I 

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. 

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

3 SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 

4 (a) SHORT TITLE.—This Act may be cited as the 

5 ‘‘Gun Violence Prevention and Reduction Act of 2013’’. 


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1 (b) TABLE OF CONTENTS.—The table of contents for 

2 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. 


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Sec. 302. National violent death reporting system. 

Sec. 303. Protecting confidential doctor-patient relationship. 

1 TITLE I—BANNING ACCESS TO 

2 DO-IT-YOURSELF ASSAULT 

3 WEAPONS 

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

5 (a) BANNED HAZARDOUS PRODUCTS.—Notwith6 standing section 3(a)(5)(E) of the Consumer Product 

7 Safety Act (15 U.S.C. 2052(A)(5)(E)), a firearm receiver 

8 casting or firearm receiver blank that— 

9 (1) at the point of sale does not meet the defi10 nition of a firearm in section 921(a) of title 18, 

11 United States Code, and 

12 (2) after purchase by a consumer, can be com13 pleted by the consumer to the point at which such 

14 casting or blank functions as a firearm frame or re15 ceiver for a semiautomatic assault weapon or ma16 chine gun, 

17 shall be considered a banned hazardous product under sec18 tion 8 of such Act (15 U.S.C. 2057). 

19 (b) PROHIBITED ACTS.—It shall be unlawful for any 

20 person to sell, offer for sale, manufacture for sale, or im21 port into the United States for sale, to a consumer— 

22 (1) an assault weapon parts kit; or 

23 (2) a machinegun parts kit. 

24 (c) ENFORCEMENT.— 


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1 (1) Subsection (a) shall be treated as a ban 

2 under section 19 of the Consumer Product Safety 

3 Act (15 U.S.C. 2068). 

4 (2) Notwithstanding section 3(a)(5)(E) of the 

5 Consumer Product Safety Act (15 U.S.C. 

6 2052(A)(5)(E)), a violation of subsection (b) shall be 

7 treated as a violation of section 19 of such Act and 

8 any person who violates such subsection shall be 

9 subject to the penalties set forth in section 20 of 

10 such Act. 

11 (d) CONSULTATION.—In enforcing this section, the 

12 Consumer Product Safety Commission shall periodically 

13 consult with the Bureau of Alcohol, Tobacco, Firearms 

14 and Explosives regarding effective strategies for and 

15 methods of enforcement. 

16 SEC. 102. PROHIBITION OF ADVERTISING DO-IT-YOURSELF 

17 ASSAULT WEAPONS. 

18 (a) IN GENERAL.—It shall be unlawful to market or 

19 advertise, on any medium of electronic communications, 

20 including over the Internet, for the sale of any of the fol21 lowing: 

22 (1) A firearm receiver casting or firearm re23 ceiver blank that— 


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1 (A) at the point of sale does not meet the 

2 definition of a firearm in section 921(a) of title 

3 18, United States Code; and 

4 (B) after purchase by a consumer, can be 

5 completed by the consumer to the point at 

6 which it functions as a firearm frame or re7 ceiver for a semiautomatic assault weapon or 

8 machinegun. 

9 (2) An assault weapon parts kit. 

10 (3) A machinegun parts kit. 

11 (b) ENFORCEMENT BY THE FEDERAL TRADE COM12 MISSION.—A violation of subsection (a) shall be treated 

13 as a violation of a rule defining an unfair or deceptive 

14 act or practice described under section 18(a)(1)(B) of the 

15 Federal Trade Commission Act (15 U.S.C. 57a(a)(1)(B)). 

16 The Federal Trade Commission shall enforce this section 

17 in the same manner, by the same means, and with the 

18 same jurisdiction, powers, and duties as though all appli19 cable terms and provisions of the Federal Trade Commis20 sion Act were incorporated into and made a part of this 

21 Act. 

22 (c) RULE OF CONSTRUCTION.—Nothing contained in 

23 this title shall be construed to limit the authority of the 

24 Federal Trade Commission under any other provision of 

25 law. 


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1 SEC. 103. DEFINITIONS. 

2 (a) TERMS.—For purposes of this title— 

3 (1) the term ‘‘assault weapon parts kit’’ means 

4 any part or combination of parts not designed and 

5 intended for repair or replacement but designed and 

6 intended to enable a consumer who possesses all 

7 such necessary parts to assemble a semiautomatic 

8 assault weapon; 

9 (2) the term ‘‘machinegun parts kit’’ means any 

10 part or combination of parts designed and intended 

11 to enable a consumer who possesses all such nec12 essary parts to assemble a machinegun or convert a 

13 firearm into a machinegun; 

14 (3) the term ‘‘semiautomatic assault weapon’’ 

15 means— 

16 (A) a semiautomatic rifle or semiautomatic 

17 shotgun that has the capacity to accept a de18 tachable ammunition magazine; or 

19 (B) a semiautomatic pistol that has— 

20 (i) the capacity to accept a detachable 

21 ammunition magazine; and 

22 (ii) any one of the features described 

23 in subsection (b); 

24 (4) the term ‘‘machinegun’’ has the meaning 

25 given such term in section 5845(b) of title 26, 

26 United States Code; 


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1 (5) the term ‘‘semiautomatic pistol’’ means any 

2 repeating pistol that utilizes a portion of the energy 

3 of a firing cartridge to extract the fixed cartridge 

4 case and chamber the next round and requires a 

5 separate pull of the trigger to fire each cartridge; 

6 (6) the term ‘‘semiautomatic rifle’’ has the 

7 meaning given such term in section 921(a)(28) of 

8 title 18, United States Code; and 

9 (7) the term ‘‘semiautomatic shotgun’’ means 

10 any repeating shotgun that utilizes a portion of the 

11 energy of a firing cartridge to extract the fixed car12 tridge case and chamber the next round and requires 

13 a separate pull of a trigger to fire each cartridge. 

14 (b) SPECIAL FEATURES OF A SEMIAUTOMATIC PIS15 TOL.—The special features described in paragraph 

16 (3)(B)(ii) are— 

17 (1) an ammunition magazine that attaches to 

18 the pistol outside of the pistol grip; 

19 (2) a threaded barrel capable of accepting a 

20 barrel extender, flash suppressor, forward handgrip, 

21 or silencer; 

22 (3) a shroud that is attached to, or partially or 

23 completely encircles, the barrel and that permits the 

24 shooter to hold the firearm with the nontrigger hand 

25 without being burned; 


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1 (4) a manufactured weight of 50 ounces or 

2 more when the pistol is unloaded; and 

3 (5) a semiautomatic version of an automatic 

4 firearm. 

5 SEC. 104. CONSTRUCTION. 

6 Nothing in this title shall be construed as limiting 

7 the ability of a State to enact more restrictive gun-related 

8 laws, or bans on firearm receiver casts, firearm receiver 

9 blanks, assault weapon parts kits, or machinegun parts 

10 kits. 

11 TITLE II—STRENGTHENING THE 

12 NATION’S MENTAL HEALTH 

13 INFRASTRUCTURE 

14 Subtitle A—Advancing Research on 

15 Serious Mental Illness 

16 SEC. 201. NATIONAL INSTITUTE OF MENTAL HEALTH RE17 SEARCH PROGRAM ON SERIOUS MENTAL ILL18 NESS. 

19 (a) PURPOSE OF INSTITUTE.—Section 464R(a) of 

20 the Public Health Service Act (42 U.S.C. 285p(a)) is 

21 amended by inserting ‘‘serious mental illness research,’’ 

22 after ‘‘biomedical and behavioral research,’’. 

