II 

117TH CONGRESS 

2D SESSION S. 4170 

To reauthorize programs related to mental health, and for other purposes. 

IN THE SENATE OF THE UNITED STATES 

MAY 10, 2022 

Mr. CASSIDY (for himself and Mr. MURPHY) introduced the following bill; 

which was read twice and referred to the Committee on Health, Education, Labor, and Pensions 

A BILL 

To reauthorize programs related to mental health, and for 

other purposes. 

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

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Mental Health Reform 

5 Reauthorization Act of 2022’’. 

6 SEC. 2. SUBSTANCE ABUSE AND MENTAL HEALTH SERV7 ICES ADMINISTRATION. 

8 Section 501(d) of the Public Health Service Act (42 

9 U.S.C. 290aa(d)) is amended— 


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1 (1) in paragraph (5), by inserting ‘‘coordination 

2 between programs and Centers of Excellence regard3 ing promising and best practices and dissemination 

4 to the field and’’ after ‘‘, including’’; 

5 (2) in paragraph (24)(E), by striking ‘‘; and’’ 

6 and inserting a semicolon; 

7 (3) in paragraph (25), by striking the period 

8 and inserting ‘‘; and’’; and 

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

10 ‘‘(26) coordinate with the Centers for Medicare 

11 & Medicaid Services to promote coverage of evi12 dence-based prevention and treatment services, im13 prove quality of care, and identify opportunities for 

14 State Medicaid agencies and State mental health 

15 and substance use disorder agencies to collaborate, 

16 including through the braiding of funds, demonstra17 tion programs, waivers, amendments to State plans 

18 under section 1912, other State flexibilities, and 

19 agency guidance for all populations enrolled in Med20 icaid programs.’’. 

21 SEC. 3. COMMUNITY MENTAL HEALTH SERVICES BLOCK 

22 GRANT. 

23 (a) FUNDING.—Section 1920 of the Public Health 

24 Service Act (42 U.S.C. 300x–9) is amended— 


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1 (1) in subsection (a), by striking 

2 ‘‘$532,571,000 for each of fiscal years 2018 through 

3 2022’’ and inserting ‘‘1,000,000,000 for each of fis4 cal years 2023 through 2027’’; and 

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

6 ‘‘(d) CRISIS CARE.— 

7 ‘‘(1) IN GENERAL.—Except as provided in para8 graph (3), a State shall expend not less than 5 per9 cent of the amount the State receives pursuant to 

10 section 1911 for each fiscal year to support evi11 denced-based programs. 

12 ‘‘(2) CORE ELEMENTS.—At the discretion of 

13 the single State agency responsible for the adminis14 tration of the program of the State under a grant 

15 under section 1911, funds expended pursuant to 

16 paragraph (1) may be used to fund some or all of 

17 the core crisis care service components, delivered ac18 cording to evidence-based principles, including the 

19 following: 

20 ‘‘(A) Crisis call centers. 

21 ‘‘(B) 24/7 mobile crisis services. 

22 ‘‘(C) Crisis stabilization programs offering 

23 acute care or subacute care in a hospital or ap24 propriately licensed facility, as determined by 

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1 ices Administration, with referrals to inpatient 

2 or outpatient care. 

3 ‘‘(3) STATE FLEXIBILITY.—In lieu of expending 

4 5 percent of the amount the State receives pursuant 

5 to section 1911 for a fiscal year to support evidence6 based programs as required by paragraph (1), a 

7 State may elect to expend not less than 10 percent 

8 of such amount to support such programs by the 

9 end of 2 consecutive fiscal years. 

10 ‘‘(e) PREVENTION.— 

11 ‘‘(1) IN GENERAL.—Except as provided in para12 graph (3), a State shall expend not less than 5 per13 cent of the amount the State receives pursuant to 

14 section 1911 for each fiscal year to support evi15 denced-based early identification and early interven16 tion programs that prevent or mitigate the develop17 ment of mental illness in individuals, including chil18 dren and adolescents, who may be at risk of devel19 oping a serious mental illness or serious emotional 

20 disturbance, within the meaning of such term as de21 fined by the Secretary pursuant to section 1912, or 

22 as determined through the use of evidence-based 

23 screening instruments or clinical assessment. 

