,,ii  #aag? ,,congress  #b;d ,session   
,s4 #dagj  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #aj1 #bjbb,mr4    
,cassidy 7= himself & ,mr4 ,murphy7     
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to reau?orize programs      
relat$ to m5tal heal?1 & = o!r purposes4
  #a4 ,%ort title ,?is ,act may be cit$ 
z ! ,m5tal ,heal? ,re=m ,reau?orization 
,act ( #bjbb4  #b4 ,sub/ance abuse &    
m5tal heal? s]vices adm9i/ration        
,section #eja7;d7 ( ! ,public ,heal?    
,s]vice ,act 7#db ,u4,s4,c4 #bij;aa7d77 
is am5d$-- 7#a7 9 p>agraph 7#e71 by     
ins]t+ coord9ation betwe5 programs &    
,c5t]s ( ,excell5ce reg>d+ promis+ & be/
 practices & dissem9ation to ! field &  
aft] 1 includ+2  7#b7 9 p>agraph        
7#bd77;,e71 by /rik+ 2 & & ins]t+ a     
semicolon2  7#c7 9 p>agraph 7#be71 by   
/rik+ ! p]iod & ins]t+ 2 &2 &  7#d7 by  
add+ at ! end ! foll[+3  7#bf7 coord9ate
 ) ! ,c5t]s = ,m$ic>e  ,m$icaid ,s]vices

 to promote cov]age ( evid5ce-bas$      
prev5tion & treatm5t s]vices1 improve   
quality ( c>e1 & id5tify opportunities =
 ,/ate ,m$icaid ag5cies & ,/ate m5tal   
heal? & sub/ance use disord] ag5cies to 
collaborate1 includ+ ?r\gh ! braid+ (   
funds1 demon/ration programs1 waiv]s1   
am5dm5ts to ,/ate plans "u section      
#aiab1 o!r ,/ate flexibilities1 & ag5cy 
guidance = all populations enroll$ 9    
,m$icaid programs4  4  #c4 ,community   
m5tal heal? s]vices block grant  7a7    
,fund+ ,section #aibj ( ! ,public ,heal?
 ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#i7  
is am5d$-- 7#a7 9 subsection 7a71 by    
/rik+ #ecb1ega1jjj = ea* ( fiscal ye>s  
#bjah ?r\gh #bjbb & ins]t+              
#a1jjj1jjj1jjj = ea* ( fiscal ye>s #bjbc
 ?r\gh #bjbg2 &  7#b7 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 n less ?an #e p]c5t ( !
 am\nt ! ,/ate receives pursuant to     
section #aiaa = ea* fiscal ye> to       
support evid5c$-bas$ programs4  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 ( #b   
consecutive fiscal ye>s4  7e7 ,prev5tion
  7#a7 ,9 g5]al ,except z provid$ 9     

p>agraph 7#c71 a ,/ate %all exp5d n less
 ?an #e p]c5t ( ! am\nt ! ,/ate receives
 pursuant to section #aiaa = ea* fiscal 
ye> to support evid5c$-bas$ e>ly        
id5tification & e>ly int]v5tion programs
 t prev5t or mitigate ! developm5t (    
m5tal illness 9 individuals1 includ+    
*ildr5 & adolesc5ts1 :o may be at risk (
 develop+ a s]i\s m5tal illness or s]i\s
 emotional di/urbance1 )9 ! mean+ ( su* 
t]m z def9$ by ! ,secret>y pursuant to  
section #aiab1 or z det]m9$ ?r\gh ! use 
( evid5ce-bas$ scre5+ in/rum5ts or      
cl9ical assessm5t4  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  
%all be us$ = evid5ce-bas$ practices t  
foll[ or exce$ ! quality ( g5]ally      
accept$ /&>ds ( 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$ e>ly id5tification & e>ly  