23 (b) RESEARCH PROGRAM.—Section 464R(b) of the 

24 Public Health Service Act (42 U.S.C. 285p(b)) is amend25 ed— 


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1 (1) by striking ‘‘The research program’’ and in2 serting the following: 

3 ‘‘(1) IN GENERAL.—The research program’’; 

4 (2) by striking ‘‘to further the treatment and 

5 prevention of mental illness’’ and inserting ‘‘to fur6 ther the treatment and prevention of mental illness 

7 (including serious mental illness)’’; and 

8 (3) by adding at the end the following: 

9 ‘‘(2) RESEARCH WITH RESPECT TO SERIOUS

10 MENTAL ILLNESS.—As part of the research program 

11 established under this subpart, the Director of the 

12 Institute shall conduct or support research on seri13 ous mental illness, including with respect to— 

14 ‘‘(A) the causes, prevention, and treatment 

15 of serious mental illness; and 

16 ‘‘(B) interventions to improve early identi17 fication of individuals with serious mental ill18 ness and referral of such individuals to mental 

19 health professionals for treatment.’’. 

20 (c) BIENNIAL REPORT.—Section 403(a)(5) of the 

21 Public Health Service Act (42 U.S.C. 283(a)(5)) is 

22 amended— 

23 (1) by redesignating subparagraph (L) as sub24 paragraph (M); and 


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1 (2) by inserting after subparagraph (K) the fol2 lowing: 

3 ‘‘(L) Serious mental illness.’’. 

4 Subtitle B—Improving the Mental 

5 Health Workforce 

6 SEC. 211. NATIONAL HEALTH SERVICE CORPS SCHOLAR7 SHIP AND LOAN REPAYMENT FUNDING FOR 

8 BEHAVIORAL AND MENTAL HEALTH PROFES9 SIONALS. 

10 Section 338H of the Public Health Service Act (42 

11 U.S.C. 254q) is amended— 

12 (1) by redesignating subsections (b) and (c) as 

13 subsections (c) and (d), respectively; and 

14 (2) by inserting after subsection (a) the fol15 lowing: 

16 ‘‘(b) ADDITIONAL FUNDING FOR BEHAVIORAL AND

17 MENTAL HEALTH PROFESSIONALS.—In addition to the 

18 amounts authorized to be appropriated under subsection 

19 (a), and in addition to the amounts appropriated under 

20 section 10503 of Public Law 111–148, there are author21 ized to be appropriated such sums as may be necessary 

22 for fiscal years 2014 through 2018 for scholarships and 

23 loan repayments under this subpart for ensuring, as de24 scribed in sections 338A(a) and 338B(a), an adequate 

25 supply of behavioral and mental health professionals.’’. 


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1 SEC. 212. REAUTHORIZATION OF HRSA’S MENTAL AND BE2 HAVIORAL HEALTH EDUCATION AND TRAIN3 ING PROGRAM. 

4 Subsection (e) of section 756 of the Public Health 

5 Service Act (42 U.S.C. 294e–1) is amended to read as 

6 follows: 

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

8 carry out this section, there are authorized to be appro9 priated such sums as may be necessary for fiscal years 

10 2014 through 2018.’’. 

11 SEC. 213. MENTAL HEALTH AWARENESS TRAINING FOR 

12 SCHOOL AND EMERGENCY SERVICES PER13 SONNEL. 

14 Section 520J of the Public Health Service Act (42 

15 U.S.C. 290bb–41) is amended— 

16 (1) in the section heading, by inserting ‘‘MEN17 TAL HEALTH AWARENESS’’ before ‘‘TRAINING’’; 

18 and 

19 (2) in subsection (b)— 

20 (A) in the subsection heading, by striking 

21 ‘‘ILLNESS’’ and inserting ‘‘HEALTH’’; 

22 (B) in paragraph (1)— 

23 (i) by inserting ‘‘and other categories 

24 of individuals, as determined by the Sec25 retary,’’ after ‘‘emergency services per26 sonnel’’; and 


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1 (ii) by striking ‘‘mental illness’’ each 

2 place it appears and inserting ‘‘mental 

3 health disorder’’; 

4 (C) in paragraph (5)— 

5 (i) in the matter preceding subpara6 graph (A), by striking ‘‘to’’ and inserting 

7 ‘‘for evidence-based programs for the pur8 pose of’’; and 

9 (ii) by striking subparagraphs (A) 

10 through (C) and inserting the following: 

11 ‘‘(A) recognizing the signs and symptoms 

12 of mental health disorders; and 

13 ‘‘(B)(i) providing education to personnel 

14 regarding resources available in the community 

15 for individuals with a mental health disorder 

16 and other relevant resources; or 

17 ‘‘(ii) the safe de-escalation of crisis situa18 tions involving individuals with a mental health 

19 disorder.’’; and 

20 (D) by amending paragraph (7) to read as 

21 follows: 

22 ‘‘(7) AUTHORIZATION OF APPROPRIATIONS.— 

23 There are authorized to be appropriated to carry out 

24 this subsection such sums as may be necessary for 

25 fiscal years 2014 through 2018.’’. 


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1 SEC. 214. SAMHSA GRANT PROGRAM FOR DEVELOPMENT 

2 AND IMPLEMENTATION OF CURRICULA FOR 

3 CONTINUING EDUCATION ON SERIOUS MEN4 TAL ILLNESS. 

5 Title V of the Public Health Service Act is amended 

6 by inserting after section 520I (42 U.S.C. 290bb–40) the 

7 following: 

8 ‘‘SEC. 520I–1. CURRICULA FOR CONTINUING EDUCATION ON 

9 SERIOUS MENTAL ILLNESS. 

10 ‘‘(a) GRANTS.—The Secretary may award grants to 

11 eligible entities for the development and implementation 

12 of curricula for providing continuing education and train13 ing to health care professionals on identifying, referring, 

14 and treating individuals with serious mental illness. 

15 ‘‘(b) ELIGIBLE ENTITIES.—To be eligible to seek a 

16 grant under this section, an entity shall be a public or 

17 nonprofit entity that— 

18 ‘‘(1) provides continuing education or training 

19 to health care professionals; or 

20 ‘‘(2) applies for the grant in partnership with 

21 another entity that provides such education and 

22 training. 

23 ‘‘(c) PREFERENCE.—In awarding grants under this 

24 section, the Secretary shall give preference to eligible enti25 ties proposing to develop and implement curricula for pro26 viding continuing education and training to— 


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1 ‘‘(1) health care professionals in primary care 

2 specialities; or 

3 ‘‘(2) health care professionals who are required, 

4 as a condition of State licensure, to participate in 

5 continuing education or training specific to mental 

6 health. 

7 ‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—To 

8 carry out this section, there are authorized to be appro9 priated such sums as may be necessary for fiscal years 

10 2014 through 2018.’’. 

