I 

111TH CONGRESS 

1ST SESSION H. R. 1932 

To increase the number of well-trained mental health service professionals 

(including those based in schools) providing clinical mental health care 

to children and adolescents, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

APRIL 2, 2009 

Mr. KENNEDY (for himself, Ms. ROS-LEHTINEN, and Mr. LEWIS of Georgia) 

introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and 

Means, for a period to be subsequently determined by the Speaker, in 

each case for consideration of such provisions as fall within the jurisdiction of the committee concerned 

A BILL 

To increase the number of well-trained mental health service 

professionals (including those based in schools) providing 

clinical mental health care to children and adolescents, 

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 ‘‘Child Health Care Cri5 sis Relief Act of 2009’’. 


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1 SEC. 2. FINDINGS. 

2 The Congress finds the following: 

3 (1) The Center for Mental Health Services esti4 mates that 20 percent or 13,700,000 of the Nation’s 

5 children and adolescents have a diagnosable mental 

disorder, and about 2 6 ⁄3 of these children and adoles7 cents do not receive mental health care. 

8 (2) According to ‘‘Mental Health: A Report of 

9 the Surgeon General’’ in 1999, there are approxi10 mately 6,000,000 to 9,000,000 children and adoles11 cents in the United States (accounting for 9 to 13 

12 percent of all children and adolescents in the United 

13 States) who meet the definition for having a serious 

14 emotional disturbance. 

15 (3) According to the Center for Mental Health 

16 Services, approximately 5 to 9 percent of United 

17 States children and adolescents meet the definition 

18 for extreme functional impairment. 

19 (4) According to the Surgeon General’s Report, 

20 there are particularly acute shortages in the num21 bers of mental health service professionals serving 

22 children and adolescents with serious emotional dis23 orders. 

24 (5) According to the National Center for Edu25 cation Statistics in the Department of Education, 

26 there are approximately 479 students for each school 


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1 counselor in United States schools, which ratio is al2 most double the recommended ratio of 250 students 

3 for each school counselor. 

4 (6) According to the Bureau of Health Profes5 sions in 2000, the demand for the services of child 

6 and adolescent psychiatry is projected to increase by 

7 100 percent by 2020. 

8 (7) The development and application of knowl9 edge about the impact of disasters on children, ado10 lescents, and their families has been impeded by crit11 ical shortages of qualified researchers and practi12 tioners specializing in this work. 

13 (8) According to the Bureau of the Census, the 

14 population of children and adolescents in the United 

15 States under the age of 18 is projected to grow by 

16 more than 40 percent in the next 50 years from 70 

17 million to more than 100 million by 2050. 

18 (9) There are approximately 7,000 child and 

19 adolescent psychiatrists in the United States. Only 

20 300 child and adolescent psychiatrists complete 

21 training each year. 

22 (10) According to the Department of Health 

23 and Human Services, racial and ethnic minority rep24 resentation is lacking in the mental health work25 force. Although 12 percent of the United States popVerDate Nov 24 2008 22:21 Apr 06, 2009 Jkt 079200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H1932.IH H1932

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1 ulation is African-American, only 2 percent of psy2 chologists, 2 percent of psychiatrists, and 4 percent 

3 of social workers are African-American providers. 

4 Moreover, there are only 29 Hispanic mental health 

5 professionals for every 100,000 Hispanics in the 

6 United States, compared with 173 non-Hispanic 

7 white providers per 100,000. 

8 (11) According to a 2006 study in the Journal 

9 of the American Academy of Child and Adolescent 

10 Psychiatry, the national shortage of child and ado11 lescent psychiatrists affects poor children and ado12 lescents living in rural areas the hardest. 

13 (12) According to the Department of Health 

14 and Human Services, the ‘‘U.S. mental health sys15 tem is not well equipped to meet the needs of racial 

16 and ethnic minority populations’’. This is quite evi17 dent in access to care issues involving racial and eth18 nic minority children. Studies have shown that there 

19 are striking racial and ethnic differences in the utili20 zation of mental health services among children and 

21 youth. Overall, mental health services meet the 

22 needs of 31 percent of non-minority children, but 

23 only 13 percent of minority children (Ringel, J.S. & 

24 Sturm, R. (2001). National estimates of mental 

25 health utilization and expenditures for children. 


