to ,states in accordance with such criteria as the ,director may specify and may choose to give preference to ,states that-- 7#a7 maintain a prescription drug monitoring program2 7#b7 require prescribers of controlled substances in schedule ,,ii1 ,,iii1 or ,,iv to issue such prescriptions electronically1 and make such requirement subject to exceptions in the cases listed in section #ahfj;,d-#d7;e77#g77;,b7 of the ,social ,security ,act2 and 7#c7 require dispensers of such controlled substances to enter certain information about the purchase of such controlled substances into the respective ,state's prescription drug monitoring program1 including-- 7,a7 the ,national ,drug ,code or1 in the case of compounded medications1 compound identifier2 7,b7 the quantity dispensed2 7,c7 the patient identifier2 and 7,d7 the date filled4 4 7#b7 ,definitions 7,a7 ,in general ,subsection 7d7 of section #cib;,a of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;b-#a71 as redesignated by paragraph 7#a77;,a71 is amended to read as follows3 7d7 ,definitions ,in this section3 7#a7 ,controlled substance ,the term controlled substance has the meaning given that term in section #ajb of the ,controlled ,substances ,act4 7#b7 ,dispenser ,the term dispenser means a physician1 pharmacist1 or other person that dispenses a controlled substance to an ultimate user4 7#c7 ,indian ,tribe ,the term ,indian ,tribe has the meaning given that term in section #d of the ,indian ,self-,determination and ,education ,assistance ,act4 4 7,b7 ,conforming change ,section #cib;,a of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;b-#a7 is amended by striking ,indian tribes each place it appears and inserting ,indian ,tribes4 #bgb4 ,synthetic ,opioid ,danger ,awareness 7a7 ,synthetic ,opioids ,public ,awareness ,campaign ,part ,b of title ,,iii of the ,public ,health ,service ,act is amended by inserting after section #cag,u 7#db ,u4,s4,c4 #bdg;b-#bc7 the following new section3 #cag,v4 ,synthetic ,opioids ,public ,awareness ,campaign 7a7 ,in general ,not later than one year after the date of the enactment of this section1 the ,secretary shall provide for the planning and implementation of a public education campaign to raise public awareness of synthetic opioids 7including fentanyl and its analogues74 ,such campaign shall include the dissemination of information that-- 7#a7 promotes awareness about the potency and dangers of fentanyl and its analogues and other synthetic opioids2 7#b7 explains services provided by the ,substance ,abuse and ,mental ,health ,services ,administration and the ,centers for ,disease ,control and ,prevention 7and any entity providing such services under a contract entered into with such agencies7 with respect to the misuse of opioids1 particularly as such services relate to the provision of alternative1 non-opioid pain management treatments2 and 7#c7 relates generally to opioid use and pain management4 7b7 ,use of media ,the campaign under subsection 7a7 may be implemented through the use of television1 radio1 internet1 in-person public communications1 and other commercial marketing venues and may be targeted to specific age groups4 7c7 ,consideration of report findings ,in planning and implementing the public education campaign under subsection 7a71 the ,secretary shall take into consideration the findings of the report required under section #gjja of the ,,support for ,patients and ,communities ,act 7,public ,law #aae-bga74 7d7 ,consultation ,in coordinating the campaign under subsection 7a71 the ,secretary shall consult with the ,assistant ,secretary for ,mental ,health and ,substance ,use to provide ongoing advice on the effectiveness of information disseminated through the campaign4 7e7 ,requirement of ,campaign ,the campaign implemented under subsection 7a7 shall not be duplicative of any other ,federal efforts relating to eliminating the misuse of opioids4 7f7 ,evaluation 7#a7 ,in general ,the ,secretary shall ensure that the campaign implemented under subsection 7a7 is subject to an independent evaluation1 beginning #b years after the date of the enactment of this section1 and every #b years thereafter4 7#b7 ,measures and benchmarks ,for purposes of an evaluation conducted pursuant to paragraph 7#a71 the ,secretary shall-- 7,a7 establish baseline measures and benchmarks to quantitatively evaluate the impact of the campaign under this section2 and 7,b7 conduct qualitative assessments regarding the effectiveness of strategies employed under this section4 7g7 ,report ,the ,secretary shall1 beginning #b years after the date of the enactment of this section1 and every #b years thereafter1 submit to ,congress a report on the effectiveness of the campaign implemented under subsection 7a7 towards meeting the measures and benchmarks established under subsection 7e77#b74 7h7 ,dissemination of ,information ,through ,providers ,the ,secretary shall develop and implement a plan for the dissemination of information related to synthetic opioids1 to health care providers who participate in ,federal programs1 including programs administered by the ,department of ,health and ,human ,services1 the ,indian ,health ,service1 the ,department of ,veterans ,affairs1 the ,department of ,defense1 and the ,health ,resources and ,services ,administration1 the ,medicare program under title ,,xviii of the ,social ,security ,act1 and the ,medicaid program under title ,,xix of such ,act4 4 7b7 ,training guide and outreach on synthetic opioid exposure prevention 7#a7 ,training guide ,not later than #ah months after the date of the enactment of this ,act1 the ,secretary of ,health and ,human ,services shall design1 publish1 and make publicly available on the internet website of the ,department of ,health and ,human ,services1 a training guide and webinar for first responders and other individuals who also may be at high risk of exposure to synthetic opioids that details measures to prevent that exposure4 7#b7 ,outreach ,not later than #ah months after the date of the enactment of this ,act1 the ,secretary of ,health and ,human ,services shall also conduct outreach about the availability of the training guide and webinar published under paragraph 7#a7 to-- 7,a7 police and fire managements2 7,b7 sheriff deputies in city and county jails2 7,c7 ambulance transport and hospital emergency room personnel2 7,d7 clinicians2 and 7,e7 other high-risk occupations1 as identified by the ,assistant ,secretary for ,mental ,health and ,substance ,use4 #bgc4 ,grant program for ,state and ,tribal response to opioid and stimulant use and misuse ,section #ajjc of the #bast ,century ,cures ,act 7#db ,u4,s4,c4 #bij;ee-#c note7 is amended to read as follows3 #ajjc4 ,grant program for ,state and ,tribal response to opioid and stimulant use and misuse 7a7 ,in general ,the ,secretary of ,health and ,human ,services 7referred to in this section as the ,secretary7 shall carry out the grant program described in subsection 7b7 for purposes of addressing opioid and stimulant use and misuse1 within ,states1 ,indian ,tribes1 and populations served by ,tribal organizations and ,urban ,indian organizations4 7b7 ,grants program 7#a7 ,in general ,subject to the availability of appropriations1 the ,secretary shall award grants to ,states1 ,indian ,tribes1 ,tribal organizations1 and ,urban ,indian organizations for the purpose of addressing opioid and stimulant use and misuse1 within such ,states1 such ,indian ,tribes1 and populations served by such ,tribal organizations and ,urban ,indian organizations1 in accordance with paragraph 7#b74 7#b7 ,minimum allocations2 preference ,in determining grant amounts for each recipient of a grant under paragraph 7#a71 the ,secretary shall-- 7,a7 ensure that each ,state receives not less than #d1jjj1jjj2 and 7,b7 give preference to ,states1 ,indian ,tribes1 ,tribal organizations1 and ,urban ,indian organizations whose populations have an incidence or prevalence of opioid use disorders or stimulant use or misuse that is substantially higher relative to the populations of other ,states1 other ,indian ,tribes1 ,tribal organizations1 or ,urban ,indian organizations1 as applicable4 7#c7 ,formula methodology 7,a7 ,in general ,before publishing a funding opportunity announcement with respect to grants under this section1 the ,secretary shall-- 7i7 develop a formula methodology to be followed in allocating grant funds awarded under this section among grantees1 which includes performance assessments for continuation awards2 and 7ii7 not later than #cj days after developing the formula methodology under clause 7i71 submit the formula methodology to-- 7,i7 the ,committee on ,energy and ,commerce and the ,committee on ,appropriations of the ,house of ,representatives2 and 7,,ii7 the ,committee on ,health1 ,education1 ,labor1 and ,pensions and the ,committee on ,appropriations of the ,senate4 7,b7 ,report ,not later than two years after the date of the enactment of the ,restoring ,hope for ,mental ,health and ,well-,being ,act of #bjbb1 the ,comptroller ,general of the ,united ,states shall submit to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,energy and ,commerce of the ,house of ,representatives a report that-- 7i7 assesses how grant funding is allocated to ,states under this section and how such allocations have changed over time2 7ii7 assesses how any changes in funding under this section have affected the efforts of ,states to address opioid or stimulant use or misuse2 and 7iii7 assesses the use of funding provided through the grant program under this section and other similar grant programs administered by the ,substance ,abuse and ,mental ,health ,services ,administration4 7#d7 ,use of funds ,grants awarded under this subsection shall be used for carrying out activities that supplement activities pertaining to opioid and stimulant use and misuse1 undertaken by the ,state agency responsible for administering the substance abuse prevention and treatment block grant under subpart ,,ii of part ,b of title ,,xix of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#ba et seq471 which may include public health-related activities such as the following3 7,a7 ,implementing prevention activities1 and evaluating such activities to identify effective strategies to prevent substance use disorders4 7,b7 ,establishing or improving prescription drug monitoring programs4 7,c7 ,training for health care practitioners1 such as best practices for prescribing opioids1 pain management1 recognizing potential cases of substance use disorders1 referral of patients to treatment programs1 preventing diversion of controlled substances1 and overdose prevention4 7,d7 ,supporting access to health care services1 including-- 7i7 services provided by federally certified opioid treatment programs2 7ii7 outpatient and residential substance use disorder treatment services that utilize medication-assisted treatment1 as appropriate2 or 7iii7 other appropriate health care providers to treat substance use disorders4 7,e7 ,recovery support services1 including-- 7i7 community-based services that include peer supports2 7ii7 mutual aid recovery programs that support medication-assisted treatment2 or 7iii7 services to address housing needs and family issues4 7,f7 ,other public health-related activities1 as the ,state1 ,indian ,tribe1 ,tribal organization1 or ,urban ,indian organization determines appropriate1 related to addressing substance use disorders within the ,state1 ,indian ,tribe1 ,tribal organization1 or ,urban ,indian organization1 including directing resources in accordance with local needs related to substance use disorders4 7c7 ,accountability and oversight ,a ,state receiving a grant under subsection 7b7 shall include in reporting related to substance use disorders submitted to the ,secretary pursuant to section #aidb of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#eb71 a description of-- 7#a7 the purposes for which the grant funds received by the ,state under such subsection for the preceding fiscal year were expended and a description of the activities of the ,state under the grant2 7#b7 the ultimate recipients of amounts provided to the ,state2 and 7#c7 the number of individuals served through the grant4 7d7 ,limitations ,any funds made available pursuant to subsection 7i7-- 7#a7 shall not be used for any purpose other than the grant program under subsection 7b72 and 7#b7 shall be subject to the same requirements as substance use disorders prevention and treatment programs under titles ,v and ,,xix of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;aa et seq41 #cjjw et seq474 7e7 ,indian ,tribes1 ,tribal organizations1 and ,urban ,indian organizations ,the ,secretary1 in consultation with ,indian ,tribes1 ,tribal organizations1 and ,urban ,indian organizations1 shall identify and establish appropriate mechanisms for ,indian ,tribes1 ,tribal organizations1 and ,urban ,indian organizations to demonstrate or report the information as required under subsections 7b71 7c71 and 7d74 7f7 ,report to ,congress ,not later than ,september #cj1 #bjbd1 and biennially thereafter1 the ,secretary shall submit to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,energy and ,commerce of the ,house of ,representatives1 and the ,committees on ,appropriations of the ,house of ,representatives and the ,senate1 a report that includes a summary of the information provided to the ,secretary in reports made pursuant to subsections 7c7 and 7e71 including-- 7#a7 the purposes for which grant funds are awarded under this section2 7#b7 the activities of the grant recipients2 and 7#c7 for each ,state1 ,indian ,tribe1 ,tribal organization1 and ,urban ,indian organization that receives a grant under this section1 the funding level provided to such recipient4 7g7 ,technical assistance ,the ,secretary1 including through the ,tribal ,training and ,technical ,assistance ,center of the ,substance ,abuse and ,mental ,health ,services ,administration1 shall provide ,states1 ,indian ,tribes1 ,tribal organizations1 and ,urban ,indian organizations1 as applicable1 with technical assistance concerning grant application and submission procedures under this section1 award management activities1 and enhancing outreach and direct support to rural and underserved communities and providers in addressing substance use disorders4 7h7 ,definitions ,in this section3 7#a7 ,indian ,tribe ,the term ,indian ,tribe has the meaning given the term ,indian tribe in section #d of the ,indian ,self-,determination and ,education ,assistance ,act 7#be ,u4,s4,c4 #ecjd74 7#b7 ,tribal organization ,the term ,tribal organization has the meaning given the term tribal organization in such section #d4 7#c7 ,state ,the term ,state has the meaning given such term in section #aied7;b7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#fd7;b774 7#d7 ,urban ,indian organization ,the term ,urban ,indian organization has the meaning given such term in section #d of the ,indian ,health ,care ,improvement ,act4 7i7 ,authorization of appropriations 7#a7 ,in general ,for purposes of carrying out the grant program under subsection 7b71 there is authorized to be appropriated #a1gej1jjj1jjj for each of fiscal years #bjbc through #bjbg1 to remain available until expended4 7#b7 ,federal administrative expenses ,of the amounts made available for each fiscal year to award grants under subsection 7b71 the ,secretary shall not use more than #bj percent for ,federal administrative expenses1 training1 technical assistance1 and evaluation4 7#c7 ,set aside ,of the amounts made available for each fiscal year to award grants under subsection 7b7 for a fiscal year1 the ,secretary shall-- 7,a7 award #e percent to ,indian ,tribes1 ,tribal organizations1 and ,urban ,indian organizations2 and 7,b7 of the amount remaining after application of subparagraph 7,a71 set aside up to #ae percent for awards to ,states with the highest age-adjusted rate of drug overdose death based on the ordinal ranking of ,states according to the ,director of the ,centers for ,disease ,control and ,prevention4 4 ,,iii ,access to ,mental ,health ,care and ,coverage ,a ,collaborate in an ,orderly and ,cohesive ,manner #cja4 ,increasing uptake of the collaborative care model ,section #ebj,k of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#db7 is amended to read as follows3 #ebj,k4 ,integration incentive grants and cooperative agreements 7a7 ,definitions ,in this section3 7#a7 ,collaborative care model ,the term collaborative care model means the evidence-based1 integrated behavioral health service delivery method that includes-- 7,a7 care directed by the primary care team2 7,b7 structured care management2 7,c7 regular assessments of clinical status using developmentally appropriate1 validated tools2 and 7,d7 modification of treatment as appropriate4 7#b7 ,eligible entity ,the term eligible entity means a ,state1 or an appropriate ,state agency1 in collaboration with-- 7,a7 #a or more qualified community programs as described in section #aiac7;b77#a72 7,b7 #a or more health centers 7as defined in section #ccj7;a771 a rural health clinic 7as defined in section #aifa7;aa7 of the ,social ,security ,act71 or a ,federally qualified health center 7as defined in such section72 or 7,c7 #a or more primary health care practices4 7#c7 ,integrated care2 bidirectional integrated care 7,a7 ,the term integrated care means models or practices for coordinating and jointly delivering behavioral and physical health services1 which may include practices that share the same space in the same facility4 7,b7 ,the term bidirectional integrated care means the integration of behavioral health care and specialty physical health care1 as well as the integration of primary and physical health care with specialty behavioral health settings1 including within primary health care settings4 7#d7 ,primary health care provider ,the term primary health care provider means a provider who-- 7,a7 provides health services related to family medicine1 internal medicine1 pediatrics1 obstetrics1 gynecology1 or geriatrics2 or 7,b7 is a doctor of medicine or osteopathy1 physician assistant1 or nurse practitioner1 who is licensed to practice medicine by the ,state in which such physician1 assistant1 or practitioner primarily practices1 including within primary health care settings4 7#e7 ,primary health care practice ,the term primary health care practice means a medical practice of primary health care providers1 including a practice within a larger health care system4 7#f7 ,special population ,the term special population1 for an eligible entity that is collaborating with an entity described in subparagraph 7,a7 or 7,b7 of paragraph 7#c71 means-- 7,a7 adults with a serious mental illness who have a co-occurring physical health condition or chronic disease2 7,b7 children and adolescents with a mental illness who have a co-occurring physical health condition or chronic disease2 7,c7 individuals with a substance use disorder2 or 7,d7 individuals with a mental illness who have a co-occurring substance use disorder4 7b7 ,grants and cooperative agreements 7#a7 ,in general ,the ,secretary may award grants and cooperative agreements to eligible entities to support the improvement of integrated care for physical and behavioral health care in accordance with paragraph 7#b74 7#b7 ,use of funds ,a grant or cooperative agreement awarded under this section shall be used-- 7,a7 in the case of an eligible entity that is collaborating with an entity described in subparagraph 7,a7 or 7,b7 of subsection 7a77#b7-- 7i7 to promote full integration and collaboration in clinical practices between physical and behavioral health care for special populations including each population listed in subsection 7a77#g72 7ii7 to support the improvement of integrated care models for physical and behavioral health care to improve the overall wellness and physical health status of-- 7,i7 adults with a serious mental illness or children with a serious emotional disturbance2 and 7,,ii7 individuals with a substance use disorder2 and 7iii7 to promote bidirectional integrated care services including screening1 diagnosis1 prevention1 treatment1 and recovery of mental and substance use disorders1 and co-occurring physical health conditions and chronic diseases2 and 7,b7 in the case of an eligible entity that is collaborating with a primary health care practice1 to support the uptake of the collaborative care model1 including by-- 7i7 hiring staff2 7ii7 identifying and formalizing contractual relationships with other health care providers1 including providers who will function as psychiatric consultants and behavioral health care managers in providing behavioral health integration services through the collaborative care model2 7iii7 purchasing or upgrading software and other resources needed to appropriately provide behavioral health integration services through the collaborative care model1 including resources needed to establish a patient registry and implement measurement-based care2 and 7iv7 for such other purposes as the ,secretary determines to be necessary4 7c7 ,applications 7#a7 ,in general ,an eligible entity that is collaborating with an entity described in subparagraph 7,a7 or 7,b7 of subsection 7a77#b7 seeking a grant or cooperative agreement under subsection 7b77#b77;,a7 shall submit an application to the ,secretary at such time1 in such manner1 and accompanied by such information as the ,secretary may require1 including the contents described in paragraph 7#b74 7#b7 ,contents ,any such application of an eligible entity described in subparagraph 7,a7 or 7,b7 of subsection 7a77#b7 shall include-- 7,a7 a description of a plan to achieve fully collaborative agreements to provide bidirectional integrated care to special populations2 7,b7 a document that summarizes the policies1 if any1 that are barriers to the provision of integrated care1 and the specific steps1 if applicable1 that will be taken to address such barriers2 7,c7 a description of partnerships or other arrangements with local health care providers to provide services to special populations2 7,d7 an agreement and plan to report to the ,secretary performance measures necessary to evaluate patient outcomes and facilitate evaluations across participating projects2 7,e7 a description of how validated rating scales will be implemented to support the improvement of patient outcomes using measurement-based care1 including those related to depression screening1 patient follow-up1 and symptom remission2 and 7,f7 a plan for sustainability beyond the grant or cooperative agreement period under subsection 7e74 7#c7 ,collaborative care model grants ,an eligible entity that is collaborating with a primary health care practice seeking a grant pursuant to subsection 7b77#b77;,b7 shall submit an application to the ,secretary at such time1 in such manner1 and accompanied by such information as the ,secretary may require4 7d7 ,grant and cooperative agreement amounts 7#a7 ,target amount ,the target amount that an eligible entity may receive for a year through a grant or cooperative agreement under this section shall be-- 7,a7 #b1jjj1jjj for an eligible entity described in subparagraph 7,a7 or 7,b7 of subsection 7a77#b72 or 7,b7 #ajj1jjj or less for an eligible entity described in subparagraph 7,c7 of subsection 7a77#b74 7#b7 ,adjustment permitted ,the ,secretary1 taking into consideration the quality of an eligible entity's application and the number of eligible entities that received grants under this section prior to the date of enactment of the ,restoring ,hope for ,mental ,health and ,well-,being ,act of #bjbb1 may adjust the target amount that an eligible entity may receive for a year through a grant or cooperative agreement under this section4 7#c7 ,limitation ,an eligible entity that is collaborating with an entity described in subparagraph 7,a7 or 7,b7 of subsection 7a77#b7 receiving funding under this section-- 7,a7 may not allocate more than #bj percent of the funds awarded to such eligible entity under this section to administrative functions2 and 7,b7 shall allocate the remainder of such funding to health facilities that provide integrated care4 7e7 ,duration ,a grant or cooperative agreement under this section shall be for a period not to exceed #e years4 7f7 ,report on program outcomes ,an eligible entity receiving a grant or cooperative agreement under this section-- 7#a7 that is collaborating with an entity described in subparagraph 7,a7 or 7,b7 of subsection 7a77#b7 shall submit an annual report to the ,secretary that includes-- 7,a7 the progress made to reduce barriers to integrated care as described in the entity's application under subsection 7c72 and 7,b7 a description of outcomes with respect to each special population listed in subsection 7a77#g71 including outcomes related to education1 employment1 and housing2 or 7#b7 that is collaborating with a primary health care practice shall submit an annual report to the ,secretary that includes-- 7,a7 the progress made to improve access2 7,b7 the progress made to improve patient outcomes2 and 7,c7 the progress made to reduce referrals to specialty care4 7g7 ,technical assistance for primary-,behavioral health care integration 7#a7 ,certain recipients ,the ,secretary may provide appropriate information1 training1 and technical assistance to eligible entities that are collaborating with an entity described in subparagraph 7,a7 or 7,b7 of subsection 7a77#b7 that receive a grant or cooperative agreement under this section1 in order to help such entities meet the requirements of this section1 including assistance with-- 7,a7 development and selection of integrated care models2 7,b7 dissemination of evidence-based interventions in integrated care2 7,c7 establishment of organizational practices to support operational and administrative success2 and 7,d7 other activities1 as the ,secretary determines appropriate4 7#b7 ,collaborative care model recipients ,the ,secretary shall provide appropriate information1 training1 and technical assistance to eligible entities that are collaborating with primary health care practices that receive funds under this section to help such entities implement the collaborative care model1 including-- 7,a7 developing financial models and budgets for implementing and maintaining a collaborative care model1 based on practice size2 7,b7 developing staffing models for essential staff roles2 7,c7 providing strategic advice to assist practices seeking to utilize other clinicians for additional psychotherapeutic interventions2 7,d7 providing information technology expertise to assist with building the collaborative care model into electronic health records1 including assistance with care manager tools1 patient registry1 ongoing patient monitoring1 and patient records2 7,e7 training support for all key staff and operational consultation to develop practice workflows2 7,f7 establishing methods to ensure the sharing of best practices and operational knowledge among primary health care physicians and primary health care practices that provide behavioral health integration services through the collaborative care model2 and 7,g7 providing guidance and instruction to primary health care physicians and primary health care practices on developing and maintaining relationships with community-based mental health and substance use disorder facilities for referral and treatment of patients whose clinical presentation or diagnosis is best suited for treatment at such facilities4 7#c7 ,additional dissemination of technical information ,in addition to providing the assistance described in paragraphs 7#a7 and 7#b7 to recipients of a grant or cooperative agreement under this section1 the ,secretary may also provide such assistance to other ,states and political subdivisions of ,states1 ,indian ,tribes and ,tribal organizations 7as defined under the ,federally ,recognized ,indian ,tribe ,list ,act of #aiid71 outpatient mental health and addiction treatment centers1 community mental health centers that meet the criteria under section #aiac7;c71 certified community behavioral health clinics described in section #bbc of the ,protecting ,access to ,medicare ,act of #bjad1 primary care organizations such as ,federally qualified health centers or rural health clinics as defined in section #ahfa7;aa7 of the ,social ,security ,act1 primary health care practices1 other community-based organizations1 and other entities engaging in integrated care activities1 as the ,secretary determines appropriate4 7h7 ,authorization of appropriations ,to carry out this section1 there is authorized to be appropriated #fj1jjj1jjj for each of fiscal years #bjbc through #bjbg4 4 ,b ,helping ,enable ,access to ,lifesaving ,services #caa4 ,reauthorization and provision of certain programs to strengthen the health care workforce 7a7 ,liability protections for health professional volunteers ,section #bbd7q77#f7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bcc7q77#f77 is amended by striking ,october #a1 #bjbb and inserting ,october #a1 #bjbg4 7b7 ,minority fellowships in crisis care management ,section #eig7;b7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bijll7b77 is amended by striking in the fields of psychiatry1 and inserting in the fields of crisis care management1 psychiatry14 7c7 ,mental and behavioral health education and training grants ,section #gef of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bid;e-#a7 is amended-- 7#a7 in subsection 7a77#a71 by inserting 7which may include master's and doctoral level programs7 after occupational therapy2 and 7#b7 in subsection 7f71 by striking ,for each of fiscal years #bjai through #bjbc and inserting ,for each of fiscal years #bjbc through #bjbg4 7d7 ,training demonstration program ,section #gfj7;g7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bidk7g77 is amended by inserting and #ca1gjj1jjj for each of fiscal years #bjbc through #bjbg before the period at the end4 #cab4 ,reauthorization of minority fellowship program ,section #eig7;c7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bijll7c77 is amended by striking #ab1ffi1jjj for each of fiscal years #bjah through #bjbb and inserting #be1jjj1jjj for each of fiscal years #bjbc through #bjbg4 ,c ,eliminating the ,opt-,out for ,nonfederal ,governmental ,health ,plans #cba4 ,eliminating the opt-out for nonfederal governmental health plans ,section #bgbb7;a77#b7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;gg-#ba7;a77#b77 is amended by adding at the end the following new subparagraph3 7,f7 ,sunset of election option 7i7 ,in general ,notwithstanding the preceding provisions of this paragraph-- 7,i7 no election described in subparagraph 7,a7 with respect to section #bgbf may be made on or after the date of the enactment of this subparagraph2 and 7,,ii7 except as provided in clause 7ii71 no such election with respect to section #bgbf expiring on or after the date that is #ahj days after the date of such enactment may be renewed4 7ii7 ,exception for certain collectively bargained plans ,notwithstanding clause 7i77,,ii71 a plan described in subparagraph 7,b77ii7 that is subject to multiple agreements described in such subparagraph of varying lengths and that has an election described in subparagraph 7,a7 with respect to section #bgbf in effect as of the date of the enactment of this subparagraph that expires on or after the date that is #ahj days after the date of such enactment may extend such election until the date on which the term of the last such agreement expires4 4 ,d ,mental health and substance use disorder parity implementation #cca4 ,grants to support mental health and substance use disorder parity implementation 7a7 ,in general ,section #bgid7;c7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;gg-#id7;c77 7as added by section #ajjc of the ,patient ,protection and ,affordable ,care ,act 7,public ,law #aaa-adh77 is amended by adding at the end the following3 7#c7 ,parity implementation 