II 

109TH CONGRESS 

1ST SESSION S. 537 

To increase the number of well-trained mental health service professionals 

(including those based in schools) providing clinical mental health care 

to children and adolescents, and for other purposes. 

IN THE SENATE OF THE UNITED STATES 

MARCH 7, 2005 

Mr. BINGAMAN introduced the following bill; which was read twice and 

referred to the Committee on Health, Education, Labor, and Pensions 

A BILL 

To increase the number of well-trained mental health service 

professionals (including those based in schools) providing 

clinical mental health care to children and adolescents, 

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 ‘‘Child Health Care Cri5 sis Relief Act’’. 

6 SEC. 2. FINDINGS. 

7 Congress finds the following: 
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1 (1) The Center for Mental Health Services esti2 mates that 20 percent or 13,700,000 of the Nation’s 

3 children and adolescents have a diagnosable mental 

health disorder, and about 2 4 ⁄3 of these children and 

5 adolescents do not receive mental health care. 

6 (2) According to ‘‘Mental Health: A Report of 

7 the Surgeon General’’ in 1999, there are approxi8 mately 6,000,000 to 9,000,000 children and adoles9 cents in the United States (accounting for 9 to 13 

10 percent of all children and adolescents in the United 

11 States) who meet the definition for having a serious 

12 emotional disturbance. 

13 (3) According to the Center for Mental Health 

14 Services, approximately 5 to 9 percent of children 

15 and adolescents in the United States meet the defi16 nition for extreme functional impairment. 

17 (4) According to the Surgeon General’s Report, 

18 there are particularly acute shortages in the num19 bers of mental health service professionals serving 

20 children and adolescents with serious emotional dis21 orders. 

22 (5) According to the National Center for Edu23 cation Statistics in the Department of Education, 

24 there are approximately 513 students for each school 

25 counselor in United States schools, which ratio is 
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1 more than double the recommended ratio of 250 stu2 dents for each school counselor. 

3 (6) According to a year 2000 estimate of the 

4 Bureau of Health Professions, the demand for the 

5 services of child and adolescent psychiatry is pro6 jected to increase by 100 percent by 2020. 

7 (7) The development and application of knowl8 edge about the impact of disasters on children, ado9 lescents, and their families has been impeded by crit10 ical shortages of qualified researchers and practi11 tioners specializing in this work. 

12 (8) According to the Bureau of the Census, the 

13 population of children and adolescents in the United 

14 States under the age of 18 is projected to grow by 

15 more than 40 percent, from 70,000,000 to more 

16 than 100,000,000 by 2050. 

17 SEC. 3. LOAN REPAYMENTS, SCHOLARSHIPS, AND GRANTS 

18 TO IMPROVE CHILD AND ADOLESCENT MEN19 TAL HEALTH CARE. 

20 Subpart 2 of part E of title VII of the Public Health 

21 Service Act (42 U.S.C. 295 et seq.) is amended by adding 

22 at the end the following: 
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1 ‘‘SEC. 771. LOAN REPAYMENTS, SCHOLARSHIPS, AND 

2 GRANTS TO IMPROVE CHILD AND ADOLES3 CENT MENTAL HEALTH CARE. 

4 ‘‘(a) LOAN REPAYMENTS FOR CHILD AND ADOLES5 CENT MENTAL HEALTH SERVICE PROFESSIONALS.— 

6 ‘‘(1) ESTABLISHMENT.—The Secretary, acting 

7 through the Administrator of the Health Resources 

8 and Services Administration, may establish a pro9 gram of entering into contracts on a competitive 

10 basis with eligible individuals (as defined in para11 graph (2)) under which— 

12 ‘‘(A) the eligible individual agrees to be 

13 employed full-time for a specified period of at 

14 least 2 years in providing mental health services 

15 to children and adolescents; and 

16 ‘‘(B) the Secretary agrees to make, during 

17 the period of employment described in subpara18 graph (A), partial or total payments on behalf 

19 of the individual on the principal and interest 

20 due on the undergraduate and graduate edu21 cational loans of the eligible individual. 

