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[Congressional Bills 113th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2910 Introduced in House (IH)]

113th CONGRESS
  1st Session
                                H. R. 2910

 To protect American children and their families from the epidemic of 
 gun violence by banning access to certain weapons, strengthening the 
Nation's mental health infrastructure, and improving the understanding 
                            of gun violence.

_______________________________________________________________________

                    IN THE HOUSE OF REPRESENTATIVES

                             August 1, 2013

 Mr. Waxman (for himself, Mr. Pallone, Mrs. Capps, Ms. Schakowsky, Ms. 
Matsui, Mrs. Napolitano, and Mr. Danny K. Davis of Illinois) introduced 
 the following bill; which was referred to the Committee on Energy and 
   Commerce, and in addition to the Committees on Ways and Means and 
Education and the Workforce, 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 protect American children and their families from the epidemic of 
 gun violence by banning access to certain weapons, strengthening the 
Nation's mental health infrastructure, and improving the understanding 
                            of gun violence.

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

SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

    (a) Short Title.--This Act may be cited as the ``Gun Violence 
Prevention and Reduction Act of 2013''.
    (b) Table of Contents.--The table of contents for this Act is as 
follows:

Sec. 1. Short title; table of contents.
       TITLE I--BANNING ACCESS TO DO-IT-YOURSELF ASSAULT WEAPONS

Sec. 101. Do-it-yourself assault weapon ban.
Sec. 102. Prohibition of advertising do-it-yourself assault weapons.
Sec. 103. Definitions.
Sec. 104. Construction.
   TITLE II--STRENGTHENING THE NATION'S MENTAL HEALTH INFRASTRUCTURE

        Subtitle A--Advancing Research on Serious Mental Illness

Sec. 201. National Institute of Mental Health research program on 
                            serious mental illness.
           Subtitle B--Improving the Mental Health Workforce

Sec. 211. National Health Service Corps scholarship and loan repayment 
                            funding for behavioral and mental health 
                            professionals.
Sec. 212. Reauthorization of HRSA's Mental and Behavioral Health 
                            Education and Training Program.
Sec. 213. Mental health awareness training for school and emergency 
                            services personnel.
Sec. 214. SAMHSA grant program for development and implementation of 
                            curricula for continuing education on 
                            serious mental illness.
Sec. 215. Clarification of HIPAA training requirements regarding 
                            disclosure of protected health information 
                            concerning individuals with mental health 
                            disorders.
         Subtitle C--Expanding Access to Mental Health Services

Sec. 221. Advancing Wellness and Resilience in Education (AWARE) 
                            Initiative.
Sec. 222. SAMHSA and HRSA integration of mental health services into 
                            primary care settings.
Sec. 223. Children's recovery from trauma.
Sec. 224. Information on geriatric mental health disorders.
Sec. 225. GAO study on availability of inpatient beds.
Sec. 226. Reporting requirements for block grants regarding mental 
                            health and substance use disorders.
Sec. 227. Mental health parity.
 Subtitle D--Promoting Public Awareness of Mental Health Disorders and 
                   Reducing Stigma of Such Disorders

Sec. 231. Promoting public awareness of mental health disorders and 
                            reducing stigma of such disorders.
         TITLE III--UNDERSTANDING THE EPIDEMIC OF GUN VIOLENCE

Sec. 301. Reaffirming CDC research authority.
Sec. 302. National violent death reporting system.
Sec. 303. Protecting confidential doctor-patient relationship.

       TITLE I--BANNING ACCESS TO DO-IT-YOURSELF ASSAULT WEAPONS

SEC. 101. DO-IT-YOURSELF ASSAULT WEAPON BAN.

    (a) Banned Hazardous Products.--Notwithstanding section 3(a)(5)(E) 
of the Consumer Product Safety Act (15 U.S.C. 2052(A)(5)(E)), a firearm 
receiver casting or firearm receiver blank that--
            (1) at the point of sale does not meet the definition of a 
        firearm in section 921(a) of title 18, United States Code, and
            (2) after purchase by a consumer, can be completed by the 
        consumer to the point at which such casting or blank functions 
        as a firearm frame or receiver for a semiautomatic assault 
        weapon or machine gun,
shall be considered a banned hazardous product under section 8 of such 
Act (15 U.S.C. 2057).
    (b) Prohibited Acts.--It shall be unlawful for any person to sell, 
offer for sale, manufacture for sale, or import into the United States 
for sale, to a consumer--
            (1) an assault weapon parts kit; or
            (2) a machinegun parts kit.
    (c) Enforcement.--
            (1) Subsection (a) shall be treated as a ban under section 
        19 of the Consumer Product Safety Act (15 U.S.C. 2068).
            (2) Notwithstanding section 3(a)(5)(E) of the Consumer 
        Product Safety Act (15 U.S.C. 2052(A)(5)(E)), a violation of 
        subsection (b) shall be treated as a violation of section 19 of 
        such Act and any person who violates such subsection shall be 
        subject to the penalties set forth in section 20 of such Act.
    (d) Consultation.--In enforcing this section, the Consumer Product 
Safety Commission shall periodically consult with the Bureau of 
Alcohol, Tobacco, Firearms and Explosives regarding effective 
strategies for and methods of enforcement.

SEC. 102. PROHIBITION OF ADVERTISING DO-IT-YOURSELF ASSAULT WEAPONS.

    (a) In General.--It shall be unlawful to market or advertise, on 
any medium of electronic communications, including over the Internet, 
for the sale of any of the following:
            (1) A firearm receiver casting or firearm receiver blank 
        that--
                    (A) at the point of sale does not meet the 
                definition of a firearm in section 921(a) of title 18, 
                United States Code; and
                    (B) after purchase by a consumer, can be completed 
                by the consumer to the point at which it functions as a 
                firearm frame or receiver for a semiautomatic assault 
                weapon or machinegun.
            (2) An assault weapon parts kit.
            (3) A machinegun parts kit.
    (b) Enforcement by the Federal Trade Commission.--A violation of 
subsection (a) shall be treated as a violation of a rule defining an 
unfair or deceptive act or practice described under section 18(a)(1)(B) 
of the Federal Trade Commission Act (15 U.S.C. 57a(a)(1)(B)). The 
Federal Trade Commission shall enforce this section in the same manner, 
by the same means, and with the same jurisdiction, powers, and duties 
as though all applicable terms and provisions of the Federal Trade 
Commission Act were incorporated into and made a part of this Act.
    (c) Rule of Construction.--Nothing contained in this title shall be 
construed to limit the authority of the Federal Trade Commission under 
any other provision of law.