24 ‘‘(2) CORE ELEMENTS.—At the discretion of 

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1 tration of the program of the State under a grant 

2 under section 1911, funds expended pursuant to 

3 paragraph (1) shall be used for evidence-based prac4 tices that follow or exceed the quality of generally 

5 accepted standards of care. 

6 ‘‘(3) STATE FLEXIBILITY.—In lieu of expending 

7 5 percent of the amount the State receives pursuant 

8 to section 1911 for a fiscal year to support evidence9 based early identification and early intervention pro10 grams as required by paragraph (1), a State may 

11 elect to expend not less than 10 percent of such 

12 amount to support such programs by the end of 2 

13 consecutive fiscal years. 

14 ‘‘(f) REPORTS BY THE SECRETARY.— 

15 ‘‘(1) IN GENERAL.—The Secretary shall— 

16 ‘‘(A) commission longitudinal follow-up 

17 studies of the population of individuals served 

18 by funds expended pursuant to subsection 

19 (e)(1) to determine clinical outcomes that may 

20 be associated with such funds, including crisis 

21 services utilization and emergency department 

22 visits and hospitalizations related to mental ill23 ness, prevalence of suicidal behavior, mortality, 

24 disability income, high school graduation rates, 

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1 fication, placement stability, and permanency 

2 for children in foster care, disaggregated by 

3 mental illness diagnosis; and 

4 ‘‘(B) submit a biennial report summarizing 

5 incremental findings of the studies conducted 

6 under paragraph (1) to Congress. 

7 ‘‘(2) REQUIREMENTS.—In carrying out para8 graph (1)(A), the Secretary shall— 

9 ‘‘(A) solicit feedback from stakeholders, in10 cluding pediatric experts, on outcomes to use 

11 for different age groups and populations; and 

12 ‘‘(B) consider how States who have re13 ceived funding are partnering with providers to 

14 increase access to mental health services spe15 cific to adults and to children. 

16 ‘‘(g) SPECIAL RULE.—The requirements described in 

17 subsection (b)(1)(A)(vi) for a State plan required under 

18 such section shall not apply with respect to funds allocated 

19 for the purposes described in subsections (d) and (e).’’. 

20 (b) RESTRICTIONS ON USE OF PAYMENTS.—Section 

21 1916(a) of the Public Health Service Act (42 U.S.C. 

22 300x–5(a)) is amended— 

23 (1) in paragraph (3), by adding ‘‘or’’ after the 

24 semicolon; 


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1 (2) in paragraph (4), by striking ‘‘; or’’ and in2 serting a period; and 

3 (3) by striking paragraph (5). 

4 SEC. 4. GRANTS FOR JAIL DIVERSION PROGRAMS. 

5 Section 520G of the Public Health Service Act (42 

6 U.S.C. 290bb–38) is amended— 

7 (1) in subsection (c)(2)(A)(i)— 

8 (A) by inserting ‘‘support continuity of 

9 care (including in consultation with the individ10 ual’s mental health clinician when feasible and 

11 with continuation of previously prescribed psy12 chotropic medication and medication for the 

13 treatment of substance use disorder, as appro14 priate),’’ after ‘‘evidence-based practices,’’; 

15 (B) by inserting ‘‘to relevant medications 

16 approved by the Food and Drug Administra17 tion’’ after ‘‘management and access’’; and 

18 (C) by inserting ‘‘peer recovery support 

19 services,’’ after ‘‘co-occurring substance use dis20 order treatment,’’; 

21 (2) in subsection (e)(4) by inserting ‘‘and re22 sponse (including suicide prevention)’’ after ‘‘crisis 

23 intervention’’; and 

24 (3) in subsection (j), by striking ‘‘$4,269,000 

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1 serting ‘‘$6,269,000 for each of fiscal years 2023 

2 through 2027’’. 