22 ‘‘(2) ELIGIBLE INDIVIDUAL.—For purposes of 

23 this section, the term ‘eligible individual’ means an 

24 individual who— 

25 ‘‘(A) is receiving specialized training or 

26 clinical experience in child and adolescent men-
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1 tal health in psychiatry, psychology, school psy2 chology, psychiatric nursing, social work, school 

3 social work, marriage and family therapy, 

4 school counseling, or professional counseling 

5 and has less than 1 year remaining before com6 pletion of such training or clinical experience; 

7 or 

8 ‘‘(B)(i) has a license in a State to practice 

9 allopathic medicine, osteopathic medicine, psy10 chology, school psychology, psychiatric nursing, 

11 social work, school social work, marriage and 

12 family therapy, school counseling, or profes13 sional counseling; and 

14 ‘‘(ii)(I) is a mental health service profes15 sional who completed (but not before the end of 

16 the calendar year in which this section is en17 acted) specialized training or clinical experience 

18 in child and adolescent mental health services 

19 described in subparagraph (A); or 

20 ‘‘(II) is a physician who graduated from 

21 (but not before the end of the calendar year in 

22 which this section is enacted) an accredited 

23 child and adolescent psychiatry residency or fel24 lowship program in the United States. 
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1 ‘‘(3) ADDITIONAL ELIGIBILITY REQUIRE2 MENTS.—The Secretary may not enter into a con3 tract under this subsection with an eligible indi4 vidual unless the individual— 

5 ‘‘(A) is a United States citizen or a perma6 nent legal United States resident; and 

7 ‘‘(B) if enrolled in a graduate program (in8 cluding a medical residency or fellowship), has 

9 an acceptable level of academic standing as de10 termined by the Secretary. 

11 ‘‘(4) PRIORITY.—In entering into contracts 

12 under this subsection, the Secretary shall give pri13 ority to applicants who— 

14 ‘‘(A) are or will be working with high pri15 ority populations; 

16 ‘‘(B) have familiarity with evidence-based 

17 methods in child and adolescent mental health 

18 services; 

19 ‘‘(C) demonstrate financial need; and 

20 ‘‘(D) are or will be— 

21 ‘‘(i) working in the publicly funded 

22 sector; 

23 ‘‘(ii) working in organizations that 

24 serve underserved populations; or 
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1 ‘‘(iii) willing to provide patient serv2 ices— 

3 ‘‘(I) regardless of the ability of a 

4 patient to pay for such services; or 

5 ‘‘(II) on a sliding payment scale 

6 if a patient is unable to pay the total 

7 cost of such services. 

8 ‘‘(5) MEANINGFUL LOAN REPAYMENT.—If the 

9 Secretary determines that funds appropriated for a 

10 fiscal year to carry out this subsection are not suffi11 cient to allow a meaningful loan repayment to all ex12 pected applicants, the Secretary shall limit the num13 ber of contracts entered into under paragraph (1) to 

14 ensure that each such contract provides for a mean15 ingful loan repayment. 

16 ‘‘(6) AMOUNT.— 

17 ‘‘(A) MAXIMUM.—For each year of the em18 ployment period described in paragraph (1)(A), 

19 the Secretary shall not, under a contract de20 scribed in paragraph (1), pay more than 

21 $35,000 on behalf of an individual. 

22 ‘‘(B) CONSIDERATION.—In determining 

23 the amount of payments to be made on behalf 

24 of an eligible individual under a contract de25 scribed in paragraph (1), the Secretary shall 
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1 consider the income and debt load of the eligi2 ble individual. 

3 ‘‘(7) APPLICABILITY OF CERTAIN PROVI4 SIONS.—The provisions of sections 338E and 338F 

5 shall apply to the program established under para6 graph (1) to the same extent and in the same man7 ner as such provisions apply to the National Health 

8 Service Corps Loan Repayment Program established 

9 in subpart III of part D of title III. 

10 ‘‘(8) AUTHORIZATION OF APPROPRIATIONS.— 

11 There is authorized to be appropriated to carry out 

12 this subsection $10,000,000 for each of fiscal years 

13 2006 through 2010. 

14 ‘‘(b) SCHOLARSHIPS FOR STUDENTS STUDYING TO

15 BECOME CHILD AND ADOLESCENT MENTAL HEALTH

16 SERVICE PROFESSIONALS.— 

17 ‘‘(1) ESTABLISHMENT.—The Secretary, acting 

18 through the Administrator of the Health Resources 

19 and Services Administration, may establish a pro20 gram to award scholarships on a competitive basis to 

21 eligible students who agree to enter into full-time 

22 employment (as described in paragraph (4)(C)) as a 

23 child and adolescent mental health service profes24 sional after graduation or completion of a residency 

25 or fellowship. 
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1 ‘‘(2) ELIGIBLE STUDENT.—For purposes of 