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1 Journal of Behavioral Health and Research, 28, 

2 319–333). 

3 (13) According to the National Center for Men4 tal Health and Juvenile Justice, 70 percent of youth 

5 involved in State and local juvenile justice systems 

6 throughout the country suffer from mental dis7 orders, with at least 20 percent experiencing symp8 toms so severe that their ability to function is sig9 nificantly impaired. 

10 (14) The Institute of Medicine, in a report enti11 tled ‘‘Improving the Quality of Health Care for Men12 tal and Substance-Use Disorders, Quality Chasm Se13 ries’’ (2006), recommended that clinicians and pa14 tients communicate effectively and share information 

15 to ensure high-quality care, which is enhanced with 

16 education programs that allow families and con17 sumers to share information with mental health pro18 viders about the lived experience of mental illness. 

19 SEC. 3. LOAN REPAYMENTS, SCHOLARSHIPS, AND GRANTS 

20 TO IMPROVE CHILD AND ADOLESCENT MEN21 TAL HEALTH CARE. 

22 Part E of title VII of the Public Health Service Act 

23 (42 U.S.C. 294n et seq.) is amended by adding at the end 

24 the following: 


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1 ‘‘Subpart 3—Child and Adolescent Mental Health 

2 Care 

3 ‘‘SEC. 771. LOAN REPAYMENTS, SCHOLARSHIPS, AND 

4 GRANTS TO IMPROVE CHILD AND ADOLES5 CENT MENTAL HEALTH CARE. 

6 ‘‘(a) LOAN REPAYMENTS FOR CHILD AND ADOLES7 CENT MENTAL HEALTH SERVICE PROFESSIONALS.— 

8 ‘‘(1) ESTABLISHMENT.—The Secretary, acting 

9 through the Administrator of the Health Resources 

10 and Services Administration, may establish a pro11 gram of entering into contracts on a competitive 

12 basis with eligible individuals under which— 

13 ‘‘(A) the eligible individual agrees to be 

14 employed full-time for a specified period (which 

15 shall be at least 2 years) in providing mental 

16 health services to children and adolescents; and 

17 ‘‘(B) the Secretary agrees to make, during 

18 not more than 3 years of the period of employ19 ment described in subparagraph (A), partial or 

20 total payments on behalf of the individual on 

21 the principal and interest due on the under22 graduate and graduate educational loans of the 

23 eligible individual. 

24 ‘‘(2) ELIGIBLE INDIVIDUAL.—For purposes of 

25 this section, the term ‘eligible individual’ means an 

26 individual who— 


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1 ‘‘(A) is receiving specialized training or 

2 clinical experience in child and adolescent men3 tal health in psychiatry, psychology, school psy4 chology, behavioral pediatrics, psychiatric nurs5 ing, social work, school social work, marriage 

6 and family therapy, school counseling, or pro7 fessional counseling and has less than 1 year 

8 remaining before completion of such training or 

9 clinical experience; or 

10 ‘‘(B)(i) has a license or certification in a 

11 State to practice allopathic medicine, osteo12 pathic medicine, psychology, school psychology, 

13 psychiatric nursing, social work, school social 

14 work, marriage and family therapy, school 

15 counseling, or professional counseling; and 

16 ‘‘(ii)(I) is a mental health service profes17 sional who completed (but not before the end of 

18 the calendar year in which this section is en19 acted) specialized training or clinical experience 

20 in child and adolescent mental health described 

21 in subparagraph (A); or 

22 ‘‘(II) is a physician who graduated from 

23 (but not before the end of the calendar year in 

24 which this section is enacted) an accredited 


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1 child and adolescent psychiatry residency or fel2 lowship program in the United States. 

3 ‘‘(3) ADDITIONAL ELIGIBILITY REQUIRE4 MENTS.—The Secretary may not enter into a con5 tract under this subsection with an eligible indi6 vidual unless— 

7 ‘‘(A) the individual is a United States cit8 izen or a permanent legal United States resi9 dent; and 

10 ‘‘(B) if the individual is enrolled in a grad11 uate program (including a medical residency or 

12 fellowship), the program is accredited, and the 

13 individual has an acceptable level of academic 

14 standing (as determined by the Secretary). 

