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Sec. 251. Study on exemptions for treatment of opioid use disorder through 
opioid treatment programs during the COVID–19 public health 
emergency. 
Sec. 252. Changes to Federal opioid treatment standards. 
Subtitle F—Additional Provisions Relating to Addiction Treatment 
Sec. 261. Prohibition. 
Sec. 262. Eliminating additional requirements for dispensing narcotic drugs in 
schedule III, IV, and V for maintenance or detoxification treat-
ment. 
Sec. 263. Requiring prescribers of controlled substances to complete training. 
Sec. 264. Increase in number of days before which certain controlled substances 
must be administered. 
Sec. 265. Block, report, and suspend suspicious shipments. 
Subtitle G—Opioid Epidemic Response 
Sec. 271. Opioid prescription verification. 
Sec. 272. Synthetic Opioid Danger Awareness. 
Sec. 273. Grant program for State and Tribal response to opioid and stimulant 
use and misuse. 
TITLE III—ACCESS TO MENTAL HEALTH CARE AND COVERAGE 
Subtitle A—Collaborate in an Orderly and Cohesive Manner 
Sec. 301. Increasing uptake of the collaborative care model. 
Subtitle B—Helping Enable Access to Lifesaving Services 
Sec. 311. Reauthorization and provision of certain programs to strengthen the 
health care workforce. 
Sec. 312. Reauthorization of minority fellowship program. 
Subtitle C—Eliminating the Opt-Out for Nonfederal Governmental Health 
Plans 
Sec. 321. Eliminating the opt-out for nonfederal governmental health plans. 
Subtitle D—Mental Health and Substance Use Disorder Parity 
Implementation 
Sec. 331. Grants to support mental health and substance use disorder parity 
implementation. 
Subtitle E—Improving Emergency Department Mental Health Access, 
Services, and Responders 
Sec. 341. Helping emergency responders overcome. 
Subtitle F—Other Provisions 
Sec. 351. Report on Law Enforcement Mental Health and Wellness. 
TITLE IV—CHILDREN AND YOUTH 
Subtitle A—Supporting Children’s Mental Health Care Access 
Sec. 401. Pediatric mental health care access grants. 
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Sec. 402. Infant and early childhood mental health promotion, intervention, and 
treatment. 
Sec. 403. School-based mental health; children and adolescents. 
Sec. 404. Co-occurring chronic conditions and mental health in youth study. 
Sec. 405. Best practices for behavioral intervention teams. 
Subtitle B—Continuing Systems of Care for Children 
Sec. 411. Comprehensive Community Mental Health Services for Children with 
Serious Emotional Disturbances. 
Sec. 412. Substance Use Disorder Treatment and Early Intervention Services 
for Children and Adolescents. 
Subtitle C—Garrett Lee Smith Memorial Reauthorization 
Sec. 421. Suicide prevention technical assistance center. 
Sec. 422. Youth suicide early intervention and prevention strategies. 
Sec. 423. Mental health and substance use disorder services for students in 
higher education. 
Sec. 424. Mental and behavioral health outreach and education at institutions 
of higher education. 
Subtitle D—Media and Mental Health 
Sec. 431. Study on the effects of smartphone and social media use on adoles-
cents. 
Sec. 432. Research on the health and development effects of media on infants, 
children, and adolescents. 
TITLE V—MEDICAID AND CHIP 
Sec. 501. Medicaid and CHIP requirements for health screenings and referrals 
for eligible juveniles in public institutions. 
Sec. 502. Guidance on reducing administrative barriers to providing health care 
services in schools. 
Sec. 503. Guidance to States on supporting pediatric behavioral health services 
under Medicaid and CHIP. 
Sec. 504. Ensuring children receive timely access to care. 
Sec. 505. Strategies to increase access to telehealth under Medicaid and CHIP. 
Sec. 506. Removal of limitations on Federal financial participation for inmates 
who are eligible juveniles pending disposition of charges. 
TITLE VI—MISCELLANEOUS PROVISIONS 
Sec. 601. Determination of budgetary effects. 
Sec. 602. Oversight of pharmacy benefit manager services. 
Sec. 603. Medicare Improvement Fund. 
Sec. 604. Limitations on authority. 
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TITLE I—MENTAL HEALTH AND 
CRISIS CARE NEEDS 
Subtitle A—Crisis Care Services 
and 9–8–8 Implementation 
SEC. 101. BEHAVIORAL HEALTH CRISIS COORDINATING OF-
FICE. 
