H. R. 34—230 
‘‘(4) develops and proposes the implementation of a social 
marketing campaign that is targeted at the population of stu-
dents attending institutions of higher education and individuals 
who are employed in settings of institutions of higher education. 
‘‘(e) DEFINITION.—In this section, the term ‘institution of higher 
education’ has the meaning given such term in section 101 of 
the Higher Education Act of 1965 (20 U.S.C. 1001). 
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—To carry out this sec-
tion, there are authorized to be appropriated $1,000,000 for the 
period of fiscal years 2018 through 2022.’’. 
TITLE 
X—STRENGTHENING 
MENTAL 
AND 
SUBSTANCE 
USE 
DISORDER 
CARE FOR CHILDREN AND ADOLES-
CENTS 
SEC. 10001. PROGRAMS FOR CHILDREN WITH A SERIOUS EMOTIONAL 
DISTURBANCE. 
(a) COMPREHENSIVE COMMUNITY MENTAL HEALTH SERVICES FOR 
CHILDREN WITH
A SERIOUS EMOTIONAL DISTURBANCE.—Section 
561(a)(1) of the Public Health Service Act (42 U.S.C. 290ff(a)(1)) 
is amended by inserting ‘‘, which may include efforts to identify 
and serve children at risk’’ before the period. 
(b) REQUIREMENTS WITH RESPECT TO CARRYING OUT PURPOSE 
OF GRANTS.—Section 562(b) of the Public Health Service Act (42 
U.S.C. 290ff–1(b)) is amended by striking ‘‘will not provide an 
individual with access to the system if the individual is more 
than 21 years of age’’ and inserting ‘‘will provide an individual 
with access to the system through the age of 21 years’’. 
(c) ADDITIONAL PROVISIONS.—Section 564(f) of the Public Health 
Service Act (42 U.S.C. 290ff–3(f)) is amended by inserting ‘‘(and 
provide a copy to the State involved)’’ after ‘‘to the Secretary’’. 
(d) GENERAL PROVISIONS.—Section 565 of the Public Health 
Service Act (42 U.S.C. 290ff–4) is amended— 
(1) in subsection (b)(1)— 
(A) in the matter preceding subparagraph (A), by 
striking ‘‘receiving a grant under section 561(a)’’ and 
inserting ‘‘, regardless of whether such public entity is 
receiving a grant under section 561(a)’’; and 
(B) in subparagraph (B), by striking ‘‘pursuant to’’ 
and inserting ‘‘described in’’; 
(2) in subsection (d)(1), by striking ‘‘not more than 21 
years of age’’ and inserting ‘‘through the age of 21 years’’; 
and 
(3) in subsection (f)(1), by striking ‘‘$100,000,000 for fiscal 
year 2001, and such sums as may be necessary for each of 
the fiscal years 2002 and 2003’’ and inserting ‘‘$119,026,000 
for each of fiscal years 2018 through 2022’’. 
SEC. 10002. INCREASING ACCESS TO PEDIATRIC MENTAL HEALTH 
CARE. 
Title III of the Public Health Service Act is amended by 
inserting after section 330L of such Act (42 U.S.C. 254c–18) the 
following new section:
H. R. 34—231 
‘‘SEC. 330M PEDIATRIC MENTAL HEALTH CARE ACCESS GRANTS. 
‘‘(a) IN GENERAL.—The Secretary, acting through the Adminis-
trator of the Health Resources and Services Administration and 
in coordination with other relevant Federal agencies, shall award 
grants to States, political subdivisions of States, and Indian tribes 
and tribal organizations (for purposes of this section, as such terms 
are defined in section 4 of the Indian Self-Determination and Edu-
cation Assistance Act (25 U.S.C. 450b)) to promote behavioral health 
integration in pediatric primary care by— 
‘‘(1) supporting the development of statewide or regional 
pediatric mental health care telehealth access programs; and 
‘‘(2) supporting the improvement of existing statewide or 
regional pediatric mental health care telehealth access pro-
grams. 