int]v5tion 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 ( #b   
consecutive fiscal ye>s4  7f7 ,reports  
by ! ,secret>y  7#a7 ,9 g5]al ,!        
,secret>y %all-- 7,a7 commission        
longitud9al foll[-up /udies ( !         
population ( individuals s]v$ by funds  
exp5d$ pursuant to subsection 7e77#a7 to
 det]m9e cl9ical outcomes t may be      
associat$ ) su* funds1 includ+ crisis   
s]vices utilization & em]g5cy dep>tm5t  
visits & hospitalizations relat$ to     
m5tal illness1 preval5ce ( suicidal     
behavior1 mortality1 disability income1 
high s*ool graduation rates1 employm5t  
/atus & successful timely reunification1
 placem5t /ability1 & p]man5cy = *ildr5 
9 fo/] c>e1 disaggregat$ by m5tal       
illness diagnosis2 &  7,b7 submit a     
bi5nial report summ>iz+ increm5tal f9d+s
 ( ! /udies conduct$ "u p>agraph 7#a7 to
 ,congress4  7#b7 ,requirem5ts ,9 c>ry+ 
out p>agraph 7#a77;,a71 ! ,secret>y     

%all-- 7,a7 solicit fe$back f           
/akehold]s1 includ+ p$iatric exp]ts1 on 
outcomes to use = diff]5t age gr\ps &   
populations2 &  7,b7 consid] h[ ,/ates  
:o h receiv$ fund+ are p>tn]+ ) provid]s
 to increase access to m5tal heal?      
s]vices specific to adults & to *ildr54 
7g7 ,special rule ,! requirem5ts        
describ$ 9 subsection 7b77#a77;,a77vi7 =
 a ,/ate plan requir$ "u su* section    
%all n apply ) respect to funds allocat$
 = ! purposes describ$ 9 subsections 7d7
 & 7e74  4  7b7 ,re/rictions on use (   
paym5ts ,section #aiaf7;a7 ( ! ,public  
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#cjjx-#e7;a77 is am5d$-- 7#a7 9 p>agraph
 7#c71 by add+ or aft] ! semicolon2     
7#b7 9 p>agraph 7#d71 by /rik+ 2 or &   
ins]t+ a p]iod2 &  7#c7 by /rik+        
p>agraph 7#e74  #d4 ,grants = jail      
div]sion programs ,section #ebj;,g ( !  
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bij;bb-#ch7 is am5d$-- 7#a7 9
 subsection 7c77#b77;,a77i7-- 7,a7 by   
ins]t+ support cont9uity ( c>e 7includ+ 

9 consultation ) ! individual's m5tal   
heal? cl9ician :5 feasible & )          
cont9uation ( previ\sly prescrib$       
psy*otropic m$ication & m$ication = !   
treatm5t ( sub/ance use disord]1 z      
appropriate71 aft] evid5ce-bas$         
practices12  7,b7 by ins]t+ to relevant 
m$ications approv$ by ! ,food & ,drug   
,adm9i/ration aft] managem5t & access2 &
  7,c7 by ins]t+ pe] recov]y support    
s]vices1 aft] co-occurr+ sub/ance use   
disord] treatm5t12  7#b7 9 subsection   
7e77#d7 by ins]t+ & response 7includ+   
suicide prev5tion7 aft] crisis          
int]v5tion2 &  7#c7 9 subsection 7j71 by
 /rik+ #d1bfi1jjj = ea* ( fiscal ye>s   
#bjah ?r\gh #bjbb & ins]t+ #f1bfi1jjj = 
ea* ( fiscal ye>s #bjbc ?r\gh #bjbg4    
#e4 ,assi/$ outpati5t treatm5t ,section 
#bbd ( ! ,protect+ ,access to ,m$ic>e   
,act ( #bjad 7,public ,law #aac-ic2 #db 
,u4,s4,c4 #bij;aa note7 is am5d$-- 7#a7 
9 subsection 7e7-- 7,a7 9 ! matt] prec$+
 p>agraph 7#a71 by /rik+ ea* ( fiscal   
ye>s #bjaf1 #bjag1 #bjah1 #bjai1 #bjbj1 