11 SEC. 215. CLARIFICATION OF HIPAA TRAINING REQUIRE12 MENTS REGARDING DISCLOSURE OF PRO13 TECTED HEALTH INFORMATION CON14 CERNING INDIVIDUALS WITH MENTAL 

15 HEALTH DISORDERS. 

16 Not later than 6 months after the date of enactment 

17 of this Act, the Secretary of Health and Human Services 

18 shall issue guidance regarding the requirements of section 

19 164.530(b) of title 45, Code of Federal Regulations, so 

20 as to ensure that training under such section includes a 

21 clear explanation of the circumstances under which health 

22 care professionals and other covered entities (as such term 

23 is defined for purposes of regulations promulgated under 

24 section 264(c) of the Health Insurance Portability and Ac25 countability Act of 1996) are permitted or required to disVerDate Mar 15 2010 04:34 Aug 06, 2013 Jkt 029200 PO 00000 Frm 00014 Fmt 6652 Sfmt 6201 E:\BILLS\H2910.IH H2910

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1 close protected health information concerning individuals 

2 with a mental health disorder. 

3 Subtitle C—Expanding Access to 

4 Mental Health Services 

5 SEC. 221. ADVANCING WELLNESS AND RESILIENCE IN EDU6 CATION (AWARE) INITIATIVE. 

7 (a) CHILDREN AND ADOLESCENTS, VIOLENCE, AND

8 SCHOOL- AND COMMUNITY-BASED MENTAL HEALTH.— 

9 (1) IN GENERAL.—The first section 581 (in the 

10 first part G relating to projects for children and vio11 lence) of the Public Health Service Act (42 U.S.C. 

12 290hh) is amended to read as follows: 

13 ‘‘SEC. 581. CHILDREN AND ADOLESCENTS, VIOLENCE, AND 

14 SCHOOL- AND COMMUNITY-BASED MENTAL 

15 HEALTH. 

16 ‘‘(a) IN GENERAL.—The Secretary shall, directly or 

17 through grants, contracts, or cooperative agreements 

18 awarded to local educational agencies and other public en19 tities, assist schools and local communities in imple20 menting a comprehensive mental health program that— 

21 ‘‘(1) assists children and adolescents in dealing 

22 with trauma and violence; 

23 ‘‘(2) provides comprehensive, age-appropriate 

24 mental health services and supports; 


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1 ‘‘(3) is linguistically and culturally appropriate; 

2 and 

3 ‘‘(4) incorporates age-appropriate strategies of 

4 positive behavioral interventions and supports. 

5 ‘‘(b) COLLABORATION; CONSULTATION.—The Sec6 retary shall carry out this section— 

7 ‘‘(1) in collaboration with the Secretary of Edu8 cation; and 

9 ‘‘(2) in consultation with the Attorney General 

10 of the United States. 

11 ‘‘(c) ACTIVITIES.—In carrying out subsection (a), the 

12 Secretary may— 

13 ‘‘(1) provide financial and technical support to 

14 enable schools and local communities to implement 

15 a comprehensive mental health program described in 

16 such subsection; 

17 ‘‘(2) facilitate community partnerships among 

18 families, students, law enforcement agencies, edu19 cation systems, mental health and substance use dis20 order service systems, family-based mental health 

21 service systems, welfare agencies, health care sys22 tems (including physicians), faith-based programs, 

23 trauma networks, and other community-based sys24 tems; and 


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1 ‘‘(3) establish mechanisms for children and ado2 lescents to report incidents of violence or plans by 

3 other children, adolescents, or adults to commit vio4 lence. 

5 ‘‘(d) REQUIREMENTS.— 

6 ‘‘(1) IN GENERAL.—To be eligible for an award 

7 under this section, an entity shall— 

8 ‘‘(A) be a partnership between a local edu9 cational agency and at least one community 

10 program or agency that is involved in mental 

11 health activities; and 

12 ‘‘(B) submit an application that— 

13 ‘‘(i) is endorsed by all members of the 

14 partnership; 

15 ‘‘(ii) designates an entity to serve as 

16 coordinator of the activities to be funded 

17 through the award; and 

18 ‘‘(iii) contains the assurances de19 scribed in paragraph (2). 

20 ‘‘(2) REQUIRED ASSURANCES.—An application 

21 under paragraph (1) for a comprehensive mental 

22 health program shall contain assurances as follows: 

23 ‘‘(A) The local educational agency involved 

24 will enter into a memorandum of under25 standing— 


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1 ‘‘(i) with— 

2 ‘‘(I) at least one of each of the 

3 following: a public or private mental 

4 health entity, a health care entity, a 

5 law enforcement or juvenile justice en6 tity, a child welfare agency, a family7 based mental health entity, a family 

8 or family organization, and a trauma 

9 network; and 

10 ‘‘(II) any other community-based 

11 entities deemed appropriate by the 

12 local educational agency; and 

13 ‘‘(ii) that specifies— 

14 ‘‘(I) the responsibilities of each 

15 partner with respect to the activities 

16 to be carried out; 

17 ‘‘(II) how each partner will be ac18 countable for carrying out such re19 sponsibilities; and 

20 ‘‘(III) the amount of non-Federal 

21 funding or in-kind contributions that 

22 each such partner will contribute in 

23 order to sustain the program. 

24 ‘‘(B) The program will address— 


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1 ‘‘(i) the promotion of the social, emo2 tional, and behavioral health of all students 

3 in an environment that is conducive to 

4 learning; 

5 ‘‘(ii) the reduction in the likelihood of 

6 at-risk students developing social, emo7 tional, or behavioral health problems, or 

8 substance use disorders; 

9 ‘‘(iii) the early identification of social, 

10 emotional, or behavioral problems, or sub11 stance use disorders, and the provision of 

12 early intervention services; 

13 ‘‘(iv) the treatment or referral for 

14 treatment of students with existing social, 

15 emotional, or behavioral health problems, 

16 or substance use disorders; and 

17 ‘‘(v) the development and implementa18 tion of programs to assist children and 

19 adolescents in dealing with trauma and vi20 olence. 

21 ‘‘(C) For appropriate school personnel, the 

22 program will provide in-service training on— 

23 ‘‘(i) the techniques and supports need24 ed for the early identification of children 

25 and adolescents with trauma histories and 


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1 children and adolescents with, or at risk of, 

2 mental health disorders; 

3 ‘‘(ii) the use of referral mechanisms 

4 that effectively link such children and ado5 lescents to appropriate treatment and 

6 intervention services in the school and in 

7 the community and to followup when serv8 ices are not available; 

9 ‘‘(iii) strategies that promote a school10 wide positive environment; 

11 ‘‘(iv) strategies for promoting the so12 cial, emotional, mental, and behavioral 

13 health of all students; and 

14 ‘‘(v) strategies to increase the knowl15 edge and skills of school and community 

16 leaders about the impact of trauma and vi17 olence and on the application of a public 

18 health approach to comprehensive mental 

19 health programs. 

20 ‘‘(D) For parents, siblings, and other fam21 ily members of children and adolescents with 

22 mental health disorders, and for members of 

23 the community, the program will provide train24 ing on— 


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1 ‘‘(i) the techniques and supports de2 scribed in subparagraph (C)(i); 

3 ‘‘(ii) the referral mechanisms and fol4 lowup described in subparagraph (C)(ii); 

5 and 

6 ‘‘(iii) the strategies described in 

7 clauses (iii), (iv), and (v) of subparagraph 

8 (C). 

9 ‘‘(E) A plan will be developed and imple10 mented to sustain the program after funding 

11 under this section terminates. 

12 ‘‘(F) The local educational agency partner13 ship involved will be supported by the appro14 priate State educational and mental health au15 thority to ensure that the sustainability of the 

16 program is established after funding under this 

17 section terminates. 

