I 

113TH CONGRESS 

1ST SESSION H. R. 3717 

To make available needed psychiatric, psychological, and supportive services 

for individuals diagnosed with mental illness and families in mental 

health crisis, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

DECEMBER 12, 2013 

Mr. MURPHY of Pennsylvania (for himself, Mr. CASSIDY, Mr. LANCE, and Ms. 

EDDIE BERNICE JOHNSON of Texas) introduced the following bill; which 

was referred to the Committee on Energy and Commerce, and in addition 

to the Committees on the Judiciary, Education and the Workforce, Ways 

and Means, and Science, Space, and Technology, 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 make available needed psychiatric, psychological, and supportive services for individuals diagnosed with mental 

illness and families in mental health crisis, and for other 

purposes. 

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

3 SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 

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

5 ‘‘Helping Families in Mental Health Crisis 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—ASSISTANT SECRETARY FOR MENTAL HEALTH 

Sec. 101. Assistant Secretary for Mental Health and Substance Use Disorders. 

Sec. 102. Interagency Serious Mental Illness Coordinating Committee. 

Sec. 103. Assisted outpatient treatment grant program. 

Sec. 104. Tele-psychiatry and primary care physician training grant program. 

TITLE II—FEDERALLY QUALIFIED BEHAVIORAL HEALTH 

CLINICS 

Sec. 201. Demonstration program to improve federally qualified community behavioral health clinic services. 

TITLE III—HIPAA AND FERPA CAREGIVERS 

Sec. 301. Promoting appropriate treatment for mentally ill individuals by treating their caregivers as personal representatives for purposes of 

HIPAA privacy regulations. 

Sec. 302. Caregivers permitted access to certain education records under 

FERPA. 

TITLE IV—DEPARTMENT OF JUSTICE REFORMS 

Sec. 401. Additional purposes for certain Federal grants. 

Sec. 402. Reauthorization and additional amendments to the Mentally Ill Offender Treatment and Crime Reduction Act. 

Sec. 403. Assisted outpatient treatment. 

Sec. 404. Improvements to the Department of Justice data collection and reporting of mental illness in crime. 

Sec. 405. Reports on the number of seriously mentally ill who are imprisoned. 

TITLE V—MEDICARE AND MEDICAID REFORMS 

Sec. 501. Enhanced Medicaid coverage relating to certain mental health services. 

Sec. 502. Access to mental health prescription drugs under Medicare and Medicaid. 

TITLE VI—RESEARCH BY NATIONAL INSTITUTE OF MENTAL 

HEALTH 

Sec. 601. Increase in funding for certain research. 

TITLE VII—COMMUNITY MENTAL HEALTH SERVICES BLOCK 

GRANT REFORM 

Sec. 701. Administration of block grants by Assistant Secretary. 

Sec. 702. Additional program requirements. 

Sec. 703. Period for expenditure of grant funds. 

Sec. 704. Treatment standard under State law. 

Sec. 705. Assisted outpatient treatment under State law. 

Sec. 706. Best available science and models of care. 


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Sec. 707. Paperwork reduction study. 

TITLE VIII—BEHAVIORAL HEALTH AWARENESS PROGRAM 

Sec. 801. Reducing the stigma of serious mental illness. 

TITLE IX—BEHAVIORAL HEALTH INFORMATION TECHNOLOGY 

Sec. 901. Extension of health information technology assistance for behavioral 

and mental health and substance abuse. 

Sec. 902. Extension of eligibility for Medicare and Medicaid health information 

technology implementation assistance. 

TITLE X—EXPANDING ACCESS TO CARE THROUGH HEALTH 

CARE PROFESSIONAL VOLUNTEERISM 

Sec. 1001. Liability protections for health care professional volunteers at community health centers and federally qualified community behavioral health clinics. 

TITLE XI—SAMHSA REAUTHORIZATION AND REFORMS 

Subtitle A—Organization and General Authorities 

Sec. 1101. In general. 

Sec. 1102. Advisory councils. 

Sec. 1103. Peer review. 

Sec. 1104. Data collection. 

Subtitle B—Center for Mental Health Services 

Sec. 1111. Center for Mental Health Services. 

Sec. 1112. Reauthorization of priority mental health needs of regional and national significance. 

Sec. 1113. Garrett Lee Smith Reauthorization. 

Subtitle C—Children With Serious Emotional Disturbances 

Sec. 1121. Comprehensive community mental health services for children with 

serious emotional disturbances. 

Sec. 1122. General provisions; report; funding. 

Subtitle D—Projects for Children and Violence 

Sec. 1131. Children and violence. 

Sec. 1132. Reauthorization of National Child Traumatic Stress Network. 

Subtitle E—Protection and Advocacy for Individuals With Mental Illness 

Sec. 1141. Prohibition against lobbying by systems accepting Federal funds to 

protect and advocate the rights of individuals with mental illness. 

Subtitle F—Limitations on Authority 

Sec. 1151. Limitations on SAMHSA programs. 

Sec. 1152. Elimination of unauthorized SAMHSA programs. 


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1 TITLE I—ASSISTANT SECRETARY 

2 FOR MENTAL HEALTH 

3 SEC. 101. ASSISTANT SECRETARY FOR MENTAL HEALTH 

4 AND SUBSTANCE USE DISORDERS. 

5 Title V of the Public Health Service Act is amended 

6 by inserting after section 501 of such Act (42 U.S.C. 

7 290aa) the following: 

8 ‘‘SEC. 501A. ASSISTANT SECRETARY FOR MENTAL HEALTH 

9 AND SUBSTANCE USE DISORDERS. 

10 ‘‘(a) IN GENERAL.—There shall be in the Depart11 ment of Health and Human Services an official to be 

12 known as the Assistant Secretary for Mental Health and 

13 Substance Use Disorders (in this section referred to as 

14 the ‘Assistant Secretary’), who shall— 

15 ‘‘(1) report directly to the Secretary; 

16 ‘‘(2) be appointed by the Secretary, by and with 

17 the advice and consent of the Senate; and 

18 ‘‘(3) be selected from among individuals who— 

19 ‘‘(A)(i) have a doctoral degree in medicine 

20 or osteopathic medicine and clinical and re21 search experience in psychiatry; 

22 ‘‘(ii) graduated from an Accreditation 

23 Council for Graduate Medical Education-cer24 tified psychiatric residency program; and 


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1 ‘‘(iii) have an understanding of biological, 

2 psychosocial, and pharmaceutical treatments of 

3 mental illness; or 

4 ‘‘(B) have a doctoral degree in psychology 

5 with— 

6 ‘‘(i) clinical and research experience; 

7 and 

8 ‘‘(ii) an understanding of biological, 

9 psychosocial, and pharmaceutical treat10 ments of mental illness. 

11 ‘‘(b) RELATION TO SAMHSA ADMINISTRATOR.—The 

12 Administrator of the Substance Abuse and Mental Health 

13 Services Administration shall be under the supervision and 

14 direction of the Assistant Secretary. 

15 ‘‘(c) DUTIES.—The Assistant Secretary shall— 

16 ‘‘(1) promote the coordination of service pro17 grams conducted by other departments, agencies, or18 ganizations, and individuals that are or may be re19 lated to the problems of individuals suffering from 

20 substance abuse and mental illness; 

21 ‘‘(2) carry out any functions within the Depart22 ment of Health and Human Services— 

23 ‘‘(A) to improve the treatment of, and re24 lated services to, individuals with respect to 

25 substance abuse and mental illness; 


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1 ‘‘(B) to improve prevention services for 

2 such individuals; and 

3 ‘‘(C) to protect the legal rights of individ4 uals with mental illnesses and individuals who 

5 are substance abusers; 

6 ‘‘(3) carry out the administrative and financial 

7 management, policy development and planning, eval8 uation, knowledge dissemination, and public infor9 mation functions that are required for the implemen10 tation of mental health programs, including block 

11 grants, treatments, and data collection; 

12 ‘‘(4) ensure that the Substance Abuse and Men13 tal Health Services Administration conducts and co14 ordinates demonstration projects, evaluations, and 

15 service system assessments and other activities nec16 essary to improve the availability and quality of 

17 treatment, prevention, and related services related to 

18 substance abuse; 

19 ‘‘(5) within the Department of Health and 

20 Human Services, oversee and coordinate all pro21 grams and activities relating to the prevention of, or 

22 treatment or rehabilitation for, mental health or 

23 substance use disorders; 

24 ‘‘(6) across the Federal Government— 


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1 ‘‘(A) review programs and activities de2 scribed in paragraph (5); 

3 ‘‘(B) identify any such programs and ac4 tivities that are duplicative; and 

5 ‘‘(C) formulate recommendations for the 

6 coordination and improvement of such pro7 grams and activities; and 

8 ‘‘(7) supervise data collection for and dissemi9 nate best practices by the National Mental Health 

10 Policy Laboratory. 

11 ‘‘(d) PRIORITIZATION OF INTEGRATION OF SERVICES

12 AND EARLY DIAGNOSIS AND INTERVENTION.—In car13 rying out the duties described in subsection (c), the Assist14 ant Secretary shall prioritize— 

15 ‘‘(1) the integration of services for the purpose 

16 of preventing, treating, or providing rehabilitation 

17 for the prevention of, and treatment or rehabilitation 

18 for, mental health or substance use disorders with 

19 primary care services; and 

20 ‘‘(2) early diagnosis and intervention services 

21 for the prevention of, and treatment or rehabilitation 

22 for, serious mental health or substance use dis23 orders. 

24 ‘‘(e) NATIONAL MENTAL HEALTH POLICY LABORA25 TORY.— 


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1 ‘‘(1) IN GENERAL.—The Assistant Secretary for 

2 Mental Health and Substance Use Disorders shall 

3 establish, within the Office of the Assistant Sec4 retary, the National Mental Health Policy Labora5 tory (in this section referred to as the ‘NMHPL’), 

6 to be headed by a Director. 

7 ‘‘(2) DUTIES.—The Director of the NMHPL 

8 shall— 

9 ‘‘(A) identify and implement policy 

10 changes and other trends likely to have the 

11 most significant impact on mental health serv12 ices and monitor their impact in accordance 

13 with the principles outlined in National Advi14 sory Mental Health Council’s 2006 report enti15 tled ‘The Road Ahead: Research Partnerships 

16 To Transform Services’; 

17 ‘‘(B) collect information from grantees 

18 under programs established or amended by the 

19 Helping Families in Mental Health Crisis Act 

20 of 2013 and under other mental health pro21 grams under this Act, including grantees that 

22 are federally qualified community behavioral 

23 health clinics certified under section 201 of the 

24 Helping Families in Mental Health Crisis Act 

25 of 2013 and States receiving funds under a 


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1 block grant under part B of title XIX of this 

2 Act; and 

3 ‘‘(C) evaluate and disseminate to such 

4 grantees evidence-based practices and services 

5 delivery models using the best available science 

6 shown to reduce program expenditures while en7 hancing the quality of care furnished to individ8 uals by other such grantees. 

9 ‘‘(3) EVIDENCE-BASED PRACTICES AND SERV10 ICE DELIVERY MODELS.—In selecting evidence-based 

11 practices and services delivery models for evaluation 

12 and dissemination under paragraph (2)(C), the Di13 rector of the NMHPL— 

14 ‘‘(A) shall give preference to models that 

15 improve the coordination, quality, and efficiency 

16 of health care services furnished to individuals 

17 with serious mental illness; and 

18 ‘‘(B) may include clinical protocols and 

19 practices used in the Recovery After Initial 

20 Schizophrenia Episode (RAISE) project and the 

21 North American Prodrome Longitudinal Study 

22 (NAPLS) of the National Institute of Mental 

23 Health. 

24 ‘‘(4) DEADLINE FOR BEGINNING IMPLEMENTA25 TION.—The Director of the NMHPL shall begin imVerDate Mar 15 2010 22:15 Dec 18, 2013 Jkt 039200 PO 00000 Frm 00009 Fmt 6652 Sfmt 6201 E:\BILLS\H3717.IH H3717

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1 plementation of the duties described in this sub2 section not later than January 1, 2016. 

3 ‘‘(5) CONSULTATION.—In carrying out the du4 ties under this section, the Director of the NMHPL 

5 shall consult with— 

6 ‘‘(A) representatives of the National Insti7 tute of Mental Health on organization, hiring 

8 decisions, and operations, initially and on an 

9 ongoing basis; 

10 ‘‘(B) other appropriate Federal agencies; 

11 and 

12 ‘‘(C) clinical and analytical experts with 

13 expertise in medicine, psychiatric and clinical 

14 psychological care, and health care manage15 ment. 

16 ‘‘(6) EVALUATION.— 

17 ‘‘(A) IN GENERAL.—The Director of the 

18 NMHPL shall conduct an evaluation of grant 

19 programs described in paragraph (2)(B). Such 

20 evaluation shall include an analysis of— 

21 ‘‘(i) the quality of care furnished 

22 under the respective services delivery 

23 model, including the measurement of pa24 tient-level outcomes and public health out25 comes such as reduced mortality rates, reVerDate Mar 15 2010 22:15 Dec 18, 2013 Jkt 039200 PO 00000 Frm 00010 Fmt 6652 Sfmt 6201 E:\BILLS\H3717.IH H3717

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1 duced hospitalization from psychotic epi2 sodes, and other criteria determined by the 

3 Assistant Secretary; and 

4 ‘‘(ii) the changes in spending under 

5 such programs by reason of the model. 

6 ‘‘(B) INFORMATION.—The Assistant Sec7 retary shall make the results of each evaluation 

8 under this paragraph available to the public in 

9 a timely fashion and may establish require10 ments for States and other entities partici11 pating in the testing of models under grant pro12 grams described in paragraph (2)(B) to collect 

13 information that the Assistant Secretary deter14 mines is necessary to monitor and evaluate such 

15 models. 

16 ‘‘(f) EXPANSION OF MODELS.— 

17 ‘‘(1) IN GENERAL.—Taking into account the re18 sults of evaluations under subsection (e), the Assist19 ant Secretary may, by rule, as part of the program 

20 of block grants for community mental health services 

21 under subpart I of part B of title XIX, provide for 

22 expanded use across the Nation of service delivery 

23 models by providers funded under such block grants, 

24 so long as— 


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1 ‘‘(A) the Assistant Secretary determines 

2 that such expansion will— 

3 ‘‘(i) reduce spending under such block 

4 grants without reducing the quality of 

5 care; or 

6 ‘‘(ii) improve the quality of patient 

7 care without significantly increasing spend8 ing; and 

9 ‘‘(B) the Director of the National Institute 

10 of Mental Health determines that such expan11 sion would improve the quality of patient care. 

12 ‘‘(2) CONGRESSIONAL REVIEW.—Any rule pro13 mulgated pursuant to paragraph (1) is deemed to be 

14 a major rule subject to congressional review and dis15 approval under chapter 8 of title 5, United States 

16 Code. 

17 ‘‘(g) REPORTS TO CONGRESS.—Not later than 1 year 

18 after the date of enactment of this Act, and every 2 years 

19 thereafter, the Assistant Secretary shall submit a report 

20 to the Congress— 

21 ‘‘(1) summarizing the activities of the Assistant 

22 Secretary; 

23 ‘‘(2) analyzing the efficiency and effectiveness 

24 of Federal programs and activities relating to the 

25 prevention of, or treatment or rehabilitation for, 


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1 mental health or substance use disorders, including 

2 an accounting of the costs of such programs and ac3 tivities with administrative costs disaggregated from 

4 the costs of services and care provided; 

5 ‘‘(3) evaluating the impact on public health of 

6 projects addressing priority mental health needs of 

7 regional and national significance under section 

8 520A to determine— 

9 ‘‘(A) whether each such project has re10 duced the mortality rate, prevalence, and emer11 gency room visits for persons with serious men12 tal illness; and 

13 ‘‘(B) the effect of such projects on other 

14 public health measures; 

15 ‘‘(4) formulating recommendations for the co16 ordination and improvement of Federal programs 

17 and activities described in paragraph (2); and 

18 ‘‘(5) identifying any such programs and activi19 ties that are duplicative. 

20 ‘‘(h) FUNDING.—Of the amounts made available to 

21 carry out the block grant for community mental health 

22 services for each of fiscal years 2014 through 2019, not 

23 more than 5 percent of such amounts are authorized to 

24 be appropriated to carry out this section.’’. 


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1 SEC. 102. INTERAGENCY SERIOUS MENTAL ILLNESS CO2 ORDINATING COMMITTEE. 

3 Title V of the Public Health Service Act, as amended 

4 by section 701, is further amended by inserting after sec5 tion 501A of such Act the following: 

6 ‘‘SEC. 501B. INTERAGENCY SERIOUS MENTAL ILLNESS CO7 ORDINATING COMMITTEE. 

8 ‘‘(a) ESTABLISHMENT.—The Assistant Secretary for 

9 Mental Health and Substance Use Disorders (in this sec10 tion referred to as the ‘Assistant Secretary’) shall estab11 lish a committee, to be known as the Interagency Serious 

12 Mental Illness Coordinating Committee (in this section re13 ferred to as the ‘Committee’), to assist the Assistant Sec14 retary in carrying out the Assistant Secretary’s duties. 

15 ‘‘(b) RESPONSIBILITIES.—The Committee shall— 

16 ‘‘(1) develop and annually update a summary of 

17 advances in serious mental illness research related to 

18 causes, prevention, treatment, early screening, diag19 nosis or rule out, intervention, and access to services 

20 and supports for individuals with serious mental ill21 ness; 

22 ‘‘(2) monitor Federal activities with respect to 

23 serious mental illness; 

24 ‘‘(3) make recommendations to the Assistant 

25 Secretary regarding any appropriate changes to such 

26 activities, including recommendations to the Director 


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1 of NIH with respect to the strategic plan developed 

2 under paragraph (5); 

3 ‘‘(4) make recommendations to the Assistant 

4 Secretary regarding public participation in decisions 

5 relating to serious mental illness; 

6 ‘‘(5) develop and annually update a strategic 

7 plan for the conduct of, and support for, serious 

8 mental illness research, including proposed budg9 etary requirements; and 

10 ‘‘(6) submit to the Congress such strategic plan 

11 and any updates to such plan. 

12 ‘‘(c) MEMBERSHIP.— 

13 ‘‘(1) IN GENERAL.—The Committee shall be 

14 composed of— 

15 ‘‘(A) the Assistant Secretary for Mental 

16 Health and Substance Use Disorders (or the 

17 Assistant Secretary’s designee), who shall serve 

18 as the Chair of the Committee; 

19 ‘‘(B) the Director of the National Institute 

20 of Mental Health (or the Director’s designee); 

21 ‘‘(C) the Attorney General of the United 

22 States (or the Attorney General’s designee); 

23 ‘‘(D) the Director of the Centers for Dis24 ease Control and Prevention (or the Director’s 

25 designee); 


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1 ‘‘(E) the Director of the National Insti2 tutes of Health (or the Director’s designee); 

3 ‘‘(F) the directors of such national re4 search institutes of the National Institutes of 

5 Health as the Assistant Secretary for Mental 

6 Health and Substance Use Disorders deter7 mines appropriate (or their designees); 

8 ‘‘(G) representatives, appointed by the As9 sistant Secretary, of Federal agencies that are 

10 outside of the Department of Health and 

11 Human Services and serve individuals with seri12 ous mental illness, such as the Department of 

13 Education; 

14 ‘‘(H) the Administrator of Substance 

15 Abuse and Mental Health Services Administra16 tion; and 

17 ‘‘(I) the additional members appointed 

18 under paragraph (2). 