Part A of title V of the Public Health Service Act 
(42 U.S.C. 290aa et seq.) is amended by adding at the 
end the following: 
‘‘SEC. 506B. BEHAVIORAL HEALTH CRISIS COORDINATING 
OFFICE. 
‘‘(a) IN GENERAL.—The Secretary shall establish, 
within the Substance Abuse and Mental Health Services 
Administration, an office to coordinate work relating to 
behavioral health crisis care across the operating divisions 
and agencies of the Department of Health and Human 
Services, including the Substance Abuse and Mental 
Health Services Administration, the Centers for Medicare 
& Medicaid Services, and the Health Resources and Serv-
ices Administration, and external stakeholders. 
‘‘(b) DUTY.—The office established under subsection 
(a) shall— 
‘‘(1) convene Federal, State, Tribal, local, and 
private partners; 
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‘‘(2) launch and manage Federal workgroups 
charged with making recommendations regarding be-
havioral health crisis issues, including with respect 
to health care best practices, workforce development, 
mental health disparities, data collection, technology, 
program oversight, public awareness, and engage-
ment; and 
‘‘(3) support technical assistance, data analysis, 
and evaluation functions in order to assist States, lo-
calities, Territories, Tribes, and Tribal communities 
to develop crisis care systems and establish nation-
wide best practices with the objective of expanding 
the capacity of, and access to, local crisis call cen-
ters, mobile crisis care, crisis stabilization, psy-
chiatric emergency services, and rapid post-crisis fol-
low-up care provided by— 
‘‘(A) the National Suicide Prevention and 
Mental Health Crisis Hotline and Response 
System; 
‘‘(B) the Veterans Crisis Line; 
‘‘(C) community mental health centers (as 
defined in section 1861(ff)(3)(B) of the Social 
Security Act); 
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‘‘(D) certified community behavioral health 
clinics, as described in section 223 of the Pro-
tecting Access to Medicare Act of 2014; and 
‘‘(E) other community mental health and 
substance use disorder providers. 
‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section 
$5,000,000 for each of fiscal years 2023 through 2027.’’. 
SEC. 102. CRISIS RESPONSE CONTINUUM OF CARE. 
Subpart 3 of part B of title V of the Public Health 
Service Act (42 U.S.C. 290bb–31 et seq.) is amended by 
adding at the end the following: 
‘‘SEC. 520N. CRISIS RESPONSE CONTINUUM OF CARE. 
‘‘(a) IN GENERAL.—The Secretary shall publish best 
practices for a crisis response continuum of care for use 
by health care providers, crisis services administrators, 
and crisis services providers in responding to individuals 
(including children and adolescents) experiencing mental 
health crises, substance-related crises, and crises arising 
from co-occurring disorders. 
‘‘(b) BEST PRACTICES.— 
‘‘(1) SCOPE
OF
BEST
PRACTICES.—The best 
practices published under subsection (a) shall de-
fine— 
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‘‘(A) a minimum set of core crisis response 
services, as determined by the Secretary, for 
each entity that furnishes such services, that— 
‘‘(i) do not require prior authorization 
from an insurance provider or group health 
plan nor a referral from a health care pro-
vider prior to the delivery of services; 
‘‘(ii) provide for serving all individuals 
regardless of age or ability to pay; 
‘‘(iii) provide for operating 24 hours a 
day, 7 days a week; and 
‘‘(iv) provide for care and support 
through resources described in paragraph 
(2)(A) until the individual has been sta-
bilized or transferred to the next level of 
crisis care; and 
‘‘(B) psychiatric stabilization, including the 
point at which a case may be closed for— 
‘‘(i) individuals screened over the 
phone; and 
‘‘(ii) individuals stabilized on the 
scene by mobile teams. 
‘‘(2) IDENTIFICATION
OF
ESSENTIAL
FUNC-
TIONS.—The best practices published under sub-
section (a) shall identify the essential functions of 
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each service in the crisis response continuum, which 
shall include at least the following: 
‘‘(A) Identification of resources for referral 
and enrollment in continuing mental health, 
substance use, or other human services relevant 
for the individual in crisis where necessary. 
‘‘(B) Delineation of access and entry 
points to services within the crisis response con-
tinuum. 
‘‘(C) Development of protocols and agree-
ments for the transfer and receipt of individuals 
to and from other segments of the crisis re-
sponse continuum segments as needed, and 
from outside referrals including health care pro-
viders, first responders including law enforce-
ment, paramedics, and firefighters, education 
institutions, and community-based organiza-
tions. 