7,a7 ,in general ,beginning during the first fiscal year that begins after the date of enactment of this paragraph1 the ,secretary shall1 out of funds made available pursuant to subparagraph 7,c71 award grants to eligible ,states to enforce and ensure compliance with the mental health and substance use disorder parity provisions of section #bgbf4 7,b7 ,eligible ,state ,a ,state shall be eligible for a grant awarded under this paragraph only if such ,state-- 7i7 submits to the ,secretary an application for such grant at such time1 in such manner1 and containing such information as specified by the ,secretary2 and 7ii7 agrees to request and review from health insurance issuers offering group or individual health insurance coverage the comparative analyses and other information required of such health insurance issuers under subsection 7a77#h77;,a7 of section #bgbf relating to the design and application of nonquantitative treatment limitations imposed on mental health or substance use disorder benefits4 7,c7 ,authorization of appropriations ,there are authorized to be appropriated #aj1jjj1jjj for each of the first five fiscal years beginning after the date of the enactment of this paragraph1 to remain available until expended1 for purposes of awarding grants under subparagraph 7,a74 4 7b7 ,technical amendment ,section #bgid of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;gg-#ie71 as added by section #ffjc of the ,patient ,protection and ,affordable ,care ,act 7,public ,law #aaa-adh7 is redesignated as section #bgie4 ,e ,improving ,emergency ,department ,mental ,health ,access1 ,services1 and ,responders #cda4 ,helping emergency responders overcome 7a7 ,data system to capture national public safety officer suicide incidence ,the ,public ,health ,service ,act is amended by inserting before section #cah of such ,act 7#db ,u4,s4,c4 #bdg;c7 the following3 #cag,v4 ,data system to capture national public safety officer suicide incidence 7a7 ,in general ,the ,secretary1 in coordination with the ,director of the ,centers for ,disease ,control and ,prevention and other agencies as the ,secretary determines appropriate1 may-- 7#a7 develop and maintain a data system1 to be known as the ,public ,safety ,officer ,suicide ,reporting ,system1 for the purposes of-- 7,a7 collecting data on the suicide incidence among public safety officers2 and 7,b7 facilitating the study of successful interventions to reduce suicide among public safety officers2 and 7#b7 integrate such system into the ,national ,violent ,death ,reporting ,system1 so long as the ,secretary determines such integration to be consistent with the purposes described in paragraph 7#a74 7b7 ,data collection ,in collecting data for the ,public ,safety ,officer ,suicide ,reporting ,system1 the ,secretary shall1 at a minimum1 collect the following information3 7#a7 ,the total number of suicides in the ,united ,states among all public safety officers in a given calendar year4 7#b7 ,suicide rates for public safety officers in a given calendar year1 disaggregated by-- 7,a7 age and gender of the public safety officer2 7,b7 ,state2 7,c7 occupation2 including both the individual's role in their public safety agency and their primary occupation in the case of volunteer public safety officers2 7,d7 where available1 the status of the public safety officer as volunteer1 paid-on-call1 or career2 and 7,e7 status of the public safety officer as active or retired4 7c7 ,consultation during development ,in developing the ,public ,safety ,officer ,suicide ,reporting ,system1 the ,secretary shall consult with non-,federal experts to determine the best means to collect data regarding suicide incidence in a safe1 sensitive1 anonymous1 and effective manner4 ,such non-,federal experts shall include1 as appropriate1 the following3 7#a7 ,public health experts with experience in developing and maintaining suicide registries4 7#b7 ,organizations that track suicide among public safety officers4 7#c7 ,mental health experts with experience in studying suicide and other profession-related traumatic stress4 7#d7 ,clinicians with experience in diagnosing and treating mental health issues4 7#e7 ,active and retired volunteer1 paid-on-call1 and career public safety officers4 7#f7 ,relevant national police1 and fire and emergency medical services1 organizations4 7d7 ,data privacy and security ,in developing and maintaining the ,public ,safety ,officer ,suicide ,reporting ,system1 the ,secretary shall ensure that all applicable ,federal privacy and security protections are followed to ensure that-- 7#a7 the confidentiality and anonymity of suicide victims and their families are protected1 including so as to ensure that data cannot be used to deny benefits2 and 7#b7 data is sufficiently secure to prevent unauthorized access4 7e7 ,reporting 7#a7 ,annual report ,not later than #b years after the date of enactment of the ,restoring ,hope for ,mental ,health and ,well-,being ,act of #bjbb1 and biannually thereafter1 the ,secretary shall submit a report to the ,congress on the suicide incidence among public safety officers4 ,each such report shall-- 7,a7 include the number and rate of such suicide incidence1 disaggregated by age1 gender1 and ,state of employment2 7,b7 identify characteristics and contributing circumstances for suicide among public safety officers2 7,c7 disaggregate rates of suicide by-- 7i7 occupation2 7ii7 status as volunteer1 paid-on-call1 or career2 and 7iii7 status as active or retired2 7,d7 include recommendations for further study regarding the suicide incidence among public safety officers2 7,e7 specify in detail1 if found1 any obstacles in collecting suicide rates for volunteers and include recommended improvements to overcome such obstacles2 7,f7 identify options for interventions to reduce suicide among public safety officers2 and 7,g7 describe procedures to ensure the confidentiality and anonymity of suicide victims and their families1 as described in subsection 7d77#a74 7#b7 ,public availability ,upon the submission of each report to the ,congress under paragraph 7#a71 the ,secretary shall make the full report publicly available on the website of the ,centers for ,disease ,control and ,prevention4 7f7 ,definition ,in this section1 the term public safety officer means-- 7#a7 a public safety officer as defined in section #abjd of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh2 or 7#b7 a public safety telecommunicator as described in detailed occupation #dc-ejca in the ,standard ,occupational ,classification ,manual of the ,office of ,management and ,budget 7#bjah74 7g7 ,prohibited use of information ,notwithstanding any other provision of law1 if an individual is identified as deceased based on information contained in the ,public ,safety ,officer ,suicide ,reporting ,system1 such information may not be used to deny or rescind life insurance payments or other benefits to a survivor of the deceased individual4 4 7b7 ,peer-support behavioral health and wellness programs within fire departments and emergency medical service agencies 7#a7 ,in general ,part ,b of title ,,iii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdc et seq47 is amended by adding at the end the following3 #cbj;,c4 ,peer-support behavioral health and wellness programs within fire departments and emergency medical service agencies 7a7 ,in general ,the ,secretary may award grants to eligible entities for the purpose of establishing or enhancing peer-support behavioral health and wellness programs within fire departments and emergency medical services agencies4 7b7 ,program description ,a peer-support behavioral health and wellness program funded under this section shall-- 7#a7 use career and volunteer members of fire departments or emergency medical services agencies to serve as peer counselors2 7#b7 provide training to members of career1 volunteer1 and combination fire departments or emergency medical service agencies to serve as such peer counselors2 7#c7 purchase materials to be used exclusively to provide such training2 and 7#d7 disseminate such information and materials as are necessary to conduct the program4 7c7 ,definition ,in this section3 7#a7 ,the term eligible entity means a nonprofit organization with expertise and experience with respect to the health and life safety of members of fire and emergency medical services agencies4 7#b7 ,the term member-- 7,a7 with respect to an emergency medical services agency1 means an employee1 regardless of rank or whether the employee receives compensation 7as defined in section #abjd7g7 of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh72 and 7,b7 with respect to a fire department1 means any employee1 regardless of rank or whether the employee receives compensation1 of a ,federal1 ,state1 ,tribal1 or local fire department who is responsible for responding to calls for emergency service4 4 7#b7 ,technical correction ,effective as if included in the enactment of the ,children's ,health ,act of #bjjj 7,public ,law #ajf-caj71 the amendment instruction in section #afjc of such ,act is amended by striking ,part ,b of the ,public ,health ,service ,act and inserting ,part ,b of title ,,iii of the ,public ,health ,service ,act4 7c7 ,health care provider behavioral health and wellness programs ,part ,b of title ,,iii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdc et seq471 as amended by subsection 7b77#a71 is further amended by adding at the end the following3 #cbj;,d4 ,health care provider behavioral health and wellness programs 7a7 ,in general ,the ,secretary may award grants to eligible entities for the purpose of establishing or enhancing behavioral health and wellness programs for health care providers4 7b7 ,program description ,a behavioral health and wellness program funded under this section shall-- 7#a7 provide confidential support services for health care providers to help handle stressful or traumatic patient-related events1 including counseling services and wellness seminars2 7#b7 provide training to health care providers to serve as peer counselors to other health care providers2 7#c7 purchase materials to be used exclusively to provide such training2 and 7#d7 disseminate such information and materials as are necessary to conduct such training and provide such peer counseling4 7c7 ,definitions ,in this section1 the term eligible entity means a hospital1 including a critical access hospital 7as defined in section #ahfa7mm77#a7 of the ,social ,security ,act7 or a disproportionate share hospital 7as defined under section #aibc7;a77#a77;,a7 of such ,act71 a ,federally-qualified health center 7as defined in section #aije7a77b77;,b7 of such ,act71 or any other health care facility4 4 7d7 ,development of resources for educating mental health professionals about treating fire fighters and emergency medical services personnel 7#a7 ,in general ,the ,secretary of ,health and ,human ,services shall develop and make publicly available resources that may be used by the ,federal ,government and other entities to educate mental health professionals about-- 7,a7 the culture of ,federal1 ,state1 ,tribal1 and local career1 volunteer1 and combination fire departments and emergency medical services agencies2 7,b7 the different stressors experienced by firefighters and emergency medical services personnel1 supervisory firefighters and emergency medical services personnel1 and chief officers of fire departments and emergency medical services agencies2 7,c7 challenges encountered by retired firefighters and emergency medical services personnel2 and 7,d7 evidence-based therapies for mental health issues common to firefighters and emergency medical services personnel within such departments and agencies4 7#b7 ,consultation ,in developing resources under paragraph 7#a71 the ,secretary of ,health and ,human ,services shall consult with national fire and emergency medical services organizations4 7#c7 ,definitions ,in this subsection3 7,a7 ,the term firefighter means any employee1 regardless of rank or whether the employee receives compensation1 of a ,federal1 ,state1 ,tribal1 or local fire department who is responsible for responding to calls for emergency service4 7,b7 ,the term emergency medical services personnel means any employee1 regardless of rank or whether the employee receives compensation1 as defined in section #abjd7g7 of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#cd ,u4,s4,c4 #ajbhd7g774 7,c7 ,the term chief officer means any individual who is responsible for the overall operation of a fire department or an emergency medical services agency1 irrespective of whether such individual also serves as a firefighter or emergency medical services personnel4 7e7 ,best practices and other resources for addressing posttraumatic stress disorder in public safety officers 7#a7 ,development2 updates ,the ,secretary of ,health and ,human ,services shall-- 7,a7 develop and assemble evidence-based best practices and other resources to identify1 prevent1 and treat posttraumatic stress disorder and co-occurring disorders in public safety officers2 and 7,b7 reassess and update1 as the ,secretary determines necessary1 such best practices and resources1 including based upon the options for interventions to reduce suicide among public safety officers identified in the annual reports required by section #cag,v7e77#a77;,f7 of the ,public ,health ,service ,act1 as added by subsection 7a74 7#b7 ,consultation ,in developing1 assembling1 and updating the best practices and resources under paragraph 7#a71 the ,secretary of ,health and ,human ,services shall consult with1 at a minimum1 the following3 7,a7 ,public health experts4 7,b7 ,mental health experts with experience in studying suicide and other profession-related traumatic stress4 7,c7 ,clinicians with experience in diagnosing and treating mental health issues4 7,d7 ,relevant national police1 fire1 and emergency medical services organizations4 7#c7 ,availability ,the ,secretary of ,health and ,human ,services shall make the best practices and resources under paragraph 7#a7 available to ,federal1 ,state1 and local fire1 law enforcement1 and emergency medical services agencies4 7#d7 ,federal training and development programs ,the ,secretary of ,health and ,human ,services shall work with ,federal departments and agencies1 including the ,united ,states ,fire ,administration1 to incorporate education and training on the best practices and resources under paragraph 7#a7 into ,federal training and development programs for public safety officers4 7#e7 ,definition ,in this subsection1 the term public safety officer means-- 7,a7 a public safety officer as defined in section #abjd of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#cd ,u4,s4,c4 #ajbhd72 or 7,b7 a public safety telecommunicator as described in detailed occupation #dc-ejca in the ,standard ,occupational ,classification ,manual of the ,office of ,management and ,budget 7#bjah74 ,f ,other ,provisions #cea4 ,report on ,law ,enforcement ,mental ,health and ,wellness 7a7 ,in ,general ,not later than #bgj days after the date of enactment of this ,act1 the ,attorney ,general1 in consultation with the ,director of the ,federal ,bureau of ,investigation1 the ,director of the ,national ,institute for ,justice1 and the ,assistant ,secretary for ,mental ,health and ,substance ,abuse1 shall submit to the ,committee on ,health1 ,education1 ,labor1 and ,pensions and the ,committee on the ,judiciary of the ,senate and the ,committee on ,energy and ,commerce and the ,committee on the ,judiciary of the ,house of ,representatives a report on-- 7#a7 the types1 frequency1 and severity of mental health and stress-related responses of law enforcement officers to aggressive actions or other trauma-inducing incidents against law enforcement officers2 7#b7 mental health and stress-related resources or programs that are available to law enforcement officers at the ,federal1 ,state1 and local level1 including peer-to-peer programs2 7#c7 the