3 SEC. 5. ASSISTED OUTPATIENT TREATMENT. 

4 Section 224 of the Protecting Access to Medicare Act 

5 of 2014 (Public Law 113–93; 42 U.S.C. 290aa note) is 

6 amended— 

7 (1) in subsection (e)— 

8 (A) in the matter preceding paragraph (1), 

9 by striking ‘‘each of fiscal years 2016, 2017, 

10 2018, 2019, 2020, 2021, and 2022’’ and insert11 ing ‘‘fiscal year 2027’’; 

12 (B) by striking paragraphs (2) and (3) and 

13 inserting the following: 

14 ‘‘(2) Impact of assisted outpatient treatment on 

15 rates of psychiatric hospitalization, homelessness, ar16 rest, and incarceration of patients. 

17 ‘‘(3) Significant variations in program design 

18 among grantees, including variations in the role of 

19 courts in monitoring and motivating patient 

20 progress, and the comparative impacts of such vari21 ations upon program outcomes.’’; and 

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

23 ‘‘(5) Use of psychiatric advance directives or 

24 other methods for patient input in care.’’; 


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1 (2) in subsection (f)(1), by striking ‘‘local 

2 court’’ and inserting ‘‘local civil court’’; and 

3 (3) in subsection (g)— 

4 (A) in paragraph (1), by striking ‘‘2015 

5 through 2022’’ and inserting ‘‘2023 through 

6 2027’’; and 

7 (B) in paragraph (2), by striking 

8 ‘‘$15,000,000 for each of’’ and all that follows 

9 through ‘‘2022’’ and inserting ‘‘$21,000,000 for 

10 each of fiscal years 2023 through 2027’’. 

11 SEC. 6. PROJECTS FOR ASSISTANCE IN TRANSITION FROM 

12 HOMELESSNESS. 

13 Part C of title V of the Public Health Service Act 

14 (42 U.S.C. 290cc–21 et seq.) is amended— 

15 (1) in section 522(g)(1) (42 U.S.C. 290cc– 

16 22(g)(1)) by striking ‘‘20 percent’’ and inserting 

17 ‘‘25 percent’’; and 

18 (2) in section 535(a) (42 U.S.C. 290cc–35(a)), 

19 by striking ‘‘$64,635,000 for each of fiscal years 

20 2018 through 2022’’ and inserting ‘‘$64,635,000 for 

21 each of fiscal years 2023 through 2027’’. 


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1 SEC. 7. GRANTS TO SUPPORT MENTAL HEALTH AND SUB2 STANCE USE DISORDER PARITY IMPLEMEN3 TATION. 

4 (a) IN GENERAL.—Section 2794(c) of the Public 

5 Health Service Act (42 U.S.C. 300gg–94(c)) (as added by 

6 section 1003 of the Patient Protection and Affordable 

7 Care Act (Public Law 111–148) is amended by adding at 

8 the end the following: 

9 ‘‘(3) PARITY IMPLEMENTATION.— 

10 ‘‘(A) IN GENERAL.—Beginning 60 days 

11 after the date of enactment of the Parity Imple12 mentation Assistance Act, the Secretary shall 

13 award grants to States to implement the mental 

14 health and substance use disorder parity provi15 sions of section 2726, provided that in order to 

16 receive such a grant, a State is required to re17 quest and review from health insurance issuers 

18 offering group or individual health insurance 

19 coverage the comparative analyses and other in20 formation required of such health insurance 

21 issuers under subsection (a)(8)(A) of such sec22 tion 2726 regarding the design and application 

23 of nonquantitative treatment limitations im24 posed on mental health or substance use dis25 order benefits. 


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1 ‘‘(B) AUTHORIZATION OF APPROPRIA2 TIONS.—For purposes of awarding grants 

3 under subparagraph (A), there are authorized 

4 to be appropriated $25,000,000 for each of the 

5 first five fiscal years beginning after the date of 

6 the enactment of this paragraph.’’. 