‘‘(D) Description of the qualifications of 
crisis services staff, including roles for physi-
cians, licensed clinicians, case managers, and 
peers (in accordance with State licensing re-
quirements or requirements applicable to Tribal 
health professionals). 
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‘‘(E) The convening of collaborative meet-
ings of crisis response service providers, first 
responders including law enforcement, para-
medics, and firefighters, and community part-
ners (including National Suicide Prevention 
Lifeline or 9–8–8 call centers, 9–1–1 public 
service answering points, and local mental 
health and substance use disorder treatment 
providers) operating 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 dif-
ferent patient populations that may experience 
a mental health or substance use crisis, includ-
ing children, families, and all age groups, cul-
tural and linguistic minorities, veterans, individ-
uals with co-occurring mental health and sub-
stance use disorders, individuals with cognitive 
disabilities, 
individuals 
with 
developmental 
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delays, and individuals with chronic medical 
conditions and physical disabilities. 
‘‘(4) IMPLEMENTATION TIMEFRAME.—The Sec-
retary shall— 
‘‘(A) not later than 1 year after the date 
of enactment of this section, publish and main-
tain the best practices required by subsection 
(a); and 
‘‘(B) every two years thereafter, publish 
updates. 
‘‘(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 
continuum for purposes of assessing the extent to 
which the provision of such services and programs 
meet certain objectives and outcomes measures as 
determined by the Secretary. Such objectives shall 
include— 
‘‘(A) a reduction in reliance on law en-
forcement response, as appropriate, to individ-
uals in crisis who would be more appropriately 
served by a mobile crisis team capable of re-
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sponding to mental health and substance-re-
lated 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 
‘‘(D) evidence of adequate linkage to ap-
propriate post-crisis care and longitudinal treat-
ment for mental health or substance use dis-
order when relevant.’’. 
SEC. 103. SUICIDE PREVENTION LIFELINE IMPROVEMENT. 
(a) SUICIDE PREVENTION LIFELINE.— 
(1) PLAN.—Section 520E–3 of the Public 
Health Service Act (42 U.S.C. 290bb–36c) is 
amended— 
(A) by redesignating subsection (c) as sub-
section (e); and 
(B) by inserting after subsection (b) the 
following: 
‘‘(c) PLAN.— 
‘‘(1) IN GENERAL.—For purposes of maintain-
ing the suicide prevention hotline under subsection 
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(b)(2), the Secretary shall develop and implement a 
plan to ensure the provision of high-quality service. 
‘‘(2) CONTENTS.—The plan required by para-
graph (1) shall include the following: 
‘‘(A) Quality assurance provisions, includ-
ing— 
‘‘(i) clearly defined and measurable 
performance indicators and objectives to 
improve the responsiveness and perform-
ance of the hotline, including at backup 
call centers; and 
‘‘(ii) quantifiable timeframes to track 
the progress of the hotline in meeting such 
performance indicators and objectives. 
‘‘(B) Standards that crisis centers and 
backup centers must meet— 
‘‘(i) to participate in the network 
under subsection (b)(1); and 
‘‘(ii) to ensure that each telephone 
call, online chat message, and other com-
munication received by the hotline, includ-
ing at backup call centers, is answered in 
a timely manner by a person, consistent 
with the guidance established by the Amer-
ican Association of Suicidology or other 
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guidance determined by the Secretary to be 
appropriate. 
‘‘(C) Guidelines for crisis centers and 
backup centers to implement evidence-based 
practices including with respect to followup and 
referral to other health and social services re-
sources. 
‘‘(D) Guidelines to ensure that resources 
are available and distributed to individuals 
using the hotline who are not personally in a 
time of crisis but know of someone who is. 
‘‘(E) Guidelines to carry out periodic test-
ing of the hotline, including at crisis centers 
and backup centers, during each fiscal year to 
identify and correct any problems in a timely 
manner. 
‘‘(F) Guidelines to operate in consultation 
with the State department of health, local gov-
ernments, Indian tribes, and tribal organiza-
tions. 
‘‘(3) INITIAL PLAN; UPDATES.—The Secretary 
shall— 
‘‘(A) not later than 6 months after the 
date of enactment of the Restoring Hope for 
Mental Health and Well-Being Act of 2022, 
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complete development of the initial version of 
the plan required by paragraph (1), begin im-
plementation of such plan, and make such plan 
publicly available; and 
‘‘(B) periodically thereafter, update such 
plan and make the updated plan publicly avail-
able.’’. 