extent to which law enforcement officers use the resources or programs described in paragraph 7#b72 7#d7 the availability of1 or need for1 mental health screening within ,federal1 ,state1 and local law enforcement agencies2 and 7#e7 recommendations for ,federal1 ,state1 and local law enforcement agencies to improve the mental health and wellness of their officers4 7b7 ,development ,in developing the report required under subsection 7a71 the ,attorney ,general1 the ,director of the ,federal ,bureau of ,investigation1 the ,director of the ,national ,institute of ,justice1 and the ,assistant ,secretary for ,mental ,health and ,substance ,abuse shall consult relevant stakeholders1 including-- 7#a7 ,federal1 ,state1 ,tribal and local law enforcement agencies2 and 7#b7 nongovernmental organizations1 international organizations1 academies1 or other entities4 ,,iv ,children and ,youth ,a ,supporting ,children's ,mental ,health ,care ,access #dja4 ,pediatric mental health care access grants ,section #ccj,m of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bed;c-#ai7 is amended-- 7#a7 in the section enumerator1 by striking #ccj,m and inserting #ccj,m42 7#b7 in subsection 7a7-- 7,a7 by striking ,indian tribes and tribal organizations and inserting ,indian ,tribes and ,tribal organizations2 and 7,b7 by inserting or1 in the case of a ,state that does not submit an application1 a nonprofit entity that has the support of the ,state after #dej;b772 7#c7 in subsection 7b7-- 7,a7 in paragraph 7#a7-- 7i7 in subparagraph 7,g71 by inserting developmental-behavioral pediatricians1 after adolescent psychiatrists12 7ii7 in subparagraph 7,h71 by striking 2 and at the end and inserting a semicolon2 7iii7 by redesignating subparagraph 7,i7 as subparagraph 7,j72 and 7iv7 by inserting after subparagraph 7,h7 the following3 7,i7 maintain an up-to-date list of community-based supports for children with mental health problems2 and 2 7,b7 by redesignating paragraph 7#b7 as paragraph 7#d72 7,c7 by inserting after paragraph 7#a7 the following3 7#b7 ,support to schools and emergency departments ,in addition to the activities required by paragraph 7#a71 a pediatric mental health care telehealth access program referred to in subsection 7a71 with respect to which a grant under such subsection may be used1 may provide support to schools and emergency departments4 7#c7 ,priority ,in awarding grants under this section1 the ,secretary shall give priority to applicants proposing to-- 7,a7 continue existing programs that meet the requirements of paragraph 7#a72 7,b7 establish a pediatric mental health care telehealth access program in the jurisdiction of a ,state1 ,territory1 ,indian ,tribe1 or ,tribal organization that does not yet have such a program2 or 7,c7 expand a pediatric mental health care telehealth access program to include one or more new sites of care1 such as a school or emergency department4 2 and 7,d7 in paragraph 7#d71 as redesignated by subparagraph 7,b71 by inserting ,such a team may include a developmental-behavioral pediatrician4 after mental health counselor42 7#d7 in subsections 7c71 7d71 and 7f71 by striking ,indian tribe1 or tribal organization each place it appears and inserting ,indian ,tribe1 ,tribal organization1 or nonprofit entity2 and 7#e7 by striking subsection 7g7 and inserting the following3 7g7 ,technical assistance ,the ,secretary shall award grants or contracts to one or more eligible entities 7as defined by the ,secretary7 for the purposes of providing technical assistance and evaluation support to grantees under subsection 7a74 7h7 ,authorization of appropriations ,to carry out this section1 there are authorized to be appropriated-- 7#a7 #ad1jjj1jjj for each of fiscal years #bjbc through #bjbe2 and 7#b7 #cj1jjj1jjj for each of fiscal years #bjbf through #bjbg4 4 #djb4 ,infant and early childhood mental health promotion1 intervention1 and treatment ,section #cii,z-#b7;f7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;h-#f7;f77 is amended by striking #bj1jjj1jjj for the period of fiscal years #bjah through #bjbb and inserting #ej1jjj1jjj for the period of fiscal years #bjbc through #bjbg4 #djc4 ,school-based mental health2 children and adolescents 7a7 ,technical amendments ,the second part ,g 7relating to services provided through religious organizations7 of title ,v of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bijkk et seq47 is amended-- 7#a7 by redesignating such part as part ,j2 and 7#b7 by redesignating sections #eha through #ehd as sections #eif through #eif;,c1 respectively4 7b7 ,school-,based mental health and children ,section #eha of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;hh7 7relating to children and violence7 is amended to read as follows3 #eha4 ,school-based mental health2 children and adolescents 7a7 ,in general ,the ,secretary1 in consultation with the ,secretary of ,education1 shall1 through grants1 contracts1 or cooperative agreements awarded to eligible entities described in subsection 7c71 provide comprehensive school-based mental health services and supports to assist children in local communities and schools 7including schools funded by the ,bureau of ,indian ,education7 dealing with traumatic experiences1 grief1 bereavement1 risk of suicide1 and violence4 ,such services and supports shall be-- 7#a7 developmentally1 linguistically1 and culturally appropriate2 7#b7 trauma-informed2 and 7#c7 incorporate positive behavioral interventions and supports4 7b7 ,activities ,grants1 contracts1 or cooperative agreements awarded under subsection 7a71 shall1 as appropriate1 be used for-- 7#a7 implementation of school and community-based mental health programs that-- 7,a7 build awareness of individual trauma and the intergenerational1 continuum of impacts of trauma on populations2 7,b7 train appropriate staff to identify1 and screen for1 signs of trauma exposure1 mental health disorders1 or risk of suicide2 and 7,c7 incorporate positive behavioral interventions1 family engagement1 student treatment1 and multigenerational supports to foster the health and development of children1 prevent mental health disorders1 and ameliorate the impact of trauma2 7#b7 technical assistance to local communities with respect to the development of programs described in paragraph 7#a72 7#c7 facilitating community partnerships among families1 students1 law enforcement agencies1 education agencies1 mental health and substance use disorder service systems1 family-based mental health service systems1 child welfare agencies1 health care providers 7including primary care physicians1 mental health professionals1 and other professionals who specialize in children's mental health such as child and adolescent psychiatrists71 institutions of higher education1 faith-based programs1 trauma networks1 and other community-based systems to address child and adolescent trauma1 mental health issues1 and violence2 and 7#d7 establishing mechanisms for children and adolescents to report incidents of violence or plans by other children1 adolescents1 or adults to commit violence4 7c7 ,requirements 7#a7 ,in general ,to be eligible for a grant1 contract1 or cooperative agreement under subsection 7a71 an entity shall be a partnership that includes-- 7,a7 a ,state educational agency1 as defined in section #haja of the ,elementary and ,secondary ,education ,act of #aife1 in coordination with one or more local educational agencies1 as defined in section #haja of the ,elementary and ,secondary ,education ,act of #aife1 or a consortium of any entities described in subparagraph 7,b71 7,c71 7,d71 or 7,e7 of section #haja7cj7 of such ,act2 and 7,b7 at least #a community-based mental health provider1 including a public or private mental health entity1 health care entity1 family-based mental health entity1 trauma network1 or other community-based entity1 as determined by the ,secretary 7and which may include additional entities such as a human services agency1 law enforcement or juvenile justice entity1 child welfare agency1 agency1 an institution of higher education1 or another entity1 as determined by the ,secretary74 7#b7 ,compliance with ,,hipaa ,any patient records developed by covered entities through activities under the grant shall meet the regulations promulgated under section #bfd7;c7 of the ,health ,insurance ,portability and ,accountability ,act of #aiif4 7#c7 ,compliance with ,,ferpa ,section #ddd of the ,general ,education ,provisions ,act 7commonly known as the ,family ,educational ,rights and ,privacy ,act of #aigd7 shall apply to any entity that is a member of the partnership in the same manner that such section applies to an educational agency or institution 7as that term is defined in such section74 7d7 ,geographical distribution ,the ,secretary shall ensure that grants1 contracts1 or cooperative agreements under subsection 7a7 will be distributed equitably among the regions of the country and among urban and rural areas4 7e7 ,duration of awards ,with respect to a grant1 contract1 or cooperative agreement under subsection 7a71 the period during which payments under such an award will be made to the recipient shall be #e years1 with options for renewal4 7f7 ,evaluation and measures of outcomes 7#a7 ,development of process ,the ,assistant ,secretary shall develop a fiscally appropriate process for evaluating activities carried out under this section4 ,such process shall include-- 7,a7 the development of guidelines for the submission of program data by grant1 contract1 or cooperative agreement recipients2 7,b7 the development of measures of outcomes 7in accordance with paragraph 7#b77 to be applied by such recipients in evaluating programs carried out under this section2 and 7,c7 the submission of annual reports by such recipients concerning the effectiveness of programs carried out under this section4 7#b7 ,measures of outcomes ,the ,assistant ,secretary shall develop measures of outcomes to be applied by recipients of assistance under this section to evaluate the effectiveness of programs carried out under this section1 including outcomes related to the student1 family1 and local educational systems supported by this ,act4 7#c7 ,submission of annual data ,an eligible entity described in subsection 7c7 that receives a grant1 contract1 or cooperative agreement under this section shall annually submit to the ,assistant ,secretary a report that includes data to evaluate the success of the program carried out by the entity based on whether such program is achieving the purposes of the program4 ,such reports shall utilize the measures of outcomes under paragraph 7#b7 in a reasonable manner to demonstrate the progress of the program in achieving such purposes4 7#d7 ,evaluation by assistant secretary ,based on the data submitted under paragraph 7#c71 the ,assistant ,secretary shall annually submit to ,congress a report concerning the results and effectiveness of the programs carried out with assistance received under this section4 7#e7 ,limitation ,an eligible entity shall use not more than #bj percent of amounts received under a grant under this section to carry out evaluation activities under this subsection4 7g7 ,information and education ,the ,secretary shall disseminate best practices based on the findings of the knowledge development and application under this section4 7h7 ,amount of grants and authorization of appropriations 7#a7 ,amount of grants ,a grant under this section shall be in an amount that is not more than #b1jjj1jjj for each of the first #e fiscal years following the date of enactment of the ,restoring ,hope for ,mental ,health and ,well-,being ,act of #bjbb4 ,the ,secretary shall determine the amount of each such grant based on the population of children up to age #ba of the area to be served under the grant4 7#b7 ,authorization of appropriations ,there is authorized to be appropriated to carry out this section1 #acj1jjj1jjj for each of fiscal years #bjbc through #bjbg4 4 7c7 ,conforming amendment ,part ,g of title ,v of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;hh et seq471 as amended by subsection 7b71 is further amended by striking the part designation and heading and inserting the following3 ,g ,school-based mental health 4 #djd4 ,co-occurring chronic conditions and mental health in youth study ,not later than #ab months after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services shall-- 7#a7 complete a study on the rates of suicidal behaviors among children and adolescents with chronic illnesses1 including substance use disorders1 autoimmune disorders1 and heritable blood disorders2 and 7#b7 submit a report to the ,congress on the results of such study1 including recommendations for early intervention services for such children and adolescents at risk of suicide1 the dissemination of best practices to support the emotional and mental health needs of youth1 and strategies to lower the rates of suicidal behaviors in children and adolescents described in paragraph 7#a7 to reduce any demographic disparities in such rates4 #dje4 ,best practices for behavioral intervention teams ,the ,public ,health ,service ,act is amended by inserting after section #ebj;,h of such ,act1 as added by section #aea1 the following new section3 #ebj;,i4 ,best practices for behavioral intervention teams 7a7 ,in general ,the ,secretary shall identify and facilitate the development of best practices to assist elementary schools1 secondary schools1 and institutions of higher education in establishing and using behavioral intervention teams4 7b7 ,elements ,the best practices under subsection 7a77#a7 shall include guidance on the following3 7#a7 ,how behavioral intervention teams can operate effectively from an evidence-based1 objective perspective while protecting the constitutional and civil rights of individuals4 7#b7 ,the use of behavioral intervention teams to identify concerning behaviors1 implement interventions1 and manage risk through the framework of the school's or institution's rules or code of conduct1 as applicable4 7#c7 ,how behavioral intervention teams can1 when assessing an individual-- 7,a7 access training on evidence-based1 threat-assessment rubrics2 7,b7 ensure that such teams-- 7i7 have trained1 diverse stakeholders with varied expertise2 and 7ii7 use cross validation by a wide-range of individual perspectives on the team2 and 7,c7 use violence risk assessment4 7#d7 ,how behavioral intervention teams can help mitigate-- 7,a7 inappropriate use of a mental health assessment2 7,b7 inappropriate limitations or restrictions on law enforcement's jurisdiction over criminal matters2 7,c7 attempts to substitute the behavioral intervention process in place of a criminal process1 or impede a criminal process1 when an individual's behavior has potential criminal implications2 7,d7 endangerment of an individual's privacy by failing to ensure that all applicable ,federal and ,state privacy laws are fully complied with2 or 7,e7 inappropriate referrals to1 or involvement of1 law enforcement when an individual's behavior does not warrant a criminal response4 7c7 ,consultation ,in carrying out subsection 7a77#a71 the ,secretary shall consult with-- 7#a7 the ,secretary of ,education2 7#b7 the ,director of the ,national ,threat ,assessment ,center of the ,united ,states ,secretary ,service2 7#c7 the ,attorney ,general and the ,director of the ,bureau of ,justice ,assistance2 7#d7 teachers and other educators1 principals1 school administrators1 school board members1 school psychologists1 mental health professionals1 and parents of students2 7#e7 local law enforcement agencies and campus law enforcement administrators2 7#f7 privacy experts2 and 7#g7 other education and mental health professionals as the ,secretary deems appropriate4 7d7 ,publication ,not later than #b years after the date of enactment of this section1 the ,secretary shall publish the best practices under subsection 7a77#a7 on the internet website of the ,department of ,health and ,human ,services4 7e7 ,technical