‘‘(3) facilities that are eligible to receive funds 
under section 340E or 340H; 
‘‘(4) nonprofit medical facilities that predomi-
nantly treat individuals under the age of 21; 
‘‘(5) rural health clinics and Federally qualified 
health centers (as such terms are defined in section 
1861(aa) of the Social Security Act); 
‘‘(6) pediatric mental health and substance use 
disorder providers, such as child and adolescent psy-
chiatrists, psychologists, developmental and behav-
ioral pediatricians, general pediatricians, advanced 
practice nurses, social workers, licensed professional 
counselors, and other licensed professionals that pro-
vide mental health and substance use disorder serv-
ices to patients under 21 years of age; 
‘‘(7) child advocacy centers described in section 
214(c)(2)(B) of the Victims of Child Abuse Act of 
1990; 
‘‘(8) school-based health centers; and 
‘‘(9) other entities as determined appropriate by 
the Secretary. 
‘‘(c) PRIORITIZATION.—In making awards under sub-
section (a), the Secretary shall prioritize— 
‘‘(1) applicants that provide children and ado-
lescents from high-need, rural, or under-resourced 
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communities with services across the continuum of 
children’s mental health and substance use disorder 
care; and 
‘‘(2) applicants that predominantly provide care 
to children and adolescents that demonstrate plans 
to utilize funds to expand provision of care to chil-
dren, adolescents, and youth under age 21. 
‘‘(d) USE OF FUNDS.—Activities that may be funded 
through an award under subsection (a) include— 
‘‘(1) increasing the capacity of pediatric prac-
tices, family medicine practices, and school-based 
health centers to integrate pediatric mental, emo-
tional, and behavioral health services into their prac-
tices including through co-location of mental, emo-
tional, and behavioral health providers; 
‘‘(2) training for non-clinical pediatric health 
care workers, including care coordinators and navi-
gators, on child and adolescent mental health and 
substance use disorder, trauma-informed care, and 
local resources to support children and caregivers; 
‘‘(3) expanding evidence-based, integrated mod-
els of care for pediatric mental health and substance 
use disorder services; 
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‘‘(4) pediatric practice integration for the provi-
sion of pediatric mental health and substance use 
disorder services; 
‘‘(5) addressing surge capacity for pediatric 
mental health and substance use disorder needs; 
‘‘(6) providing pediatric mental, emotional, and 
behavioral health services to children as delivered by 
mental health and substance use disorder profes-
sionals utilizing telehealth services; 
‘‘(7) establishing or maintaining initiatives to 
allow more children to access care outside of emer-
gency departments, including partial hospitalization, 
step down residency programs, and intensive out-
patient programs; 
‘‘(8) supporting, enhancing, or expanding pedi-
atric mental health and substance use disorder pre-
ventive and crisis intervention services; 
‘‘(9) establishing or maintaining pediatric men-
tal health and substance use disorder urgent care or 
walk-in clinics; 
‘‘(10) establishing or maintaining community- 
based pediatric mental health and substance use dis-
order initiatives, such as partnerships with schools 
and early childhood education programs; 
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‘‘(11) addressing other access and coordination 
gaps to pediatric mental health and substance use 
disorder services in the community for children; and 
‘‘(12) supporting the collection of data on chil-
dren and adolescents’ mental health needs, service 
utilization and availability, and demographic data, to 
capture community needs and identify gaps and bar-
riers in children’s access to care, in a manner that 
protects personal privacy, consistent with applicable 
Federal and State privacy laws. 
‘‘(e) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there is authorized to be appro-
priated such sums as may be necessary for each of fiscal 
years 2024 through 2028. 
‘‘SEC. 340A–2. PEDIATRIC BEHAVIORAL HEALTH WORK-
FORCE TRAINING PROGRAM. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Administrator of the Health Resources and Services 
Administration, shall award grants, contracts, or coopera-
tive agreements to eligible entities for the purpose of sup-
porting evidence-based pediatric mental health and sub-
stance use disorder workforce training. 
