#aag? ,,congress #b;d ,session ,h4 ,r4 #gfff ,,an ,,act ,to am5d ! ,public ,heal? ,s]vice ,act to reau?orize c]ta9 programs relat+ to m5tal heal? & sub/ance use disord]s1 & = o!r purposes4 #a4 ,%ort title2 table ( cont5ts 7a7 ,%ort title ,?is ,act may be cit$ z ! ,re/or+ ,hope = ,m5tal ,heal? & ,well-,be+ ,act ( #bjbb4 7b7 ,table ( cont5ts ,! table ( cont5ts = ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title2 table ( cont5ts4 ,title ,i--,m5tal ,heal? & ,crisis ,c>e ,ne$s ,subtitle ,a--,crisis ,c>e ,s]vices & #i-h-h ,implem5tation ,sec4 #aja4 ,behavioral ,heal? ,crisis ,coord9at+ ,(fice4 ,sec4 #ajb4 ,crisis response cont9uum ( c>e4 ,sec4 #ajc4 ,suicide ,prev5tion ,lifel9e ,improvem5t4 ,subtitle ,b--,into ! ,light = ,mat]nal ,m5tal ,heal? & ,sub/ance ,use ,disord]s ,sec4 #aaa4 ,scre5+ & treatm5t = mat]nal m5tal heal? & sub/ance use disord]s4 ,sec4 #aab4 ,mat]nal m5tal heal? hotl9e4 ,sec4 #aac4 ,task =ce on mat]nal m5tal heal?4 ,subtitle ,c--,rea*+ ,improv$ ,m5tal ,heal? ,outcomes = ,pati5ts ,sec4 #aba4 ,innovation = m5tal heal?4 ,sec4 #abb4 ,crisis c>e coord9ation4 ,sec4 #abc4 ,treatm5t ( s]i\s m5tal illness4 ,sec4 #abd4 ,/udy on ! co/s ( s]i\s m5tal illness4 ,subtitle ,d--,anna ,we/9 ,legacy ,sec4 #aca4 ,ma9ta9+ education & tra9+ on eat+ disord]s4 ,subtitle ,e--,community ,m5tal ,heal? ,s]vices ,block ,grant ,reau?orization ,sec4 #ada4 ,reau?orization ( block grants = community m5tal heal? s]vices4 ,subtitle ,f--,pe]-,support$ ,m5tal ,heal? ,s]vices ,sec4 #aea4 ,pe]-support$ m5tal heal? s]vices4 ,subtitle ,g--,milit>y ,suicide ,prev5tion 9 ! #ba/ ,c5tury ,sec4 #afa4 ,pilot program on pre-programm+ ( suicide prev5tion res\rces into sm>t devices issu$ to memb]s ( ! ,arm$ ,=ces4 ,title ,,ii--,sub/ance ,use ,disord] ,prev5tion1 ,treatm5t1 & ,recov]y ,s]vices ,subtitle ,a--,native ,behavioral ,heal? ,access ,improvem5t ,sec4 #bja4 ,behavioral heal? & sub/ance use disord] s]vices = ,native ,am]icans4 ,subtitle ,b--,summ] ,b>r[ ,prev5tion1 ,treatm5t1 & ,recov]y ,sec4 #baa4 ,grants = ! b5efit ( homeless individuals4 ,sec4 #bab4 ,priority sub/ance abuse treatm5t ne$s ( regional & national significance4 ,sec4 #bac4 ,evid5ce-bas$ prescription opioid & h]o9 treatm5t & int]v5tions demon/ration4 ,sec4 #bad4 ,priority sub/ance use disord] prev5tion ne$s ( regional & national significance4 ,sec4 #bae4 ,sob] ,tru? on ,prev5t+ 7,,/op7 ,und]age ,dr9k+ ,reau?orization4 ,sec4 #baf4 ,grants = jail div]sion programs4 ,sec4 #bag4 ,=mula grants to ,/ates4 ,sec4 #bah4 ,projects = ,assi/ance 9 ,transition ,f ,homelessness4 ,sec4 #bai4 ,grants = r$uc+ ov]dose dea?s4 ,sec4 #bbj4 ,opioid ov]dose rev]sal m$ication access & education grant programs4 ,sec4 #bba4 ,/ate demon/ration grants = compreh5sive opioid abuse response4 ,sec4 #bbb4 ,em]g5cy dep>tm5t alt]natives to opioids4 ,subtitle ,c--,excell5ce 9 ,recov]y ,h\s+ ,sec4 #bca4 ,cl>ify+ ! role ( ,,samhsa 9 promot+ ! availability ( high-quality recov]y h\s+4 ,sec4 #bcb4 ,develop+ guidel9es = ,/ates to promote ! availability ( high-quality recov]y h\s+4 ,sec4 #bcc4 ,coord9ation ( ,f$]al activities to promote ! availability ( recov]y h\s+4 ,sec4 #bcd4 ,,nas /udy & report4 ,sec4 #bce4 ,grants = ,/ates to promote ! availability ( recov]y h\s+ & s]vices4 ,sec4 #bcf4 ,fund+4 ,sec4 #bcg4 ,te*nical correction4 ,subtitle ,d--,sub/ance ,use ,prev5tion1 ,treatm5t1 & ,recov]y ,s]vices ,block ,grant ,sec4 #bda4 ,elim9at+ /igmatiz+ language relat+ to sub/ance use4 ,sec4 #bdb4 ,au?oriz$ activities4 ,sec4 #bdc4 ,requirem5ts relat+ to c]ta9 infecti\s diseases & human immunodefici5cy virus4 ,sec4 #bdd4 ,/ate plan requirem5ts4 ,sec4 #bde4 ,updat+ c]ta9 language relat+ to ,tribes4 ,sec4 #bdf4 ,block grants = sub/ance use prev5tion1 treatm5t1 & recov]y s]vices4 ,sec4 #bdg4 ,requirem5t ( reports & audits by ,/ates4 ,sec4 #bdh4 ,/udy on assessm5t = use 9 di/ribution ( limit$ ,/ate res\rces4 ,subtitle ,e--,timely ,treatm5t = ,opioid ,use ,disord] ,sec4 #bea4 ,/udy on exemptions = treatm5t ( opioid use disord] ?r\gh opioid treatm5t programs dur+ ! ,,covid-#ai public heal? em]g5cy4 ,sec4 #beb4 ,*anges to ,f$]al opioid treatm5t /&>ds4 ,subtitle ,f--,additional ,provisions ,relat+ to ,addiction ,treatm5t ,sec4 #bfa4 ,prohibition4 ,sec4 #bfb4 ,elim9at+ additional requirem5ts = disp5s+ n>cotic drugs 9 s*$ule ,,iii1 ,,iv1 & ,v = ma9t5ance or detoxification treatm5t4 ,sec4 #bfc4 ,requir+ prescrib]s ( controll$ sub/ances to complete tra9+4 ,sec4 #bfd4 ,increase 9 numb] ( days be=e :i* c]ta9 controll$ sub/ances mu/ be adm9i/]$4 ,sec4 #bfe4 ,block1 report1 & susp5d suspici\s %ipm5ts4 ,subtitle ,g--,opioid ,epidemic ,response ,sec4 #bga4 ,opioid prescription v]ification4 ,sec4 #bgb4 ,syn!tic ,opioid ,dang] ,aw>5ess4 ,sec4 #bgc4 ,grant program = ,/ate & ,tribal response to opioid & /imulant use & misuse4 ,title ,,iii--,access to ,m5tal ,heal? ,c>e & ,cov]age ,subtitle ,a--,collaborate 9 an ,ord]ly & ,cohesive ,mann] ,sec4 #cja4 ,increas+ uptake ( ! collaborative c>e model4 ,subtitle ,b--,help+ ,enable ,access to ,lifesav+ ,s]vices ,sec4 #caa4 ,reau?orization & provision ( c]ta9 programs to /r5g!n ! heal? c>e work=ce4 ,sec4 #cab4 ,reau?orization ( m9ority fell[%ip program4 ,subtitle ,c--,elim9at+ ! ,opt-,out = ,nonf$]al ,gov]nm5tal ,heal? ,plans ,sec4 #cba4 ,elim9at+ ! opt-out = nonf$]al gov]nm5tal heal? plans4 ,subtitle ,d--,m5tal heal? & sub/ance use disord] p>ity implem5tation ,sec4 #cca4 ,grants to support m5tal heal? & sub/ance use disord] p>ity implem5tation4 ,subtitle ,e--,improv+ ,em]g5cy ,dep>tm5t ,m5tal ,heal? ,access1 ,s]vices1 & ,respond]s ,sec4 #cda4 ,help+ em]g5cy respond]s ov]come4 ,subtitle ,f--,o!r ,provisions ,sec4 #cea4 ,report on ,law ,en=cem5t ,m5tal ,heal? & ,wellness4 ,title ,,iv--,*ildr5 & ,y\? ,subtitle ,a--,support+ ,*ildr5's ,m5tal ,heal? ,c>e ,access ,sec4 #dja4 ,p$iatric m5tal heal? c>e access grants4 ,sec4 #djb4 ,infant & e>ly *ildhood m5tal heal? promotion1 int]v5tion1 & treatm5t4 ,sec4 #djc4 ,s*ool-bas$ m5tal heal?2 *ildr5 & adolesc5ts4 ,sec4 #djd4 ,co-occurr+ *ronic conditions & m5tal heal? 9 y\? /udy4 ,sec4 #dje4 ,be/ practices = behavioral int]v5tion teams4 ,subtitle ,b--,cont9u+ ,sy/ems ( ,c>e = ,*ildr5 ,sec4 #daa4 ,compreh5sive ,community ,m5tal ,heal? ,s]vices = ,*ildr5 ) ,s]i\s ,emotional ,di/urbances4 ,sec4 #dab4 ,sub/ance ,use ,disord] ,treatm5t & ,e>ly ,int]v5tion ,s]vices = ,*ildr5 & ,adolesc5ts4 ,subtitle ,c--,g>rett ,lee ,smi? ,memorial ,reau?orization ,sec4 #dba4 ,suicide prev5tion te*nical assi/ance c5t]4 ,sec4 #dbb4 ,y\? suicide e>ly int]v5tion & prev5tion /rategies4 ,sec4 #dbc4 ,m5tal heal? & sub/ance use disord] s]vices = /ud5ts 9 high] education4 ,sec4 #dbd4 ,m5tal & behavioral heal? outrea* & education at in/itutions ( high] education4 ,subtitle ,d--,m$ia & ,m5tal ,heal? ,sec4 #dca4 ,/udy on ! effects ( sm>tphone & social m$ia use on adolesc5ts4 ,sec4 #dcb4 ,rese>* on ! heal? & developm5t effects ( m$ia on infants1 *ildr51 & adolesc5ts4 ,title ,v--,m$icaid & ,,*ip ,sec4 #eja4 ,m$icaid & ,,*ip requirem5ts = heal? scre5+s & ref]rals = eligible juv5iles 9 public in/itutions4 ,sec4 #ejb4 ,guidance on r$uc+ adm9i/rative b>ri]s to provid+ heal? c>e s]vices 9 s*ools4 ,sec4 #ejc4 ,guidance to ,/ates on support+ p$iatric behavioral heal? s]vices "u ,m$icaid & ,,*ip4 ,sec4 #ejd4 ,ensur+ *ildr5 receive timely access to c>e4 ,sec4 #eje4 ,/rategies to increase access to teleheal? "u ,m$icaid & ,,*ip4 ,sec4 #ejf4 ,removal ( limitations on ,f$]al f9ancial p>ticipation = inmates :o are eligible juv5iles p5d+ disposition ( *>ges4 ,title ,,vi--,miscellane\s ,provisions ,sec4 #fja4 ,det]m9ation ( budget>y effects4 ,sec4 #fjb4 ,ov]sight ( ph>macy b5efit manag] s]vices4 ,sec4 #fjc4 ,m$ic>e ,improvem5t ,fund4 ,sec4 #fjd4 ,limitations on au?ority4 ,i ,m5tal ,heal? & ,crisis ,c>e ,ne$s ,a ,crisis ,c>e ,s]vices & #i-h-h ,implem5tation #aja4 ,behavioral ,heal? ,crisis ,coord9at+ ,(fice ,"p ,a ( title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa et seq47 is am5d$ by add+ at ! end ! foll[+3 #ejf;,b4 ,behavioral ,heal? ,crisis ,coord9at+ ,(fice 7a7 ,9 g5]al ,! ,secret>y %all e/abli%1 )9 ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 an (fice to coord9ate "w relat+ to behavioral heal? crisis c>e across ! op]at+ divisions & ag5cies ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 includ+ ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 & ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 & ext]nal /akehold]s4 7b7 ,duty ,! (fice e/abli%$ "u subsection 7a7 %all-- 7#a7 conv5e ,f$]al1 ,/ate1 ,tribal1 local1 & private p>tn]s2 7#b7 laun* & manage ,f$]al workgr\ps *>g$ ) mak+ recomm5dations reg>d+ behavioral heal? crisis issues1 includ+ ) respect to heal? c>e be/ practices1 work=ce developm5t1 m5tal heal? disp>ities1 data collection1 te*nology1 program ov]sight1 public aw>5ess1 & engagem5t2 & 7#c7 support te*nical assi/ance1 data analysis1 & evaluation functions 9 ord] to assi/ ,/ates1 localities1 ,t]ritories1 ,tribes1 & ,tribal communities to develop crisis c>e sy/ems & e/abli% nationwide be/ practices ) ! objective ( exp&+ ! capacity (1 & access to1 local crisis call c5t]s1 mobile crisis c>e1 crisis /abilization1 psy*iatric em]g5cy s]vices1 & rapid po/-crisis foll[-up c>e provid$ by-- 7,a7 ! ,national ,suicide ,prev5tion & ,m5tal ,heal? ,crisis ,hotl9e & ,response ,sy/em2 7,b7 ! ,vet]ans ,crisis ,l9e2 7,c7 community m5tal heal? c5t]s 7z def9$ 9 section #ahfa7;ff77#c77;,b7 ( ! ,social ,security ,act72 7,d7 c]tifi$ community behavioral heal? cl9ics1 z describ$ 9 section #bbc ( ! ,protect+ ,access to ,m$ic>e ,act ( #bjad2 & 7,e7 o!r community m5tal heal? & sub/ance use disord] provid]s4 7c7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #e1jjj1jjj = ea* ( fiscal ye>s #bjbc ?r\gh #bjbg4 4 #ajb4 ,crisis response cont9uum ( c>e ,subp>t #c ( "p ,b ( title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#ca et seq47 is am5d$ by add+ at ! end ! foll[+3 #ebj,n4 ,crisis response cont9uum ( c>e 7a7 ,9 g5]al ,! ,secret>y %all publi% be/ practices = a crisis response cont9uum ( c>e = use by heal? c>e provid]s1 crisis s]vices adm9i/rators1 & crisis s]vices provid]s 9 respond+ to individuals 7includ+ *ildr5 & adolesc5ts7 exp]i5c+ m5tal heal? crises1 sub/ance-relat$ crises1 & crises aris+ f co-occurr+ disord]s4 7b7 ,be/ practices 7#a7 ,scope ( be/ practices ,! be/ practices publi%$ "u subsection 7a7 %all def9e-- 7,a7 a m9imum set ( core crisis response s]vices1 z det]m9$ by ! ,secret>y1 = ea* entity t furni%es su* s]vices1 t-- 7i7 d n require prior au?orization f an insurance provid] or gr\p heal? plan nor a ref]ral f a heal? c>e provid] prior to ! deliv]y ( s]vices2 7ii7 provide = s]v+ all individuals reg>dless ( age or ability to pay2 7iii7 provide = op]at+ #bd h\rs a day1 #g days a week2 & 7iv7 provide = c>e & support ?r\gh res\rces describ$ 9 p>agraph 7#b77;,a7 until ! individual has be5 /abiliz$ or transf]r$ to ! next level ( crisis c>e2 & 7,b7 psy*iatric /abilization1 includ+ ! po9t at :i* a case may be clos$ =-- 7i7 individuals scre5$ ov] ! phone2 & 7ii7 individuals /abiliz$ on ! sc5e by mobile teams4 7#b7 ,id5tification ( ess5tial functions ,! be/ practices publi%$ "u subsection 7a7 %all id5tify ! ess5tial functions ( ea* s]vice 9 ! crisis response cont9uum1 :i* %all include at lea/ ! foll[+3 7,a7 ,id5tification ( res\rces = ref]ral & enrollm5t 9 cont9u+ m5tal heal?1 sub/ance use1 or o!r human s]vices relevant = ! individual 9 crisis :]e necess>y4 7,b7 ,del9eation ( access & entry po9ts to s]vices )9 ! crisis response cont9uum4 7,c7 ,developm5t ( protocols & agreem5ts = ! transf] & receipt ( individuals to & f o!r segm5ts ( ! crisis response cont9uum segm5ts z ne$$1 & f outside ref]rals includ+ heal? c>e provid]s1 fir/ respond]s includ+ law en=cem5t1 p>am$ics1 & firefight]s1 education in/itutions1 & community-bas$ organizations4 7,d7 ,description ( ! qualifications ( crisis s]vices /aff1 includ+ roles = physicians1 lic5s$ cl9icians1 case manag]s1 & pe]s 79 accordance ) ,/ate lic5s+ requirem5ts or requirem5ts applicable to ,tribal heal? pr(essionals74 7,e7 ,! conv5+ ( collaborative meet+s ( crisis response s]vice provid]s1 fir/ respond]s includ+ law en=cem5t1 p>am$ics1 & firefight]s1 & community p>tn]s 7includ+ ,national ,suicide ,prev5tion ,lifel9e or #i-h-h call c5t]s1 #i-a-a public s]vice answ]+ po9ts1 & local m5tal heal? & sub/ance use disord] treatm5t provid]s7 op]at+ 9 a common region = ! discussion ( case managem5t1 be/ practices1 & g5]al p]=mance improvem5t4 7#c7 ,s]vice capacity & quality be/ practices ,! be/ practices "u subsection 7a7 %all include recomm5dations on-- 7,a7 adequate volume ( s]vices to meet population ne$2 7,b7 appropriate timely response2 & 7,c7 capacity to meet ! ne$s ( diff]5t pati5t populations t may exp]i5ce a m5tal heal? or sub/ance use crisis1 includ+ *ildr51 families1 & all age gr\ps1 cultural & l+ui/ic m9orities1 vet]ans1 individuals ) co-occurr+ m5tal heal? & sub/ance use disord]s1 individuals ) cognitive disabilities1 individuals ) developm5tal delays1 & individuals ) *ronic m$ical conditions & physical disabilities4 7#d7 ,implem5tation timeframe ,! ,secret>y %all-- 7,a7 n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is section1 publi% & ma9ta9 ! be/ practices requir$ by subsection 7a72 & 7,b7 e two ye>s !reaft]1 publi% updates4 7#e7 ,data collection & evaluations ,! ,secret>y1 directly or ?r\gh grants1 contracts1 or int]ag5cy agreem5ts1 %all collect data & conduct evaluations ) respect to ! provision ( s]vices & programs (f]$ on ! crisis response cont9uum = purposes ( assess+ ! ext5t to :i* ! provision ( su* s]vices & programs meet c]ta9 objectives & outcomes measures z det]m9$ by ! ,secret>y4 ,su* objectives %all include-- 7,a7 a r$uction 9 reliance on law en=cem5t response1 z appropriate1 to individuals 9 crisis :o w\ld be m appropriately s]v$ by a mobile crisis team capable ( respond+ to m5tal heal? & sub/ance-relat$ crises2 7,b7 a r$uction 9 bo>d+ or ext5d$ hold+ ( pati5ts 9 em]g5cy room facilities :o require fur!r psy*iatric c>e1 includ+ c>e = sub/ance use disord]s2 7,c7 evid5ce ( adequate access to crisis c>e c5t]s & crisis b$ s]vices2 & 7,d7 evid5ce ( adequate l9kage to appropriate po/-crisis c>e & longitud9al treatm5t = m5tal heal? or sub/ance use disord] :5 relevant4 4 #ajc4 ,suicide ,prev5tion ,lifel9e ,improvem5t 7a7 ,suicide ,prev5tion ,lifel9e 7#a7 ,plan ,section #ebj;,e-#c ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cf;c7 is am5d$-- 7,a7 by r$esignat+ subsection 7c7 z subsection 7e72 & 7,b7 by ins]t+ aft] subsection 7b7 ! foll[+3 7c7 ,plan 7#a7 ,9 g5]al ,= purposes ( ma9ta9+ ! suicide prev5tion hotl9e "u subsection 7b77#b71 ! ,secret>y %all develop & implem5t a plan to ensure ! provision ( high-quality s]vice4 7#b7 ,cont5ts ,! plan requir$ by p>agraph 7#a7 %all include ! foll[+3 7,a7 ,quality assurance provisions1 includ+-- 7i7 cle>ly def9$ & measurable p]=mance indicators & objectives to improve ! responsiv5ess & p]=mance ( ! hotl9e1 includ+ at backup call c5t]s2 & 7ii7 quantifiable timeframes to track ! progress ( ! hotl9e 9 meet+ su* p]=mance indicators & objectives4 7,b7 ,/&>ds t crisis c5t]s & backup c5t]s mu/ meet-- 7i7 to p>ticipate 9 ! network "u subsection 7b77#a72 & 7ii7 to ensure t ea* telephone call1 onl9e *at message1 & o!r communication receiv$ by ! hotl9e1 includ+ at backup call c5t]s1 is answ]$ 9 a timely mann] by a p]son1 consi/5t ) ! guidance e/abli%$ by ! ,am]ican ,association ( ,suicidology or o!r guidance det]m9$ by ! ,secret>y to be appropriate4 7,c7 ,guidel9es = crisis c5t]s & backup c5t]s to implem5t evid5ce-bas$ practices includ+ ) respect to foll[up & ref]ral to o!r heal? & social s]vices res\rces4 7,d7 ,guidel9es to ensure t res\rces are available & di/ribut$ to individuals us+ ! hotl9e :o are n p]sonally 9 a "t ( crisis b "k ( someone :o is4 7,e7 ,guidel9es to c>ry out p]iodic te/+ ( ! hotl9e1 includ+ at crisis c5t]s & backup c5t]s1 dur+ ea* fiscal ye> to id5tify & correct any problems 9 a timely mann]4 7,f7 ,guidel9es to op]ate 9 consultation ) ! ,/ate dep>tm5t ( heal?1 local gov]nm5ts1 ,indian tribes1 & tribal organizations4 7#c7 ,initial plan2 updates ,! ,secret>y %all-- 7,a7 n lat] ?an #f mon?s aft] ! date ( enactm5t ( ! ,re/or+ ,hope = ,m5tal ,heal? & ,well-,be+ ,act ( #bjbb1 complete developm5t ( ! initial v]sion ( ! plan requir$ by p>agraph 7#a71 beg9 implem5tation ( su* plan1 & make su* plan publicly available2 & 7,b7 p]iodically !reaft]1 update su* plan & make ! updat$ plan publicly available4 4 7#b7 ,transmission ( data to ,,cdc ,section #ebj;,e-#c ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cf;c7 is am5d$ by ins]t+ aft] subsection 7c7 ( su* section1 z add$ by p>agraph 7#a71 ! foll[+3 7d7 ,transmission ( data to ,,cdc ,! ,secret>y %all =malize & /r5g!n agreem5ts betwe5 ! ,national ,suicide ,prev5tion ,lifel9e program & ! ,c5t]s = ,disease ,control & ,prev5tion to transmit any necess>y epidemiological data f ! program to ! ,c5t]s1 includ+ local call c5t] data1 to assi/ ! ,c5t]s 9 suicide prev5tion ef=ts4 4 7#c7 ,au?orization ( appropriations ,subsection 7e7 ( section #ebj;,e-#c ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cf;c7 is am5d$ to read z foll[s3 7e7 ,au?orization ( appropriations 7#a7 ,9 g5]al ,to c>ry out ?is section1 !re are au?oriz$ to be appropriat$ #aja1fba1jjj = ea* ( fiscal ye>s #bjbc ?r\gh #bjbg4 7#b7 ,allocation ,( ! am\nt au?oriz$ to be appropriat$ by p>agraph 7#a7 = ea* ( fiscal ye>s #bjbc ?r\gh #bjbg-- 7,a7 at lea/ #hj p]c5t %all be made available to crisis c5t]s2 & 7,b7 n m ?an #aj p]c5t may be us$ = c>ry+ out ! pilot program 9 section #ajc7;b77#a7 ( ! ,re/or+ ,hope = ,m5tal ,heal? & ,well-,be+ ,act ( #bjbb4 4 7b7 ,pilot program on innovative te*nologies 7#a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 %all c>ry out a pilot program to rese>*1 analyze1 & employ v>i\s te*nologies & plat=ms ( communication 7includ+ social m$ia plat=ms1 text+ plat=ms1 & email plat=ms7 = suicide prev5tion 9 addition to ! telephone & onl9e *at s]vice provid$ by ! ,suicide ,prev5tion ,lifel9e4 7#b7 ,report ,n lat] ?an #bd mon?s aft] ! date on :i* ! pilot program "u p>agraph 7#a7 comm5ces1 ! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 %all submit to ! ,congress a report on ! pilot program4 ,) respect to ea* plat=m ( communication employ$ pursuant to ! pilot program1 ! report %all include-- 7,a7 a full description ( ! program2 7,b7 ! numb] ( individuals s]v$ by ! program2 7,c7 ! av]age wait "t = ea* individual to receive a response2 7,d7 ! co/ ( ! program1 includ+ ! co/ p] individual s]v$2 & 7,e7 any o!r in=mation ! ,secret>y det]m9es appropriate4 7c7 ,,hhs /udy & report ,n lat] ?an #bd mon?s aft] ! ,secret>y ( ,heal? & ,human ,s]vices beg9s implem5tation ( ! plan requir$ by section #ebj;,e-#c7;c7 ( ! ,public ,heal? ,s]vice ,act1 z add$ by subsection 7a77#a77;,b71 ! ,secret>y %all-- 7#a7 complete a /udy on-- 7,a7 ! implem5tation ( su* plan1 includ+ ! progress t[>ds meet+ ! objectives id5tifi$ pursuant to p>agraph 7#b77;,a77i7 ( su* section #ebj;,e-#c7;c7 by ! timeframes id5tifi$ pursuant to p>agraph 7#b77;,a77ii7 ( su* section #ebj;,e-#c7;c72 & 7,b7 9 consultation ) ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 options to exp& data ga!r+ f calls to ! ,suicide ,prev5tion ,lifel9e 9 ord] to bett] track aspects ( usage su* z repeat calls1 consi/5t ) applicable ,f$]al & ,/ate privacy laws2 & 7#b7 submit a report to ! ,congress on ! results ( su* /udy1 includ+ recomm5dations on :e!r additional legislation or appropriations are ne$$4 7d7 ,,gao /udy & report 7#a7 ,9 g5]al ,n lat] ?an #bd mon?s aft] ! ,secret>y ( ,heal? & ,human ,s]vices beg9s implem5tation ( ! plan requir$ by section #ebj;,e-#c7;c7 ( ! ,public ,heal? ,s]vice ,act1 z add$ by subsection 7a77#a77;,b71 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all-- 7,a7 complete a /udy on ! ,suicide ,prev5tion ,lifel9e2 & 7,b7 submit a report to ! ,congress on ! results ( su* /udy4 7#b7 ,issues ,to be /udi$ ,! /udy requir$ by p>agraph 7#a7 %all address-- 7,a7 ! feasibility ( geolocat+ call]s to direct calls to ! ne>e/ crisis c5t]2 7,b7 op]ation %ortcom+s ( ! ,suicide ,prev5tion ,lifel9e2 7,c7 geographic cov]age ( ea* crisis call c5t]2 7,d7 ! call answ] rate ( ea* crisis call c5t]2 7,e7 ! call wait "t ( ea* crisis call c5t]2 7,f7 ! h\rs ( op]ation ( ea* crisis call c5t]2 7,g7 fund+ av5ues ( ea* crisis call c5t]2 7,h7 ! implem5tation ( ! plan "u section #ebj;,e-#c7;c7 ( ! ,public ,heal? ,s]vice ,act1 z add$ by subsection 7a77#a77;,b71 includ+ ! progress t[>ds meet+ ! objectives id5tifi$ pursuant to p>agraph 7#b77;,a77i7 ( su* section #ebj;,e-#c7;c7 by ! timeframes id5tifi$ pursuant to p>agraph 7#b77;,a77ii7 ( su* section #ebj;,e-#c7;c72 & 7,i7 s]vice to individuals reque/+ a =eign language speak]1 includ+-- 7i7 ! numb] ( calls or *ats ! ,lifel9e receives f individuals speak+ a =eign language2 7ii7 ! capacity ( ! ,lifel9e to h&le ^! calls or *ats2 & 7iii7 ! numb] ( crisis c5t]s ) ! capacity to s]ve =eign language speak]s1 9 h\se4 7#c7 ,recomm5dations ,! report requir$ by p>agraph 7#a7 %all include recomm5dations = improv+ ! ,suicide ,prev5tion ,lifel9e1 includ+ recomm5dations = legislative & adm9i/rative actions4 7e7 ,def9ition ,9 ?is section1 ! t]m ,suicide ,prev5tion ,lifel9e means ! suicide prev5tion hotl9e ma9ta9$ pursuant to section #ebj;,e-#c ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cf;c74 ,b ,into ! ,light = ,mat]nal ,m5tal ,heal? & ,sub/ance ,use ,disord]s #aaa4 ,scre5+ & treatm5t = mat]nal m5tal heal? & sub/ance use disord]s 7a7 ,9 g5]al ,section #cag,l-#a ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;b-#ac;a7 is am5d$-- 7#a7 9 ! section head+1 by /rik+ mat]nal depression & ins]t+ mat]nal m5tal heal? & sub/ance use disord]s2 & 7#b7 9 subsection 7a7-- 7,a7 by ins]t+ 1 ,indian ,tribes & ,tribal organizations 7z su* t]ms are def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act71 & ,urban ,indian organizations 7z su* t]m is def9$ "u ! ,f$]ally ,recogniz$ ,indian ,tribe ,li/ ,act ( #aiid7 aft] ,/ates2 & 7,b7 by /rik+ = wom5 :o are pregnant1 or :o h giv5 bir? )9 ! prec$+ #ab mon?s1 = mat]nal depression & ins]t+ = wom5 :o are po/p>tum1 pregnant1 or h giv5 bir? )9 ! prec$+ #ab mon?s1 = mat]nal m5tal heal? & sub/ance use disord]s4 7b7 ,application ,subsection 7b7 ( section #cag,l-#a ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;b-#ac;a7 is am5d$-- 7#a7 by /rik+ a ,/ate %all submit & ins]t+ an entity li/$ 9 subsection 7a7 %all submit2 & 7#b7 9 p>agraphs 7#a7 & 7#b71 by /rik+ mat]nal depression ea* place x appe>s & ins]t+ mat]nal m5tal heal? & sub/ance use disord]s4 7c7 ,priority ,subsection 7c7 ( section #cag,l-#a ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;b-#ac;a7 is am5d$-- 7#a7 by /rik+ may give priority to ,/ates propos+ to improve or enhance access to scre5+ & ins]t+ ! foll[+3 %all give priority to entities li/$ 9 subsection 7a7 t-- 7#a7 are propos+ to create1 improve1 or enhance scre5+1 prev5tion1 & treatm5t 2 7#b7 by /rik+ mat]nal depression & ins]t+ mat]nal m5tal heal? & sub/ance use disord]s2 7#c7 by /rik+ ! p]iod at ! end ( p>agraph 7#a71 z s designat$1 & ins]t+ a semicolon2 & 7#d7 by ins]t+ aft] su* p>agraph 7#a7 ! foll[+3 7#b7 are curr5tly p>tn]$ )1 or w p>tn] )1 a community-bas$ organization to address mat]nal m5tal heal? & sub/ance use disord]s2 7#c7 are locat$ 9 an area ) high rates ( adv]se mat]nal heal? outcomes or significant heal?1 economic1 racial1 or e?nic disp>ities 9 mat]nal heal? & sub/ance use disord] outcomes2 & 7#d7 op]ate 9 a heal? pr(essional %ortage area designat$ "u section #ccb4 4 7d7 ,use ( funds ,subsection 7d7 ( section #cag,l-#a ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;b-#ac;a7 is am5d$-- 7#a7 9 p>agraph 7#a7-- 7,a7 9 subp>agraph 7,a71 by /rik+ to heal? c>e provid]s2 & & ins]t+ on mat]nal m5tal heal? & sub/ance use disord] scre5+1 brief int]v5tion1 treatm5t 7z applicable = heal? c>e provid]s71 & ref]rals = treatm5t to heal? c>e provid]s 9 ! prim>y c>e sett+ & noncl9ical p]9atal support work]s22 7,b7 9 subp>agraph 7,b71 by /rik+ to heal? c>e provid]s1 includ+ in=mation on mat]nal depression scre5+1 treatm5t1 & foll[up support s]vices1 & l9kages to community-bas$ res\rces2 & & ins]t+ on mat]nal m5tal heal? & sub/ance use disord] scre5+1 brief int]v5tion1 treatm5t 7z applicable = heal? c>e provid]s7 & ref]rals = treatm5t1 foll[-up support s]vices1 & l9kages to community-bas$ res\rces to heal? c>e provid]s 9 ! prim>y c>e sett+ & cl9ical p]9atal support work]s2 &2 & 7,c7 by add+ at ! end ! foll[+3 7,c7 enabl+ heal? c>e provid]s 7su* z ob/etrician-gynecologi/s1 nurse practition]s1 nurse midwives1 p$iatricians1 psy*iatri/s1 m5tal & o!r behavioral heal? c>e provid]s1 & adult prim>y c>e cl9icians7 to provide or receive real-"t psy*iatric consultation 79-p]son or remotely71 includ+ ?r\gh ! use ( te*nology-enabl$ collaborative le>n+ & capacity build+ models 7z def9$ 9 section #ccj,n71 to aid 9 ! treatm5t ( pregnant & po/p>tum wom52 & 2 & 7#b7 9 p>agraph 7#b7-- 7,a7 by /rik+ subp>agraph 7,a7 & r$esignat+ subp>agraphs 7,b7 & 7,c7 z subp>agraphs 7,a7 & 7,b71 respectively2 7,b7 9 subp>agraph 7,a71 z r$esignat$1 by /rik+ & at ! end2 7,c7 9 subp>agraph 7,b71 z r$esignat$-- 7i7 by ins]t+ 1 includ+ be=e = rural areas2 & 7ii7 by /rik+ ! p]iod at ! end & ins]t+ a semicolon2 & 7,d7 by ins]t+ aft] subp>agraph 7,b71 z r$esignat$1 ! foll[+3 7,c7 provid+ assi/ance to pregnant & po/p>tum wom5 to receive mat]nal m5tal heal? & sub/ance use disord] treatm5t1 includ+ pati5t consultation1 c>e coord9ation1 & navigation = su* treatm5t2 7,d7 coord9at+ ) mat]nal & *ild heal? programs ( ! ,f$]al ,gov]nm5t & ,/ate1 local1 & ,tribal gov]nm5ts1 includ+ *ild psy*iatric access programs2 7,e7 conduct+ public outrea* & aw>5ess reg>d+ grants "u subsection 7a72 7,f7 creat+ multi/ate consortia to c>ry out ! activities requir$ or au?oriz$ "u ?is subsection2 & 7,g7 tra9+ heal? c>e provid]s 9 ! prim>y c>e sett+ & noncl9ical p]9atal support work]s on trauma-in=m$ c>e1 culturally & l+ui/ically appropriate s]vices1 & be/ practices relat$ to tra9+ to improve ! provision ( mat]nal m5tal heal? & sub/ance use disord] c>e = racial & e?nic m9ority populations1 includ+ ) respect to p]ceptions & biases t may affect ! approa* to1 & provision (1 c>e4 4 7e7 ,additional provisions ,section #cag,l-#a ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;b-#ac;a7 is am5d$-- 7#a7 by r$esignat+ subsection 7e7 z subsection 7h72 & 7#b7 by ins]t+ aft] subsection 7d7 ! foll[+3 7e7 ,te*nical assi/ance ,! ,secret>y %all provide te*nical assi/ance to grantees & entities li/$ 9 subsection 7a7 = c>ry+ out activities pursuant to ?is section4 7f7 ,dissem9ation ( be/ practices ,! ,secret>y1 bas$ on evaluation ( ! activities fund$ pursuant to ?is section1 %all id5tify & dissem9ate evid5ce-bas$ or evid5ce-in=m$ be/ practices = scre5+1 assessm5t1 & treatm5t s]vices = mat]nal m5tal heal? & sub/ance use disord]s1 includ+ culturally & l+ui/ically appropriate s]vices1 = wom5 dur+ pregnancy & #ab mon?s foll[+ pregnancy4 7g7 ,mat*+ requirem5t ,! ,f$]al %>e ( ! co/ ( ! activities = :i* a grant is made to an entity "u subsection 7a7 %all n exce$ #ij p]c5t ( ! total co/ ( su* activities4 4 7f7 ,au?orization ( appropriations ,subsection 7h7 ( section #cag,l-#a 7#db ,u4,s4,c4 #bdg;b-#ac;a7 ( ! ,public ,heal? ,s]vice ,act1 z r$esignat$1 is fur!r am5d$-- 7#a7 by /rik+ #e1jjj1jjj & ins]t+ #bd1jjj1jjj2 & 7#b7 by /rik+ #bjah ?r\gh #bjbb & ins]t+ #bjbc ?r\gh #bjbg4 #aab4 ,mat]nal m5tal heal? hotl9e ,"p ,p ( title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;g et seq47 is am5d$ by add+ at ! end ! foll[+3 #cii,v-#g4 ,mat]nal m5tal heal? hotl9e 7a7 ,9 g5]al ,! ,secret>y %all ma9ta91 directly or by grant or contract1 a national hotl9e to provide emotional support1 in=mation1 brief int]v5tion1 & m5tal heal? & sub/ance use disord] res\rces to pregnant & po/p>tum wom5 at risk (1 or affect$ by1 mat]nal m5tal heal? & sub/ance use disord]s1 & to _! families or h\sehold memb]s4 7b7 ,requirem5ts = hotl9e ,! hotl9e "u subsection 7a7 %all-- 7#a7 be a #bd_/g real-"t hotl9e2 7#b7 provide voice & text support2 7#c7 be /aff$ by c]tifi$ pe] speciali/s1 lic5s$ heal? c>e pr(essionals1 or lic5s$ m5tal heal? pr(essionals :o are tra9$ on-- 7,a7 mat]nal m5tal heal? & sub/ance use disord] prev5tion1 id5tification1 & int]v5tion2 & 7,b7 provid+ culturally & l+ui/ically appropriate support2 & 7#d7 provide mat]nal m5tal heal? & sub/ance use disord] assi/ance & ref]ral s]vices to meet ! ne$s ( und]s]v$ populations1 individuals ) disabilities1 & family & h\sehold memb]s ( pregnant or po/p>tum wom5 at risk ( exp]i5c+ mat]nal m5tal heal? & sub/ance use disord]s4 7c7 ,additional requirem5ts ,9 ma9ta9+ ! hotl9e "u subsection 7a71 ! ,secret>y %all-- 7#a7 consult ) ! ,dome/ic ,viol5ce ,hotl9e1 ,national ,suicide ,prev5tion ,lifel9e1 & ,vet]ans ,crisis ,l9e to ensure t pregnant & po/p>tum wom5 are connect$ 9 real-"t to ! appropriate specializ$ hotl9e s]vice1 :5 applicable2 7#b7 conduct a public aw>5ess campaign = ! hotl9e2 7#c7 consult ) ,f$]al dep>tm5ts & ag5cies1 includ+ ! ,c5t]s ( ,excell5ce ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration & ! ,dep>tm5t ( ,vet]ans ,affairs1 to increase aw>5ess reg>d+ ! hotl9e2 & 7#d7 consult ) appropriate ,/ate1 local1 & ,tribal public heal? (ficials1 includ+ (ficials t adm9i/] programs t s]ve l[-income pregnant & po/p>tum individuals4 7d7 ,annual report ,! ,secret>y %all submit an annual report to ! ,congress on ! hotl9e "u subsection 7a7 & implem5tation ( ?is section1 includ+-- 7#a7 an evaluation ( ! effectiv5ess ( activities conduct$ or support$ "u subsection 7a72 7#b7 a directory ( entities or organizations to :i* /aff ma9ta9+ ! hotl9e fund$ "u ?is section may make ref]rals2 & 7#c7 su* additional in=mation z ! ,secret>y det]m9es appropriate4 7e7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re are au?oriz$ to be appropriat$ #aj1jjj1jjj = ea* ( fiscal ye>s #bjbc ?r\gh #bjbg4 4 #aac4 ,task =ce on mat]nal m5tal heal? ,"p ,b ( title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdc et seq47 is am5d$ by ins]t+ aft] section #cag,l-#a 7#db ,u4,s4,c4 #bdg;b-#ac;a7 ! foll[+3 #cag,l-#b4 ,task =ce on mat]nal m5tal heal? 7a7 ,e/abli%m5t ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ! ,re/or+ ,hope = ! ,m5tal ,heal? & ,well-,be+ ,act ( #bjbb1 ! ,secret>y1 = purposes ( id5tify+1 evaluat+1 & mak+ recomm5dations to coord9ate & improve ,f$]al responses to mat]nal m5tal heal? conditions1 %all-- 7#a7 e/abli% a task =ce to be kn[n z ! ,task ,=ce on ,mat]nal ,m5tal ,heal? 79 ?is section ref]r$ to z ! ,task ,=ce72 or 7#b7 incorporate ! duties1 public meet+s1 & reports specifi$ 9 subsections 7c7 ?r\gh 7f7 into exi/+ ,f$]al policy =ums1 includ+ ! ,mat]nal ,heal? ,int]ag5cy ,policy ,committee & ! ,mat]nal ,heal? ,work+ ,gr\p1 z appropriate4 7b7 ,memb]%ip 7#a7 ,composition ,! ,task ,=ce %all be compos$ (-- 7,a7 ! ,f$]al memb]s "u p>agraph 7#b72 & 7,b7 ! non-,f$]al memb]s "u p>agraph 7#c74 7#b7 ,f$]al memb]s ,! ,f$]al memb]s ( ! ,task ,=ce %all consi/ ( ! foll[+ heads ( ,f$]al dep>tm5ts & ag5cies 7or _! designees73 7,a7 ,! ,assi/ant ,secret>y = ,heal? ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 :o %all s]ve z ,*air4 7,b7 ,! ,assi/ant ,secret>y = ,plann+ & ,evaluation ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 7,c7 ,! ,assi/ant ,secret>y ( ! ,adm9i/ration = ,*ildr5 & ,families4 7,d7 ,! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion4 7,e7 ,! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices4 7,f7 ,! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration4 7,g7 ,! ,director ( ! ,indian ,heal? ,s]vice4 7,h7 ,! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use4 7,i7 ,su* o!r ,f$]al dep>tm5ts & ag5cies z ! ,secret>y det]m9es appropriate t s]ve individuals ) mat]nal m5tal heal? conditions4 7#c7 ,non-,f$]al memb]s ,! non-,f$]al memb]s ( ! ,task ,=ce %all-- 7,a7 compose n m ?an "o-half1 & n less ?an "o-?ird1 ( ! total memb]%ip ( ! ,task ,=ce2 7,b7 be appo9t$ by ! ,secret>y2 & 7,c7 include-- 7i7 repres5tatives ( m$ical societies ) exp]tise 9 mat]nal or m5tal heal?2 7ii7 repres5tatives ( nonpr(it organizations ) exp]tise 9 mat]nal or m5tal heal?2 7iii7 relevant indu/ry repres5tatives2 & 7iv7 o!r repres5tatives1 z appropriate4 7#d7 ,deadl9e = designat+ designees ,if ! ,assi/ant ,secret>y = ,heal?1 or ! head ( a ,f$]al dep>tm5t or ag5cy s]v+ z a memb] ( ! ,task ,=ce "u p>agraph 7#b71 *ooses to be repres5t$ on ! ,task ,=ce by a designee1 ! ,assi/ant ,secret>y or dep>tm5t or ag5cy head %all designate su* designee n lat] ?an #ij days aft] ! date ( ! enactm5t ( ?is section4 7c7 ,duties ,! ,task ,=ce %all-- 7#a7 prep>e & regul>ly update a report t analyzes & evaluates ! /ate ( national mat]nal m5tal heal? policy & programs at ! ,f$]al1 ,/ate1 & local levels1 & id5tifies be/ practices ) respect to mat]nal m5tal heal? policy1 includ+-- 7,a7 a set ( evid5ce-bas$1 evid5ce-in=m$1 & promis+ practices ) respect to-- 7i7 prev5tion /rategies = individuals at risk ( exp]i5c+ a mat]nal m5tal heal? condition1 includ+ /rategies & recomm5dations to address heal? inequities2 7ii7 ! id5tification1 scre5+1 diagnosis1 int]v5tion1 & treatm5t ( individuals & families affect$ by a mat]nal m5tal heal? condition2 7iii7 ! exp$iti\s ref]ral to1 & implem5tation (1 practices & supports t prev5t & mitigate ! effects ( a mat]nal m5tal heal? condition1 includ+ /rategies & recomm5dations to elim9ate ! racial & e?nic disp>ities t exi/ 9 mat]nal m5tal heal?2 & 7iv7 community-bas$ or multig5]ational practices t support individuals & families affect$ by a mat]nal m5tal heal? condition2 & 7,b7 ,f$]al & ,/ate programs & activities to prev5t1 scre51 diagnose1 int]v5e1 & treat mat]nal m5tal heal? conditions2 7#b7 develop & regul>ly update a national /rategy = mat]nal m5tal heal?1 tak+ into consid]ation ! f9d+s ( ! report "u p>agraph 7#a71 on h[ ! ,task ,=ce & ,f$]al dep>tm5ts & ag5cies repres5t$ on ! ,task ,=ce may prioritize options =1 & may implem5t a coord9at$ approa* to1 address+ mat]nal m5tal heal? conditions1 includ+ by-- 7,a7 increas+ prev5tion1 scre5+1 diagnosis1 int]v5tion1 treatm5t1 & access to c>e1 includ+ cl9ical & noncl9ical c>e su* z pe]-support & community heal? work]s1 ?r\gh ! public & private sectors2 7,b7 provid+ support = pregnant or po/p>tum individuals :o are at risk = or exp]i5c+ a mat]nal m5tal heal? condition1 & _! families1 z appropriate2 7,c7 r$uc+ racial1 e?nic1 geographic1 & o!r heal? disp>ities = prev5tion1 diagnosis1 int]v5tion1 treatm5t1 & access to c>e2 7,d7 id5tify+ options = modify+1 /r5g!n+1 & coord9at+ ,f$]al programs & activities1 su* z ! ,m$icaid program "u title ,,xix ( ! ,social ,security ,act & ! ,/ate ,*ildr5's ,heal? ,insurance ,program "u title ,,xxi ( su* ,act1 includ+ exi/+ infant & mat]nity programs1 9 ord] to increase rese>*1 prev5tion1 id5tification1 int]v5tion1 & treatm5t ) respect to mat]nal m5tal heal?2 & 7,e7 plann+1 data %>+1 & communication )9 & across ,f$]al dep>tm5ts1 ag5cies1 (fices1 & programs2 7#c7 solicit public comm5ts f /akehold]s = ! report "u p>agraph 7#a7 & ! national /rategy "u p>agraph 7#b71 includ+ comm5ts f frontl9e s]vice provid]s1 m5tal heal? pr(essionals1 rese>*]s1 exp]ts 9 mat]nal m5tal heal?1 in/itutions ( high] education1 public heal? ag5cies 7includ+ mat]nal & *ild heal? programs71 & indu/ry repres5tatives1 9 ord] to in=m ! activities & reports ( ! ,task ,=ce2 & 7#d7 disaggregate any data collect$ "u ?is section by race1 e?nicity1 geographical location1 age1 m>ital /atus1 socioeconomic level1 & o!r factors1 z ! ,secret>y det]m9es appropriate4 7d7 ,meet+s ,! ,task ,=ce %all-- 7#a7 meet n less ?an two times ea* ye>2 & 7#b7 conv5e public meet+s1 z appropriate1 to fulfill its duties "u ?is section4 7e7 ,reports to ,public & ,f$]al ,lead]s ,! ,task ,=ce %all make publicly available & submit to ! heads ( relevant ,f$]al dep>tm5ts & ag5cies1 ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives1 ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate1 & o!r relevant congressional committees1 ! foll[+3 7#a7 ,n lat] ?an #a ye> aft] ! fir/ meet+ ( ! ,task ,=ce1 an initial report "u subsection 7c77#a74 7#b7 ,n lat] ?an #b ye>s aft] ! fir/ meet+ ( ! ,task ,=ce1 an initial national /rategy "u subsection 7c77#b74 7#c7 ,ea* ye> !reaft]-- 7,a7 an updat$ report "u subsection 7c77#a72 7,b7 an updat$ national /rategy "u subsection 7c77#b72 or 7,c7 if no update is made "u subsection 7c77#a7 or 7c77#b71 a report summ>iz+ ! activities ( ! ,task ,=ce4 7f7 ,reports to ,gov]nors ,^u f9aliz+ ! initial national /rategy "u subsection 7c77#b71 & ^u mak+ relevant updates to su* /rategy1 ! ,task ,=ce %all submit a report to ! ,gov]nors ( all ,/ates describ+ opportunities = local- & ,/ate-level p>tn]%ips id5tifi$ "u subsection 7c77#b77;,d74 7g7 ,sunset ,! ,task ,=ce %all t]m9ate on ,septemb] #cj1 #bjbg4 7h7 ,nonduplication ( ,f$]al ef=ts ,! ,secret>y may relieve ! ,task ,=ce1 9 c>ry+ out subsections 7c7 ?r\gh 7f71 f responsibility = c>ry+ out su* activities z may be specifi$ by ! ,secret>y z duplicative ) o!r activities c>ri$ out by ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 4 ,c ,rea*+ ,improv$ ,m5tal ,heal? ,outcomes = ,pati5ts #aba4 ,innovation = m5tal heal? 7a7 ,national ,m5tal ,heal? & ,sub/ance ,use ,policy ,laboratory ,section #eja;,a ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa-#j7 is am5d$-- 7#a7 9 subsection 7e77#a71 by /rik+ ,indian tribes or tribal organizations & ins]t+ ,indian ,tribes or ,tribal organizations2 7#b7 by /rik+ subsection 7e77#c72 & 7#c7 by add+ at ! end ! foll[+3 7f7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ #aj1jjj1jjj = ea* ( fiscal ye>s #bjbc ?r\gh #bjbg4 4 7b7 ,int]dep>tm5tal s]i\s m5tal illness coord9at+ committee 7#a7 ,9 g5]al ,"p ,a ( title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa et seq47 is am5d$ by ins]t+ aft] section #eja;,a 7#db ,u4,s4,c4 #bij;aa-#j7 ! foll[+3 #eja;,b4 ,int]dep>tm5tal s]i\s m5tal illness coord9at+ committee 7a7 ,e/abli%m5t 7#a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices1 or ! designee ( ! ,secret>y1 %all e/abli% a committee to be kn[n z ! ,int]dep>tm5tal ,s]i\s ,m5tal ,illness ,coord9at+ ,committee 79 ?is section ref]r$ to z ! ,committee74 7#b7 ,f$]al advisory committee act ,except z provid$ 9 ?is section1 ! provisions ( ! ,f$]al ,advisory ,committee ,act 7#e ,u4,s4,c4 ,app47 %all apply to ! ,committee4 7b7 ,meet+s ,! ,committee %all meet n few] ?an #b times ea* ye>4 7c7 ,responsibilities ,! ,committee %all submit1 on a biannual basis1 to ,congress & any o!r relevant ,f$]al dep>tm5t or ag5cy a report includ+-- 7#a7 a summ>y ( advances 9 s]i\s m5tal illness & s]i\s emotional di/urbance rese>* relat$ to ! prev5tion (1 diagnosis (1 int]v5tion 91 & treatm5t & recov]y ( s]i\s m5tal illnesses1 s]i\s emotional di/urbances1 & advances 9 access to s]vices & support = adults ) a s]i\s m5tal illness or *ildr5 ) a s]i\s emotional di/urbance2 7#b7 an evaluation ( ! effect ,f$]al programs relat$ to s]i\s m5tal illness h on public heal?1 includ+ public heal? outcomes su* z-- 7,a7 rates ( suicide1 suicide attempts1 incid5ce & preval5ce ( s]i\s m5tal illnesses1 s]i\s emotional di/urbances1 & sub/ance use disord]s1 ov]dose1 ov]dose dea?s1 em]g5cy hospitalizations1 em]g5cy room bo>d+1 prev5table em]g5cy room visits1 int]action ) ! crim9al ju/ice sy/em1 homelessness1 & unemploym5t2 7,b7 increas$ rates ( employm5t & enrollm5t 9 educational & vocational programs2 7,c7 quality ( m5tal & sub/ance use disord]s treatm5t s]vices2 or 7,d7 any o!r crit]ia z may be det]m9$ by ! ,secret>y2 & 7#c7 specific recomm5dations = actions t ag5cies c take to bett] coord9ate ! adm9i/ration ( m5tal heal? s]vices = adults ) a s]i\s m5tal illness or *ildr5 ) a s]i\s emotional di/urbance4 7d7 ,memb]%ip 7#a7 ,f$]al memb]s ,! ,committee %all be compos$ ( ! foll[+ ,f$]al repres5tatives1 or ! designees ( su* repres5tatives-- 7,a7 ! ,secret>y ( ,heal? & ,human ,s]vices1 :o %all s]ve z ! ,*air ( ! ,committee2 7,b7 ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use2 7,c7 ! ,attorney ,g5]al2 7,d7 ! ,secret>y ( ,vet]ans ,affairs2 7,e7 ! ,secret>y ( ,def5se2 7,f7 ! ,secret>y ( ,h\s+ & ,urban ,developm5t2 7,g7 ! ,secret>y ( ,education2 7,h7 ! ,secret>y ( ,labor2 7,i7 ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices2 & 7,j7 ! ,commission] ( ,social ,security4 7#b7 ,non-f$]al memb]s ,! ,committee %all also include n less ?an #ad non-,f$]al public memb]s appo9t$ by ! ,secret>y ( ,heal? & ,human ,s]vices1 ( :i*-- 7,a7 at lea/ #b memb]s %all be an individual :o has receiv$ treatm5t = a diagnosis ( a s]i\s m5tal illness2 7,b7 at lea/ #a memb] %all be a p>5t or legal gu>dian ( an adult ) a hi/ory ( a s]i\s m5tal illness or a *ild ) a hi/ory ( a s]i\s emotional di/urbance2 7,c7 at lea/ #a memb] %all be a repres5tative ( a lead+ rese>*1 advocacy1 or s]vice organization = adults ) a s]i\s m5tal illness2 7,d7 at lea/ #b memb]s %all be-- 7i7 a lic5s$ psy*iatri/ ) exp]i5ce 9 treat+ s]i\s m5tal illnesses2 7ii7 a lic5s$ psy*ologi/ ) exp]i5ce 9 treat+ s]i\s m5tal illnesses or s]i\s emotional di/urbances2 7iii7 a lic5s$ cl9ical social work] ) exp]i5ce treat+ s]i\s m5tal illnesses or s]i\s emotional di/urbances2 or 7iv7 a lic5s$ psy*iatric nurse1 nurse practition]1 or physician assi/ant ) exp]i5ce 9 treat+ s]i\s m5tal illnesses or s]i\s emotional di/urbances2 7,e7 at lea/ #a memb] %all be a lic5s$ m5tal heal? pr(essional ) a specialty 9 treat+ *ildr5 & adolesc5ts ) a s]i\s emotional di/urbance2 7,f7 at lea/ #a memb] %all be a m5tal heal? pr(essional :o has rese>* or cl9ical m5tal heal? exp]i5ce 9 work+ ) m9orities2 7,g7 at lea/ #a memb] %all be a m5tal heal? pr(essional :o has rese>* or cl9ical m5tal heal? exp]i5ce 9 work+ ) m$ically und]s]v$ populations2 7,h7 at lea/ #a memb] %all be a ,/ate c]tifi$ m5tal heal? pe] support speciali/2 7,i7 at lea/ #a memb] %all be a judge ) exp]i5ce 9 adjudicat+ cases relat$ to crim9al ju/ice or s]i\s m5tal illness2 7,j7 at lea/ #a memb] %all be a law en=cem5t (fic] or corrections (fic] ) ext5sive exp]i5ce 9 int]fac+ ) adults ) a s]i\s m5tal illness1 *ildr5 ) a s]i\s emotional di/urbance1 or individuals 9 a m5tal heal? crisis2 & 7,k7 at lea/ #a memb] %all h exp]i5ce provid+ s]vices = homeless individuals & work+ ) adults ) a s]i\s m5tal illness1 *ildr5 ) a s]i\s emotional di/urbance1 or individuals 9 a m5tal heal? crisis4 7#c7 ,t]ms ,a memb] ( ! ,committee appo9t$ "u p>agraph 7#b7 %all s]ve = a t]m ( #c ye>s1 & may be reappo9t$ = #a or m additional #c-ye> t]ms4 ,any memb] appo9t$ to fill a vacancy = an unexpir$ t]m %all be appo9t$ = ! rema9d] ( su* t]m4 ,a memb] may s]ve aft] ! expiration ( ! memb]'s t]m until a successor has be5 appo9t$4 7e7 ,work+ gr\ps ,9 c>ry+ out its functions1 ! ,committee may e/abli% work+ gr\ps4 ,su* work+ gr\ps %all be compos$ ( ,committee memb]s1 or _! designees1 & may hold su* meet+s z are necess>y4 7f7 ,sunset ,! ,committee %all t]m9ate on ,septemb] #cj1 #bjbg4 4 7#b7 ,con=m+ am5dm5ts 7,a7 ,section #eja7l77#b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa7l77#b77 is am5d$ by /rik+ section #fjca ( su* ,act & ins]t+ section #eja;,b ( ?is ,act4 7,b7 ,section #fjca ( ! ,help+ ,families 9 ,m5tal ,heal? ,crisis ,re=m ,act ( #bjaf 7,division ,b ( ,public ,law #aad-bee7 is repeal$ 7& by con=m+ ! item relat+ to su* section 9 ! table ( cont5ts 9 section #a7;b774 7c7 ,priority m5tal heal? ne$s ( regional & national significance ,section #ebj;,a ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cb7 is am5d$-- 7#a7 9 subsection 7a71 by /rik+ ,indian tribes or tribal organizations & ins]t+ ,indian ,tribes or ,tribal organizations2 & 7#b7 9 subsection 7f71 by /rik+ #cid1eej1jjj = ea* ( fiscal ye>s #bjah ?r\gh #bjbb & ins]t+ #eii1jcf1jjj = ea* ( fiscal ye>s #bjbc ?r\gh #bjbg4 #abb4 ,crisis c>e coord9ation 7a7 ,/r5g!n+ community crisis response sy/ems ,section #ebj;,f ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cg7 is am5d$ to read z foll[s3 #ebj;,f4 ,m5tal heal? crisis response p>tn]%ip pilot program 7a7 ,9 g5]al ,! ,secret>y %all e/abli% a pilot program "u :i* ! ,secret>y w aw>d competitive grants to ,/ates1 localities1 t]ritories1 ,indian ,tribes1 & ,tribal organizations to e/abli% new1 or enhance exi/+1 mobile crisis response teams t div]t ! response = m5tal heal? & sub/ance use crises f law en=cem5t to mobile crisis teams1 z describ$ 9 subsection 7b74 7b7 ,mobile crisis teams describ$ ,a mobile crisis team describ$ 9 ?is subsection is a team ( individuals-- 7#a7 t is available to respond to individuals 9 crisis & provide imm$iate /abilization1 ref]rals to community-bas$ m5tal heal? & sub/ance use disord] s]vices & supports1 & triage to a high] level ( c>e if m$ically necess>y2 7#b7 :i* may include lic5s$ c\nselors1 cl9ical social work]s1 physicians1 p>am$ics1 crisis work]s1 pe] support speciali/s1 or o!r qualifi$ individuals2 & 7#c7 :i* may provide support to div]t behavioral heal? crisis calls f ! #i-a-a sy/em to ! #i-h-h sy/em4 7c7 ,priority ,9 aw>d+ grants "u ?is section1 ! ,secret>y %all prioritize applications :i* acc\nt = ! specific ne$s ( ! communities to be s]v$1 includ+ *ildr5 & families1 vet]ans1 rural & und]s]v$ populations1 & o!r gr\ps at increas$ risk ( dea? f suicide or ov]dose4 7d7 ,report 7#a7 ,initial report ,n lat] ?an ,septemb] #cj1 #bjbd1 ! ,secret>y %all submit to ,congress a report on /eps tak5 by ! entities specifi$ 9 subsection 7a7 z ( su* date ( enactm5t to /r5g!n ! p>tn]%ips among m5tal heal? provid]s1 sub/ance use disord] treatm5t provid]s1 prim>y c>e physicians1 m5tal heal? & sub/ance use crisis teams1 p>am$ics1 law en=cem5t (fic]s1 & o!r fir/ respond]s4 7#b7 ,progress reports ,n lat] ?an "o ye> aft] ! date on :i* ! fir/ grant is aw>d$ to c>ry out ?is section1 & = ea* ye> !reaft]1 ! ,secret>y %all submit to ,congress a report on ! grants made dur+ ! ye> cov]$ by ! report1 :i* %all include-- 7,a7 impact data on ! teams & p s]v$ by su* programs1 includ+ demographic in=mation ( individuals s]v$1 volume1 & types ( s]vice utilization2 7,b7 outcomes ( ! numb] ( l9kages to community-bas$ res\rces1 %ort-t]m crisis receiv+ & /abilization facilities1 & div]sion f law en=cem5t or hospital em]g5cy dep>tm5t sett+s2 7,c7 data consi/5t ) ! ,/ate block grant requirem5ts = cont9u\s evaluation & quality improvem5t1 & o!r relevant data z det]m9$ by ! ,secret>y2 & 7,d7 ! ,secret>y's recomm5dations & be/ practices =-- 7i7 ,/ates & localities provid+ mobile crisis response & /abilization s]vices = y\? & adults2 & 7ii7 improvem5ts to ! program e/abli%$ "u ?is section4 7e7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is section1 #aj1jjj1jjj = ea* ( fiscal ye>s #bjbc ?r\gh #bjbg4 4 7b7 ,m5tal heal? aw>5ess tra9+ grants 7#a7 ,9 g5]al ,section #ebj;,j7b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#da7;b77 is am5d$-- 7,a7 9 p>agraph 7#a71 by /rik+ ,indian tribes1 tribal organizations & ins]t+ ,indian ,tribes1 ,tribal organizations2 7,b7 9 p>agraph 7#d71 by /rik+ ,indian tribe1 tribal organization & ins]t+ ,indian ,tribe1 ,tribal organization2 7,c7 9 p>agraph 7#e7-- 7i7 by /rik+ ,indian tribe1 tribal organization & ins]t+ ,indian ,tribe1 ,tribal organization2 7ii7 9 subp>agraph 7,a71 by /rik+ & at ! end2 7iii7 9 subp>agraph 7,b77ii71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7iv7 by add+ at ! end ! foll[+3 7,c7 suicide int]v5tion & prev5tion1 includ+ recogniz+ w>n+ signs & h[ to ref] someone = help4 2 7,d7 9 p>agraph 7#f71 by /rik+ ,indian tribe1 tribal organization & ins]t+ ,indian ,tribe1 ,tribal organization2 & 7,e7 9 p>agraph 7#g71 by /rik+ #ad1fic1jjj = ea* ( fiscal ye>s #bjah ?r\gh #bjbb & ins]t+ #bd1ifc1jjj = ea* ( fiscal ye>s #bjbc ?r\gh #bjbg4 7#b7 ,te*nical corrections ,section #ebj;,j7b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#da7;b77 is am5d$-- 7,a7 9 ! head+ ( p>agraph 7#b71 by /rik+ ,em]g5cy ,s]vices ,p]sonnel & ins]t+ ,em]g5cy s]vices p]sonnel2 & 7,b7 9 ! head+ ( p>agraph 7#c71 by /rik+ ,di/ribution ( ,aw>ds & ins]t+ ,di/ribution ( aw>ds4 7c7 ,adult suicide prev5tion ,section #ebj,l ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#dc7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 9 p>agraph 7#b7-- 7i7 by /rik+ ,indian tribe ea* place x appe>s & ins]t+ ,indian ,tribe2 & 7ii7 by /rik+ tribal organization ea* place x appe>s & ins]t+ ,tribal organization2 & 7,b7 by am5d+ p>agraph 7#c77;,c7 to read z foll[s3 7,c7 ,rais+ aw>5ess ( suicide prev5tion res\rces1 promot+ help seek+ among ^? at risk = suicide4 2 & 7#b7 9 subsection 7d71 by /rik+ #cj1jjj1jjj = ! p]iod ( fiscal ye>s #bjah ?r\gh #bjbb & ins]t+ #cj1jjj1jjj = ea* ( fiscal ye>s #bjbc ?r\gh #bjbg4 #abc4 ,treatm5t ( s]i\s m5tal illness 7a7 ,ass]tive community treatm5t grant program 7#a7 ,te*nical am5dm5t ,section #ebj,m7b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#dd7;b77 is am5d$ by /rik+ ,indian tribe or tribal organization & ins]t+ ,indian ,tribe or ,tribal organization4 7#b7 ,report to ,congress ,section #ebj,m7d77#a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#dd7;d77#a77 is am5d$ by /rik+ n lat] ?an ! end ( fiscal ye> #bjba & ins]t+ n lat] ?an ! end ( fiscal ye> #bjbf4 7#c7 ,au?orization ( appropriations ,section #ebj,m7e77#a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#dd7;d77#a77 is am5d$ by /rik+ #e1jjj1jjj = ! p]iod ( fiscal ye>s #bjah ?r\gh #bjbb & ins]t+ #i1jjj1jjj = ea* ( fiscal ye>s #bjbc ?r\gh #bjbg4 7b7 ,assi/$ outpati5t treatm5t ,section #bbd ( ! ,protect+ ,access to ,m$ic>e ,act ( #bjad 7#db ,u4,s4,c4 #bij;aa note7 is am5d$ to read z foll[s3 #bbd4 ,assi/$ outpati5t treatm5t grant program = individuals ) s]i\s m5tal illness 7a7 ,9 g5]al ,! ,secret>y %all c>ry out a program to aw>d grants to eligible entities = assi/$ outpati5t treatm5t programs = individuals ) s]i\s m5tal illness4 7b7 ,consultation ,! ,secret>y %all c>ry out ?is section 9 consultation ) ! ,director ( ! ,national ,in/itute ( ,m5tal ,heal?1 ! ,attorney ,g5]al ( ! ,unit$ ,/ates1 ! ,adm9i/rator ( ! ,adm9i/ration = ,community ,liv+1 & ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use4 7c7 ,select+ among applicants ,9 aw>d+ grants "u ?is section1 ! ,secret>y-- 7#a7 may give pref]5ce to applicants t h n previ\sly implem5t$ an assi/$ outpati5t treatm5t program2 & 7#b7 %all evaluate applicants bas$ on _! pot5tial to r$uce hospitalization1 homelessness1 inc>c]ation1 & int]action ) ! crim9al ju/ice sy/em :ile improv+ ! heal? & social outcomes ( ! pati5t4 7d7 ,program requirem5ts ,an assi/$ outpati5t treatm5t program fund$ ) a grant aw>d$ "u ?is section %all include-- 7#a7 evaluat+ ! m$ical & social ne$s ( ! pati5ts :o are p>ticipat+ 9 ! program2 7#b7 prep>+ & execut+ treatm5t plans = su* pati5ts t-- 7,a7 include crit]ia = completion ( c\rt-ord]$ treatm5t if applicable2 & 7,b7 provide = monitor+ ( ! pati5t's compliance ) ! treatm5t plan1 includ+ compliance ) m$ication & o!r treatm5t regim5s2 7#c7 provid+ = case managem5t s]vices t support ! treatm5t plan2 7#d7 ensur+ appropriate ref]rals to m$ical & social s]vices provid]s2 7#e7 evaluat+ ! process = implem5t+ ! program to ensure consi/5cy ) ! pati5t's ne$s & ,/ate law2 & 7#f7 measur+ treatm5t outcomes1 includ+ heal? & social outcomes su* z rates ( inc>c]ation1 heal? c>e utilization1 & homelessness4 7e7 ,report ,n lat] ?an ! end ( fiscal ye> #bjbg1 ! ,secret>y %all submit a report to ! appropriate congressional committees on ! grant program "u ?is section4 ,su* report %all include an evaluation ( ! foll[+3 7#a7 ,co/ sav+s & public heal? outcomes su* z mortality1 suicide1 sub/ance abuse1 hospitalization1 & use ( s]vices4 7#b7 ,rates ( inc>c]ation ( pati5ts4 7#c7 ,rates ( homelessness ( pati5ts4 7#d7 ,pati5t & family satisfaction ) program p>ticipation4 7#e7 ,demographic in=mation reg>d+ p>ticipation ( ^? s]v$ by ! grant comp>$ to demographic in=mation 9 ! population ( ! grant recipi5t4 7f7 ,def9itions ,9 ?is section3 7#a7 ,! t]m assi/$ outpati5t treatm5t means m$ically prescrib$ m5tal heal? treatm5t t a pati5t receives :ile liv+ 9 a community "u ! t]ms ( a law au?oriz+ a ,/ate or local civil c\rt to ord] su* treatm5t4 7#b7 ,! t]m eligible entity means a c\nty1 city1 m5tal heal? sy/em1 m5tal heal? c\rt1 or any o!r entity ) au?ority "u ! law ( ! ,/ate 9 :i* ! entity is locat$ to implem5t1 monitor1 & ov]see an assi/$ outpati5t treatm5t program4 7g7 ,fund+ 7#a7 ,am\nt ( grants 7,a7 ,maximum am\nt ,! am\nt ( a grant "u ?is section %all n exce$ #a1jjj1jjj = any fiscal ye>4 7,b7 ,det]m9ation ,subject to subp>agraph 7,a71 ! ,secret>y %all det]m9e ! am\nt ( ea* grant "u ?is section bas$ on ! population ( ! area to be s]v$ ?r\gh ! grant & an e/imate ( ! numb] ( pati5ts to be s]v$4 7#b7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #bb1jjj1jjj = ea* ( fiscal ye>s #bjbc ?r\gh #bjbg4 4 #abd4 ,/udy on ! co/s ( s]i\s m5tal illness 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices1 9 consultation ) ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 ! ,assi/ant ,secret>y = ,plann+ & ,evaluation1 ! ,attorney ,g5]al ( ! ,unit$ ,/ates1 ! ,secret>y ( ,labor1 & ! ,secret>y ( ,h\s+ & ,urban ,developm5t1 %all conduct a /udy on ! direct & indirect co/s ( s]i\s m5tal illness ) respect to-- 7#a7 nongov]nm5tal entities2 & 7#b7 ! ,f$]al ,gov]nm5t & ,/ate1 local1 & ,tribal gov]nm5ts4 7b7 ,cont5t ,! /udy "u subsection 7a7 %all consid] ea* ( ! foll[+3 7#a7 ,! co/s to ! heal? c>e sy/em = heal? s]vices1 includ+ ) respect to-- 7,a7 (fice-bas$ physician visits2 7,b7 resid5tial & inpati5t treatm5t programs2 7,c7 outpati5t treatm5t programs2 7,d7 em]g5cy room visits2 7,e7 crisis /abilization programs2 7,f7 home heal? c>e2 7,g7 skill$ nurs+ & long-t]m c>e facilities2 7,h7 prescription drugs & digital !rapeutics2 & 7,i7 any o!r relevant heal? s]vices4 7#b7 ,! co/s ( homelessness1 includ+ ) respect to-- 7,a7 homeless %elt]s2 7,b7 /reet outrea* activities2 7,c7 crisis response c5t] visits2 & 7,d7 o!r supportive s]vices4 7#c7 ,! co/s ( /ructur$ resid5tial facilities & o!r supportive h\s+ = resid5tial & cu/odial c>e s]vices4 7#d7 ,! co/s ( law en=cem5t enc\nt]s & enc\nt]s ) ! crim9al ju/ice sy/em1 includ+ ) respect to-- 7,a7 enc\nt]s t d & d n result 9 an arre/2 7,b7 crim9al & judicial proce$+s2 7,c7 s]vices provid$ by law en=cem5t & judicial /aff 7includ+ public def5d]s1 prosecutors1 & private attorneys72 & 7,d7 inc>c]ation4 7#e7 ,! co/s ( s]i\s m5tal illness on employm5t4 7#f7 ,) respect to family memb]s & c>egiv]s1 ! co/s ( c>+ = an individual ) a s]i\s m5tal illness4 7#g7 ,any o!r relevant co/s = programs & s]vices adm9i/]$ by ! ,f$]al ,gov]nm5t or ,/ate1 ,tribal1 or local gov]nm5ts4 7c7 ,data disaggregation ,9 conduct+ ! /udy "u subsection 7a71 ! ,secret>y ( ,heal? & ,human ,s]vices %all 7to ! ext5t feasible7-- 7#a7 disaggregate data by-- 7,a7 co/s to nongov]nm5tal entities1 ! ,f$]al ,gov]nm5t1 & ,/ate1 local1 & ,tribal gov]nm5ts2 7,b7 types ( s]i\s m5tal illnesses & m$ical *ronic diseases common 9 pati5ts ) a s]i\s m5tal illness2 & 7,c7 demographic *>act]i/ics1 includ+ race1 e?nicity1 sex1 age 7includ+ p$iatric subgr\ps71 & o!r *>act]i/ics det]m9$ by ! ,secret>y2 & 7#b7 include an e/imate (-- 7,a7 ! total numb] ( individuals ) a s]i\s m5tal illness 9 ! ,unit$ ,/ates1 includ+ 9 traditional & nontraditional h\s+2 & 7,b7 ! p]c5tage ( su* individuals 9-- 7i7 homeless %elt]s2 7ii7 p5al facilities1 includ+ ,f$]al prisons1 ,/ate prisons1 & c\nty & municipal jails2 & 7iii7 nurs+ facilities4 7d7 ,report ,n lat] ?an #b ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all-- 7#a7 submit to ! ,congress a report conta9+ ! results ( ! /udy conduct$ "u ?is section2 & 7#b7 make su* report publicly available4 ,d ,anna ,we/9 ,legacy #aca4 ,ma9ta9+ education & tra9+ on eat+ disord]s ,subp>t #c ( "p ,b ( title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#ca et seq471 z am5d$ by section #ajb1 is fur!r am5d$ by add+ at ! end ! foll[+3 #ebj,o4 ,c5t] ( ,excell5ce = ,eat+ ,disord]s = education & tra9+ on eat+ disord]s 7a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,assi/ant ,secret>y1 %all ma9ta91 by competitive grant or contract1 a ,c5t] ( ,excell5ce = ,eat+ ,disord]s 7ref]r$ to 9 ?is section z ! ,c5t]7 to improve ! id5tification (1 int]v5tions =1 & treatm5t ( eat+ disord]s 9 a mann] t is developm5tally1 culturally1 & l+ui/ically appropriate4 7b7 ,subgrants & subcontracts ,! ,c5t] %all coord9ate & implem5t ! activities "u subsection 7c71 9 :ole or 9 "p1 by aw>d+ competitive subgrants or subcontracts-- 7#a7 across geographical regions2 & 7#b7 9 a mann] t is n duplicative4 7c7 ,activities ,! ,c5t]-- 7#a7 %all-- 7,a7 provide tra9+ & te*nical assi/ance =-- 7i7 prim>y c>e & behavioral heal? c>e provid]s to c>ry out scre5+1 brief int]v5tion1 & ref]ral to treatm5t = individuals exp]i5c+1 or at risk =1 eat+ disord]s2 & 7ii7 noncl9ical community support work]s to id5tify & support individuals )1 or at disproportionate risk =1 eat+ disord]s2 7,b7 develop & provide tra9+ mat]ials to heal? c>e provid]s1 includ+ prim>y c>e & behavioral heal? c>e provid]s1 9 ! effective treatm5t & ongo+ support ( individuals ) eat+ disord]s1 includ+ *ildr5 & m>g9aliz$ populations at disproportionate risk = eat+ disord]s2 7,c7 provide collaboration & coord9ation to o!r c5t]s ( excell5ce1 te*nical assi/ance c5t]s1 & psy*iatric consultation l9es ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration & ! ,heal? ,res\rces & ,s]vices ,adm9i/ration on ! id5tification1 effective treatm5t1 & ongo+ support ( individuals ) eat+ disord]s2 & 7,d7 coord9ate ) ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion & ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration to dissem9ate tra9+ to prim>y c>e & behavioral heal? c>e provid]s2 & 7#b7 may-- 7,a7 coord9ate ) electronic heal? record sy/ems = ! integration ( protocols p]ta9+ to scre5+1 brief int]v5tion1 & ref]ral to treatm5t = individuals exp]i5c+1 or at risk =1 eat+ disord]s2 7,b7 develop & provide tra9+ mat]ials to heal? c>e provid]s1 includ+ prim>y c>e & behavioral heal? c>e provid]s1 9 ! effective treatm5t & ongo+ support = memb]s ( ! ,arm$ ,=ces & vet]ans exp]i5c+1 or at risk =1 eat+ disord]s2 & 7,c7 consult ) ! ,secret>y ( ,def5se & ! ,secret>y ( ,vet]ans ,affairs on prev5tion1 id5tification1 int]v5tion =1 & treatm5t ( eat+ disord]s4 7d7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ #a1jjj1jjj = ea* ( fiscal ye>s #bjbc ?r\gh #bjbg4 4 ,e ,community ,m5tal ,heal? ,s]vices ,block ,grant ,reau?orization #ada4 ,reau?orization ( block grants = community m5tal heal? s]vices 7a7 ,fund+ ,section #aibj7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#i7;a77 is am5d$ by /rik+ #ecb1ega1jjj = ea* ( fiscal ye>s #bjah ?r\gh #bjbb & ins]t+ #heg1ega1jjj = ea* ( fiscal ye>s #bjbc ?r\gh #bjbg4 7b7 ,set-,aside = evid5ce-bas$ crisis c>e s]vices ,section #aibj ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#i7 is am5d$ by add+ at ! end ! foll[+3 7d7 ,crisis c>e 7#a7 ,9 g5]al ,except z provid$ 9 p>agraph 7#c71 a ,/ate %all exp5d at lea/ #e p]c5t ( ! am\nt ! ,/ate receives pursuant to section #aiaa = ea* fiscal ye> to support evid5c$-bas$ programs t address ! crisis c>e ne$s (-- 7,a7 individuals1 includ+ *ildr5 & adolesc5ts1 exp]i5c+ m5tal heal? crises1 sub/ance-relat$ crises1 or crises aris+ f co-occurr+ disord]s2 & 7,b7 p]sons ) intellectual & developm5tal disabilities4 7#b7 ,core elem5ts ,at ! discretion ( ! s+le ,/ate ag5cy responsible = ! adm9i/ration ( ! program ( ! ,/ate "u a grant "u section #aiaa1 funds exp5d$ pursuant to p>agraph 7#a7 may be us$ to fund "s or all ( ! core crisis c>e s]vice compon5ts1 deliv]$ accord+ to evid5ce-bas$ pr9ciples1 includ+ ! foll[+3 7,a7 ,crisis call c5t]s4 7,b7 #bd_/g mobile crisis s]vices4 7,c7 ,crisis /abilization programs (f]+ acute c>e or subacute c>e 9 a hospital or appropriately lic5s$ facility1 z det]m9$ by ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 ) ref]rals to inpati5t or outpati5t c>e4 7#c7 ,/ate flexibility ,9 lieu ( exp5d+ #e p]c5t ( ! am\nt ! ,/ate receives pursuant to section #aiaa = a fiscal ye> to support evid5ce-bas$ programs z requir$ by p>agraph 7#a71 a ,/ate may elect to exp5d n less ?an #aj p]c5t ( su* am\nt to support su* programs by ! end ( two consecutive fiscal ye>s4 7#d7 ,rule ( con/ruction ,) respect to funds exp5d$ pursuant to ! set-aside 9 p>agraph 7#a71 section #aiab7;b77#a77;,a77vi7 %all n apply4 4 7c7 ,e>ly int]v5tion 7#a7 ,/ate plan option ,section #aiab7;b77#a77;,a77vii7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#a7;b77#a77;,a77vii77 is am5d$-- 7,a7 9 subclause 7,,iii71 by /rik+ & at ! end2 7,b7 9 subclause 7,,iv71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7,c7 by add+ at ! end ! foll[+3 7,v7 a description ( any evid5ce-bas$ e>ly int]v5tion /rategies & programs ! ,/ate provides to prev5t1 delay1 or r$uce ! sev]ity & onset ( m5tal illness & behavioral problems1 includ+ = *ildr5 & adolesc5ts1 irrespective ( exp]i5c+ a s]i\s m5tal illness or s]i\s emotional di/urbance1 z def9$ "u subsection 7c77#a74 4 7#b7 ,allocation all[ance2 reports ,section #aibj ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#i71 z am5d$ by subsection 7c71 is fur!r am5d$ by add+ at ! end ! foll[+3 7e7 ,e>ly int]v5tion s]vices ,9 ! case ( a ,/ate ) a ,/ate plan t provides = /rategies & programs specifi$ 9 section #aiab7;b77#a77;,a77vii77,,vi71 su* ,/ate may exp5d n m ?an #e p]c5t ( ! am\nt ( ! allotm5t ( ! ,/ate pursuant to a fund+ agreem5t "u section #aiaa = ea* fiscal ye> to support su* /rategies & programs4 7f7 ,reports to ,congress ,n lat] ?an ,septemb] #cj1 #bjbe1 & bi5nially !reaft]1 ! ,secret>y %all provide a report to ! ,congress on ! crisis c>e & e>ly int]v5tion /rategies & programs pursu$ by ,/ates pursuant to subsections 7d7 & 7e74 ,ea* su* report %all include-- 7#a7 a description ( ! ea* ,/ate's crisis c>e & e>ly int]v5tion activities2 7#b7 ! population s]v$1 includ+ in=mation on demographics1 includ+ age2 7#c7 ! outcomes ( su* activities1 includ+-- 7,a7 h[ su* activities r$uc$ hospitalizations & hospital /ays2 7,b7 h[ su* activities r$uc$ incid5ts ( suicidal ideation & behaviors2 & 7,c7 h[ su* activities r$uc$ ! sev]ity ( onset ( s]i\s m5tal illness & s]i\s emotional di/urbance2 & 7#d7 any o!r relevant in=mation ! ,secret>y deems necess>y4 4 ,f ,pe]-,support$ ,m5tal ,heal? ,s]vices #aea4 ,pe]-support$ m5tal heal? s]vices ,subp>t #c ( "p ,b ( title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb--#ca et seq47 is am5d$ by ins]t+ aft] section #ebj;,g 7#db ,u4,s4,c4 #bij;bb--#ch7 ! foll[+3 #ebj;,h4 ,pe]-,support$ m5tal heal? s]vices 7a7 ,grants au?oriz$ ,! ,secret>y1 act+ ?r\gh ! ,director ( ! ,c5t] = ,m5tal ,heal? ,s]vices1 %all aw>d grants to eligible entities to enable su* entities to develop1 exp&1 & enhance access to m5tal heal? pe]-deliv]$ s]vices4 7b7 ,use ( funds ,grants aw>d$ "u subsection 7a7 %all be us$ to develop1 exp&1 & enhance national1 /atewide1 or community-focus$ programs1 includ+ virtual pe]-support s]vices & infra/ructure1 includ+ by-- 7#a7 c>ry+ out work=ce developm5t1 recruitm5t1 & ret5tion activities1 to tra91 recruit1 & reta9 pe]-support provid]s2 7#b7 build+ connections betwe5 m5tal heal? treatm5t programs1 includ+ betwe5 community organizations & pe]-support networks1 includ+ virtual