15 ‘‘(4) PRIORITY.—In entering into contracts 

16 under this subsection, the Secretary shall give pri17 ority to applicants who— 

18 ‘‘(A) demonstrate a commitment to work19 ing with high-priority populations in a medically 

20 underserved community; 

21 ‘‘(B) are located in or are from a medically 

22 underserved community; 

23 ‘‘(C) are working with high-priority popu24 lations; 


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1 ‘‘(D) have familiarity with evidence-based 

2 methods and cultural competence in child and 

3 adolescent mental health services; 

4 ‘‘(E) demonstrate financial need; and 

5 ‘‘(F) are or will be working in the publicly 

6 funded sector, particularly in community mental 

7 health programs described in section 

8 1913(b)(1). 

9 ‘‘(5) MEANINGFUL LOAN REPAYMENT.—If the 

10 Secretary determines that funds appropriated for a 

11 fiscal year to carry out this subsection are not suffi12 cient to allow a meaningful loan repayment to all ex13 pected applicants, the Secretary shall limit the num14 ber of contracts entered into under paragraph (1) to 

15 ensure that each such contract provides for a mean16 ingful loan repayment. 

17 ‘‘(6) AMOUNT.— 

18 ‘‘(A) MAXIMUM.—For each year that the 

19 Secretary agrees to make payments on behalf of 

20 an individual under a contract entered into 

21 under paragraph (1), the Secretary may agree 

22 to pay not more than $35,000 on behalf of the 

23 individual. 

24 ‘‘(B) CONSIDERATION.—In determining 

25 the amount of payments to be made on behalf 


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1 of an eligible individual under a contract to be 

2 entered into under paragraph (1), the Secretary 

3 shall consider the eligible individual’s income 

4 and debt load. 

5 ‘‘(7) APPLICABILITY OF CERTAIN PROVI6 SIONS.—The provisions of sections 338E and 338F 

7 shall apply to the program established under para8 graph (1) to the same extent and in the same man9 ner as such provisions apply to the National Health 

10 Service Corps Loan Repayment Program established 

11 in subpart III of part D of title III. 

12 ‘‘(8) AUTHORIZATION OF APPROPRIATIONS.— 

13 There is authorized to be appropriated to carry out 

14 this subsection $10,000,000 for each of fiscal years 

15 2010 through 2014. 

16 ‘‘(b) SCHOLARSHIPS FOR STUDENTS STUDYING TO

17 BECOME CHILD AND ADOLESCENT MENTAL HEALTH

18 SERVICE PROFESSIONALS.— 

19 ‘‘(1) ESTABLISHMENT.—The Secretary, acting 

20 through the Administrator of the Health Resources 

21 and Services Administration, may establish a pro22 gram to award scholarships on a competitive basis to 

23 eligible students who agree to enter into full-time 

24 employment (as described in paragraph (4)(C)) as a 

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1 sional after graduation or completion of a residency 

2 or fellowship. 

3 ‘‘(2) ELIGIBLE STUDENT.—For purposes of 

4 this subsection, the term ‘eligible student’ means a 

5 United States citizen or a permanent legal United 

6 States resident who— 

7 ‘‘(A) is enrolled or accepted to be enrolled 

8 in an accredited graduate program that in9 cludes specialized training or clinical experience 

10 in child and adolescent mental health in psy11 chology, school psychology, psychiatric nursing, 

12 behavioral pediatrics, social work, school social 

13 work, marriage and family therapy, school 

14 counseling, or professional counseling and, if 

15 enrolled, has an acceptable level of academic 

16 standing (as determined by the Secretary); or 

17 ‘‘(B)(i) is enrolled or accepted to be en18 rolled in an accredited graduate training pro19 gram of allopathic or osteopathic medicine in 

20 the United States and, if enrolled, has an ac21 ceptable level of academic standing (as deter22 mined by the Secretary); and 

23 ‘‘(ii) intends to complete an accredited 

24 residency or fellowship in child and adolescent 

25 psychiatry or behavioral pediatrics. 