assistance ,the ,secretary shall provide technical assistance to institutions of higher education1 elementary schools1 and secondary schools to assist such institutions and schools in implementing the best practices under subsection 7a74 7f7 ,definitions ,in this section3 7#a7 ,the term behavioral intervention team means a team of qualified individuals who-- 7,a7 are responsible for identifying and assessing individuals exhibiting concerning behaviors1 experiencing distress1 or who are at risk of harm to self or others2 7,b7 develop and facilitate implementation of evidence-based interventions to mitigate the threat of harm to self or others posed by an individual and address the mental and behavioral health needs of individuals to reduce risk2 and 7,c7 provide information to students1 parents1 and school employees on recognizing behavior described in this subsection4 7#b7 ,the terms elementary school1 parent1 and secondary school have the meanings given to such terms in section #haja of the ,elementary and ,secondary ,education ,act of #aife4 7#c7 ,the term institution of higher education has the meaning given to such term in section #ajb of the ,higher ,education ,act of #aife4 7#d7 ,the term mental health assessment means an evaluation1 primarily focused on diagnosis1 determining the need for involuntary commitment1 medication management1 and on-going treatment recommendations4 7#e7 ,the term violence risk assessment means a broad determination of the potential risk of violence based on evidence-based literature4 4 ,b ,continuing ,systems of ,care for ,children #daa4 ,comprehensive ,community ,mental ,health ,services for ,children with ,serious ,emotional ,disturbances 7a7 ,definition of family ,section #efe7;d77#b77;,b7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;ff-#d7;d77#b77;,b77 is amended by striking as appropriate regarding mental health services for the child1 the parents of the child 7biological or adoptive1 as the case may be7 and any foster parents of the child and inserting as appropriate regarding mental health services for the child and the parents or kinship caregivers of the child4 7b7 ,authorization of appropriations ,paragraph 7#a7 of section #efe7;f7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;ff-#d7;f77 is amended-- 7#a7 by moving the margin of such paragraph #b ems to the right2 and 7#b7 by striking #aai1jbf1jjj for each of fiscal years #bjah through #bjbb and inserting #abe1jjj1jjj for each of fiscal years #bjbc through #bjbg4 #dab4 ,substance ,use ,disorder ,treatment and ,early ,intervention ,services for ,children and ,adolescents ,section #ead of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#g7 is amended-- 7#a7 in subsection 7a71 by striking ,indian tribes or tribal organizations and inserting ,indian ,tribes or ,tribal organizations2 and 7#b7 in subsection 7f71 by striking #bjah through #bjbb and inserting #bjbc through #bjbg4 ,c ,garrett ,lee ,smith ,memorial ,reauthorization #dba4 ,suicide prevention technical assistance center 7a7 ,technical amendment ,section #ebj;,c of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#cd7 is amended-- 7#a7 by striking tribes and inserting ,tribes2 and 7#b7 by striking tribal each place it appears and inserting ,tribal4 7b7 ,authorization of appropriations ,section #ebj;,c7c7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#cd7;c77 is amended by striking #e1ihh1jjj for each of fiscal years #bjah through #bjbb and inserting #i1jjj1jjj for each of fiscal years #bjbc through #bjbg4 7c7 ,annual report ,section #ebj;,c7d7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#cd7;d77 is amended by striking ,not later than #b years after the date of enactment of this subsection and inserting ,not later than #b years after the date of enactment of the ,restoring ,hope for ,mental ,health and ,well-,being ,act of #bjbb4 #dbb4 ,youth suicide early intervention and prevention strategies ,section #ebj;,e of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#cf7 is amended-- 7#a7 by striking tribe and inserting ,tribe2 7#b7 by striking tribal each place it appears and inserting ,tribal2 7#c7 in subsection 7a77#a71 by inserting pediatric health programs1 after foster care systems12 7#d7 by amending subsection 7b77#a77;,b7 to read as follows3 7,b7 a public organization or private nonprofit organization designated by a ,state or ,indian ,tribe 7as defined under the ,federally ,recognized ,indian ,tribe ,list ,act of #aiid7 to develop or direct the ,state-sponsored statewide or ,tribal youth suicide early intervention and prevention strategy2 or 2 7#e7 in subsection 7c7-- 7,a7 in paragraph 7#a71 by inserting pediatric health programs1 after foster care systems12 7,b7 in paragraph 7#g71 by inserting pediatric health programs1 after foster care systems12 7,c7 in paragraph 7#i71 by inserting pediatric health programs1 after educational institutions12 7,d7 in paragraph 7#ac71 by striking and at the end2 7,e7 in paragraph 7#ad71 by striking the period at the end and inserting 2 and2 and 7,f7 by adding at the end the following3 7#ae7 provide to parents1 legal guardians1 and family members of youth1 supplies to securely store means commonly used in suicide1 if applicable1 within the household4 2 7#f7 in subsection 7d7-- 7,a7 in the heading1 by striking direct services and inserting suicide prevention activities2 and 7,b7 by striking direct services1 of which not less than #e percent shall be used for activities authorized under subsection 7a77#c7 and inserting suicide prevention activities2 7#g7 in subsection 7e77#c77;,a71 by inserting and ,department of ,education after ,department of ,health and ,human ,services2 7#h7 in subsection 7g7-- 7,a7 in paragraph 7#a71 by striking #ah and inserting #bd2 and 7,b7 in paragraph 7#b71 by striking #b years after the date of enactment of ,helping ,families in ,mental ,health ,crisis ,reform ,act of #bjaf and inserting #c years after ,december #ca1 #bjbb2 7#i7 in subsection 7l77#d71 by striking between #aj and #bd years of age and inserting up to #bd years of age2 and 7#aj7 in subsection 7m71 by striking #cj1jjj1jjj for each of fiscal years #bjah through #bjbb and inserting #dj1jjj1jjj for each of fiscal years #bjbc through #bjbg4 #dbc4 ,mental health and substance use disorder services for students in higher education ,section #ebj;,e-#b of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#cf;b7 is amended-- 7#a7 in the heading1 by striking on campus and inserting for students in higher education2 and 7#b7 in subsection 7i71 by striking #bjah through #bjbb and inserting #bjbc through #bjbg4 #dbd4 ,mental and behavioral health outreach and education at institutions of higher education ,section #edi of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;ee-#d7 is amended-- 7#a7 in the heading1 by striking on college campuses and inserting at institutions of higher education2 7#b7 in subsection 7c77#b71 by inserting 1 including minority-serving institutions as described in section #cga7;a7 of the ,higher ,education ,act of #aife 7#bj ,u4,s4,c4 #ajfgq7 and community colleges after higher education2 and 7#c7 in subsection 7f71 by striking #bjah through #bjbb and inserting #bjbc through #bjbg4 ,d ,media and ,mental ,health #dca4 ,study on the effects of smartphone and social media use on adolescents 7a7 ,in general ,not later than #a year after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services shall conduct or support research on-- 7#a7 smartphone and social media use by adolescents2 and 7#b7 the effects of such use on-- 7,a7 emotional1 behavioral1 and physical health and development2 and 7,b7 any disparities in the mental health outcomes of rural1 minority1 and other underserved populations4 7b7 ,report ,not later than #e years after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services shall submit to the ,congress1 and make publicly available1 a report on the findings of research under this section4 #dcb4 ,research on the health and development effects of media on infants1 children1 and adolescents ,subpart #g of part ,c of title ,,iv of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhe;g et seq47 is amended by adding at the end the following3 #deb;,h4 ,research on the health and development effects of media on infants1 children1 and adolescents 7a7 ,in general ,the ,director of the ,national ,institutes of ,health1 in coordination with or acting through the ,director of the ,institute1 shall conduct and support research and related activities concerning the health and developmental effects of media on infants1 children1 and adolescents1 which may include the positive and negative effects of exposure to and use of media1 such as social media1 applications1 websites1 television1 motion pictures1 artificial intelligence1 mobile devices1 computers1 video games1 virtual and augmented reality1 and other media formats as they become available4 ,such research shall attempt to better understand the relationships between media and technology use and individual differences and characteristics of children and shall include longitudinally designed studies to assess the impact of media on youth over time4 ,such research shall include consideration of core areas of child and adolescent health and development including the following3 7#a7 ,cognitive ,the role and impact of media use and exposure in the development of children and adolescents within such cognitive areas as language development1 executive functioning1 attention1 creative problem solving skills1 visual and spatial skills1 literacy1 critical thinking1 and other learning abilities1 and the impact of early technology use on developmental trajectories4 7#b7 ,physical ,the role and impact of media use and exposure on children's and adolescent's physical development and health behaviors1 including diet1 exercise1 sleeping and eating routines1 and other areas of physical development4 7#c7 ,socio-emotional ,the role and impact of media use and exposure on children's and adolescents' social-emotional competencies1 including self-awareness1 self-regulation1 social awareness1 relationship skills1 empathy1 distress tolerance1 perception of social cues1 awareness of one's relationship with the media1 and decision-making1 as well as outcomes such as violations of privacy1 perpetration of or exposure to violence1 bullying or other forms of aggression1 depression1 anxiety1 substance use1 misuse or disorder1 and suicidal ideation_/behavior and self-harm4 7b7 ,developing research agenda ,the ,director of the ,national ,institutes of ,health1 in consultation with the ,director of the ,institute1 other appropriate national research institutes1 academies1 and centers1 the ,trans-,,nih ,pediatric ,research ,consortium1 and non-,federal experts as needed1 shall develop a research agenda on the health and developmental effects of media on infants1 children1 and adolescents to inform research activities under subsection 7a74 ,in developing such research agenda1 the ,director may use whatever means necessary 7such as scientific workshops and literature reviews7 to assess current knowledge and research gaps in this area4 7c7 ,research program ,in coordination with the ,institute and other national research institutes and centers1 and utilizing the ,national ,institutes of ,health's process of scientific peer review1 the ,director of the ,national ,institutes of ,health shall fund an expanded research program on the health and developmental effects of media on infants1 children1 and adolescents4 7d7 ,report to congress ,not later than #a year after the date of enactment of this ,act1 the ,director of the ,national ,institutes of ,health shall submit a report to ,congress on the progress made in gathering data and expanding research on the health and developmental effects of media on infants1 children1 and adolescents in accordance with this section4 ,such report shall summarize the grants and research funded1 by year1 under this section4 4 ,v ,medicaid and ,,chip #eja4 ,medicaid and ,,chip requirements for health screenings and referrals for eligible juveniles in public institutions 7a7 ,medicaid ,state plan requirement ,section #aijb of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7 is amended-- 7#a7 in subsection 7a77#hd7-- 7,a7 in subparagraph 7,a71 by inserting 1 subject to subparagraph 7,d71 after but2 7,b7 in subparagraph 7,b71 by striking and at the end2 7,c7 in subparagraph 7,c71 by adding and at the end2 and 7,d7 by adding at the end the following new subparagraph3 7,d7 beginning on the first day of the first calendar quarter that begins two years after the date of enactment of this subparagraph1 in the case of individuals who are eligible juveniles described in subsection 7nn77#b71 are within #cj days of the date on which such eligible juvenile is scheduled to be released from a public institution following adjudication1 the ,state shall have in place a plan to ensure1 and in accordance with such plan1 provide-- 7i7 for1 in the #cj days prior to the release of such an eligible juvenile from such public institution 7or not later than one week after release from the public institution71 and in coordination with such institution-- 7,i7 any screening or diagnostic service which meets reasonable standards of medical and dental practice1 as determined by the ,state1 or as indicated as medically necessary1 in accordance with paragraphs 7#a77;,a7 and 7#e7 of section #aije7r72 and 7,,ii7 a mental health or other behavioral health screening that is a screening service described under section #aije7r77#a71 or a diagnostic service described under paragraph 7#e7 of such section1 if such screening or diagnostic service was not otherwise conducted pursuant to this clause2 7ii7 for1 not later than one week after release from the public institution1 referrals for such eligible juvenile to the appropriate care and services available under the ,state plan 7or waiver of such plan7 in the geographic region of the home or residence of such eligible juvenile1 based on such screenings2 and 7iii7 for1 following the release of such eligible juvenile from such institution1 not less than #cj days of targeted case management services furnished by a provider in the geographic region of the home or residence of such eligible juvenile4 2 and 7#b7 in subsection 7nn77#c71 by striking 7#cj7 and inserting 7#ca74 7b7 ,authorization of ,federal financial participation ,the subdivision 7,a7 of section #aije7;a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7a77 following paragraph 7#ca7 of such section is amended by inserting 1 or in the case of an eligible juvenile described in section #aijb7;a77#hd77;,d7 with respect to the screenings1 diagnostic services1 referrals1 and case management required under such subparagraph 7,d7 after 7except as a patient in a medical institution4 7c7 ,,chip conforming amendments 7#a7 ,section #bajc7;c7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acig;cc7c77 is amended by adding at the end the following new paragraph3 7#ab7 ,required coverage of screenings1 diagnostic services1 referrals1 and case management for certain inmates pre-release ,with respect to individuals described in section #baaj7;b77#g71 the ,state shall provide screenings1 diagnostic services1 referrals1 and case management otherwise covered under the ,state child health plan 7or waiver of such plan7 during the period described in such section with respect to such screenings1 services1 referrals1 and case management4 4 7#b7 ,section #baaj7;b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acig;jj7b77 is amended-- 7,a7 in paragraph 7#b77;,a71 by inserting except as provided in paragraph 7#g71 before a child who is an inmate of a public institution2 and 7,b7 by adding at the end the following new paragraph3 7#g7 ,exception to exclusion of children who are inmates of a public institution ,a child shall not be considered to be described in paragraph 7#b77;,a7 if such child is an eligible juvenile 7as described in section #aijb7;a77#hd77;,d77 with respect to the screenings1 diagnostic services1 referrals1 and case management otherwise covered under the ,state child health plan 7or waiver of such plan7 during the period with respect to which such screenings1 services1 referrals1 and case management is respectively required under such section4 4 #ejb4 ,guidance on reducing administrative barriers to providing health care services in schools 7a7 ,in general ,not later than #ab months after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services shall issue guidance to ,state ,medicaid agencies1 elementary and secondary schools1 and school-based health centers on reducing administrative barriers to such schools and centers furnishing medical assistance and obtaining payment for such assistance under titles ,,xix and ,,xxi of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq41 #acig;aa et seq474 7b7 ,contents of guidance ,the guidance issued pursuant to subsection 7a7 shall-- 7#a7 include revisions to the ,may #bjjc ,medicaid ,school-,based ,administrative ,claiming ,guide1 the #aiig ,medicaid and ,schools ,technical ,assistance ,guide1 and other relevant guidance in effect on the date of enactment of this ,act2 7#b7 provide information on payment under titles ,,xix and ,,xxi of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq41 #acig;aa et seq47 for the provision of medical assistance1 including such assistance provided in accordance with an individualized education program or under the policy described in the ,state ,medicaid ,director letter on payment for services issued on ,december #ae1 #bjad 7#ad-jjf72 7#c7 take into account reasons why small and rural local education agencies may not provide medical assistance and provide information on best practices to encourage such agencies to provide such assistance2 and 7#d7 include best practices and examples of methods that ,state ,medicaid agencies and local education agencies have used to pay for1 and increase the availability of1 medical assistance4 7c7 ,definitions ,in this ,act3 7#a7 ,individualized education program ,the term individualized education program has the meaning given such term in section #fjb7ad7 of the ,individuals with ,disabilities ,education ,act 7#bj ,u4,s4,c4 #adja7ad774 7#b7 ,school-based health center ,the term school-based health center has the meaning given such term in section #baaj7;c77#i7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acig;jj7c77#i771 and includes an entity that provides ,medicaid-covered services in school-based settings for which ,federal financial participation is permitted4 #ejc4 ,guidance to ,states on supporting pediatric behavioral health services under ,medicaid and ,,chip ,not later than #ah months after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services shall issue guidance to ,states on how to expand the provision of1 and access to1 behavioral health services1 including mental health services1 for children covered under ,state plans 7or waivers of such plans7 under title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq471 or ,state child health plans 7or waivers of such plans7 under title ,,xxi of such ,act 7#db ,u4,s4,c4 #acig;aa et seq471 including a description of best practices for-- 7#a7 expanding access to such services2 7#b7 expanding access to such services in underserved communities2 7#c7 flexibilities that ,states may offer for pediatric hospitals and other pediatric behavioral health providers to expand access to services2 and 7#d7 recruitment and retention of providers of such services4 #ejd4 ,ensuring children receive timely access to care 7a7 ,guidance to ,states on flexibilities to ensure provider capacity to provide pediatric behavioral health1 including mental health1 crisis care ,not later than #ah months after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services shall provide guidance to ,states on existing flexibilities under ,state plans 7or waivers of such plans7 under title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq471 or ,state child health plans under title ,,xxi of such ,act 7#db ,u4,s4,c4 #acig;aa et seq471 to support children experiencing a behavioral health crisis or in need of intensive behavioral health1 including mental health1 services4 7b7 ,ensuring consistent review and ,state implementation of early and periodic screening1 diagnostic1 and treatment services ,section #aije7r7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7r77 is amended by adding at the end the following3 ,not later than ,january #a1 #bjbe1 and every #e years thereafter1 the ,secretary shall review implementation of the requirements of this subsection by ,states1 including such requirements relating to services provided by managed care organizations1 prepaid inpatient health plans1 prepaid ambulatory health plans1 and primary care case managers1 to identify and disseminate best practices for ensuring comprehensive coverage of services1 to identify gaps and deficiencies in meeting ,federal requirements1 and to provide guidance to ,states on addressing identified gaps and disparities and meeting ,federal coverage requirements in order to ensure children have access to health services44 #eje4 ,strategies to increase access to telehealth under ,medicaid and ,,chip ,not later than #a year after the date of the enactment of this ,act1 and in the event updates are available1 once every five years thereafter1 the ,secretary of ,health and ,human ,services shall update guidance issued by the ,centers for ,medicare ,medicaid ,services to ,states1 the ,state ,medicaid ,,chip ,telehealth ,toolkit1 or any successor guidance1 to describe strategies ,states may use to overcome existing barriers and increase access to telehealth services under the ,medicaid program under title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 and the ,children's ,health ,insurance ,program under title ,,xxi of such ,act 7#db ,u4,s4,c4 #acig;aa et seq474 ,such updated guidance shall include examples of and promising practices regarding-- 7#a7 telehealth delivery of covered services2 7#b7 recommended voluntary billing codes1 modifiers1 and place-of-service designations for telehealth and other virtual health care services2 7#c7 strategies ,states can use for the simplification or alignment of provider credentialing and enrollment protocols with respect to telehealth across ,states1 ,state ,medicaid plans under title ,,xix1 ,state child health plans under title ,,xxi1 ,medicaid managed care organizations1 prepaid inpatient health plans1 prepaid ambulatory health plans1 and primary care case managers1 including during national public health emergencies2 and 7#d7 strategies ,states can use to integrate telehealth and other virtual health care services into value-based health care models4 #ejf4 ,removal of limitations on ,federal financial participation for inmates who are eligible juveniles pending disposition of charges 7a7 ,medicaid 7#a7 ,in general ,the subdivision 7,a7 of section #aije7;a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7a77 following paragraph 7#ca7 of such section1 as amended by section #eja7;b71 is further amended by inserting 1 or1 at the option of the ,state1 for an individual who is an eligible juvenile 7as defined in section #aijb7nn77#b771 while such individual is an inmate of a public institution 7as defined in section #aijb7nn77#c77 pending disposition of charges after or in the case of an eligible juvenile described in section #aijb7;a77#hd77;,d7 with respect to the screenings1 diagnostic services1 referrals1 and case management required under such subparagraph 7,d74 7#b7 ,conforming ,section #aijb7;a77#hd77;,a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7a77#hd77;,a77 is amended by inserting 7or in the case of a ,state electing the option described in the subdivision 7,a7 following paragraph 7#ca7 of section #aije7;a71 during such period beginning after the disposition of charges with respect to such individual7 after is such an inmate4 7b7 ,,chip ,section #baaj7;b77#g7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acigg;jj7b77#g771 as added by section #eja7;c77#b77;,b71 is further amended by inserting or1 at the option of the ,state1 for an individual who is a juvenile1 while such individual is an inmate of a public institution pending disposition of charges after if such child is an eligible juvenile 7as described in section #aijb7;a77#hd77;,d77 with respect to screenings1 diagnostic services1 referrals1 and case management otherwise covered under the ,state child health plan 7or waiver of such plan74 7c7 ,effective date ,the amendments made by this section shall take effect on the first day of the first calendar quarter that begins after the date that is #ah months after the date of enactment of this ,act and shall apply to items and services furnished for periods beginning on or after such date4 ,,vi ,miscellaneous ,provisions #fja4 ,determination of budgetary effects ,the budgetary effects of this ,act1 for the purpose of complying with the ,statutory ,pay-,as-,you-,go ,act of #bjaj1 shall be determined by reference to the latest statement titled ,budgetary ,effects of ,,paygo ,legislation for this ,act1 submitted for printing in the ,congressional ,record by the ,chairman of the ,house ,budget ,committee1 provided that such statement has been submitted prior to the vote on passage4 #fjb4 ,oversight of pharmacy benefit manager services 7a7 ,,phsa ,title ,,xxvii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;gg et seq47 is amended-- 7#a7 in part ,d 7#db ,u4,s4,c4 #cjj;gg-#aaa et seq471 by adding at the end the following new section3 #bgii;,a-#aa4 ,oversight of pharmacy benefit manager services 7a7 ,in general ,for plan years beginning on or after ,january #a1 #bjbd1 a group health plan or health insurance issuer offering group health insurance coverage or an entity or subsidiary providing pharmacy benefits management services on behalf of such a plan or issuer shall not enter into a contract with a drug manufacturer1 distributor1 wholesaler1 subcontractor1 rebate aggregator1 or any associated third party that limits the disclosure of information to plan sponsors in such a manner that prevents the plan or issuer1 or an entity or subsidiary providing pharmacy benefits management services on behalf of a plan or issuer1 from making the reports described in subsection 7b74 7b7 ,reports 7#a7 ,in general ,for plan years beginning on or after ,january #a1 #bjbd1 not less frequently than once every #f months1 a health insurance issuer offering group health insurance coverage or an entity providing pharmacy benefits management services on behalf of a group health plan or an issuer providing group health insurance coverage shall submit to the plan sponsor 7as defined in section #c7af77;,b7 of the ,employee ,retirement ,income ,security ,act of #aigd7 of such group health plan or health insurance coverage a report in accordance with this subsection and make such report available to the plan sponsor in a machine-readable format4 ,each such report shall include1 with respect to the applicable group health plan or health insurance coverage-- 7,a7 as applicable1 information collected from drug manufacturers by such issuer or entity on the total amount of copayment assistance dollars paid1 or copayment cards applied1 that were funded by the drug manufacturer with respect to the participants and beneficiaries in such plan or coverage2 7,b7 a list of each drug covered by such plan1 issuer1 or entity providing pharmacy benefit management services that was dispensed during the reporting period1 including1 with respect to each such drug during the reporting period-- 7i7 the brand name1 chemical entity1 and ,national ,drug ,code2 7ii7 the number of participants and beneficiaries for whom the drug was filled during the plan year1 the total number of prescription fills for the drug 7including original prescriptions and refills71 and the total number of dosage units of the drug dispensed across the plan year1 including whether the dispensing channel was by retail1 mail order1 or specialty pharmacy2 7iii7 the wholesale acquisition cost1 listed as cost per days supply and cost per pill1 or in the case of a drug in another form1 per dose2 7iv7 the total out-of-pocket spending by participants and beneficiaries on such drug1 including participant and beneficiary spending through copayments1 coinsurance1 and deductibles2 and 7v7 for any drug for which gross spending of the group health plan or health insurance coverage exceeded #aj1jjj during the reporting period-- 7,i7 a list of all other drugs in the same therapeutic category or class1 including brand name drugs and biological products and generic drugs or biosimilar biological products that are in the same therapeutic category or class as such drug2 and 7,,ii7 the rationale for preferred formulary placement of such drug in that therapeutic category or class1 if applicable2 7,c7 a list of each therapeutic category or class of drugs that were dispensed under the health plan or health insurance coverage during the reporting period1 and1 with respect to each such therapeutic category or class of drugs1 during the reporting period-- 7i7 total gross spending by the plan1 before manufacturer rebates1 fees1 or other manufacturer remuneration2 7ii7 the number of participants and beneficiaries who filled a prescription for a drug in that category or class2 7iii7 if applicable to that category or class1 a description of the formulary tiers and utilization mechanisms 7such as prior authorization or step therapy7 employed for drugs in that category or class2 7iv7 the total out-of-pocket spending by participants and beneficiaries1 including participant and beneficiary spending through copayments1 coinsurance1 and deductibles2 and 7v7 for each therapeutic category or class under which #c or more drugs are included on the formulary of such plan or coverage-- 7,i7 the amount received1 or expected to be received1 from drug manufacturers in rebates1 fees1 alternative discounts1 or other remuneration-- 7aa7 that has been paid1 or is to be paid1 by drug manufacturers for claims incurred during the reporting period2 or 7bb7 that is related to utilization of drugs1 in such therapeutic category or class2 7,,ii7 the total net spending1 after deducting rebates1 price concessions1 alternative discounts or other remuneration from drug manufacturers1 by the health plan or health insurance coverage on that category or class of drugs2 and 7,,iii7 the net price per course of treatment or single fill1 such as a #cj-;day supply or #ij-;day supply1 incurred by the health plan or health insurance coverage and its participants and beneficiaries1 after manufacturer rebates1 fees1 and other remuneration for drugs dispensed within such therapeutic category or class during the reporting period2 7,d7 total gross spending on prescription drugs by the plan or coverage during the reporting period1 before rebates and other manufacturer fees or remuneration2 7,e7 total amount received1 or expected to be received1 by the health plan or health insurance coverage in drug manufacturer rebates1 fees1 alternative discounts1 and all other remuneration received from the manufacturer or any third party1 other than the plan sponsor1 related to utilization of drug or drug spending under that health plan or health insurance coverage during the reporting period2 7,f7 the total net spending on prescription drugs by the health plan or health insurance coverage during the reporting period2 and 7,g7 amounts paid directly or indirectly in rebates1 fees1 or any other type of remuneration to brokers1 consultants1 advisors1 or any other individual or firm who referred the group health plan's or health insurance issuer's business to the pharmacy benefit manager4 7#b7 ,privacy requirements ,health insurance issuers offering group health insurance coverage and entities providing pharmacy benefits management services on behalf of a group health plan