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(4) consult with interested Federal agencies, 
State or local governmental entities, private and non-
profit organizations, or any other interested persons; 
and 
(5) identify cost estimates for any Federal acqui-
sition, development, interpretation, operation, and 
maintenance associated with the alternatives. 
(d) APPLICABLE LAW.—The special resource study re-
quired under subsection (b) shall be conducted in accord-
ance with section 100507 of title 54, United States Code. 
(e) REPORT.—Not later than 3 years after the date on 
which funds are made available to carry out this section, 
the Secretary shall submit to the Committee on Energy and 
Natural Resources of the Senate and the Committee on Nat-
ural Resources of the House of Representatives a report that 
describes— 
(1) the results of the special resource study re-
quired under subsection (b); and 
(2) any recommendations of the Secretary. 
SEC. 634. RESOURCE STUDY OF THE LOS ANGELES COAST-
AL AREA, CALIFORNIA. 
(a) DEFINITION OF STUDY AREA.—In this section, the 
term ‘‘study area’’ means the coastline and adjacent areas 
to the Santa Monica Bay from Will Rogers State Beach 
to Torrance Beach, including the areas in and around
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Ballona Creek and the Baldwin Hills and the San Pedro 
section of the City of Los Angeles, excluding the Port of Los 
Angeles north of Crescent Avenue. 
(b) SPECIAL RESOURCE STUDY.— 
(1) STUDY.—The Secretary shall conduct a spe-
cial resource study of the study area. 
(2) CONTENTS.—In conducting the study under 
paragraph (1), the Secretary shall— 
(A) evaluate the national significance of the 
study area; 
(B) determine the suitability and feasibility 
of designating the study area as a unit of the 
National Park System; 
(C) consider other alternatives for preserva-
tion, protection, and interpretation of the study 
area by the Federal Government, State or local 
government entities, or private and nonprofit or-
ganizations; 
(D) consult with interested Federal agen-
cies, State or local governmental entities, private 
and nonprofit organizations, or any other inter-
ested individuals; and 
(E) identify cost estimates for any Federal 
acquisition, development, interpretation, oper-
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ation, and maintenance associated with the al-
ternatives. 
(3) APPLICABLE
LAW.—The study required 
under paragraph (1) shall be conducted in accordance 
with section 100507 of title 54, United States Code. 
(4) REPORT.—Not later than 3 years after the 
date on which funds are first made available for the 
study under paragraph (1), the Secretary shall sub-
mit to the Committee on Natural Resources of the 
House of Representatives and the Committee on En-
ergy and Natural Resources of the Senate a report 
that describes— 
(A) the results of the study; and 
(B) any conclusions and recommendations 
of the Secretary. 
Subtitle D—National Park Service 
Programs 
SEC. 641. ACQUISITION OF LAND FOR ADMINISTRATIVE 
PURPOSES 
OF 
HISTORIC 
PRESERVATION 
TRAINING CENTER. 
(a) DEFINITIONS.—In this section: 
(1) CENTER.—The term ‘‘Center’’ means the 
Historic Preservation Training Center and related fa-
cilities of the National Park Service in Frederick 
County, Maryland.
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(2) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary, acting through the Director of the Na-
tional Park Service. 
(b) AUTHORIZATION OF ACQUISITION.—To further de-
velop the Center in accordance with section 305306 of title 
54, United States Code, the Secretary may acquire not more 
than 20 acres of land or interests in land in Frederick 
County, Maryland, for the Center for the purpose of sup-
porting the physical space, program initiatives, and work-
force development capacity of the Center. 
(c) METHOD OF ACQUISITION.—Land or an interest 
in land for the Center may only be acquired under sub-
section (b) by donation, transfer, exchange, or purchase 
from a willing seller using donated or appropriated funds. 
(d) ADMINISTRATION OF ACQUIRED LAND.—On acqui-
sition of land or an interest in land for the Center under 
subsection (b), the acquired land or interest in land shall 
be administered by the Secretary for the purpose described 
in subsection (b). 
SEC. 642. WAIVER OF SPECIAL USE PERMIT APPLICATION 
FEE FOR VETERANS’ SPECIAL EVENTS. 
(a) DEFINITIONS.—In this section: 
(1) MEMBER
OF
A
GOLD
STAR
FAMILY.—The 
term ‘‘member of a Gold Star Family’’ means any in-
dividual that meets the eligibility requirements of sec-
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tion 3.2 of Department of Defense Instruction 1348.36 
(or a successor instruction). 
(2) SPECIAL EVENTS.—The term ‘‘special events’’ 
has the meaning given the term in section 7.96(g)(1) 
of title 36, Code of Federal Regulations (or a suc-
cessor regulation). 
(3) THE DISTRICT OF COLUMBIA AND ITS ENVI-
RONS.—The term ‘‘the District of Columbia and its 
environs’’ has the meaning given the term in section 
8902(a) of title 40, United States Code. 
(4) VETERAN.—The term ‘‘veteran’’ has the 
meaning given the term in section 101 of title 38, 
United States Code. 
(5) VETERANS’ SPECIAL EVENT.—The term ‘‘vet-
erans’ special event’’ means a special event at which 
the majority of attendees are veterans or members of 
Gold Star Families. 
(6) WAR MEMORIAL.—The term ‘‘war memorial’’ 
means any memorial or monument that has been 
erected or dedicated to commemorate a military unit, 
military group, war, conflict, victory, or peace. 
(b) WAIVER.—The application fee for any application 
for a special use permit, the sole purpose of which is to 
hold a veterans’ special event at a war memorial on land
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† HR 2617 EAS2 
administered by the National Park Service in the District 
of Columbia and its environs, shall be waived. 
(c) APPLICABILITY
OF EXISTING LAWS.—Notwith-
standing subsection (b), an applicant for a special use per-
mit described in that subsection shall be subject to any other 
law (including regulations) or policy applicable to the ap-
plication, issuance, or execution of the special use permit. 
(d) APPLICABILITY.—This section shall apply to any 
special use permit application submitted after the date of 
enactment of this Act. 
SEC. 643. UNITED STATES AFRICAN-AMERICAN BURIAL 
GROUNDS PRESERVATION PROGRAM. 
(a) ESTABLISHMENT.—Subdivision 1 of division B of 
subtitle III of title 54, United States Code, is amended by 
inserting after chapter 3085 the following: 
‘‘CHAPTER 3086—UNITED STATES AFRI-
CAN-AMERICAN 
BURIAL 
GROUNDS 
PRESERVATION PROGRAM 
‘‘Sec. 
‘‘308601. Definitions. 
‘‘308602. United States African-American Burial Grounds Preservation Program. 
‘‘308603. Authority to make grants. 
‘‘308604. Cooperative agreements and memoranda of understanding. 
‘‘308605. Private property protection. 
‘‘§ 308601. Definitions 
‘‘In this chapter: 
‘‘(1) 
BURIAL
GROUND.—The 
term 
‘burial 
ground’ means any natural or prepared physical lo-
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† HR 2617 EAS2 
‘‘(1) IN GENERAL.—There is authorized to be ap-
propriated to the Secretary to carry out this section 
$3,000,000 for each of fiscal years 2023 through 2027. 
‘‘(2) AVAILABILITY.—Any amounts made avail-
able for a fiscal year under paragraph (1) that are 
not used during that fiscal year shall be available for 
use under this section during any subsequent fiscal 
year. 
‘‘§ 308604. Cooperative agreements and memoranda of 
understanding 
‘‘The Secretary may enter into cooperative agreements 
and memoranda of understanding with, and provide tech-
nical assistance to, the heads of other Federal agencies, 
States, units of local government, Tribal governments, re-
gional governmental bodies, nonprofit organizations, edu-
cational institutions, and private entities— 
‘‘(1) to achieve the purposes of this chapter; and 
‘‘(2) to ensure effective coordination of the Fed-
eral elements and non-Federal elements provided a 
grant or other assistance under the Program with 
System units and programs of the Service. 
‘‘§ 308605. Private property protection 
‘‘Nothing in this chapter— 
‘‘(1) authorizes the Secretary to require or affect 
the management or use of private property without
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the written consent of the owner of the private prop-
erty; 
‘‘(2) prohibits the Secretary from providing land 
management guidance or requirements relating to 
private property as a condition of a grant provided 
to the owner of the private property under this chap-
ter; or 
‘‘(3) shall be construed as creating any new reg-
ulatory burden on any Federal, State, Tribal, or pri-
vate entity.’’. 
(b) CLERICAL AMENDMENT.—The table of chapters for 
title 54, United States Code, is amended by inserting after 
the item relating to chapter 3085 the following: 
‘‘3086. United States African-American Burial Grounds Preservation 
Program ..............................................................................308601’’. 
SEC. 644. NORMAN Y. MINETA JAPANESE AMERICAN CON-
FINEMENT EDUCATION GRANTS. 
Public Law 109–441 (120 Stat. 3289) is amended— 
(1) in section 2, by adding at the end the fol-
lowing: 
‘‘(4) JAPANESE AMERICAN CONFINEMENT EDU-
CATION GRANTS.—The term ‘Japanese American Con-
finement 
Education 
Grants’ 
means 
competitive 
grants, awarded through the Japanese American Con-
finement Sites Program, for Japanese American orga-
nizations to educate individuals, including through
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† HR 2617 EAS2 
the use of digital resources, in the United States on 
the historical importance of Japanese American con-
finement during World War II, so that present and 
future generations may learn from Japanese Amer-
ican confinement and the commitment of the United 
States to equal justice under the law. 
‘‘(5) JAPANESE AMERICAN ORGANIZATION.—The 
term ‘Japanese American organization’ means a pri-
vate nonprofit organization within the United States 
established to promote the understanding and appre-
ciation of the ethnic and cultural diversity of the 
United States by illustrating the Japanese American 
experience throughout the history of the United 
States.’’; and 
(2) in section 4— 
(A) by inserting ‘‘(a) IN GENERAL.—’’ be-
fore ‘‘There are authorized’’; 
(B) by striking ‘‘$38,000 ,000’’ and insert-
ing ‘‘$80,000,000’’; and 
(C) by adding at the end the following: 
‘‘(b) JAPANESE AMERICAN CONFINEMENT EDUCATION 
GRANTS.— 
‘‘(1) IN GENERAL.—Of the amounts made avail-
able under this section, not more than $10,000,000 
shall be awarded as Japanese American Confinement
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† HR 2617 EAS2 
Education Grants to Japanese American organiza-
tions. Such competitive grants shall be in an amount 
not less than $750,000 and the Secretary shall give 
priority consideration to Japanese American organi-
zations with fewer than 100 employees. 
‘‘(2) MATCHING REQUIREMENT.— 
‘‘(A) FIFTY PERCENT.—Except as provided 
in subparagraph (B), for funds awarded under 
this subsection, the Secretary shall require a 50 
percent match with non-Federal assets from non- 
Federal sources, which may include cash or du-
rable goods and materials fairly valued, as deter-
mined by the Secretary. 
‘‘(B) WAIVER.—The Secretary may waive 
all or part of the matching requirement under 
subparagraph (A), if the Secretary determines 
that— 
‘‘(i) no reasonable means are available 
through which an applicant can meet the 
matching requirement; and 
‘‘(ii) the probable benefit of the project 
funded outweighs the public interest in the 
matching requirement.’’.
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SEC. 645. JAPANESE AMERICAN WORLD WAR II HISTORY 
NETWORK. 
(a) ESTABLISHMENT.—The Secretary shall establish, 
within the National Park Service, a program to be known 
as the ‘‘Japanese American World War II History Net-
work’’ (referred to in this section as the ‘‘Network’’). 
(b) DUTIES OF SECRETARY.—In carrying out the Net-
work, the Secretary shall— 
(1) review studies and reports to complement 
and not duplicate studies of Japanese American 
World War II history and Japanese American experi-
ences during World War II, including studies related 
to relocation centers and confinement sites, that are 
underway or completed; 
(2) produce and disseminate appropriate edu-
cational materials, such as handbooks, maps, inter-
pretive guides, or electronic information relating to 
Japanese American World War II history and Japa-
nese American experiences during the war, including 
relocation centers and confinement sites; 
(3) enter into appropriate cooperative agree-
ments and memoranda of understanding to provide 
technical assistance under subsection (d); and 
(4)(A) create and adopt an official, uniform 
symbol or device for the Network; and
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(B) issue regulations for the use of the symbol or 
device adopted under subparagraph (A). 
(c) ELEMENTS.—The Network shall encompass the fol-
lowing elements: 
(1) All units and programs of the National Park 
Service that are determined by the Secretary to relate 
to Japanese American World War II history and 
Japanese American experiences during the war, in-
cluding relocation centers and confinement sites. 
(2) With the consent of the property owner, other 
Federal, State, local, Tribal, and privately owned 
properties that— 
(A) relate to Japanese American World War 
II history and Japanese experiences during the 
war, including relocation centers and confine-
ment sites; 
(B) have a verifiable connection to Japanese 
American World War II history and Japanese 
experiences during the war, including relocation 
and confinement sites; and 
(C) are included in, or determined by the 
Secretary to be eligible for inclusion in, the Na-
tional Register of Historic Places. 
(3) Other governmental and nongovernmental fa-
cilities and programs of an educational, research, or
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interpretive nature that are directly related to Japa-
nese American World War II history and the experi-
ences of Japanese Americans during the war, includ-
ing relocation centers and confinement sites. 
(d) COOPERATIVE AGREEMENTS AND MEMORANDA OF 
UNDERSTANDING.—To achieve the purposes of this section 
and to ensure effective coordination of the Federal and non- 
Federal elements of the Network described in subsection (c) 
with units of the National Park System and programs of 
the National Park Service, including the Japanese Amer-
ican Confinement Sites Program, the Secretary may enter 
into cooperative agreements and memoranda of under-
standing with, and provide technical assistance to, the 
heads of other Federal agencies, States, units of local gov-
ernment, Indian Tribes, regional governmental bodies, and 
private entities. 
(e) SUNSET.—The authority of the Secretary under 
this section shall expire 7 years after the date of enactment 
of this Act. 
SEC. 646. AUTHORIZATION OF APPROPRIATIONS FOR THE 
NATIONAL PARK FOUNDATION. 
Section 101122(a) of title 54, United States Code, is 
amended— 
(1) by striking ‘‘$5,000,000’’ and inserting 
‘‘$15,000,000’’; and
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(2) by striking ‘‘2023’’ and inserting ‘‘2030’’. 
TITLE 
VII—COMMEMORATIVE 
WORKS AND NATIONAL ME-
MORIALS 
SEC. 701. DESIGNATION OF THE KOL ISRAEL FOUNDATION 
HOLOCAUST MEMORIAL AS A NATIONAL ME-
MORIAL. 
(a) CONGRESSIONAL RECOGNITION.—Congress— 
(1) recognizes the significance of the Kol Israel 
Foundation Holocaust Memorial in preserving the 
memory of the 6,000,000 Jews murdered by the Nazi 
regime and allies and collaborators of the Nazi re-
gime; and 
(2) honors the life and legacy of the Holocaust 
survivors who erected the Kol Israel Foundation Holo-
caust Memorial. 
(b) DESIGNATION.— 
(1) IN GENERAL.—The Kol Israel Foundation 
Holocaust Memorial located in Bedford Heights, Ohio, 
is designated as a national memorial. 
(2) EFFECT OF DESIGNATION.— 
(A) IN GENERAL.—The national memorial 
designated by paragraph (1) is not a unit of the 
National Park System.
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(B) USE
OF
FEDERAL
FUNDS.—The des-
ignation of the national memorial by paragraph 
(1) shall not require or permit Federal funds to 
be expended for any purpose relating to the na-
tional memorial. 
SEC. 702. AUTHORIZATION TO ESTABLISH COMMEMORA-
TIVE WORK TO COMMEMORATE THE COMMIT-
MENT 
AND 
SERVICE 
REPRESENTED 
BY 
WOMEN WHO WORKED ON THE HOME FRONT 
DURING WORLD WAR II. 
(a) IN GENERAL.—The Women Who Worked on the 
Home Front Foundation may establish a commemorative 
work on Federal land in the District of Columbia and its 
environs to commemorate the commitment and service rep-
resented by women who worked on the home front during 
World War II. 
(b) COMPLIANCE WITH STANDARDS FOR COMMEMORA-
TIVE WORKS.—The establishment of the commemorative 
work under this section shall be in accordance with chapter 
89 of title 40, United States Code (commonly known as the 
‘‘Commemorative Works Act’’). 
(c) PROHIBITION ON THE USE OF FEDERAL FUNDS.— 
(1) IN
GENERAL.—Federal funds may not be 
used to pay any expense of the establishment of the 
commemorative work under this section.
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† HR 2617 EAS2 
(2) RESPONSIBILITY OF WOMEN WHO WORKED 
ON
THE
HOME
FRONT
FOUNDATION.—The Women 
Who Worked on the Home Front Foundation shall be 
solely responsible for acceptance of contributions for, 
and payment of the expenses of, the establishment of 
the commemorative work under this section. 
(d) DEPOSIT OF EXCESS FUNDS.— 
(1) IN GENERAL.—If, on payment of all expenses 
for the establishment of the commemorative work 
under this section (including the maintenance and 
preservation amount required by section 8906(b)(1) of 
title 40, United States Code), there remains a balance 
of funds received for the establishment of the com-
memorative work, the Women Who Worked on the 
Home Front Foundation shall transmit the amount of 
the balance to the Secretary for deposit in the account 
provided for in section 8906(b)(3) of that title. 
(2) ON EXPIRATION OF AUTHORITY.—If, on expi-
ration of the authority for the commemorative work 
under section 8903(e) of title 40, United States Code, 
there remains a balance of funds received for the es-
tablishment of the commemorative work, the Women 
Who Worked on the Home Front Foundation shall 
transmit the amount of the balance to a separate ac-
count with the National Park Foundation for memo-
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† HR 2617 EAS2 
rials, to be available to the Secretary or Adminis-
trator of General Services, as appropriate, in accord-
ance with the process provided in paragraph (4) of 
section 8906(b) of that title for accounts established 
under paragraph (2) or (3) of that section. 
SEC. 703. EXTENSION OF AUTHORITY FOR ESTABLISHMENT 
OF 
NATIONAL 
LIBERTY 
MEMORIAL 
COM-
MEMORATIVE WORK. 
Notwithstanding section 8903(e) of title 40, United 
States Code, the authority provided by section 2860 of the 
Military Construction Authorization Act for Fiscal Year 
2013 (division B of Public Law 112–239; 126 Stat. 2164; 
40 U.S.C. 8903 note) shall continue to apply through Sep-
tember 30, 2027. 
SEC. 704. AUTHORIZATION TO ESTABLISH COMMEMORA-
TIVE WORK TO COMMEMORATE THE HEROIC 
DEEDS AND SACRIFICES OF SERVICE ANI-
MALS AND HANDLERS OF SERVICE ANIMALS 
IN THE UNITED STATE. 
(a) IN GENERAL.—The National Service Animals 
Monument Corporation (referred to in this section as the 
‘‘Corporation’’) may establish a commemorative work on 
Federal land in the District of Columbia and its environs 
to commemorate the heroic deeds and sacrifices of service
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† HR 2617 EAS2 
animals and handlers of service animals in the United 
States. 
(b) COMPLIANCE WITH STANDARDS FOR COMMEMORA-
TIVE WORKS.—The establishment of the commemorative 
work under this section shall be in accordance with chapter 
89 of title 40, United States Code (commonly known as the 
‘‘Commemorative Works Act’’). 
(c) PROHIBITION ON THE USE OF FEDERAL FUNDS.— 
(1) IN
GENERAL.—Federal funds may not be 
used to pay any expense of the establishment of the 
commemorative work under this section. 
(2) RESPONSIBILITY OF THE NATIONAL SERVICE 
ANIMALS
MONUMENT
CORPORATION.—The Corpora-
tion shall be solely responsible for the acceptance of 
contributions for, and payment of the expenses of, the 
establishment of the commemorative work under this 
section. 
(d) DEPOSIT OF EXCESS FUNDS.— 
(1) IN GENERAL.—If, on payment of all expenses 
for the establishment of the commemorative work 
under this section (including the maintenance and 
preservation amount required by section 8906(b)(1) of 
title 40, United States Code), there remains a balance 
of funds received for the establishment of the com-
memorative work, the Corporation shall transmit the
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† HR 2617 EAS2 
amount of the balance to the Secretary for deposit in 
the account provided for in section 8906(b)(3) of that 
title. 
(2) ON EXPIRATION OF AUTHORITY.—If, on expi-
ration of the authority for the commemorative work 
under section 8903(e) of title 40, United States Code, 
there remains a balance of funds received for the es-
tablishment of the commemorative work under this 
section, the Corporation shall transmit the amount of 
the balance to a separate account with the National 
Park Foundation for memorials, to be available to the 
Secretary or the Administrator of General Services, 
as appropriate, in accordance with the process pro-
vided in paragraph (4) of section 8906(b) of that title 
for accounts established under paragraph (2) or (3) of 
that section. 
SEC. 705. AUTHORIZATION TO ESTABLISH COMMEMORA-
TIVE WORK TO HONOR JEAN MONNET. 
(a) IN GENERAL.—The Embassy of France in Wash-
ington, DC (referred to in this section as the ‘‘Embassy’’), 
may establish a commemorative work on Federal land in 
the District of Columbia and its environs to honor the ex-
traordinary contributions of Jean Monnet with respect to— 
(1) restoring peace between European nations; 
and
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† HR 2617 EAS2 
(2) establishing the European Union. 
(b) COMPLIANCE WITH STANDARDS FOR COMMEMORA-
TIVE WORKS.—The establishment of the commemorative 
work under this section shall be in accordance with chapter 
89 of title 40, United States Code (commonly known as the 
‘‘Commemorative Works Act’’). 
(c) PROHIBITION ON THE USE OF FEDERAL FUNDS.— 
(1) IN
GENERAL.—Federal funds may not be 
used to pay any expense of the establishment of the 
commemorative work under this section. 
(2) RESPONSIBILITY
OF
THE
EMBASSY
OF 
FRANCE IN WASHINGTON, DC.—The Embassy shall be 
solely responsible for the acceptance of contributions 
for, and payment of the expenses of, the establishment 
of the commemorative work under this section. 
(d) DEPOSIT OF EXCESS FUNDS.— 
(1) IN GENERAL.—If, on payment of all expenses 
for the establishment of the commemorative work 
under this section (including the maintenance and 
preservation amount required by section 8906(b)(1) of 
title 40, United States Code), there remains a balance 
of funds received for the establishment of the com-
memorative work, the Embassy shall transmit the 
amount of the balance to the Secretary for deposit in
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† HR 2617 EAS2 
the account provided for in section 8906(b)(3) of that 
title. 
(2) ON EXPIRATION OF AUTHORITY.—If, on expi-
ration of the authority for the commemorative work 
under section 8903(e) of title 40, United States Code, 
there remains a balance of funds received for the es-
tablishment of the commemorative work, the Embassy 
shall transmit the amount of the balance to a separate 
account with the National Park Foundation for me-
morials, to be available to the Secretary or the Ad-
ministrator of General Services, as appropriate, in 
accordance with the process provided in paragraph 
(4) of section 8906(b) of that title for accounts estab-
lished under paragraph (2) or (3) of that section. 
SEC. 706. DESIGNATION OF EL PASO COMMUNITY HEALING 
GARDEN NATIONAL MEMORIAL. 
(a) DESIGNATION.—The Healing Garden located at 
6900 Delta Drive, El Paso, Texas, is designated as the ‘‘El 
Paso Community Healing Garden National Memorial’’. 
(b) EFFECT OF DESIGNATION.—The national memo-
rial designated by this section is not a unit of the National 
Park System and the designation of the El Paso Commu-
nity Healing Garden National Memorial shall not require 
or authorize Federal funds to be expended for any purpose 
related to that national memorial.
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SEC. 707. AUTHORIZATION TO ESTABLISH COMMEMORA-
TIVE 
WORK 
TO 
COMMEMORATE 
THE 
ENSLAVED INDIVIDUALS WHO ENDURED THE 
MIDDLE PASSAGE. 
(a) IN GENERAL.—The Georgetown African American 
Historic Landmark Project and Tour may establish a com-
memorative work on Federal land in the District of Colum-
bia and its environs to commemorate the enslaved individ-
uals, the identities of whom may be known or unknown, 
who endured the Middle Passage. 
