II 

117TH CONGRESS 

2D SESSION S. 4472 

To expand the availability of mental, emotional, behavioral, and substance 

use disorder health services, and for other purposes. 

IN THE SENATE OF THE UNITED STATES 

JUNE 23, 2022 

Mr. CASEY (for himself and Mr. CASSIDY) introduced the following bill; which 

was read twice and referred to the Committee on Health, Education, 

Labor, and Pensions 

A BILL 

To expand the availability of mental, emotional, behavioral, 

and substance use disorder health services, and for other 

purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Health Care Capacity 

5 for Pediatric Mental Health Act of 2022’’. 


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1 SEC. 2. PROGRAMS TO SUPPORT PEDIATRIC MENTAL, EMO2 TIONAL, BEHAVIORAL, AND SUBSTANCE USE 

3 DISORDER HEALTH CARE. 

4 Subpart V of part D of title III of the Public Health 

5 Service Act (42 U.S.C. 256 et seq.) is amended by adding 

6 at the end the following: 

7 ‘‘SEC. 340A–1. PROGRAM TO SUPPORT PEDIATRIC MENTAL, 

8 EMOTIONAL, BEHAVIORAL, AND SUBSTANCE 

9 USE DISORDER HEALTH CARE INTEGRATION 

10 AND COORDINATION. 

11 ‘‘(a) IN GENERAL.—The Secretary, acting through 

12 the Administrator of the Health Resources and Services 

13 Administration, in consultation with the Assistant Sec14 retary for Mental Health and Substance Use, shall award 

15 grants, contracts, or cooperative agreements to eligible en16 tities for the purpose of supporting pediatric mental, emo17 tional, behavioral, and substance use disorder health care 

18 integration and coordination to meet local community 

19 needs in underserved and high-need communities. 

20 ‘‘(b) ELIGIBLE ENTITIES.—Entities eligible for 

21 grants under subsection (a) include— 

22 ‘‘(1) children’s hospitals; 

23 ‘‘(2) facilities that provide trauma-informed, 

24 culturally-sensitive, developmentally-appropriate in25 tensive pediatric mental, emotional, behavioral, or 

26 substance use disorder health services in partial hosVerDate Sep 11 2014 23:20 Jun 29, 2022 Jkt 029200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\S4472.IS S4472

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1 pital, day treatment, intensive outpatient program, 

2 or walk-in crisis assessment program settings; and 

3 ‘‘(3) other entities providing trauma-informed, 

4 culturally-sensitive, developmentally-appropriate in5 tensive pediatric mental, emotional, behavioral, or 

6 substance use disorder health services, as the Sec7 retary determines appropriate. 

8 ‘‘(c) PRIORITIZATION.—In making awards under sub9 section (a), the Secretary shall prioritize— 

10 ‘‘(1) applicants that demonstrate plans to uti11 lize funds to expand access to integrated care and 

12 care coordination for the prevention, screening, as13 sessment, and treatment of pediatric mental health 

14 disorders, eating disorders, developmental disorders, 

15 and substance use disorders in high-need, rural, or 

16 underserved communities; 

17 ‘‘(2) applicants that demonstrate plans to co18 ordinate with and complement initiatives to improve 

19 pediatric mental health and substance use disorder 

20 care implemented through other Federal programs; 

21 and 

22 ‘‘(3) applicants that demonstrate a significant 

23 role in care for children in the region. 

24 ‘‘(d) USE OF FUNDS.—Activities that may be funded 

25 through an award under subsection (a) include— 


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1 ‘‘(1) increasing the capacity of eligible entities 

2 to integrate trauma-informed, culturally-sensitive, 

3 developmentally-appropriate pediatric mental, emo4 tional, behavioral, and substance use disorder health 

5 services, including through telehealth access to, and 

6 co-location of, mental, emotional, behavioral, and 

7 substance use disorder health providers; 

8 ‘‘(2) facilitating access to trauma-informed, cul9 turally-sensitive, developmentally-appropriate inten10 sive pediatric mental, emotional, behavioral, or sub11 stance use disorder health services in partial hos12 pital, day treatment, intensive outpatient program, 

13 or walk-in crisis assessment program settings, in 

14 order to prevent hospitalizations and support chil15 dren as they transition back to their homes and 

16 communities; 

17 ‘‘(3) supporting the collection of data on pedi18 atric mental, emotional, behavioral, and substance 

19 use disorder health care needs, service utilization 

20 and availability, and demographic data, to identify 

21 unmet needs and barriers in access to care, in a 

22 manner that protects personal privacy, consistent 

23 with applicable Federal and State privacy laws; 

24 ‘‘(4) establishing or maintaining community25 based pediatric mental health and substance use disVerDate Sep 11 2014 23:20 Jun 29, 2022 Jkt 029200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\S4472.IS S4472

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1 order partnerships, such as partnerships with 

2 schools, early childhood education programs, commu3 nity-based organizations, and community-based men4 tal health and substance use disorder care providers, 

5 to address identified gaps in access to care; and 

6 ‘‘(5) training for non-clinical pediatric health 

7 care workers, including care coordinators, commu8 nity health workers, and navigators, on providing 

9 trauma-informed, culturally-sensitive, develop10 mentally-appropriate care for pediatric mental health 

11 disorders, eating disorders, developmental disorders, 

12 and substance use disorders, and on local resources 

13 to support children and their caregivers. 