pe]-support networks1 & ) o!r m5tal heal? support s]vices2 7#c7 r$uc+ /igma associat$ ) m5tal heal? disord]s2 7#d7 exp&+ & improv+ virtual pe] m5tal heal? support s]vices1 includ+ adoption ( te*nologies to exp& access to virtual pe] m5tal heal? support s]vices1 includ+ by acquir+-- 7,a7 appropriate physical h>dw>e = su* virtual s]vices2 7,b7 s(tw>e & programs to effici5tly run pe]-support s]vices virtually2 & 7,c7 o!r te*nology = e/abli%+ virtual wait+ rooms & virtual video plat=ms = meet+s2 & 7#e7 conduct+ rese>* on issues relat+ to m5tal illness & ! impact pe]-support has on resili5cy1 includ+ id5tify+-- 7,a7 ! signs ( m5tal illness2 7,b7 ! res\rces available to individuals ) m5tal illness & to _! families2 & 7,c7 ! res\rces available to help support individuals liv+ ) m5tal illness4 7c7 ,special consid]ation ,9 c>ry+ out ?is section1 ! ,secret>y %all give special consid]ation to ! unique ne$s ( rural areas4 7d7 ,def9ition ,9 ?is section1 ! t]m eligible entity means-- 7#a7 a nonpr(it consum]-run organization t-- 7,a7 is pr9cipally gov]n$ by p liv+ ) a m5tal heal? condition2 & 7,b7 mobilizes res\rces )9 & outside ( ! m5tal heal? community1 :i* may include ?r\gh pe]-support networks1 to increase ! preval5ce & quality ( long-t]m wellness ( individuals liv+ ) a m5tal heal? condition1 includ+ ^? ) a co-occurr+ sub/ance use disord]2 or 7#b7 a ,f$]ally recogniz$ ,tribe1 ,tribal organization1 ,urban ,indian organization1 or consortium ( ,tribes or ,tribal organizations4 7e7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #ac1jjj1jjj = ea* ( fiscal ye>s #bjbc ?r\gh #bjbg4 4 ,g ,milit>y ,suicide ,prev5tion 9 ! #ba/ ,c5tury #afa4 ,pilot program on pre-programm+ ( suicide prev5tion res\rces into sm>t devices issu$ to memb]s ( ! ,arm$ ,=ces 7a7 ,9 g5]al ,comm5c+ n lat] ?an #abj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,def5se %all c>ry out a pilot program "u :i* ! ,secret>y-- 7#a7 pre-d[nloads ! ,virtual ,hope ,box application ( ! ,def5se ,heal? ,ag5cy1 or su* successor application1 on sm>t devices individually issu$ to memb]s ( ! ,arm$ ,=ces2 7#b7 pre-programs ! ,national ,suicide ,hotl9e numb] & ,vet]ans ,crisis ,l9e numb] into ! contacts = su* devices2 & 7#c7 provides tra9+1 z "p ( tra9+ on suicide aw>5ess & prev5tion conduct$ ?r\gh\t ! ,dep>tm5t ( ,def5se1 on ! prev5tative res\rces describ$ 9 p>agraphs 7#a7 & 7#b74 7b7 ,duration ,! ,secret>y %all c>ry out ! pilot program "u ?is section = a two-ye> p]iod4 7c7 ,scope ,! ,secret>y %all det]m9e ! appropriate scope ( individuals p>ticipat+ 9 ! pilot program "u ?is section to be/ repres5t ea* ,arm$ ,=ce & to ensure a relevant sample size4 7d7 ,id5tification ( o!r res\rces ,9 c>ry+ out ! pilot program "u ?is section1 ! ,secret>y %all coord9ate ) ! ,director ( ! ,def5se ,heal? ,ag5cy & ! ,secret>y ( ,vet]ans ,affairs to id5tify o!r useful te*nology-relat$ res\rces = use 9 ! pilot program4 7e7 ,report ,n lat] ?an #cj days aft] complet+ ! pilot program "u ?is section1 ! ,secret>y %all submit to ! ,committee on ,arm$ ,s]vices ( ! ,s5ate & ! ,committee on ,arm$ ,s]vices ( ! ,h\se ( ,repres5tatives a report on ! pilot program4 7f7 ,vet]ans ,crisis ,l9e def9$ ,9 ?is section1 ! t]m ,vet]ans ,crisis ,l9e means ! toll-free hotl9e = vet]ans e/abli%$ "u section #agbj;,f7h7 ( title #ch1 ,unit$ ,/ates ,code4 ,,ii ,sub/ance ,use ,disord] ,prev5tion1 ,treatm5t1 & ,recov]y ,s]vices ,a ,native ,behavioral ,heal? ,access ,improvem5t #bja4 ,behavioral heal? & sub/ance use disord] s]vices = ,native ,am]icans ,section #ejf;,a ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa-#e;a7 is am5d$ to read z foll[s3 #ejf;,a4 ,behavioral heal? & sub/ance use disord] s]vices = ,native ,am]icans 7a7 ,def9itions ,9 ?is section3 7#a7 ,! t]m eligible entity means an ,indian ,tribe1 a ,tribal organization1 an ,urban ,indian organization1 & a ,native ,hawaiian heal? organization4 7#b7 ,! t]ms ,indian ,tribe1 ,tribal organization1 & ,urban ,indian organization h ! mean+s giv5 to ! t]ms ,indian tribe1 tribal organization1 & ,urban ,indian organization 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act4 7#c7 ,! t]m ,native ,hawaiian heal? organization means ,papa ,ola ,lokahi z def9$ 9 section #ab ( ! ,native ,hawaiian ,heal? ,c>e ,improvem5t ,act4 7b7 ,=mula funds 7#a7 ,9 g5]al ,! ,secret>y1 9 consultation ) ! ,director ( ! ,indian ,heal? ,s]vice1 z appropriate1 %all aw>d funds to eligible entities1 9 am\nts det]m9$ pursuant to ! =mula describ$ 9 p>agraph 7#b71 to be us$ by ! eligible entity to provide culturally appropriate m5tal heal? & sub/ance use disord] prev5tion1 treatm5t1 & recov]y s]vices to ,am]ican ,indians1 ,alaska ,natives1 & ,native ,hawaiians4 7#b7 ,=mula ,! ,secret>y1 us+ ! process describ$ 9 subsection 7d71 %all develop a =mula to det]m9e ! am\nt ( an aw>d "u p>agraph 7#a74 ,su* =mula %all take into acc\nt ! populations ( eligible entities ^: rates ( ov]dose dea?s or suicide are sub/antially high] relative to ! populations ( o!r ,indian ,tribes1 ,tribal organizations1 ,urban ,indian organizations1 or ,native ,hawaiian heal? organizations1 z applicable4 7c7 ,te*nical assi/ance & program evaluation 7#a7 ,9 g5]al ,! ,secret>y %all-- 7,a7 provide te*nical assi/ance to applicants & aw>dees "u ?is section2 & 7,b7 collect & evaluate in=mation on ! program c>ri$ out "u ?is section4 7#b7 ,consultation on evaluation measures1 & data submission & report+ requirem5ts ,! ,secret>y %all1 us+ ! process describ$ 9 subsection 7d71 develop evaluation measures & data submission & report+ requirem5ts = purposes ( ! collection & evaluation ( in=mation4 7#c7 ,data submission & report+ ,z a condition on receipt ( funds "u ?is section1 an applicant %all agree to submit data & reports 9 a timely mann] consi/5t ) ! evaluation measures & data submission & report+ requirem5ts develop$ "u subsection 7d74 7d7 ,regulations 7#a7 ,promulgation ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ! ,re/or+ ,hope = ,m5tal ,heal? & ,well-,be+ ,act ( #bjbb1 ! ,secret>y %all initiate proc$ures "u sub*apt] ,,iii ( *apt] #e ( title #e1 ,unit$ ,/ates ,code1 to negotiate & promulgate su* regulations z are necess>y to c>ry out ?is section1 includ+ developm5t ( ! fund+ =mula describ$ 9 subsection 7b7 & ! program evaluation & report+ requirem5ts "u subsection 7c74 7#b7 ,publication ,n lat] ?an #ah mon?s aft] ! date ( enactm5t ( ! ,re/or+ ,hope = ,m5tal ,heal? & ,well-,be+ ,act ( #bjbb1 ! ,secret>y %all publi% 9 ! ,f$]al ,regi/] propos$ regulations to implem5t ?is section4 7#c7 ,committee ,a negotiat$ rulemak+ committee e/abli%$ pursuant to section #efe ( title #e1 ,unit$ ,/ates ,code1 to c>ry out ?is subsection %all h z its memb]s only repres5tatives ( ! ,f$]al ,gov]nm5t1 ,tribal ,gov]nm5ts1 & ,urban ,indian organizations4 ,= purposes ( su* rulemak+1 ! ,indian ,heal? ,s]vice %all be ! lead ag5cy = ! ,dep>tm5t4 7#d7 ,adaptation ( proc$ures ,9 c>ry+ out ?is subsection1 ! ,secret>y %all adapt any negotiat$ rulemak+ proc$ures to ! unique context ( ! gov]nm5t-to-gov]nm5t relation%ip betwe5 ! ,unit$ ,/ates & ,indian ,tribes4 7#e7 ,effect ,! lack ( promulgat$ regulations "u ?is subsection %all n limit ! effect or implem5tation ( ?is section4 7e7 ,application ,an entity desir+ an aw>d "u subsection 7b7 %all submit an application to ! ,secret>y at su* "t1 9 su* mann]1 & accompani$ by su* in=mation z ! ,secret>y may reasonably require4 7f7 ,report ,n lat] ?an #c ye>s aft] ! date ( ! enactm5t ( ! ,re/or+ ,hope = ,m5tal ,heal? & ,well-,be+ ,act ( #bjbb1 & annually !reaft]1 ! ,secret>y %all prep>e & submit1 to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate1 & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives1 a report describ+ ! s]vices provid$ pursuant to ?is section4 7g7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is section1 #dj1jjj1jjj = ea* ( fiscal ye>s #bjbc ?r\gh #bjbg4 4 ,b ,summ] ,b>r[ ,prev5tion1 ,treatm5t1 & ,recov]y #baa4 ,grants = ! b5efit ( homeless individuals ,section #ejf7;e7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa-#e7;e77 is am5d$ by /rik+ #bjah ?r\gh #bjbb & ins]t+ #bjbc ?r\gh #bjbg4 #bab4 ,priority sub/ance abuse treatm5t ne$s ( regional & national significance ,section #eji ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#b7 is am5d$-- 7#a7 9 ! section head+1 by /rik+ ,abuse & ins]t+ ,use ,disord]2 7#b7 9 subsection 7a7-- 7,a7 by /rik+ tribes & tribal organizations 7z ! t]ms ,indian tribes & tribal organizations are def9$ & ins]t+ ,tribes & ,tribal organizations 7z su* t]ms are def9$2 & 7,b7 9 p>agraph 7#c71 by /rik+ 9 sub/ance abuse2 7#c7 9 subsection 7b71 9 ! subsection head+1 by /rik+ ,abuse & ins]t+ ,use ,disord]2 & 7#d7 9 subsection 7f71 by /rik+ #ccc1hjf1jjj = ea* ( fiscal ye>s #bjah ?r\gh #bjbb & ins]t+ #eba1eag1jjj = ea* ( fiscal ye>s #bjbc ?r\gh #bjbg4 #bac4 ,evid5ce-bas$ prescription opioid & h]o9 treatm5t & int]v5tions demon/ration ,section #ead;,b ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#aj7 is am5d$-- 7#a7 9 subsection 7a77#a7-- 7,a7 by /rik+ sub/ance abuse & ins]t+ sub/ance use disord]2 7,b7 by /rik+ tribes & tribal organizations & ins]t+ ,tribes & ,tribal organizations2 & 7,c7 by /rik+ addiction & ins]t+ sub/ance use disord]s2 7#b7 9 subsection 7e77#c71 by /rik+ tribes & tribal organizations & ins]t+ ,tribes & ,tribal organizations2 & 7#c7 9 subsection 7f71 by /rik+ #bjag ?r\gh #bjba & ins]t+ #bjbc ?r\gh #bjbg4 #bad4 ,priority sub/ance use disord] prev5tion ne$s ( regional & national significance ,section #eaf ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#bb7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 9 p>agraph 7#c71 by /rik+ abuse & ins]t+ use2 & 7,b7 9 ! matt] foll[+ p>agraph 7#c71 by /rik+ tribes or tribal organizations & ins]t+ ,tribes or ,tribal organizations2 7#b7 9 subsection 7b71 9 ! subsection head+1 by /rik+ ,abuse & ins]t+ ,use ,disord]2 & 7#c7 9 subsection 7f71 by /rik+ #baa1adh1jjj = ea* ( fiscal ye>s #bjah ?r\gh #bjbb & ins]t+ #bah1bai1jjj = ea* ( fiscal ye>s #bjbc ?r\gh #bjbg4 #bae4 ,sob] ,tru? on ,prev5t+ 7,,/op7 ,und]age ,dr9k+ ,reau?orization ,section #eai;,b ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#be;b7 is am5d$-- 7#a7 by am5d+ subsection 7a7 to read z foll[s3 7a7 ,def9itions ,= purposes ( ?is section3 7#a7 ,! t]m alcohol bev]age indu/ry means ! brew]s1 v9tn]s1 di/ill]s1 import]s1 di/ributors1 & retail or onl9e outlets t sell or s]ve be]1 w9e1 & di/ill$ spirits4 7#b7 ,! t]m s*ool-bas$ prev5tion means programs1 :i* are in/itutionaliz$1 & run by /aff memb]s or s*ool-designat$ p]sons or organizations 9 any grade ( s*ool1 k9d]g>t5 ?r\gh #ab? grade4 7#c7 ,! t]m y\? means p]sons "u ! age ( #ba4 2 & 7#b7 by /rik+ subsections 7c7 ?r\gh 7g7 & ins]t+ ! foll[+3 7c7 ,int]ag5cy coord9at+ committee2 annual report on ,/ate und]age dr9k+ prev5tion & en=cem5t activities 7#a7 ,int]ag5cy coord9at+ committee on ! prev5tion ( und]age dr9k+ 7,a7 ,9 g5]al ,! ,secret>y1 9 collaboration ) ! ,f$]al (ficials specifi$ 9 subp>agraph 7,b71 %all cont9ue to support & enhance ! ef=ts ( ! int]ag5cy coord9at+ committee1 t began op]at+ 9 #bjjd1 focus+ on und]age dr9k+ 7ref]r$ to 9 ?is subsection z ! ,committee74 7,b7 ,o!r ag5cies ,! (ficials ref]r$ to 9 subp>agraph 7,a7 are ! ,secret>y ( ,education1 ! ,attorney ,g5]al1 ! ,secret>y ( ,transportation1 ! ,secret>y ( ! ,treasury1 ! ,secret>y ( ,def5se1 ! ,surgeon ,g5]al1 ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 ! ,director ( ! ,national ,in/itute on ,alcohol ,abuse & ,alcoholism1 ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 ! ,director ( ! ,national ,in/itute on ,drug ,abuse1 ! ,assi/ant ,secret>y = ,*ildr5 & ,families1 ! ,director ( ! ,(fice ( ,national ,drug ,control ,policy1 ! ,adm9i/rator ( ! ,national ,highway ,traffic ,safety ,adm9i/ration1 ! ,adm9i/rator ( ! ,(fice ( ,juv5ile ,ju/ice & ,del9qu5cy ,prev5tion1 ! ,*airman ( ! ,f$]al ,trade ,commission1 & su* o!r ,f$]al (ficials z ! ,secret>y ( ,heal? & ,human ,s]vices det]m9es to be appropriate4 7,c7 ,*air ,! ,secret>y ( ,heal? & ,human ,s]vices %all s]ve z ! *air ( ! ,committee4 7,d7 ,duties ,! ,committee %all guide policy & program developm5t across ! ,f$]al ,gov]nm5t ) respect to und]age dr9k+1 provid$1 h[ev]1 t no?+ 9 ?is section %all be con/ru$ z transf]r+ regulatory or program au?ority f an ,ag5cy to ! ,coord9at+ ,committee4 7,e7 ,consultations ,! ,committee %all actively seek ! input ( & %all consult ) all appropriate & int]e/$ p>ties1 includ+ ,/ates1 public heal? rese>* & int]e/ gr\ps1 f\ndations1 & alcohol bev]age indu/ry trade associations & companies4 7,f7 ,annual report 7i7 ,9 g5]al ,! ,secret>y1 on behalf ( ! ,committee1 %all annually submit to ! ,congress a report t summ>izes-- 7,i7 all programs & policies ( ,f$]al ag5cies design$ to prev5t & r$uce und]age dr9k+1 focus+ p>ticul>ly on programs & policies t support ! adoption & en=cem5t ( ,/ate policies design$ to prev5t & r$uce und]age dr9k+ z specifi$ 9 p>agraph 7#b72 7,,ii7 ! ext5t ( progress 9 prev5t+ & r$uc+ und]age dr9k+ at ,/ate & national levels2 7,,iii7 data t ! ,secret>y %all collect ) respect to ! in=mation specifi$ 9 clause 7ii72 & 7,,iv7 su* o!r in=mation reg>d+ und]age dr9k+ z ! ,secret>y det]m9es to be appropriate4 7ii7 ,c]ta9 in=mation ,! report "u clause 7i7 %all include in=mation on ! foll[+3 7,i7 ,patt]ns & consequ5ces ( und]age dr9k+ z report$ 9 rese>* & surveys su* z1 b n limit$ to1 ,monitor+ ! ,future1 ,y\? ,risk ,behavior ,surveillance ,sy/em1 ! ,national ,survey on ,drug ,use & ,heal?1 & ! ,fatality ,analysis ,report+ ,sy/em4 7,,ii7 ,measures ( ! availability ( alcohol f comm]cial & non-comm]cial s\rces to und]age populations4 7,,iii7 ,measures ( ! exposure ( und]age populations to messages reg>d+ alcohol 9 adv]tis+1 social m$ia1 & ! ent]ta9m5t m$ia4 7,,iv7 ,surveillance data1 includ+ in=mation on ! onset & preval5ce ( und]age dr9k+1 consumption patt]ns1 bev]age pref]5ces1 preval5ce ( dr9k+ among /ud5ts at in/itutions ( high] education1 correlations betwe5 adult & y\? dr9k+1 & ! means ( und]age access1 includ+ tr5ds ov] "t = ^! surveillance data4 ,! ,secret>y %all develop a plan to improve ! collection1 measurem5t1 & consi/5cy ( report+ ,f$]al und]age alcohol data4 7,v7 ,any additional f9d+s result+ f rese>* conduct$ or support$ "u subsection 7f74 7,,vi7 ,evid5ce-bas$ be/ practices to prev5t & r$uce und]age dr9k+ includ+ a review ( ! rese>* lit]ature relat$ to ,/ate laws1 regulations1 & policies design$ to prev5t & r$uce und]age dr9k+1 z describ$ 9 p>agraph 7#b77;,b77i74 7#b7 ,annual report on ,/ate und]age dr9k+ prev5tion & en=cem5t activities 7,a7 ,9 g5]al ,! ,secret>y %all1 ) input & collaboration f o!r appropriate ,f$]al ag5cies1 ,/ates1 ,indian ,tribes1 t]ritories1 & public heal?1 consum]1 & alcohol bev]age indu/ry gr\ps1 annually issue a report on ea* ,/ate's p]=mance 9 enact+1 en=c+1 & creat+ laws1 regulations1 & policies to prev5t or r$uce und]age dr9k+ bas$ on an assessm5t ( be/ practices develop$ pursuant to p>agraph 7#a77;,f77ii77,,vi7 & subp>agraph 7,b77i74 ,= purposes ( ?is p>agraph1 ea* su* report1 ) respect to a ye>1 %all be ref]r$ to z ! ,/ate ,report4 ,ea* ,/ate ,report %all be design$ z a res\rce tool = ,f$]al ag5cies assi/+ ,/ates 9 ! _! und]age dr9k+ prev5tion ef=ts1 ,/ate public heal? & law en=cem5t ag5cies1 ,/ate & local policymak]s1 & und]age dr9k+ prev5tion coalitions includ+ ^? receiv+ grants pursuant to subsection 7e74 7,b7 ,/ate p]=mance measures 7i7 ,9 g5]al ,! ,secret>y %all develop1 9 consultation ) ! ,committee1 a set ( measures to be us$ 9 prep>+ ! ,/ate ,report on be/ practices z !y relate to ,/ate laws1 regulations1 policies1 & en=cem5t practices4 7ii7 ,/ate report cont5t ,! ,/ate ,report %all include updates on ,/ate laws1 regulations1 & policies includ$ 9 previ\s reports to ,congress1 includ+ ) respect to ! foll[+3 7,i7 ,:e!r or n ! ,/ate has compreh5sive anti-und]age dr9k+ laws su* z = ! illegal sale1 pur*ase1 attempt to pur*ase1 consumption1 or possession ( alcohol2 illegal use ( fraudul5t ,,id2 illegal furni%+ or obta9+ ( alcohol = an individual "u #ba ye>s2 ! degree ( /rictness ( ! p5alties = su* (f5ses2 & ! preval5ce ( ! en=cem5t ( ea* ( ^! infractions4 7,,ii7 ,:e!r or n ! ,/ate has compreh5sive liability /atutes p]ta9+ to und]age access to alcohol su* z dram %op1 social ho/1 & h\se p>ty laws1 & ! preval5ce ( en=cem5t ( ea* ( ^! laws4 7,,iii7 ,:e!r or n ! ,/ate enc\rages & conducts compreh5sive en=cem5t ef=ts to prev5t und]age access to alcohol at retail outlets1 su* z r&om compliance *ecks & %\ld] tap programs1 & ! numb] ( compliance *ecks )9 alcohol retail outlets measur$ aga9/ ! numb] ( total alcohol retail outlets 9 ea* ,/ate1 & ! result ( su* *ecks4 7,,iv7 ,:e!r or n ! ,/ate enc\rages tra9+ on ! prop] sell+ & s]v+ ( alcohol = all sell]s & s]v]s ( alcohol z a condition ( employm5t4 7,v7 ,:e!r or n ! ,/ate has policies & regulations ) reg>d to direct sales to consum]s & home deliv]y ( alcoholic bev]ages4 7,,vi7 ,:e!r or n ! ,/ate has programs or laws to det] adults f pur*as+ alcohol = m9ors2 & ! numb] ( adults t>get$ by ^! programs4 7,,vii7 ,:e!r or n ! ,/ate has enact$ graduat$ driv]s lic5ses & ! ext5t ( ^? provisions4 7iii7 ,additional categories ,9 addition to ! updates on ,/ate laws1 regulations1 & policies li/$ 9 clause 7ii71 ! ,secret>y %all consid] ! foll[+3 7,i7 ,:e!r or n ,/ates h adopt$ laws1 regulations1 & policies t det] und]age alcohol use1 z describ$ 9 ,! ,surgeon ,g5]al's ,call to ,action to ,prev5t & ,r$uce ,und]age ,dr9k+ issu$ 9 #bjjg & ,fac+ ,addiction 9 ,am]ica3 ,! ,surgeon ,g5]al's ,report on ,alcohol1 ,drugs & ,heal? issu$ 9 #bjaf1 includ+ re/rictions on l[-price1 high-volume dr9k specials1 & :olesal] pric+ provisions4 7,,ii7 ,:e!r or n ,/ates h adopt$ laws1 regulations1 & policies design$ to r$uce alcohol adv]tis+ messages attractive to y\? & y\? exposure to alcohol adv]tis+ & m>ket+ 9 measur$ & unmeasur$ m$ia & digital & social m$ia4 7,,iii7 ,:e!r or n ,/ates h laws & policies t promote und]age dr9k+ prev5tion policy developm5t by local jurisdictions4 7,,iv7 ,:e!r or n ,/ates h adopt$ laws1 regulations1 & policies to re/rict y\? access to alcoholic bev]ages t may pose special risks to y\?1 includ+ b n limit$ to alcoholic mi/s1 gelat9s1 freez] pops1 premix$ caffe9at$ alcoholic bev]ages1 & flavor$ malt bev]ages4 7,v7 ,:e!r or n ,/ates h adopt$ uni=m be/ practices protocols = conduct+ compliance *ecks & %\ld] tap programs4 7,,vi7 ,:e!r or n ,/ates h adopt$ uni=m be/ practices p5alty protocols = violations ( laws prohibit+ retail lic5sees f sell+ or furni%+ ( alcohol to m9ors4 7iv7 ,uni=m data sy/em ,= p]=mance measures relat$ to en=cem5t ( und]age dr9k+ laws z specifi$ 9 clauses 7ii7 & 7iii71 ! ,secret>y %all develop & te/ a uni=m data sy/em = report+ ,/ate en=cem5t data1 includ+ ! developm5t ( a pilot program = ?is purpose4 ,! pilot program %all include proc$ures = collect+ en=cem5t data f bo? ,/ate & local law en=cem5t jurisdictions4 7#c7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is subsection #a1jjj1jjj = ea* ( fiscal ye>s #bjbc ?r\gh #bjbg4 7d7 ,national m$ia campaign ,to prev5t und]age dr9k+ 7#a7 ,9 g5]al ,! ,secret>y1 9 consultation ) ! ,national ,highway ,traffic ,safety ,adm9i/ration1 %all develop an int5sive1 multifacet$1 adult-ori5t$ national m$ia campaign to r$uce und]age dr9k+ by influ5c+ attitudes reg>d+ und]age dr9k+1 increas+ ! will+ness ( adults to take actions to r$uce und]age dr9k+1 & enc\rag+ public policy *anges kn[n to decrease und]age dr9k+ rates4 7#b7 ,purpose ,! purpose ( ! national m$ia campaign describ$ 9 ?is section %all be to a*ieve ! foll[+ objectives3 7,a7 ,in/ill a broad societal commitm5t to r$uce und]age dr9k+4 7,b7 ,increase specific actions by adults t are meant to disc\rage or inhibit und]age dr9k+4 7,c7 ,decrease adult conduct t t5ds to facilitate or condone und]age dr9k+4 7#c7 ,compon5ts ,:5 implem5t+ ! national m$ia campaign describ$ 9 ?is section1 ! ,secret>y %all-- 7,a7 educate ! public ab\t ! public heal? & safety b5efits ( evid5ce-bas$ policies to r$uce und]age dr9k+1 includ+ m9imum legal dr9k+ age laws1 & build public & p>5tal support = & coop]ation ) en=cem5t ( su* policies2 7,b7 educate ! public ab\t ! negative consequ5ces ( und]age dr9k+2 7,c7 promote specific actions by adults t are meant to disc\rage or inhibit und]age dr9k+1 includ+ positive behavior model+1 g5]al p>5tal monitor+1 & consi/5t & appropriate discipl9e2 7,d7 disc\rage adult conduct t t5ds to facilitate und]age dr9k+1 includ+ ! ho/+ ( und]age p>ties ) alcohol & ! pur*as+ ( alcoholic bev]ages on behalf ( und]age y\?2 7,e7 e/abli% collaborative relation%ips ) local & national organizations & in/itutions to fur!r ! goals ( ! campaign & assure t ! messages ( ! campaign are dissem9at$ f a v>iety ( s\rces2 7,f7 conduct ! campaign ?r\gh multi-m$ia s\rces2 & 7,g7 conduct ! campaign ) reg>d to *ang+ demographics & cultural & l+ui/ic factors4 7#d7 ,consultation requirem5t ,9 develop+ & implem5t+ ! national m$ia campaign describ$ 9 ?is section1 ! ,secret>y %all consult recomm5dations = r$uc+ und]age dr9k+ publi%$ by ! ,national ,academy ( ,sci5ces & ! ,surgeon ,g5]al4 ,! ,secret>y %all also consult ) int]e/$ p>ties includ+ m$ical1 public heal?1 & consum] & p>5t gr\ps1 law en=cem5t1 in/itutions ( high] education1 community organizations & coalitions1 & o!r /akehold]s supportive ( ! goals ( ! campaign4 7#e7 ,annual report ,! ,secret>y %all produce an annual report on ! progress ( ! developm5t or implem5tation ( ! m$ia campaign describ$ 9 ?is subsection1 includ+ exp5ses & project$ co/s1 &1 z su* in=mation is available1 report on ! effectiv5ess ( su* campaign 9 affect+ adult attitudes t[>d und]age dr9k+ & adult will+ness to take actions to decrease und]age dr9k+4 7#f7 ,rese>* on y\?-ori5t$ campaign ,! ,secret>y may1 bas$ on ! availability ( funds1 conduct rese>* on ! pot5tial success ( a y\?-ori5t$ national m$ia campaign to r$uce und]age dr9k+4 ,! ,secret>y %all report any su* results to ,congress ) policy recomm5dations on e/abli%+ su* a campaign4 7#g7 ,adm9i/ration ,! ,secret>y may ent] into a subcontract ) ano!r ,f$]al ag5cy to delegate ! au?ority = execution & adm9i/ration ( ! adult-ori5t$ national m$ia campaign4 7#h7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #b1ejj1jjj = ea* ( fiscal ye>s #bjbc ?r\gh #bjbg4 7e7 ,community-,bas$ coalition enhancem5t grants ,to prev5t und]age dr9k+ 7#a7 ,au?orization ( program ,! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 9 consultation ) ! ,director ( ! ,(fice ( ,national ,drug ,control ,policy1 %all aw>d enhancem5t grants to eligible entities to design1 implem5t1 evaluate1 & dissem9ate compreh5sive /rategies to maximize ! effectiv5ess ( community-wide approa*es to prev5t+ & r$uc+ und]age dr9k+4 ,?is subsection is subject to ! availability ( appropriations4 7#b7 ,purposes ,! purposes ( ?is subsection are to-- 7,a7 prev5t & r$uce alcohol use among y\? 9 communities ?r\gh\t ! ,unit$ ,/ates2 7,b7 /r5g!n collaboration among communities1 ! ,f$]al ,gov]nm5t1 ,tribal ,gov]nm5ts1 & ,/ate & local gov]nm5ts2 7,c7 enhance int]gov]nm5tal coop]ation & coord9ation on ! issue ( alcohol use among y\?2 7,d7 s]ve z a cataly/ = increas$ citiz5 p>ticipation & great] collaboration among all sectors & organizations ( a community t fir/ demon/rates a long-t]m commitm5t to r$uc+ alcohol use among y\?2 7,e7 implem5t /ate-(-!-art sci5ce-bas$ /rategies to prev5t & r$uce und]age dr9k+ by *ang+ local conditions 9 communities2 & 7,f7 enhance1 n supplant1 effective local community initiatives = prev5t+ & r$uc+ alcohol use among y\?4 7#c7 ,application ,an eligible entity desir+ an enhancem5t grant "u ?is subsection %all submit an application to ! ,assi/ant ,secret>y at su* "t1 & 9 su* mann]1 & accompani$ by su* in=mation & assurances1 z ! ,assi/ant ,secret>y may require4 ,ea* application %all include-- 7,a7 a complete description ( ! entity's curr5t und]age alcohol use prev5tion initiatives & h[ ! grant w appropriately enhance ! focus on und]age dr9k+ issues2 or 7,b7 a complete description ( ! entity's curr5t initiatives1 & h[ x w use ?is grant to enhance ^? initiatives by add+ a focus on und]age dr9k+ prev5tion4 7#d7 ,uses ( funds ,ea* eligible entity t receives a grant "u ?is subsection %all use ! grant funds to c>ry out ! activities describ$ 9 su* entity's application submitt$ pursuant to p>agraph 7#c7 & obta9 specializ$ tra9+ & te*nical assi/ance by ! entity fund$ "u section #d ( ,public ,law #ajg-hb1 z am5d$ 7#ba ,u4,s4,c4 #aeba note74 ,grants "u ?is subsection %all n exce$ #fj1jjj p] ye> & may n exce$ f\r ye>s4 7#e7 ,supplem5t n supplant ,grant funds provid$ "u ?is subsection %all be us$ to supplem5t1 n supplant1 ,f$]al & non-,f$]al funds available = c>ry+ out ! activities describ$ 9 ?is subsection4 7#f7 ,evaluation ,grants "u ?is subsection %all be subject to ! same evaluation requirem5ts & proc$ures z ! evaluation requirem5ts & proc$ures impos$ on recipi5ts ( drug-free community grants4 7#g7 ,def9itions ,= purposes ( ?is subsection1 ! t]m eligible entity means an organization t is curr5tly receiv+ or has receiv$ grant funds "u ! ,drug-,free ,communities ,act ( #aiig4 7#h7 ,adm9i/rative exp5ses ,n m ?an #f p]c5t ( a grant "u ?is subsection may be exp5d$ = adm9i/rative exp5ses4 7#i7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is subsection #aa1ejj1jjj = ea* ( fiscal ye>s #bjbc ?r\gh #bjbg4 7f7 ,grants to pr(essional p$iatric provid] organizations ,to r$uce und]age dr9k+ ?r\gh scre5+ & brief int]v5tions 7#a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 %all make "o or m grants to pr(essional p$iatric provid] organizations to increase among ! memb]s ( su* organizations effective practices to r$uce ! preval5ce ( alcohol use among individuals "u ! age ( #ba1 includ+ college /ud5ts4 7#b7 ,purposes ,grants "u ?is subsection %all be made to promote ! practices (-- 7,a7 scre5+ adolesc5ts = alcohol use2 7,b7 (f]+ brief int]v5tions to adolesc5ts to disc\rage su* use2 7,c7 educat+ p>5ts ab\t ! dang]s ( & me?ods ( disc\rag+ su* use2 7,d7 diagnos+ & treat+ alcohol use disord]s2 & 7,e7 ref]r+ pati5ts1 :5 necess>y1 to o!r appropriate c>e4 7#c7 ,use ( funds ,a pr(essional p$iatric provid] organization receiv+ a grant "u ?is section may use ! grant fund+ to promote ! practices specifi$ 9 p>agraph 7#b7 among its memb]s by-- 7,a7 provid+ tra9+ to heal? c>e provid]s2 7,b7 dissem9at+ be/ practices1 includ+ culturally & l+ui/ically appropriate be/ practices1 & develop+1 pr9t+1 & di/ribut+ mat]ials2 & 7,c7 support+ o!r activities approv$ by ! ,assi/ant ,secret>y4 7#d7 ,application ,to be eligible to receive a grant "u ?is subsection1 a pr(essional p$iatric provid] organization %all submit an application to ! ,assi/ant ,secret>y at su* "t1 & 9 su* mann]1 & accompani$ by su* in=mation & assurances z ! ,secret>y may require4 ,ea* application %all include-- 7,a7 a description ( ! p$iatric provid] organization2 7,b7 a description ( ! activities to be complet$ t w promote ! practices specifi$ 9 p>agraph 7#b72 7,c7 a description ( ! organization's qualifications = p]=m+ su* practices2 & 7,d7 a timel9e = ! completion ( su* activities4 7#e7 ,def9itions ,= ! purpose ( ?is subsection3 7,a7 ,brief int]v5tion ,! t]m brief int]v5tion means1 aft] scre5+ a pati5t1 provid+ ! pati5t ) brief advice & o!r brief motivational enhancem5t te*niques design$ to increase ! insight ( ! pati5t reg>d+ ! pati5t's alcohol use1 & any realiz$ or pot5tial consequ5ces ( su* use to effect ! desir$ relat$ behavioral *ange4 7,b7 ,adolesc5ts ,! t]m adolesc5ts means individuals "u #ba ye>s ( age4 7,c7 ,pr(essional p$iatric provid] organization ,! t]m pr(essional p$iatric provid] organization means an organization or association t-- 7i7 consi/s ( or repres5ts p$iatric heal? c>e provid]s2 & 7ii7 is qualifi$ to promote ! practices specifi$ 9 p>agraph 7#b74 7,d7 ,scre5+ ,! t]m scre5+ means us+ validat$ pati5t int]view te*niques to id5tify & assess ! exi/5ce & ext5t ( alcohol use 9 a pati5t4 7#f7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is subsection #c1jjj1jjj = ea* ( fiscal ye>s #bjbc ?r\gh #bjbg4 7g7 ,data collection & rese>* 7#a7 ,additional rese>* on und]age dr9k+ 7,a7 ,9 g5]al ,! ,secret>y %all1 subject to ! availability ( appropriations1 collect data1 & conduct or support rese>* t is n duplicative ( rese>* curr5tly be+ conduct$ or support$ by ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 on und]age dr9k+1 ) respect to ! foll[+3 7i7 ,improve data collection 9 support ( evaluation ( ! effectiv5ess ( compreh5sive community-bas$ programs or /rategies & /atewide sy/ems to prev5t & r$uce und]age dr9k+1 across ! und]age ye>s f e>ly *ildhood to age #ba1 su* z programs fund$ & implem5t$ by gov]nm5tal entities1 public heal? int]e/ gr\ps & f\ndations1 & alcohol bev]age companies & trade associations1 ?r\gh ! developm5t ( models ( ,/ate-level epidemiological surveillance ( und]age dr9k+ by fund+ 9 ,/ates or l>ge metropolitan areas new epidemiologi/s focus$ on excessive dr9k+ includ+ und]age alcohol use4 7ii7 ,obta9 & report m precise in=mation ?an is curr5tly collect$ on ! scope ( ! und]age dr9k+ problem & patt]ns ( und]age alcohol consumption1 includ+ improv$ k ab\t ! problem & progress 9 prev5t+1 r$uc+1 & treat+ und]age dr9k+1 z well z in=mation on ! rate ( exposure ( y\? to adv]tis+ & o!r m$ia messages enc\rag+ & disc\rag+ alcohol consumption4 7iii7 ,syn!size1 exp& on1 & widely dissem9ate exi/+ rese>* on effective /rategies = r$uc+ und]age dr9k+1 includ+ translational rese>*1 & make ?is rese>* easily accessible to ! g5]al public4 7iv7 ,improve & conduct public heal? surveillance on alcohol use & alcohol-relat$ conditions 9 ,/ates by increas+ ! use ( surveys1 su* z ! ,behavioral ,risk ,factor ,surveillance ,sy/em1 to monitor b+e & excessive dr9k+ & relat$ h>ms among individuals :o are at lea/ #ah ye>s ( age1 b n m ?an #bj ye>s ( age1 includ+ h>m caus$ to self or o!rs z a result ( alcohol use t is n duplicative ( rese>* curr5tly be+ conduct$ or support$ by ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 7,b7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is p>agraph #e1jjj1jjj = ea* ( fiscal ye>s #bjbc ?r\gh #bjbg4 7#b7 ,national ,academy ( ,sci5ces /udy 7,a7 ,9 g5]al ,n lat] ?an #ab mon?s aft] ! enactm5t ( ! ,re/or+ ,hope = ,m5tal ,heal? & ,well-,be+ ,act ( #bjbb1 ! ,secret>y %all-- 7i7 contract ) ! ,national ,academy ( ,sci5ces to /udy developm5ts 9 rese>* on und]age dr9k+ & ! public policy implications ( ^! developm5ts2 & 7ii7 report to ! ,congress on ! results ( su* review4 7,b7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is p>agraph #ejj1jjj = fiscal ye> #bjbc4 4 #baf4 ,grants = jail div]sion programs ,section #ebj;,g ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#ch7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 by /rik+ up to #abe2 & 7,b7 by /rik+ tribes & tribal organizations & ins]t+ ,tribes & ,tribal organizations2 7#b7 9 subsection 7b77#b71 by /rik+ tribes1 & tribal organizations & ins]t+ ,tribes1 & ,tribal organizations2 7#c7 9 subsection 7c7-- 7,a7 9 p>agraph 7#a71 by /rik+ tribe or tribal organization & ins]t+ ,tribe or ,tribal organization1 heal? facility or program describ$ 9 subsection 7a71 or public or nonpr(it entity ref]r$ to 9 subsection 7a72 & 7,b7 9 p>agraph 7#b77;,a77iii71 by /rik+ tribe1 or tribal organization & ins]t+ ,tribe1 or ,tribal organization2 7#d7 9 subsection 7e7-- 7,a7 9 ! matt] prec$+ p>agraph 7#a71 by /rik+ tribe1 or tribal organization & ins]t+ ,tribe1 or ,tribal organization2 & 7,b7 9 p>agraph 7#e71 by /rik+ or arre/ & ins]t+ 1 arre/1 or release2 7#e7 9 subsection 7f71 by /rik+ tribe1 or tribal organization ea* place x appe>s & ins]t+ ,tribe1 or ,tribal organization2 7#f7 9 subsection 7h71 by /rik+ tribe1 or tribal organization & ins]t+ ,tribe1 or ,tribal organization2 & 7#g7 9 subsection 7j71 by /rik+ #d1bfi1jjj = ea* ( fiscal ye>s #bjah ?r\gh #bjbb & ins]t+ #ad1jjj1jjj = ea* ( fiscal ye>s #bjbc ?r\gh #bjbg4 #bag4 ,=mula grants to ,/ates ,section #eba ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;cc-#ba7 is am5d$ by /rik+ #bjah ?r\gh #bjbb & ins]t+ #bjbc ?r\gh #bjbg4 #bah4 ,projects = ,assi/ance 9 ,transition ,f ,homelessness ,section #ece7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;cc-#ce7;a77 is am5d$ by /rik+ #bjah ?r\gh #bjbb & ins]t+ #bjbc ?r\gh #bjbg4 #bai4 ,grants = r$uc+ ov]dose dea?s 7a7 ,grants 7#a7 ,repeal ( maximum grant am\nt ,p>agraph 7#b7 ( section #edd7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;dd-#c7;a77 is h]eby repeal$4 7#b7 ,eligible entity2 subgrants ,section #edd7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;dd-#c7;a77 is am5d$ by /rik+ p>agraph 7#c7 & ins]t+ ! foll[+3 7#b7 ,eligible entity ,= purposes ( ?is section1 ! t]m eligible entity means a ,/ate1 ,t]ritory1 locality1 ,indian ,tribe 7z def9$ 9 ! ,f$]ally ,recogniz$ ,indian ,tribe ,li/ ,act ( #aiid71 ,tribal organization1 or ,urban ,indian organization 7z ^? t]ms are def9$ 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act74 7#c7 ,subgrants ,= ! purposes = :i* a grant is aw>d$ "u ?is section1 ! eligible entity receiv+ ! grant may aw>d subgrants to a ,f$]ally qualifi$ heal? c5t] 7z def9$ 9 section #ahfa7;aa7 ( ! ,social ,security ,act71 an opioid treatm5t program 7z def9$ 9 section #h4b ( title #db1 ,code ( ,f$]al ,regulations 7or any successor regulations771 any practition] disp5s+ n>cotic drugs pursuant to section #cjc7;g7 ( ! ,controll$ ,sub/ances ,act1 or any nonpr(it organization t ! ,secret>y deems appropriate4 4 7#c7 ,prescrib+ ,section #edd7;a77#d7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;dd-#c7;a77#d77 is am5d$-- 7,a7 9 subp>agraph 7,a71 by ins]t+ 1 includ+ pati5ts prescrib$ ) bo? an opioid & a b5zodiazep9e be=e ! semicolon at ! end2 & 7,b7 9 subp>agraph 7,d71 by /rik+ drug ov]dose & ins]t+ sub/ance ov]dose4 7#d7 ,use ( funds ,p>agraph 7#e7 ( section #edd7;c7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;dd-#c7;c77 is am5d$ to read z foll[s3 7#e7 ,to e/abli% protocols to connect pati5ts :o h exp]i5c$ an ov]dose ) appropriate treatm5t1 includ+ ov]dose rev]sal m$ications1 m$ication assi/$ treatm5t1 & appropriate c\nsel+ & behavioral !rapies4 4 7#e7 ,improv+ access to ov]dose treatm5t ,section #edd ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;dd-#c7 is am5d$-- 7,a7 by r$esignat+ subsections 7d7 ?r\gh 7f7 z subsections 7e7 ?r\gh 7g71 respectively2 7,b7 9 subsection 7f71 z s r$esignat$1 by /rik+ subsection 7d7 & ins]t+ subsection 7e72 & 7,c7 by ins]t+ aft] subsection 7c7 ! foll[+3 7d7 ,improv+ access to ov]dose treatm5t 7#a7 ,in=mation on be/ practices 7,a7 ,heal? & ,human ,s]vices ,! ,secret>y ( ,heal? & ,human ,s]vices may provide in=mation to ,/ates1 localities1 ,indian ,tribes1 ,tribal organizations1 & ,urban ,indian organizations on be/ practices = prescrib+ or co-prescrib+ a drug or device approv$1 cle>$1 or o!rwise au?oriz$ "u ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act = em]g5cy treatm5t ( kn[n or suspect$ opioid ov]dose1 includ+ = pati5ts receiv+ *ronic opioid !rapy & pati5ts be+ treat$ = opioid use disord]s4 7,b7 ,def5se ,! ,secret>y ( ,def5se may provide in=mation to prescrib]s )9 ,dep>tm5t ( ,def5se m$ical facilities on be/ practices = prescrib+ or co-prescrib+ a drug or device approv$1 cle>$1 or o!rwise au?oriz$ "u ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act = em]g5cy treatm5t ( kn[n or suspect$ opioid ov]dose1 includ+ = pati5ts receiv+ *ronic opioid !rapy & pati5ts be+ treat$ = opioid use disord]s4 7,c7 ,vet]ans ,affairs ,! ,secret>y ( ,vet]ans ,affairs may provide in=mation to prescrib]s )9 ,dep>tm5t ( ,vet]ans ,affairs m$ical facilities on be/ practices = prescrib+ or co-prescrib+ a drug or device approv$1 cle>$1 or o!rwise au?oriz$ "u ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act = em]g5cy treatm5t ( kn[n or suspect$ opioid ov]dose1 includ+ = pati5ts receiv+ *ronic opioid !rapy & pati5ts be+ treat$ = opioid use disord]s4 7#b7 ,rule ( con/ruction ,no?