19 ‘‘(2) ADDITIONAL MEMBERS.—Not fewer than 

9 members of the Committee, or 1 20 ⁄3 of the total 

21 membership of the Committee, whichever is greater, 

22 shall be composed of non-Federal public members to 

23 be appointed by the Assistant Secretary, of which— 

24 ‘‘(A) at least one such member shall be an 

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1 ness who has benefitted from and is receiving 

2 medical treatment under the care of a physi3 cian; 

4 ‘‘(B) at least one such member shall be a 

5 parent or legal guardian of an individual with 

6 a serious mental illness; 

7 ‘‘(C) at least one such member shall be a 

8 representative of leading research, advocacy, 

9 and service organizations for individuals with 

10 serious mental illness; 

11 ‘‘(D) at least one member shall be a psy12 chiatrist; 

13 ‘‘(E) at least one member shall be a clin14 ical psychologist; 

15 ‘‘(F) at least one member shall be a judge 

16 with successful experiences applying assisted 

17 outpatient treatment; 

18 ‘‘(G) at least one member shall be a law 

19 enforcement officer; and 

20 ‘‘(H) at least one member shall be a cor21 rections officer. 

22 ‘‘(d) ADMINISTRATIVE SUPPORT; TERMS OF SERV23 ICE; OTHER PROVISIONS.—The following provisions shall 

24 apply with respect to the Committee: 


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1 ‘‘(1) The Assistant Secretary shall provide such 

2 administrative support to the Committee as may be 

3 necessary for the Committee to carry out its respon4 sibilities. 

5 ‘‘(2) Members of the Committee appointed 

6 under subsection (c)(2) shall serve for a term of 4 

7 years, and may be reappointed for one or more addi8 tional 4-year terms. Any member appointed to fill a 

9 vacancy for an unexpired term shall be appointed for 

10 the remainder of such term. A member may serve 

11 after the expiration of the member’s term until a 

12 successor has taken office. 

13 ‘‘(3) The Committee shall meet at the call of 

14 the chair or upon the request of the Assistant Sec15 retary. The Committee shall meet not fewer than 2 

16 times each year. 

17 ‘‘(4) All meetings of the Committee shall be 

18 public and shall include appropriate time periods for 

19 questions and presentations by the public. 

20 ‘‘(e) SUBCOMMITTEES; ESTABLISHMENT AND MEM21 BERSHIP.—In carrying out its functions, the Committee 

22 may establish subcommittees and convene workshops and 

23 conferences. Such subcommittees shall be composed of 

24 Committee members and may hold such meetings as are 


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1 necessary to enable the subcommittees to carry out their 

2 duties.’’. 

3 SEC. 103. ASSISTED OUTPATIENT TREATMENT GRANT PRO4 GRAM. 

5 (a) IN GENERAL.—The Assistant Secretary for Men6 tal Health and Substance Use Disorders (in this section 

7 referred to as the ‘‘Assistant Secretary’’), in consultation 

8 with the Director of the National Institute of Mental 

9 Health and the Attorney General of the United States, 

10 shall establish a 4-year pilot program to award not more 

11 than 50 grants each year to counties, cities, mental health 

12 systems, mental health courts, and any other entities with 

13 authority under the law of a State to implement, monitor, 

14 and oversee assisted outpatient treatment programs. The 

15 Assistant Secretary may only award grants under this sec16 tion to applicants that have not previously implemented 

17 an assisted outpatient treatment program. The Assistant 

18 Secretary shall evaluate applicants based on their poten19 tial to reduce hospitalization, homelessness, incarceration, 

20 and interaction with the criminal justice system while im21 proving health outcomes, such as adherence to medication 

22 usage. 

23 (b) USE OF GRANT.—An assisted outpatient treat24 ment program carried out with a grant awarded under this 

25 section shall include— 


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1 (1) evaluating and seeking out eligible individ2 uals who may benefit from assisted outpatient treat3 ment; 

4 (2) preparing and executing treatment plans for 

5 eligible patients and filing petitions for assisted out6 patient treatment in appropriate courts; 

7 (3) providing case management services to eligi8 ble patients who are participating in the program to 

9 provide such patients with resources, monitoring, 

10 and oversight, including directly monitoring a par11 ticipant’s level of compliance and the delivery of 

12 services by other providers pursuant to the court 

13 order; and 

14 (4) carrying out referrals and medical evalua15 tions, and paying the costs of legal counsel for com16 mitment orders to be submitted and evaluated by 

17 the courts. 

18 (c) DATA COLLECTION.—Grantees under this section 

19 shall provide in a timely fashion any data collected pursu20 ant to the grant to the National Mental Health Policy 

21 Laboratory, as requested by the Assistant Secretary, con22 cerning health outcomes and treatments. 

23 (d) REPORT.—The Assistant Secretary shall submit 

24 an annual report to the Committees on Energy and Com25 merce and the Judiciary of the House of Representatives, 


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1 the Committees on Health, Education, Labor, and Pen2 sions and the Judiciary of the Senate, and the Congres3 sional Budget Office on the grant program under this sec4 tion. Each such report shall include an evaluation of the 

5 following: 

6 (1) Cost savings and public health outcomes 

7 such as mortality, suicide, substance abuse, hos8 pitalization, and use of services. 

9 (2) Rates of incarceration by patients. 

10 (3) Rates of employment by patients. 

11 (4) Rates of homelessness. 

12 (e) DEFINITIONS.—In this section: 

13 (1) ASSISTED OUTPATIENT TREATMENT.—The 

14 term ‘‘assisted outpatient treatment’’ means— 

15 (A) except as provided in subparagraph 

16 (B), medically prescribed treatment that an eli17 gible patient must undergo while living in a 

18 community under the terms of a law author19 izing a State or local court to order such treat20 ment; and 

21 (B) in the case of a State that does not 

22 have a law described in subparagraph (A) in ef23 fect on the date of enactment— 

24 (i) a court-ordered treatment plan for 

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1 tient to obtain outpatient mental health 

2 treatment while the patient is living in a 

3 community; and 

4 (ii) is designed to improve access and 

5 adherence by such patient to intensive be6 havioral health services in order to— 

7 (I) avert relapse, repeated hos8 pitalizations, arrest, incarceration, 

9 suicide, property destruction, and vio10 lent behavior; and 

11 (II) provide such patient with the 

12 opportunity to live in a less restrictive 

13 alternative to incarceration or involun14 tary hospitalization. 

15 (2) ELIGIBLE PATIENT.—The term ‘‘eligible pa16 tient’’ means an adult, mentally ill person who, as 

17 determined by the court— 

18 (A) has a history of violence, incarceration, 

19 or medically unnecessary hospitalizations; 

20 (B) without supervision and treatment, 

21 may be a danger to self or others in the com22 munity; 

23 (C) is substantially unlikely to voluntarily 

24 participate in treatment; 


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1 (D) may be unable, for reasons other than 

2 indigence, to provide for any of his or her basic 

3 needs, such as food, clothing, shelter, health, or 

4 safety; 

5 (E) has a history of mental illness or con6 dition that is likely to substantially deteriorate 

7 if the patient is not provided with timely treat8 ment; or 

9 (F) due to mental illness, lacks capacity to 

10 fully understand or lacks judgment to make in11 formed decisions regarding his or her need for 

12 treatment, care, or supervision. 

13 (f) FUNDING.— 

14 (1) AMOUNT OF GRANTS.—A grant under this 

15 section shall be in an amount that is not more than 

16 $1,000,000 for each of grant years 2014 through 

17 2017. Subject to the preceding sentence, the Assist18 ant Secretary shall determine the amount of each 

19 grant based on the population of patients of the area 

20 to be served under the grant. 

21 (2) AUTHORIZATION OF APPROPRIATIONS.— 

22 There is authorized to be appropriated to carry out 

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

24 2014 through 2017. 


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1 SEC. 104. TELE-PSYCHIATRY AND PRIMARY CARE PHYSI2 CIAN TRAINING GRANT PROGRAM. 

3 (a) IN GENERAL.—The Assistant Secretary of Men4 tal Health and Substance Use Disorders (in this section 

5 referred to as the ‘‘Assistant Secretary’’) shall establish 

6 a grant program (in this section referred to as the ‘‘grant 

7 program’’) under which the Assistant Secretary shall 

8 award to 10 eligible States (as described in subsection (e)) 

9 grants for carrying out all 3 of the purposes described in 

10 subsections (b), (c), and (d). 

11 (b) TRAINING PROGRAM FOR CERTAIN PRIMARY

12 CARE PHYSICIANS.—For purposes of subsection (a), the 

13 purpose described in this subsection, with respect to a 

14 grant awarded to a State under the grant program, is for 

15 the State to establish a training program to train primary 

16 care physicians in— 

17 (1) approved standardized behavioral-health 

18 screening tools, including— 

19 (A) Ages and Stages Questionnaires (ASQ: 

20 SE); 

21 (B) Brief Infant-Toddler Social and Emo22 tional Assessment (BITSEA); 

23 (C) screening for substance abuse, known 

24 as Car, Relax, Alone, Forget, Friends, Trouble, 

25 (CRAFFT); 


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1 (D) screening for autism, known as Modi2 fied Checklist for Autism in Toddlers (M– 

3 CAT); 

4 (E) Parents’ Evaluation of Developmental 

5 Status (PEDS); 

6 (F) screening for depression, known as Pa7 tient Health Questionnaire-9 (PHQ–9); 

8 (G) Pediatric Symptom Checklist (PSC) 

9 and Pediatric Symptom Checklist-Youth Report 

10 (Y–PSC); 

11 (H) Strengths and Difficulties Question12 naire (SDQ); and 

13 (I) any additional areas that the Assistant 

14 Secretary determines applicable; 

15 (2) implementing the use of behavioral-health 

16 screening tools in their practices; and 

17 (3) knowing what to do when a behavioral18 health need is identified. 

19 (c) PAYMENTS FOR MENTAL HEALTH SERVICES

20 PROVIDED BY CERTAIN PRIMARY CARE PHYSICIANS.— 

21 (1) For purposes of subsection (a), the purpose 

22 described in this subsection, with respect to a grant 

23 awarded to a State under the grant program, is for 

24 the State to provide, in accordance with this sub25 section, in the case of a primary care physician that 


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1 participates in the training program of the State es2 tablish pursuant to subsection (b), payments to the 

3 primary care physician for services furnished by the 

4 primary care physician. 

5 (2) The Assistant Secretary, in determining the 

6 structure, quality, and form of payment under para7 graph (1) shall seek to find innovative payment sys8 tems which may take in to account— 

9 (A) quality of services rendered; 

10 (B) patients’ health outcome; 

11 (C) geographical location of where services 

12 were provided; 

13 (D) severity of patients’ medical condition; 

14 (E) duration of services provided; and 

15 (F) feasibility of replicating that payment 

16 model in other States nationwide. 

17 (d) TELEHEALTH SERVICES FOR MENTAL HEALTH

18 DISORDERS.— 

19 (1) IN GENERAL.—For purposes of subsection 

20 (a), the purpose described in this subsection, with 

21 respect to a grant awarded to a State under the 

22 grant program, is for the State to provide, in the 

23 case of an individual furnished items and services by 

24 a primary care physician during an office visit, for 

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1 trist or psychologist to such physician with respect 

2 to such individual through the use of qualified tele3 health technology for the identification, diagnosis, 

4 mitigation, or treatment of a mental health disorder 

5 if such consultation occurs not later than the first 

6 business day that follows such visit. 

7 (2) QUALIFIED TELEHEALTH TECHNOLOGY.— 

8 For purposes of subsection (C)(1), the term ‘‘quali9 fied telehealth technology’’, with respect to the provi10 sion of items and services to a patient by a health 

11 care provider— 

12 (A) includes the use of interactive audio, 

13 audio-only telephone conversation, video, or 

14 other telecommunications technology by a 

15 health care provider to deliver health care serv16 ices within the scope of the provider’s practice 

17 at a site other than the site where the patient 

18 is located, including the use of electronic media 

19 for consultation relating to the health care diag20 nosis or treatment of the patient; and 

21 (B) does not include the use of electronic 

22 mail message or facsimile transmission. 

23 (e) ELIGIBLE STATE.— 

24 (1) IN GENERAL.—For purposes of this section, 

25 an eligible State is a State that has submitted to the 


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1 Assistant Secretary an application under paragraph 

2 (a) and has been selected under paragraph (3). 

3 (2) APPLICATION.—A State seeking to partici4 pate in the grant program under this section shall 

5 submit to the Assistant Secretary, at such time and 

6 in such format as the Assistant Secretary requires, 

7 an application that includes such information, provi8 sions, and assurances, as the Assistant Secretary 

9 may require. 

10 (3) MATCHING REQUIREMENT.—The Assistant 

11 Secretary may not make a grant under the grant 

12 program unless the State involved agrees, with re13 spect to the costs to be incurred by the State in car14 rying out the purpose described in this section, to 

15 make available non-Federal contributions (in cash or 

16 in kind) toward such costs in an amount equal to 

17 not less than 20 percent of Federal funds provided 

18 in the grant. 

19 (4) SELECTION.—A State shall be determined 

20 eligible for the grant program by the Assistant Sec21 retary on a competitive basis among States with ap22 plications meeting the requirements of paragraphs 

23 (2) and (3). In selecting State applications for the 

24 grant program, the Secretary shall seek to achieve 

25 an appropriate national balance in the geographic 


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1 distribution of grants awarded under the grant pro2 gram. 

3 (f) LENGTH OF GRANT PROGRAM.—The grant pro4 gram established under this section shall be conducted for 

5 a period of 3 consecutive years. 

6 (g) AUTHORIZATION OF APPROPRIATIONS.—Out of 

7 any funds in the Treasury not otherwise appropriated, 

8 there is authorized to be appropriated to carry out this 

9 section, $3,000,000 for each of the fiscal years 2015 

10 through 2017. 

11 (h) REPORTS.— 

12 (1) REPORTS.—For each fiscal year that grants 

13 are awarded under this section, the Assistant Sec14 retary and the National Mental Health Policy Lab15 oratory shall conduct a study on the results of the 

16 grants and submit to the Congress a report on such 

17 results that includes the following: 

18 (A) An evaluation of the grant program 

19 outcomes, including a summary of activities 

20 carried out with the grant and the results 

21 achieved through those activities. 

22 (B) Recommendations on how to improve 

23 access to mental health services at grantee loca24 tions. 


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1 (C) An assessment of access to mental 

2 health services under the program. 

3 (D) An assessment of the impact of the 

4 demonstration project on the costs of the full 

5 range of mental health services (including inpa6 tient, emergency and ambulatory care). 

7 (E) Recommendations on congressional ac8 tion to improve the grant. 

9 (2) REPORT.—Not later than December 31, 

10 2017, the Assistant Secretary and the National 

11 Mental Health Policy Laboratory shall submit to 

12 Congress and make available to the public a report 

13 on the findings of the evaluation under paragraph 

14 (1) and also a policy outline on how Congress can 

15 expand the grant program to the national level. 

16 TITLE II—FEDERALLY QUALI17 FIED BEHAVIORAL HEALTH 

18 CLINICS 

19 SEC. 201. DEMONSTRATION PROGRAM TO IMPROVE FEDER20 ALLY QUALIFIED COMMUNITY BEHAVIORAL 

21 HEALTH CLINIC SERVICES. 

22 (a) ESTABLISHMENT.—Not later than January 1, 

23 2016, the Secretary of Health and Human Services (re24 ferred to in this section as the ‘‘Secretary’’), in coordina25 tion with the Assistant Secretary for Mental Health and 


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1 Substance Use Disorders, shall award planning grants to 

2 not to exceed 10 States to enable such States to carry 

3 out 5-year demonstration programs to improve the provi4 sion of behavioral health services provided by federally 

5 qualified community behavioral health clinics in the State. 

6 (b) ELIGIBILITY.— 

7 (1) APPLICATION.—To be eligible to receive a 

8 grant under subsection (a), a State shall— 

9 (A) submit to the Secretary an application 

10 at such time, in such manner, and containing 

11 such information as the Secretary may require; 

12 (B) certify to the Secretary that behavioral 

13 health providers that are provided assistance 

14 under the demonstration program are federally 

15 qualified community behavioral health clinics; 

16 (C) certify to the Secretary that, with re17 spect to the behavioral health providers pro18 vided assistance under the demonstration pro19 gram, not more than 75 percent of the total 

20 number of such providers are participating pro21 viders under the State Medicaid plan under title 

22 XIX of the Social Security Act (42 U.S.C. 1396 

23 et seq.); 

24 (D) demonstrate the actuarial soundness 

25 of the demonstration program to be carried out 


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1 under the grant by providing a detailed esti2 mate of eligible clinics and Medicaid expendi3 tures over the entire projected period of the 

4 demonstration program; and 

5 (E) comply with any other requirement de6 termined appropriate by the Secretary. 

7 (2) WAIVER OF MEDICAID REQUIREMENTS.—In 

8 approving States to conduct demonstration programs 

9 under this section, the Secretary shall waive such 

10 provisions of title XIX of the Social Security Act (42 

11 U.S.C. 1396 et seq.) as are necessary to conduct the 

12 demonstration program in accordance with the re13 quirements of this section, including section 

14 1902(a)(1) of the Social Security Act (42 U.S.C. 

15 1396a(a)(1)) (relating to statewideness). 

16 (c) REQUIREMENTS.—In awarding grants under this 

17 section, the Secretary shall— 

18 (1) ensure the geographic diversity of grantee 

19 States; 

20 (2) ensure that federally qualified community 

21 behavioral health clinics in such States that are lo22 cated in rural areas, as defined by the Secretary, 

23 and other mental health professional shortage areas 

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1 jective of facilitating access to mental health services 

2 in such areas; 

3 (3) take into account the ability of clinics in 

4 such States to provide required services, and the 

5 ability of such clinics to report required data as re6 quired under this section; and 

7 (4) take into account the ability of such States 

8 to provide such required services on a statewide 

9 basis. 

10 (d) TREATMENT OF CERTAIN SERVICES PROVIDED

11 BY COMMUNITY BEHAVIORAL HEALTH CLINICS AS MED12 ICAL ASSISTANCE.— 

13 (1) IN GENERAL.—For purposes of the dem14 onstration program under this section, community 

15 behavioral health clinic services (as defined in sub16 section (f)(1)) that are provided by federally quali17 fied community behavioral health clinics receiving 

18 assistance under this section shall be considered 

19 medical assistance for purposes of payments to 

20 States under paragraph (3)(C). 

21 (2) GRANT CONDITION.—As a condition of re22 ceiving a grant under this section, a State shall 

23 agree to provide for payment for community behav24 ioral health clinic services in accordance with the 


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1 prospective payment system established by the Sec2 retary under paragraph (3). 

3 (3) PROSPECTIVE PAYMENT SYSTEM.— 

4 (A) IN GENERAL.—Not later than 18 

5 months after the date of enactment of this Act, 

6 the Secretary shall establish a prospective pay7 ment system for community behavioral health 

8 clinic services furnished by a community behav9 ioral health clinic receiving assistance under 

10 this section in the same manner as payments 

11 are required to be made under section 1902(bb) 

12 of the Social Security Act (42 U.S.C. 