14 ‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—To 

15 carry out this section, there is authorized to be appro16 priated such sums as may be necessary for each of fiscal 

17 years 2023 through 2027. 

18 ‘‘SEC. 340A–2. PEDIATRIC MENTAL, EMOTIONAL, BEHAV19 IORAL, AND SUBSTANCE USE DISORDER 

20 HEALTH WORKFORCE TRAINING PROGRAM. 

21 ‘‘(a) IN GENERAL.—The Secretary, acting through 

22 the Administrator of the Health Resources and Services 

23 Administration, in consultation with the Assistant Sec24 retary for Mental Health and Substance Use and the Ad25 ministrator of the Centers for Medicare & Medicaid ServVerDate Sep 11 2014 23:20 Jun 29, 2022 Jkt 029200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\S4472.IS S4472

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1 ices, shall award grants, contracts, or cooperative agree2 ments to eligible entities for the purpose of supporting evi3 dence-based pediatric mental, emotional, behavioral, and 

4 substance use disorder health workforce training. 

5 ‘‘(b) ELIGIBLE ENTITIES.—Entities eligible for 

6 grants under subsection (a) include— 

7 ‘‘(1) children’s hospitals; 

8 ‘‘(2) facilities that provide trauma-informed, 

9 culturally-sensitive, developmentally-appropriate in10 tensive pediatric mental, emotional, behavioral, or 

11 substance use disorder health services in partial hos12 pital, day treatment, intensive outpatient program, 

13 or walk-in crisis assessment program settings, that 

14 can prevent hospitalizations and support children as 

15 they transition back to their homes and commu16 nities; and 

17 ‘‘(3) other entities providing trauma-informed, 

18 culturally-sensitive, developmentally-appropriate in19 tensive pediatric mental, emotional, behavioral, or 

20 substance use disorder health services, as the Sec21 retary determines appropriate. 

22 ‘‘(c) PRIORITIZATION.—In making awards under sub23 section (a), the Secretary shall prioritize applicants that 

24 serve high-need, rural, or underserved communities, and 

25 that demonstrate plans to utilize funds to expand access 


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1 to prevention, screening, assessment, and treatment of pe2 diatric mental health disorders, eating disorders, develop3 mental disorders, and substance use disorders. 

4 ‘‘(d) USE OF FUNDS.—Activities that may be sup5 ported through an award under subsection (a) include ex6 panded training to enhance the capabilities of the existing 

7 workforce, including primary care providers, pediatricians, 

8 psychiatrists, psychologists, nurses, social workers, coun9 selors, and other health care providers, as the Secretary 

10 determines appropriate, to provide trauma-informed, cul11 turally-sensitive, developmentally-appropriate care for pe12 diatric mental health disorders, eating disorders, develop13 mental disorders, and substance use disorders. 

14 ‘‘(e) REPORTING.— 

15 ‘‘(1) REPORTS FROM AWARD RECIPIENTS.—Not 

16 later than 180 days after the completion of activities 

17 funded by an award under this section, the entity 

18 that received such award shall submit a report to 

19 the Secretary on the activities conducted using funds 

20 from such award, and other information as the Sec21 retary may require. 

22 ‘‘(2) REPORTS TO CONGRESS.—Not later than 

23 180 days after receiving reports from all award re24 cipients, the Secretary shall submit to the Com25 mittee on Health, Education, Labor, and Pensions 


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1 of the Senate and the Committee on Energy and 

2 Commerce of the House of Representatives a report 

3 on the projects and activities conducted with funds 

4 awarded under this section, and the outcome of such 

5 projects and activities. Such report shall include— 

6 ‘‘(A) the number of projects supported by 

7 awards made under this section; 

8 ‘‘(B) an overview of the impact, if any, of 

9 such projects on access to pediatric mental, 

10 emotional, behavioral, and substance use dis11 order health services; 

12 ‘‘(C) recommendations for improving the 

13 investment program under this section; and 

14 ‘‘(D) any other considerations as the Sec15 retary determines appropriate. 

16 ‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—To 

17 carry out this section, there is authorized to be appro18 priated such sums as may be necessary for each of fiscal 

19 years 2023 through 2027.’’. 