(b) COMPLIANCE WITH STANDARDS FOR COMMEMORA-
TIVE WORKS.—The establishment of the commemorative 
work under this section shall be in accordance with chapter 
89 of title 40, United States Code (commonly known as the 
‘‘Commemorative Works Act’’). 
(c) PROHIBITION ON THE USE OF FEDERAL FUNDS.— 
(1) IN
GENERAL.—Federal funds may not be 
used to pay any expense of the establishment of the 
commemorative work under this section. 
(2) RESPONSIBILITY OF THE GEORGETOWN AFRI-
CAN AMERICAN HISTORIC LANDMARK PROJECT AND 
TOUR.—The Georgetown African American Historic 
Landmark Project and Tour shall be solely respon-
sible for the acceptance of contributions for, and pay-
ment of the expenses of, the establishment of the com-
memorative work under this section.
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(d) DEPOSIT OF EXCESS FUNDS.— 
(1) IN GENERAL.—If, on payment of all expenses 
for the establishment of the commemorative work 
under this section (including the maintenance and 
preservation amount required by section 8906(b)(1) of 
title 40, United States Code), there remains a balance 
of funds received for the establishment of the com-
memorative work, the Georgetown African American 
Historic Landmark Project and Tour shall transmit 
the amount of the balance to the Secretary for deposit 
in the account provided for section 8906(b)(3) of that 
title. 
(2) ON EXPIRATION OF AUTHORITY.—If, on expi-
ration of the authority for the commemorative work 
under section 8903(e) of title 40, United States Code, 
there remains a balance of funds received for the es-
tablishment of the commemorative work, the George-
town African American Historic Landmark Project 
and Tour shall transmit the amount of the balance to 
a separate account with the National Park Founda-
tion for memorials, to be available to the Secretary or 
the Administrator of General Services, as appro-
priate, in accordance with the process provided in 
paragraph (4) of section 8906(b) of that title for ac-
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† HR 2617 EAS2 
counts established under paragraph (2) or (3) of that 
section. 
SEC. 708. APPROVAL OF LOCATION OF COMMEMORATIVE 
WORK TO HONOR JOURNALISTS WHO SAC-
RIFICED THEIR LIVES IN SERVICE TO A FREE 
PRESS. 
The location of a commemorative work to commemo-
rate the commitment of the United States to a free press 
by honoring journalists who sacrificed their lives in service 
to that cause within Area I, as depicted on the map entitled 
‘‘Commemorative Areas Washington, DC and Environs’’, 
numbered 869/86501 B, and dated June 24, 2003, is ap-
proved. 
SEC. 709. AUTHORIZATION OF THOMAS PAINE COMMEMO-
RATIVE WORK. 
(a) IN GENERAL.—The Thomas Paine Memorial Asso-
ciation may establish a commemorative work on Federal 
land in the District of Columbia and its environs to honor 
the United States patriot, Thomas Paine. 
(b) COMPLIANCE WITH STANDARDS FOR COMMEMORA-
TIVE WORKS.—The establishment of the commemorative 
work under this section shall be in accordance with chapter 
89 of title 40, United States Code (commonly known as the 
‘‘Commemorative Works Act’’).
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† HR 2617 EAS2 
(c) PROHIBITION ON THE USE OF FEDERAL FUNDS.— 
Federal funds may not be used to pay any expense of the 
establishment of the commemorative work under this sec-
tion. 
(d) DEPOSIT OF EXCESS FUNDS.— 
(1) IN GENERAL.—If, on payment of all expenses 
for the establishment of the commemorative work 
under this section (including the maintenance and 
preservation amount required by section 8906(b)(1) of 
title 40, United States Code), there remains a balance 
of funds received for the establishment of the com-
memorative work, the Thomas Paine Memorial Asso-
ciation shall transmit the amount of the balance to 
the Secretary for deposit in the account provided for 
in section 8906(b)(3) of that title. 
(2) ON EXPIRATION OF AUTHORITY.—If, on expi-
ration of the authority for the commemorative work 
under section 8903(e) of title 40, United States Code, 
there remains a balance of funds received for the es-
tablishment of the commemorative work, the Thomas 
Paine Memorial Association shall transmit the 
amount of the balance to a separate account with the 
National Park Foundation for memorials, to be avail-
able to the Secretary or the Administrator of General 
Services, as appropriate, in accordance with the proc-
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ess provided in paragraph (4) of section 8906(b) of 
that title for accounts established under paragraphs 
(2) and (3) of that section. 
SEC. 710. DESIGNATION OF UKRAINIAN INDEPENDENCE 
PARK. 
(a) DESIGNATION.— 
(1) IN GENERAL.—The area described in para-
graph (2) shall be designated as ‘‘Ukrainian Inde-
pendence Park’’. 
(2) DESCRIPTION
OF
AREA.—The area des-
ignated under paragraph (1) is the approximately 
0.35 acres generally depicted as ‘‘Ukrainian Inde-
pendence Park’’ on the map entitled ‘‘Ukrainian 
Independence Park Proposed Boundary’’, numbered 
802/180,561, and dated June 2022. 
(b) REFERENCE.—Any reference in any law, regula-
tion, document, record, map, paper, or other record of the 
United States to the area or properties described in sub-
section (a) is deemed to be a reference to ‘‘Ukrainian Inde-
pendence Park’’. 
(c) SIGNAGE.—The Secretary may post signs on or 
near Ukrainian Independence Park that include informa-
tion on the importance of the independence, freedom, and 
sovereignty of Ukraine and the solidarity between the people 
of Ukraine and the United States.
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TITLE VIII—MISCELLANEOUS 
SEC. 801. LONG-TERM ABANDONED MINE LAND RECLAMA-
TION. 
Section 40701(c) of the Infrastructure Investment and 
Jobs Act (30 U.S.C. 1231a(c)) is amended— 
(1) by striking ‘‘Grants under’’ and inserting the 
following: 
‘‘(1) IN GENERAL.—Except as provided in para-
graph (2), grants under’’; and 
(2) by adding at the end the following: 
‘‘(2) LONG-TERM ABANDONED MINE LAND REC-
LAMATION.— 
‘‘(A) IN GENERAL.—Not more than 30 per-
cent of the total amount of a grant made annu-
ally under subsection (b)(1) may be retained by 
the recipient of the grant if those amounts are 
deposited into a long-term abandoned mine land 
reclamation fund established under State law, 
from which amounts (together with all interest 
earned on the amounts) are expended by the 
State or Indian Tribe, as applicable, for— 
‘‘(i) the abatement of the causes and 
the treatment of the effects of acid mine 
drainage resulting from coal mining prac-
tices, including for the costs of building, op-
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erating, maintaining, and rehabilitating 
acid mine drainage treatment systems; 
‘‘(ii) the prevention, abatement, and 
control of subsidence; or 
‘‘(iii) the prevention, abatement, and 
control of coal mine fires. 
‘‘(B) REPORTING
REQUIREMENTS.—Each 
recipient of a grant under subsection (b)(1) that 
deposits grant amounts into a long-term aban-
doned mine land reclamation fund under sub-
paragraph (A) shall— 
‘‘(i) offer amendments to the inventory 
maintained under section 403(c) of the Sur-
face Mining Control and Reclamation Act 
of 1977 (30 U.S.C. 1233(c)) to reflect the 
use of the amounts for— 
‘‘(I) acid mine drainage abate-
ment and treatment; 
‘‘(II) 
subsidence 
prevention, 
abatement, and control; and 
‘‘(III) coal mine fire prevention, 
abatement, and control; and 
‘‘(ii) include in the annual grant re-
port of the recipient information on the sta-
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tus and balance of amounts in the long-term 
abandoned mine land reclamation fund. 
‘‘(C) TERM.—Amounts retained under sub-
paragraph (A) shall not be subject to— 
‘‘(i) subsection (d)(4)(B); or 
‘‘(ii) any other limitation on the length 
of the term of an annual grant under sub-
section (b)(1).’’. 
SEC. 802. CONSENT OF CONGRESS TO AMENDMENT TO THE 
CONSTITUTION OF THE STATE OF NEW MEX-
ICO. 
Congress consents to the amendment to the Constitu-
tion of the State of New Mexico proposed by House Joint 
Resolution 1 of the 55th Legislature of the State of New 
Mexico, First Session, 2021, entitled ‘‘A Joint Resolution 
Proposing an Amendment to Article 12, Section 7 of the 
Constitution of New Mexico to Provide for Additional An-
nual Distributions of the Permanent School Fund for En-
hanced Instruction for Students at Risk of Failure, Extend-
ing the School Year, Teacher Compensation and Early 
Childhood Education; Requiring Congressional Approval 
for Distributions for Early Childhood Education’’.
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DIVISION EE—POST OFFICE 
DESIGNATIONS 
SEC. 101. COYA KNUTSON POST OFFICE. 
(a) DESIGNATION.—The facility of the United States 
Postal Service located at 202 2nd Avenue in Oklee, Min-
nesota, shall be known and designated as the ‘‘Coya 
Knutson Post Office’’. 
(b) REFERENCES.—Any reference in a law, map, regu-
lation, document, paper, or other record of the United 
States to the facility referred to in subsection (a) shall be 
deemed to be a reference to the ‘‘Coya Knutson Post Office’’. 
SEC. 102. ROBERT SMALLS POST OFFICE. 
(a) DESIGNATION.—The facility of the United States 
Postal Service located at 11 Robert Smalls Parkway Suite 
C in Beaufort, South Carolina, shall be known and des-
ignated as the ‘‘Robert Smalls Post Office’’. 
(b) REFERENCES.—Any reference in a law, map, regu-
lation, document, paper, or other record of the United 
States to the facility referred to in subsection (a) shall be 
deemed to be a reference to the ‘‘Robert Smalls Post Office’’. 
SEC. 103. ROBERT J. DOLE MEMORIAL POST OFFICE BUILD-
ING. 
(a) DESIGNATION.—The facility of the United States 
Postal Service located at 135 West Wisconsin Street in Rus-
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sell, Kansas, shall be known and designated as the ‘‘Robert 
J. Dole Memorial Post Office Building’’. 
(b) REFERENCES.—Any reference in a law, map, regu-
lation, document, paper, or other record of the United 
States to the facility referred to in subsection (a) shall be 
deemed to be a reference to the ‘‘Robert J. Dole Memorial 
Post Office Building’’. 
SEC. 104. CHARLES E. FRASER POST OFFICE BUILDING. 
(a) DESIGNATION.—The facility of the United States 
Postal Service located at 10 Bow Circle in Hilton Head 
Island, South Carolina, shall be known and designated as 
the ‘‘Charles E. Fraser Post Office Building’’. 
(b) REFERENCES.—Any reference in a law, map, regu-
lation, document, paper, or other record of the United 
States to the facility referred to in subsection (a) shall be 
deemed to be a reference to the ‘‘Charles E. Fraser Post Of-
fice Building’’. 
SEC. 105. HARRIET TUBMAN POST OFFICE BUILDING. 
(a) DESIGNATION.—The facility of the United States 
Postal Service located at 501 Charles Street in Beaufort, 
South Carolina, shall be known and designated as the 
‘‘Harriet Tubman Post Office Building’’. 
(b) REFERENCES.—Any reference in a law, map, regu-
lation, document, paper, or other record of the United 
States to the facility referred to in subsection (a) shall be
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deemed to be a reference to the ‘‘Harriet Tubman Post Office 
Building’’. 
SEC. 106. CORPORAL BENJAMIN DESILETS POST OFFICE. 
(a) DESIGNATION.—The facility of the United States 
Postal Service located at 114 North Magnolia Street in 
Elmwood, Illinois, shall be known and designated as the 
‘‘Corporal Benjamin Desilets Post Office’’. 
(b) REFERENCES.—Any reference in a law, map, regu-
lation, document, paper, or other record of the United 
States to the facility referred to in subsection (a) shall be 
deemed to be a reference to the ‘‘Corporal Benjamin Desilets 
Post Office’’. 
SEC. 107. SGT. JEREMY C. SHERMAN POST OFFICE BUILD-
ING. 
(a) DESIGNATION.—The facility of the United States 
Postal Service located at 101 West Walnut Street in 
Watseka, Illinois, shall be known and designated as the 
‘‘Sgt. Jeremy C. Sherman Post Office Building’’. 
(b) REFERENCES.—Any reference in a law, map, regu-
lation, document, paper, or other record of the United 
States to the facility referred to in subsection (a) shall be 
deemed to be a reference to the ‘‘Sgt. Jeremy C. Sherman 
Post Office Building’’.
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SEC. 108. SERGEANT BRET D. ISENHOWER MEMORIAL POST 
OFFICE BUILDING. 
(a) DESIGNATION.—The facility of the United States 
Postal Service located at 120 East Oak Avenue in Seminole, 
Oklahoma, shall be known and designated as the ‘‘Sergeant 
Bret D. Isenhower Memorial Post Office Building’’. 
(b) REFERENCES.—Any reference in a law, map, regu-
lation, document, paper, or other record of the United 
States to the facility referred to in subsection (a) shall be 
deemed to be a reference to the ‘‘Sergeant Bret D. Isenhower 
Memorial Post Office Building’’. 
SEC. 109. COTTLE CENTANNI POST OFFICE BUILDING. 
(a) DESIGNATION.—The facility of the United States 
Postal Service located at 4770 Eureka Avenue in Yorba 
Linda, California, shall be known and designated as the 
‘‘Cottle Centanni Post Office Building’’. 
(b) REFERENCES.—Any reference in a law, map, regu-
lation, document, paper, or other record of the United 
States to the facility referred to in subsection (a) shall be 
deemed to be a reference to the ‘‘Cottle Centanni Post Office 
Building’’. 
SEC. 110. CAPTAIN ROBERT C. HARMON AND PRIVATE JOHN 
R. PEIRSON POST OFFICE BUILDING. 
(a) DESIGNATION.—The facility of the United States 
Postal Service located at 430 South Knowles Avenue in New 
Richmond, Wisconsin, shall be known and designated as the
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‘‘Captain Robert C. Harmon and Private John R. Peirson 
Post Office Building’’. 
(b) REFERENCES.—Any reference in a law, map, regu-
lation, document, paper, or other record of the United 
States to the facility referred to in subsection (a) shall be 
deemed to be a reference to the ‘‘Captain Robert C. Harmon 
and Private John R. Peirson Post Office Building’’. 
SEC. 111. CORPORAL MITCHELL RED CLOUD, JR. POST OF-
FICE. 
(a) DESIGNATION.—The facility of the United States 
Postal Service located at 619 Hewett Street in Neillsville, 
Wisconsin, shall be known and designated as the ‘‘Corporal 
Mitchell Red Cloud, Jr. Post Office’’. 
(b) REFERENCES.—Any reference in a law, map, regu-
lation, document, paper, or other record of the United 
States to the facility referred to in subsection (a) shall be 
deemed to be a reference to the ‘‘Corporal Mitchell Red 
Cloud, Jr. Post Office’’. 
SEC. 112. CORPORAL JOSEPH RODNEY CHAPMAN POST OF-
FICE. 
(a) DESIGNATION.—The facility of the United States 
Postal Service located at 415 High Street in Freeport, 
Pennsylvania, shall be known and designated as the ‘‘Cor-
poral Joseph Rodney Chapman Post Office’’.
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(b) REFERENCES.—Any reference in a law, map, regu-
lation, document, paper, or other record of the United 
States to the facility referred to in subsection (a) shall be 
deemed to be a reference to the ‘‘Corporal Joseph Rodney 
Chapman Post Office’’. 
SEC. 113. HAROLD BILLOW POST OFFICE BUILDING. 
(a) DESIGNATION.—The facility of the United States 
Postal Service located at 1 East Main Street in Mount Joy, 
Pennsylvania, shall be known and designated as the ‘‘Har-
old Billow Post Office Building’’. 
(b) REFERENCES.—Any reference in a law, map, regu-
lation, document, paper, or other record of the United 
States to the facility referred to in subsection (a) shall be 
deemed to be a reference to the ‘‘Harold Billow Post Office 
Building’’. 
SEC. 114. ROMUALD ‘‘BUD’’ BRZEZINSKI POST OFFICE. 
(a) DESIGNATION.—The facility of the United States 
Postal Service located at N4805 State Highway 32 in 
Krakow, Wisconsin, shall be known and designated as the 
‘‘Romuald ‘Bud’ Brzezinski Post Office’’. 
(b) REFERENCES.—Any reference in a law, map, regu-
lation, document, paper, or other record of the United 
States to the facility referred to in subsection (a) shall be 
deemed to be a reference to the ‘‘Romuald ‘Bud’ Brzezinski 
Post Office’’.
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SEC. 115. MITCHELL F. LUNDGAARD POST OFFICE BUILD-
ING. 
(a) DESIGNATION.—The facility of the United States 
Postal Service located at 410 Franklin Street in Appleton, 
Wisconsin, shall be known and designated as the ‘‘Mitchell 
F. Lundgaard Post Office Building’’. 
(b) REFERENCES.—Any reference in a law, map, regu-
lation, document, paper, or other record of the United 
States to the facility referred to in subsection (a) shall be 
deemed to be a reference to the ‘‘Mitchell F. Lundgaard Post 
Office Building’’. 
SEC. 116. JUDGE JAMES PEREZ POST OFFICE. 
(a) DESIGNATION.—The facility of the United States 
Postal Service located at 615 North Bush Street in Santa 
Ana, California, shall be known and designated as the 
‘‘Judge James Perez Post Office’’. 
(b) REFERENCES.—Any reference in a law, map, regu-
lation, document, paper, or other record of the United 
States to the facility referred to in subsection (a) shall be 
deemed to be a reference to the ‘‘Judge James Perez Post 
Office’’. 
SEC. 117. CHANGE OF ADDRESS FOR MARILYN MONROE 
POST OFFICE. 
Section 1 of Public Law 116–80 is amended to read 
as follows:
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‘‘SECTION 1. MARILYN MONROE POST OFFICE BUILDING. 
‘‘(a) DESIGNATION.—The facility of the United States 
Postal Service located at 15701 Sherman Way in Van 
Nuys, California, shall be known and designated as the 
‘Marilyn Monroe Post Office Building’. 
‘‘(b) REFERENCES.—Any reference in a law, map, reg-
ulation, document, paper, or other record of the United 
States to the facility referred to in subsection (a) shall be 
deemed to be a reference to the ‘Marilyn Monroe Post Office 
Building’.’’. 
SEC. 118. JESUS ANTONIO COLLAZOS POST OFFICE BUILD-
ING. 
(a) DESIGNATION.—The facility of the United States 
Postal Service located at 2200 North George Mason Drive 
in Arlington, Virginia, shall be known and designated as 
the ‘‘Jesus Antonio Collazos Post Office Building’’. 
(b) REFERENCES.—Any reference in a law, map, regu-
lation, document, paper, or other record of the United 
States to the facility referred to in subsection (a) shall be 
deemed to be a reference to the ‘‘Jesus Antonio Collazos Post 
Office Building’’. 
SEC. 119. ESTEBAN E. TORRES POST OFFICE BUILDING. 
(a) DESIGNATION.—The facility of the United States 
Postal Service located at 396 South California Avenue in 
West Covina, California, shall be known and designated as 
the ‘‘Esteban E. Torres Post Office Building’’.
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(b) REFERENCES.—Any reference in a law, map, regu-
lation, document, paper, or other record of the United 
States to the facility referred to in subsection (a) shall be 
deemed to be a reference to the ‘‘Esteban E. Torres Post 
Office Building’’. 
SEC. 120. DISTRICT OF COLUMBIA SERVICEMEMBERS AND 
VETERANS POST OFFICE. 
(a) DESIGNATION.—The facility of the United States 
Postal Service located at 400 Southern Avenue Southeast 
in Washington, District of Columbia, shall be known and 
designated as the ‘‘District of Columbia Servicemembers 
and Veterans Post Office’’. 
(b) REFERENCES.—Any reference in a law, map, regu-
lation, document, paper, or other record of the United 
States to the facility referred to in subsection (a) shall be 
deemed to be a reference to the ‘‘District of Columbia 
Servicemembers and Veterans Post Office’’. 
SEC. 121. ARMY SPECIALIST JOSEPH ‘‘JOEY’’ W. DIMOCK II 
POST OFFICE BUILDING. 
(a) DESIGNATION.—The facility of the United States 
Postal Service located at 75 Commerce Drive in Grayslake, 
Illinois, shall be known and designated as the ‘‘Army Spe-
cialist Joseph ‘Joey’ W. Dimock II Post Office Building’’. 
(b) REFERENCES.—Any reference in a law, map, regu-
lation, document, paper, or other record of the United
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† HR 2617 EAS2 
States to the facility referred to in subsection (a) shall be 
deemed to be a reference to the ‘‘Army Specialist Joseph 
‘Joey’ W. Dimock II Post Office Building’’. 
SEC. 122. CORPORAL HUNTER LOPEZ MEMORIAL POST OF-
FICE BUILDING. 
(a) DESIGNATION.—The facility of the United States 
Postal Service located at 79125 Corporate Centre Drive in 
La Quinta, California, shall be known and designated as 
the ‘‘Corporal Hunter Lopez Memorial Post Office Build-
ing’’. 
(b) REFERENCES.—Any reference in a law, map, regu-
lation, document, paper, or other record of the United 
States to the facility referred to in subsection (a) shall be 
deemed to be a reference to the ‘‘Corporal Hunter Lopez 
Memorial Post Office Building’’. 
SEC. 123. CHIEF RUDY BANUELOS POST OFFICE. 
(a) DESIGNATION.—The facility of the United States 
Postal Service located at 123 South 3rd Street in King 
City, California, shall be known and designated as the 
‘‘Chief Rudy Banuelos Post Office’’. 
(b) REFERENCES.—Any reference in a law, map, regu-
lation, document, paper, or other record of the United 
States to the facility referred to in subsection (a) shall be 
deemed to be a reference to the ‘‘Chief Rudy Banuelos Post 
Office’’.
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SEC. 124. CHAIRMAN RICHARD MILANOVICH POST OFFICE. 
(a) DESIGNATION.—The facility of the United States 
Postal Service located at 333 North Sunrise Way in Palm 
Springs, California, shall be known and designated as the 
‘‘Chairman Richard Milanovich Post Office’’. 
(b) REFERENCES.—Any reference in a law, map, regu-
lation, document, paper, or other record of the United 
States to the facility referred to in subsection (a) shall be 
deemed to be a reference to the ‘‘Chairman Richard 
Milanovich Post Office’’. 
SEC. 125. U.S. SENATOR DENNIS CHA´ VEZ POST OFFICE. 
(a) DESIGNATION.—The facility of the United States 
Postal Service located at 400 North Main Street in Belen, 
New Mexico, shall be known and designated as the ‘‘U.S. 
Senator Dennis Cha´vez Post Office’’. 
(b) REFERENCES.—Any reference in a law, map, regu-
lation, document, paper, or other record of the United 
States to the facility referred to in subsection (a) shall be 
deemed to be a reference to the ‘‘U.S. Senator Dennis 
Cha´vez Post Office’’. 
DIVISION FF—HEALTH AND 
HUMAN SERVICES 
SEC. 1. SHORT TITLE. 
This division may be cited as the ‘‘Health Extenders, 
Improving Access to Medicare, Medicaid, and CHIP, and 
Strengthening Public Health Act of 2022’’.
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SEC. 2. TABLE OF CONTENTS. 
The table of contents for this division is as follows: 
DIVISION FF—HEALTH AND HUMAN SERVICES 
Sec. 1. Short title. 
Sec. 2. Table of contents. 
TITLE I—RESTORING HOPE FOR MENTAL HEALTH AND WELL- 
BEING 
Sec. 1001. Short title. 
Subtitle A—Mental Health and Crisis Care Needs 
CHAPTER 1—CRISIS CARE SERVICES AND 9–8–8 IMPLEMENTATION 
Sec. 1101. Behavioral Health Crisis Coordinating Office. 
Sec. 1102. Crisis response continuum of care. 
Sec. 1103. Suicide Prevention Lifeline Improvement. 
CHAPTER 2—INTO THE LIGHT FOR MATERNAL MENTAL HEALTH AND 
SUBSTANCE USE DISORDERS 
Sec. 1111. Screening and treatment for maternal mental health and substance use 
disorders. 