+ 9 ?is subsection %all be con/ru$ z e/abli%+ or contribut+ to a m$ical /&>d ( c>e4 4 7#f7 ,au?orization ( appropriations ,section #edd7;g7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;dd-#c71 z r$esignat$1 is am5d$ by /rik+ fiscal ye>s #bjag ?r\gh #bjba & ins]t+ fiscal ye>s #bjbc ?r\gh #bjbg4 7#g7 ,te*nical am5dm5ts 7,a7 ,section #edd ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;dd-#c71 z am5d$1 is fur!r am5d$ by /rik+ approv$ or cle>$ ea* place x appe>s & ins]t+ approv$1 cle>$1 or o!rwise au?oriz$4 7,b7 ,section #ajg ( ! ,compreh5sive ,addiction & ,recov]y ,act ( #bjaf 7,public ,law #aad-aih7 is am5d$ by /rik+ subsection 7b74 #bbj4 ,opioid ov]dose rev]sal m$ication access & education grant programs 7a7 ,grants ,section #ede ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ee7 is am5d$-- 7#a7 9 ! section head+1 by /rik+ access & education grant programs & ins]t+ access1 education1 & co-prescrib+ grant programs2 7#b7 9 ! head+ ( subsection 7a71 by /rik+ ,grants to ,/ates & ins]t+ ,grants2 7#c7 9 subsection 7a71 by /rik+ %all make grants to ,/ates & ins]t+ %all make grants to ,/ates1 localities1 ,indian ,tribes 7z def9$ by ! ,f$]ally ,recogniz$ ,indian ,tribe ,li/ ,act ( #aiid71 ,tribal organizations1 & ,urban ,indian organizations 7z ^? t]ms are def9$ 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act72 7#d7 9 subsection 7a77#a71 by /rik+ implem5t /rategies = ph>maci/s to disp5se a drug or device & ins]t+ implem5t /rategies t increase access to drugs or devices2 7#e7 by r$esignat+ p>agraphs 7#c7 & 7#d7 z p>agraphs 7#d7 & 7#e71 respectively2 & 7#f7 by ins]t+ aft] p>agraph 7#b7 ! foll[+3 7#c7 enc\rage heal? c>e provid]s to co-prescribe1 z appropriate1 drugs or devices approv$1 cle>$1 or o!rwise au?oriz$ "u ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act = em]g5cy treatm5t ( kn[n or suspect$ opioid ov]dose2 4 7b7 ,grant p]iod ,section #ede7;d77#b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ee7d77#b77 is am5d$ by /rik+ #c ye>s & ins]t+ #e ye>s4 7c7 ,limitation ,p>agraph 7#c7 ( section #ede7;d7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ee7d77 is am5d$ to read z foll[s3 7#c7 ,limitations ,a ,/ate may-- 7,a7 use n m ?an #aj p]c5t ( a grant "u ?is section = educat+ ! public pursuant to subsection 7a77#e72 & 7,b7 use n less ?an #bj p]c5t ( a grant "u ?is section to (fset co/-%>+ = di/ribution & disp5s+ ( drugs or devices approv$1 cle>$1 or o!rwise au?oriz$ "u ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act = em]g5cy treatm5t ( kn[n or suspect$ opioid ov]dose4 4 7d7 ,au?orization ( appropriations ,section #ede7;h77#a7 ( ! ,public ,heal? ,s]vice ,act1 is am5d$ by /rik+ fiscal ye>s #bjag ?r\gh #bjai & ins]t+ fiscal ye>s #bjbc ?r\gh #bjbg4 7e7 ,te*nical am5dm5t ,section #ede ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ee71 z am5d$1 is fur!r am5d$ by /rik+ approv$ or cle>$ ea* place x appe>s & ins]t+ approv$1 cle>$1 or o!rwise au?oriz$4 #bba4 ,/ate demon/ration grants = compreh5sive opioid abuse response ,section #edh ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ee-#c7 is am5d$-- 7#a7 9 ! section head+1 by /rik+ ,abuse & ins]t+ ,use ,disord]2 7#b7 9 subsection 7b7-- 7,a7 9 ! subsection head+1 by /rik+ ,abuse & ins]t+ ,use ,disord]2 7,b7 9 p>agraph 7#a71 by /rik+ abuse & ins]t+ use disord]2 7,c7 9 p>agraph 7#b7-- 7i7 9 ! matt] prec$+ subp>agraph 7,a71 by /rik+ abuse & ins]t+ use disord]2 7ii7 9 subp>agraph 7,a71 by /rik+ opioid use1 treatm5t1 & addiction recov]y & ins]t+ opioid use disord]s1 & treatm5t =1 & recov]y f opioid use disord]s2 7iii7 9 subp>agraph 7,c71 by /rik+ addiction ea* place x appe>s & ins]t+ use disord]2 7iv7 by am5d+ subp>agraph 7,d7 to read z foll[s3 7,d7 develop+1 implem5t+1 & exp&+ ef=ts to prev5t ov]dose dea? f opioid or o!r prescription m$ication use disord]s2 & 2 & 7v7 9 subp>agraph 7,e71 by /rik+ abuse & ins]t+ use disord]s2 & 7,d7 9 p>agraph 7#d71 by /rik+ abuse ea* place x appe>s & ins]t+ use disord]s2 & 7#c7 by /rik+ #bjag ?r\gh #bjba & ins]t+ #bjbc ?r\gh #bjbg4 #bbb4 ,em]g5cy dep>tm5t alt]natives to opioids ,section #gjia ( ! ,,support = ,pati5ts & ,communities ,act 7,public ,law #aae-bga7 is am5d$-- 7#a7 9 ! section head+1 by /rik+ ,demon/ration 7& by con=m+ ! item relat+ to su* section 9 ! table ( cont5ts 9 section #a7;b772 7#b7 9 subsection 7a7-- 7,a7 by am5d+ ! subsection head+ to read z foll[s3 ,grant program2 & 7,b7 9 p>agraph 7#a71 by /rik+ demon/ration2 7#c7 9 subsection 7b71 9 ! subsection head+1 by /rik+ demon/ration2 7#d7 9 subsection 7d77#d71 by /rik+ tribal & ins]t+ ,tribal2 7#e7 9 subsection 7f71 by /rik+ ,n lat] ?an #a ye> aft] completion ( ! demon/ration program "u ?is section1 ! ,secret>y %all submit a report to ! ,congress on ! results ( ! demon/ration program & ins]t+ ,n lat] ?an ! end ( ea* ( fiscal ye>s #bjbd & #bjbg1 ! ,secret>y %all submit to ! ,congress a report on ! results ( ! program2 & 7#f7 9 subsection 7g71 by /rik+ #bjai ?r\gh #bjba & ins]t+ #bjbc ?r\gh #bjbg4 ,c ,excell5ce 9 ,recov]y ,h\s+ #bca4 ,cl>ify+ ! role ( ,,samhsa 9 promot+ ! availability ( high-quality recov]y h\s+ ,section #eja7;d7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa7 is am5d$-- 7#a7 9 p>agraph 7#bd77;,e71 by /rik+ & at ! end2 7#b7 9 p>agraph 7#be71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+3 7#bf7 collaborate ) national accr$it+ entities1 reputable provid]s1 organizations or individuals ) e/abli%$ exp]tise 9 deliv]y ( recov]y h\s+ s]vices1 ,/ates1 ,f$]al ag5cies 7includ+ ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 ! ,dep>tm5t ( ,h\s+ & ,urban ,developm5t1 & ! ag5cies li/$ 9 section #eej7;e77#b77;,b771 & o!r relevant /akehold]s1 to promote ! availability ( high-quality recov]y h\s+ & s]vices = individuals ) a sub/ance use disord]4 4 #bcb4 ,develop+ guidel9es = ,/ates to promote ! availability ( high-quality recov]y h\s+ ,section #eej7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ee-#e7;a77 7relat+ to national recov]y h\s+ be/ practices7 is am5d$-- 7#a7 by am5d+ p>agraph 7#a7 to read z foll[s3 7#a7 ,9 g5]al ,! ,secret>y1 9 consultation ) ! individuals & entities specifi$ 9 p>agraph 7#b71 %all build on exi/+ be/ practices & previ\sly develop$ guidel9es to develop & p]iodically update cons5sus-bas$ be/ practices1 :i* may include model laws = implem5t+ sugge/$ m9imum /&>ds = op]at+1 & promot+ ! availability (1 high-quality recov]y h\s+4 2 7#b7 9 p>agraph 7#b7-- 7,a7 by /rik+ subp>agraphs 7,a7 & 7,b7 & ins]t+ ! foll[+3 7,a7 ,(ficials repres5t+ ! ag5cies describ$ 9 subsection 7e77#b74 2 & 7,b7 by r$esignat+ subp>agraphs 7,c7 ?r\gh 7,g7 z subp>agraphs 7,b7 ?r\gh 7,f71 respectively2 & 7#c7 by add+ at ! end ! foll[+3 7#c7 ,availability ,! be/ practices ref]r$ to 9 p>agraph 7#a7 %all be-- 7,a7 made publicly available2 & 7,b7 publi%$ on ! public website ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration4 7#d7 ,exclusion ( guidel9e on treatm5t s]vices ,9 develop+ ! guidel9es "u p>agraph 7#a71 ! ,secret>y may n include any guidel9es ) respect to sub/ance use disord] treatm5t s]vices4 4 #bcc4 ,coord9ation ( ,f$]al activities to promote ! availability ( recov]y h\s+ ,section #eej ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ee-#e7 7relat+ to national recov]y h\s+ be/ practices7 is am5d$-- 7#a7 by r$esignat+ subsections 7e71 7f71 & 7g7 z subsections 7g71 7h71 & 7i71 respectively2 & 7#b7 by ins]t+ aft] subsection 7d7 ! foll[+3 7e7 ,coord9ation ( ,f$]al activities ,to promote ! availability ( h\s+ = individuals exp]i5c+ homelessness1 individuals ) a m5tal illness1 & individuals ) a sub/ance use disord] 7#a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,assi/ant ,secret>y1 & ! ,secret>y ( ,h\s+ & ,urban ,developm5t %all conv5e an int]ag5cy work+ gr\p = ! foll[+ purposes3 7,a7 ,to increase collaboration1 coop]ation1 & consultation among ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 ! ,dep>tm5t ( ,h\s+ & ,urban ,developm5t1 & ! ,f$]al ag5cies li/$ 9 p>agraph 7#b77;,b71 ) respect to promot+ ! availability ( h\s+1 includ+ recov]y h\s+1 = individuals exp]i5c+ homelessness1 individuals ) m5tal illnesses1 & individuals ) sub/ance use disord]4 7,b7 ,to align ! ef=ts ( su* ag5cies & avoid duplication ( su* ef=ts by su* ag5cies4 7,c7 ,to develop objectives1 priorities1 & a long-t]m plan = support+ ,/ate1 ,tribal1 & local ef=ts ) respect to ! op]ation ( recov]y h\s+ t is consi/5t ) ! be/ practices develop$ "u ?is section4 7,d7 ,to coord9ate en=cem5t ( fair h\s+ practices1 z appropriate1 among ,f$]al & ,/ate ag5cies4 7,e7 ,to coord9ate data collection on ! quality ( recov]y h\s+4 7#b7 ,composition ,! int]ag5cy work+ gr\p "u p>agraph 7#a7 %all be compos$ (-- 7,a7 ! ,secret>y1 act+ ?r\gh ! ,assi/ant ,secret>y1 & ! ,secret>y ( ,h\s+ & ,urban ,developm5t1 :o %all s]ve z ! co-*airs2 & 7,b7 repres5tatives ( ea* ( ! foll[+ ,f$]al ag5cies3 7i7 ,! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices4 7ii7 ,! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration4 7iii7 ,! ,heal? ,res\rces & ,s]vices ,adm9i/ration4 7iv7 ,! ,(fice ( ,inspector ,g5]al4 7v7 ,! ,indian ,heal? ,s]vice4 7vi7 ,! ,dep>tm5t ( ,agriculture4 7vii7 ,! ,dep>tm5t ( ,ju/ice4 7viii7 ,! ,(fice ( ,national ,drug ,control ,policy4 7ix7 ,! ,bureau ( ,indian ,affairs4 7x7 ,! ,dep>tm5t ( ,labor4 7xi7 ,! ,dep>tm5t ( ,vet]ans ,affairs4 7xii7 ,any o!r ,f$]al ag5cy z ! co-*airs det]m9e appropriate4 7#c7 ,meet+s ,! work+ gr\p %all meet on a qu>t]ly basis4 7#d7 ,reports to ,congress ,n lat] ?an #d ye>s aft] ! date ( ! enactm5t ( ?is section1 ! work+ gr\p %all submit to ! ,committee on ,en]gy & ,comm]ce1 ! ,committee on ,ways & ,means1 ! ,committee on ,agriculture1 & ! ,committee on ,f9ancial ,s]vices ( ! ,h\se ( ,repres5tatives & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions1 ! ,committee on ,agriculture1 ,nutrition1 & ,=e/ry1 & ! ,committee on ,f9ance ( ! ,s5ate a report describ+ ! "w ( ! work+ gr\p & any recomm5dations ( ! work+ gr\p to improve ,f$]al1 ,/ate1 & local coord9ation ) respect to recov]y h\s+ & o!r h\s+ res\rces & op]ations = individuals exp]i5c+ homelessness1 individuals ) a m5tal illness1 & individuals ) a sub/ance use disord]4 4 #bcd4 ,,nas /udy & report 7a7 ,9 g5]al ,n lat] ?an #fj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use %all-- 7#a7 contract ) ! ,national ,academies ( ,sci5ces1 ,eng9e]+1 & ,m$ic9e-- 7,a7 to /udy ! quality & effectiv5ess ( recov]y h\s+ 9 ! ,unit$ ,/ates & :e!r ! availability ( su* h\s+ meets dem&2 & 7,b7 to id5tify recomm5dations to promote ! availability ( high-quality recov]y h\s+2 & 7#b7 report to ! ,congress on ! results ( su* review4 7b7 ,au?orization ( appropriations ,to c>ry out ?is section !re is au?oriz$ to be appropriat$ #a1ejj1jjj = fiscal ye> #bjbc4 #bce4 ,grants = ,/ates to promote ! availability ( recov]y h\s+ & s]vices ,section #eej ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ee-#e7 7relat+ to national recov]y h\s+ be/ practices71 z am5d$ by sections #bcb & #bcc1 is fur!r am5d$ by ins]t+ aft] subsection 7e7 7z ins]t$ by section #bcc7 ! foll[+3 7f7 ,grants = implem5t+ national recov]y h\s+ be/ practices 7#a7 ,9 g5]al ,! ,secret>y %all aw>d grants to ,/ates 7& political subdivisions !re(71 ,tribes1 & t]ritories-- 7,a7 = ! provision ( te*nical assi/ance to implem5t ! guidel9es & recomm5dations develop$ "u subsection 7a72 & 7,b7 to promote-- 7i7 ! availability ( recov]y h\s+ = individuals ) a sub/ance use disord]2 & 7ii7 ! ma9t5ance ( recov]y h\s+ 9 accordance ) be/ practices develop$ "u ?is section4 7#b7 ,/ate promotion plans ,n lat] ?an #ij days aft] receipt ( a grant "u p>agraph 7#a71 & e #b ye>s !reaft]1 ea* ,/ate 7or political subdivisions !re(17 ,tribe1 or t]ritory receiv+ a grant "u p>agraph 7#a7 %all submit to ! ,secret>y1 & publi% on a publicly accessible int]net website ( ! ,/ate 7or political subdivisions !re(71 ,tribe1 or t]ritory-- 7,a7 ! plan ( ! ,/ate 7or political subdivisions !re(71 ,tribe1 or t]ritory1 ) respect to ! promotion ( recov]y h\s+ = individuals ) a sub/ance use disord] locat$ )9 ! jurisdiction ( su* ,/ate 7or political subdivisions !re(71 ,tribe1 or t]ritory2 & 7,b7 a description ( h[ su* plan is consi/5t ) ! be/ practices develop$ "u ?is section4 4 #bcf4 ,fund+ ,subsection 7i7 ( section #eej ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ee-#e7 7relat+ to national recov]y h\s+ be/ practices71 z r$esignat$ by section #bcc1 is am5d$ by /rik+ #c1jjj1jjj = ! p]iod ( fiscal ye>s #bjai ?r\gh #bjba & ins]t+ #e1jjj1jjj = ! p]iod ( fiscal ye>s #bjbc ?r\gh #bjbg4 #bcg4 ,te*nical correction ,title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa et seq47 is am5d$-- 7#a7 by r$esignat+ section #eej 7relat+ to ,sobriety ,treatm5t & ,recov]y ,teams7 7#db ,u4,s4,c4 #bij;ee-#aj71 z add$ by section #hbad ( ,public ,law #aae-bga1 z section #eej;,a2 & 7#b7 by mov+ su* section s x appe>s aft] section #eej 7relat+ to national recov]y h\s+ be/ practices74 ,d ,sub/ance ,use ,prev5tion1 ,treatm5t1 & ,recov]y ,s]vices ,block ,grant #bda4 ,elim9at+ /igmatiz+ language relat+ to sub/ance use 7a7 ,block ,grants = ,prev5tion & ,treatm5t ( ,sub/ance ,use ,"p ,b ( title ,,xix ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx et seq47 is am5d$-- 7#a7 9 ! "p head+1 by /rik+ ,sub/ance ,abuse & ins]t+ ,sub/ance ,use2 7#b7 9 subp>t ,,ii1 by am5d+ ! subp>t head+ to read z foll[s3 ,block grants = sub/ance use prev5tion1 treatm5t1 & recov]y s]vices2 7#c7 9 section #aibb7;a7 7#db ,u4,s4,c4 #cjjx-#bb7;a77-- 7,a7 9 p>agraph 7#a71 9 ! matt] prec$+ subp>agraph 7,a71 by /rik+ sub/ance abuse & ins]t+ sub/ance use disord]s2 & 7,b7 by /rik+ su* abuse ea* place x appe>s 9 p>agraphs 7#a7 & 7#b7 & ins]t+ su* disord]s2 7#d7 9 section #aibc 7#db ,u4,s4,c4 #cjjx-#bc7-- 7,a7 9 ! section head+1 by /rik+ ,sub/ance ,abuse & ins]t+ ,sub/ance ,use2 & 7,b7 9 subsection 7a71 by /rik+ drug abuse & ins]t+ sub/ance use disord]s2 7#e7 9 section #aibe7;a77#a7 7#db ,u4,s4,c4 #cjjx-#be7;a77#a771 by /rik+ alcohol or drug abuse & ins]t+ alcohol or o!r sub/ance use disord]s2 7#f7 9 section #aibf7;b77#b77;,b7 7#db ,u4,s4,c4 #cjjx-#bf7;b77#b77;,b771 by /rik+ sub/ance abuse2 7#g7 9 section #aica7;b77#b7 7#db ,u4,s4,c4 #cjjx-#ca7;b77#b771 by /rik+ sub/ance abuse & ins]t+ sub/ance use disord]s2 7#h7 9 section #aicc7;d77#a7 7#db ,u4,s4,c4 #cjjx-#cc7;d771 9 ! matt] foll[+ subp>agraph 7,b71 by /rik+ abuse ( alcohol & o!r drugs & ins]t+ use ( sub/ances2 7#i7 by am5d+ p>agraph 7#d7 ( section #aicd 7#db ,u4,s4,c4 #cjjx-#cd7 to read z foll[s3 7#d7 ,! t]m sub/ance use disord] means ! recurr5t use ( alcohol or o!r drugs t causes cl9ically significant impairm5t4 2 7#aj7 9 section #aice 7#db ,u4,s4,c4 #cjjx-#ce7-- 7,a7 9 subsection 7a71 by /rik+ sub/ance abuse & ins]t+ sub/ance use disord]s2 & 7,b7 9 subsection 7b77#a71 by /rik+ sub/ance abuse ea* place x appe>s & ins]t+ sub/ance use disord]s2 7#aa7 9 section #aidi 7#db ,u4,s4,c4 #cjjx-#ei71 by /rik+ sub/ance abuse ea* place x appe>s 9 subsections 7a7 & 7d7 & ins]t+ sub/ance use disord]s2 7#ab7 9 section #aied7;b77#d7 7#db ,u4,s4,c4 #cjjx-#fd7;b77#d77-- 7,a7 by /rik+ sub/ance abuse & ins]t+ sub/ance use disord]s2 & 7,b7 by /rik+ su* abuse & ins]t+ su* disord]s2 7#ac7 9 section #aiee 7#db ,u4,s4,c4 #cjjx-#fe71 by /rik+ sub/ance abuse ea* place x appe>s & ins]t+ sub/ance use disord]2 & 7#ad7 9 section #aief 7#db ,u4,s4,c4 #cjjx-#ff71 by /rik+ sub/ance abuse & ins]t+ sub/ance use disord]s4 7b7 ,c]ta9 programs reg>d+ m5tal heal? & sub/ance abuse ,"p ,c ( title ,,xix ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjy et seq47 is am5d$-- 7#a7 9 ! "p head+1 by /rik+ ,sub/ance ,abuse & ins]t+ ,sub/ance ,use2 7#b7 9 section #aiga 7#db ,u4,s4,c4 #cjjy71 by /rik+ sub/ance abuse ea* place x appe>s 9 subsections 7a71 7b71 & 7f7 & ins]t+ sub/ance use2 & 7#c7 9 section #aigf 7#db ,u4,s4,c4 #cjjy-#aa71 by /rik+ intrav5\s abuse ea* place x appe>s & ins]t+ intrav5\s use4 #bdb4 ,au?oriz$ activities ,section #aiba7;b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#ba7;b77 is am5d$ by /rik+ prev5t & treat sub/ance use disord]s & ins]t+ prev5t1 treat1 & provide recov]y support s]vices = sub/ance use disord]s4 #bdc4 ,requirem5ts relat+ to c]ta9 infecti\s diseases & human immunodefici5cy virus ,section #aibd ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#bd7 is am5d$-- 7#a7 9 ! section head+1 by /rik+ ,tub]culosis & ,human ,immunodefici5cy ,virus & ins]t+ ,tub]culosis1 ,viral ,hepatitis1 & ,human ,immunodefici5cy ,virus2 7#b7 by am5d+ subsection 7a77#b7 to read z foll[s3 7#b7 ,designat$ ,/ates 7,a7 ,fiscal ye>s ?r\gh fiscal ye> #bjbd ,= purposes ( ?is subsection1 ?r\gh ,septemb] #cj1 #bjbd1 a ,/ate describ$ 9 ?is p>agraph is any ,/ate ^: rate ( cases ( acquir$ immune defici5cy syndrome is #aj or m su* cases p] #ajj1jjj individuals 7z indicat$ by ! numb] ( su* cases report$ to & confirm$ by ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion = ! mo/ rec5t cal5d> ye> = :i* su* data are available74 7,b7 ,fiscal ye> #bjbe & succe$+ fiscal ye>s 7i7 ,9 g5]al ,beg9n+ ) fiscal ye> #bjbe1 = purposes ( ?is subsection1 a ,/ate describ$ 9 ?is p>agraph is any ,/ate ^: rate ( cases ( human immunodefici5cy virus is #aj or m su* cases p] #ajj1jjj individuals 7z indicat$ by ! numb] ( su* cases newly report$ to & confirm$ by ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion = ! mo/ rec5t cal5d> ye> = :i* su* data are available74 7ii7 ,cont9uation ( designat$ ,/ate /atus ,9 ! case ( a ,/ate ^: rate ( cases ( human immunodefici5cy virus falls bel[ ! ?re%old specifi$ 9 clause 7i7 = a cal5d> ye>1 su* ,/ate %all1 not)/&+ clause 7i71 cont9ue to be describ$ 9 ?is p>agraph unless ! rate ( cases falls bel[ su* ?re%old = ?ree consecutive cal5d> ye>s4 4 7#c7 by r$esignat+ subsections 7c7 & 7d7 z subsections 7d7 & 7e71 respectively2 & 7#d7 by ins]t+ aft] subsection 7b7 ! foll[+3 7c7 ,viral hepatitis 7#a7 ,9 g5]al ,a fund+ agreem5t = a grant "u section #aiba is t ! ,/ate involv$ w require t any entity receiv+ am\nts f ! grant = op]at+ a program ( treatm5t = sub/ance use disord]s-- 7,a7 w1 directly or ?r\gh arrangem5ts ) o!r public or nonpr(it private entities1 r\t9ely make available viral hepatitis s]vices to ea* individual receiv+ treatm5t = su* disord]s2 & 7,b7 9 ! case ( an individual 9 ne$ ( su* treatm5t :o is d5i$ admission to ! program on ! basis ( ! lack ( ! capacity ( ! program to admit ! individual1 w ref] ! individual to ano!r provid] ( viral hepatitis s]vices4 7#b7 ,viral hepatitis s]vices ,= purposes ( p>agraph 7#a71 ! t]m viral hepatitis s]vices1 ) respect to an individual1 means-- 7,a7 scre5+ ! individual = viral hepatitis2 & 7,b7 ref]r+ ! individual to a provid] ^: practice includes viral hepatitis vacc9ation & treatm5t4 4 #bdd4 ,/ate plan requirem5ts ,section #aicb7;b77#a77;,a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#cb7;b77#a77;,a77 is am5d$-- 7#a7 by r$esignat+ clauses 7vi7 ?r\gh 7ix7 z clauses 7vii7 ?r\gh 7x71 respectively2 & 7#b7 by ins]t+ aft] clause 7v7 ! foll[+3 7vi7 provides a description (-- 7,i7 ! ,/ate's compreh5sive /atewide recov]y support s]vices activities1 includ+ ! numb] ( individuals be+ s]v$1 t>get populations1 & priority ne$s2 & 7,,ii7 ! am\nt ( funds receiv$ "u ?is subp>t exp5d$ on recov]y support s]vices1 disaggregat$ by ! am\nt exp5d$ = type ( s]vice activity2 4 #bde4 ,updat+ c]ta9 language relat+ to ,tribes ,section #aicc7;d7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#cc7;d77 is am5d$-- 7#a7 9 p>agraph 7#a7-- 7,a7 9 subp>agraph 7,a7-- 7i7 by /rik+ ( an ,indian tribe or tribal organization & ins]t+ ( an ,indian ,tribe or ,tribal organization2 & 7ii7 by /rik+ su* tribe & ins]t+ su* ,tribe2 7,b7 9 subp>agraph 7,b7-- 7i7 by /rik+ tribe or tribal organization & ins]t+ ,tribe or ,tribal organization2 & 7ii7 by /rik+ ,secret>y "u ?is & ins]t+ ,secret>y "u ?is subp>t2 & 7,c7 9 ! matt] foll[+ subp>agraph 7,b71 by /rik+ tribe or tribal organization & ins]t+ ,tribe or ,tribal organization2 7#b7 by am5d+ p>agraph 7#b7 to read z foll[s3 7#b7 ,indian ,tribe or ,tribal organization z grantee ,! am\nt res]v$ by ! ,secret>y on ! basis ( a det]m9ation "u ?is subsection %all be grant$ to ! ,indian ,tribe or ,tribal organization s]v+ ! individuals = :om su* a det]m9ation has be5 made4 2 7#c7 9 p>agraph 7#c71 by /rik+ tribe or tribal organization & ins]t+ ,tribe or ,tribal organization2 & 7#d7 9 p>agraph 7#d7-- 7,a7 9 ! p>agraph head+1 by /rik+ ,def9ition & ins]t+ ,def9itions2 & 7,b7 by /rik+ ,! t]ms & all t foll[s ?r\gh giv5 su* t]ms & ins]t+ ! foll[+3 ,! t]ms ,indian ,tribe & ,tribal organization h ! mean+s giv5 ! t]ms ,indian tribe & tribal organization4 #bdf4 ,block grants = sub/ance use prev5tion1 treatm5t1 & recov]y s]vices 7a7 ,9 g5]al ,section #aice7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#ce7;a771 z am5d$ by section #bda1 is fur!r am5d$ by /rik+ appropriat$ & all t foll[s ?r\gh #bjbb44 & ins]t+ ! foll[+3 appropriat$ #a1ijh1jgi1jjj = ea* ( fiscal ye>s #bjbc ?r\gh #bjbg44 7b7 ,te*nical corrections ,section #aice7;b77#a77;,b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#ce7;b77#a77;,b77 is am5d$ by /rik+ ! collection ( data 9 ?is p>agraph is4 #bdg4 ,requirem5t ( reports & audits by ,/ates ,section #aidb7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#eb7;a77 is am5d$-- 7#a7 9 p>agraph 7#a71 by /rik+ & at ! end2 7#b7 9 p>agraph 7#b71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+3 7#c7 ! am\nt provid$ to ea* recipi5t 9 ! previ\s fiscal ye>4 4 #bdh4 ,/udy on assessm5t = use 9 di/ribution ( limit$ ,/ate res\rces 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use 79 ?is section ref]r$ to z ! ,secret>y71 %all1 9 consultation ) ,/ates & o!r local entities provid+ prev5tion1 treatm5t1 or recov]y support s]vices relat$ to sub/ance use1 conduct a /udy to develop a model ne$s assessm5t process = ,/ates to consid] to help det]m9e h[ be/ to allocate block grant fund+ receiv$ "u subp>t ,,ii ( "p ,b ( title ,,xix ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#ba7 to provide s]vices to sub/ance use disord] prev5tion1 treatm5t1 & recov]y support4 ,! /udy %all include co/ e/imates ) ea* model ne$s assessm5t process4 7b7 ,report ,n lat] ?an #b ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all submit to ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate a report on ! results ( ! /udy conduct$ "u p>agraph 7#a74 ,e ,timely ,treatm5t = ,opioid ,use ,disord] #bea4 ,/udy on exemptions = treatm5t ( opioid use disord] ?r\gh opioid treatm5t programs dur+ ! ,,covid-#ai public heal? em]g5cy 7a7 ,/udy ,! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use %all conduct a /udy1 9 consultation ) pati5ts & o!r /akehold]s1 on activities c>ri$ out pursuant to exemptions grant$-- 7#a7 to a ,/ate 7includ+ ! ,di/rict ( ,columbia or any t]ritory ( ! ,unit$ ,/ates7 or an opioid treatm5t program2 7#b7 pursuant to section #h4aa7;h7 ( title #db1 ,code ( ,f$]al ,regulations2 & 7#c7 dur+ ! p]iod-- 7,a7 beg9n+ on ! decl>ation ( ! public heal? em]g5cy = ! ,,covid-#ai p&emic "u section #cai ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d72 & 7,b7 end+ on ! e>li] (-- 7i7 ! t]m9ation ( su* public heal? em]g5cy1 includ+ ext5sions !re( pursuant to su* section #cai2 & 7ii7 ! end ( cal5d> ye> #bjbb4 7b7 ,privacy ,! section does n au?orize ! disclosure by ! ,dep>tm5t ( ,heal? & ,human ,s]vices ( individually id5tifiable in=mation ab\t pati5ts4 7c7 ,fe$back ,9 conduct+ ! /udy "u subsection 7a71 ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use %all ga!r fe$back f ! ,/ates & opioid treatm5t programs on _! exp]i5ces 9 implem5t+ exemptions describ$ 9 subsection 7a74 7d7 ,report ,n lat] ?an #ahj days aft] ! end ( ! p]iod describ$ 9 subsection 7a77#c77;,b71 & subject to subsection 7c71 ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use %all publi% a report on ! results ( ! /udy "u ?is section4 #beb4 ,*anges to ,f$]al opioid treatm5t /&>ds 7a7 ,mobile m$ication units ,section #cjb7;e7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbb7;e77 is am5d$ by add+ at ! end ! foll[+3 7#c7 ,not)/&+ p>agraph 7#a71 a regi/rant t is disp5s+ pursuant to section #cjc7;g7 n>cotic drugs to individuals = ma9t5ance treatm5t or detoxification treatm5t %all n be requir$ to h a sep>ate regi/ration to incorporate "o or m mobile m$ication units into ! regi/rant's practice to disp5se su* n>cotics at locations o!r ?an ! regi/rant's pr9cipal place ( bus9ess or pr(essional practice describ$ 9 p>agraph 7#a71 s long z ! regi/rant meets su* /&>ds = op]ation ( a mobile m$ication unit z ! ,attorney ,g5]al may e/abli%4 4 7b7 ,revise opioid treatm5t program admission crit]ia to elim9ate requirem5t t pati5ts h an opioid use disord] = at lea/ #a ye> ,n lat] ?an #ah mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all revise section #h4ab7;e77#a7 ( title #db1 ,code ( ,f$]al ,regulations 7or successor regulations71 to elim9ate ! requirem5t t an opioid treatm5t program only admit an individual = treatm5t "u ! program if ! individual has be5 addict$ to opioids = at lea/ #a ye> be=e be+ s admitt$ = treatm5t4 7c7 ,f9al regulation on p]iods = take-,home supply requirem5ts 7#a7 ,9 g5]al ,n lat] ?an #ah mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all promulgate a f9al regulation am5d+ p>agraphs 7i77#c77;i7 ?r\gh 7i77#c77vi7 ( section #h4ab ( title #db1 ,code ( ,f$]al ,regulations1 z appropriate bas$ on ! f9d+s ( ! /udy "u section #bea ( ?is ,act4 7#b7 ,crit]ia ,! regulation "u p>agraph 7#a7 %all e/abli% relevant crit]ia = ! m$ical director or an appropriately lic5s$ practition] ( an opioid treatm5t program1 to det]m9e :e!r a pati5t is /able & may qualify = unsup]vis$ use1 :i* crit]ia may all[ = consid]ation ( ea* ( ! foll[+3 7,a7 ,:e!r ! b5efits ( provid+ unsup]vis$ doses to a pati5t outweigh ! risks4 7,b7 ,! pati5t's demon/rat$ adh]5ce to _! treatm5t plan4 7,c7 ,! pati5t's hi/ory ( negative toxicology te/s4 7,d7 ,:e!r !re is an abs5ce ( s]i\s behavioral problems4 7,e7 ,! pati5t's /ability 9 liv+ arrangem5ts & social relation%ips4 7,f7 ,:e!r !re is an abs5ce ( sub/ance misuse-relat$ behaviors4 7,g7 ,:e!r !re is an abs5ce ( rec5t div]sion activity4 7,h7 ,:e!r !re is an assurance t ! m$ication c be safely /or$ by ! pati5t4 7,i7 ,any o!r crit]ion ! ,secret>y ( ,heal? & ,human ,s]vices det]m9es appropriate4 7#c7 ,prohibit$ sole consid]ation ,! regulation "u p>agraph 7#a7 %all prohibit ! m$ical director ( an opioid treatm5t program f consid]+1 z ! sole consid]ation 9 det]m9+ :e!r a pati5t is suffici5tly responsible 9 h&l+ opioid drugs = unsup]vis$ use1 :e!r ! pati5t has an abs5ce ( rec5t misuse ( drugs 7:e!r n>cotic or nonn>cotic71 includ+ alcohol4 ,f ,additional ,provisions ,relat+ to ,addiction ,treatm5t #bfa4 ,prohibition ,not)/&+ any provision ( ?is ,act & ! am5dm5ts made by ?is ,act1 no funds made available to c>ry out ?is ,act or any am5dm5t made by ?is ,act %all be us$ to pur*ase1 procure1 or di/ribute pipes or cyl9drical objects int5d$ to be us$ to smoke or inhale illegal s*$ul$ sub/ances4 #bfb4 ,elim9at+ additional requirem5ts = disp5s+ n>cotic drugs 9 s*$ule ,,iii1 ,,iv1 & ,v = ma9t5ance or detoxification treatm5t 7a7 ,9 g5]al ,section #cjc7;g7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7;g77 is am5d$-- 7#a7 by /rik+ p>agraph 7#b72 7#b7 by /rik+ 7g77#a7 ,except z provid$ 9 p>agraph 