shall provide information under paragraph 7#a7 in a manner consistent with the privacy1 security1 and breach notification regulations promulgated under section #bfd7;c7 of the ,health ,insurance ,portability and ,accountability ,act of #aiif1 and shall restrict the use and disclosure of such information according to such privacy regulations4 7#c7 ,disclosure and redisclosure 7,a7 ,limitation to business associates ,a group health plan receiving a report under paragraph 7#a7 may disclose such information only to business associates of such plan as defined in section #afj4ajc of title #de1 ,code of ,federal ,regulations 7or successor regulations74 7,b7 ,clarification regarding public disclosure of information ,nothing in this section prevents a health insurance issuer offering group health insurance coverage or an entity providing pharmacy benefits management services on behalf of a group health plan from placing reasonable restrictions on the public disclosure of the information contained in a report described in paragraph 7#a71 except that such issuer or entity may not restrict disclosure of such report to the ,department of ,health and ,human ,services1 the ,department of ,labor1 the ,department of the ,treasury1 or applicable ,state agencies4 7,c7 ,limited form of report ,the ,secretary shall define through rulemaking a limited form of the report under paragraph 7#a7 required of plan sponsors who are drug manufacturers1 drug wholesalers1 or other direct participants in the drug supply chain1 in order to prevent anti-competitive behavior4 7#d7 ,report to ,,gao ,a health insurance issuer offering group health insurance coverage or an entity providing pharmacy benefits management services on behalf of a group health plan shall submit to the ,comptroller ,general of the ,united ,states each of the first #d reports submitted to a plan sponsor under paragraph 7#a7 with respect to such coverage or plan1 and other such reports as requested1 in accordance with the privacy requirements under paragraph 7#b71 the disclosure and redisclosure standards under paragraph 7#c71 the standards specified pursuant to paragraph 7#e71 and such other information that the ,comptroller ,general determines necessary to carry out the study under section #fjb7;d7 of the ,restoring ,hope for ,mental ,health and ,well-,being ,act of #bjbb4 7#e7 ,standard format ,not later than ,june #a1 #bjbc1 the ,secretary shall specify through rulemaking standards for health insurance issuers and entities required to submit reports under paragraph 7#d7 to submit such reports in a standard format4 7c7 ,enforcement 7#a7 ,in general ,the ,secretary1 in consultation with the ,secretary of ,labor and the ,secretary of the ,treasury1 shall enforce this section4 7#b7 ,failure to provide timely information ,a health insurance issuer or an entity providing pharmacy benefit management services that violates subsection 7a7 or fails to provide information required under subsection 7b71 or a drug manufacturer that fails to provide information under subsection 7b77#a77;,a7 in a timely manner1 shall be subject to a civil monetary penalty in the amount of #aj1jjj for each day during which such violation continues or such information is not disclosed or reported4 7#c7 ,false information ,a health insurance issuer1 entity providing pharmacy benefit management services1 or drug manufacturer that knowingly provides false information under this section shall be subject to a civil money penalty in an amount not to exceed #ajj1jjj for each item of false information4 ,such civil money penalty shall be in addition to other penalties as may be prescribed by law4 7#d7 ,procedure ,the provisions of section #aabh;,a of the ,social ,security ,act1 other than subsection 7a7 and 7b7 and the first sentence of subsection 7c77#a7 of such section shall apply to civil monetary penalties under this subsection in the same manner as such provisions apply to a penalty or proceeding under section #aabh;,a of the ,social ,security ,act4 7#e7 ,waivers ,the ,secretary may waive penalties under paragraph 7#b71 or extend the period of time for compliance with a requirement of this section1 for an entity in violation of this section that has made a good-faith effort to comply with this section4 7d7 ,rule of construction ,nothing in this section shall be construed to permit a health insurance issuer1 group health plan1 or other entity to restrict disclosure to1 or otherwise limit the access of1 the ,department of ,health and ,human ,services to a report described in subsection 7b77#a7 or information related to compliance with subsection 7a7 by such issuer1 plan1 or entity4 7e7 ,definition ,in this section1 the term wholesale acquisition cost has the meaning given such term in section #ahdg;,a7c77#f77;,b7 of the ,social ,security ,act4 2 and 7#b7 in section #bgbc 7#db ,u4,s4,c4 #cjj;gg-#bb7-- 7,a7 in subsection 7a7-- 7i7 in paragraph 7#a71 by inserting 7other than subsections 7a7 and 7b7 of section #bgii;,a-#aa7 after part ,d2 and 7ii7 in paragraph 7#b71 by inserting 7other than subsections 7a7 and 7b7 of section #bgii;,a-#aa7 after part ,d2 and 7,b7 in subsection 7b7-- 7i7 in paragraph 7#a71 by inserting 7other than subsections 7a7 and 7b7 of section #bgii;,a-#aa7 after part ,d2 7ii7 in paragraph 7#b77;,a71 by inserting 7other than subsections 7a7 and 7b7 of section #bgii;,a-#aa7 after part ,d2 and 7iii7 in paragraph 7#b77;,c77ii71 by inserting 7other than subsections 7a7 and 7b7 of section #bgii;,a-#aa7 after part ,d4 7b7 ,,erisa 7#a7 ,in general ,subtitle ,b of title ,i of the ,employee ,retirement ,income ,security ,act of #aigd 7#bi ,u4,s4,c4 #ajba et seq47 is amended-- 7,a7 in subpart ,b of part #g 7#bi ,u4,s4,c4 #aahe et seq471 by adding at the end the following3 #gbf4 ,oversight of pharmacy benefit manager services 7a7 ,in general ,for plan years beginning on or after ,january #a1 #bjbd1 a group health plan 7or health insurance issuer offering group health insurance coverage in connection with such a plan7 or an entity or subsidiary providing pharmacy benefits management services on behalf of such a plan or issuer shall not enter into a contract with a drug manufacturer1 distributor1 wholesaler1 subcontractor1 rebate aggregator1 or any associated third party that limits the disclosure of information to plan sponsors in such a manner that prevents the plan or issuer1 or an entity or subsidiary providing pharmacy benefits management services on behalf of a plan or issuer1 from making the reports described in subsection 7b74 7b7 ,reports 7#a7 ,in general ,for plan years beginning on or after ,january #a1 #bjbd1 not less frequently than once every #f months1 a health insurance issuer offering group health insurance coverage or an entity providing pharmacy benefits management services on behalf of a group health plan or an issuer providing group health insurance coverage shall submit to the plan sponsor 7as defined in section #c7af77;,b77 of such group health plan or group health insurance coverage a report in accordance with this subsection and make such report available to the plan sponsor in a machine-readable format4 ,each such report shall include1 with respect to the applicable group health plan or health insurance coverage-- 7,a7 as applicable1 information collected from drug manufacturers by such issuer or entity on the total amount of copayment assistance dollars paid1 or copayment cards applied1 that were funded by the drug manufacturer with respect to the participants and beneficiaries in such plan or coverage2 7,b7 a list of each drug covered by such plan1 issuer1 or entity providing pharmacy benefit management services that was dispensed during the reporting period1 including1 with respect to each such drug during the reporting period-- 7i7 the brand name1 chemical entity1 and ,national ,drug ,code2 7ii7 the number of participants and beneficiaries for whom the drug was filled during the plan year1 the total number of prescription fills for the drug 7including original prescriptions and refills71 and the total number of dosage units of the drug dispensed across the plan year1 including whether the dispensing channel was by retail1 mail order1 or specialty pharmacy2 7iii7 the wholesale acquisition cost1 listed as cost per days supply and cost per pill1 or in the case of a drug in another form1 per dose2 7iv7 the total out-of-pocket spending by participants and beneficiaries on such drug1 including participant and beneficiary spending through copayments1 coinsurance1 and deductibles2 and 7v7 for any drug for which gross spending of the group health plan or health insurance coverage exceeded #aj1jjj during the reporting period-- 7,i7 a list of all other drugs in the same therapeutic category or class1 including brand name drugs and biological products and generic drugs or biosimilar biological products that are in the same therapeutic category or class as such drug2 and 7,,ii7 the rationale for preferred formulary placement of such drug in that therapeutic category or class1 if applicable2 7,c7 a list of each therapeutic category or class of drugs that were dispensed under the health plan or health insurance coverage during the reporting period1 and1 with respect to each such therapeutic category or class of drugs1 during the reporting period-- 7i7 total gross spending by the plan1 before manufacturer rebates1 fees1 or other manufacturer remuneration2 7ii7 the number of participants and beneficiaries who filled a prescription for a drug in that category or class2 7iii7 if applicable to that category or class1 a description of the formulary tiers and utilization mechanisms 7such as prior authorization or step therapy7 employed for drugs in that category or class2 7iv7 the total out-of-pocket spending by participants and beneficiaries1 including participant and beneficiary spending through copayments1 coinsurance1 and deductibles2 and 7v7 for each therapeutic category or class under which #c or more drugs are included on the formulary of such plan or coverage-- 7,i7 the amount received1 or expected to be received1 from drug manufacturers in rebates1 fees1 alternative discounts1 or other remuneration-- 7aa7 that has been paid1 or is to be paid1 by drug manufacturers for claims incurred during the reporting period2 or 7bb7 that is related to utilization of drugs1 in such therapeutic category or class2 7,,ii7 the total net spending1 after deducting rebates1 price concessions1 alternative discounts or other remuneration from drug manufacturers1 by the health plan or health insurance coverage on that category or class of drugs2 and 7,,iii7 the net price per course of treatment or single fill1 such as a #cj-;day supply or #ij-;day supply1 incurred by the health plan or health insurance coverage and its participants and beneficiaries1 after manufacturer rebates1 fees1 and other remuneration for drugs dispensed within such therapeutic category or class during the reporting period2 7,d7 total gross spending on prescription drugs by the plan or coverage during the reporting period1 before rebates and other manufacturer fees or remuneration2 7,e7 total amount received1 or expected to be received1 by the health plan or health insurance coverage in drug manufacturer rebates1 fees1 alternative discounts1 and all other remuneration received from the manufacturer or any third party1 other than the plan sponsor1 related to utilization of drug or drug spending under that health plan or health insurance coverage during the reporting period2 7,f7 the total net spending on prescription drugs by the health plan or health insurance coverage during the reporting period2 and 7,g7 amounts paid directly or indirectly in rebates1 fees1 or any other type of remuneration to brokers1 consultants1 advisors1 or any other individual or firm who referred the group health plan's or health insurance issuer's business to the pharmacy benefit manager4 7#b7 ,privacy requirements ,health insurance issuers offering group health insurance coverage and entities providing pharmacy benefits management services on behalf of a group health plan shall provide information under paragraph 7#a7 in a manner consistent with the privacy1 security1 and breach notification regulations promulgated under section #bfd7;c7 of the ,health ,insurance ,portability and ,accountability ,act of #aiif1 and shall restrict the use and disclosure of such information according to such privacy regulations4 7#c7 ,disclosure and redisclosure 7,a7 ,limitation to business associates ,a group health plan receiving a report under paragraph 7#a7 may disclose such information only to business associates of such plan as defined in section #afj4ajc of title #de1 ,code of ,federal ,regulations 7or successor regulations74 7,b7 ,clarification regarding public disclosure of information ,nothing in this section prevents a health insurance issuer offering group health insurance coverage or an entity providing pharmacy benefits management services on behalf of a group health plan from placing reasonable restrictions on the public disclosure of the information contained in a report described in paragraph 7#a71 except that such issuer or entity may not restrict disclosure of such report to the ,department of ,health and ,human ,services1 the ,department of ,labor1 the ,department of the ,treasury1 or applicable ,state agencies4 7,c7 ,limited form of report ,the ,secretary shall define through rulemaking a limited form of the report under paragraph 7#a7 required of plan sponsors who are drug manufacturers1 drug wholesalers1 or other direct participants in the drug supply chain1 in order to prevent anti-competitive behavior4 7#d7 ,report to ,,gao ,a health insurance issuer offering group health insurance coverage or an entity providing pharmacy benefits management services on behalf of a group health plan shall submit to the ,comptroller ,general of the ,united ,states each of the first #d reports submitted to a plan sponsor under paragraph 7#a7 with respect to such coverage or plan1 and other such reports as requested1 in accordance with the privacy requirements under paragraph 7#b71 the disclosure and redisclosure standards under paragraph 7#c71 the standards specified pursuant to paragraph 7#e71 and such other information that the ,comptroller ,general determines necessary to carry out the study under section #fjb7;d7 of the ,restoring ,hope for ,mental ,health and ,well-,being ,act of #bjbb4 7#e7 ,standard format ,not later than ,june #a1 #bjbc1 the ,secretary shall specify through rulemaking standards for health insurance issuers and entities required to submit reports under paragraph 7#d7 to submit such reports in a standard format4 7c7 ,enforcement 7#a7 ,in general ,the ,secretary1 in consultation with the ,secretary of ,health and ,human ,services and the ,secretary of the ,treasury1 shall enforce this section4 7#b7 ,failure to provide timely information ,a health insurance issuer or an entity providing pharmacy benefit management services that violates subsection 7a7 or fails to provide information required under subsection 7b71 or a drug manufacturer that fails to provide information under subsection 7b77#a77;,a7 in a timely manner1 shall be subject to a civil monetary penalty in the amount of #aj1jjj for each day during which such violation continues or such information is not disclosed or reported4 7#c7 ,false information ,a health insurance issuer1 entity providing pharmacy benefit management services1 or drug manufacturer that knowingly provides false information under this section shall be subject to a civil money penalty in an amount not to exceed #ajj1jjj for each item of false information4 ,such civil money penalty shall be in addition to other penalties as may be prescribed by law4 7#d7 ,procedure ,the provisions of section #aabh;,a of the ,social ,security ,act1 other than subsection 7a7 and 7b7 and the first sentence of subsection 7c77#a7 of such section shall apply to civil monetary penalties under this subsection in the same