,,ii  #aai? ,,congress  #a/ ,session    
,s4 #afhi  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #h1 #bjbe,ms4     
,hirono 7= h]self & ,ms4 ,cortez ,ma/o7 
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to am5d ! ,public ,heal?    
,s]vice ,act to provide = a national    
outrea* & education /rategy & rese>* to 
improve behavioral heal? among ! ,asian 
,am]ican1 ,native ,hawaiian1 & ,pacific 
,isl&] population1 :ile address+ /igma  
aga9/ behavioral heal? treatm5t among   
su* population4  #a4 ,%ort title ,?is   
,act may be cit$ z ! ,/op ,m5tal ,heal? 
,/igma 9 ,our ,communities ,act ( #bjbe4
  #b4 ,def9itions ,9 ?is ,act3 7#a7     
,,aanhpi ,! t]m ,,aanhpi means ,asian   
,am]ican1 ,native ,hawaiian1 & ,pacific 
,isl&]4  7#b7 ,secret>y ,except z       
o!rwise specifi$1 ! t]m ,secret>y means 
! ,secret>y ( ,heal? & ,human ,s]vices4 
#c4 ,f9d+s ,congress f9ds ! foll[+3 7#a7
 ,! ,,aanhpi community is among ! fa/e/ 

gr[+ population gr\ps 9 ! ,unit$ ,/ates4
 ,x is a div]se population repres5t+ m  
?an #gj di/9ct e?nicities1 & speak+ m   
?an #ajj languages & dialects4  7#b7    
,!re is a gr[+ m5tal heal? crisis 9 !   
,unit$ ,/ates1 p>ticul>ly = ,,aanhpi    
individuals4 ,,aanhpi individuals )     
m5tal heal? *all5ges h ! l[e/ rates (   
m5tal heal? s]vice utilization comp>$ to
 o!r racial or e?nic populations4 ,9    
#bjbc1 only #ce p]c5t ( ,asian adults ) 
a m5tal heal? *all5ge receiv$ treatm5t 9
 ! pa/ ye>4 ,al?\gh suicide is ! elev5? 
lead+ cause ( dea?1 x is ! lead+ cause (
 dea? = ,,aanhpi y\?4 ,f #bjah to #bjbc1
 ,,aanhpi y\? betwe5 ! ages ( #aj to #bd
 ye>s 7 ! only racial or e?nic          
population 9 ?is age category :]e       
suicide 0 ! lead+ cause ( dea?4  7#c7   
,su* m5tal heal? disp>ities )9 !        
,,aanhpi community may be attribut$ to  
sy/emic b>ri]s to access+ m5tal heal?   
s]vices1 includ+ /igma atta*$ to m5tal  
heal?1 limit$ availability ( & access to
 culturally & l+ui/ically appropriate   

s]vices1 & insuffici5t rese>*4  7#d7    
,insuffici5t rese>* on ,,aanhpi         
communities (t5 leads to an inaccurate  
repres5tation ( _! exp]i5ces & ne$s4 ,x 
is imp]ative to disaggregate ,,aanhpi   
population data to bett] und]/& ! range 
( m5tal heal? issues = ea* subpopulation
 s t specific culturally & l+ui/ically  
appropriate solutions c be develop$4    
7#e7 ,critical inve/m5ts are necess>y to
 r$uce /igma & improve m5tal heal? )9   
,,aanhpi communities1 includ+ increas+  
culturally & l+ui/ically appropriate    
outrea* education & m5tal heal? s]vices1
 improv+ repres5tation ( ,,aanhpi       
individuals among ! behavioral heal?    
work=ce1 & /r5g!n+ disaggregat$ data    
collection 9 rese>*4  #d4 ,national     
,,aanhpi behavioral heal? outrea* &     
education /rategy ,"p ,d ( title ,v ( ! 
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bij;dd et seq47 is am5d$ by  
add+ at ! end ! foll[+ new section3     
#eed4 ,national ,,aanhpi behavioral     
heal? outrea* & education /rategy  7a7  

,9 g5]al ,! ,secret>y1 act+ ?r\gh !     
,assi/ant ,secret>y1 %all1 9 coord9ation
 ) ! ,director ( ! ,(fice ( ,m9ority    
,heal?1 ! ,director ( ! ,national       
,in/itutes ( ,heal?1 & ! ,director ( !  
,c5t]s = ,disease ,control & ,prev5tion1
 & 9 consultation ) advocacy &          
behavioral heal? organizations s]v+     
populations ( ,asian ,am]ican1 ,native  
,hawaiian1 & ,pacific ,isl&] individuals
 or communities1 develop & implem5t a   
national outrea* & education /rategy to 
promote behavioral heal? & r$uce /igma  
associat$ ) m5tal heal? & sub/ance use  
disord]s )9 ! ,asian ,am]ican1 ,native  
,hawaiian1 & ,pacific ,isl&] population4
 ,su* /rategy %all-- 7#a7 be design$ to 
meet ! div]se cultural & language ne$s &
 pref]5ces ( ! v>i\s ,asian ,am]ican1   
,native ,hawaiian1 & ,pacific ,isl&]    
populations2  7#b7 be developm5tally &  
age appropriate2  7#c7 increase aw>5ess 
( symptoms ( m5tal illnesses common )9  
subgr\ps ( su* population1 tak+ into    
acc\nt diff]5ces )9 subgr\ps1 su* z     