18 ‘‘(G) The program will— 

19 ‘‘(i) be based on evidence-based prac20 tices, including those related to trauma; 

21 ‘‘(ii) be implemented in a culturally 

22 and linguistically appropriate manner; 

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1 dividuals with Disabilities Education Act; 

2 and 

3 ‘‘(iv) include a broad needs assess4 ment of youth who drop out of school due 

5 to policies of ‘zero tolerance’ with respect 

6 to drugs, alcohol, or weapons and an in7 ability to obtain appropriate services. 

8 ‘‘(H) The program will provide mental 

9 health services through qualified mental and be10 havioral health professionals who are— 

11 ‘‘(i) certified or licensed by the State 

12 involved; and 

13 ‘‘(ii) practicing within their area of 

14 expertise. 

15 ‘‘(3) COMPLIANCE WITH HIPAA.—An award re16 cipient under this section shall be deemed to be a 

17 covered entity for purposes of compliance with the 

18 regulations promulgated under section 264(c) of the 

19 Health Insurance Portability and Accountability Act 

20 of 1996 with respect to any patient records devel21 oped through activities funded through the award. 

22 ‘‘(e) GEOGRAPHICAL DISTRIBUTION.—The Secretary 

23 shall ensure that awards under this section are distributed 

24 equitably among the regions of the country and among 

25 urban and rural areas. 


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1 ‘‘(f) DURATION OF AWARDS.—The period of an 

2 award under this section shall be 6 years. An entity may 

3 receive only one award under this section, except that an 

4 entity that is providing services and supports on a regional 

5 basis may receive additional funding after the expiration 

6 of the preceding award period. 

7 ‘‘(g) PROGRAM EVALUATION AND OUTCOME MEAS8 URES.— 

9 ‘‘(1) DEVELOPMENT OF PROCESS.—The Sec10 retary shall develop a process for evaluating com11 prehensive mental health programs under this sec12 tion that includes— 

13 ‘‘(A) the development of guidelines for the 

14 submission of program data by an award recipi15 ent; 

16 ‘‘(B) the development of outcome measures 

17 (in accordance with paragraph (2)) to be ap18 plied by such recipient, and used by the Sec19 retary, to measure and evaluate the program’s 

20 effectiveness and success; and 

21 ‘‘(C) the submission by such recipient of 

22 annual reports— 

23 ‘‘(i) concerning the effectiveness and 

24 success of the program; and 


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1 ‘‘(ii) including data and other infor2 mation relating to each outcome measure 

3 developed under subparagraph (B). 

4 ‘‘(2) OUTCOME MEASURES.— 

5 ‘‘(A) STUDENT AND FAMILY MEASURES.— 

6 The outcome measures developed under para7 graph (1)(B) shall include outcome measures 

8 relating to students and families, which, at a 

9 minimum, should be designed to measure a pro10 gram’s effectiveness in— 

11 ‘‘(i) increasing social and emotional 

12 competency; 

13 ‘‘(ii) increasing academic competency 

14 (as defined by Secretary); 

15 ‘‘(iii) reducing disruptive and aggres16 sive behaviors; 

17 ‘‘(iv) improving child and adolescent 

18 functioning; 

19 ‘‘(v) reducing substance use disorders; 

20 ‘‘(vi) reducing suspensions, truancy, 

21 expulsions, and violence; 

22 ‘‘(vii) increasing graduation rates (as 

23 defined under section 1111(b)(2)(C)(vi) of 

24 the Elementary and Secondary Education 

25 Act of 1965); and 


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1 ‘‘(viii) improving access to care for 

2 mental health disorders. 

3 ‘‘(B) LOCAL EDUCATIONAL SYSTEM MEAS4 URES.—The outcome measures developed under 

5 paragraph (1)(B) shall include outcome meas6 ures relating to local educational systems, 

7 which, at a minimum, should be designed to 

8 measure— 

9 ‘‘(i) the effectiveness of— 

10 ‘‘(I) formal partnership linkages 

11 among child and family-serving insti12 tutions, community support systems, 

13 and the educational system in ad14 dressing mental health disorders; and 

15 ‘‘(II) training and professional 

16 development programs, including cul17 turally and linguistically appropriate 

18 training for appropriate school per19 sonnel; and 

20 ‘‘(ii) the progress in— 

21 ‘‘(I) improving the perception of 

22 a safe and supportive learning envi23 ronment among school staff, students, 

24 and parents; 


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1 ‘‘(II) improving the identification 

2 of students in need of more intensive 

3 mental health services and referral of 

4 such students to early intervention 

5 and clinical mental health services; 

6 ‘‘(III) improving access to clinical 

7 assessment and treatment services 

8 within the context of the local commu9 nity to students posing a danger to 

10 themselves or others; and 

11 ‘‘(IV) improving rates of matricu12 lation to postsecondary school and re13 ducing referrals to the juvenile justice 

14 system. 

15 ‘‘(3) EVALUATION AND DISSEMINATION BY SEC16 RETARY.— 

17 ‘‘(A) EVALUATION.—The Secretary shall 

18 annually submit to Congress a report on the ef19 fectiveness and success of the programs under 

20 this section, based on the data submitted under 

21 paragraph (1)(C). 

22 ‘‘(B) DISSEMINATION.—The Secretary 

23 shall establish comprehensive information and 

24 education programs to disseminate to the gen25 eral public and to health care professionals 


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1 findings and conclusions based on the data sub2 mitted under paragraph (1)(C). 

3 ‘‘(4) LIMITATION ON EVALUATION ACTIVI4 TIES.—An award recipient shall not use more than 

5 10 percent of amounts received under this section to 

6 carry out evaluation activities. 

7 ‘‘(h) DEFINITION.—In this section, the terms ‘chil8 dren and adolescents’ and ‘child and adolescent’ refer to 

9 individuals under 22 years of age. 

10 ‘‘(i) FUNDING.— 

11 ‘‘(1) AMOUNT OF AWARDS.—An award to an 

12 entity under this section shall not exceed $1,000,000 

13 for each of fiscal years 2014 through 2018. The Sec14 retary shall determine the amount of each award 

15 based on the population of children and adolescents 

16 in the area to be served through the award. 

17 ‘‘(2) AUTHORIZATION OF APPROPRIATIONS.— 

18 There are authorized to be appropriated to carry out 

19 this section such sums as may be necessary for fiscal 

20 years 2014 through 2018.’’. 

21 (2) TECHNICAL AMENDMENTS.—The second 

22 part G (relating to services provided through reli23 gious organizations) of title V of the Public Health 

24 Service Act (42 U.S.C. 290kk et seq.) is amended— 


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1 (A) by redesignating such part as part J; 

2 and 

3 (B) by redesignating sections 581 through 

4 584 as sections 596 through 596C, respectively. 

5 (3) CONFORMING AMENDMENT.—Part G of title 

6 V of the Public Health Service Act (42 U.S.C. 

7 290hh et seq.), as amended by this subsection, is 

8 further amended by striking the part heading and 

9 inserting the following: 

10 ‘‘PART G—SCHOOL-BASED MENTAL HEALTH’’. 

