,,ii #aahth ,,congress #ast ,session ,s4 #cajf ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,october #bd1 #bjbc,mr4 ,cassidy introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to reauthorize certain programs under the ,substance ,use-,disorder ,prevention that ,promotes ,opioid ,recovery and ,treatment for ,patients and ,communities ,act1 and for other purposes4 #a4 ,short title2 table of contents 7a7 ,short title ,this ,act may be cited as the ,,support for ,patients and ,communities ,reauthorization ,act of #bjbc4 7b7 ,table of contents ,the table of contents for this ,act is as follows3 ,sec4 #a4 ,short title2 table of contents4,,title ,i--,reauthorizations,sec4 #aja4 ,first responder training4,sec4 #ajb4 ,residential treatment programs for pregnant and postpartum women4,sec4 #ajc4 ,prenatal and postnatal health4,sec4 #ajd4 ,loan repayment program for substance use disorder treatment workforce4,sec4 #aje4 ,youth prevention and recovery4,sec4 #ajf4 ,comprehensive opioid recovery centers4,sec4 #ajg4 ,,cdc surveillance and data collection for child1 youth1 and adult trauma4,sec4 #ajh4 ,task force to develop best practices for trauma-informed identification1 referral1 and support4,sec4 #aji4 ,donald ,j4 ,cohen ,national child traumatic stress initiative4,sec4 #aaj4 ,surveillance and education regarding infections associated with illicit drug use and other risk factors4,sec4 #aaa4 ,building communities of recovery4,sec4 #aab4 ,peer support technical assistance center4,sec4 #aac4 ,preventing overdoses of controlled substances4,sec4 #aad4 ,,career ,act4,sec4 #aae4 ,grants to improve trauma support services and mental health care for children and youth in educational settings4,,title ,,ii--,other provisions,sec4 #bja4 ,delivery of a controlled substance by a pharmacy4,sec4 #bjb4 ,regulations relating to a special registration for telemedicine4,sec4 #bjc4 ,guidance on at-home drug disposal systems4,sec4 #bjd4 ,report on at-home drug disposal systems4,sec4 #bje4 ,ensuring ,state choice in ,,pdmp systems4,sec4 #bjf4 ,mental health parity4,sec4 #bjg4 ,state guidance on coverage for individuals with serious mental illness and children with serious emotional disturbance4,sec4 #bjh4 ,community mental health services block grant service providers4,sec4 #bji4 ,reports and studies on medication treatments for opioid use disorder4,sec4 #baj4 ,,fasd ,respect ,act4 ,i ,reauthorizations #aja4 ,first responder training ,section #edf7;h7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;ee-#a7;h77 is amended by striking #cf1jjj1jjj for each of fiscal years #bjai through #bjbc and inserting #ef1jjj1jjj for each of fiscal years #bjbd through #bjbh4 #ajb4 ,residential treatment programs for pregnant and postpartum women ,section #ejh7s7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#a7s77 is amended by striking #bi1ica1jjj for each of fiscal years #bjai through #bjbc and inserting #ch1ica1jjj for each of fiscal years #bjbd through #bjbh4 #ajc4 ,prenatal and postnatal health ,section #cag,l7d7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdg;b-#ac7;d77 is amended by striking #bjai through #bjbc and inserting #bjbd through #bjbh4 #ajd4 ,loan repayment program for substance use disorder treatment workforce ,section #gha7;j7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bie;h7j77 is amended by striking #be1jjj1jjj for each of fiscal years #bjai through #bjbc and inserting #dj1jjj1jjj for each of fiscal years #bjbd through #bjbh4 #aje4 ,youth prevention and recovery ,section #gajb7;c77#i7 of the ,,support for ,patients and ,communities ,act 7#db ,u4,s4,c4 #bij;bb-#g;a7c77#i77 is amended by striking #bjai through #bjbc and inserting #bjbd through #bjbh4 #ajf4 ,comprehensive opioid recovery centers ,section #eeb7;j7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;ee-#g7;j77 is amended by striking #bjai through #bjbc and inserting #bjbd through #bjbh4 #ajg4 ,,cdc surveillance and data collection for child1 youth1 and adult trauma ,section #gaca7;e7 of the ,,support for ,patients and ,communities ,act 7#db ,u4,s4,c4 #bdbt7e77 is amended by striking #b1jjj1jjj for each of fiscal years #bjai through #bjbc and inserting #i1jjj1jjj for each of fiscal years #bjbd through #bjbh4 #ajh4 ,task force to develop best practices for trauma-informed identification1 referral1 and support ,section #gacb7;i7 of the ,,support for ,patients and ,communities ,act 7,public ,law #aae-bga7 is amended by striking #bjbc and inserting #bjbh4 #aji4 ,donald ,j4 ,cohen ,national child traumatic stress initiative ,section #ehb7;j7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;hh-#a7;j77 7relating to grants to address the problems of persons who experience violence-related stress7 is amended by striking #fc1hhg1jjj for each of fiscal years #bjai through #bjbc and inserting #ic1hhg1jjj for each of fiscal years #bjbd through #bjbh4 #aaj4 ,surveillance and education regarding infections associated with illicit drug use and other risk factors ,section #cag,n7d7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdg;b-#ae7;d77 is amended by striking #bjai through #bjbc and inserting #bjbd through #bjbh4 #aaa4 ,building communities of recovery ,section #edg7;f7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;ee-#b7;f77 is amended by striking #e1jjj1jjj for each of fiscal years #bjai through #bjbc and inserting #af1jjj1jjj for each of fiscal years #bjbd through #bjbh4 #aab4 ,peer support technical assistance center ,section #edg;,a7e7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;ee-#b;a7e77 is amended by striking #a1jjj1jjj for each of fiscal years #bjai through #bjbc and inserting #b1jjj1jjj for each of fiscal years #bjbd through #bjbh4 #aac4 ,preventing overdoses of controlled substances ,section #cib;,a7e7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;b-#a7;e77 is amended by striking #dif1jjj1jjj for each of fiscal years #bjai through #bjbc and inserting #eje1egi1jjj for each of fiscal years #bjbd through #bjbh4 #aad4 ,,career ,act 7a7 ,in general ,section #gahc of the ,,support for ,patients and ,communities ,act 7#db ,u4,s4,c4 #bij;ee-#h7 is amended-- 7#a7 in the section heading1 by inserting 2 treatment1 recovery1 and workforce support grants after ,,career ,act2 7#b7 in subsection 7b71 by inserting each before for a period2 7#c7 in subsection 7c7-- 7,a7 in paragraph 7#a71 by striking the rates described in paragraph 7#b7 and inserting the average rates for calendar years #bjah through #bjbb described in paragraph 7#b72 and 7,b7 by amending paragraph 7#b7 to read as follows3 7#b7 ,rates ,the rates described in this paragraph are the following3 7,a7 ,the highest age-adjusted average rates of drug overdose deaths for calendar years #bjah through #bjbb based on data from the ,centers for ,disease ,control and ,prevention1 including1 if necessary1 provisional data for calendar year #bjbb4 7,b7 ,the highest average rates of unemployment for calendar years #bjah through #bjbb based on data provided by the ,bureau of ,labor ,statistics4 7,c7 ,the lowest average labor force participation rates for calendar years #bjah through #bjbb based on data provided by the ,bureau of ,labor ,statistics4 2 7#d7 in subsection 7g7-- 7,a7 in each of paragraphs 7#a7 and 7#c71 by redesignating subparagraphs 7,a7 and 7,b7 as clauses 7i7 and 7ii71 respectively1 and adjusting the margins accordingly2 7,b7 by redesignating paragraphs 7#a7 through 7#c7 as subparagraphs 7,a7 through 7,c71 respectively1 and adjusting the margins accordingly2 7,c7 in the matter preceding subparagraph 7,a7 7as so redesignated71 by striking ,an entity and inserting the following3 7#a7 ,in general ,an entity 2 and 7,d7 by adding at the end the following3 7#b7 ,transportation services ,an entity receiving a grant under this section may use not more than #e percent of the funds for providing transportation for individuals to participate in an activity supported by a grant under this section1 which transportation shall be to or from a place of work or a place where the individual is receiving vocational education or job training services or receiving services directly linked to treatment of or recovery from a substance use disorder4 7#c7 ,limitation ,the ,secretary may not require an entity to1 or give priority to an entity that plans to1 use the funds of a grant under this section for activities that are not specified in this subsection4 2 7#e7 in subsection 7i77#b71 by inserting 1 which shall include employment and earnings outcomes described in subclauses 7,i7 and 7,,iii7 of section #aaf7;b77#b77;,a77i7 of the ,workforce ,innovation and ,opportunity ,act 7#bi ,u4,s4,c4 #cada7;b77#b77;,a77i77 with respect to the participation of such individuals with a substance use disorder in programs and activities funded by the grant under this section after subsection 7g72 7#f7 in subsection 7j7-- 7,a7 in paragraph 7#a71 by inserting for grants awarded prior to the date of enactment of the ,,support for ,patients and ,communities ,reauthorization ,act of #bjbc after grant period under this section2 and 7,b7 in paragraph 7#b7-- 7i7 in the matter preceding subparagraph 7,a71 by striking #b years after submitting the preliminary report required under paragraph 7#a7 and inserting ,september #cj1 #bjbh2 and 7ii7 in subparagraph 7,a71 by striking 7g77#c7 and inserting 7g77#a77;,c72 and 7#g7 in subsection 7k71 by striking #e1jjj1jjj for each of fiscal years #bjai through #bjbc and inserting #ab1jjj1jjj for each of fiscal years #bjbd through #bjbh4 7b7 ,clerical amendment ,the table of contents in section #a7;b7 of the ,,support for ,patients and ,communities ,act 7,public ,law #aae-bga2 #acb ,stat4 #chid7 is amended by striking the item relating to section #gahc and inserting the following3 ,sec4 #gahc4 ,,career ,act2 treatment1 recovery1 and workforce support grants4 4 #aae4 ,grants to improve trauma support services and mental health care for children and youth in educational settings ,section #gacd of the ,,support for ,patients and ,communities ,act 7#db ,u4,s4,c4 #bhj;h-#g7 is amended-- 7#a7 in subsection 7c7-- 7,a7 by striking paragraph 7#b72 7,b7 by redesignating paragraphs 7#c7 through 7#h7 as paragraphs 7#b7 through 7#g71 respectively2 7,c7 in subparagraph 7,a7 of paragraph 7#b71 as so redesignated1 by striking 1 including through social and emotional learning2 and 7,d7 in paragraph 7#c71 as so redesignated1 by inserting 1 provided that the students' records are owned and maintained by the school1 after community school2 7#b7 in subsection 7d77#d7-- 7,a7 in subparagraph 7,a71 by striking 2 and and inserting a semicolon2 7,b7 in subparagraph 7,b71 by striking the period and inserting a semicolon2 and 7,c7 by adding at the end the following3 7,c7 parents and guardians will be informed of what trauma support services and mental health care are available to their students and what services and care their students receive1 and will receive updates on their students' services and care2 and 7,d7 parents and guardians will have access to all documents related to the trauma support services and mental health care that their student receives4 2 7#c7 in subsection 7f77#a71 by inserting 1 including an assessment of how parents or guardians of students are engaged in the design of1 and informed in the provision of1 trauma support services and mental health care in their student's school before the semicolon2 and 7#d7 in subsection 7l71 by striking #bjai through #bjbc and inserting #bjbd through #bjbh4 ,,ii ,other provisions #bja4 ,delivery of a controlled substance by a pharmacy ,section #cji;,a7a7 of the ,controlled ,substances ,act 7#ba ,u4,s4,c4 #hbi;a7a77 is amended by striking paragraph 7#b7 and inserting the following3 7#b7 the controlled substance is a drug in schedule ,,iii1 ,,iv1 or ,v and is-- 7,a7 to be administered for the purpose of initiation1 maintenance1 or detoxification treatment2 or 7,b7 subject to risk evaluation and mitigation strategy pursuant to section #eje-a of the ,federal ,food1 ,drug1 and ,cosmetic ,act 7#ba ,u4,s4,c4 #cee-a71 which may require the drug to be administered with post-administration monitoring by a health care professional2 4 #bjb4 ,regulations relating to a special registration for telemedicine ,not later than #a year after the date of enactment of this ,act1 the ,attorney ,general1 in consultation with the ,secretary of ,health and ,human ,services1 shall promulgate the final regulations required under section #caa7;h77#b7 of the ,controlled ,substances ,act 7#ba ,u4,s4,c4 #hca7;h77#b774 #bjc4 ,guidance on at-home drug disposal systems 7a7 ,in general ,not later than one year after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services 7referred to in this section as the ,secretary7 shall publish guidance to facilitate the use of at-home safe disposal systems for applicable drugs1 including for such at-home safe disposal systems that the ,secretary may require as a part of a risk evaluation and mitigation strategy under section #eje-a of the ,federal ,food1 ,drug1 and ,cosmetic ,act 7#ba ,u4,s4,c4 #cee-a74 7b7 ,contents ,the guidance under subsection 7a7 shall include-- 7#a7 recommended standards for effective at-home drug disposal systems to meet the public health or non-retrievability standard2 7#b7 recommended information to include as instruction for use to disseminate with at-home drug disposal systems2 7#c7 best practices and educational tools to support the use of an at-home drug disposal system2 and 7#d7 