,,ii  #aah? ,,congress  #a/ ,session    
,s4 #gfg  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,m>* #i1 #bjbc,mr4     
,casey 7= himself1 ,ms4 ,/ab5[1 ,mr4    
,book]1 ,mrs4 ,%ahe51 ,mrs4 ,murray1    
,mr4 ,m]kley1 & ,mr4 ,fett]man7         
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on ,=eign
 ,relations  ,a ,,bill  ,to enhance     
m5tal heal? & psy*osocial support )9    
,unit$ ,/ates developm5t & humanit>ian  
assi/ance programs4  #a4 ,%ort titles   
,?is ,act may be cit$ z ! ,m5tal ,heal? 
9 ,int]national ,developm5t &           
,humanit>ian ,sett+s ,act or ! ,,m9ds   
,act4  #b4 ,f9d+s2 s5se ( ,congress  7a7
 ,f9d+s ,congress f9ds ! foll[+3 7#a7   
,accord+ to ! ,_w ,heal? ,organization  
7ref]r$ to 9 ?is section z ,,:o71 an    
e/imat$ #a1jjj1jjj1jjj individuals      
worldwide h a m5tal heal? or sub/ance   
use disord]4  7#b7 ,! ,lancet           
,commission e/imates t ne>ly            
#acj1jjj1jjj additional cases ( major   
depressive & anxiety disord]s globally 9

 #bjbj result$ f ! ,,covid-#ai p&emic4  
7#c7 ,accord+ to ,,:o-- 7,a7 depression 
is among ! prim>y causes ( illness &    
disability 9 adolesc5ts2  7,b7 #ej p]c5t
 ( m5tal heal? disord]s em]ge by ! "t an
 adolesc5t rea*es #ad ye>s ( age2 &     
7,c7 #ad p]c5t ( *ildr5 & adolesc5ts    
worldwide exp]i5ce m5tal heal?          
conditions1 ! majority ( :om d n seek   
c>e1 receive c>e1 or h access to c>e4   
7#d7 ,accord+ to a report commission$ by
 ! ,unit$ ,nations-- 7,a7 m ?an #a out (
 e #e individuals liv+ 9 a              
conflict-affect$ area has a m5tal heal? 
disord]2  7,b7 approximately            
#a1ejj1jjj1jjj 7or #b out ( e #c7 ( !   
_w's *ildr5 y\ng] ?an #ah ye>s ( age    
live 9 c\ntries affect$ by conflict2    
7,c7 m ?an #a out ( e #f *ildr5 live 9  
conflict zones2  7,d7 a great] numb] (  
*ildr5 live 9 areas affect$ by arm$     
conflict & w> n[ ?an at any o!r "t dur+ 
?is c5tury2 &  7,e7 ! m5tal heal? burd5 
9 conflict-affect$ contexts is twice !  
global av]age4  7#e7 ,accord+ to !      

,,:o-- 7,a7 risk factors t increase     
susceptibility to m5tal heal? disord]s  
include-- 7i7 pov]ty & hung]2  7ii7     
*ronic heal? conditions2  7iii7 trauma  
or maltreatm5t2  7iv7 social exclusion2 
7v7 discrim9ation2 &  7vi7 exposure to1 
& displacem5t by1 w> or conflict2  7,b7 
^! risk factors1 along ) demographic    
risk factors1 manife/ at all /ages 9    
life2  7,c7 prelim9>y rese>* illu/rates 
t ! ,,covid-#ai p&emic-- 7i7 has        
increas$ ! risk factors affect+         
communities1 families1 & individuals =  
multiple types ( adv]sity2 &  7ii7      
comp\nd$ preexi/+ conditions &          
vuln]abilities4  7#f7 ,accord+ to a     
,lancet ,commission report-- 7,a7       
allocations = m5tal heal? h nev] ris5   
above #a p]c5t ( heal?-relat$ global    
developm5t assi/ance2 &  7,b7 *ild &    
adolesc5t m5tal heal? s]vices receive an
 e/imat$ #j4a p]c5t ( heal?-relat$      
global developm5t assi/ance4  7b7 ,s5se 
( ,congress ,x is ! s5se ( ,congress t--
 7#a7 help+ to ensure t individuals h ! 