SEC. 103. DEFINITIONS.

    (a) Terms.--For purposes of this title--
            (1) the term ``assault weapon parts kit'' means any part or 
        combination of parts not designed and intended for repair or 
        replacement but designed and intended to enable a consumer who 
        possesses all such necessary parts to assemble a semiautomatic 
        assault weapon;
            (2) the term ``machinegun parts kit'' means any part or 
        combination of parts designed and intended to enable a consumer 
        who possesses all such necessary parts to assemble a machinegun 
        or convert a firearm into a machinegun;
            (3) the term ``semiautomatic assault weapon'' means--
                    (A) a semiautomatic rifle or semiautomatic shotgun 
                that has the capacity to accept a detachable ammunition 
                magazine; or
                    (B) a semiautomatic pistol that has--
                            (i) the capacity to accept a detachable 
                        ammunition magazine; and
                            (ii) any one of the features described in 
                        subsection (b);
            (4) the term ``machinegun'' has the meaning given such term 
        in section 5845(b) of title 26, United States Code;
            (5) the term ``semiautomatic pistol'' means any repeating 
        pistol that utilizes a portion of the energy of a firing 
        cartridge to extract the fixed cartridge case and chamber the 
        next round and requires a separate pull of the trigger to fire 
        each cartridge;
            (6) the term ``semiautomatic rifle'' has the meaning given 
        such term in section 921(a)(28) of title 18, United States 
        Code; and
            (7) the term ``semiautomatic shotgun'' means any repeating 
        shotgun that utilizes a portion of the energy of a firing 
        cartridge to extract the fixed cartridge case and chamber the 
        next round and requires a separate pull of a trigger to fire 
        each cartridge.
    (b) Special Features of a Semiautomatic Pistol.--The special 
features described in paragraph (3)(B)(ii) are--
            (1) an ammunition magazine that attaches to the pistol 
        outside of the pistol grip;
            (2) a threaded barrel capable of accepting a barrel 
        extender, flash suppressor, forward handgrip, or silencer;
            (3) a shroud that is attached to, or partially or 
        completely encircles, the barrel and that permits the shooter 
        to hold the firearm with the nontrigger hand without being 
        burned;
            (4) a manufactured weight of 50 ounces or more when the 
        pistol is unloaded; and
            (5) a semiautomatic version of an automatic firearm.

SEC. 104. CONSTRUCTION.

    Nothing in this title shall be construed as limiting the ability of 
a State to enact more restrictive gun-related laws, or bans on firearm 
receiver casts, firearm receiver blanks, assault weapon parts kits, or 
machinegun parts kits.

   TITLE II--STRENGTHENING THE NATION'S MENTAL HEALTH INFRASTRUCTURE

        Subtitle A--Advancing Research on Serious Mental Illness

SEC. 201. NATIONAL INSTITUTE OF MENTAL HEALTH RESEARCH PROGRAM ON 
              SERIOUS MENTAL ILLNESS.

    (a) Purpose of Institute.--Section 464R(a) of the Public Health 
Service Act (42 U.S.C. 285p(a)) is amended by inserting ``serious 
mental illness research,'' after ``biomedical and behavioral 
research,''.
    (b) Research Program.--Section 464R(b) of the Public Health Service 
Act (42 U.S.C. 285p(b)) is amended--
            (1) by striking ``The research program'' and inserting the 
        following:
            ``(1) In general.--The research program'';
            (2) by striking ``to further the treatment and prevention 
        of mental illness'' and inserting ``to further the treatment 
        and prevention of mental illness (including serious mental 
        illness)''; and
            (3) by adding at the end the following:
            ``(2) Research with respect to serious mental illness.--As 
        part of the research program established under this subpart, 
        the Director of the Institute shall conduct or support research 
        on serious mental illness, including with respect to--
                    ``(A) the causes, prevention, and treatment of 
                serious mental illness; and
                    ``(B) interventions to improve early identification 
                of individuals with serious mental illness and referral 
                of such individuals to mental health professionals for 
                treatment.''.
    (c) Biennial Report.--Section 403(a)(5) of the Public Health 
Service Act (42 U.S.C. 283(a)(5)) is amended--
            (1) by redesignating subparagraph (L) as subparagraph (M); 
        and
            (2) by inserting after subparagraph (K) the following:
                    ``(L) Serious mental illness.''.

           Subtitle B--Improving the Mental Health Workforce

SEC. 211. NATIONAL HEALTH SERVICE CORPS SCHOLARSHIP AND LOAN REPAYMENT 
              FUNDING FOR BEHAVIORAL AND MENTAL HEALTH PROFESSIONALS.

    Section 338H of the Public Health Service Act (42 U.S.C. 254q) is 
amended--
            (1) by redesignating subsections (b) and (c) as subsections 
        (c) and (d), respectively; and
            (2) by inserting after subsection (a) the following:
    ``(b) Additional Funding for Behavioral and Mental Health 
Professionals.--In addition to the amounts authorized to be 
appropriated under subsection (a), and in addition to the amounts 
appropriated under section 10503 of Public Law 111-148, there are 
authorized to be appropriated such sums as may be necessary for fiscal 
years 2014 through 2018 for scholarships and loan repayments under this 
subpart for ensuring, as described in sections 338A(a) and 338B(a), an 
adequate supply of behavioral and mental health professionals.''.

SEC. 212. REAUTHORIZATION OF HRSA'S MENTAL AND BEHAVIORAL HEALTH 
              EDUCATION AND TRAINING PROGRAM.