#bjba1 & #bjbb & ins]t+ fiscal ye>      
#bjbg2  7,b7 by /rik+ p>agraphs 7#b7 &  
7#c7 & ins]t+ ! foll[+3  7#b7 ,impact ( 
assi/$ outpati5t treatm5t on rates (    
psy*iatric hospitalization1             
homelessness1 arre/1 & inc>c]ation (    
pati5ts4  7#c7 ,significant v>iations 9 
program design among grantees1 includ+  
v>iations 9 ! role ( c\rts 9 monitor+ & 
motivat+ pati5t progress1 & ! comp>ative
 impacts ( su* v>iations ^u program     
outcomes4  2 &  7,c7 by add+ at ! end ! 
foll[+3  7#e7 ,use ( psy*iatric advance 
directives or o!r me?ods = pati5t input 
9 c>e4  2  7#b7 9 subsection 7f77#a71 by
 /rik+ local c\rt & ins]t+ local civil  
c\rt2 &  7#c7 9 subsection 7g7-- 7,a7 9 
p>agraph 7#a71 by /rik+ #bjae ?r\gh     
#bjbb & ins]t+ #bjbc ?r\gh #bjbg2 &     
7,b7 9 p>agraph 7#b71 by /rik+          
#ae1jjj1jjj = ea* ( & all t foll[s ?r\gh
 #bjbb & ins]t+ #ba1jjj1jjj = ea* (     
fiscal ye>s #bjbc ?r\gh #bjbg4  #f4     
,projects = assi/ance 9 transition f    
homelessness ,"p ,c ( title ,v ( !      

,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bij;cc-#ba et seq47 is       
am5d$-- 7#a7 9 section #ebb7;g77#a7 7#db
 ,u4,s4,c4 #bij;cc-#bb7;g77#a77 by /rik+
 #bj p]c5t & ins]t+ #be p]c5t2 &  7#b7 9
 section #ece7;a7 7#db ,u4,s4,c4        
#bij;cc-#ce7;a771 by /rik+ #fd1fce1jjj =
 ea* ( fiscal ye>s #bjah ?r\gh #bjbb &  
ins]t+ #fd1fce1jjj = ea* ( fiscal ye>s  
#bjbc ?r\gh #bjbg4  #g4 ,grants to      
support m5tal heal? & sub/ance use      
disord] p>ity implem5tation  7a7 ,9     
g5]al ,section #bgid7;c7 ( ! ,public    
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#cjj;gg-#id7;c77 7z add$ by section     
#ajjc ( ! ,pati5t ,protection &         
,af=dable ,c>e ,act 7,public ,law       
#aaa-adh7 is am5d$ by add+ at ! end !   
foll[+3  7#c7 ,p>ity implem5tation  7,a7
 ,9 g5]al ,beg9n+ #fj days aft] ! date (
 enactm5t ( ! ,p>ity ,implem5tation     
,assi/ance ,act1 ! ,secret>y %all aw>d  
grants to ,/ates to implem5t ! m5tal    
heal? & sub/ance use disord] p>ity      
provisions ( section #bgbf1 provid$ t 9 

ord] to receive su* a grant1 a ,/ate is 
requir$ 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 ( su* section #bgbf reg>d+ 
! design & application ( nonquantitative
 treatm5t limitations impos$ on m5tal   
heal? or sub/ance use disord] b5efits4  
7,b7 ,au?orization ( appropriations ,=  
purposes ( aw>d+ grants "u subp>agraph  
7,a71 !re are au?oriz$ to be appropriat$
 #be1jjj1jjj = ea* ( ! fir/ five fiscal 
ye>s beg9n+ aft] ! date ( ! enactm5t (  
?is p>agraph4  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  #h4        
,elim9at+ ! opt-out = non-,f$]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 !         
provisions ( 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 ! provisions ( 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 9 effect "u subp>agraph 7,a7 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      