13 1396a(bb)) for services described in section 

14 1905(a)(2)(C) of such Act (42 U.S.C. 

15 1396d(a)(2)(C)) furnished by a federally quali16 fied health center and services described in sec17 tion 1905(a)(2)(B) of such Act (42 U.S.C. 

18 1396d(a)(2)(B)) furnished by a rural health 

19 clinic. 

20 (B) REQUIREMENTS.—The prospective 

21 payment system established by the Secretary 

22 under subparagraph (A) shall provide that— 

23 (i) no payment shall be made for in24 patient care, residential treatment, room 

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1 ambulatory services, as determined by the 

2 Secretary; and 

3 (ii) no payment shall be made to sat4 ellite facilities of community behavioral 

5 health clinics if such facilities are estab6 lished after the date of enactment of this 

7 Act. 

8 (C) PAYMENTS TO STATES.—The Sec9 retary shall pay each State awarded a grant 

10 under this section an amount each quarter 

11 equal to the enhanced FMAP (as defined in 

12 section 2105(b) of the Social Security Act (42 

13 U.S.C. 1397dd(b)) but without regard to the 

14 second and third sentences of that section) of 

15 the State’s expenditures in the quarter for med16 ical assistance for community behavioral health 

17 clinic services provided by federally qualified 

18 community behavioral health clinics in the State 

19 that receive assistance under this section. Pay20 ments to States made under this subparagraph 

21 shall be considered to have been under, and are 

22 subject to the requirements of, section 1903 of 

23 the Social Security Act (42 U.S.C. 1396b). 

24 (e) ANNUAL REPORT.— 


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1 (1) IN GENERAL.—Not later than 1 year after 

2 the date on which the first grants are awarded 

3 under this section, and annually thereafter, the Sec4 retary shall submit to Congress an annual report on 

5 the use of funds provided under the demonstration 

6 program. Each such report shall include— 

7 (A) an assessment of access to community8 based mental health services under the Med9 icaid program in the States awarded such 

10 grants; 

11 (B) an assessment of the quality and scope 

12 of services provided by federally qualified com13 munity behavioral health clinics under the 

14 grants as compared against community-based 

15 mental health services provided in States that 

16 are not receiving such grants; 

17 (C) an assessment of the impact of the 

18 demonstration programs on the costs of a full 

19 range of mental health services (including inpa20 tient, emergency and ambulatory services); and 

21 (D) a peer-reviewed assessment of the pub22 lic health impact, including but not limited to 

23 rates of community mortality, hospitalization, 

24 and other measures as determined by the Direc25 tor of the National Institute of Mental Health. 


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1 (2) RECOMMENDATIONS.—Not later than De2 cember 31, 2019, the Secretary shall submit to Con3 gress recommendations concerning whether the dem4 onstration programs under this section should be 

5 continued and expanded on a national basis. 

6 (3) DATA COLLECTION.—Grantees shall provide 

7 in a timely fashion any such data to the National 

8 Mental Health Policy Laboratory, as requested by 

9 the Assistant Secretary concerning health outcomes 

10 and treatments. 

11 (f) CRITERIA FOR FEDERALLY QUALIFIED COMMU12 NITY BEHAVIORAL HEALTH CLINICS.— 

13 (1) IN GENERAL.—The Assistant Secretary for 

14 Mental Health and Substance Use Disorders shall 

15 certify federally qualified community behavioral 

16 health clinics as meeting the criteria specified in this 

17 subsection. 

18 (2) CRITERIA.—The criteria referred to in this 

19 subsection are that the clinic performs each of the 

20 following: 

21 (A) Provide required primary health serv22 ices (as defined by the Assistant Secretary for 

23 Mental Health and Substance Use Disorders). 

24 (B) Provide services in locations that en25 sure services will be available and accessible 


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1 promptly and in a manner which preserves 

2 human dignity and assures continuity of care. 

3 (C) Provide services in a mode of service 

4 delivery appropriate for the target population. 

5 (D) Provide individuals with a choice of 

6 service options where there is more than one 

7 evidence-based treatment. 

8 (E) Employ a core staff that is sufficiently 

9 trained in child and adolescent psychiatry or 

10 psychology. 

11 (F) Employ a core staff that is sufficiently 

12 trained in child and adolescent psychiatry, dual 

13 diagnosis issues, crisis management and sta14 bilization and interventions with patients at 

15 high risk for violence. 

16 (G) Provide services, within the limits of 

17 the capacities of the center, to any individual 

18 residing or employed in the service area of the 

19 center, regardless of the ability of the individual 

20 to pay. 

21 (H) Provide, directly or through contract, 

22 to the extent covered for adults in the State 

23 Medicaid plan under title XIX of the Social Se24 curity Act and for children in accordance with 

25 section 1905(r) of such Act regarding early and 


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1 periodic screening, diagnosis, and treatment, 

2 each of the following services: 

3 (i) Screening, assessment, and diag4 nosis, including risk assessment. 

5 (ii) Person-centered treatment plan6 ning or similar processes, including risk as7 sessment and crisis planning. 

8 (iii) Outpatient mental health and 

9 substance use services, including screening, 

10 assessment, diagnosis, psychotherapy, 

11 medication management, and integrated 

12 treatment for mental illness and substance 

13 abuse which shall be evidence-based (in14 cluding cognitive behavioral therapy and 

15 other such therapies which are evidence16 based). 

17 (iv) Outpatient clinic primary care 

18 screening and monitoring of key health in19 dicators and health risk (including screen20 ing for diabetes, hypertension, and cardio21 vascular disease and monitoring of weight, 

22 height, body mass index (BMI), blood pres23 sure, blood glucose or HbA1C, and lipid 

24 profile). 


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1 (v) Crisis mental health services, in2 cluding 24-hour mobile crisis teams, emer3 gency crisis intervention services, and cri4 sis stabilization. 

5 (vi) Targeted case management (serv6 ices provided by a social worker to assist 

7 individuals gaining access to needed med8 ical, social, educational, and other services 

9 and applying for income security and other 

10 benefits to which they may be entitled). 

11 (vii) Psychiatric rehabilitation services 

12 including skills training, assertive commu13 nity treatment, family psychoeducation, 

14 disability self-management, supported em15 ployment, supported housing services, 

16 therapeutic foster care services, and such 

17 other evidence-based practices as the Sec18 retary may require. 

19 (viii) Peer support and counselor serv20 ices and family supports. 

21 (ix) Supported education and sup22 ported employment for individuals with se23 rious mental illness after an initial psy24 chotic episode. 


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1 (x) Case management services for in2 dividuals with serious mental illness after 

3 an initial psychotic episode. 

4 (I) Use and share electronic health records 

5 consistent with other applicable law. 

6 (J) Be available to provide assisted out7 patient treatment that is ordered by a State 

8 court pursuant to a State law described in sec9 tion 1915(d). 

10 (K) Be available to participate in research 

11 projects conducted or supported by the National 

12 Institute of Mental Health. 

13 (L) Maintain linkages, and where possible 

14 enter into formal contracts with the following: 

15 (i) Federally qualified health centers. 

16 (ii) Inpatient psychiatric facilities and 

17 substance use detoxification, post-detoxi18 fication step-down services, and residential 

19 programs. 

20 (iii) Adult and youth peer support and 

21 counselor services. 

22 (iv) Family support services for fami23 lies of children with serious mental or sub24 stance use disorders. 


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1 (v) Other community or regional serv2 ices, supports, and providers, including 

3 schools, child welfare agencies, juvenile and 

4 criminal justice agencies and facilities (in5 cluding mental health courts, local police 

6 forces, and local jails and other detention 

7 facilities), housing agencies and programs, 

8 employers, and other social services such 

9 as schools and religious organizations. 

10 (vi) Integrating care with primary 

11 care services, including, to the extent fea12 sible, through a common delivery site. 

13 (vii) Enabling services, including out14 reach, transportation, and translation. 

15 (viii) Health and wellness services, in16 cluding services for tobacco cessation. 

17 (ix) Adopt models of first episode psy18 chosis training, supervision, team meet19 ings, and coordination with adjacent care 

20 organizations. 

21 (M) Where feasible, provide outreach and 

22 engagement to encourage individuals who could 

23 benefit from mental health care to freely par24 ticipate in receiving the services described in 

25 this subsection. 


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1 (3) RULE OF CONSTRUCTION.—Nothing in this 

2 section shall be construed as prohibiting States re3 ceiving funds appropriated through the Community 

4 Mental Health Services Block Grant under this sub5 part from financing qualified community programs 

6 (whether such programs meet the definition of eligi7 ble programs prior to or after the date of enactment 

8 of this subsection). 

9 (g) DEFINITIONS.—In this section: 

10 (1) COMMUNITY BEHAVIORAL HEALTH CLINIC

11 SERVICES.—The term ‘‘community behavioral health 

12 clinic services’’ means ambulatory behavioral health 

13 services of the type described in subparagraphs (I), 

14 (L), (M), and (N) of subsection (f)(2) that are pro15 vided by federally qualified community behavioral 

16 health clinics receiving assistance under this section. 

17 (2) STATE.—The term ‘‘State’’ has the mean18 ing given such term for purposes of title XIX of the 

19 Social Security Act (42 U.S.C. 1396 et seq.). 

20 (3) FEDERALLY QUALIFIED COMMUNITY BE21 HAVIORAL HEALTH CLINIC.—The term ‘‘federally 

22 qualified community behavioral health clinic’’ means 

23 a federally qualified behavioral health clinic with a 

24 certification in effect under this section. 


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1 (h) AUTHORIZATION OF APPROPRIATIONS.—In order 

2 to fund State planning grants and the administrative costs 

3 associated with certifying community behavioral health 

4 clinics, there is authorized to be appropriated to carry out 

5 this section, $50,000,000 for fiscal year 2016, to remain 

6 available until expended. 

7 TITLE III—HIPAA AND FERPA 

8 CAREGIVERS 

9 SEC. 301. PROMOTING APPROPRIATE TREATMENT FOR 

10 MENTALLY ILL INDIVIDUALS BY TREATING 

11 THEIR CAREGIVERS AS PERSONAL REP12 RESENTATIVES FOR PURPOSES OF HIPAA 

13 PRIVACY REGULATIONS. 

14 (a) CAREGIVER ACCESS TO INFORMATION.—In ap15 plying section 164.502(g) of title 45, Code of Federal Reg16 ulations, to an individual with a serious mental illness who 

17 does not provide consent for the disclosure of protected 

18 health information to a caregiver of such individual, the 

19 caregiver shall be treated by a covered entity as a personal 

20 representative (as described under such section 

21 164.502(g)) of such individual with respect to protected 

22 health information of such individual when the provider 

23 furnishing services to the individual reasonably believes it 

24 is necessary for protected health information of the indi25 vidual to be made available to the caregiver in order to 


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1 protect the health, safety, or welfare of such individual or 

2 the safety of one or more other individuals. 

3 (b) DEFINITIONS.—For purposes of this section: 

4 (1) COVERED ENTITY.—The term ‘‘covered en5 tity’’ has the meaning given such term in section 

6 106.103 of title 45, Code of Federal Regulations. 

7 (2) PROTECTED HEALTH INFORMATION.—The 

8 term ‘‘protected health information’’ has the mean9 ing given such term in section 106.103 of title 45, 

10 Code of Federal Regulations. 

11 (3) CAREGIVER.—The term ‘‘caregiver’’ means, 

12 with respect to an individual with a serious mental 

13 illness— 

14 (A) an immediate family member of such 

15 individual; 

16 (B) an individual who assumes primary re17 sponsibility for providing a basic need of such 

18 individual; or 

19 (C) a personal representative of the indi20 vidual as determined by the law of the State in 

21 which such individual resides. 

22 (4) INDIVIDUAL WITH A SERIOUS MENTAL ILL23 NESS.—The term ‘‘individual with a serious mental 

24 illness’’ means, with respect to the disclosure to a 


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1 caregiver of protected health information of an indi2 vidual, an individual who— 

3 (A) is 18 years of age or older; and 

4 (B) has, within one year before the date of 

5 the disclosure, been evaluated, diagnosed, or 

6 treated for a mental, behavioral, or emotional 

7 disorder that— 

8 (i) is determined by a physician to be 

9 of sufficient duration to meet diagnostic 

10 criteria specified within the Diagnostic and 

11 Statistical Manual of Mental Disorders; 

12 and 

13 (ii) results in functional impairment 

14 of the individual that substantially inter15 feres with or limits one or more major life 

16 activities of the individual. 

17 SEC. 302. CAREGIVERS PERMITTED ACCESS TO CERTAIN 

18 EDUCATION RECORDS UNDER FERPA. 

19 Section 444 of the General Education Provisions Act 

20 (20 U.S.C. 1232g) is amended by adding at the end the 

21 following new subsection: 

22 ‘‘(k) DISCLOSURES TO CAREGIVERS OF THE MEN23 TALLY ILL.— 

24 ‘‘(1) IN GENERAL.—Nothing in this Act, the 

25 Elementary and Secondary Education Act of 1965, 


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1 or the Higher Education Act of 1965 shall be con2 strued to prohibit an educational agency or institu3 tion from disclosing, to a caregiver of an individual 

4 with a serious mental illness who has not explicitly 

5 provided consent to the agency or institution for the 

6 disclosure of protected health information, an edu7 cation record of such individual if a physician, psy8 chologist, or other recognized mental health profes9 sional or paraprofessional acting in his or her pro10 fessional or paraprofessional capacity, or assisting in 

11 that capacity reasonably believes such disclosure to 

12 the caregiver is necessary to protect the health, safe13 ty, or welfare of such individual or the safety of one 

14 or more other individuals. 

15 ‘‘(2) DEFINITIONS.—In this subsection: 

16 ‘‘(A) CAREGIVER.—The term ‘caregiver’ 

17 means, with respect to an individual with a seri18 ous mental illness, a family member or imme19 diate past legal guardian who assumes a pri20 mary responsibility for providing a basic need 

21 of such individual (such as a family member or 

22 past legal guardian of the individual who has 

23 assumed the responsibility of co-signing a loan 

24 with the individual). 


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1 ‘‘(B) EDUCATION RECORD.—Notwith2 standing subsection (a)(4)(B), the term ‘edu3 cation record’ shall include a record described 

4 in clause (iv) of such subsection. 

5 ‘‘(C) INDIVIDUAL WITH A SERIOUS MEN6 TAL ILLNESS.—The term ‘individual with a se7 rious mental illness’ means, with respect to the 

8 disclosure to a caregiver of protected health in9 formation of an individual, an individual who— 

10 ‘‘(i) is 18 years of age or older; and 

11 ‘‘(ii) has, within one year before the 

12 date of the disclosure, been evaluated, di13 agnosed, or treated for a mental, behav14 ioral, or emotional disorder that— 

15 ‘‘(I) is determined by a physician 

16 to be of sufficient duration to meet di17 agnostic criteria specified within the 

18 Diagnostic and Statistical Manual of 

19 Mental Disorders; and 

20 ‘‘(II) results in functional impair21 ment of the individual that substan22 tially interferes with or limits one or 

23 more major life activities of the indi24 vidual.’’. 


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1 TITLE IV—DEPARTMENT OF 

2 JUSTICE REFORMS 

3 SEC. 401. ADDITIONAL PURPOSES FOR CERTAIN FEDERAL 

4 GRANTS. 

5 (a) MODIFICATIONS TO THE EDWARD BYRNE MEMO6 RIAL JUSTICE ASSISTANCE GRANT PROGRAM.—Section 

7 501(a)(1) of title I of the Omnibus Crime Control and 

8 Safe Streets Act of 1968 (42 U.S.C. 3751(a)(1)) is 

9 amended by adding at the end the following: 

10 ‘‘(H) Mental health programs and oper11 ations by law enforcement or corrections offi12 cers.’’. 

13 (b) MODIFICATIONS TO THE COMMUNITY ORIENTED

14 POLICING SERVICES PROGRAM.—Section 1701(b) of title 

15 I of the Omnibus Crime Control and Safe Streets Act of 

16 1968 (42 U.S.C. 3796dd(b)) is amended— 

17 (1) in paragraph (16), by striking ‘‘and’’ at the 

18 end; 

19 (2) by redesignating paragraph (17) as para20 graph (19); 

21 (3) by inserting after paragraph (16) the fol22 lowing: 

23 ‘‘(17) to provide specialized training to law en24 forcement officers (including village public safety of25 ficers (as defined in section 247 of the Indian Arts 


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1 and Crafts Amendments Act of 2010 (42 U.S.C. 

2 3796dd note))) to recognize individuals who have 

3 mental illness and how to properly intervene with in4 dividuals with mental illness, and to establish pro5 grams that enhance the ability of law enforcement 

6 agencies to address the mental health, behavioral, 

7 and substance abuse problems of individuals encoun8 tered in the line of duty; 

9 ‘‘(18) to provide specialized training to enhance 

10 the ability of corrections officers to address the men11 tal health of individuals under the care and custody 

12 of jails and prisons; and’’; and 

13 (4) in paragraph (19), as redesignated, by 

14 striking ‘‘through (16)’’ and inserting ‘‘through 

15 (19)’’. 

16 (c) MODIFICATIONS TO THE STAFFING FOR ADE17 QUATE FIRE AND EMERGENCY RESPONSE GRANTS.—Sec18 tion 34(a)(1)(B) of Public Law 93–498 (15 U.S.C. 

19 2229a(a)(1)(B)) is amended by inserting before the period 

20 at the end the following: ‘‘and to provide specialized train21 ing to paramedics, emergency medical services workers, 

22 and other first responders to recognize individuals who 

23 have mental illness and how to properly intervene with in24 dividuals with mental illness’’. 


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1 SEC. 402. REAUTHORIZATION AND ADDITIONAL AMEND2 MENTS TO THE MENTALLY ILL OFFENDER 

3 TREATMENT AND CRIME REDUCTION ACT. 

4 (a) SAFE COMMUNITIES.— 

5 (1) IN GENERAL.—Section 2991(a) of title I of 

6 the Omnibus Crime Control and Safe Streets Act of 

7 1968 (42 U.S.C. 3797aa(a)) is amended— 

8 (A) in paragraph (7)— 

9 (i) in the heading, by striking ‘‘MEN10 TAL ILLNESS’’ and inserting ‘‘MENTAL

11 ILLNESS; MENTAL HEALTH DISORDER’’; 

12 and 

13 (ii) by striking ‘‘term ‘mental illness’ 

14 means’’ and inserting ‘‘terms ‘mental ill15 ness’ and ‘mental health disorder’ mean’’; 

16 and 

17 (B) by striking paragraph (9) and insert18 ing the following: 

19 ‘‘(9) PRELIMINARILY QUALIFIED OFFENDER.— 

20 ‘‘(A) IN GENERAL.—The term ‘prelimi21 narily qualified offender’ means an adult or ju22 venile accused of an offense who— 

23 ‘‘(i)(I) previously or currently has 

24 been diagnosed by a qualified mental 

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1 ness or co-occurring mental illness and 

2 substance abuse disorders; 

3 ‘‘(II) manifests obvious signs of men4 tal illness or co-occurring mental illness 

5 and substance abuse disorders during ar6 rest or confinement or before any court; or 

7 ‘‘(III) in the case of a veterans treat8 ment court provided under subsection (i), 

9 has been diagnosed with, or manifests ob10 vious signs of, mental illness or a sub11 stance abuse disorder or co-occurring men12 tal illness and substance abuse disorder; 

13 and 

14 ‘‘(ii) has been unanimously approved 

15 for participation in a program funded 

16 under this section by, when appropriate, 

17 the relevant— 

18 ‘‘(I) prosecuting attorney; 

19 ‘‘(II) defense attorney; 

20 ‘‘(III) probation or corrections 

21 official; 

22 ‘‘(IV) judge; and 

23 ‘‘(V) a representative from the 

24 relevant mental health agency de25 scribed in subsection (b)(5)(B)(i). 