(2) TRANSMISSION OF DATA TO CDC.—Section 
520E–3 of the Public Health Service Act (42 U.S.C. 
290bb–36c) is amended by inserting after subsection 
(c) of such section, as added by paragraph (1), the 
following: 
‘‘(d) TRANSMISSION OF DATA TO CDC.—The Sec-
retary shall formalize and strengthen agreements between 
the National Suicide Prevention Lifeline program and the 
Centers for Disease Control and Prevention to transmit 
any necessary epidemiological data from the program to 
the Centers, including local call center data, to assist the 
Centers in suicide prevention efforts.’’. 
(3) AUTHORIZATION
OF
APPROPRIATIONS.— 
Subsection (e) of section 520E–3 of the Public 
Health Service Act (42 U.S.C. 290bb–36c) is 
amended to read as follows: 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.— 
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‘‘(1) IN GENERAL.—To carry out this section, 
there 
are 
authorized 
to 
be 
appropriated 
$101,621,000 for each of fiscal years 2023 through 
2027. 
‘‘(2) ALLOCATION.—Of the amount authorized 
to be appropriated by paragraph (1) for each of fis-
cal years 2023 through 2027— 
‘‘(A) at least 80 percent shall be made 
available to crisis centers; and 
‘‘(B) not more than 10 percent may be 
used for carrying out the pilot program in sec-
tion 103(b)(1) of the Restoring Hope for Men-
tal Health and Well-Being Act of 2022.’’. 
(b) PILOT
PROGRAM
ON
INNOVATIVE
TECH-
NOLOGIES.— 
(1) IN GENERAL.—The Secretary of Health and 
Human Services, acting through the Assistant Sec-
retary for Mental Health and Substance Use, shall 
carry out a pilot program to research, analyze, and 
employ various technologies and platforms of com-
munication 
(including 
social 
media 
platforms, 
texting platforms, and email platforms) for suicide 
prevention in addition to the telephone and online 
chat service provided by the Suicide Prevention Life-
line. 
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(2) REPORT.—Not later than 24 months after 
the date on which the pilot program under para-
graph (1) commences, the Secretary of Health and 
Human Services, acting through the Assistant Sec-
retary for Mental Health and Substance Use, shall 
submit to the Congress a report on the pilot pro-
gram. With respect to each platform of communica-
tion employed pursuant to the pilot program, the re-
port shall include— 
(A) a full description of the program; 
(B) the number of individuals served by 
the program; 
(C) the average wait time for each indi-
vidual to receive a response; 
(D) the cost of the program, including the 
cost per individual served; and 
(E) any other information the Secretary 
determines appropriate. 
(c) HHS STUDY AND REPORT.—Not later than 24 
months after the Secretary of Health and Human Services 
begins implementation of the plan required by section 
520E–3(c) of the Public Health Service Act, as added by 
subsection (a)(1)(B), the Secretary shall— 
(1) complete a study on— 
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(A) the implementation of such plan, in-
cluding the progress towards meeting the objec-
tives identified pursuant to paragraph (2)(A)(i) 
of such section 520E–3(c) by the timeframes 
identified pursuant to paragraph (2)(A)(ii) of 
such section 520E–3(c); and 
(B) in consultation with the Director of 
the Centers for Disease Control and Prevention, 
options to expand data gathering from calls to 
the Suicide Prevention Lifeline in order to bet-
ter track aspects of usage such as repeat calls, 
consistent with applicable Federal and State 
privacy laws; and 
(2) submit a report to the Congress on the re-
sults of such study, including recommendations on 
whether additional legislation or appropriations are 
needed. 
(d) GAO STUDY AND REPORT.— 
(1) IN GENERAL.—Not later than 24 months 
after the Secretary of Health and Human Services 
begins implementation of the plan required by sec-
tion 520E–3(c) of the Public Health Service Act, as 
added by subsection (a)(1)(B), the Comptroller Gen-
eral of the United States shall— 
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(A) complete a study on the Suicide Pre-
vention Lifeline; and 
(B) submit a report to the Congress on the 
results of such study. 