    Subsection (e) of section 756 of the Public Health Service Act (42 
U.S.C. 294e-1) is amended to read as follows:
    ``(e) Authorization of Appropriations.--To carry out this section, 
there are authorized to be appropriated such sums as may be necessary 
for fiscal years 2014 through 2018.''.

SEC. 213. MENTAL HEALTH AWARENESS TRAINING FOR SCHOOL AND EMERGENCY 
              SERVICES PERSONNEL.

    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)--
                            (i) by inserting ``and other categories of 
                        individuals, as determined by the Secretary,'' 
                        after ``emergency services personnel''; and
                            (ii) by striking ``mental illness'' each 
                        place it appears and inserting ``mental health 
                        disorder'';
                    (C) in paragraph (5)--
                            (i) in the matter preceding subparagraph 
                        (A), 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 
                health disorders; and
                    ``(B)(i) providing education to personnel regarding 
                resources available in the community for individuals 
                with a mental health disorder and other relevant 
                resources; or
                    ``(ii) the safe de-escalation of crisis situations 
                involving individuals with a mental health disorder.''; 
                and
                    (D) by amending paragraph (7) to read as follows:
            ``(7) Authorization of appropriations.--There are 
        authorized to be appropriated to carry out this subsection such 
        sums as may be necessary for fiscal years 2014 through 2018.''.

SEC. 214. SAMHSA GRANT PROGRAM FOR DEVELOPMENT AND IMPLEMENTATION OF 
              CURRICULA FOR CONTINUING EDUCATION ON SERIOUS MENTAL 
              ILLNESS.

    Title V of the Public Health Service Act is amended by inserting 
after section 520I (42 U.S.C. 290bb-40) the following:

``SEC. 520I-1. CURRICULA FOR CONTINUING EDUCATION ON SERIOUS MENTAL 
              ILLNESS.

    ``(a) Grants.--The Secretary may award grants to eligible entities 
for the development and implementation of curricula for providing 
continuing education and training to health care professionals on 
identifying, referring, and treating individuals with serious mental 
illness.
    ``(b) Eligible Entities.--To be eligible to seek a grant under this 
section, an entity shall be a public or nonprofit entity that--
            ``(1) provides continuing education or training to health 
        care professionals; or
            ``(2) applies for the grant in partnership with another 
        entity that provides such education and training.
    ``(c) Preference.--In awarding grants under this section, the 
Secretary shall give preference to eligible entities proposing to 
develop and implement curricula for providing continuing education and 
training to--
            ``(1) health care professionals in primary care 
        specialities; or
            ``(2) health care professionals who are required, as a 
        condition of State licensure, to participate in continuing 
        education or training specific to mental health.
    ``(d) Authorization of Appropriations.--To carry out this section, 
there are authorized to be appropriated such sums as may be necessary 
for fiscal years 2014 through 2018.''.

SEC. 215. CLARIFICATION OF HIPAA TRAINING REQUIREMENTS REGARDING 
              DISCLOSURE OF PROTECTED HEALTH INFORMATION CONCERNING 
              INDIVIDUALS WITH MENTAL HEALTH DISORDERS.

    Not later than 6 months after the date of enactment of this Act, 
the Secretary of Health and Human Services shall issue guidance 
regarding the requirements of section 164.530(b) of title 45, Code of 
Federal Regulations, so as to ensure that training under such section 
includes a clear explanation of the circumstances under which health 
care professionals and other covered entities (as such term is defined 
for purposes of regulations promulgated under section 264(c) of the 
Health Insurance Portability and Accountability Act of 1996) are 
permitted or required to disclose protected health information 
concerning individuals with a mental health disorder.

         Subtitle C--Expanding Access to Mental Health Services

SEC. 221. ADVANCING WELLNESS AND RESILIENCE IN EDUCATION (AWARE) 
              INITIATIVE.

    (a) Children and Adolescents, Violence, and School- and Community-
Based Mental Health.--
            (1) In general.--The first section 581 (in the first part G 
        relating to projects for children and violence) of the Public 
        Health Service Act (42 U.S.C. 290hh) is amended to read as 
        follows:

``SEC. 581. CHILDREN AND ADOLESCENTS, VIOLENCE, AND SCHOOL- AND 
              COMMUNITY-BASED MENTAL HEALTH.