Sec. 1112. Maternal mental health hotline. 
Sec. 1113. Task force on maternal mental health. 
Sec. 1114. Residential treatment program for pregnant and postpartum women 
pilot program reauthorization. 
CHAPTER 3—REACHING IMPROVED MENTAL HEALTH OUTCOMES FOR 
PATIENTS 
Sec. 1121. Innovation for mental health. 
Sec. 1122. Crisis care coordination. 
Sec. 1123. Treatment of serious mental illness. 
Sec. 1124. Study on the costs of serious mental illness. 
CHAPTER 4—ANNA WESTIN LEGACY 
Sec. 1131. Maintaining education and training on eating disorders. 
CHAPTER 5—COMMUNITY MENTAL HEALTH SERVICES BLOCK GRANT 
REAUTHORIZATION 
Sec. 1141. Reauthorization of block grants for community mental health services. 
CHAPTER 6—PEER-SUPPORTED MENTAL HEALTH SERVICES 
Sec. 1151. Peer-supported mental health services. 
Subtitle B—Substance Use Disorder Prevention, Treatment, and Recovery 
Services 
CHAPTER 1—NATIVE BEHAVIORAL HEALTH RESOURCES 
Sec. 1201. Behavioral health and substance use disorder resources for Native 
Americans.
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CHAPTER 2—SUMMER BARROW PREVENTION, TREATMENT, AND RECOVERY 
Sec. 1211. Grants for the benefit of homeless individuals. 
Sec. 1212. Priority substance use disorder treatment needs of regional and na-
tional significance. 
Sec. 1213. Evidence-based prescription opioid and heroin treatment and interven-
tions demonstration. 
Sec. 1214. Priority substance use disorder prevention needs of regional and na-
tional significance. 
Sec. 1215. Sober Truth on Preventing (STOP) Underage Drinking Reauthoriza-
tion. 
Sec. 1216. Grants for jail diversion programs. 
Sec. 1217. Formula grants to States. 
Sec. 1218. Projects for Assistance in Transition From Homelessness. 
Sec. 1219. Grants for reducing overdose deaths. 
Sec. 1220. Opioid overdose reversal medication access and education grant pro-
grams. 
Sec. 1221. Emergency department alternatives to opioids. 
CHAPTER 3—EXCELLENCE IN RECOVERY HOUSING 
Sec. 1231. Clarifying the role of SAMHSA in promoting the availability of high- 
quality recovery housing. 
Sec. 1232. Developing guidelines for States to promote the availability of high- 
quality recovery housing. 
Sec. 1233. Coordination of Federal activities to promote the availability of recov-
ery housing. 
Sec. 1234. National Academies of Sciences, Engineering, and Medicine study and 
report. 
Sec. 1235. Grants for States to promote the availability of recovery housing and 
services. 
Sec. 1236. Funding. 
Sec. 1237. Technical correction. 
CHAPTER 4—SUBSTANCE USE PREVENTION, TREATMENT, AND RECOVERY 
SERVICES BLOCK GRANT 
Sec. 1241. Eliminating stigmatizing language relating to substance use. 
Sec. 1242. Authorized activities. 
Sec. 1243. State plan requirements. 
Sec. 1244. Updating certain language relating to Tribes. 
Sec. 1245. Block grants for substance use prevention, treatment, and recovery 
services. 
Sec. 1246. Requirement of reports and audits by States. 
Sec. 1247. Study on assessment for use of State resources. 
CHAPTER 5—TIMELY TREATMENT FOR OPIOID USE DISORDER 
Sec. 1251. Study on exemptions for treatment of opioid use disorder through 
opioid treatment programs during the COVID–19 public health 
emergency. 
Sec. 1252. Changes to Federal opioid treatment standards. 
CHAPTER 6—ADDITIONAL PROVISIONS RELATING TO ADDICTION TREATMENT 
Sec. 1261. Prohibition.
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Sec. 1262. Eliminating additional requirements for dispensing narcotic drugs in 
schedule III, IV, and V for maintenance or detoxification treat-
ment. 
Sec. 1263. Requiring prescribers of controlled substances to complete training. 
Sec. 1264. Increase in number of days before which certain controlled substances 
must be administered. 
CHAPTER 7—OPIOID CRISIS RESPONSE 
Sec. 1271. Opioid prescription verification. 
Sec. 1272. Synthetic opioid and emerging drug misuse danger awareness. 
Sec. 1273. Grant program for State and Tribal response to opioid use disorders. 
Subtitle C—Access to Mental Health Care and Coverage 
CHAPTER 1—IMPROVING UPTAKE AND PATIENT ACCESS TO INTEGRATED CARE 
SERVICES 
Sec. 1301. Improving uptake and patient access to integrated care services. 
CHAPTER 2—HELPING ENABLE ACCESS TO LIFESAVING SERVICES 
Sec. 1311. Reauthorization and provision of certain programs to strengthen the 
health care workforce. 
Sec. 1312. Reauthorization of minority fellowship program. 
CHAPTER 3—ELIMINATING THE OPT-OUT FOR NONFEDERAL GOVERNMENTAL 
HEALTH PLANS 
Sec. 1321. Eliminating the opt-out for nonfederal governmental health plans. 
CHAPTER 4—MENTAL HEALTH AND SUBSTANCE USE DISORDER PARITY 
IMPLEMENTATION 
Sec. 1331. Grants to support mental health and substance use disorder parity im-
plementation. 
Subtitle D—Children and Youth 
CHAPTER 1—SUPPORTING CHILDREN’S MENTAL HEALTH CARE ACCESS 
Sec. 1401. Technical assistance for school-based health centers. 
Sec. 1402. Infant and early childhood mental health promotion, intervention, and 
treatment. 
Sec. 1403. Co-occurring chronic conditions and mental health in youth study. 
Sec. 1404. Best practices for behavioral and mental health intervention teams. 
CHAPTER 2—CONTINUING SYSTEMS OF CARE FOR CHILDREN 
Sec. 1411. Comprehensive Community Mental Health Services for Children with 
Serious Emotional Disturbances. 
Sec. 1412. Substance Use Disorder Treatment and Early Intervention Services for 
Children and Adolescents. 
CHAPTER 3—GARRETT LEE SMITH MEMORIAL REAUTHORIZATION 
Sec. 1421. Suicide prevention technical assistance center. 
Sec. 1422. Youth suicide early intervention and prevention strategies.
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Sec. 1423. Mental health and substance use disorder services for students in high-
er education. 
Sec. 1424. Mental and behavioral health outreach and education at institutions 
of higher education. 
CHAPTER 4—MEDIA AND MENTAL HEALTH 
Sec. 1431. Study on the effects of smartphone and social media use on adoles-
cents. 
Sec. 1432. Research on the health and development effects of media and related 
technology on infants, children, and adolescents. 
Subtitle E—Miscellaneous Provisions 
Sec. 1501. Limitations on authority. 
TITLE II—PREPARING FOR AND RESPONDING TO EXISTING 
VIRUSES, EMERGING NEW THREATS, AND PANDEMICS 
Sec. 2001. Short title. 
Subtitle A—Strengthening Federal and State Preparedness 
CHAPTER 1—FEDERAL LEADERSHIP AND ACCOUNTABILITY 
Sec. 2101. Appointment and authority of the Director of the Centers for Disease 
Control and Prevention. 
Sec. 2102. Advisory committee to the director of the centers for disease control 
and prevention. 
Sec. 2103. Public health and medical preparedness and response coordination. 
Sec. 2104. Office of Pandemic Preparedness and Response Policy. 
CHAPTER 2—STATE AND LOCAL READINESS 
Sec. 2111. Improving State and local public health security. 
Sec. 2112. Supporting access to mental health and substance use disorder services 
during public health emergencies. 
Sec. 2113. Trauma care reauthorization. 
Sec. 2114. Assessment of containment and mitigation of infectious diseases. 
Sec. 2115. Consideration of unique challenges in noncontiguous States and terri-
tories. 
Subtitle B—Improving Public Health Preparedness and Response Capacity 
CHAPTER 1—IMPROVING PUBLIC HEALTH EMERGENCY RESPONSES 
Sec. 2201. Addressing factors related to improving health outcomes. 
CHAPTER 2—IMPROVING STATE, LOCAL, AND TRIBAL PUBLIC HEALTH DATA 
Sec. 2211. Modernizing State, local, and Tribal biosurveillance capabilities and 
infectious disease data. 
Sec. 2212. Genomic sequencing, analytics, and public health surveillance of 
pathogens. 
Sec. 2213. Supporting State, local, and Tribal public health data. 
Sec. 2214. Epidemic forecasting and outbreak analytics. 
Sec. 2215. Public health data transparency. 
Sec. 2216. GAO report on public health preparedness, response, and recovery data 
capabilities.
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CHAPTER 3—REVITALIZING THE PUBLIC HEALTH WORKFORCE 
Sec. 2221. Improving recruitment and retention of the frontline public health 
workforce. 
Sec. 2222. Awards to support community health workers and community health. 
Sec. 2223. Improving public health emergency response capacity. 
Sec. 2224. Increasing educational opportunities for allied health professions. 
Sec. 2225. Public Health Service Corps annual and sick leave. 
Sec. 2226. Leadership exchange pilot for public health and medical preparedness 
and response positions at the Department of Health and Human 
Services. 
Sec. 2227. Continuing educational support for health professionals serving in 
rural and underserved communities. 
CHAPTER 4—ENHANCING PUBLIC HEALTH PREPAREDNESS AND RESPONSE 
Sec. 2231. Centers for public health preparedness and response. 
Sec. 2232. Vaccine distribution plans. 
Sec. 2233. Coordination and collaboration regarding blood supply. 
Sec. 2234. Supporting laboratory capacity and international collaboration to ad-
dress antimicrobial resistance. 
Sec. 2235. One Health framework. 
Sec. 2236. Supporting children during public health emergencies. 
Subtitle C—Accelerating Research and Countermeasure Discovery 
CHAPTER 1—FOSTERING RESEARCH AND DEVELOPMENT AND IMPROVING 
COORDINATION 
Sec. 2301. Research centers for pathogens of pandemic concern. 
Sec. 2302. Improving medical countermeasure research coordination. 
Sec. 2303. Accessing specimen samples and diagnostic tests. 
Sec. 2304. National Academies of Sciences, Engineering, and Medicine study on 
natural immunity in relation to the COVID–19 pandemic. 
CHAPTER 2—IMPROVING BIOSAFETY AND BIOSECURITY 
Sec. 2311. Improving control and oversight of select biological agents and toxins. 
Sec. 2312. Strategy for Federal high-containment laboratories. 
Sec. 2313. National Science Advisory Board for Biosecurity. 
Sec. 2314. Research to improve biosafety. 
Sec. 2315. Federally-funded research with enhanced pathogens of pandemic poten-
tial. 
CHAPTER 3—PREVENTING UNDUE FOREIGN INFLUENCE IN BIOMEDICAL 
RESEARCH 
Sec. 2321. Foreign talent recruitment programs. 
Sec. 2322. Securing identifiable, sensitive information and addressing other na-
tional security risks related to research. 
Sec. 2323. Duties of the Director. 
Sec. 2324. Protecting America’s biomedical research enterprise. 
Sec. 2325. GAO Study. 
Sec. 2326. Report on progress to address undue foreign influence. 
CHAPTER 4—ADVANCED RESEARCH PROJECTS AGENCY–HEALTH 
Sec. 2331. Advanced Research Projects Agency–Health.
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Subtitle D—Modernizing and Strengthening the Supply Chain for Vital 
Medical Products 
Sec. 2401. Warm base manufacturing capacity for medical countermeasures. 
Sec. 2402. Supply chain considerations for the Strategic National Stockpile. 
Sec. 2403. Strategic National Stockpile equipment maintenance. 
Sec. 2404. Improving transparency and predictability of processes of the Stra-
tegic National Stockpile. 
Sec. 2405. Improving supply chain flexibility for the Strategic National Stock-
pile. 
Sec. 2406. Reimbursement for certain supplies. 
Sec. 2407. Action reporting on stockpile depletion. 
Sec. 2408. Provision of medical countermeasures to Indian programs and facili-
ties. 
Sec. 2409. Grants for State strategic stockpiles. 
Sec. 2410. Study on incentives for domestic production of generic medicines. 
Sec. 2411. Increased manufacturing capacity for certain critical antibiotic drugs. 
Subtitle E—Enhancing Development and Combating Shortages of Medical 
Products 
CHAPTER 1—DEVELOPMENT AND REVIEW 
Sec. 2501. Accelerating countermeasure development and review. 
Sec. 2502. Third party test evaluation during emergencies. 
Sec. 2503. Platform technologies. 
Sec. 2504. Increasing EUA decision transparency. 
Sec. 2505. Improving FDA guidance and communication. 
CHAPTER 2—MITIGATING SHORTAGES 
Sec. 2511. Ensuring registration of foreign drug and device manufacturers. 
Sec. 2512. Extending expiration dates for certain drugs. 
Sec. 2513. Combating counterfeit devices. 
Sec. 2514. Preventing medical device shortages. 
Sec. 2515. Technical corrections. 
TITLE III—FOOD AND DRUG ADMINISTRATION 
Sec. 3001. Short title. 
Sec. 3002. Definition. 
Subtitle A—Reauthorizations 
Sec. 3101. Reauthorization of the critical path public-private partnership. 
Sec. 3102. Reauthorization of the best pharmaceuticals for children program. 
Sec. 3103. Reauthorization of the humanitarian device exemption incentive. 
Sec. 3104. Reauthorization of the pediatric device consortia program. 
Sec. 3105. Reauthorization of provision pertaining to drugs containing single 
enantiomers. 
Sec. 3106. Reauthorization of certain device inspections. 
Sec. 3107. Reauthorization of orphan drug grants. 
Sec. 3108. Reauthorization of reporting requirements related to pending generic 
drug applications and priority review applications. 
Sec. 3109. Reauthorization of third-party review program.
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† HR 2617 EAS2 
Subtitle B—Drugs and Biologics 
CHAPTER 1—RESEARCH, DEVELOPMENT, AND COMPETITION IMPROVEMENTS 
Sec. 3201. Prompt reports of marketing status by holders of approved applica-
tions for biological products. 
Sec. 3202. Improving the treatment of rare diseases and conditions. 
Sec. 3203. Emerging technology program. 
Sec. 3204. National Centers of Excellence in Advanced and Continuous Pharma-
ceutical Manufacturing. 
Sec. 3205. Public workshop on cell therapies. 
Sec. 3206. Clarifications to exclusivity provisions for first interchangeable bio-
similar biological products. 
Sec. 3207. GAO report on nonprofit pharmaceutical organizations. 
Sec. 3208. Rare disease endpoint advancement pilot program. 
Sec. 3209. Animal testing alternatives. 
Sec. 3210. Modernizing accelerated approval. 
Sec. 3211. Antifungal research and development. 
Sec. 3212. Advancing qualified infectious disease product innovation. 
Sec. 3213. Advanced manufacturing technologies designation program. 
CHAPTER 2—TRANSPARENCY, PROGRAM INTEGRITY, AND REGULATORY 
IMPROVEMENTS 
Sec. 3221. Safer disposal of opioids. 
Sec. 3222. Therapeutic equivalence evaluations. 
Sec. 3223. Public docket on proposed changes to third-party vendors. 
Sec. 3224. Enhancing access to affordable medicines. 
Subtitle C—Medical Devices 
Sec. 3301. Dual submission for certain devices. 
Sec. 3302. Medical Devices Advisory Committee meetings. 
Sec. 3303. GAO report on third-party review. 
Sec. 3304. Certificates to foreign governments. 
Sec. 3305. Ensuring cybersecurity of medical devices. 
Sec. 3306. Bans of devices for one or more intended uses. 
Sec. 3307. Third party data transparency. 
Sec. 3308. Predetermined change control plans for devices. 
Sec. 3309. Small business fee waiver. 
Subtitle D—Infant Formula 
Sec. 3401. Protecting infants and improving formula supply. 
Subtitle E—Cosmetics 
Sec. 3501. Short title. 
Sec. 3502. Amendments to cosmetic requirements. 
Sec. 3503. Enforcement and conforming amendments. 
Sec. 3504. Records inspection. 
Sec. 3505. Talc-containing cosmetics. 
Sec. 3506. PFAS in cosmetics. 
Sec. 3507. Sense of the Congress on animal testing. 
Sec. 3508. Funding.
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† HR 2617 EAS2 
Subtitle F—Cross-Cutting Provisions 
CHAPTER 1—CLINICAL TRIAL DIVERSITY AND MODERNIZATION 
Sec. 3601. Diversity action plans for clinical studies. 
Sec. 3602. Guidance on diversity action plans for clinical studies. 
Sec. 3603. Public workshops to enhance clinical study diversity. 
Sec. 3604. Annual summary report on progress to increase diversity in clinical 
studies. 
Sec. 3605. Public meeting on clinical study flexibilities initiated in response to 
COVID–19 pandemic. 
Sec. 3606. Decentralized clinical studies. 
Sec. 3607. Modernizing clinical trials. 
CHAPTER 2—INSPECTIONS 
Sec. 3611. Device inspections. 
Sec. 3612. Bioresearch monitoring inspections. 
Sec. 3613. Improving Food and Drug Administration inspections. 
Sec. 3614. GAO report on inspections of foreign establishments manufacturing 
drugs. 
Sec. 3615. Unannounced foreign facility inspections pilot program. 
Sec. 3616. Enhancing coordination and transparency on inspections. 
Sec. 3617. Enhancing transparency of drug facility inspection timelines. 
CHAPTER 3—MISCELLANEOUS 
Sec. 3621. Regulation of certain products as drugs. 
Sec. 3622. Women’s Health Research Roadmap. 
Sec. 3623. Strategic workforce plan and report. 
Sec. 3624. Enhancing Food and Drug Administration hiring authority for sci-
entific, technical, and professional personnel. 
Sec. 3625. Facilities management. 
Sec. 3626. User fee program transparency and accountability. 
Sec. 3627. Improving information technology systems of the Food and Drug Ad-
ministration. 
Sec. 3628. Reporting on mailroom and Office of the Executive Secretariat of the 
Food and Drug Administration. 
Sec. 3629. Facilitating the use of real world evidence. 
Sec. 3630. Facilitating exchange of product information prior to approval. 
Sec. 3631. Streamlining blood donor input. 
TITLE IV—MEDICARE PROVISIONS 
Subtitle A—Medicare Extenders 
Sec. 4101. Extension of increased inpatient hospital payment adjustment for cer-
tain low-volume hospitals. 
Sec. 4102. Extension of the Medicare-Dependent Hospital program. 
Sec. 4103. Extension of add-on payments for ambulance services. 
Subtitle B—Other Expiring Medicare Provisions 
Sec. 4111. Extending incentive payments for participation in eligible alternative 
payment models. 
Sec. 4112. Extension of support for physicians and other professionals in adjust-
ing to Medicare payment changes. 
Sec. 4113. Advancing telehealth Beyond COVID–19.
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† HR 2617 EAS2 
Sec. 4114. Revised phase-in of Medicare clinical laboratory test payment changes. 
Subtitle C—Medicare Mental Health Provisions 
Sec. 4121. Coverage of marriage and family therapist services and mental health 
counselor services under part B of the Medicare program. 
Sec. 4122. Additional residency positions. 
Sec. 4123. Improving mobile crisis care in Medicare. 
Sec. 4124. Ensuring adequate coverage of outpatient mental health services under 
the Medicare program. 
Sec. 4125. Improvements to Medicare prospective payment system for psychiatric 
hospitals and psychiatric units. 
Sec. 4126. Exception for physician wellness programs. 
Sec. 4127. Consideration of safe harbor under the anti-kickback statute for certain 
contingency management interventions. 
Sec. 4128. Provider outreach and reporting on certain behavioral health integra-
tion services. 
Sec. 4129. Outreach and reporting on opioid use disorder treatment services fur-
nished by opioid treatment programs. 
Sec. 4130. GAO study and report comparing coverage of mental health and sub-
stance use disorder benefits and non-mental health and substance 
use disorder benefits. 
Subtitle D—Other Medicare Provisions 
Sec. 4131. Temporary inclusion of authorized oral antiviral drugs as covered 
part D drug. 
Sec. 4132. Restoration of CBO access to certain part D payment data. 
Sec. 4133. Medicare coverage of certain lymphedema compression treatment 
items. 
Sec. 4134. Permanent in-home benefit for IVIG services. 
Sec. 4135. Access to non-opioid treatments for pain relief. 
Sec. 4136. Technical amendments to Medicare separate payment for disposable 
negative pressure wound therapy devices. 
Sec. 4137. Extension of certain home health rural add-on payments. 
Sec. 4138. Remedying election revocations relating to administration of COVID– 
19 vaccines. 
Sec. 4139. Payment rates for durable medical equipment under the Medicare Pro-
gram. 
Sec. 4140. Extending Acute Hospital Care at Home waivers and flexibilities. 
Sec. 4141. Extension of pass-through status under the Medicare program for cer-
tain devices impacted by COVID–19. 
Sec. 4142. Increasing transparency for home health payments under the Medicare 
program. 
Sec. 4143. Waiver of cap on annual payments for nursing and allied health edu-
cation payments. 
Subtitle E—Health Care Tax Provisions 
Sec. 4151. Extension of safe harbor for absence of deductible for telehealth. 
Subtitle F—Offsets 
Sec. 4161. Reduction of Medicare Improvement Fund. 
Sec. 4162. Extension of adjustment to calculation of hospice cap amount under 
Medicare. 
Sec. 4163. Medicare direct spending reductions.
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TITLE V—MEDICAID AND CHIP PROVISIONS 
Subtitle A—Territories 
Sec. 5101. Medicaid adjustments for the territories. 
Subtitle B—Medicaid and CHIP Coverage 
Sec. 5111. Funding extension of the Children’s Health Insurance Program and 
related provisions. 
Sec. 5112. Continuous eligibility for children under Medicaid and CHIP. 
Sec. 5113. Modifications to postpartum coverage under Medicaid and CHIP. 
Sec. 5114. Extension of Money Follows the Person Rebalancing demonstration. 
Sec. 5115. Extension of Medicaid protections against spousal impoverishment for 
recipients of home and community-based services. 
Subtitle C—Medicaid and CHIP Mental Health 
Sec. 5121. Medicaid and CHIP requirements for health screenings, referrals, and 
case management services for eligible juveniles in public institu-
tions. 
Sec. 5122. Removal of limitations on Federal financial participation for inmates 
who are eligible juveniles pending disposition of charges. 
Sec. 5123. Requiring accurate, updated, and searchable provider directories. 
Sec. 5124. Supporting access to a continuum of crisis response services under 
Medicaid and CHIP. 
Subtitle D—Transitioning From Medicaid FMAP Increase Requirements 
Sec. 5131. Transitioning from Medicaid FMAP increase requirements. 
Subtitle E—Medicaid Improvement Fund 
Sec. 5141. Medicaid improvement fund. 
TITLE VI—HUMAN SERVICES 
Sec. 6101. Jackie Walorski Maternal and Child Home Visiting Reauthorization 
Act of 2022. 
Sec. 6102. Extension of Temporary Assistance for Needy Families Program. 
Sec. 6103. 1-year extension of child and family services programs. 
TITLE I—RESTORING HOPE FOR 
MENTAL HEALTH AND WELL- 
BEING 
SEC. 1001. SHORT TITLE. 
This title may be cited as the ‘‘Restoring Hope for 
Mental Health and Well-Being Act of 2022’’.
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† HR 2617 EAS2 
Subtitle A—Mental Health and 
Crisis Care Needs 
CHAPTER 1—CRISIS CARE SERVICES AND 
9–8–8 IMPLEMENTATION 
SEC. 1101. BEHAVIORAL HEALTH CRISIS COORDINATING 
OFFICE. 