7iii7 ,guidance ,! ,secret>y %all issue 
guidance to plans to support c>ry+ out  
activities "u ?is section ) reg>d to    
section #bgbf1 includ+ ! requirem5ts "u 
subsection 7a77#h7 ( su* section4 ,su*  
guidance %all include an explanation (  
docum5ts t are requir$ to be disclos$ & 
analyses t are requir$ to be conduct$   
pursuant to su* subsection 7a77#h71     
includ+ h[ nonquantitative treatm5t     
limitations are appli$ to m5tal heal? or
 sub/ance use disord] b5efits & m$ical  
or surgical b5efits cov]$ "u ! plan1 9  
ord] = su* plan to demon/rate compliance
 ) ?is section & section #bgbf4  4  #i4 
,m9ority fell[%ip program ,section #eig 
( ! ,public ,heal? ,s]vice ,act 7#db    
,u4,s4,c4 #bijll7 is am5d$-- 7#a7 9     
subsection 7b71 by ins]t+ addiction     
m$ic9e1 aft] m5tal heal? c\nsel+12 &    
7#b7 9 subsection 7c71 by /rik+         
#ab1ffi1jjj = ea* ( fiscal ye>s #bjah   
?r\gh #bjbb & ins]t+ #be1jjj1jjj = ea* (
 fiscal ye>s #bjbc ?r\gh #bjbg4  #aj4   
,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$ by /rik+
 #bjah ?r\gh #bjbb & ins]t+ #bjbc ?r\gh 
#bjbg4  #aa4 ,enc\rag+ innovation &     
evid5ce-bas$ programs )9 ! national     
m5tal heal? & sub/ance use policy       
laboratory  7a7 ,reau?orization ,section
 #eja;,a7e77#c7 ( ! ,public ,heal?      
,s]vice ,act 7#db ,u4,s4,c4             
#bij;aa-#j7;e77#c77 is am5d$ by /rik+   
#bjah ?r\gh #bjbj ea* place x appe>s &  
ins]t+ #bjbc ?r\gh #bjbg4  7b7 ,,gao    
/udy ,n lat] ?an #ah mon?s aft] ! date (
 enactm5t ( ?is ,act1 ! ,comptroll]     
,g5]al ( ! ,unit$ ,/ates %all p]=m a    
report on ! "w ( ! ,national ,m5tal     
,heal? & ,sub/ance ,use ,policy         
,laboratory e/abli%$ "u section #eja;,a 
( ! ,public ,heal? ,s]vice ,act 7#db    
,u4,s4,c4 #bij;aa-#j71 includ+-- 7#a7 ! 
ext5t to :i* su* ,laboratory is meet+   
its responsibilities z set =? 9 su*     
section #eja;,a2 &  7#b7 any            
recomm5dations = improvem5t1 includ+    

me?ods to exp& ! use ( evid5ce-bas$     
practices across programs1              
recomm5dations to improve program       
evaluations = effectiv5ess1 &           
dissem9ation ( res\rces to /akehold]s & 
! public4  #ab4 ,programs = *ildr5 ) a  
s]i\s emotional di/urbance ,section     
#efe7;f7 ( ! ,public ,heal? ,s]vice ,act
 7#db ,u4,s4,c4 #bij;ff-#d7;f77 is      
am5d$-- 7#a7 9 p>agraph 7#a71 by /rik+  
#aai1jbf1jjj = ea* ( fiscal ye>s #bjah  
?r\gh #bjbb & ins]t+ #abe1jjj1jjj = ea* 
( fiscal ye>s #bjbc ?r\gh #bjbg2 &  7#b7
 by mov+ ! m>g9 ( p>agraph 7#b7 #b ems  
to ! "r4  #ac4 ,m5tal & behavioral heal?
 education & tra9+ grants ,section      
#gef7;f7 ( ! ,public ,heal? ,s]vice ,act
 7#db ,u4,s4,c4 #bid;e-#a7;f77 is       
am5d$-- 7#a7 9 ! matt] prec$+ p>agraph  
7#a7-- 7,a7 by /rik+ #bjai ?r\gh #bjbc &
 ins]t+ #bjbc ?r\gh #bjbg2 &  7,b7 by   
/rik+ #ej1jjj1jjj & ins]t+ #ajb1jjj1jjj2
  7#b7 9 p>agraph 7#a71 by /rik+        
#ae1jjj1jjj & ins]t+ #cj1ejj1jjj2  7#c7 
9 p>agraph 7#b71 by /rik+ #ae1jjj1jjj & 