7 (b) TECHNICAL AMENDMENT.—Section 2794 of the 

8 Public Health Service Act (42 U.S.C. 300gg–95), as 

9 added by section 6603 of the Patient Protection and Af10 fordable Care Act (Public Law 111–148) is redesignated 

11 as section 2795. 

12 SEC. 8. ELIMINATING THE OPT-OUT FOR NON-FEDERAL 

13 GOVERNMENTAL HEALTH PLANS. 

14 Section 2722(a)(2) of the Public Health Service Act 

15 (42 U.S.C. 300gg–21(a)(2)) is amended by adding at the 

16 end the following new subparagraph: 

17 ‘‘(F) SUNSET OF ELECTION OPTION.— 

18 ‘‘(i) IN GENERAL.—Notwithstanding 

19 the preceding provisions of this para20 graph— 

21 ‘‘(I) no election described in sub22 paragraph (A) with respect to the pro23 visions of section 2726 may be made 

24 on or after the date of enactment of 

25 this subparagraph; and 


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1 ‘‘(II) except as provided in clause 

2 (ii), no such election with respect to 

3 the provisions of section 2726 expir4 ing on or after the date that is 180 

5 days after the date of such enactment 

6 may be renewed. 

7 ‘‘(ii) EXCEPTION FOR CERTAIN COL8 LECTIVELY BARGAINED PLANS.—Notwith9 standing clause (i)(II), a plan described in 

10 subparagraph (B)(ii) that is subject to 

11 multiple agreements described in such sub12 paragraph of varying lengths and that has 

13 an election in effect under subparagraph 

14 (A) as of the date of enactment of this 

15 subparagraph that expires on or after the 

16 date that is 180 days after the date of 

17 such enactment may extend such election 

18 until the date on which the term of the last 

19 such agreement expires. 

20 ‘‘(iii) GUIDANCE.—The Secretary 

21 shall issue guidance to plans to support 

22 carrying out activities under this section 

23 with regard to section 2726, including the 

24 requirements under subsection (a)(8) of 

25 such section. Such guidance shall include 


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1 an explanation of documents that are re2 quired to be disclosed and analyses that 

3 are required to be conducted pursuant to 

4 such subsection (a)(8), including how non5 quantitative treatment limitations are ap6 plied to mental health or substance use 

7 disorder benefits and medical or surgical 

8 benefits covered under the plan, in order 

9 for such plan to demonstrate compliance 

10 with this section and section 2726.’’. 

11 SEC. 9. MINORITY FELLOWSHIP PROGRAM. 

12 Section 597 of the Public Health Service Act (42 

13 U.S.C. 290ll) is amended— 

14 (1) in subsection (b), by inserting ‘‘addiction 

15 medicine,’’ after ‘‘mental health counseling,’’; and 

16 (2) in subsection (c), by striking ‘‘$12,669,000 

17 for each of fiscal years 2018 through 2022’’ and in18 serting ‘‘$25,000,000 for each of fiscal years 2023 

19 through 2027’’. 

20 SEC. 10. PRIORITY MENTAL HEALTH NEEDS OF REGIONAL 

21 AND NATIONAL SIGNIFICANCE. 

22 Section 520A of the Public Health Service Act (42 

23 U.S.C. 290bb–32) is amended by striking ‘‘2018 through 

24 2022’’ and inserting ‘‘2023 through 2027’’. 


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1 SEC. 11. ENCOURAGING INNOVATION AND EVIDENCE2 BASED PROGRAMS WITHIN THE NATIONAL 

3 MENTAL HEALTH AND SUBSTANCE USE POL4 ICY LABORATORY. 

5 (a) REAUTHORIZATION.—Section 501A(e)(3) of the 

6 Public Health Service Act (42 U.S.C. 290aa–0(e)(3)) is 

7 amended by striking ‘‘2018 through 2020’’ each place it 

8 appears and inserting ‘‘2023 through 2027’’. 