recommended use of licensed health providers for the dissemination of education1 instruction1 and at-home drug disposal systems4 7c7 ,updates ,the ,secretary shall update the guidance under this section not less frequently than every #e years4 #bjd4 ,report on at-home drug disposal systems 7a7 ,study ,not later than #fj days after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services1 in consultation with the ,administrator of the ,drug ,enforcement ,administration1 shall enter into an agreement with the ,national ,academies of ,sciences1 ,engineering1 and ,medicine to-- 7#a7 convene a committee of experts to examine steps to improve access to at-home drug disposal systems1 including reviewing-- 7,a7 commercially available at-home drug disposal systems2 7,b7 current ,state1 local1 and private programs providing education and in-home drug disposal systems2 7,c7 academic studies and real world testing regarding drug disposal system compliance1 effectiveness1 and usage1 and any challenges associated with such systems2 and 7,d7 any barriers to distribution of at-home drug disposal systems2 and 7#b7 issue an expert consensus report that sets forth best practices for educational resources to inform distribution and use of at-home drug disposal systems4 7b7 ,report ,upon completion of the consensus report under subsection 7a77#b71 the ,health and ,medicine ,division of the ,national ,academies of ,sciences1 ,engineering1 and ,medicine shall transmit a copy of the report to-- 7#a7 the ,secretary of ,health and ,human ,services2 7#b7 the ,commissioner of ,food and ,drugs2 7#c7 the ,administrator of the ,drug ,enforcement ,administration2 7#d7 the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate2 and 7#e7 the ,committee on ,energy and ,commerce of the ,house of ,representatives4 #bje4 ,ensuring ,state choice in ,,pdmp systems ,section #cii,o7h7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;g-#c7;h77 is amended by adding the following3 7#e7 ,ensuring ,state choice ,nothing in this section shall be construed to-- 7,a7 direct1 require or encourage a ,state to use a specific interstate data sharing program2 7,b7 limit or prohibit the discretion of a ,,pdmp to utilize interoperability connections of its choice2 7,c7 permit1 encourage1 or otherwise condition ,federal financial assistance to ,states based upon the use of open architecture1 other than nationally recognized1 consensus-based standards1 by ,,pdmp systems or contracted vendors2 or 7,d7 limit or prohibit the discretion of ,states to utilize ,federal financial assistance received under this section to enter into arrangements with vendors of their choice in order to carry out a program under this section4 4 #bjf4 ,mental health parity 7a7 ,in general ,not later than ,january #a1 #bjbe1 the ,inspector ,general of the ,department of ,labor1 in coordination with the ,inspector ,general of the ,department of ,health and ,human ,services1 shall report to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,energy and ,commerce and the ,committee on ,education and the ,workforce of the ,house of ,representatives on the following3 7#a7 ,the non-quantitative treatment limit 7referred to in this section as ,,nqtl7 requirements with respect to mental health and substance use disorder benefits under group health plans and health insurance issuers under section #bgbf7;a77#h7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;gg-#bf7;a77#h771 section #gab7;a77#h7 of the ,employee ,retirement ,income ,security ,act of #aigd 7#bi ,u4,s4,c4 #aahe;a7a77#h771 and section #ihab7;a77#h7 of the ,internal ,revenue ,code of #aihf 7referred to in this section as the ,,nqtl comparative analysis requirements71 and the requirements for the ,secretary of ,health and ,human ,services1 the ,secretary of ,labor1 and the ,secretary of the ,treasury to issue regulations1 a compliance program guide1 and additional guidance documents and tools providing guidance relating to mental health parity requirements under section #bgbf7;a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;gg-#bf7;a771 section #gab7;a7 of the ,employee ,retirement ,income ,security ,act of #aigd 7#bi ,u4,s4,c4 #aahe;a7a771 and section #ihab7;a7 of the ,internal ,revenue ,code of #aihf4 7#b7 ,with respect to the ,,nqtl comparative analysis requirements described in paragraph 7#a71 an analysis of the actions taken by the ,secretary of ,labor1 the ,secretary of the ,treasury1 and the ,secretary of ,health and ,human ,services to