ins]t+ #cj1ejj1jjj2  7#d7 9 p>agraph    
7#c71 by /rik+ #aj1jjj1jjj & ins]t+     
#bj1ejj1jjj2 &  7#e7 9 p>agraph 7#d71 by
 /rik+ #aj1jjj1jjj & ins]t+ #bj1ejj1jjj4
  #ad4 ,developm5t & dissem9ation (     
model tra9+ programs "u ,,hipaa ,section
 #aajjd ( ! #ba/ ,c5tury ,cures ,act    
7,public ,law #aad-bee2 #db ,u4,s4,c4   
#acbj;d-#b note7 is am5d$-- 7#a7 by     
r$esignat+ subsections 7c7 ?r\gh 7e7 z  
subsections 7d7 ?r\gh 7f71 respectively2
  7#b7 by ins]t+ aft] subsection 7b7 !  
foll[+3  7b7 ,reports to ,congress ,!   
,secret>y %all submit a report to       
,congress-- 7#a7 n lat] ?an #a ye> aft] 
! date ( enactm5t ( ! ,m5tal ,heal?     
,re=m ,reau?orization ,act ( #bjbb1 on  
actions tak5 pursuant to subsection 7b72
 &  7#b7 n lat] ?an #b ye>s aft] ! date 
( submission ( ! report "u p>agraph     
7#a71 on updates made to ! model        
programs & mat]ials describ$ 9          
subsection 7a7 aft] ! release ( ! f9al  
regulations requir$ "u section #cbba7;i7
 ( ! ,coronavirus ,aid1 ,relief1 &      

,economic ,security ,act 7,public ,law  
#aaf-acf74  2 &  7#c7 9 subsection 7f71 
z s r$esignat$1 by /rik+ ?is section-- &
 all t foll[s ?r\gh ! end ( p>agraph    
7#c7 & ins]t+ ! foll[+3 ?is section     
#a1jjj1jjj = ea* ( fiscal ye>s #bjbc    
?r\gh #bjbg4  #ae4 ,promot+ integration 
( prim>y c>e & behavioral heal? ,section
 #ebj,k ( ! ,public ,heal? ,s]vice ,act 
7#db ,u4,s4,c4 #bij;bb-#db7 is am5d$--  
7#a7 9 subsection 7c77#b7-- 7,a7 9      
subp>agraph 7,d71 by /rik+ 2 & & ins]t+ 
a semicolon2  7,b7 by r$esignat+        
subp>agraph 7,e7 z subp>agraph 7,f72 &  
7,c7 by ins]t+ aft] subp>agraph 7,d7 !  
foll[+3  7,e7 a description ( h[        
validat$ 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 improvem5t2 &  2 &  7#b7 9     
subsection 7h71 by /rik+ #ea1hgh1jjj =  
ea* ( fiscal ye>s #bjah ?r\gh #bjbb &   
ins]t+ #eb1hgg1jjj = ea* ( fiscal ye>s  
#bjbc ?r\gh #bjbg4  #af4 ,p$iatric m5tal

 heal? c>e access grant program ,section
 #ccj,m ( ! ,public ,heal? ,s]vice ,act 
7#db ,u4,s4,c4 #bed;c-#ai7 is am5d$--   
7#a7 9 subsection 7b7-- 7,a7 9 p>agraph 
7#a7-- 7i7 9 subp>agraph 7,g7-- 7,i7 by 
ins]t+ developm5tal-behavioral          
p$iatricians1 aft] adolesc5t            
psy*iatri/s12 &  7,,ii7 by ins]t+ 1 &   
:i* may include addiction speciali/s1   
aft] m5tal heal? c\nselors2  7ii7 9     
subp>agraph 7,h71 by /rik+ 2 & & ins]t+ 
a semicolon2  7iii7 9 subp>agraph 7,i71 
by /rik+ ! p]iod & ins]t+ 2 &2 &  7iv7  
by add+ at ! end ! foll[+3  7,j7 ma9ta9 
an up-to-date li/ ( community-bas$      
supports = *ildr5 ) m5tal heal?         
conditions4  2  7,b7 9 p>agraph 7#b71 by
 ins]t+ 1 & :i* may include a           
developm5tal-behavioral p$iatrician & an
 addiction speciali/ be=e ! p]iod at !  
end ( ! fir/ s5t5ce2 &  7,c7 by add+ at 
! end ! foll[+3  7#c7 ,support to s*ools
 & em]g5cy dep>tm5ts ,9 addition to !   
requir$ activities specifi$ 9 p>agraph  
7#a71 a /atewide or regional network (  

