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[Congressional Bills 113th Congress]
[From the U.S. Government Publishing Office]
[S. 689 Introduced in Senate (IS)]

113th CONGRESS
  1st Session
                                 S. 689

   To reauthorize and improve programs related to mental health and 
                        substance use disorders.

_______________________________________________________________________

                   IN THE SENATE OF THE UNITED STATES

                             April 9, 2013

  Mr. Harkin (for himself, Mr. Alexander, Mr. Franken, Mr. Enzi, Mr. 
 Bennet, Ms. Murkowski, Ms. Baldwin, Mr. Roberts, Mrs. Hagan, and Mr. 
   Isakson) introduced the following bill; which was read twice and 
  referred to the Committee on Health, Education, Labor, and Pensions

_______________________________________________________________________

                                 A BILL

 
   To reauthorize and improve programs related to mental health and 
                        substance use disorders.

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

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Mental Health Awareness and 
Improvement Act of 2013''.

                      TITLE I--EDUCATION PROGRAMS

SEC. 101. SHORT TITLE.

    This title may be cited as the ``Achievement Through Prevention 
Act''.

SEC. 102. PURPOSE.

    The purpose of this title is to expand the use of positive 
behavioral interventions and supports and early intervening services in 
schools in order to improve student academic achievement, reduce 
overidentification of individuals with disabilities, and reduce 
disciplinary problems in schools.

SEC. 103. AMENDMENTS TO THE ELEMENTARY AND SECONDARY EDUCATION ACT OF 
              1965.