11 (b) GARRETT LEE SMITH MEMORIAL ACT REAU12 THORIZATION.— 

13 (1) SUICIDE PREVENTION TECHNICAL ASSIST14 ANCE CENTER.—Section 520C of the Public Health 

15 Service Act (42 U.S.C. 290bb–34) is amended— 

16 (A) in the section heading, by striking the 

17 section heading and inserting ‘‘SUICIDE PRE18 VENTION TECHNICAL ASSISTANCE CEN19 TER.’’; 

20 (B) in subsection (a), by striking ‘‘and in 

21 consultation with’’ and all that follows through 

22 the period at the end of paragraph (2) and in23 serting ‘‘shall establish a research, training, and 

24 technical assistance resource center to provide 

25 appropriate information, training, and technical 


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1 assistance to States, political subdivisions of 

2 States, federally recognized Indian tribes, tribal 

3 organizations, institutions of higher education, 

4 public organizations, or private nonprofit orga5 nizations regarding the prevention of suicide 

6 among all ages, particularly among groups that 

7 are at high risk for suicide.’’; 

8 (C) by striking subsections (b) and (c); 

9 (D) by redesignating subsection (d) as sub10 section (b); 

11 (E) in subsection (b), as so redesignated— 

12 (i) by striking the subsection heading 

13 and inserting ‘‘RESPONSIBILITIES OF THE

14 CENTER.’’; 

15 (ii) in the matter preceding paragraph 

16 (1), by striking ‘‘The additional research’’ 

17 and all that follows through ‘‘nonprofit or18 ganizations for’’ and inserting ‘‘The center 

19 established under subsection (a) shall con20 duct activities for the purpose of’’; 

21 (iii) by striking ‘‘youth suicide’’ each 

22 place such term appears and inserting 

23 ‘‘suicide’’; 

24 (iv) in paragraph (1)— 


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1 (I) by striking ‘‘the development 

2 or continuation of’’ and inserting ‘‘de3 veloping and continuing’’; and 

4 (II) by inserting ‘‘for all ages, 

5 particularly among groups that are at 

6 high risk for suicide’’ before the semi7 colon at the end; 

8 (v) in paragraph (2), by inserting ‘‘for 

9 all ages, particularly among groups that 

10 are at high risk for suicide’’ before the 

11 semicolon at the end; 

12 (vi) in paragraph (3), by inserting 

13 ‘‘and tribal’’ after ‘‘statewide’’; 

14 (vii) in paragraph (5), by inserting 

15 ‘‘and prevention’’ after ‘‘intervention’’; 

16 (viii) in paragraph (8), by striking ‘‘in 

17 youth’’; 

18 (ix) in paragraph (9), by striking 

19 ‘‘and behavioral health’’ and inserting 

20 ‘‘health and substance use disorder’’; and 

21 (x) in paragraph (10), by inserting 

22 ‘‘conducting’’ before ‘‘other’’; and 

23 (F) by striking subsection (e) and inserting 

24 the following: 


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1 ‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—To 

2 carry out this section, there are authorized to be appro3 priated such sums as may be necessary for fiscal years 

4 2014 through 2018.’’. 

5 (2) YOUTH SUICIDE EARLY INTERVENTION AND

6 PREVENTION STRATEGIES.—Section 520E of the 

7 Public Health Service Act (42 U.S.C. 290bb–36) is 

8 amended— 

9 (A) in paragraph (1) of subsection (a) and 

10 in subsection (c), by striking ‘‘substance abuse’’ 

11 each place such term appears and inserting 

12 ‘‘substance use disorder’’; 

13 (B) in subsection (b)(2)— 

14 (i) by striking ‘‘each State is awarded 

15 only 1 grant or cooperative agreement 

16 under this section’’ and inserting ‘‘a State 

17 does not receive more than 1 grant or co18 operative agreement under this section at 

19 any 1 time’’; and 

20 (ii) by striking ‘‘been awarded’’ and 

21 inserting ‘‘received’’; and 

22 (C) by striking subsection (m) and insert23 ing the following: 

24 ‘‘(m) AUTHORIZATION OF APPROPRIATIONS.—To 

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1 priated such sums as may be necessary for fiscal years 

2 2014 through 2018.’’. 

3 (3) MENTAL HEALTH AND SUBSTANCE USE

4 DISORDER SERVICES.—Section 520E–2 of the Public 

5 Health Service Act (42 U.S.C. 290bb–36b) is 

6 amended— 

7 (A) in the section heading, by striking 

8 ‘‘AND BEHAVIORAL HEALTH’’ and inserting 

9 ‘‘HEALTH AND SUBSTANCE USE DISORDER

10 SERVICES’’; 

11 (B) in subsection (a)— 

12 (i) by striking ‘‘Services,’’ and insert13 ing ‘‘Services and’’; 

14 (ii) by striking ‘‘and behavioral health 

15 problems’’ and inserting ‘‘health or sub16 stance use disorders’’; and 

17 (iii) by striking ‘‘substance abuse’’ 

18 and inserting ‘‘substance use disorders’’; 

19 (C) in subsection (b)— 

20 (i) in the matter preceding paragraph 

21 (1), by striking ‘‘for—’’ and inserting ‘‘for 

22 one or more of the following:’’; and 

23 (ii) by striking paragraphs (1) 

24 through (6) and inserting the following: 


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1 ‘‘(1) Educating students, families, faculty, and 

2 staff to increase awareness of mental health and 

3 substance use disorders. 

4 ‘‘(2) Operating hotlines. 

5 ‘‘(3) Preparing informational material. 

6 ‘‘(4) Providing outreach services to notify stu7 dents about available mental health and substance 

8 use disorder services. 

9 ‘‘(5) Administering voluntary mental health and 

10 substance use disorder screenings and assessments. 

11 ‘‘(6) Supporting the training of students, fac12 ulty, and staff to respond effectively to students with 

13 mental health and substance use disorders. 

14 ‘‘(7) Creating a network infrastructure to link 

15 colleges and universities with health care providers 

16 who treat mental health and substance use dis17 orders.’’; 

18 (D) in subsection (c)(5), by striking ‘‘sub19 stance abuse’’ and inserting ‘‘substance use dis20 order’’; 

21 (E) in subsection (d)— 

22 (i) in the matter preceding paragraph 

23 (1), by striking ‘‘An institution of higher 

24 education desiring a grant under this sec25 tion’’ and inserting ‘‘To be eligible to reVerDate Mar 15 2010 04:34 Aug 06, 2013 Jkt 029200 PO 00000 Frm 00033 Fmt 6652 Sfmt 6201 E:\BILLS\H2910.IH H2910

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1 ceive a grant under this section, an institu2 tion of higher education’’; 

3 (ii) in paragraph (1)— 

4 (I) by striking ‘‘and behavioral 

5 health’’ and inserting ‘‘health and 

6 substance use disorder’’; and 

7 (II) by inserting ‘‘, including vet8 erans as appropriate,’’ after ‘‘stu9 dents’’; and 

10 (iii) in paragraph (2), by inserting ‘‘, 

11 which may include, as appropriate and in 

12 accordance with subsection (b)(7), a plan 

13 to seek input from relevant stakeholders in 

14 the community, including appropriate pub15 lic and private entities, in order to carry 

16 out the program under the grant’’ before 

17 the period at the end; 

18 (F) in subsection (e)(1), by striking ‘‘and 

19 behavioral health problems’’ and inserting 

20 ‘‘health and substance use disorders’’; 

21 (G) in subsection (f)(2)— 

22 (i) by striking ‘‘and behavioral 

23 health’’ and inserting ‘‘health and sub24 stance use disorder’’; and 


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1 (ii) by striking ‘‘suicide and substance 

2 abuse’’ and inserting ‘‘suicide and sub3 stance use disorders’’; and 

4 (H) by amending subsection (h) to read as 

5 follows: 

6 ‘‘(h) AUTHORIZATION OF APPROPRIATIONS.—To 

7 carry out this section, there are authorized to be appro8 priated such sums as may be necessary for fiscal years 

9 2014 through 2018.’’. 