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1 ‘‘(3) PRIORITY.—In awarding scholarships 

2 under this subsection, the Secretary shall give— 

3 ‘‘(A) highest priority to applicants who 

4 previously received a scholarship under this 

5 subsection and satisfy the criteria described in 

6 subparagraph (B); and 

7 ‘‘(B) second highest priority to applicants 

8 who— 

9 ‘‘(i) demonstrate a commitment to 

10 working with high-priority populations in a 

11 medically underserved community, includ12 ing students from such populations; 

13 ‘‘(ii) are located in or are from a 

14 medically underserved community; 

15 ‘‘(iii) have familiarity with evidence16 based methods in child and adolescent 

17 mental health services; 

18 ‘‘(iv) demonstrate financial need; and 

19 ‘‘(v) are or will be working in the pub20 licly funded sector, particularly in commu21 nity mental health programs described in 

22 section 1913(b)(1). 

23 ‘‘(4) REQUIREMENTS.—The Secretary may 

24 award a scholarship to an eligible student under this 

25 subsection only if the eligible student agrees— 


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1 ‘‘(A) to complete any graduate training 

2 program, internship, residency, or fellowship 

3 applicable to that eligible student under para4 graph (2); 

5 ‘‘(B) to maintain an acceptable level of 

6 academic standing (as determined by the Sec7 retary) during the completion of such graduate 

8 training program, internship, residency, or fel9 lowship; and 

10 ‘‘(C) to be employed full-time after gradua11 tion or completion of a residency or fellowship, 

12 for at least the number of years for which a 

13 scholarship is received by the eligible student 

14 under this subsection, in providing mental 

15 health services to children and adolescents. 

16 ‘‘(5) USE OF SCHOLARSHIP FUNDS.—A scholar17 ship awarded to an eligible student for a school year 

18 under this subsection may be used only to pay for 

19 tuition expenses of the school year, other reasonable 

20 educational expenses (including fees, books, and lab21 oratory expenses incurred by the eligible student in 

22 the school year), and reasonable living expenses, as 

23 such tuition expenses, reasonable educational ex24 penses, and reasonable living expenses are deter25 mined by the Secretary. 


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1 ‘‘(6) AMOUNT.—The amount of a scholarship 

2 under this subsection shall not exceed the total 

3 amount of the tuition expenses, reasonable edu4 cational expenses, and reasonable living expenses de5 scribed in paragraph (5). 

6 ‘‘(7) APPLICABILITY OF CERTAIN PROVI7 SIONS.—The provisions of sections 338E and 338F 

8 shall apply to the program established under para9 graph (1) to the same extent and in the same man10 ner as such provisions apply to the National Health 

11 Service Corps Scholarship Program established in 

12 subpart III of part D of title III. 

13 ‘‘(8) AUTHORIZATION OF APPROPRIATIONS.— 

14 There is authorized to be appropriated to carry out 

15 this subsection $5,000,000 for each of fiscal years 

16 2010 through 2014. 

17 ‘‘(c) CLINICAL TRAINING GRANTS FOR PROFES18 SIONALS.— 

19 ‘‘(1) ESTABLISHMENT.—The Secretary, acting 

20 through the Administrator of the Health Resources 

21 and Services Administration, in cooperation with the 

22 Administrator of the Substance Abuse and Mental 

23 Health Services Administration, may establish a pro24 gram to award grants on a competitive basis to ac25 credited institutions of higher education, or accredVerDate Nov 24 2008 22:21 Apr 06, 2009 Jkt 079200 PO 00000 Frm 00014 Fmt 6652 Sfmt 6201 E:\BILLS\H1932.IH H1932

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1 ited professional training programs, to establish or 

2 expand internships or other field placement pro3 grams for students receiving specialized training or 

4 clinical experience in child and adolescent mental 

5 health in psychiatry, psychology, school psychology, 

6 behavioral pediatrics, psychiatric nursing, social 

7 work, school social work, marriage and family ther8 apy, school counseling, or professional counseling. 

9 ‘‘(2) PRIORITY.—In awarding grants under this 

10 subsection, the Secretary shall give priority to appli11 cants that— 

12 ‘‘(A) have demonstrated the ability to col13 lect data on the number of students trained in 

14 child and adolescent mental health and the pop15 ulations served by such students after gradua16 tion; 

17 ‘‘(B) have demonstrated familiarity with 

18 evidence-based methods in child and adolescent 

19 mental health services; 

20 ‘‘(C) have programs designed to increase 

21 the number of professionals serving high-pri22 ority populations; 

23 ‘‘(D) are located in medically underserved 

24 communities; and 

25 ‘‘(E) offer curricula that— 


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1 ‘‘(i) are taught with the collaboration 

2 of consumers, family members, or con3 sumer and family organizations; and 

4 ‘‘(ii) include coursework on the per5 spectives and life experience of mental 

6 health consumers and family members and 

7 the importance of the family-professional 

8 partnership. 