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1 ‘‘(B) DETERMINATION.—In determining 

2 whether to designate a defendant as a prelimi3 narily qualified offender, the relevant pros4 ecuting attorney, defense attorney, probation or 

5 corrections official, judge, and mental health or 

6 substance abuse agency representative shall 

7 take into account— 

8 ‘‘(i) whether the participation of the 

9 defendant in the program would pose a 

10 substantial risk of violence to the commu11 nity; 

12 ‘‘(ii) the criminal history of the de13 fendant and the nature and severity of the 

14 offense for which the defendant is charged; 

15 ‘‘(iii) the views of any relevant victims 

16 to the offense; 

17 ‘‘(iv) the extent to which the defend18 ant would benefit from participation in the 

19 program; 

20 ‘‘(v) the extent to which the commu21 nity would realize cost savings because of 

22 the defendant’s participation in the pro23 gram; and 

24 ‘‘(vi) whether the defendant satisfies 

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1 pation unanimously established by the rel2 evant prosecuting attorney, defense attor3 ney, probation or corrections official, judge 

4 and mental health or substance abuse 

5 agency representative.’’. 

6 (2) TECHNICAL AND CONFORMING AMEND7 MENT.—Section 2927(2) of title I of the Omnibus 

8 Crime Control and Safe Streets Act of 1968 (42 

9 U.S.C. 3797s–6(2)) is amended— 

10 (A) by striking ‘‘has the meaning given 

11 that term in section 2991(a).’’ and inserting the 

12 following: ‘‘means an offense that—’’; and 

13 (B) by adding at the end the following: 

14 ‘‘(A) does not have as an element the use, 

15 attempted use, or threatened use of physical 

16 force against the person or property of another; 

17 or 

18 ‘‘(B) is not a felony that by its nature in19 volves a substantial risk that physical force 

20 against the person or property of another may 

21 be used in the course of committing the of22 fense.’’. 

23 (b) EVIDENCE-BASED PRACTICES.—Section 2991(c) 

24 of title I of the Omnibus Crime Control and Safe Streets 

25 Act of 1968 (42 U.S.C. 3797aa(c)) is amended— 


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1 (1) in paragraph (3), by striking ‘‘or’’ at the 

2 end; 

3 (2) by redesignating paragraph (4) as para4 graph (6); and 

5 (3) by inserting after paragraph (3) the fol6 lowing: 

7 ‘‘(4) propose interventions that have been 

8 shown by empirical evidence to reduce recidivism; 

9 ‘‘(5) when appropriate, use validated assess10 ment tools to target preliminarily qualified offenders 

11 with a moderate or high risk of recidivism and a 

12 need for treatment and services; or’’. 

13 (c) ACADEMY TRAINING.—Section 2991(h) of title I 

14 of the Omnibus Crime Control and Safe Streets Act of 

15 1968 (42 U.S.C. 3797aa(h)) is amended— 

16 (1) in paragraph (1), by adding at the end the 

17 following: 

18 ‘‘(F) ACADEMY TRAINING.—To provide 

19 support for academy curricula, law enforcement 

20 officer orientation programs, continuing edu21 cation training, and other programs that teach 

22 law enforcement personnel how to identify and 

23 respond to incidents involving persons with 

24 mental health disorders or co-occurring mental 

25 health and substance abuse disorders.’’; and 


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1 (2) by adding at the end the following: 

2 ‘‘(4) PRIORITY CONSIDERATION.—The Attorney 

3 General, in awarding grants under this subsection, 

4 shall give priority to programs that law enforcement 

5 personnel and members of the mental health and 

6 substance abuse professions develop and administer 

7 cooperatively.’’. 

8 (d) ASSISTING VETERANS.—Section 2991 of title I 

9 of the Omnibus Crime Control and Safe Streets Act of 

10 1968 (42 U.S.C. 3797aa) is further amended— 

11 (1) by redesignating subsection (i) as subsection 

12 (n); and 

13 (2) by inserting after subsection (h) the fol14 lowing: 

15 ‘‘(i) ASSISTING VETERANS.— 

16 ‘‘(1) DEFINITIONS.—In this subsection: 

17 ‘‘(A) PEER TO PEER SERVICES OR PRO18 GRAMS.—The term ‘peer to peer services or 

19 programs’ means services or programs that con20 nect qualified veterans with other veterans for 

21 the purpose of providing support and 

22 mentorship to assist qualified veterans in ob23 taining treatment, recovery, stabilization, or re24 habilitation. 


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1 ‘‘(B) QUALIFIED VETERAN.—The term 

2 ‘qualified veteran’ means a preliminarily quali3 fied offender who— 

4 ‘‘(i) has served on active duty in any 

5 branch of the Armed Forces, including the 

6 National Guard and reserve components; 

7 and 

8 ‘‘(ii) was discharged or released from 

9 such service under conditions other than 

10 dishonorable. 

11 ‘‘(C) VETERANS TREATMENT COURT PRO12 GRAM.—The term ‘veterans treatment court 

13 program’ means a court program involving col14 laboration among criminal justice, veterans, and 

15 mental health and substance abuse agencies 

16 that provides qualified veterans with— 

17 ‘‘(i) intensive judicial supervision and 

18 case management, which may include ran19 dom and frequent drug testing where ap20 propriate; 

21 ‘‘(ii) a full continuum of treatment 

22 services, including mental health services, 

23 substance abuse services, medical services, 

24 and services to address trauma; 


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1 ‘‘(iii) alternatives to incarceration; 

2 and 

3 ‘‘(iv) other appropriate services, in4 cluding housing, transportation, mentoring, 

5 employment, job training, education, and 

6 assistance in applying for and obtaining 

7 available benefits. 

8 ‘‘(2) VETERANS ASSISTANCE PROGRAM.— 

9 ‘‘(A) IN GENERAL.—The Attorney General, 

10 in consultation with the Secretary of Veterans 

11 Affairs, may award grants under this sub12 section to applicants to establish or expand— 

13 ‘‘(i) veterans treatment court pro14 grams; 

15 ‘‘(ii) peer to peer services or programs 

16 for qualified veterans; 

17 ‘‘(iii) practices that identify and pro18 vide treatment, rehabilitation, legal, transi19 tional, and other appropriate services to 

20 qualified veterans who have been incarcer21 ated; and 

22 ‘‘(iv) training programs to teach 

23 criminal justice, law enforcement, correc24 tions, mental health, and substance abuse 

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1 priately respond to incidents involving 

2 qualified veterans. 

3 ‘‘(B) PRIORITY.—In awarding grants 

4 under this subsection, the Attorney General 

5 shall give priority to applications that— 

6 ‘‘(i) demonstrate collaboration be7 tween and joint investments by criminal 

8 justice, mental health, substance abuse, 

9 and veterans service agencies; 

10 ‘‘(ii) promote effective strategies to 

11 identify and reduce the risk of harm to 

12 qualified veterans and public safety; and 

13 ‘‘(iii) propose interventions with em14 pirical support to improve outcomes for 

15 qualified veterans.’’. 

16 (e) CORRECTIONAL FACILITIES.—Section 2991 of 

17 title I of the Omnibus Crime Control and Safe Streets Act 

18 of 1968 (42 U.S.C. 3797aa) is further amended by insert19 ing after subsection (i), as so added by subsection (d), the 

20 following: 

21 ‘‘(j) CORRECTIONAL FACILITIES.— 

22 ‘‘(1) DEFINITIONS.— 

23 ‘‘(A) CORRECTIONAL FACILITY.—The term 

24 ‘correctional facility’ means a jail, prison, or 

25 other detention facility used to house people 


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1 who have been arrested, detained, held, or con2 victed by a criminal justice agency or a court. 

3 ‘‘(B) ELIGIBLE INMATE.—The term ‘eligi4 ble inmate’ means an individual who— 

5 ‘‘(i) is being held, detained, or incar6 cerated in a correctional facility; and 

7 ‘‘(ii) manifests obvious signs of a 

8 mental illness or has been diagnosed by a 

9 qualified mental health professional as hav10 ing a mental illness. 

11 ‘‘(2) CORRECTIONAL FACILITY GRANTS.—The 

12 Attorney General may award grants to applicants to 

13 enhance the capabilities of a correctional facility— 

14 ‘‘(A) to identify and screen for eligible in15 mates; 

16 ‘‘(B) to plan and provide— 

17 ‘‘(i) initial and periodic assessments of 

18 the clinical, medical, and social needs of in19 mates; and 

20 ‘‘(ii) appropriate treatment and serv21 ices that address the mental health and 

22 substance abuse needs of inmates; 

23 ‘‘(C) to develop, implement, and enhance— 

24 ‘‘(i) post-release transition plans for 

25 eligible inmates that, in a comprehensive 


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1 manner, coordinate health, housing, med2 ical, employment, and other appropriate 

3 services and public benefits; 

4 ‘‘(ii) the availability of mental health 

5 care services and substance abuse treat6 ment services; and 

7 ‘‘(iii) alternatives to solitary confine8 ment and segregated housing and mental 

9 health screening and treatment for inmates 

10 placed in solitary confinement or seg11 regated housing; and 

12 ‘‘(D) to train each employee of the correc13 tional facility to identify and appropriately re14 spond to incidents involving inmates with men15 tal health or co-occurring mental health and 

16 substance abuse disorders.’’. 

17 (f) REAUTHORIZATION OF APPROPRIATIONS.—Sec18 tion 2991(n) of title I of the Omnibus Crime Control and 

19 Safe Streets Act of 1968, as redesignated in subsection 

20 (d), is amended— 

21 (1) in paragraph (1)— 

22 (A) in subparagraph (B), by striking 

23 ‘‘and’’ at the end; 

24 (B) in subparagraph (C), by striking the 

25 period and inserting ‘‘; and’’; and 


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1 (C) by adding at the end the following: 

2 ‘‘(D) $40,000,000 for each of fiscal years 

3 2015 through 2019.’’; and 

4 (2) by adding at the end the following: 

5 ‘‘(3) LIMITATION.—Not more than 20 percent 

6 of the funds authorized to be appropriated under 

7 this section may be used for purposes described in 

8 subsection (i) (relating to veterans).’’. 

9 SEC. 403. ASSISTED OUTPATIENT TREATMENT. 

10 Section 2201(2)(B) of title I of the Omnibus Crime 

11 Control and Safe Streets Act of 1968 (42 U.S.C. 

12 3796ii(2)(B)) is amended by inserting before the semi13 colon the following: ‘‘, or court-ordered assisted outpatient 

14 treatment (as defined in section 14(a) of the Helping 

15 Families in Mental Health Crisis Act of 2013) when the 

16 court has determined such treatment to be necessary’’. 

17 SEC. 404. IMPROVEMENTS TO THE DEPARTMENT OF JUS18 TICE DATA COLLECTION AND REPORTING OF 

19 MENTAL ILLNESS IN CRIME. 

20 Notwithstanding any other provision of law, any data 

21 prepared by or submitted to the Attorney General or the 

22 Director of the Federal Bureau of Investigation on or 

23 after the date of enactment of this Act that is 90 days 

24 after the date of enactment of this Act with respect to 

25 the incidences of homicides, law enforcement officers killed 


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1 and assaulted, or individuals killed by law enforcement of2 ficers shall include data with respect to the involvement 

3 of mental illness in such incidences, if any. Not later than 

4 90 days after the date of the enactment of this Act, the 

5 Attorney General shall promulgate or revise regulations as 

6 necessary to carry out this section. 

7 SEC. 405. REPORTS ON THE NUMBER OF SERIOUSLY MEN8 TALLY ILL WHO ARE IMPRISONED. 

9 (a) REPORT ON THE COST OF TREATING THE MEN10 TALLY ILL IN THE CRIMINAL JUSTICE SYSTEM.—Not 

11 later than 12 months after the date of enactment of this 

12 Act, the Comptroller General of the United States shall 

13 submit to Congress a report detailing the cost of imprison14 ment for persons who have serious mental illness by the 

15 Federal Government or a State or local government. The 

16 report shall calculate the number and type of crimes com17 mitted by persons with serious mental illness each year, 

18 and detail strategies or ideas for preventing crimes by 

19 those individuals with serious mental illness from occur20 ring. 

21 (b) DEFINITION.—For purposes of this section, the 

22 Attorney General, in consultation with the Assistant Sec23 retary of Mental Health and Substance Use Disorders 

24 shall determine an appropriate definition of ‘‘serious men25 tal illness’’ based on the ‘‘Health Care Reform for AmeriVerDate Mar 15 2010 22:15 Dec 18, 2013 Jkt 039200 PO 00000 Frm 00063 Fmt 6652 Sfmt 6201 E:\BILLS\H3717.IH H3717

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1 cans with Severe Mental Illnesses: Report’’ of the National 

2 Advisory Mental Health Council, American Journal of 

3 Psychiatry 1993; 150:1447–1465. 

4 TITLE V—MEDICARE AND 

5 MEDICAID REFORMS 

6 SEC. 501. ENHANCED MEDICAID COVERAGE RELATING TO 

7 CERTAIN MENTAL HEALTH SERVICES. 

8 (a) MEDICAID COVERAGE OF MENTAL HEALTH

9 SERVICES AND PRIMARY CARE SERVICES FURNISHED ON

10 THE SAME DAY.— 

11 (1) IN GENERAL.—Section 1902(a) of the So12 cial Security Act (42 U.S.C. 1396a(a)) is amended 

13 by inserting after paragraph (77) the following new 

14 paragraph: 

15 ‘‘(78) not prohibit payment under the plan for 

16 a mental health service or primary care service fur17 nished to an individual at a federally qualified com18 munity behavioral health center (as defined in sec19 tion 1905(l)(4)) or a federally qualified health center 

20 (as defined in section 1861(aa)(3)) for which pay21 ment would otherwise be payable under the plan, 

22 with respect to such individual, if such service were 

23 not a same-day qualifying service (as defined in sub24 section (ll));’’. 


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1 (2) SAME-DAY QUALIFYING SERVICES DE2 FINED.—Section 1902 of the Social Security Act (42 

3 U.S.C. 1396a) is amended by adding at the end the 

4 following new subsection: 

5 ‘‘(ll) SAME-DAY QUALIFYING SERVICES DEFINED.— 

6 For purposes of subsection (a)(78), the term ‘same-day 

7 qualifying service’ means— 

8 ‘‘(1) a primary care service furnished to an in9 dividual by a provider at a facility on the same day 

10 a mental health service is furnished to such indi11 vidual by such provider (or another provider) at the 

12 facility; and 

13 ‘‘(2) a mental health service furnished to an in14 dividual by a provider at a facility on the same day 

15 a primary care service is furnished to such individual 

16 by such provider (or another provider) at the facil17 ity.’’. 

18 (b) STATE OPTION TO PROVIDE MEDICAL ASSIST19 ANCE FOR CERTAIN INPATIENT PSYCHIATRIC SERVICES

20 TO NONELDERLY ADULTS.—Section 1905 of the Social 

21 Security Act (42 U.S.C. 1396d) is amended— 

22 (1) in subsection (a)(16)— 

23 (A) by inserting ‘‘(A)’’ before ‘‘effective’’; 

24 and 


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1 (B) by inserting before the semicolon at 

2 the end the following: ‘‘(B) qualified inpatient 

3 psychiatric hospital services (as defined in sub4 section (h)(3)) for individuals over 21 years of 

5 age and under 65 years of age, and (C) psy6 chiatric residential treatment facility services 

7 (as defined in subsection (h)(4)) for individuals 

8 over 21 years of age and under 65 years of 

9 age’’; 

10 (2) in the subdivision (B) that follows para11 graph (29), by inserting ‘‘(other than services de12 scribed in subparagraphs (B) and (C) of paragraph 

13 (16) for individuals described in such subpara14 graphs)’’ after ‘‘mental diseases’’; and 

15 (3) in subsection (h), by adding at the end the 

16 following new paragraphs: 

17 ‘‘(3) For purposes of subsection (a)(16)(B), the 

18 term ‘qualified inpatient psychiatric hospital serv19 ices’ means, with respect to individuals described in 

20 such subsection, services described in subparagraphs 

21 (A) and (B) of paragraph (1) that are furnished in 

22 an acute care psychiatric unit in a State-operated 

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1 plicable, has a facilitywide average (determined on 

2 an annual basis) length of stay of less than 30 days. 

3 ‘‘(4) For purposes of subsection (a)(16)(C), the 

4 term ‘psychiatric residential treatment facility serv5 ices’ means, with respect to individuals described in 

6 such subsection, services described in subparagraphs 

7 (A) and (B) of paragraph (1) that are furnished in 

8 a psychiatric residential treatment facility (as de9 fined in section 484.353 of title 42, Code of Federal 

10 Regulations, as in effect on December 9, 2013).’’. 

11 (c) EFFECTIVE DATE.— 

12 (1) IN GENERAL.—Subject to paragraph (2), 

13 the amendments made this section shall apply to 

14 items and services furnished after the first day of 

15 the first calendar year that begins after the date of 

16 the enactment of this section. 

17 (2) EXCEPTION FOR STATE LEGISLATION.—In 

18 the case of a State plan under title XIX of the So19 cial Security Act, which the Secretary of Health and 

20 Human Services determines requires State legisla21 tion in order for the respective plan to meet any re22 quirement imposed by amendments made by this 

23 section, the respective plan shall not be regarded as 

24 failing to comply with the requirements of such title 

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1 ditional requirement before the first day of the first 

2 calendar quarter beginning after the close of the 

3 first regular session of the State legislature that be4 gins after the date of enactment of this section. For 

5 purposes of the previous sentence, in the case of a 

6 State that has a 2-year legislative session, each year 

7 of the session shall be considered to be a separate 

8 regular session of the State legislature. 

9 SEC. 502. ACCESS TO MENTAL HEALTH PRESCRIPTION 

10 DRUGS UNDER MEDICARE AND MEDICAID. 

11 (a) COVERAGE OF PRESCRIPTION DRUGS USED TO

12 TREAT MENTAL HEALTH DISORDERS UNDER MEDI13 CARE.—Section 1860D–4(b)(3)(G)(i)(II) of the Social Se14 curity Act (42 U.S.C. 1395w–104(b)(3)(G)(i)(II)) is 

15 amended by inserting ‘‘, for categories and classes of 

16 drugs other than the categories and classes of drugs speci17 fied in subclauses (II) and (IV) of clause (iv),’’ before ‘‘ex18 ceptions’’. 