10 (c) MENTAL HEALTH AWARENESS TRAINING

11 GRANTS.—For provisions of the Advancing Wellness and 

12 Resilience in Education (AWARE) Initiative relating to 

13 mental health awareness training for school and emer14 gency services personnel, see section 213 of this Act. 

15 (d) EVALUATION.—Not later than the end of fiscal 

16 year 2017, the Secretary of Health and Human Services 

17 shall submit to the Congress a report on the implementa18 tion and effectiveness of the activities carried out under 

19 sections 581, 520C, 520E, and 520E–2 of the Public 

20 Health Service Act, as amended by this section, and sec21 tion 520J of the Public Health Service Act, as amended 

22 by section 213. 


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1 SEC. 222. SAMHSA AND HRSA INTEGRATION OF MENTAL 

2 HEALTH SERVICES INTO PRIMARY CARE SET3 TINGS. 

4 Title V of the Public Health Service Act is amended 

5 by inserting after section 520K (42 U.S.C. 290bb–42) the 

6 following: 

7 ‘‘SEC. 520K–1. AWARDS FOR CO-LOCATING MENTAL HEALTH 

8 SERVICES IN PRIMARY CARE SETTINGS. 

9 ‘‘(a) PROGRAM AUTHORIZED.—The Secretary, acting 

10 through the Administrators of the Substance Abuse and 

11 Mental Health Services Administration and the Health 

12 Resources and Services Administration, shall award 

13 grants, contracts, and cooperative agreements to eligible 

14 entities for the provision of coordinated and integrated 

15 mental health services and primary health care. 

16 ‘‘(b) ELIGIBLE ENTITIES.—To be eligible to seek a 

17 grant, contract, or cooperative agreement this section, an 

18 entity shall be a public or nonprofit entity. 

19 ‘‘(c) USE OF FUNDS.—An eligible entity receiving an 

20 award under this section shall use the award for the provi21 sion of coordinated and integrated mental health services 

22 and primary health care through— 

23 ‘‘(1) the co-location of mental health services in 

24 primary care settings; 


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1 ‘‘(2) the use of care management services to fa2 cilitate coordination between mental health and pri3 mary care providers; 

4 ‘‘(3) the use of information technology (such as 

5 telemedicine)— 

6 ‘‘(A) to facilitate coordination between 

7 mental health and primary care providers; or 

8 ‘‘(B) to expand the availability of mental 

9 health services; or 

10 ‘‘(4) the provision of training and technical as11 sistance to improve the delivery, effectiveness, and 

12 integration of mental health services into primary 

13 care settings. 

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

15 carry out this section, there are authorized to be appro16 priated such sums as may be necessary for fiscal years 

17 2014 through 2018.’’. 

18 SEC. 223. CHILDREN’S RECOVERY FROM TRAUMA. 

19 Section 582 of the Public Health Service Act (42 

20 U.S.C. 290hh–1) is amended— 

21 (1) in subsection (a), by striking ‘‘developing 

22 programs’’ and all that follows and inserting ‘‘devel23 oping and maintaining programs that provide for— 

24 ‘‘(1) the continued operation of the National 

25 Child Traumatic Stress Initiative (referred to in this 


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1 section as the ‘NCTSI’), including a coordinating 

2 center, that focuses on the mental, behavioral, and 

3 biological aspects of psychological trauma response; 

4 and 

5 ‘‘(2) the development of knowledge with regard 

6 to evidence-based practices for identifying and treat7 ing mental, behavioral, and biological disorders of 

8 children and youth resulting from witnessing or ex9 periencing a traumatic event.’’; 

10 (2) in subsection (b) by striking ‘‘subsection (a) 

11 related’’ and all that follows through the end of the 

12 subsection and inserting ‘‘subsection (a)(2) (related 

13 to the development of knowledge on evidence-based 

14 practices for treating mental, behavioral, and bio15 logical disorders associated with psychological trau16 ma), the Secretary shall give priority to universities, 

17 hospitals, mental health agencies, and other pro18 grams that have established clinical expertise and re19 search experience in the field of trauma-related men20 tal disorders.’’; 

21 (3) by redesignating subsections (c) through (g) 

22 as subsections (e) through (i), respectively; 

23 (4) by inserting after subsection (b), the fol24 lowing: 


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1 ‘‘(c) NATIONAL CHILD TRAUMATIC STRESS INITIA2 TIVE.—The NCTSI coordinating center shall— 

3 ‘‘(1) collect, analyze, and report NCTSI-wide 

4 child treatment process and outcome data regarding 

5 the early identification and delivery of evidence6 based treatment and services for children and fami7 lies served by the NCTSI grantees; 

8 ‘‘(2) facilitate the coordination of training ini9 tiatives in evidence-based and trauma-informed 

10 treatments, interventions, and practices offered to 

11 NCTSI grantees, providers, and partners; and 

12 ‘‘(3) collaborate, as appropriate, with the Sec13 retary in the dissemination of evidence-based and 

14 trauma-informed interventions, treatments, prod15 ucts, and other resources to appropriate stake16 holders. 

17 ‘‘(d) REVIEW.—The Secretary shall, consistent with 

18 the peer review process, ensure that NCTSI applications 

19 are reviewed by appropriate experts in the field, including 

20 experts in child trauma.’’; 

21 (5) in subsection (e) (as so redesignated), by 

22 striking ‘‘with respect to centers of excellence are 

23 distributed equitably among the regions of the coun24 try’’ and inserting ‘‘are distributed equitably among 

25 the regions of the United States’’; 


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1 (6) in subsection (g) (as so redesignated), by 

2 striking ‘‘recipient may not exceed 5 years’’ and in3 serting ‘‘recipient shall not be less than 4 years, but 

4 shall not exceed 5 years’’; and 

5 (7) by amending subsection (h) (as so redesig6 nated) to read as follows: 

7 ‘‘(h) AUTHORIZATION OF APPROPRIATIONS.—To 

8 carry out this section, there are authorized to be appro9 priated such sums as may be necessary for fiscal years 

10 2014 through 2018.’’. 

11 SEC. 224. INFORMATION ON GERIATRIC MENTAL HEALTH 

12 DISORDERS. 

13 Section 520A(e) of the Public Health Service Act (42 

14 U.S.C. 290bb–32(e)) is amended by adding at the end the 

15 following: 

16 ‘‘(3) GERIATRIC MENTAL HEALTH DIS17 ORDERS.—The Secretary shall, as appropriate, pro18 vide information to grantees regarding evidence19 based practices for the prevention and treatment of 

20 geriatric mental health disorders and co-occurring 

21 mental health and substance use disorders among 

22 geriatric populations, as well as disseminate infor23 mation about such evidence-based practices to States 

24 and nongrantees throughout the United States.’’. 