‘‘(b) PROGRAM REQUIREMENTS.— 
‘‘(1) IN GENERAL.—A pediatric mental health care telehealth 
access program referred to in subsection (a), with respect to 
which a grant under such subsection may be used, shall— 
‘‘(A) be a statewide or regional network of pediatric 
mental health teams that provide support to pediatric pri-
mary care sites as an integrated team; 
‘‘(B) support and further develop organized State or 
regional networks of pediatric mental health teams to pro-
vide consultative support to pediatric primary care sites; 
‘‘(C) conduct an assessment of critical behavioral con-
sultation needs among pediatric providers and such pro-
viders’ preferred mechanisms for receiving consultation, 
training, and technical assistance; 
‘‘(D) develop an online database and communication 
mechanisms, including telehealth, to facilitate consultation 
support to pediatric practices; 
‘‘(E) provide rapid statewide or regional clinical tele-
phone or telehealth consultations when requested between 
the pediatric mental health teams and pediatric primary 
care providers; 
‘‘(F) conduct training and provide technical assistance 
to pediatric primary care providers to support the early 
identification, diagnosis, treatment, and referral of children 
with behavioral health conditions; 
‘‘(G) provide information to pediatric providers about, 
and assist pediatric providers in accessing, pediatric mental 
health care providers, including child and adolescent 
psychiatrists, and licensed mental health professionals, 
such as psychologists, social workers, or mental health 
counselors and in scheduling and conducting technical 
assistance; 
‘‘(H) assist with referrals to specialty care and commu-
nity or behavioral health resources; and 
‘‘(I) establish mechanisms for measuring and moni-
toring increased access to pediatric mental health care 
services by pediatric primary care providers and expanded 
capacity of pediatric primary care providers to identify, 
treat, and refer children with mental health problems. 
‘‘(2) PEDIATRIC MENTAL HEALTH TEAMS.—In this subsection, 
the term ‘pediatric mental health team’ means a team con-
sisting of at least one case coordinator, at least one child 
and adolescent psychiatrist, and at least one licensed clinical
H. R. 34—232 
mental health professional, such as a psychologist, social 
worker, or mental health counselor. Such a team may be region-
ally based. 
‘‘(c) APPLICATION.—A State, political subdivision of a State, 
Indian tribe, or tribal organization seeking a grant under this 
section shall submit an application to the Secretary at such time, 
in such manner, and containing such information as the Secretary 
may require, including a plan for the comprehensive evaluation 
of activities that are carried out with funds received under such 
grant. 
‘‘(d) EVALUATION.—A State, political subdivision of a State, 
Indian tribe, or tribal organization that receives a grant under 
this section shall prepare and submit an evaluation of activities 
that are carried out with funds received under such grant to the 
Secretary at such time, in such manner, and containing such 
information as the Secretary may reasonably require, including 
a process and outcome evaluation. 
‘‘(e) ACCESS TO BROADBAND.—In administering grants under 
this section, the Secretary may coordinate with other agencies to 
ensure that funding opportunities are available to support access 
to reliable, high-speed Internet for providers. 
‘‘(f) MATCHING REQUIREMENT.—The Secretary may not award 
a grant under this section unless the State, political subdivision 
of a State, Indian tribe, or tribal organization involved agrees, 
with respect to the costs to be incurred by the State, political 
subdivision of a State, Indian tribe, or tribal organization in car-
rying out the purpose described in this section, to make available 
non-Federal contributions (in cash or in kind) toward such costs 
in an amount that is not less than 20 percent of Federal funds 
provided in the grant. 
‘‘(g) AUTHORIZATION
OF APPROPRIATIONS.—To carry out this 
section, there are authorized to be appropriated, $9,000,000 for 
the period of fiscal years 2018 through 2022.’’. 
SEC. 10003. SUBSTANCE USE DISORDER TREATMENT AND EARLY 
INTERVENTION SERVICES FOR CHILDREN AND ADOLES-
CENTS. 