    ``(a) In General.--The Secretary shall, directly or through grants, 
contracts, or cooperative agreements awarded to local educational 
agencies and other public entities, assist schools and local 
communities in implementing a comprehensive mental health program 
that--
            ``(1) assists children and adolescents in dealing with 
        trauma and violence;
            ``(2) provides comprehensive, age-appropriate mental health 
        services and supports;
            ``(3) is linguistically and culturally appropriate; and
            ``(4) incorporates age-appropriate strategies of positive 
        behavioral interventions and supports.
    ``(b) Collaboration; Consultation.--The Secretary shall carry out 
this section--
            ``(1) in collaboration with the Secretary of Education; and
            ``(2) in consultation with the Attorney General of the 
        United States.
    ``(c) Activities.--In carrying out subsection (a), the Secretary 
may--
            ``(1) provide financial and technical support to enable 
        schools and local communities to implement a comprehensive 
        mental health program described in such subsection;
            ``(2) facilitate community partnerships among families, 
        students, law enforcement agencies, education systems, mental 
        health and substance use disorder service systems, family-based 
        mental health service systems, welfare agencies, health care 
        systems (including physicians), faith-based programs, trauma 
        networks, and other community-based systems; and
            ``(3) establish mechanisms for children and adolescents to 
        report incidents of violence or plans by other children, 
        adolescents, or adults to commit violence.
    ``(d) Requirements.--
            ``(1) In general.--To be eligible for an award under this 
        section, an entity shall--
                    ``(A) be a partnership between a local educational 
                agency and at least one community program or agency 
                that is involved in mental health activities; and
                    ``(B) submit an application that--
                            ``(i) is endorsed by all members of the 
                        partnership;
                            ``(ii) designates an entity to serve as 
                        coordinator of the activities to be funded 
                        through the award; and
                            ``(iii) contains the assurances described 
                        in paragraph (2).
            ``(2) Required assurances.--An application under paragraph 
        (1) for a comprehensive mental health program shall contain 
        assurances as follows:
                    ``(A) The local educational agency involved will 
                enter into a memorandum of understanding--
                            ``(i) with--
                                    ``(I) at least one of each of the 
                                following: a public or private mental 
                                health entity, a health care entity, a 
                                law enforcement or juvenile justice 
                                entity, a child welfare agency, a 
                                family-based mental health entity, a 
                                family or family organization, and a 
                                trauma network; and
                                    ``(II) any other community-based 
                                entities deemed appropriate by the 
                                local educational agency; and
                            ``(ii) that specifies--
                                    ``(I) the responsibilities of each 
                                partner with respect to the activities 
                                to be carried out;
                                    ``(II) how each partner will be 
                                accountable for carrying out such 
                                responsibilities; and
                                    ``(III) the amount of non-Federal 
                                funding or in-kind contributions that 
                                each such partner will contribute in 
                                order to sustain the program.
                    ``(B) The program will address--
                            ``(i) the promotion of the social, 
                        emotional, and behavioral health of all 
                        students in an environment that is conducive to 
                        learning;
                            ``(ii) the reduction in the likelihood of 
                        at-risk students developing social, emotional, 
                        or behavioral health problems, or substance use 
                        disorders;
                            ``(iii) the early identification of social, 
                        emotional, or behavioral problems, or substance 
                        use disorders, and the provision of early 
                        intervention services;
                            ``(iv) the treatment or referral for 
                        treatment of students with existing social, 
                        emotional, or behavioral health problems, or 
                        substance use disorders; and
                            ``(v) the development and implementation of 
                        programs to assist children and adolescents in 
                        dealing with trauma and violence.
                    ``(C) For appropriate school personnel, the program 
                will provide in-service training on--
                            ``(i) the techniques and supports needed 
                        for the early identification of children and 
                        adolescents with trauma histories and children 
                        and adolescents with, or at risk of, mental 
                        health disorders;
                            ``(ii) the use of referral mechanisms that 
                        effectively link such children and adolescents 
                        to appropriate treatment and intervention 
                        services in the school and in the community and 
                        to followup when services are not available;
                            ``(iii) strategies that promote a school-
                        wide positive environment;
                            ``(iv) strategies for promoting the social, 
                        emotional, mental, and behavioral health of all 
                        students; and
                            ``(v) strategies to increase the knowledge 
                        and skills of school and community leaders 
                        about the impact of trauma and violence and on 
                        the application of a public health approach to 
                        comprehensive mental health programs.
                    ``(D) For parents, siblings, and other family 
                members of children and adolescents with mental health 
                disorders, and for members of the community, the 
                program will provide training on--
                            ``(i) the techniques and supports described 
                        in subparagraph (C)(i);
                            ``(ii) the referral mechanisms and followup 
                        described in subparagraph (C)(ii); and
                            ``(iii) the strategies described in clauses 
                        (iii), (iv), and (v) of subparagraph (C).
                    ``(E) A plan will be developed and implemented to 
                sustain the program after funding under this section 
                terminates.
                    ``(F) The local educational agency partnership 
                involved will be supported by the appropriate State 
                educational and mental health authority to ensure that 
                the sustainability of the program is established after 
                funding under this section terminates.
                    ``(G) The program will--
                            ``(i) be based on evidence-based practices, 
                        including those related to trauma;
                            ``(ii) be implemented in a culturally and 
                        linguistically appropriate manner;
                            ``(iii) be coordinated with early 
                        intervening activities carried out under the 
                        Individuals with Disabilities Education Act; 
                        and
                            ``(iv) include a broad needs assessment of 
                        youth who drop out of school due to policies of 
                        `zero tolerance' with respect to drugs, 
                        alcohol, or weapons and an inability to obtain 
                        appropriate services.
                    ``(H) The program will provide mental health 
                services through qualified mental and behavioral health 
                professionals who are--
                            ``(i) certified or licensed by the State 
                        involved; and
                            ``(ii) practicing within their area of 
                        expertise.
            ``(3) Compliance with hipaa.--An award recipient under this 
        section shall be deemed to be a covered entity for purposes of 
        compliance with the regulations promulgated under section 
        264(c) of the Health Insurance Portability and Accountability 
        Act of 1996 with respect to any patient records developed 
        through activities funded through the award.
    ``(e) Geographical Distribution.--The Secretary shall ensure that 
awards under this section are distributed equitably among the regions 
of the country and among urban and rural areas.
    ``(f) Duration of Awards.--The period of an award under this 
section shall be 6 years. An entity may receive only one award under 
this section, except that an entity that is providing services and 
supports on a regional basis may receive additional funding after the 
expiration of the preceding award period.
    ``(g) Program Evaluation and Outcome Measures.--
            ``(1) Development of process.--The Secretary shall develop 
        a process for evaluating comprehensive mental health programs 
        under this section that includes--
                    ``(A) the development of guidelines for the 
                submission of program data by an award recipient;
                    ``(B) the development of outcome measures (in 
                accordance with paragraph (2)) to be applied by such 
                recipient, and used by the Secretary, to measure and 
                evaluate the program's effectiveness and success; and
                    ``(C) the submission by such recipient of annual 
                reports--
                            ``(i) concerning the effectiveness and 
                        success of the program; and
                            ``(ii) including data and other information 
                        relating to each outcome measure developed 
                        under subparagraph (B).
            ``(2) Outcome measures.--
                    ``(A) Student and family measures.--The outcome 
                measures developed under paragraph (1)(B) shall include 
                outcome measures relating to students and families, 
                which, at a minimum, should be designed to measure a 
                program's effectiveness in--
                            ``(i) increasing social and emotional 
                        competency;
                            ``(ii) increasing academic competency (as 
                        defined by Secretary);
                            ``(iii) reducing disruptive and aggressive 
                        behaviors;
                            ``(iv) improving child and adolescent 
                        functioning;
                            ``(v) reducing substance use disorders;
                            ``(vi) reducing suspensions, truancy, 
                        expulsions, and violence;
                            ``(vii) increasing graduation rates (as 
                        defined under section 1111(b)(2)(C)(vi) of the 
                        Elementary and Secondary Education Act of 
                        1965); and
                            ``(viii) improving access to care for 
                        mental health disorders.
                    ``(B) Local educational system measures.--The 
                outcome measures developed under paragraph (1)(B) shall 
                include outcome measures relating to local educational 
                systems, which, at a minimum, should be designed to 
                measure--
                            ``(i) the effectiveness of--
                                    ``(I) formal partnership linkages 
                                among child and family-serving 
                                institutions, community support 
                                systems, and the educational system in 
                                addressing mental health disorders; and
                                    ``(II) training and professional 
                                development programs, including 
                                culturally and linguistically 
                                appropriate training for appropriate 
                                school personnel; and
                            ``(ii) the progress in--
                                    ``(I) improving the perception of a 
                                safe and supportive learning 
                                environment among school staff, 
                                students, and parents;
                                    ``(II) improving the identification 
                                of students in need of more intensive 
                                mental health services and referral of 
                                such students to early intervention and 
                                clinical mental health services;
                                    ``(III) improving access to 
                                clinical assessment and treatment 
                                services within the context of the 
                                local community to students posing a 
                                danger to themselves or others; and
                                    ``(IV) improving rates of 
                                matriculation to postsecondary school 
                                and reducing referrals to the juvenile 
                                justice system.
            ``(3) Evaluation and dissemination by secretary.--
                    ``(A) Evaluation.--The Secretary shall annually 
                submit to Congress a report on the effectiveness and 
                success of the programs under this section, based on 
                the data submitted under paragraph (1)(C).
                    ``(B) Dissemination.--The Secretary shall establish 
                comprehensive information and education programs to 
                disseminate to the general public and to health care 
                professionals findings and conclusions based on the 
                data submitted under paragraph (1)(C).
            ``(4) Limitation on evaluation activities.--An award 
        recipient shall not use more than 10 percent of amounts 
        received under this section to carry out evaluation activities.
    ``(h) Definition.--In this section, the terms `children and 
adolescents' and `child and adolescent' refer to individuals under 22 
years of age.
    ``(i) Funding.--
            ``(1) Amount of awards.--An award to an entity under this 
        section shall not exceed $1,000,000 for each of fiscal years 
        2014 through 2018. The Secretary shall determine the amount of 
        each award based on the population of children and adolescents 
        in the area to be served through the award.
            ``(2) Authorization of appropriations.--There are 
        authorized to be appropriated to carry out this section such 
        sums as may be necessary for fiscal years 2014 through 2018.''.
            (2) Technical amendments.--The second part G (relating to 
        services provided through religious organizations) of title V 
        of the Public Health Service Act (42 U.S.C. 290kk et seq.) is 
        amended--
                    (A) by redesignating such part as part J; and
                    (B) by redesignating sections 581 through 584 as 
                sections 596 through 596C, respectively.
            (3) Conforming amendment.--Part G of title V of the Public 
        Health Service Act (42 U.S.C. 290hh et seq.), as amended by 
        this subsection, is further amended by striking the part 
        heading and inserting the following:

                ``PART G--SCHOOL-BASED MENTAL HEALTH''.

    (b) Garrett Lee Smith Memorial Act Reauthorization.--
            (1) Suicide prevention technical assistance center.--
        Section 520C of the Public Health Service Act (42 U.S.C. 290bb-
        34) is amended--
                    (A) in the section heading, by striking the section 
                heading and inserting ``suicide prevention technical 
                assistance center.'';
                    (B) 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.'';
                    (C) by striking subsections (b) and (c);
                    (D) by redesignating subsection (d) as subsection 
                (b);
                    (E) in subsection (b), as so redesignated--
                            (i) by striking the subsection heading and 
                        inserting ``Responsibilities of the Center.'';
                            (ii) 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'';
                            (iii) by striking ``youth suicide'' each 
                        place such term appears and inserting 
                        ``suicide'';
                            (iv) 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;
                            (v) in paragraph (2), by inserting ``for 
                        all ages, particularly among groups that are at 
                        high risk for suicide'' before the semicolon at 
                        the end;
                            (vi) in paragraph (3), by inserting ``and 
                        tribal'' after ``statewide'';
                            (vii) in paragraph (5), by inserting ``and 
                        prevention'' after ``intervention'';
                            (viii) in paragraph (8), by striking ``in 
                        youth'';
                            (ix) in paragraph (9), by striking ``and 
                        behavioral health'' and inserting ``health and 
                        substance use disorder''; and
                            (x) in paragraph (10), by inserting 
                        ``conducting'' before ``other''; and
                    (F) by striking subsection (e) and inserting the 
                following:
    ``(c) Authorization of Appropriations.--To carry out this section, 
there are authorized to be appropriated such sums as may be necessary 
for fiscal years 2014 through 2018.''.
            (2) Youth suicide early intervention and prevention 
        strategies.--Section 520E of the Public Health Service Act (42 
        U.S.C. 290bb-36) is amended--
                    (A) in paragraph (1) of subsection (a) and in 
                subsection (c), by striking ``substance abuse'' each 
                place such term appears and inserting ``substance use 
                disorder'';
                    (B) in subsection (b)(2)--
                            (i) 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
                            (ii) by striking ``been awarded'' and 
                        inserting ``received''; and
                    (C) by striking subsection (m) and inserting the 
                following:
    ``(m) Authorization of Appropriations.--To carry out this section, 
there are authorized to be appropriated such sums as may be necessary 
for fiscal years 2014 through 2018.''.
            (3) Mental health and substance use disorder services.--
        Section 520E-2 of the Public Health Service Act (42 U.S.C. 
        290bb-36b) is amended--
                    (A) in the section heading, by striking ``and 
                behavioral health'' and inserting ``health and 
                substance use disorder services'';
                    (B) in subsection (a)--
                            (i) by striking ``Services,'' and inserting 
                        ``Services and'';
                            (ii) by striking ``and behavioral health 
                        problems'' and inserting ``health or substance 
                        use disorders''; and
                            (iii) by striking ``substance abuse'' and 
                        inserting ``substance use disorders'';
                    (C) in subsection (b)--
                            (i) in the matter preceding paragraph (1), 
                        by striking ``for--'' and inserting ``for one 
                        or more of the following:''; and
                            (ii) 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) Operating 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.'';
                    (D) in subsection (c)(5), by striking ``substance 
                abuse'' and inserting ``substance use disorder'';
                    (E) in subsection (d)--
                            (i) 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'';
                            (ii) in paragraph (1)--
                                    (I) by striking ``and behavioral 
                                health'' and inserting ``health and 
                                substance use disorder''; and
                                    (II) by inserting ``, including 
                                veterans as appropriate,'' after 
                                ``students''; and
                            (iii) 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;
                    (F) in subsection (e)(1), by striking ``and 
                behavioral health problems'' and inserting ``health and 
                substance use disorders'';
                    (G) in subsection (f)(2)--
                            (i) by striking ``and behavioral health'' 
                        and inserting ``health and substance use 
                        disorder''; and
                            (ii) by striking ``suicide and substance 
                        abuse'' and inserting ``suicide and substance 
                        use disorders''; and
                    (H) by amending subsection (h) to read as follows:
    ``(h) Authorization of Appropriations.--To carry out this section, 
there are authorized to be appropriated such sums as may be necessary 
for fiscal years 2014 through 2018.''.
    (c) Mental Health Awareness Training Grants.--For provisions of the 
Advancing Wellness and Resilience in Education (AWARE) Initiative 
relating to mental health awareness training for school and emergency 
services personnel, see section 213 of this Act.
    (d) Evaluation.--Not later than the end of fiscal year 2017, the 
Secretary of Health and Human Services shall submit to the Congress a 
report on the implementation and effectiveness of the activities 
carried out under sections 581, 520C, 520E, and 520E-2 of the Public 
Health Service Act, as amended by this section, and section 520J of the 
Public Health Service Act, as amended by section 213.