p$iatric m5tal heal? teams ref]r$ to 9  
subsection 7a71 ) respect to :i* a grant
 "u su* subsection may be us$1 may      
provide support to s*ools & em]g5cy     
dep>tm5ts4  2  7#b7 by r$esignat+       
subsection 7g7 z subsection 7h72  7#c7  
by ins]t+ aft] subsection 7f7 ! foll[+3 
7g7 ,te*nical assi/ance ,! ,secret>y may
 aw>d a grant to an eligible entity =   
purposes ( provid+ te*nical assi/ance to
 recipi5ts ( grants "u subsection 7a74  
2 &  7#d7 9 subsection 7h71 z s         
r$esignat$1 by /rik+ #i1jjj1jjj = !     
p]iod ( fiscal ye>s #bjah ?r\gh #bjbb & 
ins]t+ #ad1jjj1jjj = ea* ( fiscal ye>s  
#bjbc ?r\gh #bjbe & #cj1jjj1jjj = ea* ( 
fiscal ye>s #bjbf & #bjbg4  #ag4 ,tra9+ 
9 behavioral heal? = prim>y c>e provid]s
 c>+ = p$iatric populations ,! ,advisory
 ,committee on ,tra9+ 9 ,prim>y ,c>e    
,m$ic9e & ,d5ti/ry ( ! ,heal? ,res\rces 
& ,s]vices ,adm9i/ration %all conv5e &  
issue a report t includes-- 7#a7        
recomm5dations to optimize ! cont5t &   
compet5cies ( tra9ees & prim>y c>e      

provid]s treat+ p$iatric populations to 
address behavioral heal? conditions2 &  
7#b7 be/ practices = tra9+ p$iatric     
provid]s 9 behavioral heal? conditions1 
utilization ( evid5ce-bas$ scre5+ tools1
 & foll[ up c>e to high] levels ( c>e1  
:5 appropriate4  #ah4 ,fir/ episode     
psy*osis  7a7 ,review ( use ( c]ta9     
fund+ ,n lat] ?an #ahj days aft] ! date 
( enactm5t ( ?is ,act1 ! ,secret>y (    
,heal? & ,human ,s]vices1 act+ ?r\gh !  
,assi/ant ,secret>y = ,m5tal ,heal? &   
,sub/ance ,use1 %all conduct a review ( 
! use by ,/ates ( funds made available  
"u ! ,community ,m5tal ,heal? ,s]vices  
,block ,grant subp>t ,i ( "p ,b ( title 
,,xix ( ! ,public ,heal? ,s]vice ,act   
7#db ,u4,s4,c4 #cjjx et seq47 = ,fir/   
,episode ,psy*osis activities4 ,su*     
review %all consid] ! foll[+3 7#a7 ,h[ !
 ,/ates use funds = evid5ce-bas$        
treatm5ts & s]vices accord+ to ! /&>d ( 
c>e = ^? ) s]i\s m5tal illness1 includ+ 
! compreh5siv5ess ( su* treatm5ts to    
include all aspects ( ! recomm5d$       

int]v5tion4  7#b7 ,h[ ,/ate m5tal heal? 
dep>tm5ts are coord9at+ ) ,/ate ,m$icaid
 dep>tm5ts 9 ! deliv]y ( ! treatm5ts &  
s]vices describ$ 9 p>agraph 7#a74  7#c7 
,:at p]c5tage ( ! ,/ate fund+ "u ! block
 grant is be+ appli$ t[>d ,fir/ ,episode
 ,psy*osis 9 excess ( #aj p]c5t ( !     
am\nt ( ! grant1 z brok5 d[n on a       
,/ate-by-,/ate basis4 ,! review %all    
also id5tify any ,/ates t fail to exp5d 
! requir$ #aj p]c5t ( block grant funds 
on ,fir/ ,episode ,psy*osis activities4 
7#d7 ,h[ _m individuals are s]v$ by !   
exp5ditures describ$ 9 p>agraph 7#c71   
brok5 d[n on a p]-capita basis4  7#e7   
,h[ ! funds are us$ to rea* individuals 
9 und]s]v$ populations1 includ+         
individuals 9 rural areas & individuals 
f m9ority gr\ps4  7b7 ,report & guidance
  7#a7 ,report ,n lat] ?an #f mon?s aft]
 ! completion ( ! review "u subsection  
7a71 ! ,secret>y ( ,heal? & ,human      
,s]vices1 act+ ?r\gh ! ,assi/ant        
,secret>y = ,m5tal ,heal? & ,sub/ance   
,use1 %all submit to ! appropriate      