    (a) Title I State Plans.--Section 1111(b) of the Elementary and 
Secondary Education Act of 1965 (20 U.S.C. 6311(b)) is amended by 
adding at the end the following:
            ``(11) Positive behavioral interventions and supports.--In 
        the case of a State that proposes to use funds under this part 
        to support positive behavioral interventions and supports, the 
        State plan shall describe how the State educational agency 
        will--
                    ``(A) assist local educational agencies in 
                implementing positive behavioral interventions and 
                supports in schools served by the local educational 
                agency on a whole-school basis;
                    ``(B) provide technical assistance and training to 
                local educational agencies to improve and support the 
                development, implementation, and coordination of 
                comprehensive positive behavioral interventions and 
                supports carried out under this Act with activities 
                carried out under the Individuals with Disabilities 
                Education Act; and
                    ``(C) evaluate the effects of providing positive 
                behavioral interventions and supports for all students, 
                including improvement of the learning environment, 
                academic achievement, disciplinary problems such as 
                incidents of suspensions, expulsions, referrals to law 
                enforcement, and other actions that remove students 
                from instruction, and any other effects the State 
                chooses to evaluate.
            ``(12) Early intervening services.--In the case of a State 
        that proposes to use funds under this part to support early 
        intervening services, the State plan shall describe how the 
        State educational agency will--
                    ``(A) assist local educational agencies in 
                implementing early intervening services in schools 
                served by the local educational agency to reduce the 
                need to label children as children with disabilities in 
                order to address the learning and behavioral needs of 
                such children;
                    ``(B) provide technical assistance and training to 
                local educational agencies to improve coordination of 
                early intervening services provided under this Act with 
                early intervening services carried out under the 
                Individuals with Disabilities Education Act; and
                    ``(C) evaluate the effects of providing early 
                intervening services.
            ``(13) Crisis management plans.--In the case of a State 
        that proposes to use funds under this part to assist local 
        educational agencies in the State in periodically updating the 
        crisis management plans, as described in section 4114(d)(7)(D), 
        of such local educational agencies, the State plan shall 
        describe how the State educational agency will assist local 
        educational agencies in updating such crisis management 
        plans.''.
    (b) Title I State Reports.--Section 1111(h)(1)(C) of the Elementary 
and Secondary Education Act of 1965 (20 U.S.C. 6311(h)(1)(C)) is 
amended--
            (1) in clause (vii), by striking ``and'' after the 
        semicolon;
            (2) in clause (viii), by striking the period and inserting 
        a semicolon; and
            (3) by adding at the end the following:
                            ``(ix) the number of local educational 
                        agencies in the State that implement positive 
                        behavioral interventions and supports;
                            ``(x) the number of students--
                                    ``(I) who are served through the 
                                use of early intervening services; and
                                    ``(II) who, in the preceding 2-year 
                                period, received early intervening 
                                services and who, after receiving such 
                                services, have been identified as 
                                eligible for, and receive, special 
                                education and related services under 
                                part B of the Individuals with 
                                Disabilities Education Act; and
                            ``(xi) the number of local educational 
                        agencies in the State that implement school-
                        based mental health programs.''.
    (c) Title I Local Educational Agency Plans.--Section 1112(b)(1) of 
the Elementary and Secondary Education Act of 1965 (20 U.S.C. 
6312(b)(1)) is amended--
            (1) in subparagraph (P), by striking ``and'' after the 
        semicolon;
            (2) in subparagraph (Q), by striking the period and 
        inserting a semicolon; and
            (3) by adding at the end the following:
                    ``(R) if the local educational agency proposes to 
                use subgrant funds under this part for positive 
                behavioral interventions and supports, a description of 
                the actions the local educational agency will take to 
                provide positive behavioral interventions and supports 
                and coordinate those activities with activities carried 
                out under the Individuals with Disabilities Education 
                Act;
                    ``(S) if the local educational agency proposes to 
                use subgrant funds under this part for early 
                intervening services, a description of the actions the 
                local educational agency will take to provide early 
                intervening services and coordinate those services with 
                early intervening services carried out under the 
                Individuals with Disabilities Education Act;
                    ``(T) if the local educational agency proposes to 
                use subgrant funds under this part for school-based 
                mental health programs, a description of the actions 
                the local educational agency will take to provide 
                school-based mental health programs and coordinate 
                those activities with activities carried out under the 
                Individuals with Disabilities Education Act; and
                    ``(U) if the local educational agency proposes to 
                use subgrant funds under this part for periodically 
                updating the crisis management plan of the local 
                educational agency, as described in section 
                4114(d)(7)(D), a description of the actions the local 
                educational agency will take to develop and implement 
                an updated crisis management plan.''.
    (d) Title I Schoolwide Programs.--
            (1) Schoolwide programs.--Section 1114(b)(1)(B)(iii)(I) of 
        the Elementary and Secondary Education Act of 1965 (20 U.S.C. 
        6314(b)(1)(B)(iii)(I)) is amended--
                    (A) in item (aa), by inserting ``and school-based 
                mental health programs'' after ``services'';
                    (B) by redesignating items (bb) and (cc) as items 
                (dd) and (ee), respectively; and
                    (C) by inserting after item (aa) the following:
                                    ``(bb) implementation of schoolwide 
                                positive behavioral interventions and 
                                supports, including through 
                                coordination with activities carried 
                                out under the Individuals with 
                                Disabilities Education Act, in order to 
                                improve academic outcomes for students 
                                and reduce the need for suspensions, 
                                expulsions, and other actions that 
                                remove students from instruction;
                                    ``(cc) implementation of early 
                                intervening services, including through 
                                coordination with early intervening 
                                services carried out under the 
                                Individuals with Disabilities Education 
                                Act;''.
            (2) Technical assistance.--Section 1116(b)(4)(B) of the 
        Elementary and Secondary Education Act of 1965 (20 U.S.C. 
        6316(b)(4)(B)) is amended--
                    (A) by redesignating clauses (iii) and (iv) as 
                clauses (iv) and (v), respectively; and
                    (B) by inserting after clause (ii) the following:
                            ``(iii) shall include assistance in the 
                        implementation of schoolwide positive behavior 
                        supports, school-based mental health programs, 
                        and other approaches with evidence of 
                        effectiveness for improving the learning 
                        environment in the school and reducing the need 
                        for suspensions, expulsions, and other actions 
                        that remove students from instruction, 
                        including effective strategies for improving 
                        coordination of community resources;''.
    (e) Title I Assessments and School Improvement.--
            (1) School improvement plan.--Section 1116(b)(3)(A) of the 
        Elementary and Secondary Education Act of 1965 (20 U.S.C. 
        6316(b)(3)(A)) is amended--
                    (A) in clause (ix), by striking ``and'' after the 
                semicolon;
                    (B) in clause (x), by striking the period and 
                inserting a semicolon; and