9 ‘‘(3) REQUIREMENTS.—The Secretary may 

10 award a grant to an applicant under this subsection 

11 only if the applicant agrees that— 

12 ‘‘(A) any internship or other field place13 ment program assisted under the grant will 

14 prioritize cultural and linguistic competency; 

15 ‘‘(B) students benefitting from any assist16 ance under this subsection will be United States 

17 citizens or permanent legal United States resi18 dents; 

19 ‘‘(C) the institution will provide to the Sec20 retary such data, assurances, and information 

21 as the Secretary may require; and 

22 ‘‘(D) with respect to any violation of the 

23 agreement between the Secretary and the insti24 tution, the institution will pay such liquidated 


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1 damages as prescribed by the Secretary by reg2 ulation. 

3 ‘‘(4) APPLICATION.—The Secretary shall re4 quire that any application for a grant under this 

5 subsection include a description of the applicant’s 

6 experience working with child and adolescent mental 

7 health issues. 

8 ‘‘(5) AUTHORIZATION OF APPROPRIATIONS.— 

9 There is authorized to be appropriated to carry out 

10 this subsection $10,000,000 for each of fiscal years 

11 2010 through 2014. 

12 ‘‘(d) PROGRESSIVE EDUCATION GRANTS FOR PARA13 PROFESSIONALS.— 

14 ‘‘(1) ESTABLISHMENT.—The Secretary, acting 

15 through the Administrator of the Health Resources 

16 and Services Administration, in cooperation with the 

17 Administrator of the Substance Abuse and Mental 

18 Health Services Administration, may establish a pro19 gram to award grants on a competitive basis to 

20 State-licensed mental health nonprofit and for-profit 

21 organizations (including accredited institutions of 

22 higher education) to enable such organizations to 

23 pay for programs for preservice or in-service training 

24 of paraprofessional child and adolescent mental 

25 health workers. 


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1 ‘‘(2) DEFINITION.—For purposes of this sub2 section, the term ‘paraprofessional child and adoles3 cent mental health worker’ means an individual who 

4 is not a mental health service professional, but who 

5 works at the first stage of contact with children and 

6 families who are seeking mental health services. 

7 ‘‘(3) PRIORITY.—In awarding grants under this 

8 subsection, the Secretary shall give priority to appli9 cants that— 

10 ‘‘(A) have demonstrated the ability to col11 lect data on the number of paraprofessional 

12 child and adolescent mental health workers 

13 trained by the applicant and the populations 

14 served by these workers after the completion of 

15 the training; 

16 ‘‘(B) have familiarity with evidence-based 

17 methods in child and adolescent mental health 

18 services; 

19 ‘‘(C) have programs designed to increase 

20 the number of paraprofessional child and ado21 lescent mental health workers serving high-pri22 ority populations; and 

23 ‘‘(D) provide services through a community 

24 mental health program described in section 

25 1913(b)(1). 


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1 ‘‘(4) REQUIREMENTS.—The Secretary may 

2 award a grant to an organization under this sub3 section only if the organization agrees that— 

4 ‘‘(A) any training program assisted under 

5 the grant will prioritize cultural competency; 

6 ‘‘(B) the organization will provide to the 

7 Secretary such data, assurances, and informa8 tion as the Secretary may require; and 

9 ‘‘(C) with respect to any violation of the 

10 agreement between the Secretary and the orga11 nization, the organization will pay such liq12 uidated damages as prescribed by the Secretary 

13 by regulation. 

14 ‘‘(5) APPLICATION.—The Secretary shall re15 quire that any application for a grant under this 

16 subsection include a description of the applicant’s 

17 experience working with paraprofessional child and 

18 adolescent mental health workers. 

19 ‘‘(6) AUTHORIZATION OF APPROPRIATIONS.— 

20 There is authorized to be appropriated to carry out 

21 this subsection $5,000,000 for each of fiscal years 

22 2010 through 2014. 