7#b71 practition]s :o disp5se n>cotic drugs to individuals = ma9t5ance treatm5t or detoxification treatm5t & ins]t+ 7g7 ,practition]s :o disp5se n>cotic drugs 7o!r ?an n>cotic drugs 9 s*$ule ,,iii1 ,,iv1 or ,v7 to individuals = ma9t5ance treatm5t or detoxification treatm5t2 7#c7 by r$esignat+ subp>agraphs 7,a71 7,b71 & 7,c7 z p>agraphs 7#a71 7#b71 & 7#c71 respectively2 & 7#d7 9 p>agraph 7#b71 z s r$esignat$-- 7,a7 by /rik+ 7i7 security ( /ocks & ins]t+ 7,a7 security ( /ocks2 & 7,b7 by /rik+ 7ii7 ! ma9t5ance ( records & ins]t+ 7,b7 ! ma9t5ance ( records4 7b7 ,con=m+ *anges 7#a7 ,subsections 7a7 & 7d77#a7 ( section #cjd ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbd7 are ea* am5d$ by /rik+ #cjc7;g77#a7 ea* place x appe>s & ins]t+ #cjc7;g74 7#b7 ,section #cji;,a7a77#b7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbi;a7 is am5d$-- 7,a7 9 ! matt] prec$+ subp>agraph 7,a71 by /rik+ ! controll$ sub/ance is to be adm9i/]$ = ! purpose ( ma9t5ance or detoxification treatm5t "u section #cjc7;g77#b7 & ins]t+ ! controll$ sub/ance is a n>cotic drug 9 s*$ule ,,iii1 ,,iv1 or ,v to be adm9i/]$ = ! purpose ( ma9t5ance or detoxification treatm5t2 & 7,b7 by /rik+ &-- & all t foll[s ?r\gh is to be adm9i/]$ by injection or implantation2 & ins]t+ & is to be adm9i/]$ by injection or implantation24 7#c7 ,section #ebj;,e-#d7;c7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cf;d7c77 is am5d$ by /rik+ in=mation on any qualifi$ practition] t is c]tifi$ to prescribe m$ication = opioid dep5d5cy "u section #cjc7;g77#b77;,b7 ( ! ,controll$ ,sub/ances ,act & ins]t+ in=mation on any practition] :o prescribes n>cotic drugs 9 s*$ule ,,iii1 ,,iv1 or ,v ( section #bjb ( ! ,controll$ ,sub/ances ,act = ! purpose ( ma9t5ance or detoxification treatm5t4 7#d7 ,section #edd7;a77#c7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;dd-#c71 z add$ by section #bai7;a77#b71 is am5d$ by /rik+ any practition] disp5s+ n>cotic drugs pursuant to section #cjc7;g7 ( ! ,controll$ ,sub/ances ,act & ins]t+ any practition] disp5s+ n>cotic drugs = ! purpose ( ma9t5ance or detoxification treatm5t4 7#e7 ,section #ahcc7;bb77#c77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciel7bb77#c77;,b77 is am5d$ by /rik+ fir/ receives a waiv] "u section #cjc7;g7 ( ! ,controll$ ,sub/ances ,act on or aft] ,janu>y #a1 #bjai & ins]t+ fir/ beg9s prescrib+ n>cotic drugs 9 s*$ule ,,iii1 ,,iv1 or ,v ( section #bjb ( ! ,controll$ ,sub/ances ,act = ! purpose ( ma9t5ance or detoxification treatm5t on or aft] ,janu>y #a1 #bjba4 7#f7 ,section #ahcd7o77#c77;,c77ii7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7o77#c77;,c77ii77 is am5d$ by /rik+ fir/ receives a waiv] "u section #cjc7;g7 ( ! ,controll$ ,sub/ances ,act on or aft] ,janu>y #a1 #bjai & ins]t+ fir/ beg9s prescrib+ n>cotic drugs 9 s*$ule ,,iii1 ,,iv1 or ,v ( section #bjb ( ! ,controll$ ,sub/ances ,act = ! purpose ( ma9t5ance or detoxification treatm5t on or aft] ,janu>y #a1 #bjba4 7#g7 ,section #ahff;,f7c77#c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;cc-#f7;c77#c77 is am5d$-- 7,a7 9 subp>agraph 7,a71 by add+ & at ! end2 7,b7 9 subp>agraph 7,b71 by /rik+ 2 & & ins]t+ a p]iod2 & 7,c7 by /rik+ subp>agraph 7,c74 7#h7 ,section #aijc7;aa77#b77;,c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;b7aa77#b77;,c77 is am5d$-- 7,a7 9 clause 7i71 by add+ & at ! end2 7,b7 by /rik+ clause 7ii72 & 7,c7 by r$esignat+ clause 7iii7 z clause 7ii74 #bfc4 ,requir+ prescrib]s ( controll$ sub/ances to complete tra9+ ,section #cjc ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7 is am5d$ by add+ at ! end ! foll[+3 7l7 ,requir$ tra9+ = prescrib]s 7#a7 ,tra9+ requir$ ,z a condition on regi/ration "u ?is section to disp5se controll$ sub/ances 9 s*$ule ,,ii1 ,,iii1 ,,iv1 or ,v1 ! ,attorney ,g5]al %all require any qualifi$ practition]1 beg9n+ ) ! fir/ applicable regi/ration = ! practition]1 to meet ! foll[+3 7,a7 ,if ! practition] is a physician 7z def9$ "u section #ahfa7r7 ( ! ,social ,security ,act71 ! practition] meets "o or m ( ! foll[+ conditions3 7i7 ,! physician holds a bo>d c]tification 9 addiction psy*iatry or addiction m$ic9e f ! ,am]ican ,bo>d ( ,m$ical ,specialties4 7ii7 ,! physician holds a bo>d c]tification f ! ,am]ican ,bo>d ( ,addiction ,m$ic9e4 7iii7 ,! physician holds a bo>d c]tification 9 addiction m$ic9e f ! ,am]ican ,o/eopa?ic ,association4 7iv7 ,! physician has1 ) respect to ! treatm5t & managem5t ( pati5ts ) opioid or o!r sub/ance use disord]s1 or ! safe ph>macological managem5t ( d5tal pa9 & scre5+1 brief int]v5tion1 & ref]ral = appropriate treatm5t ( pati5ts ) or at risk ( develop+ opioid or o!r sub/ance use disord]s1 complet$ n less ?an #h h\rs ( tra9+ 7?r\gh classroom situations1 sem9>s at pr(essional society meet+s1 electronic communications1 or o!rwise7 t is provid$ by-- 7,i7 ! ,am]ican ,society ( ,addiction ,m$ic9e1 ! ,am]ican ,academy ( ,addiction ,psy*iatry1 ! ,am]ican ,m$ical ,association1 ! ,am]ican ,o/eopa?ic ,association1 ! ,am]ican ,d5tal ,association1 ! ,am]ican ,association ( ,oral & ,maxill(acial ,surgeons1 ! ,am]ican ,psy*iatric ,association1 or any o!r organization accr$it$ by ! ,accr$itation ,c\ncil = ,cont9u+ ,m$ical ,education 7commonly kn[n z ! ,,accme7 or ! ,commission on ,d5tal ,accr$itation2 7,,ii7 any organization accr$it$ by a ,/ate m$ical society accr$itor t is recogniz$ by ! ,,accme or ! ,commission on ,d5tal ,accr$itation2 7,,iii7 any organization accr$it$ by ! ,am]ican ,o/eopa?ic ,association to provide cont9u+ m$ical education2 or 7,,iv7 any organization approv$ by ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,abuse1 ! ,,accme1 or ! ,commission on ,d5tal ,accr$itation4 7v7 ,! physician graduat$ 9 good /&+ f an accr$it$ s*ool ( allopa?ic m$ic9e1 o/eopa?ic m$ic9e1 d5tal surg]y1 or d5tal m$ic9e 9 ! ,unit$ ,/ates dur+ ! #e-ye> p]iod imm$iately prec$+ ! date on :i* ! physician fir/ regi/]s or r5ews "u ?is section & has successfully complet$ a compreh5sive allopa?ic or o/eopa?ic m$ic9e curriculum or accr$it$ m$ical resid5cy or d5tal surg]y or d5tal m$ic9e curriculum t includ$ n less ?an #h h\rs ( tra9+ on-- 7,i7 treat+ & manag+ pati5ts ) opioid & o!r sub/ance use disord]s1 includ+ ! appropriate cl9ical use ( all drugs approv$ by ! ,food & ,drug ,adm9i/ration = ! treatm5t ( a sub/ance use disord]2 or 7,,ii7 ! safe ph>macological managem5t ( d5tal pa9 & scre5+1 brief int]v5tion1 & ref]ral = appropriate treatm5t ( pati5ts ) or at risk ( develop+ opioid & o!r sub/ance use disord]s4 7,b7 ,if ! practition] is n a physician 7z def9$ "u section #ahfa7r7 ( ! ,social ,security ,act71 ! practition] meets "o or m ( ! foll[+ conditions3 7i7 ,! practition] has complet$ n few] ?an #h h\rs ( tra9+ ) respect to ! treatm5t & managem5t ( pati5ts ) opioid or o!r sub/ance use disord]s 7?r\gh classroom situations1 sem9>s at pr(essional society meet+s1 electronic communications1 or o!rwise7 provid$ by ! ,am]ican ,society ( ,addiction ,m$ic9e1 ! ,am]ican ,academy ( ,addiction ,psy*iatry1 ! ,am]ican ,m$ical ,association1 ! ,am]ican ,o/eopa?ic ,association1 ! ,am]ican ,nurses ,cr$5tial+ ,c5t]1 ! ,am]ican ,psy*iatric ,association1 ! ,am]ican ,association ( ,nurse ,practition]s1 ! ,am]ican ,academy ( ,physician ,associates1 or any o!r organization approv$ or accr$it$ by ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,abuse or ! ,accr$itation ,c\ncil = ,cont9u+ ,m$ical ,education4 7ii7 ,! practition] has graduat$ 9 good /&+ f an accr$it$ physician assi/ant s*ool or accr$it$ s*ool ( advanc$ practice nurs+ 9 ! ,unit$ ,/ates dur+ ! #e-ye> p]iod imm$iately prec$+ ! date on :i* ! practition] fir/ regi/]s or r5ews "u ?is section & has successfully complet$ a compreh5sive physician assi/ant or advanc$ practice nurs+ curriculum t includ$ n few] ?an #h h\rs ( tra9+ on treat+ & manag+ pati5ts ) opioid & o!r sub/ance use disord]s1 includ+ ! appropriate cl9ical use ( all drugs approv$ by ! ,food & ,drug ,adm9i/ration = ! treatm5t ( a sub/ance use disord]4 7#b7 ,"o-"t tra9+ 7,a7 ,9 g5]al ,! ,attorney ,g5]al %all n require any qualifi$ practition] to complete ! tra9+ describ$ 9 clause 7iv7 or 7v7 ( p>agraph 7#a77;,a7 or clause 7i7 or 7ii7 ( p>agraph 7#a77;,b7 m ?an once4 7,b7 ,notification ,n lat] ?an #ij days aft] ! date ( ! enactm5t ( ! ,re/or+ ,hope = ,m5tal ,heal? & ,well-,be+ ,act ( #bjbb1 ! ,attorney ,g5]al %all provide to qualifi$ practition]s a s+le writt51 electronic notification ( ! tra9+ describ$ 9 clauses 7iv7 & 7v7 ( p>agraph 7#a77;,a7 or clauses 7i7 & 7ii7 ( p>agraph 7#a77;,b74 7#c7 ,rule ( con/ruction ,no?+ 9 ?is subsection %all be con/ru$ to preclude ! use1 by a qualifi$ practition]1 ( tra9+ receiv$ pursuant to ?is subsection to satisfy regi/ration requirem5ts ( a ,/ate or = "s o!r lawful purpose4 7#d7 ,def9itions ,9 ?is section3 7,a7 ,fir/ applicable regi/ration ,! t]m fir/ applicable regi/ration means ! fir/ regi/ration or r5ewal ( regi/ration by a qualifi$ practition] "u ?is section t occurs on or aft] ! date t is #ahj days aft] ! date ( enactm5t ( ! ,re/or+ ,hope = ,m5tal ,heal? & ,well-,be+ ,act ( #bjbb4 7,b7 ,qualifi$ practition] ,9 ?is subsection1 ! t]m qualifi$ practition] means a practition] :o-- 7i7 is lic5s$ "u ,/ate law to prescribe controll$ sub/ances2 & 7ii7 is n solely a vet]9>ian4 4 #bfd4 ,increase 9 numb] ( days be=e :i* c]ta9 controll$ sub/ances mu/ be adm9i/]$ ,section #cji;,a7a77#e7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbi;a7a77#e77 is am5d$ by /rik+ #ad days & ins]t+ #fj days4 #bfe4 ,block1 report1 & susp5d suspici\s %ipm5ts 7a7 ,cl>ification ( process = regi/rants to ex]cise due dilig5ce ^u discov]+ a suspici\s ord] ,p>agraph 7#c7 ( section #cab7;a7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hcb7;a77 is am5d$ to read z foll[s3 7#c7 ^u discov]+ a suspici\s ord] or s]ies ( ord]s1 & 9 a mann] consi/5t ) ! o!r requirem5ts ( ?is section-- 7,a7 ex]cise due dilig5ce z appropriate2 7,b7 e/abli% & ma9ta9 7= n less ?an a p]iod to be det]m9$ by ! ,adm9i/rator ( ! ,drug ,en=cem5t ,adm9i/ration7 a record ( ! due dilig5ce t 0 p]=m$2 7,c7 decl9e to fill ! ord] or s]ies ( ord]s if ! due dilig5ce fails to dispel all ( ! indicators t give rise to ! suspicion t1 if ! ord] or s]ies ( ord]s is fill$1 ! drugs t are ! subject ( ! ord] or s]ies ( ord]s are likely to be div]t$2 & 7,d7 notify ! ,adm9i/rator ( ! ,drug ,en=cem5t ,adm9i/ration & ! ,special ,ag5t 9 ,*>ge ( ! ,division ,(fice ( ! ,drug ,en=cem5t ,adm9i/ration = ! area 9 :i* ! regi/rant is locat$ or conducts bus9ess (-- 7i7 ea* suspici\s ord] or s]ies ( ord]s discov]$ by ! regi/rant2 & 7ii7 ! indicators giv+ rise to ! suspicion t1 if ! ord] or s]ies ( ord]s is fill$1 ! drugs t are ! subject ( ! ord] or s]ies ( ord]s are likely to be div]t$4 4 7b7 ,resolution ( suspici\s indicators ,section #cab ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hcb7 is am5d$-- 7#a7 by r$esignat+ subsection 7b7 & 7c7 z subsections 7c7 & 7d71 respectively2 & 7#b7 by ins]t+ aft] subsection 7a7 ! foll[+3 7b7 ,resolution ( suspici\s indicators ,if a regi/rant resolves all ( ! indicators giv+ rise to suspicion ab\t an ord] or s]ies ( ord]s "u subsection 7a77#c7-- 7#a7 not)/&+ subsection 7a77#c77;,c71 ! regi/rant may *oose to fill ! ord] or s]ies ( ord]s2 & 7#b7 not)/&+ subsection 7a77#c77;,d71 ! regi/rant may *oose n to make ! notification o!rwise requir$ by su* subsection4 4 7c7 ,regulations ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 = purposes ( subsections 7a77#c7 & 7b7 ( section #cab ( ! ,controll$ ,sub/ances ,act1 z am5d$ or ins]t$ by subsection 7a71 ! ,attorney ,g5]al ( ! ,unit$ ,/ates %all promulgate a f9al regulation specify+ ! indicators t give rise to a suspicion t1 if an ord] or s]ies ( ord]s is fill$1 ! drugs t are ! subject ( ! ord] or s]ies ( ord]s are likely to be div]t$4 7d7 ,applicability ,subsections 7a77#c7 & 7b7 ( section #cab ( ! ,controll$ ,sub/ances ,act1 z am5d$ or ins]t$ by subsection 7a71 %all apply beg9n+ on ! day t is #a ye> aft] ! date ( enactm5t ( ?is ,act4 ,until su* day1 section #cab7;a77#c7 ( ! ,controll$ ,sub/ances ,act %all apply z su* section #cab7;a77#c7 0 9 effect on ! day be=e ! date ( enactm5t ( ?is ,act4 ,g ,opioid ,epidemic ,response #bga4 ,opioid prescription v]ification 7a7 ,mat]ials = tra9+ ph>maci/s on c]ta9 circum/ances "u :i* a ph>maci/ may decl9e to fill a prescription 7#a7 ,updates to mat]ials ,section #cbab7;a7 ( ! ,,support = ,pati5ts & ,communities ,act 7#ba ,u4,s4,c4 #hbi note7 is am5d$ by /rik+ ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices1 9 consultation ) ! ,adm9i/rator ( ! ,drug ,en=cem5t ,adm9i/ration1 ,commission] ( ,food & ,drugs1 ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 & ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 %all develop & dissem9ate & ins]t+ ,! ,secret>y ( ,heal? & ,human ,s]vices1 9 consultation ) ! ,adm9i/rator ( ! ,drug ,en=cem5t ,adm9i/ration1 ,commission] ( ,food & ,drugs1 ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 & ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 %all develop & dissem9ate n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 & update p]iodically !reaft]4 7#b7 ,mat]ials includ$ ,section #cbab7;b7 ( ! ,,support = ,pati5ts & ,communities ,act 7#ba ,u4,s4,c4 #hbi note7 is am5d$-- 7,a7 by r$esignat+ p>agraphs 7#a7 & 7#b7 z p>agraphs 7#b7 & 7#c71 respectively2 & 7,b7 by ins]t+ be=e p>agraph 7#b71 z s r$esignat$1 ! foll[+ new p>agraph3 7#a7 ph>maci/s on h[ to v]ify ! id5tity ( ! pati5t2 4 7#c7 ,mat]ials = tra9+ on pati5t v]ification ,section #cbab ( ! ,,support = ,pati5ts & ,communities ,act 7#ba ,u4,s4,c4 #hbi note7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7d7 ,mat]ials = tra9+ on v]ification ( id5tity ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is subsection1 ! ,secret>y ( ,heal? & ,human ,s]vices1 aft] seek+ /akehold] input 9 accordance ) subsection 7c71 %all-- 7#a7 update ! mat]ials develop$ "u subsection 7a7 to include in=mation = ph>maci/s on h[ to v]ify ! id5tity ! pati5t2 & 7#b7 dissem9ate1 z appropriate1 ! updat$ mat]ials4 4 7b7 ,inc5tiviz+ ,/ates ,to facilitate responsible1 in=m$ disp5s+ ( controll$ sub/ances 7#a7 ,9 g5]al ,section #cib;,a ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;b-#a7 is am5d$-- 7,a7 by r$esignat+ subsections 7c7 & 7d7 z subsections 7d7 & 7e71 respectively2 & 7,b7 by ins]t+ aft] subsection 7b7 ! foll[+ new subsection3 7c7 ,pref]5ce ,9 det]m9+ ! am\nts ( grants aw>d$ to ,/ates "u subsections 7a7 & 7b71 ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion may give pref]5ce to ,/ates 9 accordance ) su* crit]ia z ! ,director may specify & may *oose to give pref]5ce to ,/ates t-- 7#a7 ma9ta9 a prescription drug monitor+ program2 7#b7 require prescrib]s ( controll$ sub/ances 9 s*$ule ,,ii1 ,,iii1 or ,,iv to issue su* prescriptions electronically1 & make su* requirem5t subject to exceptions 9 ! cases li/$ 9 section #ahfj;,d-#d7;e77#g77;,b7 ( ! ,social ,security ,act2 & 7#c7 require disp5s]s ( su* controll$ sub/ances to ent] c]ta9 in=mation ab\t ! pur*ase ( su* controll$ sub/ances into ! respective ,/ate's prescription drug monitor+ program1 includ+-- 7,a7 ! ,national ,drug ,code or1 9 ! case ( comp\nd$ m$ications1 comp\nd id5tifi]2 7,b7 ! quantity disp5s$2 7,c7 ! pati5t id5tifi]2 & 7,d7 ! date fill$4 4 7#b7 ,def9itions 7,a7 ,9 g5]al ,subsection 7d7 ( section #cib;,a ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;b-#a71 z r$esignat$ by p>agraph 7#a77;,a71 is am5d$ to read z foll[s3 7d7 ,def9itions ,9 ?is section3 7#a7 ,controll$ sub/ance ,! t]m controll$ sub/ance has ! mean+ giv5 t t]m 9 section #ajb ( ! ,controll$ ,sub/ances ,act4 7#b7 ,disp5s] ,! t]m disp5s] means a physician1 ph>maci/1 or o!r p]son t disp5ses a controll$ sub/ance to an ultimate us]4 7#c7 ,indian ,tribe ,! t]m ,indian ,tribe has ! mean+ giv5 t t]m 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act4 4 7,b7 ,con=m+ *ange ,section #cib;,a ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;b-#a7 is am5d$ by /rik+ ,indian tribes ea* place x appe>s & ins]t+ ,indian ,tribes4 #bgb4 ,syn!tic ,opioid ,dang] ,aw>5ess 7a7 ,syn!tic ,opioids ,public ,aw>5ess ,campaign ,"p ,b ( title ,,iii ( ! ,public ,heal? ,s]vice ,act is am5d$ by ins]t+ aft] section #cag,u 7#db ,u4,s4,c4 #bdg;b-#bc7 ! foll[+ new section3 #cag,v4 ,syn!tic ,opioids ,public ,aw>5ess ,campaign 7a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is section1 ! ,secret>y %all provide = ! plann+ & implem5tation ( a public education campaign to raise public aw>5ess ( syn!tic opioids 7includ+ f5tanyl & its analogues74 ,su* campaign %all include ! dissem9ation ( in=mation t-- 7#a7 promotes aw>5ess ab\t ! pot5cy & dang]s ( f5tanyl & its analogues & o!r syn!tic opioids2 7#b7 expla9s s]vices provid$ by ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration & ! ,c5t]s = ,disease ,control & ,prev5tion 7& any entity provid+ su* s]vices "u a contract ent]$ into ) su* ag5cies7 ) respect to ! misuse ( opioids1 p>ticul>ly z su* s]vices relate to ! provision ( alt]native1 non-opioid pa9 managem5t treatm5ts2 & 7#c7 relates g5]ally to opioid use & pa9 managem5t4 7b7 ,use ( m$ia ,! campaign "u subsection 7a7 may be implem5t$ ?r\gh ! use ( television1 radio1 int]net1 9-p]son public communications1 & o!r comm]cial m>ket+ v5ues & may be t>get$ to specific age gr\ps4 7c7 ,consid]ation ( report f9d+s ,9 plann+ & implem5t+ ! public education campaign "u subsection 7a71 ! ,secret>y %all take into consid]ation ! f9d+s ( ! report requir$ "u section #gjja ( ! ,,support = ,pati5ts & ,communities ,act 7,public ,law #aae-bga74 7d7 ,consultation ,9 coord9at+ ! campaign "u subsection 7a71 ! ,secret>y %all consult ) ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use to provide ongo+ advice on ! effectiv5ess ( in=mation dissem9at$ ?r\gh ! campaign4 7e7 ,requirem5t ( ,campaign ,! campaign implem5t$ "u subsection 7a7 %all n be duplicative ( any o!r ,f$]al ef=ts relat+ to elim9at+ ! misuse ( opioids4 7f7 ,evaluation 7#a7 ,9 g5]al ,! ,secret>y %all ensure t ! campaign implem5t$ "u subsection 7a7 is subject to an indep5d5t evaluation1 beg9n+ #b ye>s aft] ! date ( ! enactm5t ( ?is section1 & e #b ye>s !reaft]4 7#b7 ,measures & b5*m>ks ,= purposes ( an evaluation conduct$ pursuant to p>agraph 7#a71 ! ,secret>y %all-- 7,a7 e/abli% basel9e measures & b5*m>ks to quantitatively evaluate ! impact ( ! campaign "u ?is section2 & 7,b7 conduct qualitative assessm5ts reg>d+ ! effectiv5ess ( /rategies employ$ "u ?is section4 7g7 ,report ,! ,secret>y %all1 beg9n+ #b ye>s aft] ! date ( ! enactm5t ( ?is section1 & e #b ye>s !reaft]1 submit to ,congress a report on ! effectiv5ess ( ! campaign implem5t$ "u subsection 7a7 t[>ds meet+ ! measures & b5*m>ks e/abli%$ "u subsection 7e77#b74 7h7 ,dissem9ation ( ,in=mation ,?r\gh ,provid]s ,! ,secret>y %all develop & implem5t a plan = ! dissem9ation ( in=mation relat$ to syn!tic opioids1 to heal? c>e provid]s :o p>ticipate 9 ,f$]al programs1 includ+ programs adm9i/]$ by ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 ! ,indian ,heal? ,s]vice1 ! ,dep>tm5t ( ,vet]ans ,affairs1 ! ,dep>tm5t ( ,def5se1 & ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 ! ,m$ic>e program "u title ,,xviii ( ! ,social ,security ,act1 & ! ,m$icaid program "u title ,,xix ( su* ,act4 4 7b7 ,tra9+ guide & outrea* on syn!tic opioid exposure prev5tion 7#a7 ,tra9+ guide ,n lat] ?an #ah mon?s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all design1 publi%1 & make publicly available on ! int]net website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 a tra9+ guide & web9> = fir/ respond]s & o!r individuals :o also may be at high risk ( exposure to syn!tic opioids t details measures to prev5t t exposure4 7#b7 ,outrea* ,n lat] ?an #ah mon?s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all also conduct outrea* ab\t ! availability ( ! tra9+ guide & web9> publi%$ "u p>agraph 7#a7 to-- 7,a7 police & fire managem5ts2 7,b7 %]iff deputies 9 city & c\nty jails2 7,c7 ambulance transport & hospital em]g5cy room p]sonnel2 7,d7 cl9icians2 & 7,e7 o!r high-risk occupations1 z id5tifi$ by ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use4 #bgc4 ,grant program = ,/ate & ,tribal response to opioid & /imulant use & misuse ,section #ajjc ( ! #ba/ ,c5tury ,cures ,act 7#db ,u4,s4,c4 #bij;ee-#c note7 is am5d$ to read z foll[s3 #ajjc4 ,grant program = ,/ate & ,tribal response to opioid & /imulant use & misuse 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! ,secret>y7 %all c>ry out ! grant program describ$ 9 subsection 7b7 = purposes ( address+ opioid & /imulant use & misuse1 )9 ,/ates1 ,indian ,tribes1 & populations s]v$ by ,tribal organizations & ,urban ,indian organizations4 7b7 ,grants program 7#a7 ,9 g5]al ,subject to ! availability ( appropriations1 ! ,secret>y %all aw>d grants to ,/ates1 ,indian ,tribes1 ,tribal organizations1 & ,urban ,indian organizations = ! purpose ( address+ opioid & /imulant use & misuse1 )9 su* ,/ates1 su* ,indian ,tribes1 & populations s]v$ by su* ,tribal organizations & ,urban ,indian organizations1 9 accordance ) p>agraph 7#b74 7#b7 ,m9imum allocations2 pref]5ce ,9 det]m9+ grant am\nts = ea* recipi5t ( a grant "u p>agraph 7#a71 ! ,secret>y %all-- 7,a7 ensure t ea* ,/ate receives n less ?an #d1jjj1jjj2 & 7,b7 give pref]5ce to ,/ates1 ,indian ,tribes1 ,tribal organizations1 & ,urban ,indian organizations ^: populations h an incid5ce or preval5ce ( opioid use disord]s or /imulant use or misuse t is sub/antially high] relative to ! populations ( o!r ,/ates1 o!r ,indian ,tribes1 ,tribal organizations1 or ,urban ,indian organizations1 z applicable4 7#c7 ,=mula me?odology 7,a7 ,9 g5]al ,be=e publi%+ a fund+ opportunity ann\ncem5t ) respect to grants "u ?is section1 ! ,secret>y %all-- 7i7 develop a =mula me?odology to be foll[$ 9 allocat+ grant funds aw>d$ "u ?is section among grantees1 :i* includes p]=mance assessm5ts = cont9uation aw>ds2 & 7ii7 n lat] ?an #cj days aft] develop+ ! =mula me?odology "u clause 7i71 submit ! =mula me?odology to-- 7,i7 ! ,committee on ,en]gy & ,comm]ce & ! ,committee on ,appropriations ( ! ,h\se ( ,repres5tatives2 & 7,,ii7 ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions & ! ,committee on ,appropriations ( ! ,s5ate4 7,b7 ,report ,n lat] ?an two ye>s aft] ! date ( ! enactm5t ( ! ,re/or+ ,hope = ,m5tal ,heal? & ,well-,be+ ,act ( #bjbb1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives a report t-- 7i7 assesses h[ grant fund+ is allocat$ to ,/ates "u ?is section & h[ su* allocations h *ang$ ov] "t2 7ii7 assesses h[ any *anges 9 fund+ "u ?is section h affect$ ! ef=ts ( ,/ates to address opioid or /imulant use or misuse2 & 7iii7 assesses ! use ( fund+ provid$ ?r\gh ! grant program "u ?is section & o!r simil> grant programs adm9i/]$ by ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration4 7#d7 ,use ( funds ,grants aw>d$ "u ?is subsection %all be us$ = c>ry+ out activities t supplem5t activities p]ta9+ to opioid & /imulant use & misuse1 und]tak5 by ! ,/ate ag5cy responsible = adm9i/]+ ! sub/ance abuse prev5tion & treatm5t block grant "u subp>t ,,ii ( "p ,b ( title ,,xix ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#ba et seq471 :i* may include public heal?-relat$ activities su* z ! foll[+3 7,a7 ,implem5t+ prev5tion activities1 & evaluat+ su* activities to id5tify effective /rategies to prev5t sub/ance use disord]s4 7,b7 ,e/abli%+ or improv+ prescription drug monitor+ programs4 7,c7 ,tra9+ = heal? c>e practition]s1 su* z be/ practices = prescrib+ opioids1 pa9 managem5t1 recogniz+ pot5tial cases ( sub/ance use disord]s1 ref]ral ( pati5ts to treatm5t programs1 prev5t+ div]sion ( controll$ sub/ances1 & ov]dose prev5tion4 7,d7 ,support+ access to heal? c>e s]vices1 includ+-- 7i7 s]vices provid$ by f$]ally c]tifi$ opioid treatm5t programs2 7ii7 outpati5t & resid5tial sub/ance use disord] treatm5t s]vices t utilize m$ication-assi/$ treatm5t1 z appropriate2 or 7iii7 o!r appropriate heal? c>e provid]s to treat sub/ance use disord]s4 7,e7 ,recov]y support s]vices1 includ+-- 7i7 community-bas$ s]vices t include pe] supports2 7ii7 mutual aid recov]y programs t support m$ication-assi/$ treatm5t2 or 7iii7 s]vices to address h\s+ ne$s & family issues4 7,f7 ,o!r public heal?-relat$ activities1 z ! ,/ate1 ,indian ,tribe1 ,tribal organization1 or ,urban ,indian organization det]m9es appropriate1 relat$ to address+ sub/ance use disord]s )9 ! ,/ate1 ,indian ,tribe1 ,tribal organization1 or ,urban ,indian organization1 includ+ direct+ res\rces 9 accordance ) local ne$s relat$ to sub/ance use disord]s4 7c7 ,acc\ntability & ov]sight ,a ,/ate receiv+ a grant "u subsection 7b7 %all include 9 report+ relat$ to sub/ance use disord]s submitt$ to ! ,secret>y pursuant to section #aidb ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#eb71 a description (-- 7#a7 ! purposes = :i* ! grant funds receiv$ by ! ,/ate "u su* subsection = ! prec$+ fiscal ye> 7 exp5d$ & a description ( ! activities ( ! ,/ate "u ! grant2 7#b7 ! ultimate recipi5ts ( am\nts provid$ to ! ,/ate2 & 7#c7 ! numb] ( individuals s]v$ ?r\gh ! grant4 7d7 ,limitations ,any funds made available pursuant to subsection 7i7-- 7#a7 %all n be us$ = any purpose o!r ?an ! grant program "u subsection 7b72 & 7#b7 %all be subject to ! same requirem5ts z sub/ance use disord]s prev5tion & treatm5t programs "u titles ,v & ,,xix ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa et seq41 #cjjw et seq474 7e7 ,indian ,tribes1 ,tribal organizations1 & ,urban ,indian organizations ,! ,secret>y1 9 consultation ) ,indian ,tribes1 ,tribal organizations1 & ,urban ,indian organizations1 %all id5tify & e/abli% appropriate me*anisms = ,indian ,tribes1 ,tribal organizations1 & ,urban ,indian organizations to demon/rate or report ! in=mation z requir$ "u subsections 7b71 7c71 & 7d74 7f7 ,report to ,congress ,n lat] ?an ,septemb] #cj1 #bjbd1 & bi5nially !reaft]1 ! ,secret>y %all submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives1 & ! ,committees on ,appropriations ( ! ,h\se ( ,repres5tatives & ! ,s5ate1 a report t includes a summ>y ( ! in=mation provid$ to ! ,secret>y 9 reports made pursuant to subsections 7c7 & 7e71 includ+-- 7#a7 ! purposes = :i* grant funds are aw>d$ "u ?is section2 7#b7 ! activities ( ! grant recipi5ts2 & 7#c7 = ea* ,/ate1 ,indian ,tribe1 ,tribal organization1 & ,urban ,indian organization t receives a grant "u ?is section1 ! fund+ level provid$ to su* recipi5t4 7g7 ,te*nical assi/ance ,! ,secret>y1 includ+ ?r\gh ! ,tribal ,tra9+ & ,te*nical ,assi/ance ,c5t] ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 %all provide ,/ates1 ,indian ,tribes1 ,tribal organizations1 & ,urban ,indian organizations1 z applicable1 ) te*nical assi/ance conc]n+ grant application & submission proc$ures "u ?is section1 aw>d managem5t activities1 & enhanc+ outrea* & direct support to rural & und]s]v$ communities & provid]s 9 address+ sub/ance use disord]s4 7h7 ,def9itions ,9 ?is section3 7#a7 ,indian ,tribe ,! t]m ,indian ,tribe has ! mean+ giv5 ! t]m ,indian tribe 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecjd74 7#b7 ,tribal organization ,! t]m ,tribal organization has ! mean+ giv5 ! t]m tribal organization 9 su* section #d4 7#c7 ,/ate ,! t]m ,/ate has ! mean+ giv5 su* t]m 9 section #aied7;b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#fd7;b774 7#d7 ,urban ,indian organization ,! t]m ,urban ,indian organization has ! mean+ giv5 su* t]m 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act4 7i7 ,au?orization ( appropriations 7#a7 ,9 g5]al ,= purposes ( c>ry+ out ! grant program "u subsection 7b71 !re is au?oriz$ to be appropriat$ #a1gej1jjj1jjj = ea* ( fiscal ye>s #bjbc ?r\gh #bjbg1 to rema9 available until exp5d$4 7#b7 ,f$]al adm9i/rative exp5ses ,( ! am\nts made available = ea* fiscal ye> to aw>d grants "u subsection 7b71 ! ,secret>y %all n use m ?an #bj p]c5t = ,f$]al adm9i/rative exp5ses1 tra9+1 te*nical assi/ance1 & evaluation4 7#c7 ,set aside ,( ! am\nts made available = ea* fiscal ye> to aw>d grants "u subsection 7b7 = a fiscal ye>1 ! ,secret>y %all-- 7,a7 aw>d #e p]c5t to ,indian ,tribes1 ,tribal organizations1 & ,urban ,indian organizations2 & 7,b7 ( ! am\nt rema9+ aft] application ( subp>agraph 7,a71 set aside up to #ae p]c5t = aw>ds to ,/ates ) ! highe/ age-adju/$ rate ( drug ov]dose dea? bas$ on ! ord9al rank+ ( ,/ates accord+ to ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion4 4 ,,iii ,access to ,m5tal ,heal? ,c>e & ,cov]age ,a ,collaborate 9 an ,ord]ly & ,cohesive ,mann] #cja4 ,increas+ uptake ( ! collaborative c>e model ,section #ebj,k ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#db7 is am5d$ to read z foll[s3 #ebj,k4 ,integration inc5tive grants & coop]ative agreem5ts 7a7 ,def9itions ,9 ?is section3 7#a7 ,collaborative c>e model ,! t]m collaborative c>e model means ! evid5ce-bas$1 integrat$ behavioral heal? s]vice deliv]y me?od t includes-- 7,a7 c>e direct$ by ! prim>y c>e team2 7,b7 /ructur$ c>e managem5t2 7,c7 regul> assessm5ts ( cl9ical /atus us+ developm5tally appropriate1 validat$ tools2 & 7,d7 modification ( treatm5t z appropriate4 7#b7 ,eligible entity ,! t]m eligible entity means a ,/ate1 or an appropriate ,/ate ag5cy1 9 collaboration )-- 7,a7 #a or m qualifi$ community programs z describ$ 9 section #aiac7;b77#a72 7,b7 #a or m heal? c5t]s 7z def9$ 9 section #ccj7;a771 a rural heal? cl9ic 7z def9$ 9 section #aifa7;aa7 ( ! ,social ,security ,act71 or a ,f$]ally qualifi$ heal? c5t] 7z def9$ 9 su* section72 or 7,c7 #a or m prim>y heal? c>e practices4 7#c7 ,integrat$ c>e2 bidirectional integrat$ c>e 7,a7 ,! t]m integrat$ c>e means models or practices = coord9at+ & jo9tly deliv]+ behavioral & physical heal? s]vices1 :i* may include practices t %>e ! same space 9 ! same facility4 7,b7 ,! t]m bidirectional integrat$ c>e means ! integration ( behavioral heal? c>e & specialty physical heal? c>e1 z well z ! integration ( prim>y & physical heal? c>e ) specialty behavioral heal? sett+s1 includ+ )9 prim>y heal? c>e sett+s4 7#d7 ,prim>y heal? c>e provid] ,! t]m prim>y heal? c>e provid] means a provid] :o-- 7,a7 provides heal? s]vices relat$ to family m$ic9e1 int]nal m$ic9e1 p$iatrics1 ob/etrics1 gynecology1 or g]iatrics2 or 7,b7 is a doctor ( m$ic9e or o/eopa?y1 physician assi/ant1 or nurse practition]1 :o is lic5s$ to practice m$ic9e by ! ,/ate 9 :i* su* physician1 assi/ant1 or practition] prim>ily practices1 includ+ )9 prim>y heal? c>e sett+s4 7#e7 ,prim>y heal? c>e practice ,! t]m prim>y heal? c>e practice means a m$ical practice ( prim>y heal? c>e provid]s1 includ+ a practice )9 a l>g] heal? c>e sy/em4 7#f7 ,special population ,! t]m special population1 = an eligible entity t is collaborat+ ) an entity describ$ 9 subp>agraph 7,a7 or 7,b7 ( p>agraph 7#c71 means-- 7,a7 adults ) a s]i\s m5tal illness :o h a co-occurr+ physical heal? condition or *ronic disease2 7,b7 *ildr5 & adolesc5ts ) a m5tal illness :o h a co-occurr+ physical heal? condition or *ronic disease2 7,c7 individuals ) a sub/ance use disord]2 or 7,d7 individuals ) a m5tal illness :o h a co-occurr+ sub/ance use disord]4 7b7 ,grants & coop]ative agreem5ts 7#a7 ,9 g5]al ,! ,secret>y may aw>d grants & coop]ative agreem5ts to eligible entities to support ! improvem5t ( integrat$ c>e = physical & behavioral heal? c>e 9 accordance ) p>agraph 7#b74 7#b7 ,use ( funds ,a grant or coop]ative agreem5t aw>d$ "u ?is section %all be us$-- 7,a7 9 ! case ( an eligible entity t is collaborat+ ) an entity describ$ 9 subp>agraph 7,a7 or 7,b7 ( subsection 7a77#b7-- 7i7 to promote full integration & collaboration 9 cl9ical practices betwe5 physical & behavioral heal? c>e = special populations includ+ ea* population li/$ 9 