SEC. 222. SAMHSA AND HRSA INTEGRATION OF MENTAL HEALTH SERVICES INTO 
              PRIMARY CARE SETTINGS.

    Title V of the Public Health Service Act is amended by inserting 
after section 520K (42 U.S.C. 290bb-42) the following:

``SEC. 520K-1. AWARDS FOR CO-LOCATING MENTAL HEALTH SERVICES IN PRIMARY 
              CARE SETTINGS.

    ``(a) Program Authorized.--The Secretary, acting through the 
Administrators of the Substance Abuse and Mental Health Services 
Administration and the Health Resources and Services Administration, 
shall award grants, contracts, and cooperative agreements to eligible 
entities for the provision of coordinated and integrated mental health 
services and primary health care.
    ``(b) Eligible Entities.--To be eligible to seek a grant, contract, 
or cooperative agreement this section, an entity shall be a public or 
nonprofit entity.
    ``(c) Use of Funds.--An eligible entity receiving an award under 
this section shall use the award for the provision of coordinated and 
integrated mental health services and primary health care through--
            ``(1) the co-location of mental health services in primary 
        care settings;
            ``(2) the use of care management services to facilitate 
        coordination between mental health and primary care providers;
            ``(3) the use of information technology (such as 
        telemedicine)--
                    ``(A) to facilitate coordination between mental 
                health and primary care providers; or
                    ``(B) to expand the availability of mental health 
                services; or
            ``(4) the provision of training and technical assistance to 
        improve the delivery, effectiveness, and integration of mental 
        health services into primary care settings.
    ``(d) Authorization of Appropriations.--To carry out this section, 
there are authorized to be appropriated such sums as may be necessary 
for fiscal years 2014 through 2018.''.

SEC. 223. 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'), including 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) by striking ``subsection (a) 
        related'' and all that follows through the end of the 
        subsection and inserting ``subsection (a)(2) (related to the 
        development of knowledge on evidence-based practices for 
        treating mental, behavioral, and biological disorders 
        associated with psychological trauma), the Secretary shall give 
        priority to universities, hospitals, mental health agencies, 
        and other programs that have established clinical expertise and 
        research experience in the field of trauma-related mental 
        disorders.'';
            (3) by redesignating subsections (c) through (g) as 
        subsections (e) through (i), respectively;
            (4) by inserting after subsection (b), the following:
    ``(c) National Child Traumatic Stress Initiative.--The NCTSI 
coordinating center shall--
            ``(1) 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;
            ``(2) facilitate the coordination of training initiatives 
        in evidence-based and trauma-informed treatments, 
        interventions, and practices offered to NCTSI grantees, 
        providers, and partners; and
            ``(3) collaborate, as appropriate, with the Secretary in 
        the dissemination of evidence-based and trauma-informed 
        interventions, treatments, products, and other resources to 
        appropriate stakeholders.
    ``(d) Review.--The Secretary shall, consistent with the peer review 
process, ensure that NCTSI applications are reviewed by appropriate 
experts in the field, including experts in child trauma.'';
            (5) in subsection (e) (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 (g) (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) by amending subsection (h) (as so redesignated) to read 
        as follows:
    ``(h) Authorization of Appropriations.--To carry out this section, 
there are authorized to be appropriated such sums as may be necessary 
for fiscal years 2014 through 2018.''.

SEC. 224. INFORMATION ON 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 information to grantees 
        regarding evidence-based practices for the prevention and 
        treatment of geriatric mental health disorders and co-occurring 
        mental health and substance use disorders among geriatric 
        populations, as well as disseminate information about such 
        evidence-based practices to States and nongrantees throughout 
        the United States.''.

SEC. 225. GAO STUDY ON AVAILABILITY OF INPATIENT BEDS.

    Not later than 2 years after the date of enactment of this Act, the 
Comptroller General of the United States shall conduct a study and 
submit a report to the Congress on--
            (1) the availability of inpatient beds for treatment of 
        mental health disorders;
            (2) the impact of such availability on access to, and the 
        quality of, mental health services; and
            (3) the impact on individuals with serious mental illness 
        and on States of the exclusion from medical assistance under 
        section 1905(a) of the Social Security Act (42 U.S.C. 1396d(a)) 
        of payment with respect to care or services for certain 
        patients in an institution for mental diseases.