opportunity to ?rive & rea* _! fulle/   
pot5tial is a critical compon5t (       
effective & su/a9able int]national      
developm5t ef=ts2  7#b7 m5tal heal? is  
integral & ess5tial to ov]all heal?     
outcomes & o!r developm5t objectives2   
7#c7 m5tal heal? is an issue ( critical 
& gr[+ importance = ,unit$ ,/ates       
developm5t & humanit>ian assi/ance      
programs t requires coord9at$ ef=ts to  
ensure t programm+ fund$ by ! ,unit$    
,/ates ,gov]nm5t is evid5ce-bas$1       
culturally compet5t1 & trauma-in=m$2    
7#d7 ! relevant ,unit$ ,/ates ,gov]nm5t 
developm5t & humanit>ian assi/ance      
/rategies %\ld include a m5tal heal? &  
psy*osocial support compon5t2  7#e7 !   
r$esign ( ,,usaid-- 7,a7 reflects !     
nexus betwe5 humanit>ian & developm5t   
int]v5tions2 &  7,b7 %\ld be appli$ to  
all m5tal heal? & psy*osocial support   
ef=ts ( ,unit$ ,/ates developm5t &      
humanit>ian assi/ance programs2 &  7#f7 
ongo+ ef=ts to improve social s]vice    
work=ce developm5t & local capacity     

build+ are ess5tial to exp&+ m5tal heal?
 & psy*osocial support activities across
 all ,unit$ ,/ates developm5t &         
humanit>ian assi/ance programs4  #c4    
,def9itions ,9 ?is ,act3 7#a7           
,adm9i/rator ,! t]m ,adm9i/rator means !
 ,adm9i/rator ( ,,usaid4  7#b7 ,,usaid  
,! t]m ,,usaid means ! ,unit$ ,/ates    
,ag5cy = ,int]national ,developm5t4  #d4
 ,coord9ator = m5tal heal? & psy*osocial
 support ,section #ace ( ! ,=eign       
,assi/ance ,act ( #aifa 7#bb ,u4,s4,c4  
#baeb;f7 is am5d$-- 7#a7 by r$esignat+  
subsection 7f7 z subsection 7g72 &  7#b7
 by ins]t+ aft] subsection 7e7 ! foll[+3
  7f7 ,coord9ator = m5tal heal? &       
psy*osocial support  7#a7 ,appo9tm5t ,! 
,adm9i/rator ( ! ,unit$ ,/ates ,ag5cy = 
,int]national ,developm5t1 9            
consultation ) ! ,secret>y ( ,/ate1 is  
au?oriz$ to appo9t a ,m5tal ,heal? &    
,psy*osocial ,support ,coord9ator       
7ref]r$ to 9 ?is section z ! ,,mhpss    
,coord9ator74  7#b7 ,specific duties ,! 
,,mhpss ,coord9ator %all-- 7,a7 e/abli% 

& *air ! ,m5tal ,heal? & ,psy*osocial   
,support ,work+ ,gr\p au?oriz$ "u       
section #d ( ! ,,m9ds ,act2  7,b7 guide1
 ov]see1 & direct m5tal heal? &         
psy*osocial support programm+ &         
integration across ,unit$ ,/ates =eign  
assi/ance programm+2  7,c7 s]ve z ! ma9 
po9t ( contact on m5tal heal? &         
psy*osocial support 9 ! ,bureau =       
,global ,heal?1 ! ,bureau = ,humanit>ian
 ,assi/ance1 regional bureaus1 ! ,c5t] =
 ,education & ! ,inclusive ,developm5t  
,hub 9 ! ,bureau = ,developm5t1         
,democracy1 & ,innovation1 o!r bureaus1 
! ,(fice ( ! ,global ,,aids ,coord9ator 
& ,global ,heal? ,diplomacy1 & o!r      
int]ag5cy or presid5tial initiatives2   
7,d7 promote be/ practices1 coord9ation 
& report+ 9 m5tal heal? & psy*osocial   
support programm+ across ,unit$ ,/ates  
developm5t & humanit>ian assi/ance      
programs2  7,e7 provide direction1      
guidance1 & ov]sight on ! integration ( 
m5tal heal? & psy*osocial support 9     
,unit$ ,/ates developm5t & humanit>ian  