au?orization & appropriations committees
 ( ,congress1 a report on ! f9d+ made z 
a result ( ! review conduct$ "u         
subsection 7a74 ,su* report %all include
 any recomm5dations ) respect to any    
*anges to ! ,community ,m5tal ,heal?    
,s]vices ,block ,grant program1 includ+ 
! set aside requir$ = ,fir/ ,episode    
,psy*osis1 t w\ld facilitate improv$    
outcomes = ! t>get$ population involv$4 
7#b7 ,guidance ,n lat] ?an #a ye> aft] !
 date on :i* ! report is submitt$ "u    
p>agraph 7#a71 ! ,secret>y ( ,heal? &   
,human ,s]vices1 act+ ?r\gh ! ,assi/ant 
,secret>y = ,m5tal ,heal? & ,sub/ance   
,use1 %all update ! guidance provid$ to 
,/ates "u ! ,community ,m5tal ,heal?    
,s]vices ,block ,grant bas$ on ! f9d+s &
 recomm5dations ( ! report4  7c7        
,te*nical assi/ance ,! ,director ( !    
,national ,in/itute ( ,m5tal ,heal? %all
 coord9ate ) ! ,assi/ant ,secret>y =    
,m5tal ,heal? & ,sub/ance ,use 9 provid+
 te*nical assi/ance to ,/ate grantees & 
provid] subgrantees 9 ! deliv]y (       

s]vices = ,fir/ ,episode ,psy*osis "u ! 
,community ,m5tal ,heal? ,s]vices ,block
 ,grant4  #ai4 ,,cms /udy & report      
reg>d+ adh]5ce to /&>d ( c>e = treatm5t 
( individuals ) s]i\s m5tal illness &   
*ildr5 ) s]i\s emotional di/urbance "u  
,m$ic>e & ,m$icaid  7a7 ,/udy ,!        
,adm9i/rator ( ! ,c5t]s = ,m$ic>e       
,m$icaid ,s]vices %all review claims    
relat+ to treatm5t ( individuals ) s]i\s
 m5tal illness & *ildr5 ) s]i\s         
emotional di/urbance made "u ! ,m$ic>e  
program e/abli%$ "u title ,,xviii ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#acie et seq47 & ! ,m$icaid program     
e/abli%$ "u title ,,xix ( su* ,act 7#db 
,u4,s4,c4 #acif et seq47 & ! ,/ate      
,*ildr5's ,heal? ,insurance ,program "u 
title ,,xxi ( ! ,social ,security ,act  
7#db ,u4,s4,c4 #acig;aa et seq47 =      
purposes ( assess+ ! ext5t to :i* su*   
individuals receive evid5ce-bas$        
treatm5ts accord+ to ! /&>d ( c>e = ^? )
 s]i\s m5tal illness & s]i\s emotional  
di/urbance & ! ext5t to :i* !           

compreh5siv5ess ( su* treatm5ts includes
 all aspects ( a recomm5d$ int]v5tion "u
 ! applicable /&>d ( c>e4  7b7 ,report  
,n lat] ?an #f mon?s aft] ! date (      
enactm5t ( ?is ,act1 ! ,adm9i/rator ( ! 
,c5t]s = ,m$ic>e  ,m$icaid ,s]vices %all
 submit to ,congress a report on ! /udy 
requir$ by subsection 7a74  #bj4        
,guidance = ,/ates relat+ to cov]age    
recomm5dations ( heal? c>e s]vices &    
int]v5tions = individuals ) s]i\s m5tal 
illness & *ildr5 ) s]i\s emotional      
di/urbance ,n lat] ?an #b ye>s aft] !   
date ( enactm5t ( ?is ,act1 !           
,adm9i/rator ( ! ,c5t]s = ,m$ic>e       
,m$icaid ,s]vices1 jo9tly ) ! ,assi/ant 
,secret>y = ,m5tal ,heal? & ,sub/ance   
,use & ! ,director ( ! ,national        
,in/itute ( ,m5tal ,heal?-- 7#a7 %all   
provide updat$ guidance to ,/ates       
conc]n+-- 7,a7 cov]age recomm5dations   
relat+ to heal? c>e s]vices &           
int]v5tions = ^? ) s]i\s m5tal illness1 
specifically ,fir/ ,episode ,psy*osis2 &
  7,b7 ! mann] 9 :i* ,f$]al fund+       