Part A of title V of the Public 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. 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 be-
havioral 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 & Med-
icaid Services, and the Health Resources and Services Ad-
ministration, 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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† HR 2617 EAS2 
‘‘(2) launch and manage Federal workgroups 
charged with making recommendations regarding 
issues related to mental health and substance use dis-
order crises, including with respect to health care best 
practices, workforce development, health disparities, 
data collection, technology, program oversight, public 
awareness, and engagement; and 
‘‘(3) support technical assistance, data analysis, 
and evaluation functions in order to assist States, lo-
calities, Territories, Indian Tribes, and Tribal orga-
nizations in developing crisis care systems and iden-
tifying best practices with the objective of expanding 
the capacity of, and access to, local crisis call centers, 
mobile crisis care, crisis stabilization, psychiatric 
emergency services, and rapid post-crisis follow-up 
care provided by— 
‘‘(A) the National Suicide Prevention and 
Mental Health Crisis Hotline and Response Sys-
tem; 
‘‘(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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† HR 2617 EAS2 
‘‘(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. 1102. CRISIS RESPONSE CONTINUUM OF CARE. 
(a) IN GENERAL.—The Secretary, acting through the 
Assistant Secretary for Mental Health and Substance Use, 
shall facilitate the identification and publication of best 
practices for a crisis response continuum of care related to 
mental health and substance use disorders 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-occur-
ring disorders. 
(b) BEST PRACTICES.— 
(1) IN GENERAL.—The best practices published 
under subsection (a) shall, as appropriate, address 
best practices related to crisis response services for the 
range of entities that furnish such services, taking 
into consideration such services that—
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† HR 2617 EAS2 
(A) do not require prior authorization from 
an insurance provider or group health plan nor 
a referral from a health care provider prior to 
the delivery of services; 
(B) provide for serving all individuals re-
gardless of age or ability to pay; 
(C) provide for operating 24 hours a day, 
7 days a week; 
(D) provide for care and support through 
resources described in paragraph (2)(A) until the 
individual has been stabilized or transferred to 
the next level of crisis care; and 
(E) address psychiatric stabilization, in-
cluding for— 
(i) individuals screened over the phone, 
text, and chat; and 
(ii) individuals stabilized on the scene 
by mobile teams. 
(2) IDENTIFICATION
OF
FUNCTIONS.—The best 
practices published under subsection (a) shall consider 
the functions of the range of services in the crisis re-
sponse continuum, including the following: 
(A) Identification of resources for referral 
and enrollment in continuing mental health,
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† HR 2617 EAS2 
the 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 man-
agement, best practices, and general performance 
improvement. 
(3) SERVICE CAPACITY AND QUALITY BEST PRAC-
TICES.—The best practices under subsection (a) may 
include recommendations on— 
(A) the volume of services to meet popu-
lation 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, racial and 
ethnic minorities, veterans, individuals with co- 
occurring mental health and substance use dis-
orders, individuals with disabilities, and indi-
viduals with chronic illness. 
(4) IMPLEMENTATION
TIMEFRAME.—The Sec-
retary shall—
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† HR 2617 EAS2 
(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) after 3 years, facilitate the identifica-
tion of any updates to such best practices, as ap-
propriate. 
(5) EVALUATIONS.—Not later than 3 years after 
the date of enactment of this Act, the Comptroller 
General of the United States shall submit to the Com-
mittee on Health, Education, Labor, and Pensions of 
the Senate and the Committee on Energy and Com-
merce of the House of Representatives, an assessment 
of relevant programs related to mental health and 
substance use disorder crises authorized under title V 
of the Public Health Service Act (42 U.S.C. 290aa et 
seq.) in order to assess the extent to which such pro-
grams meet objectives and performance metrics, as de-
termined by the Secretary. Such evaluation may, as 
appropriate, include data on— 
(A) the type and variety of services pro-
vided when responding to mental health and sub-
stance use-related crises; 
(B) the impact on emergency department 
facility use and length of stay, including for pa-
tients who require further psychiatric care;
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† HR 2617 EAS2 
(C) the impact on access to crisis care cen-
ters and crisis bed services; 
(D) the impact on linkage to appropriate 
post-crisis care; and 
(E) the use of best practices and rec-
ommendations identified under this section. 
SEC. 1103. SUICIDE PREVENTION LIFELINE IMPROVEMENT. 
(a) SUICIDE PREVENTION LIFELINE.— 
(1) ACTIVITIES.—Section 520E–3(b) of the Pub-
lic Health Service Act (42 U.S.C. 290bb–36c(b)) is 
amended— 
(A) in paragraph (1)— 
(i) by inserting ‘‘supporting and’’ be-
fore ‘‘coordinating’’; and 
(ii) by striking ‘‘crisis intervention 
services’’ and inserting ‘‘mental health cri-
sis intervention services, including appro-
priate follow-up services,’’; 
(B) in paragraph (2), by striking ‘‘and’’ at 
the end; 
(C) in paragraph (3), by striking the period 
at the end and inserting a semicolon; and 
(D) by adding at the end the following: 
‘‘(4) improving awareness of the program for 
suicide prevention and mental health crisis interven-
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† HR 2617 EAS2 
tion services, including by conducting an awareness 
initiative and ongoing outreach to the public; and 
‘‘(5) improving the collection and analysis of de-
mographic information, in a manner that protects 
personal privacy, consistent with applicable Federal 
and State privacy laws, in order to understand dis-
parities in access to the program among individuals 
who are seeking help.’’. 
(2) PLAN.—Section 520E–3 of the Public Health 
Service Act (42 U.S.C. 290bb–36c) is further amend-
ed— 
(A) by redesignating subsection (c) as sub-
section (f); and 
(B) by inserting after subsection (b) the fol-
lowing: 
‘‘(c) PLAN.— 
‘‘(1) IN GENERAL.—For purposes of supporting 
the crisis centers under subsection (b)(1) and main-
taining the suicide prevention hotline under sub-
section (b)(2), the Secretary shall develop and imple-
ment a plan to ensure the provision of high-quality 
services. 
‘‘(2) CONTENTS.—The plan required by para-
graph (1) shall include the following:
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† HR 2617 EAS2 
‘‘(A) Program evaluation, including per-
formance measures to assess progress toward the 
goals and objectives of the program and to im-
prove the responsiveness and performance of the 
hotline, including at all backup call centers. 
‘‘(B) Requirements 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 
and applicable other communication re-
ceived by the hotline, including at backup 
call centers, is answered in a timely man-
ner, consistent with evidence-based guidance 
or other guidance or best practices, as ap-
propriate. 
‘‘(C) Specific recommendations and strate-
gies for implementing evidence-based practices, 
including with respect to followup and commu-
nicating the availability of resources in the com-
munity for individuals in need. 
‘‘(D) Criteria for carrying out periodic test-
ing of the hotline during each fiscal year, includ-
ing at crisis centers and backup centers, to iden-
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† HR 2617 EAS2 
tify and address any problems in a timely man-
ner. 
‘‘(3) CONSULTATION.—In developing require-
ments under paragraph (2)(B), the Secretary shall 
consult with State departments of health, local gov-
ernments, Indian Tribes, and Tribal organizations. 
‘‘(4) INITIAL
PLAN; UPDATES.—The Secretary 
shall— 
‘‘(A) not later than 1 year after the date of 
enactment of the Restoring Hope for Mental 
Health and Well-Being Act of 2022, complete de-
velopment of the initial plan under paragraph 
(1) and make such plan publicly available; and 
‘‘(B) periodically thereafter, update such 
plan and make the updated plan publicly avail-
able.’’. 
(3) TRANSMISSION OF DATA TO CDC AND TO AS-
SIST STATE AND LOCAL AGENCIES.—Section 520E–3 
of the Public Health Service Act (42 U.S.C. 290bb– 
36c) is amended by inserting after subsection (c), as 
added by paragraph (2), the following: 
‘‘(d) IMPROVING EPIDEMIOLOGICAL DATA.—The Sec-
retary shall, as appropriate, formalize and strengthen 
agreements between the Suicide Prevention Lifeline pro-
gram and the Centers for Disease Control and Prevention
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† HR 2617 EAS2 
with respect to the secure sharing of de-identified epidemio-
logical data. Such agreements shall include appropriate 
privacy and security protections that meet the requirements 
of applicable Federal law, at a minimum. 
‘‘(e) DATA TO ASSIST STATE AND LOCAL SUICIDE 
PREVENTION ACTIVITIES.—The Secretary shall ensure that 
the aggregated information collected and any applicable 
analyses conducted under subsection (b)(5), including from 
local call centers, as applicable, are made available in a 
usable format to State and local agencies in order to inform 
suicide prevention activities.’’. 
(4) AUTHORIZATION OF APPROPRIATIONS.—Sub-
section (f) of section 520E–3 of the Public Health 
Service Act (42 U.S.C. 290bb–36c), as redesignated by 
paragraph (2), is amended to read as follows: 
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there are authorized to be appropriated 
$101,621,000 for each of fiscal years 2023 through 2027.’’. 
(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, as 
appropriate, carry out a pilot program to research, 
analyze, and employ various technologies and plat-
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† HR 2617 EAS2 
forms of communication (including social media plat-
forms, texting platforms, and email platforms) for 
suicide prevention in addition to the telephone and 
online chat service provided by the Suicide Preven-
tion Lifeline. 
(2) REPORT.—Not later than 24 months after the 
date on which the pilot program under paragraph (1) 
commences, the Secretary of Health and Human 
Services, acting through the Assistant Secretary for 
Mental Health and Substance Use, shall submit to the 
Congress a report on the pilot program. With respect 
to each platform of communication employed pursu-
ant to the pilot program, the report 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 de-
termines appropriate. 
(c) HHS STUDY AND REPORT.—Not later than 2 years 
after the Secretary of Health and Human Services com-
pletes development of the plan under section 520E–3(c) of
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† HR 2617 EAS2 
the Public Health Service Act, as added by subsection 
(a)(2)(B), the Secretary shall— 
(1) complete a study on— 
(A) the implementation of such plan, in-
cluding the progress towards meeting the goals 
and objectives identified pursuant to paragraph 
(2)(A) of such section 520E–3(c); and 
(B) in consultation with the Director of the 
Centers for Disease Control and Prevention, op-
tions to improve data regarding usage of the 
Suicide Prevention Lifeline, such as repeat calls, 
consistent with applicable Federal and State pri-
vacy laws; and 
(2) submit a report to Congress on the progress 
made on meeting the goals and objectives identified 
pursuant to paragraph (2)(A) of such section 520E– 
3(c) and recommendations on improving the pro-
gram, including improvements to enhance data collec-
tion and usage. 
(d) GAO STUDY AND REPORT.— 
(1) IN GENERAL.—Not later than 2 years 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
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† HR 2617 EAS2 
subsection (a)(2)(B), the Comptroller General of the 
United States shall— 
(A) complete a study on the Suicide Preven-
tion Lifeline; and 
(B) submit a report to the Congress on the 
results of such study. 
(2) CONTENT.—The study required by paragraph 
(1) shall include what is known about— 
(A) the feasibility of routing calls to the 
Suicide Prevention Lifeline to the nearest crisis 
center based on the physical location of the con-
tact; 
(B) capacity of the Suicide Prevention Life-
line; 
(C) State and regional variation with re-
spect to access to crisis centers described in sec-
tion 520E–3(b)(1) of the Public Health Service 
Act (42 U.S.C. 290bb–36c(b)(1)), including wait 
times, answer times, hours of operation, and 
funding sources; 
(D) the implementation of the plan under 
section 520E–3(c) of the Public Health Service 
Act, as added by subsection (a)(2)(B), including 
the progress toward meeting the goals and objec-
tives in such plan; and
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† HR 2617 EAS2 
(E) the capacity of the Suicide Prevention 
Lifeline to handle calls from individuals with 
limited English proficiency. 
(3) RECOMMENDATIONS.—The report required by 
paragraph (1) shall include recommendations for im-
proving the Suicide Prevention Lifeline, including 
recommendations for 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). 
CHAPTER 2—INTO THE LIGHT FOR MATER-
NAL 
MENTAL 
HEALTH 
AND 
SUB-
STANCE USE DISORDERS 
SEC. 1111. 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)—
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(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)’’ 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, 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—
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† HR 2617 EAS2 
(1) by striking ‘‘may give priority to States pro-
posing to improve or enhance access to screening’’ and 
inserting the following: ‘‘shall, as appropriate, give 
priority to entities listed in subsection (a) that— 
‘‘(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, one or more community-based organizations 
to address maternal mental health and substance use 
disorders; 
‘‘(3) are located in, or provide services under this 
section in, an area with disproportionately high rates 
of maternal mental health or substance use disorders 
or other related disparities; and 
‘‘(4) operate in a health professional shortage 
area designated under section 332, including mater-
nity care health professional target areas.’’.
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(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 refer-
rals for treatment to health care providers in the 
primary care setting and, as applicable, relevant 
health paraprofessionals;’’; 
(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, as applicable, relevant health paraprofes-
sionals; and’’; and
2954 
† HR 2617 EAS2 
(C) by adding at the end the following: 
‘‘(C) to the extent practicable and appro-
priate, enabling health care providers (such as 
obstetrician-gynecologists, nurse practitioners, 
nurse midwives, pediatricians, psychiatrists, 
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); 
(B) by redesignating subparagraphs (B) 
and (C) as subparagraphs (A) and (B), respec-
tively; 
(C) in subparagraph (A), as so redesig-
nated, by striking ‘‘and’’ at the end; 
(D) in subparagraph (B), as so redesig-
nated— 
(i) by inserting ‘‘, including’’ before 
‘‘for rural areas’’; and
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† HR 2617 EAS2 
(ii) by striking the period at the end 
and inserting a semicolon; and 
(E) by inserting after subparagraph (B), as 
so redesignated, the following: 
‘‘(C) providing assistance to pregnant and 
postpartum women to receive maternal mental 
health and substance use disorder treatment, in-
cluding patient consultation, care coordination, 
and navigation for such treatment; 
‘‘(D) coordinating, as appropriate, with 
maternal and child health programs of 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 relevant health para-
professionals 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
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† HR 2617 EAS2 
minority populations and reduce related dispari-
ties in the delivery of such care.’’. 
(e) ADDITIONAL PROVISIONS.—Section 317L–1 of the 
Public Health Service Act (42 U.S.C. 247b–13a) is amend-
ed— 
(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 practices for screening, assess-
ment, treatment, and referral to treatment services for ma-
ternal 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
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† HR 2617 EAS2 
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 by subsection (e), is 
amended— 
(1) by striking ‘‘$5,000,000’’ and inserting 
‘‘$24,000,000’’; and 
(2) by striking ‘‘2018 through 2022’’ and insert-
ing ‘‘2023 through 2027’’. 
SEC. 1112. 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, by 
grant or contract, a national maternal mental health hot-
line to provide emotional support, information, brief inter-
vention, and mental health and substance use disorder re-
sources to pregnant and postpartum women at risk of, or 
affected by, maternal mental health and substance use dis-
orders, 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;
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† HR 2617 EAS2 
‘‘(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 
‘‘(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;
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† HR 2617 EAS2 
‘‘(3) consult with Federal departments and agen-
cies, including the Substance Abuse and Mental 
Health Services Administration and the Department 
of Veterans Affairs, to increase awareness regarding 
the hotline; and 
‘‘(4) consult with appropriate State, local, and 
Tribal public health officials, including officials who 
administer programs that serve low-income pregnant 
and postpartum individuals. 
‘‘(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 appropriated 
$10,000,000 for each of fiscal years 2023 through 2027.’’. 
SEC. 1113. TASK FORCE ON MATERNAL MENTAL HEALTH. 
(a) ESTABLISHMENT.—Not later than 180 days after 
the date of enactment of this Act, the Secretary of Health
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† HR 2617 EAS2 
and Human Services, for purposes of identifying, evalu-
ating, and making recommendations to coordinate and im-
prove Federal activities related to addressing maternal 
mental health conditions, shall— 
(1) establish a task force to be known as the Task 
Force on Maternal Mental Health (in this section re-
ferred to as the ‘‘Task Force’’); or 
(2) incorporate the duties, public meetings, and 
reports specified in subsections (c) through (f) into ex-
isting relevant Federal committees or working groups, 
such as the Maternal Health Interagency Policy Com-
mittee and the Maternal Health Working Group, as 
appropriate. 
(b) MEMBERSHIP.— 
(1) COMPOSITION.—The Task Force shall be com-
posed of— 
(A) the Federal members under paragraph 
(2); and 
(B) the non-Federal members under para-
graph (3). 
(2) FEDERAL MEMBERS.—The Federal members 
of the Task Force shall consist of the following heads 
of Federal departments and agencies (or their des-
ignees):
2961 
† HR 2617 EAS2 
(A) The Assistant Secretary for Health of 
the Department of Health and Human Services 
and the Assistant Secretary for Mental Health 
and Substance Use, who shall serve as co-chairs. 
(B) The Assistant Secretary for Planning 
and Evaluation of the Department of Health and 
Human Services. 
(C) The Assistant Secretary of the Adminis-
tration for Children and Families. 
(D) The Director of the Centers for Disease 
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 Serv-
ice. 
(H) Such other Federal departments and 
agencies as the Secretary determines appropriate 
that serve individuals with maternal mental 
health conditions. 
(3) NON-FEDERAL MEMBERS.—The non-Federal 
members of the Task Force shall—
2962 
† HR 2617 EAS2 
(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 
(C) include— 
(i) representatives of professional med-
ical societies, professional nursing societies, 
and relevant health paraprofessional soci-
eties with expertise in maternal or mental 
health; 
(ii) representatives of nonprofit organi-
zations with expertise in maternal or men-
tal health; 
(iii) relevant industry representatives; 
and 
(iv) other representatives, as appro-
priate. 
(4) DEADLINE FOR DESIGNATING DESIGNEES.— 
If the Assistant Secretary for Health, the Assistant 
Secretary for Mental Health and Substance Use, 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 des-
ignee, the Assistant Secretary for Health, the Assist-
ant Secretary for Mental Health and Substance Use,
2963 
† HR 2617 EAS2 
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 maternal mental 
health programs at the Federal level, and identifies 
best practices with respect to maternal mental health 
(which may include co-occurring substance use dis-
orders), including— 
(A) a set of evidence-based, evidence-in-
formed, and promising practices with respect 
to— 
(i) prevention strategies for maternal 
mental health conditions, including strate-
gies and recommendations to reduce racial, 
ethnic, geographic, and other health dispari-
ties; 
(ii) the identification, screening, diag-
nosis, intervention, and treatment of mater-
nal mental health conditions and affected 
families; 
(iii) the timely referral to supports, 
and implementation of practices, that pre-
vent and mitigate the effects of a maternal
2966 
† HR 2617 EAS2 
(4) consider the latest research related to mater-
nal mental health in developing the strategy, includ-
ing, as applicable and appropriate, data and infor-
mation disaggregated by relevant factors, such as 
race, ethnicity, geographical location, age, socio-
economic level, and others, as 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 LEADERS.— 
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, Education, 
Labor, and Pensions of the Senate, and other relevant con-
gressional committees, the following: 
(1) Not later than 1 year after the first meeting 
of the Task Force, an initial report under subsection 
(c)(1). 
(2) Not later than 2 years after the first meeting 
of the Task Force, an initial national strategy under 
subsection (c)(2). 
(3) Each year thereafter—
2967 
† HR 2617 EAS2 
(A) an updated report under subsection 
(c)(1); 
(B) an updated national strategy under 
subsection (c)(2); or 
(C) if no update is made under subsection 
(c)(1) or (c)(2), a report summarizing the activi-
ties 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 describ-
ing any opportunities for local- and State-level partner-
ships identified under subsection (c)(2). 
(g) SUNSET.—The Task Force shall terminate on Sep-
tember 30, 2027. 
(h) NONDUPLICATION OF FEDERAL EFFORTS.—The 
Secretary may relieve the Task Force, in carrying out sub-
sections (c) through (f), from responsibility for carrying out 
such activities as may be specified by the Secretary as du-
plicative of other activities carried out by the Department 
of Health and Human Services.
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† HR 2617 EAS2 
SEC. 1114. RESIDENTIAL TREATMENT PROGRAM FOR PREG-
NANT AND POSTPARTUM WOMEN PILOT PRO-
GRAM REAUTHORIZATION. 
Section 508(r) of the Public Health Service Act (42 
U.S.C. 290bb–1(r)) is amended— 
(1) by striking paragraph (4); 
(2) by redesignating paragraphs (5) and (6) as 
paragraphs (4) and (5), respectively; and 
(3) in paragraph (4)(B), as so redesignated— 
(A) in the matter preceding clause (i), by 
striking ‘‘The Director’’ and inserting ‘‘Not later 
than September 30, 2026, the Director’’; and 
(B) by striking ‘‘the relevant committees of 
jurisdiction of the House of Representatives and 
the Senate’’ and inserting ‘‘the Committee on 
Health, Education, Labor, and Pensions of the 
Senate and the Committee on Energy and Com-
merce of the House of Representatives’’. 
CHAPTER 3—REACHING IMPROVED MEN-
TAL 
HEALTH 
OUTCOMES 
FOR 
PA-
TIENTS 
SEC. 1121. 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—
2969 
† HR 2617 EAS2 
(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 appropriated 
$10,000,000 for each of fiscal years 2023 through 2027.’’. 
(b) GAO STUDY.—Not later than 18 months after the 
date of enactment of this Act, the Comptroller General of 
the United States shall prepare a report on the work of the 
National Mental Health and Substance Use Policy Labora-
tory established under section 501A of the Public Health 
Service Act (42 U.S.C. 290aa–0), including— 
(1) the extent to which such Laboratory is meet-
ing its responsibilities as set forth in such section 
501A; and 
(2) any recommendations for improvement, in-
cluding methods to expand the use of evidence-based 
practices across programs, recommendations to im-
prove program evaluations for effectiveness, and dis-
semination of resources to stakeholders and the public. 
(c) INTERDEPARTMENTAL SERIOUS MENTAL ILLNESS 
COORDINATING COMMITTEE.—
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† HR 2617 EAS2 
(1) IN GENERAL.—Part A of title V of the Public 
Health Service Act (42 U.S.C. 290aa et seq.), as 
amended by section 1101, is further amended by in-
serting after section 501B, as added by such section 
1101, the following: 
‘‘SEC. 501C. INTERDEPARTMENTAL SERIOUS MENTAL ILL-
NESS COORDINATING COMMITTEE. 
‘‘(a) ESTABLISHMENT.— 
‘‘(1) IN GENERAL.—The Secretary, or the des-
ignee of the Secretary, shall establish a committee to 
be known as the Interdepartmental Serious Mental 
Illness Coordinating Committee (in this section re-
ferred to as the ‘Committee’). 
‘‘(2) FEDERAL ADVISORY COMMITTEE ACT.—Ex-
cept 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.—Not later than each of 1 
year and 5 years after the date of enactment of this section, 
the Committee shall submit 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 re-
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† HR 2617 EAS2 
lated to the prevention of, diagnosis of, intervention 
in, and treatment and recovery of serious mental ill-
nesses, serious emotional disturbances, and advances 
in access to services and support for adults with a se-
rious mental illness or children with a serious emo-
tional disturbance; 
‘‘(2) an evaluation of the effect Federal programs 
related to serious mental illness have on public health, 
including outcomes such as— 
‘‘(A) rates of suicide, suicide attempts, inci-
dence and prevalence of serious mental illnesses, 
serious emotional disturbances, and substance 
use disorders, overdose, overdose deaths, emer-
gency hospitalizations, emergency department 
boarding, preventable emergency department vis-
its, interaction with the criminal justice system, 
homelessness, and unemployment; 
‘‘(B) increased rates of employment and en-
rollment 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
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† HR 2617 EAS2 
‘‘(3) specific recommendations for actions that 
agencies can take to better coordinate the administra-
tion of mental health services for adults with a serious 
mental illness or children with a serious emotional 
disturbance. 
‘‘(d) MEMBERSHIP.— 
‘‘(1) FEDERAL MEMBERS.—The Committee shall 
be composed of the following Federal representatives, 
or the designees of such representatives— 
‘‘(A) the Secretary of Health and Human 
Services, who shall serve as the Chair of the 
Committee; 
‘‘(B) the Assistant Secretary for Mental 
Health and Substance Use; 
‘‘(C) the Attorney General; 
‘‘(D) the Secretary of Veterans Affairs; 
‘‘(E) the Secretary of Defense; 
‘‘(F) the Secretary of Housing and Urban 
Development; 
‘‘(G) the Secretary of Education; 
‘‘(H) the Secretary of Labor; 
‘‘(I) the Administrator of the Centers for 
Medicare & Medicaid Services; 
‘‘(J) the Administrator of the Administra-
tion for Community Living; and
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† HR 2617 EAS2 
‘‘(K) the Commissioner of Social Security. 