9 (b) GAO STUDY.—Not later than 18 months after 

10 the date of enactment of this Act, the Comptroller General 

11 of the United States shall perform a report on the work 

12 of the National Mental Health and Substance Use Policy 

13 Laboratory established under section 501A of the Public 

14 Health Service Act (42 U.S.C. 290aa–0), including— 

15 (1) the extent to which such Laboratory is 

16 meeting its responsibilities as set forth in such sec17 tion 501A; and 

18 (2) any recommendations for improvement, in19 cluding methods to expand the use of evidence-based 

20 practices across programs, recommendations to im21 prove program evaluations for effectiveness, and dis22 semination of resources to stakeholders and the pub23 lic. 


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1 SEC. 12. PROGRAMS FOR CHILDREN WITH A SERIOUS EMO2 TIONAL DISTURBANCE. 

3 Section 565(f) of the Public Health Service Act (42 

4 U.S.C. 290ff–4(f)) is amended— 

5 (1) in paragraph (1), by striking 

6 ‘‘$119,026,000 for each of fiscal years 2018 through 

7 2022’’ and inserting ‘‘$125,000,000 for each of fis8 cal years 2023 through 2027’’; and 

9 (2) by moving the margin of paragraph (2) 2 

10 ems to the right. 

11 SEC. 13. MENTAL AND BEHAVIORAL HEALTH EDUCATION 

12 AND TRAINING GRANTS. 

13 Section 756(f) of the Public Health Service Act (42 

14 U.S.C. 294e–1(f)) is amended— 

15 (1) in the matter preceding paragraph (1)— 

16 (A) by striking ‘‘2019 through 2023’’ and 

17 inserting ‘‘2023 through 2027’’; and 

18 (B) by striking ‘‘$50,000,000’’ and insert19 ing ‘‘$102,000,000’’; 

20 (2) in paragraph (1), by striking 

21 ‘‘$15,000,000’’ and inserting ‘‘$30,500,000’’; 

22 (3) in paragraph (2), by striking 

23 ‘‘$15,000,000’’ and inserting ‘‘$30,500,000’’; 

24 (4) in paragraph (3), by striking 

25 ‘‘$10,000,000’’ and inserting ‘‘$20,500,000’’; and 


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1 (5) in paragraph (4), by striking 

2 ‘‘$10,000,000’’ and inserting ‘‘$20,500,000’’. 

3 SEC. 14. DEVELOPMENT AND DISSEMINATION OF MODEL 

4 TRAINING PROGRAMS UNDER HIPAA. 

5 Section 11004 of the 21st Century Cures Act (Public 

6 Law 114–255; 42 U.S.C. 1320d–2 note) is amended— 

7 (1) by redesignating subsections (c) through (e) 

8 as subsections (d) through (f), respectively; 

9 (2) by inserting after subsection (b) the fol10 lowing: 

11 ‘‘(b) REPORTS TO CONGRESS.—The Secretary shall 

12 submit a report to Congress— 

13 ‘‘(1) not later than 1 year after the date of en14 actment of the Mental Health Reform Reauthoriza15 tion Act of 2022, on actions taken pursuant to sub16 section (b); and 

17 ‘‘(2) not later than 2 years after the date of 

18 submission of the report under paragraph (1), on 

19 updates made to the model programs and materials 

20 described in subsection (a) after the release of the 

21 final regulations required under section 3221(i) of 

22 the Coronavirus Aid, Relief, and Economic Security 

23 Act (Public Law 116–136).’’; and 

24 (3) in subsection (f), as so redesignated, by 

25 striking ‘‘this section—’’ and all that follows 


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1 through the end of paragraph (3) and inserting the 

2 following: ‘‘this section $1,000,000 for each of fiscal 

3 years 2023 through 2027’’. 