provide guidance to ensure that group health plans and health insurance issuers can fully comply with mental health parity requirements under section #bgbf of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;gg-#bf1 section #gab of the ,employee ,retirement ,income ,security ,act of #aigd 7#bi ,u4,s4,c4 #aahe;a71 and section #ihab of the ,internal ,revenue ,code of #aihf and the ,,nqtl comparative analysis requirements described in paragraph 7#a71 including an analysis of-- 7,a7 the extent to which the ,secretary of ,labor1 the ,secretary of the ,treasury1 and the ,secretary of ,health and ,human ,services have fulfilled the requirement under section #bjc7;b7 of division ,,bb of the ,consolidated ,appropriations ,act1 #bjba 7,public ,law #aaf-bfj7 to issue the specific guidance and regulations pertaining to the requirements for group health plans and health insurance issuers to demonstrate compliance with the ,,nqtl comparative analysis requirements2 and 7,b7 whether sufficient guidance and examples from the ,department of ,labor and ,department of ,health and ,human ,services1 and the ,department of the ,treasury exist to guide and assist group health plans and health insurance issuers in complying with the requirements to demonstrate compliance with mental health parity ,,nqtl comparative analysis requirements_/under such sections #bgbf7;a77#h71 #gab7;a77#h71 and #ihab7;a77#h74 7#c7 ,a review of the enforcement processes of the ,department of ,labor and the ,department of ,health and ,human ,services to evaluate the consistency of interpretation of the requirements under section #bgbf7;a77#h7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;gg-#bf7;a77#h71 section #gab7;a77#h7 of the ,employee ,retirement ,income ,security ,act of #aigd 7#bi ,u4,s4,c4 #aahe;a7a77#h771 and section #ihab7;a77#h7 of the ,internal ,revenue ,code of #aihf1 in particular with respect to processes utilized for enforcement1 actions or inactions that constitute noncompliance1 and avoidance among the agencies of duplication of enforcement1 including an evaluation of compliance with section #ajd of the ,health ,insurance ,portability and ,accountability ,act of #aiif 7,public ,law #ajd-aia74 7#d7 ,a review of the implementation1 by the ,department of ,labor1 ,department of ,health and ,human ,services1 and ,department of the ,treasury1 of mental health parity requirements under section #bgbf of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;gg-#bf71 section #gab of the ,employee ,retirement ,income ,security ,act of #aigd 7#bi ,u4,s4,c4 #aahe;a71 and section #ihab of the ,internal ,revenue ,code of #aihf1 including all such requirements in effect through the enactment of the ,mental ,health ,parity ,act of #aiif 7,public ,law #ajd-bjd71 the ,paul ,wellstone and ,pete ,domenici ,mental ,health ,parity and ,addiction ,equity ,act of #bjjh 7,public ,law #aaj-dfj71 the #bast ,century ,cures ,act 7,public ,law #aad-bee71 and the ,consolidated ,appropriations ,act1 #bjbc 7,public ,law #aag-cbh7 7including any amendments made by such ,acts71 and including with respect to the timing of all actions1 delays of any actions1 reasons for any such delays1 mandated requirements that were met only once but not each time such requirements were mandated4 7b7 ,definitions ,in this section1 the terms group health plan and health insurance issuer have the meanings given such terms in section #gcc of the ,employee ,retirement ,income ,security ,act of #aigd 7#bi ,u4,s4,c4 #aaia;b74 #bjg4 ,state guidance on coverage for individuals with serious mental illness and children with serious emotional disturbance 7a7 ,review of use of certain funding ,not later than #a year 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 program under 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 services1 such as coordinated specialty care1 according to the standard of care for individuals with early 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 program 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 activities relating to early serious mental illness1 including ,first ,episode ,psychosis4 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 ,committee on ,appropriations1 the ,committee on ,health1 ,education1 ,labor1 and ,pensions1 and the ,committee on ,finance of the ,senate and to the ,committee on ,appropriations and the ,committee on ,energy and ,commerce of the ,house of ,representatives a report on the findings 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 