The first section 514 of the Public Health Service Act (42 
U.S.C. 290bb–7), relating to substance abuse treatment services 
for children and adolescents, is amended— 
(1) in the section heading, by striking ‘‘ABUSE TREATMENT’’ 
and inserting ‘‘USE DISORDER TREATMENT AND EARLY INTER-
VENTION’’; 
(2) by striking subsection (a) and inserting the following: 
‘‘(a) IN GENERAL.—The Secretary shall award grants, contracts, 
or cooperative agreements to public and private nonprofit entities, 
including Indian tribes or tribal organizations (as such terms are 
defined in section 4 of the Indian Self-Determination and Education 
Assistance Act), or health facilities or programs operated by or 
in accordance with a contract or grant with the Indian Health 
Service, for the purpose of— 
‘‘(1) providing early identification and services to meet the 
needs of children and adolescents who are at risk of substance 
use disorders; 
‘‘(2) providing substance use disorder treatment services 
for children, including children and adolescents with co-occur-
ring mental illness and substance use disorders; and
H. R. 34—233 
‘‘(3) providing assistance to pregnant women, and parenting 
women, with substance use disorders, in obtaining treatment 
services, linking mothers to community resources to support 
independent family lives, and staying in recovery so that chil-
dren are in safe, stable home environments and receive appro-
priate health care services.’’; 
(3) in subsection (b)— 
(A) by striking paragraph (1) and inserting the fol-
lowing: 
‘‘(1) apply evidence-based and cost-effective methods;’’; 
(B) in paragraph (2)— 
(i) by striking ‘‘treatment’’; and 
(ii) by inserting ‘‘substance abuse,’’ after ‘‘child wel-
fare,’’; 
(C) in paragraph (3), by striking ‘‘substance abuse dis-
orders’’ and inserting ‘‘substance use disorders, including 
children and adolescents with co-occurring mental illness 
and substance use disorders,’’; 
(D) in paragraph (5), by striking ‘‘treatment;’’ and 
inserting ‘‘services; and’’; 
(E) in paragraph (6), by striking ‘‘substance abuse 
treatment; and’’ and inserting ‘‘treatment.’’; and 
(F) by striking paragraph (7); and 
(4) in subsection (f), by striking ‘‘$40,000,000’’ and all that 
follows through the period and inserting ‘‘$29,605,000 for each 
of fiscal years 2018 through 2022.’’. 
SEC. 10004. CHILDREN’S RECOVERY FROM TRAUMA. 
The first section 582 of the Public Health Service Act (42 
U.S.C. 290hh–1; relating to grants to address the problems of 
persons who experience violence related stress) is amended— 
(1) in subsection (a), by striking ‘‘developing programs’’ 
and all that follows through the period at the end and inserting 
the following: ‘‘developing and maintaining programs that pro-
vide for— 
‘‘(1) the continued operation of the National Child Trau-
matic Stress Initiative (referred to in this section as the 
‘NCTSI’), which includes a cooperative agreement with a coordi-
nating center, that focuses on the mental, behavioral, and 
biological aspects of psychological trauma response, prevention 
of the long-term consequences of child trauma, and early inter-
vention services and treatment to address the long-term con-
sequences of child trauma; and 
‘‘(2) the development of knowledge with regard to evidence- 
based practices for identifying and treating mental, behavioral, 
and biological disorders of children and youth resulting from 
witnessing or experiencing a traumatic event.’’; 
(2) in subsection (b)— 
(A) by striking ‘‘subsection (a) related’’ and inserting 
‘‘subsection (a)(2) (related’’; 
(B) by striking ‘‘treating disorders associated with 
psychological trauma’’ and inserting ‘‘treating mental, 
behavioral, and biological disorders associated with psycho-
logical trauma)’’; and 
(C) by striking ‘‘mental health agencies and programs 
that have established clinical and basic research’’ and 
inserting ‘‘universities, hospitals, mental health agencies,