4 SEC. 15. PROMOTING INTEGRATION OF PRIMARY CARE 

5 AND BEHAVIORAL HEALTH. 

6 Section 520K of the Public Health Service Act (42 

7 U.S.C. 290bb–42) is amended— 

8 (1) in subsection (c)(2)— 

9 (A) in subparagraph (D), by striking ‘‘; 

10 and’’ and inserting a semicolon; 

11 (B) by redesignating subparagraph (E) as 

12 subparagraph (F); and 

13 (C) by inserting after subparagraph (D) 

14 the following: 

15 ‘‘(E) a description of how validated rating 

16 scales will be implemented to support the im17 provement of patient outcomes using measure18 ment-based care, including related to depression 

19 screening, patient follow up, and symptom im20 provement; and’’; and 

21 (2) in subsection (h), by striking ‘‘$51,878,000 

22 for each of fiscal years 2018 through 2022’’ and in23 serting ‘‘$52,877,000 for each of fiscal years 2023 

24 through 2027’’. 


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1 SEC. 16. PEDIATRIC MENTAL HEALTH CARE ACCESS GRANT 

2 PROGRAM. 

3 Section 330M of the Public Health Service Act (42 

4 U.S.C. 254c–19) is amended— 

5 (1) in subsection (b)— 

6 (A) in paragraph (1)— 

7 (i) in subparagraph (G)— 

8 (I) by inserting ‘‘developmental9 behavioral pediatricians,’’ after ‘‘ado10 lescent psychiatrists,’’; and 

11 (II) by inserting ‘‘, and which 

12 may include addiction specialists,’’ 

13 after ‘‘mental health counselors’’; 

14 (ii) in subparagraph (H), by striking 

15 ‘‘; and’’ and inserting a semicolon; 

16 (iii) in subparagraph (I), by striking 

17 the period and inserting ‘‘; and’’; and 

18 (iv) by adding at the end the fol19 lowing: 

20 ‘‘(J) maintain an up-to-date list of commu21 nity-based supports for children with mental 

22 health conditions.’’; 

23 (B) in paragraph (2), by inserting ‘‘, and 

24 which may include a developmental-behavioral 

25 pediatrician and an addiction specialist’’ before 

26 the period at the end of the first sentence; and 


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

2 ‘‘(3) SUPPORT TO SCHOOLS AND EMERGENCY

3 DEPARTMENTS.—In addition to the required activi4 ties specified in paragraph (1), a statewide or re5 gional network of pediatric mental health teams re6 ferred to in subsection (a), with respect to which a 

7 grant under such subsection may be used, may pro8 vide support to schools and emergency depart9 ments.’’; 

10 (2) by redesignating subsection (g) as sub11 section (h); 

12 (3) by inserting after subsection (f) the fol13 lowing: 

14 ‘‘(g) TECHNICAL ASSISTANCE.—The Secretary may 

15 award a grant to an eligible entity for purposes of pro16 viding technical assistance to recipients of grants under 

17 subsection (a).’’; and 

18 (4) in subsection (h), as so redesignated, by 

19 striking ‘‘$9,000,000 for the period of fiscal years 

20 2018 through 2022’’ and inserting ‘‘$14,000,000 for 

21 each of fiscal years 2023 through 2025 and 

22 $30,000,000 for each of fiscal years 2026 and 

23 2027’’. 


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1 SEC. 17. TRAINING IN BEHAVIORAL HEALTH FOR PRIMARY 

2 CARE PROVIDERS CARING FOR PEDIATRIC 

3 POPULATIONS. 

4 The Advisory Committee on Training in Primary 

5 Care Medicine and Dentistry of the Health Resources and 

6 Services Administration shall convene and issue a report 

7 that includes— 

8 (1) recommendations to optimize the content 

9 and competencies of trainees and primary care pro10 viders treating pediatric populations to address be11 havioral health conditions; and 

12 (2) best practices for training pediatric pro13 viders in behavioral health conditions, utilization of 

14 evidence-based screening tools, and follow up care to 

15 higher levels of care, when appropriate. 