manner as such provisions apply to a penalty or proceeding under section #aabh;,a of the ,social ,security ,act4 7#e7 ,waivers ,the ,secretary may waive penalties under paragraph 7#b71 or extend the period of time for compliance with a requirement of this section1 for an entity in violation of this section that has made a good-faith effort to comply with this section4 7d7 ,rule of construction ,nothing in this section shall be construed to permit a health insurance issuer1 group health plan1 or other entity to restrict disclosure to1 or otherwise limit the access of1 the ,department of ,labor to a report described in subsection 7b77#a7 or information related to compliance with subsection 7a7 by such issuer1 plan1 or entity4 7e7 ,definition ,in this section1 the term wholesale acquisition cost has the meaning given such term in section #ahdg;,a7c77#f77;,b7 of the ,social ,security ,act4 2 and 7,b7 in section #ejb7;b77#c7 7#bi ,u4,s4,c4 #aacb7;b77#c771 by inserting 7other than section #gbf7 after part #g4 7#b7 ,clerical amendment ,the table of contents in section #a of the ,employee ,retirement ,income ,security ,act of #aigd 7#bi ,u4,s4,c4 #ajja et seq47 is amended by inserting after the item relating to section #gbe the following new item3 ,sec4 #gbf4 ,oversight of pharmacy benefit manager services4 4 7c7 ,,irc 7#a7 ,in general ,subchapter ,b of chapter #ajj of the ,internal ,revenue ,code of #aihf is amended by adding at the end the following3 #ihbf4 ,oversight of pharmacy benefit manager services 7a7 ,in general ,for plan years beginning on or after ,january #a1 #bjbd1 a group health plan or an entity or subsidiary providing pharmacy benefits management services on behalf of such a plan shall not enter into a contract with a drug manufacturer1 distributor1 wholesaler1 subcontractor1 rebate aggregator1 or any associated third party that limits the disclosure of information to plan sponsors in such a manner that prevents the plan1 or an entity or subsidiary providing pharmacy benefits management services on behalf of a plan1 from making the reports described in subsection 7b74 7b7 ,reports 7#a7 ,in general ,for plan years beginning on or after ,january #a1 #bjbd1 not less frequently than once every #f months1 an entity providing pharmacy benefits management services on behalf of a group health plan shall submit to the plan sponsor 7as defined in section #c7af77;,b7 of the ,employee ,retirement ,income ,security ,act of #aigd7 of such group health plan a report in accordance with this subsection and make such report available to the plan sponsor in a machine-readable format4 ,each such report shall include1 with respect to the applicable group health plan-- 7,a7 as applicable1 information collected from drug manufacturers by such entity on the total amount of copayment assistance dollars paid1 or copayment cards applied1 that were funded by the drug manufacturer with respect to the participants and beneficiaries in such plan2 7,b7 a list of each drug covered by such plan or entity providing pharmacy benefit management services that was dispensed during the reporting period1 including1 with respect to each such drug during the reporting period-- 7i7 the brand name1 chemical entity1 and ,national ,drug ,code2 7ii7 the number of participants and beneficiaries for whom the drug was filled during the plan year1 the total number of prescription fills for the drug 7including original prescriptions and refills71 and the total number of dosage units of the drug dispensed across the plan year1 including whether the dispensing channel was by retail1 mail order1 or specialty pharmacy2 7iii7 the wholesale acquisition cost1 listed as cost per days supply and cost per pill1 or in the case of a drug in another form1 per dose2 7iv7 the total out-of-pocket spending by participants and beneficiaries on such drug1 including participant and beneficiary spending through copayments1 coinsurance1 and deductibles2 and 7v7 for any drug for which gross spending of the group health plan exceeded #aj1jjj during the reporting period-- 7,i7 a list of all other drugs in the same therapeutic category or class1 including brand name drugs and biological products and generic drugs or biosimilar biological products that are in the same therapeutic category or class as such drug2 and 7,,ii7 the rationale for preferred formulary placement of such drug in that therapeutic category or class1 if applicable2 7,c7 a list of each therapeutic category or class of drugs that were dispensed under the health plan during the reporting period1 and1 with respect to each such therapeutic category or class of drugs1 during the reporting period-- 7i7 total gross spending by the plan1 before manufacturer rebates1 fees1 or other manufacturer remuneration2 7ii7 the number of participants and beneficiaries who filled a prescription for a drug in that category or class2 7iii7 if applicable to that category or class1 a description of the formulary tiers and utilization mechanisms 7such as prior authorization or step therapy7 employed for drugs in that category or class2 7iv7 the total out-of-pocket spending by participants and beneficiaries1 including participant and beneficiary spending through copayments1 coinsurance1 and deductibles2 and 7v7 for each therapeutic category or class under which #c or more drugs are included on the formulary of such plan-- 7,i7 the amount received1 or expected to be received1 from drug manufacturers in rebates1 fees1 alternative discounts1 or other remuneration-- 7aa7 that has been paid1 or is to be paid1 by drug manufacturers for claims incurred during the reporting period2 or 7bb7 that is related to utilization of drugs1 in such therapeutic category or class2 7,,ii7 the total net spending1 after deducting rebates1 price concessions1 alternative discounts or other remuneration from drug manufacturers1 by the health plan on that category or class of drugs2 and 7,,iii7 the net price per course of treatment or single fill1 such as a #cj-;day supply or #ij-;day supply1 incurred by the health plan and its participants and beneficiaries1 after manufacturer rebates1 fees1 and other remuneration for drugs dispensed within such therapeutic category or class during the reporting period2 7,d7 total gross spending on prescription drugs by the plan during the reporting period1 before rebates and other manufacturer fees or remuneration2 7,e7 total amount received1 or expected to be received1 by the health plan in drug manufacturer rebates1 fees1 alternative discounts1 and all other remuneration received from the manufacturer or any third party1 other than the plan sponsor1 related to utilization of drug or drug spending under that health plan during the reporting period2 7,f7 the total net spending on prescription drugs by the health plan during the reporting period2 and 7,g7 amounts paid directly or indirectly in rebates1 fees1 or any other type of remuneration to brokers1 consultants1 advisors1 or any other individual or firm who referred the group health plan's business to the pharmacy benefit manager4 7#b7 ,privacy requirements ,entities providing pharmacy benefits management services on behalf of a group health plan shall provide information under paragraph 7#a7 in a manner consistent with the privacy1 security1 and breach notification regulations promulgated under section #bfd7;c7 of the ,health ,insurance ,portability and ,accountability ,act of #aiif1 and shall restrict the use and disclosure of such information according to such privacy regulations4 7#c7 ,disclosure and redisclosure 7,a7 ,limitation to business associates ,a group health plan receiving a report under paragraph 7#a7 may disclose such information only to business associates of such plan as defined in section #afj4ajc of title #de1 ,code of ,federal ,regulations 7or successor regulations74 7,b7 ,clarification regarding public disclosure of information ,nothing in this section prevents an entity providing pharmacy benefits management services on behalf of a group health plan from placing reasonable restrictions on the public disclosure of the information contained in a report described in paragraph 7#a71 except that such entity may not restrict disclosure of such report to the ,department of ,health and ,human ,services1 the ,department of ,labor1 the ,department of the ,treasury1 or applicable ,state agencies4 7,c7 ,limited form of report ,the ,secretary shall define through rulemaking a limited form of the report under paragraph 7#a7 required of plan sponsors who are drug manufacturers1 drug wholesalers1 or other direct participants in the drug supply chain1 in order to prevent anti-competitive behavior4 7#d7 ,report to ,,gao ,an entity providing pharmacy benefits management services on behalf of a group health plan shall submit to the ,comptroller ,general of the ,united ,states each of the first #d reports submitted to a plan sponsor under paragraph 7#a7 with respect to such plan1 and other such reports as requested1 in accordance with the privacy requirements under paragraph 7#b71 the disclosure and redisclosure standards under paragraph 7#c71 the standards specified pursuant to paragraph 7#e71 and such other information that the ,comptroller ,general determines necessary to carry out the study under section #fjb7;d7 of the ,restoring ,hope for ,mental ,health and ,well-,being ,act of #bjbb4 7#e7 ,standard format ,not later than ,june #a1 #bjbc1 the ,secretary shall specify through rulemaking standards for entities required to submit reports under paragraph 7#d7 to submit such reports in a standard format4 7c7 ,enforcement 7#a7 ,in general ,the ,secretary1 in consultation with the ,secretary of ,labor and the ,secretary of ,health and ,human ,services1 shall enforce this section4 7#b7 ,failure to provide timely information ,an entity providing pharmacy benefit management services that violates subsection 7a7 or fails to provide information required under subsection 7b71 or a drug manufacturer that fails to provide information under subsection 7b77#a77;,a7 in a timely manner1 shall be subject to a civil monetary penalty in the amount of #aj1jjj for each day during which such violation continues or such information is not disclosed or reported4 7#c7 ,false information ,an entity providing pharmacy benefit management services1 or drug manufacturer that knowingly provides false information under this section shall be subject to a civil money penalty in an amount not to exceed #ajj1jjj for each item of false information4 ,such civil money penalty shall be in addition to other penalties as may be prescribed by law4 7#d7 ,procedure ,the provisions of section #aabh;,a of the ,social ,security ,act1 other than subsection 7a7 and 7b7 and the first sentence of subsection 7c77#a7 of such section shall apply to civil monetary penalties under this subsection in the same manner as such provisions apply to a penalty or proceeding under section #aabh;,a of the ,social ,security ,act4 7#e7 ,waivers ,the ,secretary may waive penalties under paragraph 7#b71 or extend the period of time for compliance with a requirement of this section1 for an entity in violation of this section that has made a good-faith effort to comply with this section4 7d7 ,rule of construction ,nothing in this section shall be construed to permit a group health plan or other entity to restrict disclosure to1 or otherwise limit the access of1 the ,department of the ,treasury to a report described in subsection 7b77#a7 or information related to compliance with subsection 7a7 by such plan or entity4 7e7 ,definition ,in this section1 the term wholesale acquisition cost has the meaning given such term in section #ahdg;,a7c77#f77;,b7 of the ,social ,security ,act4 4 7#b7 ,clerical amendment ,the table of sections for subchapter ,b of chapter #ajj of the ,internal ,revenue ,code of #aihf is amended by adding at the end the following new item3 ,sec4 #ihbf4 ,oversight of pharmacy benefit manager services4 4 7d7 ,,gao study 7#a7 ,in general ,not later than #c years after the date of enactment of this ,act1 the ,comptroller ,general of the ,united ,states shall submit to ,congress a report on-- 7,a7 pharmacy networks of group health plans1 health insurance issuers1 and entities providing pharmacy benefit management services under such group health plan or group or individual health insurance coverage1 including networks that have pharmacies that are under common ownership 7in whole or part7 with group health plans1 health insurance issuers1 or entities providing pharmacy benefit management services or pharmacy benefit administrative services under group health plan or group or individual health insurance coverage2 7,b7 as it relates to pharmacy networks that include pharmacies under common ownership described in subparagraph 7,a7-- 7i7 whether such networks are designed to encourage enrollees of a plan or coverage to use such pharmacies over other network pharmacies for specific services or drugs1 and if so1 the reasons the networks give for encouraging use of such pharmacies2 and 7ii7 whether such pharmacies are used by enrollees disproportionately more in the aggregate or for specific services or drugs compared to other network pharmacies2 7,c7 whether group health plans and health insurance issuers offering group or individual health insurance coverage have options to elect different network pricing arrangements in the marketplace with entities that provide pharmacy benefit management services1 the prevalence of electing such different network pricing arrangements2 7,d7 pharmacy network design parameters that encourage enrollees in the plan or coverage to fill prescriptions at mail order1 specialty1 or retail pharmacies that are wholly or partially-owned by that issuer or entity2 and 7,e7 the degree to which mail order1 specialty1 or retail pharmacies that dispense prescription drugs to an enrollee in a group health plan or health insurance coverage that are under common ownership 7in whole or part7 with group health plans1 health insurance issuers1 or entities providing pharmacy benefit management services or pharmacy benefit administrative services under group health plan or group or individual health insurance coverage receive reimbursement that is greater than the median price charged to the group health plan or health insurance issuer when the same drug is dispensed to enrollees in the plan or coverage by other pharmacies included in the pharmacy network of that plan1 issuer1 or entity that are not wholly or partially owned by the health insurance issuer or entity providing pharmacy benefit management services4 7#b7 ,requirement ,the ,comptroller ,general of the ,united ,states shall ensure that the report under paragraph 7#a7 does not contain information that would allow a reader to identify a specific plan or entity providing pharmacy benefits management services or otherwise contain commercial or financial information that is privileged or confidential4 7#c7 ,definitions ,in this subsection1 the terms group health plan1 health insurance coverage1 and health insurance issuer have the meanings given such terms in section #bgia of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;gg-#ia74 #fjc4 ,medicare ,improvement ,fund ,section #ahih7;b77#a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acie;iii7b77#a77 is amended by striking #e1jjj1jjj and inserting #a1jbi1jjj1jjj4 #fjd4 ,limitations on authority ,in carrying out any program of the ,substance ,abuse and ,mental ,health ,services ,administration whose statutory authorization is enacted or amended by this ,act1 the ,secretary of ,health and ,human ,services shall not allocate funding1 or require award recipients to prioritize1 dedicate1 or allocate funding1 without consideration of the incidence1 prevalence1 or determinants of mental health or substance use issues1 unless such allocation or requirement is consistent with statute1 regulation1 or other ,federal law4 ,passed the ,house of ,representatives ,june #bb1 #bjbb4;,clerk4