23 ‘‘(e) CHILD AND ADOLESCENT MENTAL HEALTH

24 PROGRAM DEVELOPMENT GRANTS.— 


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1 ‘‘(1) ESTABLISHMENT.—The Secretary, acting 

2 through the Administrator of the Health Resources 

3 and Services Administration, may establish a pro4 gram to increase the number of well-trained child 

5 and adolescent mental health service professionals in 

6 the United States by awarding grants on a competi7 tive basis to accredited institutions of higher edu8 cation to enable the institutions to establish or ex9 pand accredited graduate child and adolescent men10 tal health programs. 

11 ‘‘(2) PRIORITY.—In awarding grants under this 

12 subsection, the Secretary shall give priority to appli13 cants that— 

14 ‘‘(A) demonstrate familiarity with the use 

15 of evidence-based methods in child and adoles16 cent mental health services; 

17 ‘‘(B) provide experience in, and collabora18 tion with, community-based child and adoles19 cent mental health services; 

20 ‘‘(C) have included normal child develop21 ment curricula; and 

22 ‘‘(D) demonstrate commitment to working 

23 with high-priority populations. 

24 ‘‘(3) USE OF FUNDS.—Funds received as a 

25 grant under this subsection may be used to establish 


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1 or expand any accredited graduate child and adoles2 cent mental health program in any manner deemed 

3 appropriate by the Secretary, including by improving 

4 the course work, related field placements, or faculty 

5 of such program. 

6 ‘‘(4) REQUIREMENTS.—The Secretary may 

7 award a grant to an accredited institution of higher 

8 education under this subsection only if the institu9 tion agrees that— 

10 ‘‘(A) any child and adolescent mental 

11 health program assisted under the grant will 

12 prioritize cultural competency; 

13 ‘‘(B) the institution will provide to the Sec14 retary such data, assurances, and information 

15 as the Secretary may require; and 

16 ‘‘(C) with respect to any violation of the 

17 agreement between the Secretary and the insti18 tution, the institution will pay such liquidated 

19 damages as prescribed by the Secretary by reg20 ulation. 

21 ‘‘(5) AUTHORIZATION OF APPROPRIATIONS.— 

22 There is authorized to be appropriated to carry out 

23 this subsection $15,000,000 for each of fiscal years 

24 2010 through 2014. 

25 ‘‘(f) DEFINITIONS.—In this section: 


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1 ‘‘(1) SPECIALIZED TRAINING OR CLINICAL EX2 PERIENCE IN CHILD AND ADOLESCENT MENTAL

3 HEALTH.—The term ‘specialized training or clinical 

4 experience in child and adolescent mental health’ 

5 means training and clinical experience that— 

6 ‘‘(A) is part of or occurs after completion 

7 of an accredited graduate program in the 

8 United States for training mental health service 

9 professionals; 

10 ‘‘(B) consists of at least 500 hours of 

11 training or clinical experience in treating chil12 dren and adolescents; and 

13 ‘‘(C) is comprehensive, coordinated, devel14 opmentally appropriate, and of high quality to 

15 address the unique ethnic and cultural diversity 

16 of the United States population. 

17 ‘‘(2) HIGH-PRIORITY POPULATION.—The term 

18 ‘high-priority population’ means— 

19 ‘‘(A) a population in which there is a sig20 nificantly greater incidence than the national 

21 average of— 

22 ‘‘(i) children who have serious emo23 tional disturbances; or 

24 ‘‘(ii) children who are racial, ethnic, 

25 or linguistic minorities; or 


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1 ‘‘(B) a population consisting of individuals 

2 living in a high-poverty urban or rural area. 

3 ‘‘(3) MEDICALLY UNDERSERVED COMMUNITY.— 

4 The term ‘medically underserved community’ has the 

5 meaning given to such term in section 799B. 

6 ‘‘(4) MENTAL HEALTH SERVICE PROFES7 SIONAL.—The term ‘mental health service profes8 sional’ means an individual with a graduate or post9 graduate degree from an accredited institution of 

10 higher education in psychiatry, psychology, school 

11 psychology, behavioral pediatrics, psychiatric nurs12 ing, social work, school social work, marriage and 

13 family counseling, school counseling, or professional 

14 counseling.’’. 