19 (b) COVERAGE OF PRESCRIPTION DRUGS USED TO

20 TREAT MENTAL HEALTH DISORDERS UNDER MED21 ICAID.—Section 1927(d) of the Social Security Act (42 

22 U.S.C. 1396r–8(d)) is amended by adding at the end the 

23 following new paragraph: 

24 ‘‘(8) ACCESS TO MENTAL HEALTH DRUGS.— 

25 With respect to covered outpatient drugs used for 


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1 the treatment of a mental health disorder, including 

2 major depression, bipolar (manic-depressive) dis3 order, panic disorder, obsessive-compulsive disorder, 

4 schizophrenia, and schizoaffective disorder, a State 

5 shall not exclude from coverage or otherwise restrict 

6 access to such drugs other than pursuant to a prior 

7 authorization program that is consistent with para8 graph (5).’’. 

9 TITLE VI—RESEARCH BY NA10 TIONAL INSTITUTE OF MEN11 TAL HEALTH 

12 SEC. 601. INCREASE IN FUNDING FOR CERTAIN RESEARCH. 

13 Section 402A(a) of the Public Health Service Act (42 

14 U.S.C. 282a(a)) is amended— 

15 (1) by striking ‘‘For the purpose of’’ and insert16 ing the following: 

17 ‘‘(1) IN GENERAL.—For the purpose of’’; and 

18 (2) by adding at the end the following: 

19 ‘‘(2) FUNDING FOR THE BRAIN INITIATIVE AT

20 THE NATIONAL INSTITUTE OF MENTAL HEALTH.— 

21 ‘‘(A) FUNDING.—In addition to amounts 

22 made available pursuant to paragraph (1), 

23 there are authorized to be appropriated to the 

24 National Institute of Mental Health for the 

25 purpose described in subparagraph (B)(ii) 


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1 $40,000,000 for each of fiscal years 2015 

2 through 2019. 

3 ‘‘(B) PURPOSES.—Amounts appropriated 

4 pursuant to subparagraph (A) shall be used ex5 clusively for the purpose of conducting or sup6 porting— 

7 ‘‘(i) research on the determinants of 

8 self- and other directed-violence in mental 

9 illness, including studies directed at reduc10 ing the risk of self harm, suicide, and 

11 interpersonal violence; or 

12 ‘‘(ii) brain research through the Brain 

13 Research through Advancing Innovative 

14 Neurotechnologies Initiative.’’. 

15 TITLE VII—COMMUNITY MENTAL 

16 HEALTH SERVICES BLOCK 

17 GRANT REFORM 

18 SEC. 701. ADMINISTRATION OF BLOCK GRANTS BY ASSIST19 ANT SECRETARY. 

20 Section 1911(a) of the Public Health Service Act (42 

21 U.S.C. 300x) is amended by striking ‘‘acting through the 

22 Director of the Center for Mental Health Services’’ and 

23 inserting ‘‘acting through the Assistant Secretary for 

24 Mental Health and Substance Use Disorders’’. 


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1 SEC. 702. ADDITIONAL PROGRAM REQUIREMENTS. 

2 (a) INTEGRATED SERVICES.—Subsection (b)(1) of 

3 section 1912 of the Public Health Service Act (42 U.S.C. 

4 300x–1) is amended by inserting ‘‘integration of’’ after 

5 ‘‘The description of the system of care shall include’’. 

6 (b) DATA COLLECTION SYSTEM.—Subsection (b)(2) 

7 of section 1912 of the Public Health Service Act (42 

8 U.S.C. 300x–1) is amended— 

9 (1) by striking ‘‘The plan contains an estimate 

10 of’’ and inserting the following: ‘‘The plan con11 tains— 

12 ‘‘(A) an estimate of’’; 

13 (2) by striking the period at the end and insert14 ing ‘‘; and’’; and 

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

16 ‘‘(B) an agreement by the State to report 

17 to the National Mental Health Policy Labora18 tory— 

19 ‘‘(i) such data as may be required by 

20 the Secretary concerning— 

21 ‘‘(I) comprehensive community 

22 mental health services in the State; 

23 and 

24 ‘‘(II) public health outcomes for 

25 persons with serious mental illness in 

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1 gency room visits, and medication ad2 herence.’’. 

3 SEC. 703. PERIOD FOR EXPENDITURE OF GRANT FUNDS. 

4 Section 1913 of the Public Health Service Act (42 

5 U.S.C. 300x–2), as amended, is further amended by add6 ing at the end the following: 

7 ‘‘(d) PERIOD FOR EXPENDITURE OF GRANT

8 FUNDS.—In implementing a plan submitted under section 

9 1912(a), a State receiving grant funds under section 1911 

10 may make such funds available to providers of services de11 scribed in subsection (b) for the provision of services with12 out fiscal year limitation.’’. 

13 SEC. 704. TREATMENT STANDARD UNDER STATE LAW. 

14 Section 1915 of the Public Health Service Act (42 

15 U.S.C. 300x–4) is amended by adding at the end the fol16 lowing: 

17 ‘‘(c) TREATMENT STANDARD UNDER STATE LAW.— 

18 ‘‘(1) IN GENERAL.—A funding agreement for a 

19 grant under section 1911 is that— 

20 ‘‘(A) the State involved has in effect a law 

21 under which, if a State court finds by clear and 

22 convincing evidence that an individual, as a re23 sult of mental illness, is a danger to self, is a 

24 danger to others, is persistently or acutely dis25 abled, or is gravely disabled and in need of 


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1 treatment, and is either unwilling or unable to 

2 accept voluntary treatment, the court must 

3 order the individual to undergo inpatient or 

4 outpatient treatment; or 

5 ‘‘(B) the State involved has in effect a law 

6 under which a State court must order an indi7 vidual with a mental illness to undergo inpa8 tient or outpatient treatment, the law was in ef9 fect on the date of enactment of the Helping 

10 Families in Mental Health Crisis Act of 2013, 

11 and the Secretary finds that the law requires a 

12 State court to order such treatment across all 

13 or a sufficient range of the type of cir14 cumstances described in subparagraph (A). 

15 ‘‘(2) DEFINITION.—For purposes of paragraph 

16 (1), the term ‘persistently or acutely disabled’ refers 

17 to a serious mental illness that meets all the fol18 lowing criteria: 

19 ‘‘(A) If not treated, the illness has a sub20 stantial probability of causing the individual to 

21 suffer or continue to suffer severe and abnor22 mal mental, emotional, or physical harm that 

23 significantly impairs judgment, reason, behav24 ior, or capacity to recognize reality. 


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1 ‘‘(B) The illness substantially impairs the 

2 individual’s capacity to make an informed deci3 sion regarding treatment, and this impairment 

4 causes the individual to be incapable of under5 standing and expressing an understanding of 

6 the advantages and disadvantages of accepting 

7 treatment and understanding and expressing an 

8 understanding of the alternatives to the par9 ticular treatment offered after the advantages, 

10 disadvantages, and alternatives are explained to 

11 that individual. 

12 ‘‘(C) The illness has a reasonable prospect 

13 of being treatable by outpatient, inpatient, or 

14 combined inpatient and outpatient treatment.’’. 

15 SEC. 705. ASSISTED OUTPATIENT TREATMENT UNDER 

16 STATE LAW. 

17 Section 1915 of the Public Health Service Act (42 

18 U.S.C. 300x–4), as amended, is further amended by add19 ing at the end the following: 

20 ‘‘(d) ASSISTED OUTPATIENT TREATMENT UNDER

21 STATE LAW.— 

22 ‘‘(1) IN GENERAL.—A funding agreement for a 

23 grant under section 1911 is that the State involved 

24 has in effect a law under which a State court may 

25 order a treatment plan for an eligible patient that— 


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1 ‘‘(A) requires such patient to obtain out2 patient mental health treatment while the pa3 tient is living in a community; and 

4 ‘‘(B) is designed to improve access and ad5 herence by such patient to intensive behavioral 

6 health services in order to— 

7 ‘‘(i) avert relapse, repeated hos8 pitalizations, arrest, incarceration, suicide, 

9 property destruction, and violent behavior; 

10 and 

11 ‘‘(ii) provide such patient with the op12 portunity to live in a less restrictive alter13 native to incarceration or involuntary hos14 pitalization. 

15 ‘‘(2) CERTIFICATION OF STATE COMPLIANCE.— 

16 A funding agreement described in paragraph (1) is 

17 effective only if the Assistant Secretary for Mental 

18 Health and Substance Use Disorders reviews the 

19 State law and certifies that it satisfies the criteria 

20 specified in such paragraph. 

21 ‘‘(3) DEFINITION.—In this subsection, the term 

22 ‘eligible patient’ means an adult, mentally ill person 

23 who, as determined by the court— 

24 ‘‘(A) has a history of violence, incarcer25 ation, or medically unnecessary hospitalizations; 


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1 ‘‘(B) without supervision and treatment, 

2 may be a danger to self or others in the com3 munity; 

4 ‘‘(C) is substantially unlikely to voluntarily 

5 participate in treatment; 

6 ‘‘(D) may be unable, for reasons other 

7 than indigence, to provide for any of his or her 

8 basic needs, such as food, clothing, shelter, 

9 health or safety; 

10 ‘‘(E) with a history of mental illness or 

11 condition that is likely to substantially deterio12 rate if the patient is not provided with timely 

13 treatment; and 

14 ‘‘(F) due to mental illness, lacks capacity 

15 to fully understand or lacks judgment to make 

16 informed decisions regarding his or her need for 

17 treatment, care, or supervision.’’. 

18 SEC. 706. BEST AVAILABLE SCIENCE AND MODELS OF 

19 CARE. 

20 Section 1920 of the Public Health Service Act (42 

21 U.S.C. 300x–9) is amended by adding at the end the fol22 lowing: 

23 ‘‘(c) BEST PRACTICES IN CLINICAL CARE MOD24 ELS.—For the purpose of translating evidence-based med25 icine and best available science into systems of care, the 


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1 Assistant Secretary for Mental Health and Substance Use 

2 Disorders shall obligate 5 percent of the amounts appro3 priated under subsection (a) for a fiscal year through the 

4 National Mental Health Laboratory created under this 

5 Act. These models may include the Recovery After an Ini6 tial Schizophrenia Episode research project of the Na7 tional Institute of Mental Health and the North American 

8 Prodrome Longitudinal Study.’’. 

9 SEC. 707. PAPERWORK REDUCTION STUDY. 

10 (a) IN GENERAL.—The Assistant Secretary for Men11 tal Health and Substance Use Disorders shall enter into 

12 an arrangement with the Institute of Medicine of the Na13 tional Academies (or, if the Institute declines, another ap14 propriate entity) under which, not later than 12 months 

15 after the date of enactment of this Act, the Institute will 

16 submit to the appropriate committees of Congress a report 

17 that evaluates the combined paperwork burden of— 

18 (1) community mental health centers meeting 

19 the criteria specified in section 1913(c) of the Public 

20 Health Service Act (42 U.S.C. 300x–2), including 

21 such centers meeting such criteria as in effect on the 

22 day before the date of enactment of this Act; and 

23 (2) federally qualified community mental health 

24 clinics certified pursuant to section 201 of this Act. 


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1 (b) SCOPE.—In preparing the report under section 

2 (a), the Institute of Medicine (or, if applicable, other ap3 propriate entity) shall examine licensing, certification, 

4 service definitions, claims payment, billing codes, and fi5 nancial auditing requirements used by the Office of Man6 agement and Budget, the Centers for Medicare & Medicaid 

7 Services, the Health Resources and Services Administra8 tion, the Substance Abuse and Mental Health Services Ad9 ministration, the Office of the Inspector General of the 

10 Department of Health and Human Services, State Med11 icaid agencies, State departments of health, State depart12 ments of education, and State and local juvenile justice 

13 and social service agencies to— 

14 (1) establish an estimate of the combined na15 tionwide cost of complying with such requirements, 

16 in terms of both administrative funding and staff 

17 time; 

18 (2) establish an estimate of the per capita cost 

19 to each center described in paragraph (1) or (2) of 

20 subsection (a) to comply with such requirements, in 

21 terms of both administrative funding and staff time; 

22 and 

23 (3) make administrative and statutory rec24 ommendations to Congress (which recommendations 

25 may include a uniform methodology) to reduce the 


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1 paperwork burden experienced by centers described 

2 in paragraph (1) or (2) of subsection (a). 

3 TITLE VIII—BEHAVIORAL 

4 HEALTH AWARENESS PROGRAM 

5 SEC. 801. REDUCING THE STIGMA OF SERIOUS MENTAL ILL6 NESS. 

7 (a) IN GENERAL.—The Secretary of Education, 

8 along with the Assistant Secretary for Mental Health and 

9 Substance Use Disorders, shall organize a national aware10 ness campaign involving public health organizations, advo11 cacy groups for persons with serious mental illness, and 

12 social media companies to assist secondary school students 

13 and postsecondary students in— 

14 (1) reducing the stigma associated with serious 

15 mental illness; 

16 (2) understanding how to assist an individual 

17 who is demonstrating signs of a serious mental ill18 ness; and 

19 (3) understanding the importance of seeking 

20 treatment from a physician, clinical psychologist, or 

21 licensed mental health professional when a student 

22 believes the student may be suffering from a serious 

23 mental illness or behavioral health disorder. 

24 (b) DATA COLLECTION.—The Secretary of Education 

25 shall— 


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1 (1) evaluate the program under subsection (a) 

2 on public health to determine whether the program 

3 has made an impact on public health, including mor4 tality rates of persons with serious mental illness, 

5 prevalence of serious mental illness, physician and 

6 clinical psychological visits, emergency room visits; 

7 and 

8 (2) submit a report on the evaluation to the 

9 National Mental Health Policy Laboratory created 

10 by title I of this Act. 

11 (c) SECONDARY SCHOOL DEFINED.—For purposes of 

12 this section, the term ‘‘secondary school’’ has the meaning 

13 given the term in section 9101 of the Elementary and Sec14 ondary Education Act of 1965 (20 U.S.C. 7801). 

15 TITLE IX—BEHAVIORAL HEALTH 

16 INFORMATION TECHNOLOGY 

17 SEC. 901. EXTENSION OF HEALTH INFORMATION TECH18 NOLOGY ASSISTANCE FOR BEHAVIORAL AND 

19 MENTAL HEALTH AND SUBSTANCE ABUSE. 

20 Section 3000(3) of the Public Health Service Act (42 

21 U.S.C. 300jj(3)) is amended by inserting before ‘‘and any 

22 other category’’ the following: ‘‘behavioral and mental 

23 health professionals (as defined in section 

24 331(a)(3)(E)(i)), a substance abuse professional, a psy25 chiatric hospital (as defined in section 1861(f) of the SoVerDate Mar 15 2010 22:15 Dec 18, 2013 Jkt 039200 PO 00000 Frm 00080 Fmt 6652 Sfmt 6201 E:\BILLS\H3717.IH H3717

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1 cial Security Act), a community mental health center 

2 meeting the criteria specified in section 1913(c), a feder3 ally qualified community behavioral health clinic certified 

4 under section 201 of the Helping Families in Mental 

5 Health Crisis Act of 2013, a residential or outpatient men6 tal health or substance abuse treatment facility,’’. 

7 SEC. 902. EXTENSION OF ELIGIBILITY FOR MEDICARE AND 

8 MEDICAID HEALTH INFORMATION TECH9 NOLOGY IMPLEMENTATION ASSISTANCE. 

10 (a) PAYMENT INCENTIVES FOR ELIGIBLE PROFES11 SIONALS UNDER MEDICARE.—Section 1848 of the Social 

12 Security Act (42 U.S.C. 1395w–4) is amended— 

13 (1) in subsection (a)(7)— 

14 (A) in subparagraph (E), by adding at the 

15 end the following new clause: 

16 ‘‘(iv) ADDITIONAL ELIGIBLE PROFES17 SIONAL.—The term ‘additional eligible pro18 fessional’ means a clinical psychologist pro19 viding qualified psychologist services (as 

20 defined in section 1861(ii)).’’; and 

21 (B) by adding at the end the following new 

22 subparagraph: 

23 ‘‘(F) APPLICATION TO ADDITIONAL ELIGI24 BLE PROFESSIONALS.—The Secretary shall 

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1 spect to an additional eligible professional in 

2 the same manner as such provisions apply to an 

3 eligible professional, except in applying sub4 paragraph (A)— 

5 ‘‘(i) in clause (i), the reference to 

6 2015 shall be deemed a reference to 2019; 

7 ‘‘(ii) in clause (ii), the references to 

8 2015, 2016, and 2017 shall be deemed ref9 erences to 2019, 2020, and 2021, respec10 tively; and 

11 ‘‘(iii) in clause (iii), the reference to 

12 2018 shall be deemed a reference to 

13 2022.’’; and 

14 (2) in subsection (o)— 

15 (A) in paragraph (5), by adding at the end 

16 the following new subparagraph: 

17 ‘‘(D) ADDITIONAL ELIGIBLE PROFES18 SIONAL.—The term ‘additional eligible profes19 sional’ means a clinical psychologist providing 

20 qualified psychologist services (as defined in 

21 section 1861(ii)).’’; and 

22 (B) by adding at the end the following new 

23 paragraph: 

24 ‘‘(6) APPLICATION TO ADDITIONAL ELIGIBLE

25 PROFESSIONALS.—The Secretary shall apply the 


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1 provisions of this subsection with respect to an addi2 tional eligible professional in the same manner as 

3 such provisions apply to an eligible professional, ex4 cept in applying— 

5 ‘‘(A) paragraph (1)(A)(ii), the reference to 

6 2016 shall be deemed a reference to 2020; 

7 ‘‘(B) paragraph (1)(B)(ii), the references 

8 to 2011 and 2012 shall be deemed references to 

9 2015 and 2016, respectively; 

10 ‘‘(C) paragraph (1)(B)(iii), the references 

11 to 2013 shall be deemed references to 2017; 

12 ‘‘(D) paragraph (1)(B)(v), the references 

13 to 2014 shall be deemed references to 2018; 

14 and 

15 ‘‘(E) paragraph (1)(E), the reference to 

16 2011 shall be deemed a reference to 2015.’’. 

17 (b) ELIGIBLE HOSPITALS.—Section 1886 of the So18 cial Security Act (42 U.S.C. 1395ww) is amended— 

19 (1) in subsection (b)(3)(B)(ix), by adding at the 

20 end the following new subclause: 

21 ‘‘(V) The Secretary shall apply 

22 the provisions of this subsection with 

23 respect to an additional eligible hos24 pital (as defined in subsection 

25 (n)(6)(C)) in the same manner as 


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1 such provisions apply to an eligible 

2 hospital, except in applying— 

3 ‘‘(aa) subclause (I), the ref4 erences to 2015, 2016, and 2017 

5 shall be deemed references to 

6 2019, 2020, and 2021, respec7 tively; and 

8 ‘‘(bb) subclause (III), the 

9 reference to 2015 shall be 

10 deemed a reference to 2019.’’; 

11 and 

12 (2) in subsection (n)— 

13 (A) in paragraph (6), by adding at the end 

14 the following new subparagraph: 

15 ‘‘(C) ADDITIONAL ELIGIBLE HOSPITAL.— 

16 The term ‘additional eligible hospital’ means an 

17 inpatient hospital that is a psychiatric hospital 

18 (as defined in section 1861(f)).’’; and 

19 (B) by adding at the end the following new 

20 paragraph: 

21 ‘‘(7) APPLICATION TO ADDITIONAL ELIGIBLE

22 HOSPITALS.—The Secretary shall apply the provi23 sions of this subsection with respect to an additional 

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1 sions apply to an eligible hospital, except in apply2 ing— 

3 ‘‘(A) paragraph (2)(E)(ii), the references 

4 to 2013 and 2015 shall be deemed references to 

5 2017 and 2019, respectively; and 

6 ‘‘(B) paragraph (2)(G)(i), the reference to 

7 2011 shall be deemed a reference to 2015.’’. 