‘‘(2) NON-FEDERAL MEMBERS.—The Committee 
shall also include not less than 14 non-Federal public 
members appointed by the Secretary of Health and 
Human Services, of which— 
‘‘(A) at least 2 members shall be an indi-
vidual who has received treatment for a diag-
nosis of a serious mental illness; 
‘‘(B) at least 1 member shall be a parent or 
legal guardian of an adult with a history of a 
serious mental illness or a child with a history 
of a serious emotional disturbance; 
‘‘(C) at least 1 member shall be a represent-
ative of a leading research, advocacy, or service 
organization for adults with a serious mental ill-
ness; 
‘‘(D) at least 2 members shall be— 
‘‘(i) a licensed psychiatrist with expe-
rience in treating serious mental illnesses; 
‘‘(ii) a licensed psychologist with expe-
rience in treating serious mental illnesses or 
serious emotional disturbances; 
‘‘(iii) a licensed clinical social worker 
with experience treating serious mental ill-
nesses or serious emotional disturbances; or
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† HR 2617 EAS2 
‘‘(iv) a licensed psychiatric nurse, 
nurse practitioner, or physician assistant 
with experience in treating serious mental 
illnesses or serious emotional disturbances; 
‘‘(E) at least 1 member shall be a licensed 
mental health professional with a specialty in 
treating children and adolescents with a serious 
emotional disturbance; 
‘‘(F) at least 1 member shall be a mental 
health professional who has research or clinical 
mental health experience in working with mi-
norities; 
‘‘(G) at least 1 member shall be a mental 
health professional who has research or clinical 
mental health experience in working with medi-
cally underserved populations; 
‘‘(H) at least 1 member shall be a State cer-
tified mental health peer support specialist; 
‘‘(I) at least 1 member shall be a judge with 
experience in adjudicating cases related to crimi-
nal justice or serious mental illness; 
‘‘(J) at least 1 member shall be a law en-
forcement officer or corrections officer with exten-
sive experience in interfacing with adults with a 
serious mental illness, children with a serious
2975 
† HR 2617 EAS2 
emotional disturbance, or individuals in a men-
tal health crisis; and 
‘‘(K) at least 1 member shall have experi-
ence providing services for homeless individuals 
and working with adults with a serious mental 
illness, children with a serious emotional dis-
turbance, or individuals in a mental health cri-
sis. 
‘‘(3) TERMS.—A member of the Committee ap-
pointed under paragraph (2) shall serve for a term of 
3 years, and may be reappointed for 1 or more addi-
tional 3-year terms. Any member appointed to fill a 
vacancy for an unexpired term shall be appointed for 
the remainder of such term. A member may serve 
after the expiration of the member’s term until a suc-
cessor has been appointed. 
‘‘(e) WORKING GROUPS.—In carrying out its func-
tions, the Committee may establish working groups. Such 
working groups shall be composed of Committee members, 
or their designees, and may hold such meetings as are nec-
essary. 
‘‘(f) SUNSET.—The Committee shall terminate on Sep-
tember 30, 2027.’’. 
(2) CONFORMING AMENDMENTS.—
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† HR 2617 EAS2 
(A) Section 501(l)(2) of the Public Health 
Service Act (42 U.S.C. 290aa(l)(2)) is amended 
by striking ‘‘section 6031 of such Act’’ and in-
serting ‘‘section 501C’’. 
(B) The Helping Families in Mental Health 
Crisis Reform Act of 2016 (Division B of Public 
Law 114–255) is amended— 
(i) by repealing section 6031; and 
(ii) by conforming the item relating to 
such section in the table of contents in sec-
tion 1(b) of Public Law 114–255. 
(d) PRIORITY MENTAL HEALTH NEEDS OF REGIONAL 
AND NATIONAL SIGNIFICANCE.—Section 520A of the Public 
Health Service Act (42 U.S.C. 290bb–32) is amended— 
(1) in subsection (a), by striking ‘‘Indian tribes 
or tribal organizations’’ and inserting ‘‘Indian Tribes 
or Tribal organizations’’; and 
(2) in subsection (f), by striking ‘‘$394,550,000 
for each of fiscal years 2018 through 2022’’ and in-
serting ‘‘$599,036,000 for each of fiscal years 2023 
through 2027’’. 
SEC. 1122. CRISIS CARE COORDINATION. 
(a) STRENGTHENING COMMUNITY CRISIS RESPONSE 
SYSTEMS.—Section 520F of the Public Health Service Act 
(42 U.S.C. 290bb–37) is amended to read as follows:
2977 
† HR 2617 EAS2 
‘‘SEC. 520F. MENTAL HEALTH CRISIS RESPONSE PARTNER-
SHIP PILOT PROGRAM. 
‘‘(a) IN GENERAL.—The Secretary shall establish a 
pilot program under which the Secretary will award com-
petitive grants to States, localities, territories, Indian 
Tribes, and Tribal organizations to establish new, or en-
hance existing, mobile crisis response teams that divert the 
response for mental health and substance use disorder crises 
from law enforcement to mobile crisis teams, as described 
in subsection (b). 
‘‘(b) MOBILE CRISIS TEAMS DESCRIBED.—A mobile 
crisis team, for purposes of this section, is a team of indi-
viduals— 
‘‘(1) that is available to respond to individuals 
in mental health and substance use disorder crises 
and provide immediate stabilization, referrals to com-
munity-based mental health and substance use dis-
order services and supports, and triage to a higher 
level of care if medically necessary; 
‘‘(2) which may include licensed counselors, clin-
ical social workers, physicians, paramedics, crisis 
workers, peer support specialists, or other qualified 
individuals; and 
‘‘(3) which may provide support to divert mental 
health and substance use disorder crisis calls from the 
9–1–1 system to the 9–8–8 system.
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† HR 2617 EAS2 
‘‘(c) PRIORITY.—In awarding grants under this sec-
tion, the Secretary shall prioritize applications which ac-
count for the specific needs of the communities to be served, 
including children and families, veterans, rural and under-
served populations, and other groups at increased risk of 
death from suicide or overdose. 
‘‘(d) REPORT.— 
‘‘(1) INITIAL REPORT.—Not later than September 
30, 2024, the Secretary shall submit to Congress a re-
port on steps taken by States, localities, territories, 
Indian Tribes, and Tribal organizations prior to the 
date of enactment of this section to strengthen the 
partnerships among mental health providers, sub-
stance use disorder treatment providers, primary care 
physicians, mental health and substance use disorder 
crisis teams, paramedics, law enforcement officers, 
and other first responders. 
‘‘(2) PROGRESS REPORTS.—Not later than one 
year after the date on which the first grant is award-
ed to carry out this section, and for each year there-
after, the Secretary shall submit to Congress a report 
on the grants made during the year covered by the re-
port, which shall include— 
‘‘(A) impact data on the teams and people 
served by such programs, including demographic
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information of individuals served, volume, and 
types of service utilization; 
‘‘(B) outcomes of the number of linkages 
made to community-based resources or short- 
term crisis receiving and stabilization facilities, 
as applicable, and diversion from law enforce-
ment or hospital emergency department settings; 
‘‘(C) data consistent with the State block 
grant requirements for continuous evaluation 
and quality improvement, and other relevant 
data as determined by the Secretary; 
‘‘(D) identification and, where appropriate, 
recommendations of best practices from States 
and localities providing mobile crisis response 
and stabilization services for youth and adults; 
and 
‘‘(E) identification of any opportunities for 
improvements to the program established under 
this section. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There are 
authorized to be appropriated to carry out this section, 
$10,000,000 for each of fiscal years 2023 through 2027.’’. 
(b) 
MENTAL
HEALTH
AWARENESS
TRAINING 
GRANTS.—
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† HR 2617 EAS2 
(1) IN GENERAL.—Section 520J(b) of the Public 
Health Service Act (42 U.S.C. 290bb–41(b)) is 
amended— 
(A) in paragraph (1), by striking ‘‘Indian 
tribes, tribal organizations’’ and inserting ‘‘In-
dian Tribes, Tribal organizations’’; 
(B) in paragraph (4), by striking ‘‘Indian 
tribe, tribal organization’’ and inserting ‘‘Indian 
Tribe, Tribal organization’’; 
(C) in paragraph (5)— 
(i) by striking ‘‘Indian tribe, tribal or-
ganization’’ and inserting ‘‘Indian Tribe, 
Tribal organization’’; 
(ii) in subparagraph (A), by striking 
‘‘and’’ at the end; 
(iii) in subparagraph (B)(ii), by strik-
ing the period at the end and inserting ‘‘; 
and’’; and 
(iv) by adding at the end the following: 
‘‘(C) suicide intervention and prevention.’’; 
(D) in paragraph (6), by striking ‘‘Indian 
tribe, tribal organization’’ and inserting ‘‘Indian 
Tribe, Tribal organization’’; 
(E) by redesignating paragraph (7) as 
paragraph (8);
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(F) by inserting after paragraph (6) the fol-
lowing: 
‘‘(7) TECHNICAL
ASSISTANCE.—The Secretary 
may provide technical assistance to grantees in car-
rying out this section, which may include assistance 
with— 
‘‘(A) program evaluation and related activi-
ties, including related data collection and report-
ing; 
‘‘(B) implementing and disseminating evi-
dence-based practices and programs; and 
‘‘(C) facilitating collaboration among grant-
ees.’’; and 
(G) in paragraph (8), as so redesignated, by 
striking ‘‘$14,693,000 for each of fiscal years 
2018 through 2022’’ and inserting ‘‘$24,963,000 
for each of fiscal years 2023 through 2027’’. 
(2) TECHNICAL CORRECTIONS.—Section 520J(b) 
of the Public Health Service Act (42 U.S.C. 290bb– 
41(b)) is amended— 
(A) in the heading of paragraph (2), by 
striking ‘‘EMERGENCY SERVICES PERSONNEL’’ 
and inserting ‘‘EMERGENCY
SERVICES
PER-
SONNEL’’; and
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(B) in the heading of paragraph (3), by 
striking ‘‘DISTRIBUTION OF AWARDS’’ and in-
serting ‘‘DISTRIBUTION OF AWARDS’’. 
(c) ADULT SUICIDE PREVENTION.—Section 520L of 
the Public Health Service Act (42 U.S.C. 290bb–43) is 
amended— 
(1) in subsection (a)— 
(A) in paragraph (1)— 
(i) by striking ‘‘individuals who are 25 
years of age or older’’ and inserting ‘‘adult 
individuals’’; and 
(ii) by inserting ‘‘prevention’’ after 
‘‘raise awareness of suicide’’; and 
(B) in paragraph (2)— 
(i) by striking ‘‘Indian tribe’’ each 
place it appears and inserting ‘‘Indian 
Tribe’’; and 
(ii) by striking ‘‘tribal organization’’ 
each place it appears and inserting ‘‘Tribal 
organization’’; and 
(C) by amending paragraph (3)(C) to read 
as follows: 
‘‘(C) Raising awareness of suicide preven-
tion resources and promoting help seeking among 
those at risk for suicide.’’;
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(2) in subsection (b)— 
(A) in paragraph (1), by striking ‘‘; and’’ 
and inserting a semicolon; 
(B) in paragraph (2), by striking the period 
at the end and inserting ‘‘; and’’; and 
(C) by adding at the end the following: 
‘‘(3) identify best practices, as applicable, to im-
prove the identification, assessment, treatment, and 
timely transition, as appropriate, to additional or 
follow-up care for individuals in emergency depart-
ments who are at risk for suicide and enhance the co-
ordination of care for such individuals during and 
after discharge, in support of activities under sub-
section (a).’’; and 
(3) in subsection (d), by striking ‘‘$30,000,000 
for the period of fiscal years 2018 through 2022’’ and 
inserting ‘‘$30,000,000 for each of fiscal years 2023 
through 2027’’. 
SEC. 1123. TREATMENT OF SERIOUS MENTAL ILLNESS. 
(a) ASSERTIVE COMMUNITY TREATMENT GRANT PRO-
GRAM.— 
(1) TECHNICAL AMENDMENT.—Section 520M(b) 
of the Public Health Service Act (42 U.S.C. 290bb– 
44(b)) is amended by striking ‘‘Indian tribe or tribal
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† HR 2617 EAS2 
organization’’ and inserting ‘‘Indian Tribe or Tribal 
organization’’. 
(2) REPORT TO CONGRESS.—Section 520M(d)(1) 
of the Public Health Service Act (42 U.S.C. 290bb– 
44(d)(1)) is amended— 
(A) by striking ‘‘not later than the end of 
fiscal year 2021’’ and inserting ‘‘not later than 
the end of fiscal year 2026’’; and 
(B) by striking ‘‘appropriate congressional 
committees’’ 
and 
inserting 
‘‘Committee 
on 
Health, Education, Labor, and Pensions of the 
Senate and the Committee on Energy and Com-
merce of the House of Representatives’’. 
(3) AUTHORIZATION OF APPROPRIATIONS.—Sec-
tion 520M(e)(1) of the Public Health Service Act (42 
U.S.C. 290bb–44(d)(1)) is amended by striking 
‘‘$5,000,000 for the period of fiscal years 2018 
through 2022’’ and inserting ‘‘$9,000,000 for each of 
fiscal years 2023 through 2027’’. 
(b) ASSISTED OUTPATIENT TREATMENT.— 
(1) IN GENERAL.—Section 224 of the Protecting 
Access to Medicare Act of 2014 (Public Law 113–93; 
42 U.S.C. 290aa note) is amended— 
(A) in subsection (a), by striking ‘‘4-year 
pilot’’;
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† HR 2617 EAS2 
(B) in subsection (e), in the matter pre-
ceding paragraph (1)— 
(i) by striking ‘‘each of fiscal years 
2016, 2017, 2018, 2019, 2020, 2021, and 
2022’’ and inserting ‘‘fiscal year 2023, and 
biennially thereafter’’; and 
(ii) by striking ‘‘appropriate congres-
sional committees’’ and inserting ‘‘Com-
mittee on Health, Education, Labor, and 
Pensions of the Senate and the Committee 
on Energy and Commerce of the House of 
Representatives’’; 
(C) in subsection (e), by inserting after 
paragraph (4) the following: 
‘‘(5) Demographic information regarding par-
ticipation of those served by the grant compared to 
demographic information in the population of the 
grant recipient.’’; and 
(D) in subsection (g)— 
(i) in paragraph (1), by striking 
‘‘2015 through 2022’’ and inserting ‘‘2023 
through 2027’’; and 
(ii) by amending paragraph (2) to 
read as follows:
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† HR 2617 EAS2 
‘‘(2) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this section $22,000,000 for each of fiscal years 2023 
through 2027.’’. 
(2) GAO REPORT.—Not later than 3 years after 
the date of enactment of this Act, the Comptroller 
General of the United States shall submit to the Com-
mittee on Health, Education, Labor, and Pensions of 
the Senate and the Committee on Energy and Com-
merce of the House of Representatives a report exam-
ining the efficacy of assisted outpatient treatment 
programs that received funding under section 224 of 
the Protecting Access to Medicare Act of 2014 (Public 
Law 113– 93; 42 U.S.C. 290aa note) in improving 
health outcomes and treatment adherence, reducing 
rates of incarceration, and reducing rates of homeless-
ness. Such report shall include— 
(A) a comparison of health outcomes, treat-
ment compliance, program participant feedback, 
reduced rates of incarceration, and reduced rates 
of homelessness as compared to other evidence- 
and community-based outpatient treatment pro-
grams and services, including information on ge-
ographic differences in program efficacy, as ap-
plicable; and
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† HR 2617 EAS2 
(B) identification of best practices used, as 
applicable, in the implementation of assisted 
outpatient treatment programs to ensure pro-
gram participants are receiving treatment in the 
least restrictive environment that is clinically 
appropriate consistent with Federal and State 
law, as applicable. 
SEC. 1124. STUDY ON THE COSTS OF SERIOUS MENTAL ILL-
NESS. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services, in consultation with the Assistant Sec-
retary for Mental Health and Substance Use, the Assistant 
Secretary for Planning and Evaluation, the Attorney Gen-
eral of the United States, the Secretary of Labor, and the 
Secretary of Housing and Urban Development, shall con-
duct a study on the direct and indirect costs of serious men-
tal illness with respect to— 
(1) nongovernmental entities; and 
(2) the Federal Government and State, local, and 
Tribal governments. 
(b) CONTENT.—The study under subsection (a) shall 
consider each of the following: 
(1) The costs to the health care system for health 
services, including with respect to— 
(A) office-based physician visits;
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† HR 2617 EAS2 
(B) criminal and judicial proceedings; 
(C) services provided by law enforcement 
and judicial staff (including public defenders, 
prosecutors, and private attorneys); and 
(D) incarceration. 
(5) The costs of serious mental illness on employ-
ment. 
(6) With respect to family members and care-
givers, the costs of caring for an individual with a se-
rious mental illness. 
(7) Any other relevant costs for programs and 
services administered by the Federal Government or 
State, Tribal, or local governments. 
(c) DATA DISAGGREGATION.—In conducting the study 
under subsection (a), the Secretary of Health and Human 
Services shall (to the extent feasible)— 
(1) disaggregate data by— 
(A) costs to nongovernmental entities, the 
Federal Government, and State, local, and Trib-
al governments; 
(B) types of serious mental illnesses and 
medical chronic diseases common in patients 
with a serious mental illness; and 
(C) demographic characteristics, including 
race, ethnicity, sex, age (including pediatric sub-
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† HR 2617 EAS2 
groups), and other characteristics determined by 
the Secretary; and 
(2) include an estimate of— 
(A) the total number of individuals with a 
serious mental illness in the United States, in-
cluding in traditional and nontraditional hous-
ing; and 
(B) the percentage of such individuals in— 
(i) homeless shelters; 
(ii) penal facilities, including Federal 
prisons, State prisons, and county and mu-
nicipal jails; and 
(iii) nursing facilities. 
(d) REPORT.—Not later than 2 years after the date 
of the enactment of this Act, the Secretary of Health and 
Human Services shall— 
(1) submit to the Congress a report containing 
the results of the study conducted under this section; 
and 
(2) make such report publicly available.
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CHAPTER 4—ANNA WESTIN LEGACY 
SEC. 1131. MAINTAINING EDUCATION AND TRAINING ON 
EATING DISORDERS. 
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. CENTER OF EXCELLENCE FOR EATING DIS-
ORDERS FOR EDUCATION AND TRAINING ON 
EATING DISORDERS. 
‘‘(a) IN GENERAL.—The Secretary, acting through the 
Assistant Secretary, shall maintain, by competitive grant 
or contract, a Center of Excellence for Eating Disorders (re-
ferred to in this section as the ‘Center’) to improve the iden-
tification of, interventions for, and treatment of eating dis-
orders in a manner that is developmentally, culturally, and 
linguistically appropriate. 
‘‘(b) SUBGRANTS AND SUBCONTRACTS.—The Center 
shall coordinate and implement the activities under sub-
section (c), in whole or in part, which may include by 
awarding competitive subgrants or subcontracts— 
‘‘(1) across geographical regions; and 
‘‘(2) in a manner that is not duplicative. 
‘‘(c) ACTIVITIES.—The Center— 
‘‘(1) shall—
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† HR 2617 EAS2 
‘‘(A) provide training and technical assist-
ance, including for— 
‘‘(i) primary care and mental health 
providers to carry out screening, brief inter-
vention, and referral to treatment for indi-
viduals experiencing, or at risk for, eating 
disorders; and 
‘‘(ii) other paraprofessionals and rel-
evant individuals providing nonclinical 
community services to identify and support 
individuals with, or at disproportionate 
risk for, eating disorders; 
‘‘(B) facilitate the development of, and pro-
vide training materials to, health care providers 
(including primary care and mental health pro-
fessionals) regarding the effective treatment and 
ongoing support of individuals with eating dis-
orders, including children and marginalized 
populations at disproportionate risk for eating 
disorders; 
‘‘(C) collaborate and coordinate, as appro-
priate, with other centers of excellence, technical 
assistance centers, and psychiatric consultation 
lines of the Substance Abuse and Mental Health 
Services Administration and the Health Re-
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† HR 2617 EAS2 
sources and Services Administration regarding 
eating disorders; 
‘‘(D) coordinate with the Director of the 
Centers for Disease Control and Prevention and 
the Administrator of the Health Resources and 
Services Administration, and other Federal 
agencies, as appropriate, to disseminate training 
to primary care and mental health care pro-
viders; and 
‘‘(E) support other activities, as determined 
appropriate by the Secretary; and 
‘‘(2) may— 
‘‘(A) support the integration of protocols 
pertaining to screening, brief intervention, and 
referral to treatment for individuals experi-
encing, or at risk for, eating disorders, with 
health information technology systems; 
‘‘(B) develop and provide training mate-
rials to health care providers, including primary 
care and mental health providers, to provide 
screening, brief intervention, and referral to 
treatment for members of the military and vet-
erans experiencing, or at risk for, eating dis-
orders; and
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† HR 2617 EAS2 
‘‘(C) consult, as appropriate, with the Sec-
retary of Defense and the Secretary of Veterans 
Affairs on prevention, identification, interven-
tion for, and treatment of eating disorders. 
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there is authorized to be appropriated 
$1,000,000 for each of fiscal years 2023 through 2027.’’. 
CHAPTER 
5—COMMUNITY 
MENTAL 
HEALTH SERVICES BLOCK GRANT RE-
AUTHORIZATION 
SEC. 1141. REAUTHORIZATION OF BLOCK GRANTS FOR 
COMMUNITY MENTAL HEALTH SERVICES. 
(a) FUNDING.—Section 1920(a) of the Public Health 
Service Act (42 U.S.C. 300x–9(a)) is amended by striking 
‘‘$532,571,000 for each of fiscal years 2018 through 2022’’ 
and inserting ‘‘$857,571,000 for each of fiscal years 2023 
through 2027’’. 
(b) SET-ASIDE FOR EVIDENCE-BASED CRISIS CARE 
SERVICES.—Section 1920 of the Public Health Service Act 
(42 U.S.C. 300x–9) is amended by adding at the end the 
following: 
‘‘(d) CRISIS CARE.— 
‘‘(1) IN GENERAL.—Except as provided in para-
graph (3), a State shall expend at least 5 percent of 
the amount the State receives pursuant to section
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† HR 2617 EAS2 
1911 for each fiscal year to support evidenced-based 
programs that address the crisis care needs of indi-
viduals with serious mental illnesses and children 
with serious emotional disturbances, which may in-
clude individuals (including children and adolescents) 
experiencing mental health crises demonstrating seri-
ous mental illness or serious emotional disturbance, 
as applicable. 
‘‘(2) CORE ELEMENTS.—At the discretion of the 
single State agency responsible for the administration 
of the program of the State under a grant under sec-
tion 1911, funds expended pursuant to paragraph (1) 
may be used to fund some or all of the core crisis care 
service components, as applicable and appropriate, 
including the following: 
‘‘(A) Crisis call centers. 
‘‘(B) 24/7 mobile crisis services. 
‘‘(C) Crisis stabilization programs offering 
acute care or subacute care in a hospital or ap-
propriately licensed facility, as determined by 
such State, with referrals to inpatient or out-
patient care. 
‘‘(3) STATE FLEXIBILITY.—In lieu of expending 
5 percent of the amount the State receives pursuant 
to section 1911 for a fiscal year to support evidence-
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† HR 2617 EAS2 
based programs as required by paragraph (1), a State 
may elect to expend not less than 10 percent of such 
amount to support such programs by the end of two 
consecutive fiscal years. 
‘‘(4) 
RULE
OF
CONSTRUCTION.—Section 
1912(b)(1)(A)(vi) shall not be construed as limiting 
the provision of crisis care services pursuant to para-
graph (1).’’. 
(c) REPORT TO CONGRESS.—Not later than September 
30, 2025, and biennially thereafter, the Secretary shall pro-
vide a report to the Congress on the crisis care strategies 
and programs pursued by States pursuant to subsection (d) 
of section 1920 of the Public Health Service Act (42 U.S.C. 
300x–9), as added by subsection (b). Such report shall in-
clude— 
(1) a description of each State’s crisis care ac-
tivities; 
(2) the population served, including information 
on demographics, including age; 
(3) the outcomes of such activities, including— 
(A) how such activities reduced hospitaliza-
tions and hospital stays; 
(B) how such activities reduced incidents of 
suicidal ideation and behaviors; and
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† HR 2617 EAS2 
(C) how such activities reduced the severity 
of onset of serious mental illness and serious 
emotional disturbance, as applicable; and 
(4) any other relevant information the Secretary 
determines is necessary. 