2 this subsection, the term ‘eligible student’ means a 

3 United States citizen or a permanent legal United 

4 States resident who— 

5 ‘‘(A) is enrolled or accepted to be enrolled 

6 in a graduate program that includes specialized 

7 training or clinical experience in child and ado8 lescent mental health in psychology, school psy9 chology, psychiatric nursing, social work, school 

10 social work, marriage and family therapy, 

11 school counseling, or professional counseling; or 

12 ‘‘(B) is enrolled or accepted to be enrolled 

13 in an accredited graduate training program of 

14 allopathic or osteopathic medicine in the United 

15 States and intends to complete an accredited 

16 residency or fellowship in child and adolescent 

17 psychiatry. 

18 ‘‘(3) PRIORITY.—In awarding scholarships 

19 under this subsection, the Secretary shall give— 

20 ‘‘(A) highest priority to applicants who 

21 previously received a scholarship under this 

22 subsection and satisfy the criteria described in 

23 subparagraph (B); and 

24 ‘‘(B) second highest priority to applicants 

25 who— 
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1 ‘‘(i) demonstrate a commitment to 

2 working with high priority populations; 

3 ‘‘(ii) have familiarity with evidence4 based methods in child and adolescent 

5 mental health services; 

6 ‘‘(iii) demonstrate financial need; and 

7 ‘‘(iv) are or will be— 

8 ‘‘(I) working in the publicly fund9 ed sector; 

10 ‘‘(II) working in organizations 

11 that serve underserved populations; or 

12 ‘‘(III) willing to provide patient 

13 services— 

14 ‘‘(aa) regardless of the abil15 ity of a patient to pay for such 

16 services; or 

17 ‘‘(bb) on a sliding payment 

18 scale if a patient is unable to pay 

19 the total cost of such services. 

20 ‘‘(4) REQUIREMENTS.—The Secretary may 

21 award a scholarship to an eligible student under this 

22 subsection only if the eligible student agrees— 

23 ‘‘(A) to complete any graduate training 

24 program, internship, residency, or fellowship 
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1 applicable to that eligible student under para2 graph (2); 

3 ‘‘(B) to maintain an acceptable level of 

4 academic standing (as determined by the Sec5 retary) during the completion of such graduate 

6 training program, internship, residency, or fel7 lowship; and 

8 ‘‘(C) to be employed full-time after gradua9 tion or completion of a residency or fellowship, 

10 for at least the number of years for which a 

11 scholarship is received by the eligible student 

12 under this subsection, in providing mental 

13 health services to children and adolescents. 

14 ‘‘(5) USE OF SCHOLARSHIP FUNDS.—A scholar15 ship awarded to an eligible student for a school year 

16 under this subsection may be used to pay for only 

17 tuition expenses of the school year, other reasonable 

18 educational expenses (including fees, books, and lab19 oratory expenses incurred by the eligible student in 

20 the school year), and reasonable living expenses, as 

21 such tuition expenses, reasonable educational ex22 penses, and reasonable living expenses are deter23 mined by the Secretary. 

24 ‘‘(6) AMOUNT.—The amount of a scholarship 

25 under this subsection shall not exceed the total 
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1 amount of the tuition expenses, reasonable edu2 cational expenses, and reasonable living expenses de3 scribed in paragraph (5). 

4 ‘‘(7) APPLICABILITY OF CERTAIN PROVI5 SIONS.—The provisions of sections 338E and 338F 

6 shall apply to the program established under para7 graph (1) to the same extent and in the same man8 ner as such provisions apply to the National Health 

9 Service Corps Scholarship Program established in 

10 subpart III of part D of title III. 

11 ‘‘(8) AUTHORIZATION OF APPROPRIATIONS.— 

12 There is authorized to be appropriated to carry out 

13 this subsection $5,000,000 for each of fiscal years 

14 2006 through 2010. 

15 ‘‘(c) CLINICAL TRAINING GRANTS FOR PROFES16 SIONALS.— 

17 ‘‘(1) ESTABLISHMENT.—The Secretary, acting 

18 through the Administrator of the Health Resources 

19 and Services Administration, and in cooperation 

20 with the Administrator of the Substance Abuse and 

21 Mental Health Services Administration, may estab22 lish a program to award grants on a competitive 

23 basis to accredited institutions of higher education 

24 to establish or expand internships or other field 

25 placement programs for students receiving special-
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1 ized training or clinical experience in child and ado2 lescent mental health in the fields of psychiatry, psy3 chology, school psychology, psychiatric nursing, so4 cial work, school social work, marriage and family 

5 therapy, school counseling, or professional coun6 seling. 