8 (c) MEDICAID PROVIDERS.—Section 1903(t) of the 

9 Social Security Act (42 U.S.C. 1396b(t)) is amended— 

10 (1) in paragraph (2)(B)— 

11 (A) in clause (i), by striking ‘‘, or’’ and in12 serting a semicolon; 

13 (B) in clause (ii), by striking the period 

14 and inserting a semicolon; and 

15 (C) by adding after clause (ii) the following 

16 new clauses: 

17 ‘‘(iii) a public hospital that is prin18 cipally a psychiatric hospital (as defined in 

19 section 1861(f)); 

20 ‘‘(iv) a private hospital that is prin21 cipally a psychiatric hospital (as defined in 

22 section 1861(f)) and that has at least 10 

23 percent of its patient volume (as estimated 

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1 dividuals receiving medical assistance 

2 under this title; 

3 ‘‘(v) a community mental health cen4 ter meeting the criteria specified in section 

5 1913(c) of the Public Health Service Act; 

6 or 

7 ‘‘(vi) a residential or outpatient men8 tal health or substance abuse treatment fa9 cility that— 

10 ‘‘(I) is accredited by the Joint 

11 Commission on Accreditation of 

12 Healthcare Organizations, the Com13 mission on Accreditation of Rehabili14 tation Facilities, the Council on Ac15 creditation, or any other national ac16 crediting agency recognized by the 

17 Secretary; and 

18 ‘‘(II) has at least 10 percent of 

19 its patient volume (as estimated in ac20 cordance with a methodology estab21 lished by the Secretary) attributable 

22 to individuals receiving medical assist23 ance under this title.’’; and 

24 (2) in paragraph (3)(B)— 


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1 (A) in clause (iv), by striking ‘‘and’’ after 

2 the semicolon; 

3 (B) in clause (v), by striking the period 

4 and inserting ‘‘; and’’; and 

5 (C) by adding at the end the following new 

6 clause: 

7 ‘‘(vi) clinical psychologist providing 

8 qualified psychologist services (as defined 

9 in section 1861(ii)), if such clinical psy10 chologist is practicing in an outpatient 

11 clinic that— 

12 ‘‘(I) is led by a clinical psycholo13 gist; and 

14 ‘‘(II) is not otherwise receiving 

15 payment under paragraph (1) as a 

16 Medicaid provider described in para17 graph (2)(B).’’. 

18 (d) MEDICARE ADVANTAGE ORGANIZATIONS.—Sec19 tion 1853 of the Social Security Act (42 U.S.C. 1395w– 

20 23) is amended— 

21 (1) in subsection (l)— 

22 (A) in paragraph (1)— 

23 (i) by inserting ‘‘or additional eligible 

24 professionals (as described in paragraph 

25 (9))’’ after ‘‘paragraph (2)’’; and 


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1 (ii) by inserting ‘‘and additional eligi2 ble professionals’’ before ‘‘under such sec3 tions’’; 

4 (B) in paragraph (3)(B)— 

5 (i) in clause (i) in the matter pre6 ceding subclause (I), by inserting ‘‘or an 

7 additional eligible professional described in 

8 paragraph (9)’’ after ‘‘paragraph (2)’’; and 

9 (ii) in clause (ii)— 

10 (I) in the matter preceding sub11 clause (I), by inserting ‘‘or an addi12 tional eligible professional described in 

13 paragraph (9)’’ after ‘‘paragraph 

14 (2)’’; and 

15 (II) in subclause (I), by inserting 

16 ‘‘or an additional eligible professional, 

17 respectively,’’ after ‘‘eligible profes18 sional’’; 

19 (C) in paragraph (3)(C), by inserting ‘‘and 

20 additional eligible professionals’’ after ‘‘all eligi21 ble professionals’’; 

22 (D) in paragraph (4)(D), by adding at the 

23 end the following new sentence: ‘‘In the case 

24 that a qualifying MA organization attests that 

25 not all additional eligible professionals of the 


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1 organization are meaningful EHR users with 

2 respect to an applicable year, the Secretary 

3 shall apply the payment adjustment under this 

4 paragraph based on the proportion of all such 

5 additional eligible professionals of the organiza6 tion that are not meaningful EHR users for 

7 such year.’’; 

8 (E) in paragraph (6)(A), by inserting 

9 ‘‘and, as applicable, each additional eligible pro10 fessional described in paragraph (9)’’ after 

11 ‘‘paragraph (2)’’; 

12 (F) in paragraph (6)(B), by inserting 

13 ‘‘and, as applicable, each additional eligible hos14 pital described in paragraph (9)’’ after ‘‘sub15 section (m)(1)’’; 

16 (G) in paragraph (7)(A), by inserting 

17 ‘‘and, as applicable, additional eligible profes18 sionals’’ after ‘‘eligible professionals’’; 

19 (H) in paragraph (7)(B), by inserting 

20 ‘‘and, as applicable, additional eligible profes21 sionals’’ after ‘‘eligible professionals’’; 

22 (I) in paragraph (8)(B), by inserting ‘‘and 

23 additional eligible professionals described in 

24 paragraph (9)’’ after ‘‘paragraph (2)’’; and 


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1 (J) by adding at the end the following new 

2 paragraph: 

3 ‘‘(9) ADDITIONAL ELIGIBLE PROFESSIONAL DE4 SCRIBED.—With respect to a qualifying MA organi5 zation, an additional eligible professional described 

6 in this paragraph is an additional eligible profes7 sional (as defined for purposes of section 1848(o)) 

8 who— 

9 ‘‘(A)(i) is employed by the organization; or 

10 ‘‘(ii)(I) is employed by, or is a partner of, 

11 an entity that through contract with the organi12 zation furnishes at least 80 percent of the enti13 ty’s Medicare patient care services to enrollees 

14 of such organization; and 

15 ‘‘(II) furnishes at least 80 percent of the 

16 professional services of the additional eligible 

17 professional covered under this title to enrollees 

18 of the organization; and 

19 ‘‘(B) furnishes, on average, at least 20 

20 hours per week of patient care services.’’; and 

21 (2) in subsection (m)— 

22 (A) in paragraph (1)— 

23 (i) by inserting ‘‘or additional eligible 

24 hospitals (as described in paragraph (7))’’ 

25 after ‘‘paragraph (2)’’; and 


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1 (ii) by inserting ‘‘and additional eligi2 ble hospitals’’ before ‘‘under such sec3 tions’’; 

4 (B) in paragraph (3)(A)(i), by inserting 

5 ‘‘or additional eligible hospital’’ after ‘‘eligible 

6 hospital’’; 

7 (C) in paragraph (3)(A)(ii), by inserting 

8 ‘‘or an additional eligible hospital’’ after ‘‘eligi9 ble hospital’’ in each place it occurs; 

10 (D) in paragraph (3)(B)— 

11 (i) in clause (i), by inserting ‘‘or an 

12 additional eligible hospital described in 

13 paragraph (7)’’ after ‘‘paragraph (2)’’; and 

14 (ii) in clause (ii)— 

15 (I) in the matter preceding sub16 clause (I), by inserting ‘‘or an addi17 tional eligible hospital described in 

18 paragraph (7)’’ after ‘‘paragraph 

19 (2)’’; and 

20 (II) in subclause (I), by inserting 

21 ‘‘or an additional eligible hospital, re22 spectively,’’ after ‘‘eligible hospital’’; 

23 (E) in paragraph (4)(A), by inserting ‘‘or 

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1 fined in section 1886(n)), as appropriate,’’ after 

2 ‘‘section 1886(n)(6)(A))’’; 

3 (F) in paragraph (4)(D), by adding at the 

4 end the following new sentence: ‘‘In the case 

5 that a qualifying MA organization attests that 

6 not all additional eligible hospitals of the orga7 nization are meaningful EHR users with re8 spect to an applicable period, the Secretary 

9 shall apply the payment adjustment under this 

10 paragraph based on the methodology specified 

11 by the Secretary, taking into account the pro12 portion of such additional eligible hospitals, or 

13 discharges from such hospitals, that are not 

14 meaningful EHR users for such period.’’; 

15 (G) in paragraph (5)(A), by inserting 

16 ‘‘and, as applicable, each additional eligible hos17 pital described in paragraph (7)’’ after ‘‘para18 graph (2)’’; 

19 (H) in paragraph (5)(B), by inserting 

20 ‘‘and additional eligible hospitals, as applica21 ble,’’ after ‘‘eligible hospitals’’; 

22 (I) in paragraph (6)(B), by inserting ‘‘and 

23 additional eligible hospitals described in para24 graph (7)’’ after ‘‘paragraph (2)’’; and 


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1 (J) by adding at the end the following new 

2 paragraph: 

3 ‘‘(7) ADDITIONAL ELIGIBLE HOSPITAL DE4 SCRIBED.—With respect to a qualifying MA organi5 zation, an additional eligible hospital described in 

6 this paragraph is an additional eligible hospital (as 

7 defined in section 1886(n)(6)(C)) that is under com8 mon corporate governance with such organization 

9 and serves individuals enrolled under an MA plan of10 fered by such organization.’’. 

11 TITLE X—EXPANDING ACCESS 

12 TO CARE THROUGH HEALTH 

13 CARE PROFESSIONAL VOL14 UNTEERISM 

15 SEC. 1001. LIABILITY PROTECTIONS FOR HEALTH CARE 

16 PROFESSIONAL VOLUNTEERS AT COMMU17 NITY HEALTH CENTERS AND FEDERALLY 

18 QUALIFIED COMMUNITY BEHAVIORAL 

19 HEALTH CLINICS. 

20 Section 224 of the Public Health Service Act (42 

21 U.S.C. 233) is amended by adding at the end the fol22 lowing: 

23 ‘‘(q)(1) In this subsection, the term ‘federally quali24 fied community behavioral health clinic’ means— 


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1 ‘‘(A) a federally qualified community behavioral 

2 health clinic with a certification in effect under sec3 tion 201 of the Helping Families in Mental Health 

4 Crisis Act of 2013; or 

5 ‘‘(B) a community mental health center meeting 

6 the criteria specified in section 1913(c) of this Act. 

7 ‘‘(2) For purposes of this section, a health care pro8 fessional volunteer at an entity described in subsection 

9 (g)(4) or a federally qualified community behavioral health 

10 clinic shall, in providing health care services eligible for 

11 funding under section 330 or subpart I of part B of title 

12 XIX to an individual, be deemed to be an employee of the 

13 Public Health Service for a calendar year that begins dur14 ing a fiscal year for which a transfer was made under 

15 paragraph (5)(C). The preceding sentence is subject to the 

16 provisions of this subsection. 

17 ‘‘(3) In providing a health care service to an indi18 vidual, a health care professional shall for purposes of this 

19 subsection be considered to be a health professional volun20 teer at an entity described in subsection (g)(4) or at a 

21 federally qualified community behavioral health clinic if 

22 the following conditions are met: 

23 ‘‘(A) The service is provided to the individual at 

24 the facilities of an entity described in subsection 

25 (g)(4), at a federally qualified community behavioral 


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1 health clinic, or through offsite programs or events 

2 carried out by the center. 

3 ‘‘(B) The center or entity is sponsoring the 

4 health care professional volunteer pursuant to para5 graph (4)(B). 

6 ‘‘(C) The health care professional does not re7 ceive any compensation for the service from the indi8 vidual or from any third-party payer (including re9 imbursement under any insurance policy or health 

10 plan, or under any Federal or State health benefits 

11 program), except that the health care professional 

12 may receive repayment from the entity described in 

13 subsection (g)(4) or the center for reasonable ex14 penses incurred by the health care professional in 

15 the provision of the service to the individual. 

16 ‘‘(D) Before the service is provided, the health 

17 care professional or the center or entity described in 

18 subsection (g)(4) posts a clear and conspicuous no19 tice at the site where the service is provided of the 

20 extent to which the legal liability of the health care 

21 professional is limited pursuant to this subsection. 

22 ‘‘(E) At the time the service is provided, the 

23 health care professional is licensed or certified in ac24 cordance with applicable law regarding the provision 

25 of the service. 


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1 ‘‘(4) Subsection (g) (other than paragraphs (3) and 

2 (5)) and subsections (h), (i), and (l) apply to a health care 

3 professional for purposes of this subsection to the same 

4 extent and in the same manner as such subsections apply 

5 to an officer, governing board member, employee, or con6 tractor of an entity described in subsection (g)(4), subject 

7 to paragraph (5) and subject to the following: 

8 ‘‘(A) The first sentence of paragraph (2) ap9 plies in lieu of the first sentence of subsection 

10 (g)(1)(A). 

11 ‘‘(B) With respect to an entity described in sub12 section (g)(4) or a federally qualified community be13 havioral health clinic, a health care professional is 

14 not a health professional volunteer at such center 

15 unless the center sponsors the health care profes16 sional. For purposes of this subsection, the center 

17 shall be considered to be sponsoring the health care 

18 professional if— 

19 ‘‘(i) with respect to the health care profes20 sional, the center submits to the Secretary an 

21 application meeting the requirements of sub22 section (g)(1)(D); and 

23 ‘‘(ii) the Secretary, pursuant to subsection 

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1 fessional is deemed to be an employee of the 

2 Public Health Service. 

3 ‘‘(C) In the case of a health care professional 

4 who is determined by the Secretary pursuant to sub5 section (g)(1)(E) to be a health professional volun6 teer at such center, this subsection applies to the 

7 health care professional (with respect to services de8 scribed in paragraph (2)) for any cause of action 

9 arising from an act or omission of the health care 

10 professional occurring on or after the date on which 

11 the Secretary makes such determination. 

12 ‘‘(D) Subsection (g)(1)(F) applies to a health 

13 professional volunteer for purposes of this subsection 

14 only to the extent that, in providing health services 

15 to an individual, each of the conditions specified in 

16 paragraph (3) is met. 

17 ‘‘(5)(A) Amounts in the fund established under sub18 section (k)(2) shall be available for transfer under sub19 paragraph (C) for purposes of carrying out this subsection 

20 for health professional volunteers at entities described in 

21 subsection (g)(4). 

22 ‘‘(B) Not later than May 1 of each fiscal year, the 

23 Attorney General, in consultation with the Secretary, shall 

24 submit to the Congress a report providing an estimate of 

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1 penses of witnesses) that, by reason of the acts or omis2 sions of health care professional volunteers, will be paid 

3 pursuant to this subsection during the calendar year that 

4 begins in the following fiscal year. Subsection (k)(1)(B) 

5 applies to the estimate under the preceding sentence re6 garding health care professional volunteers to the same 

7 extent and in the same manner as such subsection applies 

8 to the estimate under such subsection regarding officers, 

9 governing board members, employees, and contractors of 

10 entities described in subsection (g)(4). 

11 ‘‘(C) Not later than December 31 of each fiscal year, 

12 the Secretary shall transfer from the fund under sub13 section (k)(2) to the appropriate accounts in the Treasury 

14 an amount equal to the estimate made under subpara15 graph (B) for the calendar year beginning in such fiscal 

16 year, subject to the extent of amounts in the fund. 

17 ‘‘(6)(A) This subsection takes effect on October 1, 

18 2015, except as provided in subparagraph (B). 

19 ‘‘(B) Effective on the date of the enactment of this 

20 subsection— 

21 ‘‘(i) the Secretary may issue regulations for car22 rying out this subsection, and the Secretary may ac23 cept and consider applications submitted pursuant to 

24 paragraph (4)(B); and 


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1 ‘‘(ii) reports under paragraph (5)(B) may be 

2 submitted to the Congress.’’. 

3 TITLE XI—SAMHSA REAUTHOR4 IZATION AND REFORMS 

5 Subtitle A—Organization and 

6 General Authorities 

7 SEC. 1101. IN GENERAL. 

8 Section 501 of the Public Health Service Act (42 

9 U.S.C. 290aa) is amended— 

10 (1) in subsection (c)(2), by striking ‘‘Secretary’’ 

11 and inserting ‘‘Assistant Secretary for Mental 

12 Health and Substance Use Disorders’’; 

13 (2) in subsection (d)— 

14 (A) in paragraph (2)— 

15 (i) by striking ‘‘and mental illness’’; 

16 and 

17 (ii) by striking ‘‘promote mental 

18 health’’; 

19 (B) in paragraph (4), by inserting ‘‘related 

20 to substance abuse’’ after ‘‘related services’’; 

21 (C) in paragraph (6), by striking ‘‘and in22 dividuals with mental illness and to develop ap23 propriate mental health services for individuals 

24 with such illnesses’’; and 


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1 (D) in paragraph (18), by striking ‘‘mental 

2 illness or’’; 

3 (3) in subsection (h), by inserting at the end 

4 the following: ‘‘For any such peer review group re5 viewing a proposal or grant related to mental illness, 

6 no fewer than half of the members of the group shall 

7 have a medical degree, or an equivalent doctoral de8 gree in psychology and clinical experience.’’; 

9 (4) in subsection (l)— 

10 (A) in paragraph (2), by striking ‘‘and’’ at 

11 the end; 

12 (B) in paragraph (3), by striking the pe13 riod at the end and inserting ‘‘; and’’; and 

14 (C) by adding at the end the following: 

15 ‘‘(4) At least 30 days before awarding a grant, 

16 cooperative agreement, or contract, the Adminis17 trator shall give written notice of the award to the 

18 Committee on Energy and Commerce of the House 

19 of Representatives and the Committee on Health, 

20 Education, Labor, and Pensions of the Senate.’’; 

21 and 

22 (5) in subsection (m)— 

23 (A) in paragraph (1), by striking ‘‘2.5 per24 cent’’ and inserting ‘‘1.5 percent’’; and 


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1 (B) in paragraph (3), by striking ‘‘Sec2 retary’’ and inserting ‘‘Assistant Secretary for 

3 Mental Health and Substance Use Disorders’’. 

4 SEC. 1102. ADVISORY COUNCILS. 

5 Paragraph (3) of section 502(b) of the Public Health 

6 Service Act (42 U.S.C. 290aa–1(b)) is amended by adding 

7 at the end the following: 

8 ‘‘(C) No fewer than half of the members of 

9 an advisory council shall— 

10 ‘‘(i) have a medical degree; 

11 ‘‘(ii) have an equivalent doctoral de12 gree in psychology; or 

13 ‘‘(iii) serve as a licensed mental health 

14 professional.’’. 