provid$ to ,/ates ?r\gh programs        
adm9i/]$ by su* ag5cies1 includ+ !      
,community ,m5tal ,heal? ,s]vices ,block
 ,grant program "u subp>t ,i ( "p ,b (  
title ,,xix ( ! ,public ,heal? ,s]vice  
,act 7#db ,u4,s4,c4 #cjjx et seq471 may 
be coord9at$ to support individuals )   
s]i\s m5tal illness & s]i\s emotional   
di/urbance2 &  7#b7 may /reaml9e        
relevant ,/ate report+ requirem5ts if   
su* /reaml9+ w\ld result 9 mak+ x easi] 
= ,/ates to coord9ate fund+ "u !        
programs describ$ 9 p>agraph 7#a77;,b7  
to improve treatm5ts = individuals )    
s]i\s m5tal illness & s]i\s emotional   
di/urbance4  #ba4 ,,gao /udy on data    
collection & public report+ ,n lat] ?an 
#ah mon?s aft] ! date ( enactm5t ( ?is  
,act1 ! ,comptroll] ,g5]al ( ! ,unit$   
,/ates1 9 consultation ) ! ,assi/ant    
,secret>y = ,m5tal ,heal? & ,sub/ance   
,use & ! ,secret>y ( ,heal? & ,human    
,s]vices1 %all p]=m a /udy on areas to  
improve data report+ across programs ( !
 ,sub/ance ,abuse & ,m5tal ,heal?       

,s]vices ,adm9i/ration4 ,su* report &   
evaluation %all include-- 7#a7          
recomm5dations = improvem5ts to-- 7,a7  
data collect$ f recipi5ts ( grants1     
contract1 & coop]ative agreem5ts f !    
,sub/ance ,abuse & ,m5tal ,heal?        
,s]vices ,adm9i/ration2  7,b7           
utilization ( outcome measures &        
evid5ce-bas$ practices2  7,c7 program   
p]=mance evaluations2 &  7,d7 ! impact (
 grant fund+ on diff]5t age gr\ps &     
populations1 includ+ *ildr5 &           
adolesc5ts2  7#b7 a review ( h[ ! ,/ate 
plans requir$ "u section #aiab ( !      
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #cjjx-#a7 & section #aicb (   
su* ,act 7#db ,u4,s4,c4 #cjjx-#cb7 &    
reports requir$ "u section #aidb ( su*  
,act 7#db ,u4,s4,c4 #cjjx-#eb7 c\ld be  
updat$ & simplifi$2 &  7#c7 areas to    
improve dissem9ation & h[ data %\ld be  
report$ to ! public4  #bb4 ,prim>y c>e  
tra9+ & enhancem5t = m5tal heal?        
,section #gdg7;c77#b7 ( ! ,public ,heal?
 ,s]vice ,act 7#db ,u4,s4,c4            

#bick7c77#b77 is am5d$-- 7#a7 by /rik+  
,fifte5 p]c5t & ins]t+ ! foll[+3  7,a7  
,physician assi/ant tra9+ programs      
,fifte5 p]c5t  2 &  7#b7 by add+ at !   
end ! foll[+3  7,b7 ,m5tal heal?        
programs ,t5 p]c5t ( ! am\nt appropriat$
 pursuant to p>agraph 7#a7 9 ea* su*    
fiscal ye> %all be allocat$ to tra9+    
programs focus$ on m5tal heal?1 ) an    
emphasis on prim>y c>e = p$iatric       
populations4  4