7 ‘‘(2) PRIORITY.—In awarding grants under this 

8 subsection, the Secretary shall give priority to appli9 cants that— 

10 ‘‘(A) have demonstrated the ability to col11 lect data on the number of students trained in 

12 child and adolescent mental health and the pop13 ulations served by such students after gradua14 tion; 

15 ‘‘(B) have demonstrated familiarity with 

16 evidence-based methods in child and adolescent 

17 mental health services; and 

18 ‘‘(C) have programs designed to increase 

19 the number of professionals serving high pri20 ority populations. 

21 ‘‘(3) REQUIREMENTS.—The Secretary may 

22 award a grant to an applicant under this subsection 

23 only if the applicant agrees that— 
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1 ‘‘(A) any internship or other field place2 ment program assisted under the grant will 

3 prioritize cultural competency; 

4 ‘‘(B) students benefitting from any assist5 ance under this subsection will be United States 

6 citizens or permanent legal United States resi7 dents; 

8 ‘‘(C) the institution will provide to the Sec9 retary such data, assurances, and information 

10 as the Secretary may require; and 

11 ‘‘(D) with respect to any violation of the 

12 agreement between the Secretary and the insti13 tution, the institution will pay such liquidated 

14 damages as prescribed by the Secretary by reg15 ulation. 

16 ‘‘(4) APPLICATION.—Each institution of higher 

17 education desiring a grant under this section shall 

18 submit to the Secretary an application at such time, 

19 in such manner, and containing such information as 

20 the Secretary may require including a description of 

21 the experience of such institution in working with 

22 child and adolescent mental health issues. 

23 ‘‘(5) AUTHORIZATION OF APPROPRIATIONS.— 

24 There is authorized to be appropriated to carry out 
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1 this subsection $10,000,000 for each of fiscal years 

2 2006 through 2010. 

3 ‘‘(d) PROGRESSIVE EDUCATION GRANTS FOR PARA4 PROFESSIONALS.— 

5 ‘‘(1) ESTABLISHMENT.—The Secretary, acting 

6 through the Administrator of the Health Resources 

7 and Services Administration, and in cooperation 

8 with the Administrator of the Substance Abuse and 

9 Mental Health Services Administration, may estab10 lish a program to award grants on a competitive 

11 basis to State-licensed mental health nonprofit and 

12 for-profit organizations, including accredited institu13 tions of higher education, (in this subsection re14 ferred to as ‘organizations’) to enable such organiza15 tions to pay for programs for preservice or in-service 

16 training of paraprofessional child and adolescent 

17 mental health workers. 

18 ‘‘(2) DEFINITION.—For purposes of this sub19 section, the term ‘paraprofessional child and adoles20 cent mental health worker’ means an individual who 

21 is not a mental health service professional, but who 

22 works at the first stage of contact with children and 

23 families who are seeking mental health services. 
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1 ‘‘(3) PRIORITY.—In awarding grants under this 

2 subsection, the Secretary shall give priority to orga3 nizations that— 

4 ‘‘(A) have demonstrated the ability to col5 lect data on the number of paraprofessional 

6 child and adolescent mental health workers 

7 trained by the applicant and the populations 

8 served by these workers after the completion of 

9 the training; 

10 ‘‘(B) have familiarity with evidence-based 

11 methods in child and adolescent mental health 

12 services; and 

13 ‘‘(C) have programs designed to increase 

14 the number of paraprofessional child and ado15 lescent mental health workers serving high pri16 ority populations. 

17 ‘‘(4) REQUIREMENTS.—The Secretary may 

18 award a grant to an organization under this sub19 section only if the organization agrees that— 

20 ‘‘(A) any training program assisted under 

21 the grant will prioritize cultural competency; 

22 ‘‘(B) the organization will provide to the 

23 Secretary such data, assurances, and informa24 tion as the Secretary may require; and 
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1 ‘‘(C) with respect to any violation of the 

2 agreement between the Secretary and the orga3 nization, the organization will pay such liq4 uidated damages as prescribed by the Secretary 

5 by regulation. 

