,,ii #aagth ,,congress #b;d ,session ,s4 #dagj ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,may #aj1 #bjbb,mr4 ,cassidy 7for himself and ,mr4 ,murphy7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to reauthorize programs related to mental health1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,mental ,health ,reform ,reauthorization ,act of #bjbb4 #b4 ,substance abuse and mental health services administration ,section #eja7;d7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;aa7d77 is amended-- 7#a7 in paragraph 7#e71 by inserting coordination between programs and ,centers of ,excellence regarding promising and best practices and dissemination to the field and after 1 including2 7#b7 in paragraph 7#bd77;,e71 by striking 2 and and inserting a semicolon2 7#c7 in paragraph 7#be71 by striking the period and inserting 2 and2 and 7#d7 by adding at the end the following3 7#bf7 coordinate with the ,centers for ,medicare ,medicaid ,services to promote coverage of evidence-based prevention and treatment services1 improve quality of care1 and identify opportunities for ,state ,medicaid agencies and ,state mental health and substance use disorder agencies to collaborate1 including through the braiding of funds1 demonstration programs1 waivers1 amendments to ,state plans under section #aiab1 other ,state flexibilities1 and agency guidance for all populations enrolled in ,medicaid programs4 4 #c4 ,community mental health services block grant 7a7 ,funding ,section #aibj of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#i7 is amended-- 7#a7 in subsection 7a71 by striking #ecb1ega1jjj for each of fiscal years #bjah through #bjbb and inserting #a1jjj1jjj1jjj for each of fiscal years #bjbc through #bjbg2 and 7#b7 by adding at the end the following3 7d7 ,crisis care 7#a7 ,in general ,except as provided in paragraph 7#c71 a ,state shall expend not less than #e percent of the amount the ,state receives pursuant to section #aiaa for each fiscal year to support evidenced-based programs4 7#b7 ,core elements ,at the discretion of the single ,state agency responsible for the administration of the program of the ,state under a grant under section #aiaa1 funds expended pursuant to paragraph 7#a7 may be used to fund some or all of the core crisis care service components1 delivered according to evidence-based principles1 including the following3 7,a7 ,crisis call centers4 7,b7 #bd_/g mobile crisis services4 7,c7 ,crisis stabilization programs offering acute care or subacute care in a hospital or appropriately licensed facility1 as determined by the ,substance ,abuse and ,mental ,health ,services ,administration1 with referrals to inpatient or outpatient care4 7#c7 ,state flexibility ,in lieu of expending #e percent of the amount the ,state receives pursuant to section #aiaa for a fiscal year to support evidence-based programs as required by paragraph 7#a71 a ,state may elect to expend not less than #aj percent of such amount to support such programs by the end of #b consecutive fiscal years4 7e7 ,prevention 7#a7 ,in general ,except as provided in paragraph 7#c71 a ,state shall expend not less than #e percent of the amount the ,state receives pursuant to section #aiaa for each fiscal year to support evidenced-based early identification and early intervention programs that prevent or mitigate the development of mental illness in individuals1 including children and adolescents1 who may be at risk of developing a serious mental illness or serious emotional disturbance1 within the meaning of such term as defined by the ,secretary pursuant to section #aiab1 or as determined through the use of evidence-based screening instruments or clinical assessment4 7#b7 ,core elements ,at the discretion of the single ,state agency responsible for the administration of the program of the ,state under a grant under section #aiaa1 funds expended pursuant to paragraph 7#a7 shall be used for evidence-based practices that follow or exceed the quality of generally accepted standards of care4 7#c7 ,state flexibility ,in lieu of expending #e percent of the amount the ,state receives pursuant to section #aiaa for a fiscal year to support evidence-based early identification and early intervention programs as required by paragraph 7#a71 a ,state may elect to expend not less than #aj percent of such amount to support such programs by the end of #b consecutive fiscal years4 7f7 ,reports by the ,secretary 7#a7 ,in general ,the ,secretary shall-- 7,a7 commission longitudinal follow-up