program based on the findings and recommendations of the report4 7c7 ,additional guidance ,the ,director of the ,national ,institute of ,mental ,health shall coordinate with the ,assistant ,secretary for ,mental ,health and ,substance ,use in providing guidance to ,state grantees and provider subgrantees about research advances in the delivery of services for ,first ,episode ,psychosis under the ,community ,mental ,health ,services ,block ,grant program4 7d7 ,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 evidence-based health care services1 such as coordinated specialty care1 and interventions for individuals with early serious mental illness1 including ,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 #bjh4 ,community mental health services block grant service providers ,subpart ,i of part ,b of title ,,xix of the ,public ,health ,service ,act is amended-- 7#a7 in section #aiac7;b77#a7 7#db ,u4,s4,c4 #cjjx-#b7;b77#a771 by inserting 1 and which may include1 at the discretion of the ,state1 appropriate programs operated by for-profit entities after consumer-directed programs2 and 7#b7 in section #aiaf7;a77#e7 7#db ,u4,s4,c4 #cjjx-#e7;a77#e771 by inserting 1 or a for-profit entity selected by a ,state pursuant to section #aiac7;b77#a7 before the period at the end4 #bji4 ,reports and studies on medication treatments for opioid use disorder 7a7 ,,nih report to ,congress on methadone treatment ,not later than #b years after the date of enactment of this ,act1 the ,director of the ,national ,institutes of ,health shall-- 7#a7 submit to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,energy and ,commerce of the ,house of ,representatives a report on ongoing and new clinical studies conducted or funded by the ,national ,institutes of ,health on the access to1 safety of1 and efficacy of methadone treatment for opioid use disorder in accredited and certified opioid treatment programs and in other programs or settings2 and 7#b7 brief the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,energy and ,commerce of the ,house of ,representatives on-- 7,a7 interim results from the studies described in paragraph 7#a72 and 7,b7 any barriers that may prevent adequate and timely enrollment of patients in any new clinical study described in paragraph 7#a74 7b7 ,study on medication treatments for opioid use disorders ,the ,secretary of ,health and ,human ,services1 acting through the ,assistant ,secretary for ,mental ,health and ,substance ,use1 shall-- 7#a7 study-- 7,a7 the early impact on access to medication treatment for opioid use disorder and opioid-related overdose deaths through buprenorphine prescribing pursuant to section #cjc7;g7 of the ,controlled ,substances ,act 7#ba ,u4,s4,c4 #hbc7;g771 as amended by section #abfb of title ,i of division ,,ff of the ,mental ,health and ,well-,being ,act of #bjbb2 7,b7 the prevalence of patients with opioid use disorder1 in each ,substate region1 as defined by the ,national ,survey on ,drug ,use and ,health of the ,substance ,abuse and ,mental ,health ,services ,administration2 and 7,c7 a survey of retail pharmacies nationwide1 disaggregated by ,state1 to determine which pharmacies serve as methadone dispensing units for opioid treatment programs2 and 7#b7 submit to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,energy and ,commerce of the ,house of ,representatives-- 7,a7 not later than #c years after the date of enactment of this ,act1 an initial report on the study under paragraph 7#a72 and 7,b7 not later than #d years after the date of enactment of this ,act1 a final report on the study under paragraph 7#a74 #baj4 ,,fasd ,respect ,act 7a7 ,in general ,part ,o of title ,,iii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;f et seq47 is amended-- 7#a7 by amending the part heading to read as follows3 ,fetal alcohol spectrum disorders prevention and services program2 7#b7 in section #cii;,h 7#db ,u4,s4,c4 #bhj;f7-- 7,a7 in the section heading1 by striking ,establishment of fetal alcohol syndrome prevention and inserting ,fetal alcohol spectrum disorders prevention1 intervention12 7,b7 by striking ,fetal ,alcohol ,syndrome and ,fetal ,alcohol ,effect each place it appears and inserting ,,fasd2 7,c7 in subsection 7a7-- 7i7 by amending the heading to read as follows3 ,in general2 7ii7 in the matter preceding paragraph 7#a7-- 7,i7 by inserting or continue activities to support after shall establish2 7,,ii7 by striking ,,fasd 7as amended by subparagraph 7,b77 and inserting