assi/ance programs2 &  7,f7 p>ticipate 9
 ! ,advanc+ ,protection & ,c>e = ,*ildr5
 9 ,adv]sity ,int]ag5cy ,work+ ,gr\p4   
7#c7 ,focus populations ,! ,,mhpss      
,coord9ator1 z appropriate1 %\ld        
prioritize populations ) increas$ risk  
factors = develop+ m5tal heal? disord]s1
 includ+-- 7,a7 adult c>etak]s & *ildr51
 includ+ families & adults :o are       
long-t]m c>etak]s2  7,b7 *ildr5 & o!rs  
:o are sep>at$ f a family unit2 &  7,c7 
o!r specific populations 9 ne$ ( m5tal  
heal? & psy*osocial support1 su* z      
crisis affect$ communities1 displac$    
populations1 g5d]-bas$ viol5ce          
survivors1 & individuals & h\seholds    
cop+ ) ! consequ5ces ( diseases1 su* z  
,ebola1 ,,hiv_/,,aids1 & ,,covid-#ai4  4
  #e4 ,m5tal ,heal? & ,psy*osocial      
,support ,work+ ,gr\p ,! ,adm9i/rator1 9
 coop]ation ) ! ,m5tal ,heal? &         
,psy*osocial ,support ,coord9ator       
appo9t$ pursuant to section #ace7;f7 ( !
 ,=eign ,assi/ance ,act ( #aifa1 z add$ 
by section #d1 %all e/abli% ! ,m5tal    

,heal? & ,psy*osocial ,support ,work+   
,gr\p1 :i* %all include s5ior           
repres5tatives f relevant ,,usaid       
bureaus1 ! ,dep>tm5t ( ,/ate1 & o!r     
,f$]al dep>tm5ts & ag5cies1 z           
appropriate1 to ensure cont9uity &      
integration ( m5tal heal? & psy*osocial 
support across ,unit$ ,/ates developm5t 
& humanit>ian assi/ance programs4  #f4  
,integration ( m5tal heal? & psy*osocial
 support  7a7 ,/atem5t ( policy ,x is ! 
policy ( ! ,unit$ ,/ates to integrate   
m5tal heal? & psy*osocial support across
 all relevant ,unit$ ,/ates developm5t &
 humanit>ian assi/ance programs4  7b7   
,implem5tation ( policy ,! ,adm9i/rator 
& ! ,secret>y ( ,/ate %\ld-- 7#a7       
require all ,,usaid & ,dep>tm5t ( ,/ate 
regional bureaus & missions to advance !
 policy describ$ 9 subsection 7a7 ?r\gh 
relevant developm5t & humanit>ian       
assi/ance ef=ts1 includ+ by build+ local
 capacity to in=m1 design1 & implem5t   
m5tal heal? & psy*osocial support       
programm+2  7#b7 ensure t all ,,usaid & 