studies of the population of individuals served by funds expended pursuant to subsection 7e77#a7 to determine clinical outcomes that may be associated with such funds1 including crisis services utilization and emergency department visits and hospitalizations related to mental illness1 prevalence of suicidal behavior1 mortality1 disability income1 high school graduation rates1 employment status and successful timely reunification1 placement stability1 and permanency for children in foster care1 disaggregated by mental illness diagnosis2 and 7,b7 submit a biennial report summarizing incremental findings of the studies conducted under paragraph 7#a7 to ,congress4 7#b7 ,requirements ,in carrying out paragraph 7#a77;,a71 the ,secretary shall-- 7,a7 solicit feedback from stakeholders1 including pediatric experts1 on outcomes to use for different age groups and populations2 and 7,b7 consider how ,states who have received funding are partnering with providers to increase access to mental health services specific to adults and to children4 7g7 ,special rule ,the requirements described in subsection 7b77#a77;,a77vi7 for a ,state plan required under such section shall not apply with respect to funds allocated for the purposes described in subsections 7d7 and 7e74 4 7b7 ,restrictions on use of payments ,section #aiaf7;a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#e7;a77 is amended-- 7#a7 in paragraph 7#c71 by adding or after the semicolon2 7#b7 in paragraph 7#d71 by striking 2 or and inserting a period2 and 7#c7 by striking paragraph 7#e74 #d4 ,grants for jail diversion programs ,section #ebj;,g of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#ch7 is amended-- 7#a7 in subsection 7c77#b77;,a77i7-- 7,a7 by inserting support continuity of care 7including in consultation with the individual's mental health clinician when feasible and with continuation of previously prescribed psychotropic medication and medication for the treatment of substance use disorder1 as appropriate71 after evidence-based practices12 7,b7 by inserting to relevant medications approved by the ,food and ,drug ,administration after management and access2 and 7,c7 by inserting peer recovery support services1 after co-occurring substance use disorder treatment12 7#b7 in subsection 7e77#d7 by inserting and response 7including suicide prevention7 after crisis intervention2 and 7#c7 in subsection 7j71 by striking #d1bfi1jjj for each of fiscal years #bjah through #bjbb and inserting #f1bfi1jjj for each of fiscal years #bjbc through #bjbg4 #e4 ,assisted outpatient treatment ,section #bbd of the ,protecting ,access to ,medicare ,act of #bjad 7,public ,law #aac-ic2 #db ,u4,s4,c4 #bij;aa note7 is amended-- 7#a7 in subsection 7e7-- 7,a7 in the matter preceding paragraph 7#a71 by striking each of fiscal years #bjaf1 #bjag1 #bjah1 #bjai1 #bjbj1 #bjba1 and #bjbb and inserting fiscal year #bjbg2 7,b7 by striking paragraphs 7#b7 and 7#c7 and inserting the following3 7#b7 ,impact of assisted outpatient treatment on rates of psychiatric hospitalization1 homelessness1 arrest1 and incarceration of patients4 7#c7 ,significant variations in program design among grantees1 including variations in the role of courts in monitoring and motivating patient progress1 and the comparative impacts of such variations upon program outcomes4 2 and 7,c7 by adding at the end the following3 7#e7 ,use of psychiatric advance directives or other methods for patient input in care4 2 7#b7 in subsection 7f77#a71 by striking local court and inserting local civil court2 and 7#c7 in subsection 7g7-- 7,a7 in paragraph 7#a71 by striking #bjae through #bjbb and inserting #bjbc through #bjbg2 and 7,b7 in paragraph 7#b71 by striking #ae1jjj1jjj for each of and all that follows through #bjbb and inserting #ba1jjj1jjj for each of fiscal years #bjbc through #bjbg4 #f4 ,projects for assistance in transition from homelessness ,part ,c of title ,v of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;cc-#ba et seq47 is amended-- 7#a7 in section #ebb7;g77#a7 7#db ,u4,s4,c4 #bij;cc-#bb7;g77#a77 by striking #bj percent and inserting #be percent2 and 7#b7 in section #ece7;a7 7#db ,u4,s4,c4 #bij;cc-#ce7;a771 by striking #fd1fce1jjj for each of fiscal years #bjah through #bjbb and inserting #fd1fce1jjj for each of fiscal years #bjbc through #bjbg4 #g4 ,grants to support mental health and substance use disorder parity implementation 7a7 ,in general ,section #bgid7;c7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;gg-#id7;c77 7as added by section #ajjc of the ,patient ,protection and ,affordable ,care ,act 7,public ,law #aaa-adh7 is amended by adding at the end the following3 7#c7 ,parity implementation 7,a7 ,in general ,beginning #fj days after the date of enactment of the ,parity ,implementation ,assistance ,act1 the ,secretary shall award grants to ,states to implement the mental health and substance use disorder parity provisions of section #bgbf1 provided that in order to receive such a grant1 a ,state is required to request and review from health insurance issuers offering group or individual health insurance coverage the comparative analyses and other information required of such health insurance issuers under subsection 7a77#h77;,a7 of such section #bgbf regarding the design and application of nonquantitative treatment limitations imposed on mental health or substance use disorder benefits4 7,b7 ,authorization of appropriations ,for purposes of awarding grants under subparagraph 7,a71 there are authorized to be appropriated #be1jjj1jjj for each of the first five fiscal years beginning after the date of the enactment of this paragraph4 4 7b7 ,technical amendment ,section #bgid of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;gg-#ie71 as added by section #ffjc of the ,patient ,protection and ,affordable ,care ,act 7,public ,law #aaa-adh7 is redesignated as section #bgie4 #h4 ,eliminating the opt-out for non-,federal governmental health plans ,section #bgbb7;a77#b7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;gg-#ba7;a77#b77 is amended by adding at the end the following new subparagraph3 7,f7 ,sunset of election option 7i7 ,in general ,notwithstanding the preceding provisions of this paragraph-- 7,i7 no election described in subparagraph 7,a7 with respect to the provisions of section #bgbf may be made on or after the date of enactment of this subparagraph2 and 7,,ii7 except as provided in clause 7ii71 no such election with respect to the provisions of section #bgbf expiring on or after the date that is #ahj days after the date of such enactment may be renewed4 7ii7 ,exception for certain collectively bargained plans ,notwithstanding clause 7i77,,ii71 a plan described in subparagraph 7,b77ii7 that is subject to multiple agreements described in such subparagraph of varying lengths and that has an election in effect under subparagraph 7,a7 as of the date of enactment of this subparagraph that expires on or after the date that is #ahj days after the date of such enactment may extend such election until the date on which the term of the last such agreement expires4 7iii7 ,guidance ,the ,secretary shall issue guidance to plans to support carrying out activities under this section with regard to section #bgbf1 including the requirements under subsection 7a77#h7 of such section4 ,such guidance shall include an explanation of documents that are required to be disclosed and analyses that are required to be conducted pursuant to such subsection 7a77#h71 including how nonquantitative treatment limitations are applied to mental health or substance use disorder benefits and medical or surgical benefits covered under the plan1 in order for such plan to demonstrate compliance with this section and section #bgbf4 4 #i4 ,minority fellowship program ,section #eig of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bijll7 is amended-- 7#a7 in subsection 7b71 by inserting addiction medicine1 after mental health counseling12 and 7#b7 in subsection 7c71 by striking #ab1ffi1jjj for each of fiscal years #bjah through #bjbb and inserting #be1jjj1jjj for each of fiscal years #bjbc through #bjbg4 #aj4 ,priority mental health needs of regional and national significance ,section #ebj;,a of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#cb7 is amended by striking #bjah through #bjbb and inserting #bjbc through #bjbg4 #aa4 ,encouraging innovation and evidence-based programs within the national mental health and substance use policy laboratory 7a7 ,reauthorization ,section #eja;,a7e77#c7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;aa-#j7;e77#c77 is amended by striking #bjah through #bjbj each place it appears and inserting #bjbc through #bjbg4 7b7 ,,gao study ,not later than #ah months after the date of enactment of this ,act1 the ,comptroller ,general of the ,united ,states shall perform a report on the work of the ,national ,mental ,health and ,substance ,use ,policy ,laboratory established under section #eja;,a of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;aa-#j71 including-- 