                    (C) by adding at the end the following:
                            ``(xi) specify whether the local 
                        educational agency or the school will adopt and 
                        implement policies or practices to implement or 
                        improve positive behavioral interventions and 
                        supports and enhance coordination with 
                        activities carried out under the Individuals 
                        with Disabilities Education Act;
                            ``(xii) specify whether the local 
                        educational agency or the school will adopt and 
                        implement policies or practices to implement or 
                        improve early intervening services and 
                        coordinate with early intervening services 
                        carried out under such Act; and
                            ``(xiii) specify whether the local 
                        educational agency or school will adopt and 
                        implement school-based mental health programs 
                        and coordinate with programs carried out under 
                        such Act.''.
            (2) Local educational agency improvement plans.--Section 
        1116(c)(10) of the Elementary and Secondary Education Act of 
        1965 (20 U.S.C. 6316(c)(10)) is amended--
                    (A) in subparagraph (B), by striking ``subparagraph 
                (E)'' and inserting ``subparagraph (F)'';
                    (B) by redesignating subparagraphs (D) through (F) 
                as subparagraphs (E) through (G), respectively; and
                    (C) by inserting after subparagraph (C) the 
                following:
                    ``(D) Additional activities.--In addition to 
                carrying out 1 or more of the corrective actions 
                required under subparagraph (C) for a local educational 
                agency, the State educational agency may also carry out 
                1 or more of the following activities:
                            ``(i) Improving or expanding positive 
                        behavioral interventions and supports and 
                        enhancing coordination with activities under 
                        the Individuals with Disabilities Education 
                        Act.
                            ``(ii) Improving or expanding early 
                        intervening services and coordinating such 
                        services with early intervening services 
                        carried out under the Individuals with 
                        Disabilities Education Act.''.
    (f) Title I School Support and Recognition.--
            (1) Regional centers.--Section 1117(a)(3) of the Elementary 
        and Secondary Education Act of 1965 (20 U.S.C. 6317(a)(3)) is 
        amended--
                    (A) by striking ``of 2002 and comprehensive'' and 
                inserting ``of 2002, comprehensive'';
                    (B) by striking ``and the comprehensive'' and 
                inserting ``, the comprehensive''; and
                    (C) by inserting ``and any technical assistance 
                center on schoolwide positive behavioral interventions 
                and supports funded under section 665(b) of the 
                Individuals with Disabilities Education Act,'' after 
                ``2002),''.
            (2) Statewide systems for support.--Section 1117(a)(5)(B) 
        of the Elementary and Secondary Education Act of 1965 (20 
        U.S.C. 6317(a)(5)(B)) is amended--
                    (A) in clause (i), by striking the semicolon at the 
                end and inserting the following: ``, including by 
                improving or expanding the use of positive behavioral 
                interventions and supports aligned with activities 
                carried out under the Individuals with Disabilities 
                Education Act;'';
                    (B) in clause (iii), by striking ``and'' after the 
                semicolon;
                    (C) in clause (iv), by striking the period and 
                inserting a semicolon; and
                    (D) by adding at the end the following:
                            ``(v) review and analyze the school's 
                        efforts to identify and assist students with 
                        poor academic achievement and students who are 
                        children with disabilities, and assist the 
                        school in developing or improving early 
                        intervening services that are coordinated with 
                        activities carried out under the Individuals 
                        with Disabilities Education Act;
                            ``(vi) review and analyze the school's 
                        efforts to address behavioral or disciplinary 
                        problems, and assist the school in developing 
                        or improving schoolwide positive behavioral 
                        interventions and supports that are coordinated 
                        with activities carried out under the 
                        Individuals with Disabilities Education Act;
                            ``(vii) review the number of discipline 
                        incidents in the school and use that 
                        information to assist the school to implement 
                        schoolwide positive behavioral interventions 
                        and supports or other early intervening 
                        services, or both; and
                            ``(viii) review and analyze the school's 
                        efforts to address mental health needs among 
                        students and assist the school in developing or 
                        improving school-based mental health programs 
                        that are coordinated with activities carried 
                        out under the Individuals with Disabilities 
                        Education Act.''.
    (g) Title I Parental Involvement.--Section 1118(e) of the 
Elementary and Secondary Education Act of 1965 (20 U.S.C. 6318(e)) is 
amended--
            (1) by redesignating paragraphs (6) through (14) as 
        paragraphs (7) through (15), respectively; and
            (2) by inserting after paragraph (5) the following:
            ``(6) shall provide information to school personnel, 
        students, and parents about the school's use of positive 
        behavioral interventions and supports, school-based mental 
        health programs, and the expectations of school personnel, 
        students, and parents in supporting a safe learning environment 
        for all students;''.
    (h) Prevention and Intervention Programs.--Section 1414(c)(8) of 
the Elementary and Secondary Education Act of 1965 (20 U.S.C. 
6434(c)(8)) is amended by inserting ``, including coordinating the use 
of positive behavioral interventions and supports, early intervening 
services, and school-based mental health programs to improve academic 
achievement and reduce disciplinary actions'' before the semicolon at 
the end.
    (i) Technical Assistance.--Section 1419 of the Elementary and 
Secondary Education Act of 1965 (20 U.S.C. 6439) is amended--
            (1) in paragraph (1), by striking ``and'' after the 
        semicolon;
            (2) in paragraph (2), by striking the period and inserting 
        ``; and''; and
            (3) by adding at the end the following:
            ``(3) to provide technical assistance in implementing 
        positive behavior interventions and supports, early intervening 
        services, and school-based mental health programs in order to 
        improve academic achievement and reduce disciplinary 
        actions.''.
    (j) Title II Mental Health Professional Development.--Section 2123 
of the Elementary and Secondary Education Act of 1965 (20 U.S.C. 6223) 
is amended--
            (1) in subsection (a), by inserting after paragraph (8) the 
        following:
            ``(9) Carrying out in-service training for school personnel 
        in--
                    ``(A) the techniques and supports needed to 
                identify children with trauma histories, and children 
                with, or at risk of, mental illness, early;
                    ``(B) the use of referral mechanisms that 
                effectively link such children to appropriate treatment 
                and intervention services in the school and in the 
                community where appropriate; and
                    ``(C) forming partnerships between school-based 
                mental health programs and public or private mental 
                health organizations.'';
            (2) by redesignating subsection (b) as subsection (c); and
            (3) by inserting after subsection (a) the following:
    ``(b) Liability Protection for School Personnel.--Section 2366 
shall apply to school personnel who received in-service training under 
subsection (a)(9), and who are carrying out activities related to such 
training, in the same manner as such section applies to teachers.''.
    (k) School-Based Mental Health Services Partnership Programs.--
Section 4121 of the Elementary and Secondary Education Act of 1965 (20 
U.S.C. 7131) is amended--
            (1) in subsection (a)--
                    (A) in the matter preceding paragraph (1), by 
                inserting ``, health (including mental health),'' after 
                ``promote safety'';
                    (B) by redesignating paragraphs (3) through (8) and 
                (9) as paragraphs (4) through (9) and (11), 
                respectively;
                    (C) by inserting after paragraph (2) the following:
            ``(3) the development and implementation of school-based 
        mental health services partnership programs under subsection 
        (c);'';
                    (D) by striking paragraph (7), as redesignated by 