,dep>tm5t ( ,/ate m5tal heal? &         
psy*osocial support programm+-- 7,a7 is 
evid5ce-bas$ & culturally compet5t2     
7,b7 responds to all types ( *ildhood   
adv]sity2 &  7,c7 includes              
trauma-specific int]v5tions 9 accordance
 ) ! recogniz$ pr9ciples ( a            
trauma-in=m$ approa*1 :5ev] applicable2 
&  7#c7 integrate ! pr9ciples ( !       
,advanc+ ,protection & ,c>e = ,*ildr5 9 
,adv]sity ,/rategy4  #g4 ,consultation &
 report+ requirem5ts  7a7 ,consultation 
,n lat] ?an #ahj days aft] ! date ( !   
enactm5t ( ?is ,act1 ! ,adm9i/rator1 9  
coord9ation ) ! ,secret>y ( ,/ate1 %all 
consult ) ! ,committee on ,=eign        
,relations ( ! ,s5ate & ! ,committee on 
,=eign ,affairs ( ! ,h\se (             
,repres5tatives reg>d+-- 7#a7 ! progress
 made 9 c>ry+ out section #f7;b72 &     
7#b7 any b>ri]s prev5t+ ! full          
integration ( ! /rategy ref]r$ to 9     
section #f7;b77#c74  7b7 ,report ,n lat]
 ?an #a ye> aft] ! date ( ! enactm5t (  
?is ,act1 & annually !reaft] = ! foll[+ 

#e fiscal ye>s1 ! ,adm9i/rator & !      
,secret>y ( ,/ate1 9 consultation ) !   
,m5tal ,heal? & ,psy*osocial ,support   
,coord9ator appo9t$ pursuant to section 
#ace7;f7 ( ! ,=eign ,assi/ance ,act (   
#aifa1 z add$ by section #d1 & !        
,director ( ! ,(fice ( ,managem5t &     
,budget1 z necess>y & appropriate1 %all 
submit a report to ! ,committee on      
,=eign ,relations ( ! ,s5ate & !        
,committee on ,=eign ,affairs ( ! ,h\se 
( ,repres5tatives t describes-- 7#a7 !  
am\nt ( ,unit$ ,/ates developm5t &      
humanit>ian assi/ance program fund+ t 0 
obligat$ & exp5d$ dur+ ! mo/ rec5tly    
conclud$ fiscal ye> on m5tal heal? &    
psy*osocial support programm+2  7#b7 h[ 
,,usaid & ! ,dep>tm5t ( ,/ate are work+ 
to integrate m5tal heal? & psy*osocial  
programm+1 includ+ *ild-specific        
programm+1 into _! developm5t &         
humanit>ian assi/ance programs across   
relevant sectors1 includ+ heal?1        
education1 nutrition1 & protection2     
7#c7 ! metrics ( success ( ! ,advanc+   

,protection & ,c>e = ,*ildr5 9 ,adv]sity
 ,/rategy & ! progress made t[>ds a*iev+
 broad] m5tal heal? outcomes2  7#d7 !   
programs 9 :i* trauma-specific /rategies
 are be+ implem5t$1 & h[ be/ practices =
 trauma-in=m$ programm+ are be+ %>$     
across programs2  7#e7 any b>ri]s       
prev5t+ full integration ( *ild m5tal   
heal? & psy*osocial support into        
programs = *ildr5 & y\?1 &              
recomm5dations = modifications or       
expansion ( su* programs2  7#f7 any     
b>ri]s to ! expansion ( m5tal heal? &   
psy*osocial support programm+ 9 conflict
 & humanit>ian sett+s1 & h[ su* b>ri]s  
are be+ address$2  7#g7 ! impact ( !    
,,covid-#ai p&emic on m5tal heal? &     
psy*osocial support programm+2 &  7#h7  
fund+ data1 includ+ a li/ ( programs to 
:i* ,,usaid & ! ,dep>tm5t ( ,/ate h     
obligat$ funds dur+ ! mo/ rec5tly       
conclud$ fiscal ye> to improve access   
to1 & ! quality (1 m5tal heal? &        
psy*osocial support programm+ 9         
developm5t & humanit>ian contexts4  #h4 

,sunset ,?is ,act1 & ! am5dm5ts made by 
?is ,act1 %all t]m9ate on ! date t is #e
 ye>s aft] ! date ( ! enactm5t ( ?is    
,act4