7#a7 the extent to which such ,laboratory is meeting its responsibilities as set forth in such section #eja;,a2 and 7#b7 any recommendations for improvement1 including methods to expand the use of evidence-based practices across programs1 recommendations to improve program evaluations for effectiveness1 and dissemination of resources to stakeholders and the public4 #ab4 ,programs for children with a serious emotional disturbance ,section #efe7;f7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;ff-#d7;f77 is amended-- 7#a7 in paragraph 7#a71 by striking #aai1jbf1jjj for each of fiscal years #bjah through #bjbb and inserting #abe1jjj1jjj for each of fiscal years #bjbc through #bjbg2 and 7#b7 by moving the margin of paragraph 7#b7 #b ems to the right4 #ac4 ,mental and behavioral health education and training grants ,section #gef7;f7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bid;e-#a7;f77 is amended-- 7#a7 in the matter preceding paragraph 7#a7-- 7,a7 by striking #bjai through #bjbc and inserting #bjbc through #bjbg2 and 7,b7 by striking #ej1jjj1jjj and inserting #ajb1jjj1jjj2 7#b7 in paragraph 7#a71 by striking #ae1jjj1jjj and inserting #cj1ejj1jjj2 7#c7 in paragraph 7#b71 by striking #ae1jjj1jjj and inserting #cj1ejj1jjj2 7#d7 in paragraph 7#c71 by striking #aj1jjj1jjj and inserting #bj1ejj1jjj2 and 7#e7 in paragraph 7#d71 by striking #aj1jjj1jjj and inserting #bj1ejj1jjj4 #ad4 ,development and dissemination of model training programs under ,,hipaa ,section #aajjd of the #bast ,century ,cures ,act 7,public ,law #aad-bee2 #db ,u4,s4,c4 #acbj;d-#b note7 is amended-- 7#a7 by redesignating subsections 7c7 through 7e7 as subsections 7d7 through 7f71 respectively2 7#b7 by inserting after subsection 7b7 the following3 7b7 ,reports to ,congress ,the ,secretary shall submit a report to ,congress-- 7#a7 not later than #a year after the date of enactment of the ,mental ,health ,reform ,reauthorization ,act of #bjbb1 on actions taken pursuant to subsection 7b72 and 7#b7 not later than #b years after the date of submission of the report under paragraph 7#a71 on updates made to the model programs and materials described in subsection 7a7 after the release of the final regulations required under section #cbba7;i7 of the ,coronavirus ,aid1 ,relief1 and ,economic ,security ,act 7,public ,law #aaf-acf74 2 and 7#c7 in subsection 7f71 as so redesignated1 by striking this section-- and all that follows through the end of paragraph 7#c7 and inserting the following3 this section #a1jjj1jjj for each of fiscal years #bjbc through #bjbg4 #ae4 ,promoting integration of primary care and behavioral health ,section #ebj,k of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#db7 is amended-- 7#a7 in subsection 7c77#b7-- 7,a7 in subparagraph 7,d71 by striking 2 and and inserting a semicolon2 7,b7 by redesignating subparagraph 7,e7 as subparagraph 7,f72 and 7,c7 by inserting after subparagraph 7,d7 the following3 7,e7 a description of how validated rating scales will be implemented to support the improvement of patient outcomes using measurement-based care1 including related to depression screening1 patient follow up1 and symptom improvement2 and 2 and 7#b7 in subsection 7h71 by striking #ea1hgh1jjj for each of fiscal years #bjah through #bjbb and inserting #eb1hgg1jjj for each of fiscal years #bjbc through #bjbg4 #af4 ,pediatric mental health care access grant program ,section #ccj,m of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bed;c-#ai7 is amended-- 7#a7 in subsection 7b7-- 7,a7 in paragraph 7#a7-- 7i7 in subparagraph 7,g7-- 7,i7 by inserting developmental-behavioral pediatricians1 after adolescent psychiatrists12 and 7,,ii7 by inserting 1 and which may include addiction specialists1 after mental health counselors2 7ii7 in subparagraph 7,h71 by striking 2 and and inserting a semicolon2 7iii7 in subparagraph 7,i71 by striking the period and inserting 2 and2 and 7iv7 by adding at the end the following3 7,j7 maintain an up-to-date list of community-based supports for children with mental health conditions4 2 7,b7 in paragraph 7#b71 by inserting 1 and which may include a developmental-behavioral pediatrician and an addiction specialist before the period at the end of the first sentence2 and 7,c7 by adding at the end the following3 7#c7 ,support to schools and emergency departments ,in addition to the required activities specified in paragraph 7#a71 a statewide or regional network of pediatric mental health teams referred to in subsection 7a71 with respect to which