16 SEC. 18. FIRST EPISODE PSYCHOSIS. 

17 (a) REVIEW OF USE OF CERTAIN FUNDING.—Not 

18 later than 180 days after the date of enactment of this 

19 Act, the Secretary of Health and Human Services, acting 

20 through the Assistant Secretary for Mental Health and 

21 Substance Use, shall conduct a review of the use by States 

22 of funds made available under the Community Mental 

23 Health Services Block Grant subpart I of part B of title 

24 XIX of the Public Health Service Act (42 U.S.C. 300x 

25 et seq.) for First Episode Psychosis activities. Such review 

26 shall consider the following: 


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1 (1) How the States use funds for evidence2 based treatments and services according to the 

3 standard of care for those with serious mental ill4 ness, including the comprehensiveness of such treat5 ments to include all aspects of the recommended 

6 intervention. 

7 (2) How State mental health departments are 

8 coordinating with State Medicaid departments in the 

9 delivery of the treatments and services described in 

10 paragraph (1). 

11 (3) What percentage of the State funding under 

12 the block grant is being applied toward First Epi13 sode Psychosis in excess of 10 percent of the amount 

14 of the grant, as broken down on a State-by-State 

15 basis. The review shall also identify any States that 

16 fail to expend the required 10 percent of block grant 

17 funds on First Episode Psychosis activities. 

18 (4) How many individuals are served by the ex19 penditures described in paragraph (3), broken down 

20 on a per-capita basis. 

21 (5) How the funds are used to reach individuals 

22 in underserved populations, including individuals in 

23 rural areas and individuals from minority groups. 

24 (b) REPORT AND GUIDANCE.— 


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1 (1) REPORT.—Not later than 6 months after 

2 the completion of the review under subsection (a), 

3 the Secretary of Health and Human Services, acting 

4 through the Assistant Secretary for Mental Health 

5 and Substance Use, shall submit to the appropriate 

6 authorization and appropriations committees of Con7 gress, a report on the finding made as a result of 

8 the review conducted under subsection (a). Such re9 port shall include any recommendations with respect 

10 to any changes to the Community Mental Health 

11 Services Block Grant program, including the set 

12 aside required for First Episode Psychosis, that 

13 would facilitate improved outcomes for the targeted 

14 population involved. 

15 (2) GUIDANCE.—Not later than 1 year after 

16 the date on which the report is submitted under 

17 paragraph (1), the Secretary of Health and Human 

18 Services, acting through the Assistant Secretary for 

19 Mental Health and Substance Use, shall update the 

20 guidance provided to States under the Community 

21 Mental Health Services Block Grant based on the 

22 findings and recommendations of the report. 

23 (c) TECHNICAL ASSISTANCE.—The Director of the 

24 National Institute of Mental Health shall coordinate with 

25 the Assistant Secretary for Mental Health and Substance 


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1 Use in providing technical assistance to State grantees 

2 and provider subgrantees in the delivery of services for 

3 First Episode Psychosis under the Community Mental 

4 Health Services Block Grant. 

5 SEC. 19. CMS STUDY AND REPORT REGARDING ADHER6 ENCE TO STANDARD OF CARE FOR TREAT7 MENT OF INDIVIDUALS WITH SERIOUS MEN8 TAL ILLNESS AND CHILDREN WITH SERIOUS 

9 EMOTIONAL DISTURBANCE UNDER MEDI10 CARE AND MEDICAID. 

11 (a) STUDY.—The Administrator of the Centers for 

12 Medicare & Medicaid Services shall review claims relating 

13 to treatment of individuals with serious mental illness and 

14 children with serious emotional disturbance made under 

15 the Medicare program established under title XVIII of the 

16 Social Security Act (42 U.S.C. 1395 et seq.) and the Med17 icaid program established under title XIX of such Act (42 

18 U.S.C. 1396 et seq.) and the State Children’s Health In19 surance Program under title XXI of the Social Security 

20 Act (42 U.S.C. 1397aa et seq.) for purposes of assessing 

21 the extent to which such individuals receive evidence-based 

22 treatments according to the standard of care for those 

23 with serious mental illness and serious emotional disturb24 ance and the extent to which the comprehensiveness of 


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1 such treatments includes all aspects of a recommended 

2 intervention under the applicable standard of care. 