g5d]1 g5d] id5tity1 age1 sexual         
ori5tation1 culture1 or e?nicity2  7#d7 
provide in=mation1 9 a publicly         
accessible mann]1 on evid5ce-bas$1      
culturally & l+ui/ically appropriate1 & 
adapt$ int]v5tions & treatm5ts2  7#e7   
ensure full p>ticipation (1 & engage1   
bo? consum]s & community memb]s 9 !     
developm5t & implem5tation ( mat]ials2 &
  7#f7 seek to broad5 ! p]spective among
 bo? individuals 9 ,asian ,am]ican1     
,native ,hawaiian1 & ,pacific ,isl&]    
communities & /akehold]s s]v+ su*       
communities to use a compreh5sive public
 heal? approa* to promot+ behavioral    
heal? t addresses a holi/ic view ( heal?
 by focus+ on ! int]section betwe5      
behavioral & physical heal?4  7b7       
,reports ,beg9n+ n lat] ?an #a ye> aft] 
! date ( ! enactm5t ( ! ,/op ,m5tal     
,heal? ,/igma 9 ,our ,communities ,act (
 #bjbe & annually !reaft]1 ! ,secret>y1 
act+ ?r\gh ! ,assi/ant ,secret>y1 %all  
submit to ,congress1 & make publicly    
available1 a report on ! ext5t to :i* ! 

/rategy develop$ & implem5t$ "u         
subsection 7a7 increas$ aw>5ess among ! 
,asian ,am]ican1 ,native ,hawaiian1 &   
,pacific ,isl&] population ( m5tal heal?
 & sub/ance use disord]s4  7c7          
,au?orization ( appropriations ,!re is  
au?oriz$ to be appropriat$ to c>ry out  
?is section #c1jjj1jjj = ea* ( fiscal   
ye>s #bjbf ?r\gh #bjcj4  4  #e4         
,sy/ematic review ( & report on !       
,,aanhpi y\? behavioral heal? crisis    
7a7 ,sy/ematic review  7#a7 ,9 g5]al ,! 
,secret>y1 act+ ?r\gh ! ,assi/ant       
,secret>y = ,m5tal ,heal? & ,sub/ance   
,use1 9 coord9ation ) ! ,director ( !   
,national ,in/itutes ( ,heal?1 !        
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion1 & ! ,director ( ! ,(fice 
( ,m9ority ,heal?1 %all conduct a       
sy/ematic review ( behavioral heal?     
among ,,aanhpi y\?4  7#b7 ,elem5ts ,su* 
sy/ematic review requir$ "u p>agraph    
7#a7 %all include an assessm5t (-- 7,a7 
! preval5ce1 risk factors1 & root causes
 ( m5tal heal? *all5ges1 sub/ance       

misuse1 & m5tal heal? & sub/ance use    
disord]s among ,,aanhpi y\?2  7,b7 !    
preval5ce & me?ods ( attempt$ suicide1  
nonfatal sub/ance use ov]dose1 & dea? by
 suicide or sub/ance use ov]dose among  
,,aanhpi y\?2 &  7,c7 ,,aanhpi y\? t    
receiv$ treatm5t = m5tal heal? &        
sub/ance use disord]s4  7b7 ,report ,n  
lat] ?an "o ye> aft] ! date ( ! enactm5t
 ( ?is ,act1 ! ,secret>y %all submit to 
! ,committee on ,heal?1 ,education1     
,labor1 & ,p5sions ( ! ,s5ate & !       
,committee on ,en]gy & ,comm]ce ( !     
,h\se ( ,repres5tatives1 & make publicly
 available1 a report on ! f9d+s ( !     
sy/ematic review conduct$ "u subsection 
7a71 includ+-- 7#a7 id5tification ( !   
b>ri]s to access+ behavioral heal?      
prev5tion1 treatm5t1 & recov]y s]vices =
 ,,aanhpi y\?2  7#b7 id5tification (    
root causes ( m5tal heal? *all5ges &    
sub/ance misuse among ,,aanhpi y\?2     
7#c7 recomm5dations = evid5ce-bas$      
actions to be tak5 by ! ,secret>y to    
improve behavioral heal? among ,,aanhpi 