6 ‘‘(5) APPLICATION.—Each organization desiring 

7 a grant under this subsection shall submit to the 

8 Secretary an application at such time, in such man9 ner, and containing such information as the Sec10 retary may require including a description of the ex11 perience of the organization in working with para12 professional child and adolescent mental health 

13 workers. 

14 ‘‘(6) AUTHORIZATION OF APPROPRIATIONS.— 

15 There is authorized to be appropriated to carry out 

16 this subsection $5,000,000 for each of fiscal years 

17 2006 through 2010. 

18 ‘‘(e) CHILD AND ADOLESCENT MENTAL HEALTH

19 PROGRAM DEVELOPMENT GRANTS.— 

20 ‘‘(1) ESTABLISHMENT.—The Secretary, acting 

21 through the Administrator of the Health Resources 

22 and Services Administration, may establish a pro23 gram to increase the number of well-trained child 

24 and adolescent mental health service professionals in 

25 the United States by awarding grants on a competi-
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1 tive basis to accredited institutions of higher edu2 cation to enable such institutions to establish or ex3 pand accredited graduate child and adolescent men4 tal health programs. 

5 ‘‘(2) PRIORITY.—In awarding grants under this 

6 subsection, the Secretary shall give priority to appli7 cants that— 

8 ‘‘(A) demonstrate familiarity with the use 

9 of evidence-based methods in child and adoles10 cent mental health services; 

11 ‘‘(B) provide experience in and collabora12 tion with community-based child and adolescent 

13 mental health services; 

14 ‘‘(C) have included normal child develop15 ment education in their curricula; and 

16 ‘‘(D) demonstrate commitment to working 

17 with high priority populations. 

18 ‘‘(3) USE OF FUNDS.—Funds awarded under 

19 this subsection may be used to establish or expand 

20 any accredited graduate child and adolescent mental 

21 health program in any manner deemed appropriate 

22 by the Secretary, including improving the 

23 coursework, related field placements, or faculty of 

24 such program. 
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1 ‘‘(4) REQUIREMENTS.—The Secretary may 

2 award a grant to an accredited institution of higher 

3 education under this subsection only if the institu4 tion agrees that— 

5 ‘‘(A) any child and adolescent mental 

6 health program assisted under the grant will 

7 prioritize cultural competency; 

8 ‘‘(B) the institution will provide to the Sec9 retary such data, assurances, and information 

10 as the Secretary may require; and 

11 ‘‘(C) with respect to any violation of the 

12 agreement between the Secretary and the insti13 tution, the institution will pay such liquidated 

14 damages as prescribed by the Secretary by reg15 ulation. 

16 ‘‘(5) AUTHORIZATION OF APPROPRIATIONS.— 

17 There is authorized to be appropriated to carry out 

18 this subsection $15,000,000 for each of fiscal years 

19 2006 through 2010. 

20 ‘‘(f) DEFINITIONS.—In this section: 

21 ‘‘(1) HIGH PRIORITY POPULATION.—The term 

22 ‘high priority population’ means a population that 

23 has a significantly greater incidence than the na24 tional average of children who have serious emo25 tional disturbances, children who are racial and eth-
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1 nic minorities, or children who live in underserved 

2 urban or rural areas. 

3 ‘‘(2) MENTAL HEALTH SERVICE PROFES4 SIONAL.—The term ‘mental health service profes5 sional’ means an individual with a graduate or post6 graduate degree from an accredited institution of 

7 higher education in psychiatry, psychology, school 

8 psychology, psychiatric nursing, social work, school 

9 social work, marriage and family counseling, school 

10 counseling, or professional counseling. 

11 ‘‘(3) SPECIALIZED TRAINING OR CLINICAL EX12 PERIENCE IN CHILD AND ADOLESCENT MENTAL

13 HEALTH.—The term ‘specialized training or clinical 

14 experience in child and adolescent mental health’ 

15 means training and clinical experience that— 

16 ‘‘(A) is part of or occurs after completion 

17 of an accredited graduate program in the 

18 United States for training mental health service 

19 professionals; 

20 ‘‘(B) consists of at least 500 hours of 

21 training or clinical experience in treating chil22 dren and adolescents; and 

23 ‘‘(C) is comprehensive, coordinated, devel24 opmentally appropriate, and of high quality to 
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1 address the unique ethnic and cultural diversity 

2 of the United States population.’’. 