(2) ISSUES
TO
BE
STUDIED.—The study re-
quired by paragraph (1) shall address— 
(A) the feasibility of geolocating callers to 
direct calls to the nearest crisis center; 
(B) operation shortcomings of the Suicide 
Prevention Lifeline; 
(C) geographic coverage of each crisis call 
center; 
(D) the call answer rate of each crisis call 
center; 
(E) the call wait time of each crisis call 
center; 
(F) the hours of operation of each crisis 
call center; 
(G) funding avenues of each crisis call cen-
ter; 
(H) the implementation of the plan under 
section 520E–3(c) of the Public Health Service 
Act, as added by subsection (a)(1)(B), including 
the progress towards meeting the objectives 
identified pursuant to paragraph (2)(A)(i) of 
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such section 520E–3(c) by the timeframes iden-
tified pursuant to paragraph (2)(A)(ii) of such 
section 520E–3(c); and 
(I) service to individuals requesting a for-
eign language speaker, including— 
(i) the number of calls or chats the 
Lifeline receives from individuals speaking 
a foreign language; 
(ii) the capacity of the Lifeline to han-
dle these calls or chats; and 
(iii) the number of crisis centers with 
the capacity to serve foreign language 
speakers, in house. 
(3) RECOMMENDATIONS.—The report required 
by paragraph (1) shall include recommendations for 
improving the Suicide Prevention Lifeline, including 
recommendations for legislative and administrative 
actions. 
(e) DEFINITION.—In this section, the term ‘‘Suicide 
Prevention Lifeline’’ means the suicide prevention hotline 
maintained pursuant to section 520E–3 of the Public 
Health Service Act (42 U.S.C. 290bb–36c). 
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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 ‘‘MA-
TERNAL
DEPRESSION’’ and inserting ‘‘MATER-
NAL
MENTAL
HEALTH
AND
SUBSTANCE
USE 
DISORDERS’’; 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 
(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, 
pregnant, or have given birth within the pre-
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ceding 12 months, for maternal mental health 
and substance 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 insert-
ing ‘‘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 
amended— 
(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— 
‘‘(1) are proposing to create, improve, or en-
hance screening, prevention, and treatment’’; 
(2) by striking ‘‘maternal depression’’ and in-
serting ‘‘maternal mental health and substance use 
disorders’’; 
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(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 
following: 
‘‘(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)— 
(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 
referrals for treatment to health care providers 
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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 re-
ferrals for treatment, follow-up support serv-
ices, and linkages to community-based resources 
to health care providers in the primary care set-
ting 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 
practi-
tioners, nurse midwives, pediatricians, psychia-
trists, mental and other behavioral health care 
providers, and adult primary care clinicians) to 
provide or receive real-time psychiatric con-
sultation (in-person or remotely), including 
through the use of technology-enabled collabo-
rative learning and capacity building models (as 
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defined in section 330N), to aid in the treat-
ment of pregnant 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 redesig-
nated— 
(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, 
including patient consultation, care coordina-
tion, and navigation for such treatment; 
‘‘(D) coordinating with maternal and child 
health programs of the Federal Government 
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and State, local, and Tribal governments, in-
cluding child psychiatric access programs; 
‘‘(E) conducting public outreach and 
awareness 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 im-
prove the provision of maternal mental health 
and substance use disorder care for racial and 
ethnic minority populations, including with re-
spect to perceptions and biases that may affect 
the approach to, and provision of, care.’’. 
(e) ADDITIONAL PROVISIONS.—Section 317L–1 of 
the Public Health Service Act (42 U.S.C. 247b–13a) is 
amended— 
(1) by redesignating subsection (e) as sub-
section (h); and 
(2) by inserting after subsection (d) the fol-
lowing: 
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‘‘(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 
Secretary, based on evaluation of the activities funded 
pursuant to this section, shall identify and disseminate 
evidence-based or evidence-informed best practices for 
screening, assessment, and treatment services for mater-
nal mental health and substance use disorders, including 
culturally and linguistically appropriate services, for 
women during pregnancy and 12 months following preg-
nancy. 
‘‘(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.—Sub-
section (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 
(2) by striking ‘‘2018 through 2022’’ and in-
serting ‘‘2023 through 2027’’. 
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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 
pregnant and postpartum women at risk of, or affected 
by, maternal 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 sub-
stance use disorder prevention, identification, 
and intervention; and 
‘‘(B) providing culturally and linguistically 
appropriate support; and 
‘‘(4) provide maternal mental health and sub-
stance use disorder assistance and referral services 
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to meet the needs of underserved populations, indi-
viduals with disabilities, and family and household 
members of pregnant or postpartum women at risk 
of experiencing maternal mental health and sub-
stance use disorders. 