y\?2  7#d7 recomm5dations = legislative 
or adm9i/rative action to improve !     
behavioral heal? ( ,,aanhpi y\? exp]i5c+
 depression1 suicide1 & ov]dose1 & to   
r$uce ! preval5ce ( depression1 suicide1
 ov]dose1 & o!r behavioral heal?        
conditions among ,,aanhpi y\?2 &  7#e7  
su* o!r recomm5dations z ! ,secret>y    
det]m9es appropriate4  7c7 ,data ,any   
data includ$ 9 ! sy/ematic review or    
report "u ?is section %all be           
disaggregat$ by race1 e?nicity1 age1    
sex1 g5d] id5tity1 sexual ori5tation1   
geographic region1 disability /atus1 &  
o!r relevant factors1 9 a mann] t       
protects p]sonal privacy & t is consi/5t
 ) applicable ,f$]al & ,/ate privacy    
law4  7d7 ,au?orization ( appropriations
 ,= purposes ( c>ry+ out ?is section1   
!re is au?oriz$ to be appropriat$       
#a1ejj1jjj = fiscal ye> #bjbf4  #f4     
,sy/ematic review ( & report on         
/rategies on ! ,,aanhpi behavioral heal?
 work=ce %ortage  7a7 ,sy/ematic review 
7#a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh !

 ,assi/ant ,secret>y = ,m5tal ,heal? &  
,sub/ance ,use1 9 coord9ation ) !       
,adm9i/rator ( ! ,heal? ,res\rces &     
,s]vices ,adm9i/ration1 ! ,secret>y (   
,labor1 & ! ,director ( ! ,(fice (      
,m9ority ,heal?1 %all conduct a         
sy/ematic review ( /rategies = increas+ 
! behavioral heal? work=ce t id5tify z  
,,aanhpi4  7#b7 ,elem5ts ,su* sy/ematic 
review requir$ "u p>agraph 7#a7 %all    
include an assessm5t (-- 7,a7 ! total   
numb] ( behavioral heal? work]s 9 !     
,unit$ ,/ates :o id5tify z ,,aanhpi2    
7,b7 ) respect to ea* su* work]1        
in=mation reg>d+ ! curr5t type ( lic5se1
 geographic area ( practice1 & type (   
employ] 7su* z hospital1                
,f$]ally-qualifi$ heal? c5t]1 s*ool1 or 
private practice72  7,c7 in=mation      
reg>d+ ! cultural & l+ui/ic capabilities
 ( su* work]s1 includ+ languages spok5  
pr(ici5tly2  7,d7 ! relevant b>ri]s to  
enrollm5t 9 behavioral heal? pr(essional
 education programs & ent]+ ! behavioral
 heal? work=ce = ,,aanhpi individuals2 &

  7,e7 ! total numb] ( behavioral heal? 
work]s :o id5tify z ,,aanhpi & :o       
p>ticipate 9 ,f$]al programs t seek to  
increase1 tra91 & support ! behavioral  
heal? work=ce4  7b7 ,report ,n lat] ?an 
"o ye> aft] ! date ( ! enactm5t ( ?is   
,act1 ! ,secret>y %all submit to !      
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions ( ! ,s5ate & !       
,committee on ,en]gy & ,comm]ce ( !     
,h\se ( ,repres5tatives1 & make publicly
 available1 a report on ! f9d+s ( !     
sy/ematic review conduct$ "u subsection 
7a71 includ+-- 7#a7 id5tification (     
,,aanhpi behavioral heal? work]s' k &   
aw>5ess ( ! b>ri]s to quality behavioral
 heal? c>e s]vices fac$ by ,,aanhpi     
individuals1 includ+ /igma1 limit$      
,engli% pr(ici5cy1 & lack ( heal?       
insurance cov]age2  7#b7 recomm5dations 
= actions to be tak5 by ! ,secret>y to  
increase ! numb] ( ,,aanhpi behavioral  
heal? work]s2  7#c7 recomm5dations =    
legislative or adm9i/rative action to   
improve ! enrollm5t ( ,,aanhpi          

individuals 9 behavioral heal? work=ce  
education & tra9+ programs2 &  7#d7 su* 
o!r recomm5dations z ! ,secret>y        
det]m9es appropriate4  7c7 ,data ,any   
data includ$ 9 ! sy/ematic review or    
report "u ?is section %all be           
disaggregat$ by race1 e?nicity1 age1    
sex1 g5d] id5tity1 sexual ori5tation1   
geographic region1 disability /atus1 &  
o!r relevant factors1 9 a mann] t       
protects p]sonal privacy & t is consi/5t
 ) applicable ,f$]al & ,/ate privacy    
law4  7d7 ,def9ition ,9 ?is section !   
t]m behavioral heal? work] means any    
individual lic5s$ or c]tifi$ to provide 
m5tal heal? or sub/ance use disord]     
s]vices1 includ+ 9 ! pr(essions ( social
 "w1 psy*ology1 psy*iatry1 m>riage &    
family !rapy1 m5tal heal? c\nsel+1 pe]  
support1 & sub/ance use disord] c\nsel+4
  7e7 ,au?orization ( appropriations ,= 
purposes ( c>ry+ out ?is section1 !re is
 au?oriz$ to be appropriat$ #a1ejj1jjj =
 fiscal ye> #bjbf4