15 SEC. 1103. PEER REVIEW. 

16 Section 504 of the Public Health Service Act (42 

17 U.S.C. 290aa–3) is amended— 

18 (1) by adding at the end of subsection (b) the 

19 following: ‘‘At least half of the members of any peer 

20 review group established under subsection (a) shall 

21 have a degree in medicine, or an equivalent doctoral 

22 degree in psychology, or be a licensed mental health 

23 professional. Before awarding a grant, cooperative 

24 agreement, or contract, the Secretary shall provide a 

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1 sible for reviewing the award to the Committee on 

2 Energy and Commerce of the House of Representa3 tives and the Committee on Health, Education, 

4 Labor, and Pensions of the Senate.’’; and 

5 (2) by adding at the end the following: 

6 ‘‘(e) SCIENTIFIC CONTROLS AND STANDARDS.—Peer 

7 review under this section shall ensure that any research 

8 concerning an intervention is based on scientific controls 

9 and standards indicating whether the intervention reduces 

10 symptoms, improves medical or behavioral outcomes, and 

11 improves social functioning.’’. 

12 SEC. 1104. DATA COLLECTION. 

13 (a) TRANSFER OF BEHAVIORAL HEALTH STATISTICS

14 AND QUALITY.—The Assistant Secretary for Mental 

15 Health and Substance Use Disorders shall transfer all 

16 functions and responsibilities of the Center for Behavioral 

17 Health Statistics and Quality to the National Mental 

18 Health Policy Laboratory, established under section 501A. 

19 (b) TRANSFERRING DATA COLLECTION AND SUR20 VEYS TO THE NATIONAL MENTAL HEALTH POLICY LAB21 ORATORY.—Section 505 of the Public Health Service Act 

22 (42 U.S.C. 290aa–4) is amended— 

23 (1) in subsection (a), by striking ‘‘acting 

24 through the Administrator’’ and inserting ‘‘acting 

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1 tory under the Assistant Secretary for Mental 

2 Health and Substance Use Disorders (in this section 

3 referred to as the ‘Assistant Secretary’) with respect 

4 to mental illness and substance abuse’’; 

5 (2) in subsections (a)(2) and (d), by striking 

6 ‘‘Administrator’’ each place it appears and inserting 

7 ‘‘Assistant Secretary’’; and 

8 (3) in subsection (b)— 

9 (A) by striking ‘‘Administrator’’ each place 

10 it appears and inserting ‘‘Assistant Secretary’’; 

11 (B) by striking ‘‘and’’ at the end of para12 graph (3); 

13 (C) by striking paragraph (4); and 

14 (D) by adding at the end the following: 

15 ‘‘(4) the number of individuals with serious 

16 mental illnesses, including those with schizophrenia, 

17 bipolar disorder, or major depressive disorder; 

18 ‘‘(5) the number of individuals admitted to hos19 pital emergency rooms as a result of serious mental 

20 illness; 

21 ‘‘(6) the number of individuals who receive in22 patient care and are subsequently readmitted to the 

23 hospital as a result of their condition within two 

24 years; and 


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1 ‘‘(7) other public health outcomes including 

2 mortality rates for individuals with serious mental 

3 illness.’’. 

4 Subtitle B—Center for Mental 

5 Health Services 

6 SEC. 1111. CENTER FOR MENTAL HEALTH SERVICES. 

7 Section 520 of the Public Health Service Act (42 

8 U.S.C. 290bb–31) is amended to read as follows: 

9 ‘‘SEC. 520. CENTER FOR MENTAL HEALTH SERVICES. 

10 ‘‘(a) ESTABLISHMENT.—There is established in the 

11 Administration a Center for Mental Health Services (here12 after in this section referred to as the ‘Center’). The Cen13 ter shall be headed by a Director (hereafter in this section 

14 referred to as the ‘Director’) appointed by the Secretary 

15 from among individuals with extensive experience or aca16 demic qualifications in the provision of mental health serv17 ices or in the evaluation of mental health service systems. 

18 ‘‘(b) DUTIES.—The Director of the Center shall— 

19 ‘‘(1) assist the Assistant Secretary for Mental 

20 Health and Substance Use Disorders in designing 

21 national goals and establishing national priorities 

22 for— 

23 ‘‘(A) the prevention of mental illness; 

24 ‘‘(B) the treatment of mental illness; and 

25 ‘‘(C) the promotion of mental health; 


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1 ‘‘(2) encourage local entities and State agencies 

2 to achieve the goals and priorities described in para3 graph (1); 

4 ‘‘(3) collaborate with the Department of Edu5 cation and the Department of Justice to assist local 

6 communities in addressing violence among children 

7 and adolescents related to mental illness; 

8 ‘‘(4) assist the National Institute of Mental 

9 Health in deploying improved methods of treating 

10 individuals with mental health problems and im11 proved methods of assisting the families of such in12 dividuals; 

13 ‘‘(5) carry out the provisions of the Protection 

14 and Advocacy of Mentally Ill Individuals Act in 

15 order to foster independence and protect the legal 

16 rights of persons with mental illness; 

17 ‘‘(6) carry out the programs under part C; 

18 ‘‘(7) carry out responsibilities for the Human 

19 Resource Development programs; 

20 ‘‘(8) conduct services-related assessments, in21 cluding evaluations of the organization and financing 

22 of care, self-help, mental health economics, mental 

23 health service systems, and rural mental health, and 

24 improve the capacity of States to conduct evalua25 tions of publicly funded mental health programs; 


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1 ‘‘(9) establish a clearinghouse of evidence-based 

2 practices, which has first been reviewed and ap3 proved by a panel of psychiatrists and clinical psy4 chologists, for mental health information to assure 

5 the widespread dissemination of such information to 

6 States, political subdivisions, educational agencies 

7 and institutions, treatment and prevention service 

8 providers, and the general public, including informa9 tion concerning the practical application of research 

10 supported by the National Institute of Mental 

11 Health that is applicable to improving the delivery of 

12 services; 

13 ‘‘(10) provide technical assistance to public and 

14 private entities that are providers of mental health 

15 services; 

16 ‘‘(11) monitor and enforce obligations incurred 

17 by community mental health centers pursuant to the 

18 Community Mental Health Centers Act (as in effect 

19 prior to the repeal of such Act on August 13, 1981, 

20 by section 902(e)(2)(B) of Public Law 97–35 (95 

21 Stat. 560)); and 

22 ‘‘(12) assist the Assistant Secretary for Mental 

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1 tion, with surveys with respect to mental health, 

2 such as the National Reporting Program. 

3 Nothing in this subsection shall be construed as author4 izing any new grant program or project that is not explic5 itly authorized or required by other statutory provisions. 

6 ‘‘(c) NO GENERAL AUTHORITY FOR GRANTS.—Noth7 ing in this section shall be construed as authorizing or 

8 requiring any new grant program or project that is not 

9 explicitly authorized or required by other statutory provi10 sions.’’. 

11 SEC. 1112. REAUTHORIZATION OF PRIORITY MENTAL 

12 HEALTH NEEDS OF REGIONAL AND NA13 TIONAL SIGNIFICANCE. 

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

15 U.S.C. 290bb–32) is amended— 

16 (1) in subsection (a)— 

17 (A) in paragraph (2), by inserting ‘‘using 

18 evidence-based medicine’’ after ‘‘technical as19 sistance programs’’; 

20 (B) by amending paragraph (4) to read as 

21 follows: 

22 ‘‘(4) evidence-based programs designed in con23 junction with the Assistant Secretary for Mental 

24 Health and Substance Use Disorders to treat indi25 viduals with serious mental illness.’’; and 


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1 (C) by adding at the end the following: 

2 ‘‘Before awarding a grant, cooperative agree3 ment, or contract under this section, the Sec4 retary shall give written notice of the award to 

5 the Committee on Energy and Commerce of the 

6 House of Representatives and the Committee 

7 on Health, Education, Labor, and Pensions of 

8 the Senate.’’; 

9 (2) in subsection (b)(2), by inserting ‘‘, includ10 ing the primary and behavioral health care integra11 tion program under section 520K’’ after ‘‘primary 

12 health care systems’’; and 

13 (3) by amending subsection (f)(1) to read as 

14 follows: 

15 ‘‘(1) IN GENERAL.—For carrying out this sec16 tion, there is authorized to be appropriated 

17 $150,000,000 for each of fiscal years 2014 through 

18 2018.’’. 

19 SEC. 1113. GARRETT LEE SMITH REAUTHORIZATION. 

20 (a) SUICIDE PREVENTION TECHNICAL ASSISTANCE

21 CENTER.—Section 520C of the Public Health Service Act 

22 (42 U.S.C. 290bb–34) is amended to read as follows: 


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1 ‘‘SEC. 520C. SUICIDE PREVENTION TECHNICAL ASSISTANCE 

2 CENTER. 

3 ‘‘(a) PROGRAM AUTHORIZED.—The Assistant Sec4 retary for Mental Health and Substance Use Disorders, 

5 acting through the Administrator of the Substance Abuse 

6 and Mental Health Services Administration, shall award 

7 a grant for the operation and maintenance of a research, 

8 training, and technical assistance resource center to pro9 vide appropriate information, training, and technical as10 sistance to States, political subdivisions of States, feder11 ally recognized Indian tribes, tribal organizations, institu12 tions of higher education, public organizations, or private 

13 nonprofit organizations concerning the prevention of sui14 cide among all ages, particularly among groups that are 

15 at high risk for suicide. 

16 ‘‘(b) RESPONSIBILITIES OF THE CENTER.—The cen17 ter operated and maintained under subsection (a) shall— 

18 ‘‘(1) assist in the development or continuation 

19 of statewide and tribal suicide early intervention and 

20 prevention strategies for all ages, particularly among 

21 groups that are at high risk for suicide; 

22 ‘‘(2) ensure the surveillance of suicide early 

23 intervention and prevention strategies for all ages, 

24 particularly among groups that are at high risk for 

25 suicide; 


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1 ‘‘(3) study the costs and effectiveness of state2 wide and tribal suicide early intervention and pre3 vention strategies in order to provide information 

4 concerning relevant issues of importance to State, 

5 tribal, and national policymakers; 

6 ‘‘(4) further identify and understand causes 

7 and associated risk factors for suicide for all ages, 

8 particularly among groups that are at high risk for 

9 suicide; 

10 ‘‘(5) analyze the efficacy of new and existing 

11 suicide early intervention and prevention techniques 

12 and technology for all ages, particularly among 

13 groups that are at high risk for suicide; 

14 ‘‘(6) ensure the surveillance of suicidal behav15 iors and nonfatal suicidal attempts; 

16 ‘‘(7) study the effectiveness of State-sponsored 

17 statewide and tribal suicide early intervention and 

18 prevention strategies for all ages particularly among 

19 groups that are at high risk for suicide on the over20 all wellness and health promotion strategies related 

21 to suicide attempts; 

22 ‘‘(8) promote the sharing of data regarding sui23 cide with Federal agencies involved with suicide 

24 early intervention and prevention, and State-spon25 sored statewide and tribal suicide early intervention 


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1 and prevention strategies for the purpose of identi2 fying previously unknown mental health causes and 

3 associated risk factors for suicide among all ages 

4 particularly among groups that are at high risk for 

5 suicide; 

6 ‘‘(9) evaluate and disseminate outcomes and 

7 best practices of mental health and substance use 

8 disorder services at institutions of higher education; 

9 and 

10 ‘‘(10) conduct other activities determined ap11 propriate by the Secretary. 

12 ‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—For the 

13 purpose of carrying out this section, there are authorized 

14 to be appropriated $4,957,000 for each of the fiscal years 

15 2014 through 2018.’’. 

16 (b) YOUTH SUICIDE INTERVENTION AND PREVEN17 TION STRATEGIES.—Section 520E of the Public Health 

18 Service Act (42 U.S.C. 290bb–36) is amended to read as 

19 follows: 

20 ‘‘SEC. 520E. YOUTH SUICIDE EARLY INTERVENTION AND 

21 PREVENTION STRATEGIES. 

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

23 the Administrator of the Substance Abuse and Mental 

24 Health Services Administration, shall award grants or co25 operative agreements to eligible entities to— 


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1 ‘‘(1) develop and implement State-sponsored 

2 statewide or tribal youth suicide early intervention 

3 and prevention strategies in schools, educational in4 stitutions, juvenile justice systems, substance use 

5 disorder programs, mental health programs, foster 

6 care systems, and other child and youth support or7 ganizations; 

8 ‘‘(2) support public organizations and private 

9 nonprofit organizations actively involved in State10 sponsored statewide or tribal youth suicide early 

11 intervention and prevention strategies and in the de12 velopment and continuation of State-sponsored 

13 statewide youth suicide early intervention and pre14 vention strategies; 

15 ‘‘(3) provide grants to institutions of higher 

16 education to coordinate the implementation of State17 sponsored statewide or tribal youth suicide early 

18 intervention and prevention strategies; 

19 ‘‘(4) collect and analyze data on State-spon20 sored statewide or tribal youth suicide early inter21 vention and prevention services that can be used to 

22 monitor the effectiveness of such services and for re23 search, technical assistance, and policy development; 

24 and 


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1 ‘‘(5) assist eligible entities, through State-spon2 sored statewide or tribal youth suicide early inter3 vention and prevention strategies, in achieving tar4 gets for youth suicide reductions under title V of the 

5 Social Security Act. 

6 ‘‘(b) ELIGIBLE ENTITY.— 

7 ‘‘(1) DEFINITION.—In this section, the term 

8 ‘eligible entity’ means— 

9 ‘‘(A) a State; 

10 ‘‘(B) a public organization or private non11 profit organization designated by a State to de12 velop or direct the State-sponsored statewide 

13 youth suicide early intervention and prevention 

14 strategy; or 

15 ‘‘(C) a federally recognized Indian tribe or 

16 tribal organization (as defined in the Indian 

17 Self-Determination and Education Assistance 

18 Act) or an urban Indian organization (as de19 fined in the Indian Health Care Improvement 

20 Act) that is actively involved in the development 

21 and continuation of a tribal youth suicide early 

22 intervention and prevention strategy. 

23 ‘‘(2) LIMITATION.—In carrying out this section, 

24 the Secretary shall ensure that a State does not re25 ceive more than one grant or cooperative agreement 


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1 under this section at any one time. For purposes of 

2 the preceding sentence, a State shall be considered 

3 to have received a grant or cooperative agreement if 

4 the eligible entity involved is the State or an entity 

5 designated by the State under paragraph (1)(B). 

6 Nothing in this paragraph shall be constructed to 

7 apply to entities described in paragraph (1)(C). 

8 ‘‘(c) PREFERENCE.—In providing assistance under a 

9 grant or cooperative agreement under this section, an eli10 gible entity shall give preference to public organizations, 

11 private nonprofit organizations, political subdivisions, in12 stitutions of higher education, and tribal organizations ac13 tively involved with the State-sponsored statewide or tribal 

14 youth suicide early intervention and prevention strategy 

15 that— 

16 ‘‘(1) provide early intervention and assessment 

17 services, including screening programs, to youth who 

18 are at risk for mental or emotional disorders that 

19 may lead to a suicide attempt, and that are inte20 grated with school systems, educational institutions, 

21 juvenile justice systems, substance use disorder pro22 grams, mental health programs, foster care systems, 

23 and other child and youth support organizations; 


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1 ‘‘(2) demonstrate collaboration among early 

2 intervention and prevention services or certify that 

3 entities will engage in future collaboration; 

4 ‘‘(3) employ or include in their applications a 

5 commitment to evaluate youth suicide early interven6 tion and prevention practices and strategies adapted 

7 to the local community; 

8 ‘‘(4) provide timely referrals for appropriate 

9 community-based mental health care and treatment 

10 of youth who are at risk for suicide in child-serving 

11 settings and agencies; 

12 ‘‘(5) provide immediate support and informa13 tion resources to families of youth who are at risk 

14 for suicide; 

15 ‘‘(6) offer access to services and care to youth 

16 with diverse linguistic and cultural backgrounds; 

17 ‘‘(7) offer appropriate postsuicide intervention 

18 services, care, and information to families, friends, 

19 schools, educational institutions, juvenile justice sys20 tems, substance use disorder programs, mental 

21 health programs, foster care systems, and other 

22 child and youth support organizations of youth who 

23 recently completed suicide; 

24 ‘‘(8) offer continuous and up-to-date informa25 tion and awareness campaigns that target parents, 


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1 family members, child care professionals, community 

2 care providers, and the general public and highlight 

3 the risk factors associated with youth suicide and 

4 the life-saving help and care available from early 

5 intervention and prevention services; 

6 ‘‘(9) ensure that information and awareness 

7 campaigns on youth suicide risk factors, and early 

8 intervention and prevention services, use effective 

9 communication mechanisms that are targeted to and 

10 reach youth, families, schools, educational institu11 tions, and youth organizations; 

12 ‘‘(10) provide a timely response system to en13 sure that child-serving professionals and providers 

14 are properly trained in youth suicide early interven15 tion and prevention strategies and that child-serving 

16 professionals and providers involved in early inter17 vention and prevention services are properly trained 

18 in effectively identifying youth who are at risk for 

19 suicide; 

20 ‘‘(11) provide continuous training activities for 

21 child care professionals and community care pro22 viders on the latest youth suicide early intervention 

23 and prevention services practices and strategies; 


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1 ‘‘(12) conduct annual self-evaluations of out2 comes and activities, including consulting with inter3 ested families and advocacy organizations; 

4 ‘‘(13) provide services in areas or regions with 

5 rates of youth suicide that exceed the national aver6 age as determined by the Centers for Disease Con7 trol and Prevention; and 

8 ‘‘(14) obtain informed written consent from a 

9 parent or legal guardian of an at-risk child before 

10 involving the child in a youth suicide early interven11 tion and prevention program. 

12 ‘‘(d) REQUIREMENT FOR DIRECT SERVICES.—Not 

13 less than 85 percent of grant funds received under this 

14 section shall be used to provide direct services, of which 

15 not less than 5 percent shall be used for activities author16 ized under subsection (a)(3). 

17 ‘‘(e) CONSULTATION AND POLICY DEVELOPMENT.— 

18 ‘‘(1) IN GENERAL.—In carrying out this sec19 tion, the Secretary shall collaborate with the Sec20 retary of Education and relevant Federal agencies 

21 and suicide working groups responsible for early 

22 intervention and prevention services relating to 

23 youth suicide. 

24 ‘‘(2) CONSULTATION.—In carrying out this sec25 tion, the Secretary shall consult with— 


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1 ‘‘(A) State and local agencies, including 

2 agencies responsible for early intervention and 

3 prevention services under title XIX of the So4 cial Security Act, the State Children’s Health 

5 Insurance Program under title XXI of the So6 cial Security Act, and programs funded by 

7 grants under title V of the Social Security Act; 

8 ‘‘(B) local and national organizations that 

9 serve youth at risk for suicide and their fami10 lies; 

11 ‘‘(C) relevant national medical and other 

12 health and education specialty organizations; 

13 ‘‘(D) youth who are at risk for suicide, 

14 who have survived suicide attempts, or who are 

15 currently receiving care from early intervention 

16 services; 

17 ‘‘(E) families and friends of youth who are 

18 at risk for suicide, who have survived suicide at19 tempts, who are currently receiving care from 

20 early intervention and prevention services, or 

21 who have completed suicide; 

22 ‘‘(F) qualified professionals who possess 

23 the specialized knowledge, skills, experience, 

24 and relevant attributes needed to serve youth at 

25 risk for suicide and their families; and 


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1 ‘‘(G) third-party payers, managed care or2 ganizations, and related commercial industries. 