                subparagraph (B), and inserting the following:
            ``(7)(A) assistance to school systems that have 
        particularly severe drug and violence problems or assistance to 
        support appropriate response efforts to crisis situations, 
        including--
                    ``(i) hiring drug prevention and school safety 
                coordinators; and
                    ``(ii) making available to students mental health 
                services, conflict resolution programs, and other 
                school-based violence prevention strategies;'';
                    (E) in paragraph (9), as redesignated by 
                subparagraph (B), by striking ``and'' after the 
                semicolon; and
                    (F) by inserting after such paragraph (9) the 
                following:
            ``(10) assistance to States to help local educational 
        agencies develop and implement comprehensive emergency 
        management plans; and''; and
            (2) by adding at the end the following:
    ``(c) School-Based Mental Health Services Partnership Programs.--
            ``(1) In general.--Each grant, contract, or cooperative 
        agreement awarded or entered into under subsection (a)(3) shall 
        meet the requirements of this subsection.
            ``(2) Eligibility.--
                    ``(A) In general.--To be eligible to receive a 
                grant, contract, or cooperative agreement under this 
                subsection, a local educational agency shall enter into 
                a school-based mental health partnership that--
                            ``(i) shall include a public or private 
                        mental health entity or health care entity; and
                            ``(ii) may include a child welfare agency, 
                        family-based mental health entity, family 
                        organization, trauma network, or other 
                        community-based entity.
                    ``(B) Flexibility for certain local educational 
                agencies.--Notwithstanding subparagraph (A), a local 
                educational agency that is eligible for services under 
                subpart 1 or 2 of part B of title VI, as determined by 
                the Secretary, and that is unable to partner with a 
                public or private mental health entity or health care 
                entity shall be eligible for a grant under this 
                subsection if the local educational agency can 
                demonstrate to the Secretary, in its application for a 
                grant under this subsection, that the local educational 
                agency can otherwise build the capacity to carry out 
                the requirements of this subsection.
            ``(3) Application.--A local educational agency that desires 
        a grant, contract, or cooperative agreement under this 
        subsection shall include, in the application required by the 
        Secretary, a description of how the local educational agency 
        will--
                    ``(A) assist schools served by the local 
                educational agency to provide, through the school-based 
                mental health services partnership program, 
                comprehensive school-based mental health services and 
                supports and comprehensive staff development for school 
                and community service personnel working in the school;
                    ``(B) provide technical assistance and training to 
                improve and support the development, implementation, 
                and coordination of school-based mental health programs 
                and ensure such programs are coordinated with 
                activities carried out under the Individuals with 
                Disabilities Education Act; and
                    ``(C) evaluate the effects of providing school-
                based mental health programs.
            ``(4) Use of funds.--A local educational agency receiving a 
        grant, contract, or cooperative agreement under this subsection 
        shall use funds provided under such grant, contract, or 
        cooperative agreement to provide school-based mental health 
        services and supports that--
                    ``(A) may include--
                            ``(i) the early identification of social, 
                        emotional, or behavioral problems, or substance 
                        use disorders, and the provision of early 
                        intervening services;
                            ``(ii) not withstanding section 4154, the 
                        treatment or referral for treatment of students 
                        with social, emotional, or behavioral health 
                        problems, or substance use disorders;
                            ``(iii) the development and implementation 
                        of programs to assist children in dealing with 
                        trauma and violence; and
                            ``(iv) the development of mechanisms, based 
                        on best practices, for children to report 
                        incidents of violence or plans by other 
                        children or adults to commit violence;
                    ``(B) are based on trauma-informed and evidence-
                based practices;
                    ``(C) are coordinated, where appropriate, with 
                early intervening services carried out under the 
                Individuals with Disabilities Education Act; and
                    ``(D) are provided by qualified mental and 
                behavioral health professionals who are certified or 
                licensed by the State involved and practicing within 
                their area of expertise.
            ``(5) General requirements.--
                    ``(A) Parental consent.--
                            ``(i) In general.--Each local educational 
                        agency receiving a grant, contract, or 
                        cooperative agreement under this subsection 
                        shall obtain prior written, informed consent 
                        from the parent of each child who is under 18 
                        years of age to participate in any assessment 
                        service, program, activity, or treatment that 
                        is--
                                    ``(I) funded under this subsection; 
                                and
                                    ``(II) conducted in connection with 
                                an elementary school or secondary 
                                school under the grant, contract, or 
                                cooperative agreement.
                            ``(ii) Exception.--Notwithstanding clause 
                        (i), the written, informed consent described in 
                        such clause shall not be required in--
                                    ``(I) an emergency, where it is 
                                necessary to protect the immediate 
                                health and safety of the student, other 
                                students, or school personnel; or
                                    ``(II) other instances where 
                                parental consent cannot reasonably be 
                                obtained, as defined by the Secretary.
                    ``(B) Prohibition on mandatory medication.--No 
                child shall be required to obtain a prescription for a 
                substance covered by the Controlled Substances Act (21 
                U.S.C. 801 et seq.) as a condition of receiving an 
                evaluation under this subsection, receiving services 
                under this subsection, or attending a school receiving 
                assistance under this subsection.
                    ``(C) Privacy.--Each eligible entity receiving a 
                grant under this subsection shall ensure that student 
                mental health records are accorded the privacy 
                protections provided under the regulations promulgated 
                under section 264(c) of the Health Insurance 
                Portability and Accountability Act of 1996 (Public Law 
                104-191; 110 Stat. 2033) and section 444 of the General 
                Education Provisions Act (20 U.S.C. 1232g) (commonly 
                referred to as the `Federal Educational Rights and 
                Privacy Act of 1974').
            ``(6) Liability protection for school personnel.--Section 
        2366 shall apply to school personnel providing services under a 
        grant, contract, or cooperative agreement under this subsection 
        in the same manner as such section applies to teachers.
            ``(7) Prohibition against federal mandates, direction, or 
        control or federal regulation.--In addition to the prohibition 
        of Federal Government control of a State, local educational 
        agency, or school's curriculum or program of instruction that 
        is provided under section 9527(a), nothing in this subsection 
        shall be construed to authorize an officer or employee of the 
        Federal Government to mandate, direct, or control a State, 
        local educational agency, or school's specific instructional 
        content or academic achievement standards and assessments.''.
    (l) Definition.--Section 9101 of the Elementary and Secondary 
Education Act of 1965 (20 U.S.C. 7801) is amended--
            (1) by redesignating paragraphs (17) through (43) as 
        paragraphs (18) through (44), respectively; and
            (2) by inserting after paragraph (16) the following:
            ``(17) Early intervening services.--The term `early 
        intervening services' means early intervening services 
        described in section 613(f)(1) of the Individuals with 
        Disabilities Education Act.''.