CHAPTER 6—PEER-SUPPORTED MENTAL 
HEALTH SERVICES 
SEC. 1151. PEER-SUPPORTED MENTAL HEALTH SERVICES. 
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 
inserting after section 520G (42 U.S.C. 290bb—38) the fol-
lowing: 
‘‘SEC. 520H. PEER-SUPPORTED MENTAL HEALTH SERVICES. 
‘‘(a) GRANTS AUTHORIZED.—The Secretary, acting 
through the Assistant Secretary for Mental Health and Sub-
stance Use, shall award grants to eligible entities to enable 
such entities to develop, expand, and enhance access to men-
tal health peer-delivered services. 
‘‘(b) USE OF FUNDS.—Grants awarded under sub-
section (a) shall be used to develop, expand, and enhance 
national, statewide, or community-focused programs, in-
cluding virtual peer-support services and technology-related 
capabilities, including by—
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† HR 2617 EAS2 
‘‘(1) carrying out workforce development, recruit-
ment, and retention activities, to train, recruit, and 
retain peer-support providers; 
‘‘(2) building connections between mental health 
treatment programs, including between community 
organizations and peer-support networks, including 
virtual peer-support networks, and with other mental 
health support services; 
‘‘(3) reducing stigma associated with mental 
health disorders; 
‘‘(4) expanding and improving virtual peer men-
tal health support services, including through the 
adoption of technologies and capabilities to expand 
access to virtual peer mental health support services, 
such as by acquiring equipment and software nec-
essary to efficiently run virtual peer-support services; 
and 
‘‘(5) conducting research on issues relating to 
mental illness and the impact peer-support has on re-
siliency, including identifying— 
‘‘(A) the signs of mental illness; 
‘‘(B) the resources available to individuals 
with mental illness and to their families; and 
‘‘(C) the resources available to help support 
individuals living with mental illness.
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† HR 2617 EAS2 
‘‘(c) SPECIAL CONSIDERATION.—In carrying out this 
section, the Secretary shall give special consideration to the 
unique needs of rural areas. 
‘‘(d) DEFINITION.—In this section, the term ‘eligible 
entity’ means— 
‘‘(1) a consumer-run nonprofit organization 
that— 
‘‘(A) is principally governed by people liv-
ing with a mental health condition; and 
‘‘(B) mobilizes resources within and outside 
of the mental health community, which may in-
clude through peer-support networks, to increase 
the prevalence and quality of long-term wellness 
of individuals living with a mental health condi-
tion, including those with a co-occurring sub-
stance use disorder; or 
‘‘(2) an Indian Tribe, Tribal organization, 
Urban Indian organization, or consortium of Tribes 
or Tribal organizations. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section 
$13,000,000 for each of fiscal years 2023 through 2027.’’.
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† HR 2617 EAS2 
Subtitle B—Substance Use Disorder 
Prevention, Treatment, and Re-
covery Services 
CHAPTER 1—NATIVE BEHAVIORAL 
HEALTH RESOURCES 
SEC. 1201. BEHAVIORAL HEALTH AND SUBSTANCE USE DIS-
ORDER RESOURCES FOR NATIVE AMERICANS. 
Section 506A of the Public Health Service Act (42 
U.S.C. 290aa–5a) is amended to read as follows: 
‘‘SEC. 506A. BEHAVIORAL HEALTH AND SUBSTANCE USE 
DISORDER RESOURCES FOR NATIVE AMERI-
CANS. 
‘‘(a) DEFINITIONS.—In this section: 
‘‘(1) The term ‘eligible entity’ means any health 
program administered directly by the Indian Health 
Service, a Tribal health program, an Indian Tribe, a 
Tribal organization, an Urban Indian organization, 
and a Native Hawaiian health organization. 
‘‘(2) The terms ‘Indian Tribe’, ‘Tribal health 
program’, ‘Tribal organization’, and ‘Urban Indian 
organization’ have the meanings given to the terms 
‘Indian tribe’, ‘Tribal health program’, ‘tribal organi-
zation’, and ‘Urban Indian organization’ in section 4 
of the Indian Health Care Improvement Act.
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† HR 2617 EAS2 
‘‘(3) The term ‘health program administered di-
rectly by the Indian Health Service’ means a ‘health 
program administered by the Service’ as such term is 
used in section 4(12)(A) of the Indian Health Care 
Improvement Act. 
‘‘(4) The term ‘Native Hawaiian health organi-
zation’ means ‘Papa Ola Lokahi’ as defined in section 
12 of the Native Hawaiian Health Care Improvement 
Act. 
‘‘(b) GRANT PROGRAM.— 
‘‘(1) 
IN
GENERAL.—The 
Secretary, 
acting 
through the Assistant Secretary for Mental Health 
and Substance Use, and in consultation with the Di-
rector of the Indian Health Service, as appropriate, 
shall award funds to eligible entities, in amounts de-
veloped in accordance with paragraph (2), to be used 
by the eligible entity to provide services for the pre-
vention of, treatment of, and recovery from mental 
health and substance use disorders among American 
Indians, Alaska Natives, and Native Hawaiians. 
‘‘(2) FORMULA.—The Secretary, in consultation 
with the Director of the Indian Health Service, using 
the process described in subsection (d), shall develop 
a formula to determine the amount of an award 
under paragraph (1).
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† HR 2617 EAS2 
‘‘(3) DELIVERY OF FUNDS.—On request from an 
Indian Tribe or Tribal organization, the Secretary, 
acting through the Assistant Secretary for Mental 
Health and Substance Use and in coordination with 
the Director of the Indian Health Service, may award 
funds under this section through a contract or com-
pact under, as applicable, title I or V of the Indian 
Self-Determination and Education Assistance Act. 
‘‘(c) TECHNICAL ASSISTANCE AND PROGRAM EVALUA-
TION.— 
‘‘(1) IN GENERAL.—The Secretary shall— 
‘‘(A) provide technical assistance to appli-
cants and awardees under this section; and 
‘‘(B) in consultation with Indian Tribes 
and Tribal organizations, conference with Urban 
Indian organizations, and engagement with a 
Native Hawaiian health organization, identify 
and establish appropriate mechanisms for In-
dian Tribes and Tribal organizations, Urban In-
dian organizations, and a Native Hawaiian 
health organization to demonstrate outcomes and 
report data as required for participation in the 
program under this section. 
‘‘(2) DATA SUBMISSION AND REPORTING.—As a 
condition of receipt of funds under this section, an
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† HR 2617 EAS2 
applicant shall agree to submit program evaluation 
data and reports consistent with the data submission 
and reporting requirements developed under this sub-
section. 
‘‘(d) CONSULTATION.—The Secretary shall, using an 
accountable process, consult with Indian Tribes and Tribal 
organizations, confer with Urban Indian organizations, 
and engage with a Native Hawaiian health organization 
regarding the development of funding allocations pursuant 
to subsection (b)(2) and program evaluation and reporting 
requirements pursuant to subsection (c). In establishing 
such requirements, the Secretary shall seek to minimize ad-
ministrative burden for eligible entities, as practicable. 
‘‘(e) APPLICATION.—An entity desiring an award 
under subsection (b) shall submit an application to the Sec-
retary at such time, in such manner, and accompanied by 
such information as the Secretary may reasonably require. 
‘‘(f) REPORT.—Not later than 3 years after the date 
of the enactment of the Restoring Hope for Mental Health 
and Well-Being Act of 2022, the Secretary shall prepare 
and submit, to the Committee on Health, Education, Labor, 
and Pensions of the Senate, and the Committee on Energy 
and Commerce of the House of Representatives, a report de-
scribing the services provided pursuant to this section.
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† HR 2617 EAS2 
‘‘(g) AUTHORIZATION
OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section, 
$80,000,000 for each of fiscal years 2023 through 2027.’’. 
CHAPTER 2—SUMMER BARROW PREVEN-
TION, TREATMENT, AND RECOVERY 
SEC. 1211. GRANTS FOR THE BENEFIT OF HOMELESS INDI-
VIDUALS. 
Section 506(e) of the Public Health Service Act (42 
U.S.C. 290aa–5(e)) is amended by striking ‘‘2018 through 
2022’’ and inserting ‘‘2023 through 2027’’. 
SEC. 1212. PRIORITY SUBSTANCE USE DISORDER TREAT-
MENT NEEDS OF REGIONAL AND NATIONAL 
SIGNIFICANCE. 
Section 509 of the Public Health Service Act (42 
U.S.C. 290bb–2) is amended— 
(1) in the section heading, by striking ‘‘ABUSE’’ 
and inserting ‘‘USE DISORDER’’; 
(2) in subsection (a)— 
(A) by striking ‘‘tribes and tribal organiza-
tions (as the terms ‘Indian tribes’ and ‘tribal or-
ganizations’ are defined’’ and inserting ‘‘Tribes 
and Tribal organizations (as such terms are de-
fined’’; and
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† HR 2617 EAS2 
(B) in paragraph (3), by striking ‘‘in sub-
stance abuse’’ and inserting ‘‘in substance use 
disorders’’; 
(3) in subsection (b), in the subsection heading, 
by striking ‘‘ABUSE’’ and inserting ‘‘USE
DIS-
ORDER’’; and 
(4) in subsection (f), by striking ‘‘$333,806,000 
for each of fiscal years 2018 through 2022’’ and in-
serting ‘‘$521,517,000 for each of fiscal years 2023 
through 2027’’. 
SEC. 1213. EVIDENCE-BASED PRESCRIPTION OPIOID AND 
HEROIN TREATMENT AND INTERVENTIONS 
DEMONSTRATION. 
Section 514B of the Public Health Service Act (42 
U.S.C. 290bb–10) is amended— 
(1) in subsection (a)(1)— 
(A) by striking ‘‘substance abuse’’ and in-
serting ‘‘substance use disorder’’; 
(B) by striking ‘‘tribes and tribal organiza-
tions’’ and inserting ‘‘Tribes and Tribal organi-
zations’’; and 
(C) by striking ‘‘addiction’’ and inserting 
‘‘substance use disorders’’;
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† HR 2617 EAS2 
(2) in subsection (e)(3), by striking ‘‘tribes and 
tribal organizations’’ and inserting ‘‘Tribes and Trib-
al organizations’’; and 
(3) in subsection (f), by striking ‘‘2017 through 
2021’’ and inserting ‘‘2023 through 2027’’. 
SEC. 1214. PRIORITY SUBSTANCE USE DISORDER PREVEN-
TION NEEDS OF REGIONAL AND NATIONAL 
SIGNIFICANCE. 
Section 516 of the Public Health Service Act (42 
U.S.C. 290bb–22) is amended— 
(1) in subsection (a)— 
(A) in paragraph (3), by striking ‘‘abuse’’ 
and inserting ‘‘use’’; and 
(B) in the matter following paragraph (3), 
by striking ‘‘tribes or tribal organizations’’ and 
inserting ‘‘Tribes or Tribal organizations’’; 
(2) in subsection (b), in the subsection heading, 
by striking ‘‘ABUSE’’ and inserting ‘‘USE
DIS-
ORDER’’; and 
(3) in subsection (f), by striking ‘‘$211,148,000 
for each of fiscal years 2018 through 2022’’ and in-
serting ‘‘$218,219,000 for each of fiscal years 2023 
through 2027’’.
3007 
† HR 2617 EAS2 
SEC. 1215. SOBER TRUTH ON PREVENTING (STOP) UNDER-
AGE DRINKING REAUTHORIZATION. 
Section 519B of the Public Health Service Act (42 
U.S.C. 290bb–25b) is amended— 
(1) by amending subsection (a) to read as fol-
lows: 
‘‘(a) DEFINITIONS.—For purposes of this section: 
‘‘(1) The term ‘alcohol beverage industry’ means 
the brewers, vintners, distillers, importers, distribu-
tors, and retail or online outlets that sell or serve 
beer, wine, and distilled spirits. 
‘‘(2) The term ‘school-based prevention’ means 
programs, which are institutionalized, and run by 
staff members or school-designated persons or organi-
zations in any grade of school, kindergarten through 
12th grade. 
‘‘(3) The term ‘youth’ means persons under the 
age of 21.’’; and 
(2) by striking subsections (c) through (g) and 
inserting the following: 
‘‘(c) INTERAGENCY COORDINATING COMMITTEE; AN-
NUAL REPORT ON STATE UNDERAGE DRINKING PREVEN-
TION AND ENFORCEMENT ACTIVITIES.— 
‘‘(1) INTERAGENCY
COORDINATING
COMMITTEE 
ON THE PREVENTION OF UNDERAGE DRINKING.—
3008 
† HR 2617 EAS2 
‘‘(A) IN GENERAL.—The Secretary, in col-
laboration with the Federal officials specified in 
subparagraph (B), shall continue to support and 
enhance the efforts of the interagency coordi-
nating committee, that began operating in 2004, 
focusing on underage drinking (referred to in 
this subsection as the ‘Committee’). 
‘‘(B) OTHER AGENCIES.—The officials re-
ferred to in subparagraph (A) are the Secretary 
of Education, the Attorney General, the Sec-
retary of Transportation, the Secretary of the 
Treasury, the Secretary of Defense, the Surgeon 
General, the Director of the Centers for Disease 
Control and Prevention, the Director of the Na-
tional Institute on Alcohol Abuse and Alco-
holism, the Assistant Secretary for Mental 
Health and Substance Use, the Director of the 
National Institute on Drug Abuse, the Assistant 
Secretary for Children and Families, the Direc-
tor of the Office of National Drug Control Policy, 
the Administrator of the National Highway 
Traffic Safety Administration, the Adminis-
trator of the Office of Juvenile Justice and De-
linquency Prevention, the Chairman of the Fed-
eral Trade Commission, and such other Federal
3009 
† HR 2617 EAS2 
officials as the Secretary of Health and Human 
Services determines to be appropriate. 
‘‘(C) CHAIR.—The Secretary of Health and 
Human Services shall serve as the chair of the 
Committee. 
‘‘(D) DUTIES.—The Committee shall guide 
policy and program development across the Fed-
eral Government with respect to underage drink-
ing, provided, however, that nothing in this sec-
tion shall be construed as transferring regulatory 
or program authority from an agency to the 
Committee. 
‘‘(E) 
CONSULTATIONS.—The 
Committee 
shall actively seek the input of and shall consult 
with all appropriate and interested parties, in-
cluding States, public health research and inter-
est groups, foundations, and alcohol beverage in-
dustry trade associations and companies. 
‘‘(F) ANNUAL REPORT.— 
‘‘(i) IN GENERAL.—The Secretary, on 
behalf of the Committee, shall annually sub-
mit to the Congress a report that summa-
rizes— 
‘‘(I) all programs and policies of 
Federal agencies designed to prevent
3010 
† HR 2617 EAS2 
and reduce underage drinking, includ-
ing such programs and policies that 
support State efforts to prevent or re-
duce underage drinking; 
‘‘(II) the extent of progress in pre-
venting and reducing underage drink-
ing at State and national levels; 
‘‘(III) data that the Secretary 
shall collect with respect to the infor-
mation specified in clause (ii); and 
‘‘(IV) such other information re-
garding underage drinking as the Sec-
retary determines to be appropriate. 
‘‘(ii) CERTAIN INFORMATION.—The re-
port under clause (i) shall include informa-
tion on the following: 
‘‘(I) Patterns and consequences of 
underage drinking as reported in re-
search and surveys such as, but not 
limited to, Monitoring the Future, 
Youth Risk Behavior Surveillance Sys-
tem, the National Survey on Drug Use 
and Health, and the Fatality Analysis 
Reporting System.
3011 
† HR 2617 EAS2 
‘‘(II) Measures of the availability 
of alcohol from commercial and non- 
commercial sources to underage popu-
lations. 
‘‘(III) Measures of the exposure of 
underage populations to messages re-
garding alcohol in advertising, social 
media, and the entertainment media. 
‘‘(IV) Surveillance data, includ-
ing, to the extent such information is 
available, information on the onset and 
prevalence of underage drinking, con-
sumption patterns and beverage pref-
erences, trends related to drinking 
among different age groups, including 
between youth and adults, the means of 
underage access, including trends over 
time, for these surveillance data, and 
other data, as appropriate. The Sec-
retary shall develop a plan to improve 
the collection, measurement, and con-
sistency of reporting Federal underage 
alcohol data.
3012 
† HR 2617 EAS2 
‘‘(V) Any additional findings re-
sulting from research conducted or sup-
ported under subsection (g). 
‘‘(VI) Evidence-based best prac-
tices to prevent and reduce underage 
drinking and provide treatment serv-
ices to those youth who need such serv-
ices. 
‘‘(2) ANNUAL
REPORT
ON
STATE
UNDERAGE 
DRINKING
PREVENTION
AND
ENFORCEMENT
ACTIVI-
TIES.— 
‘‘(A) IN
GENERAL.—The Secretary shall, 
with input and collaboration from other appro-
priate Federal agencies, States, Indian Tribes, 
territories, and public health, consumer, and al-
cohol beverage industry groups, annually issue a 
report on each State’s performance in enacting, 
enforcing, and creating laws, regulations, pro-
grams, and other actions to prevent or reduce 
underage drinking based on the best practices 
identified pursuant to paragraph (1)(F)(ii)(VI). 
For purposes of this paragraph, each such re-
port, with respect to a year, shall be referred to 
as the ‘State Report’. Each State Report may be 
used as a resource to inform the identification
3013 
† HR 2617 EAS2 
and implementation of activities to prevent un-
derage drinking, as determined to be appropriate 
by such State or other applicable entity. 
‘‘(B) CONTENTS.— 
‘‘(i) PERFORMANCE
MEASURES.—The 
Secretary shall develop, in consultation 
with the Committee, a set of measures to be 
used in preparing the State Report on best 
practices, including as they relate to State 
laws, regulations, other actions, and en-
forcement practices. 
‘‘(ii) STATE
REPORT
CONTENT.—The 
State Report shall include updates on State 
laws, regulations, and other actions, includ-
ing those described in previous reports to 
Congress, including with respect to the fol-
lowing: 
‘‘(I) Whether or not the State has 
comprehensive anti-underage drinking 
laws such as for the illegal sale, pur-
chase, attempt to purchase, consump-
tion, or possession of alcohol; illegal 
use of fraudulent ID; illegal furnishing 
or obtaining of alcohol for an indi-
vidual under 21 years; the degree of
3014 
† HR 2617 EAS2 
strictness of the penalties for such of-
fenses; and the prevalence of the en-
forcement of each of these infractions. 
‘‘(II) Whether or not the State has 
comprehensive liability statutes per-
taining to underage access to alcohol 
such as dram shop, social host, and 
house party laws, and the prevalence of 
enforcement of each of these laws. 
‘‘(III) Whether or not the State 
encourages and conducts comprehensive 
enforcement efforts to prevent underage 
access to alcohol at retail outlets, such 
as random compliance checks and 
shoulder tap programs, and the num-
ber of compliance checks within alcohol 
retail outlets measured against the 
number of total alcohol retail outlets in 
each State, and the result of such 
checks. 
‘‘(IV) Whether or not the State en-
courages training on the proper selling 
and serving of alcohol for all sellers 
and servers of alcohol as a condition of 
employment.
3015 
† HR 2617 EAS2 
‘‘(V) Whether or not the State has 
policies and regulations with regard to 
direct sales to consumers and home de-
livery of alcoholic beverages. 
‘‘(VI) Whether or not the State 
has programs or laws to deter adults 
from purchasing alcohol for minors; 
and the number of adults targeted by 
these programs. 
‘‘(VII) Whether or not the State 
has enacted graduated drivers licenses 
and the extent of those provisions. 
‘‘(VIII) Whether or not the State 
has adopted any other policies con-
sistent with evidence-based practices 
related to the prevention of underage 
alcohol use, which may include any 
such practices described in relevant re-
ports issued by the Surgeon General 
and practices related to youth exposure 
to alcohol-related products and infor-
mation. 
‘‘(IX) A description of the degree 
to which the practices of local jurisdic-
3016 
† HR 2617 EAS2 
tions within the State vary from one 
another. 
‘‘(3) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this subsection $1,000,000 for each of fiscal years 
2023 through 2027. 
‘‘(d) NATIONAL MEDIA CAMPAIGN TO PREVENT UN-
DERAGE DRINKING.— 
‘‘(1) IN GENERAL.—The Secretary, in consulta-
tion with the National Highway Traffic Safety Ad-
ministration, shall develop or continue an intensive, 
multifaceted national media campaign aimed at 
adults to reduce underage drinking. 
‘‘(2) PURPOSE.—The purpose of the national 
media campaign described in this section shall be to 
achieve the following objectives: 
‘‘(A) Promote community awareness of, and 
a commitment to, reducing underage drinking. 
‘‘(B) Encourage activities, including activi-
ties carried out by adults, that inhibit the illegal 
use of alcohol by youth. 
‘‘(C) Discourage activities, including activi-
ties carried out by adults, that promote the ille-
gal use of alcohol by youth.
3017 
† HR 2617 EAS2 
‘‘(3) COMPONENTS.—When implementing the na-
tional media campaign described in this section, the 
Secretary shall— 
‘‘(A) educate the public about the public 
health and safety benefits of evidence-based strat-
egies to reduce underage drinking, including ex-
isting laws related to the minimum legal drink-
ing age, and engage the public and parents in 
the implementation of such strategies; 
‘‘(B) educate the public about the negative 
consequences of underage drinking; 
‘‘(C) identify specific actions by adults to 
discourage or inhibit underage drinking; 
‘‘(D) discourage adult conduct that tends to 
facilitate underage drinking; 
‘‘(E) establish collaborative relationships 
with local and national organizations and insti-
tutions to further the goals of the campaign and 
assure that the messages of the campaign are dis-
seminated from a variety of sources; 
‘‘(F) conduct the campaign through multi- 
media sources; and 
‘‘(G) take into consideration demographics 
and other relevant factors to most effectively 
reach target audiences.
3018 
† HR 2617 EAS2 
‘‘(4) CONSULTATION
REQUIREMENT.—In devel-
oping and implementing the national media cam-
paign described in this section, the Secretary shall re-
view recommendations for reducing underage drink-
ing, including those published by the National Acad-
emies of Sciences, Engineering, and Medicine and the 
Surgeon General. The Secretary shall also consult 
with interested parties including the alcohol beverage 
industry, medical, public health, and consumer and 
parent groups, law enforcement, institutions of higher 
education, community-based organizations and coali-
tions, and other relevant stakeholders. 
‘‘(5) ANNUAL
REPORT.—The Secretary shall 
produce an annual report on the progress of the devel-
opment or implementation of the media campaign de-
scribed in this subsection, including expenses and pro-
jected costs, and, as such information is available, re-
port on the effectiveness of such campaign in affecting 
adult attitudes toward underage drinking and adult 
willingness to take actions to decrease underage 
drinking. 
‘‘(6) RESEARCH
ON
YOUTH-ORIENTED
CAM-
PAIGN.—The Secretary may, based on the availability 
of funds, conduct or support research on the potential 
success of a youth-oriented national media campaign
3019 
† HR 2617 EAS2 
to reduce underage drinking. The Secretary shall re-
port to Congress any such results and any related rec-
ommendations. 
‘‘(7) 
ADMINISTRATION.—The 
Secretary 
may 
enter into an agreement with another Federal agency 
to delegate the authority for execution and adminis-
tration of the adult-oriented national media cam-
paign. 
‘‘(8) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this section $2,500,000 for each of fiscal years 2023 
through 2027. 
‘‘(e) COMMUNITY-BASED COALITION ENHANCEMENT 
GRANTS TO PREVENT UNDERAGE DRINKING.— 
‘‘(1) AUTHORIZATION OF PROGRAM.—The Assist-
ant Secretary for Mental Health and Substance Use, 
in consultation with the Director of the Office of Na-
tional Drug Control Policy, shall award enhancement 
grants to eligible entities to design, implement, evalu-
ate, and disseminate comprehensive strategies to 
maximize the effectiveness of community-wide ap-
proaches to preventing and reducing underage drink-
ing. This subsection is subject to the availability of 
appropriations.