3 (b) REPORT.—Not later than 6 months after the date 

4 of enactment of this Act, the Administrator of the Centers 

5 for Medicare & Medicaid Services shall submit to Congress 

6 a report on the study required by subsection (a). 

7 SEC. 20. GUIDANCE FOR STATES RELATING TO COVERAGE 

8 RECOMMENDATIONS OF HEALTH CARE SERV9 ICES AND INTERVENTIONS FOR INDIVIDUALS 

10 WITH SERIOUS MENTAL ILLNESS AND CHIL11 DREN WITH SERIOUS EMOTIONAL DISTURB12 ANCE. 

13 Not later than 2 years after the date of enactment 

14 of this Act, the Administrator of the Centers for Medicare 

15 & Medicaid Services, jointly with the Assistant Secretary 

16 for Mental Health and Substance Use and the Director 

17 of the National Institute of Mental Health— 

18 (1) shall provide updated guidance to States 

19 concerning— 

20 (A) coverage recommendations relating to 

21 health care services and interventions for those 

22 with serious mental illness, specifically First 

23 Episode Psychosis; and 

24 (B) the manner in which Federal funding 

25 provided to States through programs adminisVerDate Sep 11 2014 03:18 May 11, 2022 Jkt 029200 PO 00000 Frm 00024 Fmt 6652 Sfmt 6201 E:\BILLS\S4170.IS S4170

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1 tered by such agencies, including the Commu2 nity Mental Health Services Block Grant pro3 gram under subpart I of part B of title XIX of 

4 the Public Health Service Act (42 U.S.C. 300x 

5 et seq.), may be coordinated to support individ6 uals with serious mental illness and serious 

7 emotional disturbance; and 

8 (2) may streamline relevant State reporting re9 quirements if such streamlining would result in mak10 ing it easier for States to coordinate funding under 

11 the programs described in paragraph (1)(B) to im12 prove treatments for individuals with serious mental 

13 illness and serious emotional disturbance. 

14 SEC. 21. GAO STUDY ON DATA COLLECTION AND PUBLIC 

15 REPORTING. 

16 Not later than 18 months after the date of enactment 

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

18 in consultation with the Assistant Secretary for Mental 

19 Health and Substance Use and the Secretary of Health 

20 and Human Services, shall perform a study on areas to 

21 improve data reporting across programs of the Substance 

22 Abuse and Mental Health Services Administration. Such 

23 report and evaluation shall include— 

24 (1) recommendations for improvements to— 


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1 (A) data collected from recipients of 

2 grants, contract, and cooperative agreements 

3 from the Substance Abuse and Mental Health 

4 Services Administration; 

5 (B) utilization of outcome measures and 

6 evidence-based practices; 

7 (C) program performance evaluations; and 

8 (D) the impact of grant funding on dif9 ferent age groups and populations, including 

10 children and adolescents; 

11 (2) a review of how the State plans required 

12 under section 1912 of the Public Health Service Act 

13 (42 U.S.C. 300x–1) and section 1932 of such Act 

14 (42 U.S.C. 300x–32) and reports required under 

15 section 1942 of such Act (42 U.S.C. 300x–52) could 

16 be updated and simplified; and 

17 (3) areas to improve dissemination and how 

18 data should be reported to the public. 

19 SEC. 22. PRIMARY CARE TRAINING AND ENHANCEMENT 

20 FOR MENTAL HEALTH. 

21 Section 747(c)(2) of the Public Health Service Act 

22 (42 U.S.C. 293k(c)(2)) is amended— 

23 (1) by striking ‘‘Fifteen percent’’ and inserting 

24 the following: 


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1 ‘‘(A) PHYSICIAN ASSISTANT TRAINING

2 PROGRAMS.—Fifteen percent’’; and 

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

4 ‘‘(B) MENTAL HEALTH PROGRAMS.—Ten 

5 percent of the amount appropriated pursuant to 

6 paragraph (1) in each such fiscal year shall be 

7 allocated to training programs focused on men8 tal health, with an emphasis on primary care 

9 for pediatric populations.’’. 

Æ 


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