subsection 7a77#g72 7ii7 to support ! improvem5t ( integrat$ c>e models = physical & behavioral heal? c>e to improve ! ov]all wellness & physical heal? /atus (-- 7,i7 adults ) a s]i\s m5tal illness or *ildr5 ) a s]i\s emotional di/urbance2 & 7,,ii7 individuals ) a sub/ance use disord]2 & 7iii7 to promote bidirectional integrat$ c>e s]vices includ+ scre5+1 diagnosis1 prev5tion1 treatm5t1 & recov]y ( m5tal & sub/ance use disord]s1 & co-occurr+ physical heal? conditions & *ronic diseases2 & 7,b7 9 ! case ( an eligible entity t is collaborat+ ) a prim>y heal? c>e practice1 to support ! uptake ( ! collaborative c>e model1 includ+ by-- 7i7 hir+ /aff2 7ii7 id5tify+ & =maliz+ contractual relation%ips ) o!r heal? c>e provid]s1 includ+ provid]s :o w function z psy*iatric consultants & behavioral heal? c>e manag]s 9 provid+ behavioral heal? integration s]vices ?r\gh ! collaborative c>e model2 7iii7 pur*as+ or upgrad+ s(tw>e & o!r res\rces ne$$ to appropriately provide behavioral heal? integration s]vices ?r\gh ! collaborative c>e model1 includ+ res\rces ne$$ to e/abli% a pati5t regi/ry & implem5t measurem5t-bas$ c>e2 & 7iv7 = su* o!r purposes z ! ,secret>y det]m9es to be necess>y4 7c7 ,applications 7#a7 ,9 g5]al ,an eligible entity t is collaborat+ ) an entity describ$ 9 subp>agraph 7,a7 or 7,b7 ( subsection 7a77#b7 seek+ a grant or coop]ative agreem5t "u subsection 7b77#b77;,a7 %all submit an application to ! ,secret>y at su* "t1 9 su* mann]1 & accompani$ by su* in=mation z ! ,secret>y may require1 includ+ ! cont5ts describ$ 9 p>agraph 7#b74 7#b7 ,cont5ts ,any su* application ( an eligible entity describ$ 9 subp>agraph 7,a7 or 7,b7 ( subsection 7a77#b7 %all include-- 7,a7 a description ( a plan to a*ieve fully collaborative agreem5ts to provide bidirectional integrat$ c>e to special populations2 7,b7 a docum5t t summ>izes ! policies1 if any1 t are b>ri]s to ! provision ( integrat$ c>e1 & ! specific /eps1 if applicable1 t w be tak5 to address su* b>ri]s2 7,c7 a description ( p>tn]%ips or o!r arrangem5ts ) local heal? c>e provid]s to provide s]vices to special populations2 7,d7 an agreem5t & plan to report to ! ,secret>y p]=mance measures necess>y to evaluate pati5t outcomes & facilitate evaluations across p>ticipat+ projects2 7,e7 a description ( h[ validat$ rat+ scales w be implem5t$ to support ! improvem5t ( pati5t outcomes us+ measurem5t-bas$ c>e1 includ+ ^? relat$ to depression scre5+1 pati5t foll[-up1 & symptom remission2 & 7,f7 a plan = su/a9ability beyond ! grant or coop]ative agreem5t p]iod "u subsection 7e74 7#c7 ,collaborative c>e model grants ,an eligible entity t is collaborat+ ) a prim>y heal? c>e practice seek+ a grant pursuant to subsection 7b77#b77;,b7 %all submit an application to ! ,secret>y at su* "t1 9 su* mann]1 & accompani$ by su* in=mation z ! ,secret>y may require4 7d7 ,grant & coop]ative agreem5t am\nts 7#a7 ,t>get am\nt ,! t>get am\nt t an eligible entity may receive = a ye> ?r\gh a grant or coop]ative agreem5t "u ?is section %all be-- 7,a7 #b1jjj1jjj = an eligible entity describ$ 9 subp>agraph 7,a7 or 7,b7 ( subsection 7a77#b72 or 7,b7 #ajj1jjj or less = an eligible entity describ$ 9 subp>agraph 7,c7 ( subsection 7a77#b74 7#b7 ,adju/m5t p]mitt$ ,! ,secret>y1 tak+ into consid]ation ! quality ( an eligible entity's application & ! numb] ( eligible entities t receiv$ grants "u ?is section prior to ! date ( enactm5t ( ! ,re/or+ ,hope = ,m5tal ,heal? & ,well-,be+ ,act ( #bjbb1 may adju/ ! t>get am\nt t an eligible entity may receive = a ye> ?r\gh a grant or coop]ative agreem5t "u ?is section4 7#c7 ,limitation ,an eligible entity t is collaborat+ ) an entity describ$ 9 subp>agraph 7,a7 or 7,b7 ( subsection 7a77#b7 receiv+ fund+ "u ?is section-- 7,a7 may n allocate m ?an #bj p]c5t ( ! funds aw>d$ to su* eligible entity "u ?is section to adm9i/rative functions2 & 7,b7 %all allocate ! rema9d] ( su* fund+ to heal? facilities t provide integrat$ c>e4 7e7 ,duration ,a grant or coop]ative agreem5t "u ?is section %all be = a p]iod n to exce$ #e ye>s4 7f7 ,report on program outcomes ,an eligible entity receiv+ a grant or coop]ative agreem5t "u ?is section-- 7#a7 t is collaborat+ ) an entity describ$ 9 subp>agraph 7,a7 or 7,b7 ( subsection 7a77#b7 %all submit an annual report to ! ,secret>y t includes-- 7,a7 ! progress made to r$uce b>ri]s to integrat$ c>e z describ$ 9 ! entity's application "u subsection 7c72 & 7,b7 a description ( outcomes ) respect to ea* special population li/$ 9 subsection 7a77#g71 includ+ outcomes relat$ to education1 employm5t1 & h\s+2 or 7#b7 t is collaborat+ ) a prim>y heal? c>e practice %all submit an annual report to ! ,secret>y t includes-- 7,a7 ! progress made to improve access2 7,b7 ! progress made to improve pati5t outcomes2 & 7,c7 ! progress made to r$uce ref]rals to specialty c>e4 7g7 ,te*nical assi/ance = prim>y-,behavioral heal? c>e integration 7#a7 ,c]ta9 recipi5ts ,! ,secret>y may provide appropriate in=mation1 tra9+1 & te*nical assi/ance to eligible entities t are collaborat+ ) an entity describ$ 9 subp>agraph 7,a7 or 7,b7 ( subsection 7a77#b7 t receive a grant or coop]ative agreem5t "u ?is section1 9 ord] to help su* entities meet ! requirem5ts ( ?is section1 includ+ assi/ance )-- 7,a7 developm5t & selection ( integrat$ c>e models2 7,b7 dissem9ation ( evid5ce-bas$ int]v5tions 9 integrat$ c>e2 7,c7 e/abli%m5t ( organizational practices to support op]ational & adm9i/rative success2 & 7,d7 o!r activities1 z ! ,secret>y det]m9es appropriate4 7#b7 ,collaborative c>e model recipi5ts ,! ,secret>y %all provide appropriate in=mation1 tra9+1 & te*nical assi/ance to eligible entities t are collaborat+ ) prim>y heal? c>e practices t receive funds "u ?is section to help su* entities implem5t ! collaborative c>e model1 includ+-- 7,a7 develop+ f9ancial models & budgets = implem5t+ & ma9ta9+ a collaborative c>e model1 bas$ on practice size2 7,b7 develop+ /aff+ models = ess5tial /aff roles2 7,c7 provid+ /rategic advice to assi/ practices seek+ to utilize o!r cl9icians = additional psy*o!rapeutic int]v5tions2 7,d7 provid+ in=mation te*nology exp]tise to assi/ ) build+ ! collaborative c>e model into electronic heal? records1 includ+ assi/ance ) c>e manag] tools1 pati5t regi/ry1 ongo+ pati5t monitor+1 & pati5t records2 7,e7 tra9+ support = all key /aff & op]ational consultation to develop practice workfl[s2 7,f7 e/abli%+ me?ods to ensure ! %>+ ( be/ practices & op]ational k among prim>y heal? c>e physicians & prim>y heal? c>e practices t provide behavioral heal? integration s]vices ?r\gh ! collaborative c>e model2 & 7,g7 provid+ guidance & in/ruction to prim>y heal? c>e physicians & prim>y heal? c>e practices on develop+ & ma9ta9+ relation%ips ) community-bas$ m5tal heal? & sub/ance use disord] facilities = ref]ral & treatm5t ( pati5ts ^: cl9ical pres5tation or diagnosis is be/ suit$ = treatm5t at su* facilities4 7#c7 ,additional dissem9ation ( te*nical in=mation ,9 addition to provid+ ! assi/ance describ$ 9 p>agraphs 7#a7 & 7#b7 to recipi5ts ( a grant or coop]ative agreem5t "u ?is section1 ! ,secret>y may also provide su* assi/ance to o!r ,/ates & political subdivisions ( ,/ates1 ,indian ,tribes & ,tribal organizations 7z def9$ "u ! ,f$]ally ,recogniz$ ,indian ,tribe ,li/ ,act ( #aiid71 outpati5t m5tal heal? & addiction treatm5t c5t]s1 community m5tal heal? c5t]s t meet ! crit]ia "u section #aiac7;c71 c]tifi$ community behavioral heal? cl9ics describ$ 9 section #bbc ( ! ,protect+ ,access to ,m$ic>e ,act ( #bjad1 prim>y c>e organizations su* z ,f$]ally qualifi$ heal? c5t]s or rural heal? cl9ics z def9$ 9 section #ahfa7;aa7 ( ! ,social ,security ,act1 prim>y heal? c>e practices1 o!r community-bas$ organizations1 & o!r entities engag+ 9 integrat$ c>e activities1 z ! ,secret>y det]m9es appropriate4 7h7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ #fj1jjj1jjj = ea* ( fiscal ye>s #bjbc ?r\gh #bjbg4 4 ,b ,help+ ,enable ,access to ,lifesav+ ,s]vices #caa4 ,reau?orization & provision ( c]ta9 programs to /r5g!n ! heal? c>e work=ce 7a7 ,liability protections = heal? pr(essional volunte]s ,section #bbd7q77#f7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bcc7q77#f77 is am5d$ by /rik+ ,octob] #a1 #bjbb & ins]t+ ,octob] #a1 #bjbg4 7b7 ,m9ority fell[%ips 9 crisis c>e managem5t ,section #eig7;b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bijll7b77 is am5d$ by /rik+ 9 ! fields ( psy*iatry1 & ins]t+ 9 ! fields ( crisis c>e managem5t1 psy*iatry14 7c7 ,m5tal & behavioral heal? education & tra9+ grants ,section #gef ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bid;e-#a7 is am5d$-- 7#a7 9 subsection 7a77#a71 by ins]t+ 7:i* may include ma/]'s & doctoral level programs7 aft] occupational !rapy2 & 7#b7 9 subsection 7f71 by /rik+ ,= ea* ( fiscal ye>s #bjai ?r\gh #bjbc & ins]t+ ,= ea* ( fiscal ye>s #bjbc ?r\gh #bjbg4 7d7 ,tra9+ demon/ration program ,section #gfj7;g7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bidk7g77 is am5d$ by ins]t+ & #ca1gjj1jjj = ea* ( fiscal ye>s #bjbc ?r\gh #bjbg be=e ! p]iod at ! end4 #cab4 ,reau?orization ( m9ority fell[%ip program ,section #eig7;c7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bijll7c77 is am5d$ by /rik+ #ab1ffi1jjj = ea* ( fiscal ye>s #bjah ?r\gh #bjbb & ins]t+ #be1jjj1jjj = ea* ( fiscal ye>s #bjbc ?r\gh #bjbg4 ,c ,elim9at+ ! ,opt-,out = ,nonf$]al ,gov]nm5tal ,heal? ,plans #cba4 ,elim9at+ ! opt-out = nonf$]al gov]nm5tal heal? plans ,section #bgbb7;a77#b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#ba7;a77#b77 is am5d$ by add+ at ! end ! foll[+ new subp>agraph3 7,f7 ,sunset ( election option 7i7 ,9 g5]al ,not)/&+ ! prec$+ provisions ( ?is p>agraph-- 7,i7 no election describ$ 9 subp>agraph 7,a7 ) respect to section #bgbf may be made on or aft] ! date ( ! enactm5t ( ?is subp>agraph2 & 7,,ii7 except z provid$ 9 clause 7ii71 no su* election ) respect to section #bgbf expir+ on or aft] ! date t is #ahj days aft] ! date ( su* enactm5t may be r5ew$4 7ii7 ,exception = c]ta9 collectively b>ga9$ plans ,not)/&+ clause 7i77,,ii71 a plan describ$ 9 subp>agraph 7,b77ii7 t is subject to multiple agreem5ts describ$ 9 su* subp>agraph ( v>y+ l5g?s & t has an election describ$ 9 subp>agraph 7,a7 ) respect to section #bgbf 9 effect z ( ! date ( ! enactm5t ( ?is subp>agraph t expires on or aft] ! date t is #ahj days aft] ! date ( su* enactm5t may ext5d su* election until ! date on :i* ! t]m ( ! la/ su* agreem5t expires4 4 ,d ,m5tal heal? & sub/ance use disord] p>ity implem5tation #cca4 ,grants to support m5tal heal? & sub/ance use disord] p>ity implem5tation 7a7 ,9 g5]al ,section #bgid7;c7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#id7;c77 7z add$ by section #ajjc ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7,public ,law #aaa-adh77 is am5d$ by add+ at ! end ! foll[+3 7#c7 ,p>ity implem5tation 7,a7 ,9 g5]al ,beg9n+ dur+ ! fir/ fiscal ye> t beg9s aft] ! date ( enactm5t ( ?is p>agraph1 ! ,secret>y %all1 out ( funds made available pursuant to subp>agraph 7,c71 aw>d grants to eligible ,/ates to en=ce & ensure compliance ) ! m5tal heal? & sub/ance use disord] p>ity provisions ( section #bgbf4 7,b7 ,eligible ,/ate ,a ,/ate %all be eligible = a grant aw>d$ "u ?is p>agraph only if su* ,/ate-- 7i7 submits to ! ,secret>y an application = su* grant at su* "t1 9 su* mann]1 & conta9+ su* in=mation z specifi$ by ! ,secret>y2 & 7ii7 agrees to reque/ & review f heal? insurance issu]s (f]+ gr\p or individual heal? insurance cov]age ! comp>ative analyses & o!r in=mation requir$ ( su* heal? insurance issu]s "u subsection 7a77#h77;,a7 ( section #bgbf relat+ to ! design & application ( nonquantitative treatm5t limitations impos$ on m5tal heal? or sub/ance use disord] b5efits4 7,c7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ #aj1jjj1jjj = ea* ( ! fir/ five fiscal ye>s beg9n+ aft] ! date ( ! enactm5t ( ?is p>agraph1 to rema9 available until exp5d$1 = purposes ( aw>d+ grants "u subp>agraph 7,a74 4 7b7 ,te*nical am5dm5t ,section #bgid ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#ie71 z add$ by section #ffjc ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7,public ,law #aaa-adh7 is r$esignat$ z section #bgie4 ,e ,improv+ ,em]g5cy ,dep>tm5t ,m5tal ,heal? ,access1 ,s]vices1 & ,respond]s #cda4 ,help+ em]g5cy respond]s ov]come 7a7 ,data sy/em to capture national public safety (fic] suicide incid5ce ,! ,public ,heal? ,s]vice ,act is am5d$ by ins]t+ be=e section #cah ( su* ,act 7#db ,u4,s4,c4 #bdg;c7 ! foll[+3 #cag,v4 ,data sy/em to capture national public safety (fic] suicide incid5ce 7a7 ,9 g5]al ,! ,secret>y1 9 coord9ation ) ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion & o!r ag5cies z ! ,secret>y det]m9es appropriate1 may-- 7#a7 develop & ma9ta9 a data sy/em1 to be kn[n z ! ,public ,safety ,(fic] ,suicide ,report+ ,sy/em1 = ! purposes (-- 7,a7 collect+ data on ! suicide incid5ce among public safety (fic]s2 & 7,b7 facilitat+ ! /udy ( successful int]v5tions to r$uce suicide among public safety (fic]s2 & 7#b7 integrate su* sy/em into ! ,national ,viol5t ,dea? ,report+ ,sy/em1 s long z ! ,secret>y det]m9es su* integration to be consi/5t ) ! purposes describ$ 9 p>agraph 7#a74 7b7 ,data collection ,9 collect+ data = ! ,public ,safety ,(fic] ,suicide ,report+ ,sy/em1 ! ,secret>y %all1 at a m9imum1 collect ! foll[+ in=mation3 7#a7 ,! total numb] ( suicides 9 ! ,unit$ ,/ates among all public safety (fic]s 9 a giv5 cal5d> ye>4 7#b7 ,suicide rates = public safety (fic]s 9 a giv5 cal5d> ye>1 disaggregat$ by-- 7,a7 age & g5d] ( ! public safety (fic]2 7,b7 ,/ate2 7,c7 occupation2 includ+ bo? ! individual's role 9 _! public safety ag5cy & _! prim>y occupation 9 ! case ( volunte] public safety (fic]s2 7,d7 :]e available1 ! /atus ( ! public safety (fic] z volunte]1 paid-on-call1 or c>e]2 & 7,e7 /atus ( ! public safety (fic] z active or retir$4 7c7 ,consultation dur+ developm5t ,9 develop+ ! ,public ,safety ,(fic] ,suicide ,report+ ,sy/em1 ! ,secret>y %all consult ) non-,f$]al exp]ts to det]m9e ! be/ means to collect data reg>d+ suicide incid5ce 9 a safe1 s5sitive1 anonym\s1 & effective mann]4 ,su* non-,f$]al exp]ts %all include1 z appropriate1 ! foll[+3 7#a7 ,public heal? exp]ts ) exp]i5ce 9 develop+ & ma9ta9+ suicide regi/ries4 7#b7 ,organizations t track suicide among public safety (fic]s4 7#c7 ,m5tal heal? exp]ts ) exp]i5ce 9 /udy+ suicide & o!r pr(ession-relat$ traumatic /ress4 7#d7 ,cl9icians ) exp]i5ce 9 diagnos+ & treat+ m5tal heal? issues4 7#e7 ,active & retir$ volunte]1 paid-on-call1 & c>e] public safety (fic]s4 7#f7 ,relevant national police1 & fire & em]g5cy m$ical s]vices1 organizations4 7d7 ,data privacy & security ,9 develop+ & ma9ta9+ ! ,public ,safety ,(fic] ,suicide ,report+ ,sy/em1 ! ,secret>y %all ensure t all applicable ,f$]al privacy & security protections are foll[$ to ensure t-- 7#a7 ! confid5tiality & anonymity ( suicide victims & _! families are protect$1 includ+ s z to ensure t data _c be us$ to d5y b5efits2 & 7#b7 data is suffici5tly secure to prev5t unau?oriz$ access4 7e7 ,report+ 7#a7 ,annual report ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ! ,re/or+ ,hope = ,m5tal ,heal? & ,well-,be+ ,act ( #bjbb1 & biannually !reaft]1 ! ,secret>y %all submit a report to ! ,congress on ! suicide incid5ce among public safety (fic]s4 ,ea* su* report %all-- 7,a7 include ! numb] & rate ( su* suicide incid5ce1 disaggregat$ by age1 g5d]1 & ,/ate ( employm5t2 7,b7 id5tify *>act]i/ics & contribut+ circum/ances = suicide among public safety (fic]s2 7,c7 disaggregate rates ( suicide by-- 7i7 occupation2 7ii7 /atus z volunte]1 paid-on-call1 or c>e]2 & 7iii7 /atus z active or retir$2 7,d7 include recomm5dations = fur!r /udy reg>d+ ! suicide incid5ce among public safety (fic]s2 7,e7 specify 9 detail1 if f\nd1 any ob/acles 9 collect+ suicide rates = volunte]s & include recomm5d$ improvem5ts to ov]come su* ob/acles2 7,f7 id5tify options = int]v5tions to r$uce suicide among public safety (fic]s2 & 7,g7 describe proc$ures to ensure ! confid5tiality & anonymity ( suicide victims & _! families1 z describ$ 9 subsection 7d77#a74 7#b7 ,public availability ,^u ! submission ( ea* report to ! ,congress "u p>agraph 7#a71 ! ,secret>y %all make ! full report publicly available on ! website ( ! ,c5t]s = ,disease ,control & ,prev5tion4 7f7 ,def9ition ,9 ?is section1 ! t]m public safety (fic] means-- 7#a7 a public safety (fic] z def9$ 9 section #abjd ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh2 or 7#b7 a public safety telecommunicator z describ$ 9 detail$ occupation #dc-ejca 9 ! ,/&>d ,occupational ,classification ,manual ( ! ,(fice ( ,managem5t & ,budget 7#bjah74 7g7 ,prohibit$ use ( in=mation ,not)/&+ any o!r provision ( law1 if an individual is id5tifi$ z deceas$ bas$ on in=mation conta9$ 9 ! ,public ,safety ,(fic] ,suicide ,report+ ,sy/em1 su* in=mation may n be us$ to d5y or resc9d life insurance paym5ts or o!r b5efits to a survivor ( ! deceas$ individual4 4 7b7 ,pe]-support behavioral heal? & wellness programs )9 fire dep>tm5ts & em]g5cy m$ical s]vice ag5cies 7#a7 ,9 g5]al ,"p ,b ( title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdc et seq47 is am5d$ by add+ at ! end ! foll[+3 #cbj;,c4 ,pe]-support behavioral heal? & wellness programs )9 fire dep>tm5ts & em]g5cy m$ical s]vice ag5cies 7a7 ,9 g5]al ,! ,secret>y may aw>d grants to eligible entities = ! purpose ( e/abli%+ or enhanc+ pe]-support behavioral heal? & wellness programs )9 fire dep>tm5ts & em]g5cy m$ical s]vices ag5cies4 7b7 ,program description ,a pe]-support behavioral heal? & wellness program fund$ "u ?is section %all-- 7#a7 use c>e] & volunte] memb]s ( fire dep>tm5ts or em]g5cy m$ical s]vices ag5cies to s]ve z pe] c\nselors2 7#b7 provide tra9+ to memb]s ( c>e]1 volunte]1 & comb9ation fire dep>tm5ts or em]g5cy m$ical s]vice ag5cies to s]ve z su* pe] c\nselors2 7#c7 pur*ase mat]ials to be us$ exclusively to provide su* tra9+2 & 7#d7 dissem9ate su* in=mation & mat]ials z are necess>y to conduct ! program4 7c7 ,def9ition ,9 ?is section3 7#a7 ,! t]m eligible entity means a nonpr(it organization ) exp]tise & exp]i5ce ) respect to ! heal? & life safety ( memb]s ( fire & em]g5cy m$ical s]vices ag5cies4 7#b7 ,! t]m memb]-- 7,a7 ) respect to an em]g5cy m$ical s]vices ag5cy1 means an employee1 reg>dless ( rank or :e!r ! employee receives comp5sation 7z def9$ 9 section #abjd7g7 ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh72 & 7,b7 ) respect to a fire dep>tm5t1 means any employee1 reg>dless ( rank or :e!r ! employee receives comp5sation1 ( a ,f$]al1 ,/ate1 ,tribal1 or local fire dep>tm5t :o is responsible = respond+ to calls = em]g5cy s]vice4 4 7#b7 ,te*nical correction ,effective z if includ$ 9 ! enactm5t ( ! ,*ildr5's ,heal? ,act ( #bjjj 7,public ,law #ajf-caj71 ! am5dm5t in/ruction 9 section #afjc ( su* ,act is am5d$ by /rik+ ,"p ,b ( ! ,public ,heal? ,s]vice ,act & ins]t+ ,"p ,b ( title ,,iii ( ! ,public ,heal? ,s]vice ,act4 7c7 ,heal? c>e provid] behavioral heal? & wellness programs ,"p ,b ( title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdc et seq471 z am5d$ by subsection 7b77#a71 is fur!r am5d$ by add+ at ! end ! foll[+3 #cbj;,d4 ,heal? c>e provid] behavioral heal? & wellness programs 7a7 ,9 g5]al ,! ,secret>y may aw>d grants to eligible entities = ! purpose ( e/abli%+ or enhanc+ behavioral heal? & wellness programs = heal? c>e provid]s4 7b7 ,program description ,a behavioral heal? & wellness program fund$ "u ?is section %all-- 7#a7 provide confid5tial support s]vices = heal? c>e provid]s to help h&le /ressful or traumatic pati5t-relat$ ev5ts1 includ+ c\nsel+ s]vices & wellness sem9>s2 7#b7 provide tra9+ to heal? c>e provid]s to s]ve z pe] c\nselors to o!r heal? c>e provid]s2 7#c7 pur*ase mat]ials to be us$ exclusively to provide su* tra9+2 & 7#d7 dissem9ate su* in=mation & mat]ials z are necess>y to conduct su* tra9+ & provide su* pe] c\nsel+4 7c7 ,def9itions ,9 ?is section1 ! t]m eligible entity means a hospital1 includ+ a critical access hospital 7z def9$ 9 section #ahfa7mm77#a7 ( ! ,social ,security ,act7 or a disproportionate %>e hospital 7z def9$ "u section #aibc7;a77#a77;,a7 ( su* ,act71 a ,f$]ally-qualifi$ heal? c5t] 7z def9$ 9 section #aije7a77b77;,b7 ( su* ,act71 or any o!r heal? c>e facility4 4 7d7 ,developm5t ( res\rces = educat+ m5tal heal? pr(essionals ab\t treat+ fire fight]s & em]g5cy m$ical s]vices p]sonnel 7#a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices %all develop & make publicly available res\rces t may be us$ by ! ,f$]al ,gov]nm5t & o!r entities to educate m5tal heal? pr(essionals ab\t-- 7,a7 ! culture ( ,f$]al1 ,/ate1 ,tribal1 & local c>e]1 volunte]1 & comb9ation fire dep>tm5ts & em]g5cy m$ical s]vices ag5cies2 7,b7 ! diff]5t /ressors exp]i5c$ by firefight]s & em]g5cy m$ical s]vices p]sonnel1 sup]visory firefight]s & em]g5cy m$ical s]vices p]sonnel1 & *ief (fic]s ( fire dep>tm5ts & em]g5cy m$ical s]vices ag5cies2 7,c7 *all5ges enc\nt]$ by retir$ firefight]s & em]g5cy m$ical s]vices p]sonnel2 & 7,d7 evid5ce-bas$ !rapies = m5tal heal? issues common to firefight]s & em]g5cy m$ical s]vices p]sonnel )9 su* dep>tm5ts & ag5cies4 7#b7 ,consultation ,9 develop+ res\rces "u p>agraph 7#a71 ! ,secret>y ( ,heal? & ,human ,s]vices %all consult ) national fire & em]g5cy m$ical s]vices organizations4 7#c7 ,def9itions ,9 ?is subsection3 7,a7 ,! t]m firefight] means any employee1 reg>dless ( rank or :e!r ! employee receives comp5sation1 ( a ,f$]al1 ,/ate1 ,tribal1 or local fire dep>tm5t :o is responsible = respond+ to calls = em]g5cy s]vice4 7,b7 ,! t]m em]g5cy m$ical s]vices p]sonnel means any employee1 reg>dless ( rank or :e!r ! employee receives comp5sation1 z def9$ 9 section #abjd7g7 ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#cd ,u4,s4,c4 #ajbhd7g774 7,c7 ,! t]m *ief (fic] means any individual :o is responsible = ! ov]all op]ation ( a fire dep>tm5t or an em]g5cy m$ical s]vices ag5cy1 irrespective ( :e!r su* individual also s]ves z a firefight] or em]g5cy m$ical s]vices p]sonnel4 7e7 ,be/ practices & o!r res\rces = address+ po/traumatic /ress disord] 9 public safety (fic]s 7#a7 ,developm5t2 updates ,! ,secret>y ( ,heal? & ,human ,s]vices %all-- 7,a7 develop & assemble evid5ce-bas$ be/ practices & o!r res\rces to id5tify1 prev5t1 & treat po/traumatic /ress disord] & co-occurr+ disord]s 9 public safety (fic]s2 & 7,b7 reassess & update1 z ! ,secret>y det]m9es necess>y1 su* be/ practices & res\rces1 includ+ bas$ ^u ! options = int]v5tions to r$uce suicide among public safety (fic]s id5tifi$ 9 ! annual reports requir$ by section #cag,v7e77#a77;,f7 ( ! ,public ,heal? ,s]vice ,act1 z add$ by subsection 7a74 7#b7 ,consultation ,9 develop+1 assembl+1 & updat+ ! be/ practices & res\rces "u p>agraph 7#a71 ! ,secret>y ( ,heal? & ,human ,s]vices %all consult )1 at a m9imum1 ! foll[+3 7,a7 ,public heal? exp]ts4 7,b7 ,m5tal heal? exp]ts ) exp]i5ce 9 /udy+ suicide & o!r pr(ession-relat$ traumatic /ress4 7,c7 ,cl9icians ) exp]i5ce 9 diagnos+ & treat+ m5tal heal? issues4 7,d7 ,relevant national police1 fire1 & em]g5cy m$ical s]vices organizations4 7#c7 ,availability ,! ,secret>y ( ,heal? & ,human ,s]vices %all make ! be/ practices & res\rces "u p>agraph 7#a7 available to ,f$]al1 ,/ate1 & local fire1 law en=cem5t1 & em]g5cy m$ical s]vices ag5cies4 7#d7 ,f$]al tra9+ & developm5t programs ,! ,secret>y ( ,heal? & ,human ,s]vices %all "w ) ,f$]al dep>tm5ts & ag5cies1 includ+ ! ,unit$ ,/ates ,fire ,adm9i/ration1 to incorporate education & tra9+ on ! be/ practices & res\rces "u p>agraph 7#a7 into ,f$]al tra9+ & developm5t programs = public safety (fic]s4 7#e7 ,def9ition ,9 ?is subsection1 ! t]m public safety (fic] means-- 7,a7 a public safety (fic] z def9$ 9 section #abjd ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#cd ,u4,s4,c4 #ajbhd72 or 7,b7 a public safety telecommunicator z describ$ 9 detail$ occupation #dc-ejca 9 ! ,/&>d ,occupational ,classification ,manual ( ! ,(fice ( ,managem5t & ,budget 7#bjah74 ,f ,o!r ,provisions #cea4 ,report on ,law ,en=cem5t ,m5tal ,heal? & ,wellness 7a7 ,9 ,g5]al ,n lat] ?an #bgj days aft] ! date ( enactm5t ( ?is ,act1 ! ,attorney ,g5]al1 9 consultation ) ! ,director ( ! ,f$]al ,bureau ( ,inve/igation1 ! ,director ( ! ,national ,in/itute = ,ju/ice1 & ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,abuse1 %all submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions & ! ,committee on ! ,judici>y ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce & ! ,committee on ! ,judici>y ( ! ,h\se ( ,repres5tatives a report on-- 7#a7 ! types1 frequ5cy1 & sev]ity ( m5tal heal? & /ress-relat$ responses ( law en=cem5t (fic]s to aggressive actions or o!r trauma-induc+ incid5ts aga9/ law en=cem5t (fic]s2 7#b7 m5tal heal? & /ress-relat$ res\rces or programs t are available to law en=cem5t (fic]s at ! ,f$]al1 ,/ate1 & local level1 includ+ pe]-to-pe] programs2 7#c7 ! ext5t to :i* law en=cem5t (fic]s use ! res\rces or programs describ$ 9 p>agraph 7#b72 7#d7 ! availability (1 or ne$ =1 m5tal heal? scre5+ )9 ,f$]al1 ,/ate1 & local law en=cem5t ag5cies2 & 7#e7 recomm5dations = ,f$]al1 ,/ate1 & local law en=cem5t ag5cies to improve ! m5tal heal? & wellness ( _! (fic]s4 7b7 ,developm5t ,9 develop+ ! report requir$ "u subsection 7a71 ! ,attorney ,g5]al1 ! ,director ( ! ,f$]al ,bureau ( ,inve/igation1 ! ,director ( ! ,national ,in/itute ( ,ju/ice1 & ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,abuse %all consult relevant /akehold]s1 includ+-- 7#a7 ,f$]al1 ,/ate1 ,tribal & local law en=cem5t ag5cies2 & 7#b7 nongov]nm5tal organizations1 int]national organizations1 academies1 or o!r entities4 ,,iv ,*ildr5 & ,y\? ,a ,support+ ,*ildr5's ,m5tal ,heal? ,c>e ,access #dja4 ,p$iatric m5tal heal? c>e access grants ,section #ccj,m ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;c-#ai7 is am5d$-- 7#a7 9 ! section enum]ator1 by /rik+ #ccj,m & ins]t+ #ccj,m42 7#b7 9 subsection 7a7-- 7,a7 by /rik+ ,indian tribes & tribal organizations & ins]t+ ,indian ,tribes & ,tribal organizations2 & 7,b7 by ins]t+ or1 9 ! case ( a ,/ate t does n submit an application1 a nonpr(it entity t has ! support ( ! ,/ate aft] #dej;b772 7#c7 9 subsection 7b7-- 7,a7 9 p>agraph 7#a7-- 7i7 9 subp>agraph 7,g71 by ins]t+ developm5tal-behavioral p$iatricians1 aft] adolesc5t psy*iatri/s12 7ii7 9 subp>agraph 7,h71 by /rik+ 2 & at ! end & ins]t+ a semicolon2 7iii7 by r$esignat+ subp>agraph 7,i7 z subp>agraph 7,j72 & 7iv7 by ins]t+ aft] subp>agraph 7,h7 ! foll[+3 7,i7 ma9ta9 an up-to-date li/ ( community-bas$ supports = *ildr5 ) m5tal heal? problems2 & 2 7,b7 by r$esignat+ p>agraph 7#b7 z p>agraph 7#d72 7,c7 by ins]t+ aft] p>agraph 7#a7 ! foll[+3 7#b7 ,support to s*ools & em]g5cy dep>tm5ts ,9 addition to ! activities requir$ by p>agraph 7#a71 a p$iatric m5tal heal? c>e teleheal? access program ref]r$ to 9 subsection 7a71 ) respect to :i* a grant "u su* subsection may be us$1 may provide support to s*ools & em]g5cy dep>tm5ts4 7#c7 ,priority ,9 aw>d+ grants "u ?is section1 ! ,secret>y %all give priority to applicants propos+ to-- 7,a7 cont9ue exi/+ programs t meet ! requirem5ts ( p>agraph 7#a72 7,b7 e/abli% a p$iatric m5tal heal? c>e teleheal? access program 9 ! jurisdiction ( a ,/ate1 ,t]ritory1 ,indian ,tribe1 or ,tribal organization t does n yet h su* a program2 or 7,c7 exp& a p$iatric m5tal heal? c>e teleheal? access program to include "o or m new sites ( c>e1 su* z a s*ool or em]g5cy dep>tm5t4 2 & 7,d7 9 p>agraph 7#d71 z r$esignat$ by subp>agraph 7,b71 by ins]t+ ,su* a team may include a developm5tal-behavioral p$iatrician4 aft] m5tal heal? c\nselor42 7#d7 9 subsections 7c71 7d71 & 7f71 by /rik+ ,indian tribe1 or tribal organization ea* place x appe>s & ins]t+ ,indian ,tribe1 ,tribal organization1 or nonpr(it entity2 & 7#e7 by /rik+ subsection 7g7 & ins]t+ ! foll[+3 7g7 ,te*nical assi/ance ,! ,secret>y %all aw>d grants or contracts to "o or m eligible entities 7z def9$ by ! ,secret>y7 = ! purposes ( provid+ te*nical assi/ance & evaluation support to grantees "u subsection 7a74 7h7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re are au?oriz$ to be appropriat$-- 7#a7 #ad1jjj1jjj = ea* ( fiscal ye>s #bjbc ?r\gh #bjbe2 & 7#b7 #cj1jjj1jjj = ea* ( fiscal ye>s #bjbf ?r\gh #bjbg4 4 #djb4 ,infant & e>ly *ildhood m5tal heal? promotion1 int]v5tion1 & treatm5t ,section #cii,z-#b7;f7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;h-#f7;f77 is am5d$ by /rik+ #bj1jjj1jjj = ! p]iod ( fiscal ye>s #bjah ?r\gh #bjbb & ins]t+ #ej1jjj1jjj = ! p]iod ( fiscal ye>s #bjbc ?r\gh #bjbg4 #djc4 ,s*ool-bas$ m5tal heal?2 *ildr5 & adolesc5ts 7a7 ,te*nical am5dm5ts ,! second "p ,g 7relat+ to s]vices provid$ ?r\gh religi\s organizations7 ( title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bijkk et seq47 is am5d$-- 7#a7 by r$esignat+ su* "p z "p ,j2 & 7#b7 by r$esignat+ sections #eha ?r\gh #ehd z sections #eif ?r\gh #eif;,c1 respectively4 7b7 ,s*ool-,bas$ m5tal heal? & *ildr5 ,section #eha ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;hh7 7relat+ to *ildr5 & viol5ce7 is am5d$ to read z foll[s3 #eha4 ,s*ool-bas$ m5tal heal?2 *ildr5 & adolesc5ts 7a7 ,9 g5]al ,! ,secret>y1 9 consultation ) ! ,secret>y ( ,education1 %all1 ?r\gh grants1 contracts1 or coop]ative agreem5ts aw>d$ to eligible entities describ$ 9 subsection 7c71 provide compreh5sive s*ool-bas$ m5tal heal? s]vices & supports to assi/ *ildr5 9 local communities & s*ools 7includ+ s*ools fund$ by ! ,bureau ( ,indian ,education7 deal+ ) traumatic exp]i5ces1 grief1 b]eavem5t1 risk ( suicide1 & viol5ce4 ,su* s]vices & supports %all be-- 7#a7 developm5tally1 l+ui/ically1 & culturally appropriate2 7#b7 trauma-in=m$2 & 7#c7 incorporate positive behavioral int]v5tions & supports4 7b7 ,activities ,grants1 contracts1 or coop]ative agreem5ts aw>d$ "u subsection 7a71 %all1 z appropriate1 be us$ =-- 7#a7 implem5tation ( s*ool & community-bas$ m5tal heal? programs t-- 7,a7 build aw>5ess ( individual trauma & ! int]g5]ational1 cont9uum ( impacts ( trauma on populations2 7,b7 tra9 appropriate /aff to id5tify1 & scre5 =1 signs ( trauma exposure1 m5tal heal? disord]s1 or risk ( suicide2 & 7,c7 incorporate positive behavioral int]v5tions1 family engagem5t1 /ud5t treatm5t1 & multig5]ational supports to fo/] ! heal? & developm5t ( *ildr51 prev5t m5tal heal? disord]s1 & ameliorate ! impact ( trauma2 7#b7 te*nical assi/ance to local communities ) respect to ! developm5t ( programs describ$ 9 p>agraph 7#a72 7#c7 facilitat+ community p>tn]%ips among families1 /ud5ts1 law en=cem5t ag5cies1 education ag5cies1 m5tal heal? & sub/ance use disord] s]vice sy/ems1 family-bas$ m5tal heal? s]vice sy/ems1 *ild welf>e ag5cies1 heal? c>e provid]s 7includ+ prim>y c>e physicians1 m5tal heal? pr(essionals1 & o!r pr(essionals :o specialize 9 *ildr5's m5tal heal? su* z *ild & adolesc5t psy*iatri/s71 in/itutions ( high] education1 fai?