3 ‘‘(3) POLICY DEVELOPMENT.—In carrying out 

4 this section, the Secretary shall— 

5 ‘‘(A) coordinate and collaborate on policy 

6 development at the Federal level with the rel7 evant Department of Health and Human Serv8 ices agencies and suicide working groups; and 

9 ‘‘(B) consult on policy development at the 

10 Federal level with the private sector, including 

11 consumer, medical, suicide prevention advocacy 

12 groups, and other health and education profes13 sional-based organizations, with respect to 

14 State-sponsored statewide or tribal youth sui15 cide early intervention and prevention strate16 gies. 

17 ‘‘(f) RULE OF CONSTRUCTION; RELIGIOUS AND

18 MORAL ACCOMMODATION.—Nothing in this section shall 

19 be construed to require suicide assessment, early interven20 tion, or treatment services for youth whose parents or 

21 legal guardians object based on the parents’ or legal 

22 guardians’ religious beliefs or moral objections. 

23 ‘‘(g) EVALUATIONS AND REPORT.— 

24 ‘‘(1) EVALUATIONS BY ELIGIBLE ENTITIES.— 

25 Not later than 18 months after receiving a grant or 


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1 cooperative agreement under this section, an eligible 

2 entity shall submit to the Secretary the results of an 

3 evaluation to be conducted by the entity concerning 

4 the effectiveness of the activities carried out under 

5 the grant or agreement. 

6 ‘‘(2) REPORT.—Not later than 2 years after the 

7 date of enactment of this section, the Secretary shall 

8 submit to the appropriate committees of Congress a 

9 report concerning the results of— 

10 ‘‘(A) the evaluations conducted under 

11 paragraph (1); and 

12 ‘‘(B) an evaluation conducted by the Sec13 retary to analyze the effectiveness and efficacy 

14 of the activities conducted with grants, collabo15 rations, and consultations under this section. 

16 ‘‘(h) RULE OF CONSTRUCTION; STUDENT MEDICA17 TION.—Nothing in this section shall be construed to allow 

18 school personnel to require that a student obtain any 

19 medication as a condition of attending school or receiving 

20 services. 

21 ‘‘(i) PROHIBITION.—Funds appropriated to carry out 

22 this section, section 527, or section 529 shall not be used 

23 to pay for or refer for abortion. 

24 ‘‘(j) PARENTAL CONSENT.—States and entities re25 ceiving funding under this section shall obtain prior writVerDate Mar 15 2010 22:15 Dec 18, 2013 Jkt 039200 PO 00000 Frm 00120 Fmt 6652 Sfmt 6201 E:\BILLS\H3717.IH H3717

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1 ten, informed consent from the child’s parent or legal 

2 guardian for assessment services, school-sponsored pro3 grams, and treatment involving medication related to 

4 youth suicide conducted in elementary and secondary 

5 schools. The requirement of the preceding sentence does 

6 not apply in the following cases: 

7 ‘‘(1) In an emergency, where it is necessary to 

8 protect the immediate health and safety of the stu9 dent or other students. 

10 ‘‘(2) Other instances, as defined by the State, 

11 where parental consent cannot reasonably be ob12 tained. 

13 ‘‘(k) RELATION TO EDUCATION PROVISIONS.—Noth14 ing in this section shall be construed to supersede section 

15 444 of the General Education Provisions Act, including 

16 the requirement of prior parental consent for the disclo17 sure of any education records. Nothing in this section shall 

18 be construed to modify or affect parental notification re19 quirements for programs authorized under the Elementary 

20 and Secondary Education Act of 1965 (as amended by the 

21 No Child Left Behind Act of 2001; Public Law 107–110). 

22 ‘‘(l) DEFINITIONS.—In this section: 

23 ‘‘(1) EARLY INTERVENTION.—The term ‘early 

24 intervention’ means a strategy or approach that is 


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1 intended to prevent an outcome or to alter the 

2 course of an existing condition. 

3 ‘‘(2) EDUCATIONAL INSTITUTION; INSTITUTION

4 OF HIGHER EDUCATION; SCHOOL.—The term— 

5 ‘‘(A) ‘educational institution’ means a 

6 school or institution of higher education; 

7 ‘‘(B) ‘institution of higher education’ has 

8 the meaning given such term in section 101 of 

9 the Higher Education Act of 1965; and 

10 ‘‘(C) ‘school’ means an elementary or sec11 ondary school (as such terms are defined in sec12 tion 9101 of the Elementary and Secondary 

13 Education Act of 1965). 

14 ‘‘(3) PREVENTION.—The term ‘prevention’ 

15 means a strategy or approach that reduces the likeli16 hood or risk of onset, or delays the onset, of adverse 

17 health problems that have been known to lead to sui18 cide. 

19 ‘‘(4) YOUTH.—The term ‘youth’ means individ20 uals who are between 10 and 24 years of age. 

21 ‘‘(m) AUTHORIZATION OF APPROPRIATIONS.—For 

22 the purpose of carrying out this section, there are author23 ized to be appropriated $29,738,000 for each of the fiscal 

24 years 2014 through 2018.’’. 


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1 (c) SUICIDE PREVENTION FOR YOUTH.—Section 

2 520E–1 of the Public Health Service Act (42 U.S.C. 

3 290bb–36a) is amended— 

4 (1) by amending the section heading to read as 

5 follows: ‘‘SUICIDE PREVENTION FOR YOUTH’’; 

6 and 

7 (2) by striking subsection (n) and inserting the 

8 following: 

9 ‘‘(n) AUTHORIZATION OF APPROPRIATIONS.—For the 

10 purpose of carrying out this section, there is authorized 

11 to be appropriated such sums as may be necessary for 

12 each of fiscal years 2014 through 2018.’’. 

13 (d) MENTAL HEALTH AND SUBSTANCE USE DIS14 ORDERS SERVICES AND OUTREACH ON CAMPUS.—Section 

15 520E–2 of the Public Health Service Act (42 U.S.C. 

16 290bb–36b) is amended to read as follows: 

17 ‘‘SEC. 520E–2. MENTAL HEALTH AND SUBSTANCE USE DIS18 ORDERS SERVICES ON CAMPUS. 

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

20 the Director of the Center for Mental Health Services and 

21 in consultation with the Secretary of Education, shall 

22 award grants on a competitive basis to institutions of 

23 higher education to enhance services for students with 

24 mental health or substance use disorders and to develop 

25 best practices for the delivery of such services. 


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1 ‘‘(b) USES OF FUNDS.—Amounts received under a 

2 grant under this section shall be used for 1 or more of 

3 the following activities: 

4 ‘‘(1) The provision of mental health and sub5 stance use disorder services to students, including 

6 prevention, promotion of mental health, voluntary 

7 screening, early intervention, voluntary assessment, 

8 treatment, and management of mental health and 

9 substance abuse disorder issues. 

10 ‘‘(2) The provision of outreach services to notify 

11 students about the existence of mental health and 

12 substance use disorder services. 

13 ‘‘(3) Educating students, families, faculty, staff, 

14 and communities to increase awareness of mental 

15 health and substance use disorders. 

16 ‘‘(4) The employment of appropriately trained 

17 staff, including administrative staff. 

18 ‘‘(5) The provision of training to students, fac19 ulty, and staff to respond effectively to students with 

20 mental health and substance use disorders. 

21 ‘‘(6) The creation of a networking infrastruc22 ture to link colleges and universities with providers 

23 who can treat mental health and substance use dis24 orders. 


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1 ‘‘(7) Developing, supporting, evaluating, and 

2 disseminating evidence-based and emerging best 

3 practices. 

4 ‘‘(c) IMPLEMENTATION OF ACTIVITIES USING GRANT

5 FUNDS.—An institution of higher education that receives 

6 a grant under this section may carry out activities under 

7 the grant through— 

8 ‘‘(1) college counseling centers; 

9 ‘‘(2) college and university psychological service 

10 centers; 

11 ‘‘(3) mental health centers; 

12 ‘‘(4) psychology training clinics; 

13 ‘‘(5) institution of higher education supported, 

14 evidence-based, mental health and substance use dis15 order programs; or 

16 ‘‘(6) any other entity that provides mental 

17 health and substance use disorder services at an in18 stitution of higher education. 

19 ‘‘(d) APPLICATION.—To be eligible to receive a grant 

20 under this section, an institution of higher education shall 

21 prepare and submit to the Secretary an application at 

22 such time and in such manner as the Secretary may re23 quire. At a minimum, such application shall include the 

24 following: 


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1 ‘‘(1) A description of identified mental health 

2 and substance use disorder needs of students at the 

3 institution of higher education. 

4 ‘‘(2) A description of Federal, State, local, pri5 vate, and institutional resources currently available 

6 to address the needs described in paragraph (1) at 

7 the institution of higher education. 

8 ‘‘(3) A description of the outreach strategies of 

9 the institution of higher education for promoting ac10 cess to services, including a proposed plan for reach11 ing those students most in need of mental health 

12 services. 

13 ‘‘(4) A plan, when applicable, to meet the spe14 cific mental health and substance use disorder needs 

15 of veterans attending institutions of higher edu16 cation. 

17 ‘‘(5) A plan to seek input from community 

18 mental health providers, when available, community 

19 groups and other public and private entities in car20 rying out the program under the grant. 

21 ‘‘(6) A plan to evaluate program outcomes, in22 cluding a description of the proposed use of funds, 

23 the program objectives, and how the objectives will 

24 be met. 


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1 ‘‘(7) An assurance that the institution will sub2 mit a report to the Secretary each fiscal year con3 cerning the activities carried out with the grant and 

4 the results achieved through those activities. 

5 ‘‘(e) SPECIAL CONSIDERATIONS.—In awarding 

6 grants under this section, the Secretary shall give special 

7 consideration to applications that describe programs to be 

8 carried out under the grant that— 

9 ‘‘(1) demonstrate the greatest need for new or 

10 additional mental and substance use disorder serv11 ices, in part by providing information on current ra12 tios of students to mental health and substance use 

13 disorder health professionals; and 

14 ‘‘(2) demonstrate the greatest potential for rep15 lication. 

16 ‘‘(f) REQUIREMENT OF MATCHING FUNDS.— 

17 ‘‘(1) IN GENERAL.—The Secretary may make a 

18 grant under this section to an institution of higher 

19 education only if the institution agrees to make 

20 available (directly or through donations from public 

21 or private entities) non-Federal contributions in an 

22 amount that is not less than $1 for each $1 of Fed23 eral funds provided under the grant, toward the 

24 costs of activities carried out with the grant (as de25 scribed in subsection (b)) and other activities by the 


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1 institution to reduce student mental health and sub2 stance use disorders. 

3 ‘‘(2) DETERMINATION OF AMOUNT CONTRIB4 UTED.—Non-Federal contributions required under 

5 paragraph (1) may be in cash or in kind. Amounts 

6 provided by the Federal Government, or services as7 sisted or subsidized to any significant extent by the 

8 Federal Government, may not be included in deter9 mining the amount of such non-Federal contribu10 tions. 

11 ‘‘(3) WAIVER.—The Secretary may waive the 

12 application of paragraph (1) with respect to an insti13 tution of higher education if the Secretary deter14 mines that extraordinary need at the institution jus15 tifies the waiver. 

16 ‘‘(g) REPORTS.—For each fiscal year that grants are 

17 awarded under this section, the Secretary shall conduct 

18 a study on the results of the grants and submit to the 

19 Congress a report on such results that includes the fol20 lowing: 

21 ‘‘(1) An evaluation of the grant program out22 comes, including a summary of activities carried out 

23 with the grant and the results achieved through 

24 those activities. 


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1 ‘‘(2) Recommendations on how to improve ac2 cess to mental health and substance use disorder 

3 services at institutions of higher education, including 

4 efforts to reduce the incidence of suicide and sub5 stance use disorders. 

6 ‘‘(h) DEFINITIONS.—In this section, the term ‘insti7 tution of higher education’ has the meaning given such 

8 term in section 101 of the Higher Education Act of 1965. 

9 ‘‘(i) AUTHORIZATION OF APPROPRIATIONS.—For the 

10 purpose of carrying out this section, there are authorized 

11 to be appropriated $4,975,000 for each of the fiscal years 

12 2014 through 2018.’’. 

13 Subtitle C—Children With Serious 

14 Emotional Disturbances 

15 SEC. 1121. COMPREHENSIVE COMMUNITY MENTAL HEALTH 

16 SERVICES FOR CHILDREN WITH SERIOUS 

17 EMOTIONAL DISTURBANCES. 

18 Paragraph (1) of section 564(a) of the Public Health 

19 Service Act (42 U.S.C. 290ff(a)) is amended— 

20 (1) by striking ‘‘, acting through the Director 

21 of the Center for Mental Health Services,’’; and 

22 (2) by adding at the end the following: ‘‘Before 

23 making any such grant, the Assistant Secretary 

24 shall consult with the Director of the National InstiVerDate Mar 15 2010 22:15 Dec 18, 2013 Jkt 039200 PO 00000 Frm 00129 Fmt 6652 Sfmt 6201 E:\BILLS\H3717.IH H3717

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1 tutes of Health to ensure that the grant recipient 

2 will use evidence-based practices.’’. 

3 SEC. 1122. GENERAL PROVISIONS; REPORT; FUNDING. 

4 Section 565 of the Public Health Service Act (42 

5 U.S.C. 290ff–4) is amended— 

6 (1) in subsection (c)(2), by striking ‘‘not later 

7 than 1 year after the date on which amounts are 

8 first appropriated under subsection (c)’’ and insert9 ing ‘‘not later than 1 year after the date of enact10 ment of the Helping Families in Mental Health Cri11 sis Act of 2013’’; and 

12 (2) in subsection (f)— 

13 (A) by amending paragraph (1) to read as 

14 follows: 

15 ‘‘(1) AUTHORIZATION OF APPROPRIATIONS.— 

16 For the purpose of carrying out this part, there are 

17 authorized to be appropriated $117,000,000 for fis18 cal year 2015, $120,000,000 for fiscal year 2016, 

19 $123,000,000 for fiscal year 2017, $126,000,000 for 

20 fiscal year 2018, and $130,000,000 for fiscal year 

21 2019.’’; and 

22 (B) by moving the margin of paragraph 

23 (2) two ems to the right. 


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1 Subtitle D—Projects for Children 

2 and Violence 

3 SEC. 1131. CHILDREN AND VIOLENCE. 

4 Section 581 of the Public Health Service Act (42 

5 U.S.C. 290hh) are repealed. 

6 SEC. 1132. REAUTHORIZATION OF NATIONAL CHILD TRAU7 MATIC STRESS NETWORK. 

8 (a) REAUTHORIZATION OF NATIONAL CHILD TRAU9 MATIC STRESS NETWORK.—Section 582(f) of the Public 

10 Health Service Act (42 U.S.C. 290hh(f)) is amended to 

11 read as follows: 

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

13 carry out this section, there are authorized to be appro14 priated $50,000,000 for each of the fiscal years 2014 

15 through 2017.’’. 

16 (b) CORRESPONDING REDUCTION IN FUNDING FOR

17 PROTECTION AND ADVOCACY SYSTEMS.—Section 117 of 

18 the Protection and Advocacy for Individuals with Mental 

19 Illness Act (42 U.S.C. 10827) is amended to read as fol20 lows: 

21 ‘‘SEC. 117. AUTHORIZATION OF APPROPRIATIONS. 

22 ‘‘There are authorized to be appropriated for allot23 ments under this title $5,000,000 for each of the fiscal 

24 years 2014 through 2017.’’. 


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1 Subtitle E—Protection and Advo2 cacy for Individuals With Men3 tal Illness 

4 SEC. 1141. PROHIBITION AGAINST LOBBYING BY SYSTEMS 

5 ACCEPTING FEDERAL FUNDS TO PROTECT 

6 AND ADVOCATE THE RIGHTS OF INDIVID7 UALS WITH MENTAL ILLNESS. 

8 Section 105(a) of the Protection and Advocacy for 

9 Individuals with Mental Illness Act (42 U.S.C. 10805(a)) 

10 is amended— 

11 (1) in paragraph (9), by striking ‘‘and’’ at the 

12 end; 

13 (2) in paragraph (10), by striking the period at 

14 the end and inserting ‘‘; and’’; and 

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

16 ‘‘(11) agree to refrain, during any period for 

17 which funding is provided to the system under this 

18 part, from— 

19 ‘‘(A) lobbying or retaining a lobbyist for 

20 the purpose of influencing a Federal, State, or 

21 local governmental entity or officer; 

22 ‘‘(B) using such funding to engage in sys23 temic lawsuits, or to investigate and seek legal 

24 remedies cases other than individual cases of 

25 abuse or neglect; or 


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1 ‘‘(C) counseling an individual with a seri2 ous mental illness who lacks insight into their 

3 condition on refusing medical treatment or act4 ing against the wishes of such individual’s care5 giver.’’. 

6 Subtitle F—Limitations on 

7 Authority 

8 SEC. 1151. LIMITATIONS ON SAMHSA PROGRAMS. 

9 (a) NO SPONSORING CONFERENCES.—The Adminis10 trator of the Substance Abuse and Mental Health Services 

11 Administration shall not host or sponsor any conference 

12 that will not be primarily administered by the Substance 

13 Abuse and Mental Health Services Administration without 

14 giving at least 90 days of prior notification to the Com15 mittee on Energy and Commerce and the Committee on 

16 Appropriations of the House of Representatives and the 

17 Committee on Health, Education, Labor, and Pensions 

18 and the Committee on Appropriations of the Senate. 

19 (b) EVIDENCE-BASED PRACTICES.—The Adminis20 trator of the Substance Abuse and Mental Health Services 

21 Administration shall not provide any financial assistance 

22 for any program relating to mental health or substance 

23 use diagnosis or treatment, unless such diagnosis and 

24 treatment relies on evidence-based practices. 


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1 SEC. 1152. ELIMINATION OF UNAUTHORIZED SAMHSA PRO2 GRAMS. 

3 (a) ELIMINATION OF PROGRAMS WITHOUT EXPLICIT

4 STATUTORY AUTHORIZATION.— 

5 (1) NO NEW PROGRAMS.—The Administrator of 

6 the Substance Abuse and Mental Health Services 

7 Administration may not establish, and the Secretary 

8 of Health and Human Services may not delegate to 

9 the Administrator responsibility for, any program or 

10 project that is not explicitly authorized or required 

11 by statute. 

12 (2) TERMINATION OF EXISTING PROGRAMS.— 

13 By the end of fiscal year 2014, any program or 

14 project of the Substance Abuse and Mental Health 

15 Services Administration that is not explicitly author16 ized or required by statute shall be terminated. 

17 (b) REPORT.— 

18 (1) IN GENERAL.—The Assistant Secretary for 

19 Mental Health and Substance Use Disorders shall 

20 seek to enter into an arrangement with the Institute 

21 of Medicine under which the Institute (or, if the In22 stitute declines to enter into such arrangement, an23 other appropriate entity) agrees to submit a report 

24 to the Congress not later than July 31, 2014, identi25 fying each program, project, or activity to be termi26 nated under subsection (a). 


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1 (2) RECOMMENDATIONS.—The report under 

2 paragraph (1) shall recommend whether any of the 

3 programs should be retained based on public health 

4 data, such as reduced mortality rates and hos5 pitalization within the community for individuals 

6 with serious mental illness, thus proving the pro7 gram has had a demonstrable benefit using public 

8 health and epidemiological factors. 

Æ 


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