20 SEC. 3. INCREASING FEDERAL INVESTMENT IN PEDIATRIC 

21 MENTAL, EMOTIONAL, BEHAVIORAL, AND 

22 SUBSTANCE USE DISORDER HEALTH SERV23 ICES. 

24 The Public Health Service Act (42 U.S.C. 201 et 

25 seq.) is amended by adding at the end the following: 


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1 ‘‘TITLE XXXIV—ASSISTANCE FOR 

2 MODERNIZATION OF PEDI3 ATRIC MENTAL, EMOTIONAL, 

4 BEHAVIORAL, AND SUB5 STANCE USE DISORDER 

6 HEALTH CARE INFRASTRUC7 TURE 

8 ‘‘SEC. 3401. INCREASING FEDERAL INVESTMENT IN PEDI9 ATRIC MENTAL, EMOTIONAL, BEHAVIORAL, 

10 AND SUBSTANCE USE DISORDER HEALTH 

11 SERVICES. 

12 ‘‘(a) IN GENERAL.—The Secretary, acting through 

13 the Administrator of the Health Resources and Services 

14 Administration, in consultation with the Assistant Sec15 retary for Mental Health and Substance Use, shall award 

16 grants, contracts, or cooperative agreements to eligible en17 tities for the purpose of improving their ability to provide 

18 trauma-informed, culturally-sensitive, developmentally-ap19 propriate pediatric mental, emotional, behavioral, and sub20 stance use disorder health services, including by— 

21 ‘‘(1) constructing or modernizing sites of care 

22 for trauma-informed, culturally-sensitive, develop23 mentally-appropriate pediatric mental, emotional, be24 havioral, and substance use disorder health services; 


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1 ‘‘(2) expanding capacity to provide trauma-in2 formed, culturally-sensitive, developmentally-appro3 priate pediatric mental, emotional, behavioral, or 

4 substance use disorder health services, including en5 hancements to digital infrastructure, telehealth capa6 bilities, or other improvements to patient care infra7 structure; and 

8 ‘‘(3) supporting the reallocation of existing re9 sources to accommodate pediatric mental, emotional, 

10 and behavioral health and substance use disorder pa11 tients, including by converting or adding sufficient 

12 capacity to establish or increase the entity’s inven13 tory of licensed and operational, trauma-informed, 

14 culturally-sensitive, developmentally-appropriate in15 tensive pediatric mental, emotional, behavioral, and 

16 substance use disorder health care programs, such 

17 as partial hospital, day treatment, intensive out18 patient programs, or walk-in crisis assessment pro19 grams, in order to prevent hospitalizations and sup20 port children as they transition back to their homes 

21 and communities. 

22 ‘‘(b) ELIGIBLE ENTITIES.—Entities eligible for 

23 grants under subsection (a) include— 

24 ‘‘(1) children’s hospitals; 


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1 ‘‘(2) facilities that provide trauma-informed, 

2 culturally-sensitive, developmentally-appropriate in3 tensive pediatric mental, emotional, behavioral, or 

4 substance use disorder health services in partial hos5 pital, day treatment, intensive outpatient program, 

6 or walk-in crisis assessment program settings, that 

7 can prevent hospitalizations and support children as 

8 they transition back to their homes and commu9 nities; and 

10 ‘‘(3) other entities providing trauma-informed, 

11 culturally-sensitive, developmentally-appropriate in12 tensive pediatric mental, emotional, behavioral, or 

13 substance use disorder health services, as the Sec14 retary determines appropriate. 

15 ‘‘(c) PRIORITIZATION.—In making awards under sub16 section (a), the Secretary shall prioritize applicants that 

17 serve high-need, rural, or underserved communities, and 

18 that demonstrate plans to utilize funds to expand access 

19 to prevention, screening, assessment, and treatment of pe20 diatric mental health disorders, eating disorders, develop21 mental disorders, and substance use disorders. 

22 ‘‘(d) SUPPLEMENT, NOT SUPPLANT.—Funds pro23 vided under this section shall be used to supplement, and 

24 not supplant, Federal and non-Federal funds available for 

25 carrying out the activities described in this section. 


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1 ‘‘(e) REPORTING.— 

2 ‘‘(1) REPORTS FROM AWARD RECIPIENTS.—Not 

3 later than 180 days after the completion of activities 

4 funded by an award under this section, the entity 

5 that received such award shall submit a report to 

6 the Secretary on the activities conducted using funds 

7 from such award, and other information as the Sec8 retary may require. 

9 ‘‘(2) REPORTS TO CONGRESS.—Not later than 

10 180 days after receiving reports from all award re11 cipients under paragraph (1), the Secretary shall 

12 submit to the Committee on Health, Education, 

13 Labor, and Pensions of the Senate and the Com14 mittee on Energy and Commerce of the House of 

15 Representatives a report on the projects and activi16 ties conducted with funds awarded under this sec17 tion, and the outcome of such projects and activities. 

18 Such report shall include— 

19 ‘‘(A) the number of projects supported by 

20 awards made under this section; 

21 ‘‘(B) an overview of the impact, if any, of 

22 such projects on pediatric health care infra23 structure, including any impact on access to pe24 diatric mental, emotional, behavioral, and sub25 stance use disorder health services; 


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1 ‘‘(C) recommendations for improving the 

2 investment program under this section; and 

3 ‘‘(D) any other considerations as the Sec4 retary determines appropriate. 

5 ‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—To 

6 carry out this section, there is authorized to be appro7 priated such sums as may be necessary for each of fiscal 

8 years 2023 through 2027.’’. 

Æ 


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