9–8–8 call centers, 9–1–1 public service answer-
ing points, and local mental health and sub-
stance use disorder treatment providers) oper-
ating in a common region for the discussion of 
case management, best practices, and general 
performance improvement. 
‘‘(3) SERVICE
CAPACITY
AND
QUALITY
BEST 
PRACTICES.—The best practices under subsection (a) 
shall include recommendations on— 
‘‘(A) adequate volume of services to meet 
population need; 
‘‘(B) appropriate timely response; and 
‘‘(C) capacity to meet the needs of different 
patient populations that may experience a men-
tal health or substance use crisis, including chil-
dren, families, and all age groups, cultural and 
linguistic minorities, individuals with co-occur-
ring mental health and substance use disorders, 
individuals with cognitive disabilities, individ-
uals with developmental delays, and individuals 
with chronic medical conditions and physical 
disabilities. 
‘‘(4) IMPLEMENTATION
TIMEFRAME.—The Sec-
retary shall— 
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‘‘(A) not later than 1 year after the date of 
enactment of this section, publish and maintain 
the best practices required by subsection (a); and 
‘‘(B) every two years thereafter, publish up-
dates. 
‘‘(5) DATA COLLECTION AND EVALUATIONS.—The 
Secretary, directly or through grants, contracts, or 
interagency agreements, shall collect data and conduct 
evaluations with respect to the provision of services 
and programs offered on the crisis response con-
tinuum for purposes of assessing the extent to which 
the provision of such services and programs meet cer-
tain objectives and outcomes measures as determined 
by the Secretary. Such objectives shall include— 
‘‘(A) a reduction in reliance on law enforce-
ment response, as appropriate, to individuals in 
crisis who would be more appropriately served 
by a mobile crisis team capable of responding to 
mental health and substance-related crises; 
‘‘(B) a reduction in boarding or extended 
holding of patients in emergency room facilities 
who require further psychiatric care, including 
care for substance use disorders; 
‘‘(C) evidence of adequate access to crisis 
care centers and crisis bed services; and 
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‘‘(D) evidence of adequate linkage to appro-
priate post-crisis care and longitudinal treat-
ment for mental health or substance use disorder 
when relevant.’’. 
Subtitle B—Into the Light for Ma-
ternal Mental Health and Sub-
stance Use Disorders 
SEC. 111. SCREENING AND TREATMENT FOR MATERNAL 
MENTAL HEALTH AND SUBSTANCE USE DIS-
ORDERS. 
(a) IN GENERAL.—Section 317L–1 of the Public 
Health Service Act (42 U.S.C. 247b–13a) is amended— 
(1) in the section heading, by striking ‘‘MATER-
NAL
DEPRESSION’’ and inserting ‘‘MATERNAL 
MENTAL
HEALTH
AND
SUBSTANCE
USE
DIS-
ORDERS’’; and 
(2) in subsection (a)— 
(A) by inserting ‘‘, Indian Tribes and Trib-
al organizations (as such terms are defined in 
section 4 of the Indian Self-Determination and 
Education Assistance Act), and Urban Indian 
organizations (as such term is defined under the 
Federally Recognized Indian Tribe List Act of 
1994)’’ after ‘‘States’’; and 
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(B) by striking ‘‘for women who are preg-
nant, or who have given birth within the pre-
ceding 12 months, for maternal depression’’ and 
inserting ‘‘for women who are postpartum, preg-
nant, or have given birth within the preceding 
12 months, for maternal mental health and sub-
stance use disorders’’. 
(b) APPLICATION.—Subsection (b) of section 317L–1 of 
the Public Health Service Act (42 U.S.C. 247b–13a) is 
amended— 
(1) by striking ‘‘a State shall submit’’ and in-
serting ‘‘an entity listed in subsection (a) shall sub-
mit’’; and 
(2) in paragraphs (1) and (2), by striking ‘‘ma-
ternal depression’’ each place it appears and inserting 
‘‘maternal mental health and substance use dis-
orders’’. 