SEC. 104. CONFORMING AMENDMENTS.

    (a) America COMPETES Reauthorization Act of 2010.--Section 
553(d)(6) of the America COMPETES Reauthorization Act of 2010 (20 
U.S.C. 9903) is amended by striking ``section 9101(23)'' and inserting 
``section 9101(24)''.
    (b) Higher Education Act of 1965.--Section 255(k) of the Higher 
Education Act of 1965 is amended--
            (1) in paragraph (1), by striking ``section 
        9101(23)(B)(ii)'' and inserting ``section 9101(24)(B)(ii)''; 
        and
            (2) in paragraph (3), by striking ``section 9101(23)'' and 
        inserting ``section 9101(24)''.
    (c) Individuals With Disabilities Education Act.--Section 602(10) 
of the Individuals with Disabilities Education Act (20 U.S.C. 1401(10)) 
is amended--
            (1) in subparagraph (C)(ii), by striking ``section 
        9101(23)'' and inserting ``section 9101(24)''; and
            (2) in each of clauses (ii) and (iii) of subparagraph (D), 
        by striking ``section 9101(23)(C)(ii)'' and inserting ``section 
        9101(24)(C)(ii)''.

                       TITLE II--HEALTH PROGRAMS

SEC. 201. GARRETT LEE SMITH MEMORIAL ACT REAUTHORIZATION.