15 SEC. 4. AMENDMENTS TO SOCIAL SECURITY ACT TO IM16 PROVE CHILD AND ADOLESCENT MENTAL 

17 HEALTH CARE. 

18 (a) INCREASING NUMBER OF CHILD AND ADOLES19 CENT PSYCHIATRY RESIDENTS PERMITTED TO BE PAID

20 UNDER THE MEDICARE GRADUATE MEDICAL EDUCATION

21 PROGRAM.—Section 1886(h)(4)(F) of the Social Security 

22 Act (42 U.S.C. 1395ww(h)(4)(F)) is amended by adding 

23 at the end the following new clause: 

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1 ATRY.—In applying clause (i), there shall 

2 not be taken into account such additional 

3 number of full-time equivalent residents in 

4 the field of allopathic or osteopathic medi5 cine who are residents or fellows in child 

6 and adolescent psychiatry as the Secretary 

7 determines reasonable to meet the need for 

8 such physicians as demonstrated by the 

9 1999 report of the Department of Health 

10 and Human Services entitled ‘Mental 

11 Health: A Report of the Surgeon Gen12 eral’.’’. 

13 (b) EXTENSION OF MEDICARE BOARD ELIGIBILITY

14 PERIOD FOR RESIDENTS AND FELLOWS IN CHILD AND

15 ADOLESCENT PSYCHIATRY.—Section 1886(h)(5)(G) of 

16 the Social Security Act (42 U.S.C. 1395ww(h)(5)(G)) is 

17 amended— 

18 (1) in clause (i), by striking ‘‘and (v)’’ and in19 serting ‘‘(v), and (vi)’’; and 

20 (2) by adding at the end the following new 

21 clause: 

22 ‘‘(vi) CHILD AND ADOLESCENT PSY23 CHIATRY TRAINING PROGRAMS.—In the 

24 case of an individual enrolled in a child 

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1 lowship program approved by the Sec2 retary, the period of board eligibility and 

3 the initial residency period shall be the pe4 riod of board eligibility for the specialty of 

5 general psychiatry, plus 2 years for the 

6 subspecialty of child and adolescent psychi7 atry.’’. 

8 (c) EFFECTIVE DATE.—The amendments made by 

9 this section shall apply to residency training years begin10 ning on or after July 1, 2010. 

11 SEC. 5. CHILD MENTAL HEALTH PROFESSIONAL REPORT. 

12 (a) STUDY.—The Administrator of the Health Re13 sources and Services Administration (in this section re14 ferred to as the ‘‘Administrator’’) shall study and make 

15 findings and recommendations on— 

16 (1) the distribution and need for child mental 

17 health service professionals, including with respect to 

18 specialty certifications, practice characteristics, pro19 fessional licensure, practice types, racial and ethnic 

20 backgrounds, locations, education, and training; and 

21 (2) a comparison of such distribution and need, 

22 including identification of disparities, on a State-by23 State basis. 

24 (b) REPORT.—Not later than 2 years after the date 

25 of the enactment of this Act, the Administrator shall subVerDate Nov 24 2008 22:21 Apr 06, 2009 Jkt 079200 PO 00000 Frm 00025 Fmt 6652 Sfmt 6201 E:\BILLS\H1932.IH H1932

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26 

•HR 1932 IH

1 mit to the Congress and make publicly available a report 

2 on the results of the study required by subsection (a), in3 cluding with respect to findings and recommendations on 

4 disparities among the States. 

5 SEC. 6. REPORTS. 

6 (a) TRANSMISSION.—The Secretary of Health and 

7 Human Services shall transmit a report described in sub8 section (b) to the Congress— 

9 (1) not later than 3 years after the date of the 

10 enactment of this Act; and 

11 (2) not later than 5 years after the date of the 

12 enactment of this Act. 

13 (b) CONTENTS.—The reports transmitted to the Con14 gress under subsection (a) shall address each of the fol15 lowing: 

16 (1) The effectiveness of the amendments made 

17 by, and the programs carried out under, this Act in 

18 increasing the number of child and adolescent men19 tal health service professionals and paraprofessional 

20 child and adolescent mental health workers. 

21 (2) The demographics of the individuals served 

22 by such increased number of child and adolescent 

23 mental health service professionals and paraprofes24 sional child and adolescent mental health workers. 

Æ 


pwalker on PROD1PC71 with BILLS