3020 
† HR 2617 EAS2 
‘‘(2) PURPOSES.—The purposes of this subsection 
are to— 
‘‘(A) prevent and reduce alcohol use among 
youth in communities throughout the United 
States; 
‘‘(B) strengthen collaboration among com-
munities, the Federal Government, Tribal Gov-
ernments, and State and local governments; 
‘‘(C) enhance intergovernmental cooperation 
and coordination on the issue of alcohol use 
among youth; 
‘‘(D) serve as a catalyst for increased cit-
izen participation and greater collaboration 
among all sectors and organizations of a commu-
nity that first demonstrates a long-term commit-
ment to reducing alcohol use among youth; 
‘‘(E) implement evidence-based strategies to 
prevent and reduce underage drinking in com-
munities; and 
‘‘(F) enhance, not supplant, effective local 
community initiatives for preventing and reduc-
ing alcohol use among youth. 
‘‘(3) APPLICATION.—An eligible entity desiring 
an enhancement grant under this subsection shall sub-
mit an application to the Assistant Secretary at such
3021 
† HR 2617 EAS2 
time, and in such manner, and accompanied by such 
information and assurances, as the Assistant Sec-
retary may require. Each application shall include— 
‘‘(A) a complete description of the entity’s 
current underage alcohol use prevention initia-
tives and how the grant will appropriately en-
hance the focus on underage drinking issues; or 
‘‘(B) a complete description of the entity’s 
current initiatives, and how it will use the grant 
to enhance those initiatives by adding a focus on 
underage drinking prevention. 
‘‘(4) USES OF FUNDS.—Each eligible entity that 
receives a grant under this subsection shall use the 
grant funds to carry out the activities described in 
such entity’s application submitted pursuant to para-
graph (3) and obtain specialized training and tech-
nical assistance by the entity funded under section 4 
of Public Law 107–82, as amended (21 U.S.C. 1521 
note). Grants under this subsection shall not exceed 
$60,000 per year and may not exceed four years. 
‘‘(5) SUPPLEMENT NOT SUPPLANT.—Grant funds 
provided under this subsection shall be used to supple-
ment, not supplant, Federal and non-Federal funds 
available for carrying out the activities described in 
this subsection.
3022 
† HR 2617 EAS2 
‘‘(6) EVALUATION.—Grants under this subsection 
shall be subject to the same evaluation requirements 
and procedures as the evaluation requirements and 
procedures imposed on recipients of drug-free commu-
nity grants. 
‘‘(7) DEFINITIONS.—For purposes of this sub-
section, the term ‘eligible entity’ means an organiza-
tion that is currently receiving or has received grant 
funds under the Drug-Free Communities Act of 1997. 
‘‘(8) ADMINISTRATIVE
EXPENSES.—Not more 
than 6 percent of a grant under this subsection may 
be expended for administrative expenses. 
‘‘(9) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this subsection $11,500,000 for each of fiscal years 
2023 through 2027. 
‘‘(f) GRANTS TO ORGANIZATIONS REPRESENTING PE-
DIATRIC PROVIDERS AND OTHER RELATED HEALTH PRO-
FESSIONALS TO REDUCE UNDERAGE DRINKING THROUGH 
SCREENING AND BRIEF INTERVENTIONS.— 
‘‘(1) 
IN
GENERAL.—The 
Secretary, 
acting 
through the Assistant Secretary for Mental Health 
and Substance Use, shall make awards to one or more 
entities representing pediatric providers and other re-
lated health professionals with demonstrated ability to
3023 
† HR 2617 EAS2 
increase among the members of such entities effective 
practices to reduce the prevalence of alcohol use 
among individuals under the age of 21, including col-
lege students. 
‘‘(2) PURPOSES.—Grants under this subsection 
shall be made to improve— 
‘‘(A) screening adolescents for alcohol use; 
‘‘(B) offering brief interventions to adoles-
cents to discourage such use; 
‘‘(C) educating parents about the dangers of 
and methods of discouraging such use; 
‘‘(D) diagnosing and treating alcohol use 
disorders; and 
‘‘(E) referring patients, when necessary, to 
other appropriate care. 
‘‘(3) USE
OF
FUNDS.—An entity receiving a 
grant under this section may use the grant funding 
to promote the practices specified in paragraph (2) 
among its members by— 
‘‘(A) providing training to health care pro-
viders; 
‘‘(B) disseminating best practices, including 
culturally and linguistically appropriate best 
practices, and developing and distributing mate-
rials; and
3024 
† HR 2617 EAS2 
‘‘(C) supporting other activities as deter-
mined appropriate by the Assistant Secretary. 
‘‘(4) APPLICATION.—To be eligible to receive a 
grant under this subsection, an entity shall submit an 
application to the Assistant Secretary at such time, 
and in such manner, and accompanied by such infor-
mation and assurances as the Secretary may require. 
Each application shall include— 
‘‘(A) a description of the entity; 
‘‘(B) a description of the activities to be 
completed that will promote the practices speci-
fied in paragraph (2); 
‘‘(C) a description of the entity’s qualifica-
tions for performing such activities; and 
‘‘(D) a timeline for the completion of such 
activities. 
‘‘(5) DEFINITIONS.—For the purpose of this sub-
section: 
‘‘(A) 
BRIEF
INTERVENTION.—The 
term 
‘brief intervention’ means, after screening a pa-
tient, providing the patient with brief advice 
and other brief motivational enhancement tech-
niques designed to increase the insight of the pa-
tient regarding the patient’s alcohol use, and any
3025 
† HR 2617 EAS2 
realized or potential consequences of such use to 
effect the desired related behavioral change. 
‘‘(B) SCREENING.—The term ‘screening’ 
means using validated patient interview tech-
niques to identify and assess the existence and 
extent of alcohol use in a patient. 
‘‘(6) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this subsection $3,000,000 for each of fiscal years 
2023 through 2027. 
‘‘(g) DATA COLLECTION AND RESEARCH.— 
‘‘(1) ADDITIONAL
RESEARCH
ON
UNDERAGE 
DRINKING.— 
‘‘(A) IN
GENERAL.—The Secretary shall, 
subject to the availability of appropriations, sup-
port the collection of data, and conduct or sup-
port research that is not duplicative of research 
currently being conducted or supported by the 
Department of Health and Human Services, on 
underage drinking, with respect to the following: 
‘‘(i) The evaluation, which may in-
clude through the development of relevant 
capabilities of expertise within a State, of 
the effectiveness of comprehensive commu-
nity-based programs or strategies and state-
3026 
† HR 2617 EAS2 
wide systems to prevent and reduce under-
age drinking, across the underage years 
from early childhood to age 21, such as pro-
grams funded and implemented by govern-
mental 
entities, 
public 
health 
interest 
groups and foundations, and alcohol bev-
erage companies and trade associations. 
‘‘(ii) Obtaining and reporting more 
precise information than is currently col-
lected on the scope of the underage drinking 
problem and patterns of underage alcohol 
consumption, including improved knowledge 
about the problem and progress in pre-
venting, reducing, and treating underage 
drinking, as well as information on the rate 
of exposure of youth to advertising and 
other media messages encouraging and dis-
couraging alcohol consumption. 
‘‘(iii) The development and identifica-
tion of evidence-based or evidence-informed 
strategies to reduce underage drinking, 
which may include through translational 
research. 
‘‘(iv) Improving and conducting public 
health data collection on alcohol use and al-
3027 
† HR 2617 EAS2 
cohol-related conditions in States, which 
may include by increasing the use of sur-
veys, such as the Behavioral Risk Factor 
Surveillance System, to monitor binge and 
excessive drinking and related harms among 
individuals who are at least 18 years of age, 
but not more than 20 years of age, includ-
ing harm caused to self or others as a result 
of alcohol use that is not duplicative of re-
search currently being conducted or sup-
ported by the Department of Health and 
Human Services. 
‘‘(B) 
AUTHORIZATION
OF
APPROPRIA-
TIONS.—There is authorized to be appropriated 
to carry out this paragraph $5,000,000 for each 
of fiscal years 2023 through 2027. 
‘‘(2) NATIONAL ACADEMIES OF SCIENCES, ENGI-
NEERING, AND MEDICINE STUDY.— 
‘‘(A) IN
GENERAL.—Not later than 12 
months after the date of enactment of the Restor-
ing Hope for Mental Health and Well-Being Act 
of 2022, the Secretary shall— 
‘‘(i) contract with the National Acad-
emies of Sciences, Engineering, and Medi-
cine to study developments in research on
3028 
† HR 2617 EAS2 
underage drinking and the implications of 
these developments; and 
‘‘(ii) report to the Congress on the re-
sults of such review. 
‘‘(B) 
AUTHORIZATION
OF
APPROPRIA-
TIONS.—There is authorized to be appropriated 
to carry out this paragraph $500,000 for fiscal 
year 2023.’’. 
SEC. 1216. GRANTS FOR JAIL DIVERSION PROGRAMS. 
Section 520G of the Public Health Service Act (42 
U.S.C. 290bb–38) is amended— 
(1) in subsection (a)— 
(A) by striking ‘‘up to 125’’; and 
(B) by striking ‘‘tribes and tribal organiza-
tions’’ and inserting ‘‘Tribes and Tribal organi-
zations’’; 
(2) in subsection (b)(2), by striking ‘‘tribes, and 
tribal organizations’’ and inserting ‘‘Tribes, and 
Tribal organizations’’; 
(3) in subsection (c)— 
(A) in paragraph (1), by striking ‘‘Indian 
tribe or tribal organization’’ and inserting ‘‘an 
Indian Tribe or Tribal organization, a health fa-
cility or program described in subsection (a), or
3029 
† HR 2617 EAS2 
a public or nonprofit entity referred to in sub-
section (a)’’; and 
(B) in paragraph (2)(A)— 
(i) in clause (i), by inserting ‘‘peer re-
covery support services,’’ after ‘‘disorder 
treatment,’’; and 
(ii) in clause (iii), by striking ‘‘tribe, 
or 
tribal 
organization’’ 
and 
inserting 
‘‘Tribe, or Tribal organization’’; 
(4) in subsection (e)— 
(A) in the matter preceding paragraph (1), 
by striking ‘‘tribe, or tribal organization’’ and 
inserting ‘‘Tribe, or Tribal organization’’; 
(B) in paragraph (3), by inserting ‘‘and 
paraprofessionals’’ after ‘‘professionals’’; and 
(C) in paragraph (5), by striking ‘‘or ar-
rest’’ and inserting ‘‘, arrest, or release’’; 
(5) in subsection (f), by striking ‘‘tribe, or tribal 
organization’’ each place it appears and inserting 
‘‘Tribe, or Tribal organization’’; 
(6) in subsection (h), by striking ‘‘tribe, or tribal 
organization’’ and inserting ‘‘Tribe, or Tribal organi-
zation’’; and 
(7) in subsection (j), by striking ‘‘$4,269,000 for 
each of fiscal years 2018 through 2022’’ and inserting
3030 
† HR 2617 EAS2 
‘‘$14,000,000 for each of fiscal years 2023 through 
2027’’. 
SEC. 1217. FORMULA GRANTS TO STATES. 
Section 521 of the Public Health Service Act (42 
U.S.C. 290cc–21) is amended by striking ‘‘2018 through 
2022’’ and inserting ‘‘2023 through 2027’’. 
SEC. 1218. PROJECTS FOR ASSISTANCE IN TRANSITION 
FROM HOMELESSNESS. 
Section 535(a) of the Public Health Service Act (42 
U.S.C. 290cc–35(a)) is amended by striking ‘‘2018 through 
2022’’ and inserting ‘‘2023 through 2027’’. 
SEC. 1219. GRANTS FOR REDUCING OVERDOSE DEATHS. 
(a) GRANTS.— 
(1) REPEAL
OF
MAXIMUM
GRANT
AMOUNT.— 
Paragraph (2) of section 544(a) of the Public Health 
Service Act (42 U.S.C. 290dd–3(a)) is hereby re-
pealed. 
(2) ELIGIBLE
ENTITY; 
SUBGRANTS.—Section 
544(a) of the Public Health Service Act (42 U.S.C. 
290dd–3(a)) is amended by striking paragraph (3) 
and inserting the following: 
‘‘(2) ELIGIBLE
ENTITY.—For purposes of this 
section, the term ‘eligible entity’ means a State, Ter-
ritory, locality, or Indian Tribe or Tribal organiza-
tion (as those terms are defined in section 4 of the In-
3031 
† HR 2617 EAS2 
dian Self-Determination and Education Assistance 
Act). 
‘‘(3) SUBGRANTS.—For the purposes for which a 
grant is awarded under this section, the eligible entity 
receiving the grant may award subgrants to a Feder-
ally qualified health center (as defined in section 
1861(aa) of the Social Security Act), an opioid treat-
ment program (as defined in section 8.2 of title 42, 
Code of Federal Regulations (or any successor regula-
tions)), any practitioner dispensing narcotic drugs 
pursuant to section 303(g) of the Controlled Sub-
stances Act, or any nonprofit organization that the 
Secretary deems appropriate, which may include 
Urban Indian organizations (as defined in section 4 
of the Indian Health Care Improvement Act).’’. 
(3) PRESCRIBING.—Section 544(a)(4) of the 
Public Health Service Act (42 U.S.C. 290dd–3(a)(4)) 
is amended— 
(A) in subparagraph (A), by inserting ‘‘, 
including patients prescribed both an opioid and 
a benzodiazepine’’ before the semicolon at the 
end; and 
(B) in subparagraph (D), by striking ‘‘drug 
overdose’’ and inserting ‘‘overdose’’.
3032 
† HR 2617 EAS2 
(4) USE OF FUNDS.—Paragraph (5) of section 
544(c) of the Public Health Service Act (42 U.S.C. 
290dd–3(c)) is amended to read as follows: 
‘‘(5) To establish protocols to connect patients 
who have experienced an overdose with appropriate 
treatment, including overdose reversal medications, 
medication assisted treatment, and appropriate coun-
seling and behavioral therapies.’’. 
(5) IMPROVING
ACCESS
TO
OVERDOSE
TREAT-
MENT.—Section 544 of the Public Health Service Act 
(42 U.S.C. 290dd–3) is amended— 
(A) by redesignating subsections (d) through 
(f) as subsections (e) through (g), respectively; 
(B) in subsection (f), as so redesignated, by 
striking ‘‘subsection (d)’’ and inserting ‘‘sub-
section (e)’’; and 
(C) by inserting after subsection (c) the fol-
lowing: 
‘‘(d) IMPROVING
ACCESS
TO
OVERDOSE
TREAT-
MENT.— 
‘‘(1) INFORMATION ON BEST PRACTICES.— 
‘‘(A) HEALTH AND HUMAN SERVICES.—The 
Secretary of Health and Human Services may 
provide information to States, localities, Indian 
Tribes, Tribal organizations, and Urban Indian
3033 
† HR 2617 EAS2 
organizations on best practices for prescribing or 
co-prescribing a drug or device approved, 
cleared, or otherwise legally marketed under the 
Federal Food, Drug, and Cosmetic Act for emer-
gency treatment of known or suspected opioid 
overdose, including for patients receiving chronic 
opioid therapy and patients being treated for 
opioid use disorders. 
‘‘(B) DEFENSE.—The Secretary of Health 
and Human Services may, as appropriate, con-
sult with the Secretary of Defense regarding the 
provision of information to prescribers within 
Department of Defense medical facilities on best 
practices for prescribing or co-prescribing a drug 
or device approved, cleared, or otherwise legally 
marketed under the Federal Food, Drug, and 
Cosmetic Act for emergency treatment of known 
or suspected opioid overdose, including for pa-
tients receiving chronic opioid therapy and pa-
tients being treated for opioid use disorders. 
‘‘(C) VETERANS AFFAIRS.—The Secretary of 
Health and Human Services may, as appro-
priate, consult with the Secretary of Veterans Af-
fairs regarding the provision of information to 
prescribers within Department of Veterans Af-
3034 
† HR 2617 EAS2 
fairs medical facilities on best practices for pre-
scribing or co-prescribing a drug or device ap-
proved, cleared, or otherwise legally marketed 
under the Federal Food, Drug, and Cosmetic Act 
for emergency treatment of known or suspected 
opioid overdose, including for patients receiving 
chronic opioid therapy and patients being treat-
ed for opioid use disorders. 
‘‘(2) RULE OF CONSTRUCTION.—Nothing in this 
subsection shall be construed as establishing or con-
tributing to a medical standard of care.’’. 
(6) AUTHORIZATION OF APPROPRIATIONS.—Sec-
tion 544(g) of the Public Health Service Act (42 
U.S.C. 290dd–3(g)), as redesignated, is amended by 
striking ‘‘fiscal years 2017 through 2021’’ and insert-
ing ‘‘fiscal years 2023 through 2027’’. 
(7) TECHNICAL AMENDMENTS.— 
(A) Section 544 of the Public Health Serv-
ice Act (42 U.S.C. 290dd–3), as amended, is fur-
ther amended by striking ‘‘approved or cleared’’ 
each place it appears and inserting ‘‘approved, 
cleared, or otherwise legally marketed’’. 
(B) Section 107 of the Comprehensive Ad-
diction and Recovery Act of 2016 (Public Law 
114–198) is amended by striking subsection (b).
3035 
† HR 2617 EAS2 
SEC. 1220. OPIOID OVERDOSE REVERSAL MEDICATION AC-
CESS AND EDUCATION GRANT PROGRAMS. 
(a) GRANTS.—Section 545 of the Public Health Service 
Act (42 U.S.C. 290ee) is amended— 
(1) in the section heading, by striking ‘‘ACCESS 
AND EDUCATION GRANT PROGRAMS’’ and insert-
ing 
‘‘ACCESS, 
EDUCATION, 
AND
CO-PRE-
SCRIBING GRANT PROGRAMS’’; 
(2) in the heading of subsection (a), by striking 
‘‘GRANTS TO STATES’’ and inserting ‘‘GRANTS’’; 
(3) in subsection (a), by striking ‘‘shall make 
grants to States’’ and inserting ‘‘shall make grants to 
States, localities, Indian Tribes, and Tribal organiza-
tions (as those terms are defined in section 4 of the 
Indian Self-Determination and Education Assistance 
Act)’’; 
(4) in subsection (a)(1), by striking ‘‘implement 
strategies for pharmacists to dispense a drug or de-
vice’’ and inserting ‘‘implement strategies that in-
crease access to drugs or devices’’; 
(5) by redesignating paragraphs (3) and (4) as 
paragraphs (4) and (5), respectively; and 
(6) by inserting after paragraph (2) the fol-
lowing: 
‘‘(3) encourage health care providers to co-pre-
scribe, as appropriate, drugs or devices approved,
3036 
† HR 2617 EAS2 
cleared, or otherwise legally marketed under the Fed-
eral Food, Drug, and Cosmetic Act for emergency 
treatment of known or suspected opioid overdose;’’. 
(b) GRANT PERIOD.—Section 545(d)(2) of the Public 
Health Service Act (42 U.S.C. 290ee(d)(2)) is amended by 
striking ‘‘3 years’’ and inserting ‘‘5 years’’. 
(c) LIMITATION.—Paragraph (3) of section 545(d) of 
the Public Health Service Act (42 U.S.C. 290ee(d)) is 
amended to read as follows: 
‘‘(3) LIMITATIONS.—A State may— 
‘‘(A) use not more than 10 percent of a 
grant under this section for educating the public 
pursuant to subsection (a)(5); and 
‘‘(B) use not less than 20 percent of a grant 
under this section to offset cost-sharing for dis-
tribution and dispensing of drugs or devices ap-
proved, cleared, or otherwise legally marketed 
under the Federal Food, Drug, and Cosmetic Act 
for emergency treatment of known or suspected 
opioid overdose.’’. 
(d) AUTHORIZATION
OF APPROPRIATIONS.—Section 
545(h)(1) of the Public Health Service Act, is amended by 
striking ‘‘fiscal years 2017 through 2019’’ and inserting 
‘‘fiscal years 2023 through 2027’’.
3037 
† HR 2617 EAS2 
(e) TECHNICAL AMENDMENT.—Section 545 of the Pub-
lic Health Service Act (42 U.S.C. 290ee), as amended, is 
further amended by striking ‘‘approved or cleared’’ each 
place it appears and inserting ‘‘approved, cleared, or other-
wise legally marketed’’. 
SEC. 1221. EMERGENCY DEPARTMENT ALTERNATIVES TO 
OPIOIDS. 
Section 7091 of the SUPPORT for Patients and Com-
munities Act (Public Law 115–271) is amended— 
(1) in the section heading, by striking ‘‘DEM-
ONSTRATION’’ (and by conforming the item relating 
to such section in the table of contents in section 
1(b)); 
(2) in subsection (a)— 
(A) by amending the subsection heading to 
read as follows: ‘‘GRANT PROGRAM’’; and 
(B) in paragraph (1), by striking ‘‘dem-
onstration’’; 
(3) in subsection (b), in the subsection heading, 
by striking ‘‘DEMONSTRATION’’; 
(4) in subsection (d)(4), by striking ‘‘tribal’’ and 
inserting ‘‘Tribal’’; 
(5) in subsection (f)— 
(A) in the heading, by striking ‘‘REPORT’’ 
and inserting ‘‘REPORTS’’; and
3038 
† HR 2617 EAS2 
(B) in the matter preceding paragraph (1), 
by striking ‘‘Not later than 1 year after comple-
tion of the demonstration program under this 
section, the Secretary shall submit a report to the 
Congress on the results of the demonstration pro-
gram’’ and inserting ‘‘Not later than the end of 
each of fiscal years 2024 and 2027, the Secretary 
shall submit to the Committee on Health, Edu-
cation, Labor, and Pensions of the Senate and 
the Committee on Energy and Commerce of the 
House of Representatives a report on the results 
of the program’’; and 
(6) in subsection (g), by striking ‘‘2019 through 
2021’’ and inserting ‘‘2023 through 2027’’. 
CHAPTER 3—EXCELLENCE IN RECOVERY 
HOUSING 
SEC. 1231. CLARIFYING THE ROLE OF SAMHSA IN PRO-
MOTING THE AVAILABILITY OF HIGH-QUALITY 
RECOVERY HOUSING. 
Section 501(d) of the Public Health Service Act (42 
U.S.C. 290aa) is amended— 
(1) in paragraph (24)(E), by striking ‘‘and’’ at 
the end; 
(2) in paragraph (25), by striking the period at 
the end and inserting ‘‘; and’’; and
3039 
† HR 2617 EAS2 
(3) by adding at the end the following: 
‘‘(26) collaborate with national accrediting enti-
ties, recovery housing providers, organizations or in-
dividuals with established expertise in delivery of re-
covery housing services, States, Federal agencies (in-
cluding the Department of Health and Human Serv-
ices, the Department of Housing and Urban Develop-
ment, and the agencies listed in section 550(e)(2)(B)), 
and other relevant stakeholders, to promote the avail-
ability of high-quality recovery housing and services 
for individuals with a substance use disorder.’’. 
SEC. 1232. DEVELOPING GUIDELINES FOR STATES TO PRO-
MOTE THE AVAILABILITY OF HIGH-QUALITY 
RECOVERY HOUSING. 
Section 550(a) of the Public Health Service Act (42 
U.S.C. 290ee–5(a)) (relating to national recovery housing 
best practices) is amended— 
(1) by amending paragraph (1) to read as fol-
lows: 
‘‘(1) IN GENERAL.—The Secretary, in consulta-
tion with the individuals and entities specified in 
paragraph (2), shall continue activities to identify, 
facilitate the development of, and periodically update 
consensus-based best practices, which may include 
model laws for implementing suggested minimum
3040 
† HR 2617 EAS2 
standards for operating, and promoting the avail-
ability of, high-quality recovery housing.’’; 
(2) in paragraph (2)— 
(A) by striking subparagraphs (A) and (B) 
and inserting the following: 
‘‘(A) officials representing the agencies de-
scribed in subsection (e)(2);’’; 
(B) by redesignating subparagraphs (C) 
through (G) as subparagraphs (B) through (F), 
respectively; 
(C) in subparagraph (B), as so redesig-
nated, by striking ‘‘tribal’’ and inserting ‘‘Trib-
al’’; and 
(D) in subparagraph (D), as so redesig-
nated, by striking ‘‘tribes, tribal organizations, 
and tribally’’ and inserting ‘‘Tribes, Tribal orga-
nizations, and Tribally’’; and 
(3) by adding at the end the following: 
‘‘(3) AVAILABILITY.—The best practices referred 
to in paragraph (1) shall be— 
‘‘(A) made publicly available; and 
‘‘(B) published on the public website of the 
Substance Abuse and Mental Health Services Ad-
ministration.