    (a) Suicide Prevention Technical Assistance Center.--Section 520C 
of the Public Health Service Act (42 U.S.C. 290bb-34) is amended--
            (1) in the section heading, by striking the section heading 
        and inserting ``suicide prevention technical assistance 
        center.'';
            (2) in subsection (a), by striking ``and in consultation 
        with'' and all that follows through the period at the end of 
        paragraph (2) and inserting ``shall establish a research, 
        training, and technical assistance resource center to provide 
        appropriate information, training, and technical assistance to 
        States, political subdivisions of States, federally recognized 
        Indian tribes, tribal organizations, institutions of higher 
        education, public organizations, or private nonprofit 
        organizations regarding the prevention of suicide among all 
        ages, particularly among groups that are at high risk for 
        suicide.'';
            (3) by striking subsections (b) and (c);
            (4) by redesignating subsection (d) as subsection (b);
            (5) in subsection (b), as so redesignated--
                    (A) by striking the subsection heading and 
                inserting ``Responsibilities of the Center.'';
                    (B) in the matter preceding paragraph (1), by 
                striking ``The additional research'' and all that 
                follows through ``nonprofit organizations for'' and 
                inserting ``The center established under subsection (a) 
                shall conduct activities for the purpose of'';
                    (C) by striking ``youth suicide'' each place such 
                term appears and inserting ``suicide'';
                    (D) in paragraph (1)--
                            (i) by striking ``the development or 
                        continuation of'' and inserting ``developing 
                        and continuing''; and
                            (ii) by inserting ``for all ages, 
                        particularly among groups that are at high risk 
                        for suicide'' before the semicolon at the end;
                    (E) in paragraph (2), by inserting ``for all ages, 
                particularly among groups that are at high risk for 
                suicide'' before the semicolon at the end;
                    (F) in paragraph (3), by inserting ``and tribal'' 
                after ``statewide'';
                    (G) in paragraph (5), by inserting ``and 
                prevention'' after ``intervention'';
                    (H) in paragraph (8), by striking ``in youth'';
                    (I) in paragraph (9), by striking ``and behavioral 
                health'' and inserting ``health and substance use 
                disorder''; and
                    (J) in paragraph (10), by inserting ``conducting'' 
                before ``other''; and
            (6) by striking subsection (e) and inserting the following:
    ``(c) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated $4,948,000 
for each of fiscal years 2014 through 2018.''.
    (b) Youth Suicide Early Intervention and Prevention Strategies.--
Section 520E of the Public Health Service Act (42 U.S.C. 290bb-36) is 
amended--
            (1) in paragraph (1) of subsection (a) and in subsection 
        (c), by striking ``substance abuse'' each place such term 
        appears and inserting ``substance use disorder'';
            (2) in subsection (b)(2)--
                    (A) by striking ``each State is awarded only 1 
                grant or cooperative agreement under this section'' and 
                inserting ``a State does not receive more than 1 grant 
                or cooperative agreement under this section at any 1 
                time''; and
                    (B) by striking ``been awarded'' and inserting 
                ``received''; and
            (3) by striking subsection (m) and inserting the following:
    ``(m) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated $29,682,000 
for each of fiscal years 2014 through 2018.''.
    (c) Mental Health and Substance Use Disorder Services.--Section 
520E-2 of the Public Health Service Act (42 U.S.C. 290bb-36b) is 
amended--
            (1) in the section heading, by striking ``and behavioral 
        health'' and inserting ``health and substance use disorder 
        services'';
            (2) in subsection (a)--
                    (A) by striking ``Services,'' and inserting 
                ``Services and'';
                    (B) by striking ``and behavioral health problems'' 
                and inserting ``health or substance use disorders''; 
                and
                    (C) by striking ``substance abuse'' and inserting 
                ``substance use disorders'';
            (3) in subsection (b)--
                    (A) in the matter preceding paragraph (1), by 
                striking ``for--'' and inserting ``for one or more of 
                the following:''; and
                    (B) by striking paragraphs (1) through (6) and 
                inserting the following:
            ``(1) Educating students, families, faculty, and staff to 
        increase awareness of mental health and substance use 
        disorders.
            ``(2) The operation of hotlines.
            ``(3) Preparing informational material.
            ``(4) Providing outreach services to notify students about 
        available mental health and substance use disorder services.
            ``(5) Administering voluntary mental health and substance 
        use disorder screenings and assessments.
            ``(6) Supporting the training of students, faculty, and 
        staff to respond effectively to students with mental health and 
        substance use disorders.
            ``(7) Creating a network infrastructure to link colleges 
        and universities with health care providers who treat mental 
        health and substance use disorders.'';
            (4) in subsection (c)(5), by striking ``substance abuse'' 
        and inserting ``substance use disorder'';
            (5) in subsection (d)--
                    (A) in the matter preceding paragraph (1), by 
                striking ``An institution of higher education desiring 
                a grant under this section'' and inserting ``To be 
                eligible to receive a grant under this section, an 
                institution of higher education'';
                    (B) in paragraph (1)--
                            (i) by striking ``and behavioral health'' 
                        and inserting ``health and substance use 
                        disorder''; and
                            (ii) by inserting ``, including veterans 
                        whenever possible and appropriate,'' after 
                        ``students''; and
                    (C) in paragraph (2), by inserting ``, which may 
                include, as appropriate and in accordance with 
                subsection (b)(7), a plan to seek input from relevant 
                stakeholders in the community, including appropriate 
                public and private entities, in order to carry out the 
                program under the grant'' before the period at the end;
            (6) in subsection (e)(1), by striking ``and behavioral 
        health problems'' and inserting ``health and substance use 
        disorders'';
            (7) in subsection (f)(2)--
                    (A) by striking ``and behavioral health'' and 
                inserting ``health and substance use disorder''; and
                    (B) by striking ``suicide and substance abuse'' and 
                inserting ``suicide and substance use disorders''; and
            (8) in subsection (h), by striking ``$5,000,000 for fiscal 
        year 2005'' and all that follows through the period at the end 
        and inserting ``$4,858,000 for each of fiscal years 2014 
        through 2018.''.

SEC. 202. MENTAL HEALTH AWARENESS TRAINING GRANTS.

    Section 520J of the Public Health Service Act (42 U.S.C. 290bb-41) 
is amended--
            (1) in the section heading, by inserting ``mental health 
        awareness'' before ``training''; and
            (2) in subsection (b)--
                    (A) in the subsection heading, by striking 
                ``Illness'' and inserting ``Health'';
                    (B) in paragraph (1), by inserting ``and other 
                categories of individuals, as determined by the 
                Secretary,'' after ``emergency services personnel'';
                    (C) in paragraph (5)--
                            (i) in the matter preceding subparagraph 
                        (5), by striking ``to'' and inserting ``for 
                        evidence-based programs for the purpose of''; 
                        and
                            (ii) by striking subparagraphs (A) through 
                        (C) and inserting the following:
                    ``(A) recognizing the signs and symptoms of mental 
                illness; and
                    ``(B)(i) providing education to personnel regarding 
                resources available in the community for individuals 
                with a mental illness and other relevant resources; or
                    ``(ii) the safe de-escalation of crisis situations 
                involving individuals with a mental illness.''; and
                    (D) in paragraph (7), by striking ``, $25,000,000'' 
                and all that follows through the period at the end and 
                inserting ``$20,000,000 for each of fiscal years 2014 
                through 2018''.

SEC. 203. CHILDREN'S RECOVERY FROM TRAUMA.

