,,ib ,union ,cal5d> ,no4 #bgf #aag? ,,congress #b;d ,session ,h4 ,r4 #gfff ,report ,no4 #aag-cfd1 ,"p ,i ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,may #f1 #bjbb,mr4 ,pallone 7= himself & ,mrs4 ,rodg]s ( ,wa%+ton7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce1 & 9 addition to ! ,committee on ! ,judici>y1 = a p]iod to be subsequ5tly det]m9$ by ! ,speak]1 9 ea* case = consid]ation ( su* provisions z fall )9 ! jurisdiction ( ! committee conc]n$ ,june #ac1 #bjbb;,additional sponsor3 ,mr4 ,trone ,june #ac1 #bjbb,report$ f ! ,committee on ,en]gy & ,comm]ce ) an amendment,strike out all aft] ! enact+ clause & ins]t ! "p pr9t$ 9 italic ,june #ac1 #bjbb;,committee on ! ,judici>y dis*>g$2 committ$ to ! ,committee ( ! ,:ole ,h\se on ! ,/ate ( ! ,union & ord]$ to be printed,for text ( introduc$ bill1 see copy ( bill z introduc$ on ,may #f1 #bjbb ,a ,,bill ,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 ,needs,subtitle ,a--,crisis ,c>e ,s]vices & #i-h-h ,implementation,sec4 #aja4 ,behavioral ,heal? ,crisis ,coord9at+ ,(fice4,sec4 #ajb4 ,crisis response cont9uum ( c>e4,subtitle ,b--,into ! ,light = ,mat]nal ,m5tal ,heal? & ,sub/ance ,use ,disorders,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,subtitle ,d--,anna ,we/9 ,legacy,sec4 #aca4 ,ma9ta9+ education & tra9+ on eat+ disord]s4,subtitle ,e--,community ,m5tal ,heal? ,s]vices ,block ,grant ,reauthorization,sec4 #ada4 ,reau?orization ( block grants = community m5tal heal? s]vices4,subtitle ,f--,pe]-,support$ ,m5tal ,heal? ,services,sec4 #aea4 ,pe]-support$ m5tal heal? s]vices4,title ,,ii--,sub/ance ,use ,disord] ,prev5tion1 ,treatm5t1 & ,recov]y ,services,subtitle ,a--,native ,behavioral ,heal? ,access ,improvement,sec4 #bja4 ,behavioral heal? & sub/ance use disord] s]vices = ,native ,am]icans4,subtitle ,b--,summ] ,b>r[ ,prev5tion1 ,treatm5t1 & ,recovery,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$ication access & education grant programs4,sec4 #bba4 ,/ate demon/ration grants = compreh5sive opioid abuse response4,sec4 #bbb4 ,em]g5cy dep>tm5t alt]natives to opioids4,subtitle ,c--,excell5ce 9 ,recov]y ,housing,sec4 #bca4 ,cl>ify+ ! role ( ,,samhsa 9 promot+ ! availability ( high-quality recov]y h\s+4,sec4 #bcb4 ,develop+ guidel9es = ,/ates to promote ! availability ( high-quality recov]y h\s+4,sec4 #bcc4 ,coord9ation ( ,f$]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 ,disorder,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$]al opioid treatm5t /&>ds4,subtitle ,f--,additional ,provisions ,relat+ to ,addiction ,treatment,sec4 #bfa4 ,prohibition4,sec4 #bfb4 ,elim9at+ additional requirem5ts = disp5s+ n>cotic drugs 9 s*$ule ,,iii1 ,,iv1 & ,v = ma9t5ance or detoxification treatm5t4,sec4 #bfc4 ,requir+ prescrib]s ( controll$ sub/ances to complete tra9+4,title ,,iii--,access to ,m5tal ,heal? ,c>e & ,coverage,subtitle ,a--,collaborate 9 an ,ord]ly & ,cohesive ,manner,sec4 #cja4 ,increas+ uptake ( ! collaborative c>e model4,subtitle ,b--,help+ ,enable ,access to ,lifesav+ ,services,sec4 #caa4 ,reau?orization & provision ( c]ta9 programs to /r5g!n ! heal? c>e work=ce4,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 implementation,sec4 #cca4 ,grants to support m5tal heal? & sub/ance use disord] p>ity implem5tation4,title ,,iv--,*ildr5 & ,youth,subtitle ,a--,support+ ,*ildr5's ,m5tal ,heal? ,c>e ,access,sec4 #dja4 ,p$iatric m5tal heal? c>e access grants4,sec4 #djb4 ,infant & e>ly *ildhood m5tal heal? promotion1 int]v5tion1 & treatm5t4,subtitle ,b--,cont9u+ ,sy/ems ( ,c>e = ,children,sec4 #daa4 ,compreh5sive ,community ,m5tal ,heal? ,s]vices = ,*ildr5 ) ,s]i\s ,emotional ,di/urbances4,sec4 #dab4 ,sub/ance ,use ,disord] ,treatm5t & ,e>ly ,int]v5tion ,s]vices = ,*ildr5 & ,adolesc5ts4,subtitle ,c--,g>rett ,lee ,smi? ,memorial ,reauthorization,sec4 #dba4 ,suicide prev5tion te*nical assi/ance c5t]4,sec4 #dbb4 ,y\? suicide e>ly int]v5tion & prev5tion /rategies4,sec4 #dbc4 ,m5tal heal? & sub/ance use disord] s]vices = /ud5ts 9 high] education4,sec4 #dbd4 ,m5tal & behavioral heal? outrea* & education at in/itutions ( high] education4 ,i ,m5tal ,heal? & ,crisis ,c>e ,ne$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 community m5tal heal? c5t]s 7z def9$ 9 section #ahfa7;ff77#c77;,b7 ( ! ,social ,security ,act72 7,c7 c]tifi$ community behavioral heal? cl9ics1 z describ$ 9 section #bbc ( ! ,protect+ ,access to ,m$ic>e ,act ( #bjad2 & 7,d7 o!r community m5tal heal? & sub/ance use disord] provid]s4 7c7 ,au?orization ( appropriations ,!re is au?oriz$ 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 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 ,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+ ! hotl9e4 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 ,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 ,,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 physician1 ! 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 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 ,psy*iatric ,association1 or any o!r organization accr$it$ by ! ,accr$itation ,c\ncil = ,cont9u+ ,m$ical ,education 7commonly kn[n z ! ,,accme72 7,,ii7 any organization accr$it$ by a ,/ate m$ical society accr$itor t is recogniz$ by ! ,,accme2 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 ,abuse or ! ,,accme4 7v7 ,! physician graduat$ 9 good /&+ f an accr$it$ s*ool ( allopa?ic m$ic9e or o/eopa?ic 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 t includ$ n less ?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 ,if ! practition] is n a physician1 ! 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 ! 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+ ,! ,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#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 ,,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 ,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 ,,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 ,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 ,june #ac1 #bjbb,report$ f ! ,committee on ,en]gy & ,comm]ce ) an amendment,june #ac1 #bjbb;,committee on ! ,judici>y dis*>g$2 committ$ to ! ,committee ( ! ,:ole ,h\se on ! ,/ate ( ! ,union & ord]$ to be pr9t$