‘‘(c) ADDITIONAL REQUIREMENTS.—In maintaining 
the hotline under subsection (a), the Secretary shall— 
‘‘(1) consult with the Domestic Violence Hot-
line, National Suicide Prevention Lifeline, and Vet-
erans Crisis Line to ensure that pregnant and 
postpartum women are connected in real-time to the 
appropriate specialized hotline service, when applica-
ble; 
‘‘(2) conduct a public awareness campaign for 
the hotline; 
‘‘(3) consult with Federal departments and 
agencies, including the Centers of Excellence of the 
Substance Abuse and Mental Health Services Ad-
ministration and the Department of Veterans Af-
fairs, to increase awareness regarding the hotline; 
and 
‘‘(4) consult with appropriate State, local, and 
Tribal public health officials, including officials that 
administer programs that serve low-income pregnant 
and postpartum individuals. 
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‘‘(d) ANNUAL REPORT.—The Secretary shall submit 
an annual report to the Congress on the hotline under sub-
section (a) and implementation of this section, including— 
‘‘(1) an evaluation of the effectiveness of activi-
ties conducted or supported under subsection (a); 
‘‘(2) a directory of entities or organizations to 
which staff maintaining the hotline funded under 
this section may make referrals; and 
‘‘(3) such additional information as the Sec-
retary determines appropriate. 
‘‘(e) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there are authorized to be appro-
priated $10,000,000 for each of fiscal years 2023 through 
2027.’’. 
SEC. 113. TASK FORCE ON MATERNAL MENTAL HEALTH. 
Part B of title III of the Public Health Service Act 
(42 U.S.C. 243 et seq.) is amended by inserting after sec-
tion 317L–1 (42 U.S.C. 247b–13a) the following: 
‘‘SEC. 
317L–2. 
TASK 
FORCE 
ON 
MATERNAL 
MENTAL 
HEALTH. 
‘‘(a) ESTABLISHMENT.—Not later than 180 days 
after the date of enactment of the Restoring Hope for the 
Mental Health and Well-Being Act of 2022, the Secretary, 
for purposes of identifying, evaluating, and making rec-
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ommendations to coordinate and improve Federal re-
sponses to maternal mental health conditions, shall— 
‘‘(1) establish a task force to be known as the 
Task Force on Maternal Mental Health (in this sec-
tion referred to as the ‘Task Force’); or 
‘‘(2) incorporate the duties, public meetings, 
and reports specified in subsections (c) through (f) 
into existing Federal policy forums, including the 
Maternal Health Interagency Policy Committee and 
the Maternal Health Working Group, as appro-
priate. 
‘‘(b) MEMBERSHIP.— 
‘‘(1) COMPOSITION.—The Task Force shall be 
composed of— 
‘‘(A) the Federal members under para-
graph (2); and 
‘‘(B) the non-Federal members under 
paragraph (3). 
‘‘(2) FEDERAL MEMBERS.—The Federal mem-
bers of the Task Force shall consist of the following 
heads of Federal departments and agencies (or their 
designees): 
‘‘(A) The Assistant Secretary for Health of 
the Department of Health and Human Services, 
who shall serve as Chair. 
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‘‘(B) The Assistant Secretary for Planning 
and Evaluation of the Department of Health 
and Human Services. 
‘‘(C) The Assistant Secretary of the Ad-
ministration for Children and Families. 
‘‘(D) The Director of the Centers for Dis-
ease Control and Prevention. 
‘‘(E) The Administrator of the Centers for 
Medicare & Medicaid Services. 
‘‘(F) The Administrator of the Health Re-
sources and Services Administration. 
‘‘(G) The Director of the Indian Health 
Service. 
‘‘(H) The Assistant Secretary for Mental 
Health and Substance Use. 
‘‘(I) Such other Federal departments and 
agencies as the Secretary determines appro-
priate that serve individuals with maternal men-
tal health conditions. 
‘‘(3) NON-FEDERAL MEMBERS.—The non-Fed-
eral members of the Task Force shall— 
‘‘(A) compose not more than one-half, and 
not less than one-third, of the total membership 
of the Task Force; 
‘‘(B) be appointed by the Secretary; and 
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‘‘(C) include— 
‘‘(i) representatives of medical soci-
eties with expertise in maternal or mental 
health; 
‘‘(ii) representatives of nonprofit orga-
nizations with expertise in maternal or 
mental health; 
‘‘(iii) relevant industry representa-
tives; and 
‘‘(iv) other representatives, as appro-
priate. 