    Section 582 of the Public Health Service Act (42 U.S.C. 290hh-1) is 
amended--
            (1) in subsection (a), by striking ``developing programs'' 
        and all that follows and inserting ``developing and maintaining 
        programs that provide for--
            ``(1) the continued operation of the National Child 
        Traumatic Stress Initiative (referred to in this section as the 
        `NCTSI'), which includes a coordinating center, that focuses on 
        the mental, behavioral, and biological aspects of psychological 
        trauma response; and
            ``(2) the development of knowledge with regard to evidence-
        based practices for identifying and treating mental, 
        behavioral, and biological disorders of children and youth 
        resulting from witnessing or experiencing a traumatic event.'';
            (2) in subsection (b)--
                    (A) by striking ``subsection (a) related'' and 
                inserting ``subsection (a)(2) (related'';
                    (B) by striking ``treating disorders associated 
                with psychological trauma'' and inserting ``treating 
                mental, behavioral, and biological disorders associated 
                with psychological trauma)''; and
                    (C) by striking ``mental health agencies and 
                programs that have established clinical and basic 
                research'' and inserting ``universities, hospitals, 
                mental health agencies, and other programs that have 
                established clinical expertise and research'';
            (3) by redesignating subsections (c) through (g) as 
        subsections (g) through (k), respectively;
            (4) by inserting after subsection (b), the following:
    ``(c) Child Outcome Data.--The NCTSI coordinating center shall 
collect, analyze, and report NCTSI-wide child treatment process and 
outcome data regarding the early identification and delivery of 
evidence-based treatment and services for children and families served 
by the NCTSI grantees.
    ``(d) Training.--The NCTSI coordinating center shall facilitate the 
coordination of training initiatives in evidence-based and trauma-
informed treatments, interventions, and practices offered to NCTSI 
grantees, providers, and partners.
    ``(e) Dissemination.--The NCTSI coordinating center shall, as 
appropriate, collaborate with the Secretary in the dissemination of 
evidence-based and trauma-informed interventions, treatments, products 
and other resources to appropriate stakeholders.
    ``(f) Review.--The Secretary shall, consistent with the peer review 
process, ensure that NCTSI applications are reviewed by appropriate 
experts in the field as part of a consensus review process. The 
Secretary shall include review criteria related to expertise and 
experience in child trauma and evidence-based practices.'';
            (5) in subsection (g) (as so redesignated), by striking 
        ``with respect to centers of excellence are distributed 
        equitably among the regions of the country'' and inserting 
        ``are distributed equitably among the regions of the United 
        States'';
            (6) in subsection (i) (as so redesignated), by striking 
        ``recipient may not exceed 5 years'' and inserting ``recipient 
        shall not be less than 4 years, but shall not exceed 5 years''; 
        and
            (7) in subsection (j) (as so redesignated), by striking 
        ``$50,000,000'' and all that follows through ``2006'' and 
        inserting ``$45,713,000 for each of fiscal years 2014 through 
        2018''.

SEC. 204. ASSESSING BARRIERS TO BEHAVIORAL HEALTH INTEGRATION.

    (a) In General.--Not later than 2 years after the date of enactment 
of this Act, the Comptroller General of the United States shall submit 
a report to the Committee on Health, Education, Labor, and Pensions of 
the Senate and the Committee on Energy and Commerce of the House of 
Representatives concerning Federal requirements that impact access to 
treatment of mental health and substance use disorders related to 
integration with primary care, administrative and regulatory issues, 
quality measurement and accountability, and data sharing.
    (b) Contents.--The report submitted under subsection (a) shall 
include the following:
            (1) An evaluation of the administrative or regulatory 
        burden on behavioral healthcare providers.
            (2) The identification of outcome and quality measures 
        relevant to integrated health care, evaluation of the data 
        collection burden on behavioral healthcare providers, and any 
        alternative methods for evaluation.
            (3) An analysis of the degree to which electronic data 
        standards, including interoperability and meaningful use 
        includes behavioral health measures, and an analysis of 
        strategies to address barriers to health information exchange 
        posed by part 2 of title 42, Code of Federal Regulations.
            (4) An analysis of the degree to which Federal rules and 
        regulations for behavioral and physical health care are 
        aligned, including recommendations to address any identified 
        barriers.

SEC. 205. INCREASING EDUCATION AND AWARENESS OF TREATMENTS FOR OPIOID 
              USE DISORDERS.