3 SEC. 4. AMENDMENTS TO SOCIAL SECURITY ACT TO IM4 PROVE CHILD AND ADOLESCENT MENTAL 

5 HEALTH CARE. 

6 (a) INCREASING NUMBER OF CHILD AND ADOLES7 CENT PSYCHIATRY RESIDENTS PERMITTED TO BE PAID

8 UNDER THE MEDICARE GRADUATE MEDICAL EDUCATION

9 PROGRAM.—Section 1886(h)(4)(F) of the Social Security 

10 Act (42 U.S.C. 1395ww(h)(4)(F)) is amended by adding 

11 at the end the following: 

12 ‘‘(iii) INCREASE ALLOWED FOR TRAIN13 ING IN CHILD AND ADOLESCENT PSYCHI14 ATRY.—In applying clause (i), there shall 

15 not be taken into account such additional 

16 number of full-time equivalent residents in 

17 the field of allopathic or osteopathic medi18 cine who are residents or fellows in child 

19 and adolescent psychiatry as the Secretary 

20 determines reasonable to meet the need for 

21 such physicians as demonstrated by the 

22 1999 report of the Department of Health 

23 and Human Services entitled ‘Mental 

24 Health: A Report of the Surgeon Gen25 eral’.’’. 
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1 (b) EXTENSION OF MEDICARE BOARD ELIGIBILITY

2 PERIOD FOR RESIDENTS AND FELLOWS IN CHILD AND

3 ADOLESCENT PSYCHIATRY.— 

4 (1) IN GENERAL.—Section 1886(h)(5)(G) of 

5 the Social Security Act (42 U.S.C. 

6 1395ww(h)(5)(G)) is amended— 

7 (A) in clause (i), by striking ‘‘and (v)’’ and 

8 inserting ‘‘(v), and (vi)’’; and 

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

10 ‘‘(vi) CHILD AND ADOLESCENT PSY11 CHIATRY TRAINING PROGRAMS.—In the 

12 case of an individual enrolled in a child 

13 and adolescent psychiatry residency or fel14 lowship program approved by the Sec15 retary, the period of board eligibility and 

16 the initial residency period shall be the pe17 riod of board eligibility for the specialty of 

18 general psychiatry, plus 2 years for the 

19 subspecialty of child and adolescent psychi20 atry.’’. 

21 (2) CONFORMING AMENDMENT.—Section 

22 1886(h)(5)(F) of the Social Security Act (42 U.S.C. 

23 1395ww(h)(5)(F)) is amended by striking ‘‘subpara24 graph (G)(v)’’ and inserting ‘‘clauses (v) and (vi) of 

25 subparagraph (G)’’. 
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1 (3) EFFECTIVE DATE.—The amendments made 

2 by paragraph (1) shall apply to residency training 

3 years beginning on or after July 1, 2006. 

4 SEC. 5. CHILD MENTAL HEALTH PROFESSIONAL REPORT. 

5 (a) STUDY.—The Administrator of the Health Re6 sources and Services Administration (in this section re7 ferred to as the ‘‘Administrator’’) shall study and make 

8 findings and recommendations on the distribution and 

9 need for child mental health service professionals, includ10 ing— 

11 (1) the need for specialty certifications; 

12 (2) the breadth of practice types; 

13 (3) the adequacy of locations; 

14 (4) the adequacy of education and training; and 

15 (5) an evaluation of best practice characteris16 tics. 

17 (b) DISAGGREGATION.—The results of the study re18 quired by subsection (a) shall be disaggregated by State. 

19 (c) REPORT.—Not later than 2 years after the date 

20 of enactment of this Act, the Administrator shall submit 

21 to the appropriate committees of Congress and make pub22 licly available a report on the study, findings, and rec23 ommendations required by subsection (a). 
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1 SEC. 6. REPORTS. 

2 (a) TRANSMISSION.—The Secretary of Health and 

3 Human Services shall transmit a report described in sub4 section (b) to Congress— 

5 (1) not later than 3 years after the date of the 

6 enactment of this Act; and 

7 (2) not later than 5 years after the date of the 

8 enactment of this Act. 

9 (b) CONTENTS.—The reports transmitted to Con10 gress under subsection (a) shall address each of the fol11 lowing: 

12 (1) The effectiveness of the amendments made 

13 by, and the programs carried out under, this Act in 

14 increasing the number of child and adolescent men15 tal health service professionals and paraprofessional 

16 child and adolescent mental health workers. 

17 (2) The demographics of the individuals served 

18 by such increased number of child and adolescent 

19 mental health service professionals and paraprofes20 sional child and adolescent mental health workers. 

Æ