‘‘(4) 
DEADLINE
FOR
DESIGNATING
DES-
IGNEES.—If the Assistant Secretary for Health, or 
the head of a Federal department or agency serving 
as a member of the Task Force under paragraph 
(2), chooses to be represented on the Task Force by 
a designee, the Assistant Secretary or department or 
agency head shall designate such designee not later 
than 90 days after the date of the enactment of this 
section. 
‘‘(c) DUTIES.—The Task Force shall— 
‘‘(1) prepare and regularly update a report that 
analyzes and evaluates the state of national mater-
nal mental health policy and programs at the Fed-
eral, State, and local levels, and identifies best prac-
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tices with respect to maternal mental health policy, 
including— 
‘‘(A) a set of evidence-based, evidence-in-
formed, and promising practices with respect 
to— 
‘‘(i) prevention strategies for individ-
uals at risk of experiencing a maternal 
mental health condition, including strate-
gies and recommendations to address 
health inequities; 
‘‘(ii) the identification, screening, di-
agnosis, intervention, and treatment of in-
dividuals and families affected by a mater-
nal mental health condition; 
‘‘(iii) the expeditious referral to, and 
implementation of, practices and supports 
that prevent and mitigate the effects of a 
maternal mental health condition, includ-
ing strategies and recommendations to 
eliminate the racial and ethnic disparities 
that exist in maternal mental health; and 
‘‘(iv) 
community-based 
or 
multigenerational practices that support 
individuals and families affected by a ma-
ternal mental health condition; and 
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‘‘(B) Federal and State programs and ac-
tivities to prevent, screen, diagnose, intervene, 
and treat maternal mental health conditions; 
‘‘(2) develop and regularly update a national 
strategy for maternal mental health, taking into con-
sideration the findings of the report under para-
graph (1), on how the Task Force and Federal de-
partments and agencies represented on the Task 
Force may prioritize options for, and may implement 
a coordinated approach to, addressing maternal 
mental health conditions, including by— 
‘‘(A) increasing prevention, screening, di-
agnosis, intervention, treatment, and access to 
care, including clinical and nonclinical care such 
as peer-support and community health workers, 
through the public and private sectors; 
‘‘(B) providing support for pregnant or 
postpartum individuals who are at risk for or 
experiencing a maternal mental health condi-
tion, and their families, as appropriate; 
‘‘(C) reducing racial, ethnic, geographic, 
and other health disparities for prevention, di-
agnosis, intervention, treatment, and access to 
care; 
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‘‘(D) identifying options for modifying, 
strengthening, and coordinating Federal pro-
grams and activities, such as the Medicaid pro-
gram under title XIX of the Social Security Act 
and the State Children’s Health Insurance Pro-
gram under title XXI of such Act, including ex-
isting infant and maternity programs, in order 
to increase research, prevention, identification, 
intervention, and treatment with respect to ma-
ternal mental health; and 
‘‘(E) planning, data sharing, and commu-
nication within and across Federal depart-
ments, agencies, offices, and programs; 
‘‘(3) solicit public comments from stakeholders 
for the report under paragraph (1) and the national 
strategy under paragraph (2), including comments 
from frontline service providers, mental health pro-
fessionals, researchers, experts in maternal mental 
health, institutions of higher education, public health 
agencies (including maternal and child health pro-
grams), and industry representatives, in order to in-
form the activities and reports of the Task Force; 
and 
‘‘(4) disaggregate any data collected under this 
section by race, ethnicity, geographical location, age, 
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marital status, socioeconomic level, and other fac-
tors, as the Secretary determines appropriate. 
‘‘(d) MEETINGS.—The Task Force shall— 
‘‘(1) meet not less than two times each year; 
and 
‘‘(2) convene public meetings, as appropriate, to 
fulfill its duties under this section. 
‘‘(e) REPORTS
TO PUBLIC
AND FEDERAL LEAD-
ERS.—The Task Force shall make publicly available and 
submit to the heads of relevant Federal departments and 
agencies, the Committee on Energy and Commerce of the 
House of Representatives, the Committee on Health, Edu-
cation, Labor, and Pensions of the Senate, and other rel-
evant congressional committees, the following: 
‘‘(1) Not later than 1 year after the first meet-
ing of the Task Force, an initial report under sub-
section (c)(1). 
‘‘(2) Not later than 2 years after the first meet-
ing of the Task Force, an initial national strategy 
under subsection (c)(2). 
‘‘(3) Each year thereafter— 
‘‘(A) an updated report under subsection 
(c)(1); 
‘‘(B) an updated national strategy under 
subsection (c)(2); or 
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‘‘(C) if no update is made under subsection 
(c)(1) or (c)(2), a report summarizing the ac-
tivities of the Task Force. 