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1 SEC. 225. GAO STUDY ON AVAILABILITY OF INPATIENT 

2 BEDS. 

3 Not later than 2 years after the date of enactment 

4 of this Act, the Comptroller General of the United States 

5 shall conduct a study and submit a report to the Congress 

6 on— 

7 (1) the availability of inpatient beds for treat8 ment of mental health disorders; 

9 (2) the impact of such availability on access to, 

10 and the quality of, mental health services; and 

11 (3) the impact on individuals with serious men12 tal illness and on States of the exclusion from med13 ical assistance under section 1905(a) of the Social 

14 Security Act (42 U.S.C. 1396d(a)) of payment with 

15 respect to care or services for certain patients in an 

16 institution for mental diseases. 

17 SEC. 226. REPORTING REQUIREMENTS FOR BLOCK GRANTS 

18 REGARDING MENTAL HEALTH AND SUB19 STANCE USE DISORDERS. 

20 Section 1942 of the Public Health Service Act (42 

21 U.S.C. 300x–52) is amended to read as follows: 

22 ‘‘SEC. 1942. REQUIREMENT OF REPORTS AND AUDITS BY 

23 STATES. 

24 ‘‘(a) BLOCK GRANTS FOR COMMUNITY MENTAL

25 HEALTH SERVICES.— 


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1 ‘‘(1) ANNUAL REPORT.—A funding agreement 

2 for a grant under section 1911 is that— 

3 ‘‘(A) the State involved will prepare and 

4 submit to the Secretary an annual report on the 

5 activities funded through the grant; and 

6 ‘‘(B) each such report shall be prepared 

7 by, or in consultation with, the State agency re8 sponsible for community mental health pro9 grams and activities. 

10 ‘‘(2) STANDARDIZED FORM; CONTENTS.—In 

11 order to properly evaluate and to compare the per12 formance of different States assisted under section 

13 1911, reports under this section shall be in such 

14 standardized form and contain such information as 

15 the Secretary determines (after consultation with the 

16 States) to be necessary— 

17 ‘‘(A) to secure an accurate description of 

18 the activities funded through the grant under 

19 section 1911; 

20 ‘‘(B) to determine the extent to which 

21 funds were expended consistent with the State’s 

22 application transmitted under section 1917(a); 

23 and 


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1 ‘‘(C) to describe the extent to which the 

2 State has met the goals and objectives it set 

3 forth in its State plan under section 1912(b). 

4 ‘‘(3) MINIMUM CONTENTS.—Each report under 

5 this section shall, at a minimum, include the fol6 lowing information: 

7 ‘‘(A)(i) The number of individuals served 

8 by the State under subpart I (by class of indi9 viduals). 

10 ‘‘(ii) The proportion of each class of such 

11 individuals which has health coverage. 

12 ‘‘(iii) The types of services (as defined by 

13 the Secretary) provided under subpart I to indi14 viduals within each such class. 

15 ‘‘(iv) The amounts spent under subpart I 

16 on each type of service (by class of individuals 

17 served). 

18 ‘‘(B) Information on the status of mental 

19 health in the State, including information (by 

20 county and by racial and ethnic group) on each 

21 of the following: 

22 ‘‘(i) The proportion of adolescents 

23 with serious mental illness (including 

24 major depression). 


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1 ‘‘(ii) The proportion of adults with se2 rious mental illness (including major de3 pression). 

4 ‘‘(iii) The proportion of individuals 

5 with co-occurring mental health and sub6 stance use disorders. 

7 ‘‘(iv) The proportion of children and 

8 adolescents with mental health disorders 

9 who seek and receive treatment. 

10 ‘‘(v) The proportion of adults with 

11 mental health disorders who seek and re12 ceive treatment. 

13 ‘‘(vi) The proportion of individuals 

14 with co-occurring mental health and sub15 stance use disorders who seek and receive 

16 treatment. 

17 ‘‘(vii) The proportion of homeless 

18 adults with mental health disorders who 

19 receive treatment. 

20 ‘‘(viii) The number of primary care 

21 facilities that provide mental health screen22 ing and treatment services onsite or by 

23 paid referral. 


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1 ‘‘(ix) The number of primary care 

2 physician office visits that include mental 

3 health screening services. 

4 ‘‘(x) The number of juvenile residen5 tial facilities that screen admissions for 

6 mental health disorders. 

7 ‘‘(xi) The number of deaths attrib8 utable to suicide. 

9 ‘‘(C) Information on the number and type 

10 of health care practitioners licensed in the State 

11 and providing mental health-related services. 

12 ‘‘(4) AVAILABILITY OF REPORTS.—The Sec13 retary shall, upon request, provide a copy of any re14 port under this section to any interested public 

15 agency. 

16 ‘‘(b) BLOCK GRANTS FOR PREVENTION AND TREAT17 MENT OF SUBSTANCE USE DISORDERS.— 

18 ‘‘(1) ANNUAL REPORT.—A funding agreement 

19 for a grant under section 1921 is that— 

20 ‘‘(A) the State involved will prepare and 

21 submit to the Secretary an annual report on the 

22 activities funded through the grant; and 

23 ‘‘(B) each such report shall be prepared 

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1 sponsible for substance use disorder programs 

2 and activities. 

3 ‘‘(2) STANDARDIZED FORM; CONTENTS.—In 

4 order to properly evaluate and to compare the per5 formance of different States assisted under section 

6 1921, reports under this section shall be in such 

7 standardized form and contain such information as 

8 the Secretary determines (after consultation with the 

9 States) to be necessary— 

10 ‘‘(A) to secure an accurate description of 

11 the activities funded through the grant under 

12 section 1921; 

13 ‘‘(B) to determine the extent to which 

14 funds were expended consistent with the State’s 

15 application transmitted under section 1932(a); 

16 and 

17 ‘‘(C) to describe the extent to which the 

18 State has met the goals and objectives it set 

19 forth in its State plan under section 1932(b). 

20 ‘‘(3) MINIMUM CONTENTS.—Each report under 

21 this section shall, at a minimum, include the fol22 lowing information: 

23 ‘‘(A)(i) The number of individuals served 

24 by the State under subpart II (by class of indi25 viduals). 


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1 ‘‘(ii) The proportion of each class of such 

2 individuals which has health coverage. 

3 ‘‘(iii) The types of services (as defined by 

4 the Secretary) provided under subpart II to in5 dividuals within each such class. 

6 ‘‘(iv) The amounts spent under subpart II 

7 on each type of service (by class of individuals 

8 served). 

9 ‘‘(B) Information on the status of sub10 stance use disorders in the State, including in11 formation (by county and by racial and ethnic 

12 group) on each of the following: 

13 ‘‘(i) The proportion of adolescents 

14 using alcohol or other addictive drugs (in15 cluding nicotine). 

16 ‘‘(ii) The proportion of adults (includ17 ing pregnant women) using alcohol or 

18 other addictive drugs (including nicotine). 

19 ‘‘(iii) The proportion of adolescents 

20 using prescription drugs for nonmedical 

21 purposes. 

22 ‘‘(iv) The proportion of adults using 

23 prescription drugs for nonmedical pur24 poses. 


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1 ‘‘(v) The number of individuals (in2 cluding pregnant women) admitted to sub3 stance use disorder treatment programs 

4 (including group home arrangements). 

5 ‘‘(vi) The number of deaths attrib6 utable to alcohol. 

7 ‘‘(vii) The number of deaths attrib8 utable to illicit drugs. 

9 ‘‘(viii) The number of deaths attrib10 utable to prescription drugs. 

11 ‘‘(C) Information on the number and type 

12 of health care practitioners licensed in the State 

13 and providing substance use disorder-related 

14 services. 