3041 
† HR 2617 EAS2 
‘‘(4) EXCLUSION OF GUIDELINE ON TREATMENT 
SERVICES.—In facilitating the development of best 
practices under paragraph (1), the Secretary may not 
include any best practices with respect to substance 
use disorder treatment services.’’. 
SEC. 1233. COORDINATION OF FEDERAL ACTIVITIES TO 
PROMOTE THE AVAILABILITY OF RECOVERY 
HOUSING. 
Section 550 of the Public Health Service Act (42 
U.S.C. 290ee–5) (relating to national recovery housing best 
practices), as amended by section 1232, is further amend-
ed— 
(1) by redesignating subsections (e), (f), and (g) 
as subsections (g), (h), and (i), respectively; 
(2) in subsection (c)(2), by striking ‘‘Indian 
tribes, tribal’’ and inserting ‘‘Indian Tribes, Tribal’’; 
(3) in subsection (h)(2), as so redesignated— 
(A) by striking ‘‘Indian tribe’’ and insert-
ing ‘‘Indian Tribe’’; and 
(B) by striking ‘‘tribal organization’’ and 
inserting ‘‘Tribal organization’’; and 
(4) by inserting after subsection (d) the fol-
lowing: 
‘‘(e) COORDINATION OF FEDERAL ACTIVITIES TO PRO-
MOTE THE AVAILABILITY OF HOUSING FOR INDIVIDUALS
3042 
† HR 2617 EAS2 
EXPERIENCING
HOMELESSNESS, INDIVIDUALS
WITH
A 
MENTAL ILLNESS, AND INDIVIDUALS WITH A SUBSTANCE 
USE DISORDER.— 
‘‘(1) 
IN
GENERAL.—The 
Secretary, 
acting 
through the Assistant Secretary, and the Secretary of 
Housing and Urban Development shall convene an 
interagency working group for the following purposes: 
‘‘(A) To increase collaboration, cooperation, 
and consultation among the Department of 
Health and Human Services, the Department of 
Housing and Urban Development, and the Fed-
eral agencies listed in paragraph (2)(B), with re-
spect to promoting the availability of housing, 
including high-quality recovery housing, for in-
dividuals experiencing homelessness, individuals 
with mental illnesses, and individuals with sub-
stance use disorder. 
‘‘(B) To align the efforts of such agencies 
and avoid duplication of such efforts by such 
agencies. 
‘‘(C) To develop objectives, priorities, and a 
long-term plan for supporting State, Tribal, and 
local efforts with respect to the operation of high- 
quality recovery housing that is consistent with 
the best practices developed under this section.
3043 
† HR 2617 EAS2 
‘‘(D) To improve information on the quality 
of recovery housing. 
‘‘(2) COMPOSITION.—The interagency working 
group under paragraph (1) shall be composed of— 
‘‘(A) the Secretary, acting through the As-
sistant Secretary, and the Secretary of Housing 
and Urban Development, who shall serve as the 
co-chairs; and 
‘‘(B) representatives of each of the following 
Federal agencies: 
‘‘(i) The Centers for Medicare & Med-
icaid Services. 
‘‘(ii) The Substance Abuse and Mental 
Health Services Administration. 
‘‘(iii) The Health Resources and Serv-
ices Administration. 
‘‘(iv) The Office of the Inspector Gen-
eral of the Department of Health and 
Human Services. 
‘‘(v) The Indian Health Service. 
‘‘(vi) The Department of Agriculture. 
‘‘(vii) The Department of Justice. 
‘‘(viii) The Office of National Drug 
Control Policy. 
‘‘(ix) The Bureau of Indian Affairs.
3045 
† HR 2617 EAS2 
SEC. 1234. NATIONAL ACADEMIES OF SCIENCES, ENGINEER-
ING, AND MEDICINE STUDY AND REPORT. 
(a) IN GENERAL.—Not later than 60 days after the 
date of enactment of this Act, the Secretary of Health and 
Human Services, acting through the Assistant Secretary for 
Mental Health and Substance Use, shall— 
(1) contract with the National Academies of 
Sciences, Engineering, and Medicine— 
(A) to study the quality and effectiveness of 
recovery housing in the United States and 
whether the availability of such housing meets 
demand; and 
(B) to identify recommendations to promote 
the availability of high-quality recovery housing; 
and 
(2) report to the Congress on the results of such 
review. 
(b) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there is authorized to be appropriated 
$1,500,000 for fiscal year 2023. 
SEC. 1235. GRANTS FOR STATES TO PROMOTE THE AVAIL-
ABILITY OF RECOVERY HOUSING AND SERV-
ICES. 
Section 550 of the Public Health Service Act (42 
U.S.C. 290ee–5) (relating to national recovery housing best 
practices), as amended by sections 1232 and 1233, is fur-
3046 
† HR 2617 EAS2 
ther amended by inserting after subsection (e) (as inserted 
by section 1233) the following: 
‘‘(f) GRANTS FOR IMPLEMENTING NATIONAL RECOV-
ERY HOUSING BEST PRACTICES.— 
‘‘(1) IN GENERAL.—The Secretary shall award 
grants to States (and political subdivisions thereof), 
Indian Tribes, and territories— 
‘‘(A) for the provision of technical assist-
ance to implement the guidelines and rec-
ommendations developed under subsection (a); 
and 
‘‘(B) to promote— 
‘‘(i) the availability of recovery hous-
ing for individuals with a substance use 
disorder; and 
‘‘(ii) the maintenance of recovery hous-
ing in accordance with best practices devel-
oped under this section. 
‘‘(2) STATE PROMOTION PLANS.—Not later than 
90 days after receipt of a grant under paragraph (1), 
and every 2 years thereafter, each State (or political 
subdivisions thereof,) Indian Tribe, or territory re-
ceiving a grant under paragraph (1) shall submit to 
the Secretary, and publish on a publicly accessible
3047 
† HR 2617 EAS2 
internet website of the State (or political subdivisions 
thereof), Indian Tribe, or territory— 
‘‘(A) the plan of the State (or political sub-
divisions thereof), Indian Tribe, or territory, 
with respect to the promotion of recovery housing 
for individuals with a substance use disorder lo-
cated within the jurisdiction of such State (or 
political subdivisions thereof), Indian Tribe, or 
territory; and 
‘‘(B) a description of how such plan is con-
sistent with the best practices developed under 
this section.’’. 
SEC. 1236. FUNDING. 
Subsection (i) of section 550 of the Public Health Serv-
ice Act (42 U.S.C. 290ee–5) (relating to national recovery 
housing best practices), as redesignated by section 1233, is 
amended by striking ‘‘$3,000,000 for the period of fiscal 
years 2019 through 2021’’ and inserting ‘‘$5,000,000 for the 
period of fiscal years 2023 through 2027’’. 
SEC. 1237. TECHNICAL CORRECTION. 
Title V of the Public Health Service Act (42 U.S.C. 
290aa et seq.) is amended— 
(1) by redesignating section 550 (relating to So-
briety Treatment and Recovery Teams) (42 U.S.C.
3048 
† HR 2617 EAS2 
290ee–10), as added by section 8214 of Public Law 
115–271, as section 550A; and 
(2) by moving such section so it appears after 
section 550 (relating to national recovery housing best 
practices). 
CHAPTER 4—SUBSTANCE USE PREVEN-
TION, TREATMENT, AND RECOVERY 
SERVICES BLOCK GRANT 
SEC. 1241. ELIMINATING STIGMATIZING LANGUAGE RELAT-
ING TO SUBSTANCE USE. 
(a) BLOCK GRANTS FOR PREVENTION AND TREAT-
MENT OF SUBSTANCE USE.—Part B of title XIX of the Pub-
lic Health Service Act (42 U.S.C. 300x et seq.) is amend-
ed— 
(1) in the part heading, by striking ‘‘SUB-
STANCE
ABUSE’’ and inserting ‘‘SUBSTANCE 
USE’’; 
(2) in subpart II, by amending the subpart 
heading to read as follows: ‘‘Block Grants for 
Substance 
Use 
Prevention, 
Treatment, 
and Recovery Services’’; 
(3) in section 1922(a) (42 U.S.C. 300x–22(a))— 
(A) in paragraph (1), in the matter pre-
ceding subparagraph (A), by striking ‘‘substance
3049 
† HR 2617 EAS2 
abuse’’ and inserting ‘‘substance use disorders’’; 
and 
(B) by striking ‘‘such abuse’’ each place it 
appears in paragraphs (1) and (2) and inserting 
‘‘such disorders’’; 
(4) in section 1923 (42 U.S.C. 300x–23)— 
(A) in the section heading, by striking 
‘‘SUBSTANCE
ABUSE’’ and inserting ‘‘SUB-
STANCE USE’’; and 
(B) in subsection (a), by striking ‘‘drug 
abuse’’ and inserting ‘‘substance use disorders’’; 
(5) in section 1925(a)(1) (42 U.S.C. 300x– 
25(a)(1)), by striking ‘‘alcohol or drug abuse’’ and in-
serting ‘‘alcohol or other substance use disorders’’; 
(6) in section 1926(b)(2)(B) (42 U.S.C. 300x– 
26(b)(2)(B)), by striking ‘‘substance abuse’’; 
(7) in section 1931(b)(2) (42 U.S.C. 300x– 
31(b)(2)), by striking ‘‘substance abuse’’ and inserting 
‘‘substance use disorders’’; 
(8) in section 1933(d)(1) (42 U.S.C. 300x– 
33(d)), in the matter following subparagraph (B), by 
striking ‘‘abuse of alcohol and other drugs’’ and in-
serting ‘‘use of substances’’; 
(9) by amending paragraph (4) of section 1934 
(42 U.S.C. 300x–34) to read as follows:
3050 
† HR 2617 EAS2 
‘‘(4) The term ‘substance use disorder’ means the 
recurrent use of alcohol or other drugs that causes 
clinically significant impairment.’’; 
(10) in section 1935 (42 U.S.C. 300x–35)— 
(A) in subsection (a), by striking ‘‘substance 
abuse’’ and inserting ‘‘substance use disorders’’; 
and 
(B) in subsection (b)(1), by striking ‘‘sub-
stance abuse’’ each place it appears and insert-
ing ‘‘substance use disorders’’; 
(11) in section 1949 (42 U.S.C. 300x–59), by 
striking ‘‘substance abuse’’ each place it appears in 
subsections (a) and (d) and inserting ‘‘substance use 
disorders’’; 
(12) in section 1954(b)(4) (42 U.S.C. 300x– 
64(b)(4))— 
(A) by striking ‘‘substance abuse’’ and in-
serting ‘‘substance use disorders’’; and 
(B) by striking ‘‘such abuse’’ and inserting 
‘‘such disorders’’; and 
(13) in section 1956 (42 U.S.C. 300x–66), by 
striking ‘‘substance abuse’’ and inserting ‘‘substance 
use disorders’’. 
(b) 
CERTAIN
PROGRAMS
REGARDING
MENTAL 
HEALTH AND SUBSTANCE ABUSE.—Part C of title XIX of
3051 
† HR 2617 EAS2 
the Public Health Service Act (42 U.S.C. 300y et seq.) is 
amended— 
(1) in the part heading, by striking ‘‘SUB-
STANCE
ABUSE’’ and inserting ‘‘SUBSTANCE 
USE’’; 
(2) in section 1971 (42 U.S.C. 300y), by striking 
‘‘substance abuse’’ each place it appears in sub-
sections (a), (b), and (f) and inserting ‘‘substance 
use’’; and 
(3) in section 1976 (42 U.S.C. 300y–11), by 
striking ‘‘intravenous abuse’’ each place it appears 
and inserting ‘‘intravenous use’’. 
SEC. 1242. AUTHORIZED ACTIVITIES. 
Section 1921(b) of the Public Health Service Act (42 
U.S.C. 300x–21(b)) is amended by striking ‘‘activities to 
prevent and treat substance use disorders’’ and inserting 
‘‘activities to prevent, treat, and provide recovery support 
services for substance use disorders’’. 
SEC. 1243. STATE PLAN REQUIREMENTS. 
Section 1932(b)(1)(A) of the Public Health Service Act 
(42 U.S.C. 300x–32(b)(1)(A)) is amended— 
(1) by redesignating clauses (vi) through (ix) as 
clauses (vii) through (x), respectively; 
(2) by inserting after clause (v) the following: 
‘‘(vi) provides a description of—
3052 
† HR 2617 EAS2 
‘‘(I) the State’s comprehensive 
statewide recovery support services ac-
tivities, including the number of indi-
viduals being served, target popu-
lations, workforce capacity (consistent 
with clause (viii)), and priority needs; 
and 
‘‘(II) the amount of funds received 
under this subpart expended on recov-
ery support services, disaggregated by 
the amount expended for type of service 
activity;’’; and 
(3) in clause (viii), as so redesignated, by strik-
ing ‘‘disorders workforce’’ and inserting ‘‘disorders 
workforce, including with respect to prevention, treat-
ment, and recovery,’’. 
SEC. 1244. UPDATING CERTAIN LANGUAGE RELATING TO 
TRIBES. 
Section 1933(d) of the Public Health Service Act (42 
U.S.C. 300x–33(d)) is amended— 
(1) in paragraph (1)— 
(A) in subparagraph (A)— 
(i) by striking ‘‘of an Indian tribe or 
tribal organization’’ and inserting ‘‘of an 
Indian Tribe or Tribal organization’’; and
3053 
† HR 2617 EAS2 
(ii) by striking ‘‘such tribe’’ and in-
serting ‘‘such Tribe’’; 
(B) in subparagraph (B)— 
(i) by striking ‘‘tribe or tribal organi-
zation’’ and inserting ‘‘Tribe or Tribal or-
ganization’’; and 
(ii) by striking ‘‘Secretary under this’’ 
and inserting ‘‘Secretary under this sub-
part’’; and 
(C) in the matter following subparagraph 
(B), by striking ‘‘tribe or tribal organization’’ 
and inserting ‘‘Tribe or Tribal organization’’; 
(2) by amending paragraph (2) to read as fol-
lows: 
‘‘(2) INDIAN TRIBE OR TRIBAL ORGANIZATION AS 
GRANTEE.—The amount reserved by the Secretary on 
the basis of a determination under this subsection 
shall be granted to the Indian Tribe or Tribal organi-
zation serving the individuals for whom such a deter-
mination has been made.’’; 
(3) in paragraph (3), by striking ‘‘tribe or tribal 
organization’’ and inserting ‘‘Tribe or Tribal organi-
zation’’; and 
(4) in paragraph (4)—
3054 
† HR 2617 EAS2 
(A) in the paragraph heading, by striking 
‘‘DEFINITION’’ and inserting ‘‘DEFINITIONS’’; 
and 
(B) by striking ‘‘The terms’’ and all that 
follows through ‘‘given such terms’’ and inserting 
the following: ‘‘The terms ‘Indian Tribe’ and 
‘Tribal organization’ have the meanings given 
the terms ‘Indian tribe’ and ‘tribal organiza-
tion’ ’’. 
SEC. 1245. BLOCK GRANTS FOR SUBSTANCE USE PREVEN-
TION, TREATMENT, AND RECOVERY SERV-
ICES. 
(a) IN GENERAL.—Section 1935(a) of the Public 
Health Service Act (42 U.S.C. 300x–35(a)), as amended by 
section 1241, is further amended by striking ‘‘appro-
priated’’ and all that follows through ‘‘2022..’’ and insert-
ing the following: ‘‘appropriated $1,908,079,000 for each of 
fiscal years 2023 through 2027.’’. 
(b) TECHNICAL CORRECTIONS.—Section 1935(b)(1)(B) 
of the Public Health Service Act (42 U.S.C. 300x– 
35(b)(1)(B)) is amended by striking ‘‘the collection of data 
in this paragraph is’’.
3055 
† HR 2617 EAS2 
SEC. 1246. REQUIREMENT OF REPORTS AND AUDITS BY 
STATES. 
Section 1942(a) of the Public Health Service Act (42 
U.S.C. 300x–52(a)) is amended— 
(1) in paragraph (1), by striking ‘‘and’’ at the 
end; 
(2) in paragraph (2), by striking the period at 
the end and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(3) the amount provided to each recipient in 
the previous fiscal year.’’. 
SEC. 1247. STUDY ON ASSESSMENT FOR USE OF STATE RE-
SOURCES. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services, acting through the Assistant Secretary for 
Mental Health and Substance Use (in this section referred 
to as the ‘‘Secretary’’), shall, in consultation with States 
and other local entities providing prevention, treatment, or 
recovery support services related to substance use, conduct 
a study on strategies to assess community needs with re-
spect to such services in order to facilitate State use of block 
grant funding received under subpart II of part B of title 
XIX of the Public Health Service Act (42 U.S.C. 300x–21 
et seq.) to provide services to substance use disorder preven-
tion, treatment, and recovery support. The study shall, 
where feasible and appropriate, include estimates of re-
3056 
† HR 2617 EAS2 
sources for community needs strategies respective to preven-
tion, treatment, or recovery support services. 
(b) REPORT.—Not later than 2 years after the date 
of enactment of this Act, the Secretary shall submit to the 
Committee on Health, Education, Labor, and Pensions of 
the Senate and the Committee on Energy and Commerce 
of the House of Representatives a report on the results of 
the study conducted under subsection (a). 
CHAPTER 5—TIMELY TREATMENT FOR 
OPIOID USE DISORDER 
SEC. 1251. STUDY ON EXEMPTIONS FOR TREATMENT OF 
OPIOID USE DISORDER THROUGH OPIOID 
TREATMENT PROGRAMS DURING THE COVID– 
19 PUBLIC HEALTH EMERGENCY. 
(a) STUDY.—The Assistant Secretary for Mental 
Health and Substance Use shall conduct a study, in con-
sultation with patients and other stakeholders, on activities 
carried out pursuant to exemptions granted— 
(1) to a State (including the District of Colum-
bia or any territory of the United States) or an 
opioid treatment program; 
(2) pursuant to section 8.11(h) of title 42, Code 
of Federal Regulations; and 
(3) during the period—
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(A) beginning on the declaration of the pub-
lic health emergency for the COVID–19 pan-
demic under section 319 of the Public Health 
Service Act (42 U.S.C. 247d); and 
(B) ending on the earlier of— 
(i) the termination of such public 
health 
emergency, 
including 
extensions 
thereof pursuant to such section 319; and 
(ii) the end of calendar year 2022. 
(b) PRIVACY.—The section does not authorize the dis-
closure by the Department of Health and Human Services 
of individually identifiable information about patients. 
(c) FEEDBACK.—In conducting the study under sub-
section (a), the Assistant Secretary for Mental Health and 
Substance Use shall gather feedback from the States and 
opioid treatment programs on their experiences in imple-
menting exemptions described in subsection (a). 
(d) REPORT.—Not later than 180 days after the end 
of the period described in subsection (a)(3)(B), and subject 
to subsection (c), the Assistant Secretary for Mental Health 
and Substance Use shall publish a report on the results of 
the study under this section.
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SEC. 1252. CHANGES TO FEDERAL OPIOID TREATMENT 
STANDARDS. 
(a) MOBILE MEDICATION UNITS.—Section 302(e) of 
the Controlled Substances Act (21 U.S.C. 822(e)) is amend-
ed by adding at the end the following: 
‘‘(3) Notwithstanding paragraph (1), a registrant that 
is dispensing pursuant to section 303(g) narcotic drugs to 
individuals for maintenance treatment or detoxification 
treatment shall not be required to have a separate registra-
tion to incorporate one or more mobile medication units 
into the registrant’s practice to dispense such narcotics at 
locations other than the registrant’s principal place of busi-
ness or professional practice described in paragraph (1), so 
long as the registrant meets such standards for operation 
of a mobile medication unit as the Attorney General may 
establish.’’. 
(b) REVISE OPIOID TREATMENT PROGRAM ADMISSION 
CRITERIA TO ELIMINATE REQUIREMENT THAT PATIENTS 
HAVE AN OPIOID USE DISORDER FOR AT LEAST 1 YEAR.— 
Not later than 18 months after the date of enactment of 
this Act, the Secretary of Health and Human Services shall 
revise section 8.12(e)(1) of title 42, Code of Federal Regula-
tions (or successor regulations), to eliminate the require-
ment that an opioid treatment program only admit an in-
dividual for treatment under the program if the individual
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has been addicted to opioids for at least 1 year before being 
so admitted for treatment. 
CHAPTER 6—ADDITIONAL PROVISIONS 
RELATING TO ADDICTION TREATMENT 
SEC. 1261. PROHIBITION. 
Notwithstanding any provision of this title and the 
amendments made by this title, no funds made available 
to carry out this title or any amendment made by this title 
shall be used to purchase, procure, or distribute pipes or 
cylindrical objects intended to be used to smoke or inhale 
illegal scheduled substances. 
SEC. 1262. ELIMINATING ADDITIONAL REQUIREMENTS FOR 
DISPENSING NARCOTIC DRUGS IN SCHEDULE 
III, IV, AND V FOR MAINTENANCE OR DETOXI-
FICATION TREATMENT. 
(a) IN GENERAL.—Section 303(g) of the Controlled 
Substances Act (21 U.S.C. 823(g)) is amended— 
(1) by striking paragraph (2); 
(2) by striking ‘‘(g)(1) Except as provided in 
paragraph (2), practitioners who dispense narcotic 
drugs to individuals for maintenance treatment or de-
toxification treatment’’ and inserting ‘‘(g) Practi-
tioners who dispense narcotic drugs (other than nar-
cotic drugs in schedule III, IV, or V) to individuals
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for maintenance treatment or detoxification treat-
ment’’; 
(3) by redesignating subparagraphs (A), (B), 
and (C) as paragraphs (1), (2), and (3), respectively; 
and 
(4) in paragraph (2), as so redesignated— 
(A) by striking ‘‘(i) security of stocks’’ and 
inserting ‘‘(A) security of stocks’’; and 
(B) by striking ‘‘(ii) the maintenance of 
records’’ and inserting ‘‘(B) the maintenance of 
records’’. 
(b) CONFORMING CHANGES.— 
(1) Subsections (a) and (d)(1) of section 304 of 
the Controlled Substances Act (21 U.S.C. 824) are 
each amended by striking ‘‘303(g)(1)’’ each place it 
appears and inserting ‘‘303(g)’’. 
(2) Section 309A(a)(2) of the Controlled Sub-
stances Act (21 U.S.C. 829a) is amended— 
(A) in the matter preceding subparagraph 
(A), by striking ‘‘the controlled substance is to be 
administered for the purpose of maintenance or 
detoxification treatment under section 303(g)(2)’’ 
and inserting ‘‘the controlled substance is a nar-
cotic drug in schedule III, IV, or V to be admin-
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istered for the purpose of maintenance or detoxi-
fication treatment’’; and 
(B) by striking ‘‘and—’’ and all that fol-
lows through ‘‘is to be administered by injection 
or implantation;’’ and inserting ‘‘and is to be 
administered by injection or implantation;’’. 
(3) Section 520E–4(c) of the Public Health Serv-
ice Act (42 U.S.C. 290bb–36d(c)) is amended by strik-
ing ‘‘information on any qualified practitioner that 
is certified to prescribe medication for opioid depend-
ency under section 303(g)(2)(B) of the Controlled 
Substances Act’’ and inserting ‘‘information on any 
practitioner who prescribes narcotic drugs in schedule 
III, IV, or V of section 202 of the Controlled Sub-
stances Act for the purpose of maintenance or detoxi-
fication treatment’’. 
(4) Section 544(a)(3) of the Public Health Serv-
ice Act (42 U.S.C. 290dd–3), as added by section 
1219(a)(2), is amended by striking ‘‘any practitioner 
dispensing narcotic drugs pursuant to section 303(g) 
of the Controlled Substances Act’’ and inserting ‘‘any 
practitioner dispensing narcotic drugs for the purpose 
of maintenance or detoxification treatment’’. 
(5) Section 1833(bb)(3)(B) of the Social Security 
Act (42 U.S.C. 1395l(bb)(3)(B)) is amended by strik-