-bas$ programs1 trauma networks1 & o!r community-bas$ sy/ems to address *ild & adolesc5t trauma1 m5tal heal? issues1 & viol5ce2 & 7#d7 e/abli%+ me*anisms = *ildr5 & adolesc5ts to report incid5ts ( viol5ce or plans by o!r *ildr51 adolesc5ts1 or adults to commit viol5ce4 7c7 ,requirem5ts 7#a7 ,9 g5]al ,to be eligible = a grant1 contract1 or coop]ative agreem5t "u subsection 7a71 an entity %all be a p>tn]%ip t includes-- 7,a7 a ,/ate educational ag5cy1 z def9$ 9 section #haja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife1 9 coord9ation ) "o or m local educational ag5cies1 z def9$ 9 section #haja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife1 or a consortium ( any entities describ$ 9 subp>agraph 7,b71 7,c71 7,d71 or 7,e7 ( section #haja7cj7 ( su* ,act2 & 7,b7 at lea/ #a community-bas$ m5tal heal? provid]1 includ+ a public or private m5tal heal? entity1 heal? c>e entity1 family-bas$ m5tal heal? entity1 trauma network1 or o!r community-bas$ entity1 z det]m9$ by ! ,secret>y 7& :i* may include additional entities su* z a human s]vices ag5cy1 law en=cem5t or juv5ile ju/ice entity1 *ild welf>e ag5cy1 ag5cy1 an in/itution ( high] education1 or ano!r entity1 z det]m9$ by ! ,secret>y74 7#b7 ,compliance ) ,,hipaa ,any pati5t records develop$ by cov]$ entities ?r\gh activities "u ! grant %all meet ! regulations promulgat$ "u section #bfd7;c7 ( ! ,heal? ,insurance ,portability & ,acc\ntability ,act ( #aiif4 7#c7 ,compliance ) ,,f]pa ,section #ddd ( ! ,g5]al ,education ,provisions ,act 7commonly kn[n z ! ,family ,educational ,rights & ,privacy ,act ( #aigd7 %all apply to any entity t is a memb] ( ! p>tn]%ip 9 ! same mann] t su* section applies to an educational ag5cy or in/itution 7z t t]m is def9$ 9 su* section74 7d7 ,geographical di/ribution ,! ,secret>y %all ensure t grants1 contracts1 or coop]ative agreem5ts "u subsection 7a7 w be di/ribut$ equitably among ! regions ( ! c\ntry & among urban & rural areas4 7e7 ,duration ( aw>ds ,) respect to a grant1 contract1 or coop]ative agreem5t "u subsection 7a71 ! p]iod dur+ :i* paym5ts "u su* an aw>d w be made to ! recipi5t %all be #e ye>s1 ) options = r5ewal4 7f7 ,evaluation & measures ( outcomes 7#a7 ,developm5t ( process ,! ,assi/ant ,secret>y %all develop a fiscally appropriate process = evaluat+ activities c>ri$ out "u ?is section4 ,su* process %all include-- 7,a7 ! developm5t ( guidel9es = ! submission ( program data by grant1 contract1 or coop]ative agreem5t recipi5ts2 7,b7 ! developm5t ( measures ( outcomes 79 accordance ) p>agraph 7#b77 to be appli$ by su* recipi5ts 9 evaluat+ programs c>ri$ out "u ?is section2 & 7,c7 ! submission ( annual reports by su* recipi5ts conc]n+ ! effectiv5ess ( programs c>ri$ out "u ?is section4 7#b7 ,measures ( outcomes ,! ,assi/ant ,secret>y %all develop measures ( outcomes to be appli$ by recipi5ts ( assi/ance "u ?is section to evaluate ! effectiv5ess ( programs c>ri$ out "u ?is section1 includ+ outcomes relat$ to ! /ud5t1 family1 & local educational sy/ems support$ by ?is ,act4 7#c7 ,submission ( annual data ,an eligible entity describ$ 9 subsection 7c7 t receives a grant1 contract1 or coop]ative agreem5t "u ?is section %all annually submit to ! ,assi/ant ,secret>y a report t includes data to evaluate ! success ( ! program c>ri$ out by ! entity bas$ on :e!r su* program is a*iev+ ! purposes ( ! program4 ,su* reports %all utilize ! measures ( outcomes "u p>agraph 7#b7 9 a reasonable mann] to demon/rate ! progress ( ! program 9 a*iev+ su* purposes4 7#d7 ,evaluation by assi/ant secret>y ,bas$ on ! data submitt$ "u p>agraph 7#c71 ! ,assi/ant ,secret>y %all annually submit to ,congress a report conc]n+ ! results & effectiv5ess ( ! programs c>ri$ out ) assi/ance receiv$ "u ?is section4 7#e7 ,limitation ,an eligible entity %all use n m ?an #bj p]c5t ( am\nts receiv$ "u a grant "u ?is section to c>ry out evaluation activities "u ?is subsection4 7g7 ,in=mation & education ,! ,secret>y %all dissem9ate be/ practices bas$ on ! f9d+s ( ! k developm5t & application "u ?is section4 7h7 ,am\nt ( grants & au?orization ( appropriations 7#a7 ,am\nt ( grants ,a grant "u ?is section %all be 9 an am\nt t is n m ?an #b1jjj1jjj = ea* ( ! fir/ #e fiscal ye>s foll[+ ! date ( enactm5t ( ! ,re/or+ ,hope = ,m5tal ,heal? & ,well-,be+ ,act ( #bjbb4 ,! ,secret>y %all det]m9e ! am\nt ( ea* su* grant bas$ on ! population ( *ildr5 up to age #ba ( ! area to be s]v$ "u ! grant4 7#b7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section1 #acj1jjj1jjj = ea* ( fiscal ye>s #bjbc ?r\gh #bjbg4 4 7c7 ,con=m+ am5dm5t ,"p ,g ( title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;hh et seq471 z am5d$ by subsection 7b71 is fur!r am5d$ by /rik+ ! "p designation & head+ & ins]t+ ! foll[+3 ,g ,s*ool-bas$ m5tal heal? 4 #djd4 ,co-occurr+ *ronic conditions & m5tal heal? 9 y\? /udy ,n lat] ?an #ab mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all-- 7#a7 complete a /udy on ! rates ( suicidal behaviors among *ildr5 & adolesc5ts ) *ronic illnesses1 includ+ sub/ance use disord]s1 autoimmune disord]s1 & h]itable blood disord]s2 & 7#b7 submit a report to ! ,congress on ! results ( su* /udy1 includ+ recomm5dations = e>ly int]v5tion s]vices = su* *ildr5 & adolesc5ts at risk ( suicide1 ! dissem9ation ( be/ practices to support ! emotional & m5tal heal? ne$s ( y\?1 & /rategies to l[] ! rates ( suicidal behaviors 9 *ildr5 & adolesc5ts describ$ 9 p>agraph 7#a7 to r$uce any demographic disp>ities 9 su* rates4 #dje4 ,be/ practices = behavioral int]v5tion teams ,! ,public ,heal? ,s]vice ,act is am5d$ by ins]t+ aft] section #ebj;,h ( su* ,act1 z add$ by section #aea1 ! foll[+ new section3 #ebj;,i4 ,be/ practices = behavioral int]v5tion teams 7a7 ,9 g5]al ,! ,secret>y %all id5tify & facilitate ! developm5t ( be/ practices to assi/ elem5t>y s*ools1 second>y s*ools1 & in/itutions ( high] education 9 e/abli%+ & us+ behavioral int]v5tion teams4 7b7 ,elem5ts ,! be/ practices "u subsection 7a77#a7 %all include guidance on ! foll[+3 7#a7 ,h[ behavioral int]v5tion teams c op]ate effectively f an evid5ce-bas$1 objective p]spective :ile protect+ ! con/itutional & civil rights ( individuals4 7#b7 ,! use ( behavioral int]v5tion teams to id5tify conc]n+ behaviors1 implem5t int]v5tions1 & manage risk ?r\gh ! framework ( ! s*ool's or in/itution's rules or code ( conduct1 z applicable4 7#c7 ,h[ behavioral int]v5tion teams c1 :5 assess+ an individual-- 7,a7 access tra9+ on evid5ce-bas$1 ?reat-assessm5t rubrics2 7,b7 ensure t su* teams-- 7i7 h tra9$1 div]se /akehold]s ) v>i$ exp]tise2 & 7ii7 use cross validation by a wide-range ( individual p]spectives on ! team2 & 7,c7 use viol5ce risk assessm5t4 7#d7 ,h[ behavioral int]v5tion teams c help mitigate-- 7,a7 inappropriate use ( a m5tal heal? assessm5t2 7,b7 inappropriate limitations or re/rictions on law en=cem5t's jurisdiction ov] crim9al matt]s2 7,c7 attempts to sub/itute ! behavioral int]v5tion process 9 place ( a crim9al process1 or imp$e a crim9al process1 :5 an individual's behavior has pot5tial crim9al implications2 7,d7 endang]m5t ( an individual's privacy by fail+ to ensure t all applicable ,f$]al & ,/ate privacy laws are fully compli$ )2 or 7,e7 inappropriate ref]rals to1 or involvem5t (1 law en=cem5t :5 an individual's behavior does n w>rant a crim9al response4 7c7 ,consultation ,9 c>ry+ out subsection 7a77#a71 ! ,secret>y %all consult )-- 7#a7 ! ,secret>y ( ,education2 7#b7 ! ,director ( ! ,national ,?reat ,assessm5t ,c5t] ( ! ,unit$ ,/ates ,secret>y ,s]vice2 7#c7 ! ,attorney ,g5]al & ! ,director ( ! ,bureau ( ,ju/ice ,assi/ance2 7#d7 tea*]s & o!r educators1 pr9cipals1 s*ool adm9i/rators1 s*ool bo>d memb]s1 s*ool psy*ologi/s1 m5tal heal? pr(essionals1 & p>5ts ( /ud5ts2 7#e7 local law en=cem5t ag5cies & campus law en=cem5t adm9i/rators2 7#f7 privacy exp]ts2 & 7#g7 o!r education & m5tal heal? pr(essionals z ! ,secret>y deems appropriate4 7d7 ,publication ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is section1 ! ,secret>y %all publi% ! be/ practices "u subsection 7a77#a7 on ! int]net website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 7e7 ,te*nical assi/ance ,! ,secret>y %all provide te*nical assi/ance to in/itutions ( high] education1 elem5t>y s*ools1 & second>y s*ools to assi/ su* in/itutions & s*ools 9 implem5t+ ! be/ practices "u subsection 7a74 7f7 ,def9itions ,9 ?is section3 7#a7 ,! t]m behavioral int]v5tion team means a team ( qualifi$ individuals :o-- 7,a7 are responsible = id5tify+ & assess+ individuals exhibit+ conc]n+ behaviors1 exp]i5c+ di/ress1 or :o are at risk ( h>m to self or o!rs2 7,b7 develop & facilitate implem5tation ( evid5ce-bas$ int]v5tions to mitigate ! ?reat ( h>m to self or o!rs pos$ by an individual & address ! m5tal & behavioral heal? ne$s ( individuals to r$uce risk2 & 7,c7 provide in=mation to /ud5ts1 p>5ts1 & s*ool employees on recogniz+ behavior describ$ 9 ?is subsection4 7#b7 ,! t]ms elem5t>y s*ool1 p>5t1 & second>y s*ool h ! mean+s giv5 to su* t]ms 9 section #haja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife4 7#c7 ,! t]m in/itution ( high] education has ! mean+ giv5 to su* t]m 9 section #ajb ( ! ,high] ,education ,act ( #aife4 7#d7 ,! t]m m5tal heal? assessm5t means an evaluation1 prim>ily focus$ on diagnosis1 det]m9+ ! ne$ = involunt>y commitm5t1 m$ication managem5t1 & on-go+ treatm5t recomm5dations4 7#e7 ,! t]m viol5ce risk assessm5t means a broad det]m9ation ( ! pot5tial risk ( viol5ce bas$ on evid5ce-bas$ lit]ature4 4 ,b ,cont9u+ ,sy/ems ( ,c>e = ,*ildr5 #daa4 ,compreh5sive ,community ,m5tal ,heal? ,s]vices = ,*ildr5 ) ,s]i\s ,emotional ,di/urbances 7a7 ,def9ition ( family ,section #efe7;d77#b77;,b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ff-#d7;d77#b77;,b77 is am5d$ by /rik+ z appropriate reg>d+ m5tal heal? s]vices = ! *ild1 ! p>5ts ( ! *ild 7biological or adoptive1 z ! case may be7 & any fo/] p>5ts ( ! *ild & ins]t+ z appropriate reg>d+ m5tal heal? s]vices = ! *ild & ! p>5ts or k9%ip c>egiv]s ( ! *ild4 7b7 ,au?orization ( appropriations ,p>agraph 7#a7 ( section #efe7;f7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ff-#d7;f77 is am5d$-- 7#a7 by mov+ ! m>g9 ( su* p>agraph #b ems to ! "r2 & 7#b7 by /rik+ #aai1jbf1jjj = ea* ( fiscal ye>s #bjah ?r\gh #bjbb & ins]t+ #abe1jjj1jjj = ea* ( fiscal ye>s #bjbc ?r\gh #bjbg4 #dab4 ,sub/ance ,use ,disord] ,treatm5t & ,e>ly ,int]v5tion ,s]vices = ,*ildr5 & ,adolesc5ts ,section #ead ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#g7 is am5d$-- 7#a7 9 subsection 7a71 by /rik+ ,indian tribes or tribal organizations & ins]t+ ,indian ,tribes or ,tribal organizations2 & 7#b7 9 subsection 7f71 by /rik+ #bjah ?r\gh #bjbb & ins]t+ #bjbc ?r\gh #bjbg4 ,c ,g>rett ,lee ,smi? ,memorial ,reau?orization #dba4 ,suicide prev5tion te*nical assi/ance c5t] 7a7 ,te*nical am5dm5t ,section #ebj;,c ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cd7 is am5d$-- 7#a7 by /rik+ tribes & ins]t+ ,tribes2 & 7#b7 by /rik+ tribal ea* place x appe>s & ins]t+ ,tribal4 7b7 ,au?orization ( appropriations ,section #ebj;,c7c7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cd7;c77 is am5d$ by /rik+ #e1ihh1jjj = ea* ( fiscal ye>s #bjah ?r\gh #bjbb & ins]t+ #i1jjj1jjj = ea* ( fiscal ye>s #bjbc ?r\gh #bjbg4 7c7 ,annual report ,section #ebj;,c7d7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cd7;d77 is am5d$ by /rik+ ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is subsection & ins]t+ ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ! ,re/or+ ,hope = ,m5tal ,heal? & ,well-,be+ ,act ( #bjbb4 #dbb4 ,y\? suicide e>ly int]v5tion & prev5tion /rategies ,section #ebj;,e ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cf7 is am5d$-- 7#a7 by /rik+ tribe & ins]t+ ,tribe2 7#b7 by /rik+ tribal ea* place x appe>s & ins]t+ ,tribal2 7#c7 9 subsection 7a77#a71 by ins]t+ p$iatric heal? programs1 aft] fo/] c>e sy/ems12 7#d7 by am5d+ subsection 7b77#a77;,b7 to read z foll[s3 7,b7 a public organization or private nonpr(it organization designat$ by a ,/ate or ,indian ,tribe 7z def9$ "u ! ,f$]ally ,recogniz$ ,indian ,tribe ,li/ ,act ( #aiid7 to develop or direct ! ,/ate-sponsor$ /atewide or ,tribal y\? suicide e>ly int]v5tion & prev5tion /rategy2 or 2 7#e7 9 subsection 7c7-- 7,a7 9 p>agraph 7#a71 by ins]t+ p$iatric heal? programs1 aft] fo/] c>e sy/ems12 7,b7 9 p>agraph 7#g71 by ins]t+ p$iatric heal? programs1 aft] fo/] c>e sy/ems12 7,c7 9 p>agraph 7#i71 by ins]t+ p$iatric heal? programs1 aft] educational in/itutions12 7,d7 9 p>agraph 7#ac71 by /rik+ & at ! end2 7,e7 9 p>agraph 7#ad71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7,f7 by add+ at ! end ! foll[+3 7#ae7 provide to p>5ts1 legal gu>dians1 & family memb]s ( y\?1 supplies to securely /ore means commonly us$ 9 suicide1 if applicable1 )9 ! h\sehold4 2 7#f7 9 subsection 7d7-- 7,a7 9 ! head+1 by /rik+ direct s]vices & ins]t+ suicide prev5tion activities2 & 7,b7 by /rik+ direct s]vices1 ( :i* n less ?an #e p]c5t %all be us$ = activities au?oriz$ "u subsection 7a77#c7 & ins]t+ suicide prev5tion activities2 7#g7 9 subsection 7e77#c77;,a71 by ins]t+ & ,dep>tm5t ( ,education aft] ,dep>tm5t ( ,heal? & ,human ,s]vices2 7#h7 9 subsection 7g7-- 7,a7 9 p>agraph 7#a71 by /rik+ #ah & ins]t+ #bd2 & 7,b7 9 p>agraph 7#b71 by /rik+ #b ye>s aft] ! date ( enactm5t ( ,help+ ,families 9 ,m5tal ,heal? ,crisis ,re=m ,act ( #bjaf & ins]t+ #c ye>s aft] ,decemb] #ca1 #bjbb2 7#i7 9 subsection 7l77#d71 by /rik+ betwe5 #aj & #bd ye>s ( age & ins]t+ up to #bd ye>s ( age2 & 7#aj7 9 subsection 7m71 by /rik+ #cj1jjj1jjj = ea* ( fiscal ye>s #bjah ?r\gh #bjbb & ins]t+ #dj1jjj1jjj = ea* ( fiscal ye>s #bjbc ?r\gh #bjbg4 #dbc4 ,m5tal heal? & sub/ance use disord] s]vices = /ud5ts 9 high] education ,section #ebj;,e-#b ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cf;b7 is am5d$-- 7#a7 9 ! head+1 by /rik+ on campus & ins]t+ = /ud5ts 9 high] education2 & 7#b7 9 subsection 7i71 by /rik+ #bjah ?r\gh #bjbb & ins]t+ #bjbc ?r\gh #bjbg4 #dbd4 ,m5tal & behavioral heal? outrea* & education at in/itutions ( high] education ,section #edi ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ee-#d7 is am5d$-- 7#a7 9 ! head+1 by /rik+ on college campuses & ins]t+ at in/itutions ( high] education2 7#b7 9 subsection 7c77#b71 by ins]t+ 1 includ+ m9ority-s]v+ in/itutions z describ$ 9 section #cga7;a7 ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajfgq7 & community colleges aft] high] education2 & 7#c7 9 subsection 7f71 by /rik+ #bjah ?r\gh #bjbb & ins]t+ #bjbc ?r\gh #bjbg4 ,d ,m$ia & ,m5tal ,heal? #dca4 ,/udy on ! effects ( sm>tphone & social m$ia use on adolesc5ts 7a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all conduct or support rese>* on-- 7#a7 sm>tphone & social m$ia use by adolesc5ts2 & 7#b7 ! effects ( su* use on-- 7,a7 emotional1 behavioral1 & physical heal? & developm5t2 & 7,b7 any disp>ities 9 ! m5tal heal? outcomes ( rural1 m9ority1 & o!r und]s]v$ populations4 7b7 ,report ,n lat] ?an #e ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all submit to ! ,congress1 & make publicly available1 a report on ! f9d+s ( rese>* "u ?is section4 #dcb4 ,rese>* on ! heal? & developm5t effects ( m$ia on infants1 *ildr51 & adolesc5ts ,subp>t #g ( "p ,c ( title ,,iv ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhe;g et seq47 is am5d$ by add+ at ! end ! foll[+3 #deb;,h4 ,rese>* on ! heal? & developm5t effects ( m$ia on infants1 *ildr51 & adolesc5ts 7a7 ,9 g5]al ,! ,director ( ! ,national ,in/itutes ( ,heal?1 9 coord9ation ) or act+ ?r\gh ! ,director ( ! ,in/itute1 %all conduct & support rese>* & relat$ activities conc]n+ ! heal? & developm5tal effects ( m$ia on infants1 *ildr51 & adolesc5ts1 :i* may include ! positive & negative effects ( exposure to & use ( m$ia1 su* z social m$ia1 applications1 websites1 television1 motion pictures1 artificial intellig5ce1 mobile devices1 comput]s1 video games1 virtual & augm5t$ reality1 & o!r m$ia =mats z !y become available4 ,su* rese>* %all attempt to bett] und]/& ! relation%ips betwe5 m$ia & te*nology use & individual diff]5ces & *>act]i/ics ( *ildr5 & %all include longitud9ally design$ /udies to assess ! impact ( m$ia on y\? ov] "t4 ,su* rese>* %all include consid]ation ( core areas ( *ild & adolesc5t heal? & developm5t includ+ ! foll[+3 7#a7 ,cognitive ,! role & impact ( m$ia use & exposure 9 ! developm5t ( *ildr5 & adolesc5ts )9 su* cognitive areas z language developm5t1 executive function+1 att5tion1 creative problem solv+ skills1 visual & spatial skills1 lit]acy1 critical ?9k+1 & o!r le>n+ abilities1 & ! impact ( e>ly te*nology use on developm5tal trajectories4 7#b7 ,physical ,! role & impact ( m$ia use & exposure on *ildr5's & adolesc5t's physical developm5t & heal? behaviors1 includ+ diet1 ex]cise1 sleep+ & eat+ r\t9es1 & o!r areas ( physical developm5t4 7#c7 ,socio-emotional ,! role & impact ( m$ia use & exposure on *ildr5's & adolesc5ts' social-emotional compet5cies1 includ+ self-aw>5ess1 self-regulation1 social aw>5ess1 relation%ip skills1 empa?y1 di/ress tol]ance1 p]ception ( social cues1 aw>5ess ( "o's relation%ip ) ! m$ia1 & decision-mak+1 z well z outcomes su* z violations ( privacy1 p]petration ( or exposure to viol5ce1 bully+ or o!r =ms ( aggression1 depression1 anxiety1 sub/ance use1 misuse or disord]1 & suicidal ideation_/behavior & self-h>m4 7b7 ,develop+ rese>* ag5da ,! ,director ( ! ,national ,in/itutes ( ,heal?1 9 consultation ) ! ,director ( ! ,in/itute1 o!r appropriate national rese>* in/itutes1 academies1 & c5t]s1 ! ,trans-,,nih ,p$iatric ,rese>* ,consortium1 & non-,f$]al exp]ts z ne$$1 %all develop a rese>* ag5da on ! heal? & developm5tal effects ( m$ia on infants1 *ildr51 & adolesc5ts to in=m rese>* activities "u subsection 7a74 ,9 develop+ su* rese>* ag5da1 ! ,director may use :atev] means necess>y 7su* z sci5tific work%ops & lit]ature reviews7 to assess curr5t k & rese>* gaps 9 ?is area4 7c7 ,rese>* program ,9 coord9ation ) ! ,in/itute & o!r national rese>* in/itutes & c5t]s1 & utiliz+ ! ,national ,in/itutes ( ,heal?'s process ( sci5tific pe] review1 ! ,director ( ! ,national ,in/itutes ( ,heal? %all fund an exp&$ rese>* program on ! heal? & developm5tal effects ( m$ia on infants1 *ildr51 & adolesc5ts4 7d7 ,report to congress ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,director ( ! ,national ,in/itutes ( ,heal? %all submit a report to ,congress on ! progress made 9 ga!r+ data & exp&+ rese>* on ! heal? & developm5tal effects ( m$ia on infants1 *ildr51 & adolesc5ts 9 accordance ) ?is section4 ,su* report %all summ>ize ! grants & rese>* fund$1 by ye>1 "u ?is section4 4 ,v ,m$icaid & ,,*ip #eja4 ,m$icaid & ,,*ip requirem5ts = heal? scre5+s & ref]rals = eligible juv5iles 9 public in/itutions 7a7 ,m$icaid ,/ate plan requirem5t ,section #aijb ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7 is am5d$-- 7#a7 9 subsection 7a77#hd7-- 7,a7 9 subp>agraph 7,a71 by ins]t+ 1 subject to subp>agraph 7,d71 aft] b2 7,b7 9 subp>agraph 7,b71 by /rik+ & at ! end2 7,c7 9 subp>agraph 7,c71 by add+ & at ! end2 & 7,d7 by add+ at ! end ! foll[+ new subp>agraph3 7,d7 beg9n+ on ! fir/ day ( ! fir/ cal5d> qu>t] t beg9s two ye>s aft] ! date ( enactm5t ( ?is subp>agraph1 9 ! case ( individuals :o are eligible juv5iles describ$ 9 subsection 7nn77#b71 are )9 #cj days ( ! date on :i* su* eligible juv5ile is s*$ul$ to be releas$ f a public in/itution foll[+ adjudication1 ! ,/ate %all h 9 place a plan to ensure1 & 9 accordance ) su* plan1 provide-- 7i7 =1 9 ! #cj days prior to ! release ( su* an eligible juv5ile f su* public in/itution 7or n lat] ?an "o week aft] release f ! public in/itution71 & 9 coord9ation ) su* in/itution-- 7,i7 any scre5+ or diagno/ic s]vice :i* meets reasonable /&>ds ( m$ical & d5tal practice1 z det]m9$ by ! ,/ate1 or z indicat$ z m$ically necess>y1 9 accordance ) p>agraphs 7#a77;,a7 & 7#e7 ( section #aije7r72 & 7,,ii7 a m5tal heal? or o!r behavioral heal? scre5+ t is a scre5+ s]vice describ$ "u section #aije7r77#a71 or a diagno/ic s]vice describ$ "u p>agraph 7#e7 ( su* section1 if su* scre5+ or diagno/ic s]vice 0 n o!rwise conduct$ pursuant to ?is clause2 7ii7 =1 n lat] ?an "o week aft] release f ! public in/itution1 ref]rals = su* eligible juv5ile to ! appropriate c>e & s]vices available "u ! ,/ate plan 7or waiv] ( su* plan7 9 ! geographic region ( ! home or resid5ce ( su* eligible juv5ile1 bas$ on su* scre5+s2 & 7iii7 =1 foll[+ ! release ( su* eligible juv5ile f su* in/itution1 n less ?an #cj days ( t>get$ case managem5t s]vices furni%$ by a provid] 9 ! geographic region ( ! home or resid5ce ( su* eligible juv5ile4 2 & 7#b7 9 subsection 7nn77#c71 by /rik+ 7#cj7 & ins]t+ 7#ca74 7b7 ,au?orization ( ,f$]al f9ancial p>ticipation ,! subdivision 7,a7 ( section #aije7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7a77 foll[+ p>agraph 7#ca7 ( su* section is am5d$ by ins]t+ 1 or 9 ! case ( an eligible juv5ile describ$ 9 section #aijb7;a77#hd77;,d7 ) respect to ! scre5+s1 diagno/ic s]vices1 ref]rals1 & case managem5t requir$ "u su* subp>agraph 7,d7 aft] 7except z a pati5t 9 a m$ical in/itution4 7c7 ,,*ip con=m+ am5dm5ts 7#a7 ,section #bajc7;c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;cc7c77 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#ab7 ,requir$ cov]age ( scre5+s1 diagno/ic s]vices1 ref]rals1 & case managem5t = c]ta9 inmates pre-release ,) respect to individuals describ$ 9 section #baaj7;b77#g71 ! ,/ate %all provide scre5+s1 diagno/ic s]vices1 ref]rals1 & case managem5t o!rwise cov]$ "u ! ,/ate *ild heal? plan 7or waiv] ( su* plan7 dur+ ! p]iod describ$ 9 su* section ) respect to su* scre5+s1 s]vices1 ref]rals1 & case managem5t4 4 7#b7 ,section #baaj7;b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;jj7b77 is am5d$-- 7,a7 9 p>agraph 7#b77;,a71 by ins]t+ except z provid$ 9 p>agraph 7#g71 be=e a *ild :o is an inmate ( a public in/itution2 & 7,b7 by add+ at ! end ! foll[+ new p>agraph3 7#g7 ,exception to exclusion ( *ildr5 :o are inmates ( a public in/itution ,a *ild %all n be consid]$ to be describ$ 9 p>agraph 7#b77;,a7 if su* *ild is an eligible juv5ile 7z describ$ 9 section #aijb7;a77#hd77;,d77 ) respect to ! scre5+s1 diagno/ic s]vices1 ref]rals1 & case managem5t o!rwise cov]$ "u ! ,/ate *ild heal? plan 7or waiv] ( su* plan7 dur+ ! p]iod ) respect to :i* su* scre5+s1 s]vices1 ref]rals1 & case managem5t is respectively requir$ "u su* section4 4 #ejb4 ,guidance on r$uc+ adm9i/rative b>ri]s to provid+ heal? c>e s]vices 9 s*ools 7a7 ,9 g5]al ,n lat] ?an #ab mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all issue guidance to ,/ate ,m$icaid ag5cies1 elem5t>y & second>y s*ools1 & s*ool-bas$ heal? c5t]s on r$uc+ adm9i/rative b>ri]s to su* s*ools & c5t]s furni%+ m$ical assi/ance & obta9+ paym5t = su* assi/ance "u titles ,,xix & ,,xxi ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq41 #acig;aa et seq474 7b7 ,cont5ts ( guidance ,! guidance issu$ pursuant to subsection 7a7 %all-- 7#a7 include revisions to ! ,may #bjjc ,m$icaid ,s*ool-,bas$ ,adm9i/rative ,claim+ ,guide1 ! #aiig ,m$icaid & ,s*ools ,te*nical ,assi/ance ,guide1 & o!r relevant guidance 9 effect on ! date ( enactm5t ( ?is ,act2 7#b7 provide in=mation on paym5t "u titles ,,xix & ,,xxi ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq41 #acig;aa et seq47 = ! provision ( m$ical assi/ance1 includ+ su* assi/ance provid$ 9 accordance ) an individualiz$ education program or "u ! policy describ$ 9 ! ,/ate ,m$icaid ,director lett] on paym5t = s]vices issu$ on ,decemb] #ae1 #bjad 7#ad-jjf72 7#c7 take into acc\nt reasons :y small & rural local education ag5cies may n provide m$ical assi/ance & provide in=mation on be/ practices to enc\rage su* ag5cies to provide su* assi/ance2 & 7#d7 include be/ practices & examples ( me?ods t ,/ate ,m$icaid ag5cies & local education ag5cies h us$ to pay =1 & increase ! availability (1 m$ical assi/ance4 7c7 ,def9itions ,9 ?is ,act3 7#a7 ,individualiz$ education program ,! t]m individualiz$ education program has ! mean+ giv5 su* t]m 9 section #fjb7ad7 ( ! ,individuals ) ,disabilities ,education ,act 7#bj ,u4,s4,c4 #adja7ad774 7#b7 ,s*ool-bas$ heal? c5t] ,! t]m s*ool-bas$ heal? c5t] has ! mean+ giv5 su* t]m 9 section #baaj7;c77#i7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;jj7c77#i771 & includes an entity t provides ,m$icaid-cov]$ s]vices 9 s*ool-bas$ sett+s = :i* ,f$]al f9ancial p>ticipation is p]mitt$4 #ejc4 ,guidance to ,/ates on support+ p$iatric behavioral heal? s]vices "u ,m$icaid & ,,*ip ,n lat] ?an #ah mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all issue guidance to ,/ates on h[ to exp& ! provision (1 & access to1 behavioral heal? s]vices1 includ+ m5tal heal? s]vices1 = *ildr5 cov]$ "u ,/ate plans 7or waiv]s ( su* plans7 "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq471 or ,/ate *ild heal? plans 7or waiv]s ( su* plans7 "u title ,,xxi ( su* ,act 7#db ,u4,s4,c4 #acig;aa et seq471 includ+ a description ( be/ practices =-- 7#a7 exp&+ access to su* s]vices2 7#b7 exp&+ access to su* s]vices 9 und]s]v$ communities2 7#c7 flexibilities t ,/ates may (f] = p$iatric hospitals & o!r p$iatric behavioral heal? provid]s to exp& access to s]vices2 & 7#d7 recruitm5t & ret5tion ( provid]s ( su* s]vices4 #ejd4 ,ensur+ *ildr5 receive timely access to c>e 7a7 ,guidance to ,/ates on flexibilities to ensure provid] capacity to provide p$iatric behavioral heal?1 includ+ m5tal heal?1 crisis c>e ,n lat] ?an #ah mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all provide guidance to ,/ates on exi/+ flexibilities "u ,/ate plans 7or waiv]s ( su* plans7 "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq471 or ,/ate *ild heal? plans "u title ,,xxi ( su* ,act 7#db ,u4,s4,c4 #acig;aa et seq471 to support *ildr5 exp]i5c+ a behavioral heal? crisis or 9 ne$ ( int5sive behavioral heal?1 includ+ m5tal heal?1 s]vices4 7b7 ,ensur+ consi/5t review & ,/ate implem5tation ( e>ly & p]iodic scre5+1 diagno/ic1 & treatm5t s]vices ,section #aije7r7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7r77 is am5d$ by add+ at ! end ! foll[+3 ,n lat] ?an ,janu>y #a1 #bjbe1 & e #e ye>s !reaft]1 ! ,secret>y %all review implem5tation ( ! requirem5ts ( ?is subsection by ,/ates1 includ+ su* requirem5ts relat+ to s]vices provid$ by manag$ c>e organizations1 prepaid inpati5t heal? plans1 prepaid ambulatory heal? plans1 & prim>y c>e case manag]s1 to id5tify & dissem9ate be/ practices = ensur+ compreh5sive cov]age ( s]vices1 to id5tify gaps & defici5cies 9 meet+ ,f$]al requirem5ts1 & to provide guidance to ,/ates on address+ id5tifi$ gaps & disp>ities & meet+ ,f$]al cov]age requirem5ts 9 ord] to ensure *ildr5 h access to heal? s]vices44 #eje4 ,/rategies to increase access to teleheal? "u ,m$icaid & ,,*ip ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 & 9 ! ev5t updates are available1 once e five ye>s !reaft]1 ! ,secret>y ( ,heal? & ,human ,s]vices %all update guidance issu$ by ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices to ,/ates1 ! ,/ate ,m$icaid ,,*ip ,teleheal? ,toolkit1 or any successor guidance1 to describe /rategies ,/ates may use to ov]come exi/+ b>ri]s & increase access to teleheal? s]vices "u ! ,m$icaid program "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 & ! ,*ildr5's ,heal? ,insurance ,program "u title ,,xxi ( su* ,act 7#db ,u4,s4,c4 #acig;aa et seq474 ,su* updat$ guidance %all include examples ( & promis+ practices reg>d+-- 7#a7 teleheal? deliv]y ( cov]$ s]vices2 7#b7 recomm5d$ volunt>y bill+ codes1 modifi]s1 & place-(-s]vice designations = teleheal? & o!r virtual heal? c>e s]vices2 7#c7 /rategies ,/ates c use = ! simplification or alignm5t ( provid] cr$5tial+ & enrollm5t protocols ) respect to teleheal? across ,/ates1 ,/ate ,m$icaid plans "u title ,,xix1 ,/ate *ild heal? plans "u title ,,xxi1 ,m$icaid manag$ c>e organizations1 prepaid inpati5t heal? plans1 prepaid ambulatory heal? plans1 & prim>y c>e case manag]s1 includ+ dur+ national public heal? em]g5cies2 & 7#d7 /rategies ,/ates c use to integrate teleheal? & o!r virtual heal? c>e s]vices into value-bas$ heal? c>e models4 #ejf4 ,removal ( limitations on ,f$]al f9ancial p>ticipation = inmates :o are eligible juv5iles p5d+ disposition ( *>ges 7a7 ,m$icaid 7#a7 ,9 g5]al ,! subdivision 7,a7 ( section #aije7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7a77 foll[+ p>agraph 7#ca7 ( su* section1 z am5d$ by section #eja7;b71 is fur!r am5d$ by ins]t+ 1 or1 at ! option ( ! ,/ate1 = an individual :o is an eligible juv5ile 7z def9$ 9 section #aijb7nn77#b771 :ile su* individual is an inmate ( a public in/itution 7z def9$ 9 section #aijb7nn77#c77 p5d+ disposition ( *>ges aft] or 9 ! case ( an eligible juv5ile describ$ 9 section #aijb7;a77#hd77;,d7 ) respect to ! scre5+s1 diagno/ic s]vices1 ref]rals1 & case managem5t requir$ "u su* subp>agraph 7,d74 7#b7 ,con=m+ ,section #aijb7;a77#hd77;,a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7a77#hd77;,a77 is am5d$ by ins]t+ 7or 9 ! case ( a ,/ate elect+ ! option describ$ 9 ! subdivision 7,a7 foll[+ p>agraph 7#ca7 ( section #aije7;a71 dur+ su* p]iod beg9n+ aft] ! disposition ( *>ges ) respect to su* individual7 aft] is su* an inmate4 7b7 ,,*ip ,section #baaj7;b77#g7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acigg;jj7b77#g771 z add$ by section #eja7;c77#b77;,b71 is fur!r am5d$ by ins]t+ or1 at ! option ( ! ,/ate1 = an individual :o is a juv5ile1 :ile su* individual is an inmate ( a public in/itution p5d+ disposition ( *>ges aft] if su* *ild is an eligible juv5ile 7z describ$ 9 section #aijb7;a77#hd77;,d77 ) respect to scre5+s1 diagno/ic s]vices1 ref]rals1 & case managem5t o!rwise cov]$ "u ! ,/ate *ild heal? plan 7or waiv] ( su* plan74 7c7 ,effective date ,! am5dm5ts made by ?is section %all take effect on ! fir/ day ( ! fir/ cal5d> qu>t] t beg9s aft] ! date t is #ah mon?s aft] ! date ( enactm5t ( ?is ,act & %all apply to items & s]vices furni%$ = p]iods beg9n+ on or aft] su* date4 ,,vi ,miscellane\s ,provisions #fja4 ,det]m9ation ( budget>y effects ,! budget>y effects ( ?is ,act1 = ! purpose ( comply+ ) ! ,/atutory ,pay-,z-,y-,g ,act ( #bjaj1 %all be det]m9$ by ref]5ce to ! late/ /atem5t titl$ ,budget>y ,effects ( ,,paygo ,legislation = ?is ,act1 submitt$ = pr9t+ 9 ! ,congressional ,record by ! ,*airman ( ! ,h\se ,budget ,committee1 provid$ t su* /atem5t has be5 submitt$ prior to ! vote on passage4 #fjb4 ,ov]sight ( ph>macy b5efit manag] s]vices 7a7 ,,phsa ,title ,,xxvii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg et seq47 is am5d$-- 7#a7 9 "p ,d 7#db ,u4,s4,c4 #cjj;gg-#aaa et seq471 by add+ at ! end ! foll[+ new section3 #bgii;,a-#aa4 ,ov]sight ( ph>macy b5efit manag] s]vices 7a7 ,9 g5]al ,= plan ye>s beg9n+ on or aft] ,janu>y #a1 #bjbd1 a gr\p heal? plan or heal? insurance issu] (f]+ gr\p heal? insurance cov]age or an entity or subsidi>y provid+ ph>macy b5efits managem5t s]vices on behalf ( su* a plan or issu] %all n ent] into a contract ) a drug manufactur]1 di/ributor1 :olesal]1 subcontractor1 rebate aggregator1 or any associat$ ?ird p>ty t limits ! disclosure ( in=mation to plan sponsors 9 su* a mann] t prev5ts ! plan or issu]1 or an entity or subsidi>y provid+ ph>macy b5efits managem5t s]vices on behalf ( a plan or issu]1 f mak+ ! reports describ$ 9 subsection 7b74 7b7 ,reports 7#a7 ,9 g5]al ,= plan ye>s beg9n+ on or aft] ,janu>y #a1 #bjbd1 n less frequ5tly ?an once e #f mon?s1 a heal? insurance issu] (f]+ gr\p heal? insurance cov]age or an entity provid+ ph>macy b5efits managem5t s]vices on behalf ( a gr\p heal? plan or an issu] provid+ gr\p heal? insurance cov]age %all submit to ! plan sponsor 7z def9$ 9 section #c7af77;,b7 ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd7 ( su* gr\p heal? plan or heal? insurance cov]age a report 9 accordance ) ?is subsection & make su* report available to ! plan sponsor 9 a ma*9e-readable =mat4 ,ea* su* report %all include1 ) respect to ! applicable gr\p heal? plan or heal? insurance cov]age-- 7,a7 z applicable1 in=mation collect$ f drug manufactur]s by su* issu] or entity on ! total am\nt ( copaym5t assi/ance doll>s paid1 or copaym5t c>ds appli$1 t 7 fund$ by ! drug manufactur] ) respect to ! p>ticipants & b5efici>ies 9 su* plan or cov]age2 7,b7 a li/ ( ea* drug cov]$ by su* plan1 issu]1 or entity provid+ ph>macy b5efit managem5t s]vices t 0 disp5s$ dur+ ! report+ p]iod1 includ+1 ) respect to ea* su* drug dur+ ! report+ p]iod-- 7i7 ! br& "n1 *emical entity1 & ,national ,drug ,code2 7ii7 ! numb] ( p>ticipants & b5efici>ies = :om ! drug 0 fill$ dur+ ! plan ye>1 ! total numb] ( prescription fills = ! drug 7includ+ orig9al prescriptions & refills71 & ! total numb] ( dosage units ( ! drug disp5s$ across ! plan ye>1 includ+ :e!r ! disp5s+ *annel 0 by retail1 mail ord]1 or specialty ph>macy2 7iii7 ! :olesale acquisition co/1 li/$ z co/ p] days supply & co/ p] pill1 or 9 ! case ( a drug 9 ano!r =m1 p] dose2 7iv7 ! total out-(-pocket sp5d+ by p>ticipants & b5efici>ies on su* drug1 includ+ p>ticipant & b5efici>y sp5d+ ?r\gh copaym5ts1 co9surance1 & d$uctibles2 & 7v7 = any drug = :i* gross sp5d+ ( ! gr\p heal? plan or heal? insurance cov]age exce$$ #aj1jjj dur+ ! report+ p]iod-- 7,i7 a li/ ( all o!r drugs 9 ! same !rapeutic category or class1 includ+ br& "n drugs & biological products & g5]ic drugs or biosimil> biological products t are 9 ! same !rapeutic category or class z su* drug2 & 7,,ii7 ! rationale = pref]r$ =mul>y placem5t ( su* drug 9 t !rapeutic category or class1 if applicable2 7,c7 a li/ ( ea* !rapeutic category or class ( drugs t 7 disp5s$ "u ! heal? plan or heal? insurance cov]age dur+ ! report+ p]iod1 &1 ) respect to ea* su* !rapeutic category or class ( drugs1 dur+ ! report+ p]iod-- 7i7 total gross sp5d+ by ! plan1 be=e manufactur] rebates1 fees1 or o!r manufactur] remun]ation2 7ii7 ! numb] ( p>ticipants & b5efici>ies :o fill$ a prescription = a drug 9 t category or class2 7iii7 if applicable to t category or class1 a description ( ! =mul>y ti]s & utilization me*anisms 7su* z prior au?orization or /ep !rapy7 employ$ = drugs 9 t category or class2 7iv7 ! total out-(-pocket sp5d+ by p>ticipants & b5efici>ies1 includ+ p>ticipant & b5efici>y sp5d+ ?r\gh copaym5ts1 co9surance1 & d$uctibles2 & 7v7 = ea* !rapeutic category or class "u :i* #c or m drugs are includ$ on ! =mul>y ( su* plan or cov]age-- 7,i7 ! am\nt receiv$1 or expect$ to be receiv$1 f drug manufactur]s 9 rebates1 fees1 alt]native disc\nts1 or o!r remun]ation-- 7aa7 t has be5 paid1 or is to be paid1 by drug manufactur]s = claims incurr$ dur+ ! report+ p]iod2 or 7bb7 t is relat$ to utilization ( drugs1 9 su* !rapeutic category or class2 7,,ii7 ! total net sp5d+1 aft] d$uct+ rebates1 price concessions1 alt]native disc\nts or o!r remun]ation f drug manufactur]s1 by ! heal? plan or heal? insurance cov]age on t category or class ( drugs2 & 7,,iii7 ! net price p] c\rse ( treatm5t or s+le fill1 su* z a #cj-;day supply or #ij-;day supply1 incurr$ by ! heal? plan or heal? insurance cov]age & its p>ticipants & b5efici>ies1 aft] manufactur] rebates1 fees1 & o!r remun]ation = drugs disp5s$ )9 su* !rapeutic category or class dur+ ! report+ p]iod2 7,d7 total gross sp5d+ on prescription drugs by ! plan or cov]age dur+ ! report+ p]iod1 be=e rebates & o!r manufactur] fees or remun]ation2 7,e7 total am\nt receiv$1 or expect$ to be receiv$1 by ! heal? plan or heal? insurance cov]age 9 drug manufactur] rebates1 fees1 alt]native disc\nts1 & all o!r remun]ation receiv$ f ! manufactur] or any ?ird p>ty1 o!r ?an ! plan sponsor1 relat$ to utilization ( drug or drug sp5d+ "u t heal? plan or heal? insurance cov]age dur+ ! report+ p]iod2 7,f7 ! total net sp5d+ on prescription drugs by ! heal? plan or heal? insurance cov]age dur+ ! report+ p]iod2 & 7,g7 am\nts paid directly or indirectly 9 rebates1 fees1 or any o!r type ( remun]ation to brok]s1 consultants1 advisors1 or any o!r individual or firm :o ref]r$ ! gr\p heal? plan's or heal? insurance issu]'s bus9ess to ! ph>macy b5efit manag]4 7#b7 ,privacy requirem5ts ,heal? insurance issu]s (f]+ gr\p heal? insurance cov]age & entities provid+ ph>macy b5efits managem5t s]vices on behalf ( a gr\p heal? plan %all provide in=mation "u p>agraph 7#a7 9 a mann] consi/5t ) ! privacy1 security1 & brea* notification regulations promulgat$ "u section #bfd7;c7 ( ! ,heal? ,insurance ,portability & ,acc\ntability ,act ( #aiif1 & %all re/rict ! use & disclosure ( su* in=mation accord+ to su* privacy regulations4 7#c7 ,disclosure & r$isclosure 7,a7 ,limitation to bus9ess associates ,a gr\p heal? plan receiv+ a report "u p>agraph 7#a7 may disclose su* in=mation only to bus9ess associates ( su* plan z def9$ 9 section #afj4ajc ( title #de1 ,code ( ,f$]al ,regulations 7or successor regulations74 7,b7 ,cl>ification reg>d+ public disclosure ( in=mation ,no?