‘‘(f) REPORTS TO GOVERNORS.—Upon finalizing the 
initial national strategy under subsection (c)(2), and upon 
making relevant updates to such strategy, the Task Force 
shall submit a report to the Governors of all States de-
scribing opportunities for local- and State-level partner-
ships identified under subsection (c)(2)(D). 
‘‘(g) SUNSET.—The Task Force shall terminate on 
September 30, 2027. 
‘‘(h) NONDUPLICATION
OF FEDERAL EFFORTS.— 
The Secretary may relieve the Task Force, in carrying out 
subsections (c) through (f), from responsibility for car-
rying out such activities as may be specified by the Sec-
retary as duplicative with other activities carried out by 
the Department of Health and Human Services.’’. 
Subtitle 
C—Reaching 
Improved 
Mental Health Outcomes for Pa-
tients 
SEC. 121. INNOVATION FOR MENTAL HEALTH. 
(a) NATIONAL MENTAL HEALTH AND SUBSTANCE 
USE POLICY LABORATORY.—Section 501A of the Public 
Health Service Act (42 U.S.C. 290aa–0) is amended— 
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(1) in subsection (e)(1), by striking ‘‘Indian 
tribes or tribal organizations’’ and inserting ‘‘Indian 
Tribes or Tribal organizations’’; 
(2) by striking subsection (e)(3); and 
(3) by adding at the end the following: 
‘‘(f) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there is authorized to be appro-
priated $10,000,000 for each of fiscal years 2023 through 
2027.’’. 
(b) INTERDEPARTMENTAL SERIOUS MENTAL ILL-
NESS COORDINATING COMMITTEE.— 
(1) IN GENERAL.—Part A of title V of the Pub-
lic Health Service Act (42 U.S.C. 290aa et seq.) is 
amended by inserting after section 501A (42 U.S.C. 
290aa–0) the following: 
‘‘SEC. 501B. INTERDEPARTMENTAL SERIOUS MENTAL ILL-
NESS COORDINATING COMMITTEE. 
‘‘(a) ESTABLISHMENT.— 
‘‘(1) IN GENERAL.—The Secretary of Health 
and Human Services, or the designee of the Sec-
retary, shall establish a committee to be known as 
the Interdepartmental Serious Mental Illness Coordi-
nating Committee (in this section referred to as the 
‘Committee’). 
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‘‘(2) FEDERAL
ADVISORY
COMMITTEE
ACT.— 
Except as provided in this section, the provisions of 
the Federal Advisory Committee Act (5 U.S.C. 
App.) shall apply to the Committee. 
‘‘(b) MEETINGS.—The Committee shall meet not 
fewer than 2 times each year. 
‘‘(c) RESPONSIBILITIES.—The Committee shall sub-
mit, on a biannual basis, to Congress and any other rel-
evant Federal department or agency a report including— 
‘‘(1) a summary of advances in serious mental 
illness and serious emotional disturbance research 
related to the prevention of, diagnosis of, interven-
tion in, and treatment and recovery of serious men-
tal illnesses, serious emotional disturbances, and ad-
vances in access to services and support for adults 
with a serious mental illness or children with a seri-
ous emotional disturbance; 
‘‘(2) an evaluation of the effect Federal pro-
grams related to serious mental illness have on pub-
lic health, including public health outcomes such 
as— 
‘‘(A) rates of suicide, suicide attempts, in-
cidence and prevalence of serious mental ill-
nesses, serious emotional disturbances, and sub-
stance use disorders, overdose, overdose deaths, 
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emergency hospitalizations, emergency room 
boarding, preventable emergency room visits, 
interaction with the criminal justice system, 
homelessness, and unemployment; 
‘‘(B) increased rates of employment and 
enrollment in educational and vocational pro-
grams; 
‘‘(C) quality of mental and substance use 
disorders treatment services; or 
‘‘(D) any other criteria as may be deter-
mined by the Secretary; and 
‘‘(3) specific recommendations for actions that 
agencies can take to better coordinate the adminis-
tration of mental health services for adults with a 
serious mental illness or children with a serious emo-
tional disturbance. 
‘‘(d) MEMBERSHIP.— 
‘‘(1) FEDERAL
MEMBERS.—The Committee 
shall be composed of the following Federal rep-
resentatives, or the designees of such representa-
tives— 
‘‘(A) the Secretary of Health and Human 
Services, who shall serve as the Chair of the 
Committee; 
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