15 ‘‘(4) AVAILABILITY OF REPORTS.—The Sec16 retary shall, upon request, provide a copy of any re17 port under this section to any interested public 

18 agency.’’. 

19 SEC. 227. MENTAL HEALTH PARITY. 

20 In the case of a group health plan or health insurance 

21 coverage that provides both medical and surgical benefits 

22 and mental health and substance use disorder benefits, the 

23 Paul Wellstone and Pete Domenici Mental Health Parity 

24 and Addiction Equity Act of 2008 (subtitle B of title V 

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1 ments made thereby shall be construed to ensure full par2 ity of such benefits, including— 

3 (1) at all levels of medically appropriate treat4 ment; and 

5 (2) with respect to applicable medical manage6 ment techniques. 

7 Subtitle D—Promoting Public 

8 Awareness of Mental Health Dis9 orders and Reducing Stigma of 

10 Such Disorders 

11 SEC. 231. PROMOTING PUBLIC AWARENESS OF MENTAL 

12 HEALTH DISORDERS AND REDUCING STIGMA 

13 OF SUCH DISORDERS. 

14 Title V of the Public Health Service Act is amended 

15 by inserting after section 520E–2 (42 U.S.C. 290bb–40) 

16 the following: 

17 ‘‘SEC. 520E–3. PROMOTING PUBLIC AWARENESS OF MENTAL 

18 HEALTH DISORDERS AND REDUCING STIGMA 

19 OF SUCH DISORDERS. 

20 ‘‘(a) PROGRAM AUTHORIZED.—The Secretary may, 

21 by awarding grants, contracts, and cooperative agree22 ments to eligible entities, provide for planning, estab23 lishing, coordinating, and evaluating a nationwide public 

24 education campaign that is designed— 


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1 ‘‘(1) to promote public awareness and under2 standing of mental health disorders, including seri3 ous mental illness; and 

4 ‘‘(2) to reduce the stigma associated with men5 tal health disorders. 

6 ‘‘(b) ELIGIBLE ENTITIES.—To be eligible to seek an 

7 award under this section, an entity shall be a public or 

8 nonprofit entity with demonstrated expertise in conducting 

9 a public health-related campaign. 

10 ‘‘(c) ACTIVITIES.—The public education campaign 

11 under this section shall include— 

12 ‘‘(1) national education and outreach through 

13 television advertisements, radio advertisements, 

14 Internet-based resources, social media, and print 

15 media; and 

16 ‘‘(2) community-based education and outreach. 

17 ‘‘(d) PREFERENCE.—In making awards under this 

18 section, the Secretary shall give preference to eligible enti19 ties that— 

20 ‘‘(1) have demonstrated expertise in conducting 

21 a public health-related campaign that is focused on 

22 mental health disorders; and 

23 ‘‘(2) are proposing public education campaigns 

24 that will— 


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1 ‘‘(A) be carried out in partnership with 

2 local community partners; and 

3 ‘‘(B) emphasize education and outreach 

4 targeting children, adolescents, and young 

5 adults through 24 years of age. 

6 ‘‘(e) CONSULTATION.—In carrying out this section, 

7 the Secretary shall consult with each of the following 

8 stakeholders: 

9 ‘‘(1) Mental health consumers, including youth, 

10 adults, and family members. 

11 ‘‘(2) Representatives of mental and behavioral 

12 health organizations. 

13 ‘‘(3) Representatives of medical, public health, 

14 and behavioral health professional organizations. 

15 ‘‘(4) Representatives of mental health providers, 

16 including community mental health centers. 

17 ‘‘(5) Representatives of private- and public-sec18 tor groups with experience in the development of ef19 fective public health education campaigns. 

20 ‘‘(6) Other stakeholders with relevant subject 

21 matter expertise as appropriate. 

22 ‘‘(f) EVALUATION.—As a condition on receipt of an 

23 award under this section, an eligible entity shall agree— 

24 ‘‘(1) to evaluate the effectiveness of activities 

25 funded through the award; and 


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1 ‘‘(2) to report the results of such evaluation to 

2 the Secretary. 

3 ‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—To 

4 carry out this section, there are authorized to be appro5 priated such sums as may be necessary for fiscal years 

6 2014 through 2018.’’. 

7 TITLE III—UNDERSTANDING 

8 THE EPIDEMIC OF GUN VIO9 LENCE 

10 SEC. 301. REAFFIRMING CDC RESEARCH AUTHORITY. 

11 (a) IN GENERAL.—Section 391 of the Public Health 

12 Service Act (42 U.S.C. 280b) is amended— 

13 (1) in subsection (a)(1), by striking ‘‘research 

14 relating to the causes, mechanisms, prevention, diag15 nosis, treatment of injuries, and rehabilitation from 

16 injuries;’’ and inserting ‘‘research, including data 

17 collection, relating to— 

18 ‘‘(A) the causes, mechanisms, prevention, 

19 diagnosis, and treatment of injuries, including 

20 with respect to gun violence; and 

21 ‘‘(B) rehabilitation from such injuries;’’; 

22 and 

23 (2) by adding at the end the following new sub24 section: 


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1 ‘‘(c) NO ADVOCACY OR PROMOTION OF GUN CON2 TROL.—Nothing in this section shall be construed to— 

3 ‘‘(1) authorize the Secretary to give assistance, 

4 make grants, or enter into cooperative agreements or 

5 contracts for the purpose of advocating or promoting 

6 gun control; or 

7 ‘‘(2) permit a recipient of any assistance, grant, 

8 cooperative agreement, or contract under this section 

9 to use such assistance, grant, agreement, or contract 

10 for the purpose of advocating or promoting gun con11 trol.’’. 

12 (b) AUTHORIZATION OF APPROPRIATIONS.—Section 

13 394A of the Public Health Service Act (42 U.S.C. 280b– 

14 3) is amended by striking ‘‘authorized to be appropriated’’ 

15 and all that follows through the end and inserting the fol16 lowing: ‘‘authorized to be appropriated such sums as may 

17 be necessary for fiscal years 2014 through 2018.’’. 

18 SEC. 302. NATIONAL VIOLENT DEATH REPORTING SYSTEM. 

19 The Secretary of Health and Human Services, acting 

20 through the Director of the Centers for Disease Control 

21 and Prevention, shall improve, particularly through the in22 clusion of additional States, the National Violent Death 

23 Reporting System, as authorized by title III of the Public 

24 Health Service Act (42 U.S.C. 241 et seq.). Participation 

25 in the system by the States shall be voluntary. 


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1 SEC. 303. PROTECTING CONFIDENTIAL DOCTOR-PATIENT 

2 RELATIONSHIP. 

3 Section 2717(c) of the Public Health Service Act (42 

4 U.S.C. 300gg–17(c)) is amended by adding at the end the 

5 following new paragraph: 

6 ‘‘(6) RULE OF CONSTRUCTION.—Notwith7 standing the previous provisions of this subsection, 

8 none of the authorities provided to the Secretary 

9 under the Patient Protection and Affordable Care 

10 Act, an amendment made by that Act, or this sub11 section shall be construed to prohibit a physician or 

12 other health care provider from— 

13 ‘‘(A) asking a patient about the ownership, 

14 possession, use, or storage of a firearm or am15 munition in the home of such patient; 

16 ‘‘(B) speaking to a patient about gun safe17 ty; or 

18 ‘‘(C) reporting to the authorities a pa19 tient’s threat of violence.’’. 

Æ 


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