a grant under such subsection may be used1 may provide support to schools and emergency departments4 2 7#b7 by redesignating subsection 7g7 as subsection 7h72 7#c7 by inserting after subsection 7f7 the following3 7g7 ,technical assistance ,the ,secretary may award a grant to an eligible entity for purposes of providing technical assistance to recipients of grants under subsection 7a74 2 and 7#d7 in subsection 7h71 as so redesignated1 by striking #i1jjj1jjj for the period of fiscal years #bjah through #bjbb and inserting #ad1jjj1jjj for each of fiscal years #bjbc through #bjbe and #cj1jjj1jjj for each of fiscal years #bjbf and #bjbg4 #ag4 ,training in behavioral health for primary care providers caring for pediatric populations ,the ,advisory ,committee on ,training in ,primary ,care ,medicine and ,dentistry of the ,health ,resources and ,services ,administration shall convene and issue a report that includes-- 7#a7 recommendations to optimize the content and competencies of trainees and primary care providers treating pediatric populations to address behavioral health conditions2 and 7#b7 best practices for training pediatric providers in behavioral health conditions1 utilization of evidence-based screening tools1 and follow up care to higher levels of care1 when appropriate4 #ah4 ,first episode psychosis 7a7 ,review of use of certain funding ,not later than #ahj days after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services1 acting through the ,assistant ,secretary for ,mental ,health and ,substance ,use1 shall conduct a review of the use by ,states of funds made available under the ,community ,mental ,health ,services ,block ,grant subpart ,i of part ,b of title ,,xix of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx et seq47 for ,first ,episode ,psychosis activities4 ,such review shall consider the following3 7#a7 ,how the ,states use funds for evidence-based treatments and services according to the standard of care for those with serious mental illness1 including the comprehensiveness of such treatments to include all aspects of the recommended intervention4 7#b7 ,how ,state mental health departments are coordinating with ,state ,medicaid departments in the delivery of the treatments and services described in paragraph 7#a74 7#c7 ,what percentage of the ,state funding under the block grant is being applied toward ,first ,episode ,psychosis in excess of #aj percent of the amount of the grant1 as broken down on a ,state-by-,state basis4 ,the review shall also identify any ,states that fail to expend the required #aj percent of block grant funds on ,first ,episode ,psychosis activities4 7#d7 ,how many individuals are served by the expenditures described in paragraph 7#c71 broken down on a per-capita basis4 7#e7 ,how the funds are used to reach individuals in underserved populations1 including individuals in rural areas and individuals from minority groups4 7b7 ,report and guidance 7#a7 ,report ,not later than #f months after the completion of the review under subsection 7a71 the ,secretary of ,health and ,human ,services1 acting through the ,assistant ,secretary for ,mental ,health and ,substance ,use1 shall submit to the appropriate authorization and appropriations committees of ,congress1 a report on the finding made as a result of the review conducted under subsection 7a74 ,such report shall include any recommendations with respect to any changes to the ,community ,mental ,health ,services ,block ,grant program1 including the set aside required for ,first ,episode ,psychosis1 that would facilitate improved outcomes for the targeted population involved4 7#b7 ,guidance ,not later than #a year after the date on which the report is submitted under paragraph 7#a71 the ,secretary of ,health and ,human ,services1 acting through the ,assistant ,secretary for ,mental ,health and ,substance ,use1 shall update the guidance provided to ,states under the ,community ,mental ,health ,services ,block ,grant based on the findings and recommendations of the report4 7c7 ,technical assistance ,the ,director of the ,national ,institute of ,mental ,health shall coordinate with the ,assistant ,secretary for ,mental ,health and ,substance ,use in providing technical assistance to ,state grantees and provider subgrantees in the delivery of services for ,first ,episode ,psychosis under the ,community ,mental ,health ,services ,block ,grant4 #ai4 ,,cms study and report regarding adherence to standard of care for treatment of individuals with serious mental