(c) PRIORITY.—Subsection (c) of section 317L–1 of the 
Public Health Service Act (42 U.S.C. 247b–13a) is amend-
ed— 
(1) by striking ‘‘may give priority to States pro-
posing to improve or enhance access to screening’’ and 
inserting the following: ‘‘shall give priority to entities 
listed in subsection (a) that— 
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‘‘(1) are proposing to create, improve, or enhance 
screening, prevention, and treatment’’; 
(2) by striking ‘‘maternal depression’’ and in-
serting ‘‘maternal mental health and substance use 
disorders’’; 
(3) by striking the period at the end of para-
graph (1), as so designated, and inserting a semi-
colon; and 
(4) by inserting after such paragraph (1) the fol-
lowing: 
‘‘(2) are currently partnered with, or will part-
ner with, a community-based organization to address 
maternal mental health and substance use disorders; 
‘‘(3) are located in an area with high rates of 
adverse maternal health outcomes or significant 
health, economic, racial, or ethnic disparities in ma-
ternal health and substance use disorder outcomes; 
and 
‘‘(4) operate in a health professional shortage 
area designated under section 332.’’. 
(d) USE OF FUNDS.—Subsection (d) of section 317L– 
1 of the Public Health Service Act (42 U.S.C. 247b–13a) 
is amended— 
(1) in paragraph (1)— 
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(A) in subparagraph (A), by striking ‘‘to 
health care providers; and’’ and inserting ‘‘on 
maternal mental health and substance use dis-
order screening, brief intervention, treatment (as 
applicable for health care providers), and refer-
rals for treatment to health care providers in the 
primary care setting and nonclinical perinatal 
support workers;’’; 
(B) in subparagraph (B), by striking ‘‘to 
health care providers, including information on 
maternal depression screening, treatment, and 
followup support services, and linkages to com-
munity-based resources; and’’ and inserting ‘‘on 
maternal mental health and substance use dis-
order screening, brief intervention, treatment (as 
applicable for health care providers) and refer-
rals for treatment, follow-up support services, 
and linkages to community-based resources to 
health care providers in the primary care setting 
and clinical perinatal support workers; and’’; 
and 
(C) by adding at the end the following: 
‘‘(C) enabling health care providers (such as 
obstetrician-gynecologists, nurse practitioners, 
nurse midwives, pediatricians, psychiatrists, 
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mental and other behavioral health care pro-
viders, and adult primary care clinicians) to 
provide or receive real-time psychiatric consulta-
tion (in-person or remotely), including through 
the use of technology-enabled collaborative learn-
ing and capacity building models (as defined in 
section 330N), to aid in the treatment of preg-
nant and postpartum women; and’’; and 
(2) in paragraph (2)— 
(A) by striking subparagraph (A) and re-
designating subparagraphs (B) and (C) as sub-
paragraphs (A) and (B), respectively; 
(B) in subparagraph (A), as redesignated, 
by striking ‘‘and’’ at the end; 
(C) in subparagraph (B), as redesignated— 
(i) by inserting ‘‘, including’’ before 
‘‘for rural areas’’; and 
(ii) by striking the period at the end 
and inserting a semicolon; and 
(D) by inserting after subparagraph (B), as 
redesignated, the following: 
‘‘(C) providing assistance to pregnant and 
postpartum women to receive maternal mental 
health and substance use disorder treatment, in-
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cluding patient consultation, care coordination, 
and navigation for such treatment; 
‘‘(D) coordinating with maternal and child 
health programs of the Federal Government and 
State, local, and Tribal governments, including 
child psychiatric access programs; 
‘‘(E) conducting public outreach and aware-
ness regarding grants under subsection (a); 
‘‘(F) creating multistate consortia to carry 
out the activities required or authorized under 
this subsection; and 
‘‘(G) training health care providers in the 
primary care setting and nonclinical perinatal 
support workers on trauma-informed care, cul-
turally and linguistically appropriate services, 
and best practices related to training to improve 
the provision of maternal mental health and sub-
stance use disorder care for racial and ethnic 
minority populations, including with respect to 
perceptions and biases that may affect the ap-
proach to, and provision of, care.’’. 