    (a) In General.--In order to improve the quality of care delivery 
and treatment outcomes among patients with opioid use disorders, the 
Secretary of Health and Human Services (referred to in this section as 
the ``Secretary''), acting through the Administrator for the Substance 
Abuse and Mental Health Services Administration, may advance, through 
existing programs as appropriate, the education and awareness of 
providers, patients, and other appropriate stakeholders regarding all 
products approved by the Food and Drug Administration to treat opioid 
use disorders.
    (b) Activities.--The activities described in subsection (a) may 
include--
            (1) disseminating evidence-based practices for the 
        treatment of opioid use disorders;
            (2) facilitating continuing education programs for health 
        professionals involved in treating opioid use disorders;
            (3) increasing awareness among relevant stakeholders of the 
        treatment of opioid use disorders;
            (4) assessing current barriers to the treatment of opioid 
        use disorders for patients and providers and development and 
        implementation of strategies to mitigate such barriers; and
            (5) continuing innovative approaches to the treatment of 
        opioid use disorders in various treatment settings, such as 
        prisons, community mental health centers, primary care, and 
        hospitals.
    (c) Report.--Not later than 1 year after the date of enactment of 
this Act, if the Secretary carries out the activities under this 
section, the Secretary shall submit to the Committee on Health, 
Education, Labor, and Pensions of the Senate and the Committee on 
Energy and Commerce of the House of Representatives a report that 
examines--
            (1) the activities the Substance Abuse and Mental Health 
        Services Administration conducts under this section, including 
        any potential impacts on health care costs associated with such 
        activities;
            (2) the role of adherence in the treatment of opioid use 
        disorders and methods to reduce opioid use disorders; and
            (3) recommendations on priorities and strategies to address 
        co-occurring substance use disorders and mental illnesses.

SEC. 206. EXAMINING MENTAL HEALTH CARE FOR CHILDREN.

    (a) In General.--Not later than 1 year after the date of enactment 
of this Act, the Comptroller General of the United States shall conduct 
an independent evaluation, and submit to the Committee on Health, 
Education, Labor, and Pensions of the Senate and the Committee on 
Energy and Commerce of the House of Representatives, a report 
concerning the utilization of mental health services for children, 
including the usage of psychotropic medications.
    (b) Content.--The report submitted under subsection (a) shall 
review and assess--
            (1) the ways in which children access mental health care, 
        including information on whether children are treated by 
        primary care or specialty providers, what types of referrals 
        for additional care are recommended, and any barriers to 
        accessing this care;
            (2) the extent to which children are prescribed 
        psychotropic medications in the United States including the 
        frequency of concurrent medication usage; and
            (3) the tools, assessments, and medications that are 
        available and used to diagnose and treat children with mental 
        health disorders.

SEC. 207. EVIDENCE BASED PRACTICES FOR OLDER ADULTS.

    (a) Geriatric Substance Use Disorders Treatment.--Section 509(e) of 
the Public Health Service Act (42 U.S.C. 290bb-2(e)) is amended--
            (1) by striking ``The Secretary shall establish'' and 
        inserting:
            ``(1) In general.--The Secretary shall establish''; and
            (2) by adding at the end the following:
            ``(2) Geriatric substance use disorders treatment.--The 
        Secretary shall, as appropriate, provide technical assistance 
        to grantees regarding evidence-based practices for the 
        treatment of geriatric substance use disorders, as well as 
        disseminate information about such evidence-based practices to 
        States and nongrantees throughout the United States.''.
    (b) Geriatric Substance Use Disorders Prevention.--Section 516(e) 
of the Public Health Service Act (42 U.S.C. 290bb-22(e)) is amended--
            (1) by striking ``The Secretary shall establish'' and 
        inserting:
            ``(1) In general.--The Secretary shall establish''; and
            (2) by adding at the end the following:
            ``(2) Geriatric substance use disorders prevention.--The 
        Secretary shall, as appropriate, provide technical assistance 
        to grantees regarding evidence-based practices for the 
        prevention of geriatric substance use disorders, as well as 
        disseminate information about such evidence-based practices to 
        States and nongrantees throughout the United States.''.
    (c) Geriatric Mental Health Disorders.--Section 520A(e) of the 
Public Health Service Act (42 U.S.C. 290bb-32(e)) is amended by adding 
at the end the following:
            ``(3) Geriatric mental health disorders.--The Secretary 
        shall, as appropriate, provide technical assistance to grantees 
        regarding evidence-based practices for the prevention and 
        treatment of geriatric mental health disorders, as well as 
        disseminate information about such evidence-based practices to 
        States and nongrantees throughout the United States.''.

SEC. 208. NATIONAL VIOLENT DEATH REPORTING SYSTEM.

    The Secretary of Health and Human Services, acting through the 
Director of the Centers for Disease Control and Prevention, is 
encouraged to improve, particularly through the inclusion of additional 
States, the National Violent Death Reporting System as authorized by 
title III of the Public Health Service Act. Participation in the system 
by the States shall be voluntary.

SEC. 209. GAO STUDY ON VIRGINIA TECH RECOMMENDATIONS.

    (a) In General.--Not later than 1 year after the date of enactment 
of this Act, the Comptroller General of the United States shall conduct 
an independent evaluation, and submit to the appropriate committees of 
Congress a report concerning the status of implementation of 
recommendations made in the report to the President, On Issues Raised 
by the Virginia Tech Tragedy, by the Secretaries of Health and Human 
Services and Education and the Attorney General of the United States, 
submitted to the President on June 13, 2007.
    (b) Content.--The report submitted to the committees of Congress 
under subsection (a) shall review and assess--
            (1) the extent to which the recommendations in the report 
        that include participation by the Department of Health and 
        Human Services were implemented;
            (2) whether there are any barriers to implementation of 
        such recommendations; and
            (3) identification of any additional actions the Federal 
        government can take to support States and local communities and 
        ensure that the Federal government and Federal law are not 
        obstacles to addressing at the community level--
                    (A) school violence; and
                    (B) mental illness.
                                 <all>
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