SEC. 226. REPORTING REQUIREMENTS FOR BLOCK GRANTS REGARDING MENTAL 
              HEALTH AND SUBSTANCE USE DISORDERS.

    Section 1942 of the Public Health Service Act (42 U.S.C. 300x-52) 
is amended to read as follows:

``SEC. 1942. REQUIREMENT OF REPORTS AND AUDITS BY STATES.

    ``(a) Block Grants for Community Mental Health Services.--
            ``(1) Annual report.--A funding agreement for a grant under 
        section 1911 is that--
                    ``(A) the State involved will prepare and submit to 
                the Secretary an annual report on the activities funded 
                through the grant; and
                    ``(B) each such report shall be prepared by, or in 
                consultation with, the State agency responsible for 
                community mental health programs and activities.
            ``(2) Standardized form; contents.--In order to properly 
        evaluate and to compare the performance of different States 
        assisted under section 1911, reports under this section shall 
        be in such standardized form and contain such information as 
        the Secretary determines (after consultation with the States) 
        to be necessary--
                    ``(A) to secure an accurate description of the 
                activities funded through the grant under section 1911;
                    ``(B) to determine the extent to which funds were 
                expended consistent with the State's application 
                transmitted under section 1917(a); and
                    ``(C) to describe the extent to which the State has 
                met the goals and objectives it set forth in its State 
                plan under section 1912(b).
            ``(3) Minimum contents.--Each report under this section 
        shall, at a minimum, include the following information:
                    ``(A)(i) The number of individuals served by the 
                State under subpart I (by class of individuals).
                    ``(ii) The proportion of each class of such 
                individuals which has health coverage.
                    ``(iii) The types of services (as defined by the 
                Secretary) provided under subpart I to individuals 
                within each such class.
                    ``(iv) The amounts spent under subpart I on each 
                type of service (by class of individuals served).
                    ``(B) Information on the status of mental health in 
                the State, including information (by county and by 
                racial and ethnic group) on each of the following:
                            ``(i) The proportion of adolescents with 
                        serious mental illness (including major 
                        depression).
                            ``(ii) The proportion of adults with 
                        serious mental illness (including major 
                        depression).
                            ``(iii) The proportion of individuals with 
                        co-occurring mental health and substance use 
                        disorders.
                            ``(iv) The proportion of children and 
                        adolescents with mental health disorders who 
                        seek and receive treatment.
                            ``(v) The proportion of adults with mental 
                        health disorders who seek and receive 
                        treatment.
                            ``(vi) The proportion of individuals with 
                        co-occurring mental health and substance use 
                        disorders who seek and receive treatment.
                            ``(vii) The proportion of homeless adults 
                        with mental health disorders who receive 
                        treatment.
                            ``(viii) The number of primary care 
                        facilities that provide mental health screening 
                        and treatment services onsite or by paid 
                        referral.
                            ``(ix) The number of primary care physician 
                        office visits that include mental health 
                        screening services.
                            ``(x) The number of juvenile residential 
                        facilities that screen admissions for mental 
                        health disorders.
                            ``(xi) The number of deaths attributable to 
                        suicide.
                    ``(C) Information on the number and type of health 
                care practitioners licensed in the State and providing 
                mental health-related services.
            ``(4) Availability of reports.--The Secretary shall, upon 
        request, provide a copy of any report under this section to any 
        interested public agency.
    ``(b) Block Grants for Prevention and Treatment of Substance Use 
Disorders.--
            ``(1) Annual report.--A funding agreement for a grant under 
        section 1921 is that--
                    ``(A) the State involved will prepare and submit to 
                the Secretary an annual report on the activities funded 
                through the grant; and
                    ``(B) each such report shall be prepared by, or in 
                consultation with, the State agency responsible for 
                substance use disorder programs and activities.
            ``(2) Standardized form; contents.--In order to properly 
        evaluate and to compare the performance of different States 
        assisted under section 1921, reports under this section shall 
        be in such standardized form and contain such information as 
        the Secretary determines (after consultation with the States) 
        to be necessary--
                    ``(A) to secure an accurate description of the 
                activities funded through the grant under section 1921;
                    ``(B) to determine the extent to which funds were 
                expended consistent with the State's application 
                transmitted under section 1932(a); and
                    ``(C) to describe the extent to which the State has 
                met the goals and objectives it set forth in its State 
                plan under section 1932(b).
            ``(3) Minimum contents.--Each report under this section 
        shall, at a minimum, include the following information:
                    ``(A)(i) The number of individuals served by the 
                State under subpart II (by class of individuals).
                    ``(ii) The proportion of each class of such 
                individuals which has health coverage.
                    ``(iii) The types of services (as defined by the 
                Secretary) provided under subpart II to individuals 
                within each such class.
                    ``(iv) The amounts spent under subpart II on each 
                type of service (by class of individuals served).
                    ``(B) Information on the status of substance use 
                disorders in the State, including information (by 
                county and by racial and ethnic group) on each of the 
                following:
                            ``(i) The proportion of adolescents using 
                        alcohol or other addictive drugs (including 
                        nicotine).
                            ``(ii) The proportion of adults (including 
                        pregnant women) using alcohol or other 
                        addictive drugs (including nicotine).
                            ``(iii) The proportion of adolescents using 
                        prescription drugs for nonmedical purposes.
                            ``(iv) The proportion of adults using 
                        prescription drugs for nonmedical purposes.
                            ``(v) The number of individuals (including 
                        pregnant women) admitted to substance use 
                        disorder treatment programs (including group 
                        home arrangements).
                            ``(vi) The number of deaths attributable to 
                        alcohol.
                            ``(vii) The number of deaths attributable 
                        to illicit drugs.
                            ``(viii) The number of deaths attributable 
                        to prescription drugs.
                    ``(C) Information on the number and type of health 
                care practitioners licensed in the State and providing 
                substance use disorder-related services.
            ``(4) Availability of reports.--The Secretary shall, upon 
        request, provide a copy of any report under this section to any 
        interested public agency.''.