fetal alcohol spectrum disorders 7referred to in this section as ,,fasd72 7,,iii7 by striking prevention1 intervention and inserting awareness1 prevention1 identification1 intervention12 and 7,,iv7 by striking that shall and inserting 1 which may2 7iii7 in paragraph 7#a7-- 7,i7 in subparagraph 7,a7-- 7aa7 by striking medical schools and inserting health professions schools2 and 7bb7 by inserting infants1 after provision of services for2 and 7,,ii7 in subparagraph 7,d71 by striking medical and mental and inserting agencies providing2 7iv7 in paragraph 7#b7-- 7,i7 in the matter preceding subparagraph 7,a71 by striking a prevention and diagnosis program to support clinical studies1 demonstrations and other research as appropriate and inserting supporting and conducting research on ,,fasd1 as appropriate1 including2 and 7,,ii7 in subparagraph 7,b7-- 7aa7 by striking prevention services and interventions for pregnant1 alcohol-dependent women and inserting culturally and linguistically informed evidence-based or practice-based interventions and appropriate societal supports for preventing prenatal alcohol exposure1 which may co-occur with exposure to other substances2 and 7bb7 by striking 2 and and inserting a semicolon2 7v7 by striking paragraph 7#c7 and inserting the following3 7#c7 integrating into surveillance practice an evidence-based standard case definition for fetal alcohol spectrum disorders and1 in collaboration with other ,federal and outside partners1 support organizations of appropriate medical and mental health professionals in their development and refinement of evidence-based clinical diagnostic guidelines and criteria for all fetal alcohol spectrum disorders2 and 7#d7 building ,state and ,tribal capacity for the identification1 treatment1 and support of individuals with ,,fasd and their families1 which may include-- 7,a7 utilizing and adapting existing ,federal1 ,state1 or ,tribal programs to include ,,fasd identification and ,,fasd-informed support2 7,b7 developing and expanding screening and diagnostic capacity for ,,fasd2 7,c7 developing1 implementing1 and evaluating targeted ,,fasd-informed intervention programs for ,,fasd2 7,d7 increasing awareness of ,,fasd2 7,e7 providing training with respect to ,,fasd for professionals across relevant sectors2 and 7,f7 disseminating information about ,,fasd and support services to affected individuals and their families4 2 7,d7 in subsection 7b7-- 7i7 by striking described in section #cii;,i2 7ii7 by striking ,the ,secretary and inserting the following3 7#a7 ,in general ,the ,secretary 2 and 7iii7 by adding at the end the following3 7#b7 ,eligible entities ,to be eligible to receive a grant1 or enter into a cooperative agreement or contract1 under this section1 an entity shall-- 7,a7 be a ,state1 ,indian ,tribe or ,tribal organization1 local government1 scientific or academic institution1 or nonprofit organization2 and 7,b7 prepare and submit to the ,secretary an application at such time1 in such manner1 and containing such information as the ,secretary may require1 including a description of the activities that the entity intends to carry out using amounts received under this section4 7#c7 ,additional application contents ,the ,secretary may require that an entity using amounts from a grant1 cooperative agreement1 or contract under this section for an activity under subsection 7a77#d7 include in the application for such amounts submitted under paragraph 7#b77;,b7-- 7,a7 a designation of an individual to serve as a ,,fasd ,state or ,tribal coordinator of such activity2 and 7,b7 a description of an advisory committee the entity will establish to provide guidance for the entity on developing and implementing a statewide or ,tribal strategic plan to prevent ,,fasd and provide for the identification1 treatment1 and support of individuals with ,,fasd and their families4 2 7,e7 by striking subsections 7c7 and 7d72 and 7,f7 by adding at the end the following3 7c7 ,definition of ,,fasd-,informed ,for purposes of this section1 the term ,,fasd-informed1 with respect to support or an intervention program1 means that such support or intervention program uses culturally and linguistically informed evidence-based or practice-based interventions and appropriate societal supports to support an improved quality of life for an individual with ,,fasd and the family of such individual4 2 and 7#c7 by striking sections #cii;,i1 #cii;,j1 and #cii,k 7#db ,u4,s4,c4 #bhj;f-#a1 #bhj;f-#b1 #bhj;f-#c7 and