(e) ADDITIONAL PROVISIONS.—Section 317L–1 of the 
Public Health Service Act (42 U.S.C. 247b–13a) is amend-
ed— 
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(1) by redesignating subsection (e) as subsection 
(h); and 
(2) by inserting after subsection (d) the fol-
lowing: 
‘‘(e) TECHNICAL ASSISTANCE.—The Secretary shall 
provide technical assistance to grantees and entities listed 
in subsection (a) for carrying out activities pursuant to this 
section. 
‘‘(f) DISSEMINATION OF BEST PRACTICES.—The Sec-
retary, based on evaluation of the activities funded pursu-
ant to this section, shall identify and disseminate evidence- 
based or evidence-informed best practices for screening, as-
sessment, and treatment services for maternal mental health 
and substance use disorders, including culturally and lin-
guistically appropriate services, for women during preg-
nancy and 12 months following pregnancy. 
‘‘(g) MATCHING REQUIREMENT.—The Federal share of 
the cost of the activities for which a grant is made to an 
entity under subsection (a) shall not exceed 90 percent of 
the total cost of such activities.’’. 
(f) AUTHORIZATION OF APPROPRIATIONS.—Subsection 
(h) of section 317L–1 (42 U.S.C. 247b–13a) of the Public 
Health Service Act, as redesignated, is further amended— 
(1) by striking ‘‘$5,000,000’’ and inserting 
‘‘$24,000,000’’; and 
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(2) by striking ‘‘2018 through 2022’’ and insert-
ing ‘‘2023 through 2027’’. 
SEC. 112. MATERNAL MENTAL HEALTH HOTLINE. 
Part P of title III of the Public Health Service Act 
(42 U.S.C. 280g et seq.) is amended by adding at the end 
the following: 
‘‘SEC. 399V–7. MATERNAL MENTAL HEALTH HOTLINE. 
‘‘(a) IN GENERAL.—The Secretary shall maintain, di-
rectly or by grant or contract, a national hotline to provide 
emotional support, information, brief intervention, and 
mental health and substance use disorder resources to preg-
nant and postpartum women at risk of, or affected by, ma-
ternal mental health and substance use disorders, and to 
their families or household members. 
‘‘(b) REQUIREMENTS
FOR
HOTLINE.—The hotline 
under subsection (a) shall— 
‘‘(1) be a 24/7 real-time hotline; 
‘‘(2) provide voice and text support; 
‘‘(3) be staffed by certified peer specialists, li-
censed health care professionals, or licensed mental 
health professionals who are trained on— 
‘‘(A) maternal mental health and substance 
use disorder prevention, identification, and 
intervention; and 
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‘‘(B) providing culturally and linguistically 
appropriate support; and 
‘‘(4) provide maternal mental health and sub-
stance use disorder assistance and referral services to 
meet the needs of underserved populations, individ-
uals with disabilities, and family and household 
members of pregnant or postpartum women at risk of 
experiencing maternal mental health and substance 
use disorders. 
‘‘(c) ADDITIONAL REQUIREMENTS.—In maintaining 
the hotline under subsection (a), the Secretary shall— 
‘‘(1) consult with the Domestic Violence Hotline, 
National Suicide Prevention Lifeline, and Veterans 
Crisis Line to ensure that pregnant and postpartum 
women are connected in real-time to the appropriate 
specialized hotline service, when applicable; 
‘‘(2) conduct a public awareness campaign for 
the hotline; and 
‘‘(3) consult with Federal departments and agen-
cies, including the Centers of Excellence of the Sub-
stance Abuse and Mental Health Services Administra-
tion and the Department of Veterans Affairs, to in-
crease awareness regarding the hotline. 
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