SEC. 227. MENTAL HEALTH PARITY.

    In the case of a group health plan or health insurance coverage 
that provides both medical and surgical benefits and mental health and 
substance use disorder benefits, the Paul Wellstone and Pete Domenici 
Mental Health Parity and Addiction Equity Act of 2008 (subtitle B of 
title V of division C of Public Law 110-343) and the amendments made 
thereby shall be construed to ensure full parity of such benefits, 
including--
            (1) at all levels of medically appropriate treatment; and
            (2) with respect to applicable medical management 
        techniques.

 Subtitle D--Promoting Public Awareness of Mental Health Disorders and 
                   Reducing Stigma of Such Disorders

SEC. 231. PROMOTING PUBLIC AWARENESS OF MENTAL HEALTH DISORDERS AND 
              REDUCING STIGMA OF SUCH DISORDERS.

    Title V of the Public Health Service Act is amended by inserting 
after section 520E-2 (42 U.S.C. 290bb-40) the following:

``SEC. 520E-3. PROMOTING PUBLIC AWARENESS OF MENTAL HEALTH DISORDERS 
              AND REDUCING STIGMA OF SUCH DISORDERS.

    ``(a) Program Authorized.--The Secretary may, by awarding grants, 
contracts, and cooperative agreements to eligible entities, provide for 
planning, establishing, coordinating, and evaluating a nationwide 
public education campaign that is designed--
            ``(1) to promote public awareness and understanding of 
        mental health disorders, including serious mental illness; and
            ``(2) to reduce the stigma associated with mental health 
        disorders.
    ``(b) Eligible Entities.--To be eligible to seek an award under 
this section, an entity shall be a public or nonprofit entity with 
demonstrated expertise in conducting a public health-related campaign.
    ``(c) Activities.--The public education campaign under this section 
shall include--
            ``(1) national education and outreach through television 
        advertisements, radio advertisements, Internet-based resources, 
        social media, and print media; and
            ``(2) community-based education and outreach.
    ``(d) Preference.--In making awards under this section, the 
Secretary shall give preference to eligible entities that--
            ``(1) have demonstrated expertise in conducting a public 
        health-related campaign that is focused on mental health 
        disorders; and
            ``(2) are proposing public education campaigns that will--
                    ``(A) be carried out in partnership with local 
                community partners; and
                    ``(B) emphasize education and outreach targeting 
                children, adolescents, and young adults through 24 
                years of age.
    ``(e) Consultation.--In carrying out this section, the Secretary 
shall consult with each of the following stakeholders:
            ``(1) Mental health consumers, including youth, adults, and 
        family members.
            ``(2) Representatives of mental and behavioral health 
        organizations.
            ``(3) Representatives of medical, public health, and 
        behavioral health professional organizations.
            ``(4) Representatives of mental health providers, including 
        community mental health centers.
            ``(5) Representatives of private- and public-sector groups 
        with experience in the development of effective public health 
        education campaigns.
            ``(6) Other stakeholders with relevant subject matter 
        expertise as appropriate.
    ``(f) Evaluation.--As a condition on receipt of an award under this 
section, an eligible entity shall agree--
            ``(1) to evaluate the effectiveness of activities funded 
        through the award; and
            ``(2) to report the results of such evaluation to the 
        Secretary.
    ``(g) Authorization of Appropriations.--To carry out this section, 
there are authorized to be appropriated such sums as may be necessary 
for fiscal years 2014 through 2018.''.

         TITLE III--UNDERSTANDING THE EPIDEMIC OF GUN VIOLENCE

SEC. 301. REAFFIRMING CDC RESEARCH AUTHORITY.

    (a) In General.--Section 391 of the Public Health Service Act (42 
U.S.C. 280b) is amended--
            (1) in subsection (a)(1), by striking ``research relating 
        to the causes, mechanisms, prevention, diagnosis, treatment of 
        injuries, and rehabilitation from injuries;'' and inserting 
        ``research, including data collection, relating to--
                    ``(A) the causes, mechanisms, prevention, 
                diagnosis, and treatment of injuries, including with 
                respect to gun violence; and
                    ``(B) rehabilitation from such injuries;''; and
            (2) by adding at the end the following new subsection:
    ``(c) No Advocacy or Promotion of Gun Control.--Nothing in this 
section shall be construed to--
            ``(1) authorize the Secretary to give assistance, make 
        grants, or enter into cooperative agreements or contracts for 
        the purpose of advocating or promoting gun control; or
            ``(2) permit a recipient of any assistance, grant, 
        cooperative agreement, or contract under this section to use 
        such assistance, grant, agreement, or contract for the purpose 
        of advocating or promoting gun control.''.
    (b) Authorization of Appropriations.--Section 394A of the Public 
Health Service Act (42 U.S.C. 280b-3) is amended by striking 
``authorized to be appropriated'' and all that follows through the end 
and inserting the following: ``authorized to be appropriated such sums 
as may be necessary for fiscal years 2014 through 2018.''.

SEC. 302. NATIONAL VIOLENT DEATH REPORTING SYSTEM.

    The Secretary of Health and Human Services, acting through the 
Director of the Centers for Disease Control and Prevention, shall 
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 (42 U.S.C. 241 et seq.). Participation in 
the system by the States shall be voluntary.

SEC. 303. PROTECTING CONFIDENTIAL DOCTOR-PATIENT RELATIONSHIP.

    Section 2717(c) of the Public Health Service Act (42 U.S.C. 300gg-
17(c)) is amended by adding at the end the following new paragraph:
            ``(6) Rule of construction.--Notwithstanding the previous 
        provisions of this subsection, none of the authorities provided 
        to the Secretary under the Patient Protection and Affordable 
        Care Act, an amendment made by that Act, or this subsection 
        shall be construed to prohibit a physician or other health care 
        provider from--
                    ``(A) asking a patient about the ownership, 
                possession, use, or storage of a firearm or ammunition 
                in the home of such patient;
                    ``(B) speaking to a patient about gun safety; or
                    ``(C) reporting to the authorities a patient's 
                threat of violence.''.
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