inserting the following3 #cii;,i4 ,fetal alcohol spectrum disorders ,centers for ,excellence 7a7 ,in general ,the ,secretary shall1 as appropriate1 award grants1 cooperative agreements1 or contracts to public or nonprofit entities with demonstrated expertise in the prevention of1 identification of1 and intervention services with respect to1 fetal alcohol spectrum disorders 7referred to in this section as ,,fasd7 and other related adverse conditions4 ,such awards shall be for the purposes of establishing ,fetal ,alcohol ,spectrum ,disorders ,centers for ,excellence to build local1 ,tribal1 ,state1 and national capacities to prevent the occurrence of ,,fasd and other related adverse conditions1 and to respond to the needs of individuals with ,,fasd and their families by carrying out the programs described in subsection 7b74 7b7 ,programs ,an entity receiving an award under subsection 7a7 may use such award for the following purposes3 7#a7 ,initiating or expanding diagnostic capacity for ,,fasd by increasing screening1 assessment1 identification1 and diagnosis4 7#b7 ,developing and supporting public awareness and outreach activities1 including the use of a range of media and public outreach1 to raise public awareness of the risks associated with alcohol consumption during pregnancy1 with the goals of reducing the prevalence of ,,fasd and improving the developmental1 health 7including mental health71 and educational outcomes of individuals with ,,fasd and supporting families caring for individuals with ,,fasd4 7#c7 ,acting as a clearinghouse for evidence-based resources on ,,fasd prevention1 identification1 and culturally and linguistically informed best practices1 including the maintenance of a national data-based directory on ,,fasd-specific services in ,states1 ,indian ,tribes1 and local communities1 and disseminating ongoing research and developing resources on ,,fasd to help inform systems of care for individuals with ,,fasd across their lifespan4 7#d7 ,increasing awareness and understanding of efficacious1 evidence-based alcohol and other substance screening tools to prevent ,,fasd and culturally and linguistically appropriate evidence-based intervention services and best practices1 which may include by conducting national1 regional1 ,state1 ,tribal1 or peer cross-,state webinars1 workshops1 or conferences for training community leaders1 medical and mental health and substance use disorder professionals1 education and disability professionals1 families1 law enforcement personnel1 judges1 individuals working in financial assistance programs1 social service personnel1 child welfare professionals1 and other service providers4 7#e7 ,improving capacity for ,state1 ,tribal1 and local affiliates dedicated to ,,fasd awareness1 prevention1 and identification and family and individual support programs and services4 7#f7 ,providing technical assistance to grantees under section #cii;,h1 as appropriate4 7#g7 ,carrying out other functions1 as appropriate4 7c7 ,application ,to be eligible for a grant1 contract1 or cooperative agreement under this section1 an entity shall submit to the ,secretary an application at such time1 in such manner1 and containing such information as the ,secretary may require4 7d7 ,subcontracting ,a public or private nonprofit entity may carry out the following activities required under this section through contracts or cooperative agreements with other public and private nonprofit entities with demonstrated expertise in ,,fasd3 7#a7 ,prevention activities4 7#b7 ,screening and identification4 7#c7 ,resource development and dissemination1 training and technical assistance1 administration1 and support of ,,fasd partner networks4 7#d7 ,intervention services4 #cii;,j4 ,authorization of appropriations ,there are authorized to be appropriated to carry out this part such sums as may be necessary for each of fiscal years #bjbd through #bjbh4 4 7b7 ,report ,not later than #d years after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services shall submit to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,energy and ,commerce of the ,house of ,representatives a report on the efforts of the ,department of ,health and ,human ,services to advance public awareness on1 and facilitate the identification of best practices related to1 fetal alcohol spectrum disorders identification1 prevention1 treatment1 and support4 7c7 ,technical amendment ,section #eai;,d of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#be;d7 is repealed4