illness and children with serious emotional disturbance under ,medicare and ,medicaid 7a7 ,study ,the ,administrator of the ,centers for ,medicare ,medicaid ,services shall review claims relating to treatment of individuals with serious mental illness and children with serious emotional disturbance made under the ,medicare program established under title ,,xviii of the ,social ,security ,act 7#db ,u4,s4,c4 #acie et seq47 and the ,medicaid program established under title ,,xix of such ,act 7#db ,u4,s4,c4 #acif et seq47 and the ,state ,children's ,health ,insurance ,program under title ,,xxi of the ,social ,security ,act 7#db ,u4,s4,c4 #acig;aa et seq47 for purposes of assessing the extent to which such individuals receive evidence-based treatments according to the standard of care for those with serious mental illness and serious emotional disturbance and the extent to which the comprehensiveness of such treatments includes all aspects of a recommended intervention under the applicable standard of care4 7b7 ,report ,not later than #f months after the date of enactment of this ,act1 the ,administrator of the ,centers for ,medicare ,medicaid ,services shall submit to ,congress a report on the study required by subsection 7a74 #bj4 ,guidance for ,states relating to coverage recommendations of health care services and interventions for individuals with serious mental illness and children with serious emotional disturbance ,not later than #b years after the date of enactment of this ,act1 the ,administrator of the ,centers for ,medicare ,medicaid ,services1 jointly with the ,assistant ,secretary for ,mental ,health and ,substance ,use and the ,director of the ,national ,institute of ,mental ,health-- 7#a7 shall provide updated guidance to ,states concerning-- 7,a7 coverage recommendations relating to health care services and interventions for those with serious mental illness1 specifically ,first ,episode ,psychosis2 and 7,b7 the manner in which ,federal funding provided to ,states through programs administered by such agencies1 including the ,community ,mental ,health ,services ,block ,grant program under subpart ,i of part ,b of title ,,xix of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx et seq471 may be coordinated to support individuals with serious mental illness and serious emotional disturbance2 and 7#b7 may streamline relevant ,state reporting requirements if such streamlining would result in making it easier for ,states to coordinate funding under the programs described in paragraph 7#a77;,b7 to improve treatments for individuals with serious mental illness and serious emotional disturbance4 #ba4 ,,gao study on data collection and public reporting ,not later than #ah months after the date of enactment of this ,act1 the ,comptroller ,general of the ,united ,states1 in consultation with the ,assistant ,secretary for ,mental ,health and ,substance ,use and the ,secretary of ,health and ,human ,services1 shall perform a study on areas to improve data reporting across programs of the ,substance ,abuse and ,mental ,health ,services ,administration4 ,such report and evaluation shall include-- 7#a7 recommendations for improvements to-- 7,a7 data collected from recipients of grants1 contract1 and cooperative agreements from the ,substance ,abuse and ,mental ,health ,services ,administration2 7,b7 utilization of outcome measures and evidence-based practices2 7,c7 program performance evaluations2 and 7,d7 the impact of grant funding on different age groups and populations1 including children and adolescents2 7#b7 a review of how the ,state plans required under section #aiab of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#a7 and section #aicb of such ,act 7#db ,u4,s4,c4 #cjjx-#cb7 and reports required under section #aidb of such ,act 7#db ,u4,s4,c4 #cjjx-#eb7 could be updated and simplified2 and 7#c7 areas to improve dissemination and how data should be reported to the public4 #bb4 ,primary care training and enhancement for mental health ,section #gdg7;c77#b7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bick7c77#b77 is amended-- 7#a7 by striking ,fifteen percent and inserting the following3 7,a7 ,physician assistant training programs ,fifteen percent 2 and 7#b7 by adding at the end the following3 7,b7 ,mental health programs ,ten percent of the amount appropriated pursuant to paragraph 7#a7 in each such fiscal year shall be allocated to training programs focused on mental health1 with an emphasis on primary care for pediatric populations4 4