‘‘(b) ELIGIBLE
ENTITIES.—Entities eligible for 
grants under subsection (a) include— 
‘‘(1) children’s hospitals; 
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‘‘(2) facilities that are eligible to receive funds 
under section 340E or 340H; 
‘‘(3) nonprofit medical facilities that predomi-
nantly treat individuals under the age of 21; 
‘‘(4) rural health clinics and Federally qualified 
health centers (as such terms are defined in section 
1861(aa) of the Social Security Act); 
‘‘(5) entities that employ mental health and 
substance use disorder professionals, such as child 
and adolescent psychiatrists, psychologists, develop-
mental and behavioral pediatricians, general pedia-
tricians, advanced practice nurses, social workers, li-
censed professional counselors, or other licensed pro-
fessionals that provide mental health or substance 
use disorder services to patients under 21 years of 
age; and 
‘‘(6) other pediatric health care providers as de-
termined appropriate by the Secretary. 
‘‘(c) USE OF FUNDS.—Activities that may be sup-
ported through an award under subsection (a) include the 
following: 
‘‘(1) Training to enhance the capabilities of the 
existing pediatric workforce, including pediatricians, 
primary care physicians, advanced practice reg-
istered nurses, and other pediatric health care pro-
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viders, including expanded training in pediatric men-
tal health and substance use disorders, and cul-
turally and developmentally appropriate care for 
children with mental health conditions. 
‘‘(2) Training to support multi-disciplinary 
teams to provide pediatric mental health and sub-
stance use disorder treatment, including through in-
tegrated care models. 
‘‘(3) Initiatives to accelerate the time to licen-
sure within the pediatric mental health or substance 
use disorder workforce. 
‘‘(4) Activities to expand recruitment and reten-
tion, increase workforce diversity, or enhance work-
force training for critical pediatric mental health 
professions, including— 
‘‘(A) child and adolescent psychiatrists; 
‘‘(B) psychiatric nurses; 
‘‘(C) psychologists; 
‘‘(D) family therapists; 
‘‘(E) social workers; 
‘‘(F) mental health counselors; 
‘‘(G) developmental and behavioral pedia-
tricians; 
‘‘(H) pediatric substance use disorder spe-
cialists; and 
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‘‘(1) constructing or modernizing sites of care 
for pediatric behavioral health services; 
‘‘(2) expanding capacity to provide pediatric be-
havioral health services, including enhancements to 
digital infrastructure, telehealth capabilities, or other 
improvements to patient care infrastructure; 
‘‘(3) supporting the reallocation of existing re-
sources to accommodate pediatric behavioral health 
patients, including by converting or adding a suffi-
cient number of beds to establish or increase the 
hospital’s inventory of licensed and operational, 
short-term psychiatric and substance use inpatient 
beds; and 
‘‘(4) addressing gaps in the continuum of care 
for children, by expanding capacity to provide inter-
mediate levels of care, such as intensive outpatient 
services, partial hospitalization programs, and day 
programs that can prevent hospitalizations and sup-
port children as they transition back to their homes 
and communities. 
‘‘(b) ELIGIBILITY.—To be eligible to seek an award 
under this section, an entity shall be a hospital or rural 
health clinic that predominantly treats individuals under 
the age of 21, including any hospital that receives funds 
under section 340E. 
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‘‘(c) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there is authorized to be appro-
priated such sums as may be necessary for each of fiscal 
years 2024 through 2028. 
‘‘(d) SUPPLEMENT, NOT SUPPLANT.—Funds pro-
vided under this section shall be used to supplement, not 
supplant Federal and non-Federal funds available for car-
rying out the activities described in this section. 
‘‘(e) REPORTING.— 
‘‘(1) REPORTS FROM AWARD RECIPIENTS.—Not 
later than 180 days after the completion of activities 
funded by an award under this section, the entity 
that received such award shall submit a report to 
the Secretary on the activities conducted using funds 
from such award, and other information as the Sec-
retary may require. 
‘‘(2) REPORTS TO CONGRESS.—Not later than 
one year, the Secretary shall submit to the Com-
mittee on Energy and Commerce of the House of 
Representatives and the Committee on Health, Edu-
cation, Labor, and Pensions of the Senate a report 
on the projects and activities conducted with funds 
awarded under this section, and the outcome of such 
projects and activities. Such report shall include— 
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‘‘(A) the number of projects supported by 
awards made under this section; 
‘‘(B) an overview of the impact, if any, of 
such projects on pediatric health care infra-
structure, including any impact on access to pe-
diatric mental health and substance use dis-
order services; 
‘‘(C) recommendations for improving the 
investment program under this section; and 
‘‘(D) any other considerations as the Sec-
retary determines appropriate.’’. 
Æ 
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