+ 9 ?is section prev5ts a heal? insurance issu] (f]+ gr\p heal? insurance cov]age or an entity provid+ ph>macy b5efits managem5t s]vices on behalf ( a gr\p heal? plan f plac+ reasonable re/rictions on ! public disclosure ( ! in=mation conta9$ 9 a report describ$ 9 p>agraph 7#a71 except t su* issu] or entity may n re/rict disclosure ( su* report to ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 ! ,dep>tm5t ( ,labor1 ! ,dep>tm5t ( ! ,treasury1 or applicable ,/ate ag5cies4 7,c7 ,limit$ =m ( report ,! ,secret>y %all def9e ?r\gh rulemak+ a limit$ =m ( ! report "u p>agraph 7#a7 requir$ ( plan sponsors :o are drug manufactur]s1 drug :olesal]s1 or o!r direct p>ticipants 9 ! drug supply *a91 9 ord] to prev5t anti-competitive behavior4 7#d7 ,report to ,,gao ,a heal? insurance issu] (f]+ gr\p heal? insurance cov]age or an entity provid+ ph>macy b5efits managem5t s]vices on behalf ( a gr\p heal? plan %all submit to ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates ea* ( ! fir/ #d reports submitt$ to a plan sponsor "u p>agraph 7#a7 ) respect to su* cov]age or plan1 & o!r su* reports z reque/$1 9 accordance ) ! privacy requirem5ts "u p>agraph 7#b71 ! disclosure & r$isclosure /&>ds "u p>agraph 7#c71 ! /&>ds specifi$ pursuant to p>agraph 7#e71 & su* o!r in=mation t ! ,comptroll] ,g5]al det]m9es necess>y to c>ry out ! /udy "u section #fjb7;d7 ( ! ,re/or+ ,hope = ,m5tal ,heal? & ,well-,be+ ,act ( #bjbb4 7#e7 ,/&>d =mat ,n lat] ?an ,june #a1 #bjbc1 ! ,secret>y %all specify ?r\gh rulemak+ /&>ds = heal? insurance issu]s & entities requir$ to submit reports "u p>agraph 7#d7 to submit su* reports 9 a /&>d =mat4 7c7 ,en=cem5t 7#a7 ,9 g5]al ,! ,secret>y1 9 consultation ) ! ,secret>y ( ,labor & ! ,secret>y ( ! ,treasury1 %all en=ce ?is section4 7#b7 ,failure to provide timely in=mation ,a heal? insurance issu] or an entity provid+ ph>macy b5efit managem5t s]vices t violates subsection 7a7 or fails to provide in=mation requir$ "u subsection 7b71 or a drug manufactur] t fails to provide in=mation "u subsection 7b77#a77;,a7 9 a timely mann]1 %all be subject to a civil monet>y p5alty 9 ! am\nt ( #aj1jjj = ea* day dur+ :i* su* violation cont9ues or su* in=mation is n disclos$ or report$4 7#c7 ,false in=mation ,a heal? insurance issu]1 entity provid+ ph>macy b5efit managem5t s]vices1 or drug manufactur] t kn[+ly provides false in=mation "u ?is section %all be subject to a civil money p5alty 9 an am\nt n to exce$ #ajj1jjj = ea* item ( false in=mation4 ,su* civil money p5alty %all be 9 addition to o!r p5alties z may be prescrib$ by law4 7#d7 ,proc$ure ,! provisions ( section #aabh;,a ( ! ,social ,security ,act1 o!r ?an subsection 7a7 & 7b7 & ! fir/ s5t5ce ( subsection 7c77#a7 ( su* section %all apply to civil monet>y p5alties "u ?is subsection 9 ! same mann] z su* provisions apply to a p5alty or proce$+ "u section #aabh;,a ( ! ,social ,security ,act4 7#e7 ,waiv]s ,! ,secret>y may waive p5alties "u p>agraph 7#b71 or ext5d ! p]iod ( "t = compliance ) a requirem5t ( ?is section1 = an entity 9 violation ( ?is section t has made a good-fai? ef=t to comply ) ?is section4 7d7 ,rule ( con/ruction ,no?+ 9 ?is section %all be con/ru$ to p]mit a heal? insurance issu]1 gr\p heal? plan1 or o!r entity to re/rict disclosure to1 or o!rwise limit ! access (1 ! ,dep>tm5t ( ,heal? & ,human ,s]vices to a report describ$ 9 subsection 7b77#a7 or in=mation relat$ to compliance ) subsection 7a7 by su* issu]1 plan1 or entity4 7e7 ,def9ition ,9 ?is section1 ! t]m :olesale acquisition co/ has ! mean+ giv5 su* t]m 9 section #ahdg;,a7c77#f77;,b7 ( ! ,social ,security ,act4 2 & 7#b7 9 section #bgbc 7#db ,u4,s4,c4 #cjj;gg-#bb7-- 7,a7 9 subsection 7a7-- 7i7 9 p>agraph 7#a71 by ins]t+ 7o!r ?an subsections 7a7 & 7b7 ( section #bgii;,a-#aa7 aft] "p ,d2 & 7ii7 9 p>agraph 7#b71 by ins]t+ 7o!r ?an subsections 7a7 & 7b7 ( section #bgii;,a-#aa7 aft] "p ,d2 & 7,b7 9 subsection 7b7-- 7i7 9 p>agraph 7#a71 by ins]t+ 7o!r ?an subsections 7a7 & 7b7 ( section #bgii;,a-#aa7 aft] "p ,d2 7ii7 9 p>agraph 7#b77;,a71 by ins]t+ 7o!r ?an subsections 7a7 & 7b7 ( section #bgii;,a-#aa7 aft] "p ,d2 & 7iii7 9 p>agraph 7#b77;,c77ii71 by ins]t+ 7o!r ?an subsections 7a7 & 7b7 ( section #bgii;,a-#aa7 aft] "p ,d4 7b7 ,,erisa 7#a7 ,9 g5]al ,subtitle ,b ( title ,i ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd 7#bi ,u4,s4,c4 #ajba et seq47 is am5d$-- 7,a7 9 subp>t ,b ( "p #g 7#bi ,u4,s4,c4 #aahe et seq471 by add+ at ! end ! foll[+3 #gbf4 ,ov]sight ( ph>macy b5efit manag] s]vices 7a7 ,9 g5]al ,= plan ye>s beg9n+ on or aft] ,janu>y #a1 #bjbd1 a gr\p heal? plan 7or heal? insurance issu] (f]+ gr\p heal? insurance cov]age 9 connection ) su* a plan7 or an entity or subsidi>y provid+ ph>macy b5efits managem5t s]vices on behalf ( su* a plan or issu] %all n ent] into a contract ) a drug manufactur]1 di/ributor1 :olesal]1 subcontractor1 rebate aggregator1 or any associat$ ?ird p>ty t limits ! disclosure ( in=mation to plan sponsors 9 su* a mann] t prev5ts ! plan or issu]1 or an entity or subsidi>y provid+ ph>macy b5efits managem5t s]vices on behalf ( a plan or issu]1 f mak+ ! reports describ$ 9 subsection 7b74 7b7 ,reports 7#a7 ,9 g5]al ,= plan ye>s beg9n+ on or aft] ,janu>y #a1 #bjbd1 n less frequ5tly ?an once e #f mon?s1 a heal? insurance issu] (f]+ gr\p heal? insurance cov]age or an entity provid+ ph>macy b5efits managem5t s]vices on behalf ( a gr\p heal? plan or an issu] provid+ gr\p heal? insurance cov]age %all submit to ! plan sponsor 7z def9$ 9 section #c7af77;,b77 ( su* gr\p heal? plan or gr\p heal? insurance cov]age a report 9 accordance ) ?is subsection & make su* report available to ! plan sponsor 9 a ma*9e-readable =mat4 ,ea* su* report %all include1 ) respect to ! applicable gr\p heal? plan or heal? insurance cov]age-- 7,a7 z applicable1 in=mation collect$ f drug manufactur]s by su* issu] or entity on ! total am\nt ( copaym5t assi/ance doll>s paid1 or copaym5t c>ds appli$1 t 7 fund$ by ! drug manufactur] ) respect to ! p>ticipants & b5efici>ies 9 su* plan or cov]age2 7,b7 a li/ ( ea* drug cov]$ by su* plan1 issu]1 or entity provid+ ph>macy b5efit managem5t s]vices t 0 disp5s$ dur+ ! report+ p]iod1 includ+1 ) respect to ea* su* drug dur+ ! report+ p]iod-- 7i7 ! br& "n1 *emical entity1 & ,national ,drug ,code2 7ii7 ! numb] ( p>ticipants & b5efici>ies = :om ! drug 0 fill$ dur+ ! plan ye>1 ! total numb] ( prescription fills = ! drug 7includ+ orig9al prescriptions & refills71 & ! total numb] ( dosage units ( ! drug disp5s$ across ! plan ye>1 includ+ :e!r ! disp5s+ *annel 0 by retail1 mail ord]1 or specialty ph>macy2 7iii7 ! :olesale acquisition co/1 li/$ z co/ p] days supply & co/ p] pill1 or 9 ! case ( a drug 9 ano!r =m1 p] dose2 7iv7 ! total out-(-pocket sp5d+ by p>ticipants & b5efici>ies on su* drug1 includ+ p>ticipant & b5efici>y sp5d+ ?r\gh copaym5ts1 co9surance1 & d$uctibles2 & 7v7 = any drug = :i* gross sp5d+ ( ! gr\p heal? plan or heal? insurance cov]age exce$$ #aj1jjj dur+ ! report+ p]iod-- 7,i7 a li/ ( all o!r drugs 9 ! same !rapeutic category or class1 includ+ br& "n drugs & biological products & g5]ic drugs or biosimil> biological products t are 9 ! same !rapeutic category or class z su* drug2 & 7,,ii7 ! rationale = pref]r$ =mul>y placem5t ( su* drug 9 t !rapeutic category or class1 if applicable2 7,c7 a li/ ( ea* !rapeutic category or class ( drugs t 7 disp5s$ "u ! heal? plan or heal? insurance cov]age dur+ ! report+ p]iod1 &1 ) respect to ea* su* !rapeutic category or class ( drugs1 dur+ ! report+ p]iod-- 7i7 total gross sp5d+ by ! plan1 be=e manufactur] rebates1 fees1 or o!r manufactur] remun]ation2 7ii7 ! numb] ( p>ticipants & b5efici>ies :o fill$ a prescription = a drug 9 t category or class2 7iii7 if applicable to t category or class1 a description ( ! =mul>y ti]s & utilization me*anisms 7su* z prior au?orization or /ep !rapy7 employ$ = drugs 9 t category or class2 7iv7 ! total out-(-pocket sp5d+ by p>ticipants & b5efici>ies1 includ+ p>ticipant & b5efici>y sp5d+ ?r\gh copaym5ts1 co9surance1 & d$uctibles2 & 7v7 = ea* !rapeutic category or class "u :i* #c or m drugs are includ$ on ! =mul>y ( su* plan or cov]age-- 7,i7 ! am\nt receiv$1 or expect$ to be receiv$1 f drug manufactur]s 9 rebates1 fees1 alt]native disc\nts1 or o!r remun]ation-- 7aa7 t has be5 paid1 or is to be paid1 by drug manufactur]s = claims incurr$ dur+ ! report+ p]iod2 or 7bb7 t is relat$ to utilization ( drugs1 9 su* !rapeutic category or class2 7,,ii7 ! total net sp5d+1 aft] d$uct+ rebates1 price concessions1 alt]native disc\nts or o!r remun]ation f drug manufactur]s1 by ! heal? plan or heal? insurance cov]age on t category or class ( drugs2 & 7,,iii7 ! net price p] c\rse ( treatm5t or s+le fill1 su* z a #cj-;day supply or #ij-;day supply1 incurr$ by ! heal? plan or heal? insurance cov]age & its p>ticipants & b5efici>ies1 aft] manufactur] rebates1 fees1 & o!r remun]ation = drugs disp5s$ )9 su* !rapeutic category or class dur+ ! report+ p]iod2 7,d7 total gross sp5d+ on prescription drugs by ! plan or cov]age dur+ ! report+ p]iod1 be=e rebates & o!r manufactur] fees or remun]ation2 7,e7 total am\nt receiv$1 or expect$ to be receiv$1 by ! heal? plan or heal? insurance cov]age 9 drug manufactur] rebates1 fees1 alt]native disc\nts1 & all o!r remun]ation receiv$ f ! manufactur] or any ?ird p>ty1 o!r ?an ! plan sponsor1 relat$ to utilization ( drug or drug sp5d+ "u t heal? plan or heal? insurance cov]age dur+ ! report+ p]iod2 7,f7 ! total net sp5d+ on prescription drugs by ! heal? plan or heal? insurance cov]age dur+ ! report+ p]iod2 & 7,g7 am\nts paid directly or indirectly 9 rebates1 fees1 or any o!r type ( remun]ation to brok]s1 consultants1 advisors1 or any o!r individual or firm :o ref]r$ ! gr\p heal? plan's or heal? insurance issu]'s bus9ess to ! ph>macy b5efit manag]4 7#b7 ,privacy requirem5ts ,heal? insurance issu]s (f]+ gr\p heal? insurance cov]age & entities provid+ ph>macy b5efits managem5t s]vices on behalf ( a gr\p heal? plan %all provide in=mation "u p>agraph 7#a7 9 a mann] consi/5t ) ! privacy1 security1 & brea* notification regulations promulgat$ "u section #bfd7;c7 ( ! ,heal? ,insurance ,portability & ,acc\ntability ,act ( #aiif1 & %all re/rict ! use & disclosure ( su* in=mation accord+ to su* privacy regulations4 7#c7 ,disclosure & r$isclosure 7,a7 ,limitation to bus9ess associates ,a gr\p heal? plan receiv+ a report "u p>agraph 7#a7 may disclose su* in=mation only to bus9ess associates ( su* plan z def9$ 9 section #afj4ajc ( title #de1 ,code ( ,f$]al ,regulations 7or successor regulations74 7,b7 ,cl>ification reg>d+ public disclosure ( in=mation ,no?+ 9 ?is section prev5ts a heal? insurance issu] (f]+ gr\p heal? insurance cov]age or an entity provid+ ph>macy b5efits managem5t s]vices on behalf ( a gr\p heal? plan f plac+ reasonable re/rictions on ! public disclosure ( ! in=mation conta9$ 9 a report describ$ 9 p>agraph 7#a71 except t su* issu] or entity may n re/rict disclosure ( su* report to ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 ! ,dep>tm5t ( ,labor1 ! ,dep>tm5t ( ! ,treasury1 or applicable ,/ate ag5cies4 7,c7 ,limit$ =m ( report ,! ,secret>y %all def9e ?r\gh rulemak+ a limit$ =m ( ! report "u p>agraph 7#a7 requir$ ( plan sponsors :o are drug manufactur]s1 drug :olesal]s1 or o!r direct p>ticipants 9 ! drug supply *a91 9 ord] to prev5t anti-competitive behavior4 7#d7 ,report to ,,gao ,a heal? insurance issu] (f]+ gr\p heal? insurance cov]age or an entity provid+ ph>macy b5efits managem5t s]vices on behalf ( a gr\p heal? plan %all submit to ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates ea* ( ! fir/ #d reports submitt$ to a plan sponsor "u p>agraph 7#a7 ) respect to su* cov]age or plan1 & o!r su* reports z reque/$1 9 accordance ) ! privacy requirem5ts "u p>agraph 7#b71 ! disclosure & r$isclosure /&>ds "u p>agraph 7#c71 ! /&>ds specifi$ pursuant to p>agraph 7#e71 & su* o!r in=mation t ! ,comptroll] ,g5]al det]m9es necess>y to c>ry out ! /udy "u section #fjb7;d7 ( ! ,re/or+ ,hope = ,m5tal ,heal? & ,well-,be+ ,act ( #bjbb4 7#e7 ,/&>d =mat ,n lat] ?an ,june #a1 #bjbc1 ! ,secret>y %all specify ?r\gh rulemak+ /&>ds = heal? insurance issu]s & entities requir$ to submit reports "u p>agraph 7#d7 to submit su* reports 9 a /&>d =mat4 7c7 ,en=cem5t 7#a7 ,9 g5]al ,! ,secret>y1 9 consultation ) ! ,secret>y ( ,heal? & ,human ,s]vices & ! ,secret>y ( ! ,treasury1 %all en=ce ?is section4 7#b7 ,failure to provide timely in=mation ,a heal? insurance issu] or an entity provid+ ph>macy b5efit managem5t s]vices t violates subsection 7a7 or fails to provide in=mation requir$ "u subsection 7b71 or a drug manufactur] t fails to provide in=mation "u subsection 7b77#a77;,a7 9 a timely mann]1 %all be subject to a civil monet>y p5alty 9 ! am\nt ( #aj1jjj = ea* day dur+ :i* su* violation cont9ues or su* in=mation is n disclos$ or report$4 7#c7 ,false in=mation ,a heal? insurance issu]1 entity provid+ ph>macy b5efit managem5t s]vices1 or drug manufactur] t kn[+ly provides false in=mation "u ?is section %all be subject to a civil money p5alty 9 an am\nt n to exce$ #ajj1jjj = ea* item ( false in=mation4 ,su* civil money p5alty %all be 9 addition to o!r p5alties z may be prescrib$ by law4 7#d7 ,proc$ure ,! provisions ( section #aabh;,a ( ! ,social ,security ,act1 o!r ?an subsection 7a7 & 7b7 & ! fir/ s5t5ce ( subsection 7c77#a7 ( su* section %all apply to civil monet>y p5alties "u ?is subsection 9 ! same mann] z su* provisions apply to a p5alty or proce$+ "u section #aabh;,a ( ! ,social ,security ,act4 7#e7 ,waiv]s ,! ,secret>y may waive p5alties "u p>agraph 7#b71 or ext5d ! p]iod ( "t = compliance ) a requirem5t ( ?is section1 = an entity 9 violation ( ?is section t has made a good-fai? ef=t to comply ) ?is section4 7d7 ,rule ( con/ruction ,no?+ 9 ?is section %all be con/ru$ to p]mit a heal? insurance issu]1 gr\p heal? plan1 or o!r entity to re/rict disclosure to1 or o!rwise limit ! access (1 ! ,dep>tm5t ( ,labor to a report describ$ 9 subsection 7b77#a7 or in=mation relat$ to compliance ) subsection 7a7 by su* issu]1 plan1 or entity4 7e7 ,def9ition ,9 ?is section1 ! t]m :olesale acquisition co/ has ! mean+ giv5 su* t]m 9 section #ahdg;,a7c77#f77;,b7 ( ! ,social ,security ,act4 2 & 7,b7 9 section #ejb7;b77#c7 7#bi ,u4,s4,c4 #aacb7;b77#c771 by ins]t+ 7o!r ?an section #gbf7 aft] "p #g4 7#b7 ,cl]ical am5dm5t ,! table ( cont5ts 9 section #a ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd 7#bi ,u4,s4,c4 #ajja et seq47 is am5d$ by ins]t+ aft] ! item relat+ to section #gbe ! foll[+ new item3 ,sec4 #gbf4 ,ov]sight ( ph>macy b5efit manag] s]vices4 4 7c7 ,,irc 7#a7 ,9 g5]al ,sub*apt] ,b ( *apt] #ajj ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by add+ at ! end ! foll[+3 #ihbf4 ,ov]sight ( ph>macy b5efit manag] s]vices 7a7 ,9 g5]al ,= plan ye>s beg9n+ on or aft] ,janu>y #a1 #bjbd1 a gr\p heal? plan or an entity or subsidi>y provid+ ph>macy b5efits managem5t s]vices on behalf ( su* a plan %all n ent] into a contract ) a drug manufactur]1 di/ributor1 :olesal]1 subcontractor1 rebate aggregator1 or any associat$ ?ird p>ty t limits ! disclosure ( in=mation to plan sponsors 9 su* a mann] t prev5ts ! plan1 or an entity or subsidi>y provid+ ph>macy b5efits managem5t s]vices on behalf ( a plan1 f mak+ ! reports describ$ 9 subsection 7b74 7b7 ,reports 7#a7 ,9 g5]al ,= plan ye>s beg9n+ on or aft] ,janu>y #a1 #bjbd1 n less frequ5tly ?an once e #f mon?s1 an entity provid+ ph>macy b5efits managem5t s]vices on behalf ( a gr\p heal? plan %all submit to ! plan sponsor 7z def9$ 9 section #c7af77;,b7 ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd7 ( su* gr\p heal? plan a report 9 accordance ) ?is subsection & make su* report available to ! plan sponsor 9 a ma*9e-readable =mat4 ,ea* su* report %all include1 ) respect to ! applicable gr\p heal? plan-- 7,a7 z applicable1 in=mation collect$ f drug manufactur]s by su* entity on ! total am\nt ( copaym5t assi/ance doll>s paid1 or copaym5t c>ds appli$1 t 7 fund$ by ! drug manufactur] ) respect to ! p>ticipants & b5efici>ies 9 su* plan2 7,b7 a li/ ( ea* drug cov]$ by su* plan or entity provid+ ph>macy b5efit managem5t s]vices t 0 disp5s$ dur+ ! report+ p]iod1 includ+1 ) respect to ea* su* drug dur+ ! report+ p]iod-- 7i7 ! br& "n1 *emical entity1 & ,national ,drug ,code2 7ii7 ! numb] ( p>ticipants & b5efici>ies = :om ! drug 0 fill$ dur+ ! plan ye>1 ! total numb] ( prescription fills = ! drug 7includ+ orig9al prescriptions & refills71 & ! total numb] ( dosage units ( ! drug disp5s$ across ! plan ye>1 includ+ :e!r ! disp5s+ *annel 0 by retail1 mail ord]1 or specialty ph>macy2 7iii7 ! :olesale acquisition co/1 li/$ z co/ p] days supply & co/ p] pill1 or 9 ! case ( a drug 9 ano!r =m1 p] dose2 7iv7 ! total out-(-pocket sp5d+ by p>ticipants & b5efici>ies on su* drug1 includ+ p>ticipant & b5efici>y sp5d+ ?r\gh copaym5ts1 co9surance1 & d$uctibles2 & 7v7 = any drug = :i* gross sp5d+ ( ! gr\p heal? plan exce$$ #aj1jjj dur+ ! report+ p]iod-- 7,i7 a li/ ( all o!r drugs 9 ! same !rapeutic category or class1 includ+ br& "n drugs & biological products & g5]ic drugs or biosimil> biological products t are 9 ! same !rapeutic category or class z su* drug2 & 7,,ii7 ! rationale = pref]r$ =mul>y placem5t ( su* drug 9 t !rapeutic category or class1 if applicable2 7,c7 a li/ ( ea* !rapeutic category or class ( drugs t 7 disp5s$ "u ! heal? plan dur+ ! report+ p]iod1 &1 ) respect to ea* su* !rapeutic category or class ( drugs1 dur+ ! report+ p]iod-- 7i7 total gross sp5d+ by ! plan1 be=e manufactur] rebates1 fees1 or o!r manufactur] remun]ation2 7ii7 ! numb] ( p>ticipants & b5efici>ies :o fill$ a prescription = a drug 9 t category or class2 7iii7 if applicable to t category or class1 a description ( ! =mul>y ti]s & utilization me*anisms 7su* z prior au?orization or /ep !rapy7 employ$ = drugs 9 t category or class2 7iv7 ! total out-(-pocket sp5d+ by p>ticipants & b5efici>ies1 includ+ p>ticipant & b5efici>y sp5d+ ?r\gh copaym5ts1 co9surance1 & d$uctibles2 & 7v7 = ea* !rapeutic category or class "u :i* #c or m drugs are includ$ on ! =mul>y ( su* plan-- 7,i7 ! am\nt receiv$1 or expect$ to be receiv$1 f drug manufactur]s 9 rebates1 fees1 alt]native disc\nts1 or o!r remun]ation-- 7aa7 t has be5 paid1 or is to be paid1 by drug manufactur]s = claims incurr$ dur+ ! report+ p]iod2 or 7bb7 t is relat$ to utilization ( drugs1 9 su* !rapeutic category or class2 7,,ii7 ! total net sp5d+1 aft] d$uct+ rebates1 price concessions1 alt]native disc\nts or o!r remun]ation f drug manufactur]s1 by ! heal? plan on t category or class ( drugs2 & 7,,iii7 ! net price p] c\rse ( treatm5t or s+le fill1 su* z a #cj-;day supply or #ij-;day supply1 incurr$ by ! heal? plan & its p>ticipants & b5efici>ies1 aft] manufactur] rebates1 fees1 & o!r remun]ation = drugs disp5s$ )9 su* !rapeutic category or class dur+ ! report+ p]iod2 7,d7 total gross sp5d+ on prescription drugs by ! plan dur+ ! report+ p]iod1 be=e rebates & o!r manufactur] fees or remun]ation2 7,e7 total am\nt receiv$1 or expect$ to be receiv$1 by ! heal? plan 9 drug manufactur] rebates1 fees1 alt]native disc\nts1 & all o!r remun]ation receiv$ f ! manufactur] or any ?ird p>ty1 o!r ?an ! plan sponsor1 relat$ to utilization ( drug or drug sp5d+ "u t heal? plan dur+ ! report+ p]iod2 7,f7 ! total net sp5d+ on prescription drugs by ! heal? plan dur+ ! report+ p]iod2 & 7,g7 am\nts paid directly or indirectly 9 rebates1 fees1 or any o!r type ( remun]ation to brok]s1 consultants1 advisors1 or any o!r individual or firm :o ref]r$ ! gr\p heal? plan's bus9ess to ! ph>macy b5efit manag]4 7#b7 ,privacy requirem5ts ,entities provid+ ph>macy b5efits managem5t s]vices on behalf ( a gr\p heal? plan %all provide in=mation "u p>agraph 7#a7 9 a mann] consi/5t ) ! privacy1 security1 & brea* notification regulations promulgat$ "u section #bfd7;c7 ( ! ,heal? ,insurance ,portability & ,acc\ntability ,act ( #aiif1 & %all re/rict ! use & disclosure ( su* in=mation accord+ to su* privacy regulations4 7#c7 ,disclosure & r$isclosure 7,a7 ,limitation to bus9ess associates ,a gr\p heal? plan receiv+ a report "u p>agraph 7#a7 may disclose su* in=mation only to bus9ess associates ( su* plan z def9$ 9 section #afj4ajc ( title #de1 ,code ( ,f$]al ,regulations 7or successor regulations74 7,b7 ,cl>ification reg>d+ public disclosure ( in=mation ,no?+ 9 ?is section prev5ts an entity provid+ ph>macy b5efits managem5t s]vices on behalf ( a gr\p heal? plan f plac+ reasonable re/rictions on ! public disclosure ( ! in=mation conta9$ 9 a report describ$ 9 p>agraph 7#a71 except t su* entity may n re/rict disclosure ( su* report to ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 ! ,dep>tm5t ( ,labor1 ! ,dep>tm5t ( ! ,treasury1 or applicable ,/ate ag5cies4 7,c7 ,limit$ =m ( report ,! ,secret>y %all def9e ?r\gh rulemak+ a limit$ =m ( ! report "u p>agraph 7#a7 requir$ ( plan sponsors :o are drug manufactur]s1 drug :olesal]s1 or o!r direct p>ticipants 9 ! drug supply *a91 9 ord] to prev5t anti-competitive behavior4 7#d7 ,report to ,,gao ,an entity provid+ ph>macy b5efits managem5t s]vices on behalf ( a gr\p heal? plan %all submit to ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates ea* ( ! fir/ #d reports submitt$ to a plan sponsor "u p>agraph 7#a7 ) respect to su* plan1 & o!r su* reports z reque/$1 9 accordance ) ! privacy requirem5ts "u p>agraph 7#b71 ! disclosure & r$isclosure /&>ds "u p>agraph 7#c71 ! /&>ds specifi$ pursuant to p>agraph 7#e71 & su* o!r in=mation t ! ,comptroll] ,g5]al det]m9es necess>y to c>ry out ! /udy "u section #fjb7;d7 ( ! ,re/or+ ,hope = ,m5tal ,heal? & ,well-,be+ ,act ( #bjbb4 7#e7 ,/&>d =mat ,n lat] ?an ,june #a1 #bjbc1 ! ,secret>y %all specify ?r\gh rulemak+ /&>ds = entities requir$ to submit reports "u p>agraph 7#d7 to submit su* reports 9 a /&>d =mat4 7c7 ,en=cem5t 7#a7 ,9 g5]al ,! ,secret>y1 9 consultation ) ! ,secret>y ( ,labor & ! ,secret>y ( ,heal? & ,human ,s]vices1 %all en=ce ?is section4 7#b7 ,failure to provide timely in=mation ,an entity provid+ ph>macy b5efit managem5t s]vices t violates subsection 7a7 or fails to provide in=mation requir$ "u subsection 7b71 or a drug manufactur] t fails to provide in=mation "u subsection 7b77#a77;,a7 9 a timely mann]1 %all be subject to a civil monet>y p5alty 9 ! am\nt ( #aj1jjj = ea* day dur+ :i* su* violation cont9ues or su* in=mation is n disclos$ or report$4 7#c7 ,false in=mation ,an entity provid+ ph>macy b5efit managem5t s]vices1 or drug manufactur] t kn[+ly provides false in=mation "u ?is section %all be subject to a civil money p5alty 9 an am\nt n to exce$ #ajj1jjj = ea* item ( false in=mation4 ,su* civil money p5alty %all be 9 addition to o!r p5alties z may be prescrib$ by law4 7#d7 ,proc$ure ,! provisions ( section #aabh;,a ( ! ,social ,security ,act1 o!r ?an subsection 7a7 & 7b7 & ! fir/ s5t5ce ( subsection 7c77#a7 ( su* section %all apply to civil monet>y p5alties "u ?is subsection 9 ! same mann] z su* provisions apply to a p5alty or proce$+ "u section #aabh;,a ( ! ,social ,security ,act4 7#e7 ,waiv]s ,! ,secret>y may waive p5alties "u p>agraph 7#b71 or ext5d ! p]iod ( "t = compliance ) a requirem5t ( ?is section1 = an entity 9 violation ( ?is section t has made a good-fai? ef=t to comply ) ?is section4 7d7 ,rule ( con/ruction ,no?+ 9 ?is section %all be con/ru$ to p]mit a gr\p heal? plan or o!r entity to re/rict disclosure to1 or o!rwise limit ! access (1 ! ,dep>tm5t ( ! ,treasury to a report describ$ 9 subsection 7b77#a7 or in=mation relat$ to compliance ) subsection 7a7 by su* plan or entity4 7e7 ,def9ition ,9 ?is section1 ! t]m :olesale acquisition co/ has ! mean+ giv5 su* t]m 9 section #ahdg;,a7c77#f77;,b7 ( ! ,social ,security ,act4 4 7#b7 ,cl]ical am5dm5t ,! table ( sections = sub*apt] ,b ( *apt] #ajj ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by add+ at ! end ! foll[+ new item3 ,sec4 #ihbf4 ,ov]sight ( ph>macy b5efit manag] s]vices4 4 7d7 ,,gao /udy 7#a7 ,9 g5]al ,n lat] ?an #c ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ,congress a report on-- 7,a7 ph>macy networks ( gr\p heal? plans1 heal? insurance issu]s1 & entities provid+ ph>macy b5efit managem5t s]vices "u su* gr\p heal? plan or gr\p or individual heal? insurance cov]age1 includ+ networks t h ph>macies t are "u common own]%ip 79 :ole or "p7 ) gr\p heal? plans1 heal? insurance issu]s1 or entities provid+ ph>macy b5efit managem5t s]vices or ph>macy b5efit adm9i/rative s]vices "u gr\p heal? plan or gr\p or individual heal? insurance cov]age2 7,b7 z x relates to ph>macy networks t include ph>macies "u common own]%ip describ$ 9 subp>agraph 7,a7-- 7i7 :e!r su* networks are design$ to enc\rage enrollees ( a plan or cov]age to use su* ph>macies ov] o!r network ph>macies = specific s]vices or drugs1 & if s1 ! reasons ! networks give = enc\rag+ use ( su* ph>macies2 & 7ii7 :e!r su* ph>macies are us$ by enrollees disproportionately m 9 ! aggregate or = specific s]vices or drugs comp>$ to o!r network ph>macies2 7,c7 :e!r gr\p heal? plans & heal? insurance issu]s (f]+ gr\p or individual heal? insurance cov]age h options to elect diff]5t network pric+ arrangem5ts 9 ! m>ketplace ) entities t provide ph>macy b5efit managem5t s]vices1 ! preval5ce ( elect+ su* diff]5t network pric+ arrangem5ts2 7,d7 ph>macy network design p>amet]s t enc\rage enrollees 9 ! plan or cov]age to fill prescriptions at mail ord]1 specialty1 or retail ph>macies t are :olly or p>tially-own$ by t issu] or entity2 & 7,e7 ! degree to :i* mail ord]1 specialty1 or retail ph>macies t disp5se prescription drugs to an enrollee 9 a gr\p heal? plan or heal? insurance cov]age t are "u common own]%ip 79 :ole or "p7 ) gr\p heal? plans1 heal? insurance issu]s1 or entities provid+ ph>macy b5efit managem5t s]vices or ph>macy b5efit adm9i/rative s]vices "u gr\p heal? plan or gr\p or individual heal? insurance cov]age receive reimbursem5t t is great] ?an ! m$ian price *>g$ to ! gr\p heal? plan or heal? insurance issu] :5 ! same drug is disp5s$ to enrollees 9 ! plan or cov]age by o!r ph>macies includ$ 9 ! ph>macy network ( t plan1 issu]1 or entity t are n :olly or p>tially own$ by ! heal? insurance issu] or entity provid+ ph>macy b5efit managem5t s]vices4 7#b7 ,requirem5t ,! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all ensure t ! report "u p>agraph 7#a7 does n conta9 in=mation t w\ld all[ a read] to id5tify a specific plan or entity provid+ ph>macy b5efits managem5t s]vices or o!rwise conta9 comm]cial or f9ancial in=mation t is privileg$ or confid5tial4 7#c7 ,def9itions ,9 ?is subsection1 ! t]ms gr\p heal? plan1 heal? insurance cov]age1 & heal? insurance issu] h ! mean+s giv5 su* t]ms 9 section #bgia ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#ia74 #fjc4 ,m$ic>e ,improvem5t ,fund ,section #ahih7;b77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;iii7b77#a77 is am5d$ by /rik+ #e1jjj1jjj & ins]t+ #a1jbi1jjj1jjj4 #fjd4 ,limitations on au?ority ,9 c>ry+ out any program ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration ^: /atutory au?orization is enact$ or am5d$ by ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all n allocate fund+1 or require aw>d recipi5ts to prioritize1 d$icate1 or allocate fund+1 )\t consid]ation ( ! incid5ce1 preval5ce1 or det]m9ants ( m5tal heal? or sub/ance use issues1 unless su* allocation or requirem5t is consi/5t ) /atute1 regulation1 or o!r ,f$]al law4 ,pass$ ! ,h\se ( ,repres5tatives ,june #bb1 #bjbb4;,cl]k4